buy custom Health Care Ethics essay

buy custom Health Care Ethics essay A life support applies to any form of therapy that can be used to sustain patients life while they are terminally ill. Many techniques may be used by clinicians achieve a life sustaining life. These may include mechanical ventilation, lung bypass, feeding tube among others. These techniques are mostly applied in Emergence Departments, Intensive care units as well as operating rooms Morrison (2009,p.21). Life support is used to sustain life while the patient is being treated for prognosis. The clinical goal of the process depends with specified patient situation Morrison (2009, p.20). Caring for people towards the end of their lives is one of the challenging and rewarding aspects in primary health care. This is because the proximity to death transforms the medical encounter. This calls upon both clinical and medical competence of the medical provider Morrison (2009, p.24). In this case, the patient had signed advanced health care directive form, only the agent of the patient can request for life support establishment. Otherwise the medical officer attending the patient should not establish life support.Besides, healthcare providers are required to address many potential ethical issues in the end of life support decision making process(2009,p.34). The advance health care directives were therefore meant to cater for the patient healthcare when the patient lacks competence in decision making capacity. The request by family members for life support to be established could not hold water. According to Morrison (2009) family members who are making choices for their loved ones "often have a sizable stake in how treatment decisions go, and their interests influence the decisions making, the orthodoxy regards the process as morally contaminated" (p. 203). In other words, family members may tend to make decisions about their loved ones life saving measures based on how it would benefit them and not based on the benefit of the patient. One issue that a health care provider would want to make sure of is that the person in charge of a patient's health care decisions is a competent and knowledgeable person. Another issue that a health care provider would want to address is making sure that the person who is making decisions on behalf of the patient has the priority to do so. For example, Morrison (2009, p.207) states that when it comes to making decisions on behalf of a patient there is a "descending order of priority: spouse, adult children, parents, siblings, and so on" (p. 208). A health care provider must make sure that the person determining the health care treatment for the patient indeed has the authority to do so, and if that person is not present, the health care provider must do everything in their power to reach this "priority" family member. If the patient had signed an advanced directive then the health care facility would have to honor the wishes of the patient and not those of the family. Morrison (209, p.224) lists seven "safeguards and guidelines for a policy on assisted death and a life support program. These guidelines must be met in order for patients in Oregon to be allowed to process with ending their life. It is evident that if a person is diagnosed with an incurable disease that people may be able to manipulate that individual into taking his or her own life Morrison (2009, p.225). For example, a person who has been diagnosed with an incurable disease who is competent, and who has given up on the will to live with the disease could be convinced by family members, physicians, or friends to consider physician-assisted suicide. The guidelines only focus on the patient and the physician; they do not involve interviewing family members to make sure that the idea of pursuing physician-assisted suicide was the sole idea of the patient and not the coercion of family members Morrison(2009,p.228). In addition, the guidelines say nothing about the patient's family even being aware of their family members deciding to embark on. Buy custom Health Care Ethics essay

King Richard I, the Lionheart, of England, Crusader

King Richard I, the Lionheart, of England, Crusader King Richard I, the Lionheart (September 8, 1157–April 6, 1199) was an English king and one of the leaders of the Third Crusade. He is known both for his military skill and the neglect of his realm because of his long absence. Fast Facts: Richard I the Lionheart Known For:  Helped lead the Third Crusade, monarch of England from 1189 to 1199Also Known As:  Richard CÅ“ur de Lion, Richard the Lionheart, Richard I of EnglandBorn:  September 8, 1157 in Oxford, EnglandParents: King Henry II of England and Eleanor of AquitaineDied:  April 6, 1199 in Chà ¢lus,  Duchy of AquitaineSpouse: Berengaria of NavarreNotable Quote: We, however, place the love of God and His honour above our own and above the acquisition of many regions. Early Life Born September 8, 1157, Richard the Lionheart was the third legitimate son of King Henry II of England. Often believed to have been the favorite son of his mother, Eleanor of Aquitaine, Richard had three older siblings, William (who died in infancy), Henry, and Matilda, as well as four younger: Geoffrey, Lenora, Joan, and John. As with many English rulers of the Plantagenet line, Richard was essentially French and his focus tended to lean toward the familys lands in France rather than England. Following the separation of his parents in 1167, Richard was invested duchy of Aquitaine. Revolt Against Henry II Well-educated and of dashing appearance, Richard quickly demonstrated skill in military matters and worked to enforce his fathers rule in the French lands. In 1174, encouraged by their mother, Richard and his brothers Henry (the Young King) and Geoffrey (Duke of Brittany) rebelled against their fathers rule. Responding quickly, Henry II was able to crush this revolt and captured Eleanor. With his brothers defeated, Richard submitted to his fathers will and asked for forgiveness. His greater ambitions checked, Richard turned his focus to maintaining his rule over Aquitaine and controlling his nobles. Shifting Alliances Ruling with an iron fist, Richard was forced to put down major revolts in 1179 and 1181–1182. During this time, tensions again rose between Richard and his father when the latter demanded that his son pay homage to his older brother Henry. Refusing, Richard was soon attacked by Henry the Young King and Geoffrey in 1183. Confronted by this invasion and a revolt of his own barons, Richard was able to skillfully turn back these attacks. Following the death of Henry the Young King in June 1183, Richards father King Henry II ordered John to continue the campaign. Seeking aid, Richard formed an alliance with King Philip II of France in 1187. In return for Philips assistance, Richard ceded his rights to Normandy and Anjou. That summer, upon hearing of the Christian defeat at the Battle of Hattin, Richard took the cross at Tours with other members of the French nobility. Victory and Becoming King In 1189, Richard and Philips forces united against Henry II and won a victory at Ballans in July. Meeting with Richard, Henry agreed to name him as his heir. Two days later, Henry died and Richard ascended to the English throne. He was crowned at Westminster Abbey in September 1189. Following his coronation, a rash of anti-Semitic violence swept through the country as Jews had been barred from the ceremony. Punishing the perpetrators, Richard immediately began making plans to go on a crusade to the Holy Land. Going to extremes to raise money for the army, he finally was able to assemble a force of around 8,000 men. After making preparations for the protection of his realm in his absence, Richard and his army departed in the summer of 1190. Dubbed the Third Crusade, Richard planned to campaign in conjunction with Philip II and Emperor Frederick I Barbarossa of the Holy Roman Empire. The Crusade Begins Rendezvousing with Philip at Sicily, Richard aided in settling a succession dispute on the island, which involved his sister Joan, and conducted a brief campaign against Messina. During this time, he proclaimed his nephew, Arthur of Brittany, to be his heir, leading his brother John to start planning a revolt at home. Moving on, Richard landed in Cyprus to rescue his mother and his future bride, Berengaria of Navarre. Defeating the islands despot, Isaac Komnenos, he completed his conquest and married Berengaria on May 12, 1191. Pressing on, he landed in the Holy Land at Acre on June 8. Shifting Alliances in the Holy Land Arriving in the Holy Land, Richard gave his support to Guy of Lusignan, who was fighting a challenge from Conrad of Montferrat for the kingship of Jerusalem. Conrad was in turn backed by Philip and Duke Leopold V of Austria. Putting aside their differences, the Crusaders captured Acre that summer. After taking the city, problems again arose as Richard contested Leopolds place in the Crusade. Though not a king, Leopold had ascended to the command of Imperial forces in the Holy Land after the death of Frederick Barbarossa in 1190. After Richards men pulled down Leopolds banner at Acre, the Austrian departed and returned home in anger. Soon after, Richard and Philip began arguing in regard to the status of Cyprus and the kingship of Jerusalem. In poor health, Philip elected to return to France leaving Richard without allies to face Saladins Muslim forces. Battling Saladin Pushing south, Richard defeated Saladin at Arsuf on September 7, 1191, and then attempted to open peace negotiations. Initially rebuffed by Saladin, Richard spent the early months of 1192 refortifying Ascalon. As the year wore on, both Richard and Saladins positions began to weaken and the two men entered into negotiations. Knowing that he could not hold Jerusalem if he took it and that John and Philip were plotting against him at home, Richard agreed to raze walls at Ascalon in exchange for a three-year truce and Christian access to Jerusalem. After the agreement was signed on September 2, 1192, Richard departed for home. Returning to England Shipwrecked en route to England, Richard was forced to travel overland and was captured by Leopold in December. Imprisoned first in Dà ¼rnstein and then at Trifels Castle in the Palatinate, Richard was largely kept in comfortable captivity. For his release, the Holy Roman Emperor Henry VI demanded 150,000 marks. While Eleanor of Aquitaine worked to raise the money for his release, John and Philip offered Henry VI 80,000 marks to hold Richard until at least Michaelmas 1194. Refusing, the emperor accepted the ransom and released Richard on February 4, 1194. Returning to England, Richard quickly forced John to submit to his will but did name his brother as his heir, supplanting his nephew Arthur. With the situation in England in hand, Richard returned to France to deal with Philip. Death Constructing an alliance against his former friend, Richard won several victories over the French during the next five years. In March 1199, Richard laid siege to the small castle of Chalus-Chabrol. On the night of March 25, while walking along the siege lines, he was struck in the left shoulder by an arrow. Unable to remove it himself, he summoned a surgeon who took out the arrow but severely worsened the wound in the process. Shortly thereafter, gangrene set in and the king died in his mothers arms on April 6, 1199. Legacy Richard has a mixed legacy, as some historians point to his military skill and the daring necessary to go on crusade, while others emphasize his cruelty and neglect for his realm. Though king for 10 years, he only spent around six months in England and the remainder of his reign in his French lands or abroad. He was succeeded by his brother John. Sources Dafoe, Stephen. â€Å"King Richard I – The Lionheart.†Ã‚  TemplarHistory.com.â€Å"History - King Richard I.†Ã‚  BBC, BBC.â€Å"Medieval Sourcebook: Itinerarium Peregrinorum Et Gesta Regis Ricardi: Richard the Lionheart Makes Peace with Saladin, 1192.†Ã‚  Internet History Sourcebooks Project.