Maitaining versus withdrawing life support (Florida General rules) Assignment

Maitaining versus withdrawing life support (Florida General rules) - Assignment Example Since, termination of an individual’s life via withdrawing life support adversely affects even the close relatives despite the law advocating acting in the interests of the patient. Additionally, an individual experiencing persistent vegetative state does not imply one cannot regain full consciousness with the administration of the necessary treatments. This is regardless of the anticipated complications that might arise, which in reality may be contrary (Elliott, 2005). However, these cases may be minimal but I tend to belief that not all surrogates act in the interests of the patient despite prove presented to execute their consent in the withdrawing of life support. Since, investigation may not be adequate to reveal deep hidden malicious intentions of the surrogates where some benefit indirectly. Hence, cause long-term trauma to the loved ones especially the young children or beneficiaries after knowing what happened to their loved ones regardless of whether there was a leg al or authorized substituted judgment (Elliott, 2005). I deem, maintaining life support is a depiction of respect for human life where in withdrawing it, may deny an individual a chance to life who was to regain consciousness and recuperate thus it should be maintained. The decision regarding end of life is the mandate of a sane individual prior the appointed time who in accordance to the law will act in the interests of the ailing (Turan, Goldstein, Garber & Carstensen, 2011). Therefore, I strongly deem and advocate that the right person to act in these cases ought to be a parent or close a relative after meticulous investigation to establish their relations. This shuns any deeds guided by malicious gains where the partakers may benefit either direct or obliquely after execution of the intended end of life procedure (McGowan, 2011). However, in some cases, the parents may not be present or close reliable relatives especially to the married people where their

Tenerife Airport Disaster Case Study Example | Topics and Well Written Essays - 2500 words

Tenerife Airport Disaster - Case Study Example Air travel is undoubtedly the safest way to travel. This claim is best expressed by a statement of an aviation researcher at the University of Miami, Earl Wiener who stated that in USA alone "There are 15,000 to 20,000 takeoffs a day. Half a billion passengers a year, in a hostile environment, get to their destination safely and quickly" (Chandler, 1996,p.52). While we encounter almost daily news about land transportation mishaps and regularly hear news of ships, large or small, sinking in seas, air transportation mishaps come far and in between. Thus, it is the best preferred means to travel, especially involving long distances. Because of such growing transport demand, the number of aircraft in operation is constantly on the rise while bigger, behemoth aircrafts which are capable of transporting a large number of people are being built. Thus, when air accidents occur, we hear of many people perishing in such accidents. Despite the fact that modern airplanes are now designed to be as safe as possible and are now built with stronger materials with more powerful engines and at faster speeds and are much bigger and heavier and with improvement in its equipment and its operation that practically ensures safety, yet airplane crashes still occur (Grolier, 1994). In January 2010 alone, 2 airplanes crashed i.e. one involving the Ethiopian Airlines that crashed in Beirut, Lebanon and killing all 90 people on board (Walker, 2010) and the other one involving the Alaska CentralAir Disaster 3 Express cargo airplane that crashed off Sand Point, Alaska and snuffing the lives of the 2 pilots aboard (Anchorage Daily News, 2010). It seems that airplane mishaps is inevitable and that people concerned have no option but prepare a good emergency response plan and management to mitigate the disaster and rescue whatever can be rescued. Statistics show that from 1954 to 2004, 1402 crashes had occurred and that 25,664 lives had perished in the process (1001crash.com). It is also a known fact that more than 50% of all accidents occur during the final approach and landing stages. But what is considered more dangerous is the climbing stage of the aircraft, where fatal accidents may occur. It is possible that airplane defects may go undetected as the plane leaves the gate but such defect will become apparent when the plane takes off the ground and begins climbing. When the pilots realize that such defect exists, they

Summary and opinion Research Paper Example | Topics and Well Written Essays - 1500 words

Summary and opinion - Research Paper Example Bankers state that pricing an offering for the company to register quick gains once the trading begins is the best approach. This is because the strategy enables the company to improve its relationship with the big investors while at the same improving the reputation of the company in the market. However, too much of hype is detrimental to the success of the company in the market. This is because the investors who buy the shares during the first week are likely to sell them very quickly in order to make high returns. In order to avoid a runaway stock, the company should control the number of shares it offers in the market. This is to reduce the demand which might increase the prices. In addition, the company should control the information being released in the market to avoid creating unrealistic expectations among the investors (Raice, 2012). Some companies might prefer to raise as much money as possible once they introduce the shares in the market. This approach can work with investors who are likely to be patient. However, there is a high risk that the prices of the shares might decline in the first weeks of trading. Therefore, creating a strong investor relationship is very important in securing the future of the company. Therefore, the company should communicate effectively, observe the ethical standards, comply with the set rules, and audit its operations in order to identify the need to make changes (Raice, 2012). With the entry of the internet in the market, it is becoming very hard for the companies to control the pop associated with entering in the stock market. However, companies need to audit their books in order to know their worth before releasing the information to the market. This is to ensure that they have a strong base to support their operations in case the shares fail to raise the expected amount of money. This has seen many companies fail to reach the target as many of the initial

Keynes Theory of Income and Employment Essay Example for Free

Keynes Theory of Income and Employment Essay The term ‘classical economists’ was firstly used by Karl Marx to describe economic thought of Ricardo and his predecessors including Adam Smith. However, by ‘classical economists’, Keynes meant the followers of David Ricardo including John Stuart Mill, Alfred Marshal and Pigou. According to Keynes, the term ‘classical economics’ refers to the traditional or orthodox principles of economics, which had come to be accepted, by and large, by the well known economists by then. Being the follower of Marshal, Keynes had himself accepted and taught these classical principles. But he repudiated the doctrine of laissez-faire. The two broad features of classical theory of employment were: (a) The assumption of full employment of labour and other productive resources, and (b) The flexibility of prices and wages to bring about the full employment (a) Full employment:- According to classical economists, the labour and the other resources are always fully employed. Moreover, the general over-production and general unemployment are assumed to be impossible. If there is any unemployment in the country, it is assumed to be temporary or abnormal. According to classical views of employment, the unemployment cannot be persisted for a long time, and there is always a tendency of full employment in the country. (b) Flexibility of prices and wages:- The second assumption of full employment theory is the flexibility of prices and wages. It is the flexibility of prices and wages which automatically brings about full employment. If there is general over-production resulting in depression and unemployment, prices would fall as a result of which demand would increase, prices would rise and productive activity will be stimulated and unemployment would tend to disappear. Similarly, the unemployment could be cured by cutting down wages which would increase the demand for labour and would stimulate activity. Thus, if the prices and wages are allowed to move freely, unemployment would disappear and full employment level would be restored. Say’s Law:- 1. Say’s Law is the foundation of classical economics. Assumption of full employment as a normal condition of a free market economy is justified by classical economists by a law known as ‘Say’s Law of Markets’. 2. It was the theory on the basis of which classical economists thought that general over-production and general unemployment are not possible. . According to the French economist J. B. Say, supply creates its own demand. According to him, it is production which creates market for goods. More of production, more of creating demand for other goods. There can be no problem of over-production. 4. Say denies the possibility of the deficiency of aggregate demand. 5. The c onceived Say’s Law describes an important fact about the working of free-exchange of economy that the main source of demand is the sum of incomes earned by the various productive factors from the process of production itself. A new productive process, by paying out income to its employed factors, generates demand at the same time that it adds to supply. It is thus production which creates market for goods, or supply creates its own demand not only at the same time but also to an equal extent. 6. According to Say, the aggregate supply of commodities in the economy would be exactly equal to aggregate demand. If there is any deficiency in the demand, it would be temporary and it would be ultimately equal to aggregate supply. Therefore, the employment of more resources will always be profitable and will take to the point of full employment. 7. According to Say’s Law, there will always be a sufficient rate of total spending so as to keep all resources fully employed. Most of the income is spent on consumer goods and a par of it is saved. 8. The classical economists are of the view that all the savings are spent automatically on investment goods. Savings and investments are interchangeable words and are equal to each other. 9. Since saving is another form of spending, according to classical theory, all income is spent partly for consumption and partly for investment. 10. If there is any gap between saving and investment, the rate of interest brings about equality between the two. Basic Assumptions of Say’s Law:- (a) Perfectly competitive market and free exchange economy. (b) Free flow of money incomes. All the savings must be immediately invested and all the income must be immediately spent. (c) Savings are equal to investment and equality must bring about by flexible interest rate. (d) No intervention of government in market operations, i. e. , a laissez faire economy, and there is no government expenditure, taxation and subsidies. (e) Market size is limited by the volume of production and aggregate demand is equal to aggregate supply. (f) It is a closed economy. The Great Depression was a severe worldwide economic depression in the decade preceding World War II. The timing of the Great Depression varied across nations, but in most countries it started in about 1929 and lasted until the late 1930s or early 1940s. It was the longest, most widespread, and deepest depression of the 20th century. In the 21st century, the Great Depression is commonly used as an example of how far the worlds economy can decline. The depression originated in the U. S. , starting with the fall in stock prices that began around September 4, 1929 and became worldwide news with the stock market crash of October 29, 1929. From there, it quickly spread to almost every country in the world. The Great Depression had devastating effects in virtually every country, rich and poor. Personal income, tax revenue, profits and prices dropped. Unemployment in the U. S. rose to 25%, and in some countries rose as high as 33%. British economist John Maynard Keynes argued in General Theory of Employment Interest and Money that lower aggregate expenditures in the economy contributed to a massive decline in income and to employment that was well below the average. In such a situation, the economy reached equilibrium at low levels of economic activity and high unemployment. Keynes basic idea was simple: to keep people fully employed, governments have to run deficits when the economy is slowing, as the private sector would not invest enough to keep production at the normal level and bring the economy out of recession. Keynesian economists called on governments during times of economic crisis to pick up the slack by increasing government spending and/or cutting taxes. Criticism of Keynes on Classical Theory:- The law of J.B Say was finally falsified and laid to rest with the writings of Lord J.M. Keynes. He in his book, General Theory, has severally citicized the Say’s La on the following grounds. †¢ Posibility of defficiency of affective demand:- He says that in a compatative market it is not necessory that all income earned is automatically spend on cosumption and investment. A part of Income may be saved and may go to increase individual holdings. There may, thus appear a deficiency in aggregate demand causing overproduction and unemployment in the country. †¢ Pigou’s view on wage cuts:- Keynes criticized the view that a general cut in real wages in times of depression is a cure for unemployment. Keynes is of the view that a general cut in real wages may reduce the aggrigate demand for goods and deepen depression. †¢ Saving investment equality:- The Say’s Law assumes that micro economic analysis can profitably by by applied to the economy as a whole. Keynes rejects this view and says that for the explanation of the general theory of income and employment, the macro economic analysis is required. †¢ Saving investment equality:- Keynes was never convinced of the classical version that interest elasticity can equate savings ad investment. According to him, It is the income not the rate of interest which is the equilibrium force between saving and investment. †¢ Monopoly element:- Say’s Law assumes perfect competition in the economy. Keynes says It is the imperfect completion which in practice prevails in the product and factor market. †¢ Role of Trade unions:- In the contemporary capitalistic world, The trade unions bargain with the employers for the fixation of wages. The state also fixes minimum wages in certain industries. †¢ Short run economics:- Keynes says that, the lenth of long run is not clear in Say’s law. Keynes Theory Of Income And Employment John Maynard Keynes wrote his esteemed book â€Å"General Theory of Employment† in 1936. Keynes has strongly criticised the classical theory in his book. His theory of employment is widely accepted by modern economists. Keynesian economics is also known as ‘new economics’ and ‘economic revolution’. Definition:- â€Å"In short period, level of national income and so of employment is determined by aggregate demand and aggregate supply in the country.† â€Å"Volume of employment depends on the level of national income and output. Increase in national income means increase in employment† The equilibrium of national income occurs where aggregate demand is equal to aggregate supply. This equilibrium is also called effective demand point.

Inappropriate Use of Social Media in Healthcare

Inappropriate Use of Social Media in Healthcare The rapid growth and widespread use of social media has changed the way many people communicate and share information. Social media include various websites such as Facebook and Twitter which are the two most popular social networking providers, video sharing websites like YouTube, a variety of blogs which enable users to post their own articles and allow visitors to leave feedback, discussion forums and other social networking platforms of communication that people can use for educational or other purposes. In recent years a huge number of people around the world have become active users of social media. Network of Global Agenda Councils Reports (2011-2012) showed that worldwide more than 1.2 billion of people use social media, a number that accounts for 82% of all internet users around the world (Councils, 2012). Many of these users explore internet in order to access medical information and other to share their concerns about health related issues or to seek out medical treatment. Furthermore many healthcare professionals such as physicians, pharmacists and nurses use social media as a platform of communication to promote patient health and safety as well as an education tool (Frances Griffiths, 2012). However irresponsible and misuse use of social media can result to a number of unpleasant situations. Both healthcare providers and patients should be aware of the risks of using social platforms of communication. Potential risks among others include the breach of personal data, the publication of poor quality medical information and the underestimation concerning the seriousness of a situation from a healthcare professional either due to lack of adequate information or due to provision of incorrect or inaccurate data provided by a patient during an online consultation (Harlow, 2012). In UK there is not any specific guidance provided from the Health and Care Professions Council, but it has been made clear that social media should be used within the relevant standards of conduct, performance and ethics. It recognises that social networking is a valuable way to communicate and share information but also points out that the healthcare professionals who will decide to use it as part of their work must make sure that will behave with honesty and integrity for the best interest of the public protecting patient confidentiality and exhibiting their professionalism at all times (Health Professions Council Newsletter: Issue 34 April 2011). Nevertheless in the past have been reported many incidents of inappropriate use of social media and unprofessional behaviour where patients personal data disclosed on the internet without their consent or cases where patients offended because of comments made from other users related to their health status. Guardian reported that between 2008 and 2011, were carried out 72 separate actions by 16 trusts against staff for inappropriate use of social media. Some of these cases were related to the breach of personal data and some other were associated either with posting of racists or sex comments or with sharing of inappropriate pictures and videos through public internet forums. These incidences encouraged British Medical Association to provide guidance to its members about how to use social media in an appropriate way. (Laja, 2011). The use of social media allows patients to interact with healthcare professionals in a rapid and cost-effective way. Also gives them the ability to participate on their own care in order to manage their health and monitor their treatment by having quick access to medical journals and having view of different treatment options before and during consultation from their doctor and by using health related online applications. Likewise social media used from healthcare professionals to connect with individuals from different geographical areas in order to contribute on their health improvement by providing them with medical documents and by creating discussion forums on health related topics. This advantage gave them the opportunity to expand their activities introducing new services such as the online consultation and the provision of different treatment options at low cost. There are cases where social media used to promote communication both among patients and among Healthcare Professi onals. Patients have the ability to share their concerns and discuss about common diseases or possible medical treatments and on the other hand Healthcare Professionals are enabled to share information, experiences and ideas supporting their lifelong learning (KPMG, 2011). Some social networking platforms are free to the public but to some other the patients will have to pay if they need an online consultation by a healthcare professional or if they wish to discuss and share their concerns with other healthcare providers or other patients that suffering from the same condition. In UK operate websites like NetDoctor.co.uk which is provided and operated by National Health Service (NHS) and offer a wide range of services such as pregnancy email service and online doctor diagnosis from registered UK-based General practitioners, discussion forums and online applications like symptom checker that help patients to get a better understanding of their healthcare needs. NHS in UK uses social media in order to improve public health by providing health related information through NHS choices. Also it has been integrated to other social media such as Facebook, Twitter and YouTube to promote its services and offer a broad spectrum of applications. For instance onlin e healthy life style advisor, smoking secession programmes and body mass index (BMI) health weight calculator. These services and applications enable patients to decide whether or not they require visiting a doctor for further advice retaining their privacy. However this way of communication can be very ineffective, as examining and interpreting medical notes without the availability of a full medical history and with the absence of physical exams can be a serious threat to the patient (Britton, 2012). In addition diagnosis can become unreliable due to lack of information and accuracy of data provided by the patient or due to underestimation of the seriousness of the situation, making online consultation inferior to a face to face consultation. Internet usage statistics showed that the adults that are active users of Facebook and Twitter in UK come to 37.4 million and 15.5 million respectively (Ayres, 2012). Considering this amount of people it is easy to understand how important is for Healthcare Professionals to use social media wisely and with professionalism. Inappropriate use of social media can affect healthcares personal and professional life. Many of them choose to disclose patients personal data for maintaining an easily accessible online medical record for personal use but they are unaware that many of that information (including videos or pictures) they upload on the internet in some cases can be accessed, used and spread from the general public without control (Thompson LA, 2008). It is therefore Healthcare professionals ethical and legal responsibility to protect patient confidentiality at all times on the internet as well as to other media. Some social networking platforms give the ability to the users to set privacy settings in order to prevent uncontrolled distribution of data and to put restrictions to individuals seeking access to information that have been chosen to be kept private (Thompson LA, 2008). However concerns have been raised in the past related to protection of personal data. Many social networks upload and share data without considering any legal or ethical considerations. Publishing personal information of patients without their consent can result to legal implications. In UK Data Protection Act limits healthcare providers from disclosing any personal information without patient consent with few exemptions. According Data Protection Act (1998) all personal data should be fairly and lawfully processed, they should be used for limited and specific purposes in a way that is adequate, relevant and not excessive, they should be accurate, held up to date and for no longer than its necessary and finally should be kept safe and not transferred to countries without adequate date protection. Nowadays social media have become an integral part of our lives. General public uses them to obtain health related information, to connect with other users with the intention to discuss issues concerning their health, to get educated by reading medical documents so that will get a better understanding of their condition or their disease and to pursue new treatment options in a fast and inexpensive way. Social media have also become an essential way for healthcare professionals to provide their services in order to improve and monitor patient needs such as the online consultation. On the other hand the rapid and uncontrolled sharing of information can result to potential risks and have negative impact to the provision of health care and personal lives of both patients and healthcare professionals. Breach of personal data protection, publication of untrustworthy medical documents and faulty consultation due to lack of evidence can be some of the pitfalls that users may face. In order to avoid these drawbacks both patients and healthcare professionals need to understand the limitations of the use of social media. Creating bounds between personal and professional use of social media is essential. Healthcare professionals who choose to interact with patients online must maintain appropriate boundaries concerning the relations between them. For instance, they should not discuss about health related matters on a friendly but only on a professional level. Additionally in order to ensure that high quality information is provided and that a conversation between a patient and a healthcare professional will have a positive outcome, both of them must build a relationship of trust by being precise and honest to each other regarding the information they share. This will cause the patient to capitalize on the doctors consultation appropriately and follow essential tips for a better result and will make it easier to healthcare professional to give the most appropriate advice. Also in my opinion healthcare professionals should only share medical documents that based on scientific studies while patients should consult their health provider before taking any action based on information obtained using social media. There are personal data that should not be allowed to be shared through social media as it is very likely patients to be offended. So individuals who use social networking platforms, especially for medical purposes should be able to consider whether is safe or not to share their data with the public. Healthcare professionals must recognize that they have an ethical and legal obligation to maintain patient privacy and confidentiality at all times and need to be aware that social media cannot be completed safe for protecting the information they share. For this reason they should use social networking platforms that privacy settings can be set and are secure to the highest level. Finally I believe that healthcare professionals should be restricted from disclosing patient personal information on public internet forums and any health related data should be safeguarded and be disclosed only to the patient or other healthcare professionals if its necessary and only for the use of medical purposes and with the consent of the patient.

Tintern Abbey: Summary Essay -- Literary Analysis

Tintern Abbey: Summary William Wordsworth reflects on his return to the River Wye in his poem â€Å"Lines: Composed a Few Miles Above Tintern Abbey on Revisiting the Banks of the Wye During a Tour†. Having visited Wye five years prior, he is familiar with how enchanting the place is. He describes the natural wonders of the Wye, which travels past Tintern Abbey, a medieval abbey in the village of Tintern, which is in Monmouthshire, Wales. This Cistercian Abbey was founded by Walter de Clare, Lord of Chepstow, on May 9, 1131. The abbey thrived, with many buildings being added, until it was dissolved by King Henry VIII in 1536. Wordsworth describes his journey through the abbey saying, â€Å"†¦Thoughts of more deep seclusion; and connect / The landscape with the quiet of the sky† (Wordsworth 7-8). This connection between peaceful solitude and nature is the fore-conceit which he reiterates through the poem, naming the feeling â€Å"sublime† (Wordsworth 37). The abbey and Wye are â€Å"The guide, the guardian of my heart, and soul / Of all my moral being† (Wordsworth 110-111). For Wordsworth, Tintern Abbey and Wye are more a blissful paradise than simply a location. This place he is writing about gives him a sense of freedom and self-awareness, which he illuminates by writing â€Å"Lines† in free verse form. In his book on his analysis of Wordsworth’s work The Landscape of Memory, Christopher Salvesen says, â€Å"The calm, the seclusion, is the important feature; †¦ [the] memory of such a spot will at least be a reassurance in human time† (Salvesen 157). Clearly Wordsworth finds comfort in revisiting Tintern, but he does not describe why he enjoys this seclusion from in â€Å"Lines†. Personal Influences Wordsworth was born on April 7, 1970, as the second son of h... ...ic Tradition in English. New York: Penguin, 2001. 422. Print. Mahoney, John L. William Wordsworth: A Poetic Life. New York: Fordham UP, 1997. Print. Oxford English Dictionary. Web. Accessed May 2012. . Perry, Marvin. "Era of the French Revolution." Sources of the Western Tradition. Boston: Houghton Mifflin, 2006. 67-69. Print. Salvesen, Christopher. The Landscape of Memory: A Study of Wordsworth's Poetry. Lincoln: University of Nebraska, 1965. 157. Print. Thomas, Jeffrey L. "Tintern Abbey." Tintern Abbey. 2009. Web. Accessed May 2012. . Tillery, Tyrone. Claude McKay: A Black Poet's Struggle for Identity. Amherst: University of Massachusetts, 1992. Print. Wordsworth, William. Lines: Composed a Few Miles above Tintern Abbey on Revisiting the Banks of Wye during a Tour. 13 July 1798.

Behavior Therapy Essay

Hence due to the diversity of views and strategies, is more accurate to think of behavioral therapies rather than a unified approach. Population Served: The approach has wide applicability to a range of clients design specific behavioral changes. If you problem areas for which behavior therapy appears to be effective are phobic disorders, social affairs, depression, anxiety disorders, sexual disorders, substance abuse, eating disorder, trauma, hypertension, children’s disorder, and many more. Goals of Counseling The hallmark of behavioral therapy is identification of specific goals of the outset of the therapeutic process. The general goals are to increase personal choice and to create new conditions are learning. And aim is to eliminate maladaptive behaviors nd learn more effective behavioral patterns. Pacific achievement goals should be concrete, measurable, and objective term. Techniques and Approaches Behavioral treatment interventions are individually tailored to specific problem experienced by different clients. Any technique that can be demonstrated to change behavior may be incorporated in achievement plan. Techniques such as role-playing, behavioral arsenal, coaching, guided practice, and homework assignments can be included in the therapist repertoire. Considerations (include strengths and weaknesses) Some of the strengths of behavioral therapy is that it is a short-term approach that as wide applicability. It emphasizes research into the assessment of techniques used, thus providing accountability. Behavioral approaches are in line with the movement towards evidence-based practice and manualized treatments, which fit well with managed care mental health programs. The concepts and procedures are easily grasped. Some ot the limitations ot behavioral therapy is that the success ot the approach is in proportion to the ability to control environmental variables. In institutional settings such as schools and mental hospitals the danger exists Imposing conforming behavior. Therapist to manipulate clients toward and they have not chosen. A basic criticism leveled at this approach is that it is not adjust broader human problems, such as meaning, the search for values, and identify issues, but focuses instead on very specific and narrow behavioral problems.