Is there equity in Out of Hours Services for Palliative patients in Essay

Is there equity in Out of Hours Services for Palliative patients in the community setting - Essay Example of an area, age of the patient, whether the patient has a primary diagnosis of cancer versus non cancer, whether the area is one of high social deprivation and if there are local trust financial constraints which necessarily have an impact on the services available. Equity in palliative care is a major issue facing England. This paper shall explore the various reasons to the equal or unequal access to palliative services which might be dependent on geography and road infrastructure of an area, age of the patient, whether the patient has a primary diagnosis of cancer versus non cancer, whether the area is one of high social deprivation and/or if there are local trust financial constraints which necessarily have an impact on the services available. Death is never a simple matter. Yet, while hospice and palliative care attention to end-of-life (EOL) care has benefited the general population, people with unequal palliative healthcare access and their families have not benefited from the same extent of end-of-life attention. Modern medical and nursing care have contributed to lengthening the life span of people with unequal access to palliative services because of geography and road infrastructure of the area, age of the patient, patient’s primary diagnosis of cancer or non cancer and the area of high social deprivation and low financial support so that previously fatal, acute illnesses and complications from their disabilities are now managed by artificial life support measures such as dialysis, gastrostomy, nephrostomy, or tracheotomy. As life expectancy lengthens for this special population, they ultimately face the same chronic and terminal illnesses as the general population and, consequently, the same decisions exist. Unfortunately, however, because of cognitive impairment frequently associated with people having various issues with palliative care access and individuals, family members must often serve as their proxies in EOL care decision making. Together

The Orthodox Jews Total Way of Life Research Paper

The Orthodox Jews Total Way of Life - Research Paper Example Also known as erub or eiruv, an eruv is an enclosure in which Orthodox Jews can push or carry objects on the Sabbath, to escape the violation of the Jewish Law which prohibits carrying things except within the home setting.   An eruv, therefore, serves the purpose of a home, and in it, things such as house keys, nappies, prams, crutches, food and beverage, extra clothes essential medicines and handkerchiefs may be carried. Differing Interpretations of Eiruv among the Different Jewish Denominations. On the one hand, Orthodox Jews accept the use of an eiruv to serve as a house, to cushion them from contravening the Jewish Sabbath Law. Reformed Jews on the other Reformed Jews do not regard an eruv as an unnecessary mechanism which encourages separateness and works against assimilation (Diamond, 490). Taboos in Orthodox Judaism emanate from the Torah and the oral interpretation of the Torah and the codification of the Torah [the Talmud and Mishna].   These laws in the Torah became th e total way of life for Orthodox Jews. Again, the same laws became a total way of life for Orthodox Jews because they were believed to have originated from God, through Moses, as is shown in the Torah. In respect to the foregoing, all food taken by Orthodox Jews must be kosher, meaning, proper for consumption. For instance, Orthodox Jews may neither take milk and beef nor cheeseburger because of their observation to Deuteronomy 14:21 and Exodus 23:19. These taboos cover the Orthodox Jew’s total way of life and therefore govern even business dealings.