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John and Mary are health educators in a community clinic

Health Science

John and Mary are health educators in a community clinic. John’s specialty is working with clients on smoking cessation. Occasionally he and Mary collaborate on difficult cases to formulate strategies to assist clients who are having a particularly difficult time with smoking cessation. A former smoker himself, and having watched his mother die of smoking-related lung cancer, he is passionate about the health effects of this addictive habit as well as helping his clients to quit. His success rate for client quitting is 95%.
John has asked Mary to collaborate on a plan for a client who, despite all interventions, has failed to quit smoking. John tells Mary that he intends to use a scare tactic to motivate the client to change his behavior. John states that he is going to tell the patient that new research has just been published showing that all workplaces will test for nicotine in their employees and anyone testing positive will be excluded from the workplace, leaving the client unemployable if he does not quit. Mary points out that while there are employers who are considering this policy, no such research actually exists. John states that Mary is correct but points out that the client will not question the validity because John is known to be the resident expert in this topic. He further points out that if using this method helps him to quit and avoid the health consequences of smoking, then it cannot possibly cause any harm to use this tactic. Mary becomes conflicted with feelings; she wants the patient to quit on one level, but feels this may be wrong on another. She tells John his behavior is unethical.
Which ethical theory is John basing his decision making on and which theory is Mary using to support her stance? Explain your reasoning in both cases.
Below are the instructions:
Papers should include a title page, 2-3 pages of writing, and a reference list.  Double-space, using Times New Roman 12 pnt font, one-inch margins, and APA style of writing and citations. Please refer to the rubric about case studies to appreciate how you will be evaluated on your report.
Preparing the case study (a) Read the case study to identify the main point and key players. Highlight the main points and identify themes. Review, asking questions: What is really going on? What are the problems? What is the main issue? How do the problems relate? What are the underlying issues? How or why these issues developed. (b) Research the problem or issue you have identified to help frame the issue and to make connections to secondary issues. Use journal articles, and not website-based sources. (c) Decide how to “solve” or manage the issue. Consider who should be involved; what their responsibilities might be, strengths and weaknesses, and so on. (d) Identify at least two alternative solutions and analyze their strengths and weaknesses, (or describe why or why not they would be effective). (e ) Select the best alternative and explain how you will measure effectiveness.
Writing the case study  (a) Include a background statement to introduce what you will write about. Summarize the scenario, but do not restate the scenario. Identify key points, the stakeholders, setting and situation. (b) Discuss the specific issue and secondary issues and how they relate.  Support your analysis and explain your reasoning. (c) Describe the role perspective contributing to your solution, identifying strengths and weaknesses. (d) Describe alternatives and the pros and cons of these. (e) End with a conclusion that addresses how to evaluate the effectiveness of the solution or describe how effective measures should be measured. Some case studies may conclude with a discussion of implications from the case.


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