Many ethical dilemmas are illustrated in the documentary The Invisible Patients. – Savvy Essay Writers | savvyessaywriters.net

Many ethical dilemmas are illustrated in the documentary The Invisible Patients. The documentary follows Jessica, a nurse practitioner, as she confronts the challenges of caring for homebound patients. One of her patients is Roger, a 30 year-old male with muscular dystrophy who is nearing end of life.

Jessica is faced with navigating the ethical issues pertaining to establishing a “do not resuscitate” order (DNR). In the beginning of the film Roger is hesitant to sign a DNR. He states that he is not ready to die and desires all available interventions that might allow him to continue living, even if that means “bringing him back.”

Jessica feels that resuscitation would be a painful prolongation of the inevitable. This stirs internal conflict for her. She is faced with two opposing possible courses of action. According to Hamric, an ethical dilemma occurs when a person is faced with two or more obligations that cannot be simultaneously met (2014). This creates tension due to the differing and opposing demands of these obligations (Hamric, Hanson, Tracy, O’Grady, 2014) Jessica has undoubtedly seen first-hand the violent and painful process of cardiopulmonary resuscitation, and she obviously knows that these efforts are usually futile, only resulting in unnecessary pain and suffering. On the other hand, she is duty bound to respect the patient’s autonomy and his personal wishes.

Jessica handles this situation very professionally. She gently communicates to Roger and his family the reality of the progressive nature of Roger’s disease. She tries to put aside her own emotions during the discussion. Jessica asks open ended questions and empathetically listens to his responses, giving him positive, affirming non-verbal feedback. In doing this, she is gathering information to help her navigate this ethical dilemma. This end-of-life discussion was carried out subtly, tactfully, and at length over multiple visits to the patient in his own home.

These home visits are themselves an example of the NP as a disruptive innovator. Traditional medicine as practiced today takes place in a clinical setting or a tertiary care center (Hamric, Hanson, Tracy, O’Grady, 2014). Jessica provides a service that is outside of the status quo by delivering superb patient-centered primary care in the patient’s own home.

I feel I would handle this situation in the same manner. I believe that it is a fundamental right for people facing terminal illness to decide their own fate. However, I also believe that fear of death and the unknown that follows too often drives these decisions. I believe my role is to reassure, encourage, and help relieve this fear so the patient can feel at peace with a decision that reflects the reality of their situation.

Hamric, A., Hanson, C., Tracy, M.F., O’Grady, E. (2014). Advanced Practice Nursing:

An Integrative Approach, Fifth Edition. St. Louis, Missouri: Elsevier Sanders

 

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Assignment: SCI115 Week6 Discussion-STR

Assignment: SCI115 Week6 Discussion-STR

Assignment: SCI115 Week6 Discussion-STR

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SCI 115 Week 6 Discussion STR
Discussion

Pedigrees for Topics 1 and 2. A document in this week’s Instructor Insights folder contains the pedigree for three different traits from the same family. Each pedigree follows the usual conventions for pedigrees: squares are male; circles are female; offspring are drawn under each mating pair. Individuals with the trait are shaded. See the textbook for more information about pedigrees.
Topic 1. Pedigree for Trait 1. Suppose that we are certain that Trait 1 follows a Mendelian pattern of inheritance and that Trait 1 is an autosomal dominant trait. Suppose further that the dominant allele is designated as A and the recessive allele is a.

(a) Determine the genotype of Alan Blue and explain how you determined it. Go through your logic and reasoning step by step.
(b) If we were wagering on the genotype of Harlan Brown, what genotype would you put your money on? Explain.
Topic 2. Pedigrees for Trait 2. Suppose that we are certain that Trait 2 follows a Mendelian pattern of inheritance and that Trait 2 is an autosomal recessive trait. Suppose further that the the dominant allele is B and the recessive allele is b.

(a) Determine the genotype of Alan Blue and explain how you determined it. Go through your logic and reasoning step by step.
(b) Determine the genotype of Denise Hawk and explain how you determined it. Go through your logic and reasoning step by step.
Topic 3. Esvelt’s Regret. In the article by Zimmer (1), Kevin Esvelt says that he made a huge mistake by championing the application of a technology that he now says is far too dangerous to actually deploy. In a post of about 125 words, address the following:

(a) What is the technology that Esvelt championed? What does this technology do? Why does he think it’s too risky to use outside the lab?
(b) In your opinion, what sorts of laws and regulations, if any, should society put into place to regulate the technology that Esvelt regrets championing?
Topic 4. Societal Aspects of Human Gene Editing. Read the article by Neuhaus (2) and/or the article by Ossola, then address the following:

(a) Where do you think our procedures, regulations and laws ought to come down regarding human genome editing, with CRISPR (or any other tool)? Take a clear position on this.
(b) Explain your rationale.
References

Carl Zimmer, November 16, 2017, ‘Gene drives’ are too risky for field trials, scientists say, https://www.nytimes.com/2017/11/16/science/gene-drives-crispr.html?_r=0
Carolyn P. Neuhaus, March 16, 2017, Genome editing: bioethics shows the way. http://journals.plos.org/plosbiology/article?id=10.1371/journal.pbio.2001934
Alexandra Ossola, August 6, 2015, Should bioethicists “get out of the way” of CRISPR research?, https://www.popsci.com/should- bioethicists-get-out-way-crispr-research

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