The demands of the field often do not allow for energy nor the time to truly address the issues. It should be noted that the DSM and the medical model due hold value. Abandoning the DSM would be inappropriate as we all are aware that many mental health diagnoses are very real. In order to create strength based assessments one must use not only the medical model but a holistic understanding of human behavior (Weick, 1986). The fundamental premise is that individuals will do better in the long run when they are helped to identify, recognize, and use the strengths and resources available in themselves and their environment (Graybeal, 2001).
The Ethical Debate of Placebos In health care there is a fine line between what is ethical and what is not. As time goes on this line becomes thinner and thinner. In the article The Moral Case For The Clinical Placebo, Azgad Gold and Pesach Lichtenberg are two researchers that argue that there are exceptions to this fine line when talking about placebos. They specifically argue, “The intentional use of the placebo, in certain circumstances and under several conditions, can be justified.”1 The placebo is rapidly becoming a problem because it is now a commonly prescribed drug and many people have different ethical views on the topic. Gold and Lichtenberg believe that the placebo is effective and should be used in certain cases and under specific circumstances.
Keywords: Cholestasis, Biliary atresia, neonatal hepatitis. Introductio... ... middle of paper ... ...most important causes of cholestasis in this region; therefore, more attention to them can help physicians to manage patients better and more effectively. In general, the results of this study are consistent with those of previous studies and it seems that the most important factor in managing patients is defining and implementing a regular system for faster diagnosis. Finally the shortages of this study are its retrospective nature and the lack of patients’ survival reviews. Due to the sensitive nature of the disease and the need for education of GPs and pediatricians about the causes of cholestasis and its diagnosis, there is a need for more accurate studies.
Methods of treatment and drugs should be strictly benign––not hazardous. Most importantly, if the Conventional medical system is to be advantageous to health, Eastern and alternative practices must be integrated into modern treatment. Until then, Conventional medicine will continue to be plagued by its inherent flaws, and humanity left to struggle to survive while viable solutions are tediously derived from the muddied archives of “failed” therapies.
Past physicians carried a certain authority over the treatment given to patients, however, due to medical progressivism, patients are given more rights to determine the treatments they can accept. Although these steps are certainly in the right direction, there has been a certain ethical dilemma as many doctors are forced to accept patient demands even when it is not the best course of action (Gawande 216). It is easy for us to affirm certain platitudes about patient interests being first in healthcare, but it is also important to investigate the specific nuances of patient care. In many situations, the patient truly is not well versed enough to make decisions about their care (227). While sometimes patients may truly be thankful for a physician’s intervention, any autonomous decision by physicians creates a dangerous precedent for doctor intervention in patient care.
Although there are some reasons why caution must be taken when it comes to herbal remedies, when the benefits outweigh the costs then the use of herbs to treat chronically ill patients should be encouraged. Constant flaws and unsuccessful experiences with modern day pharmaceuticals will continue to increase the push towards the use of herbs. As ways to enforce the safety, consistency and knowledge of these herbs progresses herbs are going to become mainstream. Advances in clinical research will continue to show the true value in herbs when treating and preventing diseases.
This can delay or compromise medical procedures. This can cause medication errors. A management approach that includes clear policies as well as procedures for gathering information, making a decision, collaborative efforts and timely communication need to be established to handle such drug shortages in an effective manner (Ventola, 2011). Drug shortages have been the most challenging for sterile injectable drugs. This is because they are more complex to produce and are more likely to have problems with the manufacturing process.
There are many opponents to the proposal of such a plan. Their arguments are often unfounded and are inflated with biased political hype. Why is healthcare coverage a necessity? Under the current medical practices in the United States, a patient requiring care who does not have insurance, Medicaid, or Medicare would have to find a physician who is willing to accept a “Self-pay” patient. Costs incurred for the office visit or treatment would need to be paid at the time of the delivery of services.
In modern fast pace healthcare delivery environment, a provider 's ability to diagnose and suggest treatment swiftly can make the difference in whether a patient would have optimistic or pessimistic ending. The consequences of a health provider 's decision and action can be traced to inaccurate or partial information from the patient or relatives. According to Grinten (2006), medical errors are often the consequence of healthcare providers not having full medical record for the patients they treat, especially in an emergency situation. For this reason and other health related challenges, many healthcare organizations considered it imperative to form regional health information organizations (RHIOs) to enable them exchange and use health information
Conclusion Pressure ulcers remain a major health problem for patients in all health care setting but may gaps still remain in the understanding and prevention. Studies indicate that comprehensive prevention techniques such as repositioning and pressure relieving aids have slightly reduced incident rates but areas of high skin-bed interface pressures still remain in jeopardy. By preventing pressure ulcers, it would reduce health cost and patient comfort will be increased. Additional research is needed to determine the most appropriate preventative responses, thus, more research should be conducted in regards to the frequency of turning plus the use of pressure releasing equipment. (change and improve outcomes)