1.Clearly Define the issue.

2.Determine the facts of the situation.

3.Determine who the stakeholders are, the values at stake, and the obligations and interests of each stakeholder.

a.Values refer to Ethical Concepts. See the list of ethical concepts on page 100 and their definitions. List the ethical concepts (values) that are at stake in this situation.

4.Determine what options are available and evaluate them.

5.Decide what should be done.

6.Justify the decision made by identifying reasons that support the decision.

7.Implement your decision (you don't have to record anything for this step)

8.Evaluate the outcome of the decision

a.Since we can't do this, think of various things that could happen if you make this decision- both good and bad.

9.Examine how to prevent the issue from recurring.

Ethical Case:

Kathy, 39-year-old woman has been prescribed expensive medications for her idiopathic pulmonary fibrosis and pulmonary hypertension but is not able to afford them.She has been in and out of the University of Minnesota Hospital 3 times in last 4 months.She has continuous oxygen and MKPI of 50%.Dyspnea and cough are disabling. She states that she has been repeatedly told her prognosis is less than one year, especially if she continues to be noncompliant with medications.She asks for hospice admission.

Death and Dying-The Ethical Decision Making Model This is a 3-Part Assignment Part 1 (5 points): Research the 5 stages of death and dying as described by Dr. Kubler-Ross. Describe them in your own words. List your references. Part 2 (5 points): Choose one of the local Hospice facilities listed below, and search online to learn about the facility and answer the questions below. Quiet Oaks Hospice * Heartland Hospice * CentraCare Hospice * St Croix Hospice Hospice Name: Mission/Vision: Services Offered: Background/History: Who provides care? Other information available on their website: Part 3 (10 points): Read the following case study. Analyze the issue and apply the ethical-decision making model (page 123 in your book). 1. Clearly Define the issue. 2. Determine the facts of the situation. 3. Determine who the stakeholders are, the values at stake, and the obligations and interests of each stakeholder. 4. 5. 6. 7. 8. 9. a. Values refer to Ethical Concepts. See the list of ethical concepts on page 100 and their definitions. List the ethical concepts (values) that are at stake in this situation. Determine what options are available and evaluate them. Decide what should be done. Justify the decision made by identifying reasons that support the decision. Implement your decision (you don't have to record anything for this step) Evaluate the outcome of the decision a. Since we can't do this, think of various things that could happen if you make this decision- both good and bad. Examine how to prevent the issue from recurring. Ethical Case: Kathy, 39 year old woman has been prescribed expensive medications for her idiopathic pulmonary fibrosis and pulmonary hypertension, but is not able to afford them. She has been in and out of the University of Minnesota Hospital 3 times in last 4 months. She has continuous oxygen and MKPI of 50%. Dyspnea and cough are disabling. She states that she has been repeatedly told her prognosis is less than one year, especially if she continues to be noncompliant with medications. She asks for hospice admission