19 Matching Annotations
  1. May 2018
    1. There are many resources available to help you and your health care proxy develop a care plan. These are merely suggestions to get you thinking about possible scenarios and topics to discuss. I hope you found this blog informative, and urge you to share it with anyone who does not have a health care proxy. We always think it will never happen to us, but what if it does? It's best to be prepared!

      The article highlights the importance of what a good health proxy looks like and how they go about helping a patient in their most sensitive moments of health and later on in their lives. Potentially, this could be a good chance for a client's wishes to be fully respected by someone who knows of their values and preferences. It also encourages the reader to be prepared incase they are faced with this decision some day. Many members of the elder population are asked about healthcare proxies during the beginning of any hospitalization. More awareness of what a health proxy is and what social supports a patient can count on helps to assure quality care and dignity in health and death.

    2. I realized that with my medical condition (link is external), it had to be someone who understood my condition, my philosophy about life and healthcare, along with knowing my long list of allergies to medications and foods.

      This portion of the article highlights the importance of trusting the person that you chose as a health care proxy to respect your values and lookout for your best interest.

    3. Further, a doctor, medical center, hospital, EMT, and even assisted living staff can make decisions regarding your healthcare, treatment methods and type of medical care to provide you if you are not married, over 18 years old, and do not have a health care proxy in place

      Medical decision making has very specific in rules to protect the rights of the patient. The rules can vary according to a patient's age, marital status, and wether or not they signed a health care proxy document in the first place.

    4. Who would decide what was best for you? Who would advocate on your behalf?

      This is a scary question that most people in the United States have to consider at one point in their life. Trust in the person in charge of making medical decisions is essential.

    5. Health care proxy: An advance medical directive in the form of a legal document that designates another person (a proxy) to make health care decisions in case a person is rendered incapable of making his or her wishes known.

      The medical definition of a health care proxy- a legal medical document that transfers power of medical decision making from a patient to a trusted person.

    1. The question each proxy should ask when making decisions on behalf of others is, who am I truly serving — the patient or myself?

      This article really high lights the potential negatives of the concept of healthcare proxies and provides real life scenarios to help the reader relate.

    2. In situations like this, the proxy (knowingly or unknowingly), is primarily motivated by his own need to have one last opportunity to repair the broken relationship and make amends to redeem himself.

      This last situation suggests that a proxy could have personal motives for keeping a patient alive- in this case, a son was trying to keep his father alive due to his feelings of grief and guilt over the broken relationship. The father was being kept alive in the hospital even though the medical professionals had advised against it.

    3. Here, the role as a dutiful spouse or parent or sibling obligates the proxy to execute decisions for the patient that the proxy would never stomach for himself or herself.

      Another story of a spouse making medical decisions for their partner shows that their values can override any medical professional's suggestion to withdraw life support and end the patient's suffering. This passage also suggests there could be a difference in how other cultures approach death, dying, and medical care.

    4. Proxy decision-makers are often unprepared, and many may not be cognizant of the patient’s values and wishes

      While the creation of health care proxies is seen as progressive responsible, there is also a questionable element when it comes to ethics. Many health care proxies are not prepared to make such big decisions or aren't making the decisions that the client would have wanted.

    5. When the patient is unwilling or unable to make medical decisions, the health care proxy is activated and he or she is obligated to make all health choices on behalf of the patient. These may be related to withdrawing or withholding life support, instituting artificial liquid feeding, attempting resuscitation and even whether or not to participate in autopsy and organ donation.

      Any decisions regarding the care and body of the patient are headed over to their health proxy, who assumes any medical decision making responsibilities from there.

    6. Most of us will lose our ability to make medical decisions for ourselves in the last phase of our lives

      This is an issue that may affect the majority of American people towards the end of their lives.

    7. the one that patients and families often have the greatest control over is making decisions that are in the patient’s best interest

      A passing on of control over decisions has become an experience that many elders go through as their health declines.

  2. Mar 2018
    1. Such research is vital for making US agriculture more sustainable and resilient, and hundreds of scientists have signed a petition seeking more federal support for it.

      Increased research could find safer farming techniques so that farming does not have a negative impact on our environment and people can still have access to nutritious food.

    2. Why the Farm Bill matters (to all of us) From farm to fork, our food system should be something we are proud of, one that supports farmers, makes healthy food available for everyone, and protects the environment we all depend upon.

      Access to healthy food that is affordable is important because it affects all members of the population. in this case especially seniors who are often left out of this narrative.

    1. Farm policies also harm the environment by promoting overproduction and discouraging crop rotation, violate trade agreements, undercut African farmers, contribute to obesity by subsidizing unhealthy foods, and cost taxpayers and consumers billions of dollars every year.

      Many farms are not contributing to the environment in a positive way by mistreating their workers, violating trade agreements, and using unsafe environmental growing tactics.

    2. Farm subsidies are intended to alleviate farmer poverty, but the majority of subsidies go to commercial farms, which report an average income of $200,000 and a net worth of nearly $2 million

      Farm subsidies were intended to alleviate farmer poverty but growth in the farming sector suggests that this may not even be necessary anymore.

    3. As crop prices soar, American farm incomes are achieving record highs. Since enactment of the last farm bill in 2002, key crop prices have grown as much as 281 percent, and total farm income has more than doubled. More and more farmers are now multimillionaires.

      While some are calling for supporting the farm bill to provide more fresh food and crops, many people have see the profits expand exponentially over the last few yeas.

  3. Jan 2018
    1. The course is designed as a social media classroom. To paraphrase Howard Rheingold, we will use social media to develop our personal learning networks, become contributing members of communities of practice, and tune our information radars. 

      Will continue to struggle with this part but I'm excited to take a non traditional class that makes use of technology like this one.

    2. social constructivist perspective and emphasizes the role of economics and the market economy in social policy and politics, and provides perspectives to help make the connections between personal life, social institutions, and social structure, and use those understandings to challenge traditional approaches to social policy development.

      The social constructivist perspective will also help us understand how stereotypes and ageism come in to play when this group is underrepresented in politics.