Professional Documents
Culture Documents
By
Harber-Iles, M.
Case Scenarios
Scenario 1
Mr. Burns is eighty-six years old and suffers from senile dementia. You are the
community health social worker who placed him in a long-term care facility nine
months ago. His wife died three weeks ago. Mr. Burns continually asks when his
wife is coming to see him. The nursing staff once told Mr. Burns that his wife had
died. This upset him to such an extent that he became agitated and had to be
medicated and physically restrained. This has been repeated on a number of
occasions. The other residents on his unit also become very distressed when Mr.
Burns becomes grief stricken. The care staff members feel increasingly
uncomfortable telling Mr. Burns the truth and find they have to spend a lot of time
with him. This means they are often unable to complete their duties for the rest of
the residents. The head nurse is concerned for her staff members and other residents,
but wants to do the “right thing” by Mr. Burns. She asks your opinion as to the best
course of action to take.
• What ethical principles apply to this situation?
• What are the possible courses of action?
• What are the benefits or harms of each course of action?
Scenario 2
You are a school social worker and have been working with Sally, a thirteen-year-
old student in the eighth grade. You have been away from the school for a month
filling in for another social worker at another school. Today is your first day back in
this school and Sally seems overjoyed to see you. The two of you have a good
relationship and she has come to trust you. Today she tells you that she wants to tell
you a secret, but insists that you not tell her parents.
As her social worker, how would you answer Sally? If you look at the situation from
the perspective of confidentiality, it is ethical to consent to Sally’s request no matter
what the secret is?
Here are some possible secrets Sally may have. How would your response be
different if she tells you:
• She has lost the watch that her parents bought her for her birthday?
• She has a crush on you?
• Her older brother is hurting her?
• Her father has been visiting her at night and discussing the relationship
problems that he and her mom are having?
• She has not been attending school for the past three weeks?