A “practical dilemma” is one of those ordinary situations in which it is
not immediately clear what a conscientious health professional should do. “OMG, what should I say?” “Should I report that?” Can we proceed to treatment on her say-so?” A practical dilemma is immediate and clinical; it is not a public policy issue.
“Ethical analysis” is careful reflection on “should” questions. It grounds
our answers to ethical dilemmas in some deeper and more substantive basis than “It feels right” or “My attending does it that way” or “First do no wrong.” Ethical analysis seeks to provide a persuasive answer to the question “Why should we behave that way?”