Miss Mary-Jane Ethical Issues

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Case Study 2 - Miss Mary-Jane
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This paper uses Kerridge, Lowe, and McPhee’s Model for Ethical Decision Making (2005) to analyze the case of Miss Mary-Jane and to have an ethical judgement for the nursing care. The ethical issues in this case are the need for consent to necessary procedure and the need to uphold the confidentiality of her medical condition. The medical issues are the possible diagnosis of ectopic pregnancy and the need to undergo surgical procedure. The social situation of Mary-Jane is that she is 14-year-old and her parents are separated. She has three siblings whom she needs to take care of. The legal issues are the law surrounding mandatory reporting of sexual abuse, consent, and confidentiality. …show more content…
Hence, Mary-Jane ought to know the treatment plan in order to make decisions regarding her own care (Singapore Nursing Board, 1999). Attaining verbal consent from Mary-Jane prior to the pregnancy test is a central principle of respect for autonomy. Furthermore, a 14-year-old girl has the capacity to participate in decision-making. Hence, Mary-Jane should not be regarded as incompetent based on her age alone (Thirumoorthy & Loke, …show more content…
376A) states that it is illegal have sexual relationship with a girl who is under 16 with or without her consent. However, there is no law surrounding mandatory reporting. Additionally, Singapore does not have a law that states the minimum age to provide consent for treatments. Therefore, the medical team should decide according to her best interest (Thirumoorthy & Loke, 2013). In Singapore, Gillick competence would be applicable for Mary-Jane as she is 14-year-old. The medical team needs to evaluate her to ascertain that she has adequate understanding to comprehend the medical diagnosis and its implications. If she has the capacity to understand, her consent would be valid (Thirumoorthy & Loke, 2013). Gillick competence is necessary if Mary-Jane wants to give her own consent for her own treatment. According to Mental Capacity Act (2010, Chapter 177A), Mary-Jane’s parents can make decisions on her behalf if she lacks the capacity. Regardless of the situation, the best interest of the Mary-Jane is paramount. The obligation to protect Mary-Jane supersedes the obligation to maintain confidentiality (Mathews, Lee, & Norman,

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