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Being A Practicing Surgeon, Atul Gawande Essay - 1699 Words

Being a practicing surgeon, Atul Gawande approaches the dilemma of aging from a unique perspective. The study and implementation of traditional medical practices, he suggests, contributes to a problem solving, solution-based approached to over coming the hurdles of old age. The medical field, he says, puts the entirety of its focus on fixing the concrete problems that patients come into the emergency room with, instead of focusing on the best overall solution to satisfy the patients primary desires at the end of life. It is a very valid and important point. Why put tens of thousands of dollars into a chemotherapy treatment plan to lengthen a persons life, if it only ends up yielding a few extra weeks and causes tremendously more pain and suffering? At what point does being alive become not worth it, especially when the patient sees not benefit, but more suffering? This is the issue within the modern medical system that bridges the gap with medicine and aging studies. Aging studies, w ith its theories and concepts, hopes to present a solution to the problem that Gawande points out in such detail and with so many personal examples. How can the things that are most important to the patient be provided without all the intrusiveness and extraordinary expenditures of our healthcare mentality? In summary, aging studies seeks to mend the discontinuity between the stone-faced objectivity of medical solutions and, as Gawande puts it, â€Å"what matters in the end†. Being Mortal, in one wayShow MoreRelatedThe Soul Of A Doctor Essay1752 Words   |  8 Pagesnurse, and anytime I would wait for her shift to end in the office, I would watch her do tons of paperwork that took up to three hours to complete. It drove me insane, but as I grew older, much older, I realized I wanted to help people. My idea of being a doctor expanded when I would read many articles on social media about their experiences that made them become some of the best doctors in the world today. When it came time to pick out my summer reading book, I had two choices. The first book wasRead MoreA Research Study On Situational Blindness Essay1723 Words   |  7 PagesIt is truly fascinating the amount of trauma and mutilation that one human being can endure. Subdural hematoma, aortic rupture, diabetic ketoacidosis, internal and external blast injuries, acute myocardial infarction, or even third degree burns are no match for modern medicine. In times past, these conditions or injuri es were beyond the physicians control and presumed fatal to the individual. However, survival percentages are now higher, and can be attributed to medical advancement and the use ofRead MoreTheme Of Being Mortal1271 Words   |  6 PagesBeing Mortal and its Consequences 1. Introduction In Being Mortal, Atul Gawande uses his experiences as a surgeon, professor and public health professional to discuss many facets of Western end-of-life care and the process of growing old in a modern age. Overall, I have found that three overpowering themes in this novel are security versus autonomy, a need for pragmatism surrounding the concept of death, and our medicalized society’s devaluation of hospice and palliative care. Regarding these themesRead More Increased Patient Responsibility1565 Words   |  7 PagesPatients visit their doctors expecting to be diagnosed, prescribed, and treated. For several patients, this optimistic outlook is in fact the order of things. But, for many others, medicine is an experimental endeavor and very human in nature. Atul Gawande, in his collection of essays entitled Complications: A Surgeon’s Notes on an Imperfect Science, sheds light on this view of medicine as a field of possibilities and dead ends, improvements and failures. I n spite of the many changes brought forthRead MoreReview Of Atul Gawande s The New York Times Bestseller Being Mortal2112 Words   |  9 PagesIn the New York Times bestseller Being Mortal, surgeon and author Atul Gawande tackles just what may be the most difficult challenge of his profession, learning how to handle the ‘end-of-life process.’ Throughout his book, he recites the stories of several individuals, in which the trajectory from a state of independence to one of death can easily be traced in each. Although Gawande does acknowledge that death is inevitable, he emphasizes that individuals of society, especially those that work inRead MoreThe Value Of Teaching Bioethics781 Words   |  4 Pagesperspective, Dr. Atul Gawande, in his book, Being Mortal (2014), drives home several important points as a 50-year-old practicing surgeon at Brigham and Women’s Hospital in Boston. In his introduction, Gawande points to the weekly seminar he attended, â€Å"calle d Patient-Doctor—part of the school’s effort to make us more rounded and humane physicians†, indicating that, in his case, â€Å"the purpose of medical schooling was to teach how to save lives, not how to tend to their demise†. Furthermore, Gawande explainsRead MoreHistory Of American Medical Ethics825 Words   |  4 Pagesâ€Å"45% of pediatric residents queried in a 2004 study rated their ethics education as fair to poor (Kesselheim et al).† From an individual perspective, Dr. Atul Gawander, in his book, Being Mortal (2014), drives home several important points as a 50-year-old practicing surgeon at Brigham and Women’s Hospital in Boston. In his introduction, -Gawande points to the weekly seminar he attended, â€Å"called Patient-Doctor—part of the school’s effort to make us more rounded and humane physicians†, indicating thatRead MoreThe History Of Surgery : Surgery1581 Words   |  7 Pages10/1/15 The History of Surgery We’ve come a long way in medicine but the beginning was rough and painful. But what is surgery? Surgery is a profession defined by its authority to cure by means of bodily invasion. The risks of cutting into a living human being have always been feared, the benefits have only climbed slowly up and soon started to show improvements. But the changes to surgery have proved the development of the human races ability to heal their own. Surgery today is probably no longer theRead MoreStephen P. Robbins Timothy A. Judge (2011) Organizational Behaviour 15th Edition New Jersey: Prentice Hall393164 Words   |  1573 PagesPersonality? 147 Point/Counterpoint Millennials Are More Narcissistic 155 Questions for Review 156 Experiential Exercise What Organizational Culture Do You Prefer? 156 Ethical Dilemma Freedom or Lack of Commitment? 156 Case Incident 1 Is There a Price for Being Too Nice? 157 Case Incident 2 Leadership from an Introvert’s Perspective 158 6 Perception and Individual Decision Making What Is Perception? 166 Factors That Influence Perception 167 165 Person Perception: Making Judgments About Others

The Negative Consequences of Deforestation Free Essays

Earth without forests is a picture that most of human-kind presently could not conceive. Forests cover much of the planet†s land area. They are extremely important to humans and the natural world. We will write a custom essay sample on The Negative Consequences of Deforestation or any similar topic only for you Order Now However, deforestation has been consuming our forests. Deforestation brings about a lot of unexpected effects on the earth and results in many negative consequences. â€Å"If the current rate of deforestation continues, the world†s rain forests will vanish within 100 years-causing unknown effects on global climate and eliminating the majority of plant and animal species on the planet,† according to NASA†s Earth Observatory. Deforestation increases the greenhouse effect and accelerates global warming. It also causes erosion, and the silting of lakes or rivers is caused by soil erosion. The same source claims that deforestation is very hard to be stopped because â€Å"the causes of deforestation are very complex. † There are several reasons why this current trend exists. Deforestation occurs in many ways. People destroy or degrade forests because, for them, the benefits seem to outweigh the costs. Underlying causes include such issues as poverty, unequal land ownership, women†s status, education and the explosive growth of the population. Immediate causes are often concerned with a search for land and resources, including both commercial timber and fuelwood. One of the main indirect causes of deforestation is poverty, particularly poverty in rural areas. Although poverty is not a â€Å"principal cause† of deforestation, it is a living condition that the majority of people in this world must endure. While greed and power can be the motivations of some groups in society that deforest, survival and the desire to escape from poverty is what drives most people. Poverty is not only the socioeconomic environment that limits people†s economic options, damages health but also reduces income generating opportunities. It is an underlying condition that facilitates deforestation. There is some evidence from the industrialized countries of the North that suggests as societies become more economically secure they reach a point where the economic development pressures that drive deforestation are replaced by a growing environmental concern and a greater appreciation of environmental values. However, for most developing countries that point is off in the far distant future. Most tropical countries are very poor by U. S standards, and farming is a basic way of life for a large part of the population. According to NASA†s article, in Brazil, for example, â€Å"the average annual earnings per person is U. S. $5400, compared to $26,980 per person is the United States (World Bank, 1998)†, and in Bolivia, â€Å"which holds part of the Amazon rain forest, the average earnings per person is $800. † The rural poor have very few options. There are few prospects of off-farm employment in either the urban centers or the rural areas. Illiteracy further limits the options of many because they do not have the basic tools needed to pursue other economic alternatives to subsistence farming. With few alternatives available to them, the rural poor consider forests as a short-term solution to their economic problems. Deforestation happens as a result of poverty. More important than that, commercial logging is considered as the major direct cause of deforestation. NASA†s Earth Observatory asserts that â€Å"logging can occur selectively-where only the economically valuable species are cut or by clearcutting, where all the trees are cut. † The forces of large global markets for wood and wood products drive the scale of logging activities. Logging in the tropics does not in any way resemble scientific forestry and is often characterized by a â€Å"cut-and-get-out† mentality in logging companies. Forestry uses science and management skills to manipulate the natural vegetation to favor the long term production of a selected number of goods and services. In contrast, most tropical logging involves the short term exploitation of only industrial wood products with no eye to the future of the forests. The intensity of logging in Asia†s forests is much higher than in the forests found in America or Europe. The Food and Agriculture Organization (FAO) estimates: â€Å"About half the land area of South America and Europe is covered by forest, but only one-sixth of Asia’s land is forested. † And â€Å"a study in Indonesia found that when only 3% of the trees were cut, a logging operation damaged 49% of the trees in the forest,† as the article from NASA has noted. In addition, at the national level, governments sell logging concessions to raise money for projects, to pay international debt, or to develop industry. The logging companies seek to harvest the forest and make profit from the sales of pulp and valuable hardwoods such as mahogany. They use heavy machinery, such as bulldozers, road graders, and log skidders, to remove cut trees and build roads, â€Å"which is just as damaging to a forest overall as the chainsaws are to the individual trees,† according to the same source from NASA. Logging is done because of profits. Not only individual lumberjacks but also logging companies seek material advantage. Therefore, any country that does not have a suitable forest management will gain a higher level of deforestation by commercial logging. As we have seen, the causes of deforestation are very complex. Knowing the main indirect and direct causes help us improve our understanding of the causes and also the effects of climatic and environmental change, so that we may become more effective and efficient managers of our natural resources, as well as mitigate potential impacts from natural disasters. How to cite The Negative Consequences of Deforestation, Essay examples

Child protection training for professional - MyAssignmenthelp.com

Question: Discuss about the Child protection training for professional. Answer: Introduction Child abuse and negligence in raising them is becoming a social issue day by day in the land of Australia. The purpose of this self-reflection report is to highlight the issues of child abuse and how the situation can be improved by raising the awareness among the parents along with the practitioners who will be guiding the victims to come out of their phase of agony and pain. This report includes a description of the case study, an analysis of the situation, evaluation of the situation and a detailed confrontation section along with a section of reconstruction. Description What happened? From the secondary source, it was seen that there was a little 7 years old girl being raised by a 23 years old single mother. The family does not have a stable source of income and to support the family the mother has to do odd jobs and even had to choose the path of prostitution. The ambience of the family is dreadful for a growing child. It is seen that uncontrolled use of tobacco, alcohol and drugs are present in the family either by the mother or by known people of the mother is affecting the development of the child. From the secondary source of information, it was seen that the family currently resides at a small apartment in a poor living condition. The main arguments of this report are to highlight the factors of child abuse that has been seen in the provided short film. What social welfare skills I used To identify the issues of this assignment, I had to critically analyze the key stages of interaction with the client as a practitioner. I had to draw a strengths approach to determine the needed skills for working with various types of clients. The practice skills regarding social welfare allows a model of integrated practice that includes the chief components of the theories, phases, skills and context. As per the case studies it can be stated which welfare services are to be delivered. Personal experience What was I thinking and feeling After going through the case study I was somewhat shocked to see the fate of the little girl child. It is shocking that because of the negligence of the mother the child at the age of seven had to bear with so much agony and pain. The demand of the child was a peaceful ambience in the home and she wanted to get raised like other regular children. She was deprived from almost everything that a child of her age gets from the parents or from the other family members. From the case study what I perceived is that the issues regarding child abuse have become a social ill in the land of Australia which can potentially harm the future of the future generations of Australia. I strongly believe that the awareness regarding these issues should be raised among the parents of Australia immediately. How did I communicate with employees and service users After studying the case studies I generally evaluate and try to get the idea of each situation. After that according to the specific demands of the cases, I try to choose the ways of communication with the victims and with the volunteers of social welfare society. Ways I practice without discriminating and with respect Each time I deal with the victims of child abuse, I have to keep this thing in mind that I should not be judging them as with the child the parents are also getting victimized in these cases. I have to make sure that the identity of the individuals who got victimized should remain anonymous to ensure that they do not have to go through any harassment in the society. I have to particularly stress on a factor and that is throughout the process of counseling, I do not discriminate anyone for anything and that is one of the most important criterion of my work as a professional. Evaluation Positive and negative of the experience There are no positive factors and of this particular experience and it can be said the condition the child had to bear was unacceptable in the modern society. It is seen that children who get victimized by various sorts within the domestic environment, in most cases and get affected by the horrible memories of those incidents. There are various instances where these children got victimized by the family members, they have to bear gruesome pain and in most cases, they do not get justice. Analysis Sense that I can make from the experience From the experienced gathered while practicing over the years, I have seen that in a developed country like Australia, the situation is unacceptable, and it can be said that the future of the children of Australia are at stake. The government of Australia immediately needs to focus on these issues and act accordingly to ensure a brighter future for the future generations of the nation. All I can say in this context is that these practices of child abuse should be eradicated from the society as soon as possible. How it helped to develop practice wisdom We the practitioners tend to draw heavily on the knowledge acquired from experience, but practice wisdom is often neglected in social research works. Practice wisdom can be seen as a method of incipient induction. In this particular case, it can be said that the case studies are the major source of developing practice wisdom. While going through the case study, I got to know various aspects of child abuse and along with that I realized that there are many spaces for improvements in this field. In Australia, the government have a statutory responsibility regarding protecting the children from sorts of child abuse and negligence. Confrontation Values, beliefs and assumptions did I carry Negligence and abusing are the common forms of maltreatment and these activities encompass various complex issues and presents scopes for various research topics. Beliefs: By going through the case studies, I have developed a set of beliefs and those are: In most cases children get neglected and abused in the poor families, but there are several instances where the children had to go through these issues despite hailing from affluent family. Negligence is often projected as the fault of the mother, but for negligence of a child, all the family members should be responsible. In many cases, if the neglected and abused children get the access to the resources and education, it can potentially reduce the rate of negligence and abuses experienced by the children. Values: While going through this particular case study I realized that the practitioners like me should have a set of values in their minds before getting engaged to counsel the victims, and those are: I have to communicate in a manner that can sustain the hope and respect. I should look at the symptoms like adaptations. I should teach the victims to monitor their responses and the complex thoughts. I should give the clients a feeling of assertiveness. I should make sure client empowerment and collaboration. I should keep the secrets of the clients safe. Assumptions: After going through various case studies, I have made some assumptions regarding the issues of child abuse and neglect; those are mentioned in this section. All the families should present both protective factors and risk factors to some extent. It can be said that the families who show various risk factors and minimal protective factors, it is much likely that the children hailing from those families are prone to experience sorts of child abuse or negligence. How do they differ from the values, assumptions and beliefs of others involved It is a possibility that the values, beliefs and assumptions I carry may differ from the other individuals involved with these issues of negligence of children and sorts of child abuse. In this context, it is worth mentioning that it is important that how an individual perceive a matter and that can potentially determine the values, assumptions and the beliefs of those individuals. The case studies are also important factors to build up a set of values and beliefs in the minds of the practitioners. Thus, it can be said that the experiences of the practitioners heavily influence the beliefs, values and assumptions of the practitioners. How do they connect to wider social and political forces It is seen that others who are involved with similar experiences (my colleagues), it is their responsibility to connect to the wider political and social forces. Recently, the government of Australia has taken a few initiatives regarding child protection issues and the practitioners should know those regulations. In my opinion, the other practitioners should get updated with the latest news and the social reforms regarding child protection issues, in order to help the clients. Ethical implications To be able to ease the pain of the victims of the child abuse and negligence, the practitioners should make good use of some ethical considerations. I strongly believe that the identity of the victims should not be disclosed without getting the consent from them. They should be treated with proper care and respect. The data collected from the primary sources by the practitioners from the victims should not be used in any other works apart from the academic purposes. The collected data should not be manipulated by the practitioners. Reconstruction What ways I think differently While going through the case study, I felt that I should not look at the case like just other professionals in this field and I intended to get to the bottom of the situation. What I saw is that in most of the cases poverty is the main driving factor that is bringing in social ills like child abuse and negligence regarding raising the children. I would rather talk to the parents of those children with sympathy and try to cure their mentality with more focus, as, if their mentality is not changed, the child might get abused or get neglected later also. I believe that with proper counseling it is my duty to give relief to the child victim, but along with that it is my duty to counsel the parents in order to save the children from future harassments. What could I have done differently I believe that I should have counseled the mother of the child and put in more effort in rectifying the ways of her living the life in order to safeguard the future of the seven years old girl child. I strongly believe that if her mother gets a decent job and starts living a healthy life, the future of the child should get better eventually. What will I do differently next time I believe that next time I should stress on judging the capability of the parents in raising the child. I think that if I see that the parents are not capable of raising a child in a proper way, I will take a few counseling sessions with the child and the parents and then call social welfare organizations to arrange a foster family for the child victim. In this way I will be able to secure a bright future for the child. Conclusion Thus to conclude, it can be said that child abuse and negligence in raising the children has become a social ill in Australia. Thus in recent years the federal government of Australia is stressing on improving the situation. These initiatives should have taken years ago in order to allow the victimized children to live a healthy life. In the age of rapid development physically and mentally if a child gets victimized by these heinous ills, it can potentially ruin the mental development of the child making him or her incapable to adapt to the changing situations. These experiences can potentially harm the development of a child. Thus in my opinion these kinds of social ills should be eradicated from the society as soon as possible. Bibliography Devries, K.M., Mak, J.Y., Child, J.C., Falder, G., Bacchus, L.J., Astbury, J. and Watts, C.H., 2014. Childhood sexual abuse and suicidal behavior: a meta-analysis.Pediatrics, pp.peds-2013. Hebert, S., Bor, W., Swenson, C.C. and Boyle, C., 2014. Improving collaboration: a qualitative assessment of inter-agency collaboration between a pilot Multisystemic Therapy Child Abuse and Neglect (MST-CAN) program and a child protection team.Australasian psychiatry,22(4), pp.370-373. Lonne, B. and Parton, N., 2014. Portrayals of child abuse scandals in the media in Australia and England: Impacts on practice, policy, and systems.Child abuse neglect,38(5), pp.822-836. Mathews, B., Walsh, K., Coe, S., Kenny, M.C. and Vagenas, D., 2015. Protocol for a systematic review: Child protection training for professionals to improve reporting of child abuse and neglect. Mathews, B.P., Bromfield, L., Walsh, K.M. and Vimpani, G., 2015.Child Abuse and Neglect: A Socio-legal Study of Mandatory Reporting in Australia-Report for the ACT Government. Commonwealth of Australia. Mrazek, P.B. and Kempe, C.H. eds., 2014.Sexually Abused Children Their Families. Elsevier. Pietrantonio, A.M., Wright, E., Gibson, K.N., Alldred, T., Jacobson, D. and Niec, A., 2013. Mandatory reporting of child abuse and neglect: Crafting a positive process for health professionals and caregivers.Child abuse neglect,37(2), pp.102-109.