Communication Issues for Aboriginal Patients

Question: Discuss about the Communication Issues for Aboriginal Patients. Answer: Introduction: Health care is a basic human need, required a large number of times in the lifetime of an average human being. Every single human being i this world has a right to quality health care and assistance for as many number if times as they might need (Frolic and Drolet 2012). And it has to be considered that health care has advanced exponentially in the last couple of decades and has now become as patient friendly as it can get (Billings and Halstead 2015). However there still are different issues be it ethical, personal or communicational in the health care that poses different challenges in the path of delivering quality care (Jonsen, Siegler and Winslade 2015). This report will address the issues that arise in a health care scenario when dealing with the aboriginal population taking the example of a case study. In the case scenario opted for this assignment a 55 year old male dealing with lung cancer was admitted to the health care facility after dealing with a fall that rendered him helpless and unconscious. The patient is dealing with immense pain and is in need for serious analgesic administration however when he was being administered morphine for his pain a controversy arose with the power of attorney in between his daughter and his son. Late4r on the patient declined morphine administration and demanded to be healed by the traditional healer of aboriginal community. Throughout the communication with the health care team and Tom and his family there were many communicational and dialect issues as well. The very first communicational issues that arose with caring for Tom, was the misconception and chaos with the power of the patient. On a more elaborative note, the patient as being administered morphine to minimize the pain he was going through. However there are distinct side effects associated with the medication. In this situation, Carina came to the hospital demanding to have the medical power of attorney for her father and demanded for the morphine administration to be stopped and be replaced with something better than morphine and with lesser side effects. However, Jimmy, son to the patient Tom, declared Carina to be lying and informed the nursing attendant for his mother Cec to have the medical attorney for the patient under consideration. In order to evaluate this legal issue it is important to elaborate more about the concept of medical power of attorney. A medical power of attorney can be defined as the legal document that allows any trusted person to the patient regardless of blood ties to make the important treatment related decisions on the behalf of the patient (Kodish et al., 2013). A person needs to be at least 18 years of age in order to attain the medical power of attorney and that person will be entitled to take all the important decisions related to the treatment options and health condition of the patient. The Australian legislations gives the agent the full power to take adequate decisions for the patient and their decisions will have to be followed (Kodish et al., 2013). In this case scenario the major controversial issue is the fact that both Carina and his wife Cec, claimed to be the agent for the power o attorney for Tom. It can prove to be a very difficult situation where there is obvious conflict in the patient family. Moreover Jimmy explained to the caring nurse for Tom that his father did an advanced care paper that can override the authorization of the medical power of attorney but he was not very sure about it either. Such discrepancies in the patient family guardianship can prove to be a highly difficult situation for the patient (Munn-Giddings and Winter 2013). The second issue that is highlighted in this scenario is the communicational gap between the nursing attendant and the patient and his family. From the video it was very clear that the patient was not very comfortable while communicating with the nursing attendant Sarah and their first round of interaction was not very successful when the patient stopped communicating with Sarah in between the conversation. Studies suggest that the majority of the aboriginals are uncomfortable around the health care facilities that are staffed with non-aboriginal population. The dialect problem is the major reason behind the communicational problem in the aboriginal population and that interferes with communicational comfort of the patient remarkably (Meltzer et al., 2014). Lastly the patient wanted to be healed by a traditional healer of the aboriginal communities rather than medical staff of the health care facility. His son also consented by saying that any treatment pattern selected for Tom has to be run through by their traditional healer uncle Joe. Such delicate conflicts can seriously affect the health and well being of the patient as the dilemma can delay and interfere with the treatment procedure that the patient is in need for (Mauly, Varcoe and Storch 2012). The Australian health policies do not acknowledge the aboriginal healing traditions so incorporating a traditional healer in the heath care team of a facility can serve to be a legal conflict for this case scenario (Vertrees, Shuman and Fins 2013). There are requirements to establish goals and actions for attaining better care and resolve the issues the case scenarios have presented. The first goal is to ensure that the patient is comfortable and confident to share his grievances to the nurse. An aboriginal patient can find it difficult to mingle with the health care facilities. Actions should include the assistance of aboriginal communitys liaison officer to reassure the patient and let him relax. The nursing professional should work on building a mutually respectable trusted relationship to ensure that the patient is able to approach the nursing professional without any apprehension. There are internal ethico-legal conflicts in the case scenario that needs to be resolved, the conflict that arose with the power of attorney could delay the treatment and administration of analgesia that can help relieve the pain. The issue with power of attorney should be resolved immediately with the legal team of the health care facility in th e presence of the family members, the registered nursing attendant and the aboriginal community liason officer (Vertrees, Shuman and Fins 2013). During the course of the case scenario the patient along with his family refused administration of morphine due to some preconceived notions about the medication. All of them were adamant that morphine will make the patient too drowsy to properly function and would miss his opportunity to be present for his yarn. The next goal should focus on educating the patient and his family about the benefits of low dosage morphine as an analgesia. In order to do that, the patient should be educated about the low dosage morphine administration and the advantages of this medication route with the help of the aboriginal liaison officer to ensure that he and his family understand the benefits associated with this medication and can shed the veil of superstitions (Wilcoxon, Remley Jr and Gladding 2013). The patients at most times are unaware of the pharmacological properties of the medication they are prescribed on and have misleading concepts about the efficacy or risks associated with them, hence, patient education helps to annul those misconceptions in the patents and allow them to be aware of their treatment procedure. The help of the aboriginal liaison officer should also be taken to ensure that he and his family understand the benefits associated with this medication and can shed the veil of superstitions (Wilcoxon, Remley Jr and Gladding 2013). Aboriginal communities are characterized for the traditional belives they exercise in evry aspect of their lives; in health care as well their mental assurance is linked with traditional healing methods. The final goal for this case scenario should be incorporating the traditional healer should into the treatment planning procedure in a manner that does not violate the Australian regulations and the hospital policies, for instance, telephonically (Yoder-Wise 2014) On a concluding note, it can be said that there can be a number of different ethical and legal issues that may arise in a health care setting that can potentially harm the health and wellbeing of the patent by delaying the treatment procedures that can help the patient. In a multicultural country like Australia, the issues can be even more complex and critical with different cultures and dialects and lifestyles mingling together. The society is still not attained a state where every single individual is treated as an equal regardless of their socio-economic status. This discrimination imparts a profound negative impact on the health care industry dealing with ethnic communities as well. However it has to be considered that are a number of barriers, be it dialect, perception, communicational apprehension or the difference in culture and lifestyles, these barriers make it difficult to practice inclusive societal patterns. Although establishing equality in health care in the least has become essential in the current scenario. And it can be stated that with correct strategized actions addressing different barriers with specific approaches can help resolve the issues and can help in achieving the ultimate goal of delivering optimal care to the patients. References: Billings, D.M. and Halstead, J.A., 2015.Teaching in nursing: A guide for faculty. Elsevier Health Scie Cherry, B. and Jacob, S.R., 2016.Contemporary nursing: Issues, trends, management. Elsevier Health Sciences. Frolic, A.N. and Drolet, K., 2012. Ethics policy review: a case study in quality improvement.Journal of medical ethics, pp.medethics-2011. Jonsen, A.R., Siegler, M. and Winslade, W.J., 2015.Clinical Ethics: A Practical Approach to Ethical Decisions in Clinical Medicine, 8E. McGraw Hill Professional. Kodish, E., Fins, J.J., Braddock, C., Cohn, F., Dubler, N.N., Danis, M., Derse, A.R., Pearlman, R.A., Smith, M., Tarzian, A. and Youngner, S., 2013. Quality attestation for clinical ethics consultants: A two?step model from the American Society for Bioethics and Humanities.Hastings Center Report,43(5), pp.26-36. Munn-Giddings, C. and Winter, R., 2013.A handbook for action research in health and social care. Routledge. Meltzer, E.C., Ivascu, N.S., Acres, C.A., Stark, M., Kirkpatrick, J.N., Paul, S., Sedrakyan, A. and Fins, J.J., 2014. Extracorporeal membrane oxygenation in adults: A brief review and ethical considerations for nonspecialist health providers and hospitalists.Journal of hospital medicine,9(12), pp.808-813. Pauly, B.M., Varcoe, C. and Storch, J., 2012, March. Framing the issues: moral distress in health care. InHec Forum(Vol. 24, No. 1, pp. 1-11). Springer Netherlands. Tapper, E.B., 2013. Consults for conflict: the history of ethics consultation.Proceedings (Baylor University. Medical Center),26(4), p.417. Vertrees, S.M., Shuman, A.G. and Fins, J.J., 2013. Learning by doing: effectively incorporating ethics education into residency training.Journal of general internal medicine,28(4), pp.578-582. Wilcoxon, A., Remley Jr, T.P. and Gladding, S.T., 2013.Ethical, legal, and professional issues in the practice of marriage and family therapy. Pearson Higher Ed. Yoder-Wise, P.S., 2014.Leading and managing in nursing. Elsevier Health Sciences.

Supreme Court Essays (1072 words) - Government Of Florida

Supreme Court The Supreme Court has had many different places where it was located over the years. There has been a struggle to find a permanent home for the most powerful court of law. At first, the meetings were in the Merchant Exchange Building in New York City. The court then followed the nations capitol to Philadelphia in 1790. In 1800 the court again relocated to Washington DC. At first they spent their time meeting in various places. The place to find the Supreme Court now is in Washington DC, on First Street located in Northeast. The Supreme court was created during the Constitutional Convention of 1787 during which the delegates discussed the necessity of a Supreme Court. The two major reasons for the need of this type of court was going to be to settle the conflicts that may arise between states, and the fact that there would be a court that would have to maintain the uniformity of the federal law. Article III vested the judicial power in one Supreme Court , and such inferior courts as the Congress may form from time to time The Supreme Court of the United States has several different types of cases which they generally hear. The first of these are controversies in which the United States is a party. Another categories of cases are ones in which there is a conflict between different states, as well as cases in which the parties involved are from different states. The federal question jurisdiction includes cases that are under the Constitution or federal statutes and or treaties. Cases that involve admiralty and maritime law are also heard by the Supreme Court. This court is considered to be the final arbitrator between the assertion of power and the restrictions on power derived from a written constitution. The Supreme Court also has appellate jurisdiction, which means the cases that are appealed from a lower court with an issue that concerns with the federal law or the Constitution. Not all cases get heard by the Supreme Court. A case can either go through the federal or the state court system, the case comes to the Supreme Court. There are four different ways to reach the Supreme Court. It can be through a petition for an extraordinary writ. There is also a request for certification. A case can also be heard through an appeal, or a petition for a writ of certiorari. The Supreme Court has nine judges, which serve. These judges assess cases. These Justices hold their terms for life, during good behavior under Article III. The current Supreme Court Justices are Justice John Paul Stevens, appointed by Gerald Ford in 1975. Ronald Regan appointed Justice Sandra Day OConner to her term in 1981. Justice Antonia Scalia was appointed by Ronald Regan in 1986. Another Justice appointed by Ronald Regan is Anthony Kennedy in 1988. George Bush appointed Justice David Souter in 1990. Justice Clarence Thomas was appointed by George Bush in 1991. Bill Clinton appointed Justice Ruth Bader Ginsburg in 1993. Bill Clinton also appointed Justice Stephen Breyer in 1994. The Chief Justice of the United States Supreme Court is Chief Justice William Rehnquist who was appointed Justice by President Richard Nixon in 1972 and earned his appointment to being Chief Justice by Ronald Regan in 1986. The U.S. Supreme Court has agreed to hear a case concerning whether electrocution amounts to cruel and unusual punishment. They are using a case that was started in Florida. This decision comes four months after the third botched electrocution in Florida this decade. It shut down the use of Florida's electric chair, granting open-ended reprieves to a man scheduled to die recently and another a few days ago. The issue may not be resolved by the high court for months. Attorneys for death row inmates have tried unsuccessfully in state courts to prove that death in the electric chair violates the constitutional ban on cruel and unusual punishment. Florida is one of just four states across the country that requires condemned killers to be executed by electrocution. Most of the 38 states with capital punishment have switched to lethal injection in the last 50 years, when a peak of 26 states used

Key Things to Remember When Writing Compare and Contrast Essays

Key Things to Remember When Writing Compare and Contrast EssaysWriting an ESL compare and contrast essay is quite challenging. There are a few tips that you should keep in mind when you are writing these types of essays. This article will show you the key things to remember when writing these types of essays.When you write a compare and contrast essay, it is essential that you focus on two different aspects. You must choose two or more similar topics but your essay must be different enough from the topics that you chose. In other words, you need to go out of your way to make your essay unique.One of the key things to remember when writing a compare and contrast essay is to make your point clearly and concisely so that you can tell the reader what your purpose is. There are times when you will not have time to elaborate or your point will be so simple that you do not need to use the essay type at all.The first thing that you need to remember when writing an essay is to get a thesis st atement for the topic that you are going to discuss. This is where you will get your main points and the summary of the essay. It is important that your thesis statement is the first sentence of your essay. Then, you will write a list of information about each topic.After you have the list of topics, you need to use your essay writing skills to develop the list. You need to separate each topic into its own list. For example, if you are discussing Spanish, you would separate it into cultural, educational, and family topics. In general, the list should have a sub-list for each type of topic.By following this system, you will be able to write an effective, well-organized, and very clear compare and contrast essay topics. The fact that you have already written a brief paragraph describing the focus of the essay will give you a clue as to what you should write next. Then, you will need to develop your own point of view.Once you have the focus point for your essay, you will need to differ entiate yourself from the points that others will use in the end. For example, if you are talking about cultural differences between the U.S. and Mexico, you can add a line that emphasizes your relationship with Mexico. Similarly, if you are talking about how many students go to school in Mexico, you can add a footnote stating that many students do not go to school in Mexico. This will help you differentiate yourself from the others.Remember that when you write an essay, you must be able to express your thoughts clearly and concisely. Use the comparison and contrast method to help you express your thoughts. When you write, you need to be able to concisely put down your points. Using the compare and contrast method will help you to be able to express your points in a very organized and concise manner.

Russia Under Joseph Stalin essays

Russia Under Joseph Stalin essays From the late 1920's, Russian society entered nearly a decade of darkness, in which the government and the people were commanded by paranoia, fear, and terror. Under the newly introduced leader Joseph Stalin, soviet life was subject to greater control and manipulation as Stalin focused upon gaining control over the economic, social and political workings of the nation. Since coming to power, Stalin had always ruled with a heavy and often cruel hand. His introduction and enforcement of the five year plans led to the deaths of millions and cruel measures such as the transformation of prisons into labour camps and prisoners into slaves astounded many. However, cruel, and heavy-handed rule cannot be classified as totalitarianism. Stalin was supremely influential but he was not yet law. Russia's gradual slide into totalitarianism began when Russian culture began to change from emphasizing the proletariat and the peasants in the 1920's to 'the cult of personality' of the 30's. Under this change, Stalin became the keystone of the entire social, political and economic revolution in Russia. Whilst already having almost complete control of economic activities under the 5 yr plans, Stalin began to take a firm grasp of Russian culture. Such examples of this included Newspapers carrying less 'real' information, instead becoming a tool of propaganda for the government, few scientists were to present theories until granted Stalin's approval and art was harnessed by Stalin to solely project images of an ideal life under Stalin. Thus the arts became servants of the state. By the end of the 1930's all forms of art and popular culture were being manipulated to highlight the personal qualities of Stalin and praise his every action. As all independent sources of media had been removed, the peoples of Russia had little choice but to accept what the government told them as true. A major characteristic of totalitarianism rule is that no opposition i...

Prohibition Era Timeline

Prohibition Era Timeline The Prohibition era was a period in the United States, lasting from 1920 to 1933, when the production, transportation, and sale of alcohol was outlawed. This period began with the passage of the 18th Amendment to the U.S. Constitution and was the culmination of decades of temperance movements. However, the era of Prohibition was not to last very long, for the 18th Amendment was repealed 13 years later with the passage of the 21st Amendment. Fast Facts: Prohibition Description: Prohibition was an era in American history when the production and sale of alcoholic beverages were outlawed by the U.S. Constitution.Key Participants: Prohibition Party, Womans Christian Temperance Union, Anti-Saloon LeagueStart Date: January 17, 1920End Date: December 5, 1933Location: United States Timeline of the Prohibition Era Although Prohibition itself lasted only 13 years, its origins can be traced all the way back to the temperance movements of the early 1800s. Many early advocates of temperance were Protestants who believed alcohol was destroying public health and morality. 1830s The first temperance movements begin advocating abstinence from alcohol. One of the most influential dry groups is the American Temperance Society. 1847 Members of Maines Total Abstinence Society convince the state government to pass the Fifteen Gallon Law, the first prohibition law. The legislation banned the sale of alcohol in amounts smaller than 15 gallons, effectively limiting access to alcohol to the wealthy. 1851 Maine passes the Maine law, banning the production and sale of alcohol. The law includes an exception for medicinal uses. 1855 By 1855, 12 other states have joined Maine in banning the production and sale of alcoholic beverages. Political tensions began to grow between the dry and wet states. 1869 The National Prohibition Party is founded. In addition to temperance, the group promotes a variety of social reforms popular with progressives of the 19th century. Topical Press Agency  / Getty Images 1873 The Womans Christian Temperance Union is founded. The group argues that banning alcohol will help reduce spousal abuse and other domestic problems. Later, the WCTU will focus on other social issues, including public health and prostitution, and will work to promote womens suffrage. 1881 Kansas becomes the first U.S. state to make prohibition part of its state Constitution. Activists try to enforce the law using a number of different techniques. The most peaceful demonstrate outside saloons; others attempt to interfere with business and destroy bottles of liquor. 1893 The Anti-Saloon League is formed in Oberlin, Ohio. Within two years, the group becomes an influential national organization lobbying for prohibition. Today, the group survives as the American Council on Alcohol Problems. 1917 December 18: The U.S. Senate passes the Volstead Act, one of the first significant steps toward the passage of the 18th Amendment. The law- also known as the National Prohibition Act- prohibits intoxicating beverages (any drink containing more than 0.5 percent alcohol). 1919 January 16: The 18th Amendment to the U.S. Constitution is ratified by 36 states. Although the amendment bans the production, transportation, and sale of alcoholic beverages, it does not actually outlaw their consumption. October 28: The U.S. Congress passes the Volstead Act and establishes guidelines for the enforcement of prohibition. The law goes into effect on January 17, 1920. New York Times Co.  / Getty Images 1920s With the passage of Prohibition, a large black market develops around the country. The darker side includes gangs of bootleggers led by figures such as Al Capone, the boss of an organized crime syndicate in Chicago. 1929 Prohibition agent Elliot Ness begins in earnest to tackle violators of Prohibition, including Al Capones gang in Chicago. It is a difficult task; Capone will ultimately be arrested and prosecuted for tax evasion in 1931. 1932 August 11: Herbert Hoover gives an acceptance speech for the Republican presidential nomination in which he discusses the ills of Prohibition and the need for its end. PhotoQuest  / Getty Images 1933 March 23: Newly elected President Franklin D. Roosevelt signs the Cullen-Harrison Act, which legalizes the manufacture and sale of certain alcoholic products. Support for Prohibition continues to wane, and many call for its removal. 1933 February 20: The U.S. Congress proposes an amendment to the Constitution that would end Prohibition. December 5: Prohibition is officially repealed by the passage of the 21st Amendment to the U.S. Constitution.

Status of Women in Lebanon Essay Example | Topics and Well Written Essays - 1250 words

Status of Women in Lebanon - Essay Example Indeed, the status of women in Lebanon is pathetic considering the widespread human rights violations against women in Lebanon. Although women in Lebanon are strongly opposed to their status within the Lebanese environment and society, they lack a voice that would champion for their rights especially considering the brutality and male dominance within the Lebanese cultural framework (Nadya). From a historical perspective, Lebanon has come a long way since her independence in 1943 from the French colonial powers. Originally established as a mandate of the French, Lebanon has experienced her fair share of civil wars especially in the 1970s and 1980s when the nation was forced to sign the Taif Peace Accord to end the violence (Zaatari). However, this was not before the Lebanese government invited the Syrian forces to help in the peacekeeping mission (Nadya). With Israeli constant invasion in Lebanon, it is worthy to note than Lebanon has suffered various attacks particularly in 1976 and 1982 (Nazir and Tomppert 22). This means that the constitution states one thing while the practice on the ground is another different phenomenon. Perhaps the bizarre phenomenon with the Lebanese constitution is that while it guarantees gender equality, no explicit article within the constitution that actually protects the Lebanese women against discrimination (Damon  and  Hume). A classic example of this is that fathers can pass citizenship to their children through birth as long as they become Lebanese citizens. However, the situation is slightly different when it comes to foreign women married to Lebanese men in whereby their children are not considered part of the society. Such harsh judgments based on gender are increasingly affecting the Lebanese women they need full participation in the society just as any other women across the globe (Zaatari). Undoubtedly, the Arab world is one of the most stringent patriarchal societies that incorporate gender roles in their key decisi ons with women falling victims to the harsh male judgments (Zaatari). Lebanon is indeed one of the Arab countries with about fifteen religious factions hence necessitating the institution of personal statute codes that govern the Lebanese families (Nadya). This means that the protection of the Lebanese women is not explicit and conclusive enough but instead, it is guided by the religion a particular woman hails from. While such discriminatory laws may protect some Lebanese women, many of them usually become victims of circumstances merely because their religious factions do not pay high regards to gender issues especially those pertaining to women (Khalaf).  

Peter Matthiessen Research Proposal Example | Topics and Well Written Essays - 500 words

Peter Matthiessen - Research Proposal Example (Commire, pp. 27-28) Other than fiction, he has proved to be a master with his nonfiction writings. For instance, the 1975 shootout of FBI and Native Americans were examined in the year 1983 by Matthiessen in his book, In the Spirit of Crazy Horse. (McKay, pp. 28-30) However, Peter Matthiessen acquired a more natural place for himself in midst of other novelists through his travel writing that renounced him as a complete advocate of natural world. (Bonetti, pp. 35-37) In the year 1978, endangered creatures and spiritual development was lyrically analyzed by him through his book, In the Snow Leopard that provided him with the National Book Award. (Howard, pp. 56-58) In the year 1991, his African Silences explained his trekking experiences in African and Antarctica regions, which was followed by his another book, End of the Earth in the year 2003 that recounted the same experiences. In addition, the protection of majestic cranes and ecosystem of the earth was encouraged by his book, the Birds of Heaven in the year 2001. Until now, the paper has briefly discussed some of his renowned books that have recognized him as a living legend. (Kibler, pp. 92-93) Peter Matthiessen has also completed documentaries on different films, one of which is Blue Wate r, White Death that was a film related to the natural world, one of his favorite themes. (Nicholas, pp. 17-18) One of the major characteristics of Peter Matthiessen is his scrupulous and thorough approach to the topics that are considered during his writings. American Indian issues and natural history are some of his frequently focused topics since fifty years. Now, the paper will discuss his personal life and career, which will be followed by a brief conclusion. On May 22, 1927, an American naturalist and living legend was born in New York City that was named Peter Matthiessen by his parents. Peter Matthiessen is credited for more than twenty non-fictional and fictional books, and has been one of the