Impact of Patient Confidentiality on Carers of People Who Have a Mental Disorder Essay Example for Free

Impact of Patient Confidentiality on Carers of People Who Have a Mental Disorder Essay Patients disclose important information to their attending physician or health care professionals because of this patient-physician confidentiality. This information should not be divulged as much as possible so that the patients would continue trusting their attending physician. With this confidentiality, carers are hindered to get the needed information about their patients. The article, â€Å"Impact of Patient Confidentiality on Carers on People Who Have a Mental Disorder,† authored by Dianne Wynaden and Angelica Orb, is about the effect of absolute confidentiality of patients’ pertinent health information. With the help of 27 carers, the authors were able to justify the not-so-good effects of health care professionals not sharing the health information of patients with mental disorder to their carers. Summary Sharing information is necessary. Health care professionals value the legality of patient-physician confidentiality agreement. However, carers need information about their patients in order to help carers attend to the needs of the patients. Health care professionals and carers must work together in order to assist or guide their patients. Regarding legality, the authors suggested to have the patient-physician confidentiality agreement reviewed in order to include the rights of carers to know the pertinent health information of their patients. Generally, carers find it difficult to ask assistance from health care professionals. Carers are not usually health care professionals. Carers are anyone interested or willing to provide assistance to patients. They can be family members, friends, or neighbors. For this reason, health care professionals must be willing to share information to carers. Analysis Psychosis is one mental disorder. It affects the way an affected person’s perception, cognition, mood, personality, behavior, and movement. Hallucinations or seeing things or hearing sounds that are not really present characterize hallucinations. (Psychosis 2006) Symptoms of psychosis include disconnected thoughts, difficulty in concentrating, mood swings, and having thoughts of death or suicide. (Psychosis Mental Health Fact Sheet 2001) A person with mental disorder needs special care and attention. Normally today, these persons are â€Å"confined† inside their houses and there are carers attending to their needs. Carers could be their family members, friends, or neighbors. Most likely, carers have little or no background at all in providing medical aid to ill persons. So, health care professionals must guide carers in attending the needs of their patients. One help health care professionals could offer is the pertinent health information of the patients. However, due to the existing patient-physician confidentiality agreement, carers could not get the health information they need to know about their patients. To substantiate the effect of not sharing vital information to carers, the authors had interviewed 27 carers. The results of the interview were identical making the findings credible. The carer participants have related almost the same stories in terms of acquiring information from health care professionals. They have experienced difficulty in getting information from health care professionals. Carers believe that there are important pieces of information that should be shared to them in order to perform their tasks well. Because limited bits of information are provided to carers, they could not attend to all the needs of their patients. Worst, their patients’ recovery is at stake because of unshared information. Why is it so hard for health care professionals to share information to carers? Again we go back to patient-physician confidentiality agreement. In legal terms, the parties or persons involved in the confidentiality agreement must abide by it. This means no information must be divulged to anyone, even to carers. No one must breach the agreement, in respect to both parties. This is the reason health care professionals are hesitant in giving information to carers about their patients. In ethical means, not sharing information to carers could worsen the condition of the patients. Since carers have no complete information about the real condition of their patients, carers could miss some important details that could affect the health of their patients. Applying ethics, we need to stand firm on the agreement. No matter what, the parties involved must respect what they have agreed upon. Applying ethics also, both the health care professionals and the carers must consider the recovery of their patients. They must help one another. Conclusion Patient-physician confidentiality agreement is both guarded by legal and ethical issues. But one thing is important—how to help the patients with mental disorder? Since carers have difficulty in acquiring information for their patients due to patient-physician confidentiality agreement, patients must be informed of the importance of sharing information to carers. Health care professionals must work together with carers in order to provide the needs of their patients. The patient-physician confidentiality agreement must be reviewed so that information could also be shared to carers. Patients should be informed that carers could attend best to their needs if they are well-versed of their condition. Also, carers can adapt fast to the patients’ needs when all information are properly accounted for. Patients are important. Sharing information between health care professionals and carers is also important.

Superficial Love in Shakespeares A Midsummer Nights Dream :: Midsummer Nights Dream Essays

Superficial Love in Shakespeare's A Midsummer Night's Dream In the first soliloquy of Shakespeare's A Midsummer Night's Dream, Helena talks primarily of a love that contains depth, a love that looks at who a person is, personality-wise, as opposed to nothing more than their appearance. Helena explains, "Love looks not with the eyes, but with the mind" (1.1.240). In the shallow culture in which Helena lives, and even in today's society, it is difficult for people to look beyond the outer shell and follow a deeper perception. The concept of the "perfect person" is constantly drilled into people's minds. In Helena's day, this was through expectations taught to children from their parents. Today, this type of expectation comes mostly from the media and entertainment industries. Helena describes love as the "admiring of his qualities" and as possessing the ability to "transpose to form and dignity" (1.1.238-240). Though this may not be a perfect definition, it is much closer to the Biblical definition as described in 1 Corinthians than most common definitions of Helena's day. Because of the strong influence of the shallow culture in which Helena lives, she, too, finds it difficult to keep society's pressure out of her definition of love. One of the first things she points out in her soliloquy is the fact that, "Through Athens I am thought as fair as she" (1.1.232). She then proceeds to explain how she wishes Demetrius would think she is as fair as Hermia. If Helena believes so strongly in love coming as a result of admiration of one's personality, one must question why she loves this man who focuses merely on the appearance of women and pays no regard for who they are as a person. Then, again, the number of men in her day who didn't found their love on such superficial characteristics was probably pretty low, if not zero. Either way, Helena's perception of love is not perfect, her thoughts are still influenced by the surrounding culture. Helena's interpretation of love, as a deep, powerful emotion is virtually unseen in the rest of the play. Rather, the opposite, superficial love, plagues most characters of the play. Theseus, Demetrius, and Lysander constantly offer comments about females. Rather than focusing on who these women are, these comments pertain to the appearance of the women.

Comparing two poems Essay

In this essay I will be comparing two poems. These poems are on the topic of war which is very relevant especially as there is a war going on in Iraq as I am writing this. The first poem I am going to write about called: â€Å"Dulce et Decorum est† is written by Wilfred Owen. He had first hand experience of war as he was a soldier; so he will give us a very honest opinion of war and what it was really like to fight in one. Unfortunately for him he was killed in action a week before the war ended. The poem has a very strong anti-war feeling about it; it is his personal view that dying for your country is not a very good thing and in the poem he conveys this to us by giving us very clear mental pictures of the horrible effects of war. Wilfred Owens’s attitude to war is that he is frustrated, angry and resentful of it. The poem type Wilfred uses in this poem is the Sonnet; this is odd because Sonnet poems are usually about love but in this case he is writing about hurt; rhythm of the octaves in this poem is slow and speeds up in the sestet. These ties in with the mood of the poem e.g.: â€Å"Gas! Gas! Gas! † This line has been broken up with exclamation marks to show that there is an emergency. Then it slows down quite considerably again in the final stanza to make us think of the suffering the soldiers go through. It is wonderful the way that he structures this poem from the soldiers’ feelings, to his own and then he asks the reader for their views. There is one very noticeable thing about the structure and that is that there are two lines of the poem on their own; also these line are not in the past tense like the rest of the poem and this is because he is trying to emphasize the mental scars of war which remain with him in the present. He gives us a very detailed mental picture and he gives us this in all three verses. In verse 1 he talks about the physical breakdown of the soldiers. He builds up this mental image of suffering e.g.: â€Å"knocked kneed†, and he continues this mental picture into versus 2 as he talks about his fellow solider suffering and dying in the gas as he can’t get his helmet on. He uses verbs in this verse in a clever way e.g.: Fumbling and floundering. E.g.: â€Å"†¦Fumbling, Fitting the clumsy helmets just in time.† â€Å"And floundering like a man in fire or lime.† In verse 3 he uses Onomatopoeic e.g.: gargling. He uses this word to explain how his fellow solider died e.g. â€Å"†¦Gargling from the forth-corrupted lungs.† The pain that this soldier suffered is conveyed to us in a very gruesome way e.g.: â€Å"As under a green sea, I saw him drowning.† What he means by that is he has breathed in so much gas its suffocating him so it is ver y like drowning. Another example â€Å"He plunges at me, guttering, choking, drowning.† In the first verse he uses metaphors in a very powerful way e.g. â€Å"Blood shod†, â€Å"drunk with fatigue† to show the exhaustion and suffering of the soldiers. Also the Onomatopoeic words in the first verse â€Å"sludge† and â€Å"trudge†, show us how the soldiers slowly marched ; it tell us also that they had no determination and enthusiasm lift to fight for their country. Wilfred Owen is basically saying in this poem that he’s been there and it’s not that good at all to fight for your country. This is the complete opposite of what Lord Tennyson talks about in â€Å"The Charge of the Light Brigade†. Lord Tennyson’s poem is different from Wilfred Owen in a number of ways. Firstly Lord Tennyson has never fought in a war; Tennyson poem is also saying that it is good to die for your country and Tennyson’s poem is about the soldiers being heroes and noble men. The poet’s attitude to war is that it is an honorable and noble thing to die for your country. The tone of this poem is fast and very sharp e.g.: â€Å"Forward, the Light Brigade! Charge for the guns! † Another example is â€Å"Cannon to right of them, Cannon to left of them, Cannon in front of them† stays at this speed for most of the poem. Tennyson structures his poem in to 6 verses of even length. He starts off describing the advance in verse 1 and 2 e.g.: â€Å"Into the valley of death† â€Å"Forward, the Light Brigade!† then into verse 4 he talks about the heat of the battle e.g.: â€Å"Flashed all their sabers bare, Flashed as they turned in air, Sabring the gunners there.† In verses 5 and 6 he talks about the retreat e.g.: â€Å"Back from the mouth of Hell, All that was left of them† and he then goes on to say how courageous, noble and heroic the soldiers were e.g.: â€Å"honour the charge they made! Honour the light brigade, Noble six hundred†. Verse 6 is shorter than the rest as it is a tribute to the soldiers that fought in the war. The rhythm of the poem is regular; it conveys how inevitable the charge was. The rhyme sounds very grand, patriotic and has a musical tone about it. The poem type is a ballad. A ballad is usually a short narrative poem with stanzas of two or four lines and usually a refrain. They contain repetition e.g.: â€Å"Rode the six hundred† (which is on the end of every verse) another example: â€Å"Half league, half league, half league onward†. They are written in straight-forward verse, seldom with detail, but always with graphic simplicity and force. Many old-time ballads were written and performed by minstrels attached to noblemen’s courts. Language used in the poem is very powerful to glorify the charge rather than show pity. He uses metaphors in his poem e.g.: â€Å"Into the valley of death†; there is also personification used in his poem e.g.: â€Å"Into the jaws of death† and â€Å"Into the mouth of hell† He uses these metaphors and personification in his poem to emphasize the suicidal march of the Light Brigade. The hell and death in these phrases reinforces the views of this being the end for the soldiers. I really liked the way that Tennyson brings the reader into his poem by asking a rhetorical question: â€Å"Was there a man dismayed?† and â€Å"When can their glory fade?† He does use a quite a lot of onomatopoeia e.g.: â€Å"Volleyed and thundered† and â€Å"†¦Shot and shell†. He has also chosen his verbs in his poem really well. They are Very prominent; convey idea of speed, the light and movement all in the one verb is â€Å"flashed†. The repetition is very powerful and significant in the poem from the very first line: â€Å"Half a league, Half a League, Half a league onward.† My personal view on war is that it is a terrible thing and should only be used for a last resort. I would only agree with a war at present if there was evidence to prove that Iraq have weapons of mass destruction and then I would consider it a just war and that we must get Saddam quickly and carefully to keep down the risk of innocent deaths. I personally prefer â€Å"Dulce et Decorum est.† by Wilfred Owen as it is more detailed and gives you very vivid pictures of the soldiers deaths and as Wilfred Owen was believable actually there it’s more in a sense as he was has seen it up close. This poem taught me that war is a bad thing and it’s not worth it; it helped me to appreciate how much pain some of the soldiers had to suffer in the war.

Whos in Charge of the Store Essay - 1449 Words

Who should be regulating medical marijuana? Majority leader of the California State Assembly, Alberto Torrico asserts that marijuana, used for medicinal purposes, should be legal and regulated to ensure safe, pesticide free, organic cannabis. However, Torrico maintains non-medical marijuana should remain illegal for all California citizens who do not have a physician diagnosed medical need, such as AIDS or cancer. He contents that advancing the cause of legalizing marijuana to provide additional tax revenue, in an effort to balance the California state budget, would be a mistake. Furthermore he stresses the need for statewide comprehensive regulations, for all aspects of medical marijuana production, from the growing fields, through†¦show more content†¦His arguments are based specifically on the lack of regulatory policies in place, for medical marijuana. He notes that the regulations in California for medical marijuana are handled by county authorities. This arrangement ha s left the state with a system that is disorganized and inconsistent allowing for abuses such as criminal cartels taking over the supply, and in some cases the control, of some of the dispensaries. Torrico states emphatically that it is time for strong statewide oversight of the medical marijuana system. Although additional regulation is needed, putting statewide regulations in place is not the answer. There is no need to establish new regulatory agencies when the agencies needed to provide the necessary policies for safe, effective production and distribution of medical marijuana currently exist at the federal level. Medical Marijuana needs to be reclassified by the Drug Enforcement Agency (DEA) and regulated by the Food and Drug Administration (FDA), like all other medications provided in California and the United States. 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