Fork Of A Road Essay Research Paper free essay sample

Fork Of A Road Essay, Research Paper Fork in a Road # 8220 ; When you arrive at a fork in the route, take it. # 8221 ; # 8211 ; Yogi Berra. Everyday we are met with fortunes and with the fortunes come the determinations we make in order to carry through our lives and do them meaningful. However, once we make a determination, after we pass that # 8220 ; fork in the route # 8221 ; , we need to travel on, accepting what we have done, because what has happened has happened and there is nil we can make to alter the yesteryear. Such is a instance in Robert Frost s poem The Road Not Taken, and Alistair MacLeod s short narrative The Lost Salt Gift of Blood. While the character in Frost s verse form has wittingly come to a quandary, in contrast, the storyteller in MacLeod s narrative makes a determination without peeking to the hereafter. Everyone is a traveller, taking the roads to follow on the map of their uninterrupted journey, life. We will write a custom essay sample on Fork Of A Road Essay Research Paper or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Robert Frost puts his character in forepart of a route diverging, and he must do a determination on which to take. The two roads are about indistinguishable, but one is less traveled by. He looks in front, but can t see far, due to where it bent in the underbrush. Alistair MacLeod does it otherwise ; the storyteller has come to a fork in the route, but without vacillation he takes the more traveled by. This is the first contrast between the two literatures. # 8220 ; And both that forenoon every bit lay in leaves no measure had trodden black. # 8221 ; the foliages had covered the land and since the clip they had fallen no 1 had yet to go through by on this route. Possibly Frost does this because each clip a individual comes to the point where they have to do a pick, it is new to them, someplace they have neer been and they tend to experience as though no 1 else had of all time been at that place either. The character took the route less traveled by. The route he chooses makes him th e adult male he is. MacLeod makes his narrator take the other route ; he brings the glass of H2O to John s female parent without thought of what lies in front. To Jenny this had great intending it represents engagement. Like most immature males he takes the easy manner and gets what he wants, or does he. He gets a boy, loses his relationship with Jenny, and carries the guilt of non taking the right route before. The simple difference is that the storyteller in The Road Not Taken looks in front and chooses to take the route less traveled by, while the character in The Lost Salt Gift of Blood doesn T expression in front and takes the route more traveled by. By taking the route less traveled by, he chooses the route that has made all the difference, non needfully the right pick, but a pick he made wittingly. Before he leaves he thinks Oh, I kept the first for another twenty-four hours! , he realizes the picks and thinks of coming back and taking the other route. I doubted if I should of all time come back this is his turning point, he realizes that he likely will neer come back, but he thinks of this before doing his pick. This is wholly opposite to the actions of the storyteller. The storyteller doesn t expression in front of the pick he makes, which he likely doesn t think or ground much about. He takes the opposite route, but he does come back. He comes back to see Jenny, but learns that she had died along the side of her hubby, few old ages ago. He besides learns that he has a boy John, who is populating with his grandparents. He feels guilty and thinks of taking him place, but John s place is in Newfoundland with his grandparents. He comes back to the fork ; this clip he thinks, and looks in front before doing the pick less traveled by. He puts John s felicity in forepart of his and makes the right determination. The concluding comparing is that the persona thinks in front, and takes the route less traveled by. He is non certain if it is the right pick ; it has made all the difference. He besides doubts if he will of all time return. The storyteller doesn T think and takes the route more traveled by, which turns out to be the incorrect pick. He does come back, merely this clip he takes the other route, the right pick. In decision, the route that will be chosen leads to the unknown, as does any pick in life.

Ethical Issues at the Radiology Department

Ethical Issues at the Radiology Department Introduction Being a radiographer means being very cautious and careful with instructions. It is especially important to follow the existing code of ethics once a patient and a radiographer do not speak the same language.Advertising We will write a custom case study sample on Ethical Issues at the Radiology Department specifically for you for only $16.05 $11/page Learn More Since the radiographer was not concerned with the fact that the patient could not speak English properly, the former broke the principles of radiography ethics by conducting a procedure that could harm the patient in the case study provided. History The case of ethics in radiography, which is discussed below, is quite simple. According to the case details, an elderly (56-year-old) Asian woman, who had a feeding (nasogastric) tube implanted, was admitted into a hospital. In the hospital, she underwent a computer tomography on her brain. Due to the specifics of her condition (a feeding tube ), she had to have her chest and abdomen checked with X-rays every day for more than fifteen days, which is considered inacceptable due to exposure to great doses of radiation and the following negative effects on the functioning of the organs. Since the radiographer was aware of the threat that the procedure poses to people, it was imperative that the procedure should have been carried out less frequently or that the patient should have given a written consent for the radiography to be carried out. It seems that the procedure was not obligatory in the given case, since the patient supposedly felt well and did not need an urgent examination, yet the standard daily examination of the tube was still desirable (Duncan Warwick, 2011, para. 9). In order to avoid the threat of disclosing the patient’s personal data, including her name, it will be required that the patient should be nicknamed in order to address her without revealing her identity. The patient will be referred to as Xiu in the process of the case analysis and discussion.Advertising Looking for case study on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Patient Consent The patient’s consent is, in fact, one of the key issues in the study. First and most obvious, the case study in question never mentions that the informed consent was obtained in the first place. Indeed, according to the details of the study, the patient has not been provided with the explanations concerning the procedure. More to the point, since the patient was unable to give an informed consent in English, it is impossible to figure out if the patient actually understood what she was told; neither is it possible to define whether the radiographers actually received the confirmation for the procedure to take place. The case description is admittedly obscure when it touches upon the discussion of the specifics of the procedure between the radiograph ers and the patient’ it can be suspected that there was no informed consent retrieved at all. Ethical Dilemma The ethical dilemma faced by the radiographer in the given case is, in fact, very complicated. On the one hand, it is imperative that the informed consent of the patient should be obtained before the procedure is started. Performing radiography on a patient, who does not speak English and, therefore, is most likely to be unaware of the possible negative consequences of the radiography, seems unethical. Hence, it was obviously required that a translator should have been invited as the radiographer’s assistant. On the other hand, radiography is one of the procedures that must be carried out regularly; therefore, it was imperative that the patient should undergo the procedure as prescribed by the doctor. Hence, the radiographer faced a difficult choice between making sure that the feeding tube, which the patient’s life depended on, was in order, and prevent ing the patient from receiving an additional dose of radiation. The issue of informed consent, therefore, though doubtlessly relating directly to the case, is not the key ethical issue in it. It is the factor determining the impossibility of retrieving informed consent from the patient that matters in defining the ethical paradox in the given case.Advertising We will write a custom case study sample on Ethical Issues at the Radiology Department specifically for you for only $16.05 $11/page Learn More To be more exact, the ethical concern in the case with Xiu can be defined as performing an urgent procedure on a patient, when it is clear that they do not understand what is happening due to the language barrier. It is obvious that in the environment specified above, the patient is practically unable to give their informed consent (Seiden, Galvan Lamm, 2006); therefore, the two ethical concerns (i.e., Xiu’s unawareness of the procedure consequences and the absence of her informed consent) should be included in the case. After all, the Code of conduct and ethics published by the Society of Radiographers specifies that a radiographer must satisfy themselves â€Å"that the appropriate informed consent has been gained prior to undertaking any examination or procedure and follow the SCoR guidelines in Consent to imaging and radiotherapy treatment examinations: an ethical perspective and good practice guide for the radiography workforce† (The Society of Radiographers, 2008, p. 6). Hence, both the principles of consent and communication (The Society of Radiographers, 2008, p. 5) were challenged in this case. Handling of Ethical Dilemma Though quite questionable, the decision made by radiographers seems quite adequate. Indeed, the negative effects of an excessive radiography session are considerably less threatening than the possible problems with the nasogastric tube and the following impossibility for Xiu to obtain food (Lamont, 2011). Despite the adequacy of the choice made by the radiographers, one still must address the issue of informed consent and the handling of the essential information related to the patient. Technically, the breach of the healthcare ethics is still evident, seeing that little to no investigation concerning the procedures that the patient had undergone by that time was conducted. According to the existing Code of practice for radiographers (2007), making sure that the radiography session complies with the prescriptions provided by the doctor is obligatory:Advertising Looking for case study on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Radiographers should not carry out a procedure that may be considered dangerous without first confirming instructions for the procedure with the person authorized who has made the request, and satisfying themselves that the instructions contain no error† (Australia Institute of Radiography, 2007, p. 3) Learning Outcomes The case study under consideration offers a lot to learn. It shows how flexible and resourceful a radiographer must be in order to facilitate the provision of the medical services of the finest quality and the protection of the patients from the possible threats to their health. More to the point, the study gives the information concerning the possible issues that a radiographer may face with a non English speaking patient. Consequently, the study encourages a radiographer to act more cautiously and make sure that the actions to be carried out comply with the existing instructions, as well as with the healthcare ethical principles. Finally, and most importantly , the case study makes a very valid point concerning the issue of informed consent. It is a very clever way of reminding a radiographer about the workplace ethics. What may seem a legitimate step in addressing the patient’s disorder and maintaining the patient’s safety may finally turn out to be a faulty move that will lead to drastic consequences. In a wider sense, the aforementioned piece of advice can be interpreted as a suggestion to be extremely cautious when it comes to retrieving any kind of information from non English speaking patients. It is obvious that, had the patient provided the radiographer with the related information, i.e., the fact that she had already had two brain computer tomographies and experienced fifteen radiographies in a row by that point, the radiography would have not been carried out. Therefore, the very fact that the patient did not speak English should have been a warning sign for the radiographer. The study, therefore, offers an import ant lesson in carrying out a specific procedure on a patient, who is unaware of what is going on due to the language issues. It is essential that the patient should know what is going on and what medical procedure they are going to undergo; thus, a patient will be able to inform the radiographer on the details that may conflict with the procedure in question and trigger major complexities. Conclusion Having a range of responsibilities and bound by the existing ethical code, a radiographer must be very careful in their work. It is essential to make sure that the procedures conducted meet the requirements and comply with the current medical standards. In addition, a radiographer must be able to communicate with the patient in order to avoid making harm to the latter. Once a patient and a radiographer understand each other, the amount of mistakes and misconceptions will be reduced to nil. Reference List Australia Institute of Radiography. (2007). Guidelines for professional conduct for radiographers, radiation therapists and sonographers. Melbourne, AU: Australia Institute of Radiography. Web. Duncan, K. Warwick, R. (2011). X-ray confirmation of nasogastric tube placement: documentation in patient notes. The Royal College of Radiologists. Web. Lamont, T. (2011). Checking placement of nasogastric feeding tubes in adults (interpretation of X ray images): summary of a safety report from the National Patient Safety Agency. The British Medical Journal, 342, 1–4. Web. Seiden, S. C., Galvan, C. Lamm, R. (2006). Role of medical students in preventing patient harm and enhancing patient safety. Quality and Safety in Healthcare, 15(4), 272–276. The Society of Radiographers. (2008). Code of conduct and ethics. London, UK: The Society of Radiographers.