1. Potential Conflicts Potential conflicts: eg resources, needs of service user, needs of family/others, risk How would you deal with the conflicting perspectives

2. When making a decision about decisions in care there are often different perspectives which need to be worked forward When making a decision about decisions in care there are often different perspectives which need to be worked forward There are often conflicts with care values and personal values. There are often conflicts with care values and personal values. Links into discussions about needs led versus service user led Links into discussions about needs led versus service user led

3. Group discussion Divide into groups of four and discuss the following case scenarios Divide into groups of four and discuss the following case scenarios

4. Scenario One An older resident in a residential home is not working with his care plan- he is unwilling to take his medication regularly and enjoys drinking and smoking both in his room and in the local pub. On a number of occasions he has come home ‘tipsy’ An older resident in a residential home is not working with his care plan- he is unwilling to take his medication regularly and enjoys drinking and smoking both in his room and in the local pub. On a number of occasions he has come home ‘tipsy’

5. Group One Discuss the ethical view that he is entitled to do as he pleases (service user led) Discuss the ethical view that he is entitled to do as he pleases (service user led) Consider different values- both care and personal Consider different values- both care and personal Be prepared to feedback to the large group Be prepared to feedback to the large group

6. Group Two Discuss the ethical view that he may be at risk (needs led) Discuss the ethical view that he may be at risk (needs led) Consider different values- both care and personal Consider different values- both care and personal Be prepared to feedback to the large group Be prepared to feedback to the large group

7. Case scenario 2 A young man is living in the community and is a voice hearer and has a significant mental health difficulty. He is increasingly becoming annoyed with his social worker and community mental health burse and has requested that there is no further involvement A young man is living in the community and is a voice hearer and has a significant mental health difficulty. He is increasingly becoming annoyed with his social worker and community mental health burse and has requested that there is no further involvement

8. Group One Discuss the ethical principles why this person should be allowed to ask for his case to be closed Discuss the ethical principles why this person should be allowed to ask for his case to be closed Consider different values- both care and personal Consider different values- both care and personal Be prepared to feedback to the large group Be prepared to feedback to the large group

9. Group Two Discuss the ethical principles why the person needs to have involvement Discuss the ethical principles why the person needs to have involvement Consider different values- both care and personal Consider different values- both care and personal Be prepared to feedback to the large group Be prepared to feedback to the large group

10. How do you think decisions are made How do you think decisions are made What are the conflicts in both scenarios What are the conflicts in both scenarios In a real life situation what do you think should happen In a real life situation what do you think should happen Can you thinks of any other ethical dilemmas Can you thinks of any other ethical dilemmas