Ethical code is a method that will guide an individual in becoming aware of what is right or wrong, and being able to relate that knowledge in decision making. According to NOHSE, there are varieties of ethical issues encountered by renal dialysis workers in their professional practice. These ethical problems are normally centered on a number of things. We have ethical dilemmas often centered on the clients self-determination, confidentiality, and resource availability, prolongation of life, and hospital/insurance company policies and practices, which may bring conflict with the social work values. These problems can be well illustrated by social workers in their field of professional practice.
The way patients conduct themselves during treatment is very important to the renal workers. If a patient remains self-determined and is with confidence with the treatment done, an improvement will be quickly noted in his or her condition. We can also consider a patients resource availability. If the resources needed to undergo the treatment are available, it will also encourage the condition of the patient. On the other hand, the patient should also be resourceful. It means that the patient should be able to finance the operation either in cash or through insurance.
The major problem is with biopsychosocial needs of patients in the inpatient and outpatient dialysis units. This problem has been addressed by the Department of Social Work and Utilization Case Management by employing two full time renal dialysis social workers. Renal social workers have two tasks they do to their patients. They address patients adjustment to illness, their rights, financial or resource concerns, and social support needs; provide emotional and concrete support services to the patients and their families on a long term basis. Renal workers also discuss the issue of Advanced Directives with patients and are sometimes called upon to interpret the patients wishes when deputies cannot be reached during a medical crisis. Renal social workers play a great role in helping both inpatients and outpatients in dialysis units.
Renal disease can be caused by complications of long-standing juvenile diabetes. If this disease is not treated earlier it will affect an individuals health for many years. This disease can also affect an individuals way of living; for example, due to the decline in health an individual will be forced to leave a job. It will affect the individuals way of living. Patients with this disease can be treated through medication and counseling. They can be given counseling to help them cope with their situations. They can also be kept under medication to prolong their life.
The Roles of the Human Service Worker
I would encourage Mrs. B. to join the community and not to lose hope in life. Her condition has affected many people and can be cured in time through counseling and acceptance in combination to medical assistance. Loosing hope is not an option fight in a more strong way.
The role of Mrs. B.
The renal disease has been deteriorating the life of Mrs. B. for many years. I have been having juvenile diabetes for a long time, which has made my health decline every day. After many years with this disease, I ended up having renal disease. I find myself undergoing hemodialysis very often, which I have undergone through for three years. Later it has forced me to leave my job because of my unfit health in handling my job. This disease also made my husband abandon me and my son in spite of my condition. My son and I were forsaken as a result of this disease. I became a burden to my husband. It has also denied my son the right to parental love.
Since I was deserted, my own mother moved to my place to take care of my son and me. She has been supportive in my life and wellbeing of my son. My condition has made my mother and my son look for support from the Catholics.
I have been hospitalized over the past years without any success. This disease is just deteriorating my health. For how long will I fight with the disease? For how long will I live on this machine? Dying is better than living on this machine. I am fed up with this treatment for there is no success.
The Role of Mother
My daughter has been with this disease for a long period of time. Since the time that I realized her condition, I agreed to take care of her and my grandson. I decided to act as her sons guardian since her ex-husband had terminated parental rights long ago. My daughter wants to terminate her treatment. This is suicidal. She is very young to die. It will also set a bad example to her son since she is giving up. It will make it hard for her son to cope with life. My daughter wants to affect the life of her son through death. My grandson will be left as an orphan child despite the care and support I provide to him. He will not have enjoyed his parental love since he is just at his tender age. My daughter wants to die and this is not the right time for her death.
The Role of Physician
Mrs. B. can live long with dialysis despite her serious condition. Through guidance, she will be able to accept herself, cope with her condition, and live longer. If she remains determined, have patience and continue with dialysis her condition will not decline. Despite her chronic diabetes, which may hinder her from renal transplant, she can live longer if she accepts her condition and continues with the dialysis.
The Role Guardian Ad Litem
The eight year old young child was deserted by the father due his mothers condition. The young child was denied his right to parental love. This child has the right to enjoy his fathers love as well as his responsibility. It is my suggestion that this child should also be taken care of by his father.