Examine the case of Baby Boy Doe (Darr, 2011, p. 16.) The objective of this assignment is to get you to think critically about real-life ethical dilemmas and the moral principals involved. There is no right or wrong answer, just try to look at this case subjectively. Most of the time, resolving ethical dilemmas is not so “black and white.” Discuss arguments for and against the issues below

1. Discuss what makes this an ethical dilemma (read pp. 3 and 4).

2. Discuss the implications of this study in terms of the moral principles described in chapter 1.

Here are some questions that may guide your thinking:

Respect for persons: Did the hospital/ physicians allow the parents to be autonomous in their decision-making? Do you see any elements of paternalism on behalf of the physicians?

Beneficence: Did the hospital/ physicians act beneficently?

Nonmaleficence: Did the hospital/ physicians consider nonmaleficence?

Justice: Did the hospital act in a just way?

3. Finally, do you think that the hospital did all that it could in this situation? Did it act appropriately? Explain.

1. What are community-based services?

What is home health care?

What is hospice care?

What is adult day care?

2. Who provides community-based services?

Who provides home health care?

Who provides hospice care?

Who provides adult day care and in what settings?

3. What are the patient services most commonly provided by each of the services discussed herein (home healthcare, hospice care, adult day care)?

Services most commonly provided by home health care organizations:

Services usually included in hospice care:

Services that may be provided at adult day care centers:

4. How are each of the community-based services financed?

How is home health care financed?

How is hospice care financed?

How is adult day care financed?

5. What are some of the human resource issues confronting community-based services providers?

Human resource issues confronting home health care providers:

Human resource issues confronting hospice care providers:

Human resource issues confronting adult day care providers:

6. What are some of the legal and ethical issues facing community-based services providers and consumers?

Legal and ethical issues facing home health care providers and consumers:

Legal and ethical issues affecting hospice care providers and consumers:

Legal and ethical issues facing adult day care providers and consumers:

1. As a company, would you describe PPI as having an identifiable philosophy of moral values? How do its policies contribute to this philosophy?

2. Which ethical perspective best describes PPI’s approach to safety issues? would you say PPI takes a utilitarian-, duty-, or virtue-based approach?

3. Regarding safety issues, how does management see its responsibilities toward its employees? How do the attorneys see their responsibilities toward PPI?

4. Why does it appear that the ethics of PPI and its attorneys are in conflict?

Case 13.2 How Safe is Safe?

Perfect Plastics Incorporated (PPI) is a small injection molding plastics company that employs 50 people. The company is 10 years old, has a healthy balance sheet, and does about $4 million a year in sales. the company has a good safety record, and the insurance company that has PPI’s liability policy has not had to pay any claims to employees for several years. There have been no major injuries of any kind since the company began.

Tom Griffin, the owner, takes great pride in the interior design and working conditions at PPI. He describes the interior of the plant as being like a hospital compared with his competitors. Order, efficiency, and cleanliness are top priorities at PPI. It is a remarkably well-organized manufacturing company.

PPI has a unique approach to guaranteeing safe working conditions. Each year, management brings in outside consultants from the insurance industry and the Occuppational Safety and Health Administration (OSHA) to audit the plant for unsafe conditions. Each year, the inspectionss reveal a variety of concerns, which are then addressed through new equipment, repairs, and changed work-flow designs. Although the inspectors continue to find opportunities for improvement, the overall safety improves each year.

the attorneys for PPI are very opposed to the company’s approach to safety. The lawyers are vehemently against the procedures of having outside auditors. If a lawsuit were to be brought against PPI, the attorneys argue that any previous issues could be used as evidence of a historical pattern and knowledge of unsafe conditions. In effect, the audits that PPI conducts voluntarily could be used by plantiffs to strengthen a case against the company. The President and management recognize the potential downside of outside audits, but they point out that the periodic reviews are critical to the ongoing improvement of the safety of everyone in the plant. The purpose of the audits is to make the shop a secur place, and that is what has occurred. Management also points out that PPI employees have responded positively to the audits and to the changes that result.