Read each Physical Therapy case scenario and answerer the question from 1-6 base on the case Case 1: Honesty and Conflic

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Read each Physical Therapy case scenario and answerer
the question from 1-6 base on the case
Case 1: Honesty and Conflicts of Interest
Gloria Carpenter is 68 years old and in the early stages of
Alzheimer disease. She lives at a skilled nursing and assisted
living facility. Sandra is one of the physical therapists at the
facility, and she has developed a friendship with Ms. Carpenter.
Following Ms. Carpenter's admission, Ms. Carpenter's son, Adam,
initially visited her three to four times a week, but slowly the
visits tapered off to approximately once a week. On the week of
Sandra's birthday, Gloria gave her a check for $40 as a birthday
present. Gloria instantly thanked her, but stated that the staff
was not allowed to accept gifts from patients. She said this
knowing that, in some circumstances, if the amount was small and if
it is reported to the head of the department, gifts were sometimes
allowed on a case-bycase basis. But the "never accept a gift"
policy was just so much easier to defend that Sandra felt justified
in using it, as she had done in the past with other patients. Ms.
Carpenter was adamant. She pointed out that she could not get out
to personally buy her a gift, and it was a small amount of money,
given that she had a small fortune in savings. Seeing how hurt Ms.
Carpenter looked, Sandra thanked her and promised to buy herself
something special with the money. About a month later, when Sandra
approached Gloria's room, she overheard Adam addressing his mother
in an angry tone. Sandra discovered Adam told Gloria that he was
selling her house because there was no money left to take care of
her. As her conservator, Adam had the legal right to liquidate real
estate holdings to pay for her care. Sandra asked her about the
"small fortune" she had mentioned earlier. Gloria said she had no
idea what happened, but now she suspected that Adam had used it to
"tide himself over" through prolonged unemployment. Sandra had seen
family members "borrow" from clients before, but this time it
passed over a threshold of reasonableness that she could not
witness silently. However, because of the unreported gift and her
patient's Alzheimer diagnosis, she was unsure how to proceed.
Points to consider: [The content offered is not intended to be
complete. These are merely ideas to help stimulate options that are
more creative.
1. Moral reasons: What are the obligations and virtues that this
case brings into focus? Sandra's duties are guided by both her role
as a provider and as a friend to Ms. Carpenter. Ms. Carpenter's
rights spring from her role as a patient, a parent, and a person in
need of extra protection.
2. Facts: What are the morally relevant facts in this case? Who
are the major stakeholders? What are the applicable federal, state,
or local ordinances that might apply? Gloria violated the
institution policy by not reporting the gift. Ms. Carpenter may be
correct about having a small fortune, and she would not know how it
was being diminished if her son had left her account open to both
of them but with bank statements going to him only. She may also be
simply mistaken and may be remembering a time years ago before the
recession.
3. What are the realistic options, and what are the likely
outcomes for each one? Sandra might consider the following options.
a. Report her concerns to her department chairs and hope the gift
does not surface. b. Report to Adult Protection Services and
provide what documentation she can in terms of conversations and
events she has witnessed. c. Remain silent and hope for the best.
d. Have Sandra reported for not disclosing the gift and explain
Sandra's concerns for Ms. Carpenter. e. Report anonymously to Adult
Protective Services.
4. Deliberate and make a decision: On balance, which option will
most reasonably balance and integrate moral reasons?
5. Take action.
6. Review the process and outcomes and look for ways to improve
the process