In the book “Diabetes among the Pima: Stories of Survival”, the author, Smith-Morris states that more than any other population in the world, an American Indian tribe from the Southwest United States , also known as The Pima have the highest chance of having risks for type 2 diabetes. She also continues to argue in the book that the issue is not just a biomedical mater but something even larger. By living with the Pimas and studying the experiences, daily life, and views of Pima pregnant women over a decade, the author identified factors that are overlooked by research and interventions related to biomedical. In the process of studying the Pimas, the author also learn that both the indigenous population and the health care providers impact the social and cultural aspects in the community. The book took place in the Gila River
The situation could be addressed through the informed shared medical decision, which though has its limitations. Val Jones (2012) notes that the idea of the informed shared medical decision is “as old as the Hippocratic Oath”, but its widespread adoption would “create an extra layer of bureaucracy” (Jones, 2012). In order to understand the validity of this claim, it is recommended to take a look into the innovation. The main idea underlying the informed shared medical decision is that patients should be informed by independent consultants who would help them to make more accurate decision regarding medical interventions. It is suggested that experts hired by a health insurance company or government agency are more objective in their recommendations,
The NHS Constitution established the principles and values that are fundamental to service users on how appropriate clinical decisions are made for the delivery of quality care (Department of Health 2010). It provides explicit information for patients to understand their care, what to expect, and feel more empowered involving in their own care (DH 2010). The NHS constitution explains the behaviour expected from stakeholders such as staff, patients and the public (DH 2010). This prevent the government from making alteration and give the NHS complete autonomy and protection against political change without the full involvement of stakeholders to achieve transparency in the delivery of care (DH 2010).
Although there were numerous beneficial experiences for the Consumer through the supported decision-making process, the deterioration in mental state and the concern relating to exposure of vulnerability and openness to manipulation by others could not be overlooked (Office of the Public Advocate Systems Advocacy, 2014). Dignity of risk relates to the Consumers right be able to make decisions that can involve a level of risk, however the duty of care of the primary nurse and treating team was to ensure that safeguards are in place to minimise risk of harm to the Consumer and/or others that may be effected by the decision made (Victoria Government Department of Human Services,
This requires patients act as informed consumers regarding their own health. There are many concerns with this issue. On one hand, patient involvement in their own care is seen as good for both the patient and the physician. These patients are engaged and tend to desire and work toward a healthier lifestyle. On the flip side, there are those patients who may not be capable of assuming higher responsibility, or simply may not want to (Wynia & Dunn, 2010).
Principlism is an ethical theory applied particularly in relation to bioethics, divided in four prima facie: respect for autonomy, non maleficence, beneficence and justice. Respect for autonomy results in freedom to make choices without external control which is expected to be both accepted in binding in others (McLean, 2009). In this essay i am going to discuss the person’s autonomy and the role of the health care professional regarding the implementation of an advanced care directive including the features of a valid consent and how that relates to an advanced care directive, the importance of respecting a patients choices and the exceptions to this, when paternalism is ethically justified. These concepts will all be analysed from the perspective
It is important to provide culturally matching patient and family education for the case of Mr. Pale. This is important to help me to understand the rationale behind his nutritional intake with respect to his diabetic condition. Therefore, cultural competence becomes an essential component to use here to guarantee effective and culturally sensitive responsive services that can address any culturally and ethnically diverse needs among clients (Pinto et al 2012, p. 82). Within this context, Mr Pale should know the complications that arise because of diabetes and repercussions as far as the poor management of this disease is concerned that in severe cases could result in the amputation of his ulceration feet.
Ethical decision-making in healthcare: Balancing beneficence, non-maleficence, autonomy, and justice in clinical practice. Journal of Medical Ethics - "The Journal of Medical Ethics" Retrieved from https://pubmed.ncbi.nlm.nih.gov/36688269/ Zolkefli, Y. (2020) - The 'Secondary' of the 'Secondary' of the 'Secondary' of the 'Secondary' of the 'Secondary' of the 'Secondary' of the 'Secondary' of the 'Secondary' of the 'Secondary' of the 'Secondary' of the 'Secondary' of the Healthcare ethics and principles in critical care settings: A framework for ethical decision-making. BMC Medical Ethics -. Retrieved from
Did you know that one type of diabetes is much worse than the other? Type 1 diabetes causes your pancreas to stop making insulin, and insulin is needed to survive. Type 2 diabetes causes your body to become resistant to insulin. Diabetes is a serious disease that needs to be addressed by everyone. Making healthy food decisions and exercising can help lower the chance of getting type two diabetes or help people control it.
I am able to offer patients information, resources, and helpful advice based on my experiences and the experiences of others in order to assist them in making well-informed healthcare decisions. I inform them of their condition, available options for treatment, and available support services so they are empowered to take an active role in their own care and recovery. I contribute to their overall understanding and give them the resources they need to advocate for themselves by supplying them with this peer-based knowledge. As a peer advocate, I also help to open up channels of communication between patients and medical staff. In order to make sure that their voices are heard and respected, I assist patients in expressing their worries, inquiries, and preferences.
Three obstacles that some patients face when obtaining routine healthcare that a care coordination provider addresses are financial restraints (including lack of health insurance), no access to medical advice from a professional, and lack of preventative care, which results in escalation of the patient’s medical problem. The first obstacle which is financial restraints/health insurance restraints is discussed in the article ‘The Hot Spotters’, which discusses the story of a man who stopped refilling his medications because he could not afford the co-payment that his insurance required. The article states “The man, dealing with higher co-payments on a fixed income, had cut back to filling only half his medication prescriptions for his high cholesterol
This process of collaboration can be difficult for non-indigenous CHNs, as they may not have a large awareness of the accepted interventions for diabetes mellitus
The three key concepts in the model are terrorism experience, organizational preparedness (Czinkota et al., 2010) and enterprise resilience (Branzei and Abdelnour; 2010; Starr, Newfrock, & Delurey, 2003) of the firm. First, a firm’s prior experience with terrorism is categorized into two distinct knowledge areas: a. The extent or intensification of the firm’s prior experience with terrorism. The intensification would include the lethality as well as the extent of the damage incurred from prior terrorism experience. b. The amount of terrorism experience in dangerous risky locations is the aggregation of experience from the cumulative amount of terrorist incidents high risk operating locations with a pre-established danger of terrorist activity.
USEFULNESS OF THE CONCEPT TO THE CURRENT WORLD Health care policies refers to decisions, plans and action which are undertaken to achieve specific health care goals within a society (WHO 2011). Implementation of health related policies can be complex especially in developing nation which limited human material and financial resources. The process of policy making decision are made at the national level which includes the funding of the policies which affect the implementation of the policy.
I believe the most compelling reasons to give patients maximum autonomy over decisions regarding their care is because patients should have self-ownership over their own body, and the quality of life. may seem dependent on the patient’s interest over the physician’s decision. The definition of patient autonomy is to have personal freedom of one 's decision that is free from both controlling interferences by others and from personal limitations that prevent meaningful choice. While on the other hand, a physician’s duty of “beneficence” is the hippocratic oath in which action that is done for the benefit of others such as help prevent or remove harms or to simply improve the situation of others. I believe patient autonomy over weighs prioritization over the medical professional’s duty due to the fact the main concern overall is over the patient’s health.
