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2009). The susceptibility is highest is the first month of the transplantation and decreases afterwards. it, however, remains high even after 12 following. Susceptibility is highest among kidney recipients who are more likely to develop the infection 12 months after the transplantation. They have a lower mortality rate than liver transplant recipients. The study also reflected a trend in increasing antimicrobial resistance among these susceptible recipients. The E-coli strain was shown to be the most common organism, which caused the gram-negative bloodstream infection after an organ transplant. The organism was also shown to be found most frequently in the urinary tract, which is the main source of bacteremia (Al_Hasan et al.).
Developing Tolerance to Transplants
Progress in transplant immunology in the past half of a century has been slower than expected (Lechler et al. 2005). Tolerance towards a foreign organ has been intentionally induced through non-myeloablative mixed chimerism induction in…… [Read More]
Concern also focused on the imbalance of the trade because the market is for only those who can afford, therefore only gives chance for the well-off. The black market has been referred to as the transplant trade outside of the United States. Legalization of the international organ trade would lead to increased supply, lowering prices. Therefore the poor might be able to afford such organs as well.
ioethics is also concerned in issues of exploitation of the donor. Exploitation arguments generally come from two main areas, physical and financial exploitation. Physical exploitation argues that the operations are risky and they take place in third-world countries or what they say "black alleys" which adds to the risk. Although operations can be made safe, still there remains some threat and risk for the donor. Financial exploitation on the other hand says that donors are not paid enough, especially those from the Indian…… [Read More]
That is especially true because in the vast majority of cases, prospective organ donors are younger than their surviving family members since only organs from relatively young people are suitable for use as transplant organs. However, those family members who do provide consent to harvest their loved one's organs invariably come to regard that choice as something that gives meaning to the untimely deaths of their loved ones. In many cases, the gratitude expressed by the recipients and their families helps the grieving families overcome their own tragedy of loss. Ultimately, proper training and sensitivity of the medical personnel responsible for approaching grieving family members can mitigate the potential harm to those families associated with the request.
The other principal objection to organ donation is the fear that life-saving procedures might be terminated prematurely on accident victims whose drivers licenses designate them as organ donors. Naturally, to the extent that…… [Read More]
The flaws have been reverted through the policy of no-give, no-take, "under this system in order to receive an organ the individual has to previously signed their organ donor card" (Alexander, 2004). The merit of such policy is that "it satisfies most people's moral intuitions, the people are comfortable with the morality of reciprocity, those who are willing to give should be the first to receive" (Alexander, 2004).
In 2004, ethical issues related to the death and organ donations were discussed by the Kennedy Institute Journal if Ethics in their September issue. The main highlight of the issue has been the proposal, "expanding donation beyond death and non-heart beating organ donation by redefining death and/or providing exceptions to the dead donor rule" (Nancy, 2005). The journal published the claim of an ethicist, which stated that the competent patient has the choice to remove the organs prior to death, provided that…… [Read More]
However, these side effects are a small price to pay in light of the alternative, which is often a severely compromised quality of life and early death. The donor should consider several topics. There is no additional financial risk to being an organ donor. Furthermore, the body is not disfigured during organ removal; thus, open casket funerals are possible. Also, donated organs will be used for transplants into recipients and will not be used for other purposes without prior permission.
In summary, the risk:benefit ratio of organ donation after death is extremely favorable. There is no risk to the appearance of the body or to finances of the survivors. Most importantly, these procedures are desperately needed given the lack of current donors and the increasing age of Americans. Overall, no good reason exists not to donate organs after death and all should consider this act.
Barcellos, F.C., Araujo, C.L.,…… [Read More]
Faith and medicine often work in parallel. They do not cross each other. While in grave medical situations, people may pray and have faith their loved ones will recover, often there is no intersection between both areas. When there is an intersection, that is when questions arise of whether a person should choose medicine over faith or vice versa. In the "Healing and Autonomy" case study, faith and medicine place a couple in a difficult situation of whether to choose faith or medicine or perhaps create a middle ground where both can seemingly exist.
The most issues facing Mike and Joanne in "Healing and Autonomy" are several. The first issue is treatment refusal. The couple refused their son James' kidney dialysis. Mike believed faith healing would be able to give James the ability to heal without any medical intervention. This led to complications for James and the eventual need for…… [Read More]
There is a space for a small pink sticker on everyone's driver's license which you choose to affix or to leave off of the identification. The sticker signifies that, should you be in a car accident and are declared to be brain-dead with no chance of recuperating, you agree to allow medical professionals to donate your organs to people who are in very dire need of them. hen people think about the process of organ donation, they consider the process of removing an organ from one being and implanting it into another being. This is a very glib description of a very complicated issue. The moment that a person decides that they are willing to give up an organ, whether while they are alive or only after their death, they pledge that somewhere another individual will benefit from their body.
There are several ethical questions to address when…… [Read More]
Some authors show that, contrary to the belief that health care professionals are less sensitive than the general public toward the manipulation of the body, they in fact have great difficulty in allowing action to be taken on the deceased donor, even actions as well accepted as transplantation. Various authors have reported that, as in the general public, knowing transplant patients has a parallel in the hospital setting, and therefore it would be useful to highlight the successful organ transplants within the hospital and to make sure that all the professionals know the success rates. Among nurses, this does not seem to be a fundamental factor, because although it is necessary to know transplant patients, it is also necessary to understand the transplant process well in order to avoid unfounded fears. Another significant factor is religion. The Catholic Church clearly accepts organ donation and transplantation, and Catholics are slowly becoming…… [Read More]
Moral Questions and Moral Theory: Organ Donation
The issue of organ donation seems as though it would be simple. When a person dies, he or she no longer needs organs and those organs could be used to save the life of someone else (Appel, 2005). However, the issue is not as black and white as that for many people. Some are very against organ donation because they do not believe in "playing God" in that way. There are ethical, moral, religious, and other reasons why people may be for or against organ donation (Moraes, et al., 2009). In order to understand the issue more thoroughly it is important to discuss the issue from various angles and provide all the information that is needed to make an informed decision regarding organ donation. A person may decide that he or she is for or against donating organs, but that person can and…… [Read More]
Ethic - Organ Donation
The donation of organs and their eventual transplant have been regarded as a distinct way in which mankind shows and shares its compassion. Cutting out organs from one person and moving them into the body of another is one of the many 20th century medical discoveries that have grown rapidly from a trial and error kind of approach into a medical therapy of choice that treats many ailments and medical conditions today. Sadly and sarcastically the practice has turned into a victim of its own success. One of the greatest obstacles facing organ transplant globally today is the dire lack of donor organs. For instance in the year 2010 106,879 donor organs were transplanted, according to the World Health Organization (WHO), a figure that is reportedly less than 10% of the need. This means that the current supply of donor organs is far outstripped by the…… [Read More]
The focus is on understanding the way moral choices are presented than judging the outcome of the decisions made. Ethics can be situational, and certainly the dilemmas or morality and choice have different answers depending on the particular time and place they occur (MacIntyre, 2006).
Even prior to the formalization of the terms utilitarianism and deontology, the core ideas of each have been debated for centuries. The Ancient Greeks argued over the needs of the individual as opposed to the needs of the. Showing just how much this concept has permeated popular culture, the philosophical issue even made it to the modern motion picture screen. tilitarianism holds that the most ethical thing one can do is any action that will maximize the happiness within an organization or society. At the center of this debate is the notion that many remain dissatisfied with the definition of "good" or "appropriate" being at…… [Read More]
Further, the review of literature in this study will identify the method most effective in assessing the effectiveness of instruction ultimately resulting in the design and development of a study to be implemented in the community of Quincy, Massachusetts. This study will be one in which nursing professional provide information awareness to members of the community and then following make an assessment of the effectiveness of the instruction provided by the nursing professional to the community of Quincy, Massachusetts.
DATA COLLECTION & ANALYSIS
The proposed study is one will qualitatively conduct a literature review of both an extensive and thorough nature in regards to methodology and research design specifically as related to the provision of community information awareness. Secondly, this study will determine the most effective method for assessing the outcome of learning for individuals in the Quincy, Massachusetts community through identification of the same in the review of literature,…… [Read More]
ethical decision making in general and then in the nursing profession. It addresses two key questions. What are the different ethical decision making processes? How could the ethical dilemma of informed consent in the nursing profession be resolved using one of these processes? The sources used to collect information are books and academic journals. The teleological approach suggests that informed consent is ethical because its benefits exceed its costs. In other words, its consequences are more unfavourable than opposite.
Ethical decision making is the process by which individuals choose an approach to deal with a moral issue they encounter. In everyday life, professionals often have to deal with moral issues. Therefore, frameworks for dealing with ethical dilemmas are required.
"Ethics is the science of the moral life. It is concerned with human conduct in relation to character and a conception of the good, commonly referred to as the highest good.…… [Read More]
Donated body organs like hearts and kidneys contribute to the saving of hundreds of lives each year. The fact is that bequeathed tissues like skin, bone and heart valves could remarkably enhance the value of life for the persons receiving them. A patient who is dead following a cardiac arrest i.e. whose heartbeat has stopped permanently cannot be an organ donor but can be a tissue donor. Though in case of tissue donation the urgency of restoring a life by donation of liver or heart is absent, yet it is no way less critical to bring back vision by the help of a donated cornea, avert the severing of a leg using a bone donated by somebody or brighten the odds of survival of a patient having sustained burn injuries by skin donation.
Transplanted tissues offer advantages like it helps in alleviating trauma, assisting individuals to see again,…… [Read More]
Corneal Donation within Hospitals and Medical Communities: Issues Surrounding Post Mortem Donations of Tissue
The purpose of this study is to identify barriers to corneal donation within hospitals and medical communities. A large body of research has focused on issues surrounding the post mortem donations of tissue. This research will take a different approach, examining what barriers exist within hospital and medical communities in an attempt to determine how these barriers may be overcome.
The number of potential corneal donors far surpasses the number of people available for traditional organ donations and in some states consent of the medical examiner alone is enough to allow use of corneal donations (family consent not required) (Lewin, 2000).
Traditionally the most significant barrier to organ donation and transplantation has been acquisition of organs and tissues (Murray et. al, 2002). The need for cornea tissue is rising. The average wait time for…… [Read More]
When it comes to the sale of organs from one party to another, there are usually two "camps" that people fall within. Those camps are inclusive of people that rae entirely against the practice in any form and then there are those that feel that some level of person-to-person sales should be allowed for so long as the parties involved face certain rules. Even with the concerns about organs going to the highest bidder, there are diametrically opposed concerns and assertions including the right of an owner of a kidney being able to sell to who he or she wants and the fact that the proceeds from such a transaction can be life-changing in nature. While it may be controversial and problematic to some, there is a middle ground to be had between allowing organ sales between people with no limitation and never doing so under any circumstances.…… [Read More]
This study underscores the presumption that where public health information campaigns are concerned, information is often accessed but forgotten or ignored. By connecting this information to certain compensatory incentives, those who make up a likely donor population may be more likely to retain and return to the information provided. Though controversial, this does present a realistic view on the motives that might incline one toward an act with significant personal and health-related implications.
It is important for public health facilities to consider the courtship of donations in this way, primarily because a failure to do so is increasingly stimulating an extra-curricular market for the sale of kidneys. In other words, by neglecting to consider the option of connecting kidney donation courtship to such compensatory incentives, the medical community is not protecting against the ethical concerns correlated thereto. They are simply forcing would-be recipients to look outside of the field for…… [Read More]
Buy and Sell Organs for Transplants:
The consideration of the possible negative socio-ethical repercussions of allowing people to buy and sell their non-vital body organs for transplant fortifies the argument of all opponents to the proposition. As stated in the U.S. Constitution, human beings are created equal and given the un-separable rights to life, freedom, and the pursuit of happiness. While in the pursuit of these rights, the American society has learnt that the end does not always justify the means and as such, necessary legislation has been instituted to help protect minorities from majorities, the poor from the wealthy, and the weak from the strong. A society in which people could buy and sell organs for transplant would further ruin the pursuit for equality and frustrate the liberty of generosity needed for living a happy life.
Opposing the proposition does not mean that one believes society bears no duty…… [Read More]
Mayor, S. (2009). "UK sees rise in people donating a kidney to unknown recipients." British medical journal 338(7710), pp. 1521.
In this brief yet highly relevant article, the author describes a recently observed trend of increasing live-donor kidney donations for unknown recipients. hough living donors for family members with a need for transplant have been relatively common for sometime, the idea of donating a kidney while still living for a person unknown to the donor is a very recent development in kidney translation and availability. hough the reasons for this increase are not yet clear, as no research has been undertaken to determine the causal effect of this observed trend, initial results suggest that simple awareness of the need for renal donation and the normalcy of life following the donation of a kidney is a major factor.
Nakamura, Y.; Konno, O.; Matsuno, N.; Yokoyama, ., et al. (2008). "How can…… [Read More]
His most famous work is his Utopia, a book in which he created his version of a perfect society and gave his name to such conceptions ever after as "utopias." The word is of Greek origin, a play on the Greek word eutopos, meaning "good place." In the book, More describes a pagan and communist city-state in which the institutions and policies are governed entirely by reason. The order and dignity of the state in this book contrasted sharply with the reality of statecraft in Christian Europe at the time, a region divided by self-interest and greed for power and riches. The book was also an expression of More's form of Humanism (Maynard 41). The term can also have broader application as a reference to any plans of government or schemes for social improvement which present the possibilities of a good society.
The society depicted in Never Let Me Go…… [Read More]
ethics regarding organ donation by brain-damaged people. The writer explores how a brain-damaged person is defined, and whether or not the donation of organs from that person is ethical. There were 15 sources used to complete this paper.
The field of medicine has advanced mankind to arenas never before thought possible. Today doctors can take entire organ systems out of one person and place them in another and the recipient can live for many years with transplanted organs. Hearts, lungs, kidneys, livers, eyes and many combinations of them are just a few of the organs that are transplanted worldwide today. As the medical community continues to advance age and quality of life the need for more organs has reached the critical stage. One of the most argued and passionate debates in the medical community today is whether or not it is ethical to remove organs in the case of a…… [Read More]
S. (Levine, 2008).
One of the paradoxes of modern medical science and technology is the blurring of the line between life and death, something that was never an issue before modern medicine (Griniezakis, 2007; Levine, 2008). That was the case even before the most recent revelations in 2009 that many patients previously diagnosed as being in long-term persistent vegetative states actually remained conscious throughout their ordeal and that several patients considered to be brain dead according to accepted criteria eventually recovered consciousness (Halpern, az, Kohn, et al., 2010). The obvious concern is that inaccurate diagnoses of persistent vegetative states and the premature declaration of death could result in the procurement of organs for transplant from patients who could still recover from their medical predicament. That issue, unlike religious objections to scientific research remains a valid bioethics concern.
The other principal ethical issue in relation to organ transplantation is in connection…… [Read More]
Futile medical care is the ongoing provision of medical treatment or care to a patient who does not show any hope of recovery. It is either that his condition is not curable and therefore the treatment that he is receiving is of no benefit. The common examples of these are that a surgeon is performing a surgery on a patient with terminal cancer. Patients who have terminal cancer have gotten the cancer spread all throughout their body. It is only until time that their organs will go into failure and they will pass away. Another example is of keeping brain dead people on life support for other reasons. As it would be expected, this is quite a sensitive area and it would involve arguments with the patient's relatives and friends.
It is understandable that the loved ones do want to do anything they can to keep the patient in front…… [Read More]
There is great variation in the ways orthodox Jews practice their religion, and in what they believe. Many of the variations depend on cultural factors, as Jews are scattered all over the world. However, the basic tenets of the religion are all rooted in monotheism (belief in only one supreme God). The principles of the religion also include a firm belief in the Torah (Hebrew Bible) as being the word of God. This means interpreting the Torah in a manner that impacts daily life choices and lifestyle, including the observance of Kosher dietary habits and the Sabbath day. The practice of Orthodox Judaism emphasizes ritual and tradition, family and community life.
Life is sacred, but there are no hard rules about when life begins. egarding abortion, "even among Orthodox Jews it may be construed as 'a personal matter," ("What do Orthodox Jews think about abortion and why?" 2000).…… [Read More]
Transforming Scheduled Death Into Renewed Life
One of the harsh realities of living in an otherwise-free society is the fact that the United States incarcerates far more of its citizens than other leading industrialized nations, and it one of the few countries in the world that retains the death penalty on its books. hen capital offenders are executed, there exists the opportunity to turn this scheduled death into renewed through organ donations. At present, while an individual has the right to say whether their organs should be donated, death-row inmates are considered wards of the state and it is the position of this study that the state should have the corresponding right to harvest their organs as a means of execution in order to save and improve the quality of the lives of others. To determine whether the potential exists for such an approach, this study examines the relevant peer-reviewed…… [Read More]
As many forms of live donation do not cause harm to others, and as we allow the donation of blood for payment, we violate the categorical imperative by banning the sale of human organs.
It has been argued by some that banning organ donation is within the bounds of Kantian ethics because we have collectively agreed to the conviction that "such a practice would diminish human dignity and our sense of solidarity" (Cohen, 2002). Yet, we do not prohibit the donation of blood or of bone marrow. Indeed, most among us would agree that such donations are necessary and beneficial. Lives are saved. There is nothing morally wrong about saving lives -- indeed live donations today are conducted voluntarily and without any moral consequence.
Allowing live organ donations is ethically consistent with our established principles regarding blood donation and voluntary, unpaid live organ donation. It will increase the supply of…… [Read More]
The clinical trial team includes doctors, nurses, social workers, data entry technicians and other health care professionals (NWHRC 2005). They review a participant's health history and current medical intakes before the trial begins. They impart adequate information and instructions about the clinical trial, monitor each participant in the conduct of the trial and may contact the participant after the conduct of the trial.
Clinical trials or researches may also be open-label, placebo-controlled, double-blinded or randomized. They consist of four phases. Phase I establishes the maximum safe dosage; Phase II, its effectiveness; Phase III, its use on a broad population; and Phase IV, post-FDA insights on the effects of its long-term use (NWHRC).
From 1999 to 2000 alone, the Food and Drug Administration approved 73 new medications (NWHRC 2005). These included drugs for HIV, cancer, heart attack and Alzheimer's disease. As of 2000, Medicare covers many of the costs involved in…… [Read More]
Neuman, W.L. (2003). Social research methods: Qualitative and quantitative approaches, 5th ed. New York: Allyn & acon.
In this popular text, the author provides a comprehensive overview of both qualitative as well as quantitative research methodologies, including techniques to improve the reliability and validity of social research approaches that involve questionnaire and interviews.
Statz, S.E. (2006). Finding the winning combination: How blending organ procurement systems used internationally can reduce the organ shortage. Vanderbilt Journal of Transnational Law, 39(5), 1677-1678.
Author presents a useful background and overview of organ donation practices used in the West with those used in Iran and Pakistan and provides a pragmatic analysis of how paid organ donations may represent a viable alternative to current Western practices if certain ethical issues are taken into account and steps taken to ensure that donors are not coerced by family members or others whose economic motivations and incentives outweigh the…… [Read More]
The field of nursing is shaped by a range of ethical principles; while all of these concepts are important, one could argue that perhaps the most crucial ethical principle is that of beneficence. "Beneficence is the obligation to do good and avoid harm. Nurses help others to gain what is beneficial to them, which promotes well-being and reduces the risk of harm" (Young et al., 2009, p. 75). Having a clear understanding of beneficence is important as nurses are often presented with a range of complex ethical situations and dilemmas and they need strong principles to help guide their actions and nursing practice. As Young and colleagues explain, avoiding the harm that comes to a patient involves balancing this against the perceived amount of benefit. Other theorists see this concept in a slightly different perspective: "Beneficence is the principle of promoting the legitimate and important aims and interests of…… [Read More]
While no one ought to begrudge Mickey Mantle (or anyone) a much-needed liver transplant, it remains hard to believe, given the speed at which Mickey Mantle received a liver and an operation that he was indeed placed on a list and then waited his turn like everyone else.
Further, according to Koch (March 1996)Normative and prescriptive criteria: The efficacy of organ transplantation allocation protocols (March 1996):
well publicized cases have raised questions in North America about the efficacy of [donated organ] allocation procedures. An analysis of those cases, and the relevant technical literature, suggest consistent structural deficits exist in the organ allocation process as it is applied by many individual transplantation centres. These irregularities are based upon both the failure of rank waiting as a method to guarantee just treatment and a general failure to recognize the extent to which prescriptive criteria -- social values -- are commonly used to…… [Read More]
(Newman, 1) Here, it can be evidenced that the empathy accorded by the theoretical framework will provide an ideological umbrella for how best to address one's condition while simultaneously abiding the regulatory medical requirements common to most forms of modern treatment.
This means possessing a degree of pertinent information where nursing theory is concerned that will allow for such pragmatism and a firm understanding of the practices pertinent to kidney donation as denoted in the annotated bibliography provided here below.
Cohen, E. & Pifer-Bixler, J. (2009). Surgeons Remove Health Kidney Through Donor's Vagina. CNN. Online at http://www.cnn.com/2009/HEALTH/02/03/kidney.vagina.surgery/index.html
The article here described a first-ever successful procedure in which a healthy kidney was removed through a donor's vagina rather than through traditionally employed and far more invasive surgical procedures. This is useful to our discussion because it reduces the strain and cosmetic impact of making a kidney donation. The article cites the…… [Read More]
Hospital Case Study
If the first requirement of any successful case study is a detailed and analytical examination of the situation, the emotional component of so called "high stakes" issues can make this requirement difficult, indeed. The simple fact, however, is in order to find good solutions and policies regarding the problem presented in the case study, one must apply the three main questions of "situation," "remedy/s," and "method/s." Although this may seem difficult in some situations, the emotional component must not be considered.
A good example of this fact occurs in the examination of an unfortunate case involving the botched heart/lung transplant of a 16-year-old girl, much like the recent incident at Duke Hospital. In this case, a young girl died as a result of receiving miss-matched organs. Unfortunately, in this case, all of the supposed safeguards of the system, imposed to assure that proper blood typing of both…… [Read More]
1993). Within medical settings in particular, physicians and supervisors are often too over-burdened with their myriad formal responsibilities to take note of minor irregularities in protocols and procedures. Because coworkers are often in the best possible situation to notice inadequacies, it is important for all levels of employees to be equally involved in the overall CQI process.
Optimal implementation of an effective CQI process also requires a culture of openness to suggestion and confidentiality with respect to reporting more serious issues such as those that result from negligence or willful misconduct on the part of co-workers.
11. The textbook states that "an organization's most vital component in costly resource is its staff." With this being the case, the human resource function plays a very important role. Should the human resource function be part of the senior management team?
In terms of policy implementation and organizational philosophy, the human resources function…… [Read More]
Few hospitals offered both the expertise and the necessary facilities.
Location of the donor and the recipient also impacted availability. Human organs cool and degenerate quickly when removed from the donor. Transportation in the 50s, 60s, and 70s was in the early stages of rapid jet aircraft travel and was too slow for the transportation of organs. The donor needed to be in close proximity to the recipient which was possible with living family members and donors. Research during this time focused on immunosuppressant drugs and on methods to maintain a viable organ outside the host.
In his discussion of justice in respect to the allocation of scarce goods, Jon Elster (1992) identified three levels of scarcity: natural, quasi-natural and artificial. The availability of twins with one needing a kidney transplant and one willing to donate a kidney generates a natural scarcity similar to the availability of natural black pearls.…… [Read More]
Above all it has followed the delibeate maketing of health cae (in association with touism) as medical cae has gadually moved away fom the public secto to the pivate secto, ensuing that a gowing majoity of people, especially in the ichest counties, and paticulaly in the United States, must pay -- often consideably -- fo health cae. Finally, gowing inteest in cosmetic sugey, involving such elective pocedues as hinoplasty, liposuction, beast enhancement o eduction, LASIK eye sugey and so on, o moe simply the emoval of tattoos, have ceated new demands. Vaious foms of dental sugey, especially cosmetic dental sugey, ae not coveed by insuance in counties like the UK and Austalia; hence dental touism has become paticulaly common. In Asia these tends ae 'the unlikely child of new global ealities: the fallout of teoism, the Asian economic downtun, intenet access to pice infomation, and the globalisation of health sevices'…… [Read More]
Using a philosophical approach, there is typically no one single "right" answer given, but rather a process with which to think about, and analyze, a given set of problems. For instance, is euthanasia "always" right; certainly not, but under the right set of circumstances, it might be the kindest option available in a moral sense, but still not acceptable legally.
Create common ground- Common ground is created in medical ethics by finding a process to utilize disparate data and find a more appropriate solution.
Construct a more comprehensive understanding- No "system" or organization is capable of judgment, so it is up to the human professional to decide what is in the best interest of the client. To find a comprehensive understanding, one must pull from the templates and definitions of medical ethics: autonomy, justice, fidelity, beneficence, veracity, non-maleficence, and paternalism (ICN, 2006).
eflect and test the understanding -- Let us…… [Read More]
Health Care & Faith Diversity
It is quite obvious how different religions hold different philosophical views on various aspects and even when it comes to healing. Each religion highly upholds their spiritual values hence the need for health practitioners to be cautious while handling varied clientele whether they hold the same religious sentiments or not. In this research we will major on the views held by the Sikh, Buddhist and Judaist religions in comparison to the Christian belief on healing.
The Sikh hold the belief that when one is sick it is the will of God and that He is merciful to heal; however one has to consider medical treatment in order to get well. During illness: Sikh patients engage in prayers to seek God for help, seek to obtain peace by remembering Gods name, recite sacred hymns (Gurbani) which are words from the holy scriptures (Guru Granth…… [Read More]
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The France ADOT advertisement for organ donation has an intended audience of all healthy people, who are in the position of registering for being official organ donors. The means of persuasion is emotional, as the image is of a hospital bed and a man hugging a transparent, ghost-like image of an elder. The suggestion is that the elder has passed on, and that the organs of that person are keeping alive the young man in the bed. A strong story is being told, given that the organ donor is of a different ethnic background from the recipient. The suggestion is that organ donation can help save the life of a total stranger. The method of persuasion is emotional and explicit, showing that it will help others to register as an organ donor, because once a person is dead, those organs can either be used to save the…… [Read More]
More than 98% of respondents had heard of the term "brain death," but only one-third (33.7%) believed that someone who was "brain dead" was legally dead. Using a utilitarian approach, organ donation does provide good for others; and, when managed appropriated, can provide a greater good for society at large. However, utilizing a population for organ harvesting, or changing the model so that organ donation is seen as a profit-center as opposed to a humanitarian endeavor, certainly muddies the waters a bit.
Barbas, M.P. Expanding Knowledge: From the Classroom to Hyperspace. Educational Media International. 43 (1): 65-73, 2006. etrieved from: tp://www.eric.ed.gov/EICWebPortal / search/detailmini.jsp?_nfpb=true&_&EICExtSearch_SearchValue_0=EJ729235&EICExtSearch_SearchType_0=no&accno=EJ729235.
Guo, G., et.al. The VNT 2-eteap in MAOA and Delinquient Behavior in Adolescence and Young Adulthood Associations. European Journal of Human Genetics. 16 (5): 626-34. etrieved from: http://www.unc.edu/~gguo/papers/08%20MAOA %202%20aggression%20EJHG.pdf
Kurth, J. eligion and Globalization. The eview of Faith and International Affairs. 7(2): 15-21, 2009.
Nilsen, D.,…… [Read More]
Applying atson's Nursing Theory to Assess Patient Perceptions of Being Cared for in a Multicultural Environment" describes the validness and authentication of the nursing theory of care by Jean atson. She was of the view that the best which a nurse can give to the patient is care as humans are naturally gifted with it and it is irrespective of ethnical, racial, cultural or social basis. The article describes the implications of this theory in such environment where the nurses and their patients have ethnical and cultural difference and they do not even understand each other's language. It is a case study designed to explore Saudi patient's perceptions of important caring behaviors by staff nurses. It was concluded by the data obtained that the patients rated overall caring behaviors as most important irrespective of their cultural differences with the caregiver. Hence atson's theory was proved in a multicultural environment, but…… [Read More]
Nursing and eligion Practice
ELIGION AND NUSING PACTICE
Nursing success depends on the ability to put the patient in a state of rest and comfort as much as it is about administering the prescriptions of the doctor. To secure the rest of the patient, nurses need to understand their needs and show respect to their beliefs and values. This requires courteous and open communication with the patient and adopting a patient-centric orientation. Along with other factors, the religious background of the patient makes a lot of difference to their values and expectations. eligious doctrines and practices may differ across religions and denominations such as Jehovah's Witnesses, Muslims, Seventh Day Adventists and Scientologists and may impose restrictions on certain kinds of interaction between nurse and patient or on certain forms of treatment. Moreover, people with a different religious background are not usually aware of such differences. Therefore, it is necessary for…… [Read More]
Since the war in Iraq, thousands of American soldiers have been injured, and some of them paralyzed by explosions that shattered their spinal columns.
Traumatic paralysis is often irreversible because the network of nerves in the human spinal cord cannot repair themselves when they are badly damaged.
Applications of cloning technology will allow us to grow new nerve tissue for implantation into damaged spinal cords to restore their functions (Sagan, 1997).
Seventh Point - Cloned Human Organs Can Save Thousands of Lives Every Year:
Medical applications of cloning technology already allows doctors to grow human skin for burn victims.
The exact same technology will allow us to make human organs by actually cloning the cells from the same person to make replacement organs (Soares, 2002).
This means an end to long waiting lists for donor organs and will make the difference between life and death for thousands of people every…… [Read More]
yes, I do see a parallel between being paid to be a surrogate and the prohibition against being paid to donate one's organs. The prohibition is clearly designed at least in part to prevent people who are financially desperate being exploited by wealthier individuals. We cannot have a caste system in our nation where the bodies of the poor can be bought by the wealthy. Yet surrogacy does that very same thing, in effect paying less financially well-off women to carry the babies of wealthier women. A not atypical scenario for a surrogacy is a poorer young women being paid by an older, more educated dual income couple that has postponed childbirth so they have time to develop their careers. In almost all instances, the couple is more educated and financially well-off than the surrogate, effectively create a power relationship that is highly asymmetrical.
Pregnancy, like organ donation, is not…… [Read More]
Going back further, the same religious principals also inspired opposition to organ transplants and blood transfusions; before that, the Catholic Church strictly forbade any forensic scientific research, necessitating the need to dissect cadavers for medical education entirely in secret (Levine, 2008).
Just as the news media are partially at fault today for their failure to distinguish legitimate concerns from ludicrous fears in connection with the ongoing political debate over American healthcare, they are equally responsible for allowing unfounded fears of "human cloning" in connection with the beneficial uses of stem cell science. Specifically, the main source of secular opposition to stem cell research is attributable to unnecessary fears of rampant misuse of human cloning technology to clone human beings. While human cloning is hypothetically possible, no responsible scientific researcher would ever misuse current biomedical technology in that fashion. The complexities of cloning entire organisms have been well documented in animal…… [Read More]
The next objection of IVF separating the procreation and marital aspects of marriage and in the end damaging the marital relationship was totally untrue in this case. This couple had a very strong relationship and going through the process of gestational surrogacy strengthen their martial relationship as opposed to damaging it. The last objection of adoption is a better answer to the trouble of childlessness may very well be true for a lot of people. One cannot argue the fact that there are a lot of children out there that need to have good homes and there are many couples that could benefit tremendously from this avenue. But in the case of the couple in this article the idea of having a biological child was something that was very strong from them, thus making the path that they took the best one for them.
IVF, just like many other things…… [Read More]
Typically a Japanese funeral follows the sequence: when someone dies, they are placed to rest in their homes. The corpse was placed with the head pointing the North, copying the deathbed of Gautama, and the head of the bed is well decorated. Then the previously mentioned encoffinment process. The first night after one's death is called the Tsuya; and it is for close family and friends to remember their beloved. In the morning, a cleansing meal is served called Okiyome. The funeral is thereafter carried out where the Jukai rite also known as receipt of commandments gives the dead an opportunity to receive the Buddhist commandments, automatically making the dead a disciple of the Buddha, and the dead person is accepted into Buddha hood.
After all this, the deceased embarks on the journey to the other world as the coffin is carried out of the house and burnt in a…… [Read More]
Within this clash of cultures, the Lee family did not know how to cope with the medical system in place to help Lia and her epilepsy. When they refused to give her the medications, Lia was removed from the home and placed in foster care. When the foster care parents gave her the prescribed medication, her condition worsened in several important ways. The foster parents believe that Lia's parents realized that, and that this is why they did not give her the medication, but did not have the cultural and language skills to communicate this to the medical staff.
Fadiman points out through example after example that the medical staff looked at Lia only as her illness, not as an individual, and certainly not as an individual part of a strongly developed culture that was markedly different than the hospital culture within which the doctors worked. Through a translator, a…… [Read More]
The less stable the identities of the individual on the outside, the more impact the routines of life on the 'inside.' The deprivations of the prison culture (as described by Sykes) intensify the effects of immersion. These losses include the "loss or deprivation of liberty, the loss or deprivation of goods and services, the loss or deprivation of heterosexual relationships, the loss or deprivation of autonomy, and the loss or deprivation of security."
Conclusion: The possibility of redemption for the redeemable; redeeming the incorrigibles -- and managing the unredeemable
Prisons have three main goals: to redeem the redeemables; to manage the incorrigibles (the unredeemable, such as those serving life terms) and convert at least some incorrigibles into being redeemable (through rehabilitation). To aid in the process of redeeming those who are redeemable, many prisons today have half-way houses and offer opportunities for prisoners to learn meaningful trades, so when they…… [Read More]
Administrative boards routinely reevaluate general institutional compliance with federal and state legislative statutes and also with stated hospital policies. Ethics guidelines regarding procedures, treating minors, and admission to clinical research trials are only some of the legislative guidelines necessary when making healthcare decisions. Chains of command, appropriate disciplinary and appeals procedures, and health and safety guidelines for patients and employees are some examples of legislative functions a board may perform. Additionally, conduct between employees will also be governed, including sexual harassment policy, chains of command regarding institutional decisions, and human resource policies such as bonuses, performance reviews, and seniority.
The judicial roles of the administration involve evaluating specific individual's compliance with legislative policies, and the legality or wisdom of institutional policies in general. For example, an appeal might be made about the justice of certain guidelines, like the maximum amount of hours nurses may work, the institution's policies regarding…… [Read More]
Covered entities must develop and implement written privacy policies that are consistent with the Privacy Rule (OCR, 2003). This policy must address several components. One is that there must be a privacy official. The privacy official is responsible for developing and implementing privacy policies. There must also be a contact person responsible for the receipt of complaints (Ibid.).
The written policy must also cover other key areas. These included workforce training, which should also include any employee under the direct control of the covered entity, even if they are under contract and not an employee of the entity. There must be data safeguards as well, so the written policy needs to include specific procedures for verification of identity, release of information and disposal of PHI.
There must also be a policy with respect to the handling of complaints. This procedure must be outlined in the notice that…… [Read More]
These, then, eventually die leaving the transfer of oxygen in your blood being absolutely limited and far below the point at which the flow of oxygen needs to be in a human body. The flow of blood and transfer of oxygen eventually slows down tremendously and can cause terrible pain as well as make the immune system to be vulnerable to a variety of different diseases. There are many medical procedures that can allow the individual to find a relief (Lozoff et al., 2003).
In our case study, we will mainly highlight how the mother's approach was tentative and skeptical and how the four points that have been mentioned initially (communication, social organization, spatial dynamics and locus of control) are impacted through her approach. The first important thing to note about the attitude of the mother is that she does seem very forthcoming to find out as much as she…… [Read More]
Japanese: Cultural Interview and Nursing Assessment
Presentation of client and scenario
This interview was conducted with a Ms. X, a Japanese national visiting friends in another country. She was, over the course of the interview, asked about a number of personal and culturally sensitive factors about her native culture that might affect a nursing intervention.
It is important for a nursing practitioner to keep this in mind as, in the 2000 census, 796,700 residents of the U.S. identified their "race" as Japanese,
Thus it is useful for all nursing practitioners, particularly those residing on the est Coast to keep abreast of Japanese cultural traditions. (Tanabo, 2001) Also, even when residing in Japan, Japanese first-generation immigrants have traditionally seemed less eager than other immigrant groups to assimilate into the hegemonic culture. One measure of this is that compared to other Americans of Asian background, a lower percentage of Japanese elders speak…… [Read More]
hospitals with regard to postmortem care. In particular, the procedures used in postmortem care involve methods for appropriate care of the body after death, sensitive and appropriate notification of death to the significant other and family, as well as notification to the coroner. The various departments within hospitals have different criteria regarding policies and procedures pertaining to postmortem care. The following outlines the procedures generally followed as well as policies followed with regard to postmortem care within different departments of the Louisiana State University Health Sciences Center.
Following the death of a patient, a final nursing assessment is generally performed including documentation regarding several details pertaining to the patient's death. These details include: the name of the patient, time that the physician was contacted, and the pronunciation of death; individuals present at the time of death, including family, friends, and healthcare workers; the time of the assessment; general appearance of…… [Read More]
The Importance of Patient Identifiers
Adverse events as a consequence of medical treatment are now recognized to be a significant source of morbidity and mortality around the world (World Health Organization [WHO], 2005). Somewhere between 3 and 5% of all hospital admissions in the United States result in an adverse event, and in 1999 it was estimated that the majority of the 44,000 to 98,000 deaths caused annually by medical mistakes could have been prevented (reviewed by Leape, 2000, and WHO, 2005).
The sources of adverse events can be divided into clinical practice, defective or poorly maintained products, improper procedures, or an organizational system. The World Health Organization (2005) concluded that systemic failures are the primary source of adverse events, and can be attributed to a particular organization's patient care strategy, culture, attitudes toward managing quality of care and risk prevention, and the ability to learn from mistakes.…… [Read More]
Hawaiian elde cae pofessionals impove patient eldecae sevices to Japanese nationals, taking into consideation Japanese cultual noms and expectations
Caegiving fo eldely paents in Japan
Japan has witnessed a significant gowth in its elde population. In the yea 1950, 4.9% of the Japanese population was aged 65 yeas and above. This figue inceased to 14.8% (1995). By 2025, it is estimated to gow to 25.8% (Yamamoto & Wallhagen, 1997). Japan's 'vey old' population goup (aged 85 and above) is swiftly inceasing in numbe. It has been pojected that by 2025, the nation's 'vey old' population will account fo 4.3% of its total population -- a five-fold ise in thee decades. Futhemoe, it was pojected that as many as 2.62 million Japanese would be suffeing fom senile dementia by the yea 2015; the 1990 estimate fo senile dementia was about one million individuals (11WSA 1996).
Change in the pecentage of Japan's…… [Read More]
Life and Death: The Life Support Dilemma by Kenneth E. Schemmer M.D
Kenneth Schemmer in his thorough, thought provoking book brings to life the controversial subject of the life support issue. For years, many all over the country have pondered, "What if a person were in some kind of an accident and the physicians told them that they were not going to make it?" And all that he or she could do is just lie there in extreme pain waiting for their life to the end. Or even worse case scenario what if they happened to end up completely brain dead? These debated questions are taken on by Dr. Schemmer in making his point that life support decisions may not necessarily be the decision of the family, the doctor or the patient but by a higher being that gives life and takes life. Schemmer uses these controversial questions in his…… [Read More]
Health Care Market
In discussing the market for a health care good or service, one must first understand that in speaking of "health care," one is actually speaking of the entire health care industry, along with each of the goods and services that are produced and exchanged within this market. From organ transplant operations and blood donation to therapeutic massages and nursing home activity programs, the span of health care goods and services is both vast and varied. Further, in viewing today's uncertain economy, the market for health care goods and services is one that brings with it many different questions that must be addressed in order for a stakeholder to fully comprehend what decisions need to made in order to turn a profit.
Scarcity of esources
Scarcity of resources within this market significantly influences the decisions that stakeholders are forced to make. With scarcity of resources comes limited action…… [Read More]
(2008). The study measures public opinion concerning two scenarios: one in which the kidney donor is given a fixed financial compensation; and one in which the donor is provided with health insurance coverage for life. According to the findings of the study, "although almost half of the respondents (46%) were reluctant towards introducing a system with fixed compensation to increase the number of living kidney donors, still 25% of the general public reacted positively." (Kranenburg, 1039) This study would conduct a similar comparative discussion, but would expand the number of available options discussed and would use a different sample population, as discussed in the subsequent section.
Subjects and Sampling Technique:
The subjects will be drawn from amongst nursing professionals working in randomly selected renal specialty facilities and wards. Initial contact will be made by phone with a Director of Nursing at selected facilities requesting participation. Those that agree will receive…… [Read More]
Henrietta Lacks born August 1, 1920, was an African-American female tobacco farmer who resided in Dundalk, Maryland. She was wife to her first cousin and mother of five children. At the age of 31, Lacks died from cervical cancer. Before she died, a doctor took a sample of her cervical cells. These cells, named HeLa cells, became the immortal cell line that provided a Polio vaccine, aided in cloning, among other scientific breakthroughs. "Henrietta's cells were the first immortal human cells ever grown in culture. They were essential to developing the polio vaccine" (Zielinski, 2010).
HeLa cells have become a benchmark in the study of cellular processes. However, here in lies the controversy. HeLa cells have benefitted many except for the family of the person the sample was derived from. Henrietta Lacks' children, for decades, lived in poverty, with one son homeless. Was it right for a doctor to, without…… [Read More]
" (p.1) it is related that no two hospitals have the same ethics and that this is as it should be because "life and death are too complicated for ethical uniformity, let alone universalism." (Leavitt, 2000, p.1) the American Medical Association, Council on Judicial and Ethics Affairs states that the hospital ethics committee should be voluntary, educational and advisory" in nature and that these committees should be used or consideration and resolution in cases that are "unusual, complicated ethical problems involving issues that affect the care and treatment of patients." (1984) the American Nurses' Association Committee on Ethics reports that nursing professionals should be included in the "development, implementation and evaluation of ethical review on ethics committees." (1985) it is the conclusion of this writer that in the absence of an ethical committee review, that no decision on the ethics of this patient being admitted and treated through surgery can…… [Read More]