Liver Diseases and Natural Remedies
The following work will discuss ethical and cultural perspectives on liver diseases such as
alcoholic liver disease (ALD) and hepatitis B and C. It concentrates on two cultural questions:
how the subject of the liver is dealt with differently in different cultural settings and how
societies at large perceive the treatment of the liver disease. It then moves on to a tier-one ethical
concern about what laws and regulations cover the liver issue, as well as tier two questions about
how the medical sector approaches its appropriate treatment.
Liver Disease, ethical perspectives, cultural perspectives
Liver Diseases and Natural Remedies
A lack of knowledge influences patients’ decisions about the treatment alternatives they
should receive. When administering to liver disease patients, healthcare practitioners must be
aware of the regulations governing the liver patients’ treatment, as well as cultural contexts and
ethical principles. The patient-physician interaction, agreement, and malpractice restrictions are
all important considerations (Singhvi et al., 2015). Healthcare professionals should also consider
the resources that can assist people with liver illness. People in African countries lack knowledge
about liver indicators; thus, they are prone to believe it is divine retribution. Addressing the
ethical difficulties and cultural and legal challenges that limit the patients from receiving
treatment is critical to improving access to high-quality care.
Ethical Perspective of Inquiry: What laws govern or pertain to liver disease?
The development of liver diseases such as alcoholic liver disease results from severe
alcohol consumption; therefore, several legal policies have been imposed to reduce the rate of
excessive drinking. One of the key laws is pricing measures that consist of alcohol taxes and
minimum unit price, whereby both have been shown to reduce the burden of alcoholic liver
disease (Cots et al., 2019). Another set of laws aims to limit actual access to alcoholic drinks by
regulating sale days and hours and the alcohol retailers’ population. The majority of research that
assesses the influence of restriction policies focuses on alcohol intake and its related dangers,
such as accidents due to drunk driving and intense crimes.
Moreover, various authorized policies pertain to liver disease in the healthcare field. For
instance, medical professionals have no legal grounds for handling strangers (Singhvi et al.,
2015). Though it is claimed that they have an ethical responsibility to serve strangers, there must
be a patient-physician relationship. The physician must communicate with the client and set a
realistic expectation for how treatment will be administered. A connection should be terminated
appropriately to avoid abandonment, which implies that mutual permission, therapy completion,
or transition to another doctor should be conducted.
Furthermore, informed permission is required before treatment. It implies that the doctor
gives the patient adequate knowledge to conclude. As a result, after understanding the treatment’s
advantages and associated complications, as well as their solutions and implications, the patient
grants compliance. Permission can be given orally or in writing; however, insufficient
documentation allows the client to oppose the decision.
What ethical obstacles affect how the medical community addresses liver disease?
Patient autonomy is a moral stumbling block for doctors attending to liver disease
patients since they must match their needs with their ability to make the right choices. The
practitioner gets stuck if the client cannot convey their decisions or make terrible choices due to
emotional or cognitive impairment. Moreover, when a liver victim incurs severe brain
impairments and cannot think critically, a substitute decision-maker must be recruited (Mathur et
al., 2014). The hurdle for physicians in determining the surrogates’ decisions is dependability.
It becomes difficult to tell if they are thoroughly versed in the client’s values, choices, and help
needs. Patients’ oral or written desires are based on broad assertions in many instances. This
makes their judgments on patient needs lowly precise, hence misreading prognosis. Healthcare
professionals are obliged to understand the limitations of surrogate judgments since most of them
may differ on possible treatments or demand ineffective therapies in specific circumstances.
How do ethical theories apply to liver disease?
Since a decision maker’s personality is reflected in their activities and choices, the ethics
attribute is an integrated theory that can be used in the liver illness patient’s care. Values such as
rationality, public-spiritedness, and faithfulness, are essential components that should be applied
to determine decisions’ ethical quality. There must be no indications or proof that the doctor
broke the medical agreement. Additionally important is the care theory integrity, which refers to
offering empathy, ethical commitment, relationship consciousness, and sensitivity to patients’
requirements during the client’s administration. The theory is crucial in ensuring that patients,
healthcare professionals, or relatives’ issues about the chosen medication strategy are taken into
account before reaching a decision.
How do money, power, and control matters relate to liver disease and its treatments?
Before attending to patients for treatment, doctors must consider whether they have the
authority to make choices on their own. The authorization is crucial, and a practitioner must
review proof that the client is aware of or understands the people named in the document.
Relatives or others frequently use patients with power and wealth with hidden motivations.
Besides, patients should be able to make choices on their own concerning the hospital care they
want instead of relying on surrogates when they are competent.
Cultural Perspective of Inquiry: Which cultural values or norms influence liver disease?
Perceptions that faith and conventional medicines treat liver diseases are basic traditions
that impact the choices to obtain treatment services. Many people refuse treatment in modernized
medical centers, thus risking their lives. The main problem with beliefs is that they possess a
common perspective by believing that the disease occurs due to some spiritual causes (Fang &
Stewart, 2018). Their behavior in search of medical treatment is influenced by the availability of
proper therapy and understanding of the situation’s source. However, costs, lack of transportation
means, and verbal discordance can push people to seek traditional healings because they are
widely available and less expensive.
How is liver disease addressed differently in varying cultural contexts and situations?
The cultural difficulties are handled by awareness campaigns that inform people about
the need to enable liver victims to obtain treatment by supplying them with useful facts that can
assist them in modifying their minds. Awareness programs are essential because they help
persuade people to cease the stigmatization of liver patients (Fang & Stewart, 2018). To devise
successful strategies for connecting with society, healthcare staff must be trained on the cultural
effects when seeking treatment.
The engagement of public caregivers has also been in raising awareness about the liver
condition. The technique is critical in sustaining safety in society since it monitors individuals’
actions and how they relate to liver disease victims while also empowering them to generate wise
decisions. Legislation implementation and regulations in western countries also help to reduce
the stigma associated with individuals suffering from the disease. The strategy aims to ensure
equity in accessing and providing high-quality treatment services to the patients, for instance,
during the transplantation process, which is an ethical obligation (Singhvi et al., 2015).
Which cultures or societies are most affected by liver disease? Why?
Accessing traditional treatments and stigmatization among hepatitis B and alcoholic liver
disease patients’ is especially prevalent in African societies. Stigma arises from inadequate or no
knowledge of the condition and ideas that it is linked to supernatural intervention. The victims
are isolated and turned away because they believe it is a divine purpose (Fang & Stewart, 2018).
Additionally, many people reach out to traditional healers because they are less expensive and
more readily available due to the high costs and alleged discrimination incurred in health centers.
Cultural factors impact the way of people in disclosing sicknesses as well as their relatives’
Which cultural traditions affect the treatment?
The most significant cultural barrier that hinders liver disease victims from receiving
healthcare is their religious views. Individuals’ capacity to seek treatment is harmed by their
belief that the condition is retribution from God. This belief makes the family members refrain
from taking the victim to a health facility for diagnosis. Other cultural hurdles include fear of
practitioners and test results, inadequate family support, and mistrust of healthcare professionals
and services. Therefore, providing education and training to patients is vital in decreasing the
customs that limit healthcare coverage, even though societal values are strong.
Competence and agreement are essential legal foundations in liver patients’ treatment;
hence, the obtainment of surrogate consent when a patient cannot make the right decision on
their own. Societal beliefs concerning seeking healthcare, forms of treatment, and its necessity
are important because they influence how societies respond to treatment. Moreover, workers
must be trained and educated to raise awareness and encourage individuals to access medication,
especially in African Communities. Healthcare providers encounter an ethical problem in
allowing patients to decide about getting treatment depending on their expertise when liver cases
increase in number. During emergency cases, practitioners can attend to the patients depending
on informed consent, expertise, and sufficient evidence to justify the therapy or obtain
permission from either the patients or their surrogates.
Ajay Singhvi, Welch, A. N., Levitsky, J., Deepti Singhvi, & Gordon, E. J. (2005). Ethical
considerations of Transplantation and Living Donation for Patients with Alcoholic Liver
Diseases. AMA Journal of Ethics, 18(2),
CDC. (2020, July 28). Hepatitis C Information | Division of Viral Hepatitis | CDC.
Cots, M. V., Ballester-Ferre, M. P., Ravi. S. & Bataller, R. (2019). Public Health Policies and
Alcohol-related Liver Disease.
Fang, D. M., & Stewart, S. L. (2018). Social-Cultural, Traditional Beliefs, and Health System
Barriers of Hepatitis B Screening among Hmong Americans: A Case Study.
Mathur, A. K., Schaubel, D. E., Zhang, H., Guidinger, M. K., & Merion, R. M. (2014).
Disparities in Liver Transplantation. Transplantation, 97(8), 862 – 869
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