Sustainability issues in providing Healthcare Services at Nicaragua Research Paper

Sustainability issues in providing Healthcare Services at Nicaragua Canal Project - Research Paper Example The HCSS proposed project’s objectives are focused towards developing a new canal project in Nicaragua whose most beneficiaries are employees and their families in conjunction with provision of healthcare services to the indigenous people. In addition, the proposed project has provoked the HCSS and CSR expertise to design a health management program that proactively identifies evacuating and healthcare services related issues with aims of reducing accidents, trauma and congestion of shipping traffics. Therefore, marketing, environmental management, and human resources related issues are identified within the organization illustrating environmental, Capacity Building and Corporate Social Responsibility dilemmas as the central challenges that needs resolution for mitigation measures (Frutos-Bencze, 2014). The analysis presented in this paper is helpful in understanding sustainability and health care services in relation to Nicaraguan canal development. Further analysis in this paper uncovers the entire organization dilemma, issues, and concepts or approaches used to tackle in tackling all the related issues in relation to HCSS developers, locals, and Federal Government agencies. In details, the paper explores and explains the Nicaraguan environmental issues exposing out the significance of the government structure and the corporate social responsibilities and the theories generated to support the arguments (Ogawa & Suzuki, 2015). Based on international context for sustainability, capacity building, and Corporate Social Responsibility the paper critically evaluates the impacts of environmental implications in relation to the Nicaraguan environmental issues as well as business growth (Grove & Berg, 2014). As Nicaraguan health care program experiences foundational dilemmas from different components of marketing, environmental management to human

Biomedical Ethics Essay Example | Topics and Well Written Essays - 1250 words

Biomedical Ethics - Essay Example According to Starson, taking the medication would disrupt him from pursuing his research; being a gifted theoretical physicist, he believed that this research was the only reason he felt his life carried a meaning. In this sense, being unable to carry on with it would simply render his life â€Å"useless† and â€Å"meaningless.† However, the physician felt that Starson's refusal was informed by his inability to appreciate the value of treatment. Consequently, the physicians petitioned to have Starson's treatment decision transferred to a surrogate. Though the petition was granted, Starson would later appeal, and the petition was reversed at the Supreme Court of Canada. The Supreme Court held that a patient, in this case Starson, was not required to make a decision that is in their â€Å"best interest† as determined by the physician, and thence they are permitted to disagree with a treatment recommendation. The Court also reasoned that Starson was a competent pati ent capable of making his own medical decisions. This case has both legal and ethical implications; firstly, this study delves into examining the ethicalness in a physician imposing treatment, and secondly, the study also looks at physicians’ position in determining a patient’s â€Å"best interest†: whether they are entitled to make this decision on behalf of the patient and how far can they go with this. The study will also look at the concept of informed consent and the idea of competence. Argument 1 The above case represents a conflict of these two rather ethical considerations. On the one hand, the physician feels compelled to do what he believes is in the best interest of the patient. On the other hand, the patient feels that it is his right to refuse medication based on his own grounds. Under these circumstances, how far is the physician expected to go with his persistence? Most legal cases, not only in Starson’s case, often uphold the position of t he patient. This is referred to as patient autonomy. The principle of patient autonomy states that competent patients have the opportunity to choose among medically indicated treatment and to refuse any unwanted treatment. Under these circumstances, the physician must respect the patient’s decision. It is necessary to understand that treatment decisions are not only based on objective medical considerations but also involve a considerable level of personal value judgments and preferences (Meier, Isaacs, and Hughes 95). Therefore, to some extent, the physician may compel a patient to take a certain medication not only because it is the right and objective medical step but also because he feels, based on his values and preferences, it is the right thing. For the latter, he is imposing his personal feelings, not professional mandate, to the patient. In these cases, a physician may be ethically driven to compel a patient to take medication because he feels it is the right thing t o do. However, it is essential to note that a physician demonstrates respect for human dignity, a biomedical ethical consideration, when he acknowledges the freedom and right of the patient to make choices based on their own beliefs and values (Kluge 7). Perhaps another consideration arising from Starson’s case is the idea of sound medical treatment. Starson, for some reason, felt that the medication offered was disruptive and would interfere with his ability to complete his physics research. Indeed, physicians are ethically forbidden to