Saturday, January 25, 2020

Health Care Ethical Legal Conflict: Case Study

Health Care Ethical Legal Conflict: Case Study Table of Contents (jump to) Introduction Choices in front of doctors Futuristic impact of the decisions in such situations Guidelines and code of conducts in medico-ethical conflicts Principals followed for such cases Implementation of guidelines and principals in current case Conclusion References 1. Introduction In the present case study there is an ethico-legal arise when doctors have to perform treatment of chronic obstructive pulmonary disease (COPD) by which Mr. Con is suffering but his son (who has the authority to decide on behalf of Mr. Con) is adamant on no treatment for COPD. An ethical concern is a condition or crisis that calls for an individual to choose among two alternatives. It is very important that the present day medical physicians have continuing ethico-legal education (Preston-Shoot, McKimm, Kong, Smith, 2011). Ethics is believed a standard of conduct and an idea of right and wrong beyond what the lawful consideration is in any particular situation. Moral assessments serve as a basis for ethical manner. Doctors have a legal responsibility to obey with the appropriate ethical and legal guidelines in their routine practice. Ignorance of regulation and its insinuations will be detrimental to the physician even though he takes care of the patient in good belief for the mitig ation of the patients pain. In the present case study we are discussing the case of Mr. Con, who was suffering from chronic obstructive pulmonary disease (COPD) and now in condition that he cannot make his own decision. His son is representing his case about whether Mr. Con should give treatment for chronic obstructive pulmonary disease or not. The whole discussion in this essay will be based on this kind of ethico-legal issue. 2. Choices in front of doctors In this case doctors do not have any choice other than legal option because all acts that are done in fine spirit may not stand legal testing. There are various ethical legal issues which can come forward if doctors refuse to consider the decision of Mr. Con’s son and treatment the COPD. As Mr. Con is suffering from multiple ailments so there are less chances that Mr. Con will survive. According to present condition, doctors can be framed for unauthorized treatment, and if proved then for murder also. With the rising figure of cases filed by hurt patients looking for legal remedy from physicians and medical organizations, it is no longer a subject of choice, but a context-driven lawful consent and requirement for the physicians to be acquainted with essential legal concerns involved in health practice. Professionalism is a subjective idea that refers to doctor performance in the place of work and within his area, and how it makes other public look at you (Doyal, 1999). Some actions that doctors would take in condition of Mr. Con can be ethical in the view of one group of experts might make look puny in the views of others. Considering the lawful and ethical consequences of doctor conduct will help to make a decision what heights of professionalism we want to uphold in different circumstances (Rogers Ballantyne, 2010). Medical ethics is a very important part of health practice, and following ethical rules is a vital part of your occupation. Ethics deals with common principles of correct and incorrect, as opposed to obligations of law. A professional is anticipated to act in ways that reveal society’s thoughts of right and wrong, even if such conduct is not imposed by law. Often, though, the law is based on ethical concerns. In the present case physicians should think to treat Mr. Con for COPD despite of consent of his son. Practicing suitable professional ethics has an optimistic impact on your repute and the accomplishment of your employer’s trade (Preston Shoot McKimm, 2011). Many medical associations, therefore, have generated guidelines for the adequate and preferred modes and behaviors, or decorum, of medical assistants and doctors. The codes of medical ethics have expanded over time. The Hippocratic pledge, in which medical scholars pledge to perform medicine morally, was developed in olden Greece. It is still used these days and is one of the bases of contemporary medical ethics. The Code of Ethics of the American association of medical assistants (AAMA) shall set 4th principles of ethical and moral manner as they relate to the health profession and the specific practice of medical supporting (Iqbal Hooper, 2013). 3. Guidelines and code of conducts in medico-ethical conflicts There are various guidelines which doctors should follow in the case similar to the present case of Mr. Con. The doctors must cautiously follow every state and federal practice rules and regulations while performing this treatment. They must follow the Code of Ethics for medical subordinates. It is an important part of their duty to avoid misconduct claim—court case by the Mr. Con’s son in opposition to the doctor for mistakes in cure. To perform efficiently as a medical subordinate, the doctor must pursue all OSHA guidelines for safety, risky equipment, and poisonous substances (Knight, Sleeth, Larson, Pahler, 2013). The place of treatment should meet quality control (QC) and quality assurance (QA) principles for all examinations, samples, and treatments. It is his accountability to follow HIPAA rules, to make sure Mr. Con confidentiality and privacy of his evidences, to entirely document patient management, and to maintain patient proofs in an arranged and readily available manner (Anthony, Appari, Johnson, 2014). In the present case of Mr. Con, physician should follow the risk management which can be described as a technique of reducing possibility of liability during institutional practices. 4. Principals followed for such cases If Mr. Con is able of providing knowledgeable consent, then his choice about cure, including non-treatment, should be considered. This is a customary plus enforceable legal standard and reliable with the ethical code of respecting the sovereignty of the patient.But in the present case, situation is totally different. Ethical methods work in a comparable mode to ethical codes, the exploit of which has obtained much consideration in recent times. There are significant limitations to the standards approach to ethics which relate evenly to ethical codes. The hypothesis is most remarkably described based on 4 codes: sovereignty, non-malfeasance, beneficence, and impartiality (Mason, Laurie, Smith, 2013). These principles are observed as one of 4 tiers in a ladder of levels of study necessary for ethical rationalization. At the 1st tier there are meticulous decisions which are necessary at the 2nd level by moral laws. These in turn are necessary at the 3rd level by principles, and codes a re lastly justified at the 4th level by more inclusive ethical hypothesis. Both, the method and applicability of principles have been tested, as well as protected as a regular structure for biomedical ethics. On the other hand, even their strongest enthusiasts do not see standards as a total or self-standing connotes of establishing moral practice. Beauchamp Childress clarify that: Principles direct us to acts, but we still require assessing a condition and formulating a suitable reply, and this evaluation and reaction flow from character guidance to the extent that from standards (Petersson et al., 2012). Gillon then called this: the 4 principles and scope mode of biomedical ethics† (Gillon, 2012). In the case of Mr. Con, doctor should follow these principals and plan the treatment. 5. Implementation of guidelines and principals in current case The content of common principles and regulations represents theories and worth’s that can locate the common ethical nature and approach for fitness care. Though, it is of small use in explaining personal ethical decisions. The insinuations for establishing ethical systems lie in recognizing their possible worth in describing the moral atmosphere and ethical approaches that are divided by health care employees. Regulations can also give clear sites for a few headline moral subjects for example euthanasia, but cannot give the convinced answers to a lot of ethical troubles encountered in the way of daily checkup practice. The purpose as to whether Mr. Con has theabilityto offer informed permission is generally an expert decision made and texted by the treating health care supplier. The provider can create a purpose of provisional or enduring inability, and that fortitude should be bonded to a particular verdict. The legal word competencymay be employed to explain a legal determin ation of supervisory capacity. The designation of a particularsubstitute choice makermay either be sanctioned by court regulations or is specified in condition statutes. 6. Conclusion If a court has decided that a patient is lacking ability, a health care giver must acquire informed permission from the court-agreed decision-maker. For instance, where a protector has been selected by the court in a responsibility act, a health care giver would look for the informed authority of the custodian, provided that the applicable court arrange covers individual or health care executive. From the whole discussion, we can conclude that, first the doctors should seek legal opinion and the according to options they should plan the treatment. Doctor should try to make Mr. Con’s understand about the consequences if Mr. Con will not treat for COPD soon. If his son still remains adamant then doctor should follow the court decision and do the treatment accordingly. Doctor should follow medical code and conduct but that should be in range of law. 7. References Anthony, D. L., Appari, A., Johnson, M. E. (2014). Institutionalizing HIPAA Compliance Organizations and Competing Logics in US Health Care. Journal of health and social behavior, 55(1), 108-124. Doyal, L. (1999). Ethico-legal dilemmas within general practice. General practice and ethics: Uncertainty and responsibility, 37. Gillon, R. (2012). When four principles are too many: a commentary. Journal of medical ethics, 38(4), 197-198. Iqbal, R., Hooper, C. R. (2013). Ethico-legal considerations of teaching. Continuing Education in Anaesthesia, Critical Care Pain, 13(6), 203-207. Knight, J. L., Sleeth, D. K., Larson, R. R., Pahler, L. F. (2013). An analysis of OSHA inspections assessing contaminant exposures in general medical and surgical hospitals. Workplace health safety, 61(4), 153-160. Mason, K., Laurie, G., Smith, A. M. (2013). Mason and McCall Smiths law and medical ethics: Oxford University Press. Petersson, I., Lilja, M., Borell, L., Andersson-Svidn, G., Borell, L., Beauchamp, T. L., et al. (2012). To feel safe in everyday life at home: a study of older adults after home modifications. Ageing and Society, 32(5), 791. Preston-Shoot, M., McKimm, J., Kong, W. M., Smith, S. (2011). Readiness for legally literate medical practice? Student perceptions of their undergraduate medico-legal education. Journal of medical ethics, 37(10), 616-622. Preston-Shoot, M., McKimm, J. (2011). Towards effective outcomes in teaching, learning and assessment of law in medical education. Medical education, 45(4), 339-346. Rogers, W., Ballantyne, A. (2010). Towards a practical definition of professional behaviour. Journal of medical ethics, 36(4), 250-254.

Friday, January 17, 2020

Final Project Outline Essay

1. Slide One (Introduction): â€Å"Should there be a set of uniform moral standards?† Speaker Notes: With the way the worlds is today and as the younger kids begin to mature, they have not been taught morals and if they have been taught morals, they seem to leave them at their door step as they venture out into the world of society. In order for society to live in peace and harmony, the United States would need to create uniform moral standards where everyone would have the expectation of abiding by the standards supported by laws. 2. Slide two: Moral Standards Speaker Notes: Morals are described as how people should behave when it comes to right and wrong. Some moral standards could be absolutely no prejudice, absolutely no lying, and people must treat other people with respect and courtesy. 3. Third slide: Levels of punishment. Speaker Notes- Levels of punishment should vary based on the crime committed. When one has a first time offense, one should receive a lower level punishment verse someone who continues to be a repeat offender, which would deserve the maximum punishment. I strongly believe that if a set of uniform moral standards were put into place the world would be a better place. Crime and corruption would be down. Maybe they should think about the way that foreign countries have a â€Å"set of uniform moral standards,† such as if someone is caught stealing they lose a finger. There will always be people who will disagree to the standards but that is to be expected because some people just are set in there ways but that comes with the territory and they deal with the issues now so what would be the difference? 4. Fourth slide: Deciding Moral Standards Speaker Notes- Based on a voting system, a sheet containing morals standards would be dispersed and the ones that not voted for would be taken off the sheet. After a final review and decision, the U.S. would forward the sheet to Congress for a concrete decision and then become a law. 5. Fifth slide: Society and Moral Standards Speaker Notes: Society and Moral Standards would have to be implemented and given a chance to work before a proper judgment could be decided. Until this happens they would be looked at in a negative way. Even though our country is in an economic crisis, others are still moving here because their country is in worse shape than ours. With the way of the world today people are just walking around in a self-centered mode worrying about them and having no conscience of their moral or ethical accountability. Negativity seems to plague this world like a man-made disease. 6. Sixth slide: Retribution Speaker Notes: This seems to be the only way to get people to understand what is going on. Standards have to be set and followed and if they are not followed or laws are broken then the responsible parties that are disobedient to the laws or standards have to be held accountable and punished to be taught a lesson and possibly send a message to future people who intend to do the same. 7. Seventh slide: The Supreme Court Speaker Notes: Beings that the Supreme Court is the highest ranking court in the U.S., having them make the final decision on moral standards will send the message that the standards are set in stone and are not open for review. This gives the people a chance to vote and set their own standards that they themselves have voted in and must abide by. 8. Eighth slide: Immanuel Kant (1724-1804) Speaker Notes: Immanuel Kant (1724-1804) created the â€Å"Categorical Imperative†, in which he believed that practical reasoning, free will, and necessary action are what drives a person to do what they feel is right. 9. Ninth slide: John Locke (1632-1704) Speaker Notes: The freedom of religion and natural rights was promoted and endorsed by John Locke who was a huge activist. He felt that survival continued to breathe because of following God’s law that coincides with a  natural moral law. He was a firm believer of â€Å"do unto others as you would have others do unto you.† If people continue to live right then eventually God’s law will prevail. 10. Tenth slide: St. Thomas Aquinas (1225-1274) Speaker Notes: St. Aquinas was a Christian who made the Five Ways. These ways were a way that this philosopher looked to prove that God was real. Being a believer in God this philosopher had faith in what was right and what was wrong. Cosmological argument, moral argument, and the argument of design made up the Five Ways that this philosopher created. 11. Eleventh slide (conclusion): Speaker Notes: I strongly believe that if a set of uniform moral standards were put into place the world would be a better place. Crime and corruption would be down. Maybe they should think about the way that foreign countries have a â€Å"set of uniform moral standards,† such as if someone is caught stealing they lose a finger. There will always be people who will disagree to the standards but that is to be expected because some people just are set in there ways but that comes with the territory and they deal with the issues now so what would be the difference? No matter where we go in this world there will be people who have good morals, bad morals, and some just will not care. The bottom line is as a living species on this earth one must be able to improvise, over come, and adapt to their surroundings whether it is to their benefit or not. Moore & Bruder, 2008 Retrieved September 15, 2010 from Axia College PHI105 website

Thursday, January 9, 2020

Redemption in The Kite Runner - 1038 Words

â€Å"For you, a thousand times over.† In The Kite Runner by Kahled Hosseini, there is a recurring theme of redemption that is portrayed by various literary devices. Kahled excellently juxtaposes devices such as irony, symbolism, and foreshadowing to show redemption within his first novel. As a foreword, the story of The Kite Runner focuses on a man named Amir. In his childhood, he enjoyed a high-class life in Kabul, Afghanistan, living with his father Baba. They have two servants, Ali and his son Hassan. They are Hazaras, a lower class ethnic minority in Afghanistan. In one Winter of their childhood, Amir and Hassan participate in a kite-fighting tournament; the goal is to be the last kite flying. When a kite is cut, boys chase after it as a†¦show more content†¦This blue kite is what sparks Amirs quest for redemption. In addition, symbolism is shown to portray redemption at the climax of the book. Amir has rescued Hassans son, Sohrab, from captivity in Kabul. However, a recent life of sexual abuse has rendered his emotions inert. Attending an Afghan summer celebration, Amir notices a kite-fighting tournament taking place. Purchasing a kite for him and Sohrab, they accomplish in cutting another. Looking down at Sohrab, Amir sees the vacant look in his eyes is gone. â€Å"Whistles and applause broke out. I was panting. The last time I had felt a rush like this was that day in the Winter of 1975, just after I had cut the last kite, when I spotted Baba on our rooftop, clapping, beaming. I looked down at Sohrab. One corner of his mouth had curled up just so. A smile. Lopsided. Hardly there. But there† (Hosseini, 391). Thus Amir redeems himself, and thus it is shown that symbolism portrays redemption throughout the story. Lastly, foreshadowing is widespread in The Kite Runner, and does not fail in contributing to the theme of redemption. As Amir and his wife learn of their inability to conceive, his mother-in-law states, â€Å"God knows best, bachem. Maybe it wasnt meant to be† (Hosseini, 96). This dialogue suggests that in the future there is a reason Amirs wife is infertile. Contributing to redemption, this is because Amir must save and adopt his deadShow MoreRelatedRedemption in The Kite Runner945 Words   |  4 Pagesï » ¿ISU: Redemption It is only natural for humans to make mistakes, just like Amir in the novel The Kite Runner, but it is how the mistakes are resolved that will dictate ones fate. The main character of The Kite Runner, Amir, knows a thing or two about making mistakes. What he struggles with throughout the novel is finding redemption for those mistakes. Throughout all stages of Amir’s life, he is striving for redemption. Whether Amir is saying the wrong thing or hiding from a hurtful truth, he alwaysRead MoreKite Runner Redemption964 Words   |  4 PagesRoad to Amir’s Redemption In a lifetime, everyone will face personal battles and guilt, some large and some small. Such as guilt over sneaking out, not doing homework, or telling your parents a little white lie. People find peace of mind through redeeming themselves, in other words, we do something that makes up for the cause of guilt. Khaled Hosseinis novel The Kite Runner revolves around betrayal and redemption. Redemption is the act of saying or being saved from sin, error or evil, which theRead MoreRedemption : Themes Of Redemption In The Kite Runner1365 Words   |  6 PagesThroughout the â€Å"The Kite Runner†, many ways of redemption arise in this novel for past wrongdoings. Amir, the protagonist shows ways in which he redeems himself, especially towards Hassan. Amir and Hassan were inseparable at the beginning of their friendship. His need for redemption stems from his younger days where his actions got Haasan in trouble and blamed him for everything. Amir travels back to Afghanistan to get Hassans son, Sohrab out of an orphanage. Then he faces the â€Å"bully†, Assef whoRead MoreRedemption The Kite Runner Analysis712 Words   |  3 PagesOne of the themes of The Kite Runner, by Khaled Hosseini is that redemption is when guilt leads to good. This theme is displayed throughout the novel in a series of parts. The three parts that display this are: the beginning where Amir commits his sin, the middle when Amir feels guilt which determines who he is and his actions, and the end where Amir tries to redeem himself. In the first section of the novel, Amir watches Hassan get raped and does not step in to help him. Instead he just watchesRead MoreKite Runner Redemption Essay1174 Words   |  5 PagesKhaled Hosseinis, The Kite Runner, is a flashback narrated by a 40 year old Afghan-American man named Amir, who is plagued by his childhood sins until he seeks redemption for his wrongdoing and figures out that redemption requires painful sacrifice. Amir is a kid who exper inced someone so loyal to him be raped and Amir did nothing to stop the rapist. One sin led to another and before Amir knew it, he was destroying his life. After his father died, who was someone who he looked up to most, Amir startedRead MoreExamples Of Redemption In The Kite Runner1227 Words   |  5 PagesKite Runner is a novel written by author Khaled Hosseini. The setting takes place in multiple cities and countries such as California, America specifically Fremont, but the main story is in Kabul, Afghanistan in 1975 through 2001. The story is about the protagonist and the narrator of the story Amir. Amir is a wealthy Pashtun boy who grows up in Kabul along with his father Baba. When Amir is nearly 12 years old along with his friend Hassan they spend their days trying to win the prizes in the tournamentRead MoreThe Kite Runner - Amir s Redemption1323 Words   |  6 PagesThe Kite Runner – Amir’s Redemption We all make mistakes, but it is how we make up for those mistakes that will decide the kind of person we will become. The Kite Runner novel was written by Khaled Hosseini about a boy who also grew up in Afghanistan just like the author. The novel opens during a peaceful time in Kabul and tells the story of Amir and his friend and servant, Hassan. It tells us about Amir looking for approval from his father, Baba, the ethnic tensions in Afghanistan and the eventsRead MoreThe Kite Runner Essays : Guilt And Redemption870 Words   |  4 Pagesisn’t always a rational thing. Everybody is guilty of the good things that they didn’t do. Maybe there’s something more that could have been done, there always is right? All that’s left then is the guilt acting as a reminder to do better next time. Redemption is something you have to fight for yourself in a personal way. Some people stray and lose sight of that, some reach it A theme that I feel is strongly laced between these pieces are guilt and shame. In Oedipus Rex, Oedipus and Jocasta were overwhelmedRead MoreThe Themes Of Betrayal And Redemption In The Kite Runner1858 Words   |  8 Pages The Kite Runner by Khaled Hosseini is a historical fiction novel set mostly in Kabul, Afghanistan and Fremont, California. The novel spans the time periods before, during, and after the reign of the Russians (1979-1989) and the Taliban’s takeover (1996) of Afghanistan. It is told through the first person perspective of Amir alongside his father, Baba, his half-brother, Hassan, and Baba’s companions Ali and Rahim Khan. Growing up, Amir and Hassan are practically inseparable, as they are always playingRead MoreFree Will And Redemption In The Kite Runner And Oedipus Rex1126 Words   |  5 Pages The themes of The Kite Runner and Oedipus Rex are free will and redemption. The author of each book shows how redemption is a major aspect in both stories by leading up to what each character did of their free will and showing the significance of how vile their mistakes were. Although the two authors thought the way to redemption was pain, the pain was very different in each book. In Oedipus rex, Oedipus took responsibility immediately and thought his redemption could only be fulfilled by exile

Wednesday, January 1, 2020

Although New England and the Chesapeake Region Were Both...

Although New England and the Chesapeake region were both settled largely by people of English origin, by 1700 the regions had evolved into two distinct societies. Why did this difference in development occur? AP U.S history DBQ #2 8/28/12 The New England and the Chesapeake regions were both from English origin. However, they had completely different societies. Each settlement had different intension of why they wanted to settle in the new world. New England and Chesapeake colonies had political, economic and social differences. The New England colonies consisted of puritans who wanted to purify the church because the Church in England was corrupt. They wanted a place where they could worship freely and work together to†¦show more content†¦Stated in the Articles of Agreement, in Springfield, Massachusetts do mutually agree to certain articles and order to be observed and kept by us and by our successor (Doc D.) The New England Colonies created and obeyed by their laws and orders. The Chesapeake colonies economically was very stable once they were settled. They focused on large scale plantations such a tobacco, rice and indigo. Therefore, The Chesapeake had slaves to work their plantations. In G overnor Berkeley and His Council on Their Inability to Defend Virginia Against a Dutch Attack, states (Besides Negroes) as there are freemen to defend the shores and all out frontiers. (Doc G.) This Document shows that they had many slave in the Chesapeake colonies. The New England colonies had more focus on small scale farming and manufacturing goods such as lumber, Shipbuilding and whaling. They did not have many plantation colonies. The New England colonies did not use any slave labor. Education in the New England colonies was very important because reading the bible was part of their daily life. The New England colonies had the first public educational systems and had the highest literacy rate in the world at the time. These colonies were very socially stable because everyone worked to together to build their society. The New England colonies were very religious, John Winthrop Quotes, We must consider that we shall beShow MoreRelatedAlthough New England and the Chesapeake Region Were Both Settled Largely by People of English Origin, by 1700 the Regions Had Evolved Into Two Distinct Societies. Why Did This Difference in Development Occur?889 Words   |  4 PagesAround the 1600’s, New England started to develop a drastic population growth. This growth caused several problems for the occupants including, high prices on food, land, and a shortage of work for many because of the aggressive competition. Immigrants from New England began to prepare for a voyage that would be beneficial for some travelling to Massachusetts and not so much those who were travelling to Virginia. Although the settlers from the Chesapeake Bay and New England came from the same countryRead MoreDifference in Societies of New England and Chesapeake Region Essays645 Words   |  3 PagesAlthough New England and the Chesapeake region were both settled largely by people of English origin, by 1700 the regions had evolved into two different societies, why did this difference in deve lopment occur? For different reasons, settlers chose to inhabit the regions of New England and Chesapeake. The social economic and political reasons separated these groups. This was mostly because of the different founding purposes; New England being founded on religous values and the Chesapake beingRead MoreDbq Although New England and the Chesapeake Region Were Both Settled Largely by of English Origin, by 1700 the Region Had Evolved Into Two Different Societies. Why Did This Difference in Development Occur?1229 Words   |  5 Pages DBQ ESSAY Question: Although New England and the Chesapeake region were both settled largely by of English origin, by 1700 the region had evolved into two different societies. Why did this difference in development occur? Thesis Statement: When talking about New England and the Chesapeake region, you have to consider the differences in motives and geography. Consider economic situations (reasons for settling where they did, reasons why they came to New England in the first place). One hasRead More Differences in the Development of New England and the Chesapeake Region788 Words   |  4 PagesDifferences in the Development of New England and the Chesapeake Region Question: Although New England and the Chesapeake region were both settled largely by people of English origin, by 1700 the regions had evolved into two distinct societies. Why did this difference in development occur? By the 1700s the two regions, New England and Chesapeake varied greatly in spite of being from the same mother country, England. Physical and cultural differences separated these two regions distinctively