Saturday, December 28, 2019
Physician Assisted Suicide And Euthanasia - 1707 Words
Physician-assisted suicide or PAS are deaths caused by a lethal dose of drug, such as barbiturate, that is prescribed by a physician. The physician does not administer the drug; instead, the patient is responsible for getting the prescribed drug in the pharmacy and taking the medication to end his or her life. This alternative option applies to patients who can make informed decision, suffer from an incurable illness, and experience intolerable symptoms (Canadian Virtual Hospice, 2015)).[Extra bracket] Through the years, many activists, particularly those with terminal illness, fought to legalize physician-assisted suicide in Canada. Among these people include: Sue Rodriguez, Gloria Taylor, and Gillian Bennett (CBC News, 2015). [I donââ¬â¢t think this helps your paper to list peoples names, not necessary] Sue Rodriguez, diagnosed with Amyotorphic Lateral Sclerosis or Lou Gehrigââ¬â¢s disease, brought the right to die campaign center stage in 1992. Now, twenty-one years after he r death, the Supreme Court of Canada made physician-assisted suicide legal by February 6, 2016 (Dying With Dignity Canada, n.d.). Despite the move toward legalization, however, the debate on this issue rages on among many Canadians. Some people are in favor of the change to protect the patientââ¬â¢s constitutional rights and autonomy, save healthcare dollars, and take away the guilt of a dying patient becoming a burden to their family, friends and healthcare professionals. Although these are reasonable arguments,Show MoreRelatedEuthanasia And Physician Assisted Suicide865 Words à |à 4 Pagessubject for people; add in the idea of assisted suicides and thereââ¬â¢s an uproar in society. Euthanasia or physician assisted suicide is a very controversial topic in our society today. Physician assisted suicide by definition is ââ¬Å"suicide by a patient facilitated by means (as a drug prescription) or information (as an indication of a lethal dosage) provided by a physician aware of the patientââ¬â¢s intent (Merriam-Webster). There are two modes of looking at assisted suicides; either itââ¬â¢s seen as an absurd immoralRead MoreEuthanasia And Physician Assisted Suicide918 Words à |à 4 Pagesallows terminally ill patients to end their lives with the assistance of a physician. According to the legislature, patients who seek assisted-death must only have six months to live and are required to submit a written request as well as two oral requests at least 15 days apart. (Reilly). While Gov. Jerry Brown still has yet to approve this new law, the act has shed light on the topic of euthanasia/physician-assisted suicide. With the pending status of the law, the question remains on whether or notRead MoreEuthanasia Or Physician Assisted Suicide961 Words à |à 4 PagesEuthanasia or physician assisted suicide, is the painless killing of a patient, suffering from a painful or incurable disease, like cancer, or alzheimer s, the practice is illegal in most countr ies, including the United States, although in the United States, it is a state decision, the only state in the United States that it is legal in is Oregon. Oregon passed the Death with Dignity Act in 1994, making euthanasia legal for chronically ill patients, the only caveat is that the doctor is allowedRead MoreEuthanasia, And Physician Assisted Suicide863 Words à |à 4 Pagesare: euthanasia, and physician assisted suicide. Internationally, assisted suicide is a doctor prescribing drugs that end life. The patient is responsible for taking them. Euthanasia is the medication administered by doctors. Today, four countries have laws that allow euthanasia. (Ellis and Bronwyn) A few have laws for physician assisted suicide, and several countries have no laws against suicide. (Humphry) The United States of America have recently added a 5th state to offer assisted suicideRead MorePhysician Assisted Suicide And Euthanasia Essay1039 Words à |à 5 PagesPhysician Assisted Suicide Is physician assisted suicide ethical? Physician assisted suicide is an up and coming ethical question that examines a personââ¬â¢s right to their own death. Many people support physician assisted suicide, citing that it can save a lot of pain and suffering. Others claim that the concept of physician assisted suicide is a slippery slope. A slippery slope in the sense that if society accepts euthanasia as a rightful death for the terminally ill, they will potentially acceptRead MoreEuthanasia And Physician Assisted Suicide1629 Words à |à 7 Pagesproblems, assisted suicide creates options to reduce the amount of suffering the patient must enduring. Dying with dignity could be beneficial for not only the person who is dying, but also the personââ¬â¢s family and loved ones. This option, however, is often viewed as unethical and immoral throughout society. Physician-assisted suicide offers an option for those with health issues but poses various ethical and social issues. Assisted death is practiced in two different ways: euthanasia and physician-assistedRead MorePhysician Assisted Suicide And Euthanasia Essay1806 Words à |à 8 PagesPuett WRIT 1401 12/06/16 Physician Assisted Suicide Beginning in the 1970s, terminally ill patients were given the right to refuse life-sustaining treatment to end their own life, a process commonly referred to as euthanasia. They would be taken off life support, and death would be allowed to take its natural course. This idea was controversial at first, but now a bigger issue has taken its place. Many patients claim that they reserve the right to physician assisted suicideââ¬âkilling oneself with meansRead MoreEuthanasia And Physician Assisted Suicide997 Words à |à 4 PagesEuthanasia and Physician Assisted Suicide: The Right to Die with Dignity (The Legalization, At Risk Groups, and Rebuttal) The possible legalization of voluntary euthanasia and physician assisted suicide brings concerns in regards to how well it will be accepted. There are contradictions that exists between government and church when it comes to the morals and values placed on human life. Although, society has concerns in regards to at risk community groups and the type of treatment availableRead MoreEuthanasia And Physician Assisted Suicide1504 Words à |à 7 Pageslegalizing euthanasia and physician-assisted suicide, we would provide ââ¬Å"vulnerableâ⬠patients with better overall protection and health care, give patients (who are excruciatingly suffering and have no chance of recovery) the option to end their lives before they ever needed to go through such an ordeal and giving them peace of mind, and spare the families of the patients the emotional pain of watching their loved one slowly and painfully passing away. For these reasons, I believe that euthanasia and Physician-AssistedRead More Euthanasia And Physician Assisted Suicide1249 Words à |à 5 Pagesview euthanasia and physician-assisted suicide not as murder or suicide, but rather a release from the pain that holds down and a quicker, less painful way to get to the end that will happen anyways. Euthanasia is becoming much more of a hot topic in the news, both here at home in the US, as well as on the global stage with the new Prime Minister of Canada pushing for a law that would allow nationwide physician assisted death. As of now only a few states have legalized physician-assisted suicide
Friday, December 20, 2019
Taking a Look at Dementia - 1237 Words
People with Dementia suffer with the mental inability to function daily in their life. It is not a specific disease but is a term that includes a range of symptoms that includes the loss of memory and cognitive skills that are severe enough to impair a personââ¬â¢s ability to function in everyday life. Alzheimerââ¬â¢s disease is one type of dementia. (What is Dementia) Alzheimerââ¬â¢s Disease (AD) is the most common type of dementia. Symptoms of AD include loss of memory, inability to tell what time of day it is, not remembering where they are, forgetting where they place items, poor judgment, and mood swings. These symptoms can be so severe that they are unable to function in daily activities and they become dependent on others to take care of them. Symptoms of AD generally start at age 60. (Alzheimers Disease Fact Sheet) Linda has met and discussed her concern for her mother, Catherine. She has disclosed her concern for her mother living unassisted in the family home. Catherine has agreed to counseling is presented as a ââ¬Å"well-maintained, self-sufficient, proud individual.â⬠She does not want to be a burden to her family and enjoys living alone. After several sessions, Catherine seems to look forward to her weekly sessions and a trusting relationship has been developed. As weeks go by she shares her periodic lapse in memory and her forgetting to do things. She shares that she often forgets to turn off appliances as well as forgetting to turn off cooking facilities. SheShow MoreRelatedTaking a Look at Dementia1005 Words à |à 4 PagesDementia is a broad term that encompasses a variety of different diseases and syndromes(The dementia timebomb, 2013). About 38 million in the united states and 820,000 in the United Kingdom are diagnosed with one of the over 100 types of dementia. It is also and aged related condition, so most people inflicted with it are older rather than younger. A person can have multiple forms of dementia or a disease such as alzheimers diseases that involves dementia symptoms. Symptoms of dementia include:Read MoreTaking a Look at Dementia559 Words à |à 2 Pagesthe 19th century, dementia was a much broader clinical concept. It included mental illness and any type of psychosocial incapacity, including conditions that could be reversed.[74] Dementia at this time simply referred to anyone who had lost the ability to reason, and was applied equally to psychosis of mental illness, organic diseases like syphilis that destroy the brain, and to the dementia associated with old age, which was attributed to hardening of the arteries. Dementia has been referredRead MoreThe Chronic Neurological Disease : Alzheimer s Disease1649 Words à |à 7 Pagessome blood work and a few brain imaging sessions to rule out other causes of dementia. Alzheimerââ¬â¢s disease is a disease that so far has no cure, but there are many treatments and remedies to help with this type of dementia. The progression of Alzheimerââ¬â¢s disease continues to become more severe, and additional cells die causing the symptoms to weaken. Alzheimerââ¬â¢s disease is one of the many types of dementia, as well as the most common. The disease affects about 5.5 million people in theRead MoreAssignment 371 Dementia Essay examples924 Words à |à 4 Pagesforms of dementia can affect the way an individual communicates. All forms of dementia can affect the way a person communicates, so in time they may have to find different ways of expressing themselves and their feelings. As a carer your non-verbal communication will become important, your body language, facial expressions, gestures, eye contact and tone of voice will have to be taken into account when you are communicating with a sufferer. In the early stages of some forms of dementia people mayRead MoreHealth Promotion Essay1688 Words à |à 7 Pagesï » ¿DEMENTIA The purpose of this essay is to look at dementia in details and get a clear understanding of the level at which this condition affects the society and how it raises public health concern. According to the NHS Choices (2010), Dementia is said to be a condition that carries a group of related symptoms, associated with an ongoing decline in the performance of the brain and its abilities. This condition affects the individualââ¬â¢s memory, thinking, language, and understanding together with judgmentRead MoreRights And Choices Of An Individual With Dementia917 Words à |à 4 PagesKey legislation that relates to the fulfilment of rights and choices and also minimises the risk of harm to an individual with dementia is: * Human Rights Act 1998 * Mental Capacity Act 2005 * Adults with Incapacity (Scotland) Act 2000 * Deprivation of Liberty safeguards (DOLS) * Mental Health Act 2007 * The Disability Discrimination Act 1995 * Safeguarding Vulnerable Groups Act 2006 * Carers (Equal opportunities) Act 2004 This legislation is there to protect individuals fromRead MoreA Look At Non Alzheimer s Disease1684 Words à |à 7 PagesA Look At Non-Alzheimerââ¬â¢s Disease Dementias By Katie Bergstrom, PA-S ABSTRACT: The most common tendency in assessing patients who display signs of dementia is to evaluate them for Alzheimerââ¬â¢s Disease. This means that Vascular Dementia, Dementia with Lewy Bodies, and Parkinsonââ¬â¢s Disease Dementia are conversely overlooked as possible diagnoses. Special attention to clinical presentation and the use of diagnostic tests (such as the MRI) and assessment scales (like the Mini Mental State Exam) aid inRead MoreDementia: Cerebrum and High Blood Pressure953 Words à |à 4 PagesDEMENTIA AWARNESS 1.Understand what dementia is 1.1 Explain what is meant by the term dementia A syndrome due to disease of the brain, usually of a chronic progressive nature in which there are multiple disturbances of higher cognitive function. These include impairment of memory, thinking and orientation, learning ability, language and judgement. 1.2 Describe the key functions of the brain that are affected by dementia The key functions of the brain that are affected by dementia are the temporalRead MoreNutritional Requirements of Individuals with Dementia Essay1169 Words à |à 5 PagesUnderstand and meet the nutritional requirements of individuals with dementia. Outcome 1 1) describe how cognitive, functional and emotional changes with dementia can affect eating, drinking and nutrition. Cognitive behaviour is dysfunctional emotions and behaviours caused by damage in brain affecting part of the brain responsible for memory and all that we learn from birth- how to talk, eat etc. This means that person with dementia can forget how important it is to eat and drink. They also mayRead MoreThe Ethics Of Non Voluntary Active Euthanasia1050 Words à |à 5 Pagesand active, such as on a patient with dementia, the ethical decision comes into play if there are episodes of clarity and the patient has or has not mentioned what they want to do at the end of life situations. Principles of deontology suggest duty and obligation. A medical professional in such situations have an obligation to fulfill the patient s wishes. The nature of their obligation does not sway based on what they personally think. Patients with dementia have some moments of clarity, but because
Thursday, December 12, 2019
Petroleum Retail Market Retail Industries
Question: Critically discuss the implications of recent trends and changes within the supply chain of the UK petroleum retail market. Answer: Introduction A brief research showed that the UK market for petroleum as well as liquid fuel experienced an effective change regarding the supply and demand of oil and gas. The oil industry in UK contains the general procedure of refining, exploration, transportation, extraction and marketing the products of petroleum. Gasoline or petrol and fuel oil are the biggest volume products of the oil industry. Petroleum oil is a raw material which contains numerous chemical products. The chemical products include solvents, pharmaceuticals, fertilizers, plastic and pesticides. The UK industry is divided into three fundamental components such as downstream, midstream and upstream. The operation of midstream is commonly included in the category of downstream. The demand for petroleum and its products has been increasing in such countries which are developed. The countries are China, India as well as Middle East countries. Countries such as the United Kingdom have shown a high potential for the development g as and oil industries. These developments have led to the improvement in gas and oil sectors based on its efficiency. It has also impacted the rise of prices. As a result, the United Kingdom and US reassessed strong inclinations in the UK market of liquid and fuels. The government of United Kingdom provides a massive public support to the companies of petroleum with significant breaks in taxes at every virtual stage of oil extraction and exploration. The cost of drilling equipment and oilfield leases are also included. In the United Kingdom, the National Petroleum Council evaluates the demand for gas and oil supply. Analysis of the factors affecting the current gas and oil industry in UK The primary factors that impact the current structure and size of the new gas and oil retail sectors are the demand and supply of worlds energy, unconventional resources, the requirement of technology, and the constraints that meet the need of energy and access to resources (Hilyard, 2012). The description of each of these factors are listed below: The demand and supply of worlds energy The energy of the world are the primary resources for these industries. The resources are oil and natural gas. According to the National Petroleum Council, the international demand in UK for oil in the year 2000 was seventy-six million barrels per day (Inkpen and Moffett, 2011). The production of oil is currently eight six million barrels per day which are equivalent to 31.4 billion barrels per year. Since petroleum contains hydrocarbons, so NPC or National Petroleum Council predicted that the hydrocarbon fuels can still make up eighty percent of the sources of energy by 2030. Based on the natural gas, the situation is more optimistic than oil industries. Internationally, the production of natural gas in 2000 was two hundred and forty-three billion cubic feet per day. NPC projected that the demand for natural gas would increase to 356-581 billion cubic feet per day by 2030 (Energy policies of IEA countries, 2012). Most of the natural gas are used to generate electricity and heat in E urope, Russia and North America and hence satisfying the customers (Economic review, 2009). Unconventional resources Unconventional resources are reservoirs producing gas and oil at very low flow rates due to geologic complexity, high fluid viscosity and low permeability (Markowski, 2012). It includes resources triangle which is a concept used by Masters to find a large gas field. Figure 1 Figure 1 represents a resource triangle. When someone goes deeper, the reservoirs are low grade. It means that the permeability of reservoir is decreasing (Linn, 2014). However, low permeability reservoirs are much larger than high-quality reservoirs. High-quality reservoirs need to be improved technology, and therefore, prices get increased. Requirement of technology Technologies are required for the improvement of unconventional gas and oil and the reservoirs. The techniques include reservoir engineering, drilling, well stimulation, completion methods and formation evaluation. The technology must deal with the getting more gas and oil out of the reservoir and thereby reduce the cost of drilling. Better technologies based on the electronics and materials can withstand high temperature and high pressure. As a result, drilling methods can be improved thereby increasing the gas and oil supply(Van, 2010). Technology for unconventional gas includes hydraulic fracture fluids which are among the most important technology of all. It requires challenging operators in unconventional gas tanks. Formulation of polymer gel are utilized for creating the crack as well as carry the propping agents. The constraints that meet the demand of energy The limitations are environmental, technological, manpower and capital constraints. Based on environmental constraints, NPC stated that the use of hydrocarbon fuels need development in technology as well as the regulatory and legal framework. The issues based on the emission of carbon dioxide must be resolved. It is very crucial to develop the technology, so the National Petroleum Council suggest UK governments and UK industry to put money on technical development(Hilyard, 2012). The NPC also recommends the UK government should recruit young engineers who are willing to work in these fields. The changes should be made to tax laws for allowing the retired people. Based on technological constraints, research says that the governments and the industry in oil-producing countries should put more money into the development as well as research. Access to resources In many areas such as North America, the gas and oil deposit are restricted due to environmental concerns. The National Petroleum Council recommends the UK governments to conduct regional and national resources and market assessments for identifying opportunities. As a result, the supply of gas, coal and oil will increase in United Kingdom. The continuation method to create technologies by the industry must be progressed for the development of friendly environment of high potential areas. It is developed both offshore and onshore. It is recommended that public must learn about energy, its application and its benefits. The impact of the increase in price of oil in UK The increase in the price of oil impact globally. The increase in the price of petroleum oil will lead to the decrease of discretionary spending of lifestyle in UK(Powers, 2013). The increase in the price of the gas will lead shoppers to drive less. Researchers concluded that the volume of gas and oil production was directly tied to the price of it. As stated by Marin Software, the searches based on online shopping increased dramatically along with the growth in gas price. However, the automobile industries in UK have reported increasing the price of gas and the necessities for the reduction of dependence on oil by manufacturing more fuel-efficient and smaller cars. The customers have supported this revolution in automobile industries in UK. Also, small vehicles presently account for around a quarter of all United Kingdom auto sales(Herkenhoff, 2013). The increase in the price of gas leads to the increase in public transportation ridership. For example, a public train like the Rider on Rail Runner of New Mexico provides facility between Albuquerque and Santa Fe grew by fourteen percent for the same month. Evaluation of the potential of technical change in next decade The increase in prices from gas and oil and the development of technology cannot stay constant. It means that the technology needs to change so as to reduce the cost of oil production. It may lead to the reduction of the cost of gas and oil. Thus, it will remove the problems faced by normal people during the purchase of oil(Delloitte, 2012). The technical change needs some evaluation and calculations to determine that whether the modification can result in some benefits or not. First of all, the cost needs to be evaluated. After that, evaluation of low-carbon and energy supply technologies needs to be done. In numerous respects, 2020 could prove to be a crisis in the evolution of energy system (Sheng and Chen, 2014). By 2050, the overall population of the world will rise by more than two billion people. The OECD countries will be a progressively minor energy players in the world in production, demand and trade, but nevertheless remain significant as a supplier of technology (Smead, 2 015). Consumption of primary-energy fuel for electricity and heat production in 2030 (EJ/YR) Increase in demand of new power from 2002 to 2030 (TWh) The demand of final electricity in 2030 (TWh/YR) Consumption of primary-energy fuel for electricity in 2030 (EJ/YR) Total emission from electricity in 2030 (GtCO2-Eq/YR) OECD 118.6 4,488 14,244 115.4 5.98 EIT 29.3 983 2,468 22.1 1.17 Non-OECD 128.5 10,111 14,944 125.3 8.62 World 276.4 15,582 31,656 262.8 15.77 The above table represents a baseline data from the World Energy Outlook 2004. This chart describes the mitigation potentials and the cost for the primary supply of energy based on technology (Kondratov, 2015). The generation of final electricity was based on the electrical proficiencies calculated from the data of 2002. It includes a correction for the share of final heat in the total consumption of final energy. These technologies are quantified and compared with the assumptions of 2030. This analysis determines the mitigation potentials at a high end of the range of every technology by 2030 (Smead, 2015). It expects every innovation or technology will be executed as much as financially and, in fact, possible and yet it is restricted by the down to earth requirements of stock turnover, preparing of authority skill, the rate of expansion of producing limit and so on. The presumptions utilized are contrasted, and different examinations reported in the writing. Each and every innovati on will be obliged by what will be going on somewhere else in the energy supply area. They could never achieve this total greatest potential all in all. Therefore, these definite possibilities can't be explicitly included to get an anticipated genuine potential (Duncan, 2015). Innovative technologies in UK are set to develop and innovative technologies. It will be built for sustaining production and facilitate trade mainly in gas and oil industries. Public energy industries are likely to be transferred to many countries. As a result, there will be more completion in the international energy market. The changeover of the worlds energy segment based on gas and oil industry could well increase in speed over the period 2020 to 2050 (Andrews and Playfoot, 2014). The type of energy structure will develop and it will be shaped by a multitude of constraints and opportunities. For example, numerous end-use devices like industrial processes, cars, heating systems, infrastructure and parts of the building stock will get started to be replaced by innovative technologies. By 2050, all vitality innovations or technologies like gadgets will have been supplanted at any rate once (FOCUS: Libya starts to rebuild its oil and gas industries, 2011). It will offer an abundance of possible outcomes for setting the advancement of both the UK society and economy on an a great deal more energy efficient way. Be that as it may, advancements like new and old require significant investment to deliver and diffuse, and there is presently worry that uses on vitality research and development are on the decay. Besides, increments in the convergence of nursery gasses in the weather over the more lengthy term will make it vital to put resources into arrangements and advances, and it will permit consistency with stricter ecological targets. What's more, oil generation will presumably have begun to diminish, took after nearly by gas; regardless of the fact that non-traditional oil and gas assets fill the crevice for quite a while, substitute powers will, in the end, should be found. Conclusion The above report is based on the development of oil and gas retail industries in UK. In the first portion, the analysis is done on the factors that affect the new structure and size of the current UK gas and oil retail sectors. The second part described the impact of high price oil in the life of normal people of UK and on the international industries like automobiles. The next portion evaluated the potential of technical change in next decade based on energy retailing industries in UK. Evaluation is done by taking help from the baseline data table. The oil and gas industry employs people in different types of jobs roles both onshore and offshore. Bibliography Delloitte, 2012. Study of the UK petroleum retail market. A Final Report for DECC. s.l.:s.n. Economic review. (2009). [Yellowknife]: Northwest Territories, Industry, Tourism and Investment. Herkenhoff, 2013. Business Expert. s.l.:s.n. Hilyard, 2012. The Oil Gas Industry: A Nontechnical Guide. Oklahoma: PennWell Corporation. Powers, 2013. The World Energy Dilemma. s.l.:Pennwell Publishing. Van, V., 2010. Introduction to the Global Oil Gas Business. Oklahoma: PennWell Corporation. Energy policies of IEA countries. (2012). Paris: OECD/IEA. FOCUS: Libya starts to rebuild its oil and gas industries. (2011). Oil and Energy Trends, 36(10), pp.3-6. Hilyard, J. (2012). The oil gas Industry. Tulsa, Okla.: PennWell. Inkpen, A. and Moffett, M. (2011). The global oil gas industry. Tulsa, Okla.: PennWell. Linn, A. (2014). Development of Unconventional Hydrocarbon Resources in the Appalachian Basin. Washington: National Academies Press. Smead, R. (2015). Low Oil Prices-Impact on Natural Gas and Associated Industries. Natural Gas Electricity, 31(8), pp.29-32. Andrews, P. and Playfoot, J. (2014). Education and Training for the Oil and Gas Industry. Burlington: Elsevier Science. Duncan, R. (2015). The Potential Contribution of Augmented and Virtual Reality to the Oil and Gas Industry. International Journal Of Management and Applied Research, 2(3). Kondratov, A. (2015). The Potential for Innovation in the Russian Oil and Gas Industry. Results From the National Oil and Gas Forum. Metallurgist, 59(5-6), pp.441-445. Markowski, A. (2012). A review of layer of protection analysis techniques for oil and gas industry. IJOGCT, 5(1), p.66. Sheng, J. and Chen, K. (2014). Evaluation of the EOR potential of gas and water injection in shale oil reservoirs. Journal of Unconventional Oil and Gas Resources, 5, pp.1-9.
Wednesday, December 4, 2019
Developing Professional Competence In Health Information Industry
Question: Discuss about the Value Of Reflective Practice And Its Role In Developing Professional Competence In Health Information Industry. Answer: Introduction To develop professional competence, the first step is to develop self-awareness and an understanding of the self. Reflective practice is an important exercise that contextualises this self with healthcare practice, thus enabling the improvement of healthcare services, as well as development of practitioners having comprehensive outlook, simultaneously alarmed with health inconsistencies, and keeping in mind access, justice and diversity to healthcare services. The first step to reflective practice is an exploration of values within self that mobilises health professionals facilitating a dialogue through peers, and helps in discovering the social and chronological milieus of healthcare practice. This also includes the levels of methodological and applied reflection as encompassing practitioners consider ethical, principled and historical frameworks of their training (Gardner, 2009; Hickson, 2011). This approach also appeals to means of significance, and training improvement techniques thus developing involved and appreciated action as a context for the development of health professionals teaching (Ghaye, 2007; Dewing, 2010). The aim of critical reflection exercise is to enable scholars and specialists to inquire critical questions of themselves about their practice, and thus addressing the significant issues, which were first encountered during their practice. Role of Reflective Practice in developing professional competence Reflective practice has an extensive history in nursing education. It developed from the efforts of distinguished educationalist, John Dewey, and thus practice of reflection was originally hypothesized as an energetic, tenacious, and cautious contemplation of any belief or knowledge in the light of the grounds that maintain it, and the further conclusions to which it trends. Thus reflection is a skill as well as the aptitude, to contemplate critically about ones own decisions and actions, and simultaneously to realize the larger contexts within which these decisions were made (Fook, and Gardner, 2007). People learn not only by contemplating but by doing: and also by reflecting about things they were doing and the circumstances in which they were doing it that way. Reflection therefore, is a part of the course of doing some work explicitly and hence, to bring about the foreseen consequences which in turn challenge the hypothesis at the first place. Donald Schn was another academician who drawn-out on this way of contemplating, thus cultivating his impression of reflection-in-action, as the practice through which professionals makes choices in the process of their healthcare work. This idea facilitates a constant interaction between thought and action, thus increasing the capability to be proactive in real time, which represented the truly reflective health practitioner. The approach, in which reflective exercise has derived to be understood and applied in the healthcare, is now far indifferent from its original conception (Rolfe, 2014). Although healthcare professionals are now obliged to reflect as part of their registering and specialized growth, for example over the Nursing Competency Assessment Schedule and the Australian Nursing and Midwifery Board (Levett-Jones et al 2013), this has become a justly powerless application which healthcare practitioners employ once a year, rather than in their commonplace practice. Rolfe cries this turn of events, contending that reflection should led to radical critique based on the principle that knowledge produced by healthcare practitioners reflecting on their own understandings, is of at least equal value to knowledge derived by academics from pragmatic research. The reflective practice had traditionally been developed by health educators who understood the importance of evidence based practice and information based on academic research. During those timings, reflections were focused on clinical events and the objective was to identify researchable questions. This was difficult for a number of reasons. Firstly it positioned burden of learning on one subject that necessitated students to move very quickly and superficially through self-reflection identifying research questions to actually conduct and write academic literature reviews. Secondly, this approach placed a burden on the teaching staff that required teaching both research and reflective skills within the same course. At the universities, with the starting of a separate research subject in the postgraduate programs, the focus shifted towards developing meaningful and lifelong skills of critical reflection. Academicians should embolden reflection as a way of life, not just a one off task. It is only in this way that reflective practice could reach its potential to be a radical technology, capable of producing health care practitioners providing person centred care, and act as agents of social change, simultaneously placing health and wellness in its wider social context (Nelson, 2012). They should buttress their approach with well-known theory and methods of reflection recognising the unique issues of health professionals as adult learners (Dewing 2010). This requires more innovative and creative ways of practicing reflection and exploring options for online portfolios as a means of learning and assessment (Ghaye, 2007; Ross, 2011) Conclusion Thus Critical reflection enables deep analysis of ethical issues in healthcare practice. Reflection often reveals deep discomfort of students, or other peoples practicing within health systems that were based on risk management, rather than on patient centred, compassionate care. Reflection should aim towards providing patient-centered care. The patient-centred nursing framework could provide tools and concepts that students could relate to when faced with ethical dilemmas in their practice and workplaces. Most students can strongly commit to providing compassionate, patient-centred care, and critical reflection is aimed to validate and reinforce ethics in nursing profession. This is a consistent theme in students reflections which can be sought to challenge students right through the first assessment asking students to equally consider the personal, ethical, aesthetic and empirical aspects of their nursing practice. Thus reflective practice plays a vital role in inculcating professi onal competence in healthcare industry.
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