Friday, January 31, 2020

The Healthcare Facility and Staff †You Decide Essay Example for Free

The Healthcare Facility and Staff – You Decide Essay I. Identification The dilemma is that Mrs. Margie Whitson a patient at Golden Oaks Rehabilitation Center is going through some very hard times after just loosing her son William about a week ago. She has also had to deal with loosing her husband in the past 5 years leading up to this. She is also reflecting back to when she lost her first son to a motor vehicle accident. Margie is having a very difficult time taking this all in and now feels all alone and wants the one and only thing keeping her alive removed. Margie suffered a heart attack 2 years ago that almost took her life and she had to have an electronic pacemaker implanted. The pacemaker is what is keeping her alive by keeping her heart rhythm at a 100% pace. Without the pacemaker she would not be able to live. Now that all of her family is gone she is requesting that her pacemaker be removed so that she can pass and go on to be with her family because she now feels like she has nothing to live for anymore. She has talked to the Rehabilitation Center Administrator Cindy Mackin and has told her what she wants to happen and has requested her to call Dr. Vijay who was the Cardiologist Surgeon who placed the pacemaker in her to remove it. Morals are principles of right and wrong in behavior, expressing or teaching a conception of right behavior, conforming to a standard of right behavior, sanctioned by or operative on one’s conscience or ethical judgment, and capable of right and wrong action. (Merriam-Webster) According to our book the moral principles of ethics that are involved in removing Margie’s pacemaker are: †¢Beneficence- is the principle of doing good, demonstrating kindness, showing compassion, and helping others. †¢Nonmaleficence- is an ethical principle that requires caregivers to avoid causing patients harm. †¢Justice- is the obligation to be fair in the distribution of benefits and risks. †¢Autonomy- is recognizing the right of a person to make one’s own decisions. (Legal Aspects of Healthcare) The morals that are in conflict with this issue is nonmaleficence because the doctors, nurses, social worker, and ethics committee main priority is to make sure that nonmaleficence is not being implemented by any means. Other morals that are in conflict would be justice and autonomy because the committee has to take in consideration the patient’s right to make her own decision about wanting to live or not but they also have to take into consideration the benefits and risks of the patient that could come along with going through the patient’s request of removing her pacemaker. II. Information The ethics committee goals consist of: †¢Promote the rights of patients. †¢Promote shared decision making between patients and their clinicians. †¢Assist the patent and family, as appropriate, in coming to a consensus regarding the options that best meet the patient’s goal for care. †¢Promote fair policies and procedures that maximize the likelihood of achieving good, patient-centered outcomes. (Legal Aspects of Healthcare) It is clear that this dilemma consists of Margie wanting her doctor to assist with taking her life by removing her pacemaker. She has been through so much with the loss of her immediate family members that she wants to pass away as well to be with them because she feels like there is nothing else to live for. There are many theories of ethics that play apart in this dilemma. One of the theories is the Normative Ethics where all attempts are made in determining what moral standards should be put into place to ensure that human behavior and conduct are morally right. Another theory that can be can be applied is the Consequential Ethical Theory that focuses on the morally right action that will lead to the maximum balance of good or evil. The Utilitarian ethics believes that the moral worth of an action is only determined by its contribution to happiness as summed by all people. The last theory would be the Deontologic ethics that is focuses on the duties to others, which consists of telling the truth to all patients. III. Communication The ethics committee then sits down together and communicates with each other about the dilemma while going over the morals values and theories that apply to this particular dilemma to ensure that all of the rights steps and decisions are taken before they come to a conclusion on what to do for Margie. This step in communication is very critical to make sure that the committee review the dilemma properly, resolve any ethical dilemmas, resolve any conflicts, and to figure out if any additional support is needed. The committee does not necessarily come up with final decisions but they provide the needed advice to guide doctors, nurses, etc. towards making the right decisions. The ethics committee members all agree that there is indeed a dilemma with Margie wanting the aid of a doctor to take her life by removing her pacemaker, which is the only thing that is keeping her living. After meeting with all of the members of the ethics committee we are all on the same accord and have been informed with all the information about the case. The Cardiologist Dr. Rana Vijay, the Social Worker Jane Robison, the Rehabilitation Center Administrator Cindy Mackin and the Ethics Committee Chairman David Jamison have all come together and presented all information and facts that they know about this issue to all the members of the committee to ensure that no one was left out about any details of this dilemma. All members concur with my understanding and all other parties that had information about Margie’s dilemma. IV. Choice After speaking with the Cardiologist Dr. Rana Vijay, he informs the committee that removing Margie’s pacemaker would violate Beneficence, Nonmaleficence, and Justice. He stated that he would be going against helping others if followed through with Margie’s request, he would also be going against avoiding or causing harm to patients, and lastly he would be disregarding the benefits and risks of Margie by performing the requested actions. The Social Worker Jane Robison also expressed that doing this would not be good for Margie or his profession due to the ethics standards they have to withhold for all patients. She believes that with time she will have a change of heart and will appreciate her life being spared. The Rehabilitation Center Administrator Cindy Mackin agrees with everyone else in not assisting Margie with taking her life due to the sad circumstances that she has been faced with in the past few years. After all the members have reviewed the suggestions and recommendations from everyone involved everyone on the ethics committee have agreed that Margie’s request to have her pacemaker removed will be denied due to all ethical standards and the fact simply that it is just not right to let someone take their own life or assist with taking someone’s life. One of the most important things is to never cause harm to any patient, which taking a patients life goes above and beyond of causing harm to a patient. References Legal Aspects of Health Care Administration/George D. Pozgar.-11th ed.p.cm Moral. Retrieved from: http://www.merriam-webster.com/dictionary/moral

Wednesday, January 22, 2020

The Federal Period :: essays research papers fc

The Federal Period   Ã‚  Ã‚  Ã‚  Ã‚  The time after the Revolutionary War when America was beginning a new consciousness, marked by its recently acquired independence, was called the Federal Period. American furniture makers still modeled designs from England but soon created styles with balanced proportions and symmetrical lines associated with classical design. Styles were generally named for the monarchs who reigned or for the design influences that prevailed at the time the style was introduced. There was usually a time lag before the style became popular in America because much of America’s colonial population lived in rural areas where tradition was important and fashions changed slowly. A new style might be introduced in Boston at the same time an old style was still popular in the country.   Ã‚  Ã‚  Ã‚  Ã‚  The architectural designs emphasized high ceilings and large open areas which allowed for more decorative elements. A federal period parlor would typically have been decorated with the classically inspired wallpaper and moldings, swag curtains, and a carpet that resembled a Roman tiled floor. The use of decorative cotton dimity or chintz slipcovers were to protect the wool upholstery from insects and sun during the summer.   Ã‚  Ã‚  Ã‚  Ã‚  Furniture from this period is characterized by a delicate, geometric look and the use of classical motifs as urns and swags. Inlay, veneer, carving, and paint are used for decoration. Chairs have turned, reeded or tapered legs and square or shield shaped backs. The names of two English designers, Thomas Sheraton and George Hepplewhite are closely associated with these styles. One of the most popular designs was the Windsor chair which was used in every room of the house by the Federal Period. Many of the popular styles are shown on the page attached to this report.   Ã‚  Ã‚  Ã‚  Ã‚  A lot of the furniture was made out of native black walnut, yellow pine, white oak, maple rose and satinwood. To lower the cost of the furniture the designers painted surfaces to simulate a rich wood or marble or gilded to imitate bronze mounts. The most popular kind of wood was the mahogany which made richer and more figured cuts. Mahogany wood made desks, sewing tables, Pembroke tables, sideboards, shield, oval and square-back chairs.   Ã‚  Ã‚  Ã‚  Ã‚  The Federal Period signaled the change from the master craftsmen, to the mass production of furniture.

Tuesday, January 14, 2020

Influence of Visual Media

Decades have gone by and in that time culture and visual entertainment media has change tremendously. The interrelationship between culture and visual entertainment media has had an impact on both film and television. Television and film have more violence and more inappropriate words but also captures examples of everyday concerns and provides positive feedback. Since the 1950s the primary source of entertainment has been television ,and has developed an impact on books. Most author’s books have been made into movies providing a more entertaining and visual view of the plot in our most favorite stories.Millions of families gather in front of the television daily and weekly to view their favorite television shows. Shows such as The Brady Bunch and The Cosby show began models of what the perfect family should be like. These shows not only brought us laughs but they also taught us lessons of parenting and the challenges that children face growing up. Visual entertainment has als o shaped American culture by creating improvements to television and film. Impacts like high definition television provides us with a better quality when watching the biggest sports events on television.For an example the Super bowl which is one of the largest sports events and those that not able to attention the game usually tune in from home or have Super bowl parties. These parties are usually thrown by those that have the newest and biggest television model. Visual entertainment has allowed us to be able to actually see the news and sports instead of only having the option of listening on a radio. Before television was invented the radio was one of the only sources of entertainment.Although there has been some positive forms that visual entertainment media has shaped visual entertainment media over the years there have been some negative changes to its value. Years ago the content allowed on television was appropriate for all ages but now it is very risky to even allow children to watch their favorite cartoons. Due to the amount of violence and profanity on television American culture now has concerns with bad influences. Children are being exposed to words and behavior that parents of try every day to teach theirs kids what is right and what is wrong but visual entertainment is showing them things that are negative.When you are teaching your children to not use inappropriate language and are being sure that they are not being exposed to specific words and behavior then some they watch on television is shows kids using inappropriate language or behavior it confused children and influence them to try it. The social influences of visual entertainment media are mostly negative. Social media is now a type of visual entertainment media and creates a negative impact to society because on social networks such as Facebook and Instagram where there are constant post of videos and status.The videos posted on these sights contain violence people fighting one another and their friends or family member recording the fights urging them on. They are also videos posted men and women degrading themselves in sexual ways as well as inappropriate dance videos. All of these things are providing negative influences for youth and adults it seems that American culture is being worsen by these things. Social media should ban those that post inappropriate post of status and videos automatically without it having to be reported. Truth is some of it won’t be reported because this is a form of entertainment for so many.The interrelationship between culture and visual entertainment media has many impacts to television and film. Some of these impacts are positive and some are negative either way they have shaped American culture into what it is today. The positive and negative impacts all us to be visually entertained. Visual entertainment media provides the ability to TV and movies based on your favorite books and sports. It also provides negativity throu gh social influences. However, these are all changes that have impact visual entertainment whether good or bad it is still considered visual entertainment.

Monday, January 6, 2020

Understanding The Neurological Complexity Of The Human Brain

In order to better understand the neurological complexity of the human brain, it is reasonable to first compare it to a similar organ, and according to Professor David Anderson, that is a fruit fly s brain. As a neurological researcher at the Caltech David Anderson Lab, Professor Anderson claims that the human brain is much more complex than thought, but with the help of fruit fly experimentation, understanding the human brain is made simple. As guest speaker at the TED Conference, Anderson informs his audience of a common misconception with the human brain, a misconception he intends to disprove by using evidence from his fruit fly experimentations. David Anderson explains how fruit fly research is the missing link that will help†¦show more content†¦Opening up his lecture, Professor Anderson immediately harnessed the crowds curiosity through his questions requiring crowd participation. He first asked the crowd to raise their hand if they had any family history of mental i llnesses. Most of the attending listeners responded to his inquiry with their hands raised high, signaling Anderson to ask his next question. Secondly, Anderson asked if anyone could agree that fruit fly research would help further the understanding of mental illnesses and if so, they should keep their hand raised. Naturally, in response to his second question, the audiences hands went back down. The humorous contrast in the crowds response resulted in laughter within the audience, which allowed Anderson to smoothly transition to his next point. He continued to use rhetorical questioning throughout his speech as seen when he asked, Can an organism like this teach us anything about emotion-like states? Do these organisms even have emotion-like states or are they just little digital robots? (00:04:55). Comparing living fruit flies to inanimate robots is silly and not realistic; this obvious answer made clear to his listeners that there is a high chance that fruit fly research could benefit the understanding of the human mind. In continuation, Anderson used comparison and contrast to help explain his research and support his claim. Anderson first comparedShow MoreRelatedThe Future Of Neuroscience : From Sci Fi1559 Words   |  7 Pageskick while wearing a robotic exoskeleton controlled by his brain. The high-tech demonstration was orchestrated by Duke University neuroscientist Miguel Nicolelis, as part of the Walk Again Project [2], to develop and implement a brain-machine interface to allow severely paralyzed patients to regain mobility. The sight of such futuristic technology straight out of the Iron Man movie becoming a reality is simply exhilarating. 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