Ethical Baseline

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Ethical Dilemmas

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Kataya Urquhart

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Ethical Baseline


Ethical BaselineVersión en línea Ethical Dilemmas por Kataya Urquhart 1 #1 In an appointment, the doctor continues to address the interpreter and says things like, “Can you tell her, the patient, I want her to come back in 2 weeks.” Pick the action you are most likely to take: a Tell the Deaf patient what is happening and see what she wants to do. Suggest to the doctor that she should talk to the Deaf patient directly. (Autonomy) b Explain to the doctor that she is working through an interpreter and that eye gaze and direct address is important to Deaf culture (Cultural Competence) c Continue to interpret what she said and signed as per the role of an interpreter (Deontology) d Do nothing as you think it has not caused any harm to the patient and she seems to understand the message (Non Maleficence) e Suggest to the doctor that she may want to talk directly to the Deaf person as that will establish rapport and perhaps lead to better outcomes. (Beneficence) f Make sure you correctly sign "She wants me to tell you to come back in two weeks." (Fidelity) 2 #2 The doctor asks the interpreter if the patient understands the diagnosis. The patient is a young African American individual, who identified as female. The interpreter is a White individual identifying as male. a Ask the Deaf patient if they would like to have a Deaf interpreter (Cultural Competency) b Explain to the doctor that if you answer the question, you may say the wrong thing and make things worse. (Consequentialism) c Tell the doctor that our code of professional conduct says that we must remain neutral so you cannot comment. You are also not an expert in medical diagnosis. (Deontology) d Suggest to the doctor that she asks the Deaf patient and ask the Deaf person what they want to do (Autonomy) e You don't want the patient to get ill so you ask the doctor to rephrase the question. (Non Maleficence) f Tell the doctor that you have conveyed the information accurately. (Fidelity) 3 #3 The doctor assumes the interpreter is the Deaf patients’ child. He makes a comment about “I am glad you brought your mother in today; she is not well it seems.” The Deaf patient does not seem to notice this nor respond. a You decide that no harm has been done to the patient nor will it potentially cause any problems, so you decide not to clarify your relationship with the Deaf patient (Non Maleficence) b You decide to check with the Deaf patient to make sure that they saw the comment and you repeat it to see if they want to respond (Autonomy) c You are worried the doctor may ask you questions or expect you to look after the deaf patient, and so you explain your role (Consequentialism) d You made sure you signed the comment clearly, by indicating that the doctor thought you were the son or daughter of the Deaf patient (Fidelity) e You decide not to take action as it is outside your role and deemed not appropriate by the agency you work for (Deontology) f 4 #4 There is an interpreting job at the local radiology department. The interpreter who was booked for the assignment just found out she may be pregnant and is worried about having her unborn child exposed to radiation. a The interpreter knows that the agency's policy states she cannot cancel a job once she has accepted it (Deontology) b The interpreter believes she is the best qualified to interpret the appointment and especially the terms and procedures, so she goes to the assignment anyway (Fidelity) c The interpreter contacts the Deaf patient and explains the situation, she asks the Deaf person what they would like her to do (Autonomy) d The interpreter believes she has enough time to find a qualified replacement and so the assignment will still be covered (Consequentialism) e The interpreter knows how much concern the Deaf patient must have, and so she rushes to find a replacement (Non Maleficence) f 5 #5 A Deaf patient insists they have celiac disease, but the doctor is dismissive and the tests have come back inconclusive. At one point as the doctor is typing away on his tablet, the Deaf patient looks to the interpreter and asks, “Does the doctor believe me?” a Recognizing the Deaf Patient is in distress, and not wanting to cause more, you tell the Deaf person you are not sure but better to ask the doctor. (Non Maleficence) b You know that you interpreted the interaction correctly and so you ask if you were unclear (Fidelity) c Tell the deaf patient you are just the interpreter. You can't really Give your opinion according to the code of professional conduct (Deontology) d Suggest that the Deaf person ask the doctor directly, but you don't offer an opinion, you do however offer to interpret (Autonomy) e 6 #6 A patient recently had surgery on their shoulder due to a torn ligament from a sports injury. You are booked to interpret but you are worried about how they will sign. a Check with the Deaf patient and the hospital to see if they would allow a Deaf interpreter to be present (Cultural Competence) b You have done follow up assignments for torn ligaments many times and you know all of the signs and how to discuss them in ASL (Fidelity) c You brainstorm what could go wrong, but you know that it is a follow up assignment and so the checkup will probably be easy to interpret (Consequentalism) d You decide to arrive early to talk with the Deaf patient to see if you can understand their signing as per agency's policy (Deontology) e You contact the Deaf patient and video conference with them to make sure you understand them and can provide appropriate services to them (Beneficence) f 7 #7 An interpreter realizes with only 10 minutes left of the appointment that they may have misunderstood something - the Deaf patient may have signed that she now weighs 130 pounds - but the interpreter said 150. The doctor may think she has gained weight when in fact she has lost weight. a The interpreter decides she has a duty to fix any mistakes and so she turns to the doctor and explains that it could have been a 130 pounds (Deontology) b Worried the doctor may not diagnose the patient correctly, the interpreter stops both the Deaf patient and the doctor and corrects her mistake (Non Maleficence) c You know you never get numbers correct and so you ask the Deaf patient to repeat their weight (Fidelity) d The interpreter turns to the Deaf patient and explains what happened. She asks the Deaf patient how they would like to handle it (Autonomy) e 8 #8 A Deaf patient is signing normally but every now and again will have a sporadic movement - He slaps his chest from time to time - for no reason. The doctor seems unaware that this isn’t just what sign language looks like. a Ask the doctor if you can check in with the patient and then ask the Deaf patient if they want to tell the doctor about their movements- the chest slapping (Autonomy) b Suggest that a Deaf interpreter be brought in via VRI for the assignment and perhaps for any future assignments (Cultural Competence) c You decide not to embarrass the patient by pointing out their repetitive behavior (Non Maleficence) d You are worried the Deaf patient may end up getting worse or not being treated so you decide to add the phrase 'chest slap' when it occurs (Consequentialism) e 9 #9 A Deaf patient has just undergone a colonoscopy. The hospital policy states that he can not go home alone or drive himself home. There is no one waiting for him when the procedure is done. He explains to the nurse that he knows the interpreter and that the interpreter will take him home. a You explain to the patient that the agency will not allow you to drive clients and that your insurance will not cover it. You cannot drive him (Deontology) b You say you cannot drive them home as you are worried what will happen if the patient gets sick or has an emergency or an accident occurs (Consequentialism) c You talked to the deaf patient and suggests he brainstorm other ways to get home, such as with a taxi or calling a friend (Autonomy) d You decide to drive the patient home as the risk to you is nothing compared to their need to get home safely. The agency however has told you not to do this (Non Maleficence) e 10 #10 The nurse has entered the room and taken the Deaf patient’s vitals. She then leaves and the interpreter has to decide if she stays in the room or leaves. The hospital policy is that she leaves if no medical professional is in the room. However, the Deaf patient is looking scared and obviously wants to talk and to have some support. She signs, “Are you leaving?” and looks distressed. a Explain the hospital policy which the interpreter must follow and politely leave the room (Deontology) b Suggest The patient call a friend or a family member who can sign through VRS or video chat software to talk to them (Cultural Competency) c Stay in the room and chat with the patient, even if you suspect the hospital or your agency might fire you (Non-Maleficence) d Suggest she ask the nurse or doctor if it is OK for the interpreter to stay in the room (Autonomy) e Think about what the hospital will do if you stay and how the referral agency will react. Also consider how it could affect the Deaf patient (Consequential) f

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Ethical BaselineVersión en línea

por Kataya Urquhart

#1 In an appointment, the doctor continues to address the interpreter and says things like, “Can you tell her, the patient, I want her to come back in 2 weeks.” Pick the action you are most likely to take:

#2 The doctor asks the interpreter if the patient understands the diagnosis. The patient is a young African American individual, who identified as female. The interpreter is a White individual identifying as male.

#3 The doctor assumes the interpreter is the Deaf patients’ child. He makes a comment about “I am glad you brought your mother in today; she is not well it seems.” The Deaf patient does not seem to notice this nor respond.

#4 There is an interpreting job at the local radiology department. The interpreter who was booked for the assignment just found out she may be pregnant and is worried about having her unborn child exposed to radiation.

#5 A Deaf patient insists they have celiac disease, but the doctor is dismissive and the tests have come back inconclusive. At one point as the doctor is typing away on his tablet, the Deaf patient looks to the interpreter and asks, “Does the doctor believe me?”

#6 A patient recently had surgery on their shoulder due to a torn ligament from a sports injury. You are booked to interpret but you are worried about how they will sign.

#7 An interpreter realizes with only 10 minutes left of the appointment that they may have misunderstood something - the Deaf patient may have signed that she now weighs 130 pounds - but the interpreter said 150. The doctor may think she has gained weight when in fact she has lost weight.

#8 A Deaf patient is signing normally but every now and again will have a sporadic movement - He slaps his chest from time to time - for no reason. The doctor seems unaware that this isn’t just what sign language looks like.

#9 A Deaf patient has just undergone a colonoscopy. The hospital policy states that he can not go home alone or drive himself home. There is no one waiting for him when the procedure is done. He explains to the nurse that he knows the interpreter and that the interpreter will take him home.