A presentation about a man who was severely burned and was forced to bear very painful treatment for him to survive against his will. The ethical issue is patient autonomy vs beneficence.
Forest bathing is a type of mindfulness meditation that is proven to reduce anxiety and stress. Here are some tips to begin your own forest bathing practice.
Forest bathing is a type of mindfulness meditation that is proven to reduce anxiety and stress. Here are some tips to begin your own forest bathing practice.
A presentation made by Dr. Brian Goldman during the free public forum "How to Start the Conversation: a discussion on preparing for end-of-life care" on January 9, 2014 at the United Steelworkers Hall in Sudbury, Ontario.
Dr. Brian Goldman is an Emergency Department physician at Mount Sinai Hospital in Toronto and host of the national CBC radio program “White Coat, Black Art”.
Learn more about the forum at http://www.hsnsudbury.ca/events
1) The Death System and Cultural Contexts
2) Defining Death and Life/Death Issues
3) A Developmental Perspective on Death
4) Facing One's Own Death
5) Coping with the Death of Someone Else
Need a 6 page APA format paper based on the case study posted below..docxlea6nklmattu
Need a 6 page APA format paper based on the case study posted below. Need the paper completed by Tuesday, January 19
th
, 2016 at 13:00 EST (1pm).
Deciding to place a loved one into a long-term care facility can be extremely difficult. Even more difficult is the thought of your loved one’s rights being violated while in long-term care. Patient healthcare rights are not as clearly defined as one would expect, and there are long-term care and other healthcare facilities that create their own sets of patient rights. However, there are also certain indisputable rights afforded to patients across the board.
Read the case study titled “A Legal and Ethical Dilemma (Posted below)
Write a six (6) page paper in which you:
1.
Describe the legal and ethical dilemma discussed in the case study. Analyze the key ways in which a patient’s right to die relates to this specific case.
2.
From your research, specify the potential repercussions for failure to comply with the wishes of a patient who has requested to withhold a life-sustaining procedure. Next, take a position on whether the patient’s right to die or the patient’s right to be protected from harm should take precedence in this case. Provide a rationale for your position.
3.
Imagine that you are a part of the ethics committee investigating this case. Determine the main facts pertaining to the issue that the committee should consider. Suggest one (1) step that the facility should take next in order to resolve the dilemma. Provide a rationale for your response.
4.
Use at least three (3) quality academic resources.
Note:
Wikipedia and other similar websites do not qualify as academic resources.
Your assignment must follow these formatting requirements:
·
Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format.
Case Study: A legal and Ethical Dilemma:
Background
Mary Evelyn Greene, who has memory impairment, lives in a private room at Shady Brook Skilled Nursing Facility located in a beautiful suburb of a major metropolitan city. She has resided at Shady Brook for the past 18 months. Before moving into Shady Brook, Mrs. Greene lived independently in her own home with assistance from a private-duty nursing assistant and a housekeeper. She and her husband had resided together in this home for more than 50 years. Mrs. Greene is 89 years old and suffers from several health problems associated with aging.
Mrs. Greene has one son, David Greene. David has the power of attorney to handle his mother’s health care and other personal affairs. David works as a trial attorney in one of the city’s largest and most prestigious law firms. He owns a large home in an upscale neighborhood and works hard to put two of his children through college and another one through medical school. His home is about an hour’s drive from his workplace and about 20 minutes from Shady Brook. David’s wife Barbara has ne.
Deciding to place a loved one into a long-term care facility can be emersonpearline
Deciding to place a loved one into a long-term care facility can be extremely difficult. Even more difficult is the thought of your loved one’s rights being violated while in long-term care. Patient healthcare rights are not as clearly defined as one would expect, and there are long-term care and other healthcare facilities that create their own sets of patient rights. However, there are also certain indisputable rights afforded to patients across the board.
Read the case study titled “A Legal and Ethical Dilemma”, located on pages 463-465 of your text. Next, use the Internet or Strayer Library to research information on a patient’s right to die.
Write a four to six (4-6) page paper in which you:
Describe the legal and ethical dilemma discussed in the case study. Analyze the key ways in which a patient’s right to die relates to this specific case.
From your research, specify the potential repercussions for failure to comply with the wishes of a patient who has requested to withhold a life-sustaining procedure. Next, take a position on whether the patient’s right to die or the patient’s right to be protected from harm should take precedence in this case. Provide a rationale for your position.
Imagine that you are a part of the ethics committee investigating this case. Determine the main facts pertaining to the issue that the committee should consider. Suggest one (1) step that the facility should take next in order to resolve the dilemma. Provide a rationale for your response.
Use at least three (3) quality academic resources.
Note:
Wikipedia and other similar websites do not qualify as academic resources.
Your assignment must follow these formatting requirements:
Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.
Case Study
Background
Mary Evelyn Greene, who has memory impairment, lives in a private room at Shady Brook Skilled Nursing Facility located in a beautiful suburb of a major metropolitan city. She has resided at Shady Brook for the past 18 months. Before moving into Shady Brook, Mrs. Greene lived independently in her own home with assistance from a private-duty nursing assistant and a housekeeper. She and her husband had resided together in this home for more than 50 years. Mrs. Greene is 89 years old and suffers from several health problems associated with aging.
Mrs. Greene has one son, David Greene. David has the power of attorney to handle his mother’s health care and other personal affairs. David works as a trial attorney in one of the city’s largest and most prestigious law firms ...
Deciding to place a loved one into a long-term care facility can be .docxcrystal5fqula
Deciding to place a loved one into a long-term care facility can be extremely difficult. Even more difficult is the thought of your loved one’s rights being violated while in long-term care. Patient healthcare rights are not as clearly defined as one would expect, and there are long-term care and other healthcare facilities that create their own sets of patient rights. However, there are also certain indisputable rights afforded to patients across the board.
2-3 pages with introduction paragraph
Describe the legal and ethical dilemma discussed in the following case study.
Analyze the key ways in which a patient’s right to die relates to this specific case.
2-3 pages
Use at least three (3) quality academic resources
.
citations and references must follow APA
Im
agine that you are a part of the ethics committee investigating this case. Determine the main facts pertaining to the issue that the committee should consider.
Suggest one (1) step that the facility should take next in order to resolve the dilemma. Provide a rationale for your response.
Background
Mary Evelyn Greene, who has memory impairment, lives in a private room at Shady Brook Skilled Nursing Facility located in a beautiful suburb of a major metropolitan city. She has resided at Shady Brook for the past 18 months. Before moving into Shady Brook, Mrs. Greene lived independently in her own home with assistance from a private-duty nursing assistant and a housekeeper. She and her husband had resided together in this home for more than 50 years. Mrs. Greene is 89 years old and suffers from several health problems associated with aging.
Mrs. Greene has one son, David Greene. David has the power of attorney to handle his mother’s health care and other personal affairs. David works as a trial attorney in one of the city’s largest and most prestigious law firms. He owns a large home in an upscale neighborhood and works hard to put two of his children through college and another one through medical school. His home is about an hour’s drive from his workplace and about 20 minutes from Shady Brook. David’s wife Barbara has never been close to her mother-in-law and has not shown much interest in her care. Hence, caring for his mother has become a major responsibility for David, and he is having a difficult time dealing with her declining health and the onset of mild dementia. It is becoming increasingly more difficult for David to leave his law practice or the court room to deal with issues related to his mother.
Mrs. Greene’s husband was a very successful land developer who left her with a substantial estate, which meets all of her financial needs. After her husband passed away, Mrs. Greene decided to remain in her home. She was able to maintain her independence until she was 87 years old, when she began to show signs of dementia. Shortly thereafter, David moved her to Shady Brook. David also hired a part-time “sitter” to keep her mother company because she was too weak to go out of her ro.
A warm welcome to CRESTBD's webinar slides for "Stigma123 & Bipolar Disorder"! An idea readily accepted in academic literature, the three levels of stigma is not yet a robust part of the mainstream discussion about stigma. We'll share both the lived experience and research perspectives of our team.
Module 5 Euthanasia, Physician Assisted Suicide and The Righ.docxkendalfarrier
Module 5
Euthanasia, Physician Assisted Suicide and The Right to Die
Movement
Key Terms
• Hippocratic Oath – an ancient, optional code of ethical
principles
• Euthanasia – intentional shortening of the life of a person
or animal to spare further suffering
• Active Euthanasia – taking some action to cause
death
• Passive Euthanasia – withholding treatment that
might prolong life (generally tolerated by society)
• Key question: Should actions be introduced,
continued, done, or discontinued?
Key Terms
• Terminal Sedation – relieving dying patients’ distress by
keeping them in a deep sedation or coma until death
• An alternative to active euthanasia
• Called “slow euthanasia”
• Liberty Principle – individuals can make their own
decisions
• Informed Consent – patients must be fully informed
before proceeding with treatments
• Competence – the mental ability to understand the
information and make a rational decision
Key Terms
• Nazi “euthanasia” – the false name given to the murder
of innocent people and associated genocide
• Black Stork – The movement in the U.S. in the early
1900s to allow “defective” infants to die
• Eugenics – The movement aimed at sterilizing people
with “defective genes”
• Led to other ideas, such as letting “defective” infants die and
ending the lives of “incurable” patients
• Slippery Slope Argument – Opposing any instance of
assisted death because it could contribute to widespread
abuse in other instances
Assisted Suicide and Euthanasia
• In both, at least two individuals are involved.
• In Assisted Suicide, permission and
cooperation is obtained from individual
wishing to end life. Not always the case in
euthanasia.
Euthanasia and Religion
Various Religions have commented on Euthanasia
and other forms of assisted Suicide:
Judaism: God created a person and therefore
owns the body, a person is just the caretaker
Duty to preserve life – Orthodox & Conservative
Jews find euthanasia morally unacceptable
Active Euthanasia is condemned by all Jewish
groups
Euthanasia in Christianity & Islam
Christianity: suffering is part of God’s plan for
all humans
Typically oppose any intentional killing of
oneself or others
Islam: Suicide, Euthanasia and Physician
Assisted Suicide is generally disapproved of
“Do not destroy yourselves”
Euthanasia Hinduism & Buddhism
Hinduism: assisted suicide and euthanasia may
interfere with karmic processes and is undesirable,
but is not forbidden
Extending human life through medical interventions
may also interfere with karma
Ahimsa: avoidance of causing pain or killing any life
Gandhi: “Should my child be attacked with rabies and
there was no helpful remedy to relieve his agony, I
should consider ot my duty to end his life”
Buddhism: intentionally ending a life is unacceptable
Easing suffering is inappropriate
Right-To-Die Cases
• Estimated that 10,000 to 35.
A Legal and Ethical DilemmaContributed by Alan S. Whiteman, PhD,.docxfredharris32
A Legal and Ethical Dilemma
Contributed by Alan S. Whiteman, PhD, FACMPE, and Lisa E. Sliney, MS, LNHA, Barry University
Background
Mary Evelyn Greene, who has memory impairment, lives in a private room at Shady Brook Skilled Nursing Facility located in a beautiful suburb of a major metropolitan city. She has resided at Shady Brook for the past 18 months. Before moving into Shady Brook, Mrs. Greene lived independently in her own home with assistance from a private-duty nursing assistant and a housekeeper. She and her husband had resided together in this home for more than 50 years. Mrs. Greene is 89 years old and suffers from several health problems associated with aging.
Mrs. Greene has one son, David Greene. David has the power of attorney to handle his mother’s health care and other personal affairs. David works as a trial attorney in one of the city’s largest and most prestigious law firms. He owns a large home in an upscale neighborhood and works hard to put two of his children through college and another one through medical school. His home is about an hour’s drive from his workplace and about 20 minutes from Shady Brook. David’s wife Barbara has never been close to her mother-in-law and has not shown much interest in her care. Hence, caring for his mother has become a major responsibility for David, and he is having a difficult time dealing with her declining health and the onset of mild dementia. It is becoming increasingly more difficult for David to leave his law practice or the court room to deal with issues related to his mother.
Mrs. Greene’s husband was a very successful land developer who left her with a substantial estate, which meets all of her financial needs. After her husband passed away, Mrs. Greene decided to remain in her home. She was able to maintain her independence until she was 87 years old, when she began to show signs of dementia. Shortly thereafter, David moved her to Shady Brook. David also hired a part-time “sitter” to keep her mother company because she was too weak to go out of her room on her own. Mrs. Greene seems to enjoy the sitter’s company and likes the attention she gets.
Upon entering Shady Brook, Mrs. Greene became depressed over losing her independence and her home and felt a growing frustration with forgetfulness. She gradually lost her appetite, and her desire to eat continued to decline. On the other hand, Mrs. Greene seems to enjoy the smell of certain foods. The associates monitor and document her food intake and her facial expressions when she is offered different foods. Mrs. Greene is particularly fond of Susan Brown, a certified nursing assistant (CNA), who sits with her and helps Mrs. Greene with whatever little she can eat. When this occurs, her appetite shows some improvement. Mrs. Greene also responds well to volunteers who carry out activities at the facility.
Frustrated Family Member
Mrs. Greene has become too weak to eat on her own. When no one is feeding her, she leaves most of her .
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
A presentation made by Dr. Brian Goldman during the free public forum "How to Start the Conversation: a discussion on preparing for end-of-life care" on January 9, 2014 at the United Steelworkers Hall in Sudbury, Ontario.
Dr. Brian Goldman is an Emergency Department physician at Mount Sinai Hospital in Toronto and host of the national CBC radio program “White Coat, Black Art”.
Learn more about the forum at http://www.hsnsudbury.ca/events
1) The Death System and Cultural Contexts
2) Defining Death and Life/Death Issues
3) A Developmental Perspective on Death
4) Facing One's Own Death
5) Coping with the Death of Someone Else
Need a 6 page APA format paper based on the case study posted below..docxlea6nklmattu
Need a 6 page APA format paper based on the case study posted below. Need the paper completed by Tuesday, January 19
th
, 2016 at 13:00 EST (1pm).
Deciding to place a loved one into a long-term care facility can be extremely difficult. Even more difficult is the thought of your loved one’s rights being violated while in long-term care. Patient healthcare rights are not as clearly defined as one would expect, and there are long-term care and other healthcare facilities that create their own sets of patient rights. However, there are also certain indisputable rights afforded to patients across the board.
Read the case study titled “A Legal and Ethical Dilemma (Posted below)
Write a six (6) page paper in which you:
1.
Describe the legal and ethical dilemma discussed in the case study. Analyze the key ways in which a patient’s right to die relates to this specific case.
2.
From your research, specify the potential repercussions for failure to comply with the wishes of a patient who has requested to withhold a life-sustaining procedure. Next, take a position on whether the patient’s right to die or the patient’s right to be protected from harm should take precedence in this case. Provide a rationale for your position.
3.
Imagine that you are a part of the ethics committee investigating this case. Determine the main facts pertaining to the issue that the committee should consider. Suggest one (1) step that the facility should take next in order to resolve the dilemma. Provide a rationale for your response.
4.
Use at least three (3) quality academic resources.
Note:
Wikipedia and other similar websites do not qualify as academic resources.
Your assignment must follow these formatting requirements:
·
Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format.
Case Study: A legal and Ethical Dilemma:
Background
Mary Evelyn Greene, who has memory impairment, lives in a private room at Shady Brook Skilled Nursing Facility located in a beautiful suburb of a major metropolitan city. She has resided at Shady Brook for the past 18 months. Before moving into Shady Brook, Mrs. Greene lived independently in her own home with assistance from a private-duty nursing assistant and a housekeeper. She and her husband had resided together in this home for more than 50 years. Mrs. Greene is 89 years old and suffers from several health problems associated with aging.
Mrs. Greene has one son, David Greene. David has the power of attorney to handle his mother’s health care and other personal affairs. David works as a trial attorney in one of the city’s largest and most prestigious law firms. He owns a large home in an upscale neighborhood and works hard to put two of his children through college and another one through medical school. His home is about an hour’s drive from his workplace and about 20 minutes from Shady Brook. David’s wife Barbara has ne.
Deciding to place a loved one into a long-term care facility can be emersonpearline
Deciding to place a loved one into a long-term care facility can be extremely difficult. Even more difficult is the thought of your loved one’s rights being violated while in long-term care. Patient healthcare rights are not as clearly defined as one would expect, and there are long-term care and other healthcare facilities that create their own sets of patient rights. However, there are also certain indisputable rights afforded to patients across the board.
Read the case study titled “A Legal and Ethical Dilemma”, located on pages 463-465 of your text. Next, use the Internet or Strayer Library to research information on a patient’s right to die.
Write a four to six (4-6) page paper in which you:
Describe the legal and ethical dilemma discussed in the case study. Analyze the key ways in which a patient’s right to die relates to this specific case.
From your research, specify the potential repercussions for failure to comply with the wishes of a patient who has requested to withhold a life-sustaining procedure. Next, take a position on whether the patient’s right to die or the patient’s right to be protected from harm should take precedence in this case. Provide a rationale for your position.
Imagine that you are a part of the ethics committee investigating this case. Determine the main facts pertaining to the issue that the committee should consider. Suggest one (1) step that the facility should take next in order to resolve the dilemma. Provide a rationale for your response.
Use at least three (3) quality academic resources.
Note:
Wikipedia and other similar websites do not qualify as academic resources.
Your assignment must follow these formatting requirements:
Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.
Case Study
Background
Mary Evelyn Greene, who has memory impairment, lives in a private room at Shady Brook Skilled Nursing Facility located in a beautiful suburb of a major metropolitan city. She has resided at Shady Brook for the past 18 months. Before moving into Shady Brook, Mrs. Greene lived independently in her own home with assistance from a private-duty nursing assistant and a housekeeper. She and her husband had resided together in this home for more than 50 years. Mrs. Greene is 89 years old and suffers from several health problems associated with aging.
Mrs. Greene has one son, David Greene. David has the power of attorney to handle his mother’s health care and other personal affairs. David works as a trial attorney in one of the city’s largest and most prestigious law firms ...
Deciding to place a loved one into a long-term care facility can be .docxcrystal5fqula
Deciding to place a loved one into a long-term care facility can be extremely difficult. Even more difficult is the thought of your loved one’s rights being violated while in long-term care. Patient healthcare rights are not as clearly defined as one would expect, and there are long-term care and other healthcare facilities that create their own sets of patient rights. However, there are also certain indisputable rights afforded to patients across the board.
2-3 pages with introduction paragraph
Describe the legal and ethical dilemma discussed in the following case study.
Analyze the key ways in which a patient’s right to die relates to this specific case.
2-3 pages
Use at least three (3) quality academic resources
.
citations and references must follow APA
Im
agine that you are a part of the ethics committee investigating this case. Determine the main facts pertaining to the issue that the committee should consider.
Suggest one (1) step that the facility should take next in order to resolve the dilemma. Provide a rationale for your response.
Background
Mary Evelyn Greene, who has memory impairment, lives in a private room at Shady Brook Skilled Nursing Facility located in a beautiful suburb of a major metropolitan city. She has resided at Shady Brook for the past 18 months. Before moving into Shady Brook, Mrs. Greene lived independently in her own home with assistance from a private-duty nursing assistant and a housekeeper. She and her husband had resided together in this home for more than 50 years. Mrs. Greene is 89 years old and suffers from several health problems associated with aging.
Mrs. Greene has one son, David Greene. David has the power of attorney to handle his mother’s health care and other personal affairs. David works as a trial attorney in one of the city’s largest and most prestigious law firms. He owns a large home in an upscale neighborhood and works hard to put two of his children through college and another one through medical school. His home is about an hour’s drive from his workplace and about 20 minutes from Shady Brook. David’s wife Barbara has never been close to her mother-in-law and has not shown much interest in her care. Hence, caring for his mother has become a major responsibility for David, and he is having a difficult time dealing with her declining health and the onset of mild dementia. It is becoming increasingly more difficult for David to leave his law practice or the court room to deal with issues related to his mother.
Mrs. Greene’s husband was a very successful land developer who left her with a substantial estate, which meets all of her financial needs. After her husband passed away, Mrs. Greene decided to remain in her home. She was able to maintain her independence until she was 87 years old, when she began to show signs of dementia. Shortly thereafter, David moved her to Shady Brook. David also hired a part-time “sitter” to keep her mother company because she was too weak to go out of her ro.
A warm welcome to CRESTBD's webinar slides for "Stigma123 & Bipolar Disorder"! An idea readily accepted in academic literature, the three levels of stigma is not yet a robust part of the mainstream discussion about stigma. We'll share both the lived experience and research perspectives of our team.
Module 5 Euthanasia, Physician Assisted Suicide and The Righ.docxkendalfarrier
Module 5
Euthanasia, Physician Assisted Suicide and The Right to Die
Movement
Key Terms
• Hippocratic Oath – an ancient, optional code of ethical
principles
• Euthanasia – intentional shortening of the life of a person
or animal to spare further suffering
• Active Euthanasia – taking some action to cause
death
• Passive Euthanasia – withholding treatment that
might prolong life (generally tolerated by society)
• Key question: Should actions be introduced,
continued, done, or discontinued?
Key Terms
• Terminal Sedation – relieving dying patients’ distress by
keeping them in a deep sedation or coma until death
• An alternative to active euthanasia
• Called “slow euthanasia”
• Liberty Principle – individuals can make their own
decisions
• Informed Consent – patients must be fully informed
before proceeding with treatments
• Competence – the mental ability to understand the
information and make a rational decision
Key Terms
• Nazi “euthanasia” – the false name given to the murder
of innocent people and associated genocide
• Black Stork – The movement in the U.S. in the early
1900s to allow “defective” infants to die
• Eugenics – The movement aimed at sterilizing people
with “defective genes”
• Led to other ideas, such as letting “defective” infants die and
ending the lives of “incurable” patients
• Slippery Slope Argument – Opposing any instance of
assisted death because it could contribute to widespread
abuse in other instances
Assisted Suicide and Euthanasia
• In both, at least two individuals are involved.
• In Assisted Suicide, permission and
cooperation is obtained from individual
wishing to end life. Not always the case in
euthanasia.
Euthanasia and Religion
Various Religions have commented on Euthanasia
and other forms of assisted Suicide:
Judaism: God created a person and therefore
owns the body, a person is just the caretaker
Duty to preserve life – Orthodox & Conservative
Jews find euthanasia morally unacceptable
Active Euthanasia is condemned by all Jewish
groups
Euthanasia in Christianity & Islam
Christianity: suffering is part of God’s plan for
all humans
Typically oppose any intentional killing of
oneself or others
Islam: Suicide, Euthanasia and Physician
Assisted Suicide is generally disapproved of
“Do not destroy yourselves”
Euthanasia Hinduism & Buddhism
Hinduism: assisted suicide and euthanasia may
interfere with karmic processes and is undesirable,
but is not forbidden
Extending human life through medical interventions
may also interfere with karma
Ahimsa: avoidance of causing pain or killing any life
Gandhi: “Should my child be attacked with rabies and
there was no helpful remedy to relieve his agony, I
should consider ot my duty to end his life”
Buddhism: intentionally ending a life is unacceptable
Easing suffering is inappropriate
Right-To-Die Cases
• Estimated that 10,000 to 35.
A Legal and Ethical DilemmaContributed by Alan S. Whiteman, PhD,.docxfredharris32
A Legal and Ethical Dilemma
Contributed by Alan S. Whiteman, PhD, FACMPE, and Lisa E. Sliney, MS, LNHA, Barry University
Background
Mary Evelyn Greene, who has memory impairment, lives in a private room at Shady Brook Skilled Nursing Facility located in a beautiful suburb of a major metropolitan city. She has resided at Shady Brook for the past 18 months. Before moving into Shady Brook, Mrs. Greene lived independently in her own home with assistance from a private-duty nursing assistant and a housekeeper. She and her husband had resided together in this home for more than 50 years. Mrs. Greene is 89 years old and suffers from several health problems associated with aging.
Mrs. Greene has one son, David Greene. David has the power of attorney to handle his mother’s health care and other personal affairs. David works as a trial attorney in one of the city’s largest and most prestigious law firms. He owns a large home in an upscale neighborhood and works hard to put two of his children through college and another one through medical school. His home is about an hour’s drive from his workplace and about 20 minutes from Shady Brook. David’s wife Barbara has never been close to her mother-in-law and has not shown much interest in her care. Hence, caring for his mother has become a major responsibility for David, and he is having a difficult time dealing with her declining health and the onset of mild dementia. It is becoming increasingly more difficult for David to leave his law practice or the court room to deal with issues related to his mother.
Mrs. Greene’s husband was a very successful land developer who left her with a substantial estate, which meets all of her financial needs. After her husband passed away, Mrs. Greene decided to remain in her home. She was able to maintain her independence until she was 87 years old, when she began to show signs of dementia. Shortly thereafter, David moved her to Shady Brook. David also hired a part-time “sitter” to keep her mother company because she was too weak to go out of her room on her own. Mrs. Greene seems to enjoy the sitter’s company and likes the attention she gets.
Upon entering Shady Brook, Mrs. Greene became depressed over losing her independence and her home and felt a growing frustration with forgetfulness. She gradually lost her appetite, and her desire to eat continued to decline. On the other hand, Mrs. Greene seems to enjoy the smell of certain foods. The associates monitor and document her food intake and her facial expressions when she is offered different foods. Mrs. Greene is particularly fond of Susan Brown, a certified nursing assistant (CNA), who sits with her and helps Mrs. Greene with whatever little she can eat. When this occurs, her appetite shows some improvement. Mrs. Greene also responds well to volunteers who carry out activities at the facility.
Frustrated Family Member
Mrs. Greene has become too weak to eat on her own. When no one is feeding her, she leaves most of her .
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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2. About Dax (Pre-Accident)
▪ Donald “Dax” Cowart was born in 1947 in Henderson Texas
▪ He played tail back on his high school football team, and
earned a bachelors degree in finance from the University of
Texas
▪ Dax was also a former United States Air Force Pilot
3. Case History
▪ In 1973, Dax was 25 years old and had just recently got back from
the Air Force
▪ Dax and his father went to go look at some land in Texas that his
father was interested in buying
▪ The land was in a small valley and the Cowarts were unaware that
a gas leak had caused the valley to be full of propane gas
▪ After visiting the land and going back to their parked car, the spark
of the ignition set the gas on the floor of the valley on fire causing
an explosion
4. Case History
▪ After the explosion, severely burnt, Dax went running and
shouting for help
▪ A man heard him and ran towards him. Dax asked the man for a
gun and when the man asked why, Dax said “Can’t you see, I’m a
dead man. I am going to die anyway”. The man said that he could
not do that.
▪ Both men were severely burnt. His father died on the way to the
hospital, while Dax survived
▪ Dax had 2nd and 3rd degree burns on 67% of his body
5. Case History
▪ Dax had about a 20% chance to survive but would have a much
compromised quality of life
▪ Dax lost fingers on both hands, his eyes, ears, and about 65% of his
skin was severely burned or lost
6. Treatment
▪ Dax was forcibly treated for a total of 10 years, some of the
treatments are no longer considered appropriate
▪ He was regular immersed in chlorinated water to help fight
infection
▪ He also had bandages covering his body that needed to be
striped and replaced quite frequently
▪ Dax said it felt like he was being skinned alive daily and would
sometimes lose consciousness
▪ He had to be held down at the beginning of treatments and
doctors only supplied a limited amount of pain killers to him
▪ Dax tried to commit suicided multiple times but was prevented
each time
7. Treatment
▪ Dax repeatedly refused treatment but his pleas were ignored even
after 2 psychiatrists found him competent to make his own
decisions
▪ His mother became his proxy decision maker while he was in
critical care
▪ She, as well as the doctors, would not allow him to die
8. After Treatment
▪ Dax was released from the hospital after 232 days, blind and
without functioning hands
▪ He ended up earning a law degree from Texas Tech University in
1986
▪ He also became a millionaire after successfully suing the gas
company which caused his burns
▪ After two earlier marriages, Dax married Samantha Berryessa,
who was also a lawyer, in 2003
▪ Even after living an accomplished life, Dax said, “I still feel that it
was wrong to force me to undergo what I had to to be alive. If the
same thing were to occur tomorrow, and knowing that I could
reach this point, I would still not want to be forced to undergo the
pain and agony that I had to undergo to be alive now. I would want
that choice to lie entirely with myself and no others.”
▪ Dax later died in 2019 at the age of 71
9. Ethical Issue
▪ Patient Autonomy vs Beneficence
▪ Patient autonomy is acknowledging that patients who have decision
making capacity, have the right to make decisions regarding their care
▪ Beneficence is promoting the patients wellbeing
▪ In this case, honoring Dax’s choice conflicted with prolonging his life
▪ His mother and the health care workers decided to commit to
beneficence which is morally excepted in most circumstances
▪ This was even after two psychiatrists examinations found him to be
competent to make his own decisions
▪ Dax wanted to refuse life-prolonging treatment in favor of patient
autonomy, which would be choosing death
10. Ethical Issue
▪ Dax goes on to say, “the view that the end result justifies whatever
means necessary to achieve it is absurd”.
▪ He disagrees that the treatment used on him was ethical and okay to
go through with
▪ The means in this case is the excruciating painful treatments and the
end result was the latter part of Dax Cowarts life
▪ He believes that the types of treatments he went through are not
justifiable and were not worth the pain he endured. Also that he
should have had the right to die
11. Our Views
▪ Patient should have right to refuse treatment
▪ Respect for Autonomy
