Friday, January 24, 2020

Essay --

Animal testing is a very controversial topic, especially among animal rights activists. Unsually, animal testing is used to test pharmaceuticals, cosmetics, and many other products that humans use in their everyday life. Scientists use animals in medical research more as a matter of tradition, as opposed to the fact that testing on animals has proved to fail time after time again. Animal testing has proved to be less accurate and unsuccessful in comparison to other means of testing and experimentation. There is a growing awareness to the limitations of animal research and its inability to be a reliable source of predictions about human health. Reasons on why and how animal research is wrong, and unpredictable are endless, animal studies do not predict human outcome, nine out of ten drugs that appear to be promising in animal research later goes on to fail in human trials, as well animal studies are flawed by design and lacks regulation. Many scientists have come to the conclusion t hat animal testing is very outdated, and should be starting to consider modern ways of testing. They believe that our generation should be looking to the future and creating computer programs, this has many benefits; such as not having to wait as long for a result, and is much more cost effective. Animal studies do not predict human outcome for many reasons. There are obvious and subtle differences between humans and animals, whether it is appearance, the way the body operates, anatomy, and even mental differences. The two species are on completely different end of the spectrum in comparison to how the body works. Taking a healthy animal, artificially inseminating an illness that most animals would never normally get, keeping it in an unnatural and st... ...nimal testing. There are laws which give a simple guide line, but they are so general and broad that they can easily be worked around. Any experiment performed on rodents, reptiles, birds, or fish are not required by law to be reported, this means that it is even more likely for these experiments to involve unnecessary cruelty. Many of the animals used for lab testing are the dogs and cats that many of us keep as pets, and the same ones who eventually love us unconditionally, even sometimes more than they love their selves. Animal testing should be banned for no other reason than the fact that few of us would never volunteer our cats, dogs, or any other pet to a life as a lab subject . It has been proved that there are different more effective ways of testing whether or not a product can be safely used for the use of human consumption without using animals.

Thursday, January 16, 2020

Golden Oaks Rehabilitation Center

Margie Wilson, a 95 year old woman and patient at Golden Oaks Rehabilitation Center located on the grounds of Marion General Hospital, is dealing with some difficult times after losing her son, Williams, this past week. Within the past five years, she has also had to deal with the passing of her husband of 68 years, Earl, and another son who died in a motor vehicle accident, Jacob. Margie is having a very difficult time taking this all in and is not feeling alone. She has come to the conclusion that she no longer wants to live her life alone.She wants to end her life and is requesting that the one thing that’s keeping her alive, her pacemaker, be disconnected. Two years ago Margie suffered a heart attack that almost took her life, which resulted in her having the electronic pacemaker implanted. The pacemaker keeps Margie’s heart rhythm at 100% pace, which is what keeps her alive. With all her family gone, she has no desire to live anymore and is requesting that her pace maker be removed so that she can be reunited with her family.Margie has spoken with Cindy Macklin, the Nursing Home Administrator, and has told her what she would like to happen. She has requested that Cindy call Dr. Vigay, who is the cardiologist surgeon who originally implanted the pacemaker. Dr. Vigay was stunned because in the 20 years of his practice he has never had a request from his patents. He has pretty much declined her request and has asked that she allow time to get her past her current state of mind and back to normal. Margie is now extremely upset and determined and is now requesting to see the Golden Oaks social worker, Jane Robison, MSW.Jane meets with Margie for more than an hour discussing and exploring all her options. In this case, there are morals and conflicts involved. There are certain ethical, moral and legal conflicts that need to be determined. Morals are beliefs and values that conform to normal standards of what is right and wrong and deal with peopleâ €™s habits of conduct (www. ehow. com). The moral principles of ethics that are involved include: Beneficence – doing good, demonstrating kindness, showing compassion, and helping others Nonmaleficence – avoiding the infliction of harmJustice – the duty to be fair in the distribution of benefits and risks Autonomy – recognizing an individual’s right to make his or her own decisions The morals that are in conflict are nonmaleficence, justice and autonomy. The top priority of the doctors, nurses, social worker, and ethics committee is to make sure that nonmaleficence is not being implemented while considering Margie’s right to make her own decision about wanting to live and the risks and benefits that could go along with Margie’s request to remove her pacemaker. The dilemma here consists of Margie wanting her doctor to assist with taking her life by removing her pacemaker.Margie has lost her desire to live because of the loss of her family and wants to be with them. There are several ethical theories that play apart in this dilemma. Normative Ethics – the attempt to determine what moral standards should be followed so that human behavior and conduct are morally right (Pozgar, p 369). Consequential Ethics – emphasizing that the morally right action is whatever action leads to the maximum balance of good over evil (Pozgar, p. 369). Utilitarian Ethics – doing the greatest good for the most people (Pozgar, p. 370).Deontologic Ethics – focusing on one’s duties to others and others’ rights including telling the truth and keeping your promises (Pozgar, p. 371). As the ethics committee chairman, we do agree that there is a dilemma here. We are all on the same accord and have been informed with all the information about the case. Dr. Vigay, Jane Robison, Cindy Macklin, and I have all come together and presented all the information and facts that we know about the dilemma to the members of the committee to ensure that no one was left out about any details of this dilemma.Dr. Vigay informed the committee that removing Margie’s pacemaker would violate the ethics principles of beneficence, nonmaleficence, and justice. If he followed through with Margie’s request, he would be going against helping others, avoiding or causing harm to patients, and disregarding the benefits and risks of Margie by performing the requested actions. Jane Robison has expressed that doing what Margie has requested would not be good for Margie nor her profession due to the ethics standards that are withheld for all the patients.She believes that with time Margie will have a change of heart and appreciate her life being spared. Cindy Macklin is in agreement with everyone else in not assisting Margie with taking her life due to overwhelming circumstances she has faced within the past few years. Therefore, after all the recommendations and suggestions from all involved and the members of the ethics committee, Margie’s request to have her pacemaker removed has been denied due to the all the ethical standards and the fact that it is not right to allow or assist anyone in taking their own life.

Wednesday, January 8, 2020

Study On Breast Cancer Management Guidelines Essay

STUDY ON BREAST CANCER MANAGEMENT GUIDELINES ABSTRACT- Cancer is a big cause of death worldwide. Around the world Cancer of different types effect millions of population and leads to loss of lives. According to the available data through our complete and thorough nationwide registries on cancer (number of times something happens), number and death in India among males cancers of lung, mouth, oesophagus and stomach are leading places/locations of cancer and among females cancer of breast, cervix are leading places/locations. Books on management and treatment of different cancers in west is widely available but data in Indian big picture is thinly distributed. Cancer of gallbladder and oesophagus followed by cancer of breast marks as leading site in North-Eastern states. Therefore, cancer research and management practices become one of the crucial tasks of importance for effective management and clinical care for patient in any country. Hence, the need to develop a nationwide consensus for clinical management and treatment for va rious cancers was felt .With urbanization and changes in life style, there is increasing incidence of carcinoma of the breast and it is estimated that every year 144,000 women are diagnosed with breast cancer. The incidence of breast cancer is higher in urban India, especially the metropolitan cities where it is now the leading female cancer and is the second most common cancer after cervix inShow MoreRelatedReview Of Surgery Versus Surgery Alone For Colorectal Cancer1720 Words   |  7 PagesResearch Summary Study # 1 Neoadjuvant Chemotherapy Followed by Surgery Versus Surgery Alone for Colorectal Cancer This study was meta-analysis review, over six studies using randomized controlled clinical trials, and is Level I on the hierarchy of evidence (Stillwell et al., 2010). These trials were conducted between 2002 and 2012, and the researcher conduced their search in 2014. They compared 1393 patients (50.6% of their population studied) using neoadjuvant chemotherapy 1358 patients (49.2%)Read MoreSymptoms and Treatment of Breast Cancer Essay767 Words   |  4 PagesSymptoms and Treatment of Breast Cancer Breast cancer is the most common malignancy among women and has the highest fatality rate of all cancers affecting this sex. It is the leading cause of death among women aged 35-54. In 1999 an estimated 175,000 women were diagnosed with breast cancer. That is one woman every three minutes. At the same time 43,000 will die, at the rate of one every two minutes. The incidence of men diagnosed with breast cancer is rare, however it does occur. ApproximatelyRead MoreTissue Microarray Essay860 Words   |  4 Pagesarchival tissue material for future studies, such advances can enhance workflow productivity and yield more accurate results, prompting to an increased role for the pathologist in diagnostics and personalized medicine. (Kumar et al.2012) Figure 3: tissue microarray block, tissue microarray metal needle and tissue microarray slides. (Carnelio et al.2010) Genomic techniques Several distinct techniques are accessible to assay a group of genes in breast cancer at once. Oncotype DX is a genomicRead MoreEvidence Based Practice On Breast Cancer Prevention1685 Words   |  7 Pagesfamily taking an active role in their health as well as nursing to provide the best possible quality care in a safe fashion with cost effectiveness. Evidence-based practice nursing was utilized in a study by Kratzke, Wilson, Vilchis, (2013) that reached out to rural women regarding breast cancer prevention, information seeking behaviors and interest with the use of the internet, cell phone and text messaging. Criteria and Process for Evidence-Based Nursing Evidence-based practice in nursing isRead MorePaper On Breast Cancer1365 Words   |  6 PagesIntroduction Cancer of the breast is the most common type of non-skin cancer affecting women. It also comes second after lung cancer in the number of deaths among the African-American population in 2017; the American Cancer Society estimated that there would be approximately 252,710 new cases of breast cancer which is considered invasive that will be diagnosed in the United States. More so, nearly 63,410 new cases of (CIS) carcinoma in situ will be detected, and approximately 40,610 women will departRead MoreDifferent Governmental Strategies For Cancer Survivorship Care Essay1989 Words   |  8 Pagesstrategies or guidelines have been developed to inform cancer survivorship practice, to meet breast cancer patients’ needs and enhance their survival and well-being. In the US, different organisations like the National Comprehensive Cancer Network (NCCN), The American Cancer Society (ACS), and The American Society of Clinical Oncology (ASCO) have released publications and guidelines, and even ts related to cancer survivorship care. The Institute of Medicine (IOM) report, From Cancer Patient to Cancer Survivor:Read MoreEvaluation Of Evidence And Literature1508 Words   |  7 PagesReview of Evidence and Literature The initial database searched was the Cumulative Index to Nursing Allied Health Literature or CINAHL with full text. To ensure data received remained relevant and in compliance with the most recent guidelines the search was limited to information released within the last 5 years. The search was advance further by limiting the results to full text, peer reviewed, and only information pertaining to a population restriction of those ages 45-64 or middle aged. KeyRead MoreCan Exercise As A Form Of Fatigue Management Reduce Cancer Related Fatigue?856 Words   |  4 Pagesexercise as a form of fatigue management reduce cancer related fatigue In oncology patients compared to no fatigue management? There will be approximately 19 million cancer survivors in the U.S. by the year 2022 (The American Cancer Society, 2014). A cancer survivor is considered anyone diagnosed with cancer, from date of diagnosis until death (The American Cancer Society, 2014). Cancer Related Fatigue (CRF) is be the most distressing side effect associated with cancer therapy, while pain is the mostRead MoreThe Relationship Between The Spouse And Cancer Survivor Essay1719 Words   |  7 Pagesdistress in the relationship between the spouse and cancer survivor needs assistance to maintain an equilibrium of support for both individuals to transition to a â€Å"new normal†. The female spouse of a cancer patient is more expressive than the male spouse caregiver, allowing more research themes of loneliness and self-care to emerge in the literature (Bruun et al., 2011; Pillai-Freidman Ashline, 2014). Partners play an important role in cancer survivorship and the spouse themselves, must reduceRead MoreThe Mechanisms and Management of DCIS1344 Words   |  5 PagesSentinel Lymph Node Biopsy in DCIS: where do we stand and review of the literature. Current management of DCIS remains controversial and variable despite of number of guidelines issued worldwide and concerns about both overtreatment and undertreatment. These controversies are mainly due to the heterogeneity of DCIS, clinical presentation and of its biological and pathological characteristics. Introduction of mammographic screening programs worldwide lead to significant increase of the rate of detection