Euthanasia and Futile Care :: Euthanasia Physician Assisted Suicide

Euthanasia and "Futile Care" Imagine visiting your 85-year-old mother in the hospital after she has a debilitating stroke. You find out that, in order to survive, she requires a feeding tube and antibiotics to fight an infection. She once told you that no matter what happened, she wants to live. But the doctor refuses further life-sustaining treatment. When you ask why, you are told, in effect, "The time has come for your mother to die. All we will provide is comfort care." Sound far-fetched? It's not. It's already happening. Just as doctors once hooked people up to machines against their will, now many bioethicists advocate that doctors be permitted to refuse life-sustaining treatment that a patient wants but that they deem "futile" or "inappropriate." Alarmingly, hospitals in California and throughout the country have begun to implement these "futile-care" policies that state, in effect: "We reserve the right to refuse service." Medical and bioethics journals for several years kept up a drumbeat advocating the implementation of medical futility policies that hospitals -- for obvious reasons -- don't publicize. The mainstream news media have generally ignored the threat. As a consequence, members of the public and their elected representatives remain in the dark as "futilitarians" become empowered to hand down unilateral death sentences. Indeed, futile-care policies are implemented so quietly that no one knows their extent. No one has made a systematic study of how many patients' lives have been lost or whether futile-care decisions were reached according to hospital policies or the law. The idea behind futile care goes like this: The patient wants life- sustaining treatment; the physician does not believe the quality of the patient's life justifies the costs to the health institution or the physical and emotional burdens of care; therefore, the doctor is entitled to refuse further treatment (other than comfort care) as "futile" or "inappropriate." Treatments withheld under this policy might include antibiotics to treat infection, medicines for fever reduction, tube feeding and hydration, kidney dialysis or ventilator support. Of course, physicians have never been -- nor should they be -- required to provide medical interventions that provide no medical benefit. For example, if a patient demands chemotherapy to treat an ulcer, the physician should refuse. Such a "treatment" would have no medical benefit. But this kind of "physiological futility," as it is sometimes called, is not what modern futile-care theory is all about.

Patronus Charm

â€Å"A Patronus is a kind of positive force, and for the wizard who can conjure one, it works something like a shield, with the Dementor feeding on it, rather than him. In order for it to work, you need to think of a memory. Not just any memory, a very happy memory, a very powerful memory†¦ Allow it to fill you up†¦ lose yourself in it†¦ then speak the incantation â€Å"Expecto Patronum†. † —Remus Lupin teaching Harry Potter the Patronus CharmThe Patronus Charm is a charm that evokes a partially-tangible, positive energy force known as a Patronus (pl. Patronuses Patronuses are also called spirit guardians though this may only refer to corporeal Patronuses. It is primarily designed for defence against otherwise unbeatable Dark creatures like Dementors and Lethifolds, though there are other uses such as messaging. It is apparent from old woodcuts and scrolls that the Patronus Charm has been used since ancient times.To successfully cast the spell one must muster a happy memory (the happier the memory, the more powerful and tangible the Patronus will be) and incant â€Å"Expecto Patronum†. It is unknown if there are any other elements required in casting, such as physical gestures (aside from drawing and pointing the wand forward prior to or during incantation). The happy memory one requires when casting does not necessarily have to be a specific moment in your past. Arguably more important than content, is how the memory or thought makes you feel now.Harry Potter, for instance, is often seen to produce his more powerful patronuses when he his merely thinking of the people he loves. Harry also often thinks of his friends Ronald Weasley and Hermione Granger and produces successful Patronuses. One time Harry also used the thought of Dolores Umbridge being sacked to produce a patronus for his Defence Against the Dark Arts O. W. L. Harry uses his love and happiness, evoked from thinking of his friends and family, to produce a patronus, rather than having to remember emotions felt in the past.A non-corporeal Patronus is one which does not resemble any living creature and has few distinguishing features (if any). Non-corporeal Patronuses resemble a burst of vapour or smoke without any clearly defined form shooting from the tip of the wand. While they may be partially effective at halting dementors (but not repelling them), non-corporeal Patronuses are not â€Å"fully-fledged† Patronuses, and are regarded as a more primitive or weaker version of the true Charm.

Difference Between Distributive and Integrative Bargaining

Difference between Distributive and Integrative Bargaining Raymond Yang Garcia 1) The difference between distributive and integrative bargaining Negotiation approaches are generally described as either distributive or integrative. At the heart of each strategy is a measurement of conflict between each party’s desired outcomes. Consider the following situation. Chris, an entrepreneur, is starting a new business that will occupy most of his free time for the near future. Living in a fancy new development, Chris is concerned that his new business will prevent him from taking care of his lawn, which has strict requirements under neighborhood rules. Not wanting to upset his neighbors, Chris decides to hire Matt to cut his grass. In a†¦show more content†¦In this error, a negotiator views another party through a narrow lens of one attribute. As a result, this one attribute acts like a screen, keeping the negotiator from accurately viewing multiple traits. For example, our entrepreneur Chris may have observed that Matt does a poor job trimming bushes. Consequently, observation could override other considerations that might have more relevance to the job at hand. Another perceptual error is selective perception, which describes how we categorize and interpret information in a way that favors one category or interpretation over another. There are a variety of reasons why individuals are susceptible to selective perception, but it stems from a person’s prior experiences – relating known information to the current circumstance. Selective perception usually perpetuates stereotypes and halo-effect. The final error is projection, where an individual’s current emotional state tends to influence the perception of others. It is generally a defense mechanism intended to protect an individual’s self-concept. For example, if Chris previously had someone who poorly cut his lawn and Matt looked like him, Chris may consider Matt’s services undesirable. 3) The challenges that come from multiparty negotiations Multiparty negotiations occur when more than two parties are working together to achieve an objective. Overall, increasing the number of negotiators creates complexity and multiple priorities andShow MoreRelatedIntegrative Negotiation1356 Words   |  6 PagesIntegrative Negotiation By MGT 5193.E2 February 16, 2011 Definition of Integrative bargaining states that; it is a negotiation between the parties when the parties are not experiencing a direct conflict over an issue and they want to be benefitted from discussions(Negotiations betweena union†¦,n.d.). Integrative negotiation is a process in which the party’s goal is to develop a result which is benefitted to both of them. 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