Primary Care Paramedic Ethics an Example of the Topic Health Essays by

Primary Care Paramedic Ethics The issue on the ethics on life in medical terms is a long topic to debate on, for one, it conflicts with morality, religion and the law. Morality and religion speak the same language on the issue of life, while the medical side tries to separate morality from the law. It is hard to separate the two considering there are things that have to be aptly considered (Brock 124). How does ethics come into play in the decision making of the paramedic practitioner in the out-of-the hospital environment? Morals relate to the standards of the society, while the standards of ethics relate to the standards of the individual. Need essay sample on "Primary Care Paramedic Ethics" topic? We will write a custom essay sample specifically for you Proceed Ethics, according to Haskeu (22) "involves the construction of a personal code, it also implies a measure of self examination and reflection of one's practice". That is why if there should be issues or questions that need to be answered, it must be answered on the basis of reason. There are three questions of ethical tests in health care, the first one is, What is it in the patient's best interest? Second, what does the patient want? Third, what role does good faith play in making an ethical decision? This aims to provide patient benefit, avoiding harm and respecting the patient's autonomy. But the ultimate question for ethics is what makes human life valuable? In particular, why is it more valuable than any other form? How can we determine value? There is no doubt in the essence or significance of the human being. Given the dilemma between a dog and man, we choose to save man because we think it is the right thing to do. I agree with Harris, who wrote "The value of life" when he said that there is no prejudice in the preference for human life, it is just that we know that it is the right thing to do. But in the case of the choosing between two human beings, this is quite hard to decide upon, the predicament involved here are two supreme beings that is either bound to die or to live. Harris points out also, that abortion (to some countries may be legal) may be tolerable given that the mother would be free of harm and the fetus might be considered as less of the human adult. What is pointed out is that, adults in our society will be of value (in the wider sense of productivity) than the fetus that's why it is rational to choose the adult rather than the fetus. What makes the human life valuable are the features that "both incline us and entitle us to value ourselves and one another and which license our belief that we are more valuable (and not just to ourselves) than humans, fish or plants" (Haskeu 8) . We are looking for the basis of the belief that it is right to save the life of the person rather than a dog which both cannot be saved for instance and in which this isn't a form of unfair dislike or preference but is capable of a justification for the belief. The features possessed by human beings will not catalogue the difference between the human and other creatures, rather it will be pointed out of the features of their moral relevance, which only supports the belief of our preference of ourselves and the belief that it is right to treat people as the equivalent of the other and most specially the supreme being. But it is widely accepted for any medical person to do no harm. "In order for someone to follow even this apparently unexceptional directive, it is important to have a lively sense of the ways in which his or her conduct may affect others. Although in many circumstances the scope of our individual or collective impact on the world is entirely unproblematic, there is an important dimension of conduct where this is not so. The problem is precisely whether or not we have two equally effective ways of determining the state of any world in which we are able to intervene. One is to intervene and to change the state of the world, the other is to refrain from intervention and leave everything as it is". This is what I am pointing out that it is really hard to debate on the ethical stand of medical people regarding for example killing, letting people die and acts and omissions. The difference between positive and negative ways of influencing the society can be seen in many ways and in each case, the obvious thrust of the distinction and the definition of the terms might be slightly different. We can sometimes choose to make things happen and sometimes we tolerate to let them occur. A simple "omission to act may bear a different construction than an empathic neglect of an action. To make things complicated it is always possible to re-formulate any action description or any omission description so that each becomes the other. On the negative side, Harris (8) cites an example that suppose a person can save your life by telling a lie, for example saving you from a capital crime, then saving your life is something that person has done and for which he must take responsibility. On the other hand, if that person told the truth and as a result became the cause of your death, that person is still similarly responsible. But if that person knew his silence can save you and knowing this he keeps quiet, then "those who deny the existence of negative responsibility must believe that I have not in these circumstances saved you at all" (Haskeu 72). Then conversely, if that person could save your life by speaking but still chooses to remain silent, he cannot be held morally responsible for your death. Those who deny negative responsibility would have to recommend lying to those who wish to save others in such circumstances; and needlessly, since keeping silent and telling a lie are both equally effective ways of saving lives. Harris (9) used the term person in lieu of human being in his book "The value of life". He sees the importance of having a word or a term for beings "which is not simply anthropocentric or species-specific" Person for him, would stand for any being who has what it takes to be of value in the sense described and to refer to as species neutral. On the contrary, another author conversely debates on the exact opposite of what Harris is saying. Brock (123), says that "on the aspect of taking lives, it is by now familiar to distinguish moral theories according to whether their basic principles are formulated in term s of rights, goals and duties. He takes the fundamental principle of morality to be "impermissible not to respect every human being, one's self or any other, as a rational creature". Brock (124) stretches the importance of the necessity of looking at issues more broadly and also to the areas of research that often explicitly address the quality of life but nevertheless has an important bearing on it. There are two main areas of work in the medical ethics. The first is the ethical framework for medical treatment decision making in the clinical context. The second is the development of valuation measures of outcomes of health care treatments and programs. But what do we consider in saving a man's life? Does he need to be good guy? The smart and talented guy? The famous? The weak? The old? In the case of the two patients in a remote highway, I think that the person to be saved is the 17 year old delinquent. One because he is young and that he has a lot to do in this world after the incident, Two because there is the chance of his character transformation or a chance for change in a narrower sense and Third, there a lot of lessons that he needs to learn. After the incident, the chances might be crucial for change but at least, he has been given the chance to live his life. There are still a lot to be traveled by and like what I have pointed out earlier lessons that should be considered. While the 92-year old retired police officer also deserves the right to live, we must remember that it is important also to know whether the patient wants to be resuscitated. The police officer has done a lot of great things for his country but he is old and therefore weak. I am confidently claiming that with him is a hero's heart (based on the given information). He has done several advocacies, thatis why it may be open to scrutiny also if he does accept resuscitation. Surely, he has completed his life, his dreams and goals in life have been achieved and he feels satisifed over what he has attained. Moreover, my decision is influenced by Harris' (124) idea of the basis of value. We value something based on the features of the being/person and what it can offer to society. The dilemma between the juvenile and the old man is like the dilemma on choosing between a dog and the man. Apparently, the old man has a lot more importance to society than the dog, thus, it is necessary to chose the old man rather than the dog. The existence of the juvenile after the accident (may or may not) result positively but his existence may be given a chance for change and to direct his life into more possibilities. Therefore, by choosing to revive him, we not only give him the chance of having another life ahead of him, but also looking at the possibility of him sharing and touching other's lives, by probably sharing what he could share to either co-delinquent or his experiences may serve as a lesson and an inspiration to all. Unlike the old man, we all know that his life might anytime come into an end most specially after the incident, just in case he was revived, we are uncertain of the result since he may be weak. His life then might be useless (objectively speaking) and might not be of help to other people though he has a good heart and we might be certain of his character after. The lesson that we should all remember here is not the issue on the value of a person as we are all equally given the chance to live. Rather, on the issue that we cannot debate on the ethics on morality, the ethics on medical treatment, religion and the law, all these aspects are all correct in different perspectiv es, it is all up to us on how to react and which aspect to espouse to. It is just a matter of respect for opinions and which concern to adhere to. References Brock, Dan W. (2005) Life and Death. Cambridge University Press, p. 123-124 Harris, John (2007) The value of Life: an introduction to medical ethics, p. 8-9 Haskeu, Guy H. (1975) Paramedic Pearls of Wisdom, p. 8,22-23,72

The Promise and Pitfalls of Float (Loose Rock)

The Promise and Pitfalls of Float (Loose Rock) Too often when youre out in the field, youll be looking at a hillside and there are no outcrops of bedrock to tell you whats under it. An alternative is relying on float- isolated stones in the soil that you must assume came from the bedrock near by. Float is not reliable, but with care it can provide good information. Why Float Is Unreliable An isolated stone is hard to rely on because once its broken off, many different things can move it away from its original setting. Gravity pulls rocks downhill, turning bedrock into colluvium. Landslides carry them even farther. Thens theres bioturbation: Falling trees can pull up rocks with their roots, and gophers and other digging animals (fossorial animals is the official term) can push them around. On a much larger scale, glaciers are notorious for carrying rocks far from their origin and dropping them in big piles called moraines. In places like the northern United States and much of Canada, you cant trust any loose rock to be local. When you add water, there are new complications. Streams transport rocks entirely away from their places of origin. Icebergs and ice floes can carry stones across open water to places theyd never reach on their own. Fortunately, rivers and glaciers usually leave distinctive signs- rounding and striations, respectively- on rocks, and they wont fool an experienced geologist. Possibilities of Float Float is no good for a lot of geology, because the original position of the rock is lost. That means that its bedding features and orientation cant be measured, or any other information that comes from the rocks context. But if conditions are reasonable, float can be a strong clue to the bedrock below it, even if you must still map the boundaries of that rock unit with dashed lines. If youre careful with float, its better than nothing. Heres a spectacular example. A 2008 paper in Science tied two ancient continents together with the help of a small boulder found sitting on a glacial moraine in the Trans-Antarctic Mountains. The boulder, just 24 centimeters long, consisted of rapakivi granite, a very distinctive rock containing big balls of alkali feldspar with shells of plagioclase feldspar. A long series of rapakivi granites is scattered across North America in a wide belt of Proterozoic crust running from the Canadian Maritimes at one end to an abrupt cutoff in the Southwest. Where that belt continues is an important question because if you find the same rocks on another continent, it ties that continent to North America at a specific place and time when both were united in a supercontinent named Rodinia. Finding a chunk of rapakivi granite in the Trans-Antarctic Mountains, even just as float, is a key piece of evidence that the ancient supercontinent of Rodinia held Antarctica next to North America. The actual bedrock that it came from is underneath the Antarctic ice cap, but we know the behavior of the ice- and can confidently discount the other transport mechanisms listed above- well enough to cite it in a paper and make it the highlight of a press release.

Hoedads Tool and the Cooperative

Hoedads Tool and the Cooperative Hoedads are wooden-handled, mattock-like hand tools used to plant bare-root trees by the thousands quickly and mainly used by experienced crews. They are designed for steep slopes, versus the dibble, a straight-bladed, metal-handled tool with a foot platform used to plant trees on flat ground. When comparing the use of the dibble and the hoedad, a USFS study in the Western Gulf Region of the United State (2004) shows that neither method is superior to the other. The study concluded that tree planting survival, first- and second-year height, groundline diameter, first-year root weight, and first and second-year growth was found to be the same. The hoedad does speed up planting when used by an experienced user with a strong back. The Hoedad Revolution This hoedad tree planting tool inspired a name given to tree planting cooperatives of environmentalist tree planters who planted millions of tree seedlings from 1968 to 1994. During this period, new-generation tree planters used the hoedad exclusively on hundreds of thousands of regenerated forest acres. The timber industry and the U.S. Forest Service (USFS) provided both land and incentive monies during this period to encourage reforestation of cutover lands. It opened up opportunities for private contractors to enter the tree planting business. There was money to be made for someone who enjoyed the outdoors, was in good physical health and could plant 500 to 1000 trees per day on steep ground. Both the hoedad tool and tool users called hoedads  were of some influence on the forest practices of the USFS and the Bureau of Land Management (BLM). These spirited men and women managed  to change the stereotypical male forest worker image.  They questioned the practice of single-species reforestation and detested the wide use of herbicides and pesticides. They did extensive lobbying at national and state levels for increased funds for reforestation and promotion of sustainable forestry practices. Enter the Cooperative In addition to tree planting, these Hoedad cooperatives did precommercial thinning, firefighting, trail building, technical forestry, forest construction, resource inventory, and other forest-related labor. They grew in numbers  working in every state west of the Rockies and  Alaska  and living in the most remote areas in the mountains of the West. They later traveled through the Eastern US to planting job sites where programs like the Forest Incentives Program (FIP) were paying private forest owners to reforest and manage according to multiple-use principles. The most notable cooperative was  based in Eugene, Oregon.  Hoedads Reforestation Cooperative (HRC) was the largest of the co-ops, was established by a Peace Corp volunteer and thrived as a tree planting cooperative for over 30 years. These Independent tree planter contractors were able to make millions of dollars (and plant millions of trees) through these planter-owned cooperatives. HRC disbanded in 1994, largely because of a dramatic decline on federal lands in reforestation and other timber harvest associated forestry work. According to Roscoe Caron, a former tree planter and Hoedad president, HRC was also instrumental in breaking the males-only ethic of forest work, questioning the wisdom of monoculture reforestation and challenging the liberal use of herbicides. In celebration of the 30-year Hoedad reunion (in 2001), the Eugene Weekly and Lois Wadsworth compiled some of the most detailed information on Hoedads to date for the article Tree Planters: The Mighty Hoedads, Back for a 30-year Reunion, Recall Their Grand Experiment.

The gamble house Essay Example | Topics and Well Written Essays - 500 words

The gamble house - Essay Example Initially, this structural design was designed as a residential building. David and Mary Gamble first inhabited the Gamble house during the winter months until their sudden deaths in the years 1923 and 1929 respectively. Mary’s younger sister, after their deaths, took control over the house and lived in this house until her death in the year 1943. Cecil Huggins Gamble and his wife, Louse Gibbs Gamble, finally inhabited this house before it was marked a museum in the year 1946 (Peel & Meg 112). In the year 1946, the Gamble house was sold and the buyers thought of a unique restructuring and refurnishing of this house. The interior of this house was made of interior teak and white mahogany woodwork. In the year 1966, Huggins and Louise handed over this house to the city of Pasadena through a joint agreement with the University of Southern California School of Architecture. In the year 1977, there was a historical declaration of the Gamble House as a National Historic Landmark (Pe el & Meg 128). Currently, it has become a doctrine that 2 selected 5th year architecture USC students live in the Gamble House with an annual change while ideal fifth year students live in this house full-time. The Gamble House was purposefully designed for public tours. An hourly docent led tours are available to the public throughout the week in this museum. Educational purposes of this house are also elementary when talking about the purposes for its construction. For instance, architectural design students normally get designing guidelines from this house in relations to their future aspirations as architects. The Gamble House is also a landmark. As an American arts and styles architectural design, this house provides an appropriate landmark view, which is unique from the other American architecture (Peel & Meg 156). Content or design of the Gamble House largely depends on the season of the year in which this house

Describe DoD Dir 8570.1 Assignment Example | Topics and Well Written Essays - 250 words

Describe DoD Dir 8570.1 - Assignment Example The policy positions the professional security information as a distinctive job series and facilitates effectiveness as well as cost-efficiency of commercial certification in America. The directive recognizes the international standard - ANSI/ISO/IEC 17024 as it provides a portable certification accepted in the private and public sectors. The directive has far-reaching implications that provide a neutral measure of quality of skills, knowledge, and abilities that every military personnel possesses (a way to standardize enterprise –wide certification). The policy eliminates consistent problems in the future that can be as a result of lack of regulated global recognized qualifications by providing a metric that can be measured easily and reliably (Bieber, 2008). In addition, the directive encourages military personnel to develop and evolve their skills and knowledge in continuing professional education; upgrade those skills and keep them current. It also tries to reduce language disparity in the future between makers of information security policy and those that implement the policy. Therefore, this directive serves as the vanguard for identifying security needs and policy-making requirements that are essential for national and governmental reforms in the future (Smith, 2009) Cooper, S., Nickell, C., Piotrowski, V., Oldfield, B., Abdallah, A., Bishop, M. & Brynielsson, J. (2010). An exploration of the current state of information assurance education. ACM SIGCSE Bulletin, 41(4),

John Smith and William Bradford :: essays research papers

John Smith and William Bradford were both leaders who established colonies. They both established a colony and they attempted to attract settlers with writings. Their writings were intended for different audiences and they both had different purposes. John Smith's writings were different than William Bradford's. John Smith had a different purpose and his writings were intended for a different audience. John Smith's purpose was to bring people to the new world. He wrote a pamphlet to the people in England and told about all the good things about New England. In his pamphlet he tried to persuade people to join him in the new land. John Smith wrote about how he promised New England was better than England. John Smith's audience was intended for people from England, and possible settlers. John Smith said, "What pleasure can be more than in planting vines, fruits, or herbs, in contriving their own grounds to the pleasure of their own minds, their fields, gardens, orchards, buildings, ships, and other works†¦." William Bradford's writings were intended for different audiences and he had a different purpose than John Smith. William Bradford's audience was intended for the future generation. His writings were intended for the future generation. He wrote a diary about his actual experiences in Colonial America. Bradford discussed in his diary about the many hardships he faced. Bradford said, "But that which was most sad and lamentable was, that in two or three months' time half of their company died†¦" Though Bradford talked about the bad things, he also talked about the goods things that occurred during the first Thanksgiving. William Bradford said, "And besides waterfowl there was great store of wild turkeys, of which they took many, besides

Personal and Imaginative Writing: The Big Splash!

The soft wind whistled its melody in my ears, the sun shone brightly in my face as I skipped towards Bruce Castle Park with my sister Daniella, my brother Marcell and my Daddy. My sister was eleven, my brother was ten and I was seven, so I was the baby at the time. I was so excited to get into the park, I heard loads of screaming and shouting babies, toddlers and children, I saw a long queue at the ice-cream van. All I wanted to do was get into the park and join the fun. My sister, brother and I ran towards the park anticipating, leaving my dad strolling behind. I pushed open the black shiny gate to get into the park and dragged my brother and sister with me. The first thing that caught my eyes was the large swimming pool. There were plenty of children splashing, screaming and shouting in there; they looked like they were really enjoying themselves. I wanted to go and join in. I ran towards the fun, feeling excited. I heard my dad calling, but I ignored her because I wanted to get in the pool, even thought I didn't have my swim suit. My dad called me and told me to go back over to him, I was angry because I was so close to joining in the fun. As I walked towards my dad I kept on looking back at all the children enjoying themselves in the pool. When I got over to my dad he simply told me to take my sister to the pool with me because my brother and him were going to play football. My sister didn't want to play, so I agreed. Once again I made my way over to the pool, it looked so colourful because of all the different coloured swim suits. I told my sister how thrilled I was to go and play in the pool. She was also thrilled but explained to me that we could not get into the pool because we had no swim suits and no change of clothes. I was disappointed but concurred without any choice. We got to the pool and the atmosphere was great: loud, colourful and fun. All of the children were playing together. My sister and I looked at each other, grinned and hopped onto the inner pool edge, rolled up our trouser legs and began to walk around the inner edge of the pool. Other children told us to get in, but we couldn't, so we explained to them why, they were let down but accepted it. They were very nice and friendly children. Daniella and I wanted to dip out feet in so we had to be really careful and dip only put feet in. The water was as cold as ice, and clear like crystals, it felt so good. Daniella and I carried on walking around the inner edge of the pool. We were getting wet because of the children splashing, but that was no worry, because the sun was blazing hot and our clothes would dry in no time. I had a feeling that someone would pull us in or we would fall in, so I was careful with my every step. My dad yelled to us to come over and have some snacks and juice, my sister and I rushed so we could get back to the pool as soon as possible. We hurried back over to the pool as our new friends waited. Daniella and I carried on playing on the inner pool edge, but I began to get bored so I had a fantastic idea. I explained it to my new friends. The game was called bulldog. What you had do was my sister and I had to throw the ball and aim it at the people in the pool. Whoever it hit had to come on our team and help get the people in the pool out, leaving a winner. The game began and we were all enjoying it, Daniella and I were really skilled at getting people out. Round 1 of water bulldog had finished, so we decided to play Round 2. We had to be careful because the inner edge of the pool was socking wet. I aimed the ball at one of my friends in the pool and got him out, so he had to come and join my sister and I. My friend in the pool threw the ball to me but it was a short throw, so I tried to stretch and catch the ball, I felt myself stumble so I grabbed onto Daniella and we both fell into the pool and made a big splash! My sister and I looked at each other and exploded with laughter, it was like a laughing fit, we could not stop laughing. The water was freezing cold, I could feel my goose pimples rising all over my body. I struggled to get out of the pool as my clothes were dripping wet and dragging me back down into the pool. When I finally got out I helped my sister to get out as she was struggling too. We had to go and tell my dad what had happened, neither of us knew if he was going to shout or laugh, so we walked over in suspense. Daniella and I held each others hands tight as we left our footprints behind us. When we got to our dad and brother Marcell they were in stitches before we could tell our story. My sister and I were relieved. Dad asked us what happened so we both took it in turns to explain. They both kept teasing us after we had told them; it didn't bother us because we found it funny too. The sun was still sizzling hot like sausages on the fire, so my sister and I decided to lay down on the bright green grass and try and get our clothes dry. We laid there for approximately thirty minutes but our clothes didn't seem to be drying quick enough, so we told our dad that we were bored and wanted to go home. , so we did. Because out clothes were still wet Daniella had to wear my dad's vest, and I had to wear his t-shirt on the way home. They looked like dresses because they were down to our ankles, but it looked cute. Once again the giggles began, what an excellent end to a great day out.