Ethical Dilemma in Hiv Counselling Cases - 951 Words

I have a client whom I know to be HIV positive. I also know that he is sexually active and has not told any of his partners about this. Isn’t it my ethical responsibility to inform someone that he is, in effect, dangerous to others? Even if I am not a counselor, I would not be able to live with the fact that I have such an information and am putting some other life at risk. As a medical doctor, I was also bound by my Hippocrates oath to serve and bring no harm to others, â€Å"I will apply dietetic measures for the benefit of the sick according to my ability and judgment; I will keep them from harm and injustice.† (Edelstein,1967) By law I must abide by the rules set by the act and by the counseling board. There are 4 matters that I may†¦show more content†¦(Mueller .R., 2007). Based on the above statement, I would see the the refusal to notify the sexual partners being common because these clients were more likely to have been promiscuous prior to their diagnosis. They further had experienced that patients who disclosed their status were more likely to engage in safer sex, had better treatment compliance, and outcomes compared to those who concealed their status. In contrast if the patient still insists on not telling the partner on their situation, even though I am going to still make the report but I will also try to make efforts to educate the client to notify the partners. There would be ways to strategies to encourage and ensure the patient to willingly notify their partner. Part of my strategy would be to; i) couple counselling, even if there is some reluctance to continue., ii) educating them on the benefits of disclosure, iii) seeking consent from the patients to directly inform their partners in the patients presence in scenarios where patients lacked the courage to do so personally, and iv) I would try to contact the people involved in this situation that they are in the possibility of exposure to HIV without releasing the identity of my client (Njozing et al.2011) Reference American Counseling Association. (1995). Ethics. American Counseling Association Edelstein, L.: 1967, Ancient Medicine, edited by O. Temkin and C. L. Temkin, Johns HockinsShow MoreRelatedEthical Dilemma Working with Hiv Positive Client923 Words   |  4 PagesReconstruction of scenario for case No. 4: Assuming that I am a registered counsellor working in a hospital in Malaysia. The client has been referred by doctor in order for him to go through counselling. 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