Real-Life Decision Making -- Solution
You don't perform the treatment.
You think to yourself, "I have made my position clear to the physician and to the caregivers. If I deliver the treatment without a caregiver present, the young man will become frightened and embarrassed. Plus, without the caregivers learning the home care, my treatment will be ineffective. Not only that, if I give in this time, the caregivers will continue to ignore my requirements and the patient will be the one to suffer."
You contact the supported care home and report what has happened. You inform them that you will refuse to deliver treatment without caregiver involvement.
The supervisor at the supported care home agrees that the caregiver should have stayed. "I will ensure that this doesn't happen again," she promises. "I remember our agreement and I will be sure that one of the caregivers is present from now on."
You report the incident to the physician, who agrees that you did the correct thing.
The next appointment goes as planned.
"If a person has had undergraduate training, they will have received training in ethical boundaries," says therapist Robert Harris. "For example, a patient must be draped in an appropriate fashion. Dignity must be respected when working with patients."