Death is coming

The closer death creeps up upon me the less I am able to understand the reasons for life or living.

Yes I have experienced a close family member dying and unlike television it takes decades to handle such a thing. To think I am going to put my family through such a thing when I finally leave is more horrific to me than the thought of death itself.

My life was and is still a learning experience but when all said and done what am I to do with all this accumulated learning over my lifetime if I just die. There is no logic or reason to this.

Long ago I became aware that the God story that is sold to the majority is just a nice story to give mankind with a message of a basic layout of how nice life could be if everyone followed these ideas. Not many in life do and if one thinks about it the good and evil structures actually depend on each other. The good that can be experienced in life is only understood as good when there is it's opposite to compare it to. This is not rocket science only common sense in reality. I am not saying we need to experience bad but understanding in it is needed to appreciate the great things many of us can have in our lives. From birth to death there are many ways mankind helps his fellow man. How many ways can you help?


Wednesday, April 25, 2012

An introduction to clinical ethics

By Finley R. Newton


Clinical ethics, or medical ethics, is a branch of moral principles that applies directly to the practice of medicine. Ethical values and judgements are not just applied to patients, but other medical staff, and can be practical as well as theoretical and philosophical. Moral values such as compassion, honesty, respect, trust and commitment all play an important part when practicing good, ethical medicine.

Many books written on health care express that there are four main principles to respect; autonomy (the rights of self-determination), non-maleficence (to first do no harm), beneficence (promote the well-being of others) and fairness. However, some of those practicing medicine have found that these principles do not always transfer across to the reality of clinical settings.

Instead, health care book Clinical Ethics: A Practical Approach to Ethical Decisions in Clinical Medicine has identified a slightly different set of four principles - medical indications, patient preferences, quality of life and contextual features - which is explained by: "Although the facts of each case differ, these four topics are always relevant."

Whichever set of morals a medical professional chooses to use, whether it is one of these two or a different set altogether, they always have to deal with the same types of ethical concerns and issues on a day-to-day basis. These clinical ethics may include confidentiality, euthanasia, conflicts of interest, informed consent, communication or cultural concerns, each of which requires the medical professional to answer them with the ultimate goal of what is best for the patient.

Of course clinical ethics is also about the medical professionals as well, not just the patient. Again, staff may have to find moral solutions and answers to such questions as when to report a colleague's error. But whatever ethical issues medical staff have to face, they must find solutions which fit in with the social, legal, economic and administrative context in which the case occurs.




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