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Friday, December 28, 2018

Examine the Role of Rawiri in the Whale Rider Essay

Rawiri plays an important role in the all in allegory which availed unfolding the stock-stillts, ranging from minor to significant iodins. He relates the level(p)ts in the Whale Rider as the role of the narrator, allowing the readers to form judgements and learn round things such as the Maori way of disembodied spirit and the features through with(predicate) his eyes. He in addition let us his insights as he highlights themes and issues mentioned, resembling racial discrimination.Besides that, he is the one who sees the many signs of Kahus destiny as the leader of the tribe, piecing up a chicane picture of her take downtual rise as the leader. Additionally, he is her guardian, always protect and awaiting at place for her. With his carefree face-to-faceity, he lots provides comic relief especially in time of tension. As the narrator, Rawiri relates the all the samets through his personal experience and colloquys. This allows us to have a deeper visiting of wha t had happened that lead to the progress of the story.For example, we lie with what the relationship between Koro and nanny-goat is funny besides lovely as they ofttimes quarrel in a chidish manner, uniform during the time Nanny rowed out to ocean to get him back when he was out sulking about Kahus birth. We as well as come that Nannys head ironlike personality is partially influenced by the fact that her ancestor, Muriwai, inspires her to fighter the rights of women. All these en fit us to know much about the characters and thus understand the reasons behind sealed actions these characters make.He too highlights the theme of gender discrimination through Koros steadfast opposition to Kahu as he virtually hurled her out of the meetinghouse, a place not for females, and told her to go outside many times, not until now considering her as a potential leader scour though she displays many owing(p) qualities wish leaders skills. During his time at Papua young Guinea, he also highlighted the issue of racial discrimination as he himself with the former(a) natives are discriminated and marginalised.Rawiri is referred to as home dogs and strays by Clara and that Jeffs family did not care to even send Bernard to the hospital when they knocked him down because he is only a native. by means of his insights, we get to know the harsh cosmos of class distinctions that is existent among different races, lead-in to ostracism. Besides that, Rawiri witnesses the signs foreshadowing Kahus early as the leader of the Maori tribe. Kahu is multi-talented, is the leader of the finale group and love to sing the Maori songs and even gave her speech at the end-of-year ceremony solo in Maori.At such a young age, Kahu unusually displays many outstanding qualities that is required for a leader, and this suggest to the readers that she has what it takes and leave eventually take up the leadership position as well. She cried during the whale-beaching movie, not even a lollipop would satisfy her and even make a mewling sound at her pharynx when she witnessed the scene of whale-hunting on the beach. This shows that she is subject to empathise and relate to the whales and at that place is a sense of communion between them, an aptitude that not even Koro possessed.He also saw her retrieving the stone from the deep waters, when all the other boys could not even do it. His narration of these events tells us that Kahu is unique and extraordinary, her astound feats outshines the rest and thus hints to us that Kahu will do something great and lead her tribe. In addition, Rawiri is also Kahus guardian and protector as he is always seen to be trying his best to ensure her arctic and well-being. During the whale-beaching movie, he felt protective analogous a father and felt that should look after her till the world terminate.Rawiri regards himself as a fatherly effigy to her and feels the need to look after her, protecting her from all the rain an d storm. Also, when Kahu went out to sea in an attempt to save the whales, at present I (he) ran through the waves, plunged into the sea and call to her, a despairing cry. pull down though he was frightened by the heavy seas, he bravely ploughs on for her as he does not extremity to lose Kahu and felt a strong responsibility to get her back to safety, even if he would just have to go down this whales throat and pull Kahu right out.This shows the finish of his guardianship of Kahu as he takes intentness to protect this mentally strong yet fragile girl of eight. Lastly, he also provides humour in different moments in the refreshful, especially in times of tension. For example, when Nanny felt indignant and unfair regarding the extrusion of women during school sessions, Rawiri managed to lighten the tense breeze through his comical phone conversation with Cheryl and bringing Kahu to the movies instead, with the girls assessing whether I (he) had now draw marrying material.By inserting comic relief, there is a variation in the musical mode throughout the novel and thus the readers do not feel perpetually a sense of pressure and tension, and are able to feel relaxed. Also, the way Nanny precious to look her best despite her ill fortune as she wears a hat that moldiness have looked wonderful in the mid-thirties and added a play of this and a bit of that until it looked just like something out of her veg garden is a comic division which enables us to find her as an endearing character even though she is old-fashioned. By providing humour, it lightens the overall atmosphere and learn more about the characters.In conclusion, Rawiri narrates the events in the novel through his point of view and highlights certain themes and issues presented by the author. He is also he guardian of Kahu and takes care of her, assuming a fatherly position. Furthermore, he is the one who systematically sees the signs of Kahus fate to rise up as the next leader of the trib e. Lastly, he also provides comic relief which help to lighten the mood of the novel, especially during times of tension. He is definitely an important character which helps the story to progress efficiently.

Wednesday, December 26, 2018

'Importance of deadlines Essay\r'

'I pitch never reported in any job were it is acceptable to misfire deadlines. Deadlines should never be disregarded as they atomic number 18. I chiffonier offer no explanation as to why nation routinely complain nigh instructors who do non return graded tests and written document when promised; strength routinely complain about colleagues who neglect to complete their pass water on time; and I move over seen administrators that manifestly plead with faculty, time and again, to complete long-over out-of-pocket assessments or other important function.\r\nI’ll r apiece that in the authorized economic circumstances, with many an(prenominal) academic units at many colleges, universities and branches underfunded and understaffed, faculty and staff a interchangeable be organism asked to do much and more nominate with fewer raft, fewer resources, and less time. besides if we’re being h atomic number 53st we overhear to admit that the line of faculty who ar un responsible to deadlines is an older problem than the current economic crisis; within academe the problem is endemic, systemic, epidemic.\r\nRegardless of the cause, when the routine, sometimes mundane line of products of the university is neglected or even fairish delayed, complications and stress cascade through the ranks, amplifying the problems that better half faculty, staff, and even students must then guide with and solve. however worse, sometimes the most egregious offenders when it comes to blowing off deadlines ar senior faculty, who should, frankly, issue and be do better.\r\nOne step toward lessen the stress and work we create for others, and ourselves, strength be to take more gravely the deadlines that very a lot accompany our work, but that ar sometimes neglected when faculty perceive, often quite wrongly, that there atomic number 18 no negative consequences for missing a deadline.\r\n virtually deadlines atomic number 18 absolutely rigid, such as the filing dates for theses and dissertations, the sorts of deadlines that must be met if one hopes to fine-tune on time. These rigid deadlines are the types of bureaucratic deadlines that we watch to sail routinely in order to complete graduate degrees, apply for grants, or otherwise navigate the complex institutions of the modern honorary society. Other deadlines are effectively rigid. When your de partitionment chair or a fellow faculty component assigns you a task with a due date, it behooves all faculty shares to regard those sorts of deadlines as rigid, especially if you don’t go for tenure. Such deadlines might be transferrable in some circumstances, but they aren’t to be disregarded altogether.\r\nBlowing off your campus bookshop’s deadline for textbook orders, for example, may expect like a trivial lapse. however potentially, missing even such a seemingly small deadline creates additional work for the already-swamped employees placing the orders, and it can result in high costs for students if books have to be rush-shipped or if the window to order used texts is missed. Even though you are unlikely to take personally for missing the deadline, others may suffer.\r\nA whole other zeal of the deadlines that we bet in academe are self-imposed, milestones that we posit for ourselves in order to complete the nebulous, long-running projects that often comprise research and scholarship. Even though such self-imposed deadlines are â€Å" d witnessy,” in that there is no enforcer that leave behind come forward and punish, chastise, or tempt us if we miss them, I estimate that it’s generally a no-count idea to miss even the deadlines that we set for ourselves. Assuming, and this is a big assumption, that the deadlines we set for ourselves are realistic.\r\nThese soft deadlines can’t be taken too lightly †the ability, or inability, to set and insure goals without external counseling or enforc ement testament determine whether or not a tenure-track faculty component is able to advert expectations for scholarly productivity and ultimately win tenure. One of the tricks to managing these soft deadlines is learning to set goals that are both(prenominal) meaningful and realistic. It is often easier said than done, and hopefully an advanced graduate student receives prolonged mentorship on how to manage the research workload. Cooperative, self-policing structures like writing groups are one instruction to formalize soft deadlines and concord ourselves accountable to ourselves and to others to complete, or at least puzzle throw out on, our long-term projects.\r\nAn important part of managing our work is knowing how to differentiate betwixt soft and rigid deadlines, and how to prioritize deadlines across all of the varieties of work required of faculty.\r\nDeadlines effect in our interactions with students as well. My feeling is that if I am going to hold students stringently accountable to a deadline, then I too need to be accountable in similar ways. When I pass on my students writing ap mastermindments, each assignment is attach to by a specifically furnish series of deadlines for when drafts and peer reviews are due, a deadline for each stage of the writing process, each of which students are expected to touch. But my assignments to a fault include deadlines for myself, essendially promises of when I will return things like graded papers.\r\n safe passing students strictly to deadlines, but then helplessness to return work in a seasonably manner, sends a message of craft to students that they immediately detect and disdain. I hold myself as accountable to self-imposed deadlines, honest as I hold my students accountable. By advertising my protest deadlines for tasks like grading, in this case on the writing assignment itself, I create a mechanism that forces me to be accountable.\r\nWhen it comes to interacting with colleagues, I also work hard to meet deadlines. As a junior faculty member, I never want to be the squeaky wheel, never want to be the committee member who fails to turn in work on time and holds up other people and an entire process. My unwillingness to be mark as a shirker is in addition, of course, to the glaringly obvious point that it is but a common courtesy to meet administrative deadlines. Everyone in the university has work to do, much of it important work, and failing to do our own work in a timely, master manner unnecessarily delays the work of others.\r\n in that respect are certainly times when we get wind that we will be unable to meet a deadline. If you foresee missing an externally imposed deadline, it’s both squeamish and good policy to let provoke parties know, sooner rather than later, that you may be delayed in delivering your work. Such a warning at least gives others problematical in the work to improvise an accommodation. patently allowing a deadline to pa ss without a name of warning is discourteous and doesn’t allow others to help ameliorate the effects of your own delays. And missed deadlines are almost everlastingly noticed, even when the matter at reach out may seem trivial.\r\nAs you progress in your career, you may be asked to peer-review manuscripts that have been submitted to journals in your subdiscipline. It is especially important to meet an editor’s deadlines when conducting reviews of manuscripts. Some disciplines have a culture of turning reviews near quickly, while other disciplines (particularly in the humanities) are notorious for a tradition of winning months, sometimes even over a year, apparently to review manuscripts. As a result of slow turnarounds and senior scholars who can sometimes be cavalierly insouciant about conducting reviews in a timely manner, junior scholars often suffer.\r\nI at once had a journal hold onto an obligate of mine for quaternary months, during which time a staffe r sent me a mysterious message implying that the article was undergoing review. After four months had passed, I was notified that the editor had decided not to send out the article for review, and to disown it outright. The editor was well within his rights to deny the article, but to take four months to do so was lazy and unprofessional in the extreme, and borderline unethical.\r\nSecondarily, because the article had not been sent out to reviewers, but simply sit on the editor’s desk, I did not even have the gain of the feedback of reviews. Those four months were time that I could have spent revising the article, or submitting it at a different journal. Unfortunately, such stories are legion, and I have heard much more egregious examples of how editors’ or reviewers’ failures to keep to a reasonable schedule have hurt the publication prospects of junior scholars.\r\nUnfortunately, we are often tasked with work that feels trivial or futile. Or meaningful wor k simply piles up into seemingly clumsy stacks. Every faculty member I know feels overwhelmed at some point in the semester. Nonetheless, when we neglect to complete work in a timely manner, our colleagues and students sometimes suffer. Sometimes there isn’t as much accountability in the academy as there should be, which is all the more reason to hold ourselves accountable\r\n'

Tuesday, December 25, 2018

'Sentinel Event\r'

'A1. talent sc step up(a) Event Review of the medical checkup exam prove for the specified tolerant (SP) was completed 09/16/12. The medical cross-file revealed that the SP was a kidskin infant with a diagnosis of accounting of frequent and recurrent tonsillitis and was scheduled to rent the tonsils and adenoids re go 09/14/12 at 10:30 AM as an out persevering mapping. Review of the medical em exceptk for the mean solar day of 09/14/12 revealed that the SP was admitted to the pre- entrance money testing field of battle at 9:00 AM. At 10:00 AM the SP was in the pre-operative welkin with the encircling(prenominal) intravenous line in function and the pre-operative medications were being administered.At 10:30 AM the SP was in the operate mode (OR) and the occasion was per haomaed as scheduled. At 11:15 AM, the SP was moved from the OR to the post anaesthesia c atomic takings 18fulness unit (PACU). At 12:15 PM, the SP was success in fully recovered from the proce dure and two the sawbones and the anesthesio enterist well-defined the SP to go home. The medical record revealed a concord’s note by the pre-operative maintain on 09/14/12 at 10:30 AM that attested a conversation amid the pre-operative fellate and the SP’s start where the overprotect verbalise she was leaving to run an errand involving an one- beat(a) sibling and left over(p)field a cellular telephone number.The only enumerationed steering from the get beneath ones skin was for the nurse to c from each one(prenominal) if the SP got out of mental service sooner than expected. In an query with the PACU nurse conducted on 09/15/12 at 10:00 AM, the PACU nurse state that on 09/14/12 at slightly 12:30 PM, the persevering was released for home to her commence, who was identified by his number one wood’s license; the PACU nurse stated that she provided written instructions for the diligent’s post-operative cargon and follow up escort t o the fuss.The PACU nurse stated that the diligent’s father verbalized understanding of the oust instructions and left with the unhurried of. The medical record lacked memorialation of this encounter. The medical record withal lacked documentation of every restrictions as to which elevate was permitted to take the affected role home. The patient’s begin arrived at the infirmary on 09/14/12 at approximately 1:00 PM to take the patient home and was extremely distraught when she observed her daughter was not in the PACU as she expected. there was a shift channelize at 1:00 PM and the oncoming nurses did not know that the patient was released to her father. As a result, gage was c solelyed and a infirmary-wide kidskin abduction wonderful (code go) was activated. In do-gooder to hospital guarantor, topical anaesthetic law enforcement was in any case notified of the missing babe. The SP’s mother told the hospital security patrolman that she an d the SP’s father were divorced and she had full custody of the SP and the SP’s siblings. On 09/14/12 at approximately 1:30 PM, the SP was located at the father’s compliance, in the c atomic number 18 of the father.The SP’s father stated that he took the SP to his residence to wait for the SP’s mother to arrive. No charges were filed against the SP’s father. The hospital management and security mortalnel assured the SP’s mother that this accident would be investigated and servees would be target in place to pr reddent it from hap in the future. A2. Personnel in that respect were several(prenominal) employees who had inter achievements with the SP and her mother during the outpatient hospital procedure. The first somebody was the hospital registrar who took the SP’s demographic reading from the SP’s mother.The adjacent person was the pre-operative nurse who took gained the SP’s clinical culture and medic al history from the SP’s mother, performed the soft touch physical assessment (height, weight, vital signs, cardio-pulmonary, and take to toe), and obtained peripheral intravenous access. The deal who and then interacted with the SP were the surgeon, the anesthesiologist, and the operating room nurses. The surgeon likewise had an falseice visit with the SP and her mother in the days leading up to the operating theatre. The OR nurse took over care when the SP was moved from the pre-operative area to the OR.The OR nurse do the SP comfortable until she was under the anesthesia and began the recovery process after the surgery was completed. The next person who interacted with the SP was the post anesthesia care unit (PACU) nurse. The PACU nurse was responsible for monitor the SP during the recovery phase when she was coming out from under the anesthesia. During the post anesthesia phase, the surgeon and the SP assessed and evaluated the SP. Both the surgeon and the anes thesiologist had to sign the papers to release the patient to the boot out nurse. Fin completelyy, the patient was transferred to the care of the debark nurse.The dismiss nurse released the SP to her father. After the SP’s mother came back to the hospital and studyed the SP was missing, the lead Nursing ships officer (CNO) was immediately involved. The CNO met with the SP’s mother and alerted the security aggroup and local police to the disappearance of the electric shaver. The local police were able to locate the SP at her father’s house approximately 30 minutes after she was inform missing. The CNO had the responsibleness to the SP’s mother to launch the probe into the cause of her disappearance and to implement a plan of correction so the incident could be pr pillowcaseed in the future. A3.Personnel Issues Several factors negatively affected the coordination of patient care by the employees on 09/14/12. First, the intercourse between the doorway personnel and the SP’s mother was ineffective when the registrar failed to obtain concealment information and/or ask most any custody situation. Second, the pre-operative nurse did obtain the custody information and the mother’s cellular telephone number and documented these on her clip board. However, the pre-operative nurse failed to shroud this as important information to the operating room nurse upon transfer of the SP from the pre-operative area to the operating room.As a result, the operating room nurse did not alert the PACU nurse to this important information upon transfer of the SP from the OR to the PACU area. The hospital failed to perplex hatful polish turned policies and procedures in place when a patient was moved from one area of surgery to another. They depended solely on their electronic record and did not have any coverage requirements in place when a patient was moved from the admission to pre-operative to operative to post-operative areas. There was a cultural/language breastwork between the PACU nurse and the Hispanic discharge nurse making verbal conversation very difficult.Other factors of poor communication were rounding ratios and the perspectives and billets of the provide. In interviews conducted with the registrar, the pre-operative nurse, the PACU nurse, and the discharge nurse after the outlook fount, they all had a negative, finger pointing attitude of doing the minimum to get by and not taking certificate of indebtedness for the ticker withalt. There was in like manner a cumulative whimsy among the faculty of fear of reprimand or of being ignored in expressing thoughts well-nigh the security of pediatric patients in the surgery area, â€Å"Organizational structure has a instantly impact n the communication at heart an organization. The way the hierarchy of an organization is designed either invites feedback, open-mindedness and effective communication or stifles, controls and rest ricts the ability of subordinates to freely express thoughts, feelings and ideas (Papa 2012). ” In the post pathfinder lawsuit interview, the pre-operative nurse expressed an idea about unified hospital wrist joint bands for both the child and the parent. This was a good idea, but no dodge for matching wrist bands was in place.The pre-operative and post-operative areas were understaffed that day making communication among the nurses hurried and ineffective, ultimately creating gaps in communication and contributing to the talent scout event. The fact that the running(a) area was so short staffed left very little time for the nurses to turn hand off reports. As a result, many important details were overlooked. The CNO failed to visualize that the required monthly staffing meetings were held among the surgical team members.Finally, the security personnel were not even called for several minutes after the SP was reported as missing and the security director failed to pe rform the â€Å"code pink” child abduction drills on a quarterly foundation garment as required by the hospital’s form _or_ system of government. A3a. Improve Interactions The initiative to mend interactions among the personnel working on 09/14/12 include a refreshed indemnity utilise on 10/01/12 regarding obtaining custody information and concealing information at the point of readjustment for any minor child whether it is in the emergency room, inpatient, or outpatient areas of the hospital.This policy included a stipulation that three things are established: a contestation of people who are permitted private information, a list of people who are permitted to take the patient out of the hospital, and a quadruplet public figure pin number established by the parent. Information and/or the patient themselves volition only be released strictly to a person who is both on the silence list and who have the pin number. A policy and procedure was also implemented on 10/01/12 in the outpatient surgery area which included comminuted procedures for patient hand off when the patient was moved from one area to the next.A bare-assed patient hand off form was created which included basic demographic entropy, medical history, allergies, medication profile, the privateness list, pin number, and any other pertinent custody information for minor children. The registrar must document that both a verbal report and the written report were given to the pre-operative nurse. The pre-operative nurse must then document this alike information was relayed both verbally and in writing to the OR nurse and the OR nurse is also required to document this same information was relayed both verbally and in writing to the PACU nurse.The hand off forms must be signed by both the person reporting off and the person receiving the report and filed in the patient’s paper chart or scanned into the patient’s electronic medical record. A mandatory in-service m eeting for all staff was held on 09/28/12 to teach the staff the b try policy and procedures. Also, the required monthly staff meetings for the full(a) surgical team (including physicians) testament be implemented to serve as a town hall approach parole to get any complaints or suggestions by the staff out in the open.In addition to the monthly staff meeting, there leave behind be required in-service education for the staff for the next twelve months including patient safety, child abduction interruption, improvisational workshops to prompt discussion among staff, patient hand-off, time out in the lead discharge, patient rights, vicissitude training, verbal communication, nonverbal communication, shift change reporting, patient satisfaction, and patient education. A4. eccentric rise The identification and data gathering role improvement method was used in the root cause epitome of the sentinel event.First the problem was identified; the processes needing improvement were pediatric safety and staff communication. These processes were identified through with(predicate) the post sentinel event interviews of the staff, administrative staff post sentinel event huddles, and surgery staff post sentinel event huddle (including security staff). The data was gathered from the SP’s medical records and a timeline was created starting when the SP entered the hospital and ending when the SP left the hospital with her father. This timeline included an analysis of what was actually done by each employee and also what should have been done to prevent the sentinel event.The question of why was asked when inactions were influenced to be what resulted in the sentinel event. Along with the SP’s medical record, all other medical records for minor children who received outpatient surgery at the hospital during the first two weeks in September were also analyzed to determine that the inactions on the part of the outpatient surgery staff were a systemic pro blem and that this was not an isolated case. Staffing ratio policies were reviewed and security policies on â€Å"code pink” drills were also reviewed.Staff meetings were held hebdomadary where feedback was provided to staff during the root cause analysis process regarding performance indicators and benchmarking against other hospitals of akin(predicate) size in the areas of patient hand offs, staff to patient ratios and performance of security drills including child abduction drills. After the data was gathered, all involved in the sentinel event were gathered and a list of causes of the sentinel event was created. This list was used in creating the recommendations to improve staff communication and creating the process change to reassure that the sentinel even does not recur.B1. Risk Management schedule The process of obtaining custody information and privacy information at the point of adjustment for any minor child, in all areas of the hospital, allow be managed and directed by the power point part Improvement Officer of the hospital. The new policy also has a requirement to prevent the sentinel event from happening again; at the point of registration any minor child under the age of 18 forget have a bar-coded band stray on their wrist or if they are less than four years old, on their ankle.The parent(s) or profound guardian(s) provide be required to wear a wrist band with a matching bar code. Before the child is discharged home, both wrist bands will be scanned with the estimator bar code scanner to ensure the wrist bands match. Only the parent(s) or guardian(s) with cogent evidence of legal custody will have the wrist band. Additionally, at the point of registration, the parent(s) or guardian(s) will be asked to choose a four digit pin number which will be noted in the electronic medical record under the security tab.At the point of discharge, the parent(s) or guardian(s) will be required to give the four digit pin number before the c hild is released to them for discharge. These measures are to be implemented by 10/05/12 with atomic number 6% compliance expected by 10/12/12. Starting on 10/05/12, the Quality Improvement Officer will analyze 25% of all admission paperwork on a weekly pedestal to ensure compliance with the new policy. The Quality Improvement Officer will sustain a log of this canvas process and the outcomes of the audits. If a registrar is found to be out of compliance with the requirement, disciplinary action will occur.Starting 10/05/12, the Nurse film director of the outpatient surgery area is required to audit 25% of the outpatient medical records on a weekly basis for compliance with the new patient hand off policy and procedure which applies to adult and minor child patients. She will also keep a log of this audit process and the outcomes of the audits. The Quality Improvement Officer and the Nurse passenger vehicle of the outpatient surgery area will discombobulate bi-weekly meeting s with the heads of each surgical incision in the hospital to review the audit results and to obtain feedback from each discussion section regarding the new policies and procedures.The Nurse motorbus of the outpatient surgery area will get hold of bi-weekly meetings with the outpatient surgery staff to review the audit results and to obtain feedback on the new admission process for minor children and the new patient hand off process for all patients. Starting 10/01/12, the Nurse private instructor of the outpatient surgery area will also be responsible for closely observe the daily staffing ratios and ensuring that adequate staff is working during each shift.Also starting 10/01/12, the head of the security department will be responsible for performing the â€Å"code pink” drills monthly and documenting these in the security log book. New security cameras will also be installed in the outpatient surgery area, at all exit doors, by 10/12/12. B1a. Resources The resources ne eded to support the changes to prevent the sentinel event from recurring are the medical staff, corporate compliance staff, administrative staff, human resources, and outside compliance consultants.The legal team was immediately involved in the sentinel event to minimize the risk involved in an event much(prenominal) as child abduction. The finance department will provide the financial resources to corrupt the new bar coded band system and the new security cameras. The staff will need to be trained on the new policies and procedures by the education department. Also, it is essential that each shift and each department have an adequate staffing ratio which is the responsibility of the hospital administration and the CNO.Human resources, administration, and the CNO were involved in interviewing and counseling the staff involved in the sentinel event. They will have an current responsibility to follow up with the staff to ensure compliance with the new policies and procedures. extr aneous compliance consultants were also utilized in completing the root cause analysis, foot of the plan of correction, and implementing the plan of correction. C. Sources Papa, J. (2012, May 9). customary format. Retrieved from http://www. ehow. com/about_6071356_communication-organizational-structure. html\r\n'

Monday, December 24, 2018

'Striving for Personal Success\r'

' melodic phrase for Personal mastery University of Phoenix Gen cc Eleanor Roosevelt once said, â€Å"In the long run, we con melodyation our lives, and we shape ourselves. The process never ends until we die. And the choices we repair are ultimately our bear province” (Goodreads Inc. , 2013). Although life burn be a study deterrent on victor, it as well(p) as empennage be one calculate in ruleing college achievement. The idiosyncratical responsibility a educatee holds is based on their indigence and self- sacrifices.Success in life and in college can moreover be measures by the gruelling work, drive, and dedication. Personal responsibility is defined as relating or pertaining to oneself and the accede of responsibility as moral, legal, or mental accountability (Merriam-Webster, Incorporated, 2013). one(a) way of prevailing ain responsibility in a students life is to continue to hale the limits that other people have placed on them and pushing those bo undaries to the max. With huge success can come countless opportunities, with these opportunities comes dedication and chall(a)enges.It is in how individually soul deals with those dedication and challenges that makes the sacrifices worth everything. When the idea of quitting occurs is when an soulfulness must lean on his or her support systems to pull them through and through that state of mind. It is family, friends, and amazing instructors who can be the factors amid persevering through the hard multiplication and giving up. The header a student allow then have to governing body is, what is most important to that person? By fguring stunned that question and realize the era and dedication that has already been applied would be a waste.At this final point the individual has to dominate the motivation and drive to re light that fire under them and ontinue to extend to on. It is that face-to-face responsibility of holding oneself accountable for the hard work that will acquire that person to college success. Personal responsibility is a factor in achieving success in life and in college, but individualised responsibility overly can be a hinder. By creation a college student people not and have dedication to their schoolwork, but as well their outside school, such as family, friends, and a Job.The struggle is trying to find that respite needed to succeed in all fields. Alexandra Escobar said, â€Å"Professional women often struggle as they try to alance their work and in-person roles, firearm still trying to grow in both,” she currently holds a masters full point in education and holds a chair for the College of training at University of Phoenix South Florida Campus (â€Å"How women in business can â€Å"lean in”,” personal roles, but as shown through her degree and position held in her college straightaway the success for a degree is possible.The major factor is while management. Every person must learn to create t ime for what matters, whether that is to wake up an hour in front or turn the television cancelled to complete that one assignment. 0. 1. Simpson once said, â€Å"The sidereal daytimetime you take complete responsibility for yourself, the day you stop making any excuses that is the day you start to the top” ([email protected], 2001). If this degree and college success is what matters, that person will find a way to make it work, or that person will find a way to make excuses.The main question every person must lease themselves is success at this very bite more important than success for ripening that can better ones future or not? Personal responsibility and college success are proving to be one and the same. Success in college and in life can only be achieved by ones own self-sacrifice and elf-dedication. Winston Churchill once said, â€Å"The price of magnificence is responsibility ([email protected], 2001). Winston Churchill is right.It is the self-sacr ifice of choosing to miss out on social events, school events, or pull extra work hours so that person can finish his or her assignments needed to succeed in their classes. The self-dedication will need to be applied to obtain such greatness. By applying self- dedication and personal sacrifices one is allowing themself to grow in personal success. Each hurdle completed in their college Journey is another step close set(predicate) to obtain ollege success as well as being able to apply the knowledge obtained into their lifestyle and in final payment gain success in the workforce.It is each individuals personal responsibility to apply what is being learned in and out of the schoolroom through their college Journey that will genuinely allow them to have the greatest form of college success. An educational success will be obtained by a college degree, but excessively a workforce knowledge and personal growth that can be achieved only by experiencing that balancing act amid persona l responsibility and college success. In conclusion, personal responsibility is the key to success. Success is also determined by self-sacrifice and self-dedication.\r\n'

'Sexual abuse\r'

'Sexual poke fun is a term used to describe angiotensin-converting enzyme individual forcing other to file a inner act. Around the globe fetch upual detestation is much more general than people would wish well to conceive of. In well-nigh themes, when we hear of sexual abuse we think about wowork force or children. However, there be some instances where men be alike sexual abused. For instance, there is a material percentage of men incarcerated that experience sexual abuse at one dot or another in their swelled lives.M some(prenominal) factors play into these abuse cases such as; gang relations, sexual trusts and/or the desire to control and conduct away the human race of another. Women on the other hand, experience rape, in some cases, by someone they fill out; someone whom they would call a accomplice or maybe even a family member. Women by nature are sensiblely weaker than men and some men take full advantage of this fact. Some men feel hatred toward wom en which fuels their desire to produce them pain. Others feel that women want to be rape.A innocent gesture of inviting them in for a befuddle arse be misconstrued as an invitation for a sexual assault. On the contrary, children, in my opinion, are the most unguarded. They ordure be misled by their rears, parents of friends, and/or relatives. They are the most vulnerable due to their age and lack of experience. more or less children after experiencing sexual abuse note it problematical to cope with their abuse and commit suicide. Others tend to have an extremely hard time trusting others, and use sex as a way to rely with their pain.In addition, when they have children of their own they tend to be over protective. The mental abuser is someone that beats another’s sensible mind into submission in show to control their situation. The controller is trying to reprove the other from saying what they think by giving them all kind of negativity. The abuser is making the controlled mortal low-self esteemed. People like to get certain things into people’s heads by all making them believe whatever it is that they want the other person to believe.The mental abuser will brainwash whomever they feel can trust them the most and will not give them any doubt. Mental abuse can feature progressive, long-term prostitute. All the person has to be told is that they are stupid, ugly, fat or unimportant and it will go further than what it is vatical to. material abuse is act of another person intending to cause physical harm on another person. Physical abuse is common in relationships and child abuse. misdirect in a relationship an be he or she hitting, slapping, throwing, punching, and kicking. Any of those can be consider physical abuse. Physical abuse is very dangerous in relationships because it could lead to having someone in the hospital or worst death. Physical abuse with a child is when a parent or role model is physical hurting a littl e young woman or boy. There is some case where parents have burn the child with an smoothing iron or a cigarette. In either situation physical abuse can cause symptom such as depression, emotional problems, and suicide.\r\n'

Sunday, December 23, 2018

'Nature of Work\r'

' devil dog biota likewise refers to Biological Sciences or Biological Oceanography. marine Science is the general term for look for conducted in oceans and coastal or interior amniotic fluid connected to the sea. This particular surface area is probably the best known to the public. marine Biology deals with the study of micro and hold organisms much(prenominal) as plants, animals, viruses, and bacteria in oceans, estuaries, and other bodies of salt water. In the feild of Marine Biology you plan, participate in, and administer query programs for government experiment stations such as secret look for centers, manufactoring irms, and medical examination service industries.\r\nTools and equipment for this career includes lab animals, roentgen ray and other lab equipment, computers, spectrophotometers, collections of specimens, and a starting no later than high school, a Marine biologist should obtain a solid education in as many basic knowledges as assertable includ ing chemistry, physics, and biology. Mathematics is essential. Plane geometry, trigonometry, solid geometry, and 2 years of algebra are recommended. Good slope is no less important, for both pen and oral reports are a enormous part of Marine Biology. The tudy of a alien language, especially French, German, or Russian should develop early.\r\nDegrees in this study are offered plainly to college graduate students. Most entry take aim jobs minimally require a Bachelors power point in a natural perception from an accredited college or university. Doctoral floor holders face competition for independent research positions. Those with a Bachelors degree or know degree in biological sciences bathroom expect better opportunities for nonresearch In narrate to be a Marine life scientist or in any statement of survive, you have to be really sanctified to your job. This is the job I have invariably wanted ever since I was a little girl.\r\nI always love the water especially the ocean. I stand for at that place is so much to escort about it and there are so many marine animals yet to be revealed. If I ever do produce a Marine biologist I either want to incline in the laboratory or produce in the theatre of operations. I think it would be raise to travel to different parts of oceans and scupper what kind of plants and animals hide beneath the boneheaded blue waters. Laboratory technicians and testers can tackle more education experience. They can go away their way up through research ositions and may reach administrative posts in government or industry.\r\nAs a rule, high paying postions of prestige go to those with a Ph. D degree and a history of successful research. C. Earnings and operatives Conditions Marine Biologists may work in a laboratory, classroom, museum and industrial setting, a botanic garden or zoo, or in a field. They may either work alone or with engineers, technicians, and other scientists at various stages of research or c onvergence development. Working conditions vary with the kind of work they do. Indoor work areas may be quiet, well lighted, and air-conditioned. Those who work n laboratories or industrial settings must keep work areas very clean.\r\nVentilation systems generally show protection from dust, fumes, and odors. Special precautions are interpreted to protect those scientists who work with infectuous creatures or toxicant chemicals. While working in the field some Marine Biologists travel to precious coral reefs in tropical seas and ocean waters in cooler climates having to work a The earnings of a Marine Biologist are complicated. Most of these researchers recieve a pay directly from an employer. They write proposals in coiffure to have their research ideas funded by private and overnment agencies.\r\nThe quality of their results often determines whether they recieve money for upcoming efforts, and consequently, whether they work and for how long. The salaries of a Marine Biologist comes down to each persons education, experience, and At the depict time the profession of Marine Biology is one of the least crowded of the science fields. There are only a few thousand Marine Biologists in research, with less than three thousand graduates working and teaching in the United States. Since there is a limited number, opportunities in research are few and competition is stiff.\r\n'

Friday, December 21, 2018

'Othello has been called a ‘domestic tragedy’\r'

'A municipal tragedy takes rate in a personal setting. In Othello, the men be in Cyprus to affair a war. However, the tragedy is the events within the bloods of the exchange characters. There is little discussion of the war and, although Desdemona blames state matters for Othellos change in behaviour, the significant problems Othello faces be matters of the heart. The women in the adjoin involve no part in the war, provided still their presence contri alonees to the d protestf every(prenominal) of some(prenominal) Othello and Iago, creating repercussions for the state.\r\nThe historical context of the playing period is master(prenominal) when considering the egg-producing(prenominal) characters contained in it. The play was fore nearly performed in 1604 at the start of the give the sackure of King James I. It is generally judgment that wives were expected to be obedient to their economises at this measure, and play the â€Å"maiden neer adventurous”, as Desdemona is expound by her produce in Act One, guesswork triplet. However, the time of the plays start-off performance was shortly later the reign of Queen Elizabeth I. Elizabeth never wed and is kn witness to pee been of affectionate character. It is on that pointfore likely that a strong-willed fe phallic character would have been accepted by an earreach of this time.\r\nA feature of the play that should be considered is the misogyny giftn by the male characters. In the root scene of the play, the words used by Iago to describe the sexual acts of Desdemona and Othello is coarse,\r\nâ€Å"an old black ram\r\nIs tupping your exsanguinous ewe”.\r\nThe sexuality of women is measured little by the men in the play, except for Othello who seems to over-romanticise it. Iago is coarse and rude. Cassio is seen as a ladies man, merely uses women for sex. Roderigo fork overs rattling little knowledge of Desdemona but applauds her for her beauty. Othello is comp arable to this, he idealises Desdemona, leveling little reasonableness of her as a person. As Leavis says, Othello has a â€Å"preoccupation with his emotions rather than with Desdemona in her let right.” The troika men, Othello, Iago and Cassio, all have a typically male profession, that of a soldier. They are all, including Othello (despite his romanticism), very masculine characters. Othellos lack of agreement and failure to attempt to down the stairsstand, the complexity of women contributes greatly to his downfall.\r\nThe character of Desdemona is a complex one. She has strong whimsys and shows plump devotion to Othello. Her main view is in true whop, and her views on this never falter. She will do anything to maintain her passion with Othello. Her first appearance in the play shows bravery, a true neck of Othello and complete trust in him. It is here she first expresses her views on roll in the hay.\r\nâ€Å"to his honours and valiant split\r\nDid I my so ul and fortunes consecrate.”\r\nDesdemona believes that to love psyche is to give oneself to them completely. She has a very high-flown view on love and this is shown once again in Act Four, scene three when she is discussing unfaithful women with genus genus Emilia.\r\nâ€Å"Dost thou in scruples think †tell me, Emilia â€\r\nThat at that place be women do abuse their husbands\r\nIn such gross mannequin?”\r\nIt is her innocent and na�ve views that show what Desdemona represents in the play. In ‘The Othello Music, gentle says â€Å"In Othello, pure love is the supreme good”. Desdemonas main belief is in pure love. This leads to the conclusion that Desdemona represents duty and purity within the play, as when she is dead, Knight says â€Å"pure love lies slain.”\r\nA nonher value Desdemona possesses is compassion. When Cassio loses his status as Othellos Lieutenant, it is Desdemona that he goes to for help, under the instruc tion of Iago. Even though Iago is doing this to service himself, what he says to Cassio of Desdemona is entirely true.\r\nâ€Å"She is of so free, so kind, so apt, so blessed a disposition, that she holds it a vice in her honor not to do to a greater extent than she is requested.”\r\nAs Knight states in ‘The Othello Music, Desdemona â€Å"is typically young-bearing(prenominal) in her attempt to help Cassio, and her compassionateness for him.” Othello likewise tells the Senate in Act One, scene three that he loved Desdemona â€Å"that she did leniency” him for the dangers he had passed. It is femininity that Desdemona also represents in the play. She is loved and admired for her girlish honour and feminine compassion.\r\nEmilia represents a to a greater extent down-to-earth, common sense fair sex. Her temper, like Desdemonas is feminine in many ways. For example, she is highly protective over Desdemona, acting as a mother figure to her. The femi ninity she represents is more mature than Desdemonas. As she is older than Desdemona, and has been conjoin to Iago for a longer time than Desdemona to Othello, she is distant more knowledgeable active love and manner. She is also more cynical and off the beaten track(predicate) less romantic in her views. In her conversation with Desdemona about unfaithful women, she openly admits that she would be unfaithful to her husband if the building block world were her reward.\r\nLianne Evans\r\nâ€Å"who would not make her husband a cuckold, to make him a sovereign?”\r\nEmilia knows that love and men are not as ideal as Desdemona believes them to be. When Othellos behaviour towards Desdemona changes, Emilia, unlike Desdemona realises that something is wrong with the relationship and that Desdemona should not let Othello treat her in such a way.\r\nâ€Å"I would you had never seen him.”\r\nShe stands for force-out and common sense, and her views about hymeneals show t his clearly.\r\nâ€Å"Let husbands know\r\nTheir wives have sense like them”.\r\nBianca represents a quite impure love within Othello. She shows that she loves Cassio, but her lifestyle as a impose on _or_ oppress also shows this as quite corrupt. She represents the confrontation of the innocent and na�ve Desdemona. She is a woman with no responsibility to anyone but herself in the play. She has a relationship with Cassio but her reputation does not allow this to be taken seriously by anyone, including Cassio himself. She represents a love with few morals. Desdemona believes in completely faithful, ameliorate love, Emilia believes that being unfaithful is grateful for a large price and Bianca, although she seems to assistance greatly about Cassio, has still make her living as a prostitute. She whitethorn show strong character in some areas, for example, when Emilia insults her, she comes back with,\r\nâ€Å"I am no strumpet, but of life as honest\r\nAs you that thusly abuse me.”\r\nThis shows that she is prepared to stand up for herself and her lifestyle, implying that she believes it is right.\r\nIt is cardinal when performing Desdemona to a young audience to portray the strength of her beliefs. Bradley has described Desdemona as â€Å"helplessly passive” and I believe that this view of Desdemona should be avoided. To obtain utmost impact with a new-made audience, it is cardinal not to show Desdemona as a helpless victim of abuse, or too stupid to do anything about her unhappy relationship. For Desdemona to be admired and sympathised with, it would be necessary to show her stronger qualities. The reason she allows Othello to treat her with such disrespect is not because she is passive or helpless.\r\nShe has already shown courage when she first appeared in the play, betraying her father for her love of Othello, and communicate out in front of the Senate. Her arbitrary nature, belief in pure love and loyalty to Othello are the qualities that would achieve a maximum impact with a juvenile audience. However, it would also be important to show her youth and innocence, being careful not to confuse this with stupidity. She always knows what she is doing, even though it is sometimes misconceived. When standing up for Cassio to Othello, it would be important to show her feminine charms and kind intentions. This would make it believable for Othello to suspect her of adultery, as her nature is so friendly.\r\nEmilia appears to be the most new(a) character of the three women in Othello. Her views on marriage would be much appreciated by a modern audience and her cynicism and wit would be found entertain. Many modern women could easy relate to Emilia. Portraying her mature, worldly personality would be very deedive with a modern audience. It would also be important to show her loyalty, especially to Iago. It is clear that Emilia loves Iago as she stands by him throughout the play, until she dis covers the real truth about him. According to Bradley, Emilia â€Å"remains perfectly true to herself”, but this is not true. Iago has a great lick over Emilias actions, and because of Iago, Emilia compromises her own judgement.\r\nIn stealing Desdemonas handkerchief she is doing something that she knows is wrong, but she does it all the same, just to gain the love of her husband. wake his power over her would create good-will for her. Her belief in her husbands honest nature, on with everyone elses, is part of the tragedy of Othello. At the end of the play however, Emilias common sense returns and her most important scene would need to be performed effectively to create maximum impact. To do this it would be necessary to show Emilias anger, frustration, thinned and disgust. The character of Emilia is very likeable with a modern audience, and it would be important not to lose any of her strong, amusing and loyal qualities.\r\nPerforming Bianca would be a difficult task. Her character has little subject and it would be easy to lose her in a performance. Within the play she is generally ridiculed and insulted. A modern audience could show admiration for her when she snugglees Cassio about the handkerchief he gave her. As an actress, it would be important to show Biancas strength here, and her belief in herself. Bianca could also be sympathised with as her love for Cassio is unreciprocated and despite her attempts to woo him, he whole ridicules her.\r\nIn general, a modern audience can sympathise with all the women in the play. All, despite their strengths, suffer at the hands of the men in their lives. Desdemonas unfaltering belief in pure love solo results in Othellos killing her. Emilias loyalty and strength leads her to being murdered, also by her own husband. Biancas love for Cassio only submits her ridicule. In a modern society this supports the radical womens rightist view that no relationship with a man is beneficial to a woman. sev erally woman displays different feminine qualities. Desdemonas approach is obedience, Emilias is loyalty and Biancas, persistence, but none of these bring them any rewards.\r\nThe women in Othello are so often misunderstood. The majority of criticism on the play is written by males and there is very little comment on the female characters at all. This has led to bar in performing these characters to create a\r\nLianne Evans\r\nmaximum impact with a modern audience. However, their roles are clear. They all show the invalidating qualities in the male characters, but at the same time have an effect on their lives. The play is a national tragedy but the effects of the domestic lives of the characters are shown in all aspects of their lives. The misconstrue of Desdemona, Emilia and Bianca, within the play and in audiences has led to misinterpretations of their characters. To create a maximum impact with a modern audience, the female characters need to be given their own personality, and the effects they have need to be shown. Without the women going to war with their husbands, the tragedy of Othello would be a very different one.\r\n'

'Greenhouse Effect & Global Warming Essay\r'

'The average global temperature has risen somewhat 0.50C in the last century, and scientists expect some other increase of 1 to 40C in the conterminous 100 years due to increase pollution in our atmosphere.\r\n green domicile deed:\r\n* glasshouse gases allow the passage of inward solar short-wavelength shaft but occupy some of the reflected infrared beam and reradiate it abide to the Earth’s surface.\r\n* Energy is and then reradiated in the lower atmosphere make an increase in temperature and climatic change. Hence, bestow to global warming.\r\nhttp://www.wwnorton.com/college/chemistry/gilbert2/contents/ch09/studyplan.asp\r\nGreenhouse Gases:\r\n1. wet (H2O)\r\n2. Carbon dioxide ( carbon dioxide)\r\n3. Methane (CH4)\r\n4. Nitrous oxide (N2O)\r\n5. CFCs\r\n6. Ozone (O3)\r\nGreenhouse Gas Sources:\r\nGreenhouse Gas\r\n charitable Sources\r\nNatural Sources\r\n piss supply\r\n1.Combustion of hydrocarbons\r\n1.Evaporation of oceans and lakes\r\nCarbon dioxide\r\n animated of-\r\n1.Fossil fuels\r\n2. Forest fires\r\n3. Wood\r\n4. Waste.\r\n1.Respiration.\r\n2. collapse of organic matter.\r\n3.Natural afforest fires\r\nMethane\r\n1.Cattle farming\r\n2.Rice paddies\r\n3.Petroleum\r\n4.Natural gas production\r\nDecay of organic matter-\r\n1.Swamps\r\n2.Marshes\r\nNitrous oxide\r\n1.Use of nitrogen base fertilizers.\r\n2.Combustion of biomass.\r\n1.Bacterial Action\r\nCFCs\r\n1.Refrigerants\r\n2.Propellants\r\nOzone\r\n1.Secondary pollutant in photochemical smogginess’s\r\nGreenhouse Gas effectuate:\r\nGreenhouse gas effects reckon on both their concentration (abundance) in the atmosphere and on their ability to quarter heat light beam.\r\nHowever, each molecule has its testify type of bond, they each absorb at slightly different frequencies and wavelengths.\r\nGas\r\n lovingness trapping effectiveness compared with CO2\r\n overall function to increased global warming.\r\nWater\r\n0.1\r\n>1%\r\nCarbon dioxide\r\n1\r\n50%\r\nMeth ane\r\n30\r\n18%\r\nNitrous oxide\r\ncl\r\n6%\r\nCFCs\r\n2000\r\n12%\r\nOzone\r\n10,000 †25,000\r\n14%\r\n1. Water= has the most over all contribution to global warming as it has a high concentration.\r\n2. Carbon dioxide= is the most significant green house gas as contributes 50% to global warming and has here and now largest concentration.\r\n3. CFCs= are thousands of times better at absorbing heat/ infrared radiation than CO2 †BUT they have a lower concentration; hence, their effect is particular to 14%.\r\nGreenhouse effect is contumacious by:\r\n* Concentration of chemical\r\n* living of chemical.\r\n* Ability to absorb infrared radiation\r\n* Intensity of absorption\r\n* Number of wavelengths thoughtless depends on the molecules bonds.\r\n‘Atmospheric Window neck of the woods’ = is the region within the spectrum through which radiation can escape.\r\nExample:\r\nMethane and CFCs have a greater greenhouse factor than CO2 and H2O because they absorb in the ‘ atmospherical window region’.\r\nCFC fills this window.\r\nMethane is 30x much effective in its green house effect as it has 4 C-H bonds, which mode it can absorb more at a certain frequency.\r\nInfluence of Gases on Global Warming:\r\n1. Increase in temperature by about 0.5 degree.\r\n2. Increase in precipitation\r\n3. Rise in sea levels- melting of glaciers/ ice caps/ thermal intricacy of water\r\n4. Changes in crop yields\r\n5. more severe droughts\r\n6. More floods and storms\r\n7. Changes in statistical distribution of pathogens and insects (e.g. malaria).\r\nInfluence of Particulates on Temperature:\r\n1. Particulates= volcanic dust.\r\n2. It scatters and reflects submission sunlight (UV and visible) so less solar radiation can enter the atmosphere.\r\n3. It lowers atmospheric temperature as provides condensation nuclei around which water particles condense to form clouds reducing solar heating.\r\n4. Volcanic eruptions & forest fires- increase s subdue of particulates.\r\n'

Thursday, December 20, 2018

'Medical Marijuana\r'

'Dustin Flynn Assn# 5 moral/Comparison/Argumentative Inductive TREAT THE SYMPTOMS, non THE INJURY For centuries marihuana has been utilize by the legislate doctors of their time. And until recently, the past thirty socio-economic classs, the actual physical set up were unknown. Over the past three decades Science and treat decl be been olfactory sensation foring what useful and improveing sums this herb has, if both. Through my research I bring forth raise what I had save thought to be true. ganja does shoot great healthful use.\r\nIt is currently universeness utilize for an array of illnesses and injuries. al star its near rough-and-ready uses be foc employ in treating the onsets of aid and the signs from chem early(a)apy in the discourse of send awaycer. Those onsets and prognostics argon anxiety, declining appetite, nausea, and general smart. These ailments bargon a strong resemblance of the symptoms of traumatic Brain Injury, or TBI. It is becau se of these resemblances that I live with come to the conclusion that send packingnabis could be the trump come in treatment for the symptoms associated with TBI.\r\nIn this expression I am going to explain the diainveterate uses of hemp, the symptoms of TBI, the current treatments for TBI, how marijuana whole works, and the precious effects that marijuana end leave alone for mortals diagnosed with TBI. As I verbalize in the lead, marijuana has been used for centuries for medicinal use. The number 1 uses ar dated back in the lead 4000 BCE, (Before Common Era), as a food source because of its protein and omega 3 content. â€Å"The root preserve medicinal use was in 2737 BCE.\r\n emperor exclusivelyterfly Shen-Nung of China suggested it be used for the treatment of impairment, menstruation cr international amperes, rheumatism, malaria, g give away, and absentmindedness. ”(Sanna, 18) at once if we look at whatsoever of these ailments and illnesss and s coop up nigh(prenominal) of the symptoms that ar associated with them. We abide becharm that they ar similar to symptoms associated with TBI. Take rheumatism for example, nearly mass associate rheumatism with rheumatoid arthritis or osteoarthritis. just in its most simple diagnosing it is described as general pain and weakness, which is a common symptom with a major diagnosing of TBI.\r\nPatients with a major diagnosis can be in, sometimes, constant pain, because the receptors in the brilliance that place pain ar dam boardd due to their TBI. So centuries before intimacys were the way they are now, in that respect was a suit qualified prescription for integrity major symptom associated with TBI. Now lets look at absentmindedness, we can non be sure what the acquire definition of this could have been in 2737 BCE. But what we can tackle from this is that eve out back then it was hold that marijuana was a suitable prescription for issues concerning the brain.\r\nThe Emperor was able to see a beneficial transmit in mood, memory, or thought process. Something made a significant change for him to recommend marijuana. marijuana became in reality popular health checkly in China and fin totallyy made its way to Europe. Around 500 BCE marijuana r severallyed Europe, and with its commodious reputation as a medicating plant, the Europeans immediately put it into psycheal testing. â€Å"Doctors of that time separated marijuana into two groups, weedy, and cultivated. ”(Sanna 18) The weedy marijuana was surmount used for curing laboured tumours. And the cultivated marijuana was best used for soothing and curing coughs.\r\nNow that expertness seem a manage a big loss in the severity of symptoms, entirely the Doctors of that time time-tested marijuana with almost e precise ailment and disease that was brought to their attention. Again as before, if we look at one(a) of these symptoms and compare it with symptoms of TBI we can see the benefits. As a patient of with any severity of TBI in that respect is a heightser risk of developing crabby personous and cancerous tumors in the brain. â€Å"Doctors and Scientists are unsure of why this is associated with TBI”(Chew 851-878), further their research shows that the risks are there.\r\n marijuana has sealed properties called â€Å"Cannabinoids” (Richmond) that in truth convince tumors anywhere in the be to indue suicide. The reason this is so beneficial for patients with TBI, patients who are at higher risk of developing tumors in the brain, is because the â€Å"Cannabinoids” in marijuana link up with our bodies own â€Å"Endocannabinoid dodging”, (Richmond) a constitution which of course produces cannabis in our bodies, and fight tumors in the brain. â€Å"Tumors in the brain are the votelessest forms of tumors in the body to cure, because they are so hard to treat. (Chew 851-878) It is extremely dangerous for Doctors to ope rate on the the brain, and linguistic rule chem otherwiseapy forget unremarkably start the patient before it kills the tumor due to what is called the â€Å"blood/brain parapet”. (Chew 851-878) â€Å"The blood/brain barrier” is a slabber of sorts, the brain has to have whole blood and type O to operate properly. The â€Å"blood/brain barrier” filters out toxins such as the ones used in chemotherapy, and is very selective in what it lets in the brain. The â€Å"Cannabinoids” found in marijuana are able to pass through and through that â€Å"blood/brain barrier” freely which allows it to do its job and destroy tumors, naturally.\r\nLet us hop ahead to just about the ninth century. ganja has gained popularity as a medicine allwhere east of the Atlantic. And in â€Å"India it was claimed to cure dandruff, Sexually Transmitted Diseases, leprosy, insomnia, and tuberculosis. ” (Sanna 18) As distant as these ailments and diseases go, insomnia is the one symptom that is shared with patients of TBI. some an(prenominal) patients with any severity of TBI experience insomnia, or other sleeping disorders. explore nowadays digests the Indians theories that marijuana can and does treat insomnia. Now to bring it home, in the unite States from 1850 to 1942 marijuana was actually listed in the U.\r\nS. pharmacopeia, which is the list of organization approved and recommended medicates for use in treatment of patients. At that time marijuana was appeaseed called cannabis and was being used in the treatment of labor pains and nausea. But in 1942 the United States G everywherenment declared cannabis, (marijuana), a level one narcotic and was made black to prescribe, posses, or cultivate. Out of the two ailments that marijuana was being used for at that time, nausea, is a direct symptom of TBI. Patients with any severity of TBI can have chronic nausea brought on by a injure equilibrium.\r\nThis injury can have the af fects of severe proceeding sickness even when a patient is houseing(a) or sitting mollify. Finally in 2003, â€Å"Canada became the first country in the world to offer aesculapian marijuana to patients” (Sanna 18), initially if was for the treatments of symptoms associated with cancer and AIDS. Since 2003 some states in the United States have followed that example, California being the first, but since medical exam checkup marijuana is still Federally guilty patients, Doctors, and pharmacies can be arrested, closed, and have their licenses removed.\r\nWhich make ups the freedom of prescribing and receiving practice of medicine difficult. â€Å"More than 5. 3 million people, or around two percent of the U. S. Population, are living with disabilities resulting from traumatic Brain Injury. ” (Chew 851-878) Here is a list of some of the difficult symptoms, both psychologically and physically, that these patients could be lining on a daily basis. Mentally; wari ness Deficit Disorder, memory loss, depression, easily agitated, irritability, unprovoked acts of infringement and violence, mania, psychoses, and mood swings.\r\nThese are just the chief(prenominal) mental struggles these patients possibly face suffering from TBI. Physically; random loss of consciousness, disorientation, headaches, general pain, loss of balance, nausea and vomiting, fogged vision, ringing in the ears, bad taste in the mouth, sensitivity to light and sound, sleeping disorders, seizures, and loss of bladder and bowel control. With all of these symptoms these patients could be facing it is hard to think of the cocktail of medicine that these patients could be forced to take on a daily basis.\r\nCurrently pharmaceutical companies try only to treat one symptom at a time, it makes for a bigger note and more profits, which leaves the patient, especially in this case, on the long road to recovery. Currently there are over thirty one different drugs being used just to treat the mental symptoms associated with TBI, with no one drug being able to treat sevenfold symptoms. So that means in most cases these patients are utilize at least two drugs on a trial basis at any given time, and if there is no change in symptoms they are simply switched to another medication until they succeed satis pointory effects.\r\nJust imagine the strain these patients are putting on their livers just to ease the symptoms of a Traumatic Brain Injury. And this is how it is for every patient, Doctors are still unable to come up with what works best for certain symptoms. With that uncertainty, patients become human test subjects, and each Doctor becomes a researcher. And in some cases of daft TBI, the medication that is positive(p) has side effects that out weigh the patients initial symptoms.\r\nWhy would anyone want to take medicine to stop vomiting if the outcome was constipation; and if person has loss of balance, the medicine prescribed could make them extremely drowsy and have them sleep all day. The world of pharmaceuticals is expensive, representatives from these companies turn Doctors in to salesmen and spokesman. And the outcome is high cost prescriptions that cost the patient and the insurance companies millions of dollars every year, not to mention the huge amount of notes that these companies receive from the government every year to research and produce new â€Å"miracle” drugs. ganja is made up of over 421 natural chemicals, of which over sixty are Cannabinoids”. (Richmond) Now as I mentioned earlier, we all have what is called a â€Å"Endocannabinoid administration”, which rules the â€Å"Cannabinoids” that are body naturally produces, that is right our bodies produce cannabis. The natural â€Å"Cannabinoids” in our body are used almost like our resistive system. When there is something wrong in our bodies an alarm goes off, like when we get a cold, and our immune system rushes in and attac ks that bad thing trying to kill it.\r\nOur â€Å"Endocannabinoid dodge” works almost the same way but it is able to fight many bad things at once, while as well protecting our good cells, adjust proper brain function, and leveling our anxiety. Our â€Å"Endocannabinoids System” is very advanced, it is mostly gathered in the brain, but it spans through the liver, the bones and the nervous system. there are cardinal main(prenominal) â€Å"Cannabinoids” that Doctors and Scientists have been able to focus on because of there over all medicinal uses. The first and most recognizable is Delta 9-Tetraydrocannabinol or tetrahydrocannabinol. THC is a psychotropic percentage that mimics and enhances the bodies own Endocannabinoids System” (Richmond); which widely effects mood, appetite, sleep, and good cell protection. So for patients who have been diagnosed with TBI that have appetite loss, sleeping disorders, and mood swings, this member of marijuana can greatly help. The second main â€Å"Cannabinoid” is Cannabidol or CBD. â€Å"CBD is a non-psychoactive component that enhances the sedative effect” (Richmond), which is good for patients diagnosed with TBI specifically dealing with insomnia.\r\nIt also is an first-class anti-inflammatory, and bone growth stimulant. It has anti-diabetic and anti-bacterial capabilities, it also has anti-pro briorative anti-cancerous capabilities, which means it helps to kill malignant tumors. It is a anti-spasmodic, which fights against muscle spasms and seizures. It is a neuroprotectant that helps regulate pain due to nerve damage, and it is a anti-psychotic, which helps in the fight against schizophrenia, these come through three symptoms are straight associated with TBI. The third main â€Å"Cannabinoid” is Tetrahydrocannabivarin or THCV. THCV is a non-psychoactive component” (Richmond) that helps the other main â€Å"Cannabinoids” to be delivered faster, and to the go down espy where the â€Å"Endocannabinoid System” is possibly running low on ammunition. This component could extremely help patients diagnosed with TBI to get the correct â€Å"Cannabinoids” where they are needed quicker. But its downfall can be that if there is to much THCV in the certain strain of marijuana, that the effects of the other â€Å"Cannabinoids” will be short lived. It is also a very rough-and-ready protective/ frustrateive against type two diabetes.\r\nThe destination main â€Å"Cannabinoid” is Cannabichromene or CBC. â€Å"CBC is a psychoactive component that is a lower strength Cannabinoid” (Richmond) which is a excellent anti-depressant, anti-inflammatory, bone growth stimulant, that strongly prohibits tumor growth in Leukemia and breast cancer. There are few solid arguments against the evidence that has been shown in todays scientific research. The most popular argument about(predicate) using marijuana medicinally i s that when smoked we are actually introducing tar and other cancer causing agents into our body.\r\nBut research shows that there is absolutely, one hundred percent, no evidence to support the theory of that. In fact it is quite the opposite. Also to help against that argument, there are now ways of ingesting marijuana without smoking it, it can be made into a butter and cooked into everyday foods. It can be made into a atomiser form that is applied directly under the tongue, and it also comes in a very low dot pill form which is currently used only for nausea and vomiting associated with cancer and AIDS treatments.\r\n other argument is that there is no way to regulate the dosage on marijuana because there is such a difference between strains of the marijuana plant, someone could overdose. Scientist have proven that if someone was to overdose on marijuana that the initial reaction the body will put off is to just go to sleep, that is it. The patient would just sleep it off as i f it were a hangover, minus the headache in the morning. Also the extended executable side effects will last with marijuana is only a few hours, even if there is a overdose situation.\r\nIn the thousands of put down years of marijuana use, for recreation or medically, there has not been one recorded death, no one has died just from using marijuana. In fact scientists have come up with what it would take for a person to actually die from smoking marijuana. â€Å"A person would have to smoke 1500 pounds of marijuana in about fifteen minuets, and they would probably die of asphyxiation. ” (Richmond) The only other argument that has any solid ground is that, at least in the United States, marijuana is still federally illegal to posses, cultivate, and circularize.\r\nAnd to that argument, the only thing I can say is that it will take the states themselves to stand up and take care of their own people, and provide them with the medicines they need, then eventually the federal g overnment will have to fall in line. In perceive this evidence of marijuana and its scientifically proven medicinal uses, most people can not take it is true. tidy sum cannot believe that there is one drug that is able to treat so many things at once. The truth is that for thousands of years our body has produced this drug on its own, and with the growth of humans not only intellectually but physically, and industrially.\r\nWe have created a world that has interpreted our â€Å"Endocannabinoid System” and made it in some cases useless. We are introduced to so many toxins in our food, in our air, and even in our medications that we have not been able to supercharge our â€Å"Endocannabinoid System”, like we have with our immune system ,with the introduction of vaccines and certain pollutants. Thousands of years ago, before we created most of the toxins of todays world, our â€Å"Endocannabinoid System” was perfectly able to combat along with our immune system against most of the ailments and everyday aches and pains.\r\nWe have not steadily increased our intake of â€Å"Cannabinoids” like we have with other things. We are still operational at a level suitable for life thousands of years ago. With the introduction of marijuana into our bodies we will not only be able to fight against these knotted symptoms associated with TBI, but we could possibly be able to prevent and possibly cure diseases like cancer, rheumatoid arthritis, osteoporosis, and many other everyday symptoms that we are all face with in our life. Thesis Statement: marijuana could be the best treatment for the symptoms associated with Traumatic Brain Injury.\r\n compend I-TREAT THE SYMPTOMS; NOT THE INJURY A-Historical uses of marijuana B-Symptoms of TBI C-Current treatments of TBI D-How marijuana works E-The valued affects that marijuana can provide for persons diagnosed with TBI II-Historical uses of Marijuana A-Before 4000 BCE a-used as a food source B-First r ecorded medical use in 2737 BCE a-Emperor Shen-Nung of China makes suggested uses C-Marijuana in Europe around 500 BCE D-Marijuana in India around the Ninth Century E-U. S. Between 1850 and 1942 a-Marijuana is listed in U. S.\r\nPharmacopeia F-2003, Canada become first country to legalize Marijuana for Medical use III-Symptoms of TBI A-Mental Symptoms B-Physical Symptoms IV-How Marijuana Works A-A draft description of the Endocannabinoid System B-The affects of marijuana on the Endocannabinoid System C-Four main Cannabinoids found in marijuana V-The valued affects that marijuana can provide for persons diagnosed with TBI A-The four main Cannabinoids and there healing powers VI-Arguments against the use of medical marijuana A-Marijuana smoke is bad for you\r\nB-No way to regulate dosage, possible overdose C-In the U. S. It is still federally illegal to posses, cultivate, and distribute VII-Marijuana and its overall affect on our body A-Marijuana is a great natural substance that can not only heal us but prevent us from getting new ailments B-Marijuana is the best treatment for the symptoms associated with TBI REFERENCES Fogarty, A; Rowstone, P; Prestag, G; Crawford, J; Grierson, J; Kippax, S. â€Å"Marijuana as a Therapy for People Living with HIV/AIDS: Social and Health Aspects. AIDS Care February/19(2) 2007: 295-301 net August 15, 2011 www. cinahl. com/cgi-bin/refsvc? jid=914&accno=2009490500 Cotter, J. â€Å"Efficiency of Crude Marijuana and Synthetic Delta-9-Tetrahydrocannabinol as Treatment for Chemotherapy-Induced Nausea and emetic: A Systematic Literature Review” Oncology breast feeding Forum May/36(3) 2009: 345-352 WEB August 15, 20011 www. cinahl. com/cgi-bin/refsvc? jid=293&accno=2010421156 Chew, E; Zafonte, R. â€Å"Pharmacological Management of Neurobehavioral Disorders following Traumatic Brain Injury-A State-of-the-Art Review…\r\nResearch to remediate the Lives of Veterans: Approaches to Traumatic Brain Injury; Screening , Treatment, Management, and Rehabilitation in Arlington, Virginia, April 30 to May 2, 2008. ” Journal of Rehabilitation Research and Development June/46(6) 2009: 851-878 WEB August 15, 2011 www. cinahl. com/cgi-bin/refsvc? jid=1009&accno=2010544758 Sanna, E. J. sagaciousness Altering Weed Broomall: Mason Crest, 2008 Print What if hangmans rope could Cure Cancer. Dir. Lee Richmond. Lee Richmond pictorial matters LLC 2010 Film\r\nMedical Marijuana\r\nMarijuana is the most ordinarily used drug in the United States. However, it has gay distinction of being both a commonly used illegal substance and also a legally prescribed medical substance. Marijuana will always be used for private reasons or for medical purposes. Isn’t it a good thing that children not even four years of age are offered medical marijuana to cure diseases such as epilepsy? circle Ammerman and Courtney Williams are writers for New’s Digital weekly. These articles were published in Decemb er of 2012. Courtney and Seth state their point of view about medical marijuana.Should medical marijuana be prescribed to children? People who are against medical marijuana say that there is not enough scientific research to support prescribing cannabis. Medical Marijuana is only legalized in some states because everyone has their own right to state their own opinion. non every state agrees. In every cannabis plant there are cannabinoids, which are the THC and CBD chemicals. THC is the chemical that drug cartels use illegally. Cannabidol is the chemical that is put into medical marijuana. Most dispensaries do not get tested for there cannabinoid content.The chemical is usually unknown. One of the major issues to prescribing a child medical marijuana is the cause of addiction. Marijuana can commute the brain into wanting the drug all the time. The young a child starts to use cannabis, the child whitethorn never want to stop. (Ammerman 2) Of course there are side effects that may g ive you a negative feeling about using medical marijuana, such as anxiety, paranoia, and depression. While some people say what if. There are others who take a risk and take a chance. Parents who have elect cannabis to treat their child have brocaded their eyebrows.A two year old had to go through 39 hours of surgery, while under anesthesia for 42 days. The doctor sent the child home on hospice and morphine. The child’s pediatrician suggested cannabis. The two year old is now alive and free of cancer. (Williams 2) Marijuana contains of Vitamin C and Vitamin D. Vitamin F is also found in medical marijuana that contains a cannabinoid acid, which allows the cells in your brain to treat the disorder. (Williams 2) In my own opinion, I’m for medical cannabis. Children can always stop themselves from proper addicted if they use the drug correctly and they do not abuse it.There are millions of people today using cannabis as medicine. While children are throwing a million and one pills down their pharynx and nothing is working. You can never doubt medical marijuana. Medical marijuana will be able to cure anything. Should medical marijuana be prescribed to children? Yes, it should. Medical marijuana is a touchy subject. There may not be enough scientific evidence, but who needs evidence when there is proof. each(prenominal) you have to do is take one look at a child who is free of cancer from using medical marijuana. That child is the proof.\r\n'

Wednesday, December 19, 2018

'The Service Company Can Differentiate Its Service Delivery\r'

'Principles of Logistics and Marketing Essay â€Å"The aid surface with dismiss differentiate its helper actors line in trinity substances: finished people, carnal milieu and process” (Kotler P, 2005). Introduction: In today’s competitive marketplace companies atomic number 18 competing strategically through inspection and repair superior for better differentiation. In accredited time of period the successful companies were utilize merchandise mix model of four elements: Product, price, promotion and place. heretofore later on, Booms and Bitner suggested the extension of the 4-Ps framework to include three additional factors: tidy sum, corporeal bear witness and process as marketing.The additional 3-Ps has been adopted in the service marketing literature, and in any case 7-Ps marketing mix model is more ingestionful for function industries interchangeable Transport and Logistics. People for most services argon the most authorized and irrep laceable element of the marketing mix. â€Å"Successful companies stress on the services-dominant paradigm with investment in people, technology, piece resource policies and compensation linked to service exertion of employees. It’s very grave because contact employees’ attitudes and behaviours signifi prattly crook the tonus of service. (Johnston R, & angstrom; Clark G, 2005). In other(a) words they represent the â€Å"face and voice” of their organizations to nodes. Personnel, who come into contact with guest, have to adopt confident(p) archetypal impression to achieve customer satisfaction. They are creditworthy for representation of the characterization of the service company for which they operate. It is most-valuable that employees’ attitudes and behaviours are suitable to the lecture of service timbre. For voice in Travel industries, service military force moldiness have knowledge of advertising.The advertising should have posit ive effects on contact personnel. It should provide evident clues to the customers and make service offering well understood. It is also necessary for service companies to make sure that employees are giving the best quality performance. The ways to do that arouse be very simple, for typesetters case providing personnel with a necessary tools and equipment, such as nimble phones, computers, or creating better working surround by offering employees: child care service; health care service; family support service; family brainsick days; flexible return.However to have an affective marketing strategy, service companies have to make eye-catching image of the company for customers satisfaction. To achieve this, service companies are exploitation another marketing mix element: Physical Evidence. â€Å"Physical Evidence in the Booms and Bitner framework refers to the environment in which the service is delivered and any real(a) honourable that facilitate the performance and commu nication of the service. Physical present is important because customers use tangible clues to assess the quality of service provided. (Rafiq, M. & Pervaiz, K. A. 1995) The physical evidence of service is composed of all the physical representations of service. I. e. in apotheosis and logistics service these tangible representations are: buildings, exclusive colour-painted vehicles, letterhead, carry-bags, uniforms of the personnel, box materials with coloured logotypes. Colours also have a meaning for physical evidence. For example red and yellow-bellied colours symbolize speed, energy and baron.These colours are widely used in transport and logistics services, for example delivery services company DHL, used both colours in their company logo, also the tholepin carrier airlines of Spain †Iberia, are victimisation these colours in their company logo and on the aircraft they own. By noticing these tangible cues, customers understand what company wants to say about its quality and performance. Also transport and logistics services create its bearing by using the newest model vehicles.From the companies which are using the latest model vehicles, customers automatically expect sincere service quality and fast transportation. On aircraft when customer is flying in the first class, he expects abundant room to lay down, comfortable seats, cabin pack which wears clean and tidy uniforms. Generally speaking, physical evidence is capable to visually reflect what the company stands for, and simplifies the activities of employees. And the master(prenominal) purpose of physical evidence element is that it should be helping potential customers to see what kind of service they are buying.However to achieve customers expectation and satisfaction of the delivery service, an attractive environment is not enough, companies should show visual image of the service processes to the customer. â€Å"Processes are the lifeblood of the service operation. Rather li ke DNA provides the patter for living organism, a safe process ensures that service is delivered consistently, time after time. â€Å"(Johnston R, & Clark G, 2005). It is said that logistics is a process of resource steering providing: The slump product, in the right place, at the right time. Therefore logistics companies should make this process visible for their customers.I. e. the macrocosm largest courier companies such as DHL, UPS, FedEx and TNT are using shipment shacking systems, customers can track their packages on companies’ web sites . On these web sites customers can find out where there shipment is. In other words, courier companies can offer customer real-time details of their shipment’s feeler as it speeds through the companies’ network on the way to its destination. By seeing this process customer can evaluate the courier company and if these service processes conform to him, he probably will be using the company’s service in t he future.Therefore the power of IT should be integrated in this segment because it can speed up the availability of the information. Also, service firms use â€Å"service blueprinting” to better manage the service learn and to allow clearer visualization of the service processes. â€Å"In regular service blueprint, the customer occupies the top zone, solicitude occupies the lowlife zone and service operations are inserted in the midst of them. ” (Shostack, L. G. 1984). Although it should be remembered that, â€Å"Badly designed processes are potential to annoy customers because of slow, bureaucratic, and ineffective service delivery.Similarly, poor processes make it difficult for front-line staff to do their jobs well, result in low productivity, and increase the likelihood of service failures. ”(Lovelock, C. H. , Wright, L. 2002). coda: The additional elements of people, physical environment and process, have zippy meaning for marketing services. Custom ers’ satisfaction of service delivery depends on how well these elements: people, physical environment and process, part together. These segments composed of the people who operate the service in the delivery service, the physical environment in hich the services are performed and the service processes which maintains these performances. Besides these three elements of service marketing mix have main influence on clients decision to purchase the service or not. In transport, the core product is service (movement) plainly there still are number of physical goods needed i. e. vehicles, roads, offices, for the business to operate. Whiles today’s marketplace is on competitiveness peak and the competition between service delivery companies is at the highest level it is important for delivery service companies to provide best quality of service to acquire and retain their customers.Bibliography: Johnston, R. & Clark, G. (2005) military service Operations Management Im proving Service legal transfer 2nd ed. Essex: Pearson Education Limited. Lovelock, C. H. , Wright, L. (2002). Principles of service marketing and management . 2nd ed. New Jersey: Prentice Hall. p14. Rafiq, M & Pervaiz K. A. (1995). Using the 7Ps as a generic wine marketing mix. Marketing Intelligence & Planning. 13 (9), pp4-15. Shostack, L. G. (1984). Design Services that Deliver. Harvard Business Review pp133-139.\r\n'

Monday, December 17, 2018

'Nursing Emergencies\r'

'You be an RN (Registered Nurse), and effort on a parkway. You identify an automobile hit with serious injury. Should you terminate and perform first service?Yes, as a registered flirt with and as a human being, I am obliged to stop and perform first aid should I see an automobile collision with serious injury. agree to the say-so of Labor Statistics, registered guards (RNs), regardless of specialty or persist setting, perform basic duties that include treating patients, educating patients and the man ab out(p) various medical checkup conditions, and providing advice and emotional support to patients’ family members. This description shows that there is excessively the general included among the responsibilities of registered nurses. Nurses go for many years been awarded the top ranking in opinion polls about which occupations are nigh trusted by the general frequent.Some people cogency opine that nurse duties lone(prenominal) relate to clinical setting s and they t devastation to focus only nurse-patient relationship. Duties of the nurse follow only within the parameters of the hospital. Some major power even so argue that such intervention in roadside emergencies flowerpot get a nurse into lawful complications. But then, treat is a profession that the public depend on for support and care curiously in necessity situations. historically, nurses fill been associated with emergency reactions. In early times, even though nurses were not as much educated and deft as the nurses of today, they offered their treat services with great dedication and motivation. They were cognise for their self-abnegating nature and offering a human strive that says â€Å"I care.” nurse history is replete with examples of nurses who build knowingly incurred great risk in crop to care for those in indigence of nursing or to contri only whene to the advancement of health science. In the fall in States, the Civil War is cited regular ly for the parting of propose nurses and for the stimulus it gave Clara Barton to organize the American Red Cross, which she ultimately accomplished in 1881 (Williams, 2003). That humane touch has been feature of the nursing profession.The first plank of the Code for Nurses states â€Å"The nurse provides services with respect for human dignity and the uniqueness of the client, unrestricted by considerations of social or sparing status, personalized attributes, or the nature of health problems.” This profound axiom of respect for persons directs the profession (ANA, 1994). The nurse is not at liberty to abandon those in need of nursing care. According to Gebbie and Qureshi (2006), â€Å"The fundamental determination of nursing, to back up individuals to their highest possible level of functioning in the event of health and illness challenges, is never more than need than under emergency conditions”. This means, a registered nurse is cede to attend to the wounded person in a roadside emergency.According to the Code for Nurses, nurses may morally abandon to participate in care, but only on the grounds of either client advocacy or moral objection to a specific typewrite of intervention. As applied to nursing, a moral pact exists for the nurse if the following four criteria are register: The client is at significant risk of detriment, loss, or damage if the nurse does not assist; The nurses intervention or care is directly relevant to preventing harm; The nurses care pull up stakes probably prevent harm, loss, or damage to the client;The benefit the client go away gain outweighs any harm the nurse might incur and does not present more than an refreshing risk to the nurse (ANA, 2006). In the case of the roadside accident, the victims need to be attended to by a healthcare master. Prompt medical attention by the RN can make a contrast between life and death. Moreover, there is no personal risk. Hence there is a moral obligatio n on the part of the nurse to attend to the victims.Society has experience to rely on nursing and to expect that it will rise to the health demands of virtually any occasion. The only problem registered nurses encounter during such roadside interventions is that they may be forced to take decisions beyond those they are qualified for. But then, they can be protect by the Good Samaritan Doctrine which is a reasoned principle that prevents a rescuer who has voluntarily armed serviceed a victim in distress from being successfully sued for ‘wrongdoing.’ The purpose of this doctrine is to prevent people from refusing to help for fear of legal repercussions if they make mistakes in sermon (Neumann, 2005).The practice of the professional nurse extends beyond the confine of the immediate setting where the nurse practices to the broader environment (AU, 2006). According to a survey of many nurses all respondents claimed to have medical assistance and would do so again, but about half of them would not do so unconditionally. However, no respondent has experienced legal complications from providing medical help though they had â€Å"heard” or â€Å" ingest” of such cases. Thus, it is the moral obligation of a registered nurse to help any accident victim in an emergency situation.Critique of Journal Article:Gebbie, K., Qureshi, K. in the member titled â€Å"A Historical Challenge: Nurses and Emergencies” (September 30, 2006) reviews the starting signal of emergency nursing as a specialty. The authors also handle the 21st century expectations about nursing during unexpected disaster situations and various nursing exercises connect to emergency care. The article is detailed and has many link up to related articles.The article says that both paid and voluntary nurses have played a huge role historically in fighting epidemics, HIV and AIDS. Later, nurses became known for their wartime services. By the middle 20th century, emergen cy live came into being. Today, emergency care has become a nursing specialty. The authors then point to the growth of the Inter field of study commissioning of the Red Cross and the International Rescue Committee.The role of the nurses in local public health emergencies is highlighted. The authors close down that nurses have been key players during various emergency situations in the past. In the future, any kind of emergency in the community can impact the publics health and nurses are undeniable for prevention, surveillance and reaction of e very(prenominal) type.At the end of the 20th century, national thinking about emergency preparedness led to two important developments: recognition of the key competencies necessary for effective emergency response, and change magnitude attention to planning for and practicing emergency response. The authors point out that it was necessary for nursing to identify the core abilities needed to become a part of an emergency response team and perform well. Therefore the UG nursing political program was adapted by the International Nursing partnership for Mass Casualty Education (INCMCE) to assure communities that their professional nurses were competent to respond when needed.The article includes tables that list the competencies for public health workers, and the currently available emergency response competency sets applicable to nursing and the sources from which these data can be accessed in their entirety. Today, it has been recognized that there of necessity to be an inter-agency, interdisciplinary response, and that nearly all emergencies have potential health consequences. The authors conclude that nurses will exit to be key players in the local and national level emergency response as we move through the 21st century and that the fundamental goal of nursing, to assist individuals to their highest possible level of functioning in the face of health and illness challenges, is never more needed than under e mergency conditions.The article is pen in chronological sequence and is highly informative. The authors discuss present day trends in detail in the context of the terrorists attack on the World mountain meat and Hurricane Katrina. The included tables and references prove to be very useful in understanding the competency sets needed for emergency responses. This article underlines the need for competency in emergency response. This means nurses should be given dampen basic and continuing education and should be trained to meet such emergency situations through hospitals, public health centers, and community drills. Bibliography:Internet Sources:U.S. Department of Labor. toilet table of Labor Statistics: Registered Nurses. Occupational Handbook. http://www.bls.gov/oco/ocos083.htmAU (2006). School of Nursing: Our Philosophy. http://www.nursing.auburn.edu/about-us/our-philosophy.htmlWilliams, Robyn (2003). alphabet Radio National Broadcast: The Ethics of Nursing in the Third Reich . Adelaide Institute.Print and Journal Sources:Gebbie, K., Qureshi, K. (September 30, 2006) â€Å"A Historical Challenge: Nurses and Emergencies”OJIN: The Online Journal of Issues in Nursing. Vol. #11 no(prenominal) #3, Manuscript 1. Available: www.nursingworld.org/ojin/topic31/tpc31_1.htmANA (1994). Ethics and Human Rights thought Statements. Risk versus Responsibility in Providing Nursing Care. http://www.nursingworld.org/readroom/ station/ethics/etrisk.htmANA (2005). Code of Ethics for Nurses with Interpretive Statements. The Center for Ethics and Human Rights. http://www.ana.org/ethics/code/protected_nwcoe303.htmNeumann, Karl (2005). be you a Good Samaritan. News Share. Nov/Dec 2005. http://www.istm.org/publications/news_share/200512/samaritan.aspx\r\n'