Ethical Dilemma of Elective Induction

Ethical Dilemma of Elective Induction To Induce or Not to Induce? The Ethical Dilemma of Elective Induction Lets paint a picture. A 32-year-old patient gravida 1, para 0 presents at 38 weeks gestation and states that she would like to be induced the following day for personal reasons. She has not previous medical history which indicates that she is a high-risk pregnancy. She is electing to be induced.   Labor induction is the use of medications or other methods to stimulate contractions in the uterus to result in vaginal birth before labor has started on its own (). It can be a recommended if either the mother or fetus are at risk but sometimes, labor can be induced for nonmedical reasons and scheduled by the patient. Evidence suggests that there are no benefits to either mother or baby, however, there are several risks associated with inducing labor. These include but are not limited to infection in the mother and/or the baby, uterine rupture, increased risk of cesarean birth and death of the baby (). There has been a dramatic incline in the number of elective induced labors in the United States. Statistics show that there has been an increase in induced labor from 9.4% of births in 1990 to 23.2% in 2009 (). These increased rates can especially be seen among non-Hispanic White women with private or commercial insurance and more than 12 years of education (). While this increase alone is of significant concern, studies show an increase in induced labor during the preterm period, including the late preterm period between 34 through 36 weeks of gestation. This is especially alarming as this could have significant negative impacts on the infants overall development and health (). Our profession calls for dedication to nursing excellence through ethics, standards and best practice. Specifically, labor and delivery nurses as well as midwives are known for providing compassionate care and advocating for women to be actively involved in all aspects of their care. They have the responsibility of playing the delicate role of balancing each individuals right to birth as they desire while at the same time advocating to provide evidence-based practice levels of care and improving maternal and child birth outcomes. Therein lies the ethical conflict: how do you provide care that reflects the birthing parents unique needs (elective induction) while at the same time providing care that does not put birthing parent and/or baby at increased risk for negative outcomes. Some would argue that ethically, the birthing parent has autonomy over her body and should be able to decide the what, where, when and how around all medical procedures. While I do not disagree with this, we cannot risk the chance of violating other ethical values like nonmaleficence and beneficene because of autonomy. It is important that we fall back on the ethical principles and theories that shape our practice as nurses in order to make a decision that is ethically sound. Our primary responsibility and commitment, as stated by the first and second provisions of the ANA code of ethics are that we practice with compassion and respect for the inherent dignity, worth and unique attributes of every person and our primary commitment is to our patient (). This includes providing patients with all the education they need. Research shows that 78% of women who elected to induce labor felt confident that they were knowledgeable about the procedure, however on further inquiry it was found that they in fact were not aware (). I firmly believe that it is our role and duty as nurses to provide care to each individual following the lines of what would make them most comfortable. In the same light, it is our role and duty as nurses to keep up to date on evidence based practice in order to provide up to date information to our patients and advocate for them. We walk the fine ethical line all the time and bear the load of providing the absolute best care to our patients by finding a balance between both patient desires and evidence based practice. We cannot let egoism play a role here by only considering that which is evidence-based care while ignoring the wishes of the birthing parent. However, tapping into the ethical theory of utilitarianism, we must look at all the benefits and risks involved. and together with the people involved make a decision that is best suitable for the birthing mother and baby.

Reduce Cost

In the unpredictable economic times prevalent contemporarily, organizations and economies all over the world are devising strategies that can prove effective in providing them sanctuary from the looming threat of increasing expenditures. However, there are a number of ways through which these expenses can be controlled in an intelligent and less intimidating way. First and foremost, a careful analysis of the sectors where your budget goes wild is significant in taming the money animal. Sometimes it is difficult to reduce an increase item, but more profits can be generated from the increased item if the expense analysis is conducted in a careful way. It is therefore important during analysis that one must make use of percentages rather than actual dollar amounts. For instance if your main objective is to surge sales it is important that the dollar expense is kept the same, by implementing this method you have actually decreased the expense of sale as a percentage which will eventually manifest itself in the form of increased profits. Similarly if the sales volume of an item remains constant, the percentage of profit can still be increased by reducing a particular component contributing to expense. Through such a policy you will be able to successfully achieve both objectives: to decrease the alarming expense and increase the productivity at the same time. Another tool that can effectively be utilized when discussing ways to reduce costs and expenses is ingeniously prioritize the expenditures that are mandatory and those that can temporarily be sidelined. The prioritization is also important as it allows organizations to make decisions accordingly in order to frame their objectives towards acquiring goals that they feel are important for the prosperity of the organization rather than focusing entirely on places which are not that productive. Pros and Cons of Outsourcing One of the areas which have turned out to be a nightmare for the domestic labor market of the United States is the outsourcing. The phenomenon is associated with adverse economic as well as social repercussions. Statistics reveal that majority of the country’s native labor force regards outsourcing as a slow poison to their employment opportunities. This was easily manifested when during a survey 1,019 adults when inquired about outsourcing, 60% of them straight forwardly polled in negative, whereas only 23% said that it was important for financial rejuvenation. In addition to this over 40% companies are involved either in experimenting or are already engaged in shifting their services overseas in search of cheap labor and services that are being provided by countries like China and India. However on the flip side pro-outsourcing advocates claim that by implementing upon outsourcing new job opportunities can be explored as there are also a number of government agencies that outsource their work to different country labor which saves them millions of dollars directly affecting consumer spending as well as expenses being handled by the state treasury. Long and short term issues related to outsourcing A key issue that arises out of outsourcing is finding a satisfactory answer to the question whether outsourcing in future will facilitate the creation of greater employment opportunities. Short-term issues concerning the entire matter are the hypothetical, euphoric and speculative nature between the two major elements and assume that one-to-one replacement of people can easily take place, but in dynamic market situations such as those faced by US markets, prevalence of such conditions are almost next to impossible because price and income both exhibit an elastic nature. Many economic models proposed by prominent economists fail to address these fundamental flaws which are quite dominant in the economic setup of the country. Furthermore in the long run outsourcing can be used as an effective tool for substantial economic gains which can be achieved through proper maintenance of service record which is very important as your customer will be something more than just a simple vendor, effective outsourcing and its fruitful results can only be obtained if the specific customer can readily address the outsourcer in a timely manner and can resolve all complications and difficulties encountered by the outsourcer in performing the task. Another very important factor that is often overlooked by many is the presence of properly trained and managed staff for the outsourcing work. When a customer provides a company with work, he invests a feeling of trust and credibility in the name of the company and therefore it is mandatory for the outsourcer or the outsourcing company itself to live up to his expectations and refrain from practices that may putrid the relation between the client and the service provider. (Holzer, Demetra and Nightingale, 2007)

The Unusual Secret of Chronicle of a Death Foretold Essay Topics

The Unusual Secret of Chronicle of a Death Foretold Essay Topics What's more, Santiago Nasar's execution cannot be blamed solely on a single person, but is the fault of several. Therefore they never believed all of the threats that were created toward the principal character, Nasr Santiago. Rome swelled with angry veterans in the aftermath of the assassination. The second object of evidence is not quite as strong as the very first, but we think that it's pretty telling. Life After Chronicle of a Death Foretold Essay Topics When you're poor, you don't have any essential assets except for your loved ones and your honor. This proves that honor is so essential in their society they don't act morally and according to God. Since the men and women in this community are poor the sole way that they can earn and keep respect is honor. The death is foretold and shown from other angles and interpretations by the resources of clustering together a vast range of characters. It's purity that is his downfall in the long run. I can't fully reconcile my comprehension of the world with my existence within it. Although knowledge of oneself and the world could possibly be instrumental in the pursuit of happiness, the simple truth is that there is not any correlation between wisdom and happiness. Within this novel the ability to dominate is aimed towards women. Make believe it turned out to be a human being. Make believe it turned out to be a human being, he states. Everything Is Illuminated explores the aradoxical thought that the world is both beginning and ending at exactly the same time, each of the moment. Everything Is Illuminated explores the paradoxical thought that the world is both start and nding at exactly the same time, each one of the moment. Top Choices of Chronicle of a Death Foretold Essay Topics If for any reason your order isn't readily available to ship, you won't be charged. This notion of necessity is going to be explored later o n. Any sensible person would not have someone else's blood on their hands just since they're attempting to keep the status quo. Understanding ourselves, life, and the world we are living in can be helpful, and indeed lots of fun, but I don't feel that there's a general justification for the procedure for seeking knowledge of the sort that Mitchell Heisman was searching for, just since there is no total justification or meaning'' of life. The Secret to Chronicle of a Death Foretold Essay Topics Eventually, lots of people learn of the murder program, but nobody does anything to halt the brothers or warn Santiago. People in the town are broken up into three sides. It continued to talk about the murder for many years. This town is a rather small tight knit community where everyone knows everyone else and many individuals are related in some manner. What You Must Know About Chronicle of a Death Foretold Essay Topics She wasn't allowed to have work or follow her own dreams. No body knows who he is, and the sole thing they do know is that he's searching for a wife. Nobody in the novel ever questions any action that's taken to preserve a person's honor, since it's commonly thought to be a fundamental moral trait that's essential to keep intact. Everybody is aware of what is to come but nobody warns him. On the flip side, women should be pure until the period of marriage comes, so they may bring honor and prestige to themselves, their family members and their husbands. Men are permitted to sleep at any woman they want before they are married and it's not an issue. Bayardo proved his worth for a man by showing he could maintain an extremely luxurious way of life, this lifestyle also indicates he can fulfill his responsibilities as a guy. The subject of the use of women as property is further elaborated in the connection between sexual expectations of women and men. The novel is devoted to exploring an issue of human ignorance and indifference towards one another, along with the problems in the society. The narrator attempts to learn the reason for the murder and the sequence of actions that cause it. He found countless moments in which the right word or the right action could have stopped the murder from taking place. He was not presented when the murder had happened. It's incomprehensible how to speak to people, who, while saying they are ready to talk, take away a kid's eyesight, he explained. Later, however, he's alerted to the simple fact they have rearmed themselves. This is a contradiction as it is not possible to lie honestly. An individual without honor is an outcast locally. This magical realism that's found throughout the book also is related to the culture of the folks. The murder scene answers every one of the questions the reader has had from the start of the novel. In addition, it follows a number of the characters' lives after he's killed. This sort of narration is appropriate for the story as it sheds light on distinct perspectives of the situation. Birds, particularly falcons, are, in addition, a motif in the story. To begin with, it's essential to point out that the structure of the novel has an indispensable role in the reader's interpretation. The novel is calibrated to the moment. Everything within this novel is all about Santiago Nasar. I began reading the manuscript from the start. Still, every one of them would show up in the overall list. There's extremely few information regarding the narrator for an individual. 1 magical component in the book is using dreaming.

Solution for Terrorism - 1480 Words

Larry Lease 02/23/2011 Comp II Problem Solution Essay The Solution for Terrorism Terrorism, which has been around for as long as people can remember has been on the rise for the past ten years. Terrorists use bombings, kidnappings, hijackings, murders as a way to achieve a political goal such as the release of so called â€Å"political prisoners†. These radicals do not just target the United States, but they focus on all parts of the world, in every way, shape and form. There are many different types of terrorism, for many different purposes. The primary reason for terrorist attacks is to force a change in their nation’s government or the country’s government they are attacking. If terrorists are not satisfied with their government’s†¦show more content†¦This easy for them, because unlike carry-on luggage, this luggage is not x-rayed for contraband. Some of these bombs work off of a time and ignite the bomb to blow up at a predetermined time. Another type works off of the altitude of the plane. Once the plane reaches t he set altitude , the bomb will explode. I suggest that the actual luggage should be scanned for explosive residue before being packed into the belly of the plane. It should also go through a metal detector being scanned by trained eyes. This would help prevent any bombs from being loaded onto the plane. Another type of plane bombing is called the â€Å"Suicide Bomber†, this is a terrorist who straps the bomb to his body, making it harder to stop them from boarding the plane, because you can’t see it by the human eye. Unfortunately, metal detectors don’t pick up plastic explosives that a terrorist could carry on board. A solution for this would be to have a bomb sniffing dog at every metal detector, which stop the bombs before they reach the plane. Of course, there will always be terrorists who would like nothing more than to see governments fall. And you will always have radicals who will want to take out their anger towards a particular race, religion, o r nationality. One of the best ways to stop terrorism is, of course by monitoring these groups closely for signs of illegal activity. First of all, the United States of America should form coalition groups with allShow MoreRelatedEssay on Solutions for Terrorism976 Words   |  4 PagesTerrorism is a controversial issue which spans the globe, Terrorism is defined as using force to influence or change a political decision. This is a relevant definition which can easily be related to in this day and age. There are many ideas about how to deal with this menacing threat one being a diplomatic solution some believe that the United Nations (UN) should step in and resolve it peacefully. Others oppose this idea and believe that the only solution is violence. 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