Summaries — Ilovebees

End-of-Life Care

It seems counterintuitive that hospitals offer end-of-life care when all physical and monetary factors are taken into account except the patient’s end-of-life wishes. When a patient is in a state, whether comatose or not conscious enough to make a decision about their own life, it is up to the family to decide whether they want to wait and hold on to the slim chance that their loved one will wake up and recover or disconnect them from whatever is keeping them alive.

Deciding when it is time for a loved one to leave is a difficult task in itself, but add the pressure of hospitals that insist on either signing a contract stating that they will continue paying for this end-of-life care or adding their loved one to the list of possible organ donors leads this individual’s family to think about everything except their family member’s last wishes. On many occasions, family members make the decision to seek other medical perspectives since there is always doubt about how true the diagnosis is and they cling to the idea that it does not matter how many devices should be placed inside their loved one or in which conditions they will have to live after being awakened as long as they are alive and conscious. However, it is important to keep in mind what the patient’s wishes are as such and make a decision in which the patient still has a vote even without being able to communicate it.

Organ Donor Vultures?

It seems counterintuitive that physical health professionals especially doctors misdiagnose patients with the proposal of harvesting organs for other patients who need them. For a brain-dead patient, it is impossible to communicate their intentions and desires about their body, so it is up to their family to decide if their loved one can become a donor. A potential organ donor should be treated with respect regardless of their physical conditions. Doctors have the responsibility to provide the necessary service as they would with any other patient, including patients who are waiting for a donor, instead of harassing their relatives and hastening the death process to collect organs in good condition. Accelerating this process or not doing sufficient examinations to determine if the patient can be disconnected is morally unethical since the possibility of a person being able to live is being taken away.

Free Heroin to Battle Addiction 

It seems counterintuitive that in Vancouver there are nurses supplying heroin 2 or 3 times a day to addicts to prevent them from ending up dead on the streets of this city. Stopping an addiction, especially a drug as strong as heroin, can be a non-linear process that can lead an individual to relapse multiple times and even die from an overdose. Administering a proportional amount of heroin under the supervision of nurses or doctors reduces the chances of more addicts dying. They may also find comfort in health professionals who can fuel the desire to give up this addiction completely.

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4 Responses to Summaries — Ilovebees

  1. davidbdale's avatar davidbdale says:

    Nicely worded. For the most part, you make your own biases very clear, which is a strength in Purposeful Summary. You’re at your best when we know what you want us to conclude. We may not always agree, but your work will benefit every time you leave no doubt.

    Regrades are always available following significant revisions.

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  2. davidbdale's avatar davidbdale says:

    Your grade is already quite strong, ILoveBees, so the feedback I offer might seem a little picky, but the differences between very fine work and exceptional work depend on small things.

    End-of-Life Care

    It seems counterintuitive that hospitals offer end-of-life care when all physical and monetary factors are taken into account except the patient’s end-of-life wishes.

    —As an example of “picky but essential” revision, your phrasing here is quite confusing for the reader. It places the emphasis on offering “end-of-life care” as if that were counterintuitive. The rest of your comparison takes too long to unload.
    —It seems counterintuitive that WHEN hospitals offer end-of-life care THEY TAKE all physical and monetary factors into account EXCEPT the patient’s end-of-life wishes.
    —In that bold version, the fact that they offer end-of-life care is not counterintuitive. The fact that they NEGLECT to consider the patient’s wishes is counterintuitive.

    When a patient is in a state, whether comatose or not conscious enough to make a decision about their own life, it is up to the family to decide whether they want to wait and hold on to the slim chance that their loved one will wake up and recover or disconnect them from whatever is keeping them alive.

    —Now you’re forgiving the hospital for NOT attempting the impossible. How can the hospital know the patient’s wishes when the patient can’t answer for herself?
    —We no longer know where you position yourself in this argument. You can blame the patient, her family, or the doctors . . . or just regret the situation without laying blame . . . but we don’t know which one you favor.
    —If the Summary is to be Purposeful, you need to have a Purpose to pursue.

    Deciding when it is time for a loved one to leave is a difficult task in itself, but add the pressure of hospitals that insist on either signing a contract stating that they will continue paying for this end-of-life care or adding their loved one to the list of possible organ donors leads this individual’s family to think about everything except their family member’s last wishes.

    —THERE’S an angle I didn’t see coming.
    —You’d like to target the organ donor “industry” for unduly pressuring loved ones into “hastening” the demise of their beloved.
    —Is there any way to signal THAT focus at the top of your Summary, in the first sentence that points out what’s counterintuitive?
    —It’s surely counterintuitive that an end-of-life patient might be the last person who gets to cast a vote about when she dies. You seem to be leaning that way already.
    —It’s also counterintuitive that loved ones might be encouraged to “hasten” the death of their beloved to prolong the life of someone else.
    —It’s NOT counterintuitive, but it does warrant your interest, that anyone seeking organs would benefit from someone else’s death.

    On many occasions, family members make the decision to seek other medical perspectives since there is always doubt about how true the diagnosis is and they cling to the idea that it does not matter how many devices should be placed inside their loved one or in which conditions they will have to live after being awakened as long as they are alive and conscious.

    —This is very thoughtful, and it’s good evidence for why you got a strong grade in the first place.
    —If it’s counterintuitive, the paradox is that people trust their loved one’s life and health to the doctors UNTIL the doctors seem to have mixed motives, and then they DISTRUST them and advocate to IGNORE the advice they’re given.

    However, it is important to keep in mind what the patient’s wishes are as such and make a decision in which the patient still has a vote even without being able to communicate it.

    —Perhaps the biggest paradox is why we try so hard to adhere to the wishes of a person who didn’t make her wishes clear when she could have.
    —If everyone went on the record while alive, we’d be in a better position to judge.

    I hope that is helpful feedback without being actual instructions of the “What should I change and how should I change it?” variety.

    It’s a measure of my trust in your ability that I’m going to let you decide what to change and how.

    And how many of the three you think are worth changing.

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