Monday, 26 January 2015

Birth, abortion, and dying – Study material



Birth, abortion, and dying – Study material

Birth is the act or process of bearing or bringing forth offspring. The offspring is brought forth from the mother.

  • Childbirth is the process at the end of a human pregnancy that results in a baby being born.
  • Natural childbirth is the technique of minimizing medical intervention, particularly anaesthetics, during childbirth.
  • Unassisted childbirth (UC) is birth without the aid of medical or professional birth attendants. Also known as freebirth.
  • Multiple birth is the birth of two (twins), three (triplets), four (quadruplets), etc., babies resulting from a single pregnancy.
  • Birth canal is the term used for the vagina during birth, as it is the route through which the infant passes during a vaginal birth.
  • Caesarean section or C-Section is surgical birth through the wall of the abdomen.
  • Birth pangs are the pains felt by the mother during labour, resulting from contractions of the uterus and pressure on nerves and organs.

Birth control methods are devices, medications or behaviour patterns to reduce the probability of pregnancy.
Placenta is the organ in most mammals that provides the nourishment of the foetus and the elimination of its waste products.
Midwife is the term for a health care provider that provides at home health care for expecting mothers, delivers baby during birth, and provides postpartum care.
Birth doula is the term for a labour assistant that provides emotional support, physical comfort measures, and other assistance to expecting mothers, partners, families, and baby before, during, and after childbirth. A postpartum doula provides support after birth, and specializes in postpartum care for mother and infant, infant attachment, and other newborn care.

Complications

Infertility treatments are devices, medications, or behaviours patterns to increase the probability of pregnancy.
Premature birth is the birth of an infant before the full term of pregnancy.
Birth defect is a physical or mental abnormality present at the time of birth.
Stillbirth is the birth of a dead foetus or infant.
Birth trauma is a theory in Pre & Perinatal psychology and natural medicine that the baby experiences extreme pain during the birthing process and that this pain influences the child later in life.

Complications may cause a miscarriage or spontaneous abortion to occur.

Abortion is the termination of a pregnancy by the removal or expulsion of a foetus or embryo from the uterus, resulting in or caused by its death. An abortion can occur spontaneously due to complications during pregnancy or can be induced, in humans and other species. In the context of human pregnancies, an abortion induced to preserve the health of the gravida (pregnant female) is termed a therapeutic abortion, while an abortion induced for any other reason is termed an elective abortion. The term abortion most commonly refers to the induced abortion of a human pregnancy, while spontaneous abortions are usually termed miscarriages.

Reason for abortion: family size, financial issues, genetic factors, mental health reasons, my age (too young or old), my education, my personal reasons for not wanting a child, physical health reasons, problems with my relationship, rape/incest

Euthanasia refers to the practice of ending a life in a manner which relieves pain and suffering. Euthanasia is categorized in different ways, which include voluntary, non-voluntary, or involuntary and active or passive. Euthanasia is usually used to refer to active euthanasia, and in this sense, euthanasia is usually considered to be criminal homicide, but voluntary, passive euthanasia is widely non-criminal.

  • Voluntary euthanasia – is conducted with the consent of the patient. Voluntary euthanasia is legal in Belgium, Luxembourg, the Netherlands, Switzerland, and the U.S. states of Oregon and Washington. When the patient brings about his or her own death with the assistance of a physician, the term assisted suicide is often used instead.
  • Non-voluntary euthanasia – is conducted where the consent of the patient is unavailable. Examples include child euthanasia, which is illegal worldwide but decriminalised under certain specific circumstances in the Netherlands under the Groningen Protocol.
  • Involuntary euthanasia – is conducted against the will of the patient.

Death is the termination of the biological functions that sustain a living organism.
Causes of death in humans as a result of intentional activity include suicide, homicide and war. From all causes, roughly 150,000 people die around the world each day.

Physiological death is now seen as less an event than a process: conditions once considered indicative of death are now reversible. Where in the process a dividing line is drawn between life and death depends on factors beyond the presence or absence of vital signs. In general, clinical death is neither necessary nor sufficient for a determination of legal death. A patient with working heart and lungs determined to be brain dead can be pronounced legally dead without clinical death occurring. Precise medical definition of death, in other words, becomes more problematic, paradoxically, as scientific knowledge and medicine advance.

Adjusted to:

Czech birth-rate rising but population still ageing - Text 1

Czech birth-rate rising but population still ageing


A Exactly a year ago, Radio Prague reported that the Czech Republic was experiencing something of a baby boom, especially in the summer months when maternity hospitals around the country were finding it hard to cope with an unusual number of births. This summer, the situation seems very similar. That may sound like good news, but demographers say, in the long term, the Czech population will continue ageing.

B The year 2007 saw the highest number of births in the Czech Republic since the mid-1990s when the birth-rate took a dive in this country. Over 102,000 babies were born last year and experts agree it is because many of the baby-boomers born in 1974 and 1975 are having their first children now when they have reached their 30s – unlike previous generations who had children at a much younger age. Demographers also say it is quite likely that the women who are now having their first baby will decide not to have any more children.

C Demographer Terezie Kretschmerová from the Czech Statistical Office says: “It is very likely that women, who are now in their fertile age, will end up having fewer children than women who were in their fertile age a few decades ago. Also, a larger proportion of them will remain childless. If the trends from 2005 were to continue, up to 37 percent of women would stay childless.”

D Currently there are 1.28 children per woman in a reproductive age, which makes the Czech Republic's fertility rate one of the lowest in the world. The average age when women have their first baby continues to rise, from 26.3 years in 2004 to 26.6 last year. Despite that, the Czech population has been increasing in recent years, but mainly due to immigration.

E In the year 2007, more than 60,000 foreigners came to live in the Czech Republic which equals more than half the number of babies born in this country last year. The Czech Statistical Office also projects that by 2050, the share of people over the age of 65 in the population could increase from some 14 percent now to a full one third.

baby-boomer – člověk narozený při populační explozi
fertility rate – míra plodnosti

1) Read the article and match each of the headings to a paragraph.

1 Kretschmerová’s opinion
2 Baby-boomers born in 1974 and 1975 are having their first children
3 The rate of seniors will have been 33 percent by 2050
4 Baby boom and aging in the Czech Republic
5 Low fertility rates in the Czech Republic

2) Read the article again and answer the questions.

1 What is the article about?
2 What do the demographers say about the birth rate in the Czech Republic?
3 What does Terezie Kretschmerová think?
4 What is the fertility rate in the Czech Republic?
5 Why were more children born in the year 2007?

3) Explain the following words.

1 baby boom
2 maternity hospital
3 fertile age
4 childless
5 average age

4) Answer the following questions.

What is childbirth? Why are the birth rates in the Czech Republic low? What are types of births? What is a multiple birth?

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Euthanasia. Do Czechs care? - Text 3



Euthanasia. Do Czechs care?


A Euthanasia – in the original Greek the word means help in suffering, both medical and in the mind. The word now applies to the highly controversial issue of enhancing death on the request of a patient. Illegal in the Czech Republic, euthanasia became a topic of discussion and a political issue some ten years ago. Ever since then it has faded into the background, overshadowed by other events seen as more urgent. Talking to a few citizens of Prague about their opinion on euthanasia, I had the impression that many Czechs remain undecided.

B Supporters and opponents of euthanasia among professionals agree in one point. They both want to help dying patients. While supporters would prefer to do so by putting suffering and pain to an immediate end, opponents opt for palliative care, not trying to keep the patient alive artificially, but trying to alleviate their suffering as much as possible. Under this approach, patients are given painkillers and provided professional care at home, in hospitals or hospices.

C Pavel Boček worked at Paediatric Clinic of Oncology at the Motol Faculty Hospital for thirteen years and has always been interested in trying to improve the quality of life of his terminally ill patients. He agrees with euthanasia but only under certain circumstances. “If we are talking about euthanasia we should only talk about adult patients. I was seeing a patient who was suffering from one kind of cancer. He had numerous metastases in his body but his brain was clear. He was able to think about the quality of his life and he was in great pain although he was getting some anaesthetics.”

D “He was asking us, very directly, to stop his life because he could not bear to see himself in such a mess and he did not want to see the cancer win. He wanted to be the winner. From my point of view, we have first to ask the patient himself, because he is the one we are talking about. We have to focus on patients who want this to be done, who have a clear mind, and who have this very specific request”, Pavel Boček added.

E “The main arguments were that doctors cannot decide that this patient is going to die or not. But my opinion is that it is not the decision of the doctor. A doctor is only a person who provides that”, says Pavel Buček once nicknamed “doctor death” because of his views. He makes clear that he would support legalisation of euthanasia but not before through discussion. Euthanasia, just like the death penalty, is irreversible and it is necessary to rule out its misuse. People on the streets seem to fear the same.



artificially – uměle
circumstance – okolnost
enhancing – urychlení
irreversible – nezvratný
to fade – vymizet, vyblednout
to opt – zvolit
to overshadow – zastínit
undecided – nerozhodný

1) Read the article and match each of the headings to a paragraph.

1 Need to focus on patients who want euthanasia
2 Approaches of supporters and opponents
3 The does not decide but provides help
4 Introduction
5 Pavel Boček and his patient

2) Read the article again and answer the questions.

1 What is the article about?
2 What do supporters and opponents of euthanasia say?
3 Who is Pavel Boček?
4 What does he think?
5 What does he say about his patient?

3) Explain the following words.

1 painkiller
2 to alleviate the suffering
3 cancer
4 patient
5 death penalty

4) Answer the following questions.

What is a death? What are causes of death? What are types of death?

Adjusted to:

The Hope Children’s Hospice - Text 5

The Hope Children’s Hospice


A The Hope Children’s Hospice provides free specialist care for children with life-limiting conditions who are not expected to live into adulthood. It cares for up to eight terminally- ill children at one time, and aims to care for them in the same way their families would care for them at home. When families prefer to do the caring themselves, a hospice carer will go to their home and help them.

B Life-limiting conditions present many long-term medical and emotional problems – not only for the child, but for parents and siblings too. So the hospice offers respite care – short stays for the child alone or for the whole family together. At these times, parents hand over responsibilities to the staff and have a ‘holiday’. Short stays give terminally-ill children an opportunity to meet others with similar conditions.

C  Each child at the hospice has their own carer and their own care plan. A normal day might start with a jacuzzi bath followed by a massage from a complementary therapist. Some children go to school, while others play with hospice play specialists.

D The hospice has a multi-sensory room. This is a special room which stimulates the children’s senses with lights, music, touch, and smell. It has touch-screen computers, video games, paddling pools, and space for wheelchair dancing. Children have music therapy and can record their own music, not only as a way to express their feelings, but to leave something for their family and friends to listen to in the years to come.

E  The hospice has a number of quiet rooms where we care for children during and after death. These are places where families and friends can say goodbye. Our support does not end with death. We help not just grieving parents, but also siblings who are experiencing bereavement. We give everyone opportunities to discuss their fears about death and dying.



bereavement – ztráta blízké osoby
grieving – truchlící
jacuzzi – vířivka
paddling pool – brouzdaliště
                                                   

1) Read the article and match each of the headings to a paragraph.

1 Saying goodbye
2 Using the senses
3 A home from home
4 Personal care
5 Helping the family

2) Read the article again and answer the questions.

1 Do children have to stay at the hospice all the time?
2 How does the hospice help the children’s families?
3 How many children does each carer look after?
4 What can children do in the multi-sensory room?
5 How is music used at the hospice?
6 How are the special quiet rooms used?

3) Explain the following words.

1 terminally-ill
2 siblings
3 staff
4 wheelchair
5 fear

4) Answer the following questions.

How are Czech hospice centres financed? Where do they get money from? Have you ever been to a hospice? Who works in a hospice? What are typical illnesses of the people staying in a hospice?

Adjusted to:

GRICE, Tony. Oxford English for Careers : Nursing 1 Student's Book. Oxford : Oxford University Press, 2007. The Hope Children’s Hospice, s. 76.

Hospice care for terminally ill

Choose two videos and describe in 10 sentences:
https://www.youtube.com/watch?v=Vxk-hSrBlhk
https://www.youtube.com/watch?v=stA1xZ7xahw
https://www.youtube.com/watch?v=stA1xZ7xahw
https://www.youtube.com/watch?v=2GWFQ8truSo
https://www.youtube.com/watch?v=PPDYI0uSYoI

Monday, 1 December 2014

The disabled

Watch the video and comment in 7 sentences. Write 10 sentences about everyday problems and discrimination of the handicapped.