OT 511- Personal Advocacy & Leadership Week 7 1 Leadership/Ethics Case Study B: Balancing Ethical Obligations to Enable Aging in Place Instructions: Review the provided case study. Complete the questions listed below as well as the Ethical Outcome Grid Ethical Dilemma Case Study: Marcie, a 61-year-old wife, mother, and grandmother, is an occupational therapist working in a community-based senior center. Her duties included program evaluation and planning, group leadership, and client advocacy with community agencies. Her husband, Stephen, is 66 and became disabled after sustaining a left-sided stroke while playing tennis. Marcie was now the primary breadwinner for the family. Her position at the senior center required that she work a flexible schedule that included weekends when the center offered special events. Stephen began attending the center to be near his wife and to have mealtime supervision, opportunities for social engagement, and limited physical activity. The senior center context met both Marcie’s and Stephen’s needs. After a few months, Stephen’s dependence on Marcie began to have a negative impact on her work performance. Stephen wanted Marcie to have lunch with him each day, go with him on center outings, and help him perform some of his ADLs. He asked to be assigned to Marcie’s groups so that he could spend more time with her. If Marcie attended to all of Stephen’s needs, she would not have had time to fulfill her job responsibilities. Marcie was torn between the duties she owed in her position at the senior center and her husband. #1: Identify at least 2 specific ethical dilemmas facing Marcie and describe here. 1. 2. #2: List at least 4 options that Marcie has for addressing this ethical situation and what are the possible positive and negative outcomes/consequences of each option? Complete grid below including ethical principles to explain your answers. Case from Scott, J.B. & Reitz, S.M. (2013). Practical applications for the occupational therapy Code of Ethics Standards. Chapter 2: Productive Aging, p 141-142. OT 511- Personal Advocacy & Leadership Week 7 2 Ethical Outcomes Grid Possible Action #1: Positive Outcomes Negative Outcomes Possible Action #2: Positive Outcomes Negative Outcomes Possible Action #3: Positive Outcomes Negative Outcomes Possible Action #4: Positive Outcomes Negative Outcomes #3: Which of the options for action would you recommend Marcie take? Provide rationale including support from the AOTA Code of Ethics. Case from Scott, J.B. & Reitz, S.M. (2013). Practical applications for the occupational therapy Code of Ethics Standards. Chapter 2: Productive Aging, p 141-142.