22 Fillmore is a dramatic, fantasy-thriller that chronicles the life of Jeff, a desperate drug addict, gripped in a downward spiral, and haunted by images of his abusive Dad. After being served with an eviction notice, losing his job, being physically abused, and shot in a drug deal gone bad, Jeff ends up in the hospital.
Cigarettes are the only products, when used as directed, will kill 50% of its users. Knowing this makes these cigarette commercials all that more ghastly.
If you are still smoking today, you are an active drug addict. Today there is residential drug treatment available for nicotine addicts in beautiful Panama. Serenity Vista Addiction Recovery Retreat www.serenityvista.com See our website for more information.
Roebuck 1 Brittany Roebuck Professor Bertsch ENG.docxhealdkathaleen
Roebuck 1
Brittany Roebuck
Professor Bertsch
ENGL 1100
8 April 2018
Should Physician-Assisted Suicide Be Legal?
In 1997, Oregon became the first state to enact the Death with Dignity Act (DWDA).
This act allows a person with a terminal illness to make the decision to end their own life with a
lethal medication prescribed by a physician. Since then, only four other states have legalized
physician-assisted suicide. I’m interested in this topic for two reasons. The first being I am
currently making a career change and going back to school for nursing. I ultimately want to
become a hospice nurse. I believe this is a very relevant topic in the field of providing comfort
care to terminally ill patients. The second reason is because my grandpa died of lung cancer and I
spent the majority of his last three months taking care of him. His time between diagnosis and
when he passed was very quick but also very painful. I can’t imagine if he had lived for another
year or more how difficult it would have been for him, myself, and my family. We never
discussed the option of physician-assisted suicide because it is not an option in the state of Ohio.
My grandpa had a passion for life and living it to the fullest. Knowing him well, I think if the
option had been available, it would have been something he would have considered. I wanted to
dive into this topic and find out why in the past eleven years this law has only been passed in five
states. So, I decided to do some research of my own to find out the answer to my question:
Should physician-assisted suicide be legal in every state?
When I started researching this topic, I found a lot of opposition. There are many reasons
people are against physician-assisted suicide. One being religious reasons. Religious
Roebuck 2
organizations argue that human life is sacred and someone ending their own life, no matter the
circumstances, is morally and spiritually wrong (“Right to Die” 2). The American Medical
Association also objects to physician-assisted suicide. They argue that physicians are meant to
heal not kill (2). Another argument states that allowing physician-assisted suicide would leave
people with mental and physical disabilities open to being coerced into ending their own lives. If
someone believes they may be a financial or physical burden on their family, they may be
tempted to consider physician-assisted suicide simply to relieve that burden. Some people think
instead of helping people die, doctors and policy makers should be working on improving end-
of-life care (2). There is also an argument that minorities have less access to health care and
receive less treatment as a result. This may make a pill to end their lives feel like the only option
for them. (2)
As far as support for this movement, well, there’s less of it. Supporters argue that if a
person has the right to refuse medical treatment, they should also have the rig ...
For this assignment, consider the following case and then using th.docxbudbarber38650
For this assignment, consider the following case and then using the internet, course materials, and the Library, compose reasoned responses to the questions that follow.
In the mid 1970s, a nursing educator in Idaho had contact, through a student, with a female client who had chronic myelogenous leukemia. This form of leukemia can often be managed for years with little or no chemotherapy. The woman had done well for about twelve years and ascribed her good condition to health foods and a strict nutritional regime. However, her condition had turned worse several weeks before and her physician had advised her that she needed chemotherapy if she were to have any chance at survival. The physician had also advised her of the potential side effects of the therapy including hair loss, nausea, fever, and immune system suppression.
The woman consented to the therapy and signed the appropriate forms, but later, she began to have second thoughts. The nursing educator and student had given the patient one dose of the therapy when the woman began to cry and express her reservations about the therapy. She questioned the nurse about alternative treatments to the use of chemotherapy. The patient related that she had accepted the therapy because her son had advised her that this was the best treatment. She related that she had not asked about alternate forms of treatment as the physician had indicated that chemotherapy was the only treatment indicated. The nurse did not discuss the patient's concerns with the physician, and later that evening, she talked to the patient about alternate therapies. In the discussion, rather nontraditional and controversial therapies were covered including reflexology and the use of laetrile. During the talk, the nurse made it very clear that the treatments under discussion were not sanctioned by the medical community.
The patient's feelings toward alternate therapies were strengthened by the evening's conversation; however, she continued with chemotherapy. The treatments, however, did not bring remission to her crisis and she died two weeks later. Upon hearing about the conversation between the off duty nurse educator and his patient, the physician brought charges against the nurse for unprofessional conduct and interfering with the patient-physician relationship. (In re Tuma, 1977).
1. What, if anything, did the nurse do wrong?
2. Had she moved beyond her scope of practice?
3. Could the nurse's conduct be justified under the patient advocate portion of her role?
4. If you were a member of the state board for nursing and had to decide the issue of unprofessional conduct and interference with the patient-physician relationship, would you sanction the nurse?
Support your responses with evidence and cite your sources.
Length 4 pages not counting the case. At least 4 references; scholarly sources
COURSE MATERIAL INFORMATION
: Ethical Principles and Dilemmas of Confidentiality, Veracity, and Fidelity
Health care .
Ten years ago, prescription painkiller dependence swept rural America. As the government cracked down on doctors and drug companies, people went searching for a cheaper, more accessible high. Now, many areas are struggling with an unprecedented heroin crisis.
22 Fillmore is a dramatic, fantasy-thriller that chronicles the life of Jeff, a desperate drug addict, gripped in a downward spiral, and haunted by images of his abusive Dad. After being served with an eviction notice, losing his job, being physically abused, and shot in a drug deal gone bad, Jeff ends up in the hospital.
Cigarettes are the only products, when used as directed, will kill 50% of its users. Knowing this makes these cigarette commercials all that more ghastly.
If you are still smoking today, you are an active drug addict. Today there is residential drug treatment available for nicotine addicts in beautiful Panama. Serenity Vista Addiction Recovery Retreat www.serenityvista.com See our website for more information.
Roebuck 1 Brittany Roebuck Professor Bertsch ENG.docxhealdkathaleen
Roebuck 1
Brittany Roebuck
Professor Bertsch
ENGL 1100
8 April 2018
Should Physician-Assisted Suicide Be Legal?
In 1997, Oregon became the first state to enact the Death with Dignity Act (DWDA).
This act allows a person with a terminal illness to make the decision to end their own life with a
lethal medication prescribed by a physician. Since then, only four other states have legalized
physician-assisted suicide. I’m interested in this topic for two reasons. The first being I am
currently making a career change and going back to school for nursing. I ultimately want to
become a hospice nurse. I believe this is a very relevant topic in the field of providing comfort
care to terminally ill patients. The second reason is because my grandpa died of lung cancer and I
spent the majority of his last three months taking care of him. His time between diagnosis and
when he passed was very quick but also very painful. I can’t imagine if he had lived for another
year or more how difficult it would have been for him, myself, and my family. We never
discussed the option of physician-assisted suicide because it is not an option in the state of Ohio.
My grandpa had a passion for life and living it to the fullest. Knowing him well, I think if the
option had been available, it would have been something he would have considered. I wanted to
dive into this topic and find out why in the past eleven years this law has only been passed in five
states. So, I decided to do some research of my own to find out the answer to my question:
Should physician-assisted suicide be legal in every state?
When I started researching this topic, I found a lot of opposition. There are many reasons
people are against physician-assisted suicide. One being religious reasons. Religious
Roebuck 2
organizations argue that human life is sacred and someone ending their own life, no matter the
circumstances, is morally and spiritually wrong (“Right to Die” 2). The American Medical
Association also objects to physician-assisted suicide. They argue that physicians are meant to
heal not kill (2). Another argument states that allowing physician-assisted suicide would leave
people with mental and physical disabilities open to being coerced into ending their own lives. If
someone believes they may be a financial or physical burden on their family, they may be
tempted to consider physician-assisted suicide simply to relieve that burden. Some people think
instead of helping people die, doctors and policy makers should be working on improving end-
of-life care (2). There is also an argument that minorities have less access to health care and
receive less treatment as a result. This may make a pill to end their lives feel like the only option
for them. (2)
As far as support for this movement, well, there’s less of it. Supporters argue that if a
person has the right to refuse medical treatment, they should also have the rig ...
For this assignment, consider the following case and then using th.docxbudbarber38650
For this assignment, consider the following case and then using the internet, course materials, and the Library, compose reasoned responses to the questions that follow.
In the mid 1970s, a nursing educator in Idaho had contact, through a student, with a female client who had chronic myelogenous leukemia. This form of leukemia can often be managed for years with little or no chemotherapy. The woman had done well for about twelve years and ascribed her good condition to health foods and a strict nutritional regime. However, her condition had turned worse several weeks before and her physician had advised her that she needed chemotherapy if she were to have any chance at survival. The physician had also advised her of the potential side effects of the therapy including hair loss, nausea, fever, and immune system suppression.
The woman consented to the therapy and signed the appropriate forms, but later, she began to have second thoughts. The nursing educator and student had given the patient one dose of the therapy when the woman began to cry and express her reservations about the therapy. She questioned the nurse about alternative treatments to the use of chemotherapy. The patient related that she had accepted the therapy because her son had advised her that this was the best treatment. She related that she had not asked about alternate forms of treatment as the physician had indicated that chemotherapy was the only treatment indicated. The nurse did not discuss the patient's concerns with the physician, and later that evening, she talked to the patient about alternate therapies. In the discussion, rather nontraditional and controversial therapies were covered including reflexology and the use of laetrile. During the talk, the nurse made it very clear that the treatments under discussion were not sanctioned by the medical community.
The patient's feelings toward alternate therapies were strengthened by the evening's conversation; however, she continued with chemotherapy. The treatments, however, did not bring remission to her crisis and she died two weeks later. Upon hearing about the conversation between the off duty nurse educator and his patient, the physician brought charges against the nurse for unprofessional conduct and interfering with the patient-physician relationship. (In re Tuma, 1977).
1. What, if anything, did the nurse do wrong?
2. Had she moved beyond her scope of practice?
3. Could the nurse's conduct be justified under the patient advocate portion of her role?
4. If you were a member of the state board for nursing and had to decide the issue of unprofessional conduct and interference with the patient-physician relationship, would you sanction the nurse?
Support your responses with evidence and cite your sources.
Length 4 pages not counting the case. At least 4 references; scholarly sources
COURSE MATERIAL INFORMATION
: Ethical Principles and Dilemmas of Confidentiality, Veracity, and Fidelity
Health care .
Ten years ago, prescription painkiller dependence swept rural America. As the government cracked down on doctors and drug companies, people went searching for a cheaper, more accessible high. Now, many areas are struggling with an unprecedented heroin crisis.
Similar to When a drug addict isn't ready to accept help the new york times (11)
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According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
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For those battling kidney disease and exploring treatment options, understanding when to consider a kidney transplant is crucial. This guide aims to provide valuable insights into the circumstances under which a kidney transplant at the renowned Hiranandani Hospital may be the most appropriate course of action. By addressing the key indicators and factors involved, we hope to empower patients and their families to make informed decisions about their kidney care journey.
PET CT beginners Guide covers some of the underrepresented topics in PET CTMiadAlsulami
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When a drug addict isn't ready to accept help the new york times
1. Addicted to Painkillers, Unready for Help
By Paul Christopher, M.D. October 1, 2012 12:01 pm
“I’m addicted to painkillers,” J., a thickset construction worker, told me on a
recent afternoon in the emergency room, his wife at his side.
Two years before, after months of pain, stiffness and swelling in his hands and
neck, his primary physician had diagnosed rheumatoid arthritis and had prescribed
three medications: two to slow the disease and one, oxycodone, for pain.
Bolstered by the painkiller, J. had felt more limber and energetic than he had in
years. “I could finally keep up with the other guys,” he told me. He worked harder,
and his pain worsened. His primary physician increased the oxycodone dose.
Soon, J. was looking forward more to the buzz than to the relief the pills
brought. He went to see two other physicians who, unaware that he was double-
dipping, prescribed similar medications. When a co-worker offered to sell him
painkillers directly, J.’s use spiraled out of control.
By the time I saw him, he was taking dozens of pills a day, often crushing and
snorting them to speed the onset of his high. With remarkable candor, he described
how the drugs had marred every facet of his life — from days of missed work to
increasing debt, deteriorating health and marital strain.
But when I listed the treatment options that might help, J. shook his head,
looked from me to his wife, and got up. “I’m all set,” he said, holding up his hands.
2. Then he walked out of the room.
Despair fell on his wife’s face. “Please,” she said, grabbing my arm, “you can’t let
him leave.”
She’d found him twice in the past week slumped on the bathroom floor,
impossible to arouse. Though she’d called 911, both times the hospital released J.
within hours after he came to and insisted the overdose was accidental. “I just know
I’m going to come home one day to find him dead,” she said.
She had good reason to worry. Prescription drug abuse is America’s fastest-
growing drug problem. Every 19 minutes, someone dies from a prescription drug
overdose in the United States, triple the rate in 1990. And according to the Centers
for Disease Control and Prevention, prescription painkillers (like oxycodone) are
largely to blame. More people die from ingesting these drugs than from cocaine and
heroin combined. Yet while I shared her concern, there was little I could do to force
J. into treatment.
My hospital happens to be in Rhode Island, one of about a dozen states where
compulsory treatment for someone like J. (that is, someone not under the purview of
the criminal justice system) does not exist. Had J. been a resident of nearby
Massachusetts — or from one of more than 20 other states that permit involuntary
addiction treatment — I would have suggested his wife petition a judge to force him
into care. Had we met in any of a dozen states, I could have hospitalized J. myself —
against his will and for up to several days.
The requirements for involuntary substance treatment vary widely across the
nation, from posing a serious danger to oneself, others or property, to impaired
decision-making or even something as vague as losing control of oneself. States
approach compulsory treatment for mental illness with far greater uniformity. All
allow it, and almost all restrict it to instances in which a patient poses an immediate
danger to himself or another.
This common standard stems from a series of federal court cases that set
procedural and substantive requirements for mental health commitments. But
3. involuntary commitment for addiction treatment, while certainly not new, has
received considerably less judicial attention.
In a 1962 case, Robinson v. California, the Supreme Court held that while
conviction solely for drug addiction was unconstitutional, “a state might establish a
program of compulsory treatment for those addicted to narcotics.” Many did, others
didn’t. The high court has yet to revisit the issue.
Another complicating factor is society’s disagreement about what addiction
really is: a disease, a moral failing or something in between. Many (often patients
themselves) see drug abuse as purely a choice. Under this view, justifying the lost
autonomy and expense to taxpayers that accompany mandated treatment becomes a
hard sell.
Yet a large and ever-growing body of research paints a far more complicated
picture of addiction.
The cognitive concepts that we typically associate with “willpower” —
motivation, resolve and an ability to delay gratification, resist impulses and consider
and choose among alternatives — arise from distinct neural pathways in the brain.
The characteristic elements of drug abuse — craving, intoxication, dependency and
withdrawal — correspond with disruptions in these circuits. A host of genetic or
environmental factors serve to reinforce or mitigate these effects. These data
underscore the powerful ways in which addiction constrains one’s ability to resist.
The spotty existence of commitment laws for addiction has created something
odd in medicine: a landscape where the standard of care differs dramatically from
one place to the next. But change seems to be afoot. In March, Ohio passed a law
authorizing substance-related commitments. Pennsylvania is considering a similar
bill.
In July, Massachusetts extended its maximum period of addiction commitment
from 30 days to 90 days, a move driven by the state’s growing opioid abuse epidemic.
In the same month, however, California terminated its commitment program for
drug abuse.