Evaluationof Ethical Models and the Ethics Committee


Themoral or ethical dilemma involves nurses and staff at a localhospital caring for an elderly man in a nursing home. The patient iscalled Mr. Anderson, and he is 92 years old and suffering fromAlzheimer’s illness for more than ten years. Additionally, he isnot able to swallow food efficiently. The patient has beenhospitalized for aspiration pneumonia four times in the past year(Epstein &amp Delgado, 2010). The eldest son of the patient has adurable power, and he insists that elderly man should be insertedwith a feeding tube. The son also has support from his other twosiblings. The staff is of the opinion that the feeding tube would bestressing to the elderly patient. The patient is always swatting thehands of the staff whenever they attempted to insert the tube, and heoften pulls the tube out. This raises a dilemma because the familyhas the legal authority to make the medical decision concerning thepatient, which is inserting the feeding tube. Contrary, the staffthat is in charge of the patient on a daily basis desire a variedview of not inserting the tube but offering a comfort care (Epstein &ampDelgado, 2010).

Ethicaltheory or model

Therefore,when reviewing this case, I would like the ethics committee toconsider the Hunt-Vitell General Theory of Marketing Ethics. Thisframework exhibit how ethical decisions are predicted up toestimation of potential outcomes or benefits applying theteleological criteria (Vermillion, Lassar &amp Windsor, 2003). Italso uses deontological evaluations that invoke values and norms. Iwould support the Hunt and Vitell model because it uses deontologicalevaluations in the assessment of the inherent wrongness or rightnessof both choices of action in the dilemma. The model is used inteleological criteria to assess the perceived outcomes, theprobability of occurrence and the desirability of each outcome, aswell as the significance of stakeholders for the considered choicecourse of behavior or action (Vermillion, Lassar &amp Windsor,2003).

Roleof ethical committee

Therole of the ethical committee in the case is to promote the right ofthe patient and also advance shared decision making between theclinicians and the patient’s representative (Edmonson, 2010). Theethics committee would also consider the moral, financial andfamilial costs of each alternative and rule on the case. Thus, thecommittee would rule on the best suitable option that addresses theissues on the family and staff sides.


Edmonson,C. (Sept 30, 2010). &quotMoral Courage and the&nbspNurse Leader&quotOJIN:The Online Journal of Issues in Nursing.15(3), Manuscript 5. DOI:10.3912/OJIN.Vol15No03Man05.

Epstein,E.G., Delgado, S. (September 30, 2010). &quotUnderstanding andAddressing Moral Distress&quot OJIN:The Online Journal of Issues in Nursing,15 (3), Manuscript 1. DOI:10.3912/OJIN.Vol15No03Man01/

Vermillion,L., Lassar, M.W., &amp Windsor, R. (2003). TheHunt-Vitell General Theory of Marketing Ethics: Can it enhance ourunderstanding of principal-agent relationships in channels ofdistribution?Journalof Business Ethics(Impact Factor: 1.33). 01/2003 41(3):267-285.DOI:&nbsp10.1023/A:1021284922440.