...Grand Canyon University Nrs-437 November 7, 2015 Nurses have been playing very important roles in the caring of patients throughout the continuum of life and at the end of life for years. It is the position of the ANA that participation of nurses in euthanasia is prohibited as those acts are in contradiction of the code of ethics for nurses. Nurses have a duty to provide humane, comprehensive and compassionate care in respect to the rights of patients, but maintain the standard of the profession in the presence of chronic, debilitating illness and at the end of life. Voluntary euthanasia is the act of taking a life painlessly especially to relief suffering from an incurable illness, with the consent of a dying patient. Denying people such wishes can lead to unnecessary suffering. There are two types of euthanasia; involuntary, where patients refuse to consent and non-voluntary, patients unable to consent. Euthanasia can have great impact on the society. It affects everyone one way or another. Although a person has autonomy to make decisions about his end of life care doesn’t take away from the fact that their family and friends will be affected with guilt, anger and bitterness. Voluntary euthanasia can hamper efforts to advance medical research in finding cures for diseases (Saunders, 2011). As the nurse taking care of a terminally ill patient, the husband confides in you that he promised his dying wife that he would assist her in taking her own life when the...
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...of Jacob “Jack” Kevorkian offered assistance to people who wished to end their own life with a physician assisted suicide also known as Euthanasia. The term Euthanasia was first used in the 17th century as a medical term to describe an easy, painless, and happy death. There are two types of Euthanasia, passive and active. Passive euthanasia is when a patient refuses their medical treatment which may hasten their passing; this is also considered legal euthanasia. Active euthanasia is the acceleration of death by the use of drugs and it can be either physician assisted or done by the patient themselves and is also considered illegal euthanasia. While active euthanasia is illegal in most of the United States as well as the world, there is controversy that it should be the terminally ill patient’s choice as to whether or not they live in pain or suffer. How can helping someone relieve pain and suffering be illegal? The ethics of euthanasia have been a debate since the 1800’s, with debates peaking every couple of decades. Many of the debates against euthanasia fall back to the ethics and how euthanasia can be used as a solution to lower medical costs, a failure to provide care for people with disabilities, or even that the doctor themselves would be going against the very Hippocratic Oath they are sworn to. First and foremost euthanasia was first used to relieve terminally ill patients from pain and suffering only if that patient was able to provide consent to the physician...
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...have that life. Thus, any law upholding a person's right to life has inherent within that same law a person's right to die, otherwise it would not be a right to life in the true sense of the term. But there is a legal battle going on in America right now over whether or not a person has a right to die. Does the government have the right to prolong your life by artificial means whether you desire it or not? With the passing of this law nationwide, you, as the voter will simply be saying, “It is YOUR choice” (Patashnik, 2004) The issue of “Having a Personal Right to Die,” has been long simmered beneath the surface in legal and political circles: under what circumstances do terminally injured and ill Americans have the right to choose to die? The Supreme Court made a definitive statement in the landmark 1990 case Cruzan v. Director, Missouri Dept. of Health that severely injured patients have a constitutional right to refuse medical treatment and die. But the court also ruled that states can require "clear and convincing" evidence of a patient's intent to forgo medical treatment, a rather high evidentiary standard to meet. History The actual word for “having a right to die” is Euthanasia. According to Dictionary.com, euthanasia is defined as the practice of intentionally ending a life in order to relieve pain and suffering. The concept of Euthanasia goes as far back as 1870, when Samuel Williams, a schoolteacher, initiated the contemporary euthanasia debate through a speech given...
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...Brandi Forester-Slaton Mrs. Webb ENGL 1113-401 8 November 2015 WE2 Physician assisted suicide (PAS) or physician assisted death (PAD) is a physician providing medication or other sorts of treatment/interventions with the knowledge and understanding that the patient intends to use these medications in order to end their life. Arguments for and against physician assisted suicide or death have shown to be both very strong. Although at times the issues brought up may seem to be old or very similar and even repetitive, new ideas and concerns constantly are emerging. Many states throughout the United States of America have continuously tried to legalize it, and Oregon, Washington, Montana, Vermont, and California being successful in that endeavor. Within the last couple centuries the public has brought attention to many issues and discussions regarding or involving physician assisted suicide as well as euthanasia from many different views and perspectives. Howard Ball is a supporter of physician assisted death in his article “Physician Assisted Death in America: Ethics, Law, and Policy Conflicts”, Ball addresses how the PAD arguments started in America, how views of PAD have changed overtime and what terminally ill patients have to deal with when making end of life decisions. I believe in the opportunity to die with dignity, in having the option to end your life when it is time, and in the comforts of your own home. I believe that in the end, this isn’t about death and when...
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...Legalization of Euthanasia Euthanasia is a topic that has been debated by many over the years. Although Euthanasia is presently illegal in the United States, physician assisted death, or PAD is legal in the states of Washington, Oregon, Vermont and Bernalillo County, New Mexico. To understand Euthanasia, one must understand the way it differs from PAD. The key distinction between the two is that euthanasia requires either a physician or third party to administer the drugs, while in physician assisted death, the drug is administered directly by the individual. The debate over euthanasia dates back to the Greeks and Romans, but it reached the United States in 1870 when Samuel Williams proposed using morphine and anesthetics to intentionally end an individual's life. Debates continued for another 35 years when Ohio attempted to pass a bill which would legalize euthanasia in 1906. While the bill was never passed, it was the first of its kind, and laid the foundation for bills to come (Humphrys). There are many arguments as to why Euthanasia should remain illegal in the United States. Many individuals argue that it fits the definition of murder, and “For present purposes, murder can be defined as the intentional unjustified, unexcused and legally unmitigated killing of another human being. Active euthanasia fits this definition on the basis that it is the, or a cause of, death” (Lanham 2). Although there is some merit to the argument that euthanasia fits the technical definition ...
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...and ethical debates attempted to resolves controversial issues but never seem to end with everyone agreeing. Often these ethical and moral debates are complex, involve opinions persuaded by religion or customs, and have legal implications to consider. Physician assisted death is one of these very complex and controversial issues that all people will never agree on. Many questions arise in the debate of physician assisted death such as patients’ rights, physicians controlling the right if someone lives or dies, a patience’s mental state, a family member’s rights, religious beliefs of the parties involved and the law. Philosophers attempt to explain the different theories that people will use to argue their belief systems in terms of logic and reasoning. For example, some people may take the position of a deontologist who would argue that it is our moral duty to support and sustain life therefore assisted suicide should not be allowed. Unfortunately, this very emotional thought provoking debate is not a “black and white issue,” as most ethical arguments are not. In the situation of physician-assisted death, I disagree with the deontologist point of view that it is immoral for a physician to assist a patient in suicide. I believe as some relativist due, that as long as the patient is fully capable of making this decision and the patient is in a constant state of agony, then the patient has the right to make the choice to live or die. A relativist believes that morals are only relative...
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...religious organizations will not allow the participation of any of their staff members because it interferes with the religious portion of the organization. That said, as a future nurse, it was important for me to examine and research the nursing role in this process. It is known that nurses are directly involved in palliative care, end-of-life care, and even hospice care-- one aspect of nursing is to provide care for individuals across the spectrum of life. That said, the American Nurses Association (ANA) has taken a stance, based on the nursing code of ethics, regarding to physician assisted suicide. Ultimately the ANA does not support or allow a nurse to assist or engage, “…in assisted suicide and euthanasia because these acts are in direct violation of Code of Ethics for Nurses with Interpretive Statements (ANA, 2001; herein referred to as The Code)…” (Euthanasia, 2013). This stance makes participation in this kind of end-of-life care not feasible for nurses because it could result in loss or termination of a license. When defining roles of play, it is crucial for everyone to understand that the only one allowed to administer the medication is the individual themselves. Regarding participation of other individuals, such as family, it truly depends on the decision the individual and their family makes. This kind of discussion among family, friends, and many others may bring about the discussion of the role religion plays in this...
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...people also feel that psychological suffering should also be included in the list. Protect Life All people in the society have a moral duty to preserve and protect lives of human beings. Therefore, people should never be allowed to assist in ending the lives of others. This is because by allowing people to end lives of others, the society will destroy the fundamental duty of valuing human life. The society also feels that people have a responsibility to make lives of suffering people worth living (De Ville, 2001). People should not end lives of the sick. Instead, they should take this challenge to serve humanity and they should always care for others. The society that is characterized by strong social bonds does not (and should not) support physician aided suicide. This is because death should only result from natural (and other related) causes, but it should never be predetermined by people. A society that will allow physician aided...
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...Knowledge Area Module VI Contemporary Issues and the Ethical Delivery of Health Services Student: Harold Taitt, harold.taitt@waldenu.edu Student ID # A00293212 Program: Ph.D. Health Services Specialization: Health Management and Policy Faculty Mentor: Dr. Robert Hoye, robert.hoye@waldenu.edu Faculty Assessor: Dr. Jim Goes, jim.goes@waldenu.edu Walden University May 10, 2013 Abstract Breadth Component In this age of rapidly evolving technological advances, many of the legal and ethical issues that are challenging the delivery of health care and the health care profession are new. As we confront the legal, moral, and ethical aspects of health care, we are seldom faced with decisions that require or are resolved by simple right or wrong answers (Edge & Kreiger, 1998). In the Breadth component of KAM VI, I focus on several ethical theories and how those theories influence the way ethical issues and concerns are addressed and managed in the allocation and delivery of health care services. I critically assess and evaluate those theories, concepts, and derivative principles as they impact important decisions and the implications of those decisions within the context of social change and with special emphasis on health care management and policy. In addition, I discuss the key assumptions on which the selected theories are constructed, compare and contrast the writers’ interpretations across theories, and conclude by providing a critical commentary on the merits of the selected...
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...contents critical thinking thinking critically about ethical issues 1 ETHICAL REASONING 3 2 VALUES-BASED ETHICAL REASONING 9 3 RIGHTS-BASED ETHICAL REASONING 15 4 CONSEQUENCE-BASED ETHICAL REASONING 20 5 ERRORS IN ETHICAL REASONING 25 5.1 THE IS/OUGHT FALLACY 25 5.2 THE ARBITRARY LINE FALLACY 27 REVIEW OF TERMS 29 THINKING CRITICALLY ABOUT WHAT YOU SEE 29 THINKING CRITICALLY ABOUT WHAT YOU HEAR 30 THINKING CRITICALLY ABOUT WHAT YOU READ 30 THINKING CRITICALLY ABOUT WHAT YOU WRITE 35 THINKING CRITICALLY WHEN YOU DISCUSS 36 REASONING TEST QUESTIONS 36 T H I N K I N G C R I T I C A L L Y A B O U T E T H I C A L I S S U E S We don’t cover any particular step or steps in this section—you can, and should, apply all of your critical thinking skills when you think about ethical issues (hence, the entire template is bolded)! Template for critical analysis of arguments 1. What’s the point (claim/opinion/conclusion)? s Look for subconclusions as well. 2. What are the reasons/what is the evidence? s s Articulate all unstated premises. Articulate connections. 3. What exactly is meant by . . .? s s s Define terms. Clarify all imprecise language. Eliminate or replace “loaded” language and other manipulations. 4. Assess the reasoning/evidence: s s If deductive, check for truth/acceptability and validity. If inductive, check for truth/acceptability...
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...and ethical boundaries ɀ Prepare and maintain medical records ɀ Document accurately ɀ Follow employer’s established policies dealing with the health-care contract ɀ Implement and maintain federal and state health-care legislation and regulations ɀ Comply with established risk management and safety procedures ɀ Recognize professional credentialing criteria CHAPTER OUTLINE ɀ ɀ ɀ ɀ Medical Law and Ethics OSHA Regulations Quality Control and Assurance Code of Ethics ɀ HIPAA ɀ Confidentiality Issues and Mandatory Disclosure OBJECTIVES After completing Chapter 3, you will be able to: 3.1 Define ethics, bioethics, and law. 3.2 Discuss the measures a medical practice must take to avoid malpractice claims. 3.3 Describe OSHA requirements for a medical office. KEY TERMS abandonment agent arbitration assault authorization battery bioethics breach of contract civil law contract crime criminal law defamation disclosure durable power of attorney electronic transaction record ethics expressed contract felony fraud implied contract law law of agency liable living will malpractice claim misdemeanor moral values negligence Notice of Privacy Practices (NPP) Privacy Rule protected health information (PHI) Security Rule subpoena tort treatment, payments, and operations (TPO) uniform donor card use void 37 ram4577X_ch03.qxd 4/16/04 11:50 Page 38 OBJECTIVES (Continued) 3.4...
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...In a competitive era like we have today, it is essential to catch up with the latest trends in the society. With increasing emphasis on various competitive exams and your soft skills for grabbing all upcoming opportunity, English as a language is becoming all the more important. Everywhere we go, we face difficulties in getting a job, which is our aim, to survive in the society and lead a successful life. Speaking and writing correct and required English is one of them. Here we bring a book that will give a basic structure to all the aspirants to attempt descriptive English properly. We give a complete framework covering each and every topic of descriptive English paper. The book comprises techniques to attempt précis and essays, contains types of letters, sample letters & even model tests for your practice. This will provide the aspirants with basic knowledge of general rules of attempting English language descriptive paper, guiding them in learning English to an extent to which they attempt confident use of English. The book is aimed to provide you the content, sufficient enough, to attempt the descriptive English paper efficiently and may lead you to success in your examination. For this purpose all the current topics are being covered here. This book also intends to provide the competitors a conceptual base through the explanations of the questions asked. Any modification or error shall be entertained and we will try to incorporate it in our next issue. DESCRIPTIVE...
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...fourth EDItION fourth EDItION This clear, learner-friendly text helps today’s students bridge the gap between Its comprehensiveness allows instructors to tailor the material to their individual teaching styles, resulting in an exceptionally versatile text. Highlights of the Fourth Edition: Additional readings and essays in a new Appendix as well as in Chapters 7 and 8 nearly double the number of readings available for critical analysis and classroom discussion. An online chapter, available on the instructor portion of the book’s Web site, addresses critical reading, a vital skill for success in college and beyond. Visit www.mhhe.com/bassham4e for a wealth of additional student and instructor resources. Bassham I Irwin Nardone I Wallace New and updated exercises and examples throughout the text allow students to practice and apply what they learn. MD DALIM #1062017 12/13/09 CYAN MAG YELO BLK Chapter 12 features an expanded and reorganized discussion of evaluating Internet sources. Critical Thinking thinking, using real-world examples and a proven step-by-step approach. A student ' s Introduction A student's Introduction everyday culture and critical thinking. It covers all the basics of critical Critical Thinking Ba ssha m I Irwin I Nardone I Wall ace CRITICAL THINKING A STUDENT’S INTRODUCTION FOURTH EDITION Gregory Bassham William Irwin Henry Nardone James M. Wallace King’s College TM bas07437_fm_i-xvi.indd i 11/24/09 9:53:56 AM TM Published by McGraw-Hill...
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...fourth EDItION Critical Thinking A student ' s Introduction Ba ssha m I I rwi n I N ardon e I Wal l ac e CRITICAL THINKING A STUDENT’S INTRODUCTION FOURTH EDITION Gregory Bassham William Irwin Henry Nardone James M. Wallace King’s College TM TM Published by McGraw-Hill, an imprint of The McGraw-Hill Companies, Inc., 1221 Avenue of the Americas, New York, NY 10020. Copyright © 2011, 2008, 2005, 2002. All rights reserved. No part of this publication may be reproduced or distributed in any form or by any means, or stored in a database or retrieval system, without the prior written consent of The McGraw-Hill Companies, Inc., including, but not limited to, in any network or other electronic storage or transmission, or broadcast for distance learning. This book is printed on acid-free paper. 1 2 3 4 5 6 7 8 9 0 DOC/DOC 0 ISBN: 978-0-07-340743-2 MHID: 0-07-340743-7 Vice President, Editorial: Michael Ryan Director, Editorial: Beth Mejia Sponsoring Editor: Mark Georgiev Marketing Manager: Pam Cooper Managing Editor: Nicole Bridge Developmental Editor: Phil Butcher Project Manager: Lindsay Burt Manuscript Editor: Maura P. Brown Design Manager: Margarite Reynolds Cover Designer: Laurie Entringer Production Supervisor: Louis Swaim Composition: 11/12.5 Bembo by MPS Limited, A Macmillan Company Printing: 45# New Era Matte, R. R. Donnelley & Sons Cover Image: © Brand X/JupiterImages Credits: The credits section for this book begins on page C-1 and is considered...
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...00_078973706x_fm.qxd 1/14/08 2:42 PM Page i NCLEX-PN ® SECOND EDITION Wilda Rinehart Diann Sloan Clara Hurd 00_078973706x_fm.qxd 1/14/08 2:42 PM Page ii NCLEX-PN® Exam Cram, Second Edition Copyright © 2008 by Pearson Education All rights reserved. No part of this book shall be reproduced, stored in a retrieval system, or transmitted by any means, electronic, mechanical, photocopying, recording, or otherwise, without written permission from the publisher. No patent liability is assumed with respect to the use of the information contained herein. Although every precaution has been taken in the preparation of this book, the publisher and author assume no responsibility for errors or omissions. Nor is any liability assumed for damages resulting from the use of the information contained herein. ISBN-13:978-0-7897-2706-9 ISBN-10: 0-7897-3706-x Library of Congress Cataloging-in-Publication Data Rinehart, Wilda. NCLEX-PN exam cram / Wilda Rinehart, Diann Sloan, Clara Hurd. -- 2nd ed. p. cm. ISBN 978-0-7897-3706-9 (pbk. w/cd) 1. Practical nursing--Examinations, questions, etc. 2. Nursing--Examinations, questions, etc. 3. National Council Licensure Examination for Practical/Vocational Nurses--Study guides. I. Sloan, Diann. II. Hurd, Clara. III. Title. RT62.R55 2008 610.73'076--dc22 2008000133 Printed in the United States of America First Printing: February 2008 Trademarks All terms mentioned in this book that are known to be trademarks or service marks have been appropriately...
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