Narrative essay

Whenever I think of the incident that transpired on that particular Thursday afternoon, I get a nasty feeling about the challenges of working as a respiratory therapist. Is it that all the health care practitioners should have a calling to their work or should work as a profession? As a respiratory therapist, I usually work in the intensive care and the operating rooms, but I also engage in the outpatient activities. I am a specialist and an educator in the fields of cardiology and pulmonology. Most of the patients I attend to are in the ICU and the emergency departments struggling for their lives. At times, I manage the pre-hospital and the hospital to hospital patient transport by air or by mobile road ambulance. Most of the patients have illnesses ranging from asthma, bronchitis, and emphysema. Other have a heart attack and sleep disorders. On a certain Thursday afternoon late last year, I had one of the many challenges in my line of service.

I reported to work as usual and said a prayer before the start of my daily chores. I attended to several patients having varying illnesses, and most of them had a hope of getting well in due time. I decided to take a short rest during lunch hour after realizing that there were no more patients to attend. However, after few minutes, I received a call from the hospital superintendent that there was an emergency case I required to attend. The details clarified that I had to travel with several nurses to a nearby village to seek what we could do to save the situation. There was a man in his later forties who lived with asthma for a long time. I looked at him in desperation knowing that I could do my best to save the situation though he was in a life-threatening stage. He could not talk, had flared nostrils, his skin was bluish tint from the mouth region and under the fingernails. The man lacked adequate oxygen circulation in the blood stream.

My professional’s values require that I serve to the best of my ability to save lives and restore health. We teamed up with the nurses to address the condition, but our attempts seemed futile. All our first aid attempts failed to change the situation. I instructed the nurses to lay him in the ambulance and rush to the hospital for further treatment. I think that it was a rough day for me since every other attempt to save the man failed. He lost his life as we worked tirelessly to save it. I felt discouraged, guilty, and emotionally disturbed and could not attend to other patients that day. I questioned my work as a respiratory therapist and whether it was a calling or out of influence to study the particular discipline. According to my understanding, such occurrences were inevitable, but some could be saved regardless of their severity. I did not understand why the man could lose his life in the hands of professionals and experts in the field.

It was sad news to the close family members and very challenging to break the same news to the wife who was also ill of another health condition. In some instances, the experiences of healthcare practitioners are hard to relate with though they form part of the daily life. The work of a respiratory therapist is challenging, but the desire to continue improving the quality of life compels me to serve wholeheartedly.

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Assignment

Introduction
Brazil is classified as a developing nation due to its Human Development Index score. Brazil is a large nation located in South America. It is well endowed with various natural resources. The Human Development Index score is determined by specific criteria including education, Life expectancy, availability of technology, availability of healthcare and income. Since 2015, Brazil has experienced a high increase in its Human Development Index score. Today, it is classified as a “high” HDI nation. This means that it is in the upper quadrant that contains the upper tier of developing nations.

Question 1
Brazil has previously experienced financial problems. The financial problems emerged due to dictatorial government and corruption. Both the IMF and World Bank interfered with the aim of reducing inflation and improving exchange rates. For a long time, the government of Brazil worked closely with the two institutions in its efforts to settle the foreign debt, but the country’s debt situation only deteriorated (Remmer, 2004). Prior to obtaining any help from the IMF and World Bank, the country had to accent to its state of affairs, which involved executing the Structural Adjustment Programs. The program involved taking measures including minimization the growth in the money supply, liberalizing its foreign exchange, eliminating subsidies, minimizing government spending and removing price controls among other measures (Chossudovsky, 2003).

The IMF and World Bank have offered various economic developments. The efforts have been criticized for neglecting the needs of the poor majority and prioritizing multinational corporations and wealthy lenders in the industrialization. In Brazil, the IMF and World Bank has intervened in domestic politics by supporting one side in the heated social debate. As a result, the institutions have interfered in the most political of decisions involving the allocation of national resources (Santiso, 2001). Hence, they have undermined Brazil’s national democracy.

Brazil has had to adhere to the conditions set by the institutions so as to sustain its economy. When Brazil liberalized its foreign market, the country recorded a considerable growth in imports. This is not healthy for the country’s advancing economy (Danaher, 1994). The significance of IMF conditions could help Brazil through access to outside markets for its agricultural products. However, Brazil still faces market barriers for its products (Mosley et al., 1995). The broad market opening affected Brazil’s trade deficit and devalued its currency. Under the guise of advancing “free trade,” financial stability and market liberalization, the two institutions have forced a reduction in education, health care, and other social services thereby increasing inequality and deepening poverty.

On the other hand, IMF and World Bank have assisted Brazil stabilizing its economy and eradicating its debt crisis. Through Washington Consensus sponsored by the two institutions, Brazil implemented a fiscal policy, aimed at development programs, reducing government salaries and cutting down public sector investment.

Question 2
For Brazil, healthcare is a priority. Therefore, it is the responsibility of the state to ensure that health facilities are available and funded. Healthcare is a constitutional right in Brazil. The Health Ministry carries out national health policy while both the government and private sector are responsible for the provision of healthcare. The effects of a healthy population on the economy are clear. First, a nation with a healthy population finds it attain sustained growth. The provision of primary healthcare enables prevention of diseases for the benefit of the economy (Santiso, 2001).

Secondly, the healthcare performance is linked to economic prosperity. A healthy population can achieve better productivity. Thirdly, a healthy population has a higher life expectancy. This is necessary for economic development. Investment in healthcare is important for economic growth given that healthy workforce is more delivers consistent production. The fourth is that a healthy population reduces the burden of illnesses and costs associated with health issues. This benefits the rapid economic growth. In order to achieve these, the Brazilian government provides a universal healthcare system that allows citizens to afford private healthcare. The system is non-exclusive and accommodates everyone, including visitors (Falleti, 2010). The problem with its health care system is that a substantial amount of spending on healthcare is private.

Question 3
Brazil has faced a number of difficulties in its healthcare financing. This has been linked with low investment from the government. Despite the situation, the country does depend much on foreign aid to support the provision of healthcare to its citizens. Foreign aid is largely used for servicing its debts. The British government is a key supporter of Brazil. The country has made a substantial step towards the reduction of HIV/AIDS and has surpassed the expectations of the World Bank Brazil has emerged as a leader in the exchange of expertise and resources among developing countries. Brazil’s portfolio of domestically developed interventions, including the public production of ARVs and CCTs has positioned the country’s aid’s regime to capitalize on improving the national balance sheet. In 2015, Brazil enacted new legislation requiring international private investors to purchase and operate healthcare facilities in the nation. Investment in healthcare by foreigners has become desirable due to a reduction in value of domestic currency.