Beneficence is the core principle that refers to the act of ‘doing good’ and advocating for the patient. All nurses should take positive actions to help their patients and to have the desire to do good. On the other hand, nonmaleficence is the core of the nursing ethics and it revolves around the idea that nurses have to remain competent in their field as to avoid causing injury or harm to patients. Nonmaleficence also requires all health care professionals to report any suspected abuse. The last ethical principle is justice.
Cocaine’s effects appear almost immediately after a single dose and disappear within a few minutes to an hour. Small amounts of cocaine usually make the user feel euphoric, energetic, talkative, mentally alert, and hypersensitive to sight, sound, and touch. The drug can also temporarily decrease the need for food and sleep. Some users find that cocaine helps them perform simple physical and intellectual tasks more quickly, although others experience the opposite effect. The duration of cocaine’s euphoric effects depend upon the route of administration.
In One Flew Over the Cuckoo’s Nest by Ken Kesey, Randle Patrick McMurphy, the protagonist, leads a rebellion within a mental institution and helps the patients learn the importance of self-worth and not conforming to rules that violate their natural rights. Kesey employs many biblical allusions in the novel that serve to build deeper meaning of the character McMurphy, who on the surface comes off as harsh and unpleasant at times to the reader. However, he is key in helping bring real change to everyone in the hospital. By alluding to the bible to establish Randle McMurphy as a Christ-like figure in One Flew Over the Cuckoo’s Nest, Kesey is able to soften the hard edges of McMurphy, which is essential in the novel because it is ultimately
McMurphy’s rebellion was a serious curveball to the Big Nurse, because she has always been used to being in control and playing mind-games with the patients. His rebellion ends up being a good thing because it allows the patients to open their eyes and realize how they have been living dead all of these years. “You’re committed, you realize. You are… under the jurisdiction of me… the staff” (Kesey, 127). This shows how Big Nurse has trouble keeping McMurphy in check and he often tries to prove to the patients that they are actually not that crazy.
The Peaceful End of Life theory is paramount as the authors stated that every individual deserved to die in a peaceful manner with dignity. The theory is empirical based which is applicable to nursing practice in caring for dying patients, assessing interventions, maximizing care, promote dignity and enhancing end of life to be peaceful. According to Moore and Ruland, a good life is simply defined as getting what one wants (Alligood, 2014, p. 702). The approach of given patients what they want or their preference is a practical approach to the end of life care. This theory stands out to me because it fit into my patient’s diagnosis and I believe everyone deserves to die with dignity and peacefully.
The most serious complication is nephrotoxicity, which may result in irreversible renal failure. Key management strategies for a cisplatin overdose involve renal protection and enhancing drug elimination, and consideration of sodium thiosulfate and plasmapheresis. A suggested algorithmic approach for the initial management of a patient with a cisplatin over-dose is presented in figure 2. To our knowledge, patients inadvertently receiving less than 300 mg/ m2 of cisplatin reportedly often recover, whereas overdoses exceeding 400 mg/ m2 frequently result in death. To our knowledge, our case is the youngest one who received a high dose of cisplatin (500 mg/m2) in the absence of intravenous hydration, and nephrotoxicity result in renal failure, hearing loss, visual impairment, severe myelosuppression complicated by life-threatening sepsis were presented in this patient.
The author of One Flew Over the Cuckoo’s Nest, Kesey, presents the ideas about venerability and strength by using his characters and the way they interact with each other to establish whether they are a submissive or a dominant, tamed or leading, venerable or strong. Kesey uses strong personalities to show the drastic difference between someone who is vulnerable and someone who is strong. Nurse Ratchet is a perfect example of how Kasey presents the idea of strength over the venerability of others (the patients). Keys also exhibited vulnerability throughout characters such as Chief Bromden and his extensive habit of hiding himself in all means possible from Nurse Ratchet. Another idea presented by Kesey is a character’s false thought on what
In order to demonstrate the detrimental impact of societal institutions such as the mental hospital and the federal government on their subordinates, Ken Kesey captures the patients’ endeavor to become whole again as they temporarily escape the Combine’s clutches within his novel One Flew Over the Cuckoo’s Nest. At the beginning of Part 3, it appears Nurse Ratchet’s regime is nearly toppled and that the machinery has lost its control. In fact, McMurphy even draws “[laughs] out of some Acute who’d been scared to grin since he was twelve” and forms a basketball team for the inmates (175). Moreover, Chief Bromden speaks for the first time in years and achieves an erection after his pivotal conversation. Clearly, Kesey indicates the decline of the matriarchy and as a result, portrays the patients as regaining their masculinity.
The Hippocratic Oath is a promise made by doctors, stating that they are not magicians but will always treat the sick to the best of one's ability, with the high standard of treatment, preserve patient privacy, to impart the secrets of medicine to the next generation of doctors and many more. It was in this oath that the foundation of patient privacy and doctor-patient confidentiality developed. To this day \, even though the Hippocratic Oath has been altered to reflect the modern time, it holds the American Medical Association's Code of Medical Ethics and has remained in Western civilization as an expression of ideal conduct for the physician (Tyson 2001), in which graduating medical students swear the oath to society and
The principles address the issue of fairness, honesty, and respect for fellow human beings. • Autonomy: People have the right to control what happens to their bodies. This principle simply means that an informed, capable adult patient can refuse or accept treatments, drugs, and surgeries according to their demands. People have the right to control what happens to their bodies because they are free and balanced. And these decisions must be respected by everyone, even if those decisions aren’t in the best interest of the patient.
Would our satisfaction scores go up if we did not wake them in the middle of the night to do an eight-hour heparin subcutaneous injection? 5. Is low-dose unfractionated heparin more effective that a low-molecular-weight heparin such as enoxaparin or dalteparin? These background questions are significant to providing evidenced based patient care in the prevention of DVTs while in an acute care setting. These questions on the topic of how often Lovenox injections are required to be therapeutic versus how often heparin needs to be injected and the resulting patient satisfaction during the hospital stay.
Overall, many people lose at least two-thirds of their weight in a year; however, in rare cases, people can regain their weight or even exceed their original weight (194, 196). Although one out of two hundred people may die from this surgery, doctors claim the benefits outweigh the risks (198). Gawande effectively explains through the use of statistics and personal experiences that Roux-en-Y gastric bypass has many health benefits, and that it takes a great amount of willpower to change one’s lifestyle after this life-altering operation. Gawande introduces a
However, once you get through this stage, you are likely going to feel much more balanced and “normal.” Rehabilitation care during this stage often focuses on aftercare procedures, such as getting acclimated to a return to your every day activities. You may also receive advice on how to avoid relapses and tips on living a drug-free life. The Potential Dangers Of Protracted Withdrawal While opiate withdrawal is generally finished after about two weeks, there is still the chance that you may suffer from what addiction experts refer to as "protracted withdrawal." Protracted withdrawal is defined by SAMHSA as symptoms that mirror those felt during the early stages of acute withdrawal. These symptoms may occur immediately after the early stages of withdrawal or may be delayed for months after your initial recovery.
The purpose of the eICU is to: - Accurately monitor and enhance care delivery to the ICU patients remotely - Reduce the time from when the problem is identified till some action is taken over it - Help bring better results, reduction in costs and smaller stays - 10 percent of inpatient beds nationwide are allocated to ICUs, the percentage is higher in tertiary-care centers. - The highest acuity is for the ICU patients. The mortality rate of the ICU patients exceeds 10 percent, and their daily costs are four times higher as compared to those of other inpatients. - They experience more incidents of medical errors (1.7 per patient per day), and because of their inherent instability, they have greater chance to get harmed from suboptimal care.
One major code of ethics in the medical field is that a physician shall exercise his/her independent professional judgement and I think that should apply to this. If a physician believes that aid-in-dying should be an option to his/her patients then they should be able to exercise those rights wherever they reside. A physician should also always act in the patient 's best interest when providing medical care and provide them with full knowledge of what is going on. I believe that if a physician is talking to a patient about assisted suicide they should provide the patient with every piece of information they have. They should also always do what is best for the patient, which means not misleading them or putting them in any harms way.