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Family abuse and neglect: a case-based ethics model

V P Tilden¹, T A Schmidt

¹School of nursing, SN-ORD Oregon Health Sciences University, Portland 97201, USA.

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine

|November 1, 1994

Summary

Emergency physicians face ethical challenges when treating patients from multiproblem families with suspected domestic violence. A decision-making model aids in analyzing cases and determining intervention strategies for patient protection.

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Area of Science:

Medical Ethics
Public Health
Family Medicine

Background:

Healthcare providers encounter complex ethical dilemmas when managing patients from families with multiple issues, including suspected domestic violence.
The emergency department is a critical setting for identifying and addressing potential domestic abuse situations.

Observation:

This discussion reviews an ethical decision-making model designed to structure patient data and facilitate systematic case analysis.
The model addresses the emergency physician's duty to intervene and outlines available intervention options.

Findings:

The analysis examines the nuances of mandatory versus discretionary reporting laws concerning domestic violence.
Key factors for physicians to consider when deciding on protective actions for family members are explored.

Keywords:

Professional Patient Relationship

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Implications:

Implementing a structured ethical decision-making model can improve physician response to suspected domestic violence cases.
This approach supports the protection of vulnerable individuals within families experiencing abuse.