Friday, January 24, 2020

Abortion in Extreme Circumstances Only Essay -- Papers Pregnancy

Abortion Abortion is the induced termination of pregnancy before the embryo or fetus is capable of survival. This issue has created moral and social concern since the beginning of time. Individuals as well as the church, which is very influential on some people, have had to take a stand on either side of this controversial issue. There are many different views being taken on abortion making the decision of right or wrong that much more difficult to make. The act of aborting a fetus deals with a very complex definition of what a human life is. As Alan Keyes says, â€Å"Whether a life is a human life, entitled to respect for all the basic, inviolable rights of humanity – this is a critically important judgment.† No one person has the right to say when life begins and this is where the controversy on the issue of abortion stems from. Pro-life advocates define human life as beginning at the moment of conception, while pro-choice supporters claim that once the egg and sperm are united this is just a living organism and not a human life. If the fetus is a human then it is entitled to live under the Constitution and the Bill of Rights, saying that it is as equal as any other person. Along with this presumption, if aborted, the aborter could be subject to the penalties that anyone would receive for killing another human being. If the fetus is not being thought of as a human life, then there should be no problem with abor ting a fetus. This decision on whether or not the fetus is living or not is extremely difficult to make, therefore creating moral conflict in our society today and for many years to come. Today there are three main positions being held on the abortion issue. The first is that abortion should be legal in all ... ...n even more difficult because often times the principles and morals conflict. I tend to feel that abortion is a violent and cruel act that takes an innocent unborn human life, but if I was faced with having an abortion I don’t know if I would act under these terms. If I was raped or my child was going to have defects I know that I would choose to have an abortion to avoid the extreme suffering waiting to happen. If I became pregnant accidentally I hope that I would go ahead and have the baby so as not to kill a human life even though I didn’t particularly want it. My whole life would probably be changed forever, but it would have been my fault for having careless sex in the first place. I definitely feel it is wrong for people to be having abortions almost as a means of birth control. I, like most others, feel it should only be used in extreme circumstances.

Wednesday, January 15, 2020

The federal Omnibus Budget Reconciliation Act (OBRA) of 1987

The federal Omnibus Budget Reconciliation Act (OBRA) of 1987; established regulations for nursing homes receiving federal funding that includes reimbursements from Medicare or Medicaid programs. It was signed by President Ronald Reagan, and it was the first major revision to the federal standards for nursing home care since the creation of both Medicare and Medicaid in 1965. This legislation changed the legal expectations of nursing homes and their care. If nursing homes do not comply with these regulations they cannot receive federal reimbursement. By the OBRA regulations nursing homes are not allowed to have working nurse aides for more than four months unless they are certified. In order to keep working longer than that aides need to go through a training and competency program. The nursing home will be responsible to verify that the aide is registered in their state. Under OBRA a nurse aide registry must consist of aides who have completed a nurse aide training and have successfully passed the competency evaluation program. The registry must make available the full name of the person, the date his/her training were completed and all the information of any improper conduct. If the person has not practiced in two years he/she may be removed from the registry. OBRA requires that all nursing facilities keep all employees up to date in their trainings. Annual education requires a minimum of 12 hours of training that specially address any weaknesses or areas of concerns that the group may be having. If the facility holds mentally ill patients the aid needs to be able to show that they have the proper skills to handle situations involving those mentally ill patients. The states can have their own training and competency program, for a program to be approves it must meet OBRA regulations. Such training must have a minimum of 75 hours of training of which 16 need to be supervise practical training hours. There are specific requirements under OBRA for a training curriculum. Students need to learn proper communication skills and interpersonal skills, they need to learn how to control infections, the appropriate emergency procedures, appropriates safety procedures. They need to learn how to be able to help patients be independent and to respect the patient’s rights. Students need to learn the needed nursing skills, such as how to correctly take vital signs and how to identify abnormal changes in a patient. They need to be able to know the needs needed when working with patients with mental health problems, and how to give care to patients for cognitively mpaired patients. Some requirements under OBRA are: * To provide services that will help promote each resident’s quality of life to the fullest capacity * To maintain the dignity and respect each resident deserves * To develop a care plan for each resident * To conduct an accurate assessment of each resident upon admission to the center and at any required interval in regards to his overall health * To prevent any decline in regards to daily activities, that includes the ability to east, using the toilet, bathing and walking. The staff of the facility must provide daily living activity care when necessary * To prevent any pressure sores from developing, and if a patient has a sore, to provide any necessary treatment and services to promote healing of such sores, prevent infection, and to prevent any new sores from developing. * To provide the right care for those residents that have urinary incontinence and if it’s possible to try and restore bladder function. It includes also the use of urinary catheters when appropriate, according to the regulations to prevent any adverse consequences related to the use of them * To prevent any type of accidents, this includes any falls, accidental poisonings or any incident that may cause injuries to the residents * To maintain proper nutrition for residents and to prevent any unnecessary weight loss * To provide the residents with sufficient fluid intake as to prevent any dehydration * To ensure that the resident feel free from any medication errors * To make sure the center has enough nursing staff to take proper care of all the resident’s needs * To make sure that all the residents have the right to choose activities, schedules, and healthcare need and that everything is maintained as it should be * To provide all medication services that appropriately meet the physical and psychological needs for each and every resident * To maintain an accurate, complete, and easily accessible clinical recor d for every resident OBRA became a law because of all the public growing concern with the very poor quality of care in many nursing homes and due to all the concerted advocacy of advocates, consumers, provider associations, and health care professionals. OBRA changed the care and lives of nursing home residents all across America. Many improvements have improved the care planning of the residents in the nursing home system. References FEderal and MA Long term care laws and regulations. (2008). Retrieved July 1, 2013, from MANHR: http://www.manhr.org/fed_ma_laws_regs.aspx State Operation Manual. (2011, January 7). Retrieved July 1, 2013, from Appendix PP: http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_pp_guidelines_ltcf.pdf Hawes C, M. V. (1997, August). The OBRA-87 nursing home regulations and implementation. Retrieved July 1, 2013, from PUB MED.gov: http://www.ncbi.nlm.nih.gov/pubmed/9256852

Tuesday, January 7, 2020

The Effects Of Air Pollution On Human Health - 850 Words

This planet is home to seven billion people, and as the population still increasing, so does pollution. The debate associated with this contamination on the environment has to do with how much should be done to stop pollution, and whether or not this is a serious enough issue to be concerned with. Well, this issue should disturb people. The most frightening point about it is that these poisonous impurities infect the Earth in multiple forms, including air pollution and water pollution. The value of Earth is incomparable, and the presence of pollution devaluing it needs to be stopped because it impairs the environment, negatively affects human health, and it is something avoidable people can take simple, effective steps to prevent. Though there are many variations of pollution, the effects of them all end in hazardous consequences. These consequences destroy the environment, and a healthy environment is required for a safe Earth humans can survive on. The outcomes of air pollution are among the most common and severe. Transportation, agricultural processes, and natural sources like storms or fires are large triggers of this main type of pollution (â€Å"Air Pollution†). Responding to the significance of air pollution, the National Park Service says, â€Å"The presence of pollution in the atmosphere results directly in air quality degradation,† (â€Å"Air Pollution†). Pollution as a whole worsens the condition of natural environments and man-made buildings everywhere. It can causeShow MoreRelatedEffects Of Air Pollution On Human Health1319 Words   |  6 PagesCareful What You Breathe In: Effects of Air Pollution on Human Health The idea that we, as a global community, are destroying the very earth we commonly share is something that takes time for people to fully understand. 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