An Issue Of Medical Tattoos - Free Essay Example

Sample details Pages: 7 Words: 2091 Downloads: 3 Date added: 2019/04/26 Category Culture Essay Level High school Tags: Tattoo Essay Did you like this example? Abstract This paper is a comprehensive look on medical tattoos, particularly do not resuscitate order (DNR) and No Cardiopulmonary resuscitations (CPR) tattoos. The main objective of this project was to examine and to dissect cases to discover the ethical or legal issues surrounding tattoos for the basis of medical treatment or lack thereof. The principles of ethics: beneficence, respect, non maleficence, medical equity and the application of principles: informed consent, optimization, medical confidentiality, value of life were used to study the case. Don’t waste time! Our writers will create an original "An Issue Of Medical Tattoos" essay for you Create order In essence, the validity of these tattoos were under review to note whether they were legally binding as DNRs are a critical step between life and death and should not be taken lightly. Introduction Tattoos have been present from around 3170 B.C. to depict various meanings. It first began as a representation of tribal markings, religious belief and magical practices. They were also used on young girls to show puberty and then marriage and on boys to show accomplishments and ranks. Around the 1950s, tattoos were worn by the outcasts of society and prisoners and so persons opted not to get tattoos in this time because of the stigma. Then, in the 1970s it was the beginning of its use for adornment and to depict personal stories. These are just a few of the meanings tattoos portrayed over the years. However, a new purpose has immerged for tattoos, persons are using them for medical alert notifications to healthcare professionals. A wide array of tattoos are seen such as no CPR, DNR order, diabetic, organ donor, allergies and blood types. Medical records and medical alert bracelets carry this information but, they are being tattooed for cases of emergency when a patient doesn’t have a bracelet and is incapacitated or unconscious. The medical profession is of paramount importance because often time it is a life or death situation therefore there are laws and regulation in place that must be followed to ensure that each setting is of optimum result to protect both patient and physician and to avoid legal battles. For a DNR order to be signed off the principles of ethics must be considered autonomy, non-maleficence, beneficence, and medical equity. Autonomy is the basis for informed consent and means that the patient has the capacity to understand and communicate effectively and an understanding of the consequences of his or her decisions. Non-maleficence means that patients should not be put in a position where they may experience unnecessary harm. Beneficence means that the care given to patients should benefit the patient. Medical equity means that patients are treated fairly and equally. The DNR and no CPR is an advanced directive or they are ordered by a physician in the case that resuscitations will not help the underlying condition that is, it cannot be cured or managed. DNR orders are given when a person stops breathing or the heart stops beating or a patient that has a terminal illness and has instructed on record that it is there wish not to be resuscitated. DNR orders can be included in a will because it is a legal document or mentioned in medical records. DNR orders are considered as passive euthanasia and having a tattoo which can be done without regulation, is not a legal document it is merely ink placed on the body whenever and however without regulations. Key terms According to the Oxford dictionary CPR: Cardiopulmonary resuscitation DNR: Do not resuscitate, denoting an instruction not to attempt the resuscitation of a terminally ill patient after a cardiac arrest in hospital. Tattoos: Mark (a part of the body) with an indelible design by inserting pigment into punctures in the skin. Discussion A 70 year old man was brought to the emergency room with a very elevated blood alcohol level. He had a tattoo that read, Do Not Resuscitate with â€Å"Not† underlined and his signature below the tattoos. However, other than the signature they had no identification for this individual. He had a pulmonary infection which lead to septic shock which resulted in multiple organ failure (MOF) and a low blood pressure. He was difficult to revive, so the question was, should they try to resuscitate? Do they have to follow the DNR that was tattooed in large print? This was a case that presented in Miami, Florida in 2017 at the Jackson Memorial Hospital, the doctors were baffled at this ethical issue not only because the patient’s unconsciousness and DNR tattoo but years before in 2012 there was a similar incident with a 59-year-old man with diabetes, peripheral vascular disease, dyslipidemia and hypertension who had the initials D.N.R on his chest but subsequently he wanted to be resuscitated, he had gotten the tattoo when he lost a poker bet to a fellow colleague while he was drunk. Dr. Holt a critical care physician, was called in and he made the decision not to honor the tattoo based on the principle of not choosing an irreversible path. The patient was then treated with antibiotics, IV fluids, blood pressure medication and a breathing mask to buy time so they could have an ethics meeting to discuss the patient’s tattoo ethically and legally with an ethics professional. After the consult the ethics review decided to honor the tattoo, he passed away the next morning. His identity and official records of DNR was also discovered by social workers. But in the case of emergency was it ethical to follow this tattoo? or if there wasn’t an official do not resuscitate order (DNR)? Below are the arguments supporting and opposing medical tattoos as legally binding. Based on the Florida case and the 2012 case there is significant debate surrounding medical tattoos. Regarding the argument for honoring the tattoo, firstly there are medical alert bracelets and necklaces but they are expensive especially for the persons that are allergic to cheaper materials, they are broken often and professions such as electricians cannot wear jewelry and in the case of emergencies the proper paperwork might not be close to the individual or lost whether it may be in a purse or in a wallet so having a tattoo will be permanent and present with the individual. Also, having a tattoo would not cause emergency physicians great emotional and moral stress resulting from resuscitating a patient to find out after that the patient had a legal DNR document that was not available in the emergency department, in other words, wasting time when this time could be used on other patients. Additionally, some healthcare professionals think that a DNR tattoo expresses an authentic pr eference because for someone to sit and get a tattoo with do not resuscitate they must have greatly considered the seriousness and consequences of this action. The defensive against medical tattoos being legally binding is plenty. Firstly it’s argued that medical alert necklaces and bracelets or medical records carry all the relevant information so why are they being tattooed. Tattoos are expensive to be removed therefore it is not easily reversed so if a patient changes his or her mind it cannot be changed or cancelled like with a legal document or medical record that can be deleted or burnt. Also, if the tattoo is simply DNR, there is no way to positively know that it means â€Å"do not resuscitate† while it might seem obvious, medical decisions should never be made by guessing alone because the initials could stand for something else. Another issue is having a DNR tattoo is that it lacks specificity. It is an ambiguous term which could mean a patient wants chest compressions, but not a breathing tube, respirator or drugs, a tattoo cannot show this so physicians cannot understand the full meaning. Even DNR tattoos with a sig nature do not signify that it is a legal contract, this signing has to be witnessed to make it valid and a physician would not know that by just looking at the tattoo. Then there is the fact that anyone can get a tattoo whether they are sane or healthy, young or old, joking or serious, there is no strict regulation and standardization for tattoos based on DNR orders, as seen in the 2012 case where the tattoo was done while the individual was inebriated and had lost a bet. Additionally, it would be difficult to find medical tattoos on a person with multiple other tattoos. For a DNR to be legally binding the principles of ethics should be followed. The patient should be in full control of his or her choice and understand completely the risk of survival and possible treatment and make the decision that they do not want to be resuscitated, so they have full autonomy and have give informed consent. The usual conditions for DNR orders are when it will not restart the heart or breathing, when there is no benefit or when the DNR order outweighs the burdens. This means the respect and value of life is evaluated also. It cannot be known if all these principles are followed while getting a tattoo as it is not authorized by a doctor. Another disadvantage is that DNR tattoos and no CPR tattoos may lead to premature death because which cause of death that is not resisted is not on the DNR tattoo. This means if an individual had a car accident and their heart stopped the DNR and no CPR tattoos would cause the patient to die when a simple resuscitating efforts could recover the patient or say a patient was accidentally electric shocked would he or she wants to be revived if they could? Or would they want all forms of life support and medical aid to be provided? These questions are not answered by DNR tattoos. Persons randomly getting a tattoo do not ponder on these other situations that can occur so provisions are not made which inadvertently would lead to premature death and one of the aim of a doctor is to prolong life so it is not ethical to blindly follow a tattoo. Conclusion Medical tattoos for example, DNR orders and no CPR are not legally binding, this is because the tattoos do not follow the criteria and ethics principles of autonomy, medical equity, beneficence and non maleficence, therefore if a DNR tattoo is ignored there cannot be any legal ramifications for the medical staff. Honoring these tattoos can cause legal issues because it is a path of irreversibility so to be on the side of caution medical personnel’s should not follow these tattoos when they are encountered. Tattoos on the body can however, be used as a medium to covey the information or message to search for the medical records and follow up on the patient’s wishes but the tattoo cannot be used for the basis of treatment or lack of treatment. Medical tattoos such as No CPR and DNR, even though there are only a few cases, are becoming more prevalent and the only thing that can be done if medical tattoos are found is to educate emergency personnel and medical staff to search for the tattoos and then gather the relevant information to support the tattoo. The best way as a patient to ensure that the wishes of DNR or no CPR is followed is to have a medical bracelet or necklace or a wallet card that clearly states name, medical preference and any diseases, allergies and blood type. The DNR order should be clear to the type of resuscitation that is prohibited or to the resuscitation that are allowed, in what conditions and it should be approved by a licensed physician who has had a discussion outlining all the consequences and benefits with or without resuscitation. In the future medical tattoos may be used as a way of treating patients but for this to occur medical tattooing would have to be standardized, meaning they could only be done by medically approved tattoo artists after the DNR or no CPR is approved by a doctor in order to follow the principles of ethics and assigning case number so that there are not forgeries. Bibliography Cooper, L. Aronowitz, P. J GEN INTERN MED (2012) 27: 1383. https://doi.org/10.1007/s11606-012-2059-8 Ober, V. and Cambron,C. (2005). Legal Implications and Ethical Considerations of â€Å"Do Not Resuscitate†. [Archive] Florida. www.ems1.com/paramedic-chief/articles/372711048-DNR-tattoos-Are-they-legal-and-is-EMS-bound-to-comply/ https://en.oxforddictionaries.com https://www.washingtonpost.com/news/to-your-health/wp/2017/12/01/a-man-collapsed-with-do-not-resuscitate-tattooed-on-his-chest-doctors-didnt-know-what-to-do/?utm_term=.86f96da86eff https://www.bbc.co.uk/ethics/euthanasia/overview/dnr.shtml https://depts.washington.edu/bioethx/topics/dnr.html https://www.usalaw.com/blogs/dnr-tattoos-legal-ethics/

Twelve Angry Men Juror 8 Analysis - 1084 Words

Justice or Freedom In the drama Twelve Angry Men by Reginald Rose, juror 8 does a good job in persuading the other jurors to listen and reconsider the evidence. He uses his rhetorical appeals to captivate the other jurors attention. He gains an authority towards the other jurors which makes them trust him more. Juror 8 deconstructs the testimony and evidence with his rhetorical appeal to make the other jurors consider the innocence of the defendant. First, Juror 8 establishes his credibility to support his arguments. He becomes the authority to the other jurors. â€Å" I want to call for a vote. I want eleven men to vote by secret ballot. I’ll abstain. If there are still eleven votes for guilty, I won’t stand alone† ( page. 11 ). This is the†¦show more content†¦Now No.8 tells No.9 he can say what he wants to say about the old man for the reason he lied. No.9 say, â€Å" This is a quiet, frightened, insignificant man who has been nothing all his life, who has never had recognition - his name in the newspapers. Nobody knows him after seventy-five years. That’s a very sad thing. A man like this needs to be recognized. To be questioned, and listened to, and quoted just once. This is very important† ( page.16 ). Juror 8 tells juror 9 it is okay to say your own opinion. All the other jurors feel comfortable saying their own opinions because juror 8 voiced his own. â€Å"Look this boy†™s been kicked around all his life. You know, living in a slum, his mother dead since he was nine years old. That’s not a very good head start. He’s a tough, angry kid. You know why slum kids get that way? Because we knock’em on the head once a day everyday. I think maybe we owe him a few words. That’s all.† ( page. 5 ). No.8 is trying to make people feel bad for the boy. He’s trying to say that they shouldn’t convict him because he hasnt had the best life so he needs to have the opportunity to live the rest of his life doing something that makes him happy. Juror 8 is so powerful he can make all the other jurors say their own opinions. Because of his pathos and his strong ethos the other jurors will listen to his logical appeal about the case. Third, juror 8 uses his logical appeal in the case to show the other jurorsShow MoreRelated12 Angry Men Movie Analysis Essay1174 Words   |  5 PagesAssignment: Twelve Angry Men Movie The movie Twelve Angry Men is about the twelve jurors that could adjust their influence in a decision-making process for conviction an eighteen years-old boy, whether the boy guilty or not guilty in murdering of his father. It represents a perfect example for applicable of a work group development framework. It also has examples of influence techniques among a group’s members. 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How GMOs Created Free Essays

How GMOs created? A genetically changed organism may be associate animal, plant, or micro-organism (e.g. bacteria) whose sequencetic makeup is altered through gene splice, genetic modification, or transgenic technology. We will write a custom essay sample on How GMOs Created? or any similar topic only for you Order Now This manipulation of genes and DNA has the potential to make combos of animal, bacterial, plant, and infective agent genes that either don’t or wouldn’t naturally manifest in nature through ancient crossbreeding strategies. It’s the unstable qualities created by these scientific manipulations, and a scarcity of long study and analysis on the impact such manipulations will produce, that has several scientists and members of the overall public involved.How genetically changed foods created?When genetically modifying plants that square measure used for food, scientists take away specific genes from the DNA of another organism, like associate animal, bacterium, plant, or virus and so add those genes into the DNA of the plant they require to change. This method is usually mentioned as sequence splice. By adding completely different genes, scientists hope the plant can inherit the characteristics contained inside the spliced section of DNA.ZUCCHINIWhat Is Zucchini? Also known as courgette, zucchini has its origin in America and is obtainable in yellow, lightweight inexperienced, and inexperienced color. the form of this tiny summer squash resembles that of a ridged cucumber and options various seeds. Some cultivators conjointly manufacture zucchini in rounded or bottle shapes. Today, the most important producers of this squash embody Japan, China, Romania, Italy, Turkey, Egypt, and Argentina. it’s adult year-around and may be eaten raw, sliced or in lyonnaise kind. It may be cut in an exceedingly cold dish and is additionally lyonnaise in hot salads. Even though zucchini could be a fruit, it’s sometimes lyonnaise as a vegetablebecause it’s best once eaten in lyonnaise dishes. it’s picked once it’s below 8in/20cm long and also the seeds square measure soft and young. a totally developed zucchini is sometimes 3 feet long and contains an excessive amount of fiber and isn’t smart to eat. Young zucchini incorporates a delicate style, soft covering, and buttery white flesh. it’s obtainable in its best kind throughout might and July. the majority the elements of this squash square measure edible, together with the flesh, seeds, and even the skin.Varieties of zucchini: Some widespread varieties are: Golden zucchini options brght golden-yellow skin that retains its color even once preparation. Round sorts square measure dense, heavy, and nearly seeded with a swish surface. Tatume, that is common in Mexico, has similar options of spherical selection however has the big oval form. Costata Romanesco conjointly called Cocozelle could be a long, slender sort with a small bulge at very cheap finish. It options pale, raised ribs with dappled inexperienced skin. once sturdy and young, this squash is juicy and sweet. Middle-Eastern sorts square measure fat, lightweight inexperienced, tapering ends with a thick greenish stem. they need swish, shiny skin and firm, crisp and flavourous flesh. Yellow Crooknecks have thick unsmooth skin with a markedly falcate neck. they’re fresh in texture with sweet, delicate flavor. Health Edges Of Zucchini: Health edges of zucchini embody the following;Weight Loss: You might be shocked to grasp that overwhelming zucchini can assist you melt off significantly. it’s very low in calories, however it provides you the sensation of being full. Therefore, it’s a good thanks to satisfy your appetency while not grabbing calories or beginning a crash diet set up. with the exception of the low-calorie count, it’s high water content and is made in fiber. Hence, once you eat it, your abdomen isn’t empty, thereby creating zucchini recipes excellent if you’re on a diet.Maintains Best Health: Already being an impressive supply of metal and ascorbic acid, zucchini is additionally the most effective supply of dietary fiber that may keep your body within the best form for the end of the day. It conjointly contains axerophthol, magnesium, folate, potassium, copper, and phosphorus. This summer squash conjointly incorporates a high content of omega-3 fatty acid fatty acids, zinc, niacin, and macromolecule. Moreover, vitamin B1, vitamin B6, vitamin B2, and atomic number 20 in zucchini assure best health. it’s most likely the most effective squash having associate array of nutrients, together with sugar, carbohydrates, soluble and insoluble fiber, sodium, minerals, amino acids, and more. The B-complex vitamin ingredient of this squash is very suggested for pregnant girls additionally.Promotes Men’s Health: Many researchers have taken extracts from this squash to conduct sure studies associated over that this fruit has sure properties that effectively treat an ill in men known as benign prostatic hyperplasia or Benign endocrine Hypertrophy. Benign prostatic hyperplasia could be a condition wherever the ductless gland becomes enlarged in associate odd form and size, that then will cause hassle with each sexual and urinary operate. an honest treatment of this is often seen together with different foods that contain phytonutrients; zucchini is claimed to be very helpful in decreasing benign prostatic hyperplasia symptoms.Prevents Diseases: Your overall health can for certain improve if you consume zucchini frequently. It helps forestall all types of diseases in an exceedingly general sense. Studies have already declared that fiber-rich foods facilitate alleviate cancer conditions by laundry away cancer-causing toxins from cells within the colon. The ascorbic acid, folate, and carotenoid in zucchini facilitate to safeguard these cells from the harmful chemicals that may result in carcinoma. carotenoid and ascorbic acid even have medicine properties, thereby naturally solidification ailments like arthritis, asthma, and arthritis, wherever swelling is vastly painful. The copper proportion in it conjointly helps in reducing the symptoms of arthritis.Protects vascular system: It is made in organic process worth, particularly throughout the summer, once it delivers unnumbered benefits to the body. The food ranking systems in zucchini-rich countries have declared that this squash has extensive levels of metal and ascorbic acid that facilitate to stay the center robust. During the analysis, most of those nutrients were found effective within the bar of diabetic cardiovascular disease and induration of the arteries. The metallic element content notably reduces the danger of heart attacks and strokes. together with K, metallic element conjointly helps in reducing high force per unit area. The ascorbic acid and carotenoid found in summer squash facilitate in preventing the oxidization of cholesterin. change cholesterin builds au courant vas walls, however these nutrients cut back the event of induration of the arteries. The nourishment B-complex vitamin is needed by the body to eliminate associate unsafe metabolic byproduct known as homocysteine, which may lead to attack and stroke if the degree rise too high. Its fiber content lowers high cholesterin levels additionally, thereby serving to to scale back the danger of induration of the arteries and heart diseases thanks to polygenic disease.Immunity: Our body USually|is often} actively engaged within the defense against several microorganisms that may hurt us. At times, this process gets weak, and would possibly want reinforcements. feeding foods made in antioxidants like ascorbic acid will strengthen our system, and obtain it up and dealing like ne’er before. Zucchini is one food that may give you with vital doses of this nourishment.Vitamin C acts to spice up immunity by stimulating the assembly of white blood cells. These cells square measure concerned in protective our system against invasive harmful microorganisms like viruses and microorganism. ascorbic acid conjointly helps fight the activities of free radicals, whose interaction with different body cells might lead to neoplasm growth.Zucchini’s Benefits: Zucchini belongs to the Cucurbita pepo species that was the topic of associate India-based study. because it seems, this species of summer squash protects against the event of lesion of the abdomen and also the small intestine, that is that the section of the little viscus that connects it to the abdomen. within the study, same ulcers were elicited in laboratory rats by giving them Empirin. once fourteen days of administering the extract of ripe Cucurbita pepo, membrane thickening of the abdomen and duodemun was determined, confirming the gastroduodenum-protective and overall anti-ulcerogenic mechanism of Cucurbita pepo. Squash has conjointly been found to contain measurable amounts of cellulose, a sort of sugar that shows potential for dietary medical aid for polygenic disease. The dicot genus species of squash, of that zucchini belongs to, has been studied in Slovak Republic, and it’s been found that the cellulose during this species of squash has medicinal drug effects. within the study, coughing was elicited in guinea pigs by administering acid. Afterwards, cellulose polysaccharides got orally to the themes and their coughing reflex remittent. The results were then compared to the medicinal drug effects of pain pill, a sort of narcotic, and cellulose polysaccharides had comparable, and in some cases even higher cough-suppressing activity than pain pill. Phytonutrients square measure extensive in zucchini additionally and continuing analysis has brought forth discovery of assorted phytochemicals gift in Cucurbita pepo. These compounds have shown multi-targeted bar of cancer by scavenging and killing free radicals and preventing chronic inflammation additionally.Zucchini’s Risks: Zucchini has oxalates, compounds that naturally occur in our body and that tend to crystallize once in excess amounts. people with impaired urinary organ and vesica functions should initial visit their doctors before incorporating zucchini in their diet to avoid exasperating their several medical conditions. Zucchini is one in all the fifty fruits and vegetables with dreadful levels of insecticide residue additionally, this per the Environmental social unit. Minimizing exposure to petrochemicals is crucial as it’s been shown to create birth defects and varied sicknesses like cancer. Cultivation:Sow seeds in pots†¢Seed may be seeded in pots from March to the top of might. Fill a 7.5cm (3in) pot with compost and firm gently. Sow a seed vertically two.5cm (1in) deep and canopy. Label, water and place in an exceedingly propagator or on a sill. When roots begin to point out through very cheap of the pot, place into a twelve.5cm (5in) instrumentality. Plant out into growing baggage, soil or an outsized pot in late spring or early summer.Sow seeds in soil Seed may be seeded directly into the soil from late-May to early summer. Choose a sunny, secure spot and improve the soil by dig in some well-rotted manure or compost. Sow 2 seeds on their aspect two.5cm (1in) deep and once the seedlings have germinated, remove the weakest one.Aftercare Plenty of water is important, particularly once the plants square measure in flower and so once the fruits have began to swell. Mulch to lock in wet. If you dig in lots of manure before planting, further feeding is senseless on significant, fertile soil. On sandy or lightweight soil, regular drenches with a liquid feed can facilitate boost production.Harvesting and storage To keep plants productive you would like to reap courgettes regarding thrice every week at the peak of the season. The correct size to choose depends on selection, however as a rule, harvest courgettes once they are 10cm (4in). Use a pointy knife to sever the fruit from the plant. Courgettes square measure best eaten recent or may be keep for a number of days within the refrigerator. Squashes square measure a lot of variable in form and size, thus browse the seed packet for gathering and storage info. Marrows square measure typically thought of to be courgettes adult giant, and need constant growing conditions. When growing marrows, harvest frequently once they are 20cm (8in) long, or leave them to mature for winter use. Marrows may be keep for a protracted amount of your time if unbroken at a temperature between seven.5C to 10C (45F to 50F). 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