...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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...Breast feeding Vs. Formula feeding University of Phoenix COM/170 December 22, 2014 Winifred Donnelly Breast feeding Vs. Formula feeding When becoming a parent, there are many decisions that have to be made before the baby is even born. The most important decision is whether a mother will breastfeed or formula feed her baby. Breastfeeding should be the only option in feeding a baby unless there is a medical reason for why a mother cannot. When deciding on how she will feed her baby, a mother should know why formula is used rather than breast milk. She should know why breast milk is so much healthier, and she should be aware that there are several solutions that can solve any issues that may come up with breastfeeding. Women should know why formula is used rather than Formula Comfort and Lifestyle A woman should know why so many women never even consider breast milk as being an option for feeding their child. Many mothers choose formula over breast milk for reasons that have nothing to do with their baby. According to Kids Health from Nemours (1995-2014), their article Breast or Bottle, states “for many women their decision to breastfeed or formula feed is based on their comfort level, lifestyle and specific medical considerations that they might have. Many women do not breastfeed due to their comfort level and what people may think of them.”(para. Three sentence 2). Most women decide that they do not want to breastfeed because out in public people may find it inappropriate...
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...1 20 November 2013 ‘Breastfeeding’ By Doreen Umutesi Nowadays children are being born every day and this leads to population increase. One thing that mothers should know is that breast feeding is really important for new born babies. Most mothers know it is important to breast feed the baby but due to un avoidable circumstances they are unable to do so each and every day the way it is supposed to be done. They tend to use other alternative methods the young one. This results to babies growing up with weak bodies. Personally I believe that they should be educated more about breast feeding. In an African News Service article “Breast feeding-Why it is a time bomb” the author, Doreen Umutesi talks about breast feeding. She explains that many women are finding it hard to breast feed because of daily schedules like work. She show us how the Rwanda government is taking breast feeding seriously. The writer is trying to show the importance of breast feeding. She is also showing us how the government of Rwanda is taking the issue of breast feeding seriously. She is showing the reader how the Government of Rwanda is dedicated to the issue of breast feeding children, by making sure that all mothers are entitled to a paid maternity leave and are also given an hour to go breastfeed once they get back to work. The writer uses several sources which appear to be reliable. One of them is the Nutrition advisor “Jean D’Arc...
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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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...Breast-Feeding is a Must A healthy baby; a happy life. It is in a mother’s nature to want nothing but the best for their child. If this statement is true, then why do countless women not choose to give their child the best nutrition? There are a great deal of benefits that not only the child receives but the mother as well, yet many women still refuse to breast-feed for several non-reasonable issues. Breast-milk is the most essential nutrition that a baby requires, therefore if a mother is able to breast-feed, she should do so. Most women are aware that during a child’s infancy, breast milk is the best source of nutrition for the first 6 months of their lives. Therefore, a baby requires certain amount of vitamins and nutrients to build walls to help fight and protect them from anything that comes their way. Breast milk is their most essential nutrition because it helps with their brain development, growth, and a healthy immune system, which are the main components for a healthy baby. The main key to having a healthy baby is to know that your child is completely healthy. It is the biggest fear of a mother to find out that their child may suffer from some kind of disease or disorder so why not decrease those chances by simply giving them a healthier start in life. It is a simple process but takes a lot of patience and dedication from a mothers part to allow this process to acure. Breastfeeding decreases the chances of allergies in 25%, asthma 27% , cancer 8%, diabetes...
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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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...Feeding the Monster Have you ever wondered how rich keep getting richer and poor keep getting poorer? Wal-Mart cooperation and its employees are perfect example for that. As a customer it feels good to get such a low prices, but the question is how those items get there on the Shelve? It has a sad and dark story behind. To me human right and morals are more valuable than money, so the way Wal-Mart treats its people from the employees to the customers and community without any consideration doesn’t look right at all. Wal-Mart‘s system designed very smart for its own profit. They hire people with no education and no better choice. Paying them minimum wage and keep them as part time or full time. Not paying overtime whatsoever. If you cannot do they’ll get someone else to do it. Do more pay less. Wal-Mart Offers Their employee’s not affordable health coverage, so they automatically pushed to get Government’s assistant. According to the documentary Wal-Mart’s employees use $86.000, 000 of tax payers’ money every year. After all that little money the labors made spend at store and goes back to feed the monster. It doesn’t matter how much the workers scarify and what they go through all it matters is Wal-Mart’s pocket get broader at any cost. The people who build up Wal-Mart to get richer barely afford food and basic lives essentials they suffer all kind of social and financial embracement. Now you can have a picture of how this company grows bigger every day? It grows...
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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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...Breast Feeding As children are born every day, parents want to give their children every chance at a normal and strong childhood. While the infant is not able to speak or express his or her opinion, a mother takes every opportunity to make sure the infant is medically stable. While the child is being fed by the mother, she is able to use byproducts that are marketed as the best milk for infants or is able to breast feed for natural nutrients from mother to child. While mothers are able to search for byproducts and other resources the main goal is keep the child healthy. I believe there is a negative impact for doctors or any medical resource to share disclosed information about a patient’s record. Medical providers are not able to share private information with a third party administrator unless given a written or oral consent from the patient. HIPPA (Health Insurance Portability and Accountability of 1996) regulations are set in place in order to protect the patient/client information from being released without proper permission, as constituted by the Code of Federal Regulations (45 CFR 164.532). Authorization required for marketing is stated as, “a covered entity must obtain an authorization for any use or disclosure of protected health information for marketing, except if the communication is in the form of: (a) A face-to-face communication made by a covered entity to an individual; or (b) a promotional gift of nominal value provided by the covered entity.” But by no means...
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...mammals that can consciously choose to feed their young artificial nourishment such as formula rather than milk from the mother’s breast. According to the company Nestle’, (Nestle.com) infant formula was invented in the late 1860s by a pharmacist named Henri Nestle’. Although mothers had previously used other foods when unable to breastfeed, this infant formula caught on and variations of it have been used through-out the world ever since. Except perhaps between Vegetarians and Carnivores, nowhere is the act of eating more controversial than the area of feeding a baby. Often strong feelings arise around both bottle-feeding and breast-feeding.; with proponents of each method standing firmly and often, passionately and vociferously on their respective sides. People from all walks of life, male and female, young and old, varying socioeconomic backgrounds, single or partnered generally feel free to weigh-in on the topic of Bottle feeding vs. Breastfeeding. In researching this topic I spoke with a varied cross section of society in Maine and in Nova Scotia and drew on my over eleven years combined experience spanning two decades being a breastfeeding mother. The information I have compiled reflects the attitudes which I have often witnessed first-hand. The prevailing attitudes in Maine and Nova Scotia towards breastfeeding appear to have changed little over the past 20 years. According to the World Health Organization “Breastfeeding is an unequalled way of providing ideal food for...
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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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...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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...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 mouth into the stomach) it’s used an emergency to remove toxic substance that...
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...Feeding on Fantasy The article “Feeding on Fantasy”- by Lev Grossman, is about the peoples passion for fantasy, which, in his head, is taking over the world of science fiction. The way he’s writing is neither critical nor real passionate. I wouldn’t say Mr Grossman is a real fantasy lover he knows his stuff and is using a lot of facts, but I’m more sure that he doesn’t like science fiction and in that way fantasy isn’t that bad to him. He’s not really into the whole Blizzard1 world, but he still somehow finds it exciting in a mysterious way. He says, “The business of fantasy has become a multibillion-dollar reality, and science fiction is starting to feel, well, a little 20th century.” The “well” in the sentence is clearly a sarcastic way of harassing science fiction, which also clears my statement that he has nothing left for the “so last year” –fashioned genre. This text is referring to that people in these years are tired of the sci-fi (the feature) world, so we are starting to go back and living this vision we have about the past, and we add these incredible creatures to it, that doesn’t exist, so that we can dream about these wonderful landscapes where the sun is always shinning, this passion about this everlasting love between the marvellous man winning his dream girls heart after a rough, very long and extremely dangerous trip crossing the country to defeat the monster who’s keeping them from being together, and this huge gap between being rich and poor and how God always...
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