Main Answer Writing Practice

Main Answer Writing Practice When you are done, review what you have written and highlight or underline the most useful information. Repeat the freewriting exercise using this information as a starting point. You can repeat this exercise multiple times to continue to refine and develop your ideas. Expand those lists by adding onto the list or by using another prewriting activity. I loved the way you discuss the topic great work thanks for the share Your informative post. I typically put 2 DVDs in one envelope to make sure that I have an added envelope with my regional distribution center address to utilize at a later time. This is certainly a great tip because many students and newbies in this field are unaware of some of the basic techniques involved in this. I found this is an informative and interesting post so i think so it is very useful and knowledgeable. I would like to thank you for the efforts you have made in writing this article. They require a lot of practice before they can be carried off well, and when they are carried off badly, they are very bad indeed. Every essay I’ve read since then is a wild improvement, but for some, not by much. So I say to you, walk with the wind, brothers and sisters, and let the spirit of peace and the power of everlasting love be your guide. He was my Rayshard Brooks, Sandra Bland and Breonna Taylor. He was 14 when he was killed, and I was only 15 years old at the time. It is ok to both agree and disagree with an author’s point . Don’t use adjectives on both sides of the issue such that you seem to contradict yourself in one paragraph. Unless you are very confident indeed I strongly recommend that you avoid overly clever and non-linear approaches to writing. On average, the body comprises 60â€"80% of your essay. For a high school essay, this could be just three paragraphs, but for a graduate school essay of 6,000 words, the body could take up 8â€"10 pages. Finish the introduction with an overview of your essay’s structure. The overview should provide the reader with a general idea of what each section of your essay explores. Contact HP Printer Help Center for resolving any technical issue of HP laptop, Printer, scanner etc. How to conclude an essay A strong conclusion ties together your main points, shows why your argument matters, and opens broader questions. I have carefully proofread my essay and fixed unclear sentences, grammatical errors and typos. Each paragraph has a single focus and a clear connection to the thesis statement. My introduction sparks the reader’s interest and provides any necessary background information on the topic. The length of the body depends on the type of essay. You can also argue for or against a point using theoryâ€"a logical point , or the predictions of a theoretical model. If the theory evidence is weak, don’t hide that point, but use it to advocate for more investigation before deciding on a policy. The leading assignment help UK firm offers state of the art services to its clients with a promise of delivering all the required work well within the deadline. I appreciate you writing thius post plus the rest of the ssite is extremelyy good. This article is very helpful i really like this blog thanks. Telstra Support offers internet post in the whole of Australia. It was originally a government possessed company but by the time the government offered its whole risks and currently it is a totally independently had company. Bigpond InternetBigPond offers internet post in the whole of Australia. Custom Essays Writer But be alert not give away too much, then no one might read the rest of the essay. I factor that a pleasant article is relied on a much better topic and commonplace maintains article’s author. I hope that if anyone careful on some tips then it’ll be a best articles. You need to meet a higher burden of proof in your book reviews than in the short weekly papers. Evidence in support of a claim could include class readings, outside sources, and specific country examples. I also have some information relevant for online dissertation help. It is not easy to handle the course of the universities. So grab my essay is here to take your burdens and gives you the best facility. Make the overview of your essay grab the attention of the person who reads. Make it raise questions in the mind of the reader, thus constraining him/her to read on.

Main Answer Writing Practice

Main Answer Writing Practice When you are done, review what you have written and highlight or underline the most useful information. Repeat the freewriting exercise using this information as a starting point. You can repeat this exercise multiple times to continue to refine and develop your ideas. Expand those lists by adding onto the list or by using another prewriting activity. I loved the way you discuss the topic great work thanks for the share Your informative post. I typically put 2 DVDs in one envelope to make sure that I have an added envelope with my regional distribution center address to utilize at a later time. This is certainly a great tip because many students and newbies in this field are unaware of some of the basic techniques involved in this. I found this is an informative and interesting post so i think so it is very useful and knowledgeable. I would like to thank you for the efforts you have made in writing this article. They require a lot of practice before they can be carried off well, and when they are carried off badly, they are very bad indeed. Every essay I’ve read since then is a wild improvement, but for some, not by much. So I say to you, walk with the wind, brothers and sisters, and let the spirit of peace and the power of everlasting love be your guide. He was my Rayshard Brooks, Sandra Bland and Breonna Taylor. He was 14 when he was killed, and I was only 15 years old at the time. It is ok to both agree and disagree with an author’s point . Don’t use adjectives on both sides of the issue such that you seem to contradict yourself in one paragraph. Unless you are very confident indeed I strongly recommend that you avoid overly clever and non-linear approaches to writing. On average, the body comprises 60â€"80% of your essay. For a high school essay, this could be just three paragraphs, but for a graduate school essay of 6,000 words, the body could take up 8â€"10 pages. Finish the introduction with an overview of your essay’s structure. The overview should provide the reader with a general idea of what each section of your essay explores. Contact HP Printer Help Center for resolving any technical issue of HP laptop, Printer, scanner etc. How to conclude an essay A strong conclusion ties together your main points, shows why your argument matters, and opens broader questions. I have carefully proofread my essay and fixed unclear sentences, grammatical errors and typos. Each paragraph has a single focus and a clear connection to the thesis statement. My introduction sparks the reader’s interest and provides any necessary background information on the topic. The length of the body depends on the type of essay. You can also argue for or against a point using theoryâ€"a logical point , or the predictions of a theoretical model. If the theory evidence is weak, don’t hide that point, but use it to advocate for more investigation before deciding on a policy. The leading assignment help UK firm offers state of the art services to its clients with a promise of delivering all the required work well within the deadline. I appreciate you writing thius post plus the rest of the ssite is extremelyy good. This article is very helpful i really like this blog thanks. Telstra Support offers internet post in the whole of Australia. It was originally a government possessed company but by the time the government offered its whole risks and currently it is a totally independently had company. Bigpond InternetBigPond offers internet post in the whole of Australia. Custom Essays Writer But be alert not give away too much, then no one might read the rest of the essay. I factor that a pleasant article is relied on a much better topic and commonplace maintains article’s author. I hope that if anyone careful on some tips then it’ll be a best articles. You need to meet a higher burden of proof in your book reviews than in the short weekly papers. Evidence in support of a claim could include class readings, outside sources, and specific country examples. I also have some information relevant for online dissertation help. It is not easy to handle the course of the universities. So grab my essay is here to take your burdens and gives you the best facility. Make the overview of your essay grab the attention of the person who reads. Make it raise questions in the mind of the reader, thus constraining him/her to read on.

Good Essay Writing

Good Essay Writing Our bidding system gives our customers an opportunity to find the golden balance between the quality of the paper and price. Moreover, if you will look at our customer reviews, you will see that most of the students are happy with the quality of our service. The service package includes topic brainstorm, research, drafting, proofreading, plagiarism check, citation formatting, and revisions. A PRO Masters level writer will do your essay in 3-6 hours. Payments are processed via secure and time-tested online billing services, as well as Visa and MasterCard if you pay for essay texts by debit/credit card. More than 96% or orders arrive on time or beforehand. Such a turnaround is perhaps the best among all the essay services to date. We respect your deadlines, always ready to walk the extra mile to help you fit in the schedule. In the nursing course, you may have troubles with critical essays, annotated bibliographies, literature reviews, and other assignments. Here you can ask an essay helper to assist you with any nursing paper. Your order will be delivered strictly within the deadline. Our writers will need at least three hours to complete it. If you feel that certain parts of work could use some improvements, then your writer will do it as asked. Reaching out to your writer asking about the custom writing process and discussing the progress so far is absolutely free. Upload a file with instructions and pick the service package which fits your goals. A fitting writer will start working on your order shortly after. Dear customer, we are so happy that you liked the delivered paper! If you come back to us, you can request the same writer for your order. they wrote my essay that was due in 10 hours and literally saved my life. the price was ok considering the urgency of my order. I work 6 days a week, and it’s extremely difficult for me to complete all my assignments. This service helped me submit several papers on time, and I really appreciate it. Their support guys are always friendly and the papers are great every time. Our goal is to make sure you get the exact type of paper you initially wanted! It implies high quality, swift delivery, and full confidentiality. We neither share nor store any sensitive customer data. The easiest way to do this is to map the essay's ideas via a written narrative. Such an account will give you a preliminary record of your ideas, and will allow you to remind yourself at every turn of the reader's needs in understanding your idea. If you need more information about the writer, you can contact them personally through online chat. Ask about previous experience, discuss the paper’s details, and find out any important information. Also, you can ask for a free preview of your paper entirely for free. Check the finished parts of the paper and ask for amendments if necessary. Use the online chat for quick communication with the writer. The writers who are qualified for your order will start sending you offers. We know that students are tight on budget, which is why we do all possible to make the service affordable for any pocket.

Easy Words To Use As Sentence Starters To Write Better Essays

Easy Words To Use As Sentence Starters To Write Better Essays Some students find it best to write a provisional introduction, when starting to write an essay, and then to rewrite this when they have finished the first draft of their essay. To write a provisional introduction, ask yourself what the reader needs to know in order to follow your subsequent discussion. If you plan to use any of the information that you find in your paper, write down detailed citation information. This will allow you to find the information again and cite it properly. We have customers from the UK, the US, Australia, Canada, and Europe. We have writers with different academic backgrounds so you’ll get a high-quality paper regardless of your subject. Everyone in a college will see you as the original writer of all the submitted papers. Pay for your paper using any of the available methods, Visa, and MasterCard. Create a thesis statement that summarizes your main argument. Once you've hit on a specific question or idea you'd like to address in your essay, look at your research and think about the major point or argument you'd like to make. Try to summarize your main point concisely, in 1-2 sentences. As you're researching your topic, keep detailed notes about relevant information, ideas that interest you, and questions that you need to explore further. Writing may be the core task, but reading is equally important. Before you start writing your essay, you should conduct a broad search for relevant literature. Learning how to sift through a large amount of data is an important academic skill. You should start by searching through databases â€" Google Scholar is a great tool for this â€" using key words related to your research topic. Once you find an article that sounds promising, read through the abstract to ensure that it’s relevant. Can great essay writing really be condensed down into just 8 steps? Well, whilst it's true that there is a lot that goes into academic writing of any kind, these top takeaways are a great place to start if you want to improve your essay writing. Try to start with something intriguing and promising. Our writers draw up a thesis statement after research has been made. Give us any topic in any of the 25+ subject fields that we cover, including MBA, History, Literature, Nursing, and Education. Thinking outside the box pays off with more free time and above-average grades. A personal writer in your academic field will draw up a new essay for you within an hour. If there are several days available, order a new essay for cheap stress-free. You can also order our VIP service so that your questions will get the highest priority. If you choose this option, you’ll also receive SMS notifications about the status of your order. We are familiar with all of the common citation formats so you don’t need to worry about plagiarism issues anymore. When ordering your papers, you can get them formatted according to APA, Harvard, MLA, or Chicago style. For all the students having last-minute orders, we guarantee to write your essay in 1 hour if you’re in a rut. A bigger research paper could be ready overnight. Every well-written custom paper contains a quality and unique thesis statement. Questions can be really effective for an introduction. Aim for an introduction that has an explicit relation to the topic/title of your essay, and avoid analyzing the topic in your first paragraph. There are many kinds of essays, but some of the common major categories are narrative, descriptive, expository, compare and contrast, and persuasive. Try to show how the arguments in each paragraph link back to the main thesis of your essay. From there, introduce the question about the work you'd like to address, and present your thesis.

Why You Should Invest in Long-form Content Marketing Now

Perhaps the term "long-form content" has made its way into the Promotions tab of your inbox a few times recently. Basically, long-form content is content that's 1,200 words or more (according to Forbes). It can be a traditional blog post as well as a magazine, an eBook or a white paper, and a lot of voices are saying it's the next big thing. Related:Engage your audience with long-form digital content Do you have a negative knee-jerk reaction when you see someone touting long-form content's wonders? Maybe what comes to mind is 7,000 words of text forming an intimidating mass that could cause minor head trauma if picked up and swung. Or possibly horrible flashbacks to school textbooks. Let me start by saying that I am a millennial through and through, so thinking about a lot of boring text doesn't really get me going. However, I am a believer in long-form content marketing. Why? Because if content (of any kind) is good enough, then people will stay on board for the long haul. [Click to tweet ] This means they'll spend more time with your brand and come to rely on you for dependable information and thought leadership. Sure, our attention spans are getting shorter, but I like to think that, in many cases, what that really means is that we're getting better at quickly determining what we want to spend time on and what we don't care about. To survive a digital world filled to the brim with content, we have to pass on a lot of things, and do it quickly. But think, for example, of the enormous success of The Lord of the Rings film trilogy. Though each of the films had a runtime of about 3 hours, the trilogy became a sensation and earned a whopping $2.9 billion worldwide. Why were people willing to follow 9 hours of film? Because there was a good story to tell. It was engaging and entertaining, and it was important to people. To really drive this point home, think about all the people that weren't satisfied with just 9 hours of LOTR and bought the extended editions so they could get even more of what they loved. If you're on an exciting roller coaster, you're not waiting for it to end—you want more! So how can your content marketing capture people's attention like The Lord of the Rings? It boils down to two things: looking good and being interesting. The trilogy was visually stunning, and it had a captivating story. With hard work, your content can achieve the same results. If you find an engaging story to tell and give some thought to the design of your content, you can create something that will add value to your readers and keep them coming back for more. The film example demonstrates that length and storytelling easily coexist when the story's right—but what about good design? How can long-form content look good? To speak to aesthetically motivated fears, I actually think that good long-form content can sometimes be more visually appealing and less intimidating than its alternative. Take for example, these two versions of the CRM tool Highrise's website. My first impression is that the original design is overwhelming and all over the place. It stresses me out trying to decide where to begin. The long-form design, on the other hand, is inviting and easy to follow. It's designed in a way that is engaging, even while being longer. And here's the kicker: Highrise's long-form redesign increased conversions by 37.5%. One reason that people may be more comfortable with a long-form design like Highrise's is that it jives with what we've become accustomed to over hundreds of years. We've been reading books for a long time, so the layout of a long-form piece of content recalls familiar memories of your favorite novel. This effect is the result of careful design, and that's where I feel Lucidpress can make a big difference. But more on that later. What are some other benefits of long-form content? In 2012, serpIQ conducted a study of more than 20,000 keywords and found that the top 10 results had an average content length of more than 2,000 words, with the average number of words in the #1 spot at 2,416. Since long-form pages rank better on average, it's likely more people will find your page and become customers. A few words from Google hint at the SEO possibilities of long-form content marketing: "Users often turn to Google to answer a quick question, but research suggests that up to 10% of users' daily information needs involve learning about a broad topic. That's why today we're introducing new search results to help users find in-depth articles." —Pandu Nayak, creator of the Panda algorithm update Another long-form content success story is Crazy Egg. They increased conversion rates by more than 30% with the use of long-form content. Also, this long-form content was approximately 20x longer than the previous version. That's pretty dramatic, but so is a 30% increase in conversions. Here's what Conversion Rate Experts had to say on the matter: "The media would have us believe that people no longer have any capacity to concentrate. In reality, you cannot have a page that's too long—only one that's too boring. In the case of Crazy Egg's homepage, visitors wanted their many questions answered and that's what we delivered." I completely agree. Standout examples Now that we've talked about the benefits of long-form content, let's take a look at the innovators. There are some companies and organizations out there who are really nailing long-form content, and I'd like to go over 5 examples. Let's dive in. 1. NewsCred NewsCred has mastered the art of the seemingly impossible by making the white paper sexy. They understand visual storytelling, and they've invested a lot in the future of content marketing. Here's a page from one of their white papers: It's manageable, it's compelling, and it goes on for 35 pages. And you know what? I read through all of it. It captured my attention, and I walked away with valuable insights. NewsCred shows not just how long-form content can be compelling, but content in general. The long-form aspect of their content isn't a gimmick—it's just the best way to present the story they're telling. What NewsCred got right: Thought leadership (statistics, quotes, innovative ideas) Scannable and easily digestible Great design and striking images 2. Insider Journeys Take a look at the beginning of this piece of content on Insider Journeys' blog. Does it look like the start to an intimidating, boring content piece? No. It's immediately engaging and intriguing. Right when I opened it up, it had my attention, which it kept as I scrolled through page after page of what I think is best categorized as a mini-site. I think this piece is the most elegant and beautiful long-form content I've come across in my research. It also defies expectations of what long-form content is. As you progress through the mini-site, there are intriguing facts, fun stories, and even a recipe for "the perfect Vietnamese coffee." On Insider Journeys' mini-site, we see a marriage of design, copywriting and storytelling presented in a refreshingly compelling way. They've set the bar for what businesses can strive for with their content, and I have a hunch that content like this will stand out as the web gets increasingly crowded. What Insider Journeys got right: Great organization and natural progression keeps readers from getting lost while scanning Powerful storytelling Image-based presentation that holds readers' attention 3. Towergate Insurance Wait! Don't click away because you saw "insurance" and nearly died from boredom. Yes, insurance isn't the most entertaining subject you may come across, but Towergate has made a noteworthy accomplishment with long-form content by making insurance accessible. The piece of content I'd like to specifically point out is a guide to commercial property insurance, which isn't really my cup of tea. But I was impressed with how, after a quick scan, I was able to comprehend the main idea of a fairly dense topic. Towergate's clarity kept me from getting lost in volumes of unbroken text. This effect was enhanced by the clean layout of the content. Take a look: What Towergate got right: Straight to the point (still possible with long-form content) Clean layout Relevant section titles that aid in comprehension I'd like to give credit to this great Moz article for helping me find this and the previous example. 4. Hip-Hop University This example, along with the following one, are examples of long-form content that was made in Lucidpress. Before I go further, I want to be transparent about my motives here. First of all, I think these are great examples of well-designed, interesting long-form content made by smaller organizations. Beyond that, at Lucidpress, we really feel that businesses and organizations can benefit from using our product to revitalize their content marketing, especially in the long-form content space where design is crucial. "Lucidpress template design makes everything very user friendly. I signed up to Lucidpress with no experience, but was able to achieve all of my needs and more." —Albert Carter, co-founder of Hip-Hop University Now back to Hip-Hop University's digital magazine. There are two big reasons why I really like what they're doing with this magazine. First of all, it's a great example of long-form content presented in a unique way. Second, I appreciate Hip-Hop University's commitment to furthering digital publishing and embracing its potential for content marketing. Long-form content goes beyond the blog. You can have phenomenal long-form content in the form of digital magazines, eBooks, and as we saw earlier, white papers. What Hip-Hop University got right: Innovative medium Professional cover that makes people want to read Blend of informative content and storytelling 5. International Academy of Wedding and Event Planning This academy did a beautiful job with its 2016 Wedding Trend Report, and it's all made in Lucidpress. This report is similar in form to an eBook, and it shows how diverse long-form content can be. The 2016 Wedding Trend Report combines illustration, photos and text to keep the content interesting, and it even utilizes Lucidpress's interactive features with an embedded Youtube video. What the International Academy got right: Interactive presentation Beautiful use of graphic elements Extensive thought leadership Go forth and be awesome I hope that something in this post has resonated with you and sparked some ideas about long-form content. It might be worth noting that this post is itself a piece of long-form content, and that's because I really do think that long-form content will play an important role in content marketing's future. Go out and start experimenting with your content to find what fits best with your brand. You'll need to determine what story you want to tell, and then tell it in a genuine, transparent way that lets your passion shine through. If it's a good story, people will listen. What to do next: Determine your area of expertise. This will help you know what topic to write about. For me, I work in content marketing, so I feel like I have something to offer there. For you, it may be design, SEO, entrepreneurship, or, I don't know, beekeeping. You'll be able to tell the best story if you're talking about something you're closely involved with. Research. For this post, I started out by googling "innovative long-form content." Build on your expertise by looking deeply into current trends, statistics, and conversations. Decide on your medium. It may be a blog post, but it also might be a magazine, an eBook or a white paper. Determine what medium will give your story the best presentation and resonate most with your audience. For example, this post could have worked with a white paper or eBook template, but it wouldn't have been right for a magazine. A magazine might be better for a monthly newsletter with highlights across several different areas rather than a singular focus. Start writing, then tell everyone you know about it once you're done! Learn how Lucidpress can streamline your brand's content marketing and keep your whole team on the same page.

The Mental Capacity Act 2005 and constent (Advice Style answer) - Free Essay Example

Sample details Pages: 7 Words: 2151 Downloads: 8 Date added: 2017/06/26 Category Law Essay Type Case study Did you like this example? Question 1 In this question, there are two main issues to be considered. Firstly, whether Gwen has the capacity to give consent to sterilisation and secondly, whether Gwen has the capacity to refuse to go to hospital for the kidney tests. The Sterilisation The fundamental issue for Gwen is whether she has capacity to consent to receive sterilisation. Don’t waste time! Our writers will create an original "The Mental Capacity Act 2005 and constent (Advice Style answer)" essay for you Create order The definition of capacity can be found in s.2(1) of the Mental Capacity Act 2005 (hereinafter referred to as à ¢Ã¢â€š ¬Ã‹Å"MCA 2005à ¢Ã¢â€š ¬Ã¢â€ž ¢) that à ¢Ã¢â€š ¬Ã‹Å"a person lacks capacity in relation to matter if at the material time he is unable to make a decision for himself in relation to the matter because of an impairment of, or a disturbance in the functioning of, the mind or brainà ¢Ã¢â€š ¬Ã¢â€ž ¢[1]. This provision reflects the point that the MCA 2005 uses an issue-specific definition of capacity. In our question, Gwen is stated as having a moderate learning disabilities. Under para 4.12 of the MCA 2005 Code of Practice[2], a significant learning disabilities is treated as a condition which might involve an impairment or disturbance of the functioning of the brain. But it is arguably that Gwenà ¢Ã¢â€š ¬Ã¢â€ž ¢s leaning disability is merely assessed as moderate, so she probably has the capacity required to consent to medical treatment. Therefore, the question as to whether Gwen has the required capacity is to be determined in the light of s.3(1) MCA2005[3]. This section sets out that a person is labelled as lacking capacity if he is unable to understand the information; retain that information; use or weigh that information as part of the process of making the decision, or to communicate his decision. This test was derived from the leading case of Re C[4], where held that the patient had the capacity to refuse treatment on the basis that he was able to understand and retain relevant treatment. Applying this to our facts, we are told that Gwenà ¢Ã¢â€š ¬Ã¢â€ž ¢s behaviour has improved she has been at Greendale, can this be the basis that she may have the ability to understand the nature of sterilisation? Besides this, one important point that should never been left out on our facts is that Gwen has fear of anything to do with doctors, hospitals and medicines. Will this fear affects her capacity to make decision? In Re MB (Caesarean Sectio n)[5], it was held that the needle phobia caused the patient suffering an impairment of her mental functioning and this made her temporarily incompetent to make decision. But it is unlikely to be applied here because the crucial point in the case of Re MB (Caesarean Section)[6] was that the patient needed the treatment so much in order to save her life and that of the baby. While on our facts, the sterilisation suggested is for non-therapeutic reason and thus it is difficult to argue that the Gwenà ¢Ã¢â€š ¬Ã¢â€ž ¢s fear makes her incompetence. Hence, the answer as to whether Gwen has the capacity to decide is not obvious. On one hand, in the case of A Local Authority v Mrs A and Mr A[7], Bodey J was on the view that it is not necessary to show that the individual understood the broader issues surrounding pregnancy and the realities in bringing up a child in accessing her capacity to give consent on contraception, merely the understanding on proximate issue relating to contracept ion is sufficient to justify that capacity. Thus, it can be suggested that Gwen seems to have that as she has developed a friendship with a male resident in Greendale and it is reasonable to say that she may acquire the knowledge in relation to sexual intercourse and also the understanding on sterilisation. Whilst on the other hand, it might also be argued that the approach taken by Bodey J[8] is unrealistic. This was put forward by Keywood[9] in her article that it looks illogical to say that a decision made without real understanding on the broader consequences of the particular medical treatment can be regarded as an autonomous decision. It is submitted that the law regarding this area remains unclear and it is difficult to see how the court will decide whether or not Gwen has capacity to refuse the sterlisation. At this point, s.1(2) MCA 2005[10] may play a crucial role as it stresses that a person should be presumed as competence, unless the medical profession can prove o therwise. Since we are unsure as to whether or not Gwen has capacity to decide on the sterilisation, we shall assume that she has. In accordance with the principle laid down in S v St Georgeà ¢Ã¢â€š ¬Ã¢â€ž ¢s NHS Trust[11], if Gwen has capacity, she has the absolute right to decide whether or not to receive the sterilisation. This means that she cannot be forced to receive the treatment if she does not consent on it, irrespective of the facts that it may be an unwise decision (s.1(4) MCA 2005[12]). If however, Gwen may be regarded as lacking capacity due to her fear and thus, by virtue of s.1(5) of MCA 2005[13], the sterilisation can be carried out if it is in her best interest. So the next question is whether the sterilisation is at Gwenà ¢Ã¢â€š ¬Ã¢â€ž ¢s best interest? s.4 of MCA 2005[14] sets out a number of factors to be taken into account in determining whether the proposed medical treatment is for the patientà ¢Ã¢â€š ¬Ã¢â€ž ¢s best interest. Nonetheless, in accordance with para 8.22 of Code of Practice[15], in ascertaining whether a sterilisation is in a patientà ¢Ã¢â€š ¬Ã¢â€ž ¢s best interest under s.4, the court should follow the approach they have developed in the earlier cases. In Re F (A Mental Patient: Sterilisation)[16], it was held that the à ¢Ã¢â€š ¬Ã‹Å"best interestà ¢Ã¢â€š ¬Ã¢â€ž ¢ test is not to be assessed as same as the Bolam test[17]. It was not be sufficient to show that there was a respectable medical opinion in support of sterilisation, but the court must, as affirmed in Re MM (An Adult)[18], also take into account the broader ethical, social, moral and emotional considerations. However, it must be noted that, according to Re B[19], the interests of the cares are not to be taken into account but their views may be persuasive in informing the court what is for the patientà ¢Ã¢â€š ¬Ã¢â€ž ¢s best interest. Applying this to our facts, the court may take into account the view of the support workers and that of Gwenà ¢Ã¢â€š ¬ â„ ¢s father, but still the final decision is on the court. One case that must be look into together with our facts is the case of Re A (Male Sterilisation)[20]. In this case, A was a 28 years old man who had Down Syndrome. His mother who has now unable to take care of him applied to the High Court for a declaration that the sterilisation operation was at Aà ¢Ã¢â€š ¬Ã¢â€ž ¢s best interest and could be legally acted on him. Thorpe LJ adopted a à ¢Ã¢â€š ¬Ã‹Å"balance sheet approachà ¢Ã¢â€š ¬Ã¢â€ž ¢ and it was held that the sterilisation is not in Aà ¢Ã¢â€š ¬Ã¢â€ž ¢s best interest because there being no danger of pregnancy for him. However, since Gwen is a woman and there might be a risk for her to get pregnant by involving in unprotected sexual intercourse, it is likely that the case of Re A can be distinguished from our facts. Further, in Re B[21], Lord Oliver suggested that sterilisation will only be approved if it is a à ¢Ã¢â€š ¬Ã‹Å"last resortà ¢Ã¢â€š ¬Ã¢â€ž ¢. A com mon ground for wanting sterilisation is that there is a worry that the incapacitated person will become pregnant and be unable to deal with the pregnancy or look after the child. But in Re LC[22], the court held that the patientà ¢Ã¢â€š ¬Ã¢â€ž ¢s carers took care of her very well and it was very unlikely she would become pregnant. Thus, it is unlikely that sterilisation is the last resort for Gwen. Arguably, since Gwen is now under supervisions and the support workers realised the risk that she may get pregnant, they will be more cautious on this issue and hence, it is unlikely that she will get pregnant. Therefore, by following this reasoning, the court may not grant a permission of sterilisation and it cannot be performed on Gwen as it is not considered in her best interest. The Kidney Test The next issue is whether Gwen has the capacity to refuse to go to the hospital for the kidney test. First of all, we will need to determine whether Gwen has fulfilled the requirement se t out in s.2[23] and s.3[24] of the MCA 2005 for competency. As mentioned, MCA 2005 introduces issue-specific definition of capacity, this was shown in the leading case of Gillick v West Norfolk and Wishbech AHA[25], where the court was on the view that a patient may be found to have sufficient understanding to be able to consent to a simple course of treatment, but not have sufficient understanding to be able to consent to a complex medical procedure. Further, in Re T[26], Lord Donaldson suggested that à ¢Ã¢â€š ¬Ã‹Å"the more serious the decision, the greater the capacity requiredà ¢Ã¢â€š ¬Ã¢â€ž ¢. In the other words, even if the court decides that Gwen has the capacity to decide on the issue of sterilisation, this does not mean that she is competence enough to refuse the kidney test as her life is now depending on the treatment. By following the judgment is Re MB[27], it is arguably that Gwenà ¢Ã¢â€š ¬Ã¢â€ž ¢s fear to doctors, hospitals and medicines nominated her mental a bility to understand, weigh and retain the information as regards to the proposed kidney test, she is now temporarily incompetence and thus her refusal is invalid and the doctors must send her to the hospital which is clearly an action at her best interest at that moment. But on the other hand, it can be pointed out from our facts that Gwen did allow the doctor to examine her, does this mean that her fear to doctors, hospitals and medicines is not that severe to nominate her capacity to make decision? Again, there is no clear-cut answer. If Gwen is regarded as having capacity to refuse to go to hospital for kidney test, then she cannot be forced to do so even if her life is depending on it, by virtue of the principle laid down in s.1(4) of MCA 2005[28]. This was emphasised in the case of Re MB[29] where the court held that even if the patientà ¢Ã¢â€š ¬Ã¢â€ž ¢s life and that of her child are depend on the medical treatment, the treatment taken against her wishes would still be re garded as an unlawful infringement to her autonomy. (1992 words) Bibliography Books Herring J, Medical Law and Ethics (4th edn OUP, Oxford 2012) Jackson E, Medical Law, Text Cases and Materials (3rd edn OUP, Oxford 2013) Articles Keywood K, à ¢Ã¢â€š ¬Ã‹Å"Safeguarding Reproductive Health? The Inherent Jurisdiction, Contraception, and Mental Incapacityà ¢Ã¢â€š ¬Ã¢â€ž ¢ (2011) 19 MLR 326-333 Electronic Sources Buchanan A, à ¢Ã¢â€š ¬Ã‹Å"Mental Capacity, legal competence and consent to treatmentà ¢Ã¢â€š ¬Ã¢â€ž ¢ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1079581/ accessed 12 November 2014 Bunting A.P, à ¢Ã¢â€š ¬Ã‹Å"Guiding Principles in Medical Law: The Ability to Treatà ¢Ã¢â€š ¬Ã¢â€ž ¢ https://etheses.bham.ac.uk/968/1/Bunting05LLM.pdf accessed on 13 November 2014 , à ¢Ã¢â€š ¬Ã‹Å"The Book of à ¢Ã¢â€š ¬Ã…“Medical Law and Researchà ¢Ã¢â€š ¬Ã‚  On-Lineà ¢Ã¢â€š ¬Ã¢â€ž ¢ https://www.medreslaw.com/capacity.php accessed 13 Novemb er 2014 Tables of Statutes and Cases Table of Statutes Department of Constitutional Affairs, MCA 2005 Code of Practice (2007: para 4.12). Department of Constitutional Affairs, MCA 2005 Code of Practice (2007: para 8.22). Mental Capacity Act 2005, s.1 Mental Capacity Act 2005, s.2 Mental Capacity Act 2005, s.3 Mental Capacity Act 2005, s.4 Table of Cases A Local Authority v Mrs A and Mr A [2010] EWHC 1549 (Fam) Bolam v Friern Hospital Management Committee [1957] 1 WLR 582 Gillick v West Norfolk and Wisbech Area Health Authority [1986] AC 112 Re A (Male Sterilisation) [2000] 1 FCR 193 Re B (A Minor) (Wardship: Sterilisation) [1987] 2 All ER 206 Re C (Adults: Refusal of Treatment) [2004] 1 WLR 290 Re F (A Mental Patient: Sterilisation) [1990] 2 AC 1 Re LC (Medical Treatment: Sterilisation) [1997] 2 FLR 258 Re MB (Caesarean Section) [1997] 2 FLR 426 Re MM (An Adult) [2007] EWHC 2003 (Fam) Re T (Adult: Refusal of Treatment) [199 3] 2 All ER 649 St Georgeà ¢Ã¢â€š ¬Ã¢â€ž ¢s Healthcare NHS Trust v S [1998] 3 All ER 673 [1] Mental Capacity Act 2005, s.2(1). [2] Department of Constitutional Affairs, MCA 2005 Code of Practice (2007: para 4.12). [3] Mental Capacity Act 2005, s.3(1). [4] Re C (Adults: Refusal of Treatment) [2004] 1 WLR 290. [5] Re MB (Caesarean Section) [1997] 2 FLR 426. [6] Ibid. [7] A Local Authority v Mrs A and Mr A [2010] EWHC 1549 (Fam). [8] Ibid. [9] K Keywood, à ¢Ã¢â€š ¬Ã‹Å"Safeguarding Reproductive Health? The Inherent Jurisdiction, Contraception, and Mental Incapacityà ¢Ã¢â€š ¬Ã¢â€ž ¢ (2011) 19 MLR 326-333. [10] Mental Capacity Act, s.1(2) [11] St Georgeà ¢Ã¢â€š ¬Ã¢â€ž ¢s Healthcare NHS Trust v S [1998] 3 All ER 673. [12] Mental Capacity Act 2005, s.1(4). [13] Mental Capacity Act 2005, s.1(5). [14] Mental Capacity Act 2005, s.4. [15] Department of Constitutional Affairs, MCA 2005 Code of Practice (2007: para 8.22). [16] Re F (A Mental Patient: Sterilisation) [1990] 2 AC 1. [17] Bolam v Friern Hospital Management Committee [ 1957] 1 WLR 582. [18] Re MM (An Adult) [2007] EWHC 2003 (Fam). [19] Re B (A Minor) (Warship: Sterilisation) [1987] 2 All ER 206. [20] Re A (Male Sterilisation) [2000] 1 FCR 193. [21] Re B (A Minor) (Warship: Sterilisation) [1987] 2 All ER 206. [22] Re LC (Medical Treatment: Sterilisation) [1997] 2 FLR 258. [23] Mental Capacity Act 2005, s.2. [24] Mental Capacity Act 2005, s.3. [25] Gillick v West Norfolk and Wisbech Area Health Authority [1986] AC 112. [26] Re T (Adult: Refusal of Treatment) [1993] 2 All ER 649. [27] Re MB (Caesarean Section) [1997] 2 FLR 426. [28] Mental Capacity Act 2005, s.1(4). [29] Re MB (Caesarean Section) [1997] 2 FLR 426.

Macroeconomics Healthcare - 1553 Words

Macroeconomics of Healthcare Douglas A. Propp, MD, MS, FACEP, CPE Chair, Department of Emergency Medicine Advocate-Lutheran General Hospital Clinical Associate Professor of Emergency Medicine University of Chicago As Emergency Physicians, we are frequently peripherally exposed to healthcare economic statistics, policies, and debates with little concern for mastering these concepts, feeling that they have little to do with our practice of Emergency Medicine. Although a working knowledge of microeconomics will not aid in arriving at the diagnosis for the elderly patient with mental status changes who we are evaluation at 3 A.M., an understanding of these principles will enhance our roles in positively contributing to the healthcare†¦show more content†¦Whereas indemnity insurance was formerly the prevalent means to fund healthcare expenses in this country, the increasing impact of co-payments and deductibles assumed by the consumer has limited resource demand. In addition, capitation which provides an upfront fixed payment to the provider, allowing them to manage the financial risk associated with subsequent expenditures for their patients gained popularity over the past decade. Many ha ve questioned whether the behavior required of the provider in order to balance the revenues and expenses inherent in a capitation arrangement could be appropriately managed within the context of the overriding patient-physician relationship and might even violate the ethical principle of patient beneficence. One should be able to see that different provider (physician or hospital) behavior can be incentivized based on the payment methodology utilized. For example, if a hospital was paid a fixed amount of money for a hospitalization (e.g., DRG), it would be incentivized to limit both the length of stay and intensity of services for the patient. 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