The Importance Of Social Contract In Healthcare

“The Immortal Life of Henrietta Lacks” is the story of Hela cells and the women and family behind them. HeLa cells are the cells that have helped scientists all around the world discover cures and vaccines that have saved thousands of lives. But before they did all those things, they were inside a woman, named Henrietta Lacks, and were taken from her without her knowledge. Her family would not know about her cells until years after her death and millions of dollars in revenue gained from the HeLa cells. At the time doctors did what was considered common practice but did they cross a line? Or were the amazing scientific achievements enough to excuse the violation of personal privacy? Despite good intentions doctors should never have taken Henrietta’s cells without her consent, and furthermore her family deserves compensation for the work those cells have helped accomplish, and the sometimes horrible circumstances they have had to deal with because of the cells.

The social contract of nursing encompasses the responsibilities of the nursing profession and other health care professionals entrusted by society. Through this contract, nurses are expected to function and have the responsibility to provide all members of society who need medical care regardless of their cultural, social, spiritual and economic status with honest and respectful service keeping in mind the public’s trust. Furthermore, it is expected that medical professionals and nurses provide individuals, families and the community the best possible care. Therefore, the purpose of this paper is to examine the social covenant of nursing in relation to the controversial and ethical issues behind the use of Henrietta Lacks’ cells (HeLa) in

The social contract of nursing is important because it reflects the nursing's code of ethics, which is to provide care to all who are in need, regardless of their cultural, social, or economic standing. The social contract exists because we rely on a guideline to continue to provide ethical care that is within our scope of practice. Unfortunately, in Rebecca Skloot’s (2010) book, “The Immortal Life of Henrietta Lacks” there were many ethical violations throughout the whole process about the Henrietta Lacks’ cells (HeLa). The author reveals the story about the life of Henrietta Lacks, an African American woman who was diagnosed with a fast-growing cervical cancer at a young age. The cells retrieved from her cervical tumor became the first immortal cell that could survive in the lab and replicate continuously without dying. Without the consent of Henrietta Lacks and her family, these cells later became key components to the development of many groundbreaking inventions such as the polio vaccine and in vitro fertilization. Therefore, the purpose of this paper is to examine the social covenant of nursing in relation to the ethical issues behind the use of the HeLa cells without the patient’s and her family’s consent.

The Immortal Life of Henrietta Lacks is a true story of a poor, Southern African-American tobacco farmer who died in 1951 at the very young age of 31 years old from cervical cancer. Little did she know that cells harvested from her tumor, which were obtained without her consent have lived on and on and became one of the most important tools in medicine today. Despite Henrietta’s story being full of legal and ethical issues, the story was one filled with success and anguish. Success for science as her cells served as advancement in medical research and development; yet was sorrowful for Henrietta and her family. This story occurred during a time of segregation in the United States, when Henrietta Lacks believed she

Although Henrietta lacks and John Moore have contributed a lot to the science community their stories has raised many ethical issues concerning the privacy and consent of a patient. Similar cases might not occur so often nowadays because we have established laws that protect a patient's privacy and acknowledges them before making any

“He told them he was testing their immune systems; he said nothing about injecting them with someone else’s malignant cells” (Skloot 128). This is one of the many incidences in Skloot’s book, The Immortal Life of Henrietta Lacks, where Skloot argued that medical research and advancements were held at a higher importance than fair treatment and rights of the patients and their families. Henrietta and the Lacks family are just one example. Skloot developed her argument by including information about uninformed consent and the Lacks family, providing examples of instances where doctors took advantage of their patients for their own benefit, and gave information about the Lacks family and their current medical situations. In order to adequately

In 1951, Henrietta Lacks was diagnosed with cervical cancer at John Hopkins Hospital. Without any consent, Henrietta’s doctors took tissue samples from her cervix and attempted to grow them and keep them alive. These cells, known as HeLa cells, began to grow at an unbelievable rate; The HeLa cell became vital for the development of vaccines and other scientific research. However because of Henrietta’s race and economic standpoint, Henrietta Lacks and the rest of the Lacks family was exploited by doctors. The exploitation of the family allowed the doctors and researchers to benefit scientifically and monetarily.

The unethical practices against the African-Americans in the U.S. Public Health Service became even more evident when the dreaded “C” word, also known as cancer, struck the body of Henrietta Lacks. After complaining of an invasive pain in her lower abdomen and excessive blood secretion, Henrietta went to the only hospital that treated African Americans with illnesses of that magnitude. At Johns Hopkins Hospital, Howard Jones cut a small sample of Henrietta’s cervix and sent it to the pathology lab. After a few weeks of testing, Henrietta received a call requesting that she return to Hopkins to begin her cancer radiation treatment. During Henrietta’s first radiation treatment, the surgeon on duty Dr. Lawrence Wharton Jr., picked up a sharp knife and began shaving pieces of tissue from her cervix-without receiving patient’s consent.

In the book, The Immortal Life of Henrietta Lacks, the author, Rebecca Skloot, dives into a vast amount of information regarding a women named Henrietta Lacks, whose name is very popular in the medical world. Henrietta’s cells became the first immortal cells known to man, and have changed the way the medical world works. Skloot’s book also contains material about a Public Health problem, which became a great risk for the entire community. In general, Public Health is the process of preventing disease and promoting a healthy lifestyle for the overall community. Public Health has three main functions, assessment, policy development, and assurance, which all work together to help establish a healthy environment. In the book, the topic of bioethics came into play during a

“Skloot traces the changing ethics and law around tissue collections, and the inadvertently careless journalists and researchers who violated the family’s privacy by publishing everything from Henrietta’s medical records to the family’s genetic information.” (Margonelli). Skloot thoroughly explains how these laws effected the Lacks family and how their case led to medical ethics and law changes. The authors main purpose for including this was to share the Lacks’ story and their experience with immoral medical ethics. Another main point explained throughout the book is medical science. With the discovery of HeLa cells science began to have a rapid rate of new discoveries and cures to other diseases. “The reason Henrietta’s cells were so precious was because they allowed scientists to perform experiments that would have been impossible to perform with a living human. They cut HeLa cells apart and exposed them to endless toxins, radiation, and infection.” (Skloot 58). Skloot explains that without Henrietta’s cells science would not have evolved to what it has become

Ethics, in our society, are the moral principles that govern our behavior, dictating what is right from wrong. The specifics of ethics changes as values in our society change and evolve. This occurs in Rebecca Skloots book, The Immortal Life of Henrietta Lacks. One major reoccurring theme in the book is the lack of informed consent and autonomy. Fortunately, now there are safeguards which protect human rights in regard to health care and research. The Commission for the Protection of Human Subjects of Biomedical and Behavioral Research, now part of the Department of Health and Human Services, created The Belmont Report, which is one such safeguard establishing principles for all human research (USDHHS, 1979). This paper will discuss the ethical issue of informed consent within The Immortal Life of Henrietta Lacks, the disregard to parts of the Belmont Report, as well as compare the role of the nurse in charge of Henrietta’s care versus the standards of care set for modern nurses.

Henrietta Lacks: an unknown name up until recent years. A name that had been known to the world only as HeLa; The first two letters of a name that belonged to a poor African American tobacco farmer that unknowingly changed science and life as we know it today. Her life has finally been portrayed in a very intimate story that not only does her life some justice but also transcendentally brings to mind the philosophical issues concerning medical ethics both of the past, present, and the future. In a world of constantly evolving medical advancement, science is a pivotal force that propels ideas forward. Although most will agree that the knowledge and cures found are a positive aspect, there is also a necessary evil that is involved, including

Patients seek medical attention for preventative measures, as well as, diagnostic measures. Patients must have a trusting rapport with their collaborative medical team, as the nurses and the doctors are the people who they trust their lives with. Patients do not always present to hospitals, urgent cares, walk-in clinics, or even doctor’s offices only when they are sick; patients visit to ensure their good health will continue, treatment regimens are of benefit, changes that may be needed in regimen. When someone thinks of a patient they may think of some of these characteristics: illness, disease, hospital, medications, health, and prevention.

There were 884 million doctor’s visits in the US alone in 2014, another 125 million counting hospital visits. It is clear that society trusts the doctors and nurses that it employs to uphold high standards to carry on with the task of saving lives. Our society doesn’t blink an eye and puts all its faith into doctors without question. Society assumes that all doctors are good and ignores the potential of an immoral doctor. A study conducted by the NCBI showed that 90% of all medical students have witnessed an unethical medical practice performed by the doctors that society had trusted. This means that if you had any doctor’s visits in the last few years, most likely you were a victim of an unethical practice. This is the situation that Henrietta Lacks faced at John Hopkins Hospital in the 1950s. Rebecca Skloot details the accounts of mistreatment and abuse that followed Henrietta Lacks in her novel The Immortal Life of Henrietta Lacks. Henrietta Lacks was an African American mother seeking cancer treatment at John Hopkins Hospitals, who ended up to be one of the biggest medical discoveries at the time. Doctors at the hospital discovered the power of her cells and in doing so abused and misuse Henrietta Lacks in the process, which ultimately led to her death. Although Henrietta Lack’s cells proved to beneficial to millions of people, the misconduct performed by the doctors is uncalled for and violates the oath that every doctor had sworn to. There is no

Not only do hospitals, doctors, nurses and all other specialists have to play a role in their clients care, clients need to have a responsibility as well. When clients are supplied with correct material, they will require superior support from their doctor and develop into dynamic contributors of one’s wellbeing and medical management. Consumers contain various responsibilities in progressing customer protection by assisting to guarantee one’s personal protection, functioning with healthcare groups to advance security, and promoting as a society for community coverage and responsibility of facilities and health organization achievement.