Ethical Dilemma in Health and Social Care

A written ethical essay
describing the case study
provided of a written analysis
of a professional ethical
dilemma from health and
social care.

Table of Contents
INTRODUCTION ..........................................................................................................................3
MAIN BODY...................................................................................................................................3
Right for individual to be supported to make their own decision- .............................................6
Knowledge about their disease: .................................................................................................6
Relevant interests: ....................................................................................................................6
Least restrictive: .........................................................................................................................7
CONCLUSION................................................................................................................................9
REFERENCES..............................................................................................................................10

INTRODUCTION
Ethical dilemma can be defined as decision-making problems that takes place in a situation
where there are two different possible moral imperatives are specifically being taken into
consideration (unambiguously acceptable or preferable). In health and social care sector, the term
ethical dilemma can be understood as a condition, where rise in differing morals among patients
and healthcare workers can be considered as something that brings complexities while
considering every single thing in an ethical manner.
On the other hand, mental capacity' can be considered as a state where an individual be able
to take decisions by his or her own. However, in many cases where an individual is dealing with
illness or disability like mental health problems or learning disability, it becomes really very hard
to specifically understand the information given to them about a particular decision. This may
result into negative outcomes related to mental health outcomes. This essay will be considering
the case study of Emma Jones where, decisions will be made in relation with restraint that was
applied on her to take her at home or hospice was justified or not within Mental Capacity Act,
2005(Chang, 2018).
MAIN BODY
According to the case study, Emma Jones has started dealing with severe congenital heart
disease and learning disabilities. Also, she was living with parents and also in every two months
she has to visit young adult hospice in one week. When she visited hospice, Emma got
overexcited and communicated well with staff as well as different occupants. Her mind-set and
general prosperity improve and this improvement goes on for at any rate like from seven days
after she gets back from hospice. Notwithstanding, Emma thinks that its troubling and becomes
upset when she is needed to get into a vehicle to head out to and from the hospice. She started
and attempts to get once more into the house or hospice. To get her into the vehicle it is
important to put some pressure on her. Also, it has been analysed that her parents and hospice
staff wonders that whether this restraint that was put on them is justified or not.
Including this, under Section 6(4) of the Mental Capacity Act 2005 states that restraint is at
the point when somebody utilizes power (or takes steps to) to cause somebody to accomplish
something they are opposing, and when somebody's opportunity of development is confined,
regardless of whether they are standing up to. any remaining less prohibitive methods for

accomplishing this have been attempted. In context with Emma Jones, nurses basically stayed
responsible for encouraging, giving, advancing and also upholding the most ideal patient
consideration and to make a move when quiet security and prosperity are undermined, including
when choosing to apply limitations. On the other hand, Emma Jones would have to take into
consideration of key accountabilities sketched out in the Professional Standards, Revised 2002.
There are three kinds of restrictions: physical, emotional and natural. Actual limitations limit a
patient's development. Substance restrictions are any type of psychoactive medicine utilized not
to treat ailment, but rather to deliberately repress a specific conduct or development. Natural
restrictions control a patient's versatility.
Medical care groups use restrictions for an assortment of reasons, for example, shielding
patients from hurting themselves or others, after any remaining intercessions have fizzled.
Limitations should be utilized uniquely for the briefest time when anticipation, de-heightening
and emergency the board methodologies have neglected to guard the individual and others. In
crisis circumstances, attendants may apply restrictions without assent when a genuine danger of
damage to the patient or others exists and simply after all elective mediations were fruitless.
Restriction use should be constantly surveyed by the medical services group and decreased or
ended as quickly as time permits(Cottone, and Tarvydas, 2016).
Based on case study as Emma is dealing with significant issues in context of mental health
issues and more. She feels uneasy and tends to become uncomfortable as she goes in car and
takes departure to go home or hospice. Every person in life may encounter these issues in almost
every aspect of life, including personal, social or professional as well, but in today's engaged life
mostly all of the individuals avoid these feelings until & unless it becomes major issue for them.
It can cause serious mental health issues. In case of Emma, it has been found that she was
dealing with different mental health related issues where isolation and congenital heart disease in
which a patient deal with respiratory or breathing issues, they were the two major problems that
created situation like this. Putting pressure on patients similar to Emma may create ethical
dilemma to them, as considering through perspective of parents and carers taking her through car
may be better for her but they should think about the condition of Emma or the patient whether it
is favourable for her or not, due to congenital heart disease and many other issue may it feel
distressing for her for that she can take legal actions against towards them. To overcome this
episode of mood of Emma, replacement of means of transport may be beneficial for her