Essay on Ethical Dilemma in Halthcare Essay Example

Essay on Ethical Dilemma in Halthcare Essay Example Essay on Ethical Dilemma in Halthcare Essay Essay on Ethical Dilemma in Halthcare Essay Essay Topic: Emma Introduction A compound situation that mostly involves a psychological conflict between two situations that are both morally right is what an ethical dilemma entails. An ethical dilemma involves one choosing to obey a rule and in the same process transgressing another rule. In terms of healthcare, ethical dilemmas are very common as people differ in the mode in which a patient should be treated. When a patient has a life threatening condition that requires surgery that is dangerous, he or she is faced with a decision. In making this decision, they are faced with an ethical dilemma. That is, in going for the surgery, s/he could die or not end up improving their quality of life and not doing the surgery in which they could still die. Patients and their loved ones are not the only ones that are faced with ethical dilemmas, doctors as well as on a daily basis they are made to choose what are best for their patients. Discussion The healthcare system has undergone a series of radical changes. The changes have brought with them complex situations and thus the use of ethics become part of what should be applied. Thus, ethical dilemmas arise, as people are known to view situations in different perspectives. Ethical dilemmas are more often than not put across to attempt to contest a system that is ethical as well as how the rest of the world views it. How one views a particular situation, is not necessarily, how another person will view it. These arguments have been disapproved in many ways over the past years. Just as people are different, their views on how to handle a certain situation will also differ. A person, who chooses to do something in a certain way, often feels that by choosing one option, they have gone for the option that is a lesser evil than the other option. The same applies in healthcare, as doctors are also different. They are faced with decisions every day all with the aim of making their pat ient better. Physicians are forced to decide whether what they are doing is good for their patient, even if it is bad in terms of how society views that dilemma. Euthanasia is a situation where a doctor, patient or the loved one of the patient decides to end the life of their patient. The person advocating for it often feels that, by doing so, they will have put the patient out of the pain and suffering that is associated with the disease a patient is suffering from. This however goes against how society views life. Other people will not understand why kill someone who still might have some time left to live. Society believes that life is precious, and it should be preserved. Society does not get why one would choose to end his or her life, yet there still are other options to explore that would make the patient live comfortably. However, the pressure associated with seeing a fellow human being suffer with little or no hopes of recovering can make someone decide to relieve the patient from the pain. Some doctors also say that euthanasia goes against the Hippocratic Oath they took as doctors to practice medicine ethically and honestly therefor e preserving and protecting the lives of their patients. Since 2006, euthanasia also known as assisted suicide has been termed as the most active area of study in cotemporary bioethics. The earliest reports of euthanasia took place when the Emperor Augustus died in the arms of his wife without suffering. He asked his wife to let him die honorably than let him continue suffering, yet there was no way he could get any better. In those days, the term euthanasia had not yet been coined. The term was first used in the 17th century by a doctor called Francis Bacon. He said it referred to an easy happy death through the alleviation of pain rather than a death that is slowed down by a doctor through administering drugs. He felt that it was a doctor’s responsibility to alleviate a patient’s pain, as this was why they were doctors. The move was welcome, even if it meant letting the patient die, as opposed to having a life that is of less quality than the patient was living before. Euthanasia is illegal in some places in the world, while in others, it is termed as legal. Where it is illegal, a person who commits euthanasia can be charged with murder (Dowbiggin, 2 005). Euthanasia can be classified into three. It can be voluntary, non-voluntary or involuntary. Voluntary euthanasia is when the patient gives consent to let someone end their life prematurely. It is usually legal in the countries that permit the practice. The countries in the world that permit it are Belgium, Netherlands and Luxembourg. Other countries are adopting this method though many objections have been presented by pro-life activists. In the United States for instance, some states advocate for voluntary euthanasia while others still do not. The states that advocated for voluntary euthanasia all follow the Cruzan v. Director, Missouri Department of Health. The Supreme Court ruled in favor of Missouri State rendering voluntary euthanasia legal in this case. It is necessary to note that voluntary euthanasia should not be confused with when a patient commits suicide with the help of a physician. This is termed as assisted suicide, which is legal in some countries, which include Switz erland, Australia, Belgium and three states of United States that are Oregon, Washington and Montana. Non-voluntary euthanasia is whereby it is done when the consent of a patient is not available. It is illegal in all countries. Involuntary euthanasia is whereby the patient does not give their consent to be killed off. When this is done, it is tantamount to murder and the person responsible for it can be charged in a court of law. Though some forms euthanasia can be termed as legal, it is essential to note that child euthanasia is illegal in the whole world. Anyone who does this has committed murder, as a child does not have the capacity to make such a decision on his or her own. Even if a parent feels that they have the power to make decisions on behalf of the child, this decision is not up to them. These three forms of euthanasia are classified into passive euthanasia in which treatment is withheld. By treatment, it means that the use of medicine that is necessary to prolong the life of a patient is withheld. Passive euthanasia can also include administering large doses of morphine so that the patient feels less pain since they do not have painkillers in their system. Active euthanasia, on the other hand, is by employing the use of substances that would end the life of a patient faster. This could be using lethal substances that are harmful to the health of a patient, even if s/he was healthy. A widely known example of active euthanasia is the case of the terminally ill patient in Michigan was administered lethal medication to him by his doctor. Dr. Jack Kevorkian was charged with first-degree murder for killing his patient Thomas Youk. Though the medication was administered per Youk’s request, Dr. Kevorkian was sentenced to prison after being found guilty of second-degr ee murder. Many authors have written articles on this issue and have termed it as unhelpful and misleading. They have questioned the fact that is euthanasia mercy killing or murder of an innocent victim. The topic of euthanasia is associated with many debates with people on the opposite sides of the debate feeling that their views are most relevant than the other side. People have different views, most of which have been brought about by the backgrounds that they have grown up in. However, for the independent minded, they will feel that it is more crucial to remember their loved one as a happy healthy person than as a sick person. They would rather not see them in pain. It is a personal decision, as no one would like to see his or her loved ones in pain. People that support euthanasia will argue that it is easier to let a patient die as one will know that they are no longer in pain. Through death, a patient is at peace and no longer has to worry about being sick. In the case of a patient choosing to end his or her life, they feel that society needs to respect that decision. If the patient were not hurting anyone else, why would the state interfere? Death is a private matter, and if t hrough it, the grief and suffering of not only the patient, but also their loved ones is shortened, then the practice of euthanasia should be advocated. Even Christians support euthanasia and back up their claims by saying that, God is love. Since love entails compassion, why someone would let a loved one be in pain yet there is a way of ending the pain. The greatest show of love to them is to let someone die thus showing that their love is agape. They even quote the bible saying that in Genesis chapter one, verse 28 it says that God gave human beings dominion over all things. Thus, they feel that it is their right to choose what happens to their loved ones. God gave human beings free will meaning that whatever they decide to do with their lives it is in their own hands. Even in the bible, there are examples of euthanasia. Like in second Samuel chapter 1 verses, 9 and 10 where King Saul asked his guard to kill him after he felt that he could not kill David. They also say that in John chapter 10 verse 10 that it promotes life in all its fullness. If a person feels that his or her life’s quality is lessened, then they should opt for euthanasia. For people who have been led to believe that life is important they tend to be pro-life. They will be against any form of euthanasia even if it means less suffering for the people involved. According to them life is precious and should not be left to people who are already distraught to make such decisions. They feel that if euthanasia were made legal more people would opt for it and not just terminally ill patients. Medical experts have already said that it is impossible to give a specific time limit for life expectancy. They might give less or more time than the patient has. People against euthanasia also feel that it will reach a time when it will become non-voluntary. Just because someone does not want to take responsibility for what is happening, does not mean that another life has to end. For instance, in the case of parents who kill a child because they are paralyzed and they feel that taking care of the children will be too much for them. In Latimer’s case, a father ha d to kill his mentally disabled daughter because he thought that she had a hip problem that was a danger to her health. This is an example of non-voluntary euthanasia, and it was not necessary for the father to kill the daughter and end his pain and suffering. Pro-lifers feel that if more countries continue to legalize euthanasia it will reach a time that it will be used as a means of healthcare cost containment. Cutting costs is crucial to many people and if they see that their patient will not get better, they would rather kill them than continue paying for treatment that will not work. Life is crucial and practicing euthanasia shows that, as human beings people do not value life and the joys that it brings with it. Thus, they feel that euthanasia should remain illegal in the whole world so that people continue to value life. A line needs to be drawn when it comes to euthanasia. This is because human beings are not capable of making decisions that involve life or death situations. It should not be upon them to decide who gets to live or die. No one has the capacity to play God so therefore euthanasia should be made illegal in the whole world. Even if someone’s quality of life has reduced, the patients still have a right to live. However painful it is to see a loved one sick, it is essential to preserve life. Every person plays a different role in life. Just because one feels love for another more than anyone else does, does not mean that they get a chance to decide when their life ends. Furthermore, when faced with such a dilemma one is not in the right state of mind to make decisions. Conclusion Ethical dilemmas will always be there in life. How a person chooses to solve them, is what matters the most. It is often an endeavor to disprove what is termed as ethical by different people. Just like in euthanasia, both parties that are for and against it feel that their views are most valid. Thus, no matter which stand one chooses to follow it will still mean going against another choice. Life is precious no matter how one looks at it. It is therefore necessary to preserve it, as only God knows the time or day that a person should die. Therefore, human beings should not advocate for euthanasia. Work cited: Dowbiggin, I. R. (2005). A concise history of euthanasia: Life, death, God, and medicine. Lanham, Md: Rowman Littlefield.

Adler Essay Example | Topics and Well Written Essays - 500 words

Adler - Essay Example Of these ‘marking’ has been the issue which has been repeatedly cultivated. Marking has been an age old tradition for indigenous book addicts, & they have been the greatest champions of this approach. But is marking really effective in reality as its propagators quote to it to be? This answer requires a few notions to be discoursed. First let’s be clear; marking books is necessary but not obligatory. A reader who is enjoying a book from a spiritual plane may not require marking a book as he automatically gets involved with the metaphysical components of the book. Here a fundamental perception must be clarified. Marking a book is nothing more than an intellectual phenomenon. A person who does not possess the heart & soul of concentrating in the labyrinth of the pages can never attain his goal solely resting on the process of marking. The entire process of marking is of a clichà © orientation. It encourages a person to scribble & squander the beauty of the mother article thereby destroying its tranquility. Yes, marking is a necessary aspect of reading. But it can never be the heart of it. It involves a mechanical process which may prove devastating for the reader’s psychic quotient. Reading should be all about enjoying, not writing & criticizing on the mother article right from the introduction. Fi nally all books do not require marking. The subject of the book determines the logic as what should be done with it. Indiscriminate marking in each & every book only alleviates complexity. Marking nevertheless has helped me in getting over numerous socio-political theories in books like Machiavelli’s, ‘The Prince’, Karl Marx’s ‘Das Capital’ & Robert Bresson’s ‘Theory of Film Language’. The markings in these books were mainly simplified summaries of the original text. It was written with the Endeavour to explore the inner world of these literatures in an easier manner. Adler develops a unique & interesting method to read

Innovation & Entrepreneurship Assessment Assignment

Innovation & Entrepreneurship Assessment - Assignment Example This will be determined by people who will make purchases from the online program The first product is an online shopping service utilised by online shoppers. Consumers are able to analyse prices of different products and make a purchase. This product will save the customer time; buying many goods at once and money because customers can compare prices from different retailers and pick one that best suits them. The second activity is a juice bar (Crumpton, 2012). The bar will offer a variety of mixtures of fruit juices that are best described as tantalising. The juice bar targets consumers that are health conscious and are ‘going organic’. With the introduction of internet use in the present day, the mode of shopping is fast changing to e-shopping. Many people prefer to do shopping in the comfort of their homes. This online shopping service will allow the general public, who are the target buyers a chance to not only shop in the comforts of their homes without having to walk to the shopping centres. Many people are now aware that eating healthy will result in better health and they are going organic. The target buyers include all age groups and the entire population who are health conscious. Juice drinking has often logged strong sales in established and evolving markets in even in the face of economic recession; this goes to show that the demand for natural juice is high. For online shopping service, customers will be charged a registration fee. All advertisements that will be received from different products will also be charged a fee to advertise their product. The online shopping service will be promoted by advertising online, in newspapers and televisions. Pricing of the juice will be done according to demand and its availability. Promotion of the wide variety of juice being sold at the juice bar will be done online, using billboards, through newspapers and the

Miller associates Essay Example for Free

Miller associates Essay Miller uses language carefully throughout the play to create various atmospheres. In Proctors meeting with Abigail, emotions were running high, and there was a certain amount of fission and sexual chemistry between them. The atmosphere here was passionate, angry and lustful. This is a direct contrast to the start of act two, as Proctor talks with his wife, Elizabeth. The atmosphere is cold and formal. There is no chemistry between the two, and we begin to understand why Proctor was so tempted by Abigail. It is clear to see there is a spark between them, whereas his relationship with Elizabeth is sterile and dull. Miller associates Proctor with fire and burning he burned with lust for Abigail, and then with guilt. This imagery makes us think of danger, the devil and witchcraft. The connotations of fire, especially in a society such as Salem are of hell and burning in hell for eternity. This also links in with the title; Miller chose the title of The Crucible to demonstrate Proctors metaphorical journey. Proctor is like the metals that go in the crucible to be purged of all impurities. Proctor comes out at the end with no impurities. Proctor says, its winter in here yet Elizabeth. This quote suggests their relationship is still not mended, and shows us just how cold it really is, not only in their home, but their relationship. Winter is an effective metaphor because it demonstrates Elizabeths coldness towards Proctor. The Proctors are struggling to heal a rift in their marriage and this is portrayed by Elizabeths coldness, silence and Proctors fiery outbursts. Proctor also compares his house to a court; I cannot speak but I am doubted, every moment judged for lies, as though I come into a court when I come into this house. Proctor still hasnt regained Elizabeths trust and is frustrated by her scepticism. However, he is also angry with himself, as he knows that he has given her a good reason to act this way, and he cant expect her not to, as it was his wrong doing that is causing her to behave in this manner. Proctor feels that Elizabeth judges him, Let you look sometimes for the goodness in me, and judge me not. Elizabeth says it is Proctor that judges himself, The magistrate sits in your heart that judges you. She understands how guilty he feels, but knows Proctor must atone before he can resolve his marriage and regain his self respect. He considers himself a fraud for betraying his own vision of decent conduct. Proctor is disappointed in himself for not being strong enough to resist temptation and for betraying his wife, and he regrets this deeply. The only way Proctor can make up for his sins is to atone, until then he is tortured by his actions. Elizabeth is the only one who understands his need for atonement. At first Proctor is reluctant to expose the truth about Abigail. This shows us he is afraid to hurt Abigail and possibly expose himself as a lecher, but he is also afraid of embarrassing his wife. It is only at the end of act two when Elizabeth is under threat that Proctor knows he must tell the truth. Proctor feels guilty when Elizabeth is accused because he knows it is Abigails way of getting back at them; getting back at John for leaving her, and getting back at Elizabeth for having what she wants, and for dismissing her from working in her home. Proctor must sacrifice his good name, which is one of his most prized possessions to save his wife. This shows us how much he truly loves Elizabeth, even though they have grown apart. They no longer have any chemistry between them, as John and Abigail do, but they have a strong bond, which is the basis of their relationship. Abigail desires vengeance against Elizabeth, because she sees Elizabeth as the only obstacle between her and Proctor. Elizabeths arrest is an opportunity for Proctor to atone his sins and wrong-doing, because he can come clean and confess his affair, and save Elizabeth, and rectify his marriage. In doing this, he also shows the court how sinful and bad Abigail really is. Until this point, all the people in the community, with the exception of the other young girls, has seen Abigail as a sweet, innocent girl, caught up in witchcraft. Proctors confession horrifies Abigail, as she realises that this could endanger her. Proctor is the only person who seems to see that the girls are making up these lies of witchcraft to save themselves from being whipped. Events have conspired against Proctor and the public crisis in Salem has become his own personal nightmare. His initial intention to save Elizabeth grows to a wider purpose, of saving his friends and exposing the corrupt authority and the girls lies and deceit. Parris tries to accuse Proctor of trying to overthrow the court, and this accusation only shows us that the court was purely biased and any defence was treated as an attack on the court. Proctor sacrifices his good name by admitting to the court his affair with Abigail, and at this point, we see that he has now become completely desperate, I beg you, sir, I beg you. He is so determined to save Elizabeth that he will beg the court and totally humiliate himself. This shows his sheer desperation and Proctor swallowing his pride for the sake of the community and the people he loves; this is his attempt to atone, and prove his love for Elizabeth. When asked if Proctor committed adultery Elizabeth ironically lies and says she has know knowledge of John being unfaithful. She lies to protect him and save his good name and reputation, even if it meant she as still accused. But, in doing this, she also protects Abigail, and her claims of witchcraft become more credible to the courts once again. This, gives us further sympathy for John, as he has thrown away his good name, and yet, it got him nowhere. Elizabeths denial, however, shows that despite Proctors affair, Proctor and Elizabeth are still deeply in love as they are both willing to sacrifice themselves for each other. This shows their relationship is strong but they just have problems communicating their feelings and the affair brought a barrier down between them. We also see here, where the obstacle between John and Abigail was Elizabeth, the obstacle between John and Elizabeth is Abigail, as it is because of her jealousy and accusations that Elizabeth is imprisoned. The consequences of Elizabeths only lie is that Proctor is accused of witchcraft and will hang unless he lies and confesses. The irony here is that if he tells the truth, the truth is seen as a lie, yet if he lies, the lie is seen as the truth. This seems to be the moral of the town throughout the play: Only those who lie survive. However, being a religious town, it is seen that liars will go to hell and be damned when they die. This is why the good, religious people of the community, such as Martha Corey and Rebecca Nurse, refuse to confess to witchcraft to save themselves. They refuse to sin for the sake of a lie. At the end of Act three, Proctor is accused of witchcraft, just as Miller, and many others, were accused of communism during the McCarthy witch hunts. The parallels between Proctor and Miller are the paranoia and mass hysteria that was surrounding them and the fear they felt. Neither Proctor nor Miller confessed, and neither would give names of their friends. Proctor is now is now in open conflict with the court. His friends rely on him and his life is in the balance. This scene has endeared us, the audience to him because we see his utter desperation and the way he will sacrifice himself for Elizabeth and the way he protects his friends. We sympathise with him because he has a tough decision to make, life or death, wrong or right. He is struggling with his morals too, as he cannot help his friends if he is dead, yet he doesnt have it in him to confess to a sin he hasnt committed.

Families and Stress - coping skills for living with stress and anxiety

Families and Stress - coping skills for living with stress and anxiety Is stress always bad? No! In fact, a little bit of stress is good. Most of us couldn't push ourselves to do well at things -- sports, music, dance, work, and school -- without feeling the pressure of competition. Without the stress of deadlines, most of us also wouldn't be able to finish projects or get to work on time. If stress is so normal, why do I feel so bad? With all the things that happen on a daily basis in our lives, it's easy to feel overwhelmed. Things that you can't control are often the most frustrating. You can also feel bad when you put pressure on yourself -- like to getting good grades or to get promoted at work. A common reaction to stress is to criticize yourself. You may even get so upset that things don't seem fun anymore and life looks pretty grim. When this happens it's easy to think there's nothing you can do to change things. But you can! Things that don't help you deal with stress There are safe and unsafe ways to deal with stress. It is dangerous to try to escape your problems by using drugs and alcohol. Both can be very tempting. Drugs and alcohol may seem like easy answers, but they're not. Dealing with stress with alcohol and drugs just adds new problems, like addiction, and family and health problems. Although you can't always control what's stressing you out, you can control how you react to things. The way you feel about things results from the way you think about things. If you change how you think, you can change the way you feel. Stress is not an easy topic for everyone. We all have stress; it is with us throughout our lives. Stress can cause a person to become angry or sad. There are many types of stress that can affect a family. Suffering from stress is common for all members of a family. Family members must first let go of their daily stressors†¦ this is the first step to dealing with it. Sometimes when we hear the word stress, we think of the negative impact it can have. But not all stress is bad. And even "bad" stress can motivate us to get things done or create change. The real question is: How do we make stress work for us? We can channel our stress to make us grow as individuals and as families. Signs you're family is stressed out†¦ †¢ Feeling depressed, edgy, guilty, tired †¢ &n... ...ed in your mind. Make several copies of the list and pin or paste them in places where you regularly look, like the bathroom mirror and refrigerator door. Read the list every time you get into a negative mood. Eventually your positive thoughts will become imprinted in your brain and the negative thoughts will go away. Here are some examples: o The gem cannot be polished without friction, nor (wo)man perfected without trials. __ Confucius o Where there is no wind, row. __ Portuguese Proverb o The only person who never makes a mistake is the one who never does anything. __ Theodore Roosevelt o The most certain way to succeed is always to try just one more time. __ Thomas Edison o Keep your eye on the doughnut and not upon the hole. __ Anonymous o A clean house is a symptom of a blank mind. __ Anonymous †¢ Last but not least†¦be there for your family. Let them know that you love them and think of them throughout your day. Make the people in your life matter and make them feel special.

Monitor children and young people’s development Essay

Observation informal observations will be those which staff carry out each day as you work with pupils. These may be small but over time will enable staff to build up a picture of each pupil. Staff may notice, for example, that a pupil is able to understand new concepts very easily, or that they are holding a pencil incorrectly. It is likely that teaching assistants will discuss your observations with teachers as part of the feedback process after your work with pupils. A disadvantage of informal observations is that they may not be recorded and you might forget to pass on what you have seen to others. Staff may also be asked to carry out formal observations on pupils to support the teacher in assessing pupil’s levels of development. The assessments that are made – do you have progress charts or records that map children’s development, that you then have planned and unplanned times to evaluate, enabling you to support children’s development / be aware of t heir current stage of development? Assessment frameworks involve methods such as England’s EYFS profile, possibly baseline assessments for children entering a new setting, the way a setting assesses development for a possible 2 year progress check, P-scales are another method that may be used to assess the development of children with learning difficulties. Other materials from Early Support might be used. Standard measurement – school tests/cognitive aptitude tests that demonstrate a snapshot of children’s academic ability or skill at retaining taught information and that might then be used to compare outcomes between a larger population of same-age children. Health programmes that might measure head circumference, weight, height, visual and auditory functioning. Educational psychologists may use reasoning tests to assess an intellectual age in contrast to a chronological age.

Personal Identity and Psychological Reductionism Essay

Personal Identity and Psychological Reductionism When we tackle the question of What makes us the individual persons that we are?, one approach that we can take is to seek an answer to the question of what it is that is required for a person to continue to exist over time. If we could agree on what is required for it to be true that you continued to exist, then we would have good grounds to believe that we had discovered what makes someone the particular person they are, and by extension, what makes any person the person they are. In essence, what we are searching for are the necessary and sufficient conditions for personal identity over time. In this essay we will focus on the claim that it is in fact, only the psychological†¦show more content†¦Where Psychological Reductionists believe that Descartes went wrong was to suppose that personal identity was fixed by the substance that was doing the thinking, rather than the thoughts themselves. To illustrate this point we can look at John Lockes thought at experiment which, for many, dealt a fatal blow against the idea that the self is an immaterial substance. Lockes experiment is presented by Joseph Chandler as follows: Let anyone reflect upon himself and conclude that he has in himself an immaterial spirit, which is that which thinks in him and in the constant change of his body keeps him the same. Let him also suppose it to be the same soul that was in Nestor or Theristes at the siege of Troy, but he now having no consciousness of any of the actions of either Nestor or Theristes, does he or can he conceive of himself to be the same person with either of them? Can he be concerned in either of their actions, attribute them to himself, or think of them his own, more than the actions of any other men that ever existed? According to Chandler, in the above thought experiment we have to consider what would be the case if we had immaterial spirits, which were thought to be the basis of our personal identity. If this was so, then the kind of reincarnation described in the experiment would certainly be possible. So, according to Locke, if all this were true, itShow MoreRelatedPersonal Identity by Derek Parfit1907 Words   |  8 PagesIn his 1971 paper â€Å"Personal Identity†, Derek Parfit posits that it is possible and indeed desirable to free important questions from presuppositions about personal identity without losing all that matters. In working out how to do so, Parfit comes to the conclusion that â€Å"the question about identity has no importance† (Parfit, 1971, p. 4.2:3). In this essay, I will attempt to show that Parfit’s thesis is a valid one, with positive implications for human behaviour. 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