The ethical concerns

The ethical concerns that I have related to this dilemma are many. What is the doctor’s responsibility to try to stop the mother’s contractions? What are the limits of the attempts that should be made to save the child?   Should the mother be allowed to risk her own life to attempt to save the life of a child that is probably not viable outside the womb? Should the doctor plan a cesarean section despite the fact that the infant will probably die as soon as it is removed from the mother’s womb?   I can’t imagine making this decision personally, but many mothers are forced to make it every day. Here is the situation that lead to my ethical quandary.I have a patient who is 3 week ante partum and has had premature rupture of membranes. This condition could cause hemorrhaging for her and death of the infant in uterus. In layman’s terms, both she and the infant are at risk of death. She is starting to contract and the physician will not do anything si nce the fetus is not considered viable. The physician has described the issues of having a vaginal birth versus a cesarean section with this patient because the fetus is breech. The patient wants everything to be done to save this baby. As described above, the issues are exceedingly complex. The physician appears to have determined that the child is a lost cause and is thinking only of the health of the mother, but this is contrary to her wishes. Should the mother’s desire to save her child be allowed to override her own survival instincts? And, what role, if any, should the child’s father have in decision-making process?My literature survey for this situation was amazingly frustrating. I expected there to be a great deal of study materials available regarding this topic. It is, in essence, the quintessential ethical debate: do you save the life of the mother or the life of the child?   And, there is the question of the doctor’s ethics. Should he be able to de termine the best medical course of action if it is contrary to the mother’s wishes? And, who determines when a fetus is viable? Can we allow it to be based on an arbitrary date?I found a lot of older research regarding the ethics of abortion and approaching the discussion of fetal viability from that point of view, but there was nothing recent and nothing than dealt with miscarriages as opposed to abortion. And, there was nothing that talked about the discussion of the life of the mother versus the life of the child. I think this would clearly be a great place for additional study. I think specifically the ethical question of whether medical decisions should be made contrary to the patient’s wishes should also be considered.Right now, as a society, we allow a person to make their own decisions about their health care even though we do not allow them to determine when or how they die.   What I did find were several articles regarding the mental trauma that miscarriage and stillbirth inflict on the mother and an interesting article promoting the development of advanced directives regarding pregnancy health care. Of all the articles, this is the one that I found most interesting and directly applicable to the situation at hand.In this article, Anita Caitlin proposes that obstetricians think outside the box and promote the development of advanced directives for prenatal and delivery care.   The proposal is simple, just as a person can create a living will for care during a terminal illness or traumatic injury, a pregnant woman would in her early weeks of pregnancy discuss in depth with her doctor the potential things that could go wrong and develop a plan of action.   For instance, a woman would decide at the very beginning of the pregnancy what circumstances would lead to her decision for a cesarean section (Caitlin, 2005).This would eliminate the need to make the decision during a high stress time, since we can assume that such decision would cause stress, and at a time that the mother’s mental and emotional state is impacted by the high levels of hormones associated with pregnancy. I understand that being able to hold a woman to the advanced directives would be impossible, but a woman could elect to rely on the already issued directive and not add the trauma of making a decision to an already stressful time. This would also allow the person to discuss the eventualities with those whom she believes have a right to have a say in her life instead of just those that the laws say have a right to assist with her decision-making (next of kin, when the patient is incapacitated).Another article that drew my attention that I found in my literature review was a discussion about the ethical concerns some doctors have about making medical recommendations that are contrary to their own moral and ethical beliefs.â€Å"A growing number of doctors, nurses, and pharmacies are refusing to provide, refer, or even tell their patien ts about care options that they feel are not in keeping with their own personal religious beliefs,† stated Barbara Kavadias, Director of Field Services at the Religious Coalition and leader of the three-year project that created In Good Conscience. â€Å"Institutions are refusing to provide essential care, citing their religious commitments.† (Bioweek, 2007)This is a growing ethical trend in medical care that I have some major concerns with. Take, for instance, the case of my current patient. If she were (or is) being treated by a doctor who believes all life is sacred, he might be willing to risk the life of the mother in an effort to try to save the child. In this case, it is difficult to determine how a person with these moral concerns might treat the patient. Taking the child via c-section is probably the best for option to preserve the mother’s life. It may result in the immediate death of the fetus. Waiting and trying to abate the mother’s contractio ns may provide the child with a greater chance of survival, but also puts extra risk on the mother’s life. At that point, what are the criteria used by those with this moral outlook to determine the proper course of action?These questions are likely to grow in controversy as technology increases and the fetus is increasingly viable outside of the womb. The more that society becomes able to keep a child alive without the benefit of the mother, the more questions regarding the ethics of doing so or not doing so will grow in prominence. It is absolutely possible that with increasing medical technology and the ability to prolong life we will have additional debates regarding who gets to determine what lives are worth saving and what lives are lost.I believe that a trend toward making informed decisions is a good one and a move in the right direction, taking people away from having to make a decision in a crisis situation. I also think that it is worthwhile to discuss the role of the father in the decision-making process. Because of the trend toward increasing women’s rights and in an effort to prevent a return to the days of the complete male dominance, society appears to be moving away from the rights of a souse to have a say in decisions that affect them.For example, the birth of a child is an 18-year (minimum) commitment for men as well and in an effort to secure the rights of women, we have completely removed the father from the decision-making process. As a human, I believe that ultimate control of a person’s body should be his or her own, but it is also reasonable to believe that a spouse (or life partner) should have some say in the decision. In the case of m patient, I cannot believe that a loving partner would encourage her to risk her own life for the tiny chance to save a child which would already have been lost if not for technology.Works CitedCaitlin, Anita. â€Å"Thinking Outside the Box: Prenatal Care and the Call for a Prenata l Advance Directive†Journal of Perinatal & Neonatal Nursing. Frederick: Apr-Jun 2005. Vol. 19, Iss. 2; pg. 169.Geller, Pamela A. â€Å"Understanding distress in the aftermath of miscarriage† Network News. Washington: Sep/Oct 2002. Vol. 27, Iss. 5; pg. 4.Klier, C. M. , P. A. Geller, J. B. Ritsher. â€Å"Affective disorders in the aftermath of miscarriage: A comprehensive review†,Archives of Women's Mental Health. Wien: Dec 2002. Vol. 5, Iss. 4; p. 129.‘Religious Coalition for Reproductive Choice; Religious Leaders Call for New Efforts to Reverse Growing Imposition of Sectarian Religious Beliefs on Reproductive and End-of-Life Care† Biotech Week. Atlanta: May 9, 2007. pg. 973

George Mason Essay Example | Topics and Well Written Essays - 1750 words

George Mason - Essay Example judge and statesman, a leader in the cause of American rights in opposition to British tyranny, author â€Å"Fairfax Resolves,† (1774), active in work leading up to 1787 Convention which framed U.S. Constitution. He has also been remarkable as he â€Å"did not sign Constitution and opposed ratification due to fear of inadequate limits on Federal power to prevent its becoming tyrannical; urged addition of â€Å"Bill of Rights;† was one of principal slave-owners (including Washington and Jefferson) who deplored existence of slavery and favored abolition, with compensation by government to owners of freed slaves.† (Mason). All these aspects of this great leader were, it seems, not enough to earn him a more respectable position in the pages of American history. A profound analysis of the life and works of Mason makes one recognize the impact of a true social and political leader upon the future of a great nation and this will also indicate the need for reserving a prime position to this influential leader in the unoccupied areas of American history. In this paper, an overview of this great American leader who, all through his life was steered by his belief in the rule of reason as well as in the essentiality of the natural rights of every man is undertaken. This has been significant an attempt in appreciating the natural leadership of Mason in the political and social aspects and recommends for a greater position for him in the American history. It is essential to have a basic awareness about the biography of Mason in order to appreciate the true leadership traits in his character. Thus, it can be seen that George Mason was born at the Mason family plantation at Fairfax Country in Virginia, to George and Ann Thomson Mason in the year 1725. After the death of his father when he was only 10 he was brought up by his uncle, John Mercer and soon he established himself as one of the important figures in his community. Mason married Anne Eilbeck in 1750 and had five children

Human resources case study assignment Essay Example | Topics and Well Written Essays - 1750 words

Human resources case study assignment - Essay Example IN 2013 total revenue generated by Babcock was 3.2 billion pounds. Trust to bring best of the products, service and long term value for shareholders. Very important issue which I see in Babcock is gender ratio in employees, majority of the employees are male and only 20% of employees are female which is not a very good number. Female representation in any organization gives a softer image to the world and another aspect is that female empowerment shows a much positive approach of an organization. Babcock should focus on this female hiring to market Babcock in business sector. Another negative point of Babcock is that they are resistant to change, business sector has one rule and that is adaptability, business growth depends upon upgrading and adapting new styles trends and procedures if they are good for company so Babcock needs to expand business by taking Babcock to different countries. This report will focus on flaws which are present in Babcock’s structure and if they elim inate those flaws then Babcock will grow as double speed as it is now. To conduct any research work it is necessary to review the literature of the study. The literature review provides us information about the work done in the specific area with theoretical framework on which the suggested solution of the problem can be built. The literature on the problem is somewhat dispersed from different sources to get a better understanding of the problem under study (KRÄMER, RINGLING & YANG, 2006). A brief review of the literature is given as: A student accountant( September 2008) in his paper explained how business process is important for defining business strategy and suggested ways through which organization can analyze performance of their already existing policies and procedures and how they can change and improve the existing system in order to meet the

Analysis Essay Example | Topics and Well Written Essays - 250 words - 27

Analysis - Essay Example Whereas, K12 learners are comparatively passive and they trust the instructor’s ideas unconditionally (Lc.unsw.edu.au, 2015).Working adults are focused upon evaluation and need practical application upon the topic being taught but evaluation and high level practical approach is not the need of K12 learners. However, both focus upon learning and enhancing their abilities and skills. Bloom’s taxonomy consists of six different stages which are (starting from lowest to highest) knowledge, comprehension, application, analysis synthesis and evaluation (Metro, 2015). According to the needs identified above Bloom’s taxonomy can be used by focusing more upon knowledge, comprehension and application than analysis, synthesis and evaluation, vice versa for higher studies learners (Tech, 2015). For example while teaching Newton’s three laws of motion the school learners should be able to recite three laws of motion (knowledge), explain three laws of motion in their own words (comprehension) and be able to calculate the kinetic energy of a projectile (application). Whereas higher studies students along with this should be able to differentiate between potential and kinetic energy (analysis), design the problem dealing with the conservation of energy (synthesis) and determine whether using conservation of energy or conservation of momentum would be more appropriate for solving a dynamic problem (evaluation). (Tech, 2015)I consider myself a lifelong learner. My instructional needs include clear, concrete communication with a practical approach.   Lc.unsw.edu.au,. (2015).  Differences Between High School and Uni >> First Steps: A Beginners Guide to Uni >> The Learning Centre UNSW. Retrieved 23 January 2015, from http://www.lc.unsw.edu.au/firststeps/differ.html Metro, k. (2015).  Writing Objectives Using Blooms Taxonomy | The Center for Teaching and Learning | UNC Charlotte.  Teaching.uncc.edu. Retrieved 23

FEMINISM Essay Example | Topics and Well Written Essays - 500 words

FEMINISM - Essay Example is exchange of opinions, but one of the essential parts of this process is also the presence of a certain party that is willing to articulate its position. In other words, speaking for others substitutes the real representatives and has a negative impact on the interaction. There are several elements of the above mentioned process that were addressed in the essay in question. The first on is epistemic location. Alcoff suggests that it is crucial to fully understand the location of a person within the social environment in order to determine whether one is able to be a valid representative of ideas (7). In other words, what a person says might not fully reflect the real state of affairs and, therefore, this kind of information is able to contribute to distortion of the general picture, contributing to development of misunderstanding that inevitably leads to a conflict. What is more important is that the information that is being said by a person with epistemic location that does not give one credentials to do so can hardly be received as truth. Thus, it is highly doubtful that a person who does not belong to a group is able to articulate its views in a correct manner, reflecting all the peculiarities of the position that is taken by it. Another important element of the process of speaking for others is the negative impact that this practice has on the group of people that is being represented. Indeed, on the one hand, this process simply contributing to reinforcing the oppression of this group since it shows that the people are not able to speaking for themselves which enhances the weak image of this group. On the other hand, surprisingly enough, but speaking for other actually silences this group of people, not allowing them to express the ideas that they have in a manner that they would like to use (26). This means that these people are deliberately excluded of the dialogue which harms the way they are represented in the society. As once can easily see,

Personal statement for law school Example | Topics and Well Written Essays - 500 words

For law school - Personal Statement Example I find these issues fascinating as the intricacy of law continues to astonish. Also, I am charmed by advancements in the law and how it adapts to an ever-altering society. I believe I would be suitable to a law degree as challenges bring out the best in my ability. I relish the chance of lateral thinking and take pleasure in assessing human relationships. For a long period, I have been satisfied with the intelligence that I hold. I constantly set new objectives and goals that help stretch my mind in a better way than previously. I also permit all experiences to shape my thoughts, while not losing what I have been learning and my convictions (Frum, 2000). This has always been my way of life. Undertaking legal education is not my final achievement, nor will acquiring a legal degree satisfy my desire for knowledge. I need to be in constant search for challenging objectives that need tremendous person reflection and mind expansion. The knowledge and experience I will get hold of when going to law school will extend my mind to deliberate in ways that I have not done. This will permit me to face future academic, intellectual, and profession goals with enthusiasm and confidence. Academically, I have always been determined. This made me realize that being admitted to Law school would be the subsequent step. I have a large interest in a number of subjects yet feel attracted towards Law. Pursuing a Criminal Justice degree has assisted me to become open minded and well acquitted with criminal activities (Frum, 2000). While pursuing a degree in Criminal Justice, I realized the importance of criminal justice and the issues that are assessed. To add on to my academic interest in Law, I was engaged in a number of extracurricular activities. I was a member of the school’s debating society. The experience I gained has taught me to develop skills in

Business Research Methodologies Resit Essay Example | Topics and Well Written Essays - 1500 words

Business Research Methodologies Resit - Essay Example Research Methodology Research Design Research Philosophy The research shall contain elements of both positivism and interpretivism. The interpretivism philosophy is quintessential to our understanding of how and why international students arrive at a preference for certain mobile phone over another in London. This research incorporates identifying and analyzing the factors behind mobile phone selection by international students in London which have not yet been discussed in the context of UK in various past studies. Since this requires significant level of involvement, the subjective element associated with interpretivism will remain dominant. At the same time, the lack of objectivity related with using the interpretivist approach makes it necessary to adopt a quantitative approach and positivist philosophy for the establishment of our research instrument. Research Approach An inductive approach shall be used to identify common factors behind choice of mobile phones in London by inte rnational students which shall be picked up from raw data with subsequent generalizations made for the entire group. Key factors shall be grouped into categories such as cost, availability etc. from raw data and theory shall be developed capturing those factors that are judged to be significant by the researcher. Since the nature of research is qualitative, multiple interpretations may be made from open-ended data obtained through focus groups. Therefore, the findings shall be in large part interpreted in the context of the researchers’ prior experience and/or assumptions. Research strategy Reflecting a blend of positivist and interpretivist approach in our research, a combination of research strategies shall be used including surveys and focus groups. While the surveys are a reflection of the positivist approach, focus groups are suggestive of an interpretivist approach. Inferences regarding the factors that affect choice of mobile phone by international students in the UK s hall be made and relationships between these factors shall be determined using quantitative techniques. Focus groups have been defined as a series of discussions that are systematically planned and that obtain target audience’s perceptions in a particular area of interest under an environment that is tolerant and â€Å"non-threatening† (Krueger & Casey, 2009). The focus groups shall enable the identification of open-ended, sub-conscious responses from the students that they would otherwise not reveal through direct questions. Projective techniques such as those using images of various types of mobile phones (flip cover, sliding, QWERTY keypad, big screen) shall be shown along with various brands including Samsung, Nokia, Apple, Blackberry and others. This exercise particularly attempts to unravel social motivations such as peer pressure in their new place of study as well as the effect of factors such as security (little/no thefts) and supporting infrastructure such as mobile hotspots and e-shopping that may not be available in the countries to which these foreigners belong. Data Collection As suggested earlier, data shall be collected using focus groups and surveys. The surveys shall include both interviews and questionnaires.