Structure of Clinical Translation System - Free Samples to Students

Question: Discuss about the Structure of Clinical Translation System. Answer: Introduction: The author Roe, (2017) brings forward the Queenslands health system action of barring abortion in a mentally ill person with a drug problem. The author set the scene for the argument against Queenslands action by stating about a 33 year old woman who applied for a special consent to terminate her pregnancy at 20 weeks as she did not wanted any children. The women was found to suffer from history of mental illness, drug use, hepatitis C positive and she was involved in criminal matters too. She has been living in a Brisbane mental health facility as she breached a bail order. Overall, the author has presented the whole case in a simple language without any technical jargon and legal terms. It is easy for any common public to understand the problem. In the article, the women is given the term QBD as it is referred by the Queensland Civil and Administrative Tribunal (QCAT). The author has effectively presented the argument regarding the reason for which continuing with pregnancy will be risky for QBD. This also reflects that the author feels that barring pregnancy in the women is unjustified. The mains arguments raised was that QBD had complex care needs due to her mental illness and her parents also feel the termination procedure is justified because she lack the capacity to take care of children. However, the QCATs rationale for barring pregnancy is that QBD lacks mental capacity to take complex personal decisions because she has been diagnosed with mental illness. Secondly, continuing with pregnancy will require coordinated care and treatment for her (Pozzi et al., 2017). The strength of the article is that the author has beautifully presented both sides of the argument. This also shows that QCAT has made ethically sound decis ion because late pregnancy termination is associated with many ethical and human right issues because the fetus is alive by that time (Kimmelman London, 2015). The author has provided insight into the legal implications of going for abortion after 20 weeks. However, abortion beyond 20 weeks is legal in many states in Australia and South Australia. It might be possible that QBD might have got consent for abortion if she was in another state. The author has also presented the irony of the case where law is taking more precedent to decide about a womens health instead of health care professionals. While deciding on termination pregnancy for QBD, QCAT must have relied on health care professionals decision. One weakness in the article is that it is not clear what stance is the author taking, because at one point that author mentions law is dominant over health care professionals, however the articles also shows that medically also QBD is at high risk during her pregnancy because of low lying placenta and smoking habits. Another limitation presented by the author regarding QCAT is that they have referred to the risk of pregnancy for QBDs health, however no reference has been made to the risk of termination for the twins. Reference Kimmelman, J., London, A. J. (2015). The structure of clinical translation: efficiency, information, and ethics.Hastings Center Report,45(2), 27-39. Pozzi, R. A., Yee, L. M., Brown, K., Driscoll, K. E., Rajan, P. V. (2014). Pregnancy in the severely mentally ill patient as an opportunity for global coordination of care.American journal of obstetrics and gynecology,210(1), 32-37. Roe, I. (2017).Prisoner with schizophrenia has bid for termination of twins rejected. Retrieved 23 September 2017, from https://www.abc.net.au/news/2017-09-03/prisoner-abortion-denied-mental-health-grounds/8866696