ARTICLE CRITIQUE SKILLS 1
Wallace has provideda convincing argument for the need to integrate cultural into thehealth care system. According to Wallace, an effective caregiverneeds to consider cultural traditions in health care system andpolicy. Besides, globalization that has resulted in increased casesof immigration demands the health care to provide adequate careconsistent with cultural health needs. However, industrialization andglobalization has limited the available opportunity to leadtraditional lifestyles and engage in cultural practices that areprerequisite to good health (Richmond & Ross, 2008). Whereopportunities for traditional activities to remain intact, theseenvironments have been contaminated by industrial pollutant, plants,and water unfit for traditional uses. These communities are left tosuffer the health consequences of ingesting harmful environmentalcontaminants. Given the drastic alterations to the environment overthe past decades and the subsequent lifestyle changes, new chronicconditions may start showing up in these communities. Although it isrelevant to consider integration of cultural beliefs to some extent,the health care providers should mostly insist on using biomedicalmodels rather than traditional substances.
Richmond, C. A. M., & Ross, N. A. (2008). Social Support,material circumstance and health behaviour: Influences on health inFirst Nation and Inuit communities of Canada. Social Science &Medicine, 67, 1423-1433.
Although Colladocalls for elimination of modifiable factor like cleaning the air andwater systems for all communities, I believe solid waste is asignificant concern to public health both globally, nationally andlocally (Tulchinsky & Varavikova, 2009). Most of the solid wasteare feed to animals and incinerated, ploughed into the soil, dumpedon land and water. The incidence of swine epidemic of the 1950scauses the public health policy makers restrict feeding of rawgarbage to pigs. Most of pollution connected to solid wastemanagement include Sulphur Oxide, Ozone, Nitrogen Oxides, Lead andCarbon Monoxide. Each of these element contributes to a major publichealth problem. An element such as Ozone leads to irritation of theeyes and has implication to the lung tissues (UNEP, 2005). It alsoreduced the body resistance to pneumonia and cold that may result toasthma and cause chronic heart diseases. Proper solid waste disposalmay lead to improved health and reduced environmental pollution.
Tulchinsky, T. H., & Varavikova, E. (2009). The New PublicHealth, 2nd edition, Philadelphia, PA: Academic Press.
UNEP. (2005). International Environmental Technology Centre (IETC).Urban Waste Management Strategy.
I chose answer #2 asbeing the most ethical. Medical confidentiality must be kept absoluteunder all times and circumstance. When confidentiality is looked onlike an interpersonal communications strategy, then it is easy to seethe significance of confidentiality in a doctor-patient relationship.This is vital as part of an ethical relation because no patient wouldgo to a doctor interact with researchers who spread to others whenintimate details were given to doctor in confidence. In arelationship between doctor and patient, mutual trust is what make itunique and the patients have trust that the information they confideto the doctor will be kept confident. Health caregivers have a moralresponsibility to be faithful and worthy of this trust. In thecontext of Kant’s theory, health care providers should be bound tokeep absolute confidentiality.
Odunsi, B. (2007). Should caregivers be compelled to disclosepatients’ HIV infection to the patients’ sex partners withoutconsent? Ethical Issues inReproductive Health, 38 (94):297-306.