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.

African and Hispanic Americans Essay Example | Topics and Well Written Essays - 750 words

African and Hispanic Americans - Essay Example Within the context of America's ethnic hierarchy, there is little doubt that both African and Hispanic Americans occupy the bottom tier. Not withstanding the fact that the Democratic Party's current presidential primaries has an African America, Barack Obama, and a Hispanic American, Bill Richardson, competing for the party's nomination, members of either ethnic group tend to be politically, economically and socially marginalized.Not only have the African Americans been in this county for close to four centuries but, they played an integral and often overlooked role in the creation of the United States. Forcibly brought into the country by slave traders and sold as slave laborers, owned property, to plantation owners and, to a lesser extent, factor owners and industrialists, the African American labor played a seminal role in the development, even creation, of the American economy.America and its economy may have been founded upon the forced labor, blood, sweat and tears of its Afric an population but, rather than be credited for it, this ethnic group has spent the greater part of its history in America s dehumanized beings. From the 1600 until the Civil War they were regarded as property and denied, by law, the right to literacy. From the Civil War until the Civil Rights Movement, they were subjected to Jim Crow laws which barely recognized their humanity and irrevocably cast them as sub-human and inferior to all other ethnic groups. It was only from the 1960s and onwards that the African Americans began to acquire their civil rights, with state and federal laws gradually changing to reflect official recognition and acknowledgement of their equality. Indeed, within the context of these laws, discrimination against African American is illegal. Although African Americans have integrated into American culture, they have formed their own sub-culture, complete with their own linguistic variation, Ebonics. The point here is that consequent to mainstream America's centuries-long abuse and as a direct outcome of continued undertones of racism, African Americans have somewhat retreated into their own culture and communities. Needless to say, their continued disadvantaged economic status, largely an outcome of constrained educational, social and occupational opportunities has hardly facilitated their complete assimilation into America, per se. Quite simply stated, relations between white and black America are somewhat tense and while they are tolerated by the mainstream WASP America, the color-blind culture as yet to set it. While a significant percentage of African Americans are of middle class status and the group, as a whole, is politically active and organized, the majority remains economically, educationally, socially, occupationally and politically marginalized. Indeed, the African Americans comprise one of the most disadvantaged of the country's ethnic and racial groups. With a long history of settlement in this country behind them, the later waves of Hispanic labor immigration to America, on the one hand, and political asylum seekers, on the other, largely lend to the impression that the Hispanics constitute one of the newer ethnic groups in America. This is not at all the case and their history in America almost rivals that of the African American in length. Possibly, the tendency to categorize all Latin and Central American groups as Hispanic, rather than accurately identify them as Cuban, Mexican, Puerto Rican and such, has contributed to this impression. Establishing distinctions is important because once one does so, one finds that the Cubans are in a relatively higher position than are the

Combating Compassion Fatigue Essay Example | Topics and Well Written Essays - 1250 words - 3

Combating Compassion Fatigue - Essay Example It ensures that the nurse associates with the feelings of the patients and that as the nurse cares for the person and their family, and they are moved to act with empathy. Compassion fatigue in this case of nursing describes a state of exhaustion with severe malaise that ensures form caring to patients and their significant others that experience different aspects of emotional spiritual and physical pain (Yoder, 2010). The cost nurses pay for caring for patients. When compassion fatigue is not addressed in the early phases, it results to burnout. However, several differences are notable between the two terms. The conflict in the work setting of the nurse serves as the impetus for burnout while interpersonal intensity and emotional engagement are the impetus for compassion fatigue. Most of the time if the nurse is unable to cope with compasses fatigue and therefore to show compassion while caring for the patient, guilt and distress may result. Consequently, failure to adopt proper coping strategies for burnout result into powerlessness, fatigue and frustrations. There are several etiologies and risk factor to compassion fatigue. These include the nurses who are first responders. These categories of nurses like the trauma and emergency nurses are more predisposed to first-hand strategies than others as they are at the front line of caring for these patients. These nurses are more predisposed because they daily have an obligation to meet patient needs on a â€Å"moment to moment â€Å" basis and in a comprehensive manner. These makes these nurses have a strong empathically and emotional connection to these patients. This element of their work is made worse by a lack of formal support systems frequently to counter the squeal of negative feelings from their work (Coetzee & Klopper, 2010). The other risk factors are found in nurses whose personality easily identifies with the nursing profession. These nurses have a

Response to Speech Titled An American Success Story -- Nakasian

Dear Mr. Nakasian, Your speech has been capable of showing people your thoughts and ideas on â€Å"An American Success story†. In â€Å"An American Success storyâ€Å", you tell your audience that forty years ago you entered America through a U.S. District Court in New York. I believe that the U.S. District Court is in the same area as the Statue of Liberty and Ellis Island. You spoke of applying and receiving your American Citizenship, then going through an honored ceremony. Also you spoke of the meanings and feelings that this Certificate has expressed on you, which showed your public viewers. Well as much as your viewers see this speech, personally I do not agree with you on some levels of your speech being a well rounded and believable description of â€Å"An American Success Story†. You state only your experiences not knowing what anyone else went through nor giving any examples of anyone else’s experiences. Mr. Nakasian, my opinion of you is constructed of an idealistic person who wants to believe everything that comes out of your mouth. In your speech of an â€Å"American Success Story†, you speak about cherishing your certificate for forty years. You announced your meaning of this certificate as a very special item to you because no other country offers as much as this certificate guarantees. Also you spoke of escaping discrimination by coming to America and having the guarantee of religious beliefs and personal freedom. You set down experiences about yourself, how you went through a poor life and then becoming orphaned shortly after arriving in the United States. In your speech, you discussed your dream of becoming a lawyer and making progress: educationally, professionally and economically. Also an interesting point you have made to y... ...sion as shows, movies, commercials and so on. Also it is harder for immigrants to find a job, especially if they have accents. For example, even immigrants with an education who have an accent have closed doors to job opportunities because they are not of the same kind and an accent make’s it harder to identify someone. Think about it people will not always be nice to you in this world, maybe you were just hit with a simple bit of luck. Many things in American society is not as always great as people might seem to think they are, which gives people a different vibe about America such as you Mr. Nakasian. Although people know there is no country that provides each person with better opportunities than America. I just do not completely agree with your presentation, as the United States being an ideal country because people don’t give us enough information.

Do average people have an impact on the course of history? Essay

I most certainly agree with the position that average people have the ability to change history. Take for example Martin Luther, Bill Gates and Adolf Hitler. These people have changed history I both a good and bad way. Without a shadow of a doubt average people have a significant impact on the course of history. Martin Luther changed history in a religious way. He started off as a poor man, and then later in his life became a small time priest. As he became a monk, he saw that the pope and the church were misleading the people in order to make a bit of money. He went against the church and did everything in his power to set people back on the right path. Even though he was excommunicated, he still held on, and that is how Martin Luther has a great impact on the course of history. Bill Gates, as many of you may already know is a very rich man, if not the richest man in the world. But this was not the case when he was a young man. In fact he was very poor and he dropped out of school at a young age. A couple of years later he created Microsoft, the largest computer company in the world. Today he has over forty billion dollars and donates billions of dollars to charity. Although some people don’t agree that he has changed history and still is, I think otherwise. I mean take a look at the number of computers in the world; you will see that most of them are powered by Microsoft. Adolf Hitler, in my opinion has changed the course of history in a bad way that any other person in the world. Although he wasn’t rich at a young age, he became rich and very popular in his later life. He developed a strong hatred for the Jews which led to him killing thousands of them. This was known as the holocaust. Although many people don’t know what happened to Hitler after these events, many speculate that he poisoned himself. Over role these three historical icons have changed history in a significant way. Just to answer your question about average people having a significant impact on the coarse of history, my answer is without a shadow of a doubt average people can have a significant impact on the course of history.

A Gendered Tour through a Toy Store Free Essay Example, 750 words

A Gendered Tour through a Toy Store Question A visit to Macy’s toys section showed a clear division of the toys for boys and girls. The store had aisles well packed with toys. However, the majority of the aisles had boys’ toys on one side and the girls’ on the other side. Bluish characterized the boys’ toys while pinkish was the only color in the girls’ section. I noted that the distribution of the toys was equal in each section of every aisle with enough toys. The display was attractive, and the signage directed every customer shopping for the overtly gendered toys in the aisles. Blue and pink banners were in the boys’ and girls’ toy sections respectively. Only one aisle that had boxed games did not indicate gender. Question 2 The predominant toys on the girls’ section included dolls of different sizes, including the Bratz and Barbie dolls, doll strollers and cribs, doll clothing, miniature household items such as kitchen sets, typical girl jewelry boxes, nail kits, and makeup sets. On the other hand, the boys’ toy section comprised of action and sports figures, trucks, cars, construction models, a variety of different sized balls, computer games, golf sets, and guns. We will write a custom essay sample on A Gendered Tour through a Toy Store or any topic specifically for you Only $17.96 $11.86/pageorder now The neutral section had toys such as mask sets and swim goggles. I noticed that children entering the store tended to go to the respective toy section with little crossover. Question 3 The store uses color, pictures, and description to market the girls and boys toys. In the boys section, the blue color attached to the plastic labels is conspicuous. Conversely, the girls’ toy section has pinkish tags. The toys contain description such as â€Å"for boys†, â€Å"girls’ building set† and â€Å"hardworking man†. The pictures on the toys depict boys and girls executing different roles. Notably, the pictures in the girls’ toys portray girls as caregivers. On the other hand, the photos on the boys’ toys show the boys as rough executing action-oriented activities. Question 4 Macy’s does not have many toys that do not indicate on the packaging the sex of the child deemed appropriate. In fact, the store has only one aisle that contains gender-neutral toys. The notable toys in the neutral aisle swim goggles, mask sets, toy telephones, and puzzles. The packaging of the toys mentioned above does not reflect a specific gender. The puzzles impressed me very much, and I picked it to represent the gender-neutral toys. Question 5 It was not easy to locate the gender-neutral toy in the store. In fact, it was not until I figured out the arrangement of the aisles that I located the neutral toy in one of the shelves. It is worth noting that the layout makes it difficult for one to establish the location of the neutral toys. Hence, it was not easy to spot the gender-neutral toy. Analysis of Experience The experience at Macy’s showed that toys reinforce gender stereotypes. The toy play and selection offer a context for passing the gender roles to the children. Arguably, the toys teach the children their expectation regarding the gender-appropriate behavior. The gender specific tool serves as a critical tool that strengthens the stereotypical gender roles in children at a tender age (Emolu 6). In this regard, the treatment of boys and girls in a different way through the selection of toys enable them to learn the differences between men and women, according to the religious, cultural, and ethnic values of their society. The boys’ toys convey the message that aggressive behavior is suitable for boys in the society. For instance, the toys portray boys as rowdy, rough, and action-oriented. The toys impose the masculine role that encourages the boys to be assertive and active in violent tasks. On the other hand, the girls’ toys depict the girls’ role as nurt uring and cooking. The jewelry boxes and makeup sets indicate that beauty and glamor are crucial attributes, which girls should embrace, for social acceptance. The association of doll with caring and nurturing is evident in the choice of the girls’ toys. In this respect, the girls grow up knowing that they should be caregivers. The presence of the gender-neutral toys in the store indicates that it is possible to have equality in the society. Arguably, the neutral toys depict a possibility of a society that socializes boys and girls to practice shared responsibilities. In this respect, efforts should target ending the socially constructed ideas that impose binary gender roles on children. The marketing of the toys in a more gender-neutral way will enable the children to grow and embrace equality. Such marketing strategy will empower the children, as well as, the society. It is possible to avoid the detrimental effects of the gendered toys if the society does not continue reinforcing the gender stereotypes through toys. Work Cited Emolu, Esra. â€Å"Play, toys, and gender socialization. †Journal Plus Education 11.2 (2014): 1-7. Print.