Bed Number Ten Summary

In 1983 Elizabeth Bouvia, who was a 26-year-old quadriplegic who was affected by cerebral palsy, entered a hospital in Riverside, California wishing to starve herself to death. Elizabeth Bouvia suffered from cerebral palsy and severe arthritis causing her to be in chronic pain and close to being completely paralyzed. Bouvia was only able to make movement in some fingers on her right hand and make a few facial movements. Elizabeth Bouvia was unable to sit up and could only lay flat causing her to be confined to her bed, and further causing her to depend on others for even the simplest of tasks. Bouvia relied on others to feed her, bathe her, and help her defecate. Bouvia had no one in her life able to care for her around the clock like she needed, so out of options Bouvia entered Riverside General Hospital.

The oppressor, or antagonist, of the story is Nurse Ratched, or the Big Nurse. Her methods of oppression, including attempts to emasculating the men in the medical ward, is the foundation of the work. The nurse uses her power to manipulate the patients as well as members of the staff in the hospital. Since she is in charge of the entire ward, she runs it with an iron fist while concealing her feminism and humanity behind a patronizing façade. As the story progresses, Nurse Ratched loses some power over the patients with the introduction of a new patient on the ward, Randle McMurphy. As McMurphy continues to fight her oppression, her façade breaks down and falls apart as she loses control.

Working in the field as health care professionals, we are faced with ethical dilemmas almost always. Although each individual posses different values, there are specific codes of conduct to abide by, despite personal beliefs. Without the use of a structural code, individuals in the health care field would make decisions based on their own personal beliefs in accordance to their culture and religion. In the case of Marion and the pacemaker, we witness the desires of the patient at hand, Marion, and her family, be interrogated by the floor nurses. Although the intent behind the actions of the floor nurses can be described as morally just, thinking they are helping preserve the life of Marion, based on medical ethics, their behavior is of some degree to be questioned. This paper will focus on the boundaries we witness crossed by floor nurses and how they go against the medical ethics approved, and what effects they have on patients and their care givers.

Barbara Huttman’s “A Crime of Compassion” has many warrants yet the thesis is not qualified. This is a story that explains the struggles of being a nurse and having to make split-second decisions, whether they are right or wrong. Barbara was a nurse who was taking care of a cancer patient named Mac. Mac had wasted away to a 60-pound skeleton (95). When he walked into the hospital, he was a macho police officer who believed he could single-handedly protect the whole city (95). His condition worsened every day until it got so bad that he had to be resuscitated two or three times a day. Barbara eventually gave into his wishes to be let go. Do you believe we should have the right to

The dilemma for ethics committees brought up by the story of Patrick is a question of how much is too much. As technologies in the medical field continue to advance, people can live substantially longer lives, but are they lives worth living? Some people, like Patrick, don’t think being paralyzed is a quality of life worth living. Others, like Armando, refuse to be made DNR and cling to life even if it consists of communicating by blinking of the eye. The questions raised in this book are awful decisions that nobody should ever have to make. Whatever the committees and doctors choose to do can keep patients alive and allow them to have a low quality of live, be in constant pain and be a burden to society, or keep a terminally ill patient comfortable until he or she has said their good-byes and let nature take its course.

     Another theme is maintaining your humanity. The oppression the Big Nurse wields over the patients, shrinks them down until they’re no longer human. “No. You were right. You remember, it was you that drew our attention to the place where the nurse was

In this chapter we get to see how Lia's fate has really taken a toll on her parents. We also see that the Lee's no longer feel like they can rely on the American medical system after what happened to Lia and instead they would use their own at home methods. Lia's pediatric neurologist also believed that the Lee's might have been right about Lia being affected from too much medication. After hearing this and looking at Lia's records, Neil and Peggy came to the realization that there should have treated her differently. This chapter really demonstrates the importance of culture and the need for doctors to be more accepting and understand of them. Unfortunately, there are doctors who are just not willing to comply. It is sad to see how much the Lee's had to suffer in order for people to open their eyes and it is even sadder that even with cases like this, there are doctors who still refuse to believe in anything outside their medical abilities.

R/s Ms. Brenda Gasque is in a wheel chair, she is paralyzed from the waist down due to her having meningitis years ago. R/s Ms. Gasque suffers from high blood pressure, COPD, Congestive heart failure, and stage 2 pressure ulcer. R/s Ms. Gasque’s COPD is very severe she has to use a nebulizer. R/s Ms. Gasque wears a diaper and she has a suprapubic catheter. R/s Ms. Gasque needs assistance going to the bathroom and bathing. R/s Ms. Gasque can feed herself and she can use her hands. R/s it was reported that Ms. Gasque is being abused physically and verbally by her children. R/s Ms. Gasque is never happy because she lives at several different places with her children.

Court cases like Martha Bull’s who reads “Greenbrier Nursing and Rehabilitation Center had been negligent in treatment of Martha Bull, 76, who died at the nursing home April 7, 2008 after staff failed to act on a doctor 's orders to get her transferred to a hospital emergency room for treatment of severe abdominal pain,” are one of the many that support this disturbing stigma. Something as simple as a competent health provider, that was willing to see a task out into its completion could have been the saving grace for this women. For almost an entire twenty-four hours’ staff heard her cries of agony yet never made sure the proper paperwork was completed once it was filed. (Brantley, 1) In the case of Holder Vs. Beverly Enterprises Texas, Inc. an 83-year-old, bedridden woman by the name of Ruth Waites was hospitalized for dehydration as a result of an understaffed nursing home. Once admitted back to the nursing home she had developed pressures sores from being left unattended. The pressure sores soon became so severe that they caused a serious infection and led to Ms. Waites’ death. This entire case is a story of neglect, what the nursing home states as understaffing, and fraud. The fact that the nursing home was understaffed should have never been hidden from the families of the patients. These are facts that should have been announced to the community so that the appropriate qualified personnel could have attempted to solve the issue. (Nursing, 1) Another case follows with

The case of Elizabeth Bouvia v. Superior Court is a well-known case in the patient’s right to refuse treatment. Elizabeth Bouvia was born with cerebral palsy, which worsened, as she grew older and subsequently caused her to become a quadriplegic. She additionally developed severe degenerative arthritis that caused her to be in continuous unbearable pain. At the age of twenty-eight her condition had worsened to the point that she was said to be bed ridden and completely dependent on others for her activities of daily living. Although she had many physical challenges she was a

When communication was established with Armando he was mentally aware to make his desires and wishes know. To the hospitals staff surprise, he did want all possible measures taken to save his life, even with the knowledge that he would be a quadriplegic. He therefore was asserting his autonomy: the principle that J.S. Mill clarified by stating each individual has the right to make his or her own choices based on their own set of values and goals, as long as no harm is done to others (Tong, 2007, p.219). In fact, by doing so, he was in effect overriding the staffs’ earlier disregard of the principles of nonmaleficence and beneficence and their paternalistic attitude. Armando was thus allowed to stay in the hospital with all possible services available to him.

The movie Wit follows Professor Vivian Bearing through eight months of rigorous treatment for stage IV ovarian cancer. Most of the personnel in the movie seem to lack empathy and treat Dr.Vivian as research rather than a human being. The only person in the health care team who actually cares for Vivian is the nurse Susie Monahan. She treats Vivian with basic human decency and allows the expression of negative and positive feelings. Her actions develop into a trusting relationship which allows the discussion of an advance directive. The nurse explains full code and do not resuscitate to allow Vivian to make an informative decision. The nurse understands that the doctors ignore quality of life and believe that “anything’s okay as long as the

Everyday, healthcare professionals are faced with ethical dilemmas in their workplace. These ethical dilemmas need to be addressed in order to provide the best care for the patient. Healthcare professionals have to weigh their own personal beliefs, professional beliefs, ethical understandings, and several other factors to decide what the best care for their patient might be. This is illustrated in Mrs. Smith’s case. Mrs. Smith is an 85 year old who has suffered from a large stroke that extends to both of her brains hemispheres which has left her unconscious. She only has some brain stem reflexes and requires a ventilator for support. She is unable to communicate how she wishes to proceed with her healthcare. Mrs. Smith’s children, Sara and Frank have different views regarding their mother’s plan of care. The decision that needs to be made is whether to prolong Mrs. Smith’s life, as Sara would like to do, or stop all treatments and care, as Frank feels his mother would want. In the healthcare field, there are situations similar to this case that happen daily where moral and ethical judgment is necessary to guide the decision that would be best for the patient. The purpose of this paper is to explore and discuss, compare and contrast the personal and professional values, ethical principles, and legal issues regarding Mrs. Smith’s quality of life and further plan of care.

The autonomy of a competent patient is an issue not often debated in medical ethics. Refusal of unwanted treatment is a basic right, likened to the common law of battery, available to all people capable of a competent choice. These fundamental rules of medical ethics entered a completely new forum as medical technology developed highly effective life-sustaining care during the 20th century. Several watershed cases elucidated these emerging issues in the 1960’s and 70’s, none more effectively than that of Karen Ann Quinlan. Fundamentally, this case established that a once-competent patient without the possibility of recovery could have their autonomy exercised by a surrogate in regard to the

The patient voluntarily wanted to end his life because he was suffering from Lou Gehrigs’s disease (Siu, 2008). Since then, the controversy over active euthanasia has remained an ethical dilemma for healthcare providers, patients and their family members in America and the rest of the world. The general public’s belief is that, health-care providers have professional obligations to save the lives of their patients regardless of their health status. The majority of the public feels that, healthcare workers’ involvement in the euthanasia practice is a betrayal of the “do no harm” oath. When a healthcare worker is involved in either active or passive euthanasia, it can be viewed as a disregard to this value. However, the proponents for euthanasia claim that a physician turning down a suffering patient’s request to end their life is also a violation to the “do no harm” oath (Siu, 2008). The right to die falls under patient’s autonomy and the basic question is whether individuals should be allowed to end their lives if they choose to do so (Sanders & Chaloner 2007). Those in the healthcare sector grapple with this notion on a daily bases because they have to practice under the codes of ethics guidelines. Nurses and doctors should be cautious in their practice as they balance the patient’s autonomy and their professional ethics and guidelines. Sanders & Chaloner (2007) pointed out that nurses and doctors know that a patient's autonomy