Saturday, October 5, 2019
The United States' use of atomic weapons on Hiroshima and Nagasaki was Research Paper - 1
The United States' use of atomic weapons on Hiroshima and Nagasaki was not justified - Research Paper Example On August 9, another bomb destroyed Nagasaki (Truman, 1945). For those that condone its use, the moral questions are satisfied because, though many thousands were killed or maimed, the bomb saved many more thousands of lives on both sides. If, in fact, the use of the atomic bomb averted an invasion of Japan thus saving more lives than were lost in the bombing of Hiroshima, the moral dilemma is indisputable. However, even for those of this opinion, the issue regarding the morality of the second bombing remains in dispute. This is not sufficient justification for others who believe the use of the bomb was wrong given any criteria of moral judgment. Deliberately attacking a civilian population is not considered morally acceptable regardless of any real or perceived outcomes. This view was and remains popularly held by both American civilians and the military; this reasoning was not employed in this case, but why? Was it the passions of wartime, a justifiable act in this one instance or was the bombing wrong under any circumstance? In 1945, the U.S. was a country weary of war and its citizens deeply prejudiced against both the Japanese and Germans believing that both types of peoples were inherently evil. Though a ridiculous notion today, it is a somewhat understandable sentiment given the nature of the circumstances at that time and overall acceptance of racism during this period in American history. Following the end of the war, a poll conducted by Fortune Magazine found that nearly a quarter of the American people thought that the U.S. should have used ââ¬Å"many moreâ⬠atomic bombs on the Japanese before that country had the opportunity to surrender (Dower, 1986: 54). These polling results accurately reflected the intense hatred that Americans directed towards the Japanese people during the conflict. President Truman himself, as well as many other American political leaders, was not immune to these
Friday, October 4, 2019
Communication Infrastructure and how it was affeted by Huricane Term Paper
Communication Infrastructure and how it was affeted by Huricane Katrina - Term Paper Example The national communication policy focuses much on the improvement on all the communication services so that everybody is served as fast as possible with the aim of improving the relation and the connection between individuals in different places. In order to achieve this, the national communication policy has placed more emphasis on the service providers to ensure that they restructure their services to meet the future challenges in communication sector. The policy recognizes that the role played by the communication system is vital since it affects the whole economy and hence most government policies would be based on the ICT policies (World Bank Group, 2002). The role played by the ICT is very important in all the other sectors of the economy since any effect in the communication sector results into the direct or the indirect effect on the other sectors of the economy. This can be either direct like in the E-commerce and the companies that have multinational operations may also be affected. It is therefore the role of the government to formulate those policies that aims at improving the communication systems. The communication policies also provide for the response to the disasters such that of Hurricane Katrina. There is the local mobilization of the resources by the local authorities as well as the federal so as to ensure that response is done as faster as possible to safeguard the national infrastructure against the disasters (Johnson & Turner, 2002). The military may also assist in the times of disasters though there is no direct integration of the military efforts within the communication policies. As a result, the military often join the rescue teams and the first responders as the second responders in disasters like hurricane Katrina. In order for the government to ensure that all these policies are harmonized and all the players in the sector are treated fairly, the government has established a regulatory authority to look into the conflicts and also to regulate the communication sector. The communications regulatory authority plays a vital role in regulating the telecommunications, radio and television frequency spectrum, posts and other communication careers (Johnson & Turner, 2002). This ensures that communication is effective and efficient and accordance with the law. Regulatory authority also protects the customer, service providers as well as other people involve in communication industry. It is the role of the regulatory authority to ensure that all the communication systems are in line with the modern technology and hence helps the customer to link with others in the international scene. The provision of radio and television spectrums is important since they ensure there is no mix up in the communication from the many providers. In trade, the communication regulatory authority also assist the businesses by identification of the barriers to trade and hence formulate policies that would ensue free and ease of movement of g oods and services from one region to another (Johnson & Turner, 2002). The investments from other nations as well as from domestic are regulated by the communication regulatory authority. In this way, it formulates and implements a policy that does not only make communication easy, but also provide opportunities for trade. Increasing Security and Protection Communication plays an important aspect in the development of
Thursday, October 3, 2019
Democracy Essay Example for Free
Democracy Essay Democracy is a means for the people to choose their leaders and to hold their leaders accountable for their policies and their conduct in office. The key role of citizens in a democracy is to participate in public life. Democracy is also a system of rule by laws, not by individuals. Democracy is not a government. It is a way of thinking and a responsibility. In a democracy there is no corruption in power because it is a transparent system; the governing doctrine states that citizens have the right to access the documents and proceedings of the government, which allows for effective public oversight. Like a sculptor, democracy grows with its work and appreciates its art Citizens have an obligation to become informed about public issues, to watch carefully how their political leaders and representatives use their powers, and to express their own opinions and interest. Voting in election is another important civic duty of all citizens. But to vote wisely, each citizen should listen to the views of the different parties and candidates, and then, make his or her own decision on whom to support. It is important that women participate fully both in politics and in civil society. In a democracy, every citizen has certain basic rights that the state cannot take away from them You have the right to have your own beliefs, and to say and write what u think. No one can tell u what u must think, believe, and say or not say. There is freedom of religion. Everyone is free to choose their own religion and to worship and practice their religion as they see fit. Every individual has the right to enjoy their own culture, along with other members of their group, even if their group is minority. Democracy Essay 2 In a democracy, the rule of law protects the rights of citizens, maintains order, and limits the power of government. In life there is no greater pursuit than that of equal voice. Every day people are fighting for the right to be heard. Democracy is that right on a grand scale. Democracy is not only being heard, but being listened to. Democracy is when u is given an equal vote on decisions that directly affect you. And when given this tremendous responsibility, people will surprise you. They rise to the occasion and educate themselves on the issues at hand. They also work hard to ensure that the next generation is knowledgeable. All citizens are equal under the law. No one may be discriminated against on the basis of their race religion, ethnic group, or gender. No one may be arrested, imprisoned, or exiled arbitrarily. No one is above the law, not even a king or an elected president In a democracy, the youth are educated. From birth they are taught that their voice matters and their vote counts. These are rights they must fight to maintain and will prosper from. No, democracies are not free of flaws. Some say that there is no way that something as simple as a popular vote could null the evils of unlawful power or social inequality. These woes are valid, but democracy can work. There are still consequences to right wrongs, and laws to help keep peace and balance. There is a difference between freedom and chaos. Without democracy, society suffers. In dictatorships there is no celebration of thought or creativity. A country cannot thrive if others; opinions are not appreciated. With only one opinion adhered to, the country will be at a standstill. As patience begins to wither, anger begins to rise like mercury in a thermometer. Each decision made with no consideration for those affected, every failed law, every time the system overlooks another citizen, every personal right Democracy Essay 3 is stolen, adds a degree to that temperature. Finally it becomes so hot that the citizens, like an overheated thermometer explode in anger; the people will revolt. This has happened many times in history. Our own country was built from this frustration and the fight for freedom. Without democracy, we lack progress in thought, technology, and polices; society is halted. The U. S. has thrived from our ability to create and then take said creations and improve them. Is this not the age of today? We do, want to, and communicate everything now. Without the right to improve, we would never have developed the technological world we live in. Without the voice to express innovative ideas, without the freedom to explore, we would never have achieved what we have. Stuck in the past we would stay. What would we do without progress? Democracy, like a car, gives you what you put into it. If u built it to be unhealthy, then it will pollute the air with poison. If you do not maintain its engine, it will fail you. The power of education fuels it forward, and most importantly people decide its fate.
Wednesday, October 2, 2019
Abortion And The View Of Richard Selzer
Abortion And The View Of Richard Selzer In his essay, What I Saw at the Abortion, Dr. Richard Selzer writes about his experience witnessing an abortion for the first time. Selzers article persuade readers from the side of pro-life point of view by using very powerful technique without includes anything that standing against pro-choice or effusively agreeing pro-life. His writing has neither fair nor biased in this article because it simply expresses how he witnessed a procedure of the pro-choice operation and let the readers feel how he had felt- a very powerful persuasive. Although, Selzers writing style is rubbing with a sandpaper on the readers mind at the beginning, his assertive tone and interesting language choosing in the article leads reader to the end without needing much of rhetorical tools. But he does use a rhetorical statement when he writes, à ¢Ã¢â ¬Ã ¦is tugged, like a fishing line nibbled by a sunfish to visualize how the needle in the womans belly trembles. Even though this article needed more technical terms than as it is, Selzer minimizes those and gets the readers attention. When he uses the technical or biological terms, he explains what those are at once. For example he writes, prostaglandin- a substance found normally in the body.(3) or outpourings of disease-phlegm, pus, vomitus, (1) makes easy to understand and stay focus on article without needing of flipping pages of dictionary. Selzer makes his article easy to understanding. However, sometime he gives his readers to think what his expression is and that makes readers dissolve in his stand point. The statement, We are not six, I think. I think we are seven(2) gives rise to readers to think where the seventh person came from, then realize that the baby inside the womb is not just a fetus but it is another living human being. Sometime he unknowingly pushes the readers in the place of his characters feeling as one would take its own: it is not pain the she feels. It is more a recognition that the deed is being done. (1). Selzer knows like a wizard, what would be floating around on the readers head during the story goes. He shows that he knows what readers are thinking by, I know, I know. The thing is normally done at sixteen weeks. and explains the reason. He does not say that he stands on the pro-life viewpoint directly. But he indirectly states he is a pro-life in the middle of the article, where everyone in the operation room wants the jerked needle where it is. Six do then he count-off himself, No, five do.(2) Over all in his article, he is describing that he has witnessed a scene of murdering a helpless unborn baby who was defending for its life -as much as he or she could-inside the womb until effort away.(3) His emphasis in the introduction of the article, that he is a surgeon who have seen undesirable scene on daily basic, reinforces how that scene is so much painful for a person to watch. Abortion is termination of pregnancy by accidentally or a woman makes the decision to end by means of surgical procedure as states by Selzer. Abortion has been a social controversy since the procedure was invented, and has arisen since 1973 when the government legalized and over 3.5 million legal abortions have been reported in according with CDC (Centers for Disease Control and Prevention). Communities are constantly debating over the pro-life or pro-choice and how many weeks of pregnancy is not to have the procedure preformed. A person believes in pro-life would say abortion is a murder because the moment of conception, the fetus is alive. On the other hand, a pro-choice person would feel that decision to abort pregnancy is solely to mothers and the government has no right to intervene. And a fetus doesnt become real human being until it is physically delivered from a mothers womb. Abortion is one of the most controversial topics of all times and yet, is still in the gray zone. In early societies before legalizing the abortion, unwanted children were often abandoned or even killed after they were born; or seeking back alley abortions which are usually located in an unhealthy area and done by unlicensed operators. Many of women died from infection and incompetent operator. We all know that abortion is demeans the value of human life in social and religion point of view, but what all the consequences would happened if the unwanted child to bring into the world? It is probably for the society to let the unwanted pregnancy to abort than have them be brought up poor and neglected or abused. That would not only for the child and mother to suffer throughout their life but also for the society. A child who is neglected or abused are higher probability to get in to crime, drug addiction, lifelong government aid recipients, etc. (Masserli). Do we want the child to left in that kind of miserable life? Do we want to add such burden to our over loaded society? Some people might say, If the mother cannot raise her child, she could be giving up the child for adoption. Giving up the child for adoption makes tremendous emotional effect, much more than aborts the baby inside the womb, to the mother for the rest of her life. We all make mistakes in our life, especially in teenage life. But sometime, one mistake can cause a whole life living with a big scar across the face. With lack of sex education or may be with peer pressures to have sex at an early age, could drain down the great life plan for a teenage girl. We shouldnt penalize someone for life for one mistake by holding pro-life agenda without justification. A blogger/ poet, Sandra Kay expresses how much emotionally and psychologically effects to be a pregnant teenager comparing with her own experience in her article A Pro-Choice Perspective, she writes, I can tell you-and I am not guessing, but I know-that without access to legal abortions, suicides will increase and women will resort to dangerous, life-threatening, self-inflicted abortions.(Kay) Although many people say a woman has to make ultimately her own decision whether to choose pro-choice or pro-life, when the situation arises, they should carefully consider both points of view to reduce the impact of regret in the future. Pregnancy is very difficult time for many people. Some are planned; most are unintentional, thus leaving the mother frustrated with a decision to make. The decision is a matter of life and death. If you think having abortion is murder, then letting suicides of pregnant woman will make DOUBLE murder!
The Causes of Deforestation in the Amazon Rain Forest Essay -- Exposit
The Causes of Deforestation in the Amazon Rain Forest à à à à à The Amazon Rain Forest crosses several national boundaries in South America, although the majority of it is located in Brazil. It covers over 3,562,000 acres, making it the largest in the world. But globally, over 138,600 acres of rain forest are lost each year to deforestation, 50,000 of those in Brazil alone (Holdsforth), and the world's rain forests are quickly disappearing. Deforestation in the Amazon occurs primarily for three reasons: clear-cutting, fragmentation, and edge effects. à à The term "deforestation" refers to the clear-cutting of large sections of primary or original-growth forest, which causes the loss of native species of plant and animal life. This clearing of land is mainly due to agricultural needs, such as farming and cattle ranching, but also occurs to support logging and mining companies. The effect of the loss of forest is most obvious in the loss of native species. Eugene Ng, of the Hong Kong Technical Institute, explains that the "destruction of habitat forces species out of areas, or causes them to die." Other factors, according to Ng, "further restrict their range, exposing them to disease and predators." à à Deforestation does not occur neatly. "Fragmentation" also weakens the rain forest. As large sections of rain forest are cut down by farmers, ranchers, and loggers, those plant and animal species are left to die. If all deforestation occurred along the outside boundaries of the forest, then some of the species could move deeper into the Amazon to survive. But as Mason Skold and Bill Myer explain, fragmentation produces "areas of less than 100 square kilometers which are surrounded by d... ...in Forest and to protect the species who live there must take into account how deforestation occurs. à à Sources Cited à Center for Planetary Studies. "Deforestation Isn't the Real Problem in the Amazon." June 1996. http://www.ctr_planets/Amazon.html (7 June 2003). à Holdsforth, J. R. "Deforestation Estimates for Eight National Biozone Regions and Implications." 1990. http://www.biozone_project.html (7 June 2003). à Johns, Lucia and Freida Simms. "Deforestation: Global Problems, Programs, and Agreements." Environmental Policy Division, à à à à à à à à à Congressional Research Service. March 1997. à à http://www.cnie.org/nle/for-4.htmlà à à (14 June 2003). à Ng, Eugene. "Deforestation Affects Diversity." Hong Kong Technical Institute. 1991.à à http://www.hktech.edu/forests_diversity.htmlà à à à à à à à à à (12 June 2003)
Tuesday, October 1, 2019
Fernando, 16, Finds a Sanctuary in Crime Essay -- Fernando Morales Cas
Research indicates that a combination of adverse socio-economic factors such as poverty, abusive or neglectful parents, and living in a violent environment, along with personal vulnerabilities such as impulsivity, puts a child at risk for delinquency and crime (Barnet & Barnet, 1998). Fernandoââ¬â¢s story depicts how individual factors interact with environmental factors to shape an individualââ¬â¢s life. Social influence: Family and neighborhood Research shows that risk for crime behavior is worsened by poverty and lack of positive influences like a loving father, good neighbors or a teacher willing to reach out to the troubled child. (Barnet& Barnet,1998). A stable social environment gives the child the emotional security he requires, especially when he begins to explore his world (Lederer, 2010). Fernando lacked a stable social upbringing and received an early exposure to violence through physical abuse from his father and witnessing events like uncle hitting his grandmother. Elliot (1994) pointed out that these forms of exposure to violence during childhood increase the risk of violent behavior during adolescence by as much as 40 percent. Loebar et al. (1986) noted that children who go on to engage in persistent antisocial behavior are likely to have felt the effects of such parental behavior as harsh, inconsistent discipline, inadequate supervision, lack of involvement or rejection. The message that Fernandoââ¬â¢s fat herââ¬â¢s abusive behavior communicated was that anger is a weapon and the willingness to harm confers status and compels respect (Barnet & Barnet, 1998). The effect of living in a high crime neighborhood had a devastating effect on Fernandoââ¬â¢s upbringing, which was already marked by abuse and neglect. Fernando was pres... ....). NY: Jason Aronson. Bowlby, J. (1988). ââ¬Å"Developmental Psychiatry Comes of Age.â⬠American Journal of Psychiatry, 145(1), 1-10. Elliot, D.S (1994). Youth Violence: An Overview. Retrieved from http://www.cde.state.co.us/artemis/ucb6/ucb61092ad719942internet.pdf Goldstein, E. (1995). Ego psychology and social work practice. New York: The Free Press. Lederar, A (2005). On The Failure to Attach. Retrieved from http://www.radconsultancy.com/RAD-Articles/on-the-failure-to-attach.html Ojakian, E (2011). Mahler-Learning Theory [Class Handout], Silver School of Social Work, New York University, NY Siegel, Larry J. (2005). Criminology. California: Thomson Wadsworth. Tierney, John. "Fernando, 16, Finds a Sanctuary in Crime", The New York Times Company http://www.nytimes.com/1993/04/13/nyregion/fernando-16-finds-a-sanctuary-in-crime.html
Ethical Principles and Codes of Practice Essay
Ethical principles and codes of practice can provide guidance in day-to-day practice. Analyse Peterââ¬â¢s situation in the case study and come to a conclusion about what would be an appropriate response. This essay will analyse the ethical principles and code of practice in relation to the case study of Peter, a man suffering from Alzheimerââ¬â¢s disease and will suggest a course of action for Peterââ¬â¢s situation based upon the application of these principles and the code. It will do this by examining the term ââ¬Ëethicsââ¬â¢ and will focus on four ethical principles found to be relative to the kinds of ethical issues and challenges met within health and social care settings, these will be applied to the case study. Peterââ¬â¢s situation is that of a man, who, at the request of his family, unhappily (but apparently necessarily), moved to Parkside Manor, a small residential care home. Of late Peterââ¬â¢s condition of Alzheimerââ¬â¢s disease has advanced and he has become progressively uninhibited. His behaviour has caused the staff to question Peterââ¬â¢s placement at the care home, as some of the other residents are beginning to become troubled and distresse d by his behaviour. Some staff feel that with the number of residents needing attention, Peterââ¬â¢s needs require more time than they have to give. However Peterââ¬â¢s family are resolute in their decision for him to remain at Parkside. ââ¬ËEthicsââ¬â¢ are defined as ââ¬Ëthe philosophical study of the moral value of human conduct and of the rules and principles that ought to govern itââ¬â¢ (Collins, 2006, p535). Individual values develop over time through socialisation, upbringing and experiences. These values when viewed on a personal level, guide individual actions. Individuals working in the health and social care setting also hold professional values derived from professional training and ideology. Decisions are made using both personal and professional values and all decisions will have an ethical dimension. Historically health and social care practitioners have been directed by principles and guidance, enabling them to develop what is described as a professional morality. Codes of practice have long been seen as regulations guiding practice, with clear standards of conduct (General Social Care Council, 2010, p 4). These usually include some exclusionââ¬â¢s such as disclosure of information but they mainly describe expected forms of conduct. In areas of health and social care ethical principles are used along with codes of practice to guide and enhance the decision-making process. These principles are related to a sense of doing the right thing or that which is moral and with ideas of what is good and bad practice (K217, Book 4, p28).This idea can be problematic and can be viewed both objectively and subjectively. If viewed from an objective point of view, who should be trusted to know what is the objective truth? If subjective, who is the one whose opinion should be listened to? Questions such as these are often at the core of dilemmas. Professionals working within health and social care environments do not just deal with decisions based upon the right and good. Consideration should also be given to ââ¬Ëethical dilemmasââ¬â¢, these are situations when two choices are apparent, both eq ual in morality and ethics (K217, Book4, p29). Pattison and Heller (2001) suggest, ethics and value issues thread their way through normal, daily health care practice, the interpretation of which is open to more than one explanation (K217, Offprints, p131). Although principles guide actions, there is still a need to assess a situation and devise an appropriate response. This assessment and response derive from an individualââ¬â¢s values and training as much as from principles. Ethical principles are important in the field of health and social care. Practitioners need to have the ability to make informed, ethical and justifiable decisions relating to the individuals in their care. This can be difficult when faced with a challenging case. Using a framework to develop a structured way of thinking through a particular ethical situation or challenge can be helpful. The ETHICS framework was developed to assist people working in care settings and offers a structured way of assessing a course of action in order to come to an ethically informed decision. It emphasizes the need to be able to select a course of action based upon guidance, information and established principles, as well as the individualââ¬â¢s beliefs. The framework requires practitioners to firstly, Enquire about the relevant facts of the case, Think about the options that are available to all involved, Hear the views of everyone (including service user, family members and relevant providers), Identify any relevant ethical principles and values which may help to guide the decisionââ¬âmaking process, Clarify the meaning and consequences of any key values and finally Select a course of action offering supporting arguments (K217, Book4, p32). When taking into account the case study, four ethical principles will be examined. These are: respect for autonomy, non-malfeasance, beneficence and justice. The principles are seen as the starting points for the development of ethical approaches to care practice, providing a practical set of principles, which rather than offe ring direct answers to ethical dilemmas, set out useful guiding principles for practitioners when faced with controversial decisions (K217, Book 4, p34). In Peterââ¬â¢s situation, Autonomy or self-determination is complex. Respect for Autonomy refers to a commitment to respect the decision-making capability of an autonomous individual. Autonomy is the freedom to act as a person wishes, to be able to make decisions about their own life and not to be controlled by others. The case study points out that Peter ââ¬Ëunhappilyââ¬â¢ left his home, at the request of his family to move into Parkside Manor, indicating that Peter had no control over this situation. This lack of right to choose where he lives, directly impinges on Peterââ¬â¢s ability to be autonomous and make reasoned informed choices. Beauchamp and Childress (2009) identify two areas necessary for autonomy: Liberty or independence from control and Agency, the capacity for deliberate action (K217, Book 4, p39). When applying this principle to Peterââ¬â¢s case, it could be argued that a diagnosis of Alzheimerââ¬â¢s limits his capabilities to make decisions for himself, limiting capacity for intentional action and so reducing Peterââ¬â¢s ability to function as an autonomous individual. The codes of practice for social care workers (2010) state: ââ¬Ëa social care worker must respect the rights of service users while seeking to ensure that their behaviour does not harm themselves or othersââ¬â¢ (General Social Care Council, 2010, p9, 4.2). This causes a conflict of interest between Peterââ¬â¢s rights to act in a manner that he chooses and that of the other residents, who deserve to be able to move freely about the home without the risk of being upset or distressed by Peterââ¬â¢s actions. Staff may wish to take steps to minimise the potential risk of Peterââ¬â¢s behaviour causing mental harm and upset to other residents and by following risk assessment policies could asse ss the potential risks in this situation (General Social Care Council, 2010, p9, 4.2). Identifying harmful behaviour is multifaceted and open to interpretation. The assessment of risk could have serious consequences for Peter perhaps leading to a limiting of his rights and liberty in the interest of protecting others from harm (K217, Book 4, p60). Therefore over protection or unnecessary limitation could be considered an infringement upon Peterââ¬â¢s human rights (K217, Book 4 p65). The case study does not accurately point out if Peter has the mental capability to understand that his actions could be disruptive and upsetting for others. This being the case it may also be appropriate to talk to both Peter and his family about the situation in order to find a solution. As the code of practice maintains, ââ¬Ëcare workers must promote the independence of service users and assist them to understand and exercise their rightsââ¬â¢ (General Social Care Council, 2010, p8, 3.1). It is suggested, that in cases where decision making capacity is deemed to be impaired, respect for autonomy may involve the care worker acting appropriately in an in dividualââ¬â¢s ââ¬Ëbest interestsââ¬â¢ (K217, Book 4, p40). The difficulty here is that Peterââ¬â¢s best interests cannot be viewed without taking into account the best interests of other residents, care workers and relatives. This shows the limits of the code of practice in taking a narrow ââ¬Å"ethicalâ⬠view rather than trying to take a wider and more balanced perspective. Beneficence and the promotion of welfare are concerned with the provision of benefits and the balance of these against risk in the care and treatment of service users. It requires that care providers make a positive contribution to help others, not just refrain from acts of harm. It could be argued that in Peterââ¬â¢s case, moving into a residential setting may be seen as ââ¬Ëdoing goodââ¬â¢. The theory of beneficence or ââ¬Ëdoing goodââ¬â¢ is embedded in health and social care practice. Although, rather than being straightforward in its attempts to solve ethical dilemmas, beneficence can be viewed as being rather vague (K217, Book4, p34). The application of beneficence in Peterââ¬â¢s situation could be seen as a controversial one. The need to ââ¬Ëdo goodââ¬â¢ in this situation could be seen to be against Peterââ¬â¢s best interests, as in the case of consent. The case study alludes to the fact that Peterââ¬â¢s family are making decisions on behalf of Peter and that the diagnosis of Alzheimerââ¬â¢s disease means that he is incapable of contributing to decisions around his care and wellbeing. It could therefore be argued that this results in a paternalistic approach to care, whereby the family (who are making decisions on behalf of Peter) may be guided by practitioners views of what is in Peterââ¬â¢s ââ¬Ëbest interestsââ¬â¢ and in doing so may neglect the choice and personal responsibility of the individual (K217, Book 4, p36). However paternalism may be viewed as acceptable if it is proved that Peterââ¬â¢s autonomy or decision-making capacity is compromised. In this case it may be advisable to initiate an assessment of Peterââ¬â¢s mental health capacity in order to justify the familiesââ¬â¢ involvement in the decision-making process. Beauchamp and Childress (2009) claim, the philosophy of non-malfeasance is an obligation to do no harm. Unlike beneficence, which promotes welfare and concentrates upon positively helping others, non-malfeasance focuses upon guiding health and social care practitioners to avoid harm-causing activities, this includes negligence. Having a duty of care for a person or persons in care is an ethical concept, neglect is an absence of ââ¬Ëdue careââ¬â¢ the lack of which would be seen as falling below the standards expected by the law and code of practice. The principle of non-malfeasance can be difficult to apply in practice (K217, Book 4, p37). Peter has not been physically harmed himself, although it could be disputed that his behaviour around Parkside Manor could be having a detrimental effect on the wellbeing of the other residents who are beginning to be upset by Peterââ¬â¢s uninhibited behaviour. Section 3 of the codes of practice for social care workers may guide staff in pr omoting the independence of other service users (residents) in assisting them to understand and exercise their rights to autonomy. Also for staff to use the appropriate procedures and protocols in which to keep other service users safe from harm (General Social Care Council, 2010, p8, 3.1). As stated, Peterââ¬â¢s ability to make decisions about his care could be impaired, as in the right to choose where to live (which was made at the request of his family). However, maintaining Peter in his own home, as was his wish, would require extra resources such as daily social care help. If this was unavailable, Peterââ¬â¢s wish to remain in his home could be seen as detrimental to his health and wellbeing as his condition deteriorated and this would not uphold the principle of non- malfeasance. The moral principle of justice according to Beauchamp (2006) is fairness in the distribution of benefit and risk (K217, Book4, p42). It can be viewed as fair, impartial and suitable treatment for the autonomous individual. This suggests that everyone has the right to participate in the decision-making process surrounding the ir own treatment. This clearly is not the case for Peter, as he may no longer be classed as an autonomous service user and may not be able to articulate his needs or desires in respect of his care. In this case the staff may wish to assign a person as an advocate to represent and support (where appropriate) Peterââ¬â¢s views and wishes (General Social Care Council, 2010, p6, 1.2). The case study also identifies the staffs growing concerns about their own abilities to be able to give Peter the care that he requires, with some suggesting that his needs demand more time than they have available. The code of practice sets out clear guidelines for staff in Section 3, stating that any resource or operational difficulties experienced by the care worker is to be brought to the attention of the employer or the appropriate authority (General Social Care Council, 2010, p8, 3.4). Staff working within the care home are under increasing pressure to cope with the demanding behaviour that Peter displays and in this case may feel that they are neglecting the other residents because of Peterââ¬â¢s growing needs. This highlights the problem staff have in distinguishing fairly between those that are seen to need support and those that are not. Discrimination such as this all be it without intention of causing harm, raises questions of inequality. As highlighted, codes of practice and other ethical guidelines are not without their limitations. These limitations are often down to an individualââ¬â¢s freedom of choice and their views of what is right and wrong. Codes of practice deal in respect of that is the ââ¬Ënormââ¬â¢ not the ââ¬Ëusualââ¬â¢ and at this point common sense and a corporate view are necessary. Using the four principles to analyse Peterââ¬â¢s situation is far from simple as the principles themselves are open to individual interpreta tion. The task for those directly involved in Peters care, such as family, professionals and the care workers at Parkside, is to ascertain their legal, professional and ethical positions and balance these against the need to protect and care for other residents and staff within the care setting. This may involve identifying ways to reduce the risk to others and to Peterââ¬â¢s dignity and privacy. As the code of practice states ââ¬Ëa social care worker must respect and maintain dignity and privacy of service usersââ¬â¢ (general Social Care Council, 2010, p6, 1.4). Some of the staff at Parkside have begun to question if the placement is an appropriate one given Peterââ¬â¢s growing needs. Staff at Parkside Manor could begin to examine ways of improving the care and support on offer to both Peter and the other residents by firstly initiating an assessment of Peterââ¬â¢s mental health capacity, in order for staff to better comprehend Peterââ¬â¢s level of understanding and to further meet his needs. This will form part of a support plan that will identify resources necessary to meet his growing requirements. The case study does not adequately highlight if Parkside Manor is equipped to deal with mental health problems such as Alzheimerââ¬â¢s or if the population is that of older residents with general care needs. One solution for the family may be to investigate the possibility of an alternative placement for Peter. Placing Peter in a more suitable setting where the staff are more used to dealing with conditions such as Alzheimerââ¬â¢s disease could enhance quality of care and increase Peterââ¬â¢s quality of life. Bibliography Collins, 2006, Collins Concise English Dictionary. Glasgow, HarperCollins Publishers. Open University (2010) K217, Adult health, social care and wellbeing, Chapter 14, Ethics in health and social care. Milton Keynes,The Open University Open University (2010) K217, Adult health, social care and wellbeing, Offprints, Swimming in a sea of ethics and values. Milton Keynes,The Open University General Social Care Council, 2010, Codes of Practice for social care workers. Available at: http://www.gscc.org.uk/cmsFiles/Registration/Codes%20of%20Practice/CodesofPracticeforSocialCareWorkers.pdf [Accessed 25/02/12] Gillon Raanan, 1994, Medical ethics : four principles plus the attention to scope. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2540719/pdf/bmj00449-0050.pdf [Accessed 09/03/12]
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