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    Carine Mbilia

    1. The New York ethical writer highlights the importance of proactive planning for impending disasters, even if they have not yet happened. There were no plans in place to handle the surge of patients when storm Katrina struck Memorial Hospital, which led to ethical dilemmas and made it challenging to provide the essential care.
    Healthcare professionals have an ethical duty to anticipate approaching catastrophes and make the necessary preparations, especially in risky situations like disasters or pandemics.
    It’s important to consider ethical considerations such patient autonomy and non-maleficence when making decisions before, during, and after crisis.

    2.The storm and their conditions at commemoration were difficult from John Thiele’s perspective. Healthcare personnel were pushed to make difficult decisions about prioritizing treatment while working with limited resources and communication. In the end, Thiele believed that the three patients were too sick to be moved, they won’t survive.Exterminating them was the proper course of action since he believed it was the best way to end their misery and reduce their chances of surviving. In the midst of a crisis, with few resources at hand, the decision
    Was taken.He gave them higher dose than the dose used in the ICU of morphine and Midazolam.
    Most them passed few minutes after being medicated but one Heavyset black man didn’t died.He gave him a additional shot of morphine but the man continued breathing after the second shot, then decided to cover his face with towel a minute after the man died. John think that to smother a man was a better decision then letting him experienced prolonged suffering and limit chance of survival.Whatever the case ,decision’s about end-of-life shouldn’t be made in a harried manner without giving due thought to ethical standards and patients desires.

    3.The book discusses many nuances and interpretations of end-of-life desires that take into account consent, medical conditions, and religion.For instance, the patient’s and their families religious and cultural beliefs have a significant impact on the choice of whether to prolong or discontinue life support. Informed permission is also required for medical decisions, but it can be difficult when individuals are unable to give consent because of their medical condition.
    Additionally, medical circumstances like brain death and organ donation can make it more difficult to make end-of-life decisions.
    To ensure that end-of-life preferences are honored and carried out, it is crucial for healthcare personnel to be aware of these subtleties and to engage in ethical discussions and communication with patients and their families.

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