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You have learned in your preclinical professional education that use of a certain procedure has been discontinued almost everywhere because of a dangerously high incidence rate of harmful side effects. You observe it being performed regularly in the setting where you are currently assigned, a place with a good reputation (apparently well-deserved, generally speaking). In fact, as you observe patients' responses to the procedure, you become convinced yourself of good reasons not to use it. Now you have only 1 week left in this rotation and raise your concern with your supervisor. She responds,

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You have learned in your preclinical professional education that use of a certain procedure has been discontinued almost everywhere because of a dangerously high incidence rate of harmful side effects. You observe it being performed regularly in the setting where you are currently assigned, a place with a good reputation (apparently well-deserved, generally speaking). In fact, as you observe patients' responses to the procedure, you become convinced yourself of good reasons not to use it. Now you have only 1 week left in this rotation and raise your concern with your supervisor. She responds, "Actually, we know that, and we don't like it either. Our health plan, however, does not allow us to use the newer procedure because it is four times as expensive as this one." Use the 6 step process to analyze this ethical dilemma. You will complete the first 4 steps. This should be a typed, double-spaced, 2-3 page document, using 12 point Times New Roman font. Please use complete sentences, correct spelling, and appropriate grammar. Step 1: Gather relevant information. List all information that you might need in order to make an informed decision on what you should do in this situation. What questions would you need to have answered? Step 2: Identify the type of ethical problem. Decide whether this situation is ethical distress, ethical dilemma, or locus of authority problem. Provide an explanation to support your conclusion. Step 3: Use ethics theories or approaches to analyze the problems. Choose to use a deontological or utilitarian approach and provide an explanation to support your decision. Step 4: Explore the practical alternatives. List and describe all alternatives that you can think of for this situation. Do not exclude possible solutions that you may not support. In other words, I want to see everything you can think of even if it is impractical. When you have completed the list of alternatives, tell which you would choose and explain why. Please keep in mind as you complete this assignment that it is worth 15% of your grade. This means that you need to be sure that what you submit is substantial enough to analyze the scenario thoroughly. Students will prepare an analysis of an ethical situation based on the process presented in the course. The focus will be on using the proper steps to analyze the problem and the student's problem-solving skills.

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