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To use this tag library, you can place the tld file in the same directory as the JSP page. Place the tag handler class in directory Web-inf/classes/chapter7. Depending on your operating system, the case of this directory may or may not matter, so check the directory where you JSP page is located to be sure. Now you can invoke your JSP page. If you re using Tomcat, enter this URL in your browser: http://localhost:8080/examples/jsp/chapter7/example2.jsp Refer to the screen shown in Figure 7-2. Now, let s change our tag by adding attributes.



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The result is a rigidly hierarchical system, which, it seems to the author, is most unlikely to be able to help the patient to become more autonomous..





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laissez-faire approach shows suf cient regard for autonomy the main thing is to let the patient make up her own mind and it s not always up to me to tell the patient everything about his condition if he wants to know he will ask But without additional help this may not be enough the patient may not have a high enough level of autonomy Her autonomy may not yet be of a quality good enough to enable her to exercise a reasoned choice Indeed, if doctors think respecting autonomy merely means saying over to you whenever there are hard clinical decisions to be made, they have things badly wrong Super cially it may seem as if a patient s right to exercise the principle is respected if she is left alone to decide to have treatment or not.

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Certainly she will not be under pressure to do what clinicians would like, but without advice, support and education and especially if she is upset and anxious she may have little or no autonomy to exercise 3 List ways of enhancing autonomy and contrast these to diminishings or constrainings In this regard it is important to recognise that the quality of autonomy can be improved or worsened by factors internal to a person factors at least partly within the power of individuals and external factors too 4 Demonstrate that in health work there is a crucial point at which efforts to create autonomy (Understanding A) efforts to improve the quality of a person s autonomy by trying to enhance what that person is able to do become secondary to a duty to respect autonomy in the sense urged by talk of principles and rights (Understanding B).

Distal wasting and weakness of muscles Legs more involved than arms, and bulbar involvement very rare Associated distal sensory symptoms and signs Many causes, several of which have specific treatment and are reversible

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It can be shown that an autonomy ip can occur, where work to create autonomy must give way to respect for autonomy 5 Begin to consider solutions to a seemingly intractable dilemma This occurs whenever it is felt more important to provide for a person s welfare (creating autonomy in line with Understanding A) than to respond to a person s expressed wants (respecting autonomy in line with Understanding B) One trivial example of this dilemma occurs when a decision is made to deny fat children sticky buns even though they want them A perhaps more serious example confronts doctors who work with people who experience problems with illicit drug use.

TABLE 7-7. (continued)

Should doctors provide the drugs cheaply and safely which is what many drug users want or should they insist on detoxi cation out of concern for their welfare Which policy has most regard for autonomy (Note: It is true to say that if it is argued that autonomy is a quality, and that this quality ought to be increased, then this belief could be translated into a principle Equally, if health workers have a duty to enhance this quality in others, then it might be argued that this implies a right to have one s autonomy increased The rst suggestion is undoubtedly true we create principles and there is no reason why we should not create this one However, we must remember that the principle is not a thing in itself but originates from admiration of a complex human quality The second recommendation is a little more complicated.

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