1. CASE: Sensitive Information

John is a young man with a traumatic spinal cord injury that has resulted in paraplegia. He is leaving the rehab hospital on a weekend pass and has confided to his chaplain that he intends to kill himself. The chaplain calls the ethics service for assistance.

  • Should the hospital issue the pass?
  • What are the ethics issues involved?
  • What information do you need to find out to move forward?
  • Who would you invite to a discussion about this issue?

Some Values and Ethics Issues to Consider 

  • Respect for autonomy
  • Beneficence
  • Non-maleficence
  • Duty to provide care
  • Living at risk
  • Moral distress
  • Compliance with policy
  • Respect for privacy and confidentiality