Tuesday, February 18, 2020

Warfarin Therapy Issues Essay Example | Topics and Well Written Essays - 500 words

Warfarin Therapy Issues - Essay Example HAS-BLED is made up of the first letters to health issues that the schema addresses: Hypertension, Abnormal kidney and/or liver function, Stroke, Bleeding, Labile INR, Elderly, and Drugs and/or alcohol. Lip discovered during the research that the combined usage of both CHADS2 and HAS-BLED tools could have prevented many of the bleeding issues found in previous cases. The results of the combined testing would have shown that in the case of your mother, Lip would have known which other drugs on the market, would work better for her needs. This would be the true value of evidence-based practice.In using the search question â€Å"how does warfarin therapy compared to other newer anticoagulants affect bleeding risks in older people in US,† another study was brought up that reflected a doctor’s experience with newer drugs, dabigatran and rivaroxaban, that differ in many ways from warfarin, although dabigatran has some history of stomach distress. As the author suggests, docto rs need to be mindful of the pharmacokinetics and action mechanisms of the drugs when considering whether to prescribe them to patients. The article is a well-researched overview of how he made his discoveries and applications and also has a full list of resources that would also be helpful for your research to obtain more data. The two resources referenced here provide a good starting point for your future research regarding your mother’s condition and how to create search terms as well (Melnyk&Fineout-Overholt, 2011).

Tuesday, February 4, 2020

Abortion and personhood Essay Example | Topics and Well Written Essays - 1000 words

Abortion and personhood - Essay Example Although highly controversial, the Roe decision, specifically, and the abortion debate, in general, continues to be one of the most significant issues, both from a theological and a moral perspective. When examining the use of the concept of personhood from an ethical standpoint, Gibson2 points out traditionally the debate surrounding abortion is, in actuality, a debate over whether a woman has the right to maintain control over her own body. Although there is little disagreement that women are afforded the right to choose, the right to privacy, the right to control their bodies and the right to self-determination, these distinctions become less clear when a woman wishes to execute these rights at the expense of a fetus. At this point, pro-life proponents would argue that the rights of the fetus outweigh those of the host (i.e. the pregnant female). Herein, lays the problem of basing the morality of abortion on personhood. According to Gibson when this is done there are three theoretical frameworks that are present each of which acknowledge and define personhood as occurring at different stages of fetal development. These three varying positions as to when personhood is present a nd translated into rights are the basic camps of the abortion debate. The first is that personhood and therefore the right to life is present at conception. The second, as argued by Aquinas, is that the right to life is present at some point after conception, but before birth. Lastly, the third position holds that the fetus does not possess any right to life, therefore personhood, until birth. Gibson notes that although these various camps of pro-choice versus pro-life differ as to their belief systems, both from a moral and theological standpoint, they all base these positions on the notion, directly or indirectly on personhood which, in effect, focuses not on the right of the woman but on the moral status of