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The triangle of clinical decision making
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HI Ajitha, You are right that the families’ decisions may differ from the physician’s. Even though I believe that families can see that their loved one is suffering but in difficult moments, one tends to act selfish and does not realize it. It's human nature that we do not want our loved ones to leave. I know I was the same way when my Grandpa went into hospice. I felt angry at first that he was giving up his treatments but when I saw how much he was suffering, I knew it wasn't right for me to hold on. So instead of feeling the stress and anger, I focused my energy on spending more time with him and getting to know him by listening to his stories. You're right when you mentioned about shifting my focus to comfort instead of trying to "save
It’s hard for a family to go through this and the terminally ill want to save their families from as much heart break as they can.
As selfish as it might sound, the decision of ending your life to avoid suffering is more about ending the suffering of your loved ones. It is way more painful to watch your family being sad, crying, getting frustrated and tired because there is nothing else they could do. As much as family tries to hide their distress, or as much as they try to avoid thinking about the inevitable, sometimes the feelings can't be avoid. I wouldn't want my family to go through this, and I wouldn't want to watch them being miserable. It is just not fair for them. Why wait longer for something that will eventually happen, especially when the patient is bed bound and has to depend on others for the most basic needs. I couldn't and wouldn't want to do that to my loved ones and to myself.
We consider the legislation consistent with the principle that "respect for that person [who is capable of participating] mandates that he or she be recognized as the prime decision-maker" in treatment. [2] The patient is a person in relationship, not an isolated individual. Her or his decisions should take others into account and be made in supportive consultation with family members, close friends, pastor, and health care professionals. Christians face end-of-life decisions in all their ambiguity, knowing we are responsible ultimately to God, whose grace comforts, forgives, and frees us in our dilemmas.
The decision to end a life is a difficult one no matter the situation presented. It stirs a great deal of emotions when thinking about a loved one choosing to die in situations where they are terminally ill. Death is a scary thought for most people, but we need to remember that it is just a fact of life, no matter how morbid it sounds. There is some dignity in ending a life for a patient is who terminally ill and suffering, although it may be a tough decision, it can sometimes be the right one.
Betye Saar was born on July 30, 1926. Her parents were Jefferson Maze Brown and Beatrice Lillian Brown. She lived in Los Angeles, California with her family in the earlier childhood years of her life. Her father died from kidney failure when she was five years old. Her mother and her two siblings all moved to Pasadena, where they lived with Saar's great-aunt, Hattie Keys. Her mother started working as a seamstress to support the family. Her mother often made ends meet by recycling scraps of materials to create things her children needed. Economical use of everyday materials may have served as an inspiration in Saar's later works of art.
Many people do not realize that Indian people are around us everyday. They could be our neighbors, our bus driver, or anyone that we see on a daily bases. In Thomas King’s essay “You’re not the Indian I Had in Mind,” and his video “I’m not the Indian You Had in Mind,” he exemplifies the stereotype that many people make about Indians. King mentions in his essay that people always would say to him, “you’re not the Indian I had in mind,” because he did not look like the stereotypical Indian. Through King’s essay and video, I have been educated about this stereotype that I was unaware of. Since I now have an understanding of how unrealistic this stereotype is, I now can educate friends and family members on this issue.
It is important that patients and family members understand the conditions under which the patient is suffering from. People have an obligation of preparing themselves for end of live. This can be done by writing a will or an Advance Directive to guide the medical personnel and family members on what the patient wants. It can also be done by assigning a medical care proxy to decide on the patients behalf (Groopman and Hartzband, 2011). Medical personnel need to consider the patients wish and act as per the law when deciding on end-life options. Most of the decisions made by terminally ill patients are biased and compromised.
This experience also reaffirmed my belief in palliative care. Our society is one that pushes planning things out from a very young age. Through most of the things we are taught, planning is an integral part of all of it. We value success very highly and are taught to attribute success to planning an endeavor out well. In the article Katy Butler said, "it would 've been better if someone from a palliative-care program could have helped us weigh the pros and cons of what she faced. Then I could have been simply a grieving and supportive daughter." The one dying isn 't the only person who is affected by this whole process. As loved ones, we might be tasked to help with these choices. If we don 't happen to be medical care professionals how can we make the correct judgment? This lack of knowledge is one of the biggest reasons I see that palliative care should become a more common feature in these situations. As human beings, we rely on others to do what they 're good at so that we can focus on what we do. In a time when someone 's life is on the line, we should value and rely on a professional knowledge to make a judgment. As loved ones, we should be allowed to deal with our emotions for who we might be losing instead of wracking our brains with something we that our knowledge might be limited in.
Edward Joseph Snowden is a former CIA technician, Booz Allen Hamilton's former employee, and a former NSA defense contractor. Edward Snowden had leaked a secret of NSA through an interview with Glenn Greenwald from The Guardian which startled the world. In his disclosure, Snowden revealed about NSA that they are mining data works all along and secretly monitoring U.S. citizens' personal information by accessing through different servers.
This point seems to be a good starting point in that most everyone can agree. Gay-Williams summarizes this well in his statements, “Also, we may be inclined to euthanasia because of our concerns for others. If we see our sickness and suffering as an emotional and financial burden on our family, we may feel that to leave our life is to make their lives easier.” (4) This provides the strongest point and also the weakest in the argument, in that such thoughts are normal for people who are close to death’s door, or severely sick. This also covers the thought that a person might have, that they want to agree to Physician Assisted Suicide to end their suffering. At this point in the article, or near the end, I would recommend stating that such thoughts can be natural but counseling is available in almost all cases, talking to family members to get their opinions, and that obtaining financial help is often available through churches, donations or other means. I would also state that sometimes the “greater good,” or the most beneficial aspect of a decision is not always the choice we want, but what is the best good for the group or mankind as a whole. It would be imperative to state that the family of the patient take council on their opinions and thoughts about a loved one possibly committing physician assisted suicide. Once again, death is final, and with it, all possibilities for obtaining more
I chose “Here We Aren’t, So Quickly” by Johnathan Sofran Foer, and “Wake Up Call” by Megan McGuire. They have similar underlying themes and will be an interesting comparison. “Here We Aren’t, So Quickly” is about what seems to be a daydream about the future relationship between two lovers and how it evolves over the course of their adults lives. “Wake Up Call” is about the relationship between a girl and her parents as she grows up from adolescence in to young adulthood. .
The Criminal Justice System is made up of several different process law enforcement, judiciary, and corrections this system is where the accused individual are tried and punished for the crime they are charged with. The depiction of criminal justice system in throughout each process (police, courts, and correctional) has become ubiquitous on television today. Shows that give a visual of the arresting and investigation process (law enforcement) are the televisions shows “Cops” and “The First 48 Hours”. The show “Cops” is a television series that follows police officers, constables and sheriff deputies around during their patrol and other policing activity (Cops, n.d). Showing the officer enforcing the laws of the land, apprehend offenders, reducing and prevent crimes, maintain public order, provide emergency and related community services and more” (Schmalleger F., 2014). The “Cops” show conveys the initial stage of the law enforcement. The images or positive (in my opinion) when it comes to showing the actual community services the law enforcers provide. This allow police to become more integrated in to the communities. Reducing the amount of fear toward the particular criminal justice profession. It has change the outlook on policing in the communities and enhances the level of trust from the communities for law enforcement. This allows for a sufficient reduction and prevent crimes when law enforcement and the people of the community come together. “The First 48 Hour” is a show that shows the criminal justice process from the crime, arrest, to the investigation stages in the criminal justice process. This show follows detectives around from the state of their investigation (right after a crime occurs...
Consequently, she was left in what most assumed to be a vegetative state for years eventually because her husband continued to advocate for her right to die she was unplugged and died soon after. This case served as a warning for most people who didn’t really consider Advanced Directives before. Are family members sure of what lengths should or shouldn’t be taken worst case scenario. Repeatedly this has proven not to be the case. Death or dying is always a taboo subject however, when high profile cases like this arise people are forced to evaluate their own lives? A study regarding knowledge about advance directives conducted in 2004 suggested that there was a direct correlation between attitudes, financial stability and the number of people who had advanced directives. Surprisingly this same study discovered that doctors or healthcare professions assumed it was the patient’s duty to seek out
Others will argue that if a patient is terminally ill, they are not in the correct mindset to make that decision. Although, what opposers fail to recognize or acknowledge is what the person is going through. Like how I mentioned earlier that the pain they are experiencing is unimaginable. When you are in pain, you want it to be over as soon as possible. We all know when enough is enough. This kind of pain is prolonged and more severe like the heart racing. There are other ways for stopping pain, minimal pain, but this pain is way too severe to stop with some medication. The only way to stop it is to end it all at
The decision of euthanasia should not have to be made. No one has the right to say whether death should be inflicted on him or herself. That decision is left to someone of much higher power as it has been since the beginning of time. The patient may not be aware enough to make a sane decision. In this case, the decision would be left to the family. How would the family know whether the patient would want to live or die? No one has the right to judge that another person’s life is not worth living, and no one’s life should be taken because someone else thinks his or her quality of life is too low. There would be some cases in which family members would want the parent’s money instead of it being spent for hopeless medical treatment and request that the parent be put out of his or her misery. There have also been some cases in which the doctor performed the inhumane task without any form of consent (Katz).