Overview[ edit ] Definitions of complexity often depend on the concept of a confidential " system " — a set of parts or elements that have relationships among them differentiated from relationships with other elements outside the relational regime.
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You are theth visitor since 15 Jan using the above URL. Journal of American Geriatrics Society, May43 5: When a physician provides either equipment or medication, or informs the patient of the most efficacious use of already available means, for the sole purpose of assisting the patient to end his or her own life.
When, at the request of the patient, a physician administers a medication or treatment, the sole intent of which is to end the patient's life. Canadian Medical Association Journal9: Treatment of incompetent elderly patients with life-threatening illness varies widely within and between countries.
Uniform standards should be developed on the basis of societal values and be communicated to physicians. Family physicians were more likely than specialists to choose more conservative therapy.
This was true even when the wishes were expressed in an explicit written directive. Journal of American Medical Association, August 9,6: Many members of the public assume that taking a lethal dose of medication is certain to lead to a peaceful death.
Physicians need to help patients appreciate that the attempt may fail, that complications such as aspiration pneumonia may occur, and that reflex actions may lead patients to struggle against plastic bags placed over their heads.
Patients and their families should also be cautioned about telephoning if the suicide attempt fails.
New England Journal of Medicine ; The document is a will in the sense that it spells out the person's directions. It is "living" because it takes effect before death.
Some Massachusetts attorneys, for example, have already drafted a page, single-spaced proxy form that is all but unintelligible to non-lawyers. This is a serious error for at least two reasons. When Procedures Limit Rights: From Quinlan to Conroy. Hastings Center Report Apr: A proposed advance directive format for South Australia.
Australian Health Law Bulletin ; 2 7: Patient requests and Physician Responses. Journal of the American Medical Association Physicians do not consult each other often about these cases. Drafting Wills in Scotland. It might be argued that the physician's duty of mercy derives from a special contractual or fiduciary relationship with the patient, but I think this is an error: It is true that the Oath, in its original form, does contain an explicit injunction that the physician shall not give a lethal potion to a patient who requests it, nor make a suggestion to that effect.
To do so was apparently common Greek medical practice at the time. But the Oath in its original form also contains explicit prohibitions of the physicians accepting fees for teaching medicine, and of performing surgery - even on gall stones.
These latter prohibitions are not retained in modern reformulations of the Oath, and I see no reason why the provision against giving lethal potions to patients who request it should be. What is central to the Oath and cannot be deleted without altering its essential character is the requirement that the physician shall come "for the benefit of the sick".
Under the argument advanced here, physician's assistance in patient suicide may indeed be for the benefit of the patient. What the Oath would continue to prohibit is physician assistance in the suicide for the physician's own gain or to serve other institutional or societal ends.
To do so is to deprive the patient of the possibility of retaining his or her status as a moral agent, and to make him or her a "patient" in not only a medical but a moral sense as well. Among the indignities that medicine is capable of inflicting, this may be among the most profound.You must be a current Student, Staff or Faculty member of OSU in order to purchase all Apple products.
Please bring in your OSU ID with you when picking up. Compiled by Andrea L. Mitchell, SALIS: Substance Abuse Librarians and Information Specialists.
Email: [email protected] Addiction publishes new book lists five times per year, both in print and on this website. Items are alphabetised by author within each list. Essay about Practical Session 1 Reflective Journal to Teach in the Lifelong Learning Sector Reflective Journal Session One – Practical (13/10/10) Sue Bracchi The main points I have learnt from this session are: We started the session with an icebreaker which was very specific.
Other Content. In addition to samples of student work and reflection upon that work, a portfolio might also include a table of contents or a cover letter (both typically composed by the student) to aid a reader in making sense of the purposes, processes and contents of the portfolio.
The Association of Teacher Educators was founded in and is an individual membership organization devoted solely to the improvement of teacher education both for school-based and post secondary teacher educators.
Healthcare, an international, peer-reviewed Open Access journal. Sepsis, a syndrome characterized by systemic inflammation during infection, continues to be one of the most common causes of patient mortality in hospitals across the United States.