Euthanasia as One of Todays Most Prevalent Ethics Issues...

Euthanasia as One of Todays Most Prevalent Ethics Issues Euthanasia can be considered one of the most prevalent problems when dealing with the ethics of patient treatment. Should people have the right to end their own lives when prolonging it will only cause them more pain? Should families who love someone so much, that they don’t want to lose them, cause them more pain by keeping them alive. What makes that more ethically correct then letting them die? The more you look into this issue the more you see how contradictory people are when it comes to making these decisions. This paper shows the issue in a more detailed manner, gives some background, shows the effects on modern society and explains briefly my standpoint on the†¦show more content†¦He considered it merciful to assist patients with â€Å"terminal† illnesses. His definition of terminal, â€Å"any disease that curtails life even for a day† (3), didn’t convince the courts of his legal innocence. While people who have terminal illnesses sometime s wish to die, society punishes the people who assist them. In my opinion, punishing physicians in relation to this form of medical treatment is a moral contradiction. The indirect killing of a person, referred to as â€Å"passive euthanasia†, is thought to be the lesser of the two evils. Despite the fact that it is more legal than â€Å"active euthanasia† it is still the termination of a human life. Through the removal of life extending treatments, the physicians are still causing the patients death. Many life-sustaining treatments and examinations may actually cause the individual more pain and suffering, without a worthy return. A good medical example of this, are burn victims in which their survival is improbable, sometimes debridement treatments are used, which can provide the patient no gain what so ever and are extremely painful. When dealing with patients who will die with or without treatment, most people consider euthanasia the most appealing procedure. Legally euthanasia is broken down into those two categories, Active being illegal everywhere but Oregon and the Netherlands. In 1994 Oregon passed itsShow MoreRelatedApplication Of The Code Of Ethics For Nurses With Interpretative Statements1699 Words   |  7 PagesApplication of the Code of Ethics for Nurses with Interpretative Statements As one of the cornerstone documents, the Code of Ethics for Nurses with Interpretative Statements helps to guide the ethical decisions of young and old nurses today (Finkelman Kenner, 2014, p. 22). Nurses will encounter many different ethical dilemmas in the healthcare field and must be prepared. 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Most of these dilemmas we face are due toRead MoreThe Social And Political Aspects Of Physician Assisted Suicide Essay2172 Words   |  9 PagesPhysician-assisted suicide is not a new concept or phenomenon even though medical professional codes and ethics have long prohibited physician involvement in assisting an individual in carrying out such an act. However, over the years due to many high profile cases and various media outlets, calls for the repeal of this ban have increased. A total of four states (Oregon, Washington, Vermont, and California) and one being legal with court decision (Montana) have all passed the Death with Dignity law, and 21 moreRead MoreThe Ethical Principles Of Assisted Suicide2430 Words   |  10 Pageswell-being? These are only a few of the many reasons why someone might want to die today or tomorrow. Whether this is right or wrong is very controversial. 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However, the ethical principle of autonomy allows the patient to have controlRead MoreHsm 542 Week 12 Discussion Essay45410 Words   |  182 Pagesgenetics, genetic research, or the human genome project, develop a set of legal and ethical guidelines, which can be applied to genetic issues for the conduct of medical practice and/or research. | B | Given the contentious debate surrounding issues of procreation, develop an institutional policy, which can be applied to the range of treatment and research issues related to procreation. | C | Given the mandate for advance directives, informed consent, and the legal obligation to report, illustrateRead MoreThe Controversy Over The Ethics Of Stem Cell Research Essay2367 Words   |  10 PagesThe Controversy of Embryonic Stem Cell Research THE 210/04December 2, 2012 There is a debate over the ethics of stem cell research and many people on opposing sides of the issue are not aware of all aspects. 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Climate Change and Food Security Free Essays

string(64) " be what the range and principle of this research will warrant\." Changing Agricultural Practices: Shift of Agricultural Crops Subject to Market or Climate Change- A Study of Meghnath Gorahanna and Aurahi VDC in Mahottari District Climate Change and Food Security Introduction Nepal is an agro-dominated of course rich state. From physiographic facet, Nepal is divided into three distinguishable ecological zones- the Mountain, Hills and Tarai. Each part has its ain biophysical, socioeconomic and cultural differences. We will write a custom essay sample on Climate Change and Food Security or any similar topic only for you Order Now Agribusiness is the common business of bulk of population in the state. Almost to a big bulk of 65 per centum of Nepali population are dependent on agribusiness for their supports ( GoN, 2012 ) . The lowland Tarai, is the nutrient basket of Nepal. It is the exclusive part in agricultural excess, providing nutrient grains to the less productive hill and mountain countries. More than 70 per centum of families in Nepal have less than 1 hectare of land and many depend on agricultural lands that are excessively little to run into their subsistence demands ( GoN, 2011 ) . Although agricultural retentions per family are the smallest in the state, this sector dominates the economic system supplying about 35 per centum of the GDP ( CIA, 2011 ) . At present, Climate Change is a large challenge to the planetary environment and the economic system. Nepal has besides identified clime alteration as a cut acrossing issue by virtuousness of its nature and impacts. Despite nominal nursery gas emanation of about 0.025 per centum ( GoN, 2010 ) , Nepal is listed as a state at utmost hazard to the impacts of clime alteration ( CCVI, 2014 ) .According to the regional appraisal of International Panel of Climate Change the most profound impacts of clime alteration in Nepal will be in the sectors of agribusiness / nutrient security, H2O resources and biodiversity. The heavy trust on rain Federal agriculture, limited irrigation installations, and deficiency of H2O preservation and harvest home patterns makes Nepali agribusiness vulnerable to the impacts of clime alteration. The high dependance of husbandmans on monsoon have increased their exposure to rainfall fluctuation. Furthermore, the variableness in temperature have besides challenged the agriculture patterns. At many topographic points the fickle rainfall has resulted into diminution in harvest production. The state of affairs of deficient rain and increasing temperature have accounted for drouth, whereas the happening of intense rain in short period have reduced the land H2O recharge by speed uping overflow and triping inundations. These fortunes have induced negative effects in the agribusiness impacting harvest production and endangering nutrient security. Market whether physical or practical is a topographic point where the dealing of goods and services is carried out. Market is governed by demand and supply state of affairs and determines monetary value of goods and services. In instance of unfastened market topographic point, market is a large initiation factor for merchandises, it determines the monetary value and creates the win-win state of affairs of the purchaser and marketer. Tarai is the part of Nepal with the unfastened boundary lines with India and it implies that the market for the merchandises get wide-opened if proved competitory. Evidence from other parts of Africa shows that procedures of agricultural intensification and productiveness growing are frequently driven by hard currency harvests having the development of interlocked recognition, input, and end product markets ( von Braun and Kennedy 1994 ; Dorward, Kydd, and Poulton 1998 ; Shepard 1999 ) . Owing to the higher return from hard currency harvests husbandmans t hese yearss are more inclined towards hard currency harvest agriculture. At many instances, the local strains of harvest have been replaced by the improved or intercrossed 1s. These intercrossed harvests have higher outputs but at the same clip, they incur immense cost on environment and human wellness. Hybrid harvests fuel the usage of fertilisers and pesticides which causes dirt debasement and increases agricultural disbursals every bit good. Using analytical penetrations from the New Institutional Economics literature, Dorward, Kydd, and Poulton ( 1998 ) have shown that export-oriented hard currency harvests may function to excite smallholder harvest productiveness and income growing, provided that omnipresent recognition market failures can be overcome through institutional inventions in farmer/marketing agent relationships. The intent of this research is to place the factor which is responsible for the alteration in agricultural patterns in the tarai part. This survey aims to analyze the instance of cultivation displacement from staple harvest to hard currency harvest is whether due to climate alteration or market forces. Rationale of the Study Nepal is home to preponderantly rural population. Agribusiness is the pillar of Nepalese economic system which non merely employs two-third of the country’s labour force but besides contributes over tierce in the national GDP. The alteration in agricultural pattern can be due impacts of either clime alteration or market forces. Associating with climate alteration issues, the addition in temperature is likely to do more harm on agricultural sectors in Tarai part compared to the hills and mountains. Tarai part lying at low countries are susceptible to downpours. Monsoon rains, snow thaw, and glacial thaw run downstream from upland parts doing the Tarai the most ataˆ?risk country for deluging. Besides this, the happening of brassy inundations in the fields have besides caused siltation of farm lands and decreased its birthrate. The heavy H2O tabular array and the depletion of groundwater is the another critical job witnessed in Tarai these yearss. This state of affairs has af fected the twelvemonth unit of ammunition irrigation. Owing to fickle monsoon and deficiency of irrigation, rice organ transplant is delayed and therefore the production has decreased. There are besides groundss of switching agricultural form. Thus the impact of clime alteration in tarai can endanger the nutrient security of the full state. There is a famine of literature on the factor- based harvest displacements in assorted parts of the universe. In instance of Nepal excessively this sector of research has been out of involvement. Therefore, to carry through the spread that has of course been built between the topographical disparities based on the harvest displacement will be what the range and principle of this research will warrant. You read "Climate Change and Food Security" in category "Essay examples" Study Area The survey country will be chiefly based in the Mahottari territory of Nepal which is one of the premier territories among the six territories of Janakpur zone. Though the territory is a premier manufacturer for harvests, it suffers from drouth and it is besides shattered by the inundation during showery seasons. This territory covers 0.68 % of the entire country of Nepal and the population in the territory is about 2.39 % of the entire population of the state ( Mahottari District Profile, CBS 2065 B.S. ) . Though the territory has chances like fertile cultivable land, entree to electricity, forest, rivers and unfastened boundary line to India, the territory has non been able to come on which besides supports the â€Å"Resource Curse Hypothesis† . As sample for the survey, two VDCs of the territory viz. Meghnath Gorahanna and Aurahi will be purposively selected. The VDC Meghnath Gorahanna is located on the cardinal Tarai part of Nepal whereas Aurahi VDC is really nigh to the main road traveling south from the territory. The entire population of the Meghnath Gorahanna VDC is 6077 in 1048 families, with 3135 female and 2942 as male population. And, the entire population of the Aurahi VDC is 8575 in 1638 families, with 4225 male and 4350 as female population. In footings of exposure ranking of the National Adaptation Plan of Action ( NAPA ) of Nepal, Mahottari falls in high vulnerable territory in the exposure index to climate alteration. The intent for choosing these two wards is that in both of these wards husbandmans have shifted the cultivation from cereal harvests to hard currency harvests. Aims of the Research: The overall aim of the survey is to place whether the cultivation displacement from staple harvests to hard currency harvests is climate induced or market driven. To accomplish the above mentioned general aim, the following specific aims will be fulfilled. To place the challenges in the agriculture patterns originating out of clime alteration induced environmental debasement in Meghnath Gorahanna and Aurahi VDCs of Mahottari territory. To transport out cost-benefit analysis of the basic harvests versus hard currency harvests in Meghnath Gorahanna and Aurahi VDCs. To measure the production form of the harvests in the several wards and its impact on the nutrient security position of the part. To warrant the above aims, the undermentioned hypotheses will be used: The cultivation displacement from staple harvest to hard currency harvest is climate induced. The cultivation displacement from staple harvest to hard currency harvest is market driven. Research Questions What is people’s apprehension of environmental debasement due to climate alteration? What are the challenges in the agriculture patterns originating from clime alteration in the VDCs? What is the production form of the harvests and the value generated by them in the several wards? What is the province of the cost-benefit analysis of the basic and hard currency harvests produced in the several wards? What is the position of nutrient handiness, nutrient use, nutrient handiness and nutrient stableness in the survey country? Methodology The Research Design As clime alteration impacts have multiple dimensions, research on understanding these dimensions requires a methodological analysis uniting the macro and micro range of question, primary and secondary informations, qualitative and quantitative methods and a cross-disciplinary attack. To acquire the holistic image and in-depth apprehension of the research issues and concerns, assorted method attack will be applied for research survey, where triangulation of quantitative and qualitative informations will besides be used for this survey. Primary Data Collection: The primary nature of the research design of the proposed survey is explorative and descriptive. Quantitative and qualitative primary informations from multi-stakeholders in two different VDCs will be collected utilizing study, in-depth interviews, focused group treatment and PRA techniques such as societal function and transect walk ( for physical confirmation ) . To forestall any biasness in the research, approximately 10 % of the entire population, 100 people will be considered as the sample including both VDCs. Besides that, to keep the quality of research, after the questionnaire studies, Key Informants’ Interview will be carried out with School schoolmasters and Agriculture Officer of the part. If necessary, Water tabular array analysis utilizing GIS tools and techniques will besides be carried in order to find the depletion of land H2O. Secondary Data Collection: Temperature and Precipitation informations of Mahottari territory obtained from Department of Hydrology and Meteorology ( DHM ) will be used to find the tendency analysis. District and small town profiles will be referred from Central Bureau of Statistics as per the demand. Datas Analysis: Both qualitative and quantitative analysis tools and techniques will be used for the information analysis. The cryptography and decryption of informations will be done as per the demand. MS- Word. MS- Excel will be used for the written and graphical presentation of the information. Statistical Package for Social Scientists ( SPSS 20.0 ) will be used for the correlativity analysis, arrested development analysis and histogram analysis as per the research demand. Restrictions Lack of temperature and precipitation informations of the specific wards. This research will be carried out in specific wards of Meghnath Gorahanna VDC and Aurahi VDC of Mahottari territory, therefore the research end products can non be generalized. This research will be a sample based research within a limited timeframe, so the research end product might hold diverting consequences for a portion of population. Expected end products The research will lend to the concluding study to be developed by Women in Environment ( WE ) on the undertaking Populating with Climate Change: Function Experiences and Adaptation Strategies in the Global South and North ( LCC ) This research study will be the foundation papers for the policy preparation sing the factor based cultivation displacement in the tarai part of Nepal. Mentions Climate Change Vulnerability Index ( CCVI ) , ( 2014 ) , Maple croft’s Climate Change and Environmental Risk Atlas, Available at: hypertext transfer protocol: //maplecroft.com/themes/cc/ ( accessed 04/04/2014 ) . CIA ( Central Intelligence Agency ) . 2011. The World Fact book. Dorward. A ; J. Kydd and C. Poulton.eds, ( 1998 ) , â€Å"Smallholder Cash Crop Production Under Market Liberalization.† Oxon ; New York, NY: CAB International c1998. Government of Nepal ( GoN ) , ( 2010 ) , â€Å"National Adaptation Programme of Action ( NAPA ) to Climate Change, Ministry of Environment, Kathmandu. Government of Nepal ( GoN ) , ( 2012 ) , â€Å"Economic Survey 2011/12† , Ministry of Finance, Kathmandu. Government of Nepal ( GoN ) , ( 2011 ) , â€Å"Nepal Living Standard Survey ( NLSS ) 2011† , Central Bureau of Statistics, Kathmandu. Hem R. Regmi. â€Å"Effect of Unusual Weather on Cereal Crop Production and Household Food Security† ,The Journal of Agriculture and Environment. ( 2007 ) : 24. Von Braun and E. Kennedy ( explosive detection systems ) , ( 1994 ) ,Agricultural Commercialization, Economic Development, and Nutrition, The Johns Hopkins Press Ltd. Maryland, 1994. How to cite Climate Change and Food Security, Essay examples

Health e-Record for Quality and Safety Implications-myassignmenthelp

Question: Discuss about theHealth e-Record for Quality and Safety Implications. Answer: Introduction Health e-record refers encompasses a nationwide system integrating data from healthcare facilities all over to generate a common record all patients can access online (Par et al., 2014). This paper reflects on the hustles of Elise with regards to her daughters medication focusing on the usefulness of health e-record. While Elise was able to have a successful medical procedure for Violet, the presence of e-record would have handy. Description Elise receives an emergency call from her paediatrician regarding the prick test of her baby, but could not visit the facility as she was out of town travelling to another city, Brisbane. In this event, one notes two key themes of nursing care; Information focus and patient focus. Information focus relates to how information is used and made accessible to the patient while patient focus relates to how the care services is based on the patients needs. Feelings As a nurse, I feel remorseful that it took Elise through a lot of hustle before she could get her daughter, Violet through her medical procedures. All these glitches were caused by the information focus of nursing care. Elise could not get information regarding the past medical history of her daughter from her former healthcare facility in time when she moved between cities. Values/Beliefs As a nurse, I have beliefs that patients are entitled to access good quality care with less hustles. The quality of service a patient receives depends upon the timeliness and the relevance of care to the needs of the patients. In this case, Elise could not access the information about the medical history of her daughter from her past healthcare facility in timely hence interfering with quality of care to her daughter. Analysis The events in the case of Elise and her daughter were not pleasant. Elise had previously taken her daughter to a health facility in Toowoomba city for prick heal test, but had not gotten the results until when she was on her way out of the city to Brisbane. Elise decides to take her daughter to another healthcare facility in Brisbane. While at the facility, she needs to provide information about her daughter which she did not have. Also, the fact that the former facility did maintain any electronic record of patients information makes Elises retrieval of the information even harder. She has to wait for the pedestrian to check in before she can call to be provided with the information from the paper filing. At this point, health e-records turn out to be an invaluable tool in healthcare (King, Patel, Jamoom, Furukawa, 2013). Had the healthcare facilities maintained e-records, it would have been easier for information about Violet to be accessed. Conclusions Drawn From the above scenario, it is evident that implementation of health e-records would have a number of positive indicators to this patient care experience. These would include improvements in the quality of care reduced medical errors and improved appropriateness of care (Hoover, 2016; Middleton et al., 2013). On the other implementation of the same e-records would have a range of negative indicators on the patient experience in this scenario including security and privacy concerns of the patients (Bowman, 2013). Action Plan In this event, the elements of care for the individual include Holistic, patient-centered approach, management of time, clinical atmosphere. Partnering plays a critical role in the transformation health care. Partnering can be achieved through interprofessional collaboration between hospitals and adopting health electronic record system. Interprofessional collaboration enhances communication and coordination between different hospitals, thus improving safety and quality of patient care. The integrated electronic healthcare system enhances access to quick access to patient data thus appropriateness of care (Krist et al., 2014). Conclusion The essay has explored health care experience of Elise as regards her daughter. From the exploration, it is evident that Elise has had a tough experiencing getting her daughter Violet through medications. The reason for this is attributed to information focus where e-records are not availed to enhance quick access to patient information. Implementing health e-records would sort out this stalemate. References BowmanS. (2013). Impact of Electronic Health Record Systems on Information Integrity: Quality and Safety Implications.Perspectives in Health Information Management,10(Fall), 1c Hoover,R. (2016). Benefits of using an electronic health record.Nursing,46(7), 21-22. doi:10.1097/01.nurse.0000484036.85939.06 King,J., Patel,V., Jamoom,E.W., Furukawa,M.F. (2013). Clinical Benefits of Electronic Health Record Use: National Findings.Health Services Research,49(1pt2), 392-404. doi:10.1111/1475-6773.12135 Krist,A.H., Beasley,J.W., Crosson,J.C., Kibbe,D.C., Klinkman,M.S., Lehmann,C.U., Waldren,S.E. (2014). Electronic health record functionality needed to better support primary care.Journal of the American Medical Informatics Association,21(5), 764-771. doi:10.1136/amiajnl-2013-002229 Middleton,B., Bloomrosen,M., Dente,M.A., Hashmat,B., Koppel,R., Overhage,J.M., Zhang,J. (2013). Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA.Journal of the American Medical Informatics Association,20(e1), e2-e8. doi:10.1136/amiajnl-2012-001458 Par,G., Raymond,L., Guinea,A.O., Poba-Nzaou,P., Trudel,M., Marsan,J., Micheneau,T. (2014). Electronic health record usage behaviors in primary care medical practices: A survey of family physicians in Canada.International Journal of Medical Informatics,84(10), 857-867. doi:10.1016/j.ijmedinf.2015.07.005

The Phenomenon Of Bipolar Affective Disorder Has Been A Mystery Since

The phenomenon of bipolar affective disorder has been a mystery since the 16th century. History has shown that this affliction can appear in almost anyone. Even the great painter Vincent Van Gogh is believed to have had bipolar disorder. It is clear that in our society many people live with bipolar disorder; however, despite the abundance of people suffering from it, we are still waiting for definite explanations for the causes and cure. The one fact of which we are painfully aware is that bipolar disorder severely undermines its' victims ability to obtain and maintain social and occupational success. Because bipolar disorder has such debilitating symptoms, it is imperative that we remain vigilant in the quest for explanations of its causes and treatment. Affective disorders are characterized by a smorgasbord of symptoms that can be broken into manic and depressive episodes. The depressive episodes are characterized by intense feelings of sadness and despair that can become feelings of hopelessness and helplessness. Some of the symptoms of a depressive episode include anhedonia, disturbances in sleep and appetite, psychomotor retardation, loss of energy, feelings of worthlessness, guilt, difficulty thinking, indecision, and recurrent thoughts of death and suicide (Hollandsworth, Jr. 1990 ). The manic episodes are characterized by elevated or irritable mood, increased energy, decreased need for sleep, poor judgment and insight, and often reckless or irresponsible behavior (Hollandsworth, Jr. 1990). Bipolar affective disorder affects approximately one percent of the population (approximately three million people) in the United States. It is presented by both males and females. Bipolar disorder involves episodes of mania and depression. These episodes may alternate with profound depressions characterized by a pervasive sadness, almost inability to move, hopelessness, and disturbances in appetite, sleep, in concentrations and driving. Bipolar disorder is diagnosed if an episode of mania occurs whether depression has been diagnosed or not (Leiby,1988). Most commonly, individuals with manic episodes experience a period of depression. Symptoms include elated, expansive, or irritable mood, hyperactivity, pressure of speech, flight of ideas, inflated self esteem, decreased need for sleep, distractibility, and excessive involvement in reckless activities (Hollandsworth, Jr. 1990). Rarest symptoms were periods of loss of all interest and retardation or agitation (Gurman, 1991). As the National Depressive and Manic Depressive Association (MDMDA) has demonstrated, bipolar disorder can create substantial developmental delays, marital and family disruptions, occupational setbacks, and financial disasters. This devastating disease causes disruptions of families, loss of jobs and millions of dollars in cost to society. Many times bipolar patients report that the depressions are longer and increase in frequency as the individual ages. Many times bipolar states and psychotic states are misdiagnosed as schizophrenia. Speech patterns help distinguish between the two disorders (Turner,1989). The onset of Bipolar disorder usually occurs between the ages of 20 and 30 years of age, with a second peak in the mid-forties for women. A typical bipolar patient may experience eight to ten episodes in their lifetime. However, those who have rapid cycling may experience more episodes of mania and depression that succeed each other without a period of remission (DSM III-R). The three stages of mania begin with hypomania, in which patients report that they are energetic, extroverted and assertive (Hirschfeld, 1995). The hypomania state has led observers to feel that bipolar patients are addicted to their mania. Hypomania progresses into mania and the transition is marked by loss of judgment (Hirschfeld, 1995). Often, euphoric grandiose characteristics are displayed, and paranoid or irritable characteristics begin to manifest. The third stage of mania is evident when the patient experiences delusions with often-paranoid themes. Speech is generally rapid and hyperactive behavior manifests sometimes associated with violence (Hirschfeld, 1995). When both manic and depressive symptoms occur at the same time it is called a mixed episode. Those afflicted are a special risk because there is a combination of hopelessness, agitation, and anxiety that makes them feel like they could jump out of their skin(Hirschfeld, 1995). Up to 50% of all patients with mania have a variety of depressed moods. Patients report feeling dysphoric, depressed, and unhappy; yet, they exhibit the energy associated with mania. Rapid cycling mania is another presentation of bipolar disorder. Mania may be present with four or more distinct episodes within a 12-month period. There is now evidence to