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law and ethics2

Order Description

Support the case study with the reference i provided and use other current references.

Law and ethics in healthcare
You are the Chief Executive of a Local Health Network is New South Wales. E is a patient in one of your hospitals. E had suffered from anorexia since her early teens, brought about by serious sexual abuse which she experienced between the ages of 4 and 11. Despite the challenges of her illness, she was universally described as intelligent and articulate and had completed several years of a medical degree at university before her illness rendered it impossible to continue. She had undergone a number of admissions for medical and psychiatric care, including legislative sectioning on about 10 occasions. In July 2012 E signed a document saying that she did not want to be resuscitated or to be given any medical intervention to prolong her life.
In October 2012, she signed another advance directive in a standard form, assisted by her mother. Following her discharge and return to the community, a familiar pattern re-asserted itself. By early 2013 E was drinking very heavily. She was re-detained in March 2013 and was initially fed by tube but opposed this and tube feeding was stopped. As a result, she has not been taking any calories at all since the end of March. On 20 April 2013 E was admitted to a community hospital for palliative care and placed on an ‘end of life’ care pathway with high doses of opiate medication, to which she is physically addicted.
E has been diagnosed as suffering from a very rare triad of anorexia, alcoholism and personality disorder. Her parents, although not wanting E to die, did not support any further medical intervention unless there was a real prospect of success. E’s treating doctors are doubtful about further coercive treatment. The NSW Health Solicitor has been instructed by you and she has relied on the advice of an expert, who advised that highly specialized treatment was available, which had not been tried, that although not without significant risk might return E to relatively normal life. The treatment involves a number of medical interventions including forcible feeding and using chemical sedation.
The Department of Health, on your behalf, has applied to the NSW Supreme Court in its parens patriae jurisdiction for orders on how to proceed.
What do you think will be the outcome of this application? In addressing this issue, include the following:
1. Does E have the capacity to refuse life-sustaining treatment, including feeding? (10 marks)
2. Were E’s attempts to make binding advance directives refusing treatment valid? (10 marks)
3. A. If the court decides they were valid, what is the procedure the health service should follow to enact those directives? (5 marks)

B. If the court decides they were not valid, what test will the court apply to decide whether or not the proposed treatment of force –feeding is valid? What will their decision be after applying the test? (5 marks)
4. What are the ethical factors, legal principles, and critical thinking framework(s) that you, as a health service manager, would apply in balancing the value of Es life in one scale and the value of her personal independence on the other? In considering your answer please pay particular attention to how you would manage the team treating E, some of which may object to the way the matter proceeds. (10 marks)
READ: Chapter 1-4 of your text.
READ: Chapter 2 of Windows into Safety and Quality in Health Care 2008 and the ACSQHC Charter of Health care rights.
READ: Chapter 2 of Windows into Safety and Quality in Health Care 2008 and the ACSQHC Charter of Health care rights.
READ: Chapter 5-8 of your text
READ: Kerridge et al (2013) Chapter 10, and the Inquest into the death of Vanessa Anderson
READ: Kerridge et al (2013) Chapter 10, The NSW Health Open Disclosure Policy, Civil Liability Act NSW Pt 10, The NSW Health Incident Management Policy, Coroner’s Act 2009 (NSW), NSW Coroner’s website and NSW Health Coroners Act and Cases Policy (2009)
READ: Chapters 15 & 16 of your text and The National Framework for Advance Care Directives(AHMAC 2011)

Sample Answer

Compelling correspondence is essential to the achievement all things considered but since of the changing idea of the present working environments, successful correspondence turns out to be more troublesome, and because of the numerous impediments that will permit beneficiaries to acknowledge the plan of the sender It is restricted. Misguided judgments.In spite of the fact that correspondence inside the association is rarely completely open, numerous straightforward arrangements can be executed to advance the effect of these hindrances.

Concerning specific contextual analysis, two significant correspondence standards, correspondence channel determination and commotion are self-evident. This course presents the standards of correspondence, the act of general correspondence, and different speculations to all the more likely comprehend the correspondence exchanges experienced in regular daily existence. The standards and practices that you learn in this course give the premise to additionally learning and correspondence.

This course starts with an outline of the correspondence cycle, the method of reasoning and hypothesis. In resulting modules of the course, we will look at explicit use of relational connections in close to home and expert life. These incorporate relational correspondence, bunch correspondence and dynamic, authoritative correspondence in the work environment or relational correspondence. Rule of Business Communication In request to make correspondence viable, it is important to follow a few rules and standards. Seven of them are fundamental and applicable, and these are clear, finished, brief, obliging, right, thought to be, concrete. These standards are frequently called 7C for business correspondence. The subtleties of these correspondence standards are examined underneath: Politeness Principle: When conveying, we should build up a cordial relationship with every individual who sends data to us.

To be inviting and polite is indistinguishable, and politeness requires an insightful and amicable activity against others. Axioms are notable that gracious “pay of graciousness is the main thing to win everything”. Correspondence staff ought to consistently remember this. The accompanying standards may assist with improving courtesy:Preliminary considering correspondence with family All glad families have the mystery of progress. This achievement originates from a strong establishment of closeness and closeness. Indeed, through private correspondence these cozy family connections become all the more intently. Correspondence is the foundation of different affiliations, building solid partners of obedient devotion, improving family way of life, and assisting with accomplishing satisfaction (Gosche, p. 1). In any case, so as to keep up an amicable relationship, a few families experienced tumultuous encounters. Correspondence in the family is an intricate and alluring marvel. Correspondence between families isn’t restricted to single messages between families or verbal correspondence.

It is a unique cycle that oversees force, closeness and limits, cohesiveness and flexibility of route frameworks, and makes pictures, topics, stories, ceremonies, rules, jobs, making implications, making a feeling of family life An intelligent cycle that makes a model. This model has passed ages. Notwithstanding the view as a family and family automatic framework, one of the greatest exploration establishments in between family correspondence centers around a family correspondence model. Family correspondence model (FCP) hypothesis clarifies why families impart in their own specific manner dependent on one another ‘s psychological direction. Early FCP research established in media research is keen on how families handle broad communications data. Family correspondence was perceived as an exceptional scholastic exploration field by the National Communications Association in 1989. Family correspondence researchers were at first impacted by family research, social brain science, and relational hypothesis, before long built up the hypothesis and began research in a family framework zeroed in on a significant job. Until 2001, the primary issue of the Family Communication Research Journal, Family Communication Magazine, was given. Family correspondence is more than the field of correspondence analysts in the family. Examination on family correspondence is normally done by individuals in brain science, humanism, and family research, to give some examples models. However, as the popular family correspondence researcher Leslie Baxter stated, it is the focal point of this intelligent semantic creation measure making the grant of family correspondence special. In the field of in-home correspondence, correspondence is normally not founded on autonomous messages from one sender to one beneficiary, yet dependent on the dynamic interdependency of data shared among families It is conceptualized. The focal point of this methodology is on the shared trait of semantic development inside family frameworks. As such, producing doesn’t happen in vacuum, however it happens in a wide scope of ages and social exchange.

Standards are rules end up being followed when performing work to agree to a given objective. Hierarchical achievement relies significantly upon compelling correspondence. So as to successfully impart, it is important to follow a few standards and rules. Coming up next are rules to guarantee powerful correspondence: clearness: lucidity of data is a significant guideline of correspondence. For beneficiaries to know the message plainly, the messages ought to be sorted out in a basic language. To guarantee that beneficiaries can without much of a stretch comprehend the importance of the message, the sender needs to impart unmistakably and unhesitatingly so the beneficiary can plainly and unquestionably comprehend the data.>

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