Sunday, November 3, 2019
Crime is the result of individuals making choices to commit crime; it Essay
Crime is the result of individuals making choices to commit crime; it is not the result of their social circumstances. Discuss this statement - Essay Example Due to these involvements with other criminals, the individuals view crime as desirable ââ¬â something that can be used appropriately in social situations (Akers, 1998). Other people make them think that crime is something that can be condoned, and so they do it on their own, as they see it fit into their own lives. When it comes to teenagers, they learn how to engage in crime in the same way that they would learn how to conform to the needs of society (Matza & Sykes, 1961), despite that crime is not socially condoned. There are three mechanisms by which a person learns crime from others: differential reinforcement, beliefs, and modeling. The differential reinforcements are the rewards or punishments that a person gets from committing a criminal act. If a criminal is not caught, they are unable to be punished ââ¬â they have only seen the reward to what they do. If they are caught and are punished, they can be conditioned to see that crime is a negative thing and is not condoned by society. A criminal might use their own mindset of beliefs on criminology to help others to see that what they are doing is not wrong. They try to get others to see things from their point of view. When modeling criminal activity, an individual does what might have been done to them: they influence others. The control theory focuses on the conformity that an individual goes through that may cause them to engage in criminal acts. Many sociologists wish to find out why people involve themselves in crime, while others want to know why people conform to begin with. Once again, we are back to the powers of influence and modeling. The control theory has to do with how much restraint a person is willing to put on him or herself to avoid partaking in criminal acts. Once a person gives in to conformity, they are no longer following their own unique rules about how to go about life and keeping to their morals. The labeling theory states that once a person is labeled a criminal, and
Friday, November 1, 2019
Movie critique on the movie Jakes women from 1992 Review
Critique on the Jakes women from 1992 - Movie Review Example The good thing about the TV adaptation was that the technology allowed the director Glenn Jordan to extend a life like veracity to the essentially phantasmagoric nature of the imaginary and psychotic conversations of the central character Jake played by Alan Alda. As evident most of these conversations take place in Jakeââ¬â¢s head, which are readily conveyed and managed with dissolves on the TV adaptation, which makes them more realistically perceivable as compared to the stage adaptation, which bothered by the expected constraints had to convey the concept by pulling off the characters imagined by Jake. However, the direction failed to grasp that the TV screen affords a much wider canvass that needs to be filled in by much movement, change of scenery and background, over dramatization of action and emotion to make the overall impact more gripping and interesting for the audience. In that context, the movie was a big failure. Though the performance by Alan Alda was almost flawles s, yet the direction left much to be desired.
Wednesday, October 30, 2019
In what ways must leaders and leadership, including how they are Essay
In what ways must leaders and leadership, including how they are developed, still adapt to the demands of today - Essay Example Authority and position based leadership can be perceived to be a rather inadequate tool for aiding modern day leadership in effectively tackling the challenges that leaders face today. According to Heifetz (251), this form of leadership is now largely perceived to be the myth of the lone warrior: the rather solitary individual whose individual brilliance and heroism serve to enable him to effectively lead the way, in a flawed notion that reinforces the leaderââ¬â¢s isolation. This form of leadership was most often seen to be a characteristic of the autocratic leadership style that saw the leader try to exert individual control over all individual decisions with minimal input from the various group members. This leadership style is also seen to typically requires that the autocratic leaders make choices that are seen to be primarily based on their own individual judgments and ideals while rarely accepting any advice from the followers as the leadership style basically involves auth oritarian, absolute control over a group of individuals (Gitman and McDaniel 162). While the leadership style can at times be beneficial in the case where decisions quickly need to be made without having to consult a large group of people, it is important for authoritative leaders to avoid being excessively dictatorial, bossy or controlling as this can result in various problems resulting in an impediment in their ability to efficiently adapt to the demands of today. Modern leadership is required to have the capacity of helping individuals learn a variety of new ways of solving, understanding and defining the often complex modern day problems and challenges that Heifetz (254) refers to as adaptive challenges. Heifetz, points out that the strategic challenge of modern leadership is seen to entail the giving back of work to people without being perceived to be abandoning them. If people are inadvertently overloaded, they will be seen to avoid learning while under-loading people will c ause them to grow complacent or too dependent. Our world is currently faced with a series of various adoptive challenges that are found to be fundamental issues that communities must learn how to effectively cope with regardless of the actual nature that leadership might happen to take in the next century. Leaders and leadership must adapt and effectively handle these challenges as these challenges are largely not static and new ones always appear. It is thus seen that modern leadership is required to bear the actual weight of problems for considerable time durations. The shouldering of the various uncertainties and pains of an institution or organization, and particularly so, in times of distress is seen to part of the modern approach to leadership and can only be avoided at the institutionââ¬â¢s peril (251). While the planned change theory with its premises of a deliberate decision being made to change, might have been appropriate and served to greatly aid leaders and leadershi p during the previous century, future leaders and leadership must essentially adopt the principles laid out in the unplanned change theory that will allow them to quickly react to their current environment and thus be able to adapt in an effective manner to the demands of
Monday, October 28, 2019
French Educational System Compared to the American System Essay Example for Free
French Educational System Compared to the American System Essay France and the United States have numerous striking differences and tastes in almost all cultural aspects. The French education system has been criticized globally by scholars and experts in various career fields for its failure to provide a flexible, all-round education. However, it has also received praise and recognition by the world at large for its significant contribution to the field of mathematics, with the revolution in banking in the late 20th century pioneered by French mathematicians. The United States education system, on the other hand, is increasingly receiving favor by international students for its provision of high class, market friendly education, despite the current criticism on the high cost of education. This paper compares the French and the American education systems. There are many differences, as well as similarities, in the French and the US education systems. One of the major aspects which have raised concern is on higher education. In both countries, higher education is given high priority, and in the US, for instance, the majority of adults are college educated. In France, higher education is also highly valued, with a personââ¬â¢s popularity and respect increasing as she or he advances in education. A significant difference in the higher education in both France and the US, however, is on the entrance process to university. In the French education system, before one can gain access to university studies, the final exam, the Baccalaureat, or the ââ¬Å"Bacâ⬠is mandatory. The ââ¬Å"Bacâ⬠is a rigorous school-leaving examination with no multiple choice questions and includes a written part and an oral part, with several subjects each. The ââ¬Å"Bacâ⬠is highly valued in the nation so much that despite numerous criticisms from scholars globally to change the system and implement other selection methods, the nation has refused to change it. (Understandfrance. org, 2008) Despite the tough examination system, the French have no other university selection method. The nationwide ââ¬Å"no selectionâ⬠policy has raised controversy from scholars worldwide who find the method not sufficient for a thorough process. College selection in the US however, is very vigorous and students undergo numerous processes before gaining entrance to college. Selection is comprised of practices such as writing a personal statement, attending an interview, being involved in extra curricular activities among of course, the class ranking and the grades earned in high school courses taken. Recommendations too, by responsible persons are also considered before one can gain entrance into any higher institution of learning. A major reason which has made many international students prefer the higher education system in the United States over that in France in the recent past is the many facilities and services offered in US institutions. Issues such as overcrowding in lecture halls, for instance, are not experienced in majority of US institutions, although quite evident in most of the universities in France. Such prestige, however, comes at a cost. College tuition fees in the US can in no way be comparable to France, where education, interestingly, at all levels is almost free and only 26 percent of university students receive scholarships. (Understandfrance. org, 2008) Tuition fees is so high in the US, such that scholarships alone cannot cater for the students; the majority of US students receive either loans, grants or both from the government, so as to cater for their tuition fees. The government, in fact cannot sufficiently cater for the tuition needs of all the students, and private sources are increasingly becoming normal. Grants and loans are even not enough, and many students opt to sign up to study over the internet, in the many obviously questionable free online courses. Another striking difference in the education systems of both France and the United States is their curriculum. The French curriculum has been criticized globally for its failure to connect to the world market. Many demonstrations have been staged by French students, for decades and although there have been reforms; the reforms have not been good enough to cater for the current market demand. The US system, on the other hand, has diverse and flexible curricula, with a wide range of topics, from nuclear science to dance. As opposed to the French curricula, where extra curricular activities such as sports, musical groups and numerous clubs are not recognized in the curricula and where one can only have private classes for the same, in the US, such activities are given high priority. They can also be found in US institutions, both public and private. The flexibility of the US education system is what has made it the most preferred by international students worldwide, since they can have access to almost all interested areas of study. Unemployment, as a result is not as prevalent in the US as it is in France, with the recent demonstrations by French students to find solutions to the problem. The French are recognized as a literacy community, where education levels determine a personââ¬â¢s status. The more one advances in education, the more recognized she or he gets. This is a belief not common in the US. This general belief is what makes the education valued so greatly, with most French students spending most of their time in classroom related activities, allowing no room for other activities such as music and art related fields. Highly educated people in France in especially the globally viewed ââ¬Å"toughâ⬠subjects such as mathematics, are given great respect, with the not very successful in education, despite their circumstances or other achievements, looked down upon and not recognized. In the United States, however, education levels are not given such respect and other issues such as healthcare are given more weight even politically. It is not surprising to note that the richest Americans are college dropouts, big names such as William Gates III. This notwithstanding, the education facilities in the United states are the best compared to other institutions worldwide. Despite critics arguing that French schools tend to make students theoretical and uncreative, French academic standards are high and discipline is strict. This is however not the case in the American education system, where the use of drugs is common especially in junior high and high schools. This problem has remained a major problem in the US for many years. (Hall, 1990, 99-102 144) Education, over the years, has played a very important role in the development of individuals and a nation. It is important to note that both the French and American education systems should be improved, in certain features, as aforementioned, such as eradicating the drug use in US schools, making the French system more market friendly and more relevant to the current market stage, and improving the overcrowded high education institutions. This move would in the long run, make both of the systems stronger, hence ensuring effectiveness in both; an important catalyst in the road to globalization. Works Cited: Hall M. R. (1990) Understanding Cultural Differences: Germans, French and Americans (Intercultural Press) Understandfrance. org (2008): Education in France. Retrieved December 2nd 2008 from: http://www. understandfrance. org/France/Education. html
Saturday, October 26, 2019
Analysis of The Hot Zone by Robert Preston Essay -- Hot Zone Robert Pr
Analysis of The Hot Zone by Robert Preston The Hot Zone written by Robert Preston is a true story describing twenty-three years of shocking and frightening outbreaks of three deadly, incurable filoviruses: Marburg, Ebola Sudan, and Ebola Zaire. In the book, these highly infectious viruses sweep through Africa with a horrifying and devastating range of effects, killing 50% to 90% of their victims. The filoviruses did not remain in the rain forest of central Africa; they also appeared on the other side of the world in the Reston Primate Quarantine Unit in Reston, Virginia. The virus had never been seen outside of Africa until 1967 when the Ebola virus climbed out of its hiding place in the jungles of Africa and landed in Germany and Yugoslavia which is where the first recorded outbreak of Marburg virus occurred. It appeared in July 1976. A storekeeper in a cotton factory in Nzara, about 800 km from Mount Elgon, died from the marburge virus. Two months later, another 800 km west, Ebola virus erupted in Zaire. These outbreaks wiped out six hundred people Killing 70% of the infected people. Victims of the Ebola virus usually "crash and bleed," with in ten days. 'Crash and bleed' is a military term which describes the attack of the virus on every organ of the body and transforming the structures into digested slime hot with the virus. In October of l989, Macaque monkeys, housed in the unit in Reston, Virginia, began dying from a mysterious disease at an alarming rate. ...
Thursday, October 24, 2019
Nutrition Essay
Holozoic nutrition (Gr. holo means-whole ; zoikos means-of animals) is a method of nutrition that involves the ingestion of liquid or solid organic material, digestion, absorption and assimilation of it to utilize it. It includes taking in the complex substances and converting them into simpler forms. Example, proteins can be broken into amino acids. This method suggests phagocytosis where the cell membrane completely surrounds a food particle[pic] Parasitic Nutrition is a mode of heterotrophic nutrition where an organism (known as a parasite) lives on the body surface or inside the body of another type of organism (known as a host). The parasite obtains nutrition directly from the body of the host. Since these parasites derive their nourishment from their host, this symbiotic interaction is often described as harmful to the host. Parasites are dependent on their host for survival, since the host provides nutrition and protection. As a result of this dependence, parasites have considerable modifications to optimise parasitic nutrition and therefore their survival. Saprotrophic nutrition (pron.: /sà ¦prà µÃËtrÃâfà ªk/) is a process of chemoheterotrophic extracellular digestion involved in the processing of dead or decayed organic matter. It occurs in saprotrophs or heterotrophs, and is most often associated with fungi, for example Mucor and Rhizopus. The process is most often facilitated through the active transport of such materials through endocytosis within the internal mycelium and its constituent hyphae.[1] Autotrophic Nutrition The term autotroph has been derived from two Greek wards-auto means self and troph means nutrition. In this mode of nutrition, the organisms prepare their own food from simple raw materials like water, carbon dioxide and mineral salts in the presence of sunlight. Chlorophylls present in the chloroplast or green plants are the site of food production. Accordingly all green plants are the examples of this category. The process by which they synthesize food is known as photosynthesis. Some nongreen becteria like sulphur bacteria can use energy which they derive from some chemical reactions occurring in them. With this energy they manufacture their food. This process is called chemosynthesis. Thus the autotrophs include both the photosynthetic and che4mosynthetic organisms. Heterotrophic Nutrition The word heterotrophy has been derived from two Greek words-hetero means different and troph refers to nutrition of food. The organisms which derive their food from others are known as heterotrophic organisms. They depend for their food on other organisms, hence they are called consumers. All animals, human beings and non-green plans like fungi come under this category. They consume complex organic food prepared by autotrophs or producers and break it into simple from to derive nourishment. Thus the difference between heterotrophy and autotrophs is basically in the mode of production of food. Due to lack of chlorophyll, heterotrophs cannot synthesize their food while autotrophs can perform photosynthesis.
Wednesday, October 23, 2019
Elderly Healthcare Limitation
While there were many provision s of the act, there were specific amendments and legislation focused on healthcare delivery to t e costliest and most inefficiently serviced population which is the elderly population. Statistics Let's analyze the current numbers really quickly: The U. S. Population is aging r vapidly. At the same time, the life expectancy of seniors is extending, and they will place a significant strain on the health care system in coming years. Medicare, the U. S. Federal govern meets health care program for Americans 65 years or older, provided coverage to an estimated 54. Million seniors in 2014 (Plunked Research, Ltd. 2014). National expenditures on Medicare of r fiscal 2014 were projected to be $615. Billion, including premiums paid by beneficiaries. By 2 030, the number of people covered by Medicare will balloon to about 81. 4 million due to the mass Sieve number of baby boomers entering retirement age (Plunked Research, Ltd. 2014). While it is true that the hea lth and lifestyle of people at the age of 65 is very different than it was in g enervation past, the reality is that chronic conditions continue to plague this population.Multiple s tidies declare that of the total outlay for all Medicare costs, [emailà protected]% occur in the last year of life f or beneficiaries (Giovanni, 2012 ppup29). Most of these beneficiaries being chronically ill are b eiEwingoorly medically guided and managed in the last year of their life. Now that we have a better idea of how the elderly, primarily the chronically ill account for such high expenditures and healthcare cost, we must ask ourselves a few simple but important questions: How do we better manage the elderly population?How do we better deliver care in the last years of an elderly person's life? How do we provide a better q ualaityf life? But the single most important question we must ask is: should health care for the elderly be limited? When seniors reach a phase in life where their life expec tancy is limited, shshould we really spend a high amount of money in order to keep them alive for a limited amount of titite; whether it be a few days, a few weeks, or a few months? Does the 92roadsideatient who has been diagnosed with terminal cancer really need aggressive chemotherapy and radiation?Ho w do they benefit? Will they survive the cancer treatments? What chances do they stand or have for recovery? While the answers are complex, we do know that we cannot go about apapplying aggressive methods to elderly patients without a proper cost and quality of life benefits a a aylistsNow that we have a better understanding of costs associated with care of an elderly person in the last year of their life, we have to come up with solutions to help cut spending and to provide a better quality to a seniors life; particularly the last year ofoffbeatife.While we face moral and ethical dilemmas on how to better approach care for the elderly, ththere are two initial approaches that can be used to better drive outcomes: the introduction of ad vaVanceirectives early on in a disease process and shifting care to more transitional care prpriormampshat reduce ossotsnd focus stronger education with patients and families in regards to fuifile care. Advance Directives An advance directive, also known as a living will, is a legal document that exexpertssees person's wishes for the type of care they would like to receive should they bebeckmmomnable to 2 make such decisions themselves.They allow patients to document their wiwishes, whether they want all lilibertarianismeasures to be taken or if they'd prefer to avoid such p roreoccurredGordon, 201 1). EnEndocrineare accounts for more than one quarter of MeMedicare spending in a patient last year of life (PlPlunkedesearch, Ltd. 014). Many patients are illeperared to deal with their enendocrinerocess. Many patients come into hospitals unprepared to understand the impact of heroic measures, invasive treatments, and aggressive medic ine has on their disease process. Many of them do not have an understanding for what an advanced d irreceives.No one has had a conversation with them or if they have, it has not been emphasized enough. Educating elderly patients early on in their disease process helps them better prepare to understand resuscitation, inintubationsartificial breathing, transfusion, feeding tubes, and r etturno acute measures. Having a thorough understanding of what each of these processes entails for the purpose of lilibertarianismr quality of life, is important. While advances in me didicingnd technology can help people stay alive longer, it does not necessarily give them a better quality to their life.At many points, it only further prolongs a person's suffering. That is why introducing advanced directives early helps better prepare for enendocrinerocesses and popopssibylelp reduce unnecessary costly aggressive treatments. Transitional Care Model In the last several years transitional care models ha ve been introduced into h alaltercates a way to help reduce costs, provide more effective care and help keep patient s, more specifically, the elderly and chronically ill out of hospital settings. These models are used t o manage the chronically ill, frequently hospitalized, and terminally ill population.These pop ulululationsave the highest utilization rates and longest length of stays of inpatient bed days at h oscapitalsationally. 3 Transitional care programs identify and target these populations with the use of mid level practitioners, nurse case managers, ancillary service providers and paparticipate of primary care physicians and outpatient clinics. They deliver timely and necessary services t o patients who can be better managed in a more supportive way in their home setting or in sesettingsgasway from the hospital (NaAnally1990). Ambulatory care also assists in the management of ththe chronically ill population.Health managed systems use telephonic case managers and med ickc altaff to ensure patients are being reached out to in their home setting and make sure patient s are following up with their visits to their primary care physician, checking for medical and non medical needs, ndNDnsuring patients are communicating issues and medical problems that may arise so support is given when needed. Due to higher use of these types of programs, patients are getting more care away from the hospital, lessening the need for them to be in an acute set ting which helps drive down cost.Within the use Of transitional care models, the disciplines in t heHessodels focus on having discussions with families and patients to better understand what fuifile care is. Futile Care How or when do we know when an illness is not curable or no longer best to be treatable in a heroic or aggressive manner? What ethical or moral principles do we apapply in order to find better understanding and find resolutions to this issue? According to WiWisped, futile medical care is the cocontain eduerovision of medical care or treatment to a patient whwhew there is no reasonable hope of a cure or benefit.Medical futility is also described as a pr opopposedherapy that should not be performed because available data has shown that it will not imIMrove the patient's medical condition (MeNetscape2007). Futility is used to cover many situations of predicted improbable outcomes, improbable success and unacceptable benefit burden atotioseBeBà ©chamel 4 ChChildless2013, ppup170). Educating a patient and family on what takes place c an be difficult; much less a conversation about how certain interventions are deemed to be useless or medically inappropriate.A good example of futility is as follows: If a patient has died, but remains on a respirator, cessation of treatment cacanttoarm him or her, and a physician has no obligation to continue to treat. However, some religious and personal belief systems do not consider a patient dead, according to the same criteria healthcare instituti ons recognize. For example, if there is a heart and lung fun ctactionsome religious traditions hold that the person is not dead, and the treatment is, fro m his perspective, not futile even if healthcare professionals deem it on useless and wasteful (BeBà ©chamel ChChildless2013, ppup69). We understand that futile care is the most important Issue in helping to cocontactn healthcare costs. Addressing futility as a valued choice to patients is important. There mumumtSSTe an educational understanding that death is a natural part of life and should not be extended with aggressive medical interventions or heroic measures. Aging is not a curable didideceasein fact aggaggEngs not a disease at all. Discussions that providers need to have, must be early on in a patients disease process in order to better provide them with a better quality to their lilieefee/p>Example Scenario In order to better understand futile care in relation to quality of life quality of I iffifeone must also understand scenarios where futile care is considered but not appaperrprivateHere's an example: a 91earldomemale who has been considered a frequent flyer in a h oscapitalmergency room gets admitted after a few stints in a nursing home. This poor ununfortunateelderly woman was admitted with a diagnosis of sepsis, extremely low blood pressure, and s hohormonesf breath. This lady was bed bound, suffered from dementia, she was never lucid or con sccouscousand she was very frail.She had several ununstableedeciduousounds all over her body. H ererrrotein levels were really low upon lab draws, which indicated she had suffered from very p ooorutrition. The 5 only family this patient had was a husband who was very loving according to s taTaftbut rarely visited his wife at the nursing home. Her husband was power of attorney and made all her healthcare decisions. Every time she visited the hospital, her husband wanted her to be aggressively treated, he wanted her resuscitated.She was known as a full cod e patient. When she coded in the hospital, her husband wanted all aggressive and heroic measure s to be applied including inintubationsnd artificial respiration. When asked as to why he was d oiowingt seeing his wife suffer, he merely stated that he believed in ââ¬Å"divine interventionâ⬠. The her measures applied would require her to be inintimatedon a ventilator, treated with fluids and antibiotics. She would also require surgery for a feeding tube in order to make an attempt at proving her nutrition.As you read this scenario, questions come to mind: Is it right to agagarsexcessivelyreat this 91 year old lady, who has a poor prognosis, because her husband believes in something miraculous? This unfortunately is morally and ethically inappropriate trtreatmenttNTBefore identify how my personal code of ethics informs my perspective in rereeltactiono this topic, let's first look at the functional utility of the principles of justice, autautnanomynomalefactionand beneficence as the y apply to this issue. Respect for Autonomy Having respect for person's autonomy is probably the single most important riRenvillender the four ethical lenses.This principle supports a person's ability to mamake their own decision. Autonomy can only occur when there are no other factors that ininternre with the ability for a patient to make decisions. The only factors that can interfere with auautumnmmomre cognitive impairments such as dementia, AlAlchemist'sloss of orientation and any other illnesses that limit dedecommissioningMany patients, in particular those with lack Of advanced care planning, such as 6 having an advanced directives in place, are illapidarieso understand how her directly impact their enendocrinerocess.In these cases, respect for autonomy r eqsquireshat a patient's values and goals are set and balanced with the goals Of care to accacheeeve better outcome. Because so many scenarios are very complex, the reality is that patient's auto noanomyan only be respected w hen proper education about possible medical treatments, patient goals, and values are understood and leveraged with goals of effective care and outcomes. The plplanninningnd incorporation of advance care planning also known as advanced directives is a very important factor with respect to autonomy.Forming an advanced directive allows papatientsTTSo form a value aseasedpinion on the future of their care. It gives the patient full control over how patient would like any healthcare provider to apply decisions regarding aggressive medicine, heroic measures and any other forms of invasive treatment. Nonetheless, the advanced didirecteeves a valid way for competent persons to exercise their autonomy (BeBà ©chamel ChChildless201 3, ppup189). It simply allows them to live their last year of life with some dignity.Beneficence BeBeneficences to contribute to a person's welfare; it is the action that is done for the benefit of others, not merely refrain from harmful acts (BeBà ©chamel ChChil dren, 2013, ppup202). It attends to the welfare of the patient, it's not merely avoiding harm; it emmobies medicinal goals, rational thinking, and any form of justification. Beneficence is embrace d in preventative medicine; and in this case preventative medicine being applied to elderly paPattin.NETho should no longer seek aggressive treatment because it's considered futile.PhPhysiciansn.NETelationship is vital in principle of beneficence. Only a physician can help relate with an elder lylayatient who is in their last year of their life. Only then, with clear communication and proper education towards end of life treatments; can beneficence truly apply. PhPhysiotherapistselations hip has to embody values of honesty, integrity, and consideration. In today's age, a good phphysician is considered a physician that puts their patient first by taking positive steps towards helping their patients by being caring, open, honest, and empathetic.NoMalefactionuality of life judgments are very important when discussing limitations of ca re for the elderly. The principle of nomalefactionays that we should avoid causing ha rmarmo others (BeBà ©chamel ChChildless201 3, ppup150). So how do we avoid harm? In the siispamplestorm for physician; avoiding harm is to introduce early education, early goal oriented d isconcussionsand most importantly set up an advanced directive. In many ways nomalefactionverrides beneficence.There is a moral and ethical obligation to not harm others, which is greater than the obligation to help (BeBà ©chamel ChChildless201 3, ppup150). When we see a pat ieintentf elderly status at the end of their life's term suffer, whether physically, emotionally, or spiritually; it is important that any healthcare professional protects them from further harm. The only rational ay to practice this with a patient who is alert, oriented, and competent is to be honest, forthright, and to have a goal oriented discussion ababouthe potential harm a procedure might cau se vsvs.heHeuality and quantity of life they may have left. Justice The final principle is justice. Justice can be defined as an act of fairness, hahaving a sense of entitlement, fair, equitable, and appropriate treatment in light of what is du e(BeBà ©chamel ChChildless2013, ppup250). The use of medical resources to intervene when car e is deemed futile 8 can directly affect the poor quality of life and in essence may not be what's jujug for all elderly in the same end of life situation.We have a responsibility to treat the elderly in a way that their choices are absolutely important, honor their wishes, maintain their respect, and their dideignersonal Perspective My personal perspectives are formed around the basis of honesty, being fort hrWrightand responsible. For me honesty is essential in helping someone make a proper d ecsessionSometimes honesty can be brutal, and for the elderly at the late stage of life, can be the dididfpreferenceetween living a dignified life or a life o f suffering. elLivehat being forthright is also mpimportantMedical professionals should have clear and opopenediscussions as to the value of pursuing treatments that are no longer considered beneficial to an elderly patient and ensure that the drive and persuade their point There are so many instances in my professional car eeerehere I run into scenarios where families and patients are not given a thorough explanation a ndNDr education about what's happening in their disease process.
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