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Introduction
The Logic of Care is a philosophic book. The book is written from a patient perspective. Therefore it is easy to understand and easy to read. This review is written for people working in the health care and for the patient’s movement. It is important that people in the health care start thinking about the choices the patients have to make.
Content of the book
The author of the book “The Logic of Care” is Annemarie Mol. Mol is a Dutch ethnographer and philosopher. Mol describes how the ideal of choosing clashes with the reality of living with a sick body. Her book was published in 2006. The Logic of Care is a philosophical book, with applications and examples from the healthcare.
The book investigates what good care is. The writer is looking for an alternative for the popular belief that the people need a free choice to let them lead a good life. In four years the writer collected all material for the book by fieldwork in the health care. The material is based on interviews with nurses, internists and patients with diabetes. The writer observed how the daily practice of diabetes works. Dialogues and gestures are detected. All these experiences were translated into the writers words. The writer wrote especially for the patient movement. In addition she wrote for people working in the health care, who have difficulty with the logic of choice. Furthermore, the writer tries to make place for stories in the political dialog by using the logic of care.
The book makes a comparison between the logic of care and the logic of choice. The logic of care is the central topic of the book. While the other, the logic of choice, makes its point of contrast. The logic of choice is considered as something good in the Western philos...
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...ts, diseases, medical professionals, knowledge and technological artefacts. Her book is a request to experts and patients to live up to the encounters of good care.
The logic of choice is increasingly imposed on health care mainly by legalization and economization. Laws assume that people make choices. For example the law BIG says that a doctor provide information to a patient and the patient comes to a choice on basis of the information from the doctor. But it is not clear what the reason is to choose for a particular treatment. Because the patient wants that treatment? But how can a patient know what he/she want, when the logic of care is not predictable and insecure? It is important that everyone is going to think about this. This book provides many insights and it certainly puts you to think. The book can certainly provide more discussion in the health care.
On the topic of Atul Gawande’s novel Being Mortal: Medicine and What Matters in the End, an ongoing issue has brought into question what we should do with the elderly and ill that are in need of care. On the one hand, some argue that they should be put in nursing homes and seek treatment for their problems because they can no longer take care of themselves. From this perspective, the elderly have a greater chance of getting injured if they are not taken care of properly, thus are seen as unfit to live on their own. On the other hand, however, others argue that the elderly should be allowed to live on their own as long as they maintain a healthy lifestyle. Atul Gawande, one of this view’s main proponents, urges us to realize that no one is immortal
In this paper we will be look at the book called “Lying on the Couch”. I will be going over what I saw as the biggest ethical issues that I read about in this book, I will also go over my thoughts on this book and the ethical problems that I saw for Dr. Lash, Carol and Marshal Streider. I will explain my personal opinion regarding self-care and my reasoning as to why it is so important to maintaining clear boundaries.
Virginia Held brings up many criticisms of traditional ethical theories in her essay. The ethics of care can be considered as a suitable substitution for other widely accepted ethical theories such as Kantian ethics. The ethics of care recognizes the importance of interpersonal relationships, especially those within the family unit. All people need care at some point during their life, be it at birth or old age. Caring for people that can not provide sufficient care for themselves is a fundamental part of a moral society. Ethical theories based on the importance of a rational and independent individual excludes the importance of interpersonal reliance.
This freedom of choice, Gawande states, ultimately places a burden on either the doctor or the patient as the patient ultimately choose a course of treatment that is ultimately detrimental as in the case of Lazaroff, a patient with only a few weeks to live, but rather insist on “the day he would go back to work.” Despite the terrible risks and the limited potential benefits the neurosurgeon described, Lazaroff continued to opt to surgery and eventually died painfully as a result of surgery. Gawande suggests that Lazaroff “chose badly because his choice ran against his deepest interests,” which was to live despite his briefing remaining time, ultimately distorting his judgement into choosing a course of treatment that ultimately ended his life in a much more painful manner. Another case of patient decisions that Gawande discusses is Mr. Howe, who aggressively refused to be put on a breathing machine, neglecting the fact that “with antibiotics and some high-tech support...he would recover fully.” As Gawande and K awaited for Mrs. Howe’s decision to save her husband’s life, Mrs. Howe emotionally breaks down
3. The relation between the chronically ill patient and the body is of intertwined subjectivity, of one human dignity and human strength. This is made manifest through the patient’s continued struggle for life despite awareness of dwindling quality of health and diminishing quality of life.
People in society strive to find happiness in ones self, others and their community. What factors are there to obtain ultimate happiness in one’s life? What ethical decisions does one have to overcome to obtain this supreme happiness that every individual endeavours? The citizens of Omelas have a difficult time achieving the goal of making the right ethical decision. In exchange for their ultimate happiness and success, is one child’s misery. In order to live their “perfect” lives the citizens of Omelas must accept the suffering of the child. To make the right ethical decision is difficult, but necessary to end the injustice of the society. Failing to overcome the ethical issues in the city of Omelas is displayed through three different characters in the story. There are those who choose to ignore the situation, those who observe the child in misery, and those who feel that they must walk away. In the story “The Ones Who Walk Away from Omelas” characters fail to overcome the ethical issues in their society, and the reader is taught the importance of moral responsibility and the implications of the difficult task to make the right ethical decision.
The Theory of Human Caring was initially based on data about a variety of aspects of caring, collected through an open – ended questionnaire. The purpose of this research was to evaluate different points of view, expressed by both the clients and registered nurses. In addition to this data, Watson’s theory uses broadly recognized work from other disciplines. Specific philosophers cited by Watson, as sources are Rogers, Whitehead, Gadow, Yalom, etc. Furthermore, she also recognises the contribution of the eastern philosophy in her work....
Throughout this paper I will argue between Mil (Utilitarianism) and Held (Care Ethics). Mil is a British Philosopher well known for his ethical and political work and Held is an American Feminist and Moral Philosopher. After reading this essay you will have a good view on what Utilitarianism and Care Ethics is and also what my concluding position is.
The debate over whose decision it is to uphold a human life is one with a vast range of opinions. Some believe it should be up to God, whereas others assert that it is the right of an individual; however, the ultimate verdict rests in the hands of the government. When tragedy leaves a victim in critical condition with no assurance of recovery, circumstances do not allow for a straightforward action plan. In any state of affairs, it is optimal to continue the life of a patient, even if it seems as though the ideal solution is death. Medical practitioners, relatives, and patients themselves do not deserve the pressure to decide this grave fate. The choice between life and death should not exist. Every human is entitled to the right to live, and
In this diverse society we are confronted everyday with so many ethical choices in provision of healthcare for individuals. It becomes very difficult to find a guideline that would include a border perspective which might include individual’s beliefs and preference across the world. Due to these controversies, the four principles in biomedical ethic which includes autonomy, beneficence, non-maleficence and justice help us understand and explain which medical practices are ethical and acceptable. These principles are not only used to protect the rights of a patient but also the physician from being violated.
In the past centuries, health care was the responsibility of individuals and their own families but today Medicine comes to be an institution only as societies are more productive and people take on specialized work. At the same time as people become dependent on governments and organizations to provide them their health care and insurance, here is the problem. Social conflict analysis points out the connection between health and social inequality. Following the ideas of Karl Marx, we can match health to the operation of capitalism. Most attention has gone to three main issues: access to medical care, the effects of the profit motive, and the politics of medicine.
Steinbock, Bonnie, Alex J. London, and John D. Arras. "Rule-Utilitarianism versus Act-Utilitarianism." Ethical Issues in Modern Medicine. Contemporary Readings in Bioethics. 8th ed. New York: McGraw-Hill, 2013. 12. Print.
Resources have always been inadequate for food, economics and healthcare and all scarce resources are rationed in one way or another. Healthcare resources can be in the forms of medicine, machinery, expensive treatment and organ transplantation. For decades, allocation of healthcare resources in an equitable manner has always been the subject of debate, concern and analysis, yet the issue has persistently resisted resolution. Scarcity of resources for healthcare and issue of allocation is permanent and inescapable (Harris, “Deciding between Patients”). Scarcity can be defined in general, in emergency and in crises as well as shortage of certain kind of treatment, medicine or organs. As a result of scarcity of resources, and some people may be left untreated or die when certain patients are prioritized and intention of is that everyone will ultimately be treated (Harris, 2009: 335). Allocation of limited resources is an ethical issue since it is vital to address the question of justice and making fair decisions. Ethical judgments and concerns are part of daily choice in allocation of health resources and also to ensure these resources are allocated in a fair and just way. This paper will explore how QALYs, ageism and responsibility in particular influence the allocation of healthcare resources in general through the lens of justice, equity, social worth, fairness, and deservingness.
The external reading talked about what a person can do about their decisions regarding their health and medical treatments. This is known as advance directive planning. This I done through living will, power of attorney and health care proxy. There were three characteristics that the article talks about that influences an individual’s decision making in this process. These are religious beliefs and advance directives, changes as we age, and Erickson’s Theory. The author incorporated Erikson’s theory by focusing on the final stage which was “integrity vs. despair”. According to Erickson’s theory people go through eight different life stages. The individual “faces a crises and progresses through to the next stage whether or not they resolved
This is more holistic approach in the sense that it ‘involves the promotion of health, preventing of disease, the treatment of illness, the care for those who are disabled and continuous developm...