Case Study Leslie Suicide

Ethical dilemmas exist everywhere around us in everyday situations. Something as simple as picking up a piece of trash off the floor to whether you should use a previously written paper from a separate class for a current assignment in this class. It exists in reality and even on television shows. How, then, do people resolve these ethical dilemmas and how do they defend their decisions? Nurse Jackie is a television series impregnated with ethical dilemmas, especially in medical care. In this paper, I will discuss the ethical issues found in the “Tiny Bubbles” episode of Nurse Jackie. I will further discuss the ethical reasoning with support of ethical principles. In addition, I will discuss how patient’s autonomy and non-maleficence principle of bioethics plays a role in decision making. Overall, there was a difficult struggle on the ethical theory of and utilitarianism, with ethical relativism playing a huge factor.

On October 5, 2016, Fowlerville High School freshman, Brendan Kangas, committed suicide. His whole school and community was struck with grief, previously unaware of Brendan’s battle with depression. The next day school was held on schedule, and it was a very unproductive day. According to the faculty, kids were crying in classrooms, and uninstructed teachers did not know how to handle the situation (Brent). Many Fowlerville students have struggled academically, unable to cope with the news of Brendan’s death. Fowlerville was not prepared to handle such a crisis and administrators were unaware of the effect Brendan’s suicide would have on the school. Since then, several other students in Brendan’s community have attempted to take their lives as well (Brent). Suicide has not only a problem in

When Annie was thirteen, the year she had: gotten a microscope, traveled with Judy Schoyer to Paw Paw and witnessed a Polyphemus moth hatch, her family moved because her grandfather had died. He had died the same day that Annie was supposed to attend a school dance at Shady Side Academy with an older boy who had invited her; Annie was ashamed for minding that she could not attend the dance. Annie recalls her grandfather’s last moments in the hospital, noting that she had never seen him angry before. His brain tumor had so debilitated his brain that eventually he could only utter the word "balls." After the death of Annie’s grandfather, Oma sold the Pittsburgh house and moved into a penthouse apartment in Shadyside along with her friend Mary.

The diagnosis of Major depressive disorder and Borderline personality disorder (BPD) are entirely accurate, as Diana’s behaviour epitomizes the characteristics and diagnostic features of both disorders. As outlined in the DSM-5, Diana exemplifies symptoms warranting a diagnosis of major depressive disorder, as she displays the presence of five or more specified symptoms while having no prior history of mania. Diana exhibits the diagnostically required symptoms of frequent depressed mood, diminished interest in normal activities, and recurring suicidal thoughts/attempts, resulting in considerable distress and impairment. (APA, 2013, p. 160-161). In addition to fitting the diagnostic criteria, Diana demonstrates marked deficits in areas of functioning. Most strikingly Diana typifies emotional symptoms common in unipolar depression including prolonged and severe unhappiness, crying spells, and a general sense of hopelessness. Diana also displays

Disco Di further fits the diagnostics for MDD. Disco Di has experienced a major depressive episode with the following symptoms: recurrent thoughts of suicide accompanied by attempts, feelings of worthlessness, diminished pleasure in most activities, depressed mood for most days, and alternating increases and decreases of appetite (Comer, 2012). Further, Disco Di does not fit the requirements for a manic or hypo-manic episode, therefore she qualifies for the diagnosis of MDD (Comer, 2012).

Felicia’s symptoms line up almost exactly with the textbook diagnostic criteria for Schizophrenia. The textbook’s first symptom is “For 1 month, individual displays two or more of the following symptoms much of the time: delusions, hallucinations, disorganized speech, very abnormal

Her recent episode of fleetingly thinking of throwing herself in front of a car is also an increase in previously somewhat benign self-harm behavior in the past. She has a history of sexual abuse as a child which may be of significance to her current mood status at this time in her life.

From the video, Diaries of a Broken Mind, Tilly was/is suffering from Anorexia Nervosa. Anorexia Nervosa is a serious, potentially life-threatening eating disorder, characterized by self-starvation and excessive weight loss. Plus, inadequate food intake leading to a weight that is clearly too low and intense fear of weight gain, obsession with weight and persistent behavior to prevent weight gain. Likewise, Abby and Ashley were/are struggling with Bipolar disorders- Abby Bipolar I and Ashley Bipolar II. The common symptoms of bipolar depression include, feeling hopeless, sad, or empty. Irritability, inability to experience pleasure, fatigue, or loss of energy, physical and mental sluggishness. During a hypomanic episode, the elevated mood can manifest itself as either euphoria (feeling “high”) or as irritability. Symptoms during hypomanic episodes include: Flying suddenly from one idea to the next having exaggerated self-confidence Rapid, “pressured” (uninterruptable) and loud speech. Increased energy, with hyperactivity and a decreased need for sleep.

Researchers conduct hypotheses that suicide could be contagious. Researchers had a total of 22,064 individuals ages 12 to 17. When conducting the study they met on cycles to monitor the exposure to suicide. All groups which were separated into age had an outcome of 95% of exposure to suicide. Researchers also questioned how often certain groups were or had feelings of depression or suicidal thoughts from stressful events during the cycles. In further research, 24.1% from the ages 16 and 17 responded that someone from school has committed suicide and which 20.1%

L later admitted to feeling depressed since she was in Year Eight, prior to this episode and admission. L had described no future aspirations and therefore did not see the point of going to school or studying further. L admitted that although she had a good group of friends, that she had difficulty socialising with them outside of school. L’s depressive symptoms included social withdrawal, hopelessness, sleep difficulties and anxiety. L has found comfort in self-harming and it has become a nightly ritual along with frequent thoughts of suicide.

As it appears on Disco Di’s document she’s currently diagnosed with two distinct types of psychological disorder, first being major depressive disorder, and second being borderline personality disorder. However, the term major depression is only one part of the disorder Disco Di is facing. The type of the disorder in which Disco Di is suffering from, is called mood disorder, and to further narrow it down she’s specifically experiencing what is known as “Bipolar I” that according to DSM-5, is defined as a disorder in which individuals experience cycling episodes of mania and major depression (American Psychiatric Association, 2013). Furthermore major depression also in accordance to DSM-5 is marked by chronically low mood which has certain symptoms such as being fatigue, feelings of guilt, and impaired concentration appearing almost every day. In the case of Disco Di, Even though she goes through some of these symptoms, but they are not all the symptoms that she experiences. As it is stated on her document, Disco Di being a cheerful, outgoing 12 year

Rationale: Jennifer has been presenting with symptoms for unspecified amount of time. Jennifer meets six of the criteria for symptoms being present during the same 2-week period and represents a change from previous functioning. Jennifer is depressed most of the day, nearly every day, has diminished interest in all or almost all activities most of the days, nearly every day, has fatigue or loss of energy nearly every day, feelings of worthlessness, and diminished ability to think or concentrate, is having recurrent thoughts of death, recurrent suicidal ideation without a specific plan. The symptoms have cause clinically significant distress or impairment in social, occupational, and other functioning areas. There is no know substance or medical condition and occurrence is not better explained by Schizophrenia Spectrum or Psychotic Disorders. Jennifer has never had a manic episode or a hypomanic episode. Possible family history of depression - mother.

She even had earned her college degree and finished two years of medical school. Unfortunately, one of her classmates has committed suicide and that made Robin non-functional in society. Some of her symptoms show that she suffered from bipolar depression and some symptoms show signs of schizophrenia. According to Worth, patients suffering from bipolar depression are easy to identify by inspecting their daily routine. They may suffer from daily mood swings, depression, inability to complete tasks and trouble at work. As it is mentioned in Robin’s clinical story, we noticed all of these symptoms she suffered from are in common with the ones Worth have mentioned in his article.

There is no indication she has had a manic or hypomanic episode. Her depression may be complicated by grief due to her father’s death one year ago. Her symptoms seem to get worse after his passing.

Getting a clearer picture of Emily’s mood would include: assessing her appearance, behavior speech orientation and memory intellectual level. During the assessment Emily shared her energy was down, feeling fatigued, unable to concentrate and a feeling of worthlessness which are classic symptoms of Bipolar II disorder. Individuals with bipolar disorder frequently experience lower quality of life and worse functioning than the general population, (Sy via, 2017).This disorder affects all ages and genders, and currently represents the highest suicide rate interest or pleasure in doing things?