Monday, December 23, 2019

Advanced Directives - 993 Words

Advanced Directives Death is in a sense inevitable, we can’t escape from it. In today’s day in age, we are living longer than our parents and our grandparents due to medical technology. But there are so many ethical issues and complications that go hand and hand with death. There are two forms of death, cardiac and brain-oriented. Determining these two forms of death, along with the determined time of death is vital, simply because we don’t want to treat a living person as if they were dead. With so many issues concerning death, we have to protect those who are on the brink of death or terminally ill and can’t speak for themselves, but allowing them to make preparations for the future. Advanced directives makes this possible,†¦show more content†¦This declaration reflects my firm, informed, and settled commitment to refuse life-sustaining medical care and treatment under the circumstances that are indicated below. This declaration and the following directions are an expression of my legal right to refuse medical care and treatment. I expect and trust the above-mentioned parties to regard them as legally and morally bound to act in accordance with my wishes, desires, and preferences. The above-mentioned parties should therefore be free from any legal liabilities for having followed this declaration and the directions that it contains. (Body) Wishes his Living Will Declaration expresses my firm wishes, desires, and preferences and the fact that I may have executed a form specified by the law of the State of _____________, may not be used a limiting or contradicting this Living Will Declaration, which is an expression of both my common law and constitutional rights. I make this Living Will Declaration the _______ day of __________, 20____. Patient Signature Witness 1 Signature Witness 2 Signature Notary by State and Signature of Notary Public References Medline Plus, Trusted Health Information for You. Advanced Directives. Retrieved from: http://www.nlm.nih.gov/medlineplus/advancedirectives.html Advanced directives by state. Mississippi: Retrieved from http://www.noah-health.org/en/rights/endoflife/adforms.html.Show MoreRelatedAdvanced Care Planning And Advance Directive Completion1252 Words   |  6 PagesTemplate Initial Steps for an Evidence-Based Project Project Title: Advanced Care Planning and Advance Directive Completion in the Primary Care Setting Student Name: Christina M. Young 1. Introduction: (25 to 50 words) Advanced care planning is critical element in the therapeutic alliance between healthcare team and patient in providing adequate patient-centered care, with the patient a more willing collaborator. This process provides patient, family, and caregiver with realistic expectationsRead MoreEducation And Awareness Of Advanced Directives2167 Words   |  9 PagesDespite advanced public education and awareness of advanced directives there have been times when if care is placed in the hands of physicians without a durable power of attorney, those wishes could be terminated (CPOS, 2013). While most of the public would agree that not following specific end of life choices is an unethical act, some hospital staff feels as though life saving measures may not be appropriate in all situations, despite a written and signed document. The case that is analyzed inRead MoreOutline Of A Advanced Healthcare Directive Essay705 Words   |  3 PagesMemo To: Elizabeth A. Dennis, Esquire From: Ashley Hightower Date: June 3, 2014 Re: Advanced Healthcare Directive STATEMENT OF FACTS Oakland Hospital has a health system with 3 locations. They considering a plan to implement a new electronic health record system. Which makes patient medical records readily available to all doctors affiliated with Oakland Hospital. Including but not limited to, doctors that are employees of said hospital, independent practice associations and doctors working as independentRead MoreThe State Of Utah Advanced Health Care Directive806 Words   |  4 PagesState Legislature updated and transformed advance health care directives in Utah during the 2007 legislative session. Effective January 1, 2008, under Senate Bill 75 (second substitute), the Advance Health Care Directive Act replaced the Personal Choice and Living Will Act as the law governing advance health care planning in Utah† (Henry, M., 2007). Figure 1 displays each state within the United States and which form of advanced directive they have adopted into their individual state’s laws. UtahRead MoreAdvanced Directives : An Underutilized Means Of Communicating Ones End Of Life Wishes1597 Words   |  7 PagesAdvanced Directives: An Underutilized Means of Communicating One’s End of Life Wishes Imagine having to make the decision to take a loved one off a ventilator or to remove a tube feeding. You might find yourself thinking, what would they want? Would they want to live in a nursing home, connected to â€Å"tubes,† possibly without a means to communicate or care for themselves? How would they define â€Å"quality of life†? Have you ever discussed with them what their wishes are if they are unable toRead MoreThe Medical Field And Healthcare1019 Words   |  5 PagesIn the medical field, healthcare advance directives play a huge role in improving care for those unable to make or verbalize their decisions. Due to the fact that the patient’s care and justice comes first, advance directives allow people to communicate their decisions in the event that they are incapable of doing so due to an illness or end of life situation. Two main types of advance directives are living wills and a medical power of attorney. These legal documents are very impor tant to nursingRead MoreAn Ethical Dilemma Of Tube Feeding2091 Words   |  9 Pageswithout their full consent or knowledge. (Burkhardt Nathaniel, 2008). Value systems, which includes a patients and family morals, play a factor in ethical decision making. Background Ann is seventy-seven-year-old that was diagnosed with moderately advanced Alzheimer’s disease two years ago. She has periods of confusion, frustration, anger and obsessive thinking. When Ann began to realize her health was deteriorating, she and her husband Frank discussed their wishes should anything happen to them. AnnRead MoreA Patient s Bill Of Rights1788 Words   |  8 Pagesyour loved ones at risk for having to making end of life decisions on your behalf without the benefit of knowing what your preferences are. Advanced directives are an effective method of communicating your preferences for end of life care if you cannot speak for yourself in a medical crisis. Everyone needs be aware of the necessity for an Advanced Directives (AD) prior to a medical crisis. Regardless of your age or health status, once a medical crisis occurs, it is often too late to voice yourRead MorePrivate Term : Written Case - Advance Health Directive1260 Words   |  6 PagesPrivate Term: Written Case - Advance Health Directive Patients with severe illness can deteriorate, become physically or mentally impaired and be unable to make or communicate healthcare decisions. Modern healthcare can prolong life, but this may result in prolonged pain and suffering or reduced quality of life. Moreover, some patients, due to experience, religious views, cultural views or advice from family and friends, may want to deny some future treatments that they receive or request for othersRead More Making Decisions Today For Health Care Tomorow Essay2769 Words   |  12 Pages the right to die is one of the most popular and controversial topics in medicine today. The issue comes down to personal beliefs and ethics and the fact that there is so little clear-cut legislation on this topic confuses it even more. Advance Directives provide, in theory, for self-determination and put the patients mind at ease with the knowledge that they have decided for themselves the extent of health care that they wish to receive. Also, for the f amily, the process of watching their loved

Sunday, December 15, 2019

Dr. Greger’s Vehement Atkins Critique Fails the Test of Science Free Essays

The vehement and vitriol-filled critique of the Atkins diet By Dr. Michael Greger contains plenty of criticism, but almost no science. Despite his litany of experts’ opinions, Dr. We will write a custom essay sample on Dr. Greger’s Vehement Atkins Critique Fails the Test of Science or any similar topic only for you Order Now Greger offers no scientific basis for his criticism, and his arguments against the diet are sometimes quite specious. Dr. Gregor offers little more than a litany of â€Å"authorities† whose prima fascia condemnations of the Atkins Diet also fail the fundamental tests of science, and in many cases, illustrate the ignorance of those offering critique. Officials such as the President of the American College of Nutrition, as well as the unnamed chief health officer of Maryland are quoted with out-of-context condemnations of the diet that offer no insight as to how their conclusions are made. Chairs of various medical departments are similarly quoted, condemning the Atkins Diet as â€Å"nonsense† whose author is committing â€Å"malpractice. † In a transparent attempt at â€Å"fairness†, Dr. Greger offers some of Atkins own public statements in support of his diet, and subjects them to ridicule. Also read this  Critique of Stuff Is Not Salvation He counters Atkins’ dismissal of nutritionists by reciting another litany of professionals who have criticized the diet. Mr. Greger’s argument seems to boil down to: â€Å"here’s a list of smart people who agree with me. † Sadly, Dr. Greger’s criticism could have been done in several far more effective ways with the simple application of basic scientific method. He would have been wiser to conduct a study and offer a conclusion based on evidence, rather than relying on unsubstantiated statements by other authorities. Dr. Greger offers two hypotheses, both of which could be tested using the scientific method. The lesser of the two hypotheses is that the Atkins Diet is ineffective in its stated goal of sustained weight loss. The best way to do this would be with a controlled study of two groups, each of whom would use the Atkins Diet for a fixed period of time. Then one group, the experimental one, would continue with the diet, while the control group would abandon it. Continuing monitoring of the weight situation would then indicate whether this diet was effective in the long term, whether a person continues it or not. There are several pitfalls that one could run up against in such an experiment. First, the subject group must be one that is not using any other method of weight control (i. e. exercise, pills, etc. ). Since such a study would, by definition, be longitudinal, the experimenter would have to rely on self-report on this and other aspects of controlling variables. It is well known that self-report can yield questionable results when utilized as the sole measure of variables, particularly in an emotionally charged subject such as weight-loss. The primary dangers could be misreporting diet activities out of embarrassment. Randomization across groups should limit the corruption of data as a result of such considerations. In addition to the practical limits with long-term studies, such as subjects dropping out, and limited sample Dr. Greger in particular would be wise to be aware of the possibly of observer bias, or design bias. His own strong opinions of the efficacy and risks to the subjects of this diet would be likely to taint his conclusions and possibly the methodology itself. The second and more sweeping of Dr. Greger’s hypotheses is the notion that the Atkins Diet is hazardous to the health of the practitioners. Direct experimentation or even observation of existing data would be extremely problematic. Obviously, subjecting Human subjects to a hypothetically harmful diet would be considered to be unethical, and basing conclusions on antidotal or even â€Å"case study† data contains its own sets of hazards. In Dr. Greger’s case, he would be almost certain to â€Å"cherry-pick† cases that support his hypothesis. This may prove to be especially difficult given that most people, upon developing negative health consequences from a diet, would likely stop using the diet. The best way for Dr. Greger to test this second hypothesis would be to simply take existing data on nutritional necessities for long-term health, and determine if the Atkins Diet calls for nutrition that reflects these requirements. In that way, Dr. Gereger would be able to point to some data, rather than relying on the opinions of experts in the field. While consensus of opinion in the scientific community can be a compelling argument for a particular hypothesis, by itself, it fails to persuade nearly as much as would the sensible application of the scientific method. How to cite Dr. Greger’s Vehement Atkins Critique Fails the Test of Science, Papers

Saturday, December 7, 2019

Economics and Natural Resource free essay sample

An economy is faced by the exhaustion of an important natural resource at a time when it is introducing improved technology. Explain how these events will affect the economy’s production possibility curve (8 marks)? The production possibility curves is a hypothetical representation of the amount of two different goods that can be obtained by shifting resources from the production of one, to the production of the other. This essay will take into account the two factors, the depletion of the natural resource and the improvement in technology and further analyse what effect they will have on a country’s production possibility curve. Initially, the exhaustion of an important natural resource, such as oil or natural gas will deplete supplies of the resource already available. Therefore, exhaustion should further lead to a reduction in the supply and production of goods and services, otherwise known as output. As a result, this should move the production possibility curve inwards as the country’s capabilities to produce goods has dramatically decreased due to the exhaustion of this vital natural resource. We will write a custom essay sample on Economics and Natural Resource or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page This is perfectly illustrated in the diagram below: Secondly, improved technology gives greater efficiency and increases productivity, whilst also possibly reducing the impact on the depleted resource. An increase in overall productivity as improved technology allows more goods to be produced in a more efficient time span whilst also reducing the need for more workers as machines are proven to be much more dependent and efficient in producing goods. As a result, there is less opportunity cost in the country’s production possibility curve and an increase in the country’s capability to produce more goods and services. This is clearly shown below as the production possibility curve moves outwards, indicating an increase in productivity and efficiency. Conclusively, the overall effect on the country’s production possibility curve is shown through the illustrations of both diagrams. It will further depend on their relative strengths but results from the change in available resources and their effect on production possibilities.