Oral dialogue healthcare directive

Ethics oral dialogue or Directions Written Healthcare Directive Reflection:

research style (APA, MLA, or CMS).  

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  • Paragraph one (Ethical Issue Recognition – Criteria A): What ethical issues did you consider as you wrote your healthcare directive? What facts, data, or evidence is important as you consider your directions. Do you have all the information you need to make an informed decision? What else do you need to know? What complexities does this healthcare directive ask you to consider? Are any these complexities related to one another? What ethical responses does it ask you to engage? (see rubric skill: A, B).
  • Paragraph two (Influence of Context and Assumptions – Criteria B): What do folks around you assume about death and dying? What did/do you assume? Did any of these shift as you wrote your directive? What social-cultural factors influence you the most when you consider your death and dying? What is your position on one ethical question about death and dying.
  • Paragraph three: (Ethical Self-awareness – Criteria C). What are your core beliefs and values? Use the values inventory (below) to help you name them. Identify how you embedded your values into your directive. What surprised you as you wrote it? Did you learn anything about yourself or others? (see rubric skill: C).
  • Paragraph four (Understanding and Applying Ethical Theories – Criteria D & E): Consider at least one of the theories we studied this semester. Name the theory (philosopher, major concepts) and cite key principles or excerpts from the person’s work(s) that demonstrates you understand the theory. Explain in your own words how this ethical framework helps you consider what is the right thing to do. What might one of the theorists we studied say the ethics of medical treatment, death, and dying? When you apply this theory to the ethical dilemma of how to direct others about your death and dying, what does this theory indicate one ought to do?  Do you agree? Is there something it misses? If so, can you identify what this theory lacks?
  • Paragraph five (Different Ethical Perspectives – Criteria F): What oppositions challenges do people argue about medical treatment, death ,and dying and what moral objections are commonly raised. Do any of these objections factor into the decisions you have made with your directive? Why or why not?
  • Paragraph six (Conclusion – Criteria E): What will you do with this directive? Where will you file it? Who else knows about it? Does this directive prompt you to take other actions to care for yourself and your community?

Rubric we will use to assess your work

Ethical Reasoning and Critical Thinking Terms

Adapted from AAC&U Value Rubrics

Ethical Reasoning is reasoning about “the good” which includes morality, right and wrong conduct, moral value and “good” relationships, institutions, laws, power, people and practices.  It requires students to be able to assess their own ethical values and the social context of problems, recognize ethical issues in a variety of settings, think about how different ethical perspectives might be applied to ethical dilemmas, and consider the ramifications of alternative actions. Students’ ethical self-identity evolves as they practice ethical decision-making skills and learn how to describe and analyze positions on ethical issues.

Critical thinking is a habit of mind characterized by the comprehensive exploration of issues, ideas, artifacts, and events before accepting or formulating an opinion or conclusion.

Glossary

The definitions that follow were developed to clarify terms and concepts used in this rubric only.

Ambiguity:  Information that may be interpreted in more than one way.

Assumptions:  Ideas, conditions, or beliefs (often implicit or unstated) that are “taken for granted or accepted as true without proof.” (quoted from www.dictionary.reference.com/browse/assumptions)

Core Beliefs: Those fundamental principles that consciously or unconsciously influence one’s ethical conduct and ethical thinking. Even when unacknowledged, core beliefs shape one’s responses. Core beliefs can reflect one’s environment, religion, culture or training. A person may or may not choose to act on their core beliefs.

Ethical Perspectives/concepts: The different theoretical means through which ethical issues are analyzed, such as ethical theories (e.g., utilitarian, natural law, virtue) or ethical concepts (e.g., rights, justice, duty).

Complex, multi-layered (gray) context: The sub-parts or situational conditions of a scenario that bring two or more ethical dilemmas (issues) into the mix/problem/context/for student’s identification (e.g., I want to save lives, but have to betray my family to do so).

Context:  The historical, ethical. political, cultural, environmental, or circumstantial settings or conditions that influence and complicate the consideration of any issues, ideas, artifacts, and events.

Cross-relationships among the issues: Obvious or subtle connections between/among the sub-parts or situational conditions of the issues present in a scenario (e.g., relationship of production of corn as part of climate change issue).

Values Exercise (to help you answer question 3)

A Value is a guiding principle or ideal.  Read the following list of common values. What do you deeply care about? Which ones matter most to you? Which do you most naturally use to guide your choices? What do you appreciate about yourself? Circle your values. Determine your top values, by thinking about your experiences of happiness, pride, and fulfillment. Pick your top three. Put a star next to those ones. If something comes to mind that is not on this list, write it down.

 

 

Acceptance

Artistic ability

Belonging

Challenge

Collaboration

Community

Courage

Efficiency

Enthusiasm

Equality

Ethical action

Excellence

Fairness

Faith/Religion

Family

Freedom

Friendship

Generosity

Gratitude

Happiness

Hard Work

Harmony

Health

Helping Others

Honesty

Honor

Humor

Independence

Inner Calm

Innovation

Integrity

Interdependence

Joy

Leadership

Lifelong Learning

Love

Loyalty

Meaningful Work

Mindfulness

Musical ability

Openness

Peace/Non-Violence

Perseverance

Personal Growth

Problem-Solving

Reliability

Relationships

Resourcefulness

Self-Reliance

Simplicity/Thrift

Strength

Tradition

Trust

Willingness

Wisdom

 

 

Choose one to write about now. Describe why your chosen value is important to you and a time in your life when you had the opportunity to express this value. Think about a difficult experience or decision you faced. How did you use this value to support or guide you? How can this value help you determine what is the right thing to do given your dialogue topic or healthcare directive?

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