COVID-19 Ethical Dilemma

1. Courses of Action

1.1. 1. Continue working with clients, despite lack of PPE. Notify the clients of the situation and make a plan to be as safe as possible given the circumstances.

1.1.1. positive: clients continue to receive therapy services; therapists continues working

1.1.2. negative: therapist and clients are put at risk for COVID-19, as well as families

1.2. 2. Take a leave of absence from work until conditions have improved and it is safe to return.

1.2.1. positive: decreased risk of catching and spreading COVID-19

1.2.2. negative: temporary lack of job/unemployment for therapist; client must pause services

2. Core Values

2.1. Altruism

2.2. Prudence

2.3. Freedom

3. Ethical Principles

3.1. Beneficence

3.2. Nonmaleficence

4. Description of Dilemma

4.1. An occupational therapist is working with clients in an outpatient facility during the COVID-19 pandemic. The therapist and clients have made the decision to continue services while practicing social distancing and safe habits. However, the facility has recently developed a scarcity in PPE. The therapist worries about their own personal safety, as well as the safety of the clients and their families. The OT must decide whether to continue services with these conditions or temporarily pause services.

5. Stakeholders

5.1. Occupational therapist

5.2. Clients

5.3. Families of OT and clients

6. Best Course of Action

6.1. The OT should take a temporary leave of absence in order to ensure the safety of themselves and the clients. This is the best option because the logistical concerns can be dealt with, but health is a priority.