Ethical Dilemmas Of The Health Care Of Dr. Vivian Essay

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.

In the movie Wit, Professor Bearings is diagnosed with advanced ovarian cancer. She spends her days in the hospital with her nurse, doctor, and the doctor’s assistant (Ms. Bearing’s former student) undergoing aggressive chemotherapy. Although the movie was good, there were many scenes that made me cringe. Throughout the entire movie, the medical staff used non-therapeutic communication and were unethical toward their patient. They made Professor Bearings feel inferior, pushed medical treatment without considering her thoughts and feelings, and never explained exactly what was going on. I felt empathy while watching Professor Bearings go through her last days being treated the way she was.

Ethics is a strongly culturally linked area of philosophy interrelated with what is considered acceptable human conduct. There are two branches of ethics; medical ethics and bioethics. The moral conduct and principles which govern practices of medical and health professionals falls under medical ethics, whereas in biomedicine and the health sciences theorised developments in the study of social and moral issues is considered bioethics(1). There are two philosophical principles within the conduction of health care research these are deontology and utilitarianism. Deontology is an approach to ethics that focuses on the rightness or wrongness of actions themselves, as opposed to the rightness or wrongness of the consequences of those actions (2). Utilitarianism states that the most benefit

The film WIT, produced by Simon Bosanquet, clearly defines poor bedside manner in all levels of medicine, from the radiologist who performed the x-ray to the physicians in charge of the patient’s care. The film is based on a seventeenth century poet professor, Vivian Bearing, who gets diagnosed with stage IV ovarian cancer that has already metastasized. Professor Bearing goes through intense series of experimental chemotherapy agents that are detrimental to her health, yet everyone in the medical team seems to ask the question, “how are you feeling today?” In reality no one seems to really show true interest to what she is going through. The film portrays a lack of empathy for Professor Bearing, giving a sense of loneliness and hopelessness. The professors’ rights seem to be taken from her and the medical professional fail to treat her with the dignity and respect she deserves.

Medical ethics could be considered a really broad spectrum that dictates the healthcare system. Defined as a system of moral principles that apply values and judgments to the practice of medicine. This however, can become quite tricky when deciding what is morally correct to one person to another. The movie Patch Adams deals firsthand with an aspect of medical ethics. The movie displays Robin Williams as the main character, Patch Adams, as a medical student who believes treating patients with happiness is the best way to help them. (Patch Adams, Tom Shadyac)

Throughout our lives, we are plagued by the notion of ‘ethics’ or morals - the basis of our everyday behavior. The medical field is no exception, with doctors constantly reminded of the ethical duties they must carry out for each of their patients. An example of unethical doctors is demonstrated in Daniel Keyes’s short story, Flowers for Algernon. The story features Charlie Gordon, a man with an intellectual disability who strives to become smarter. He is a candidate for a new surgical procedure that is used to triple one’s intelligence which was directed by Dr. Strauss and Dr. Nemur. Although the procedure holds promise for helping a vast amount of people, Dr. Nemur and Dr. Strauss acted unethically by selecting Charlie to undergo the operation because they did not finish testing the procedure and because Charlie was unable to make a proper decision.

A patient is a human being. Illness disturbs biological, social, psychological elements that make the patient human. It is not enough to centre and diagnoses and decisions on scientific data and empirical fact; medicine is about much more. The focus of this paper is to make the argument that the practice of medicine is a discipline that requires human empathy as well as scientific data and empirical fact to establish diagnoses with emphasis on five components of the physician-patient relationship: patient’s experience of illness, physician-patient communication, and proficiency of end of life care, medical ethics and spiritual growth. This position will be supported through the film “Wit (Nichols & Brokaw, 2002)” through the character Vivian Bearing 's revelation that illustrates a patient’s struggle with death and in the process exposes the distinction between medicine and science.

I have chosen to discuss the case of Terri Shiavo which was a very big ethical case back in 2005. She had been left on a ventilator for 15 years. So let’s start from the beginning. On February 25, 1990 Terri Schiavo had a cardiac arrest that was causes by extreme hypokalemia (low potassium) brought on by an eating disorder (Quill, 2005). As a result of this cardiac arrest Terri developed severe hypoxic – ischemic encephalopathy which is another way of saying lack of oxygen to the brain (Quill, 2005). During this period she exhibited no evidence of brain function and eventually scans of her brain showed severe atrophy of her cerebral hemispheres (Quill, 2005). Her electroencephalograms were fat, indicating no functional activity of the

The video presented the ethics and boundaries and factors that affect those boundaries such as addiction, abuse, absent role models, and patients assuming the professional shares the same feelings as he or she does. Then the video discusses issues the doctor may incur such as “special treatment” of patients, time management, poor awareness of feelings, and the response to the patient.

When considering ethics in terms of the healthcare field and medical community the four integral pillars which were constructed to avoid future faux pas come to mind. Autonomy, Beneficence, Non-maleficence, and Justice; though just words carry significance. In the documentary Being Mortal Dr. Gawande gives us a glimpse into the struggles of healthcare providers to uphold these ethical pillars when encountered with terminal patients in their end of life process.

In order to provide holistic, person-centred care, having an understanding of ethics is essential (Kozier et al, 2008). Ethics is concerned

Nurses are constantly challenged by changes which occur in their practice environment and are under the influence of internal or external factors. Due to the increased complexity of the health system, nowadays nurses are faced with ethical and legal decisions and often come across dilemmas regarding patient care. From this perspective a good question to be raised would be whether or not nurses have the necessary background, knowledge and skills to make appropriate legal and ethical decisions. Even though most nursing programs cover the ethical and moral issues in health care, it is questionable if new nurses have the depth of knowledge and understanding of these issues and apply them in their practice

Healthcare professionals will be faced with ethical dilemmas throughout their career, particularly in the hospital environment. Having an education regarding professional healthcare ethics will provide some direction in how to best address these dilemmas at a time when either the patient or their family is in need of making decisions for themselves or their family member. It can be difficult for healthcare professionals to weigh professional protocol against their own personal beliefs and ethical understandings when determining critical care for their patient.

In the novel The Adoration of Jenna Fox, by Mary E. Pearson, an important message is the value of medical ethics. The author shows us many points of view on this issue. The two that are the most prominent are 1) that medical ethics are important, and we should have laws regarding them, and 2) that while medical ethics are important, we should still be able to save those we love, even if it breaks the law.

This case study has highlighted the fact that there are many considerations to take into account – there is no one answer. However, it also means that as health practioners, it is vital that we are aware of the principles around moral values and how these impact on, not only the patient, but ourselves. The ethical dilemmas that are presented on a daily basis affect not only the patient, but all those involved in the care – family, doctors, nurses, care home managers, social workers and, because of the many changes in research and modern medicine, the society in general.