The case of cynthia.calderon,m

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Myriam Calderon

Health & Medicine Education

THE CASE OF CYNTHIA

Miriam Calderon
BSHS 335
December 12, 2013
Beatriz Zayas

AGENDA
Scenario Summary
 Ethical Dilemma
 How would I approach dilemma
 Least intrusive intervention
 Confidentiality
 Multicultural ethical behavior


SUMMARY
Cynthia attends Lings private practice for counseling regarding
her feelings and marriage. Cynthia feels depressed, that her life
has no meaning, she feels enslaved by the needs of her husband
and kids. Ling asks her why she is feeling this way, Cynthia tells
him she had a conversation with her husband about returning to
school and pursuing a career of her choice. The husband
threatened to divorce her if she decided to continue with her
plans. Cynthia also consulted with her pastor who pointed out her
obligations to her family. Ling has a strong believe to staying
committed to the family, and that the men is the head of
household. Ling persuades Cynthia t o postpone her own
aspiration until her children are older. Cynthia agrees because
she feels guilty about asserting her own needs, and she also
fears being left alone. Ling works with Cynthia in finding other
ways to add meaning to her life that would not impact her family
as much.

ETHICAL DILEMMA


Ling does not help Cynthia pursue her
dreams instead he makes her postpone
them, because he also thinks that men are
the head of household. Now women are also
able to succeed and have a career.

HOW WOULD I APPROACH THE DILEMMA


I would have offered marriage counseling, so
that the husband could try and understand
her. Maybe he would see that it could benefit
both and their family. Maybe search for some
school options that would not have Cynthia
leave her husband and children unattended.

LEAST INTRUSIVE INTERVENTION
Recommend marriage counseling.
 Self esteem classes.
 Group courses.
 Maybe job training.


CONFIDENTIALITY
No comments about the situation to other
people.
 Try to solve or help her the best way possible
and that she agrees to it.


MULTICULTURAL ETHICAL BEHAVIOR
Women are not able to pursue a career.
 Men are the head of household.
 Women take care of husband and children.


The case of cynthia.calderon,m

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These are simplified slides discussing the regulation of cardiac output and venous return. Learning objectives: 1. Comprehend the determinants of cardiac output and factors affecting cardiac output 2. Comprehend the factors affecting stroke volume and heart rate and total peripheral resistance 3. Identify the factors regulating venous return 4. Discuss the causes of high and low output cardiac failure 5. Enlist the functions of veins and recognise the significance of venous reservoirs Study Resources: 1. Chapter 20, Guyton and Hall Textbook of Medical Physiology, 14th edition 2. Chapter 30 and 32, Ganong’s Review of Medical Physiology, 26th edition 3. Chapter 10, Human Physiology by Lauralee Sherwood, 9th edition 4. Physiology, Cardiac Output - StatPearls https://www.ncbi.nlm.nih.gov/books/NBK470455/

Cardiac Output, Venous Return, and Their Regulation

Cardiac Output, Venous Return, and Their Regulation

Cardiac Output, Venous Return, and Their Regulation

MedicoseAcademics

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Circulatory Shock, types and stages, compensatory mechanisms

Circulatory Shock, types and stages, compensatory mechanisms

Circulatory Shock, types and stages, compensatory mechanisms

MedicoseAcademics

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The case of cynthia.calderon,m

1. THE CASE OF CYNTHIA Miriam Calderon BSHS 335 December 12, 2013 Beatriz Zayas

2. AGENDA Scenario Summary  Ethical Dilemma  How would I approach dilemma  Least intrusive intervention  Confidentiality  Multicultural ethical behavior 

3. SUMMARY Cynthia attends Lings private practice for counseling regarding her feelings and marriage. Cynthia feels depressed, that her life has no meaning, she feels enslaved by the needs of her husband and kids. Ling asks her why she is feeling this way, Cynthia tells him she had a conversation with her husband about returning to school and pursuing a career of her choice. The husband threatened to divorce her if she decided to continue with her plans. Cynthia also consulted with her pastor who pointed out her obligations to her family. Ling has a strong believe to staying committed to the family, and that the men is the head of household. Ling persuades Cynthia t o postpone her own aspiration until her children are older. Cynthia agrees because she feels guilty about asserting her own needs, and she also fears being left alone. Ling works with Cynthia in finding other ways to add meaning to her life that would not impact her family as much.

4. ETHICAL DILEMMA  Ling does not help Cynthia pursue her dreams instead he makes her postpone them, because he also thinks that men are the head of household. Now women are also able to succeed and have a career.

5. HOW WOULD I APPROACH THE DILEMMA  I would have offered marriage counseling, so that the husband could try and understand her. Maybe he would see that it could benefit both and their family. Maybe search for some school options that would not have Cynthia leave her husband and children unattended.

6. LEAST INTRUSIVE INTERVENTION Recommend marriage counseling.  Self esteem classes.  Group courses.  Maybe job training. 

7. CONFIDENTIALITY No comments about the situation to other people.  Try to solve or help her the best way possible and that she agrees to it. 

8. MULTICULTURAL ETHICAL BEHAVIOR Women are not able to pursue a career.  Men are the head of household.  Women take care of husband and children. 