An Ethical Issue Essay Example for Free

An Ethical Issue Essay Euthanasia is a hotly debated ethical issue these days, and there are certain arguments for and against its practice. Arguments against euthanasia are usually based on the sanctity of life, and such arguments are often compatible with religion, but arguments for euthanasia concern individual liberty, and a desire to prevent more suffering than is absolutely necessary. In this paper, I intend to address arguments for and against euthanasia, and explain why it is an ethical issue, and conclude that euthanasia, in some cases, should be permissible. Euthanasia is defined as the painless termination of someone’s life, but the ethical dilemma surrounding the topic has to do with whether or not it is alright to euthanize someone who is in a vegetative state, and can no longer think for him or herself, and whether or not assisted suicide is morally acceptable. The first of these scenarios would entail someone, such as a family member or physician, ending the life of someone who is in great pain following an accident, but cannot express their own wishes (whether or not they wish to remain on a feeding tube, or on life support) because of physical body damage, and this is known as passive euthanasia. The other issue, the one of physician assisted suicide, entails someone like a physician assisting someone who is in great pain, but not in need of life support, in committing suicide, maybe by administering a lethal dose of medication, to alleviate the patient’s pain, and this is known as active euthanasia. Both active and passive euthanasia are highly debated ethical issues, as they concern the value of life, and whether or not people are justified in prolonging a life of anguish, or terminating a life of misery. Recently, there have been many controversial cases of euthanasia, or its possibility in cases where it seems necessary to some, such as the cases of Doctor Kevorkian, and Terry Schiavo. The main ethical issues in the cases where Dr. Kevorkian euthanized (performed physician-assisted suicide on) some of his patients regards whether or not a patient should have the potential to decide his or her own fate, and then whether or not a physician should be held accountable for supporting, and aiding in a patient’s decision to end his or her life. This fundamentally boils down to the question of whether or not someone can choose to end their life when that person is in constant pain, but the issue would be complicated by the efforts needed in determining who is in enough pain to be permitted to actively end his or her life, which brings up the question of why everyone cannot choose to terminate their lives. And patients in hospitals do have the right to passively kill themselves, by starving, or refusing treatment, so in some cases, when a patient is prepared to take such measures to end his or her life, it would seem morally permissible for a physician to painlessly facilitate that patient’s suicide. In the case of someone’s euthanasia by the pulling of a feeding tube or the termination of life support, the ethical dilemma surrounds the family, or physician’s authority, when it comes to forcing the person who has brain damage to forfeit medical attention. A patient who is not in a vegetative state can refuse treatment, as that is not actively killing him or herself, but the question in the case of passive euthanasia is whether or not anyone other than the patient who might or might not refuse treatment due to severe pain if he or she were not in a vegetative state would have the authority to pull the plug on that person’s behalf, if the patient had not made his or her desired wishes clear. Religion plays a huge roll in helping people to believe that euthanasia should not be morally permissible, as most religions include some aspect about the sanctity of life, and based on that, they discourage suicide or killing in any form. Christianity in particular regards suicide as a sin, and that makes it difficult for people who wish to die because they are in too much pain, but their religion preaches against suicide. It is even against the law to commit suicide, but lately there have been questions coming out about whether people who are intensely pained by there illness should be exempt from this law, and whether or not doctors would be allowed to aid these suffering patients by providing them with lethal pills, or putting them to sleep by giving them extra doses of their medication. This is active euthanasia, where a patient, or doctor, or the combination of the two, take action to terminate life, rather than let it painfully continue for a long time, as the patient takes medicine and food, or making it drag on for a short, immensely painful period in the case where a patient refuses medication and food. For the most part, any argument against euthanasia must somehow be based on a view that life is sacred, and should never be sacrificed, at any cost, even when there is great pain to be dealt with if the life is prolonged. â€Å"Religious people dont argue that we cant kill ourselves, or get others to do it,† a BBC article about religion and ethics reports. â€Å"They know that we can do it because God has given us free will. Their argument is that it would be wrong for us to do so. They believe that every human being is the creation of God, and that this imposes certain limits on us. Our lives are not only our lives for us to do with as we see fit. To kill oneself, or to get someone else to do it for us, is to deny God, and to deny Gods rights over our lives and his right to choose the length of our lives and the way our lives end. † This summarizes a religious viewpoint that holds that euthanasia is not morally permissible. But for people who are not religious, a more basic argument in favor of euthanasia seems to arise, and that is simply whether or not people should be allowed to forfeit their lives if they are completely unsatisfied with them, or are severely pained by them. So, that might concern a simple case where someone is slowly dying of a terrible disease, and his medication deters the pain to some degree, but he is still miserable. Should that person be allowed to actively (or request that a physician actively) end his life, because he would rather forfeit his life than live on in pain and suffering? That seems to be a highly controversial issue, and from this perspective, it seems that euthanasia should be supported, at least to some degree. This could easily be a pro-euthanasia argument, as the person in pain has the right to forego medication, and refuse food and other life-sustaining attributes, which would lead to the patient’s death after a period of maximal pain, but the patent, without euthanasia, would not have the right to forfeit his life without enduring the pain from the scenario where he refuses treatment if active euthanasia is not permissible. â€Å"Some experts are gunning for a compromise. Zhu Tiezhi, a media commentator,† A China Daily article reports, â€Å"suggests the right-to-die prerequisites: the applicant must have a terminal illness that causes agonizing pain, and the diagnosis must be verified by at least two doctors; the applicant must be in a clear state of mind when he applies for it, and the application process should be repeated at least twice to make sure it is not a spur-of-the-moment thought. † This article was written after a patient who had throat cancer jumped out of a window to end his life after he was told that physicians were unable to assist him in doing so. So it seems that in certain cases, euthanasia is a more humane way for one to end his or her life than to manufacture a way him or herself. Our job is to save lives, and we dont have the right to mercy killing, said an official at the Changsha hospital,† an official at the hospital in the Hunan Province of China, where the man committed suicide, stated. But in certain cases, lives may only be prolonged, painfully, for a short time, so euthanasia would then represent a painless way of alleviating a suffering patient’s agony. â€Å"Chantal Sebire knows shes forcing people to make an agonizing decision, but agony is something she knows far too much about,† Bruce Crumley includes in his article, entitled Making a Case for Euthanasia. â€Å"The 52- year-old Dijon schoolteacher suffers from a rare disease that has left her disfigured by facial tumors, which will also damage her brain over time and eventually kill her. Her demand that French political leaders loosen laws against euthanasia has been rebuffed, so Sebire now awaits a judges decision on whether existing legislation allows doctors to assist her in ending her pain-racked life. ‘I no longer accept this enduring pain, and this protruding eye that nothing can be done about,’† Crumley writes. And unfortunately, the legal system of most countries do not recognize euthanasia as a permissible alternative to prolonged suffering, which causes many to live on in pain, wishing that they could terminate their lives instead of continuing on in agony. This seems like a reasonable right that everyone should be entitled to exercise if the time is right. People should not be forced to, because of the legal issues surrounding the issue, and anyone (such as a physician) involved, be forced to live on in agony when they could end it all by euthanasia. It seems that laws forbidding active euthanasia, or mercy killings, is based on the principle that all life is sacred, and that even extreme suffering should be fundamentally imposed on people if it could occur without their death. So death is legally regarded as impermissible when it is in any way caused by man. But what about the death penalty? There is a scenario where the government does not view life as the most sacred institution, so if exceptions are allowed, why not provide one that alleviates the constant suffering and agonies that plague people who have certain medical conditions, but are not allowed to self-terminate? â€Å"A French woman suffering from an incurable and disfiguring cancer was found dead on Wednesday, two days after a court rejected her request for medical assistance to help end her life, a source close to the government said,† an article from reuters. com reported of the woman who had petitioned to have a physician assist her in suicide. â€Å"Chantal Sebire, 52, whose face was swollen and distorted by a rare tumour in her sinuses, won heavy media coverage and the compassion of many French people in her bid to set a legal precedent for patients like her seeking to end their suffering. A court in the eastern city of Dijon ruled on Monday that Sebire could not have a doctor help her die because it would breach both the code of medical ethics and the law, under which assisted suicide is a crime. † But it seems that the code of medical ethics should make exceptions in certain cases of euthanasia. Forcing someone to die slowly in accordance with some debilitating disease is in no way more ethical or more humane than permitting that person to terminate his or her life painlessly. â€Å"After nine years, 130 deaths, and six trials, ‘Dr. Death’ Jack Kevorkian finally faces jail time for killing a desperate man who came to him for ‘help’ and found only death,† Liz Townsend writes in her article, Kevorkians Nine-Year Euthanasia Crusade Leads to Murder Conviction. â€Å"Thomas Youks death by lethal injection, administered directly by Kevorkian and nationally televised on 60 Minutes, led to a second-degree murder conviction March 26, but Youk was only one of many people who died to advance Kevorkians euthanasia crusade. ‘We believe the verdict should have been premeditated murder, but were very elated by the second-degree verdict,’ said Diane Coleman of the disability-rights group Not Dead Yet, according to the Associated Press. ‘We want to see Jack Kevorkian imprisoned for life. Its clear he has no respect for people with disabilities. ’ But is assisted suicide really a violation of the rights of someone who is disabled? In cases of physician-assisted suicide, the patient would not think so. A violation of the rights of the disabled would be ignoring a plea for assisted suicide, which would end pain and suffering. But perhaps the most basic argument for permissability of euthanasia, in at least extreme cases, should be in regards to everyone’s personal liberty. By that argument, people may say that everyone should have the right to do as they please when it concerns their own body. But an argument against personal liberty might state that similar arguments would allow drug use and other impermissible activities. So What is to be done? It seems that the best thing to do would be to, when physician’s can gauge someone’s mental aptitude, allow them to actively euthanize themselves, or assist him or her in doing so, if the patient is mentally competent, and wishes to end his or her life. And in the case of a family pulling the plug on someone (passive euthanasia) it should be permissible at all times if the patient had previously expressed a desire to die rather than remain on life support. Works Cited Appleton, Michael et al. At Home with Terminal Illness: A Family Guide to Hospice in the Home. Upper Saddle River, NJ: Prentice Hall, 1995. Barnard, C Good Life, Good Death a Doctors Case for Euthanasia and Suicide. Hbk 146pp Prentice-Hall 1980. Bold and provocative work by the famous heart surgeon. Battin, Margaret P. The Death Debate: Ethical Issues in Suicide. Upper Saddle River, NJ: Prentice Hall, 1996. The Law Society the British Medical Association. Assessment of Mental Capacity Guidance for Doctors Lawyers. Pbk 152pp British Medical Association 1995. Randall, F, Downie, R. Palliative Care Ethics A Good Companion Pbk, 202pp Oxford University Press 1996.

Analogues of a Fabliau Essay -- Chaucer Canterbury Tales Fabliau Essay

Analogues of a Fabliau Geoffrey Chaucer wrote The Canterbury Tales in many different genres and from a variety of sources. He took ideas from other authors and made them his own through adding and changing details, which in turn could cause the meaning of the story to change. The adaptations could alter the tone of the story; it could be made more sarcastic, humorous or serious. He also wrote in many different genres. One genre that Chaucer worked with is the fabliau. A fabliau is a short story that is usually written in verse about low or middle class people. It is more obscene than other stories, primarily through sexual situations. It is presented to be comical against marriage. The sexual obscenity became more vulgar as it was written down, because only then was there more of a separation between courtly and vulgar actions. (Muscatine 568-570) Benson describes the fabliau as, â€Å"a brief comic tale in verse, usually scurrilous and often scatological or obscene. The style is simple, vigorous, and straight-forward...† (7) One critic, Charles Muscatine, believes that the old French fabliau lacked much plot structure. (Vaszily, 523-542) However, one element like this is insufficient to classify in a genre. There are other short stories that are kept short and concise that are not fabliaux. Also, another trait of fabliaux is that the humor is â€Å"attached to the structure itse lf† rather than in â€Å"the way in which the story is told.† (Vaszily) One common plot for a fabliau is a love triangle. The triangle is often formed with an old husband, a young wife and another young man. As Vaszily points out, though, Chaucer has other tales that are not fabliaux, which have this plot. Muscatine refers to the content of fa... ...rk, 1971. Bodel, Jean. â€Å"Gombert and the Two Clerks.† 1190-1194: Pp. 89-99 Anonymous. â€Å"The Miller and the Two Clerks.† Thirteenth Century. Blanch, Robert J and Wasserman, Julian N. â€Å"The Advocate: Law, fabliaux, and the journey to modernism.† Literature/Film Quarterly. Salsbury, 2001: 303-315. Dunn, E Catherine. â€Å"The spirit of the fourteenth century.† Modern Age. Wilmington, Summer 2001: 268-271. Muscatine, Charles. â€Å"Medieval Literature, Style and Culture: Essays by Charles Muscatine.† Journal of English and Germanic Philology. Urbana, Oct 2001: 568-570. The Geoffrey Chaucer Home Page. URL: http://icg.fas.harvard.edu/~chaucer Copyright President and Fellows of Harvard College. Last Modified: Jan 20, 2002. Vaszily, Scott. â€Å"Fabliau plotting against romance in Chaucer’s Knight’s Tale.† Style. Dekalb, Fall 1997: 523-542.

Canadian Wood Toys INC. Essay

I will begin by highlighting the importance of the audit in assessing the risk and identifying the steps in reducing and mitigating the risk that our company is facing. The impact of the risks on global business it is dramatic in our days, changing the entire look of the industries and financial services. Some risks could be anticipated and identified but some could not. Companies now are using more and more key steps and principles to better manage the risks by; *** identifying the risks relevant to the organization *** assess the significance and implications of those risks to the business *** identify and establish a process for collaboration on risk mitigation with other organizations and partners *** integrate Enterprise Risk Management into the organization *** focus resources on key risks in order to achieve the organization’s objectives (Source – PricewaterhouseCoopers – effective ERM) Under IAA Standard 2120 – Risk Management: â€Å"The internal audit activity must evaluate the effectiveness and contribute to the improvement of risk management processes.† Practice advisory 2120.C1 states: –â€Å"During consulting engagements, internal auditors must address risk consistent with the engagement’s objectives and be alert to the existence of other significant risks. In manufacturing companies, production is usually the most important aspect of the entire process mostly due to the high cost incurred, the staffing and the complexity of the departments involved – Production is of vital concern to management because of the important risks associated with the process. I have identified some of the most important risks and how to manage the risks to minimize the impact. Along with the  production process, other areas can be identified as posing risks; distribution, finance, human resources †¦ I have identified below some of the risks with the highest impact in our company: KEY RISKSMITIGATON (examples) The risk of manufacturing defective or substandard products Determine the cause of the quality defect (human error or machine) Trend analysis reports to address the recurrence of the defects The risk of missing deadlines for toys deliveries at Christmas time Review the production scheduling to agree with the specific job orders to avoid overproduction of toys that are not scheduled for delivery The risk of labor insecurity; potential strikes Review labor contracts and minimum wage government regulations; negotiations with union and labor boards The risk of unknown competition on international markets Use various econometric and statistical analysis to monitor the movement of market interest The risk of foreign exchange Use a foreign exchange contract Accept payment in one currency only (US) Hedging of foreign exchange Risk of unanticipated or sudden changes in regulations, codes or standards in regards to the exploitation of the wood and equipment and machineries used The company has to be actively involved in the development of regulations, codes and standards to further improve the safety of the equipment The risk of damage to ecology, scenery – due to over exploitation of forestry Use environmental mitigation programs able to protect and restore the forest Government fire protection programs The risk of accidents in the process of transportation of the logs Regular monitoring of the vehicles Checking drivers hours of work – implementing special schedule of hours Risk of loss of licensing for cutting and harvesting the trees Renewal in advance of the licenses, request from government of auditing the harvesting areas The risk of logging and lumbering fire damage and vehicle damage Forestry and timber Insurance that focuses on logging and lumbering, sawmills, automobiles and equipment The risk related to the liquidity and payment schedules which could lead to credit losses Establish rules for tendering, levels of approval authority and rules for credit control The risk of reporting erroneous financial information for internal and external decision Use external appraisers to evaluate fair value of assets and properties Senior managers should assess their financial reports to determine when they require estimates based on significant judgment; And ensure that independent expertise is applied in deriving the reports The risk mitigation step involves development of mitigation plans designed to manage, eliminate, or reduce risk to an acceptable level. Once a plan is implemented, it is continually monitored to assess its efficacy with the intent of revising the course-of-action if needed. I would like to reiterate as stated in the IAA Standards that the organization should fully understand that management remains responsible for risk management. As Internal auditors, we should provide advice, and challenge or support management’s decisions on risk, as opposed to making risk management decisions. Below are some of the responsibilities that will not fall under the audit team: †¢ Setting the risk appetite. †¢ Imposing risk management processes. †¢ Management assurance on risks. †¢ Taking decisions on risk responses. †¢ Implementing risk responses on management’s behalf. †¢ Accountability for risk management. Question 4 MEMO To: Director of Internal audit Department From: †¦. Assistant Director Internal audit Date: October 06, 2014 CC: As requested, I have prepared a plan for auditing the division of Student Services as part of the Central College Institution. I will detail 6 steps in the audit process but firstly I want to highlight the Standard 2200, Practice Advisory 2200-1 that states the requirements for the engagements planning and outlines the steps. â€Å"Internal auditors must develop and plan for each engagement, including the engagement’s objectives, scope, timing and resource allocations†. â€Å"The Internal auditor plans and conducts the engagement, with supervisory review and approval† 1. The first step is: To obtain specific knowledge of the unit to be audited. In this stage of the process we will gather and review the specific documentation that will help us getting more familiar with the division of food service – residential and campus. Some of the documents we will be reviewing: The annual budget; we have information about how much the overall budget is (8.9mil.); need to know how much is allocated to the food service program and how is spent. Policies and procedures Previous internal audit papers and reports List of the staff; org charts Contracts with food suppliers Documented projects and how the implementation process took place Upon reviewing of the documents we will be able to assess the problems that incurred; it will help us identify any managerial mistakes, any miscommunication between suppliers and management; if there is enough staffing 2. The second step in the audit plan is to: Establish the audit objectives and the scope of the audit. At this stage we need to review all the activities involving food service program step by step. This is to identify areas of weakness, why there are negative reviews; why there is such a small budget allocated to such important segment in the student’s activity in the campus. Also we will be  able to identify whether the appropriate policies and procedures were followed. Is the part time staff working in the 6 food service facilities skilled for the specific job they do? Why there is only part time staffing and no full time jobs; if there are enough employees considering the large division of food service included 6 cafeterias and restaurants plus residential food service. 3. The following step is: The audit methodology. In this stage of the audit process we will be able to gather additional information by interviewing individuals involved in all aspects of the student services division. We will be asking questions in order to determine if there are possible weaknesses that can have a major impact of the effectiveness of the operating and managing the 6 restaurants and cafeterias as well as the residential food service. We will be interviewing the part time staff about the schedule they have, if there are any complaints, if there is enough coverage at specific time of the day i.e. morning and lunch – for the cafeterias and the restaurants. We will be interviewing the students and teachers about the hours of operation of the locations of the food service – they should be open late and they are actually closing early. We will be asking questions about the meal plans and find out if there is anything to improve on 4. The next step is: Determine the audit criteria. This very important step in the audit program will help us identify some of the criteria we can use in order to better assess the practices in the food service division. Budgeting The food service division must have a well established budget and a cost control in place and overseen by qualified staff. Price Management There should be a price verification policy in place to manage better the price of meals provided by the restaurants and the cafeteria – in comparison to other food providers around the campus (beat the price) Staffing there must be a criteria that analyze and conform with the labor standards –  achieve and surpass the minimum wage for the part time employees Food Quality and diversity there should be put in place a more divers meal plan based on the requirements and suggestions from the customers (students –divers ethnicity) new standards for nutritional meals are put in place and need to be followed Food locations management the standards for cleanliness and sanitation that are put in place need to be followed surveys will be handed out or on line surveys to measure the customer satisfaction 5. The following step is: Preparing staffing plans and time budgets At this stage in the audit plan we are dealing with establishing the budget necessary to accomplish the audit scope and the staff required to accomplish the plan in a timely manner. Since we are dealing with specifics in food industry – we have identified areas where there is not enough expertise from our team; therefore we require an additional external consultant (possible a nutritionist that possess the necessary knowledge). For the satisfaction survey we will be using the expertise of the actual marketing staff from the service department to create and implement the survey. 6. The next step is: Communication with management Subsequently, the audit plan needs to be discussing with the management. We will set up time for a meeting with the management to discuss the details over the purpose of the audit. We need to discuss further about the time allocated to the audit plan and go over each proposal for the relevant criteria that was chosen. In the meeting we will highlight the importance of the management active contribution and support to the audit process.

Risk Assessment with Relation to Falls in the Home in the...

This assignment will focus on the issue of Risk Assessment with relation to falls in the home in the elderly population. It will discuss the relationship between the community healthcare team and the individual client, the government policies related to the topic, and the influences of health policy upon the provision of community care. The role of the community nurse in public health education and promotion will also be explored. The client, in this particular instance, is Mrs Pugh. She is an 84-year-old female who lives alone since her husbands death 3 years ago. Mrs Pugh has a previous medical history of unexplained falls. Her medical records also highlight the fact she is suffering from†¦show more content†¦Research for health promotion derives from public health and epidemiology, which is concerned with the pattern of disease in a population. Last (1994) describes epidemiology as completing the clinical picture. Research has a much higher profile in Health Authorities and Health Organisations today. Policy and service provision is expected to be based on research and practitioners are encouraged to base their practice on evidence. The Department of Health (DoH) has insisted on reliable research, which evaluates practice and procedures as well as the knowledge gained from individual professional experiences (DoH 1993). Funding for health promotion research may come from Health Authorities or a Health Education Authority. A shift towards consumerism and accountability in the National Health Service (NHS) has increased interest in qualitative research, which gives people a voice (Naidoo and Wills 1999). The principles of the World Health Organisation (WHO) Health For All Strategy (WHO 1985) accept that health is a relative concept and illness must be taken into account when trying to promote health. 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