Essay On Sir Gawande

Katz states, “the conviction that physicians should decide what is best for their patients, and, therefore, that the authority and power to do so should remain bested in them, continued to have deep hold on the practices of the medical profession “(214).

I believe that patients have the right to decide what they intend to do for their future health care. Patients are not just people we give a bed to so they can die. They have plans that they intend to have laid out for themselves. As healthcare professionals, we must respect the patient’s

Many years ago, knights were expected to form a certain type of relationship with their king, this relationship was otherwise known as fealty. Fealty is a knight’s sworn loyalty to their king (in other words a loyal relationship should be formed between the two). The use of this relationship is shown in the poem called “Sir Gawain and the Green Knight” ( the author is unknown). This poem has a classic quest type of formula, with a knight receiving a challenge and then going out on a journey to pursue that challenge, leading to a return home to report the results of his quest. This story begins at Christmas time when a knight (who is completely green) rides into King Arthur 's hall. The Green Knight proposes a game to those who are around him which is that “Any knight brave enough to strike off the Green Knight 's head may do so, but that man must accept a return stroke in approximately one year’s time”. Gawain accepts the challenge because he will not allow King Arthur to accept this. Gawain manages to then cut off the Green Knight 's head. The knight then picks up his severed head and leaves, telling Gawain to look for the Green Chapel when it is time for Gawain to fulfill the other half of the challenge that he has accepted. Near the end of the chosen year, Gawain sets out in search of the Green Chapel because he must complete the given challenge. On his journey in search of the Green knight, he finds a castle in the wilderness. The

In Sir Gawain and the Green Knight, the character of Sir Gawain, nephew of the famed Arthur of the Round Table, is seen as the most noble of knights who is the epitome of chivalry, yet he is also susceptible to mistakes. His courtesy, honor, honesty, and courage are subjected to various tests, posed by the wicked Morgan le Fay. Some tests prove his character and the chivalrous code true and faultless, like the time he answers a challenge although it might mean his death, or remains courteous to a lady despite temptation. Other tests prove his character and the chivalrous code faulty such as the time he breaks his promise to his host, and when he flinches from a harmless blow.

Another issue with the implementation of Informed consent arises when the patient waives the right to Informed consent and leaves the right to make the decision on the physician. Though legally correct, this can cause psychological stress for the physician especially when the decision is about a life threatening medical condition. Moreover, this also makes the patient vulnerable to abuse. (Manthous, DeGirolamo, 2003)

Every patient has a right to decide on their own course of treatment and freely consent to that treatment. In order to make an educated decision they must be provided with the proper information to make an informed choice (Opinion 8.08 - Informed Consent, 2006). It is the physician’s legal and ethical obligation to provide this information when making their recommendation on treatment. The choices given must be in accordance with good medical practice (Opinion 8.08 - Informed Consent, 2006). The informed consent is the legal policy, either written or verbal, that gives full disclosure of all the information including potential risks that is applicable to the patient’s condition and treatment being offered (Kazmier, 2008).

In Sir Gawain and the Green Knight, Sir Gawain continuously proves his knightly virtues and code of honor. Chivalry includes bravery, honor, and courtesy. He proves that he is in fact a "real" Knight. He shows his bravery by shying away from nothing and no one. He proves his honor and courtesy to everyone he meets by showing respect to all whether he receives it back or not.

Ambiguity and lack of regulatory control is echoed in David Powner’s article published in the Lancet Journal: “Clinicians do not always follow an established policy or provide appropriate documentation. Surveys or chart reviews showed that doctors sometimes failed to document specifics of clinical examinations, omitted criteria demanded

The court of appeal held patients should not be viewed incapable of understanding medical matters, society has change capable adults are able to make autonomous decisions to determine their future. Likewise therapeutic privilege should not be abused in deciding what and how much to tell patients we need to ensure we support patients in their choices. Nurses more than ever need to ensure the duty we owe our patients is fully met the NMC Code Professional Conduct (2015) now specifies a duty of candour to patients. This encourages an open and honest relationship in all matters therefore when patients ask specific questions nurses have a duty to answer within their scope of experience. Following Montgomery (2014) nurses are required to consider what the average patient would want to know about treatment and the material risk, what a reasonable person in a given situation would want to know about any risks involved in treatment or should know. The nurse is required to provide enough information for the patient what significance to give these risks in light of their own values beliefs and desire to determine their own future this can only work if patient and nurse work in close partnership. This goes in hand with NMC code (2015) standard 2 to listen to people respond to concerns

First, disclosure of information to the patient will sometimes increase the likelihood of depression and physical deterioration, or result in the choice of medically inoptimal treatment. Second, disclosure of information is therefore sometimes likely to be detrimental to the patient’s health, and perhaps hasten his death. Third, health and prolonged life can be assumed to have priority among preferences for patients who place themselves under physicians’ care. Fourth, Worsening health or hastening death can therefore be assumed to be contrary to patients’ own true value orderings. Lastly, paternalism is therefore justified: doctor may sometimes override patients’ prima facie rights to information about their risks and treatments or about their own conditions in order to prevent harm (Vaughn, 96.)

Gawain, a knight of the famed King Arthur, is depicted as the most noble of knights in the poem Sir Gawain and the Green Knight. Nonetheless, he is not without fault or punishment, and is certainly susceptible to conflict. Gawain, bound to chivalry, is torn between his knightly edicts, his courtly obligations, and his mortal thoughts of self-preservation. This conflict is most evident in his failure of the tests presented to him. With devious tests of temptation and courage, Morgan le Fay is able to create a mockery of Gawain’s courtly and knightly ideals. Through the knight Gawain, the poem is able to reveal that even knights are human too with less than romantic traits.

Part of the essence of drama is conflict. A man cannot be considered a hero unless he has overcome some form of opposition. In many cases, this opposition comes in the form of another character. Typically, the conflict is simplified as a malignant character with wicked intentions committing acts which would be characterized as evil; the protagonist opposes this villain and usually overcomes that character, winning the day and the admiration of all. Sometimes, the main character becomes a hero by overcoming some force within his or her own self. In Sir Gawain and the Green Knight, this is ultimately what Gawain must do in order to be considered a hero.

'Are Guidelines and Protocols an effective way to ensure that we "get care right?" '

Within healthcare, practitioners often have to make difficult decisions regarding the care of their patients. This could be to do with giving or withdrawing treatment, or as simple as sharing risk information (Glover, 1997). Ultimately, the practitioner must be able to rationalise any decision they have made (Morrison, 2009). With this in mind, the following assignment will draw upon an ethical dilemma and explore how theoretical perspectives can be utilised within the decision making process. Therefore it will also be pertinent to draw upon the law, and how this influences actions within health care. To facilitate this discussion, I will identify a scenario from practice that

There are four commonly accepted principles of bioethics. The first is the principle of respect for autonomy. Respect for autonomy is a respect for the client to make informed and intentional decisions, provided that the client is judged to be capable of doing so. This principle is the base for the practice of informed consent as well as the right to accept or refuse treatment. The client is to be able to make a rational, informed decision, without any external factors influencing any decisions. This principle may cause what the health care professional perceives to be harm, but to the client, like a muslim client refusing to have a xenotransplantation from a pig, accepting the treatment would cause him to suffer