In many hospital cases a group of people in charge are always trying to make the best decisions for patients. At times decisions are usually the hardest to comprehend when dealing with life or death circumstances. In the book Five Days of Memorial by Sheri Fink, hurricane Katrina hit, doctors and nurses made a triage decision to place people into three different categories depending on their conditions. In category three, patients remaining were DNR ( Do Not Resuscitate) patients, who aren't to be revived, which were the last patients to leave Memorial Hospital. Dr Ewing Cook, a chief medical officer, states in the book of Five Days At Memorial , that they “only had two choices:quicken their deaths or abandon them.” (Fink 158). Time was …show more content…
They were hit with a category five Hurricane which left New Orleans in a total disaster. No electricity, shelter or water to survive in. Memorial hospital was flooded because the levee broke, which prevented water from overflowing from the river to ground level. At this point Physicians at Memorial having to make decisions based on the best knowledge for the comfort of their patients. Patients were dying in Memorial because of an environment unbearable to survive in. Euthanasia meaning painless killing for patients who are suffering from pain. Physician caring for their patients till their last breath, was the role they played. Not having much transportation to evacuate patients and running out of time made them come to a decision it was better to euthanize these remaining DNR patients …show more content…
A triage means “ to assort...sorted according to their injuries and physical condition, with the aim of prioritizing those who should be treated first” ( Andersson et al.136). Circumstances at Memorial Hospital were terrible, “ the workload was high and sometimes, practical decisions must be made” (Andersson et al.140). The workload at Memorial was high because they lacked many resources they were relying on to keep patients alive and comfortable. For example, they had no electricity. Having no electricity lead to the elevators not working, and the staff were not able to bring patients up to the helipad for rescue. A patient named Burgess was having trouble surviving, as she was breathing irregularly, after “ her electronic monitors had stopped working when the emergency power failed in their section of the hospital.”(Fink 156). As a result, Cook could no longer take care of her nor keep her alive due to the lack of electricity. However he knew the size of her weight made it impossible to bring her down six flights of stairs where there were more resources. In addition the air condition was not working which made it hard for everyone to seek relief in high temperatures. In the end Burgess died due to Cook taking her out of
With unnecessary care, they did not provided safety because not all patients were in a safe care. They did not provide effective or efficient care for the fact that they were not organized in how to evacuate all patients, how to handle a dangerous situation like this and nor did they have an effective procedure for everyone in the hospital. Doctors performed an illegal procedure in which caused Life-care patient to die due to fear. Although they tried to evacuate everyone in a timely matter they failed to complete it. That choice that Dr. Pou and her team made was a misunderstanding for many yet failed to achieve patient centered because patients were not consent to the fact that they were getting put to die.
Fink’s Rhetorical Strategies: Facilitating the Consideration of Several Perspectives In Five Days at Memorial, Sheri Fink strikes a convincing balance between persuasion and objectivity. The events that took place during Hurricane Katrina continue to be scrutinized, and this book investigates the potentially unethical decisions made by people in authority. Doctors and nurses were forced to work long hours while suffering from severe emotional trauma, a fact that Fink does not discount in her assessment of their decision-making processes.
Have you ever heard the saying don’t judge a book by the cover? This is extremely predominant in the “The Life We Bury”. Not so much as the book itself but in the character Carl Iverson. Carl Iverson seems to be a rapist and murderer at the beginning based on his conviction but after hearing his story and the truth coming out it is shown that you can not judge anyone until you hear all sides of the story. While some people are just bad people and you know that right away, people should not judge other people until they know who they are and hear their story because, it spreads rumors based on what you say about them, it doesn’t give them a fair chance to explain themselves, and people could be judged wrongly and seen as completely different people than who they actually are and
In the opening chapter of the book Memorial Day, by Vince Flynn, the CIA has got some intimation that a nuclear bomb is set to go off in Washington D.C., in a week. It is up to Mitch Rapp, a CIA counterterrorism expert, and a handful of others to track down the bomb, and terrorists, and catch them before it is too late. Mitch Rapp flies all over the world piecing together the clues they need to come out ahead. The whole plot of the book Power Down, by Ben Coes, is set into action when two of the most successful United States Energy companies just merged into one. And not a day later, their two biggest energy plants are being blown up.
There is a great controversy occurring regarding what happened inside the hospital after Katrina as well as what is acceptable behavior of doctors during any emergency. Major questions were left after the storm. Why did so many people
Why does Goldman say that decisions regarding people’s own futures are best left up to them? Goldman believe that decisions regarding people’s own futures are best left up to the person because the person knows best what they want and they know their own interests. The patient has the right to know the truth about their medical condition and then can choose how to deal with the condition from the right to accept or refuse treatment. A patient may look at for themselves better than a doctor may is what Goldman believes may happen.
As many start thinking that she has died, Mattie believes in her mother’s capability of surviving the fever. After all the people who have died, Mattie knows her mother couldn’t have and would come back and start criticizing her any minute now. By now she has learned to stay positive and think for the well being of others in order to get through all the tragedies. This is a change because it is what will make her happy and overcome the rough obstacles that stand in her way. “’When word gets out that the Cook Coffeehouse is open for business again, you won’t be able to keep tradesmen or customers away’”
Patient decision should be honored unless the patient or a legal appointee makes changes or agrees to rescind, for example when the patient is scheduled for surgery. The care provider should not assume that the patient will agree to hold DO-NOT-Resuscitate orders due to scheduled surgery or procedure. It is required of the physician to inform the patient, family, and/or surrogate of the intent to hold DNR orders and allow them to make an informed consent (HCEHC, 2005). In such situations where the care provider is torn between following the patient’s decision and implementing procedure that in one way or another conflicts with DNR orders, the risk management team at the institution, state or national level should be consulted for advice. All
Northwell Health created a special Task Force focused on reduction of sepsis related deaths in the Emergency Department, as stated in the article “Reducing Sepsis Mortality.” The goal is to teach medical staff to recognize the signs and symptoms within an hour of patients arriving to the Emergency Department. This recognition then leads to a course of specific actions, such as, “ Early administration of antibiotics to septic patients, returning serum lactate test results to physicians, who could identify severe sepsis, starting empiric fluids quickly and appropriately,” as explained by Friedman, Gallo, Riebling and Doerfler. Northwell Health’s dedication and desire to improve the outcome of these patients lead to an understanding of the need
Susan Pfeffer’s story, “Ashes” takes place in Ashleigh’s or “ashes’s” life. Ashleigh’s parents had split up do to her fathers irresponsible decisions and lies. Ashleigh lives with her mom most of the time but since her dad has come to visit her, it makes her cherish the good things he has to say about her. During the time they spend together Ashleigh’s dad takes advantage of their connection and asks her to “borrow” some money from her mom. Ashleigh doesn’t realize what he is doing because all she sees is his grins and his compliments.
In the short story called, “Ashes” by Susan Beth Pfeffer, the protagonist is dealing with the complicated relationship between her divorced parents. Ashleigh, the main character, is questioned by her dad if she can borrow her mom's money for his own problems. Ashes, short for Ashleigh, like the compliments she keeps receiving from her dad. Ashes complex relationship with her parents makes her choose between her mom or her dad. One lesson this story suggests is that no matter how much you love someone, you have to let them handle things on their own.
From the story “Ashes” by Susan Beth Pfeffer, the reader knows Ashleigh steals her mother’s money. Ashleigh stole the money because her father makes her feel special. She is worried about her father, and she is being manipulated by him. Parents can cause their children to have to make difficult decisions.
The novel Five Days at Memorial by Sheri Fink gives an inside view of what happened at Memorial Hospital during Hurricane Katrina (2005); a disaster inside of a disaster. The lack of preparedness or ethical decision making is quite disappointing, considering Memorial hospital is located in New Orleans, Louisiana. New Orleans is well below sea level, and experiences frequent hurricanes and flooding. Memorial hospital itself had little to no plan for evacuating patients once the storm hit. Without power, many of the patients, especially those who were ventilator dependent, became at risk of death.
Euthanasia is the practice of intentionally ending a life in order to relieve pain and suffering. Euthanasia is a term still new to many of us. It is a Greek term meaning ‘good death’. It means self-imposed death in a relatively painless and merciful way. Euthanasia is categorized in different ways, which include voluntary, non-voluntary, or involuntary and active or passive.
INTRODUCTION Euthanasia alludes to the act of deliberately close a life keeping in mind the end goal to assuage torment and enduring. There are different euthanasia laws in each country. The British House of Lords Select Committee on Medical Ethics defines euthanasia as "a deliberate intervention undertaken with the express intention of ending a life, to relieve intractable suffering".[1] In the Netherlands, euthanasia is understood as "termination of life by a doctor at the request of a patient"". Euthanasia is sorted in diverse ways, which incorporate voluntary, non-voluntary, or automatic.