FeloniousMonk94

FWIW, there's a fair bit of literature about compassion fatigue in psychology, and it tends to precede or coincide with professional burnout. You might want to take a look at it, and take steps to preserve your own mental health and possibly improve your standard of care.

If an altruistic Londoner can save 100 lives but an impoverished Nigerian can raise but one child, would the utilitarian not be forced to conclude that saving the Londoner's life produces 100 times as much benefit as saving the Nigerian's life?

If that Londoner were indeed to save 100 lives, then that is the potential you want to preserve. The value is not an inherent property of the Londoner, rather, it consists in the value of his (as yet unrealised) actions.

Looked upon this way, we are not saying anything about the worth of the Londoner as a person versus the rural Nigerian as a person. We are judging which potential actions we should preserve independent of their actors.

The chance to redeem herself to society and become functional again?

The effective altruism movement is a good example of goods that have only occurred due to philosophy- millions of dollars have been routed to highly effective charities due to effective altruists and metacharities.

Also, you need an axiology of what is valuable in the first place to make value judgements, and that is philosophy. You also need ethics to say what one ought do in light of that axiology.