...The loss of a close one is never easy, and sometimes it hurts more than other times. You can never prepare yourself for the day when you have to make the decision to remove them off of life support when they are unable to make it for themselves. Not every situation will be the same, and you may not handle each one in the same manner. September 30th, 2007 was the day I had to let my mother go. That morning I had talked to one the many doctors and they had informed me that she was in multi organ failure, and there was no hope. So many thoughts, wishes, regrets, and emotions run through your mind faster than you can process or even recognize. The dreadful papers stare back at you and make you sick to your stomach. I received a call late one night when my mother was taken to the hospital. My mother was only 83 pounds when she entered the hospital. She had lost about 7 pints of blood, and was not keeping the blood in. The doctor told us when one is in multi-system organ failure; their body basically attacks itself and begins to shut down organ by organ. My mother was anorexic. She battled the disease her entire life so it was only a matter of time it caught up to her. Nothing could have prepared me for what I was about to go through the next few days, or what I was about to see in the next minutes. I walked into the room and saw a small, too skinny, frail woman that was in and out of consciousness. The only voice she responded to or recognized was her boyfriend’s,...
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...Withdrawing/Withholding Life Support: Pros and Cons November 16, 2012 ABSTRACT When a person is being sustained by life support, families and loved ones are frequently confronted with the resolve about when to terminate these supports (Meeker, 2012). Recently it has turned into “pulling the plug” prior to death regardless of the tubes and machines keeping the patient alive. Withdrawal choices are informal and quietly decided. If these life-ending decisions were standardized and validated, maybe some of these safety measures can be useful to other choices approaching the idea of drawing life to a close, even for those who aren’t dependent on life-supports (Meeker, 2012). As we advance towards the twenty first century, it will become more common for us to be supported by equipment and medications the last few days or weeks of our lives. If some disease or condition that would, as a rule, take months or even years to bring death, the need for life-support could be longer. “Withdrawing life-sustaining treatment such as artificial ventilation means to discontinue it after it has been started. Withholding life-sustaining treatment means never starting it,” (Fremgen, 2012). If in fact we are being kept alive by any form of medical equipment, any choices made about the best time to die and the best means to allow our deaths should contain queries about what to do with the life-support systems in place, sustaining life (Lin, 2003). Withdraw/Withhold Life Support: Pros and Cons ...
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...Legal Aspects of Life Support In "Legal Aspects of Withholding and Withdrawing Life Support from Critically Ill Patients in the United States and Providing Palliative Care to Them," authors John M. Luce and Ann Alpers, present this article to increase an understanding of the legal obligation of physicians and practitioners. Studies have shown that most patients, who die in intensive care units in the United States, deaths are related to the withholding and withdrawal of life support and also the administration of palliative care. The process through which various medical interventions are withheld or removed from patients with the expectation that the patient will die of an underlying illnesses is withholding and withdrawal of life support. The prevention or treatment of pain or providing comfort during suffering in terminally ill patients is palliative care. Physicians and practitioners are bound by ethical principles of autonomy, beneficence, and nonmaleficence. This means their actions are done for the benefit of others and they must do no harm. There are laws that govern the legal aspects and requirements of these practices in which physicians and other practitioners may not be familiar. The limitations of life sustaining treatments vary from each state and are based on statutory and case law. The Fourteenth Amendment to the Constitution protects a competent person’s right to proceed with treatment which includes nutrition and hydration. The legal aspect of...
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...Personal Goals Tracy Saunier HCS/301 September 16, 2014 Nancy Shultes Personal Goals Setting goals and achieving them are essential components for personal growth and development. When we set goals for ourselves we never set out thinking failure is an option. There are always barriers to overcome, but overcoming the milestones keep us motivated to achieve what we originally set out to do. My personal goals for the future consist of relocating, followed by a professional promotion into management, and completing my degree in order to have a successful life ahead of me. A personal short term goal of mine is to sell my home. I am preparing my home for resale and hope to place it on the market with a realtor in the next few months. There have been many barriers to overcome to overcome in this preparation. To date, I have replaced the kitchen, bathrooms, air conditioner, carpet, tile, and painted inside and out. There are still a few cosmetic things I need to do such as fixing up the yard and staining the driveway. Once those things are completed I will contact the realtor to obtain an appraisal to see how much I can list my property for. My long term personal goal is downsizing from my current five bedroom home and purchasing a town home. Three of my four children are grown and have moved into their own homes which just leaves myself and my youngest daughter. Living in this large house is no longer necessary nor financially beneficial. With the help of a realtor along...
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...Phoenix 12400 Coit Rd, Dallas, TX 75251 Bachelor of Science in Nursing 2014-Present The University of Texas at Brownsville and 80 Fort Brown Texas Southmost College Brownsville, Texas 78520 Associate in Arts Degree in Nursing 2005-2008 Central Texas College 6200 West Central Texas Exp, Killeen, Texas 78549 Business Management 2001-2005 Spartan School of Aeronautics Aviation Maintenance Technician Diploma 1998-2001 License & Certification Register Nurse License Number: 805858 Basic Life Support: May 2015 Expires Advanced Cardiac Life Support: December 2015 Expires Pediatric Advanced Life Support: August 2014 Emergency Nurse Pediatric Course: April 2016 Expires Trauma Nurse Core Course: March 2016 Expires Neonatal Resuscitation Program Provider: November 2015 Expires Experience Gulf Aviation Aviation Mechanic 2000 to 2001 Conducted inspections and a wide variety of maintenance including but not limited to; hydraulics, pneumatics, fuel systems, landing...
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...The movie North Country portrays the life of a woman fighting for more. Josey Aimes is fighting to create a life for her and her children and survive without the support of her abusive husband. In the opening of the movie she moves her children and herself back to her hometown. Living with her parents, who are not supportive of her actions, she wants to be able to support her children. Her hometown is a mining town, where we find they have begun to employee woman. However, we find that most, of the mostly male workforce, is not totally accepting of their female counterparts. This mindset is supported by from the top all the way down – this attitude is even supported by Josey’s own father. The men of the plant go beyond simply just showing their dislike for women in their workplace and torture the women of the mine but verbally and physically. Josey’s sexually activities are put in question throughout the movie. She attempts to seek help from her manager to the owner of the company who begin to blame her for her activity. Josey attempts to gain the support of her fellow female co-worker and get the men to understand that they are there for the opportunity to do the job, too. But she finds herself alone and begins to take action on her own. She has finally had a enough and partner’s with a lawyer to create the first ever class action sexual harassment lawsuit against the company. The defense calls into question her sexual conduct as a 16 year old child; however...
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...which is a pilot grant program designed to broaden opportunities for Minnesotans to participate in the arts. Another program we have is called K-12 Arts Challenge Minnesota Grant, which is a noncompetitive grant program and funds are given out first come first serve. I do feel that we have enough support in Minnesota. The programs I named were just a few of the many programs we have to support art in the cities. I do however think people here need to be more supportive of children in arts. It is important to get them started at a young age and many people do not feel that art is important. I think it helps to expand a child’s way of thinking and it helps them to excel in other areas, because they know if something doesn’t work one way it’s time to take a new approach. My role in the creation and support of art in my community is very small and could get better. I do however start with my son, just like my parents did as well as my in-laws, at a very young age. I like to take him to the different places and help him to explore many of the opportunities we have in the state. It is important to me that I give him all the opportunities that I possibly can and let him experience art and life they way he should,...
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...people I have encountered in my life, I would classify them as supportive and the most important people in my life are my family. My family has been supportive of me since birth. As a child I was raised by a single mother along with my older brother and my two older sisters. Although things were difficult at times, my family always cared for me and consistently supported me as I grew older and developed in life. My family has supported me throughout my years of school and studies. They have always encouraged me to do the best I can and to always put as much effort into something as I can. There is no doubt in my mind that my family has always wanted me to succeed, though when I did fail, my family listened to me, took the time to understand how I felt, and then just encouraged me to pick myself back up and to try again. Growing up as the youngest, I was surrounded with support and encouragement from my older siblings. My older sisters spent quality time with me and always swore to protect me. My mother fed and cared for me. She taught me self-respect, self-discipline, and understanding the consequences of my actions while still showing me love every day. My older brother respected me, taught me to drive, and explained to me how to know when a guy was treating me right. My cousins are some of my best friends and have usually encouraged me to do the right thing and always supported me when I needed help. The most important category of people in my life are my family. They have supported...
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...Introduction: Social support can be interpreted as an interchange of resources comprising at least two individuals taken by the provider or receiver with the intention to boost the health of the receiver. Social support is also regarded as main determinant of health. The conditions of women’s life are now different from what they used to be a few decades ago..The positive aspect of an altered society, we find the material standard of the people leading a longer or healthier life. The possibilities of self-actualization have also emerged in them. The negative aspect is that the families are less stable. In fact the pressure of time and strian have increased for several women. Barrera et al. (1981) has been given in an early definition...
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...Silver Lining Outreach Support Center (SLOSC) Mental Health Community Outreach Programs provide individuals diagnosed with mental health issues the opportunity to establish and maintain a variety of supports flexible enough to meet their changing needs. Services are provided with a person-centered philosophy that encourages the individual’s active participation in determining their goals and the strategies developed to achieve them. Silver Lining Outreach Support Center (SLOSC) Programs include: * Supported Housing through our Independent Housing Program (IHP) assists individuals with establishing safe, affordable permanent housing by: * Assisting with the search for an apartment, moving expenses, security deposits and rental assistance when appropriate * Securing basic furnishings and household supplies * Providing advocacy and support to maintain their independent living situation. Bridge Services at SLOSC works with individuals receiving other SLOSC assistance to: * Provide community-based supports to adults who are struggling to manage or make progress in their pursuit of the quality of life they desire, and seek greater levels of wellness, independence, and personal satisfaction and success in their lives. * Support people in the development of their recovery goals focusing on physical health, independence and coordination/instruction related to accessing transportation. SLOSC Assisted Competitive Employment (ACE) and Supported...
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...Ethical Challenges in Withdrawing Life Support There are many serious issues for families to consider when faced with the prospect of removing life support for a loved one. My objective is to identify the key medical ethical considerations that are faced when considering the removal of life support for a patient. Then, I will draw some conclusions about the choices I would make if faced with the decision of having to remove life support for a member of my family. It may be that the decision to withhold or withdraw life support is most likely to pit the hopes and fears of patients and their families against medical science and their physician. Patients are compelled by powerful emotions (such as guilt) or by adherence to religious or secular traditions to behave in certain ways that may conflict with medical advice.2 Honest discussions with patients and their families about the benefits and burdens of therapy and the medical uncertainty that exists are necessary to provide patients and families with the best opportunity to make informed decisions. We know that honest direct communication is most important for patients and families faced to make life determining decisions. These health care workers must communicate within the medical ethics of their profession. Medical ethics is based on a four prima facie moral principles and attention to these principles' scope of application. The four prima facie principles are respect for autonomy, beneficence, non-maleficence, and...
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...The effects of job and personal resources on hotel employees’ work engagement. Introduction This study developed and tested a research model, which predicted the impacts of job (supervisor support) and personal resources (trait competitiveness and self-efficacy) on work engagement. Purpose and rationale First, empirical evidence in the research stream of work engagement in the tourism and hospitality literature is meager. Second, in contradistinction to other researches our research focused on develoving sub-Saharan African countries, Nigeria not Western countries Third, our study findings ( such as employee retention) can be useful for managers in the hotel industry. Theoretical foundations, hypotheses, and research model * Backround * Work overload to be positively related to hotel managers’ burnout ( Perrewe,1991). Female middle managers in the hotel industry are suspectible to higher levels of burnout than male managers (Buick and Thomas 2001) * Salanova et al. (2005) reported that organizational resources, as manifested by training, autonomy, and technology, were significantly and positively related to work engagement among fronline hotel and restaurant employees. The COR theory and the JD-R model The antecedents of work engagement can be examined using the COR ( Conservation of Resources) and the JD-R (Job Demands-Resources) as the theoretical underpinnings * According to the Conservation of Resources (COR) theory, resources are defined...
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...summarize your understanding of the foundation of the CCSS for Math and English Arts. Next, adopting the perspective of a teacher leader, in at least two paragraphs, evaluate how CCSS (Math and English Language Arts) can be used to influence the use of technology-enhanced differentiated instructional strategies to support the needs of all learners. Finally, in one paragraph, justify why it is important to have purposeful planning of differentiated instructional strategies to promote student learning and provide at least one specific example to support your justification. • Part Two: Include a link to your ePortfolio (Pathbrite) in your initial post along with a one-paragraph reflection about your experience with the redesign for the Week One Assignment in terms of challenges you encountered and how you overcame those challenges. Be sure to include any difficulties you experienced in revising to meet the components of 21st century student outcomes and 21st century support systems. Guided Response: Respond to at least two peers. In your responses, include a question about your peer’s technology-enhanced instructional strategies and offer an additional resource that supports an alternative viewpoint. Additionally, discuss your peer’s point of view and whether it is in...
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...P3: explain the roles and responsibilities of two overarching health organisations By Mercy Tiwo DEPARTMENT OF HEALTH The Department of Health (DH) is a ministerial department, supported by 23 agencies and public bodies. The department employs 2,160 staff who work in locations across the country. DH helps people to live better for longer. They lead, shape and fund health and care in England, making sure people have the support, care and treatment they require, with the compassion, respect and dignity they deserve. Their responsibilities include: * They lead across health and care by creating national policies and legislations, providing long-term goals to meet current and future problems/challenges, putting health and care at the core of the government and being global leader in health and care policy * They support the integrity of the system by providing funding, assuring the delivery and continuity of services and accounting to Parliament in a way that represents the best interests of the patient, public and taxpayer. * They support innovation and improvement by supporting research and technology, promoting honesty, openness and transparency, and teaching a culture that values compassion, dignity and the highest quality of care above everything Above all, DH encourages staff in every health and care organisation to understand and learn from people’s experience of health and care and to apply this to all their tasks. Their priorities are: * Living and...
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...environment; therefore they should not be subject to prejudicial treatment or discrimination from their peers and anyone supporting them. An individual’s background, upbringing and experiences can have an effect on attitudes towards individuals and groups, so it is important to recognise these. Personal prejudices, which may lead to discriminatory practice, can be overcome through developing a greater understanding of diverse groups in society. For example, teaching assistants can overcome these personal prejudices by finding out about the religious beliefs and cultures of the children they support, and by knowing about any special educational needs or disabilities. It is important not to make assumptions about children and young people. Finding out about their backgrounds, interests, abilities and individual needs will help teaching assistants to provide more effective, appropriate and personalised support. It is important that in order to develop children’s self confidence, a concerted effort is made by all those in a position of responsibility to include the pupil. This ranges from making necessary adaptations to facilities for the physically impaired to ensuring that no pupil is subject to discrimination either direct (such as name calling) or indirect (not taking their needs or preferences into account). This unit has afforded me the opportunity to continually promote equality and diversity in my role and that every child should be supported in learning in an inclusive...
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