If I was found to be in a “persisted vegetative state” the minimum Barthel Index (BI) score I would take would be 9. Additionally the minimum score for the Functional Independence Measure (FIM) I would take would be 75. If I was in a vegetative state with no hope of re-gaining brain function or living a cognitive life, I would want my family to take me off of life support and I believe these scores reflect that. To live my life, I would want to be as independent as possible; to a certain extent. I would not want to worry about accidents from my bowels or bladder and would like to be somewhat independent in the shower. Although I understand that some type a bathing aide might be necessary. I wouldn’t mind receiving help with grooming, dressing,
During World War II, many German soldiers killed thousands of innocent lives, especially Jewish. However, not all lives lost during World War II, and the Holocaust be accounted for by German soldiers, and the mobile killing task force, Einsatzgruppen, but citizens themselves. In the book, Neighbors by Jan Gross, studies a Polish town called Jedwabne during World War II. The book provides evidence on a mass killing on July 10, 1941, by Polish citizens. The Polish citizens murdered roughly 350 victims, Jewish, in Jedwabne. This evidence brought to light by the author shows not all Germans were accountable for all the mass murders during the time period.
Many cultures in this world have rites of passages that could impact a person’s life, like celebrating Bars and Bat Mitzvahs for Jewish people to demonstrate and commit their faith and the Seijin-no-Hi in Japan for their coming of age (at age 20). In The Medicine Bag, by Virginia Driving Hawk Sneve, there is a native American named Martin who is struggled with his Lakota heritage. His dying great-grandfather, Joe Iron Shell, gives Martin a spiritual medicine bag passed on to males in his family, but he is embarrassed to wear it. He is relieved to find out that he does not need to wear it and resolves his emotions about his Lakota heritage. A video called Apache Girl’s Rite of Passage by National Geographic, it shows an Apache girl named Daschina
The Harvard Criteria is defined as followed; if a person is unreceptive and unresponsive, there is no movement and no spontaneous respiration or other spontaneous muscular movement, no reflexes, a flat EEG, and lastly no circulation to or within the brain. Kastenbaum explains that there is different type of conditions that might make a patient nonresponsive. Which “several of these conditions could be mistaken for brain death by uninformed observers (Kastanbuam, 45). Some of the conditions that Kastenbaum talks about are akinetic mutism, catatonia, coma, or the locked-in sydrome. He explains that these conditions are different and that one similarity they all have in common is an “impression of terminal no responsiveness. By contrast, we might be impressed by the nonpurposive reflexes and grimaces of a person in a persistent or permanent vegetative state and thereby persuade ourselves that the person is still there (Kastanbaum, 45). If we follow the traditional determination of death, and compare it with the Harvard Criteria we notice that in order to determine if a person is dead they would not display any signs of being alive. If patient are showing signs of being alive why wouldn’t physicians consider that. It does not mean that because they are nonresponsive that they are brain dead especially if they are displaying signs of being alive. Kastabum states that it is a “harrowing similarity to being buried alive” (Kastabum, 45). A person can be brain dead but does not mean they are dead, the person that make the decisions on their ending of life should really look more deeper into seeing if the patient is completely gone, but displaying signs of being alive means you are alive disregarding of what a physician might
Generally, well-appearing male, pleasant, cooperative. Pounds 248, temp 98.7, blood pressure 128/85, pulse 59, respirations 18, 99% on room air. No focal neurological deficits.
The composite score is objective and calculated through a weighted formula designed to provide an equal contribution from each item while the severity rating is subjective and indicates the need for additional treatment in specific areas (Haraguchi et al., 2009). The SR ranges from 0 to 9 points and the CS ranges from 0 to 1 with anything higher than the normal 9 SR or 1 CS indicating greater problem severities (Haraguchi et al., 2009). Although some problems still exist, the ASI has been reported to have nearly achieved both reliability and validity (Haraguchi et al.,
This assignment will identify some of the impacts, interventions and outcomes in relation to patient’s quality of life measured against activities of living from Roper, Logan and Tierney.
According to the BDI-II test review, norming of the BDI-II is neither impressive nor extensive including a clinical sample of 500 outpatients in therapy as well as a conve...
“The Bacchae” answers the question if irrationality could survive in a structured world. Dionysus the god of wine and festivals brings about chaos and barbarism. The introduction of Dionysus is of him and a flock of bacchus women returning to Thebes, the place of Dionysus’ birth, to punish the city for disrespecting his godly right. Pentheus is the appointed ruler of the city and main opponent of Dionysus. He tries to limit the spread of bacchus behavior, but Dionysus breaks free each time Pentheus captures him. Without the need of irrationality in a structured world society would tear apart. A world must consist of irrationality and rationality to have balanced society.
The individual will need to be encouraged to make decisions about the care they receive and the type of life they want to live and also ensure that their families are part of the decision making process.
My ethics were equal to the social norm meaning there was no stand out scores. I had an average Emotional Intelligence (EI) score, a...
During the 1920’s, Atlantic City was famous for gambling and drinking. People all over would visit for entertainment and to get rich. After world war two crime and corruption took over the streets causing the city to enter an economic decline. Also following the war, cars became more available which led to the decrease of time spent at the city, people no longer had to wait for a train, they can now visit for a little and leave whenever. Less people staying at the hotels for longer, took away more of the cities money. In 1972, “ The New Yorker” published an article called the The Search for Marvin Garden’s by John McPhee who was smart and talented monopoly player. In the article, McPhee persuades Americans to be weary of what trying to become rich in order to be happy can produce and instead search for happiness in
The primary reason why I’ve come to this view. Each patient diagnosed with a prolonged terminal illness has a unique response to their medical situation based on many factors such as; support
“Near the end of life, individuals often become too ill to express their wishes about the use of life-sustaining medical treatment. Instructional living wills, also known as advanced directives, are widely advocated as a solution to this problem based on the assumption that healthy people can predict the types of medical treatment they will want to receive if they become seriously ill” (Ditto, 2005, 481). In general, living wills raise much controversy. There are ethical, legislative, religious, emotional, and medico-legal issues that have been debated over for many years. It is an individual’s personal decision whether or not to choose to record a living will for future circumstances. A living will can be of great value, especially in extremely stressful situations, such as when a person falls into a persistent vegetative state. “Essentially, for a definitive diagnosis of vegetative state, lack of any evidence of awareness of self and/or the environment across serial assessment(s) and setting(s) would be warranted” (Wilson, 2005, 432). In these occasions, if a person does not retain a living will, their wishes of the healthcare they would prefer would be in the hands of someone else.
A relatively new phenomenon has come to the fore in ID nursing and that is the noticeable change in life expectancy for people with a disability. The number of people wit...
Valencia, C., Canaval, G., Marin, D., & Portillo, C. J. (2010). Quality of life in persons living with