Tuesday, May 5, 2020
Talks Against Motion And Refutes Statement ââ¬Myassignmenthelp.Com
Question: Discuss About The Talks Against Motion And Refutes Statement? Answer: Introducation The topic of the present debate on a nursing ethical issue is People who abuse drugs and alcohol should be denied access to intensive care units. The present paper talks against the motion and refutes the statement, aiming to establish a standpoint that people who abuse drugs and alcohol must not be denied access to intensive care units. As the instances of patients with alcohol or substance abuse being brought to intensive care units (ICU) are increasing, there is a growing concern around their admission. Intensive care units are the specialised treatment units where patients suffering from acute medical conditions are brought in for treatment; such a unit is to provide life support and decrease the chances of mortality. It is evident that saving the life of the patient is the priority under such circumstances and there is no denial of this. Speaking on humanitarian ground, no human has the right to deny care being given to an individual irrespective of what his condition is in relation to drug or alcohol abuse (Luce White, 2009). As per the Australian Charter of Healthcare Rights, everyone has the right to be able to access health care (safetyandquality.gov.au, 2012). Moreover, since treatment of this concern is operations in the present era, it is not a challenge to guide the patient to change his substance depen dency once he is discharged from the ICU (Ulrich, 2014). ICUs deliver potential benefit at massive public cost, and thus the interventions rendered must be considered as symbols of promise. Patient autonomy and fundamental rights to access to care stand against the chances of potential harm being done to others if patients with alcohol and substance abuse are admitted to ICUs. Though patient might be a concern due to multi-faceted issues, their primary right to autonomy cannot be suspended (Medrano et al., 2014). If patients are denied admission to ICUs, the communitys trust on the care givers will loose out. Admission of such patient might be a reason for harm to others, but it is to be noted that there is no certainty that such harm would be done. The mere probability of causing harm to others must not take over the need to save the life of the patient. Protection of common good does not justify the abridgement of individual rights (Mulaudzi et al., 2010). The second aspect that draws the attention is that insurance companies are not willing to pay for the medical expenses for such patient. This can be disproved by the fact that health insurers must rely on the evidence-based standards of patient care and consider the right level of coverage, the right combination of treatment and the right site of coverage. Insurance companies often stop paying, and the healthcare centres are to discharge the patients before the complete treatment is done. However, if the family members are notified that the patient is half-treated, is it clear, on morale and human grounds, that the family members would arrange for the medical expenses under any circumstances. They would go out of their way to arrange for the expenses so that the treatment is complete. The medical facilities are not to depend solely on the medical insurance companies for the expenses. A bill is to be passed that would force the companies to approve authorisation of substance abuse car e. It would need all policies to provide medical coverage economics for alcohol and drug abuse services as thought necessary by the care unit (Connors et al., 2013). It is also to be highlighted that though treatment of patients with alcohol or drug abuse history might be frustrating and difficult, it is also a rewarding process for the heath care professionals. There are nonphysicians, and physicians who specialise in this area of practice and a number of communities referral to a special is a part of the regular care process. Admission to intensive care unit implies that such professionals would be referred to for the patient care. Denial of admission cannot be therefore justified (Mays et a., 2017). Moreover, in the present medicinal practice, the primary physician also has a significant part in the care of patients who are chemically dependent even though the referral is not there. The primary care physician might be the first professional to identify the relapse and do the treatment. The physician can be the trusted guardian and work for the patients well being. The concern of the physician that the patient stays away from the use of the dru g can be sighted as a strong motivator (Levit et al., 2013). Facts to support the topic- Treatment for such patients are hugely expensive Insurance companies are not in a position to pay for such patients Health care professionals face issues in providing appropriate care for the patient on an individual basis Even if survival is possible, relapse is common, leading to failure of treatmen References Australian charter of healthcare rights. (2012). Retrieved 12 September 2017, from https://www.safetyandquality.gov.au/wp-content/uploads/2012/01/Charter-PDf.pdf Connors, G. J., DiClemente, C. C., Velasquez, M. M., Donovan, D. M. (2013).Substance abuse treatment and the stages of change: Selecting and planning interventions. Guilford Press. Levit, K. R., Stranges, E., Coffey, R. M., Kassed, C., Mark, T. L., Buck, J. A., Vandivort-Warren, R. (2013). Current and future funding sources for specialty mental health and substance abuse management providers.Psychiatric Services,64(6), 512-519. Luce, J. M., White, D. B. (2009). A History of Ethics and Law in the Intensive Care Unit.Critical Care Clinics,25(1), 221x. https://doi.org/10.1016/j.ccc.2008.10.002 Mays, V. M., Jones, A. L., Delany-Brumsey, A., Coles, C., Cochran, S. D. (2017). Perceived Discrimination in Health Care and Mental Health/Substance Abuse Treatment Among Blacks, Latinos, and Whites.Medical care,55(2), 173-181. Medrano, J., lvaro-Meca, A., Boyer, A., Jimnez-Sousa, M. A., Resino, S. (2014). Mortality of patients infected with HIV in the intensive care unit (2005 through 2010): significant role of chronic hepatitis C and severe sepsis.Critical Care,18(4), 475. Mulaudzi, F., Mokoena, J., Troskie, R. (2010).Basic nursing ethics in practice. Johannesburg: Heinemann. Ulrich, C. (2014).Nursing Ethics in Everyday Practice. Indianapolis: Sigma Theta Tau International.
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