Christian Medical Ethics Case Analysis Coursework

Christian Medical Ethics Case Analysis - Coursework Example M and the application of Christian ethics on the case. In this case study, Mrs. M was 54 years old and had suffered a heart attack as well as having multiple secondary diagnoses. Mrs. M had experienced a history of depression and anxiety, which had resulted in an attempt at suicide ten years prior. She had also discussed end-of-life situations with her husband, and did not wish to remain alive if her quality of life was below a certain point. Her treatment options led to her requesting to be withdrawn from ventilator support, a decision that had full support of her daughter and husband. Despite this, four days after she had entered the hospital, the doctor began to question her decision-making ability and/or competence. Mrs. M’s case is complicated by the fact that there are multiple secondary diagnoses in addition to her primary diagnosis. This makes the prediction of outcomes difficult. Acute pancreatitis is an inflammatory process that occurs in the kidneys, which is able t o be reversed. The survival chance for this diagnosis is high (Carroll et al. 1513), and Mrs. M has previously recovered from this problem. In the case, Mrs. M was suffering from severe pain as a result of the inflammation. Diagnosis involves the use of a range of clinical markers, which are increased when acute pancreatitis is occurring. ... Other treatments that can be used include nutritional management, aggressive volume repletion and the use of antibiotics (Carroll et al. 1516). This suggests that the recommendations for treatment for Mrs. M were not necessarily extensive, and there may have been alternative options that could have increased Mrs. M’s quality of life. Another issue is that although the treatment options given to Mrs. M do not appear to be complete, no second opinion was sought or given. The provision of a second opinion is important because research has indicated that medical decision making is influenced by a range of factors that are outside of the medical field. This includes aspects such as the personality of the physician, the organizational setting and the age of either the physician or the patient (Feldman et al. 343). This means that a patient such as Mrs. M might not be given all of the treatment options or alternative diagnoses available. This is a particularly important part of the c ase, because Mrs. M and her family are making decisions that will influence her future, and it is critical that they have all the information possible when they are doing this. At the time of the case study, Mrs. M was in a position where her quality of life was considerably compromised and did not want to spend the rest of her life in this state. However, there are several factors that suggest that her condition may improve over time, and lead to an increase in quality of life. The first of these indications is physician’s perception that Mrs. M had the ability to rally medically, which indicates that over time her quality of life would improve. The second aspect is that the pancreatic surgery, if successful, would

The Revolutionary Context of the Constitutional Convention Essay

The Revolutionary Context of the Constitutional Convention - Essay Example e revolutionaries believed that â€Å"proper constitutions†¦depended on consent, but governments existed in order to protect the liberties of all†¦[the revolutionaries searched for a] governmental structure in which liberty and representative democracy could be combined.† While there were undoubtedly fundamental problems with creating the sort of government where the officials held little to no power, Banning argues that â€Å"whatever the Revolution was or would become, its essence lay originally in these thirteen problematic experiments in constructing republican regimes† (PAGE #). As such, it is evidenced that the State Constitutions of the individual colonial governments was a precursor to the greater Continental government establishment, and provided an ideal staging ground for the revolutionaries to experiment with the idea of new government. Arguably, the most significant accomplishment of the Articles of Confederation was establishing â€Å"a permanent confederation presided over by a Congress whose authority would be confined to matter of interest to all† (Banning, PAGE #). The Articles of Confederation, according to Banning, â€Å"did not issue from a systematic, theoretical consideration of the problems of confederation government† (PAGE #). Rather they merely emulated the government practices that had evolved in the State Constitutions over the years. While it was popularly taught that the Articles of Confederation were characterized by a chaotic period in the early colonies, recent scholarship attributes greater credit to the Articles than in times past. For instance, Banning points out that the Confederation years, aside from consolidating the thirteen states, â€Å"secured their independence and won a generous treaty of peace†¦weathered a severe post-war depression†¦and organized the are a northwest of the Ohio for settlement† (PAGE #). The Northwest Ordinance of 1787, in fact, became the basis for â€Å"all the rest of the continental expansion of the