The Ethical Dilemma Of Artificial Nutrition And Hydration...

In this paper the writer will describe the ethical dilemma of artificial nutrition and hydration in terminally ill patient. Artificial nutrition is very important in terminal ill patients in their end stage of life. It is very helpful to provide nutrients and fluids to the patient who is unable to take it by himself. In palliative units, AHN help to enhance the comfort and quality of care of patient. The purpose of this paper is to narrate how ethical issues can become challenging for health professional, patient and their family members. In following paragraph the writer will explain the ethical dilemma in relation to Islamic view, patient with advance stage of Alzheimer’s disease, permanent vegetative state, nurses and physician opinion on AHN, nurses and physician provide AHN according to their culture beliefs. The theme of following literatures is that to stop or discontinue the artificial nutrition and hydration because it is not much beneficial for patient with advanced disease conditions. In first finding, there are many factors that influence decisions about withholding and â€Å"withdrawing artificial nutrition and hydration include the attitudes, religious beliefs, and cultural identity of the patient, family, and healthcare providers; the cost of treatment; legal issues; and ethical and moral considerations† (Sami, 2014). In this, ethical issues occur between health professional and Islamic patient family member. In the palliative care unit doctors mainly focus toShow MoreRelatedThe Effects Of Artificial Nutrition On Health Professionals981 Words   |  4 Pagesand water. While it is known that adequate fluid and nutrition is needed for survival, many health professionals are currently going through an ethical dilemma of whether or not to provide artificial tube feeding for patients with terminal diseases. This ethical decision that affects health professionals must take into consideration the recent research that opposes ANH for this population. These studies have demonstrated that artificial nutrition provides higher risk of medical complications, increasedRead MoreAn Ethical Case Study On End Of Life Care2332 Words   |  10 PagesTo Feed or Not to Feed: An Ethical Case Study on End of Life Care Before the advancement of medical technology to prolong the lives of patients with lethal conditions, end-of-life care did not involve many discussions of ethics or morals. Even just a hundred years ago, it was common to speak of letting nature run its course. Today, patients and their relatives have many more options to utilize medical devices in hospital intensive care units to prolong life, whether that entails resuscitation, ventilationRead MoreTube Feeding Prolonging Life2291 Words   |  10 PagesAbstract This paper is written to discuss the ethical dilemma we come across when asking our self whether or not we should place a tube feeding in a patient with a history Alzheimer’s or Dementia. Will this prolong the patients’ life or just the inevitable death? Most often a decision needs to be made regarding the placement of a tube feeding. The question is not initiated by the patient themselves. This is the reason why educating our patients are so important. In this paper I will discussRead MoreThe Management Of Nutrition And Hydration3048 Words   |  13 PagesIntroduction This assignment has been structured to demonstrate the management of nutrition and hydration in end of life care. In this learning utilising the reflective frame work of Driscoll, 2007, I will critically explore and analyse the management of end of life care in relation to management of a patient’s nutrition and hydration, identifying potential elements and their impacts upon care delivery. As a health care practitioner, my role towards end of life care involves communicating with patientsRead MoreWithdrawal of Treatment in End-of-Life Care2003 Words   |  8 Pagesï » ¿Introduction In their day to day undertakings, health professionals encounter a variety of ethical problems. One of these problems has got to do with decision making most particularly at the end of life. An ethical dilemma in this case could emanate from the best course of action to adopt when it comes to the management as well as treatment of patients at the end-of-life. It is important to note that in some instances, treatment may be withheld or withdrawn if it does not enhance the patientsRead MorePersonal, Cultural And Spiritual Values862 Words   |  4 Pagesprofession requires integrity of its members; that is, a member is expected to do what is considered right regardless of the personal cost (13). Because nurses deal with the most fundamental human events – birth, death, and suffering- they encounter many ethical issues surrounding these sensitive areas. Nurses can make better moral decisions by thinking in advance about their beliefs and values and about the kinds of problems th ey may encounter in caring for their clients (201). This paper discusses the professionalRead MoreEssay on Community Health Nursing Case Review1664 Words   |  7 Pagespressure sores at the sacral area. Her condition got progressively worse and the client is unable to swallow. So the nursing home director asked the family to start a feeding tube and the family denied. I believe the health personnel are in an ethical dilemma. On one hand, the rule of Autonomy states this is the right of the person to make one’s own decisions. Because the client is not competent to make decisions, she appointed the family to do so. The health care personnel have to honor the principleRead MoreAdvance Directives: Patient End-of-Life Decisions1710 Words   |  7 Pagestechnology today has come a long way. Numerous life prolonging procedures are available that can extend a person’s life where once they would have expired. Kidney dialysis, chemotherapy, cardiopulmonary resuscitation (CP R), feeding tubes, intravenous hydration, and ventilators are but a few of these means for extending one’s life. The choice between quantity versus quality of life is complex, and not one that should be left up to chance. In 1990, Congress passed the Patient Self-Determination Act (PSDA)Read MoreShould Scientists Create Artificial Living Things?1939 Words   |  8 PagesShould Scientists Create Artificial Living Things? My personal opinion is, no. I feel as if scientist should not create artificial living things. Artificial designed machines usually wear out with use, especially if you keep them running for so long without maintenance. In humans organisms, they will typically renew their parts until death (Douglas, et.al,2013). The creation of artificial living things need to be designed to benefit others for it to be considered ethical. Depending on your beliefRead MoreThe Dilemma Of Children With Critical Condition1709 Words   |  7 PagesTragic Dilemma in Children with Critical Condition Despite of the increasing knowledge in healthcare and bioethics, care for critically ill children remains understudied in Canadian contexts. The prevailing theories in ethics, primarily ethics of justice, do not adequately address the complex moral problems involved in the care of vulnerable children. Patients often find themselves in a distressing situation with two unfavorable options. In a tragic dilemma, health care professionals must guide

Child Development Reflection - 908 Words

Reflection #3 Many people fail to understand the importance of the environment they raise their children in. Raising children in the proper environment is just as crucial as feeding and caring for them. If we do not provide children with an appropriate environment, their development could be affected negatively for the rest of their lives. During a study, infants were placed in orphanages who were later exposed to family rearing and confirmed how important a generally stimulating environment is for psychological development. (Berk, Chapter 5, 2014) Another investigation was done where children were transferred between birth and three and a half years old from deprived Romanian orphanages to adoptive families in Great Britain. When the†¦show more content†¦I would then give them a project that required both the eighth and first grade student to work together. For instance, each pair of students could be given a map of the United States. The first-grade student would be responsible for co loring the map in and the eighth-grade student would be responsible for labeling the states. This project would force the first and eighth grade students to work together and talk with each other. This would expose the students to the different language of older students compared to younger students. It would be beneficial for all the students. As a teacher, I believe you should make the most of the resources you are provided and take advantage of having older, mature students in the building. When children are growing up, most of what they learn comes from what their parents say and do. Therefore, it is important for parents to serve as good role models and be aware that their children are always watching. Research was done in a laboratory that found deferred imitation is present at six weeks of age. (Berk, Chapter 6, 2014) This was surprising to me because that seems very young. When infants observed adults making unusual facial expressions, the infants imitated the same faces th e next time they saw the adults. Infants start to copy actions with objects as their motor capacities become more advanced. This made me feel veryShow MoreRelatedReflection On Child Development1250 Words   |  5 PagesCourse Reflection Throughout this course, I have learned the differences between observation and recording methods, how to choose the most useful method, and why it is important to understand and be knowledgeable of child development, along with how I will use this knowledge in the future. The most important knowledge that has been gained is why it is important to understand and be knowledgeable of child development. Understanding the differences between the observational types and recording methodsRead MoreReflection On Child Development726 Words   |  3 Pageswas born February 4th 2014 and when I observed she is 4 years old. 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The feelings I get when I become a influential force in a child’s life along withRead MoreChild Development Reflection Paper1332 Words   |  6 PagesCourse Reflection In this course, I have learned theories of child development, principles of growth and development, prenatal development, infancy, toddlerhood, three-four-and five years old, six-seven-and eight years old, middle childhood, adolescence: thirteen to nineteen years old, and where and when to seek help. I really enjoyed the adolescence: thirteen to nineteen years old chapter the most because, people tend to forget that even though they in high school their brains are still growingRead More Reflections on Child Development Essay700 Words   |  3 PagesReflections on Child Development This semester in Child Development has helped me a great deal. I came into this class wanting to be a Child Development teacher at the high school level. I am leaving this class with the same ambition to become a Child Development teacher. 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Tootsie Roll Business Plan free essay sample

Tootsie Roll Tootsie Roll The Tootsie Roll Industries Incorporated began in Chicago 117 years ago. The founder of the business was a gentleman named Leo Hirschfield. He began making and selling the Tootsie Roll. Today the famous product is still being made according to the original recipe and formula. However, since its inception, the business has become incorporated. The primary production and consumption areas include the United States, Canada, and Mexico. However, the company sells its products in over 75 countries. While the Tootsie Roll is the oldest and perhaps the most well-known product, Tootsie has a fairly wide product range. Other products include Junior Mints, Charleston Chew, Dubble Bubble, and Dots to name a few (Goldberg, McDonell, Santhakumar, Wood, Marquardt, 2010). The purpose of this business proposal is to obtain a $17 million dollar loan to support a global marketing campaign for Tootsie Roll to stimulate growth and capture market share. This proposal provides an attached worksheet containing an income statement, cash flow statement, and balance sheet. We will write a custom essay sample on Tootsie Roll Business Plan or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Additional information available is industry analysis and trends, strategic plan, risk assessments, technology plan, marketing plan, SWOT analysis, competition, management, and community plans. Industry Analysis and Trends Tootsie Roll Industries Inc. is in the confectionary industry. In the U. S. alone the industry averaged nearly 15 billion dollars in sales. Experts predict that the industry will increase to over 17 billion by 2015 (Goldberg et al. , 2010). Tootsie Roll claims approximately three percent of this market share. The confectionary industry has been very slowly increasing. However, the growth is consistent and quite predictable. Certain trends have been arising in the industry. Tootsie should be aware of, and adapt to the trends. Imported chocolate is more available and cheaper, and the demand overseas is slowly increasing. However, the price of sugar has been increasing in the recent years as well. Important trends in the industry include a demand for chocolate with health benefits. The demand for premium chocolate options is increasing. However, with an unconfident economy, people want to spend less money on non-necessary things such as candy. Tootsie Roll Strategic Position and Risk Assessment â€Å"The company has grown to become an exclusive candy company building on its brand name in its niche market of hard candy. Tootsie Roll accounts for approximately 3% market share in a candy market that has slow, predictable growth with U. S. industry sales rising 3. 9% in 2009. Strong consumer awareness of its brand name, line extensions, holiday offering, and periodic acquisitions allow Tootsie Roll to stay well-positioned and grow off its existing infrastructure† (Goldberg, McDonnel, Santhakumar, Wood, Marquadt, p. 2, 2013). Risk Assessment and SWOT Analysis of Tootsie Roll A SWOT Analysis shows the strengths of Tootsie roll as a strong reputable brand of candy, strong balance sheet, strong stable supply and demand of ingredients, and paid dividends over the past 65 years. Its weaknesses are a strong dependence on domestic sales, not investing cash back into the company, and a failure to disclose succession planning. Opportunities include and international expansion, new innovative products, and the use of organic chocolate. Threats consist of an increase in commodity prices, competition, and oral health care. Operations Tootsie Roll operations include legal requirements of their employees and contracts. They deal with established vendors, suppliers, and they comply with all applicable laws regarding employment practices. Technology Plan Technology trends domestic or international markets should be the same. The technology for making the Tootsie Rolls is domestically developed and applying these technologies to the international markets are keys to the name brand of the company. The products quality is catching the consumer’s eye as this product is steering to lower, midrange, and higher paid consumers. The way the technology is in place currently and the name recognition of our company will bring customers our way. Research and development of the domestic product to be the best quality product with continued development benefits the international companies globally. It does not stop there. Monitoring the competitor’s advancements keeps the development of our product through technology will keep this company on their toes to stay the leader in market. Marketing Plan The marketing plan for Tootsie Roll is to keep the strong company’s brand name. Production and expansion to serve multiple countries is a goal to keep and expand their competitive advantage. The increased spending in advertising will keep their brand name in the market. The prices have stayed the same to be competitive to keep their market shares Tootsie Roll is a mature product and will show the competition that they can keep their market shares while entering new markets to be available to more customers. The loyal customers have shown Tootsie Roll what a good product it is and help bring new customers to Tootsie Roll. The parents are the candy buyers for the children so they are marketed to make the sale. Competition Tootsie Roll Industries has been producing the same products with the same formula for over 100 years. Tootsie is also well-known for candies such as Andes mints, Junior Mints, Charleston Chew, Mason Dots, and Sugar Daddy. The Tootsie Pops made  the company  one of the largest lollipop producers in the world. However, during 2007 Tootsie Roll Industries’ profits declined meanwhile its competitors Wrigley, Hershey, Nestle, and Mars continue to increase their profits. Wrigley, Hershey, Nestle, and Mars were the three major companies that account for 60% of the industry. Tootsie Roll’s perceived value in its brand is a superior advantage that the industry holds against its competitors. As a consumer product company, Tootsie Roll Industries face intense competition for both retail shelf space and consumers’ dollars. Tootsie Roll has â€Å"done a masterful job, go into a Wal-Mart or Target and youll see incredible shelf space given to Tootsie products, similar to that of Hershey or Mars, both much bigger companies† (Hughlett, 2008). Management and Organization Tootsie Roll Industries started as a family run organization and has continued to try to remain in that type of an environment for their employees. They have combined a family-run corporate culture and a progressive management style. This type of style has been able to embrace an entrepreneurial spirit, setting the industry standard at delivering the highest quality product at the lowest possible price (How Tootsie Does It, paragraph 1). Community Involvement and Social Responsibility Being part of the community has long been a strong emphasis for the Tootsie Roll Industry. They have become involved with national concerns and have always been willing to help out with charities. Their products have been favorites among charitable fundraisers and have generated revenues that help sustain a variety of public and private causes. Conclusion Tootsie Roll has a long-standing reputation for being the oldest candy company in the United States. Tootsie Roll’s ability to keep up with candy trends has kept it in close competition with other companies such as Hershey Corporation, Mars, and Nestle. Reference Hughlett, M. (2008, May  4). Tootsie rolls along. Chicago Tribune. Retrieved from http://articles. chicagotribune. com/2008-05-04/business/0805030026_1_tootsie-roll-industries-wrigley-melvin-gordon Goldberg, M. , McDonnell, K. , Santhakumar, N. , Wood, J. , Marquardt, M. (2013). Tootsie Roll Report. Business Wise. Retrieved from http://business. library. wisc. edu/resources/kavajecz/10_Fall/Tootsie%20Roll_Report. pdf Kimmel, P. D. , Weiygandt, J. J. , Kieso, D. E. (2009). Accounting: Tools for Business Decision Making (3rd ed. ). Retrieved from https://portal. phoenix. edu/classroom/coursematerials/acc_561/20130312/OSIRIS:441986 33. Score. (2011). Business Plan Template Small Business. Retrieved from http://www. score. org/resources/business-plan-startup-pdf U. S. Small Business Administration. (2013). SBA Loan Application Checklist. Retrieved from http://www. sba. gov/sba-direct/article/2953 U. S. Small Business Administration. (2013). How to Prepare a Loan Application. Retrieved from http://www. sba. gov/content/business-loan-checklist# Tootsie Roll Industries. (2012). How Tootsie Does it. Retrieved from http://www. tootsie. com/comp_who. php