Ethically Bound and Legally Speaking -Discussion Essay

Ethically Bound and Legally Speaking -Discussion - Essay Example The medical team did what they could to save the life of the patient. The patient emerged from surgery alive but was clearly going to have a very low quality of life if he lived long. Hours after the surgery, the patient developed complications and was clearly experiencing excruciating pain in different parts of his body. I realized that the patient was not going to live long. His condition deteriorated by the minute in spite of the efforts that the medical team were applying. Meanwhile the costs associated with his care continued to soar even as his quality of life dwindled and level of pain increased. The temptation to turn off the life support machines was high if not to save the patient from the pain he was suffering then to save his family from incurring additional costs for his care. He was going to die shortly; within a few days or weeks at the most anyway. I was torn between applying the principles of beneficence and nonmaleficence. The principle of nonmaleficence dictates that clinicians should do no harm to their patients (Aveyard, 2004). On the other hand, the principle of beneficence dictates that clinicians act in the best interest of the patient such as by taking action to prevent physical harm or pain (Aveyard, 2004). By switching off the life support machines, I would save the patient the agony he was going through as a result of his injuries and low quality of life. On the other hand, I would seem to have done the patient harm by switching off the machines. In the end, I decided to go by the latter. We opted to do the best we could to make the patient feel less pain even as he approached his death naturally. I believe the stand that I took was appropriate especially considering my strong belief in the sanctity of life. The alternative action would have been to switch off the machines and save the patient from having to endure so much pain. This perhaps

BIM (BUILDING Information Modeling ) Essay Example | Topics and Well Written Essays - 1500 words - 1

BIM (BUILDING Information Modeling ) - Essay Example The lifecycle of a product involves designing, building, operation, and maintenance activities. Since current buildings rely upon drawings, building designs have formerly focused upon communications through numerous distinct and often inconsistent documents. With BIM, building designs are not just about drawings and numerous documents, but about a data repository where structure and continuation information is combined in one expedient model for sharing amongst all stakeholders (McNell et al, 5). As a model-based design process, BIM offers explicit design information, for instant consideration and evaluation of the design objective and program. As a result, BIM model offers augmented process competence and superior quality accuracy compared to conventional 2D CAD drawings. 2.0. Management of BIM Previously, architects designed buildings which were then scrutinized by engineers who offered feedback and technical responses concerning the design (AUGI, 1). Conversely, the contractors ob tained the drawings and build the structure. At this point, every party played their own part. However, BIM and all its inventions, ideas, methods and designs are all owned by the Department of design and Construction. According to AUGI, the other persons using BIM like contractors only have temporary use for given time extents after which all BIM copies are submitted to DDC. In the BIM model, the owner hires an architect and contractor. The architect is the design review agency while the contractor performs QC testing and inspection (Ashcraft and Shelden, 7). The architect works with specialist consultants and engineers (A+E). The contractor works with engineer contractors and subcontractors. The subcontractors work as product suppliers, material suppliers, installers and labor unions among others. The contractor have a construction simulation model and fabrication model, the architects have the design model, and the engineer will have the analysis model depending on their discipli ne (Ashcraft and Shelden, 7). BIM collaborative use requires that all available models are interoperable and that each model is a clear and consistent representation of the same structure. 3.0. BIM practice The building industry comprises of architects, engineers, contractors and owners or (A/E/C/O). The architect is provided with a service request (Ashcraft and Shelden, 7). The architect is responsible for designing buildings and space using BIM and has the intentions to have the building executed to work. However, the role of the architects expanded to business strategy, and technology among others. The professional engineers then utilize recent 3D modeling and visualization (Revit and AutoCAD) for 3D design. After receiving the request, the architect validates and designs the structure. Conversely, the engineer imports conventional 2D drawings that have 3D information for precise establishment of 3D renderings. When coupled with onsite coordination, 3D visualization offers improv ed accuracy for detection and resolution of instances of collision among infrastructure components. The process used here is crash detection (Ashcraft and Shelden, 7) and is cost saving since component collisions are only detected after commencement of construction. The engineer then documents the findings and issues to the designer. The designers utilize BIM to discover substitute concepts, perform value engineering and optimize designs. Given the BIM model, t