...The reporter stated on 10/28/15 she received an email from Madison’s teacher stating she’d made suicidal threats in class. The reporter with some persuasian, the child came to her office and they began discussing her reasons for wanting to commit suicide. The reporter stated Madison answered some typical protocol questions about why she wanted to commit suicide but shut down on other questions. Ms. Wiggins was unable to identify any of the questions the child shut down on but stated she did answer questions about how frequent she had suicidal thoughts, if she’s made any attempts or had a plan, if she’s thought about her possessions and who she’d give them to, and if she wanted to end her life for a happier life. The reporter stated she did...
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...Withdrawal of aid and terminal sedation are often confused with physician-assisted suicide. Physician-assisted suicide is a controversial practice which is not legally protected under the constitution, but may be allowed depending on state. Withdrawal of aid and terminal sedation are both protected under the constitution and therefore are morally acceptable. It is easy to confuse these cases, but it is important to distinguish between them when determining both the ethicality and legality of a case. In Case Study #28 “Death By Dehydration,” 67-year-old Roberta W is an unmarried female, retired teacher, and is cared by her brother and his wife. She suffers from a multitude of different ailments which confine her to bed and make her even the most basic of tasks burdensome. Roberta is weary of her circumstances and regrets being a burden on her brother and his wife, however her brother and wife do not resents her demands and needs. Roberta W expresses that she would rather be dead at one point and has a conversation with her doctor to remove a hernia. Her physician Dr. R tells her that there is a low chance she would survive the hernia surgery due to her emphysema and tells her that no responsible surgeon would operate on her. Possibly in response to Dr. R’s statement, Roberta asks Dr. R to...
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...Aim This presentation explores the premise of assisted suicide and the impacts on symptom management with a consumer directed palliative approach. There is significant debate around assisted suicide and the premise of good palliative care. Legislation in many countries indicates assisted suicide is only available for ‘insufferable pain’, when this is considered from a symptom management perspective, no one should experience insufferable pain through the implementation of appropriate interventions to meet a persons pain experience. The debate from a social, spiritual and ethical position is diverse and complex, however, regardless of ones position on the debate, there is no substitute for best practice palliative care. Clinicians need to have...
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...that can only be prevented by the termination of life. The acceptable amount is very hard to quantify, and creates a broad gray area. Question #3. The phrase “right to die” means that a person should be able to choose to end their life on their own free will. Many people believe that it is wrong to commit suicide, while others believe the suffering is more wrong. The simple truth is that right or wrong is contested either way. It has been decriminalized in several states and countries (Boudreau 3). Question #4. No, people do not have the right to seek assistance in dying in the eyes of the law, but they should have the right to. Utilitarianism also comes into play here in more ways than one. The greater good for the person suffering is to end life. The greater good for the family is that the person lives longer and they enjoy their company (Ghillyer 6). Question #5. No, People do not have the right to give assistance in dying in the eyes of the law, but there is a gray area here also. There is a big difference in euthanasia, physician assisted suicide, and palliative sedation. In euthanasia, the doctor administers the drug to end life. In physician assisted suicide, the doctors prescribes the patient with the drug and the patient administers it on their own free...
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...applicable to Jessica as she stated that she ‘never needed any help from mental health professionals’ and that ‘therapy is only for crazy people’. Given Jessica’s attitude towards therapy, the internet-based intervention is an appropriate alternative to help her cope with her loss. In the trial, HEAL was shown to be effective in reducing prolonged grief and users found it highly satisfactory. For long-term intervention, I will be employing cognitive-behavioural therapy (CBT) to target Jessica’s depressive symptoms and low self-esteem. CBT will take place for around six months. CBT aims to change the pattern of thinking or behaviour that contributes to an individual’s difficulties (Cully & Teten, 2008). CBT-based intervention was effective in cases dealing with prolonged grief reaction (Bhattacharya, 2014). In its short run, clients showed symptom reduction. In the long run, CBT was effective in promoting emotional, cognitive and function improvement. Clients were able to cope better and focus on growth. Additionally, CBT reduces symptoms of depression and facilitates improvements in self-concept and self-esteem (O’Callaghan & Cunnigham, 2015). Group based CBT interventions can also be looked into to help Jessica as she felt that she does not have anyone to go to. By placing her in group based interventions, she is able to widen her social circle and gain social support from the people she meets who are going through similar circumstances. In conclusion, Jessica’s relationship with...
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...In cases of life and death philosophizers have a series of ideas and concepts to help bring them to a moral conclusion. In this case there are specifically three different concepts which all have their own ethical views towards the case. In my paper I will be explaining what Foot, Mill, and Kant would have to say in regards to the case. I will focus on providing arguments against Mill and Kant’s theories while in the end accepting Foot’s theory. Foot is well known for her argument rejecting consequentialism. Consequentialism is the view that all that matters is the goodness or badness of an actions consequence. Foot argues that there are things that matter besides the outcome of an action, like the rightness or wrongness of the action. In...
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...Unfortunately, new nurses are typically affected even more, with one study reporting that 72% experienced lateral violence in the past month (Castronovo, Pillizzi, & Evans, 2015), with an estimated 60% of new nurses leaving their job within the first 6 month of employment due to the toxic behavior (Embree & White, 2010). Interestingly, nurses that are newly hired are also often the target of lateral violence, as they have not yet developed friendly colleagues who could support or shield them from the bully. And while graduate nurses are the prime target, the average age for a victim is 50 (Castronovo, Pillizzi, & Evans, 2015), indicating that age is no...
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...from a genetic mutation. Because women have two X chromosomes and men have an X and a Y, women have a fifty percent chance of carrying the gene while men have a fifty percent chance of inheriting the disorder if their mother is a carrier. Although rare, a person may acquire hemophilia. In this instance the immune system attacks the clotting factors in the blood, causing the disorder. This can happen through pregnancy, an autoimmune disorder, cancer, or multiple sclerosis. There are three severities to hemophilia, severe, moderate, and mild. While a normal persons factor VIII levels vary from 50%-150%, a person with hemophilia will have FVIII levels of below 50%. Severe is the most common form of hemophilia with sixty percent of recent cases. People with the severe form of hemophilia have less than one percent of factor VIII levels in their body. Because of their severe lack of factor VII in their body, their symptoms may include continuous bleeding following an injury, brain bleeds, and frequent spontaneous bleeding including into the joints and muscles. People with the moderate form of hemophilia have factor VIII levels of one to five percent. About fifteen percent of patients with hemophilia experience the moderate form. People with moderate hemophilia experience severe bleeding after an injury. They also may experience random bleeding without reason. Twenty five percent of people with hemophilia experience the mild form. A person with mild hemophilia has six to thirty percent...
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...November Nelson has been grieving over the death of her boyfriend Josh Prescott after a pledge stunt gone wrong. Just when she thinks that life can’t get any worse, she discovers that she is pregnant with Josh’s child. She faces the challenge of breaking the news to her mother and the Prescotts. She is faced with the biggest decision that she could ever imagine. When November finally tells her mother, she is understandably upset. November had plans to attend the Black College Tour and an academic summer program. She also had plans to attend Cornell University. Now, she knows that she has to alter her plans. After an outburst in class, November reveals that she is pregnant. It doesn’t take long for the news to get around school. November must endure whispers and criticism from her fellow students. November and her mother have a discussion about what it will take to take care of a baby. Mrs. Nelson tries to help her daughter see that she has left behind a world of having to worry about homework and washing dinner dishes to the world of motherhood. Jericho Prescott has been grieving over the death of his cousin Josh. The pain is more than he can bear and his world is divided into life “before” and “after” Josh. In order to cope, he gives up playing trumpet and decides to go out for the football team. He hopes that the physical pain will suppress his emotional pain. As Jericho faces challenges on the football field, he faces challenges in his love life. His ex-girlfriend Arielle wants...
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...In the early morning of January, 27th, 1983 after a night of drinking, John Snyder returned home to find his girlfriend had left him. Snyder makes a brief phone call to Maritza who is just walking in the door after her night out with friends. The phone call ends with Snyder getting upset and hanging up on Maritza. Between the early morning hours of 3:00 am and 4:30 am, shortly after Abdolraham and Shahrom leave, John Snyder shows up at the girl’s residence either with the .25 semi automatic handgun in his position or retrieving it from under the couch on the porch where he claims he had stored it a few days ago. However, I do not believe Snyder placed the gun under the couch because if Maritza was unaware it was there, it served no purpose...
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...So in our case, it would be questioning if lying to your patient is permissible. Would the physician want to be lied to about her illness if it was terminal? Most likely, one would like to know if they had a terminal illness. Therefore, lying to a patient about their illness would be ruled impermissible. As the moral agent, the physician must provide each patient with complete fairness. Just as, each patient must provide the physician with all of the symptoms they are having. When the patient discloses the information of their symptoms to their doctor, they are doing that expecting that person to do their best to figure out the cause of those symptoms. If the patient were to lie to the physician, then there is a good chance that they would be misdiagnosed...
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...being considered murder. There is no jail time, life in prison, or death penalty. Believe it or not, this scenario existed in real life. This scenario describes Physician-Assisted Suicide. Physician-Assisted Suicide is currently legal in a few states. There is currently an on going debate to extend its legality to more states and eventually the entire United States. Many people each year are diagnosed with a terminal illness. They are forced to suffer and live in pain until they eventually die naturally. For some people, this could be years, even decades of suffering. This is a long time of suffering that could be avoided. Physician-Assisted Suicide helps these people. People can be put out of their pain and misery. This is highly controversial. Some believe these doctors are murderers. Others call these doctors a saving grace. This is a practice with many ethical questions. Hopefully, after research, I will be able to answer these ethical questions. There are a few other questions that I hope to answer. On being, the states allow Physician-Assisted Suicide. Also, what is New Jersey’s stand on this practice? Lastly, what are the guidelines and requirements to be eligible? As defined by the Merriam-Webster Dictionary, Physician Assisted Suicide is...
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...1. Euthanasia is the process of ending a life in order to relieve pain from a suffering patient. I think once if a patient’s family, or it is in their will, euthanasia must be done. Another reason it could be practiced is if the patient is noticeably not there. Even though the neuroimaging my say their brain is reacting, the person might not be there anymore. After watching the video, it made me more hopeful that people who go into a coma state will come out of it, if provide with the right materials. But if it was my family member, I would not want them to suffer. Even if they wake up, they will have a long road ahead of them, filled with a variety of problems. 2. I do believe that patients who are in the vegetative state that show an increase...
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...1. Did I reach the goals set for this interview? To what extent? My goal for the interview was to determine the patient’s safety of my patient. I asked her if she felt like hurting herself or if she had thoughts of suicide. She said, “No”. When I asked her if she thought it was a bad idea to walk down the highway she said, “No, because there weren’t a lot of cars on the highway”. This patient is not safe to reenter the community. 2. What other goals emerged? I should have asked where she lives and who she lives with. I should have asked her about the last time she took a shower or changed her clothes. 3. What factors helped/hindered reaching those goals? She was very willing to answer my question, but it was hard to keep her engaged in the conversation. She was talking a lot about being a model and focusing on fixing the bed sheets. She was easily distract, so I had to keep redirecting her back into the conversation. 4....
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...expressed that he really enjoyed learning more in depth about his family. He mentioned that this experience taught him about more about himself. Tom currently works full time as a spotlight operator in the greater Atlanta area. He graduated from college about a year ago with a Bachelor’s in Fine Arts. After college, he worked three part time jobs until he was hired at his current job. He currently lives in Coweta County with his maternal grandparents. His maternal grandfather has recently been diagnosed with cancer, after being in remission for many years. Tom mentioned that cancer has been prevalent in both paternal and maternal family members for at least two generations. He also mentioned that his paternal great grandmother committed suicide many years ago, but he only learned this recently because it was a “family secret”. His parents are both in their fifties and are still married. His mother is a medical coder and his father is a computer programmer. Tom states that his father began taking medication for what he assumes to be depression about four years ago, but Tom has never really pressed his father or mother for more details. He has one brother who is three years younger and living in South Georgia working full time. There is no history of serious medical issues in his immediate family. My client has never received counseling, and is not sure if other family members have ever received counseling. He is not currently on any medication and has not been diagnosed with any...
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