...Providing Good Care to Dying Patients: Paper 2 Jaime Holtgrewe Chamberlain College of Nursing NR 449 Evidence Based Practice February 2013 Clinical Question In my group, the focus of research is based on the following clinical question: What are the best practices for end of life care? Within the group, research is driven to focus on enhancing care for end of life patient, including collaboration with physicians and surrogate decision makers or a power of attorney (POA), as well as pain management policies. However, all aspects of care for end of life patients are taken into consideration when determining which facet is most important. The group’s research consists of quantitative and qualitative articles focusing on transitioning to hospice programs, new measures of care, acceptance of death and experience of caregivers for the dying patient. According to the Journal of Health Politics, Policy & Law (2008), three of every four Americans do not fear death as much as they fear being in pain at the time of death. End-of-life care can be a challenge requiring the full range of a family physician's skills. Significant pain is common but is often undertreated despite available medications and technology. Physicians must overcome their own fears about using narcotics and allay similar fears in patients, families and communities. Drugs such as corticosteroids, antidepressants and anticonvulsants can also help to alleviate pain. A considerable amount of research has compiled over...
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...such person as gross danger to the existence in the society and provide death punishment. So, the purpose of this research paper is to highlight, how death penalty infringes individual’s Right to equality before Law and Right to life and personal liberty under Article 14 and 21 of the constitution as death penalty is one of the most barbaric way to deal with the murder and morally there is nothing that makes us better if we kill those who kill. And, whether the judiciary system removes the chances of punishing innocent completely? Apart from these, do the criminals deserves such an easy death, Is it not important for the criminals to suffer more than the person they attacked as dying at once by death penalty is very easy but dying every day in the jail for the completion of life imprisonment is very tough. But whether the abolishment of death penalty would amount to a rational decision, as the abolition of death penalty completely would amount to repeated crimes or can give a second chance to criminals to repeat the same, and it is also very important to create some fear in the minds of the people about the consequences of any heinous crime committed. Considering the present economic conditions, whether a developing country like India should invest upon the reformation of criminals or eradication of poverty is also a very important key point in this research paper....
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...A Discussion about Death Jeff Tiedemann May 14, 2011 Grand Canyon University The following paper will be part interview and part essay. A local funeral director was interviewed about final preparations, the purpose of a modern funeral, how people cope with death, and unusual request for funeral services. A brief discussion how some modern funeral traditions were originated and why death is almost always attached to fear will also be addressed. Death is still reacted to with fear even with all the modern scientific and medical knowledge that is available to our society. Since no one has ever died and returned to tell about what death is really like, we as humans have a natural fear of what is not understood or cannot be controlled (www.wyfda.org 1). The typical response to death is avoidance because death is not a pleasant topic of conversation. Most speak of people dying and not focusing on themselves. Fear has been a response to death since primitive times; this fear started the first burial rituals, that were meant to protect the lining from the spirits, which caused the death (1). Along with the burning of corpses to destroy evil spirits, some cultures would eat the deceased as a show of respect to the person who died (www.anthropology.uwaterloo.ca 2). The fear of the dead carried over into religious thought and sacrifices of all kinds were made in honor of the dead and to appease the spirits. A modern funeral for most cultures is a spiritual experience. According...
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...The Colorado End of Life Options Act Jasmine Shaw Denver College of Nursing Abstract This paper is intended to provide an overview regarding the Colorado End of Life Options Act. This paper includes information regarding what it is, who qualifies to use it, and what the entirety of the process looks like. The ultimate goal of this paper, however, is to provide enough information regarding the Colorado End of Life Options Act to ensure that a general understanding of the basic requirements/qualifications, processes, individuals involved, and dilemmas surrounding physician assisted suicide is obtained. Keywords: Colorado, End of Life Options, Physician assisted suicide The Colorado End of Life Options Act The concept of physician...
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...Assignment 1: World View Chart Writing Assignment Tanisha Hayden Professor Sean-David McGoran World Religions 212 December 14, 2015 In the course of recent weeks there has been a lot of information about how diverse religions handle numerous themes, for example, human instinct, if there is a God or divine beings, great and detestable, and different ceremonies that are imperative to perform. This paper will take a gander at all the distinctive religions that we have concentrated on and directed through the semester, yet we will be looking at one particular classification and that is of the Afterlife in these religions. The one point that I discovered the most fascinating and illuminating is the way diverse religions handle the considered passing and if there is life after death. Religion all through history has tried to lighten this worry by clarifying what happens after death while also working it into the teachings of good, malevolence, mortality, and salvation. In spite of the fact that there is a wide assortment of convictions they can be contracted down to two focal conviction designs, the thought of resurrection or the thought of the individual heading off to an alternate other worldly plane, for example, the thought of Heaven and Hell. select one (1) category from the completed World View Chart. Provide a rationale for choosing this category. The category that I thought was most intriguing was the views of the afterlife. The reason this subject was selected was to better...
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... The many forms of death will examined and discussed in this paper. From the study of Thanatology which pertains to death and how it is feared by many people of all ages. Also involving the theorists who debated and studied on this topic. Along with that there are religious perceptions of death and how one’s soul will live in the afterlife or take the form of another being. It will also discuss how people grieve over a deceased loved one and how to cope with those feelings. At the same time, this paper will give examples of how people deal with death in the movie Remember Me. Death in Its Many Forms Death is often seen as sad event or even too scary to think about. The views and traditions of death are very different around the world. Some believe there is an afterlife while others believe in reincarnation. There also many ways to mourn or grieve over the loss of a loved one. Even though there are many different ways to look at death, there three that stand out the most; thanatology, religious views, and bereavement. Thanatology The word thanatology actually comes from the Greek word thanatos, meaning death (New World Encyclopedia Contributers). Thanatology is the actual study of death and dying of the social and emotional aspects itself. Also involving the experience of the deceased’s loved ones and how the deceased’s life was celebrated. Nonetheless, Thanatology isn’t sad but it is the acceptance of dying and reaffirmation of life (Berger 2010. p. 566). This study was...
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...whenever people have to speak before others. By understanding the common scenario, I propose to inspect on glossophobia (fear of public speaking). “Glossophobia”, the fear of speaking in public is rated as only second to the fear of snakes and before the fear of dying. Symptoms include intense anxiety prior to or simply at the thought of having to verbally communicate with any group, avoidance of events which focus the group's attention on individuals in attendance, and may even include physical distress, nausea, or feelings of panic in such circumstances. You may also have shortness of breath, a shaky voice, rapid breathing, rapid heartbeat, dizziness, dry mouth, inability to think clearly, a feeling of loss of control, blushing, stuttering, trembling and sudden sweating. Many people report stress-induced speech disorders that are only present during public speech. In business, the cost is incalculable. Imagine missed business opportunities, being passed over for promotion, being reluctant to attend meetings or verbally report on your activities because you suffer from glossophobia. The primary purpose of the report is to find the factors which instigate the fear towards public speaking which is also known as “glossophobia”, its symptoms, awareness amongst people and most importantly to identify methods and techniques which would allow a person to reduce that fear and excel in public speaking. Therefore, I believe that my...
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...Fear of Aging and Dying in America Hollis Phelps Liberty Developmental Psychology PSYCH 210 Dr. Shaw July 21, 2014 Fear of Aging and Dying in America Abstract The fear of aging and death is nothing new. Anthropologists, philosophers, sociologists, and psychologists are in agreement that since the beginning of mankind’s history, fear is the universal response to death. In America, the reaction is far greater striking chords of terror so horrific and becoming innately ingrained in the fabric of society to affect most every segment. This paper will look at this fear and determine the affects it has had on present day America’s behaviors toward and beliefs about the aging population and correlate it to the society’s fear of death. Everyone has heard the expression that “time flies by like the blink of an eye.” Humans have been attempting for centuries to make sense of and accept the concept of time. The great Albert Einstein, the most prolific physicist of the 20th century, in his Theory of Relativity proved that time was relative. In other words, time and it’s accepted concept of constant, continual progression at a fixed rate was incorrect or not an absolute. Einstein convinced himself and many others that the past, present, and future were only an illusion (Schwartz, 2003). However, to the majority of the world’s population, time is not a theory. It is something that propels us into old age and beyond. The subject of time has inspired many artists to attempt stopping...
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...CHAPTER 1 INTRODUCTION In this chapter the researcher will give the topics that he will discuss. The topic of this chapter includes an introduction of the topic, statement of the problem, significance of the study, delimitation and methodology. 1. Introduction The rise of modern science had created a great impact in the lives of each individual especially in the environment where human being lives. Inclusive of this great impact, innovations in every aspect was rapid. Looking at the different angles of innovations of modern science greatly affect individuals by putting man at the center of the world. The growth of technical knowledge through application of scientific discoveries has brought human beings the luxury of spoiling their resources. Man focused more on the thing that can make him happy, feel comfortable, relax and even more have an easy life. Without all of these, he is being driven to do inhumane things like killing for the sake of having such. The absence of technology for man is misery. In this time of modern age, man is being blinded from the effects of the innovations that the modern world had introduced. He does not have any idea of his termination in the world while exhausting his body to the luxury of technology. That’s why, at certain events, man’s close encounter of death confronts him. “How many of us, though, can succeed in feeling these truths as consolations? We are not good at coping with death, especially in our contemporary materialistic age,...
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...Conflict Diagnosis Paper CJHS/430 Conflict Diagnosis Paper Deaths in the prisons are on the rise in the recent years and the major cause of these deaths are mostly suicide and I this review I will focus mostly on diagnosis on suicide related deaths in the United States. The research in the past has also been criticized for focusing mostly on the static variables like the demographics. In the United States, suicide is more common in prisons compared with the general populations as a whole. Each year it is approximated that the number of prison suicide is 200, and it is the third leading cause of death in prison behind aids and natural cause. Many suicides are seen as accidental deaths. Some workers fear reporting suicide-related incidents for fear of cases being brought against them. Somebody dying in the hospital after attempting suicide may not be reported as deadly occurred at the prison. The homicide rate in local jails nationwide hovered around 3 inmates per 100,000 between 2000 and 2010, according to data from the Bureau of Justice Statistics. Violent, troubled individuals are concentrated in prisons and jails. “The violent prisoners exert pressures on the most vulnerable inmates who end up succumbing to health related problems or they result to suicide.” (Theodore, Max, & Mitch, 2009.) The populations or individuals that are vulnerable to these pressures should be identified, and this is an essential first step towards resolving the problem. However, it...
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...School of Nursing Hospice Hospice is a comprehensive, medically directed, team oriented program of care that emphasizes pain control and symptom management rather than curative treatment. It directs acceptance of death as a natural part of life and addresses the psychological and spiritual needs of the patient and family. This paper will outline the history of hospice, the effect it has on healthcare today, why it is important to nursing, how nursing is impacted by the availability of hospice services, and finally, what nursing has done to affect change related to hospice. History of Hospice Hospice was first applied to specialized care for dying patients by Dr. Dame Cicely Saunders, who started working with the terminally ill in 1948 (NHCPO, 2015). Dr. Saunders later created the first modern hospice – St. Christopher’s Hospice in a residential suburb in London. Her approach was later introduced to healthcare professionals and chaplains in the U.S in 1963 during a lecture at Yale University. In 1969 Elizabeth Kubler-Ross contributed to the idea of hospice centered care in her book: On Death and Dying which highlighted the five stages of dying and a plea for home care as opposed to treatment in an institutional setting. In 1978, the United States’ Department of Health, Education and Welfare Task Force acknowledged the hospice concept as a means of providing more humane care for America’s terminally ill, while asking for federal support and reducing cost. By 1993 hospice...
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...Research paper on Anxiety Disorder Jeffrey S. Fletcher, M.A. Kathleen B. Stinger Psychopathology and Counseling, Coun 656 4, May 2014 Author Note Jeffrey S. Fletcher, Student, Liberty University. Correspondence concerning this paper should be addressed to Jeffrey S. Fletcher, Jfletcher1@liberty.edu Abstract This research paper is designed to review articles and books of professional journals in anxiety disorders, definition of anxiety disorder, review of current and past treatments of anxiety disorders, the new section and changes to anxiety disorder in the DSM-5, new treatments for anxiety disorders and medications for anxiety disorders. This paper will show spiritual considerations for treating anxiety disorders and how religion can improve one’s condition. It will show how CBT treatment of anxiety disorders have not been very successful and how medication has its limitations in treatment of anxiety disorders. This paper will also show what this clinician has learned and will take forward into the daily practice of treating adolescents with anxiety disorders. Keywords: anxiety, anxiety disorders, DSM-5, treatment Introduction When we talk about anxiety we have to distinguish between healthy anxiety or normal anxiety and anxiety disorders. It is normal to have a certain amount of anxiety for instance when one is in danger it is normal to become anxious. To have an anxiety disorder your anxiety would have to interfere with your life in a negative way. Anxiety...
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...Culturally Competent Group Paper: Muslim Americans Culturally Competent Paper: Muslim Americans American Muslims are a growing minority group that share a religious identity, but are ethnically and racially diverse. In the United States, the largest ethnic groups that identify as Muslim include US born African Americans, immigrants from South Asia, and immigrants from the Middle East (Padela & Curlin, 2013). Despite the ethnic diversity within Muslim Americans, Padela and Curlin (2013) state that empirical research shows that “religions shape their adherents’ understanding of disease and illness, their health-related behaviors, their interactions with and expectations of the healthcare system, and their adherence to medical recommendations” (p. 1334). Thus, in order to provide culturally competent care to patients that practice Islam, nurses must have an understanding of the Muslim patient’s religious practices and influences. Muslims believe in the integration of daily prayer, spiritual medicine practices, and reading of the Qur’an, the religious text of Islam, with modern medical treatment. Therefore, healthcare beliefs are informed by their religious views and practices. Health is essential to Muslims because their faith compels them to maintain optimal health by practicing everything in moderation such as praying, exercising, working, and eating. On the other hand, illness can be indicative of penance of sin or a test of a Muslim’s faith. When illness...
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...Since its last amendment in 1989, there have been tremendous developments in medical science. Presently, organ transplants are nearly routine operations in various hospitals. Commercializing human part for transplantation has also seen an increase in demand for sperms, hair, plasma, eggs, among others. Even so, there are arguments for and against the commercialization of human organs such as marrow, kidney, and sundry, with both sides of the arguments facing criticism. It is imperative to investigate ethical aspects regarding commercialization of human organs. To reach a conclusion on whether it is ethical or unethical, this paper summarizes both sides of the argument and later presents a moral argument and rationale for commercialization of transplants. Without commercialization, there would be few potential donors willing to give out their organs to a dying patient who needs the specific organ urgently, which is contrary to human dignity. This is the moral argument in this report. Arguments for commercialization In 2009, a group of cancer patients, bone-marrow donation advocates, and parents filled a lawsuit against the US government. The federal law had banned buying and selling of human organs. One of the parents had three daughters suffering from a blood disorder called Fanconi anemia, whose treatment was bone-marrow transplant. In their argument, the plaintiffs maintained that many patients would die waiting from ailments that would otherwise be avoided through immediate...
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...Table of Contents Availability Bias 2 Overreaction Bias 6 Research Report Analysis 8 Illustrations 12 Conclusion 14 Bibliography 15 Availability Bias Availability bias is a human cognitive bias that causes us to overestimate probabilities of events associated with memorable or dramatic occurrences. A cognitive bias is a pattern of deviation in judgment that occurs in particular situations. A cognitive bias can also be explained as a flaw in judgment which is caused by memory, social attribution, and statistical errors. Since, memorable events are further magnified by coverage in the media; the bias is compounded on the society level. Two well-known examples would be estimations of the probability of plane accidents and the kidnap of children. Both events are quite rare, but the huge majority of the population outrageously overestimates their probability, and behaves accordingly. In reality, one is more likely to die from an auto accident than from a plane accident, and a child has a higher risk of dying in an accident than the risk of getting kidnapped. Availability bias is at the root of many other human biases and culture-level effects. Availability bias is a cognitive illusion. The availability biasis a mental shortcut that occurs when people make judgments about the probability of events by how easy it is to think of examples. The availability bias operates on the notion that, "if you can think of it, it must be important...
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