Thursday, May 14, 2020
The Bilateral Relations Between Malaysia And China
Malaysia is recognized as one of the Southeast Asia countries that have undergone economic prosperity. Therefore in this essay, I will argue on two major factors that have promoted the economic development in Malaysia which are the bilateral trade relations with China and the regional stability in Southeast Asia. In the first section of this essay, I will provide a brief overview of Malaysiaââ¬â¢s economic development trajectory in the early post-independence period. Next, in the first part of the second section, I will highlight on the bilateral trade relations between Malaysia and China as the main factor for Malaysiaââ¬â¢s economic expansion. Following the second part, I will emphasize on the importance of regional stability in Southeast Asia in facilitating Malaysiaââ¬â¢s economic growth. Lastly, in the third section, I will provide the conclusion of this essay. Compared to other Southeast Asia countries, Malaysia had begun its self-government at a good pace with the economic sector as its focus. In the first decade of post-independence period, the government had implemented the Import Substitution Industrialization (ISI) strategy to stimulate the economic growth and socio-economic modernization. It encouraged states to become less dependent on developed state while urging them to focus on domestic production to substitute the previously imported manufacturing goods (Dadzie 2013: 138). The implementation of this strategy had strengthened the countryââ¬â¢s industry and triggered theShow MoreRelatedAn Explanation Of The Bushs Foreign Trade Policy1399 Words à |à 6 Pagesthe policy of unilateral, bilateral, regional and multilateral parallelism in conducting foreign trade. Unilateralism means that once the United States believes that the trade practices of other countries threaten or even infringe on the economic interests of the United States or related industries, it can unilaterally resort to the domestic trade laws and even bypass the WTO dispute settlement mechanism, Unfair trade practices to implement retaliation. At the bilateral level, the United StatesRead MoreMalaysia s Approach On Resolving The South China Sea1212 Words à |à 5 Pages Malaysiaââ¬â¢s Approach on Resolving the South China Sea (SCS) Disputes CDR Mohamad Hasli bin Abu Hassan RMN Defense Language Institute English Language Center During his keynote address at the opening of the 30th Asia-Pacific roundtable, the Malaysian Prime Minister said, ââ¬Å"We will continue to rely on diplomacy and dialogue to peacefully resolve difference and disputes. We will do so in accordance with and in adherence to the norms, customs, and principles of international law (Cheng,Read MoreStrategic Location And Energy Reserves1177 Words à |à 5 Pagesclaimants such as Malaysia, Brunei, Philippines, Vietnam, Taiwan, Indonesia, and Republic of China. Apart from territorial disputes, the SCS holds a critical geostrategic importance due to its strategic location and energy reserves (Kaplan, 2011). Increased of China assertive action in the SCS and reclamation work in Spratlys has disturbed the SCS claimants and its users. In early 2013, Philippines have initiated an arbitration case against China over maritime disputes in the South China Sea at the PermanentRead MoreWhy Is Singapore Contesting the Claim over Pedra Branca with Malays ia? How Has This Issue Affected Relationship Between the Two Countries? How Would It Affect Bilateral Ties Once the Decision Is Announced by the International Courts of Justice in ...2306 Words à |à 10 PagesINTRODUCTION Origins of the Dispute The dispute over Pedra Branca between Singapore and Malaysia originated on 21 December 1979 when Malaysia published itââ¬â¢s Map Showing the Territorial Waters and Continental Shelf Borders and for the first time included Pedra Branca within her territorial waters. In a response to the 1979 map, Singapore lodged a protest against it on 15 February 1980, rejecting Malaysiaââ¬â¢s claim and requesting it to recognise Singaporeââ¬â¢s sovereignty over Pedra Branca. The noteRead MoreThe Southern China Sea Dispute1558 Words à |à 7 PagesCommittee: 6th Legal Topic: South China Sea Disputre Country: Nigeria BACKGROUND The Southern China Sea dispute is essentially a contest between China and Vietnam, Philippine, Malaysia and several other Southeast Asian nations over territorial control in the South China Sea, which includes some of the most strategically important maritime territory on earth. China claimed the sovereignty of territory by far the largest portion of territory - an area defined by the nine-dash line which stretchesRead MoreForeign Policies of Tun Abdul Razak Period and Their Influences on Malaysia4715 Words à |à 19 PagesPeriod and Their Influences on Malaysiaâ⬠LECTURERââ¬â¢S NAME : MR. RAYMOND DUE DATE : 18 MARCH 2010 CONTENT NO. | TITLE | PAGE | 1. | TUN ABDUL RAZAKââ¬â¢S BIOGRAPHY | 1 | 2. | MALAYSIANââ¬â¢S FOREIGN POLICY | 2 | 3. | ASEAN | 2-4 | 4. | CHINAââ¬â¢S INITIATIVE | 4-6 | 5. | NAM | 7-9 | 6. | OIC | 9-11 | 7. | COMMONWEALTH amp; UNITED NATION | 12-14 | 8. | REFERENCES | 15 | TUN ABDUL RAZAKââ¬â¢S BIOGRAPHY Tun Abdul Razak was the second Prime Minister of Malaysia, heading the country from 1970 toRead MoreWhat Is The Association Of South East Asian Nations?1646 Words à |à 7 Pagesspecialties. The idea of regional organization is a foundation and catalyst to strengthen the relationship between regional countries and reinforce solidarity in facing the challenges in the political, security and international economy arena (Keling, Md.Som, Saludin, Shuib, Ajis, 2011). As Asia becoming an economic fastest growing markets (Vinayak HV, 2014), the so called economyââ¬â¢s Goliath China is extremely high beyond its neighboring countries. Thus, ASEAN was established with the signing of ASEANRead MoreOverview - Malaysias Foreign Policy2414 Words à |à 10 PagesAn Overview of Malaysia s Foreign Policy As an extension of domestic policy, foreign policy is designed with the purpose in mind of defending and promoting the country s national security, economic and other vital intere sts. Despite the diversity of views regarding the perception and explanation of foreign policy, no foreign policy can be formulated in a vacuum. It must serve to function in a dynamic environment. Malaysia s foreign policy is no exception. Various geographical, historical, socialRead MoreThe Conflict Of The South China Sea Threatens Us China Relations1296 Words à |à 6 PagesThe main point of the article is that the ongoing conflict in the South China Sea threatens US-China relations and, if not resolved, will lead to instability in the region. The authorââ¬â¢s solution to this is that leaders of both countries work together to achieve a better understanding of the concerns coming from both sides, as well as lay out consequences for certain actions and to commit themselves to avoiding further escalation. This is tricky because neither country wants to look like it is givingRead MoreThe Gravity Model of Trade: Do Size and Distance Matter for the Exports of Japan?998 Words à |à 4 Pageseconomics, the gravity model for trade reveals that bilateral trade is directly proportional with the extent of the economy (usually expressed in GDP) and inversely proportional with the geographical distance between the analysed entities. The present report illustrates the model for the case of Japan, elaborating the trade patterns created among it and its 9 main trade partners. The parameters for the gravity equation are estimated and the relation between GDP and exports for the countries in question
Wednesday, May 6, 2020
Mechanisms Addiction Reviews The Strong Relationship...
mechanisms Addiction Reviews the strong relationship between bipolar and substance-use disorder Mechanisms and treatment implications Bipolar disorder and substance-use disorders commonly occur in the same individual. In fact, bipolar disorder has a higher prevalence of substance-use disorders than any other psychiatric illness. Individuals with both disorders have a more severe course of bipolar disorder, including earlier onset, more frequent episodes, and more complications, including anxiety- and stress-related disorders, aggressive behavior, legal problems, and suicide. Bipolar and substance-use disorders share common mechanisms, including impulsivity, poor modulation of motivation and responses to rewarding stimuli, and susceptibility to behavioral sensitization. Studies of potential treatments for bipolar substance-use disorder have paid scant attention to the combined disorders. The most promising treatment strategies are those that address their shared mechanisms. Keywords: bipolar disorder; alcohol-related disorders; substance-related disorders; recurrence; impulsive behavior; behavioral sensitization; co morbidity Introduction Substance abuse is prominent in bipolar disorder, and bipolar disorder may be equally common in substance abuse : bipolar disorder may be the most common nonââ¬âsubstance-related Axis I condition in patients with substance-related disorders. This association raises the questions of mechanisms that underlie this relationship and effectiveShow MoreRelatedShould Gambling Be Legal?2890 Words à |à 12 PagesIntroduction Gambling, is often described as a simple form of entertainment, this form of entertainment has become an extreme of uncontrollable behavior to many people. There are many terms that describes a person who over use gambling, which include pathological gamblers, gambling addicts, or compulsive gamblers (Gamblers Anonymous International Service Office , 1957). One reason that the terms are being used is due the development of legalized gambling and an abundance of people are gravitatedRead MoreTechnology Has Impacted Our Lives6520 Words à |à 27 Pages INTRODUCTION Technology impacts our daily lives in every field, from the cars we drive, cell phones we use, computers and networks we access and the power we consume! Technology and human life cannot be separated; society has a cyclic co-dependence on technology. We use technological gadgets like laptops, smart phones, tablets, television and services like internet that serves lots of lucrative social networking sites like skype, twitter, facebook, whats app etc. in our daily life and our needsRead MoreEssay about Alcoholism and Drug Addiction17765 Words à |à 72 PagesFORWARDING CERTIFICATE Ms Bandana Grover has been permitted to write a project on ââ¬Å"Alcoholism and Drug Addictionâ⬠for B.A. LL.B. (Hons) Internal Evaluation of Amity Law School, Sector ââ¬â 125, Noida, AUUP. Date: 10th October 2011 Ms. Mokshdha Bhushan Lecturer Amity Law School AUUP Noida - 201301 Introduction Alcoholism and Drug Addiction may be conceptualized as crime without victim that is, addict himself is the victim who becomes a prey of its misuse. ThisRead MoreUnit 2 study guide8637 Words à |à 35 Pages1. Review the anatomy of the brain. Which portion is responsible for keeping you awake, controlling thought, speech, emotions and behavior, maintaining balance and posture? Emotions and behavior are controlled by the hypothalamus (p.455) The cerebellum is responsible for maintaining balance and posture (p.455) The reticular formation is essential for maintaining wakefulness and in conjunction with the cerebral cortex is referred to as the reticular activating system (p.450) The Broca speechRead MoreCommunity Health Nursing Final Exam Study Guide Essay15874 Words à |à 64 Pageshas goals to increase awareness and use of preventive heath services, but itââ¬â¢s very hard for the homeless. *See Healthy People 2010 box on pg. 426* 2. What is mental health? (pg. 433) Mental health: being able to engage in productive activities and fulfilling relationships with other people, to adapt to change, and to cope with adversity. (by Healthy People 2010) It is an integral part of personal well-being, of both family and interpersonal relationships, and of contributions to community orRead MoreThe Marketing Research of Brainquiry33782 Words à |à 136 Pagesavailable shows that they are using bio-feedback or neurofeedback to enhance the performance of their members. It is also difficult to give estimation on how the sales will be, or future market share will be, it depends on how the bra inquiry would use the communication tools and how much they would budget for that. The German research gives an overview of a sample of contact details of doctors divided into users and non users of neuro/biofeedback. This information is to be found on the CD inRead MoreHesi Practice31088 Words à |à 125 Pagesliquids 2 hours before meals. D. drink liquids only between meals. 6. A client seeks care for low back pain of 2 weeks duration. Which assessment finding suggests a herniated intervertebral disk? A. Pain that radiates down the posterior thigh. B. Back pain when the knees are flexed. C. Atrophy of the lower leg muscles. D. Positive Homans sign. 7. A client has approached the nurse asking for advice on how to deal with his alcohol addiction. The nurse should tell the client that the only effectiveRead MoreDeveloping Management Skills404131 Words à |à 1617 PagesPrinciples of Management, Human Resources, Strategy, and Organizational Behavior that helps you actively study and prepare material for class. Chapter-by-chapter activities, including built-in pretests and posttests, focus on what you need to learn and to review in order to succeed. Visit www.mymanagementlab.com to learn more. DEVELOPING MANAGEMENT SKILLS EIGHTH EDITION David A. Whetten BRIGHAM YOUNG UNIVERSITY Kim S. Cameron UNIVERSITY OF MICHIGAN Prentice Hall Boston Columbus IndianapolisRead MoreManagement Course: MbaâËâ10 General Management215330 Words à |à 862 PagesManagement Course: MBAâËâ10 General Management California College for Health Sciences MBA Program McGraw-Hill/Irwin abc McGrawâËâHill Primis ISBN: 0âËâ390âËâ58539âËâ4 Text: Effective Behavior in Organizations, Seventh Edition Cohen Harvard Business Review Finance Articles The Power of Management Capital FeigenbaumâËâFeigenbaum International Management, Sixth Edition HodgettsâËâLuthansâËâDoh Contemporary Management, Fourth Edition JonesâËâGeorge Driving Shareholder Value MorinâËâJarrell Leadership, Fifth
Hamlet vs Laertes in William Shakespeareôs Hamlet - 531 Words
With revenge being one of the most important themes of this play, the two avengers, Hamlet and Laertes have many similarities with one another. Although they both have difference ways of seeking revenge, they are found in similar situations making them two ideal characters to be compared. By making the two men so similar, Shakespeare intensifies the true character of Hamlet, making his differences from Laertes appear more clearly to the audience. The avengers Hamlet and Laertes both want to seek their fathers revenge, fight to prove their masculinity and both loved Ophelia. Hamlet and Laertes play a big role in the plays most important theme; revenge. Hamlets father, King Hamlet was killed by Claudius and after appearing to Hamlet as a ghost in Act 1 Scene 4, Hamlets sole purpose becomes seeking revenge for his deceased father. And soa goes to heaven; and so am I revengd. (Act 3 Scene 3) Hamlet, in his long soliloquy ponders about killing Claudius to seek his fathers revenge. Poloni us, Laertes father was murdered behind a tapestry while Hamlet had gone to speak to his mother. Later, when Laertes demands to see his father, Claudius tells him that he is guiltless for his death and Laertes says: Let come what comes, only Ill be revengd Most thoroughly for my father. (Act 4 Scene 1). In this quote he is expressing his anger and describing his feelings about the loss of his father. His intentions resemble that of Hamlets in his sixth soliloquy. To prove theirShow MoreRelatedWilliam Shakespeare s Hamlet - Sanity Vs. Insanity1742 Words à |à 7 PagesHonors English IV Mrs. Joyner Sanity VS. Insanity ââ¬Å"Hamlet represents the mid period of the growth of Shakespeare s genius, when comedy and history ceased to be adequate for the expression of his deeper thoughts and sadder feelings about life, and when he was entering upon his great series of tragic writingsâ⬠(The World s Best Essays from the Earliest Period to the Present Time). Hamletââ¬â¢s actions are entirely too extreme for him to be faking his insanity. Hamlet is constantly on the brink of insanityRead MoreHamlet Family Vs Duty947 Words à |à 4 PagesFamily Vs Duty: Hamlet Essay The Tragedy of Hamlet is a play written by William Shakespeare in the renaissance era. The renaissance era is a time when playwright and art both flourishing within Europe. Shakespeare has written many plays, rather, adapted many historical events into plays, such as Romeo and Juliet, Macbeth, and more. The Tragedy of Hamlet is a play which dives into the psychotics of prince Hamlet the second. After his uncle kills his father and marries his mom, Hamlet witnesses theRead MoreHamlet As The Tragic Hero Of The Play Hamlet 1314 Words à |à 6 PagesIn order to better understand Hamlet one must first asses, and define man. According to webster dictionary a man is a male often having the qualities associated with bravery,script or toughness(site webster dictionary www.define a man.com here). We know the male figure is known to exhibit distinctive male traits such as strength, dignity, courage and be a provider and supporter. As seen in Hamlet one must understand the male figure to bett er understand Hamlet and why the male behave in such waysRead MoreImagery of Disease in Hamlet by William Shakespeare Essay1574 Words à |à 7 PagesImagery of Disease in Hamlet by William Shakespeare The disease imagery in Hamlet serves to constantly remind the reader of the initial problem in the play: King Hamlets poisoning by his brother. After hearing his father graphically describe the murder, it is constantly on Hamlets mind. For this reason, many of the images that Hamlet creates in the play are connected with disease and poison. The literal poisoning becomes symbolic of the rest of the events of the play. Remember that poisoning
Encapsulation Of Local Culture And More With Practice â⬠Free Samples
Questions: 1. Is Mr B legally able to refuse the provision of life sustaining nutrition and fluids? 2. If we comply with Mr Bs request, does this constitute euthanasia? 3. What is the difference between withdrawal of treatment and euthanasia? 4. What risks, if any, might staff face if they comply with his request? 5. On a professional level, can you personally refuse to comply with Mr Bs request? Answers: Introduction: Health Care is now providing us with a lot of options and benefits which had been unimaginable a few decades ago. The most important necessity of human civilization has evolved drastically in the past few decades by the virtue of technological innovations and the implementation of different evidence-based practices in the healthcare scenario. One of the most important benefits that the healthcare service now provide is a person centred and specialized end of life residential care which has eased the restrictions of many critically ill palliative patients. End of Life Care usually into supporting and caring for a patient that is critically ill for a prolonged period of time and is completely dependent on the care provider for basic necessities of everyday life. The improvements of healthcare has Incorporated marriage has made end of life care easy and effective while integrating holistic nursing care to the concept in an attempt to reduce the restrictions and difficulties that a palli ative patient goes through every minute of every day (Parsons et al., 2010). However despite all the innovations and advancements, there are still a few issues that an end of life care receiving patient faces. A very significant and frequently observed challenge that a palliative patient goes through while in a comprehensive end of life care is the dependency and restrictions. It has to be understood that are critically ill or disabled palliative patient has to depend on the care provider for each and every aspect of daily life starting from eating bathing to even moving if possible at all (Phua et al., 2015). The dependency on the care provider for the purpose of living every day often is a huge psychological burden on the patient, and most of them often lose the will to live any longer. This assignment will attempt to discover the end of life issues faced by a patient and voluntary elective death requests with respect to health care ethics and laws. Case description: This case study represents the 48 year old patient Mr B, who had went through a spinal cord injury I had to suffer from quadriplegia. Now it has to be mentioned in this context that quadriplegia is a paralysis of all four limbs which is generally brought about by a severe injury to the spinal cord. This type of paralysis is mostly irreversible and restricts any movement by the patient suffering from it without assistance. It has to be understood that a quadriplegic patient is cognitively intact, capable of all normal brain functions although the patient is capable of any activity. The patient in the case study as well had been capable of cognitive functions es but was completely dependent on the end of life care he was receiving in the nursing home for everything else. Now it has to be mentioned here that prior to the accident, the patient had been a lively young energetic man with a profession in the industry of adventure tourism. The accident and the mobility restriction therefore can be considered a huge burden on the consciousness and psych of the patient. However, the patient had been very courageously went through the quadriplegia for a prolonged period. However recently the condition of the patient had deteriorated significantly and he had been unable to receive nutrition in his own and has to be fed through feeding tubes. In fact even his respiration needed to be assisted by a diaphragmatic pacing. All the added complexities had been facilitating extreme stress and had been a contributing factor behind the patient losing his will to live any longer. That is the reason the patient requested that his tube feeding should be cased and he requested to die peacefully. However, there are various different laws and health care policies that define the use of assisted death or the broader concept of euthanasia. Question 1: The end of life medical decision is a very delicate subject and different nations have differential policies and protocols regarding the end of life medical decisions that a patient can take. In the most of the developed nations the right to die is an operational health law. However in order to be able to exercise the right to die, the patients will need to be in a competent cognitive health. In case of rightfully competent patient the option to refuse life sustaining treatment and nutrition is legal in many of the developed Nations (Bloomer et al., 2010). Considering the Healthcare law and practices of Singapore, the concept of Euthanasia and assisted suicide is illegal and is considered a criminal offence. Hence the concept of assisted suicide or providing the means to the patient to directly end their life the targeted measure is completely illegal in Singapore and health law. According to the authors by the virtue of s 309 of the Singapore Penal Code any abetting direct Euthanasia and attempted suicide is considered a criminal offence and any person any person assisting the procedure will be punished with imprisonment for even leading up to 10 years and will also have to submit a monetary fine. Hence, considering the engaging indirect active Euthanasia for assisted suicide will cost the Healthcare professionals associated with it criminal offence with respect to the s309 and s107 codes. However it has to be mentioned that under the AMD act, the patients going to incurable critical illness of disability with no hope of recovery can legally refuse the continuation of life sustaining mediation (Moh.gov.sg., 2018). Similarly in case of Australian law, an adult patient with optimal cognitive health and competency has the right to refuse any life sustaining treatment as well. Hence, according to the health care laws and regulations of both Singapore and Australia, the patient in the case study had complete rights to refuse the life sustaining treatment. Question 2: Euthanasia can be considered a considerably controversial topic in terms of the health care and there are numerous laws and protocols regarding the practice of euthanasia in the different nations. According to the Bloomer et al. (2010), Euthanasia can be defined as intentionally causing the death of the patient with the underlying motive of benefiting the patient and protecting the patient from any further suffering. The different forms of euthanasia, it can be voluntary where the patient will give competent and complete consent to the action that will eventually cause his or her death. The second type is non voluntary where the patient involved will not provide competent consent on where is regarding the euthanasia. The last type of euthanasia is involuntary will inevitably die due to it. Now each of the type mentioned can be further subdivided into active and passive form of euthanasia. In the active form of euthanasia the actual act that will cause the patient's death will be a di rect and it will not depend on any other confounding factor rather than the normal metabolic processes of the patient's body (Martin, 2010). On the other hand the passive form of euthanasia generally involves the natural causes of death. In this case, the healthcare professionals are the family of the patient usually takes the resistance of discontinuing or withdrawing medical treatment or life-sustaining methods so that the patient will eventually die (Ebrahimi, 2012). This type of euthanasia is considered to be the most merciful to the patient as the patient will be released from the suffering of the treatment methods and the critical illness that he is going through. Hence, it can be mentioned that if the life sustaining nutrition is discontinued are withdrawn from the patient Mr B then the healthcare professionals will not constitute euthanasia. This verdict is justifiable as patient himself has requested to the withdrawal of life-sustaining nutrition so that he can eventually the die, hence due to the withdrawal when the patient eventually dies, the death of the patient is considered as a direct result of the wishes of the patients and not due to the act of any other individual (White Willmott, 2012). Question 3: Euthanasia according to many authors is very different from withdrawing any life-sustaining treatment from a patient, when considering the point of view of a medical practitioner. It can be mentioned that euthanasia is constituted only when the patient is provided a direct means of death. Along with that euthanasia can be carried out with or without detect consent from the patient as well in case of involuntary euthanasia (Goldney, 2012). In case of withdrawing or discontinuing a life sustaining treatment on nutrition is not a direct at that could lead to instantaneous death of a patient. It has to be understood that in this case the patient and his cognitively completed decision to see any treatment and eventually face death is considered to be autonomous decision of the patient entirely. According to the Medical Treatment Act of Australia patient on his legal guardian can refuse continuation of any medical treatment or life sustaining care procedure if it is of no beneficial use of the patient or is not adding to any possibility of recovery. In this provision the main contribute in fact behind the withdrawal of the medical therapy or treatment is to relieve the pain suffering and discomfort that the patient is going through and letting the nature take the cause of death with the patient providing him ultimate relief (Alberthsen et al., 2013). According to the author the most important difference between kids drawing treatment and carrying out euthanasia is the fact that in case of euthanasia the patient is given a direct method of instantaneous death with or without competent consent of the patient. Whereas withdrawing treatment is considered as Justice by mercy as the patient is given the opportunity to attend natural death by discontinuing any complicated treatment procedure (Bartels Otlowski, 2010). And the eventual death of the patient is considered to be the consequence of the autonomous and valid decision of the patient himself. According to the law of good medical practice, withholding treatment is classified as the patient's own underlying conditions leading to death rather than a direct act by a medical care provider. Hence withholding treatment is completely different from Euthanasia in accordance with the good medical practice of any medical practitioner (Krishna, 2014). Question 4: Although the consent for withdrawing the life sustaining treatment comes directly from a cognitively components patient. There are a few legal issues and restrictions that Healthcare professional may face while listening to the request of the patient. In case of both Singapore and Australia the withdrawal of life support treatment or facility is lawfully justified in case that informed consent and inform if you still has been taken from the patient. Good medical practice constitutes of the medical practitioner engaging in a filthy practice that is based on school principals of Healthcare integrity truthfulness Fidelity compassion and confidentiality (Toh Yeo, 2010). The most important consequence of adhering to the request that the patient has made for a natural death following withdrawal of life-sustaining fluids can be considered the moral distress and deletion of professional ethics when it comes to providing care and support to the patients (Murugam, 2016). Along with that another very important risk that the health practitioners can be faced with is the account of negligence to the care needed by the patient despite the patient refusing it. It has to be understood that there is a fine line between passive voluntary euthanasia and withdrawal of life sustaining treatment. Hence the medical practitioners associated with complying with the request of the patient must have thorough documentation and follow the legal protocol for the entire procedure so that there is no confusion regarding this activity being practice of euthanasia in any circumstances (Pereira, 2011). Question 5: According to the provisions of patient centred care, adhering to each and every wish and Desire expressed by the patient or his family members is the most important area of practice standard in case of health care delivery both in Australian and Singapore and context. However when a patient willfully decides to discontinue any medical therapy that can potentially lead to the consequences of the patient there are certain professional provisions which can allow how medical practitioner to refuse engaging in such an activity. Conscientious objection can be considered a professional provision in the healthcare delivery that provides the opportunity to the healthcare professionals to consciously refuse to participate in any medical practice on organizational procedure that clash with the moral obligation and professional ethics of that particular individual (Fletcher, 2015). However it has to be mentioned in this context that conscientious objection is only valid when there is a distinctly model motivation behind the objection of a healthcare professional. It should never be based on personal convenience or prejudice and it has to be performed on the basis of autonomous informed and critically reflective choice at all circumstances (Dworkin, 2011). In this case, as the patient has been going through condition that was a reversible and no amount of therapy or treatment could provide any potential possibility of recovery of the patient, the conscientious objection can be very difficult to establish. It has to be understood that the condition of the patient has been deteriorating everyday and the existing treatment procedures for only increasing the difficulties and complications of the patient. Hence the most ethical and morally correct decision at this stage should be relieving the patient of any pain or suffering that he might be going through and provid ing him the opportunity to embrace at its most natural course. Hence, it can be mentioned that under as the treatment procedure or the life sustaining fluids in this case were only prolonging the inevitable death of the patient (Caresearch.com.au. 2018). Hence the moral justification of continuing the service despite the competent consent of the patient and his family members to withdraw the LST is not valid. Hence, personally I cannot refuse the desire expressed by a mentally healthy and competent patient. Conclusion: On a concluding note it can be mentioned that the importance of the end of life care is optimal to the health care industry. Although the continuation of the end of Life Care should always depend on the needs and desires of the patient who is receiving the palliative care. It has to be understood that the will to live is very important for any human being to continue to sustain a complex and difficult treatment procedure which only leads to more suffering, and in cases where the patient has no hopes of recovery at any circumstances the patient has a right to refuse to the complicated treatment procedure and embrace death in peace. It also has to be mentioned that euthanasia can be brutal while the patient is being given I did it means to end his or her life and the moral stress of ending a life consciously can also be a huge psychological burden on the healthcare professionals associated. That is the reason many healthcare professionals exercise their rights to conscientious objectio n when they have to undergo a procedure that can lead to direct or indirect euthanasia. Although the case study utilized for this assignment represents a patient who has wished to discontinue life-sustaining fluids and let nature take its own course for eventual death which is not necessarily a practice that can be considered as euthanasia. The moral distress in this case is also much lower as the patient is not being provided a direct means two and his life but is being given an opportunity to see any suffering that the medical treatment is causing him and wait for his eventual death in peace and with his loved ones. Hence the provision of conscientious objection does not apply here and I would not have refused the patient of his last wish and would have given the opportunity to die peacefully. References: Advance Medical Directive Act | Ministry of Health. (2018).Moh.gov.sg. Retrieved 22 February2018,fromhttps://www.moh.gov.sg/content/moh_web/home/legislation/legislation_and_guidelines/advance_medical_directiveact.html Alberthsen, C., Rand, J. S., Bennett, P. C., Paterson, M., Lawrie, M., Morton, J. M. (2013). Cat admissions to RSPCA shelters in Queensland, Australia: description of cats and risk factors for euthanasia after entry.Australian veterinary journal,91(1-2), 35-42. Bartels, L., Otlowski, M. (2010). A right to die? Euthanasia and the law in Australia. Bloomer, M. J., Tiruvoipati, R., Tsiripillis, M., Botha, J. A. (2010). End of life management of adult patients in an Australian metropolitan intensive care unit: a retrospective observational study.Australian Critical Care,23(1), 13-19. Dworkin, R. (2011).Life's dominion: an argument about abortion, euthanasia, and individual freedom. Vintage. Ebrahimi, N. (2012). The ethics of euthanasia.Aust Med Stud J,3, 73-5. Ethical Issues. (2018).Caresearch.com.au. Retrieved 22 February 2018, from https://www.caresearch.com.au/caresearch/ProfessionalGroups/NursesHubHome/Clinica l/EthicalIssues/tabid/1473/Default.aspx Fletcher, J. F. (2015).Morals and Medicine: the moral problems of the patient's right to know the truth, contraception, artificial insemination, sterilization, euthanasia. Princeton University Press. Goldney, R. D. (2012). Neither euthanasia nor suicide, but rather assisted death.Australian New Zealand Journal of Psychiatry,46(3), 185-187. Ho, Z. J. M., Krishna, L. K. R., Yee, C. P. A. (2010). Chinese familial tradition and Western influence: a case study in Singapore on decision making at the end of life.Journal of pain and symptom management,40(6), 932-937. Krishna, L. K. R. (2013). Personhood within the context of sedation at the end of life in Singapore.BMJ case reports,2013, bcr2013009264. Krishna, L. K. R. (2014). Is the encapsulation of local culture and mores within the practice of palliative care liable to result in a slippery slope to euthanasia in Singapore?.Pall Med and Care. Martin, B. (2010). Techniques to pass on: technology and euthanasia.Bulletin of Science, Technology Society,30(1), 54-59. Murugam, V. (2016). Terminal Discharges and Passive EuthanasiaTwo Fundamentally Different Entities That Should Not Be Likened to Each Other.Asian Bioethics Review,8(4), 290-301. Parsons, C., Hughes, C. M., Passmore, A. P., Lapane, K. L. (2010). Withholding, discontinuing and withdrawing medications in dementia patients at the end of life.Drugs aging,27(6), 435-449. Pereira, J. (2011). Legalizing euthanasia or assisted suicide: the illusion of safeguards and controls.Current Oncology,18(2), e38. Phua, J., Joynt, G. M., Nishimura, M., Deng, Y., Myatra, S. N., Chan, Y. H., ... Wahjuprajitno, B. (2015). Withholding and withdrawal of life-sustaining treatments in intensive care units in Asia.JAMA internal medicine,175(3), 363-371. Soh, T. L. G. B., Krishna, L. K. R., Sim, S. W., Yee, A. C. P. (2016). Distancing sedation in end-of-life care from physician-assisted suicide and euthanasia.Singapore medical journal,57(5), 220. Toh, P. S., Yeo, S. (2010). Decriminalising Physician-Assisted Suicide in Singapore.SAcLJ,22, 379. White, B., Willmott, L. (2012). How should Australia regulate voluntary euthanasia and assisted suicide?.
Tuesday, May 5, 2020
Coping with Traumatic Life Events free essay sample
ââ¬Å"All this time, I thought I was learning to live, when all along, I was learning to die.â⬠So said Leonardo da Vinci. We read his words, smile and think to ourselves that they donââ¬â¢t really apply to us. Why so? Most Westerners run from even the talk of death. True, we cry at movies like Terms of Endearment when dying is unrealistically romanticized; we weep at funerals, cheer when the bad guys die on television, and shudder at newspaper accounts of catastrophes, though we soon get over it. But as for the thought of our own death, we avoid discussing it at all cost. We deny death because we are afraid of it. This fear is so deeply ingrained that it keeps us from being fully in the present. It takes attention to hold off death. We plan. We become anxious. We busy ourselves so we do not have to think about it. We will write a custom essay sample on Coping with Traumatic Life Events or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page And we lose contact with present time and present place where wonder and joyand not deathââ¬âexist. à Introduction Mourning is a complex process in which the bereaved separate and detach themselves from loved ones who have died and replace them with new relationships. If the work of grieving is handled well, new ties can afford equivalent or greater satisfaction to needs formerly satisfied by lost relationships. On the other hand, if restitutive relationships are not established or are incapable of equivalent satisfaction, the process of mourning becomes diverted, remaining incomplete and in danger of becoming dysfunctional. Mourning is a stressful process. It takes its toll psychologically as well as physiologically. Dysfunctional grief is the root if an astonishingly high proportion of emotional, behavioral, addictive and psychosomatic disorders. The literature of psychotherapy is rich with case materials relating symptomatology to dysfunctional grief. In recent years, an increasing body of data has accumulated relating significant increases in the incidence of physical illness and death to populations experiencing the loss of spouse or other central family members. Parkes, Bereavement: Studies of Grief in Adult Life (1973), summarizes the results of a number of studies. He concludes that mourning is a powerful stressor, subjugating body and psyche to crushing pressures, which frequently cause mental and physical illness. A survey of studies on the psychological effects of childhood bereavement is found in Chapter 9 of Furmanââ¬â¢s (1974) volume on childhood bereavement. These studies strongly suggest that childhood bereavement, even more than adult bereavement, can be a significant factor in the development of various forms of mental illness and adult maladjustment. Counseling the bereaved Counseling can shorten the period of unresolved grief, and it can increase the probability of establishing satisfactory replacement relationships. This help can be useful in preventing and minimizing the pathological outcome of bereavement. Those interested in primary prevention of mental illness see bereavement as a crucial area requiring further research and new services. This paper takes a look at this event in oneââ¬â¢s life and the different ways by which academic and clinical psychologists identify ways of coping that facilitates coping during these traumatic events. This hopes to guide professionals in helping the bereaved by establishing theoretical and clinical benchmarks for assessing the individual situation. The bereavement counseling task is complex and emotionally draining. The novice counselor will find it difficult to translate theoretical formulations into successful clinical work without supervision. Authors Wortman and Cohen Silver pose the question on whether certain beliefs or assumptions about how people should react to the loss of a loved one that is prevalent to Western Cultures. Thus, to determine whether such assumptions exist, they then review some theoretical modes of reactions to loss such as Freud and Bowlbyââ¬â¢s. Apparently, it was revealed that there are strong assumptions about the grieving process in Western society. The study also demonstrates that if counseling fore bereaved individuals is based on these erroneous assumptions, then it may ultimately prove unhelpful. Understanding bereavement Early in his clinical work with healthy and dysfunctional grief, the author concluded that a theoretical map to guide the clinician through the labyrinths of normal grief is a necessity. Without a baseline description of normal grief, it is difficult to distinguish factors that lead to pathology. The writings of Lindemann (1944), Glick, Weiss and Parkes (1974), and Parkes (1973), in particular, extended the authorââ¬â¢s thinking about the phenomena of normal bereavement. The five-stage theory of a patientââ¬â¢s response to terminal illness, developed by Kubler-Ross (1969), made available a theoretical model for describing the bereavement process.
Saturday, April 11, 2020
Finding Help With Your Sample Ap English Essay
Finding Help With Your Sample Ap English EssayIf you are in college and you are studying abroad in the United States, it is more than likely that you will be able to take a sample English essay to help you practice the skills that you learned. Sometimes though, you may feel that there is no one you can ask for help. That is why you should do a little bit of searching online before you leave home. There are many resources available, especially on the Internet.One resource you may want to use for your sample Ap English Essay is from a person who has taken an English course. You can find out how to contact these individuals and ask for advice on the best approach to the essay you are writing. You will be able to get their advice, and hopefully the advice will be good. Just make sure that you ask for it, rather than just going ahead and submitting the work without asking them first.Another way to get some help is to go to a private tutor. Private tutors work on a tuition fee. They are pe ople who have experience teaching English courses and who know how to help you with the problem. Some of these tutors specialize in helping you with sample Ap English Essay. They are usually people who have worked in a university, college or school.Just make sure that you choose someone who can really help you with your work. If you don't feel comfortable using a private tutor, then you could always go with a college tutor. This would be something to consider if you are not sure that a private tutor is the right choice for you.If you find that you have gotten a little overwhelmed with the ideas in a sample Ap English Essay that you have written, then you can always go back and rewrite it. You should always rewrite your work, even if you are sure that it is perfect. This is because things often change, and you want to make sure that you are consistent with the content of your work. It may be that you just haven't gotten around to finishing it yet. Simply rewriting the work can give y ou the knowledge you need to finish it soon.Finally, you can always hire a professional editor to edit your English sample Ap Essay. Although there are many editors out there, it is still recommended that you try to hire a person to edit your work before you go to submit it. This is because there are certain skills that can only be learned through hard work and practice.There are a lot of ways that you can get help when you are working on your Ap English Essay. You just need to find the right person to work with.
Saturday, April 4, 2020
Underbelly vs Chopper Connected Text Essay Example
Underbelly vs Chopper Connected Text Paper The two types of texts I am comparing are two different types of the underworld in Melbourne Australia. They explain the depth of crimes they committed and the gangs they were in. The novel I am using is Chopper Reads novel. In this he talked about his upbringing and joining the underworld as early as 15. The Movie I am comparing the novel to is Underbelly, written by Peter Gawler and directed by Tony Tilse. Under belly is about to rival gangs competing for complete control for the underworld. In both the texts all the characters were free to make any decisions they wanted, but most of them would affect they lives greatly. In the novel Chopper read explains that almost when he was born his parents thought he was mentally insane. At the age of 7 he was taken to a mental hospital for treatments. But none worked. He got involved with the Melbourne underworld at the age of 15. The Melbourne gangland wars start the night the gangster Alphonse Gangitano, The Black Prince of Lygon Street, and one of the legendary Carlton Crew gang, murders a low-life crim named Greg Workman at a St Kilda party for the sheer hell of it. The charming gangster Alphonse gets away with the murder by convincing two witnesses not to testify but the killing sets the tone for the mayhem that will follow, and sets Alphonse himself on a path to self-destruction. When Mark Copper Read did a crime it did not care if he got caught. He would just be happy that he accomplished what he wanted to do. He once saw a girl getting doing dirty deeds for a drug dealer for some cocaine. Chopper told her to go home and never come back to the city and everything will be alright. The next week he got 5 years for giving the drug dealers feet third degree burns. We will write a custom essay sample on Underbelly vs Chopper Connected Text specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Underbelly vs Chopper Connected Text specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Underbelly vs Chopper Connected Text specifically for you FOR ONLY $16.38 $13.9/page Hire Writer This is the opposite for the people in Underbelly. They only committed a crime if they were sure that they wont get caught. A lot of the time they just got hit men just to do there dirty work. I liked the concept of the Melbourne underworld from Mark Chopper Read then from underbelly because Mark Chopper Reads novel was pure facts unlike underbelly which was nothing like the underbelly novels. The TV series was just made to entertain. Even though both texts talk about the Melbourne underground, Underbelly is like the kids version of the Melbourne underworld. While they were setting up hit mans to kill there enemy Chopper was some bars cellar burning some drug dealers feet. Over all I think the Chopper Novel takes the prize of best text for the sole fact that he is talking from experience while underbelly is being directed for a big audience. Chopper just wrote the novels to past boredom in jail I couldnââ¬â¢t even spell and now I am international bestseller. Even though the underbelly TV series entertains me greatly, I know that half of it is lies just to get moneyâ⬠¦
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