The Significant Role of Women in Joseph Conrads Heart of...

In the 1900s novella Heart of Darkness by Joseph Conrad, the protagonist often encounters women at landmarks of his life. Charlie Marlow is a sailor and imperialist who sets out along the Congo River to â€Å"civilize† the â€Å"savages.† The novella begins with a crew on the Thames waiting for the tides to change. During their wait, a character named Marlow tells of his exploits on the African continent. In his recounted travels, Marlow meets other imperialists such as Mr. Kurtz, a man who is obsessed with the pursuit of ivory and riches. Like Mr. Kurtz, Marlow embarks across the African continent in hopes of earning both money and respect. One early critic of the novel, Edward Garnett, wrote in his review that â€Å"[Heart of Darkness] is simply a†¦show more content†¦Women are viewed by Marlow as ignorant little creatures above the press of imperialism—completely innocent, but entirely unaware. Africa is written â€Å"as setting and backdrop which eliminates the African as human factor. Africa as a metaphysical battlefield devoid of all recognizable humanity, into which the wandering European enters at his peril† (Achebe). Thus Conrad brings the savages of Africa and general women together. Marlow brings the two victims of imperialism together in one, brief observation of Mr. Kurtz’s foreign mistress. Conrad’s concise description of an Amazonian woman on page 56 is as follows: â€Å"†¦She was savage and superb, wild-eyed and magnificent; there was something ominous and stately in her deliberate progress†¦ â€Å"Her long shadow fell to the water’s edge. Her face had a tragic and fierce aspect of wild sorrow and of dumb pain mingled with the fear of some struggling, half-shaped resolve. She stood looking at us without a stir, and like the wilderness itself, with an air of brooding over an inscrutable purpose†¦Ã¢â‚¬  Women and the savages are brought together under one umbrella of mingled patronization and awe. In this respect, Marlow’s view of women is the perfect oxymoron (Nadelhaft). Marlow’s tone concerning women and the Amazon is reverent, but belittling. These two groups of people are sub-human to Marlow in that he considers them of a lesser intellect and lesser value.Show MoreRelatedGender Role In Joseph Conrad’s Heart of Darkness Essay1430 Words   |  6 PagesGender Role In Joseph Conrad’s Heart of Darkness For the most part people who read Heart of Darkness by Joseph Conrad may feel that the novella is strictly a story of exploration and racial discrimination. But to Johanna Smith who wrote â€Å"’Too Beautiful Altogether’: Ideologies of Gender and Empire in Heart of Darkness† it is much more than that. Johanna Smith along with Wallace Watson and Rita A. Bergenholtz agree that throughout Heart of Darkness there are tones of gender prejudice, but the wayRead MoreEssay on Hearts of Darkness: Post Colonialism850 Words   |  4 PagesWrite a critique of Joseph Conrads Heart of Darkness, based on your reading about post-colonialism and discussing Conrads view of African culture as other. What would someone from Africa think about this work? Heart of Darkness starts out in London and also ends there as well. Most of the story takes place in the Congo which is now known as the Republic of the Congo. Heart of Darkness was essentially a transitional novel between the nineteenth and twentieth centuries. During the nineteenthRead More Misleading Interpretations of Conrads Heart of Darkness Essays1186 Words   |  5 PagesMisleading Interpretations of Conrads Heart of Darkness Chinua Achebe, a well-known writer, once gave a lecture at the University of Massachusetts about Joseph Conrads Heart of Darkness, entitled An Image of Africa: Racism in Conrads Heart of Darkness. Throughout his essay, Achebe notes how Conrad used Africa as a background only, and how he set Africa up as a foil to Europe,(Achebe, p.251) while he also projects the image of Africa as the other world, the antithesis of Europe andRead MoreMarginalization: Heart of Darkness and God of Small Things1463 Words   |  6 Pagessince the half yearly. Issues of racism, women discrimination and the corruption of power used to be subtly touched upon or ignored. However they were also viewed differently depending on the era it was brought up in. Yet as time passed by, it seems these issues have become common discussion. This change of significance in how the audience responds and view texts that carry the notions of marginalization can be seen by Joseph Conrad’s ‘Heart of Darkness’ and Arundhati Roy’s ‘God of Small Things’Read MoreHeart Of Darkness Essay1426 Words   |  6 PagesJoseph Conrads novel Heart of Darkness uses character development and character analysis to really tell the story of European colonization. Within Conrads characters one can find both racist and colonialist views, and it is the opinion, and the interpretation of the reader which decides what Conrad is really trying to say in his work. Chinua Achebe, a well known writer, once gave a lecture at the University of Massachusetts about Joseph Conrads Heart of Darkness, entitled An image of Africa:Read More The Portrayal of Women in Joseph Conrads Heart of Darkness Essay1201 Words   |  5 PagesWomen have gained equality with men over the many centuries of the evolution of the modern western civilization. Hence, it cannot be overlooked that there still exist many literary examples of social disregard for woman potential. Joseph Conrads Heart of Darkness exemplifies the Western patriarchal gender roles in which women are given the inferior status.p Not only are women portrayed as being inferior to men, but Marlows (the protagonists) seldom mentioning of them in his Congo adventureRead MoreAnalysis Of Joseph Conrad s Heart Of Darkness892 Words   |  4 Pages In Joseph Conrad’s Heart of Darkness, women characters hold minor, but significant roles. Female appearances, although few, are powerful and impressionable. Their presence aid Marlow gain insight and knowledge throughout his journey. The few female characters that are mentioned in this novella are depicted as voiceless and insignificant. Their presence is held as insignificant, so much that women were never named and only referenced to by a title, thus not given an identity. Although voicelessRead MoreEssay Symbolism In Heart Of Darkness1077 Words   |  5 Pagesencountered in Joseph Conrad’s Heart of Darkness lies a tale saturated with subtle, yet, significant imagery that brings forth the true meaning of the novella. Throughout Heart of Darkness Conrad uses a plethora of simple colors, objects, and places to convey multifaceted images and ideas. His fine execution of the tools of the English language allows him to quickly lure the reader aboard the Nellie and not release him until the horror is over. Although the interpretation of symbols in the Heart of DarknessRead MoreThe Heart Of Darkness : Small Roles, Big Impact998 Words   |  4 PagesWomen in Heart of Darkness: Small Roles, Big Impact In Joseph Conrad’s Heart of Darkness, women characters hold minor, but significant roles. Female appearances, although few, are powerful and impressionable. Their roles, although conflicting and serving different purposes, influence Marlow’s journey significantly. The few female characters that are mentioned in this novella are depicted as voiceless and insignificant. Their presence is held as insignificant, so much that women were never namedRead MoreSimilarity in Joseph Conrads Heart of Darkness and Lord Jim3156 Words   |  13 PagesSimilarity in Joseph Conrad’s Heart of Darkness and Lord Jim Many times, after a successful novel, an author will publish another story very similar to the praised one. Joseph Conrad followed in suit with the previous statement. After the publication of Heart of Darkness in 1899, Lord Jim was released in 1900. However, according to majority of his critics, Conrad’s Lord Jim arguably outdoes Heart of Darkness to be named his best work. Few realize, though, that Lord Jim was actually started before

Political Politics Of The United States Essay - 1199 Words

A diverse society requires a pluralistic political structure in order to enfranchise citizens and allow the broadest scope of opinions to be heard. The United States has a rich history filled with specific examples of how an individual’s voice carries enough weight to make both a difference. However, a person’s ability to make a political impact does not necessitate eloquence and or individual intrepidity. Rather, our Founding Fathers carefully crafted a democratic system in which the voices of every individual were given significance and influence through their right to vote in elections. Unfortunately, political elections are not as idealistic as our fore fathers may have intended. In recent years, political campaigns in the United States have become an increasingly distasteful process in recent years, specifically in regard to the way in which they are funded. Political campaigns are regularly fuel by greed, power and a shady procurement of financial support. This corruption promotes inequitable campaign procedures, and almost never results in a fair and unbiased candidate victory. In recognition of this exploitation of power, steps have been taken by federal and state legislatures to regulate rampant unethical funding in political elections. In response to these efforts, two distinct sides have emerged. Proponents of campaign finance limits argue that wealthy donors and corporations hold too much sway in elections and as a result, corrupt campaigns. Those favoring lessShow MoreRelatedPolitical Relations Between The United States And Politics1328 Words   |  6 Pa gesthus be affected by institutions in two different countries. In this essay I will talk about the political institution in both countries. I will start by explaining politics in the United States and lead into how politics in Mexico function. Afterwards, I will compare both political institutions and draw from my own experiences to explain any differences between the two. 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After I had my subject I looked at the three things I believe political parties play a role in. The three areas of interest I chose were our political parties role in our history, economics, and religion, and what factors in those areas determine how political parties’ function. The first area I looked at was political parties role inRead MorePolitics Is All About Gaining And Maintaining Power1438 Words   |  6 PagesPolitics is all about gaining and maintaining power. Politics is the business of humans endeavoring to success over their own disarray, uncertainty, competitiveness, egotism, and betrayal; formulate all the comparisons you want, but a lot of politics is simply concrete and visible, instead of being realistic. Politician tries to obtain power for their self or for â€Å"people†. Once they obtain power they make sure to preserve it. Correspondingly countries also try obtaining power and maintain powerRead MoreVisual Arts : The Most Accessible Politically Charged Art Form For United States Citizens1642 Words   |  7 Pagesform for United States citizens. Visual arts are intended to occupy an individual’s senses more than other forms of art, thus they have the power to teach, inspire and shape the perceptions of individuals. Cinemas help to create a shared narrative experience amongst people from different cultural backgrounds, forcing audiences to collectively consider topics they may have never believed serious before. Fi lms have the capacity to stir an individual to action, transform their view on politics and affectRead MoreEssay about The Underrepresentation of Women in United States Politics1147 Words   |  5 PagesThe Underrepresentation of Women in United States Politics I. Introduction and Context Women are numerically underrepresented in United States politics. Though people may see famous faces of women in politics around them, a mere 17 percent of leaders of the Federal government in the United States are women. Not only, at the Federal level are women underrepresented, but also at the state and local levels. Only in six states are there female governors, and members of city hall are predominately maleRead MoreThe Health Of American Politics Essay1053 Words   |  5 PagesThe Health of American Politics/Democracy In this paper, I am going to write about two topics which they are the American politics and the American democracy. I am going to discuss one issue regarding each topic. In the topic of American politics, I will describe the negative impact of the Israeli lobby on the American Politic. After that, I will describe the negative impact of the electoral college system on the American democracy. The Israeli lobby and the electoral college system are affectingRead MoreMigration Problems for Puerto Ricans1681 Words   |  7 Pageshistorical repetition of earlier migrations to the United States. However, the migration experience of Puerto Ricans to the United States is more complex, as well as one of a kind. Similarities do exist between the migration of Puerto Ricans and that of other groups, however, no other ethnic group has shared the tribulations of the Puerto Rican population. Their experience is different from that of anyone else. When Puerto Ricans migrated to the United States they did it in two major waves. The first waveRead MoreChanging World Politics During World War II Essay916 Words   |  4 PagesChanging World Politics In a political system superintended and galvanized by anarchy and inherited norms, transformations and variations are inevitable. The origin of such system began with the â€Å"Peace of Westphalia,† marking the termination of the 30 years war, and was the prominent beginning of the modern international system of where in which Nation States are of the highest institution. This was the end of the ‘Holy Roman Empire’ (of that wasn’t holy nor Roman) and the incalculable scores ofRead MoreWhat It Means To Be A Citizen1010 Words   |  5 Pages(Ginsberg et al. 9). Part of the reason why political opinions vary so far from person to person is in part due to the amount of political knowledge that each individual has. A person who stays informed on current political events weekly by reading newspaper articles will be able to understand our current government structure better than someone who hears about political information from other people’s opinions. V aluable questions are whether or not American politics are in crisis, how this applies to California—heavily

Mesothelioma Free Essays

Mesothelioma is a malignant neoplasm that develops from the mesothelium tissue (a membrane that covers the internal organs present in the body).   It occurs very rarely and is more frequently caused by inhaling asbestos dust.   The incidence of the disease is slowly on the rise. We will write a custom essay sample on Mesothelioma or any similar topic only for you Order Now    In the US, about 2000 new cases are reported every year.   About 70 to 80% of all cases with mesothelioma report exposure to asbestos (NCI, 2002).   Mesothelioma can develop in various sites of the body including the pleura (membranes that covers the lungs), peritoneum (membrane that covers the abdominal cavity), tunica vaginalis testis (membrane that covers the male internal reproductive organs) and tunica serosa uteri (membrane that covers the female internal reproductive organs) (NCI, 2002). It is made up of one layer of flat or cuboidal cells that surround a particular organ or an organ set belonging to a particular group (Weitz Luxenberg, 2006).   In between these membranes a fluid is present that permits some amount of movement during physiologic functioning.   When the asbestos is inhaled, it gets deposited into parenchyma of the lungs from where it enters the immediate membrane that covers the lungs.   It may be carried soon to the other membrane of the lung.   The tumor usually begins as discrete plaques known as ‘malignant mesothelial plaques’ (Weitz Luxenberg, 2006). These discrete masses soon combine to form a large sheet like lesion that spreads.   The exact process by which mesothelioma occurs is not understood clearly, however, it seems that chronic irritation of the membrane plays a very important role (Weitz Luxenberg, 2006).   The chromosomes present in the cell are distorted (Tan, 2007).   One of the most frequent changes in the malignant cell was the loss of a copy of Chromosome 22. The chromosomal picture of the cell seems to be very complex (complex karyotype) and is rearranged (Tan, 2007).   Sometimes, the chromosome arms of 1p, 3p, 9p and 6q may also get structurally rearranged.   This may be brought about by close contact between the chromosomes or the structural proteins with the asbestos particles (Weitz Luxenberg, 2006). The asbestos may get deposited in the peritoneum either through the lymphatic system or the due ingestion of the sputum from the lungs (Weitz Luxenberg, 2006).   The long thin fibers of asbestos are more dangerous than the feathery fibers as they more easily cause cancer.   Once the fibers get deposited in the pleura, the cancer development process actually begins.   In experimental rats, it has been observed that when the pleura or the peritoneum are invaded by the asbestos particles, macrophages and the other cells of the body’s defense mechanism accumulate (Weitz Luxenberg, 2006). As the disease progresses, the macrophages and immune cells continue to invade the lesion.   Slowly the cells get transformed into malignancy.   Studies have demonstrated that the asbestos particles may directly (through physical interaction) and indirectly (through accumulation of macrophages) bring about malignant transformation of the epithelium cells.   Indirectly, the macrophages begin to function abnormally.   They phagocyte the asbestos particles and release higher amounts of hydroxyl radicals. They may stimulate the cancer process by affecting the DNA present in the cell.   Several other substances are released from the macrophages such as mitogens, growth factors, etc, which may bring about chronic irritation.   They also alter entry of certain substances into the cell (by affecting the membrane) and reducing the effect of antioxidant action within the cells.   Asbestos is also known to suppress the action of the body’s defense mechanism by overcoming the action of the lymphocytes (Weitz Luxenberg, 2006). Several structural and functional features have been observed in the cells affected with mesothelioma (which have asbestos particles within the cells): – 1.the suppressor genes against cancers present in the cells may get inactivated when the asbestos fibers enters the cells 2.other cancer-stimulating agents may get activated and affect the cell 3. the DNA of the cell gets altered due to the incorporation of a foreign DNA which encourages cancer formation 4. the DNA repair enzymes may get stimulated and frequently result in a faulty method of repair 5.the cell terminal processes may become abnormal resulting in immortality 6.the DNA sequence may be added at the ends of the cell which makes the cells immortal and results in abnormal functioning (Weitz Luxenberg, 2006) References: NCI. Mesothelioma: Questions and Answers. 2002. NCI. 5 Apr. 2007 http://www.cancer.gov/cancertopics/factsheet/Sites-Types/mesothelioma Tan W.W. â€Å"Mesothelioma.† 2007. E-Medicine. 5 Apr. 2007 http://www.emedicine.com/med/topic1457.htm Weitz Luxenberg. â€Å"The Pathophysiology of Mesothelioma.† 2006. Weitz Luxenberg Inc. 5 Apr. 2007 http://www.weitzlux.com/mesothelioma/Pathophysiology_403723.html How to cite Mesothelioma, Essay examples

Withdholding and Withdrawing Treatment Essay Example For Students

Withdholding and Withdrawing Treatment Essay The majority Of Americans do not have an advanced directive in place. An advanced directive is a written expression of a persons wishes about medical care, especially are during a terminal or critical illness (Butts Rich, 2013, p. 255). Advanced directives can be self-written instructions or prepared by someone else as instructed by the patient. These will become instructions about their future healthcare for other to follow. Some of the issues that need to be addressed in these advanced directives include specific treatments to be refused or desired; the time the directive needs to take effect; specific hospitals and physicians to be used; what lawyer, it any, should be consulted; and any other consultations, such as family or a religious figure (Butts Rich, 2013, p. 255). These advanced receives will be utilized it the patient loses their decision-making capacity and has been rendered incompetent due to their symptoms. The problem arises when the patient does not have this advanced directive. When the patient can no longer make competent decisions, the family might experience difficulty in trying to determine a progressive right course of action. When a patient loses their autonomous decision-making capacity, the decision making falls to a surrogate. A surrogate decision marker is an individual, usually a family member, who acts on behalf of the patient to make decisions about the patients treatment options Butts Rich, 2013, p. 257). Decisions about treatment options can be complex. The surrogate, in absence Of an advanced directive, must consult the attending physician, other family members, and other healthcare providers in order to make the best decision for the patient. Fortunately for surrogates there are ethical principles that can govern their decisions. One of them in particular can be Of comfort to the surrogate. Withholding and Withdrawing treatment from a terminally ill or permanently unconscious patient allows a natural dying process to take its course. It does not constitute killing or assisted suicide (Butts Rich, 013, p. 2571 Medical futility can influence the decision to withhold or withdraw treatment. Medical futility is an unacceptably low chance of achieving a therapeutic benefit for the patient (Butts Rich, 2013, p. 259). Healthcare professionals have accepted and ethically justified withholding and withdrawing treatments deemed futile or extraordinary. Most Other people have also accepted this concept. However, it is not universally accepted. In the 1995 case Of Giggling u. Massachusetts General Hospital, the family Of the patient wanted the attending physician to order CPRM to be provided to the dying patient. The patient, Ms. Giggling, was comatose and dying With multiple organ-system failure. The court supported the physicians claim that CPRM was medically futile (Butts Rich, 2013, p. 261). A permanent vegetative state (PAS) is a state in which a person with severe brain damage has enough autonomic function to survive with constant medical intervention but does not exhibit any awareness or higher brain function (Butts Rich, 2013, p. 52). PAS has played a major role in court cases related to withholding and withdrawing treatment. The case 1976 of Karen Ann Quintal was the first landmark case involving withholding and withdrawing treatment. In 1975, Karen was at a party, mixed alcohol with Valid, lapsed into a coma, and placed on a ventilator. Her parents sued to have her removed from the ventilator. They kept getting denied by the courts. Finally af ter many legal battles, the Nevus Jersey Supreme Court granted her parents the right to remove her from a ventilator. Previously, physicians would not remove her from a ventilator because they could not establish brain death, Once Karen was taken off the ventilator, she continued to breathe on her own for ten years (The big sleep, ND. )_ Because of this case, the definition of and criteria for PAS as established. It also set precedence for parents to have the right to choose withholding and Withdrawing treatment for their child. It also aided in the creation and implementation of the advanced directive. .u5bc4727eb145e7dfe9443e5748d64d56 , .u5bc4727eb145e7dfe9443e5748d64d56 .postImageUrl , .u5bc4727eb145e7dfe9443e5748d64d56 .centered-text-area { min-height: 80px; position: relative; } .u5bc4727eb145e7dfe9443e5748d64d56 , .u5bc4727eb145e7dfe9443e5748d64d56:hover , .u5bc4727eb145e7dfe9443e5748d64d56:visited , .u5bc4727eb145e7dfe9443e5748d64d56:active { border:0!important; } .u5bc4727eb145e7dfe9443e5748d64d56 .clearfix:after { content: ""; display: table; clear: both; } .u5bc4727eb145e7dfe9443e5748d64d56 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u5bc4727eb145e7dfe9443e5748d64d56:active , .u5bc4727eb145e7dfe9443e5748d64d56:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u5bc4727eb145e7dfe9443e5748d64d56 .centered-text-area { width: 100%; position: relative ; } .u5bc4727eb145e7dfe9443e5748d64d56 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u5bc4727eb145e7dfe9443e5748d64d56 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u5bc4727eb145e7dfe9443e5748d64d56 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u5bc4727eb145e7dfe9443e5748d64d56:hover .ctaButton { background-color: #34495E!important; } .u5bc4727eb145e7dfe9443e5748d64d56 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u5bc4727eb145e7dfe9443e5748d64d56 .u5bc4727eb145e7dfe9443e5748d64d56-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u5bc4727eb145e7dfe9443e5748d64d56:after { content: ""; display: block; clear: both; } READ: Drawing on Previous Examples of Major Sporting Events EssayThe 1990 case of Nancy Curran also dealt With the issue Of parents trying to Withhold and Withdraw treatment for their child who was in a PAS. In 1983, Nancy was in an automobile accident and sustained injuries that led to complete loss Of consciousness with significant oxygen deprivation and then to a PAS with continuous artificial nutrition and hydration. After almost eight years of litigation, the Supreme Court f Missouri finally granted the wishes of her parents for the discontinuance of her feeding tube. She died three days after the courts decision (The case of, n. D. ), Because of this case, conditions for withholding and withdrawing treatment were established. The 2005 case of Terra Shiva highlighted the issue of surrogate decision-making in regards to withholding and withdrawing treatment. In 1990, Terra was found unresponsive by her husband, Michael. She had suffered an acute cardiac arrest with prolonged cerebral hypoxia, She was diagnosed with a PAS and had a tending tube in place. Her husband wanted the deeding tube removed, but her parents objected. The feeding tube was removed twice and then replaced because of the legal battle between the husband and the parents, By Florida law, the husband, as spouse and guardian, had a legal right to serve as the surrogate decision maker for Terra. Her parents thought otherwise. A total of twenty-one lawsuits and appeals were filed. After the court finally established that there was clear and convincing evidence that Terra had previously stated that she did not want to live in a condition where she would be a burden to anyone else, the court ordered that the feeding tube be removed or a third and final time. Terra died thirteen days after (Hunter, n_d. N Because of this case, substituted judgment became the ethical and legal standard, with guardianship as the focal point regarding decision making for the withholding and withdrawing of treatment. All of these cases highlight the importance of having an advanced directive and the multitude Of legal complications associated with not having one. The main ethical issue regarding the withholding and Withdrawing Of treatment is Who is the appropriate surrogate decision maker for an incompetent person? As demonstrated in the previous legal cases, if there re no documented preferences, then there is a good chance for a legal dispute between the parties involved who think that they have the right to make that decision. The biggest challenge for a surrogate decision maker is for them to be able to make an unbiased substituted decision based on an understanding of what the patients would decide for themselves, and not the values of the surrogate. To assist the surrogate with making the proper decision, physicians should provide all relevant medical information and explain that decisions regarding withholding or withdrawing life-sustaining treatment should be based hat substituted judgment when there is evidence to the patients preferences and values. In making a substituted judgment, surrogate decision makers may consider the patients advance directive, if any; the patients values about life and the way it should be lived; and the patients attitudes towards sickness, suffering, medical procedures, and death. If there is not adequate evidence of the incompetent patients preferences and values, then the decision should be based on the best interests of the patient including what outcome would most likely promote the patients well-being (Opinion 2. 20, n. D. )_ Because Of the Renville of autonomy the physician should almost always accept the surrogates decision for the incompetent patient. However, there are situations that may require either institutional or judicial review and/or intervention in the decision- making process. These include: there is no available family member willing to be the patients surrogate decision maker, there is a dispute among family members and there is no surrogate decision maker designated in an advanced directive, the physician believes that the familys decision is clearly not what the patient would have decided if competent, and the physician believes that the session is not a decision that could reasonably be judged to be in the patients best interests. .u59b49eb29951b8d331ebf068ff22c7e3 , .u59b49eb29951b8d331ebf068ff22c7e3 .postImageUrl , .u59b49eb29951b8d331ebf068ff22c7e3 .centered-text-area { min-height: 80px; position: relative; } .u59b49eb29951b8d331ebf068ff22c7e3 , .u59b49eb29951b8d331ebf068ff22c7e3:hover , .u59b49eb29951b8d331ebf068ff22c7e3:visited , .u59b49eb29951b8d331ebf068ff22c7e3:active { border:0!important; } .u59b49eb29951b8d331ebf068ff22c7e3 .clearfix:after { content: ""; display: table; clear: both; } .u59b49eb29951b8d331ebf068ff22c7e3 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u59b49eb29951b8d331ebf068ff22c7e3:active , .u59b49eb29951b8d331ebf068ff22c7e3:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u59b49eb29951b8d331ebf068ff22c7e3 .centered-text-area { width: 100%; position: relative ; } .u59b49eb29951b8d331ebf068ff22c7e3 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u59b49eb29951b8d331ebf068ff22c7e3 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u59b49eb29951b8d331ebf068ff22c7e3 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u59b49eb29951b8d331ebf068ff22c7e3:hover .ctaButton { background-color: #34495E!important; } .u59b49eb29951b8d331ebf068ff22c7e3 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u59b49eb29951b8d331ebf068ff22c7e3 .u59b49eb29951b8d331ebf068ff22c7e3-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u59b49eb29951b8d331ebf068ff22c7e3:after { content: ""; display: block; clear: both; } READ: Drawing The Color Line Essay PaperWhen there are disputes among family members or between family and health care providers, the use of ethics committees specifically designed to facilitate sound decision making is recommended before resorting to the courts (Opinion 2. 20, n. D. ), No matter what decision the physician or the surrogate decision maker determines as the best course of action regarding the withholding and withdrawing of treatment, nurses need to give compassionate, excellent care to the patient. The family members need to feel a sense of inference that the nurses will maintain moral sensitivity with a course of right action. In fact, the American Nurses Association (ANA) in their Code of Ethics for Nurses with Interpretive Statements emphasizes that nurses must ethically support the provision of compassionate and dignified end-of-life care as long as nurses do not have the sole intention of ending a persons life (Butts Rich, 2013, p. 268). This course of right action includes the promotion of comfort, the relief of pain, and support of the family when the decision has been made to withhold or withdrawn treatment. The decision to withhold or withdraw treatment is an incredibly complex ethical issue.