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Local Hospitals Bioethics Committee
Local Hospital’s Bioethics Committee
Student’s Name
Institution
Local Hospital’s Bioethics Committee
The bioethics committee of the hospital is charged with the duty of supporting patients’ rights and helps them, their families and the entire health care team makes informed and sound decisions concerning health care in general. The entire members of the committee are well-trained in patient-care and medical issues and can give the management and the health-care team relevant professional advices from various points of view that can enable them articulate and arrive at the appropriate health decisions. However, the committee is not charged with the role of making decisions, but rather being a vital resource for the establishment and the clients in general.
The bioethics committee consists of doctors, social workers, nurses, patient representatives, community-and hospital-based physicians, residents and neighboring community, parents, biomedical ethicists, hospital administration, and clergy. The key roles of the committee include review and recommend guidelines of the hospital for issues regarding ethics that may arise and are related to Children care. Secondly, the committee is charged the responsibility of familiarizing the hospital staff and the entire community with issues related to ethics that are faced by families, parents and healthcare providers who are concerned with ongoing care for children who are desperately ill. Lastly, the committees have special sessions where they meet to issue necessary guidelines and serve in the capacity of sounding board for families, parents, and healthcare professionals to converse on specific ethical concerns.
When a child is admitted in the hospital, timely decisions must be in order to give appropriate medical attention. The decisions are not dependent on an individual’s discretion. Rather, the decision is arrived at by a group of people, such as the patient, her or his family, healthcare providers and physicians. Since different individuals hold different values, viewpoints, and religious beliefs that may be conflicting, arriving at a common decision regarding the best course of action for the child may be quite daunting. To ensure the committee functions as a team, a number of guidelines have been established that the members are supposed to follow strictly. These guidelines include:
The number of members in the committee must be consistent with the requirements of the hospital and not so large to an extent that it gets unwieldy. Members of the committee should be carefully selected based on their concern for the wellbeing of the infirm and the sick, their reputation among their peers and the community in general for mature judgment and integrity, and their overall interest in matters pertaining to ethics. Previous experience working as a member the establishment concerned or of a medical society committee that deals with quality assurance or ethical conduct should be taken into serious cognizance when selecting members of the committee. In addition, the members who are tasked with the duty of serving in the committee should not have other duties that not line with their responsibility as members of the medical committee.
The responsibilities of the ethical committee should be restricted to ethical matters. In the US, it is recommended that the committee adheres to the Code of Medical Ethics as a guide in making informed and professional decisions. The issues that the committee should consider deliberating on must consist of majorly ethical subjects that a bigger percentage of its members may find reasonable to discuss, or that are recommended by the hospital’s administration. The committee can also take up an issue if it is convinced beyond reasonable doubt that it meets the requirements of being discussed after an appropriate request is made by families, parents, or health care providers.
The deliberations and consequent communication of recommendations together with every step followed by the committee must agree with the ethical and institutional policies set to preserve confidentiality of information pertaining patients.
All members of the committee must be prepared to meet even on a short notice and submit their recommendations in a prompt and timely fashion in harmony with the requirements of the issues involved and situation at hand.
Since the institution is affiliated to a religious denomination, all recommendations that are made by the bioethical committee must conform to the published religious principles and tenets. When a religious belief is being taken into account in any recommendation made by the committee, the fact must be well publicized to patients, physicians, and all the other stakeholders who are concerned with the recommendations of the committee.
Whenever a patient and family seek expert recommendations from the committee, it is worth noting that the committee does neither make the ultimate decisions for them nor tell the medical practitioners how to proceed. It only serves to offer support and guidance. Apart for discussing ethical matters, the committee has also other crucial roles such as staying up-to-date on any advances in medical technology, changes in the law and relevant developments in medical bioethics. The entire team assists the rest in understanding the basic information concerning making decision in healthcare through playing a pivotal role in reviewing and then commenting on new proposed guidelines, identifying situations or issues that may require future address and ensuring existing policies are kept current.
According to the chairman, the bioethical committee has made a significant impact in solving ethical issues within the hospital. It has majorly played a vital role in educating and advising the hospital staff, patients and management. As a matter of fact, it has tremendously solved complicated and unusual ethical problems that involve the issues which affect treatment and care of outpatients and admitted patients in the hospital. The recommendations that are made by the committee impose no obligation that the institution, medical staff, the governing board, attending physicians or other concerned person must accept. Nonetheless, sound recommendations made by committed and dedicated committee are always taken into serious cognizance by the people charged with the duty of making decisions. The chairman however felt that there are also a number of issues that the committee should be charged with the obligation of handling. Such issues include: interpreting advance directives, end of life options as last option, patients who refuse beneficial treatment, negotiating alternative and complementary medicine, disclosure of mistakes, noncompliant and difficult patients, disability and ‘quality of life, and deciding whether or when to call state agencies. These are fundamental issues that affect the hospital on a daily basis and are never fully resolved since the bioethical committee does not have the mandate to deliberate on them.
On attending one of the meetings held by the committee, I confirmed the earlier words by the chairperson. Indeed, the committee is an integral component of the institution. The issues it deliberates on are very imperative for the hospital. Furthermore, the committee is made of professionals from different profession and they are well-informed on different issues and are able to arrive at the best decisions within a very short time. I further noted that there are different ways in which one can approach matters with the committee. An ethical issue can be best described sometimes when only an individual appears to speak with the committee. However, come cases may require a more informed people may come along with the concerned to appear before the committee. These can be family members, authorized representative, health care agent and a doctor. In some cases, one member of the committee can meet with a family or patient in order to discuss a concern.
References
March, C., Cano, V., Moranta, D., Llobet, E., Pérez-Gutiérrez, C., Tomás, J. M., … & Bengoechea, J. A. (2013). Role of bacterial surface structures on the interaction of Klebsiella pneumoniae with phagocytes. PloS one, 8(2), e56847.
Riesco, M. F., & Robles, V. (2013). Cryopreservation Causes Genetic and Epigenetic Changes in Zebrafish Genital Ridges. PloS one, 8(6), e67614.
Local Government Policy Analysis
Local Government Policy Analysis
(Due by Sunday, September 18, 11:59 pm)
For your first written assignment, you will apply concepts we have discussed during the first three lectures by *analyzing a policy that is currently or has been deliberated by a local government governing body (county board of supervisors, city council, special district board of directors or school district board of trustees) within the past year. To satisfy the requirements of this assignment, prepare a maximum two (2) page single-spaced analysis, **following the instructions and format exactly (see writing sample) of a policy covering the issues featured below.
Overview:
In this section, you will identify the governing body and the date the policy was or will be deliberated. Then, provide a brief description of the policy including:
What is the problem to be addressed; and
What is the event or series of events that was a catalyst for action (if known); [this is generally described in the “Background” or “Overview” section of the staff report.
Official Actors:
Identification of the official actors (i.e., local government representatives) involved in the policy.
Unofficial Actors:
Identification of the unofficial actors AKA stakeholders (other individuals/groups who are attempting to influence the outcome), their positions on the policy proposal and venues provided for these groups to influence the policy making process. Note that this does not include anyone who may potentially be impacted by the policy.
Fiscal Impact:
Budgetary impact of the proposed policy to the government agency (not to the public or specific groups)
Recommendation:
Conclude with a recommendation(s) for the actions the governing body should take (or if you agree with the decision the council/board made if it was already decided) and how you came to this conclusion.
*Note: To do well on the local government policy analysis, you will need to review policy documents that the governing body used when deliberating the item, specifically, the staff reports that are available online (not simply news articles about the item or meeting minutes). You can find these, as well as recorded videos of the public meetings, on each public agency’s website.
**Remember, this isn’t an essay, but a policy analysis (the type of document you’d write in the workplace, so the presentation of info should be succinct without extra words, transitional statements or your opinion).
Local Disaster Risk Reduction
Local Disaster Risk Reduction
Important factors to support Local Disaster Risk Reduction
Disasters occur due to other causes rather than the natural causes such social, economic, political, and cultural factors. The factors people inhabit areas and regions that are prone to natural hazards due to the different aspects of social, economic, and cultural environments. For instance, people are forced by difficult situations such as poverty to settle in hazardous areas such as flood plains and mountain slopes here floods, landslides and earthquakes are common. Other factors especially affecting the political environment are the distribution of resources such as education, health services, income, and important information. There is a lot of discrimination in many communities in the developing countries especially on the issues of welfare and social protection. Disasters occur due to both natural and human action and contribute to the major problems related to the famine, diseases such as HIV-AIDS, wars, drought and many others. The potential of various groups of people to exposure to some of the natural disasters and hazards constitutes the disaster risk that depends on the social and political systems of the community. The vulnerability of different groups to hazards exposure helps to understand disasters by looking at both the political, economic, social, and cultural systems. The important factors to support local disaster reduction in the community and places with risks of natural hazards are political, economic, social, and cultural practices.
There is a big link between poverty, vulnerability, and disasters such the poorest people are always the victim as their poverty leads to their vulnerability. Preparing those people will make them cope with disasters in case they occur. Due to climatic change it is important for countries to adopt Disaster Risk Reduction (DRR )due to the adverse effects of the occurrence. Organizations such as the Practical Action works with various communities to help them cope with the future hazards by taking measures such as disaster risk managements, and food security. The organization uses the research approach and its experience in disaster management for many years to help people cope with disasters especially in the developing countries such as South Asia, Peru, and Africa. The body also secures and sustains livelihoods in communities with high poverty levels by reducing their susceptibility to disaster. Practical Action works with the humanitarian agencies to help families, communities, and local markets to come out of the crises and cope with future disaster threats. The organization works by involving the survivors off various disasters in the decision-making and management of the resources. The world’s poorest and marginalized communities suffer from climate change compared to the well up communities. These people depend on natural resources for agriculture and other means of production.
Climate change affects the living conditions of vulnerable people especially in developing countries as a result of global warming contributed by human activities such as cultivation methods. Some cultural beliefs such as disasters are a punishment from God, or other supreme being prevents people from taking action to avoid more disasters. Organizations like the UNDP should always offer education to the vulnerable communities and change their evolutionary behaviours especially the ones touching on religious beliefs. Other factors that increase the vulnerability of communities to disasters are personality, upbringing, and level of education, peer pressure and many more. For countries to support DRR, the government should work closely with charitable organizations such as the Red Cross to reduce the influence of culture on disaster occurrences. The beliefs that it is the God’s ill for some disasters such as earthquakes and floods to happen are not healthy for DRR and DRM as people cannot engage in activities that reduce the risks of disaster occurrences.
Disaster Risk Reduction (DRR) aims at identifying and reducing the risks of disaster by dealing with socio-economic vulnerabilities to the disasters. Governance is an important factor in addressing the occurrence of disasters through DRR and DRM especially in the third-world countries. The government is very important in the DRR approach to disaster management as it is one of the main actors. The government should always ensure that its citizens are safe, and there is equality in resource allocation to all communities. The government also is the main coordinator of DRR projects through the formulation of policies and programmes through legislation. The government is also mandated to ensure protection of the rights of its citizens through disaster prevention and early warnings of any impending disasters such as floods. Disaster management organisations such as UNDP and BRAC prefer working in environments where the rights of the citizens are respected and protected.
Social factors also contribute to occurrence and reoccurrence of disasters depending on the organisation of communities and the social classes. For countries to achieve Disaster Risk reduction, it must do away with social classes and bridge the gap between the rich and the poor. Some people fail to protect themselves believing that someone like the government or charitable organizations will come to their help. For example the in Kenya, people are warned to vacate the lowlands and avoid living in mountainous areas but fail to take action only to call the government when their homes floods or whenever there are landslides. The international community should always emphasize on the necessity of local ownership of the disaster risk reduction (DRR) through the local governments. Policy makers need to support the local actors to manage natural disasters by spreading awareness of the environmental risks facing the communities. The leaders and the NGOs should work with mayors and community leaders to enable active participation of the local community groups in reducing the risks due to natural disaster. Consequences and social outcomes of projects for poverty alleviation, community development, and reduction of disaster vulnerability depend on the social impact assessment.
Social factors are human populations or private actions that can affect the way of living, working, and the relation of humans to each other as the members of the society. The way a society live determines the possibility of occurrence of disasters and their management. There is a big relationship between vulnerability, disasters and hazards especially on the deep-rooted factors in different societies, which can alleviate or increase the seriousness of a disaster. Some societies or groups of people lack basic services at the household level, and others face exposure to unsafe conditions. For instance people who construct shanty houses on sloppy and hilly lands especially in urban centres increasing the risk of disasters such as floods and landslides. Disaster management through DRR should always aim at involving communities at risk in risk management and reduction of vulnerability through their projects. The civil society and the public authorities will also play an important especially in coordination and mobilization of the local communities.
Political factors may also influence the effectiveness of DRR especially in the developing countries here politicians engage in corrupt activities such as land grabbing. When leaders, politicians, and the wealthy class take all the good land, the marginalized communities end up settling in disaster-prone areas such as in the slopes and dry areas. The countries should fight corruption by the political class and allocate land and resources equality to the communities. Politics can also limit the local ownership of DRR if politics takes the centre stage during the implementation of DRR projects. There are some officials who hold positions for their interests and embezzle fund meant for disaster management and may use the resources to win votes from a few individuals. Countries need to monitor the DRR projects closely to prevent political interferences especially if they disagree with the local leaders on implementation of the DRR projects. Some political leaders will also avoid dealing with some disaster threats waiting for the next campaign period to use it a campaign tool. To avoid delays, NGOs and other international charitable organizations should monitor DRR projects and avoid political involvement of any nature. DRR is mostly part of the political debate in many countries, and its effectiveness depends on who wins the motion. Some politician’s ill use it for their political interest and limits the participation of the locals in managing disasters. Consequently, the communities do not understand their role in alleviating some disasters such as drought and famines brought about by climate changes. Some local leaders might fail to implement policies from their competitors or continue with previous projects after new elections. For DRR projects to work, politics should never play any part in the implementation of the projects dealing with disaster management and risk reduction.
Economic factors contribute to the occurrence of natural disasters and the vulnerability of some communities in depending on the distribution of the resources and agricultural activities of the country. Countries with a large wealth disparity expose the poor to deadly disasters such as landslides, as they live in areas prone to disasters. The people’s economic activities such as farming, mining, and grazing may accelerate the occurrence of natural disasters such as floods due to soil erosion. Due to the disparity in resource distribution, these people have no other option and have to cope with the frequency of the disasters as they await government intervention. DRR approach aims at bridging the gap by involving the local community in self-protection during disasters and offering permanent and long-lasting solutions to the occurrence of disasters. Understanding the economic factors in any country will assist NGOs and other organizations to manage disasters and alleviate poverty in many countries.
Conclusion
Disasters occur due to other causes rather than the natural causes such social, economic, political, and cultural factors. Disasters occur due to both natural and human action and contribute to the major problems related to the famine, diseases such as HIV-AIDS, wars, drought and many others. The world’s poorest and marginalized communities suffer from climate change compared to the well up communities. These people depend on natural resources for agriculture and other means of production. Social factors also contribute to occurrence and reoccurrence of disasters depending on the organisation of communities and the social classes. Disaster Risk Reduction (DRR) aims at identifying and reducing the risks of disaster by dealing with socio-economic vulnerabilities to the disasters. The people’s economic activities such as farming, mining, and grazing may accelerate the occurrence of natural disasters such as floods due to soil erosion.
