8. Use the IDEA Ethical Decision-Making Framework on page 93 in the text to help you address the ethical issue in this c

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8. Use the IDEA Ethical Decision-Making Framework on page 93 in the text to help you address the ethical issue in this case study. Case Study Mr. Wu is a 73-year-old Chinese-Canadian man in whom lung cancer was diagnosed approximately one year ago. At the insistence of his family, however, Mr. Wu has been told only that he has "lung disease." He does not know his diagnosis or prognosis. Mr. Wu's wife died eight years ago, and he has lived alone since then. His disease is clearly advancing, he has lost weight (13 pounds in the past six months-he now weighs 143 pounds), and he is experiencing increasing back pain and difficulty swallowing. He recently was admitted to your nursing facility. His two sons and daughter are married and live in the area. He does not practice any religion or faith. Because Mr. Wu's family does not want him to know the truth about his illness or his prognosis, he cannot participate in decision making and care planning, a situation that the health care team finds frustrating.
IDEA Ethical Decision-Making Framework The fundamental purpose of ethics in health care is to guide the decision making to answer the question, "What should we do and why?" The IDEA Ethical Decision-Making Framework (adapted) (Figure 20) can help HCPs make ethical decisions. The framework has four steps: 1. Identify the facts and the ethical question(s) 2. Determine ethical principles in conflict 3. Explore the available options 4. Act on the decision and evaluate The IDEA Ethical Decision-Making Framework builds upon the Toronto Central Community Care Access Centre Com- munity Ethics Toolkit (2008), which was based on the work of Jonsen, Seigler, and Winslade (2002), the work of the Core Corriculum Working Group at the University of Toronto Joint Centre for Bioethics, and incorporates as pects of the accountability for reasonableness framework developed by Daniels and Sabin (2002) and adapted by Gibson, Martin, and Singer (2005).
4. Act IDEA¹ Ethical Decision-Making Framework . Recommend Implement - Evaluate Ask: Are we (am ) comfortable with this decision? REVISIONS & APPEALS 3. Explore the Options Harms & Benefits Strengths & Limitations - Laws & Policies - Mission, Vision, Values Ask: What is the most ethically justifiable @ption? COMPLIANCE What is an ethical issue? Amitrying to determine the right course of action? Ami asking a "should question? Are values and beliefs involved? Am i feeling uncomfortable? If you answered yes to any of these questions, you may be encountering an ethical issue RELEVANCE 1. Identify the Facts Medical Indications Patient Preferences . Evidence Contextual Features Ask: What is the ethical issue? . EMPOWERMENT PUBLICITY 2. Determine the Relevant Ethical Principles - Nature & Scope • Relative Weights Ask: Have perspectives of relevant individuals been sought? The IDEA: Ethical Decision-Making Framework bulds upon the Toronto Central Community Care Access Centre Community Ethics Toolkit (2008) which was based on sler & Winalade