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banterings

banterings

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What I do for a living is complicated. I try to prevent REALLY bad things from happening to my clients, and when they do, I contain, control, and mitigate the fallout. Many times these things end up at the intersection of the law and healthcare. Because of the decisions that I have to make, ethics, justice, and morality must guide my hand. For those reasons I have a deep understanding and knowledge of ethics and philosophy. My logic must also be perfect as well.

banterings's Latest Activity

  1. I would also recommend that you introduce yourself, ask the patient if he has been explained the purpose of your presence and if the patient has consented to you being there. If the NP, physician, etc. did not get consent for your presence, you can face potential problems (such as a lawsuit, alleged bullying,” and accusations of assault or coercion). Depending on the state that you practice in, there are laws (in some states) that require that the patient know your status as a student. In Pennsylvania, your position (profession) and status must be visibly displayed on your name tag. Let me also say that they should be offering (NOT requiring)a chaperone to ALL patients and not just requiring them for males or when the patient and practitioner are of opposite genders. That can also open up a can of worms as in gender discrimination. Again, that is not a lawsuit that you want to be party to. The Affordable Care Act (ACA) has added additional protections that require patients be treated in a dignified, respectful, and nondiscriminatory manner. Although this has been initially applied to the LGBT community, it will not be long until a lawyer applies this to heterosexual/cisgender patients. You can read the story here: Court Rules That Transgender Patient Tortured By Doctors Is Protected Under Obamacare. Note that under ffordable Care Act's Section 1557, it requires: Again, it is not much of a stretch for a lawyer to suggest that the fact that men always have a chaperone forced” upon them is discriminatory AND that the fact that the chaperone is another female is an assault upon their dignity. There will be many who are going to dispute my position, but ask yourself this: Would a malpractice lawyer make this claim?"
  2. banterings

    Letting Go of A Loved One

    I just had to deal wth the passing of a loved one. She chose to let nature take its course (at home, surrounded by loved ones, without any interventions). We accepted and supported her choice as the dignified way to go. She fought hard hard until the end. I think that she fought so hard that when she did pass, there would be more happiness from us that she is finally at peace. In my agony I remembered the words of Dylan Thomas: Do not go gentle into that good night, Old age should burn and rave at close of day; Rage, rage against the dying of the light. Though wise men at their end know dark is right, Because their words had forked no lightning they Do not go gentle into that good night. Good men, the last wave by, crying how bright Their frail deeds might have danced in a green bay, Rage, rage against the dying of the light. Wild men who caught and sang the sun in flight, And learn, too late, they grieved it on its way, Do not go gentle into that good night. Grave men, near death, who see with blinding sight Blind eyes could blaze like meteors and be gay, Rage, rage against the dying of the light. And you, my father, there on the sad height, Curse, bless, me now with your fierce tears, I pray. Do not go gentle into that good night. Rage, rage against the dying of the light. I rooted for her at the end, not that she would ever recover. The fight she put up was admirable. We were wishing for her passing well before she was. The death was beautiful. Those of you who work in LTC or hospice know what I mean when I say this.
  3. banterings

    Noncomplience and uninvolved management

    I would rather say my peace 2 months late than leave something un said. No regrets. If you ever participated in philosophic debate, it is all about the pedanticalness and formalities. The Socratic Method involves questioning, and is probably the most popular method of debate. A form” of the Socratic Method is a style called the Devil's advocate.” The narrative style of the Devil's advocate style of debate (as opposed to the inquisitive style), is parody. The most famous historical parody is Jonathan Swift's A Modest Proposal.” The line of thinking that one decides what is best for everyone else is extremely dangerous. The risk warranted such a response.
  4. banterings

    Noncomplience and uninvolved management

    AbigailJo, I suspect that you might have been referring to me. I was not mocking you but attempting to stimulate critical thinking on your part so that you might arrive at a conclusion yourself. I was using a teaching method similar to the Socratic Method. First I must congratulate you on your concern and compassion for the patient. No to explain my position... You originally stated: Let me show why this does not work. This line of thought was the basis of the eugenics movement, which started in the US in the 1800s and spread to Europe. The most extreme example was the Nazi death camps. This line of thinking was the same as the example you describe (someone deciding the direction of another's life) except the reverse is prescribed (you advocate more care, the death camps prescribed ending life). While eugenics focuses on purifying certain groups, some of the accompanying policies and methods of practice involve ignoring the autonomy of the individual. One way this is done is through the forced sterilization of disabled people. This practice occurred in the United States up through the 1970s. Slavery was partially justified (source: The Smithsonian) by the thought that slaves were incapable of making intelligent choices in their own lives. The right to die movement (which gave us POSTs and DNR) was based on the right of the individual to choose the course of their own life. (Note: the right to die is actually the right to die with dignity.”) All this is based on the God given right of free will which lead to the right to autonomy. Perhaps the best explanation resides in the United Nation's The Universal Declaration of Human Rights (which was a direct result of the Holocaust). Read The Universal Declaration of Human Rights. This should help you understand your patient's perspective on HIS life. Perhaps, after reading this you can convey an understanding of your patient's perspective and maybe even convince your patient to allow care. Perhaps someone disregarded his right to autonomy and personal choice, and that caused him to refuse all care. Many people who have had their dignity disregarded opt out” of healthcare and would rather suffer the effects of disease than be subjected to undignified treatment. That is the whole basis of the right to die with dignity.”
  5. banterings

    Meaning of your username?

    I do a lot of business in Cherry Hill, so I was thinking Cape May for a long weekend.
  6. banterings

    Meaning of your username?

    There are a couple exits I don't mind visiting...
  7. banterings

    Meaning of your username?

    Remember, life IS a journey, NOT a destination...
  8. banterings

    Why Do Nurses Eat Their Own?

    I am thoroughly looking forward to your analysis of this. I have to imagine that you are going to look at this and reference the works of Michel Foucault and Erving Goffman.
  9. banterings

    Meaning of your username?

    Either you are thinking about BBQ ribs or you REALLY, REALLY NEED to visit the CDC's Zombie Preparedness” web page. …of course you could just be a zombie who likes BBQ ribs too...
  10. banterings

    Meaning of your username?

    You should love the CDC's Zombie Preparedness” web page then... Mine is Archimedes of Syracuse (250 BC), what is yours?
  11. banterings

    Meaning of your username?

    You are a saint. All mine were strays too and they bring so much joy to my life.
  12. banterings

    Meaning of your username?

    Saw this on BuzzFeed, said to the wife that Smoothie Bowls” would make a great user name...
  13. banterings

    Meaning of your username?

    Banaltracht, Slainte!
  14. banterings

    Meaning of your username?

    My user name is my surname...
  15. banterings

    Why Do Nurses Eat Their Own?

    Sad to say, that society has created this attitude, especially among the younger generation. The 20-somethings have never been in a car without air conditioning or power windows. I remember rolling down the window in the middle of summer as a kid so as not to fry in the back seat of the car. There was no DVD player in the back seat for long trips either. They received participation trophies.” If I did not win, no trophy. It was the incentive to do better. We rode bikes without helmets, when we crashed, we learned to get up and shake it off. Bullying also has an anthropological purpose, and that is to enforce the norms of society. In nursing, the best example of this would be other nurses admonishing one for taking a shortcut. This was usually initiated by older, more experienced people. What has happened with the explosion of technology is 12 year olds showing their teachers and parents how to use technology that they grew up with. This gives them a sense of superiority when combined with the sense of entitlement from participation trophies and comforts that were at one time luxuries. Millennials have some nice toys that older generations didn't. Millennials can carry the entire Internet around in their pockets. This technology has probably changed our society and culture more than any technology since the invention and development of the railroads. Those of us who did not grow up with it can't know what it would be like to grow up with the Internet being "normal" instead of "new." Not only has this made going to the library obsolete, but the permanent information is available in Cliffs Notes” version on Wikipedia.
  16. banterings

    Why Do Nurses Eat Their Own?

    SmilingBluEyes, Sending you some love and strength. My intent was not to trigger. Also know that there are many (even men) who do not condone the behavior that you experienced and will stand up to it. I am one of them. Again, love and strength.
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