*ethical dilemma or ethical violation?
it is a violation of interpreter code of ethics because an impartial interpreter was not used and the interpreter did not accurately and completely interpret the message.
it is an ethical dilemma because the patient has the autonomy to choose a family member to interpret and the healthcare professional must respect the patients choice, the staff cannot force the patient to use the interpreter service if the patient does not want it.
*What ethical principles are involved
informed consent to treatment, autonomy, self determination the entitlement to make one's own choices about treatment
*Are there any legal rules that govern the situation?
Health Care consent Act
see informed consent document from CNO
*Course of action to be taken?
Clarify with the son about his decision to withold information from his father. He could be witholding the information because he feels too overwhlemed to tell his father he is dying, or he maybe he wants to get a second medical opinion.
Provide support to son so that he can understand his father has right to make his own choices about treatment.