After reviewing the following scenario, how would you address the questions?
1. What do you see as the ethical issues of this case?
2. Find and describe an ethical decision-making approach or model you would use to help make your decision?
3. What would you do if you were Dr. Cameron and why would you do it?
SCENARIO
Shantell Johnson just heard from her coach that several college scouts ready to award scholarships have inquired about her and said they would be at the upcoming championship game. Receiving a scholarship would make Shantell the first person in her family with the opportunity to go to college.
Unfortunately, Shantell injured her right knee during the semi-finals, and the school’s athletic trainer said she could not play in the championship game because of possible further, irreversible damage. Shantell scheduled an appointment with Dr. Cameron.
Dr. Lisa Cameron is Shantell’s primary care physician, specializing in sports medicine; she reviews the results from the MRI to see what kind of damage has occurred.
Dr. Cameron confirms the athletic director’s concerns. Shantell most definitely injured her right knee and, in fact, tore her anterior cruciate ligament, or ACL. Playing in another game could cause further damage to her articular cartilage and menisci.
Shantell pleads with Dr. Cameron for a note to clear her for the championship game because she has a lot on the game for her and her family. She tells Dr. Cameron that if she is old enough to join the military and risk her life fighting for this country, then she is mature enough to make this decision. Shantell promises to wear a knee brace during the championship game, and afterward, she will take it easy until her ACL heals completely.
The scenario involving Shantell Johnson, a high school athlete facing a significant ethical dilemma, raises questions about the balance between personal aspirations and potential health risks. As Dr. Lisa Cameron, Shantell’s primary care physician specializing in sports medicine, contemplates her decision, several ethical issues come to light.
Autonomy vs. Beneficence: One of the primary ethical tensions in this scenario is the conflict between Shantell’s autonomy and the principle of beneficence. Shantell’s desire to play in the championship game and potentially secure a scholarship conflicts with Dr. Cameron’s responsibility to prioritize her patient’s health and prevent further injury.
Informed Consent: Shantell’s assertion that she is mature enough to make her own decisions touches on the concept of informed consent. The ethical issue here is whether Shantell fully comprehends the potential risks and consequences of playing with a torn ACL and the subsequent impact on her future health and well-being.
One ethical decision-making approach that could guide Dr. Cameron’s decision is the **Principlism Approach**, which involves weighing the ethical principles of autonomy, beneficence, non-maleficence, and justice. This approach encourages considering these principles within the context of the specific situation and weighing their relative importance.
Autonomy: Dr. Cameron must respect Shantell’s autonomy and her right to make decisions about her own body, especially considering her argument about military service. However, autonomy must be balanced with other ethical principles.
Beneficence and Non-maleficence: Dr. Cameron’s duty to prioritize Shantell’s well-being and prevent harm weighs heavily. Allowing Shantell to play with a torn ACL could potentially cause irreparable damage and jeopardize her future health.
Justice: The principle of justice requires fairness in decision-making. Dr. Cameron must consider whether allowing Shantell to play would be fair to her teammates, who may depend on her, and to other athletes who follow her example.
Considering the ethical tensions and employing the Principlism Approach, Dr. Cameron would likely prioritize beneficence and non-maleficence over autonomy. While acknowledging Shantell’s autonomy and desire to play, Dr. Cameron would express her concern for Shantell’s long-term health and well-being. She would explain the potential risks of further injury, the importance of following medical advice, and the potential consequences of not prioritizing her recovery.
The case of Shantell Johnson highlights the complexities of ethical decision-making in sports medicine. By analyzing the ethical issues and applying a principled approach, Dr. Cameron can guide her decision while considering Shantell’s autonomy, beneficence, and the potential impact on her future. Ultimately, the ethical dilemma calls for a balanced approach that places Shantell’s health and well-being at the forefront.
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