Ethical Issues and Dilemmas in Caring for Children and Adolescents

In medical settings, social workers may face ethical dilemmas around testing, initiating or withholding treatment, disclosing of diagnoses, and more. Ethical dilemmas may also arise from religious or cultural point of views. When children are involved, it is possible that dilemmas will arise between the children and their parents or between parents and the medical team. When faced with ethical dilemmas, medical social workers must rely on the National Association of Social Workers (NASW) Code of Ethics, as well as ethical reasoning.
To prepare:
Review this week’s resources. Think about one childhood or adolescent illness. Consider an ethical issue that could present itself during the care of a child or adolescent.
In a 3- to 4-page paper:
1. Briefly describe the illness you selected.
2. Explain an ethical issue involving a child or adolescent in the context of the illness. Be sure to explain all sides of the ethical dilemma.
3. Explain your ethical responsibilities in adherence with the professional ethical standards applicable to the clinical situation.
Be sure to justify your response by citing the NASW Code of Ethics
NASW Code of Ethics is available online.
Support your Assignment with specific references to resources, using appropriate APA 7 format and style. You are asked to provide a reference list for all resources, including those in the readings.
Readings
Beder, J. (2006). Hospital social work: The interface of medicine and caring. New York, NY: Routledge. Chapter 15, “Social Work in the Pediatric Unit” (pp.163–174)
Gehlert, S., & Browne, T. (Eds.). (2019). Handbook of health social work (3rd ed.). Hoboken, NJ: Wiley. Chapter 16, “Social Work with Children and Adolescents with Medical Conditions” (pp. 362-375)
National Association of Social Workers. (n.d.). NASW standards for the practice of social work with adolescents. Retrieved from
https://www.socialworkers.org/LinkClick.aspx?fileticket=rUt4ybE_GW4%3D&portalid=0
McCoyd, J. L. M., & Kerson, T. S., (Eds.). (2016). Social work in health settings: Practice in context (4th ed.) New York, NY: Routledge.
Chapter 7, “Social Work in a Pediatric Hospital: Managing a Medically Complex Patient” (pp. 90-101)
Chapter 10, “Family-Focused Care of an Adolescent with a Burn: A Multidisciplinary Approach” (pp. 126-136)
Pinquart, M., & Shen, Y. (2011). Depressive symptoms in children and adolescents with chronic physical illness: An updated meta-analysis. Journal of Pediatric Psychology, 36(4), 375–384.
Sarwer, D. B., & Dilks, R. J. (2012). Invited commentary: Childhood and adolescent obesity: Psychological and behavioral issues in weight loss treatment.
Journal of Youth & Adolescence, 41(1), 98–104.
Soleimanpour, S., Geierstanger, S. & Brindis, C.D. (2017). Adverse childhood experiences and resilience: Addressing the unique needs of adolescents.
Academic Pediatrics, 17(7), S108-S114.

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