Do-Not-Resuscitate Orders in Suicide Attempts - 2495 Words

Do-Not-Resuscitate Orders in Suicide Attempts Nursing 410 Introduction The National Institute of Mental Health (NIMH) has published a fact sheet of statistics on suicide in the United States. In 2007, it is reported that suicide was the tenth leading cause of death. Furthermore, for every suicide committed, eleven were attempted. A total of 34,598 deaths occurred from suicide with an overall rate of 11.3 suicide deaths per 100,000 people. (NIMH, 2010). Risk factors were also noted on this report and listed â€Å"depression and other mental disorders, or a substance abuse disorder (often in combination with other mental disorders). More than ninety percent of people who die by suicide have these risk factors (NIMH, 2010).† Since the†¦show more content†¦A patient may give clues with or without realizing they have done so; therefore, the nurse needs to be cognizant of such and relay the information to the physician. Even if the patient has a terminal illness and has decided to end his life, the nurse who has picked up on this decision still needs to relay this information to the physician for it to be explored further. Ethical Implications An ethical dilemma arises when a patient who has an advance directive and/or a DNR in place attempts suicide. â€Å"The idea of saving people vs. allowing people to die or commit suicide is at the very essence of one of the most debated and controversial dilemmas today. As long as there is difficulty in determining rationality in suicide, this controversy will remain (Butts amp; Rich, 2008).† Not only do the principles of autonomy, nonmaleficence, and beneficence collide with one another, but legal, religious, and/or economic values are also impacted (Cook, Pan, Silverman, amp; Soltys, 2010). According to Butts and Rich, â€Å"rational suicide is a self-slaying based on reasoned choice and categorized as voluntary active euthanasia and that individuals who contemplate rational suicide have a realistic assessment of life circumstances, are free from severe emotional distress, and have a motivation that would seem understandable to most uninvolved people in their communit y.† Contrary to that statement is the finding in the various articles read indicating that individuals whoShow MoreRelatedMoral And Ethical Dilemma Essay1097 Words   |  5 Pagesto have left a note prior to the accident, stating he is too heartbroken to go on, suicide note is not a legal document. More-over no one can say with certainty that the patient was competent when he wrote the note. In an article in which a group of physicians examine the issue of resuscitation, analogy was made between someone shot in a gang drive-by and self-inflicted gun-shot wound. If you’re able to resuscitate in the first case, a self-inflicted gun-shot wound is no different. Nurses are ethicallyRead MoreAdvocates Against Assisted Suicide Advocates Essay1681 Words   |  7 PagesAdvocates against assisted suicide argue that the untaken medication will be dispersed to a larger group of people than just the terminally ill it was intended for. A little over 40% of the population of individuals that received life-ending medication did not even take the medication (Keown 172). Keown details a summary of the prescriptions ingested in 2015 as of this current January. All of the medications that a prescription was written for were carefully tracked and observed. The Death with DignityRead MoreMoral Question of Hastening the Death of a Terminally Ill Patient1220 Words   |  5 Pagesand by legalizing physician assisted suicide would lead to abuses by the medical field. A fundamental question concerning hastening the death of a terminally ill patient are, evaluating if this act is a virtue of kindness prompted by a sense of mercy and respect for an individuals wi shes? If this is not a act of a moral virtue thought then, it is an act of murder and a violation of the Hippocratic Oath. Some patients who decide that they wish to commit suicide are unable or unwilling to accomplishRead MoreEuthanasi A Dangerous And Disputable Proposition2451 Words   |  10 PagesThroughout history, a series of seemingly uncorrelated ideas have been consistently intertwined: suicide, infanticide, euthanasia, genocide, eugenics, and, most recently, a practice termed physician- assisted euthanasia, or physician- assisted suicide. An examination of history shows that these dissimilar notions always involve two troubling questions: which lives are not worth living, and who will decide who dies? The same examination of history shows that separating the worthy from those who areRead MoreDo-Not-Resuscitate: Legal and Ethical Issues Essay3308 Words   |  14 PagesDo-Not-Resuscitate: Legal and Ethical Issues Most cultures value life and bringing persons back from the dead is a popular subject of many fictional books. However, as technology evolves and the story of Frankenstein reborn with a bolt of lighting has come true with the external or implanted defibrillators, the natural process of death slows as much of society gains the knowledge to live longer than nature intended. The Red Cross Association taught many organizations like the girl and boy scoutsRead MoreThe Face Of Physician Assisted Suicide Or Pas1862 Words   |  8 PagesIn 2014, Brittany Maynard became the face for those supporting physician assisted suicide or PAS. At 29 years old and newly married, Maynard was diagnosed with terminal brain cancer and immediately underwent a partial craniotomy and partial resection. Her tumor came back much stronger, however, and in April she was given six months to live. Maynard’s only treatment option to slow but not stop the growth of the tumor was full brain radiation, but sh e opted against this because of the unavoidable sideRead MoreExamination of the Main Issues of the Euthanasia Debate Essay example1337 Words   |  6 PagesExamination of the Main Issues of the Euthanasia Debate Introduction Talk of suicide and euthanasia has long been the focus of media attention. Recently this debate has been furthermore justified with the advent of European clinics that specialise in professional mercy killings for the terminally ill and those suffering incurable pain. To add to this, suicide rates in this country are ever increasing, with this being one of the ten most common causes of death inRead MoreThe Case Of Physician Assisted Suicide2803 Words   |  12 Pageswhat course of action is the most beneficial to their patients. Living in a constantly shifting society, however, has shed light on the power struggle between the rights of patients and the ethics of medicine. In the case of physician-assisted suicide, the conflict of power should resolve with the ultimate decision-making power resting in the hands of the patients. Patient autonomy is often the focus of the death with dignity debate. The rights of the patient should be respected. Losing controlRead MoreEuthanasi The Controversial Issue Of Euthanasia1650 Words   |  7 PagesQualitative Research Proposal What do 18-25 year old Adelaide students think about legalising voluntary euthanasia in Australia? Introduction The purpose of this research is to seeking and analysing the opinions about legalising voluntary euthanasia within Adelaide students (aged 18-25 years old). With recent changes to legalisation of child euthanasia in Belgium, the controversial issue of euthanasia is currently being re-spotlighted all over the world. Ongoing active discussion on the legalisationRead MorePalliative Care : The Standard Option Care For The Terminally Ill2001 Words   |  9 PagesPhysician-assisted suicide, PAS, has been a continuing controversial debate. These arguments are not new and recent polls indicate more acceptances with the procedure. Since 1970s, survey shows that 7 out of 10 Americans encourages some form physician-assisted suicide. 3 With increasing support and stringent safeguards, decriminalization and legalization of physician-assisted suicide is possible. What is Physician-Assisted Suicide? There is a clear difference between the terms physician-assisted suicide and

Analysis Of The Book Adventures Of Huckleberry Finn By...

Finley Roles November 18, 2016 Mrs. Fellinger AP English 11 Defying Historical Stereotype in Adventures of Huckleberry Finn Civilization evolves over time, trading old ideas for new ones. Society grows in intellect and innovation. Though, despite the heights that humanity has soared, impurity still remains. Regardless of the best efforts, millennia of oppression have ingrained the tendency to hate into the psyche of man, despite centuries of reform. Racism continues to propagate every corner of the globe. Yet, in his modern American novel, Adventures of Huckleberry Finn, Mark Twain reveals the flaws in racism and the importance of suppressing it through his satirization of religious hypocrisy and elimination of details regarding the treatment of slaves, as well as the depiction of slaves themselves. Through his development of often platitudinous characters, Twain also manages to overcome the stereotype of race and demonstrate to the public that blacks and whites possess the ability to rise above or even sink below the racial boundaries set b y literature. In general, the literature focuses on the Twain’s divergence from the familiar archetypes of benevolent white slaveowner and asinine black slave to more distinct characters. Nevertheless, he initially portrays Jim as the dim and superstitious archetype most individuals of the 1800s envision. He speaks with a very strong and, for some modern readers, offensive accent denoted heavily by various conjunctions andShow MoreRelatedAnalysis Of The Book The Adventures Of Huckleberry Finn By Mark Twain1303 Words   |  6 Pagesare slaves. In the book, The Adventures of Huckleberry Finn by Mark Twain, Huck and Jim travel down the Mississippi river, and encounter a lot of the aspects of the antebellum south. Because of the society Huck has grown up in, he often overlooks his traveling companion, Jim. Throughout the story, Twain creates a division, that widens as the story evolves, between how Huck views Jim and how the reader views Jim as a person. This theme happen s in almost every part of the book and it is very clearRead MoreAnalysis Of The Book The Adventures Of Huckleberry Finn By Mark Twain Essay1492 Words   |  6 Pagesyourself another†. TAG (Title, author, genre): The Adventures of Huckleberry Finn, Mark Twain, satire full of adventure Context/Background: The story follows a teenager boy as he sets off on an adventure with Jim, a runaway slave. Together, they overcome a variety of obstacles and experience what it’s like to go off in the real world. Thesis: Throughout the novel, Mark Twain frequently Southern society through the use of satire. By doing so, Twain ridicules hypocrisy when he satirizes Miss WatsonRead MoreAnalysis Of The Book Adventures Of Huckleberry Finn By Mark Twain Essay2138 Words   |  9 Pages Period-4 MAJOR WORKS DATA SHEET Advanced Placement English Language and Composition Title: Adventures of Huckleberry Finn Author: Mark Twain Date of Publication: 1999 Genre: Satire Explain what makes this work an example of this genre. Explain what makes this work an example of this genre. Satire means to use irony, humor or exaggeration to show the context of society.I think that Twain uses Satire to compare the irony of life back then as it is today. Biographical Information aboutRead MoreHuckleberry Finn and the use of Satire Essay1109 Words   |  5 Pages Huck Finn and the use of Satire Mark Twains The Adventures of Huckleberry Finn has been controversial ever since its release in 1884. It has been called everything from the root of modern American literature to a piece of racist trash. Many scholars have argued about Huck Finn being prejudiced. In The Adventures of Huckleberry Finn, Mark Twain uses satire to mock many different aspects of the modern world. Despite the fact that many critics have accused Mark Twain’s novel of promoting racismRead Morehuck finn introduction7490 Words   |  30 Pages Huckleberry Finn’s Road to Maturation Huck states to Judge Thatcher Please take it, and dont ask me nothing—then I wont have to tell no lies† (16). That quote is said by Huck to Judge Thatcher when Huck finds his pap is in town and pap will try to take his money. The Maturation of Huckleberry Finn is important because its about Huck making the right decisions to help him and Jim to freedom. The Adventures of Huckleberry Finn, by Mark Twain, begins with Huck introducing himself. He is wild andRead MoreAnalysis Of Mark Twain s Works Made A Huge Impact On Readers And Literary Critics1288 Words   |  6 Pages2/26/17 P:2 Outline Mark Twain’s works made a huge impact on readers and literary critics. His writing occurred during both the romantic and realist time eras in American Literature. He has simple, seemingly artless narrators and an understated style leads readers to arrive at the social commentary of his narratives on their own. Mark Twain’s writing influenced society because he created a new perspective on life with the views pointed out in his books. The distinctive trait of Twain s was his senseRead MoreAnalysis Of Mark Twain s The Adventures Of Huckleberry Finn And Henry James1557 Words   |  7 Pagesmisjudgment between Americans and exotic immigrants. Those famous authors like Mark Twain and Henry James wrote down social and psychological transformations bring out in the nation by creating removed, impartial status of daily life. In order to bring readers to be fascinated and thoughtful by their novels and to depict their character and the reader’s setting to life, Mark Twain in the adventures of Huckleberry Finn and Henry James showed the reality of life in his story Daisy Miller. There areRead More Huck Finn Essay900 Words   |  4 Pages Tim Lively Critical Analysis: The Adventures of Huckleberry Finn Setting: Late 1800’s along the Mississippi River Plot: When the book begins, the main character, Huck Finn possesses a large sum of money. This causes his delinquent lifestyle to change drastically. Huck gets an education, and a home to live in with a caring elderly woman (the widow). One would think that Huck would be satisfied. Well, he wasn’t. He wanted his own lifestyle back. Huck’s drunkard father (pap), who had previouslyRead MoreThe Adventures Of Huckleberry Finn By Mark Twain1854 Words   |  8 PagesThe Adventures of Huckleberry Finn by Mark Twain is a one of a kind novel. The novel has been debated as controversial since it has been published in 1986. It has been considered racist, due to the â€Å"n† word. In its earlier days, racist people felt this book was a disgrace, because of the mingling of the two main characters. Among all of the negative comments, this book is truly a ma sterpiece. It is an unforgettable and enjoyable book for everyone to learn and scrutinize; it contains a multitude ofRead MoreHuck Finn Essay1835 Words   |  8 PagesThe Adventures of Huckleberry Finn By Mark Twain By Brenda Tarin British Literature 2323 Lois Flanagan January 27, 2009 Tarin ii I. Introduction II. Biographical sketch of author A. Past to present B. Experiences and achievements III Plot analysis A. analysis of plot structure 1. Exposition 2. Complication 3. Crisis 4. Climax 5. Resolution B. Theme of plot IV

Operation Management Manufacturing Process

Question: Discuss about the Operation Management for Manufacturing Process. Answer: At the kaizen event, Carrier and Kallish were given the two important goals of increasing the productivity by 35% and decreasing the level of inventory to 40% in the PSEM manufacturing process of Olomouc plant. Areas where Carrier and Khallish excel Khallish used stop watch to gain more knowledge about the manufacturing process. This helped him to determine the duration of every step and the waste time involved. To have a long -term and potential impact ,Carrier and Kallish decided to show the proposed changes in numerical terms as quantifiable data always have a long lasting impact. Carrier also took a brief tour of the plant so that they can have knowledge about the overall working. They have suggested that if producers keep the tools arranged in a certain manner, it will result in decrease in the motion time which is around 6-7 minutes on an average. Areas of failure for Carrier and Kallish Carrier designed a new cell and with this new establishment, the problem of inventory management has arrived. For this, whole day presence of one person is required for restocking. They were not able to convince the operators about certain changes related to proper organization of tools. The team of operators only wants to rely on the same old and routine activities. This created a big hurdle in the process of designing a new cell. They both were uncertain about the proposed plan, whether it could meet the customers demand or not. They were running short of time due to the long- time observation process. Future course of action To eliminate the work halt due to absenteeism of the operators, Khallish should focus on eliminating waste, so that the workers can be reallocated when needed. Carrier should find out a person who will manage the inventory inside the cell. It would definitely decrease the inventory level. Both should make such strategies so that the operators would become ready to implement the changes in their daily day to day business and work as a team to run the new cell. The inventory space between the workstations was low and it creates difficulty in pulling WIP and consumes more time. This low space also limits the pace of the workers. Carrier and Khallish already included U-shaped cell in their new design. This would eliminate the idle time of the worker and increase productivity. Also, the concept of jidoka should be involved in PSEM which would help in addressing the issues as and when they rise. Also, to increase productivity and maintain high level of consistency, standardization could be incorporated in the PSEM manufacturing process.