Nurse Prospective of the Sea Inside

Palliative care is the advanced care of patients who are terminally ill and are closer at their lives’ end. Symptom management, pain management, and the provision of social, spiritual and psychological support are carefully given by the practitioner, or by the one who is giving care to the sick person. Palliative care achieves to meet the goal of giving the best quality of life that they can give to the patient and to the patient’s family. Palliative care aims to impart to the patients that dying is a normal process that people undergo once in their lives. Practitioner offers support to patients to be able to live actively until the time of their death. And they aim to provide a system that will help the family cope during the patients’ illness and in their bereavement (â€Å"Palliative Care Explained â€Å"). The Sea Inside in a Nurse’s perspective The movie talks about the life of a quadriplegic. The main character Mr. Ramon Sampedro was a ship mechanic in his younger days. After the tragedy Ramon became bedridden because he restrains himself from being imprisoned by a wheelchair; he believed that being imprisoned by a wheelchair will be just imprisoning him with the scraps of his past. He was a man who had his own perspective and depicted life as his own, and that he had the right to end his life. He, Ramon Sampedro, was the only Spaniard who had requested for Euthanasia (Blaser, Jan. 5, 2005). Among the people who have taken care of Ramon was Manuela his sister-in-law, his father, his older brother Jose, and Gene. His legal counsel Julia gave him sympathy, she listened to Ramon’s sentiments and Ramon listened to her sentiments as well. This is because they share the same perspective that they wanted to â€Å"die with dignity.† The movie provided a general assessment of Palliative care. Each of Ramon’s family members gave justification to the concepts of Palliative care in general. Although there were some concepts of palliative care that were not given justification because Ramon doesn’t have his own nurse to do the Nursing care plan. Nursing care plan includes assessment; subjective and objective, nursing diagnosis, planning, interventions and evaluation. In Ramon’s case, assessment should have been done regularly. Subjective data includes information directly from the patient’s feelings while objective datas are those measured and observed by the physicians. After initial assesment, a problem list should be made consisting possible reasons that affects the patient’s well being qlike family problems, medical diagnosis and many others. Diagnosis comes when the collected datas relates to a certain illness or disease. In planning of interventions to be used, the preparation should be specific, attainable, measureable, realistic and time-bound. Intervension are the methods to be used in order to meet the goals in planning. It includes what medications to be applied, possible surgeries, etc. Every intervension has a rationale like why a nursing action should be done and what is its basis. And lastly, evaluation are written reports about the improvement of patient or the contrary. In evaluation it is stated whether the goals in planing is met, partially met, or not met (By Jane Urie). As shown in the movie, Ramon didn’t want to be loved because he believes that a person undergoing his illness would be creating misery to the person that loves him. This implies that Ramon is having psychological and emotional distress and should have been assessed by a physician to be able to bring him back to life. However, in Julia’s case it was shown that she had undergone observations and treatments when she developed a disease called Cadasil due to her series of strokes, therefore palliative care was well addressed. Pain control for instance was well established in the movie because there was a scene when Ramon was given tranquilizer to stabilize him. Although there was an error in giving him the medication, because if the medication was given by a nurse the nurse should have only given him an exact dosage of the tranquilizer, just one tablet not three. As a nurse exact dosage or amount of medicine should only be given to a patient to prevent overdose and complications. The conflict of the story is about the ethical and moral issues of Euthanasia. Today, euthanasia has been legalized. It was being applied in cases of hopelessness in the recovery of the patient. â€Å"Eu† means good and â€Å"thanator† means death, euthanasia therefore means good death or mercy killing. There are different classifications euthanasia: voluntary, non-voluntary, involuntary, assisted, euthanasia by action, and euthanasia by omission. In voluntary, the patient was the one who requested his death. In non-voluntary, the person who has been killed made no request and gave no consent. In involuntary, the patientmade an expressed wish to the contrary. Assisted Euthanasia is perform with the assistance of the physician or the relatives of the patient. Euthanasia by action makes use of lethal injection while euthanasia by omission is the process wherein the patient is no longer being provided with his needs like food, water, medication, etc. The reasons why it is being practiced are to diminish unbearable pain, the right to commit suicide, and the belief that people should not be forced to stay alive (â€Å"Voluntary Euthanasia † Apr 18, 1996). Ramon wanted to die. He said â€Å"Well, I want to die because I feel that a life in this condition has no dignity.† In the case of Ramon, who is quadriplegic, refusing to live shows that he was experiencing fatigue, depression, anxiety, and Dyspnea (maybe due yo lack of ventillation). Ramon believed that dying is an unevitable part of a man’s life and it is just normal to die. Due to his own beliefs Ramon passed a petition about legalizing suicide or the right to die. A paraplegic priest visited him to discourage his intention of suicide. His brother, Jose, also agrees with the priest and the church’s belief that suicide is immoral, that only God has the right to decide whether an individual should live or die. They believe that God has His reasons and purpose why a person still lives. It was Him wo gave you life, so it is also his decision to take it back. Thereof, this situation talks about morality (â€Å"The Sea Inside,†). As for the health providers, it also brings a great controversy whether to practice   Euthanasia or not. Health providers were trained to cure not to kill. And assisting a suicide contradicts the profession with the duty of â€Å"do no harm†. From the movie itself, cultural considerations and individual considerations was well established. There was a clear observation that the people around Ramon did not want to consider his attempt of killing himself. Ramon as an individual had also been given consideration; although his beliefs of death was unjust they still did not oppose to him because they considered his own perceptions and did not want to oppress his rights as an individual. For a nurse, I would consider his beliefs because it was his right but I would not help him accomplish his death. The tragic part of the story is that his family was well oriented and they have accepted that death is coming to Ramon. There was a scene in the movie wherein his father said â€Å"what’s worse having your son die on you, is the fact that he wanted to†. It only shows that he had accepted the death of his child but he had not accepted the fact that his son wanted to die. Ramon’s family had actually given him quality care and unconditional love. Although these were really not enough especially in the case of Ramon. From a nurse’s point of view, the care that the family could have been improved if there is a plan of care that was established. Ramon had supposedly had a life that is worth living. His family loved him and took care of him, he had a book published, two women were linked to him and the sympathy of the nation was on him but he refused all these and exchanged it to death. He had exchanged all the beautiful things he had in life because he justified his life as his. For years Ramon had actually internalized that death is in his hands and that he had the right to end his life. Generally speaking, Ramon had actually lived a life that is not worth living because he restraints himself from having so. As a nurse, I could have implied to Ramon that his life is worth living and that he need not to worry that he will be a big burden to his family and to the people he loved while he is living. It is not a nurse’s job to kill but rather to nurture. References Blaser, A. (Jan. 5, 2005). Bizzaro Breathing Lessons [Electronic Version] from http://www.ragged-edge-mag.com/reviews/blaserseainside.html. By Jane Urie, B., MRPharmS, Helen Fielding, MSc, MRPharmS, Dorothy McArthur, MSc, MRPharmS, Moira Kinnear, MSc, MRPharmS, Steve Hudson, MPharm, FRPharmS, and Marie Fallon, MD, FRCP. Palliative care [Electronic Version] from http://www.pjonline.com/Editorial/20001021/special_feature/palliative_care_603-614.html. Palliative Care Explained [Electronic Version] from http://www.ncpc.org.uk/palliative_care.html. The Sea Inside [Electronic Version] from http://www.boxofficeprophets.com/tickermaster/listing.cfm?TMID=1556. Voluntary Euthanasia (Apr 18, 1996).            

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Women Empowerment Essay Example for Free

Women Empowerment Essay When women are the advisor, the Lords of creation dont take the advice till they have persuaded themselves that it is just what they intended to do; then they act upon it and if it succeeds, they give the weaker vessel half the credit of it; if fails, they generously give herself the whole.- Louisa May Alcott Gender equality is, first and foremost, a human right. A woman is entitled to live in dignity and in freedom from want and from fear. Empowering women is also an indispensable tool foradvancing development and reducing poverty. Empowered women contribute to the health and productivity of whole families and communities and to improved prospects for the next generation. Yet discrimination against women and girls including gender-based violence, economic discrimination, reproductive health inequities, and harmful traditional practices remains the most pervasive and persistent form of inequality and also decrease in child sex ratio. 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For around two centuries, social reformers and missionaries in India have endeavored to bring women out of confines in which centuries of traditions had kept them. According to the 2001 Census, the percentage of female literacy in the country is 54% up from 9% 1951. But we should not forget that history in a witness to the women who have in the past demonstrated unique leadership capabilities. Razia Sultana, Rani of Jhansi, Sarojini Naidu and Indira Gandhi are motivation examples of women empowerment. Earlier, most women were able to demonstrate the leadership qualities only on their home fronts, as in Indian society man has always acted as the master of the scene and the decision regarding the issue of empowering women has always been taken by him. God has gifted women with compassion, tender-heartedness, caring nature, concern for others. These are very positive signs which imply that women can be leaders. Though some women have shown their mettle yet a large number of them have to sharpen their leadership qualities in various ways. In order to help women to be in limelight, they need to be empowered. Therefore, empowerment of women is the prerequisite to transform a developing country into a developed country. empowerment has multiple, interrelated and interdependent dimensions economic, social, cultural and political. It can be understood in relation to resources, perceptions. relationship and power. Women empowerment generally has five components : firstly, womens sense of self worth; secondly, their right to have the power of control their own lives, both within and outside home; and lastly, their ability to influence the direction of social change to create a just social and economic order nationally, internationally and universally. Educational attainment and economic participation are they key constituents in ensuring the empowerment of women. Educational attainment is essential for empowering women in all spheres of society, for without education of comparable quality and content given to boys and men, updated with existing knowledge and relevant to current needs, women will be able to have access to well-paid formal sector jobs and advance with men. The economic empowerment of women is a vital element of strong economic growth in any country. Empowering women enhances their ability to influence changes and to create a better society. Other than educational and economic empowerment, changes in womens mobility and social interaction and changes in intra-household decision-making are necessary. Slight improvement in womens involvement in household decision-making in male-headed household, on such issues as credit, the disposal of household assets, childrens education and family healthcare can work wonders. Traditionally, gender based divisions persisted in intra-household decision-making. Women basically decide on food preparation and men make the financial decision. Women are one of the greatest assets in our society. They equal to men in all aspects. Women are more perfectionist in the power to create, nurture and transform. Today, women are emerging as leaders in growing range of fields. be it aeronautics, medicine, space, engineering, law, politics, education, businessyou just name the profession and they are there, all that needed in todays world in their empowerment. In India, the empowerment process has already begun. scholarship programmes aimed to bridge gender gap in education should take into consideration the context in which it is implemented, the actual needs of the people it wants to help, without overlooking external socio-economic, political, cultural and infrastructural factors with potential influence on the effective presence and success of girls in school. We are now witnessing a steady improvement in the enrollment of women in schools, colleges and even in profession institutes. Their health is better as compared to earlier decades. In this decade, women are entering into the job market in increasing numbers. They are showing their skills even in non-traditional sectors like police, defence, administration, media and research fields. Twenty-six laws have been enacted so far to protect women from various crimes. The recent law on the protection of women against domestic violence satisfies the long pending demand of the women activities. In the political field, the reservation for women is a significant step forward towards their political empowerment. When thirty-three percent reservation for women in Parliament becomes a reality, womens voice will be heard in the highest forum of democracy. The day, women of India will reach zenith in their empowerment. But a lot of work has to be done as there is a category of women (who consider themselves highly educated) that proudly accepts that they dont have digital literacy even though they own a computer, they cannot even operate bank accounts or make travel arrangements for family or handle hospital admissions even during emergencies. Even for a simple task like social visits or shopping generally they need the company of their husbands. Some qualities to be acquired by women to become truly empowered are awareness about risk prevailing at home, in work place, in traveling and staying outside home. They should have political, legal, economic and health awareness. They should have knowledge about support groups and positive attitudes towards life. They should get goals for future and strive to achieve them with courage. The best gift parents today can give to their daughters is education. If women choose to be ignorant then all the efforts taken by the Government and women activists will go in vain. Even in twenty-fifth century, they will remain backward and will be paying a heavy price for their dependence, So, it is a wake-up call for women to awake from their deep slumber and understand the true meaning of their empowerment. In the end I would like to conclude with the following words, Women as the motherhood of the nation should be strong, aware and alert.