Ethical Dilemma In Nursing - 1599 Words

Introduction The choice of right versus wrong is instilled throughout childhood. However, there are some situations where you have to choose between the two because both choices have their advantages and disadvantages. This is an ethical dilemma. An ethical dilemma involves morals that clash between each other, and some involve the legal aspect of the choices (Grohar- Murray). Everyone faces some sort of ethical dilemma. There are some professions that have to battle ethical dilemmas every day. Amongst those professions the nursing occupation and other healthcare related titles have to keep in mind several different laws, rules, and regulations that effects these decisions. The nurse also must remember their primary duty is to the†¦show more content†¦What happens when the patient is legally incompetent and the patient’s family agrees to the treatment while the patient is refusing? The next section, 2.1: Primacy of the Patient’s Interests, explains what to do â€Å"when t he patient’s wishes are in conflict with those of other.† In these situations â€Å"the nurse’s commitment remains to the identified patient† (2015). Simply put the nurse must listen to the desires of the patient that is admitted to the hospital or care facility over the patient’s family. Background On this particular floor, there was a patient who was legally incompetent. This patient has a history of being noncompliant with his medicines and hypertension. He has a drug issue and a list of medical problems. Those health problems include a left middle cerebral artery infarct with a hemorrhagic conversion, ejection fraction of 30%, and a heart rhythm of atrial fibrillation. Occasionally this patient’s heart rhythm would switch to sinus tachycardia during the shift. Along with the pervious complications listed this patient had other symptoms associated with strokes. The healthcare team was not sure as to what was the cause of the sudden spikes in heart rate. The increase happened while the patient was in the bathroom, however, the cardiologist advised his heart rate should not drastically increase as it did from a bowel movement. The cardiologist decided to perform a heart catheterization (Heart Cath) on thisShow MoreRelatedImportance Of Ethical Dilemmas In Nursing723 Words   |  3 Pages In nursing, one must rely on principles of ethics to guide his or her decisions and actions. As I have journeyed through nursing school, I have been faced with multiple scenarios in practice that I believe that now, with the new information I have learned through these past few weeks’ readings, I would be more prepared to recognize as ethical dilemmas, to challenge, or to act on, ethically. After taking the Ethical Leadership Self-Assessment, I have been able to highlight two opportunities forRead MoreThe Ethical Dilemma Of Pediatric Nursing1204 Words   |  5 PagesIn pediatric care, nurses are regularly faced with situations where they must make ethical decisions that impact them and their patients. An ethical dilemma occurs when the options for a solution present both favorable and unfavorable outcomes (Burkhar dt Nathanial, 2008). In pediatric nursing, ethical dilemmas arise when there are conflicting views on how course of treatment should be perused. If a patient’s wishes conflict with others, nurses help resolve the conflict (American Nurses AssociationRead MoreEthical Dilemmas in the Nursing Field537 Words   |  2 PagesThere are several dilemmas in the nursing field though nurses reactions to ethical dilemmas are based on their individual values and beliefs as well as ethical principles, professional codes and the climate of the healthcare setting. Nurses encounter ethical dilemmas when conflicting values and judgments are present regarding what is the best course of patient care. Ethical dilemmas are faced by nurses on a daily bases. I am choosing two of these dilemmas to address. 1. Empirical Knowledge vs. PersonalRead MoreEthical Dilemmas Of The Nursing Field2773 Words   |  12 PagesEXPLAINING ETHICAL DILEMMAS IN THE NURSING FIELD Nurses face ethical dilemmas on a daily basis regardless of where they practice. No matter where nurses function in their varied roles, they are faced with ethical decisions that can impact them and their patients. There is no â€Å"right† solution to an ethical dilemma (Fant 2013). So what is an ethical dilemma? It is a problem without a satisfactory resolution. The significance of ethical decision-making lies in the fact that very different ethical choicesRead MoreEthical Dilemmas Of Nursing Practice1763 Words   |  8 PagesI will explore an ethical dilemma that may arise within my nursing practice. I have presented a narrative, from the article â€Å"A Dilemma in the Emergency Room†, that portrays an ethical situation involving patient confidentiality. I will focus on Standard IV: Ethical Practice of the College of Registered Nurses of British (CRNBC) as well as the other (CRNBC) Standards of Practice to further evolve my understanding of the ethics involved wit hin the professional practice of nursing. FROM 110? Read MoreThe Ethical Dilemma Of The Nursing Profession3196 Words   |  13 PagesIntroduction Although the nursing profession is based on caring for patients, there are scenarios that arise that test the nurse’s ability to make decisions that are beneficial for the patients. There can be situations that are simple and the decision is clear. However, there are scenarios that many nurses encounter that challenge their personal, professional, ethical values and principles along with addressing laws. It becomes a mental battle to decide which value and principle is the best optionRead MoreNursing Ethical Dilemma Essay1541 Words   |  7 Pagesthe one who has an understanding and forgiving heart one who looks for the best in people. Leave people better than you found them.† Nursing is more than just doing assessments and giving medications; it is going beyond that to know what is right or wrong, what can and cannot be done, and what is considered harming the patients rather than doing them good. In nursing, there is a fine line between what is considered to be negl igence and beneficence. According to Marquis (2017), â€Å"Ethics is the systemicRead MoreThe Ethical Dilemma Of Grand Nursing Theories1577 Words   |  7 PagesGrand nursing theories are global in their application to nursing and have been instrumental in developing the science of nursing (McEwen Wills, 2014). Grand nursing theories are abstract and can be applied to many different situations. Because grand nursing theories are broad they can be applied to ethical dilemmas that occur in nursing practice. Ethical dilemmas are a part of the healthcare field and it is important to know how to navigate through the murky waters that dilemmas can present. NursingRead MoreThe Ethical Dilemmas Of The Pediatric Field Of Nursing1316 Words   |  6 PagesNurses working in the pediatric field of nursing are faced with a wide variety of ethical dilemmas. There are many ethical dilemmas that can arise in the work field. Many individuals are having a tough time deciding to vaccinate their c hildren; this in turn can leave society with a huge dilemma ethically. I am choosing to write about not vaccinating your child and why I feel this can be an ethical dilemma. Society today is faced with so many preventable illnesses that can simply be resolved byRead MoreNursing Leaders Are Struggling Ethical Dilemmas1263 Words   |  6 PagesNursing leaders are struggling in ethical dilemmas daily. Ethical dilemma is one of the issue/challenge to the nursing leader. Ethical dilemmas occur when nursing personal values and beliefs conflict with some aspect of nursing care. The struggle is to provide the best nursing care despite of the nurses’ feelings. For example: RN/ nursing leader in residential home has always dilemmas while restraining the patient. sometime patient become so aggressive that they can harm other people and worker.

Nobility in Sir Gawain and the Green Knight Essay - 468 Words

King Arthur and his knights represent the pinnacle of bravery, chivalry, and honor. However, when a strange knight, the Green Knight, enters Camelot with a challenge, none of the knights accept it (?). No knights wanted to go blow for blow with the Green Knight for fear of losing their lives. It is not until Arthur rises to face the challenge, to defend the honor of his court, that Gawain steps forward and accepts it. Therefore, the purpose of the Green Knight is to teach Sir Gawain to value his honor and the honor of the king more than his life. One may consider Gawain’s acceptance of the challenge a noble gesture. Gawain says, â€Å"Though you be tempted thereto, to take it on yourself†¦I am the weakest, well I know, and of wit feeblest;†Ã¢â‚¬ ¦show more content†¦Gawain is not making a grand gesture, but he is doing his duty defending the life of his king. Furthermore, during Gawain’s speech why he should take Arthur’s place, Gawain states â€Å"While so bold men about upon benches sit† (351). This appears as a complement to his fellow knights, but Gawain is implying that he is better (that the other knights should be stepping forward?) than the other knights. Gawain, alone, accepts the challenge to protect the life of his king. King Arthur and his knights represent the pinnacle of bravery, chivalry, and honor. However, when a strange knight, the Green Knight, enters Camelot with a challenge, none of the knights accept it (?). No knights wanted to go blow for blow with the Green Knight for fear of losing their lives. It is not until Arthur rises to face the challenge, to defend the honor of his court, that Gawain steps forward and accepts it. Therefore, the purpose of the Green Knight is to teach Sir Gawain to value his honor and the honor of the king more than his life. One may consider Gawain’s acceptance of the challenge a noble gesture. Gawain says, â€Å"Though you be tempted thereto, to take it on yourself†¦I am the weakest, well I know, and of wit feeblest;† (350,354). While Gawain appears to be acting humble and willing to sacrifice himself, this tells the reader that he values the life of his king more than his own. Gawain is not making a grand gesture, but he is doing his duty defending the life of his king.Show MoreRelated Sir Gawain: A Man of Virtue Essay861 Words   |  4 PagesSir Gawain: A Man of Virtue Nobility, honesty, valiance and chivalry are the values instilled in Sir Gawain. He is a respected knight due to these characteristics. Both Sir Gawain and The Green Knight and in The Wedding of Sir Gawain and Dame Ragnell present these qualities of Sir Gawain. In both tales, he proves these traits through many events. Sir Gawain and The Green Knight proves Sir Gawain’s nobility and honesty while The Wedding of Sir Gawain and Dame Ragnell provides proof of his chivalryRead MoreThe Code Of Chivalry And The Fundamental Thoughts And Actions Of Human Nature1499 Words   |  6 PagesEnglish 2223 Jennifer Smith 26 November 2015 Sir Gawain†¦ Chivalric? By analyzing Sir Gawain’s attempts of following the Code of Chivalry and the fundamental thoughts and actions of human nature helps to further analyze Gawain’s character. The definition of Chivalry is the â€Å"set of values and code of conduct for the medieval knightly class† (Shatz) examining Gawain’s attempts to achieve his goal of being the perfect chivalric knight, the nature of his obstacles has to be determined, andRead MoreAnalysis Of Sir Gawain And The Green Knight940 Words   |  4 Pages In Sir Gawain and the Green Knight, the men and women appear to have different roles in the society. The men attempt to live a more noble life while emasculating the power of the women. Throughout the poem, women display hints of their potential through manipulation and trickery, traits that are uneasily recognized by men as growing power. Morgan la Fay manipulates the Lord Bercilak to assume the role of the Green Knight, and she uses him for revenge against Queen Guenevere. She engineered a planRead MoreMain Ideas and Themes of Beowulf Essay1138 Words   |  5 Pages Beowulf and Sir Gawain have many things in common. We will be discussing them later on, but their main similarity is that theyre both heroes. A hero is a person who must pass through a test and a battle (mental, spiritual or physical) to help someone else. He must be selfless, and act for others rather than himself. All societies have supported heroes, like the ancient Greeks Hercules and the modern day Spiderman. These are hero stereotypes, with supernatural Read MoreArchetypes In Sir Gawain And The Green Knight829 Words   |  4 Pagesespecially in Sir Gawain and the Green Knight. In Sir Gawain and the Green Knight most characters or objects served to aid in the development of the hero by being either a situational, character, color, or a symbol archetype. The poem begins with a challenge being presented to the knights of the Round Table by the Green Knight. While seeing that no one else will accept the challenge, putting Camelot’s honor at stake, Gawain accepts and then realizes that in a year they must meet again and the Green KnightRead MoreSir Gawain And Don Quixote1373 Words   |  6 PagesChivalrous, Sir Gawain or Don Quixote? Sir Gawain and Don Quixote†¦these brave men bolster the honor, courage, and bravery which can be only demonstrated by that of the chivalrous knight. They face strong adversity, yet are able to use their wit and cunning in order to gain the upper hand. They uphold the laws of chivalry every knight must obey. First a knight must obey God. Then a knight must obey his King and his Lords. And then a knight must obey his Lady Love. Yes with their majestic nobilities, theseRead More Sir Gawain and the Green Knight Essays847 Words   |  4 PagesSir Gawain and the Green Knight As with so many stories written in the Middle Ages Sir Gawain and the Green Knight is filled with wonders, magic and knightly pursuit of fame and nobility. It combines folklore and romance as does, according to The Norton Anthology, no other known work. The character of the Green Knight fascinates and amuses. Most people would not think of it as an Arthurian-time creature. The Green Man in fact, is a part of an ancient folklore where the beheading of a green manRead MoreEssay on The Big Sleep1073 Words   |  5 PagesIn the books The Big Sleep and Sir Gawain and the Green Knight, both authors, Raymond Chandler (The Big Sleep) and Simon Armitage (Sir Gawain and the Green Knight), create the protagonist of each story into archetypal knights. The protagonist of The Big Sleep is named Phillip Marlowe and in Sir Gawain and the Green Knight the protagonist is named Sir Gawain. The 3 knightly qualities that we will be focusing on in this essay are self-sacrifice, loyalty and courage. These qualities are displayed throughoutRead MoreWilliam Shakespeare s Sir Gawain And The Green Knight804 Words   |  4 Pageseach of these traits, because of the importance they put on acts of nobility and chivalry. The themes of medieval stories were based on beliefs or ideas, expressed by the people of the time. Themes often involved the code of chivalry, which emphasized the importance of honor to the medieval people. The tale of â€Å"Sir Gawain and the Green Knight† focuses primarily on beliefs of honor, bravery, and chivalry. The main character, Sir Gawain, embodies these qualities. His character is meant to be a model ofRead MoreArchetypal Characters In Sir Gawain And The Green Knight : Character Analysis1143 Words   |  5 Pagesmiddle ages of literature, a story such as Sir Gawain and the Green Knight had many aspects of Joseph Campbell’s view of the hero’s journey. In the story of our character Sir Gawain accepts a â€Å"Call to adventure† (Campbell 45) and goes on a quest that will go through many of the archetypes. Likewise, there lies one character, The Green Knight, that can be many of the archetypal characters in the cycle of the hero’s journey. Sir Gawain and the Green Knight dramatically demonstrates how a single character

Physio free essay sample

Describe the gross structure of the lungs and pleurae. Mechanics of Breathing 7. Explain the functional importance of the partial vacuum that exists in the intrapleural space. 8. Relate Boyle’s law to the events of inspiration and expiration. 9. Explain the relative roles of the respiratory muscles and lung elasticity in producing the volume changes that cause air to flow into and out of the lungs. 10. List several physical factors that influence pulmonary ventilation. 11. Explain and compare the various lung volumes and capacities. 12. Define dead space. 13. Indicate types of information that can be gained from pulmonary function tests. Gas Exchanges Between the Blood, Lungs, and Tissues 14. State Dalton’s law of partial pressures and Henry’s law. 15. Describe how atmospheric and alveolar air differ in composition, and explain these differences. 16. Relate Dalton’s and Henry’s laws to events of external and internal respiration. Transport of Respiratory Gases by Blood 17. Describe how oxygen is transported in the blood, and explain how oxygen loading and unloading is affected by temperature, pH, BPG, and Pco2. 18. Describe carbon dioxide transport in the blood. Control of Respiration 19. Describe the neural controls of respiration. 20. Compare and contrast the influences of arterial pH, arterial partial pressures of oxygen and carbon dioxide, lung reflexes, volition, and emotions on respiratory rate and depth. Respiratory Adjustments 21. Compare and contrast the hyperpnea of exercise with hyperventilation. 22. Describe the process and effects of acclimatization to high altitude. Homeostatic Imbalances of the Respiratory System 23. Compare the causes and consequences of chronic bronchitis, emphysema, asthma, tuberculosis, and lung cancer. Developmental Aspects of the Respiratory System 24. Trace the embryonic development of the respiratory system. 25. Describe normal changes that occur in the respiratory system from infancy to old age. Lecture Outline I. Functional Anatomy of the Respiratory System (pp. 805–819; Figs. 22. 1–22. 11; Table 22. 1) A. The Nose and Paranasal Sinuses (pp. 806–809; Figs. 22. 1–22. 3) 1. The nose provides an airway for respiration; moistens, warms, filters, and cleans incoming air; provides a resonance chamber for speech; and houses olfactory receptors. 2. The nose is divided into the external nose, which is formed by hyaline cartilage and bones of the skull, and the nasal cavity, which is entirely within the skull. 3. The nasal cavity consists of two types of epithelium: olfactory mucosa and respiratory mucosa. 4. The nasal cavity is surrounded by paranasal sinuses within the frontal, maxillary, sphenoid, and ethmoid bones that serve to lighten the skull, warm and moisten air, and produce mucus. B. The Pharynx (p. 809; Fig. 22. 3) 1. The pharynx connects the nasal cavity and mouth superiorly to the larynx and esophagus inferiorly. a. The nasopharynx serves as only an air passageway, and contains the pharyngeal tonsil, which traps and destroys airborne pathogens. b. The oropharynx is an air and food passageway that extends inferiorly from the level of the soft palate to the epiglottis. c. The laryngopharynx is an air and food passageway that lies directly posterior to the epiglottis, extends to the larynx, and is continuous inferiorly with the esophagus. C. The Larynx (pp. 810–812; Figs. 22. 3–22. 5) 1. The larynx attaches superiorly to the hyoid bone, opening into the laryngopharynx, and attaches inferiorly to the trachea. 2. The larynx provides an open airway, routes food and air into the proper passageways, and produces sound through the vocal cords. 3. The larynx consists of hyaline cartilages: thyroid, cricoid, paired arytenoid, corniculate, and cuneiform; and the epiglottis, which is elastic cartilage. 4. Vocal ligaments form the core of mucosal folds, the true vocal cords, which vibrate as air passes over them to produce sound. 5. The vocal folds and the medial space between them are called the glottis. 6. Voice production involves the intermittent release of expired air and the opening and closing of the glottis. . Valsalva’s maneuver is a behavior in which the glottis closes to prevent exhalation and the abdominal muscles contract, causing intra-abdominal pressure to rise. D. The trachea, or windpipe, descends from the larynx through the neck into the mediastinum, where it terminates at the primary bronchi (pp. 812–813; Fig. 22. 6). E. The Bronchi and Subdivisions (pp. 813–815 ; Figs. 22. 7–22. 9) 1. The conducting zone consists of right and left primary bronchi that enter each lung and diverge into secondary bronchi that serve each lobe of the lungs. 2. Secondary bronchi branch into several orders of tertiary bronchi, which ultimately branch into bronchioles. 3. As the conducting airways become smaller, the supportive cartilage changes in character until it is no longer present in the bronchioles. 4. The respiratory zone begins as the terminal bronchioles feed into respiratory bronchioles that terminate in alveolar ducts within clusters of alveolar sacs, which consist of alveoli. a. The respiratory membrane consists of a single layer of squamous epithelium, type I cells, surrounded by a basal lamina. b. Interspersed among the type I cells are cuboidal type II cells that secrete surfactant. c. Alveoli are surrounded by elastic fibers, contain open alveolar pores, and have alveolar macrophages. F. The Lungs and Pleurae (pp. 815–819; Figs. 22. 10–22. 11) 1. The lungs occupy all of the thoracic cavity except for the mediastinum; each lung is suspended within its own pleural cavity and connected to the mediastinum by vascular and bronchial attachments called the lung root. 2. Each lobe contains a number of bronchopulmonary segments, each served by its own artery, vein, and tertiary bronchus. . Lung tissue consists largely of air spaces, with the balance of lung tissue, its stroma, comprised mostly of elastic connective tissue. 4. There are two circulations that serve the lungs: the pulmonary network carries systemic blood to the lungs for oxygenation, and the bronchial arteries provide systemic blood to the lung tissue. 5. The lungs are innervated by parasympathetic and sym pathetic motor fibers that constrict or dilate the airways, as well as visceral sensory fibers. 6. The pleurae form a thin, double-layered serosa. a. The parietal pleura covers the thoracic wall, superior face of the diaphragm, and continues around the heart between the lungs. b. The visceral pleura covers the external lung surface, following its contours and fissures. II. Mechanics of Breathing (pp. 819–826; Figs. 22. 12–22. 16; Tables 22. 2–22. 3) A. Pressure Relationships in the Thoracic Cavity (pp. 819–820; Fig. 22. 12) 1. Intrapulmonary pressure is the pressure in the alveoli, which rises and falls during respiration, but always eventually equalizes with atmospheric pressure. 2. Intrapleural pressure is the pressure in the pleural cavity. It also rises and falls during respiration, but is always about 4 mm Hg less than intrapulmonary pressure. B. Pulmonary Ventilation (pp. 820–822; Figs. 22. 13–22. 14) 1. Pulmonary ventilation is a mechanical process causing gas flow into and out of the lungs according to volume changes in the thoracic cavity. a. Boyle’s law states that at a constant temperature, the pressure of a gas varies inversely with its volume. 2. During quiet inspiration, the diaphragm and intercostals contract, resulting in an increase in thoracic volume, which causes intrapulmonary pressure to drop below atmospheric pressure, and air flows into the lungs. . During forced inspiration, accessory muscles of the neck and thorax contract, increasing thoracic volume beyond the increase in volume during quiet inspiration. 4. Quiet expiration is a passive process that relies mostly on elastic recoil of the lungs as the thoracic muscles relax. 5. Forced expiration is an active process relying on contraction of abdominal muscles to increase intra-abdominal pressure and depress the rib cage. C. Physical Factors Influencing Pulmonary Ventilation (pp. 822–824; Fig. 22. 15) 1. Airway resistance is the friction encountered by air in the airways; gas flow is reduced as airway resistance increases. . Alveolar surface tension due to water in the alveoli acts to draw the walls of the alveoli together, presenting a force that must be overcome in order to expand the lungs. 3. Lung compliance is determined by distensibility of lung tissue and the surrounding thoracic cage, and alveolar surface tension. D. Respiratory Volumes and Pulmonary Function Tests (pp. 824–826; Fig. 22. 16; Table 22. 2) 1. Respiratory volumes and specific combinations of volumes, called respiratory capacities, are used to gain information about a person’s respiratory status. a. Tidal volume is the amount of air that moves in and out of the lungs with each breath during quiet breathing. b. The inspiratory reserve volume is the amount of air that can be forcibly inspired beyond the tidal volume. c. The expiratory reserve volume is the amount of air that can be evacuated from the lungs after tidal expiration. d. Residual volume is the amount of air that remains in the lungs after maximal forced expiration. e. Inspiratory capacity is the sum of tidal volume and inspiratory reserve volume, and represents the total amount of air that can be inspired after a tidal expiration. . Functional residual capacity is the combined residual volume and expiratory reserve volume, and represents the amount of air that remains in the lungs after a tidal expiration. g. Vital capacity is the sum of tidal volume, inspiratory reserve, and expiratory reserve volumes, and is the total amount of exchangeable air. h. Total lung capacity is the sum of all lung volumes. 2. The anatomical dead space is the volume of the conducting zone conduits, which is a volume that never contributes to gas exchange in the lungs. 3. Pulmonary function tests evaluate losses in respiratory unction using a spirometer to distinguish between obstructive and restrictive pulmonary disorders. E. Nonrespiratory Air Movements (p. 826; Table 22. 3) 1. Nonrespiratory air movements cause movement of air into or out of the lungs, but are not related to breathing (coughing, sneezing, crying, laughing, hiccups, and yawning). III. Gas Exchanges Between the Blood, Lungs, and Tissues (pp. 827–830; Figs. 22. 17–22. 19; Table 22. 4) A. Gases have basic properties, as defined by Dalton’s law of partial pressures and Henry’s law (pp. 827–828; Table 22. 4). 1. Dalton’s law of partial pressures states that the total pressure exerted by a mixture of gases is the sum of the pressures exerted by each gas in the mixture. 2. Henry’s law states that when a mixture of gases is in contact with a liquid, each gas will dissolve in the liquid in proportion to its partial pressure. B. The composition of alveolar gas differs significantly from atmospheric gas, due to gas exchange occurring in the lungs, humidification of air by conducting passages, and mixing of alveolar gas that occurs with each breath (p. 828). C. External Respiration: Pulmonary Gas Exchange (pp. 28–830; Figs. 22. 17–22. 19) 1. External respiration involves O2 uptake and CO2 unloading from hemoglobin in red blood cells. a. A steep partial pressure gradient exists between blood in the pulmonary arteries and alveoli, and O2 diffuses rapidly from the alveoli into the blood, but carbon dioxide moves in the opposite direction along a partial pressure gradient th at is much less steep. b. The difference in the degree of the partial pressure gradients of oxygen and carbon dioxide reflects the fact that carbon dioxide is much more soluble than oxygen in the blood. . Ventilation-perfusion coupling ensures a close match between the amount of gas reaching the alveoli and the blood flow in the pulmonary capillaries. d. The respiratory membrane is normally very thin, and presents a huge surface area for efficient gas exchange. D. Internal Respiration (p. 830; Fig. 22. 17) 1. The diffusion gradients for oxygen and carbon dioxide are reversed from those for external respiration and pulmonary gas exchange. 2. The artial pressure of oxygen in the tissues is always lower than the blood, so oxygen diffuses readily into the tissues, while a similar but less dramatic gradient exists in the reverse direction for carbon dioxide. IV. Transport of Respiratory Gases by Blood (pp. 830–834; Figs. 22. 20–22. 22) A. Oxygen Transport (pp. 830–83 2; Figs. 22. 20–22. 21) 1. Because molecular oxygen is poorly soluble in the blood, only 1. 5% is dissolved in plasma, while the remaining 98. 5% must be carried on hemoglobin. a. Up to four oxygen molecules can be reversibly bound to a molecule of hemoglobin—one oxygen on each iron. . The affinity of hemoglobin for oxygen changes with each successive oxygen that is bound or released, making oxygen loading and unloading very efficient. 2. At higher plasma partial pressures of oxygen, hemoglobin unloads little oxygen, but if plasma partial pressure falls dramatically, such as during vigorous exercise, much more oxygen can be unloaded to the tissues. 3. Temperature, blood pH, Pco2, and the amount of BPG in the blood all influence hemoglobin saturation at a given partial pressure. B. Carbon Dioxide Transport (pp. 832–834; Fig. 22. 22) 1. Carbon dioxide is transported in the blood in three ways: 7–10% is dissolved in plasma, 20% is carried on hemoglobin bound to globins, and 70% exists as bicarbonate, an important buffer of blood pH. 2. The Haldane Effect encourages CO2 exchange in the lungs and tissues: When plasma partial pressure of oxygen and oxygen saturation of hemoglobin decrease, more CO2 can be carried in the blood. 3. The carbonic acid–bicarbonate buffer system of the blood is formed when CO2 combines with water and dissociates, producing carbonic acid and bicarbonate ions that can release or absorb hydrogen ions. V. Control of Respiration (pp. 834–839; Figs. 22. 23–22. 26) A. Neural Mechanisms (pp. 834–836; Fig. 22. 23) 1. Two areas of the medulla oblongata are critically important to respiration: the dorsal respiratory group near the root of cranial nerve IX, and the ventral respiratory group extending from the spinal cord to the pons/medulla junction. 2. The ventral respiratory group is a rhythm-generating and integration center containing separate groups of neurons, some that fire during inhalation and others that fire during exhalation. a. The inspiratory neurons, via phrenic and intercostal nerves, stimulate contraction of the diaphragm and intercostal muscles. b. When the expiratory neurons fire, output to the respiratory muscles stops, muscles relax, and lungs recoil. 3. The cyclic behavior of inspiratory and expiratory neurons produces a breathing rate of 12–15 breaths per minute, which is called eupnea. 4. The pontine respiratory group within the pons modifies the breathing rhythm and prevents overinflation of the lungs through an inhibitory action on the medullary respiration centers. . It is likely that reciprocal inhibition on the part of the different respiratory centers is responsible for the rhythm of breathing. B. Factors Influencing Breathing Rate and Depth (pp. 836–839; Figs. 22. 24–22. 26) 1. The most important factors influencing breathing rate and depth are changing levels of CO2, O2, and H+ in arterial blood. a. The receptors monitoring fluctuations in these parameters are the cen tral chemoreceptors in the medulla oblongata, and the peripheral chemoreceptors in the aortic arch and carotid arteries. b. Increases in arterial Pco2 cause CO2 levels to rise in the cerebrospinal fluid, resulting in stimulation of the central chemoreceptors, and ultimately leading to an increase in rate and depth of breathing. c. Substantial drops in arterial Po2 are required to cause changes in respiration rate and depth, due to the large reserves of O2 carried on the hemoglobin. d. As H+ accumulates in the plasma, rate and depth of breathing increase in an attempt to eliminate carbonic acid from the blood through the loss of CO2 in the lungs. 2. Higher brain centers alter rate and depth of respiration. a. The limbic system, strong emotions, and pain activate the hypothalamus, which modifies respiratory rate and depth. b. The cerebral cortex can exert voluntary control over respiration by bypassing medullary centers and directly stimulating the respiratory muscles. 3. Pulmonary irritant reflexes respond to inhaled irritants in the nasal passages or trachea by causing reflexive bronchoconstriction in the respiratory airways. 4. The inflation, or Hering-Breuer, reflex is activated by stretch receptors in the visceral pleurae and conducting airways, protecting the lungs from overexpansion by nhibiting inspiration. VI. Respiratory Adjustments (pp. 839–840) A. Exercise (p. 839) 1. During vigorous exercise, deeper and more vigorous respirations, called hyperpnea, ensure that tissue demands for oxygen are met. 2. Three neural factors contribute to the change in respiration: psychic stimuli, cortical stimulation of skeletal muscles and respiratory centers, and excitatory impulses to the respiratory areas from active muscles, tendons, and joints. B. High Altitude (pp. 839–840) 1. Acute mountain sickness (AMS) may result from a rapid transition from sea level to altitudes above 8000 feet. . A long-term change from sea level to high altitudes results in acclimatization of the body, including an increase in ventilation rate, lower than normal hemoglobin saturation, and increased production of erythropoietin. VII. Homeostatic Imbalances of the Respiratory System (pp. 840–842; Fig. 22. 27) A. Chronic obstructive pulmonary diseases (COPD) are seen in patients that have a history of smoking, and result in progressive dyspnea, coughing and frequent pulmonary infections, and respiratory failure (pp. 840–841; Fig. 22. 27). 1. Obstructive emphysema is characterized by permanently enlarged alveoli and deterioration of alveolar walls. 2. Chronic bronchitis results in excessive mucus production, as well as inflammation and fibrosis of the lower respiratory mucosa. B. Asthma is characterized by coughing, dyspnea, wheezing, and chest tightness, brought on by active inflammation of the airways (p. 841). C. Tuberculosis (TB) is an infectious disease caused by the bacterium Mycobacterium tuberculosis and spread by coughing and inhalation (pp. 841–842). D. Lung Cancer (p. 842) 1. In both sexes, lung cancer is the most common type of malignancy, and is strongly correlated with smoking. 2. Squamous cell carcinoma arises in the epithelium of the bronchi, and tends to form masses that hollow out and bleed. 3. Adenocarcinoma originates in peripheral lung areas as nodules that develop from bronchial glands and alveolar cells. 4. Small cell carcinoma contains lymphocyte-like cells that form clusters within the mediastinum and rapidly metastasize. VIII. Developmental Aspects of the Respiratory System (pp. 842–843, 846; Fig. 22. 28) A. By the fourth week of development, the olfactory placodes are present and give rise to olfactory pits that form the nasal cavities (p. 842; Fig. 22. 28). B. The nasal cavity extends posteriorly to join the foregut, which gives rise to an outpocketing that becomes the pharyngeal mucosa. Mesoderm forms the walls of the respiratory passageways and stroma of the lungs (p. 842; Fig. 22. 28). C. As a fetus, the lungs are filled with fluid, and vascular shunts are present that divert blood away from the lungs; at birth, the fluid drains away, and rising plasma Pco2 stimulates respiratory centers (p. 43). D. Respiratory rate is highest in newborns, and gradually declines to adulthood; in old age, respiratory rate increases again (p. 843). E. As we age, the thoracic wall becomes more rigid, the lungs lose elasticity, and the amount of oxygen we can use during aerobic respiration decreases (p. 846). F. The number of mucus glands and blood flow in the nasal mucosa decline with age, as does cili ary action of the mucosa, and macrophage activity (p. 846).

The Hours Film Review Essay Example

The Hours Film Review Essay Everywhere we go, we constantly find ourselves furious and dissatisfied with film adaptations that never seem to serve us justice The book is just sooooooo much better!. But is it really fair to imprint this impression on all film adaptations of much-loved novels? The answer is NO. From the director of Billy Elliot, Stephen Daldry and his talented team on-and-off camera will prove you wrong.It is insanely difficult for most of us, to even begin to imagine the intolerable pain derived from those who endure immense depression or those who suffer from some form of mental illness. They are locked up in a jail that resembles their mind and are unable to break free. The Hours encapsulates this emotional stress endured by women across different eras to utter perfection.Based on the Pulitzer Prize-winning novel written by Michael Cunningham, The Hours depicts the lives of three women in three generations along with the twisted struggles they experience imprisoned in their hopeless souls. Au stralian actress Nicole Kidman (Moulin Rouge, Rabbit Hole), captures the role of Virginia Woolf in 1925, working on Mrs. Dalloway (a stream-of-consciousness novel) about the hostess of society, whose artificial nature of perfection masks her inner turmoil. Julianne Moore (The End of An Affair) portrays stereotypical American housewife, Laura Brown residing in 1951 American suburbia a woman who feels compelled to maintain her loyalty towards her son and husband (John C. Reilly). What may seem like a contentful heart and cheerful face may possibly be something else underneath the surface. Critically acclaimed actress, Meryl Streep (Adaptation, Sophies Choice) as Clarissa Vaughan in 2001, neglects her partner for the chapter in her life that she is reluctant to close, whom is shared with AIDS sufferer, Richard Brown played by Ed Harris.Kidman stands taller than the rest, delivering an extraordinary Oscar-worthy performance of astonishing courage, revealing the destructive war between her intellectual mind and the chaos revolving around her personal world. Every gesture and every facial expression convinces the audience that this character was tailor-made especially for her. Streep reflects this level of performance and as always, handles her role carefully producing a believable performance as a result. Her switch between absolute lunacy to a cheerful hostess is measured to perfection. But there is always one that lets the team down. Moores approach to the complex character of Laura Brown shows that she is just another pretty lady in a pretty dress. The recurring empty face is a snooze-fest that blocks the audience from entering her state-of-mind. Last but certainly not least, it is not a surprise that the youngest member of the cast, young and adorable Ritchie Brown played by Jack Rovello, angelically lights up the screen, making us aww time after time, whilst stealing our vulnerable hearts with his truthfully honest words, and innocent stare. Cuuute.Perhaps o ne of the most memorable scenes from the film is the opening sequence, which immediately draws attention to Virginia Woolfs irreversible decision, intertwined with a beautifully written voiceover of a note devoted her husband that exercises our minds in preparation for the incoming wave of emotions. The three distraught women and their lives are carefully woven together into a fluid piece of artistic interpretation. But in the end every life must continue, no matter how dull it may be. Tensions crescendo. Fears arise. The once-somber mood is finally uplifted and brightened when a series of fresh, blooming flowers are shot to complete the sequence with an excellent finish.The emotionally driven power of the themes featured in The Hours automatically select the targeted age group to mature audiences, as the multi-layered plot is possibly too chunky to digest for younger audiences. A certain fascination with mortality is explored by the female trio, who are explicitly sensitive, posses sing a clear perception of the revolving world. Constant evaluations are made by each of the main characters, questioning their monotonic lifestyles. The common through-line can be identified between the victims.David Hares masterfully constructed screenplay for the film stays faithful to Cunninghams novel and the devoted fans that are attached to his work. Hare took confident risks, to approach his duty with maturity. The script produced is not afraid to treat its audience as if they were knowledgeable geniuses. The screenplay successfully communicates the moral of the narrative, that there is a never-ending variation of experiences throughout the course of ones life, where no two days are exactly same.The impeccable costuming, cinematographic and musical aspects of The Hours cover up the puzzling holes in the films plot. Costume designer Ann Roth, did a remarkable job in interpreting the personalities of the characters via fashion [which is essential in many ways], as well as pain ting of eras in which each scene is set in. Kidman sports a simple yet effective prosthetic nose, which allows the audience to see an unrecognisable actress, making her role that much more realistic. Seamus McGarveys artistically gorgeous cinematography, consisting of lingering shots on the deeply, afflicted faces of the three leading women, is probably recognised as the films prominent instrument.An immaculate motion picture is presented as a result of his skillful work. Philip Glass exquisitely composed score is one secret and powerful weapon, which successfully accompanies the story, setting a range of moods and expressing atmospheres in a way that dialogue is occasionally unable to do so. The melodic harmonies produced by an enchanting combination of piano and strings are a vital aspect of the film, establishing and developing the characters by pouring their emotions out. This is somewhat rare in a typical Hollywood film. It is truly the flawlessly calibrated finishing touch to the magnificent creation.Every single inch of detail and aspect of the film from the heart-wrenchingly convincing acting performed by the majority of the cast, to the astounding screenplay and the haunting score is attacked with intelligence, seriousness and meaningfully precise measures which ultimately produced an original and dazzling masterpiece that is The Hours. It goes without any doubt at all, that the film thoroughly deserves its showering praise and awards. The Hours is a definite must-see film of the year.

Free Essays on Roman & Greek

Greek and Roman mythology have many similarities between them. Each type has there own set of Gods and Goddesses, and they were also worshiped for similar reasons. The following will explain each God or Goddess and explain how they compare to each other. The King of Gods in Greek Mythology is known as Zeus. Zeus was the ruler of the sky, and had the power to create thunderstorms and lightning as well as earthquakes. He was the child of Cronus and Rhea. As the story goes he was their sixth child, and the father to protect him from being overthrown had eaten the five previous children. Zeus was taken to a city called Crete and hidden from his father. As Zeus grew older and learned of what happened he found a potion to make his father regurgitate the other children. Once this happened they all teamed up and killed their father. Zeus then became the ruler of Mount Olympus, and head of the new line of Gods. Jupiter was the predominant power holder of Roman Gods. He was ruler of the sky, the daylight, all the weather, and even the thunder and lightening. Jupiter helped drive back the Sabines. His temple was built in the Capitol, and newly elected counsels offered their first prayers to him. Hera was the wife and sister of Zeus, and the High Goddess of the Greeks. She was extremely jealous of the affairs that her husband was having and often tormented or harmed the mistresses he was fooling around with. Although, when she went too far, or tried to cause death, Zeus would intervene and stop her. Hera tried to ship wreak Heracles on his return from Troy, and with that Zeus had her hung by the wrists from top of the mountain with an anvil tied to each ankle. The two had four children together. Juno, Hera’s counterpart, was the wife of Jupiter. Juno was the protector of women, especially those who are married. Women often gave offerings to Juno to help with their childbirth. The God of the Underworld, Hades, was the brother of Zeus. He... Free Essays on Roman & Greek Free Essays on Roman & Greek Greek and Roman mythology have many similarities between them. Each type has there own set of Gods and Goddesses, and they were also worshiped for similar reasons. The following will explain each God or Goddess and explain how they compare to each other. The King of Gods in Greek Mythology is known as Zeus. Zeus was the ruler of the sky, and had the power to create thunderstorms and lightning as well as earthquakes. He was the child of Cronus and Rhea. As the story goes he was their sixth child, and the father to protect him from being overthrown had eaten the five previous children. Zeus was taken to a city called Crete and hidden from his father. As Zeus grew older and learned of what happened he found a potion to make his father regurgitate the other children. Once this happened they all teamed up and killed their father. Zeus then became the ruler of Mount Olympus, and head of the new line of Gods. Jupiter was the predominant power holder of Roman Gods. He was ruler of the sky, the daylight, all the weather, and even the thunder and lightening. Jupiter helped drive back the Sabines. His temple was built in the Capitol, and newly elected counsels offered their first prayers to him. Hera was the wife and sister of Zeus, and the High Goddess of the Greeks. She was extremely jealous of the affairs that her husband was having and often tormented or harmed the mistresses he was fooling around with. Although, when she went too far, or tried to cause death, Zeus would intervene and stop her. Hera tried to ship wreak Heracles on his return from Troy, and with that Zeus had her hung by the wrists from top of the mountain with an anvil tied to each ankle. The two had four children together. Juno, Hera’s counterpart, was the wife of Jupiter. Juno was the protector of women, especially those who are married. Women often gave offerings to Juno to help with their childbirth. The God of the Underworld, Hades, was the brother of Zeus. He...

House Republicans Move to Cut Federal Workforce

House Republicans Move to Cut Federal Workforce With their morale already about to bottom out, the nearly 3 million civilian employees of the federal government now face two Republican-backed bills that would eventually eliminate many of their jobs. Taking the Forced Attrition Approach First up to bat, Rep. Cynthia Lummis (R-Wyoming) introduced the Federal Workforce Reduction Through Attrition Act (H.R. 417), which Rep. Lummis says would reduce the federal workforce by 10% over the next 5 years â€Å"without forcing any current federal employees out of a job.† Instead, the bill would allow the federal agencies to hire only one employee for every three that retire or otherwise leave service, saving an estimated $35 billion over those 5 years, according to Lummis. Through attrition at that rate, the bill requires a net reduction of 10% or nearly 300,000 jobs from the federal civilian federal workforce by September 30, 2016.  The bill would not apply to Postal Service workers, who are not exactly government employees, anyway. â€Å"We’ve racked up over $18 trillion in debt simply because Washington has no idea when to stop spending,† said Rep. Lummis in a press release. â€Å"Attrition is a solution that requires the federal government to do what any business, state, or local government would do to cut costs limit new hires.† In addition, should even one agency fail to comply with the one-for-three attrition plan, the bill would slap that agency with an immediate total hiring freeze. â€Å"Instead of blindly filling empty desks, this bill forces agencies to take a step back, consider which positions are crucial, and make decisions based on necessity rather than luxury,† said Lummis, adding, â€Å"Real, productive job creation takes place on Main Street America, not in the bloated federal government.† Finally, concerned that the agencies would try to â€Å"backfill† their departing employees by simply hiring even more costly third-party contractors, Lummis’ bill requires the agencies to match their reductions in employees with cuts in their numbers of service contracts awarded. The last action on the  Federal Workforce Reduction Through Attrition Act  took place on Jan. 20, 2015, when it was sent to the  House Committee on Oversight and Government.   Defense Employees In the Crosshairs Meanwhile over at the Department of Defense (DOD), where morale is even lower, the almost 770,000 civilian employees will be watching the Rebalance for an Effective Defense Uniform and Civilian Employees (REDUCE) Act (H.R. 340), introduced by Rep. Ken Calvert (R-California). Rep. Calvert’s REDUCE Act would force the DOD to cuts its civilian workforce by a substantial 15% about 116,000 employees – by the year 2020 and keep it at or below that level until 2026. According to Rep. Calvert, the workforce cuts would essentially reverse the 15% growth of the civilian DOD workforce that has occurred since the 9/11 terror attacks. In his statement on the REDUCE Act, Rep. Calvert cites former Secretary of the Navy John Lehman as estimating that a 15% reduction in the DOD’s civilian workforce would save $82.5 billion over the first five years. â€Å"The continued growth in our civilian staff at the DOD comes at a time when we are reducing the number of active-duty military personnel something is clearly wrong with that equation,† Calvert said in a press release. â€Å"Simply put, if we fail to correct this trend our uniformed soldiers, not to mention American taxpayers, will suffer the consequences.† Perhaps even more menacing to DOD employees is that, unlike Rep. Lummis’ bill, which specifies attrition as the method, the REDUCE Act does not specify how the DOD is to cut its workforce.    Instead, the REDUCE Act requires only that the DOD find a way to â€Å"responsibly adjust† its number of civilian workers, leaving anything from attrition to â€Å"round them up and lay them off,† on the table. The bill would give the Secretary of Defense greater authority to consider job performance in personnel decisions and to use voluntary separation incentive payments and voluntary early retirement payments in order to achieve the required workforce cuts. â€Å"Our current and retired military leaders have widely acknowledged the need to establish a more efficient defense workforce in order to preserve our national security posture in the future,† said Rep. Calvert. â€Å"However, actions speak louder than words and I continue to believe Congress will ultimately have to force DOD’s hand to implement these necessary changes.† No further action on the REDUCE Act has taken place since Aug. 13, 2015, when it was referred to the House  Subcommittee on Readiness.   Federal Employee Unions Object Labor unions are designed to protect jobs, so as you might expect, federal-employee unions strongly oppose both of these bills. In a press release, American Federation of Government Employees (AFGE) President J. David Cox said the size of the federal workforce as a percentage of the total U.S. workforce had already shrunk to a level unseen since the Eisenhower administration (1953 – 1961). Fearing the federal workforce will suffer a â€Å"death by a thousand cuts,† Cox said, â€Å"Federal employees protect Americans’ freedom to lead a decent private life without having to worry about basic necessities such as safe food and infrastructure.† â€Å"When anti-government lawmakers talk about cutting the already underfunded and understaffed federal workforce, it’s important to ask who they want to cut,† said Cox. â€Å"Do they want to get rid of employees who care for our veterans, inspect foods, keep air and water clean, forecast tornadoes, rescue victims of natural disasters, design safe roads and bridges, find a cure to deadly diseases, conduct research on energy efficiency, keep air travel safe, protect communities from criminals, analyze security and financial risks, advance science to drive further economic growth, protect people against discrimination in employment, ensure workplace safety and security, manage defense contracts worth billions of dollars, etc?†

An evaluation of the ethics program of an organization, Assignment

An evaluation of the ethics program of an organization, - Assignment Example Discussion Background of Wal-Mart Wal-Mart is one of the branded American multinational retail players that operate numerous departmental stores as well as warehouse stores offering high level of discounts in varied items. It came into existence in the year 1962 by Walten Brothers in Arkansas. However, it became the popular among the public from the year 1970. Since then, it has created an image of presenting valuable products at an effective price. So, it holds the second largest position, as per Fortune Global 500 companies. As a result Wal-Mart became successful in creating a worthy image of presenting the products at lowest price to live a better life. So, it is voted as one of the most admired company in the market among others. Being headquartered in Arkansas, it operates successfully in more than over 8970 locations as the largest grocery retailer. However, in different locations, it works with different names but their goal is common, i.e. ‘to save money and live a bett er life’. So, Wal-Mart includes a high level of brand image and reputation in the segment of hypermarket or supermarkets or departmental stores as compared to many other rivals. ... In order to do so, the management of Wal-Mart joined hands with various NGO’s, government leaders as well as other retailers. With the help of such co-operations, the management aims to enhance the working conditions as well as the living standards of the workers in a significant way. This helps in enhancing the power of excellence and motivation of the workers, entirely responsible for producing the products for which varied types of measures are implemented such as: Promoting safety and security within the supply chain functions - in order to improve the safety and security of the supply chain, varied types of policies are implemented like zero tolerance policy. Side by side, the management also tried to maintain transparency with its contractors and terminated all the unauthorised ones. Such type of decisions proved effective for the organization as well as its employees. Safety from fire - in order to reduce the risk of fire, barred windows and doors that mainly existed on the staircases were shifted so that the fire may not spread more vividly. Moreover, all the doors and buildings also comprise of a secondary exists, so that in case of emergency, the employees might exit immediately. Due to the presence of such type of facilities, the security of the employees from fire also enhanced to a certain extent. Fire safety related training programs - in order to improve the knowledge and inner skills of the employees over the security of fire, varied types of training programs are also implemented within the organization. This helps the employee to know varied types of ways to save him or herself from fire. Education and training programs - With the help of implementation of these programs, the devotion and motivation of the employees over

What do we learn about international strategies for protecting human Essay

What do we learn about international strategies for protecting human rights from an examination of the record of the UN in action on Terrorism - Essay Example Without diminishing this obligation, it is also the duty of the UN to protect human rights in the course of pursuing counter-terrorist activities. For this reason, the United Nations Global Counter-Terrorism Strategy has been instituted. In the 2005 Madrid Summit, then UN Secretary-General echoed the unanimous observation of international rights experts, both within and outside the UN system, that counter-terrorism measures that have been adopted to that date have all infringed on human rights and fundamental freedoms in one way or another (Foot, 2007). It was therefore determined that in the course of pursuing the counter-terrorism effort, the protection of human rights must be assured. It is the official position of the UN and its member states that these twin pursuits – counter-terrorism and the protection of human rights – are deemed complementary and that they mutually reinforce each other’s goals. The UN has committed to pursue measures to halt the violation of human rights, and to adopt counter-terrorism measures which comply fully with the obligation to protect human rights (UNACT, 2013). ... The UN has committed to pursue measures to halt the violation of human rights, and to adopt counter-terrorism measures which comply fully with the obligation to protect human rights (UNACT, 2013). The commitments provide assurances that the anti-terrorism effort shall be coupled with the observance of human rights, at least in principle. However, the robustness of this observance in practice should be ascertained by an examination of the records pertaining to the records of the committees of the UN Security Council, which are tasked with the implementation of counter-terrorist measures. In order to abide by this commitment to ensure that human rights are respected even and especially during the course of combatting terrorism, the post of Special Rapporteur was created in 2005. The Special Rapporteur shall be concerned with the promotion and protection of human rights and fundamental freedoms while undertaking counter-terrorist activities (UN General Assembly, 4 June 2012). Despite as surances in treaties and the expression of agreement in human rights conventions, there is grave concern, from accounts of victims and investigative journalism reports, that human rights are consistently being violated in the interest of stemming the rise in terrorist activities worldwide. On the one hand, the undue curtailment of human rights is a violation of the UN conventions to which member States are signatories, and should therefore be sanctions. On the other hand, fear of a repetition of attacks such as that of the World Trade Centre appears to justify this resort to violation of the rights of a few to obtain information and prevent the deaths of many. This

Nursing Career and its Advantages in doing Higher Education Essay Example for Free

Nursing Career and its Advantages in doing Higher Education Essay Abstract Nursing image is changing every day from ancient gown and cap to colored scrubs. People choose nursing for different reasons. I chose this profession because; I like to be a role model for the new nurses. After I graduated as a Registered Nurse (RN) in 1999 my first patient said, â€Å"If an Angel has dropped from heaven that is you nurse†. R.Mariam (personal communication, June, 1999). This sentence inspired me a lot and gave hope in my career. Job satisfaction is an essential part in any profession especially in this field since, we deal with life and death and it helps to raise patient’s safety, performance, quality of care, patient’s satisfaction and productivity of the organization. Like in any other field, this field also has some frustrations, but facing the problem and coping with frustrations is what helps us to reach the goal. This paper also explains the advantages of doing continuing education since, nursing profession is widely spreading and changing every day and it needs highly qualified knowledgeable and competent employees to serve. Keywords: Nursing profession, Career, Job satisfaction, patient’s safety, quality of care, performance, productivity, frustrations, and continuing education. Nursing Career and its Advantages in doing Higher Education Nursing is an art, science and profession by which we render care for the patients irrespective of all ages, religion, caste or gender who are acutely ill and in critical condition. Nurses around the world make the largest group of health professionals. They are the back bone of the healthcare system. Nurses are not only providing care for the patients, but they are also responsible for the emotional welfare of patients and their families too. Career as a Critical Care Nurse: When I was a kid, I always wanted to pursue a career in nursing or medical field. I have a sister who is a nurse. At the age of 19 years in India, I  decided to go for nursing degree and I graduated as a Registered Nurse in 1999. Nursing profession touched me a lot and it made my career interesting. I started my career as an Operating Room scrub nurse and circulating nurse. It was interesting everyday by not only taking care of the patients, but also managing the operating room activities, ensuring that the equipment’s are safe and sterilized, equipment’s are properly audited and consent forms were filled and signed by concerned members of the family. It is very crucial to be an operating room nurse, as the entire procedure depends on the efficiency and job knowledge. It is the responsibility of the nurse to be the mediator between the patients, families and the physicians. Being an operating room nurse I did not have much interaction with my patients. Almost all patients in operating room gets general anesthesia. As an OR nurse, I felt I am not interacting with the patients well and I am not fulfilling my job as a nurse completely. After few years, I decided to become an Intensive Care Unit (ICU) nurse. Transition from OR to ICU nurse was little hard for me initially, but I enjoy working with the patients and spending enough time with them and their families. At times, I have to be an advocate between the patients, families and doctors because we deal with critically ill patients. Reason for Motivation to continue in Nursing: According to Locke and Lantham (2002), Personal goals play an important part in direction and maintenance of behaviors which is needed to achieve rewards. People who are confident, believe in their ability to achieve goal and believe that the attainment of goal will lead to successful career are the ones able to complete their task effectively to reach their goals (Lent, Brown, Hackett, 1994). Nursing profession is one of the widely expanding fields that call for passion according to (Raye, L. 2006). It is a good choice for people who find themselves more comfortable and satisfied in helping people who are in need to maintain and achieve normal health. Nursing offers wide variety of opportunities according to each individuals interests such as critical care unit, labor and delivery, pediatrics, geriatrics, telemetry, med-surg, oncology, infectious diseases, pain clinic, outpatient clinic etc. And also  it offers continuing education and competencies to keep the knowledge and skills up-to-date (Raye, L.2006). It offers flexible working hours such as three twelve hour shifts or four ten hour shifts (Blanche, J.2010). And due to the availability and shortage for nurses it offers incentive and bonuses for extra hours. It is a lifetime career which is flexible and rewarding. If we lose jobs in one position there are lots of available jobs in the market for talented individual s. It is also well-paying job with good benefits such as tuition reimbursement for higher education, medical benefits, life insurance and child care. Overall it is flexible. The reason why I have chosen nursing career was, a nurse who inspired me in my life and my interest towards, caring for human beings. The American Association of Colleges of Nursing (1998, 2008) and the National League for Nursing (2007) identified caring as the foundation for nursing. At the age of 15 years old, my dad had a massive heart attack and he was in Intensive care unit. He was intubated, on the ventilator, with so many drips infusing, with monitor alarming all the time. My whole family was very upset and hopeless. The nurse who took care of my dad was very dedicated , honest and very knowledgeable , she went above and beyond in helping us in that situation, keeping track of vital signs, maintaining his breathing, keeping him hemodinamically stable, giving back care, mouth care, sponge bath and giving emot ional support to the family and explaining what’s is going on with him. Few days later my dad died in the hospital but the nurse who took care of my dad stayed in my mind. Since then I always wanted to be a nurse who is caring, attentive to the emotional wellbeing of the patients and their families, providing emotional support because family place trust and self-respect in our hands. They want us to keep their loved ones comfortable, pain free and monitored all the time and not left alone. My passion for nursing grew when a patient or family member smiles at me and say â€Å"Thank you†, it enlightens me and lights up my day with more energy and spirit. Frustrations in Nursing Profession: The most important thing that frustrates me is the charting. Now most of the hospitals are computerized, but some hospitals still do paper charting and add more and more paper work every day. This means I have to spend more time doing paper charting than taking care of the patients. Sometimes we are short staffed and we have to do not only the registered nurse jobs, but we also have to be a house keeper doing accidental cleaning, secretary entering orders, patient care tech, Phlebotomist doing lab draws and also calling doctors with the patient’s lab and radiology results if we don’t see them on rounds. These are the thing which frustrates me, because it reduces the time which we spend for the patient care. Overall, Frustrations are common and it can happen in any other field but the nature of frustration may differ. Advantages due to addition Education in my Career: 1. Now most hospitals in New Jersey prefer Bachelor’s degree in nursing and there is a â€Å"global shortage for nurses, it gives us job security† (Blanche, J.2010). 2. It offers potential high income for well qualified employees. 3. More choice availability to go back to school to continue in higher education for nurse practitioners, nurse anesthetist and nurse educator. 4. It also helps us to interact with the other hospital nurses and health care professionals in classes which help me to improve patient care and make my job more enjoyable. 5. It gives knowledge and skills in critical thinking in assessment and problem solving in everyday practice. 6. It offers opportunity to be a mentor for the new nurses and to be a resource nurse. 7. By doing Bachelor’s degree in nursing, I am sure by the end of the course I will be well trained in areas such as effective communication, leadership and critical thinking which is very important in today’s nursing practi ce as well as it is necessary for administrative position, research and teaching. References American Association of Colleges of Nursing. (1998). The essentials of baccalaureate education for professional nursing practice. Washington, DC: Author. American Association of Colleges of Nursing. (2008). The essentials of baccalaureate education for professional nursing practice. Washington, DC: Author. Blanche, J. (2010). 10 reasons a nursing degree is a good best in education today. Retrieved from http://www.nurses-forum.com/blog/246/10-reasons-a-nursing-degree-is-a-good-bet-in-education-today/ Locke, E. A., Latham, G. P. (2002).

clockwork orange Essay -- essays research papers fc

â€Å"A man who cannot choose ceases to be a man.†Ã¢â‚¬â€Anthony Burgess   Ã‚  Ã‚  Ã‚  Ã‚  A Clockwork Orange is a novel about moral choice and free will. Alex’s story shows what happens when an individual’s right to choose is robbed for the good of society. The first and last chapters place Alex in more or less the same physical situation but his ability to exercise free will leads him to diametrically opposite choices—good versus evil. The phrase, â€Å"what’s it going to be then, eh?,† echoes throughout the book; only at the end of the novel is the moral metamorphosis complete and Alex is finally able to answer the question, and by doing so affirms his freedom of choice. The capacity to choose freely is the attribute that distinguishes humans from robots; thus the possibility of true and heartfelt redemption remains open even to the most hardened criminal. A Clockwork Orange is a parable that reflects the Christian concept of sin followed by redemption. Alex’s final and free choice of the good, by leaving beh ind the violence he had embraced in his youth, brings him to a higher moral level than the forced docility of his conditioning, which severed his ability to choose and grow up.   Ã‚  Ã‚  Ã‚  Ã‚  The question, â€Å"what’s it going to be then, eh,† is asked at the beginning of each section of the novel. In the first and third part it is asked by Alex, but in the second part it is asked by the prison chaplain. The answer does not come until the end of the novel when Alex grows up and exercises his ability to choose. He progresses to become a responsible and discriminating individual, escaping the clockwork that binds the rest of society.   Ã‚  Ã‚  Ã‚  Ã‚   A Clockwork Orange opens with Alex and his buddies outside the Korova Milkbar deciding what they were going to do for the evening. Alex acts on his impulses to do evil. He is driven by cause and effect relationships. When Alex wants something, he simply goes out and gets it. If he needs money, he steals it; if he wants to let out his aggression, he beats people up; if he wants sex, he rapes; if his ‘droogs’ do not listen to him, he teaches them a lesson. He feels no remorse when stealing, raping or murdering innocent victims. Man possesses potential for both good and evil. Alex’s decision cannot be blamed on any outside factor, it is simply something from within that drives him to lea... ...ion â€Å"what’s it going to be then, eh,?† repeats throughout the novel and shows Alex as a different individual every time. It should be noted that the government’s conditioning did nothing to change Alex’s mentality. Burgess portrayed Alex as an extremely evil character on purpose to show that each individual is in charge of his destiny. The character was still an emerging human being that had to go through a moral metamorphosis. Alex, the clockwork figure, was impelled towards evil but transformed into a useful member of society, on account of his free will to choose good. Bibliography 1.  Ã‚  Ã‚  Ã‚  Ã‚  Ã¢â‚¬Å"O My Brothers.† Davis, Todd F. & Womack, Kenneth. College Literature; Spring 2002. Vol 29. Issue 2. pg 18-19 2.  Ã‚  Ã‚  Ã‚  Ã‚  Ã¢â‚¬Å"Bog or God.† Craig, Roger. ANQ Fall 2003. Vol 16. Issue 4. pg 51 3.  Ã‚  Ã‚  Ã‚  Ã‚  Ã¢â‚¬Å"A Clockwork Orange.† Wallich, Paul. IEEE Spectrum. July 2003. Vol 40. Issue 7. pg 42 4.  Ã‚  Ã‚  Ã‚  Ã‚  Ã¢â‚¬Å"A Clockwork Orange.† Ingersoll, Earl. Explicator. Fall 1986. Vol 45. Issue 1. pg 60 5.  Ã‚  Ã‚  Ã‚  Ã‚  Ã¢â‚¬Å"A Clockwork Orange.† Coleman, Julian. Explicator. Fall 1983 Vol 42. Issue 1. pg 62

My Ideal School Essay

What is a school? To me, a school is the center of education. It provides intellectual ,emotional as well as spiritual enrichment. I am sure everyone has their own notion of what an ideal school is. It is a place where one feels most comfortable to learn in. In my opinion,an ideal school would consists of a building with an ultra modern infrastructure and top-notch facilities. All the classrooms will have colourful walls with wonderful paintings and thought-provoking pictures hanging on them. All the classrooms will be well-lit and fully air-conditionered. It would be perfect if the tables and chairs are arranged in a semi-circle facing the teacher. Apart from that,we will also need a well-equipped library with the state-of-art facilities for students to conduct their research and studies. Computer cataloguing should also be introduced to make referencing easier. In addition an ideal school should have a shopisticated gymnasium and sports centre. Athletes and swimmers can also train at the school mini-stadium and swimming pool. Students nowadays are burdened with homework and endless examinations. My constructive and productive homework shoul be given instead of burdening homework. Students should not be doing their homework for the sake of doing them. Teachers could perhaps have Biology classes outdoors so that students can really appreciate the beauty of nature or organized field trips to exhibition and conventions to make learning interesting. Traditional art and culture classes should also be held in the ideal school to nurture the spirit of appreciation among students. Moreover,to maximize the students learning capacities,lessons should start at 10. 00 a. m. There should be breaks in between so that students can digest knowledge from the previous lesson instead of rushing to the next lesson straight after the previous one. In this era of globalization,ICT is of upmost importance . So why can’t schools have paperless teaching and learning? Heavy bags and tons of books should be a thing of the past. Besides,it will also great if the students have teleconferencing and online forum with scholars from all over the world. The notion of ideal is sometimes painfully defined as an idea existing only in imagination and is not likely to come true. However I believe the idea of creating an ideal school would not merely remain a dream after all.

Power Politics Essay

â€Å"†¦what is happening to India today is not a problem†¦the issues †¦are not canses. They are huge political and social upheaval that are convulsing the nation. †   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Those are the exact words that Roy (24) had used to describe what is happening to the world that is beyond the realm of common human understanding: globalization led on and operated by â€Å"experts†.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   And just how will a common human understand when every time they try to, at the end of the day, they are relegated to being â€Å"just a citizen† who are, to experts, are â€Å"too emotional† and just lack the ability to eventually understand when explained to (if the experts even try to do the explaining part).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   It is the phenomenon characterized by experts who have acquired technical knowledge on certain matters take the matter into their own hands—not wanting to be questioned or contradicted and seemingly not encouraged to do their tasks with sympathy. They believe that they have all it takes to do it all, and be all, for all. The usual behavior of an arrogant little child who thinks he knows all he needs to know and thus scoffs at any questioning remarks on how he does his tasks, sneers at any suggestion or idea unlike his own, or flares up at any tap on his shoulder that gently reminds him that he is not of possession of every knowledge yet; a kind of behavior that is often times not tolerated.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   And that is what needed to be done. This arrogance should be broken down. And this could not be accomplished by mere taps on the shoulder anymore. A sterner reminder is needed; a reminder that even the too emotional and comprehension-challenged common citizen still has a say on how he lives his life—or at the very least, has the natural right to be made to understand.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Therefore, the author urges the humanity to speak, and speak loud, now or forever be made to hold their peace. Works Cited Roy, Arundhati. Power Politics (year of publication). 24-33.

Benefits of Chase Banking Essays - Financial Services, Finance

Benefits of Chase Banking Essays - Financial Services, Finance Benefits of Chase Banking Drawbacks of Chase Banking To open an account, you need to meet the $25 minimum deposit requirement. There is a $12 monthly service fee, but you can get this fee waived if you do at least one of the following: Have a direct deposit totaling $500 or more made to the account. Meet a minimum daily balance of $1,500. Maintain an average daily balance of $5,000 or more in qualifying linked deposits or investments. Benefits of Bank of America Banking Drawbacks of America Banking Fraud monitoring and $0 liability protection in the event your card or information is used without authorization. Bank of America Checking account customers can avoid paying overdraft fees when money is transferred from linked account, such as Bank of America savings, line of credit or secondary checking account. Monthly maintenance fee waived for students who are 23 and younger. Access to thousands of branches and ATMs across the country. Higher interest rate - up to 0.06% APY - for Money Market customers enrolled in the Preferred Savings program. Waved monthly maintenance fees if certain conditions are met. Overdraft protection of checking accounts through linked savings accounts. Flexible terms, deposit requirements and rates available. Several CD options to choose from. Bank of America credit cards offer a variety of advantageous features including: No annual fee Low introductory APR on balance transfers. No foreign transaction fee Low introductory APR on purchases Preferred rewards. To open an account, the Core Checking account requires a minimum of $25, whereas the Interest Checking account requires a minimum deposit of $1,500. Monthly maintenance fees charged if minimum balance requirements aren't met. Lower rates than what other banks offer. Low rates with other CDs, such as Sallie Ma's 1.8% APY Benefits of Wells Fargo Drawbacks of Wells Fargo

Biography of Thomas Gage, British Army General

Biography of Thomas Gage, British Army General Thomas Gage (March 10, 1718 or 1719–April 2, 1787) was a British Army general who commanded troops during the beginning of the American Revolution. Prior to this, he served as the colonial governor of Massachusetts Bay. In 1775, he was replaced as the British military commander-in-chief by General William Howe. Fast Facts: Thomas Gage Known For: Gage commanded British Army forces during the early stages of the American Revolution.Born: March 10, 1718 or 1719 in Firle, EnglandParents: Thomas Gage and Benedicta Maria Teresa HallDied: April 2, 1787 in London, EnglandEducation: Westminster SchoolSpouse: Margaret Kemble Gage (m. 1758)Children: Henry Gage, William Gage, Charlotte Gage, Louisa Gage, Marion Gage, Harriet Gage, John Gage, Emily Gage Early Life The second son of the 1st Viscount Gage and Benedicta Maria Teresa Hall, Thomas Gage was born in Firle, England, in 1718 or 1719. At the Westminster School, he became friends with John Burgoyne, Richard Howe, and the future Lord George Germain. Gage developed a fierce attachment to the Anglican Church and a deep distaste for Roman Catholicism. After leaving school, he joined the British Army as an ensign and commenced recruiting duties in Yorkshire. Flanders and Scotland In 1741, Gage purchased a commission as a lieutenant in the 1st Northampton Regiment.  The following year, in May 1742, he transferred to Battereaus Foot Regiment with the rank of captain-lieutenant. In 1743, Gage was promoted to captain and joined the Earl of Albemarles staff as an aide-de-camp in Flanders for service during the War of the Austrian Succession. With Albemarle, Gage saw action during the Duke of Cumberlands defeat at the Battle of Fontenoy. Shortly thereafter, he, along with the bulk of Cumberlands army, returned to Britain to deal with the Jacobite Rising of 1745. Gage served in Scotland during the Culloden campaign. Peacetime After campaigning with Albemarle in the Low Countries from 1747 to 1748, Gage was able to purchase a commission as a major. After moving to Colonel John Lees 55th Regiment of Foot, Gage began a long friendship with future American general Charles Lee. A member of Whites Club in London, he proved popular with his peers and cultivated important political connections. With the 55th, Gage proved himself an able leader and was promoted to lieutenant colonel in 1751. Two years later, he mounted a campaign for Parliament but was defeated in the election of April 1754. After remaining in Britain another year, Gage and his regiment, re-designated the 44th, was sent to North America in to take part in General Edward Braddocks campaign against Fort Duquesne during the French and Indian War. Service in America Braddocks army moved slowly as it sought to cut a road through the wilderness. On July 9, 1755, the British column neared its target from the southeast with Gage leading vanguard. Spotting a mixed force of French and Native Americans, his men initiated the Battle of the Monongahela. The engagement quickly went against the British and in several hours of fighting, Braddock was killed and his army routed. In the course of the battle, the commander of the 44th, Colonel Peter Halkett, was killed and Gage was slightly wounded. Following the battle, Captain Robert Orme accused Gage of poor field tactics. While the accusations were dismissed, it prevented Gage from receiving permanent command of the 44th. In the course of the campaign, he became acquainted with George Washington and the two men stayed in contact for several years after the battle. After a role in a failed expedition along the Mohawk River intended to resupply Fort Oswego, Gage was sent to Halifax, Nova Scotia, to take part in an abortive attempt against the French fortress of Louisbourg. There, he received permission to raise a regiment of light infantry for service in North America. New York Frontier Promoted to colonel in December 1757, Gage spent the winter in New Jersey recruiting for his new unit. On July 7, 1758, Gage led his new command against Fort Ticonderoga as part of Major General James Abercrombies failed attempt to capture the fortress. Slightly wounded in the attack, Gage, with some assistance from his brother Lord Gage, was able to secure promotion to brigadier general. In New York City, Gage met with Jeffery Amherst, the new British commander-in-chief in America. While in the city, he married Margaret Kemble on December 8, 1758. The following month, Gage was appointed to command Albany and its surrounding posts. Montreal Amherst gave Gage command of British forces on Lake Ontario with orders to capture Fort La Galette and Montreal. Concerned that expected reinforcements from Fort Duquesne had not arrived, Gage suggested reinforcing Niagara and Oswego instead while Amherst and Major General James Wolfe moved into Canada. This lack of aggression was noted by Amherst and when the attack on Montreal was launched, Gage was placed in command of the rear guard. Following the citys capture in 1760, Gage was installed as military governor. Though he disliked Catholics and Native Americans, he proved an able administrator. Commander-in-Chief In 1761, Gage was promoted to major general and two years later returned to New York as acting commander-in-chief. The appointment was made official on November 16, 1764. As the new commander-in-chief in America, Gage inherited a Native American uprising known as Pontiacs Rebellion. Though he sent out expeditions to deal with the Native Americans, he also pursued diplomatic solutions to the conflict as well. After two years of sporadic fighting, a peace treaty was signed in July 1766. At the same time, however, tensions were rising in the colonies due to a variety of taxes imposed by London. Revolution Approaches In response to the outcry raised against the 1765 Stamp Act, Gage began recalling troops from the frontier and concentrating them in coastal cities, particularly New York. To accommodate his men, Parliament passed the Quartering Act (1765), which allowed troops to be housed in private residences. With the passage of the 1767 Townshend Acts, the focus of resistance shifted north to Boston, and Gage responded by sending troops to that city. On March 5, 1770, the situation came to a head with the Boston Massacre. After being taunted, British troops fired into a crowd, killing five civilians.  Gages understanding of the underlying issues evolved during this time.  Initially thinking the unrest to be the work of a small number of elites, he later came to believe that the problem was the result of democracy in colonial governments. In 1772, Gage requested a leave of absence and returned to England the following year. He missed the Boston Tea Party (December 16, 1773) and the outcry in response to the Intolerable Acts. Having proven himself an able administrator, Gage was appointed to replace Thomas Hutchinson as governor of Massachusetts on April 2, 1774. Gage was initially well received, as Bostonians were happy to be rid of Hutchinson. His popularity quickly began to decline, though, as he moved to implement the Intolerable Acts. With tensions increasing, Gage began a series of raids in September to seize colonial munitions. While an early raid on Somerville, Massachusetts, was successful, it touched off the Powder Alarm, which saw thousands of colonial militiamen mobilize and move toward Boston.  Though later dispersed, the event had an impact on Gage. Concerned about not escalating the situation, Gage did not attempt to quash groups such as the Sons of Liberty and was criticized by his own men for being too lenient as a result. In April 1775, Gage ordered 700 men to march to Concord to capture colonial powder and guns. On the way, active fighting began at Lexington and was continued at Concord. Though British troops were able to clear each town, they sustained heavy casualties during their march back to Boston. Following the fighting at Lexington and Concord, Gage found himself besieged in Boston by a growing colonial army. Concerned that his wife, a colonial by birth, was aiding the enemy, Gage sent her away to England. Reinforced in May by 4,500 men under Major General William Howe, Gage began planning a breakout. This was thwarted in June when colonial forces fortified Breeds Hill north of the city. In the resulting Battle of Bunker Hill, Gages men were able to capture the heights but sustained over 1,000 casualties in the process. That October, Gage was recalled to England and Howe was given temporary command of the British forces in America. Death In England, Gage reported to Lord George Germain, now the Secretary of State of the American Colonies, that a large army would be necessary to defeat the Americans and that foreign troops would need to be hired. In April 1776, a command was permanently given to Howe and Gage was placed on the inactive list. He remained in semi-retirement until April 1781, when Amherst called upon him to raise troops to resist a possible French invasion. Promoted to general on November 20, 1782, Gage saw little active service and died at the Isle of Portland on April 2, 1787. Legacy Gage was survived by his wife and five children. His son Henry went on to become a British Army officer and member of Parliament, while his son William became a commander in the British Navy. The Canadian village of Gagetown was named after him.

Surveilance Essay Example | Topics and Well Written Essays - 2500 words

Surveilance - Essay Example ttempts to show how Michel Foucault’s notion of surveillance using the panoptic principle is in fact made manifest by the use of video and still cameras. Further, panopticism has been used as themes of various photo exhibits, no doubt inspired by the creeping feeling of being watched. The practice of placing individuals under ‘observation’ is a natural extension of a justice imbued with disciplinary methods and examination procedures. Is it surprising that the cellular prison, with its regular chronologies, forced labour, its authorities of surveillance and registration, its experts in normality, who continue and multiply the functions of the judge, should have become the modern instrument of penality? Is it surprising that prisons resemble factories, schools, barracks, hospitals, which all resemble prisons? (p. 228). In this particular passage, Foucault outlines the mechanisms that the prison uses in controlling criminality. On closer examination, what he in fact outlines are the mechanisms that operate within different social institutions. This is a noteworthy point, since the institutions that he mentioned, i.e. factories, schools, barracks, and hospitals, all function in essentially the same way as the modern prison. These all use specific procedures and techniques to discipline subjects. What follows is a discussion of Foucault’s notion of discipline as correct training, with its particular mechanisms and techniques. Foucault’s book was originally titled in French, Surveiller et punir. The translator, Alan Sheridan, explained at the outset the difficulty in translating the title itself for various reasons. Apparently, the French surveiller does not have a directly appropriate English counterpart. The term â€Å"surveillance† proved too limited, and â€Å"supervise† tended to be understood quite differently from what Foucault originally meant. In the end, Foucault himself chose Discipline and Punish, clarifying in the book that the term

Civil and criminal law Essay Example | Topics and Well Written Essays - 500 words

Civil and criminal law - Essay Example To gain a better insight, these questions can be looked at from two angles as proposed by Ronald Standler: Punishment and Burden of Proof (Standler, 1998). Punishment: In criminal law, a guilty defendant is punished in one of the two ways: either incarceration in a jail or prison or fine paid to the government; or, in exceptional cases: execution of the defendant: the death penalty. On the other hand, a defendant in civil litigation is never incarcerated nor executed. Most often, a losing defendant in civil litigation only reimburses the plaintiff for losses caused by the defendant's behavior. Burden of Proof: With certain exceptions, in most cases, in criminal litigation, the burden of proof is always on the state. The case starts with the defendant assumed to be innocent and as the case proceeds, the state must prove that the defendant is guilty. In contrast, in civil litigation, the burden of proof is initially on the plaintiff. It should be noted that, there may be several situations in which the burden shifts to the defendant. With the above discussion in mind, it can be noticed that, in a criminal law case the litigation is filed by the government called the prosecution against the defendant whereas in a civil law case a private party files a lawsuit

Experiences of Morrison concerts Assignment Example | Topics and Well Written Essays - 750 words

Experiences of Morrison concerts - Assignment Example The piano trio, which consisted of a piano, a cello and a violin, was excellent, as was the string quartet with the special guest Mack McCray on the piano. The overall feeling of both of these musical ensembles was that there was a certain lightness to the playing, at least in spots. I really enjoy the cello, especially, as it tends to have such rich tones, and it complemented the piano on the Calyx piano trio very well. As did the violin. What struck me was that, between both concerts, the music was very similar. There were periods where the music sounded like folk music, like Hungarian folk music, and then there were spots were I could detect a slight Celtic bent to the music. Then, there were periods of the concert when the music sounded more like modern music, with a hint of Igor Stravinsky in some of the chords. That is, there were periods where the music became allegro and the musicians played them with great passion and verve. Mack McCray was an amazing pianist. He played with a great flow and passion, and there was not a note that was out of place. Sometimes it seemed that the concert belonged to him, more than the string quartet, but there were other spots where the quartet dominated and the piano receded into the background. I also enjoyed listening to the different influences that were heard throughout the perfomances. For instance, in the Schumann's Piano Quintet in E Flat Major, which was one of the pieces that was played in the St. Petersburg String Quartet, there were evidently influences that were classical and romantic in origin. The piece went from a lugubrious opening with the cello dominating, then went more into the lighter parts of the piece where the piano was blended in harmoniously with the strings of the other instruments. There were periods that sounded like a waltz, but this was only in spots. The piano in the middle of the piece had an air to it that sounded very polished, and I recognized that the piece had a quality to it that spo ke to me. I was also very interested in the Benjamin Britten piece, as I had studied his music extensively, and I knew of his operas. This piece started out with an almost discordant tone to the strings, and it was definitely the product of a modern composer. That is, the staccato string that can be heard throughout the first part of this piece, combined with the discordant tones are those which are not typically heard in the classical or romantic or baroque styles. This piece actually was the piece that liked the least, because I am not a fan of the discordant style and there was something about it that hearkened to movies with American Indians. And this is what the piece sounded like – music that should be played in American Indian movies. It was a little difficult to listen to, but I do know that this is a style that many people enjoy. The second movement of this piece, however, was much better, and struck a much more harmonious tone. What was striking, though, about the B ritten piece is that it sounded almost spare compared to some of the other pieces which were played. There were very little flourishes that one is used to hearing from a string quartet with a piano. The Franck piece, which as Piano Quintet

Predictors of Patient Satisfaction

Predictors of Patient Satisfaction CHAPTER 1: Introduction In this chapter we will briefly discuss the background of the research area. At first an overview of the patients satisfaction concept will be introduced. This will be followed by the relevance of this thesis to the country of Kuwait. After that, we will present a discussion of the problem that will give a better understanding to the reader for our subject. The chapter ends with a brief description of the thesis structure follow. 1.1 Overview: The patient experience reflects the way in which a person perceives the sum total of his experiences with the health system throughout the continuum of care. This experience is influenced by the total of the encounters between the patient and the caregiver, of the patient’s expectations from the health system and from the organizational culture in all of the frameworks with which the patient comes in contact. In recent years, the patient experience has become a central talking point in the ongoing discourse of the health systems in Israel and worldwide, which coincides with numerous social trends: Increasing public awareness of the patient’s rights. Public demand for transparency in conduct and for exploiting opportunities to improve. Activity of patient safety organizations. Changes in the service and consumer cultures. Demand for equality and accessibility to each and every individual. Increasing use of electronic communication and social media in search of medical information, knowledge sharing among patients, recommendation of specialists, alternative treatments and facilities and so on. Patient satisfaction is generally considered as the extent  to which the patients feel that their needs and  expectations are being met by the services provided[4]. Patient satisfaction predicts both compliances [5] and  utilisation [6] and may even be related to improved  health [7]. It also contributes to the atmosphere  prevailing in a PHCC [7,8]. It is associated with  continuity of care [3], the doctors communication skills  [9], the degree of his or her patient centeredness [10]  and the congruence between intervention desired and  that received by the patient [11] . Other factors  influencing satisfaction with medical care include  confidence in the system and a positive outlook on life  in general[12] . Finally, satisfaction is the judgment of  the patient on the care that has been provided [13]. The  physician remains a key element in patient satisfaction  [14]. Summarize chapter 2 in one a half page start with small problem definition, actually there are determinants 1.2 Relevance of this thesis to the country of Kuwait With the huge growing number of cancer patients worldwide in recent years the needs of effective and capable health care suppliers is mandatory. The health care sector in Kuwait has been occupying very important position among the public, as it takes the responsibility to maintain peoples heath and to prevent disease as well to secure complete coverage of the health care services. Kuwait consists six general hospitals for several specialty, and more than 70 care clinics. With an aging facilities and growing population, hospitals have become overused with empower of tools and equipments and the care clinics are not serving dangerous situations or real disease. Cancer cases in Kuwait has reached the top of disease and have been recognized as a main cause of deaths in the country (Alduaij 2012). Kuwait control cancer centre (KCC) comprehensive cancer center have 600 qualified medical staff and 459 beds. KCCC treats over 2000 new cancer patients each year and total of 28,697 from Kuwait and the region(Kuwaitcancercenter.com 2014)[50]. Identification of predictors of patient satisfaction (what aspects of care matter the most to patients) enables policy makers at the Ministry of Health in Kuwait to focus on these aspects and improve them. The correlates of socio-demographic characteristics of patients with satisfaction allow the health care providers to cater to the different needs of patients based on their socio-demographic characteristics. This study aims at identifying predictors of patient satisfaction in the primary care clinics of the Ministry of Health, Kuwait (factors leading to patient satisfaction or dissatisfaction) and its socio-demographic correlates. 1.3 Problem Definition: Lack of proper strategies and support system by Ministry of Health (MOH). There are many obstacles interfering the treatment of patients in Kuwait due to poor system and insufficient management strategies that is related to health care services (Alduaij 2012). Kuwait Cancer Control Center (KCC) which was built back in the 70s is considered as one of the important medical centers in Kuwait for the reason of increasing number of cancer patients in Kuwait (KCC 2014)[51]. KCC have a capacity of 459 beds against 28,697 patients with 1643 employeed,490 nursed, and 11 physicians. Based on that, the hospital have witnessed a migration of the experienced staff which results in shortage of human resources and accordingly leads to instability and sub-optimal medical system (Annaharkw.com, 2014)[53]. Huge public demand to improve hospital services. According to Arab Times (2014)[52] the previous Kuwaiti parliament members have step against the low performance of Ministry of Health (MOH) and of KCCC in particular. They have raised their disagreement over the government’s failure to control the disease and to provide adequate services to satisfy the patients. Many issues were declared to the ministir of health seeking for urgent solutions such as: long waiting time, unavailability of beds , lack of the hospital human resources and machinery as well financial and administrative capabilities. Temporary recovery plan but not permanent solutions. His Highness the Amir Sheikh Sabah Al-Ahmad Al-Jaber Al-Sabah, at the end of year 2013 gave instructions to the government to send cancer patients for treatment abroad at the States expense and to expedite with actions (Kuna, 2014)[50]. The reason for the urgency of this new law was due to public dissatisfaction, and the continuous complaints toward cancer treatment in Kuwait. Dire personnel experience A personnel experience with the cancer disease has been the real motivation behind this study. Watching a dear person suffering not just because of the disease, but because of shortage of resources and lack of proper support system, is the hardest thing ever especially when it comes to losing that dear person forever. 3.6 Research objectives The research objectives are as the following: To explore and review the available international literature about the cancer patents satisfaction. To discuss the determinant of cancer patients satisfaction. To identify service quality dimensions related to cancer patients. To investigate the importance of quality of life for cancer patients. To find out the impact of socio demographic characteristic on cancer patients in Kuwait. 3.7 Research questions Based on the objectives of the study, key questions should be addressed: 1. What are the determinants needed to reach an effective cancer patients satisfaction in Kuwait? 2. What are the health related service quality dimensions? 3. What are the quality of life factors that contribute cancer patients satisfaction? 4. What is the effect of socio-demographic characteristic on cancer disease in Kuwait? 1.6 Research Methodology Our research is considered deductive, quantitative, descriptive and explanatory based on the experiments presented in our literature review. This study is focusing on cancer patients and the benefits that are provided by KCCC hospitals and their personnel life. The questionnaire is in two language English and Arabic and have been randomly distributed in Kuwait cancer control centre and on website. The study population consisted of the patients who came for therapy in KCCC ( outpatients) and the sample size consisted of 300 patients based on total cancer patients in Kuwait which are approximately 28,697 patients. The eligibility criteria included patients who have been diagnosed with different types of cancer as a minimum of 6 months ,above 21 years old and currently are undergoing treatment. The questionnaire contained a socio-demographic characteristics as well as the overall satisfaction with the different aspects of quality of services and quality of life. At last, The data analys is is obtained through using different statistical techniques by using the SPSS software version 17. 1.7 Thesis structure This thesis is divided into five chapters. In the first chapter, we will be providing a background and an overview of the selected research subject, followed by the problem area discussion and description of the thesis structure. In chapter two, an academic literature review related to patients satisfaction and the different independents variables such as physcian concern,staff concern, convenience of care process, tangibles, social well-being, emotional well-being, and information knowledge will be introduced based on theories, academic studies and reports. Chapter three explains the methodology and techniques that have been used in our thesis to analyze and carry out this study. In chapter four, an analysis of the empirical data will be presented along with a discussion of the survey findings and results. Last chapter, number 5, is summarizing the results that have been achieved in our study along with a comparison with other studies. At the end of the final chapter, we will be pro viding a conclusion and recommendations for management and future research. A definition of quality of life The quality of life can only be described and measured in individual terms, and depends on present lifestyle, past experience, hopes for the future, dreams and ambitions. Quality of life must include all areas of life and experience and take into account the impact of illness and treatment. A good quality of life can be said to be present when the hopes of an individual are A good quality of life is therefore usually expressed in terms of satisfaction, contentment, happiness and fulfillment and the ability to cope. This definition emphasizes the importance of personal growth. (K. Chambers et al., 2011) Calman, K. 1984. Quality of life in cancer patients -an hypothesis. Journal of medical ethics, [Accessed: 16 Nov 2013].