Ethical Issue relate to Women Having Children with Unkown Sperm Donors Essay

Ethical Issue relate to Women Having Children with Unkown Sperm Donors - Essay Example 645). Sperm banks get sperm donors from colleges and through the internet. Screening test carried out to ensure the sperm donor is free from genetic diseases, and is of sound mind and intelligence. A number of ethical considerations have risen because of women having children with unknown sperm donors. Sperm donation takes place through artificial insemination. A couple chooses a donor with regard to race, intelligence and good health among other issues (Liou, 2011, p. 7). Technological advancement has assisted older women to bear children. In addition, married infertile men also use sperm donation services to conceive children. The technology has been embraced by many people especially women who wish to bear children at their 40s and 50s. Nonetheless, some ethical and legal issues have emerged where a third party is involved. Therefore, when undertaking unknown sperm donation by a couple the following ethical considerations, should be considered: such as if the sperm donor has legal rights that protect him from any problems that may arise in the future (Liou, 2011, p. 7). In the past, the donors chose to remain anonymous, stating they did not want to get in touch with the donor children. However, due to the curiosity of the donor children, sperm donors have the option of either remaining anonymous or choosing their identity to be known. The donor also has the freedom of being free from any responsibility to the biological child originating from his sperm (Seibel & Crockin, 2010, p. 25). When it comes to the client seeking sperm donation services some information ought to be made available; for instance, what are the complications associated with artificial insemination. Sperm donation activity is not always successful therefore; some treatments ought to be considered before one is eligible for artificial insemination. The sperm bank availing the sperm does not give a guarantee to the client if the sperm is free from genetic diseases (Seibel & Crockin, 2010, p. 26). Even though, genetic screening test is undertaken prior to the procedure, it does not guarantee that the sperm is free from genetic diseases and abnormalities. In addition, the client is also required to be fully responsible for the donor child. The sperm donor and the client rights are usually established under a written contract, signed by the two and the doctor. The agreement ensures that the client and the sperm donor are aware of their rights with regard to the whole procedure. Sperm banks have their specifications when it comes to the sperm they take from donors. A man’s education and personal outlook are taken into consideration. Age also matters, men above the age of forty are not accepted by any sperm bank (Seibel & Crockin, 2010, p. 27). The sperm banks are required, ethically to ensure that they keep records of the number of children one person has conceived this will be used for future references. Therefore, to curb the issue of ethical controversies ethical principles ought to be applied. This will protect persons conceived through sperm donation and all the participants in the sperm donation transaction. Controlling the number of donor offspring is the first principle. Without proper control, one sperm donor can father over 150 children. For instance, in the United States the technology of artificial insemination is on the rise and the demand for donor sperm have risen, as well (Liou, 2011, p. 7). However, the demand

Self-monitoring and self-management of oral anti-coagulation therapy Essay

Self-monitoring and self-management of oral anti-coagulation therapy practice - Essay Example Today’s healthcare practice is changing rapidly and thus, provision of patient care and management is shifting from institutional-based management to home-based care where patients can test their status and manage the condition, especially for medical conditions that are not curable but only manageable such as diabetes. One of the testing and management practice being prompted and is gaining popularity in the healthcare sector is the Oral Anti-Coagulation Therapy Practice for patients (Ansell, et al., 2005). This paper concerns the designing of a plan aimed at changing our patients habit from that of going to the lab in hospitals and other healthcare facilities just to get their International Normalized Ratio (INR) testing done to getting these patients who have the capacity to learn how to use a home based testing device for INR instead of seeking lab based testing. The idea behind this concept is the fact that this process is fairly simple and if patients are well educated, they can easily do the test accurately and without any hustle (Baglin, et al., 2005). Besides, home based INR testing devices will be able to give results required in a very short while, actually immediately, just like it is the case for those diabetic patients who normally test for their daily levels of glucose. This is not the case when they seek lab based testing since the process takes 24 hours to get the results due to the large number of patients who might need the same service and the fact that in many instances, the medical practitioners do not match the number of patients.... It is a medical fact that any change in the health, lifestyle or drugs in a patient’s life could quickly interfere and alter the oral anticoagulant’s effectiveness in managing such conditions. What makes it even worse is the fact that each patient reacts differently to these drugs thus the need for regular monitoring of the therapy. However, I tend to think, based on reviews done, that there are strategies that could be used to improve the situation and have these patients self-monitor and self-manage their condition. The evidence based model for change has been derived from a thorough theoretical and research literature that is related to various research utilizations, change theory and the current evidence-based practice within the field (Rosswurm, 1992). This model has a guideline to medical practitioners for changing the normal practice to evidence based practice. Various stages have been proposed for effective implementation of this model. These start with step one where the need for change in the healthcare practice is done. In regard to this, the carrying out of an Oral Anti-Coagulation Therapy at home has been identified as the need for change where patients would have to test and manage their condition at home as is opposed to seeking lab testing. The need is therefore to help patients test their condition at home to establish their INR level within the required range. The reason for doing this comes from the fact that patients have been dissatisfied with the current trend of lab based testing which takes longer to process. The quality of the data got will also be reliable since it will be fresh and immediately established for quick action to