Quote from charlize_j
Sandy is a 50 year old male-to-female transsexual. Sandy has the physical appearance of a male but dresses like a woman. Sandy prefers to be referred to as "she". Sandy has been admitted to a shared room in the palliative care unit where you work, and asks for help to get changed into her night dress. Over the next few days Sandy has several visitors, some of whom are clearly transsexual. A male patient in the room complains to a nurse about the character of Sandy's visitors. The nurse offers Sandy a private room in a quieter part of the unit.
1. Identify what you consider to be the key ethical issues in this scenario.
2. What considerations are relevant in deciding which are the ethical issues?
3. Who are the "stakeholders" in this situation? (Stakeholders are people who have interests that should be taken into account).
4. What do you suggest be done in this situation?
1. I consider the key ethical issue to be the roomates discomfort over Sandy's visitors versus the right of Sandy to remain in her room and have visitors. The implications are that Sandy is being shunned or hidden in a location of the facility to appease the roomate.
2. I personally look at situations like this and ask myself "who is going to be hurt the most by this action versus another action (or non-action). For example; am I hurting Sandy more by removing her from her room to accommodate the room mate or am I hurting the room mate more by allowing him to be bothered? In this particular situation I would say that I would be hurting Sandy more by moving her than I would by having a "tolerance" discussion with the room mate. Sandy stands to feel ashamed, rejected, depressed, etc. The room mate is simply annoyed.
3. The stakeholders are Sandy and the room mate.
4. I would talk to the room mate and find out the basis for his annoyance. He stated that he didn't like the character of the visitors, but are they bothering him? Being too loud? I'd find out more. If it boiled down to the room mate having a bias against transexuals, it might even be in Sandy's best interest to be moved based on the fact that if the room mate doesn't like the character of the visitors, he probably doesn't like the character of Sandy either. This places both of them in a potentially awkward situation. If the situation has the possibility to escalate, I would entertain the idea of moving rooms, but it would be just as appropriate to move the room mate as it would to move Sandy.
Just my 2 cents.