...is written to discuss the ethical dilemma we come across when asking our self whether or not we should place a tube feeding in a patient with a history Alzheimer’s or Dementia. Will this prolong the patients’ life or just the inevitable death? Most often a decision needs to be made regarding the placement of a tube feeding. The question is not initiated by the patient themselves. This is the reason why educating our patients are so important. In this paper I will discuss how important the role of the healthcare professional plays in advocating for a patient. To help answer this ethical dilemma several issues will be explored. I will focus on the seven principles of ethics, education, utilitarianism, top-down theory alternate treatment options. Will Tube Feedings Prolong Life? While working with the majority of geriatric population, we frequently come across patients with Dementia and Alzheimer’s disease. The most common problem in these patients is the inability to swallow as well as the patients are failure to thrive. Many healthcare workers and family members become upset when the patient does not have proper nutritional intake. As human beings it is our nature to take care of our loved ones when they are ill, this is our ways of showing love and affection tore’s each other. We often question the situation regarding the need for artificial feeding. Care givers have misconceptions if we provide artificial nutrition it will help prolong their love one’s life...
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...Mortality, February 2005; 10(1): 69 – 81 Tube feeding: Prolonging life or death in vulnerable populations? ELAINE J. AMELLA, JAMES F. LAWRENCE, & SUZANNE O. GRESLE Medical University of South Carolina, Charleston, SC, USA Abstract Tube feeding can be an appropriate and effective means of providing nutrition for individuals who are unable to achieve adequate nourishment orally because of various medical problems. However, the delivery of nutrients by tube feeding can cause ethical dilemmas in cases where the effectiveness of tube feeding diminishes and medical complications increase. The decision to tube feed is often influenced by regional and cultural preferences, as well as the high cost of providing mealtime assistance. The effectiveness and appropriateness of tube feeding has been the subject of much debate as it applies to those with severe cognitive impairments and those who are in a persistent vegetative state (PVS). Recent research shows that in these vulnerable populations, tube feeding alone does not necessarily prevent malnutrition and risk of infection or improve functional status and comfort. While advanced directives allow an individual to make decisions about his or her care at the end of life, court cases and religious doctrine examine the individual’s right to autonomous decision making in opposition to preserving the sanctity of life. As long as the outcome of this debate is largely undecided, the process of dying may be prolonged for...
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...The Feeding Tube Class HSA 515 Assignment 4: The Feeding Tube Write a 4 to 6 page paper based on your answers to the corresponding questions for the following scenario: Scenario: June, a 34-year-old divorced woman diagnosed with severe anorexia, is hospitalized. Her doctors feel she may need to be placed on a feeding tube soon to save her life. Initially June agreed to the feeding tube. However, in the evening (before the tube has been placed), she became combative, disoriented, and refused to have the feeding tube placed. Her mother and father insisted that the feeding tube be inserted despite her refusal to allow it. Her ex-husband wishes to uphold June’s decision. The hospital administrators seek risk management for legal counsel. Utilize your Showalter textbook and at least two other sources to answer the following questions: 1. Explain how the Patient Bill of Rights applies to this situation. The U.S constitution is called the supreme law of the land because it sets standards against which all other laws are judged. The constitution is a grant of power from the states to the federal government. The constitution is a grant of power from the states to the federal government. This grant of power to the federal government is both express and implied. The U.S congress levy and collect taxes, borrow and coin money, declare war, raise and support armies. Congress may also enact laws that are necessary and proper for exercising these expressive powers. ...
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...The Feeding Tube 1. Explain how the Patient Bill of Rights applies to this situation. The patients of the country in the United States are provided a particular right. This right is called the Patient Bill of Rights (Kronenfeld, 2002). The Patient Bill of Rights has a significant impact and is essential for the people who are in the health care organization for the purpose of getting treatment properly and easily. In this scenario, June is suffering from anorexia and the doctors feel she may need to be placed on a feeding tube to save her life. June agreed to the procedure but became combative, disoriented and refused to have the tube place the evening before the procedure was to take place. The patient bill of rights applies, as the patient has a right to know what treatment options are available to one and what the possible outcomes may be. The patient has a right to decide one’s medical care. One also has a right to know of any side effects of treatments. June needs to be told what may happen without the feeding tube and what can be expected with the feeding tube. June also has a right to have her health information kept confidential, with information given only to those she designates as being allowed to have her health information (Showalter, 2008). It is noted that in the absence of a progressive terminal disease, the feeding tube may be used to prolong life and since the patient is not dying of another cause, discontinuing the feeding tube would imply a desire to cause...
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...Documentation Guidelines Respiratory Problems Respiratory rate, pattern, lung sounds, presence of cough or congestion, sputum, sternal retractions, unequal chest expansion, nasal flaring Skin color: color of lips and nail beds, cyanosis Use of O2, rate, delivery method, frequency of use,SPO2 (on RA on O2, after exertion, at rest) Weaning off O2 Use of Brochial Dialators and other respiratory medications, response to medications, Neb Tx, suctioning, IPPB Activity tolerance Causes of onset of SOB, how long does it take for relief use of high fowlers position Goals set by resident and staff teaching performed, to resident and or family Orthopedic surgery/fracture ADL: describe what they cannot do Assistance needed with what? Bathing, dressing, shaving, oral care, bed mobility, toileting (continent, incontinent, foley, bladder retraining, constipation. Transfer (lift 1-2 assist) Ambulation w/wo devices (walker, cane, w/c, distance in feet) Attending PT, OT - frequency and time, check therapy progress notes and compare to progress on the unit (tolerance) Incision: Intact, well approximated, sign of infection, treatment Cast, splint care: neuro/ vascular checks Presence of PAIN, if present what time of day, durning what activity, relief measures (medications/effectiveness) Abductor pillow, hip precations, CPM, polar ice, ted hose, PAS stockings, Goals set by resident and staff Teaching performed to resident and or family, ability to learn Diabetes Doctor...
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...Background: Nasoenteric tube insertion is a common procedure used in the clinical setting. Often viewed as a safe bedside procedure, there are risks for numerous complications including tracheobronchial insertion, which could lead to deleterious consequences. We present the first case of bilateral pneumothorax caused by the insertion of mal-positioned nasoenteric tube and discuss common pitfalls for diagnostic positioning as well as risk factors that can predispose a patient to improper placement. Case Report: In this case report, we demonstrate a 74-year-old male patient who presents with multiple orthopedic injuries following an auto-pedestrian collision. During his hospital stay, a routine nasoenteric tube was inserted for the purposes of enteral nutrition. Follow up abdominal X-ray revealed the nasoenteric tube misplaced in the left pleural space. After removal of the nasoenteric tube, a follow up chest X-ray revealed bilateral pneumothorax. The patient fell into respiratory distress and subsequent bilateral chest tubes were placed. Over the course of the next three weeks the patient improved, both chest tubes were removed, and the patient made a full recovery....
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...require some type of tube placed within their stomachs or intestines gastrointestinal tubes provide nourishment to client who cannot eat. First, let’s take a look at which patients may be candidates for tube feeding .Patients with chronic illness or psychiatric or neurologic disorder ,such as alcoholism, chronic depression, or anorexia .Patients who are debilitated because of disease or injury .Patients undergoing maxillofacial or cervical surgery resulting from disease or injury. Patients with or pharyngeal or esophageal paralysis resulting from disease or injury, neoplasm, inflammation, trauma, or respitory failure. Tube feeding are not a one-size-fits- all measurement they have proximal and distal end, their size, construction, and composition vary according to their use. Tubes are measure by using the French scale each number on the scale equal approximately 0.33mm. The larger the number, the larger the diameter of the tube. That is one of the reason‘s why every patients condition is considered individually to determine whether which tube feeding is best for the patients specific condition and needs. Secondly, let’s discussed where the tubes maybe placed any why. Tubes can be identified according to the location of insertion, or there distal end. The choice of feeding route is based on the patient’s medical status, aspiration, and expected duration of feeding. Three types of tube placement are commonly used for tube feeding. An orogastric tube (this tube is inserted at the...
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...This is a case of a 34-year old woman called June who is suffering from severe anorexia. She agrees to be placed on a feeding tube in order to save her life. On the evening before the tube is placed, June becomes disoriented and physical and totally refuses to have the feeding tube placed. The ethical dilemma sets in when the parents insist that the tube must be inserted despite her refusal, while the ex-husband wishes to uphold June’s final decision which most certainly will lead to her demise. The hospital administrators seek legal counsel in order to save the situation. This case though a sad one, presents with it several repercussions. This paper will explain the various implications that June’s case presents in the contemporary world and the various paths used to derive the elusive “right” decisions on the way forward. The patients’ bill of rights is a document that was developed by the American Hospital Association in order to improve the relationship between the patient, the medical staff and employees in the provision of health care. It enumerates several rights that a patient is entitled to before, during and after getting treatment. While this document is not law; it is very important in ensuring that all activities towards a patient’s health are carried out with consideration for their values and dignity (Maryland Hospital, 2011). The patient’s bill of right gives June several privileges as a patient concerning her treatment. First, she can make her...
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... Many times it can also be that they want to look like their favorite actor but the ones who think that need to realize that every individual is different, we all have our different style and taste which makes us have our own unique look. Eating disorders are amongst the most common psychiatric syndromes, this leads to impatient hospitalization and suicide attempts for morality. According to recent studies both anorexia and bulimia are most common in the United States. This research paper will point out the importance of eating disorders: bulimia and anorexia, how the theory “Social comparison” can be used for this topic when comparing the US to other countries that are the opposite of bulimia and anorexia such as force-feeding and will also state how different it is in a little town in Africa called Mauritania and a prison in Guantanamo Bay in Cuba. First of all, what are eating disorders? Eating disorders are psychological illnesses defined by abnormal eating habits that may involve either insufficient or excessive food intake to the determined of an individual’s mental and physical health. Bulimia nervosa and Anorexia nervosa are the most common form of eating disorders. What is Bulimia? Bulimia is an eating...
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...Macro Environment Analysis Definition Macro environment analysis is a review of all the factors that a company is unable to control. Companies conduct this analysis to stay aware of the issue in the current business environment. A common tool for conducting a macro environment analysis is the PESTEL framework, which include factors from the political, economic, social, technological, environmental and legal aspects in the business environment. The ultimate purpose of this analysis is to create a strategy that will leverage as many of these external factors as possible to the company’s favor. The political factors of the PESTEL analysis include the current stability of the government, social welfare policies imposed upon companies, trade tariffs or regulations that restrict international business and tax policies on corporate profits. This information is quite important to businesses, as extremely difficult political situations often result in lower profits and a more inflexible business environment. A macro environment analysis may focus heavily on the political factors in countries with difficult business environments. The group of external factors for this analysis comes from the economic factors within a country. Companies are unable to control issues like the income of buyers in the market, available credit offered by banks, unemployment, interest rates and inflation found in the economic market. These factors can also affect the company, lowering purchasing power...
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...reflection while encouraging a heightened sense of community, civic engagement, and personal responsibility. Volunteerism is the reliance of volunteers working towards helping a specific social, or educational duty in the community. This is similar to community service, because by definition of both terms, both groups of people take time out to help a community. Community service differs from volunteerism by catering to organizations which does not just benefit a community, but also an institution. Having been founded in 1982, the Houston Food Bank provides food to more than 500 hunger relief agencies in southeast Texas. With the help of the new markets Tax Credit Program, the Houston Food Bank expanded their facilities to become the largest feeding America food bank. The mission of the “HFB” is to change the fact that 1 in 4 kids, and 1 in 5 hungry neighborhoods currently face hunger. Furthermore, they have goals to...
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...Lisa Flagg English 115 August 18, 2013 “Food Banks, how they help people in need” The population of the state of New Jersey is, 8,801,624. The current rate of unemployment is 9.5%, which means that almost 880,000 people face the question each day of “how am I going to feed my family today?’ As the director of Community Food of New Jersey is a hard task, you have to be prepared each day to face the challenges of feeding families in need. Majority of the people that are served by food banks, have children. The biggest challenge of about serving so many needy families is knowing that without the programs we (the food banks) run many of these people would not be getting any of the nutrition that they need on a daily basis. (FeedingAmerica.org) In the world today there are people who never have to worry about where their next meal is coming from. However, there are other who face those woes every day. Food banks are one of the options people have to help feed their families. The community food bank of New Jersey, along with our partner agencies, feed an estimated 900,000 people throughout the year in the state of New Jersey alone. There are also many other options available to New Jersey residents including the WIC program for pregnant woman and their children and SNAP (supplemental nutrition assistance program). But it is still hard for many residents to make ends meet and provide enough food with enough nutritional value for their families. The rising cost of putting...
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...Graze Craze The market for grass-fed beef | Food Business News 10/14/15, 5:35 PM Login Search Advanced Search | Search Tips Home News Columns Events Resources Magazine Home > News > Consumer Trends News Business Graze craze: The market for grass-fed beef Food Safety 4/10/2015 - by Larry Aylward Consumer Trends Share This: Regulatory Purchasing Search for similar articles by keyword: [Beef] Financial Performance Food Service / Retail International Research Most Popular Supplier Innovations Read New Product Launches Shared Comments 1 Is a spin-off in store for Yum! Brands? 3 The hard sell behind organic, nonG.M.O. production 4 Farm Burger, an Atlanta-based chain that offers grass-fed burgers, opened its fifth SupplySide West exclusive: Protein surges on 2 Archive Tate & Lyle gains steam from Brazilian acquisition, sucralose 5 Slideshow: New products from Mondelez, Hostess, Barbara’s location in Berkeley, Calif. ( more ) In December, California-based quick-service chain Carl’s Jr. rolled out the All-Natural Burger, although it could be called the Take-Notice Burger. People have taken notice of the menu addition to the chain’s more than 1,000 outlets because Carl’s Jr. is the first major fast-food chain to introduce a grass-fed beef burger. The meat industry has taken notice of the All-Natural Burger because it’s another sign that grass-fed beef is becoming...
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...pricey, nonetheless, grass-fed beef provide us with more nutrients; they’re higher in Omega-3 fatty acid and vitamin E. Corn-fed beef, on the other hand, is relatively more affordable. The million dollar question should be, it’s affordable, but at what cost? What makes corn-fed beef so much cheaper than grass-fed? Corn-fed cattle go through a process, almost like an assembly line. The first step, the cow and calf live in a cow-calf operation. Here, the cow is artificially inseminated for the sole purpose of reproduction. For the first 6 months, the calf stays with their mother, once they’re old enough they’re taken to a pen, where they’re introduced to corn. To make a long story short, the calf is finally moved into a CAFO (confined animal feeding operation). From this point on, they’re all confined to small caged in areas. These facilities house hundreds, even thousands of farm animals. From this point on their diet is strictly corn, protein, vitamins (to speed the growth process) and antibiotics. Below is a quote from a website dedicated to factory farming and their issues. “Without the drugs, this type of beef production would not be sustainable; the animals would all be dead before they ever made it to market weight.” ( http://www.factoryfarming.com/beef_production.html ) The expense for corn is close to nothing, due to...
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...Cannibalistic Cows Micah Bittner June 10th, 2012 Professor Norton DeVry University Cannibalistic Cows America’s diet is in a great dilemma. Just ask anyone where their food comes from, and they will usually say that it comes from the grocery store. However, one might ask where the food in the grocery store comes from. To gain a better understanding of the issues facing American’s eating habits and where its food comes from, Michael Pollen researches these questions in his book, The Omnivores Dilemma. Through his research, he notes that the 100 million head of cattle breed for food are living on Concentrated Animal Feeding Operations (C.A.F.O.) are fed slaughtered cow parts. As a nation, we need to educate consumers on the dangers of consuming corn fed beef, begin pushing for agri-business policy change from the top down, and partake in the benefits of eating healthier meat; if these changes are not implemented soon healthcare rates will soar, along with e Coli and outbreaks of other diseases associated with processing infected beef. The main problems with eating corn fed beef are the dangerous health risks and hidden costs that are passed down to the public. Associated with these problems are the government policies that prevent change. Continuing to ignore these problems will result in increased obesity, heart disease, and other ailments; as well as economic troubles for those in agriculture, business, and consumers. However, if we properly educate people on nutrition...
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