Monday, January 20, 2020
Christmas Gifts You Love (to Hate) :: essays research papers
Christmas Gifts You Love (to Hate) Zack Imus Christmas. The most exciting and anticipated holiday of the year. A time when visions of sugar plums--or stereos, new cars, the latest computer, and various other desirable and expensive gifts--dance through our heads. Unfortunately the reality of Christmas gift-giving is often a far cry from our visions. When we're children, it seems as the holidays approach that anything is possible. But as we mature and gain experience with this annual observance it eventually begins to dawn on us that it might not always be all it's cracked up to be. By the time we've reached our late teens--when, coincidentally, the potential for receiving truly outstanding gifts is optimized--we realize that Christmas gifts are seldom what we hope for. In fact, from year to year it becomes possible to actually predict the kinds of gifts you'll unwrap on Christmas morning. Let's look at a few examples. The Necessity Gift The necessity gift is one that always seems like a really great idea to your mother or grandmother, but which is invariably a big yawn to unwrap. Let's be realistic, how excited is anybody likely to get over a dozen pairs of matching socks, a hairbrush, winter gloves or underwear? Slipper Sox, new sheet sets and toothbrushes also qualify. After unwrapping such a gift, a person is likely to exclaim: "Gosh, you shouldn't have!" And mean it. The Token Gift The Token Gift might be received from almost anyone. Though it seems like an intimate friend or close relative wouldn't stoop so low, experience proves that token gifts take up where imagination and/or money leaves off. So it's possible to receive these kinds of gifts from the most unexpected sources. One present in this category is the ever popular "soap-on-a-rope." I've never seen these marketed in June. But come early November the soap factories undoubtedly pay double-double overtime to their workers in order to meet the vast holiday demand for nameless, pungent-smelling brown soap manufactured over the top of what appears to be a six-foot-long shoe-string. A note of caution: Soap-on-a-rope should never be given to boys under the age of 12. They invariably turn them into near-lethal weapons. If disappointed enough, they might even turn them on you. Other token gifts include cheap aftershave lotion/cologne, stationery, and the ever-popular electric shaver. Though this latter might occasionally fit into the Necessity Gift category, I've never met anyone who actually uses an electric shaver. For this reason, this gift might also fit into our next category. The Closet Stuffer Gift Closet Stuffers are exactly what they sound like: gifts that are stuffed
Saturday, January 11, 2020
The Story of an Hour by Kate Chopin
The Story of an Hour by Kate Chopin is an impressive literary piece that touches the readerââ¬â¢s feelings as well as the mind. Even thought that the story is short, it is very rich, complete, and it carries deep sense of meaning to everyone. It is also represented through a negative view of marriage with a woman that is not saddened by the death of her husband. It is a great view to read it carefully and pay attention to each and every word said in this story they are telling. This short story is trying to bring the meaning is not to believe everything that is told to you until it is seen with your own two eyes. This short story was very interesting to because it captured how the main character experienced in her life regarding something that not everyone has the luck to have the happiness of freedom, but it will only be understood at the end of the story. In the story Mrs. Mallard has heart trouble and her friends come over to break the news about her husbandââ¬â¢s death most gentle as possible. Most of the time with a story like that as the reader reads expects to be feeling sad and for a while they thought Mrs. Mallard wouldnââ¬â¢t be able to control herself from the pain of having her husband pass away. She understands the news and understands the news when the author shows it little by little on how she realizes it and what helps her to understand it. In one of the paragraphs it says ââ¬Å"She goes to the room and there stood, facing the open window, a comfortable, roomy armchair into this she sankâ⬠(Chopin, 1851-1904). This is a symbol of security and comfort even though h er husband died, the open window meaning the connection to another world. Mrs. Mallard ends up dying of joy that kills because she got to see her husband walk in after being told that he was killed. She dies from happiness of seeing her husband again and chooses rather to die than to live again under her husbandââ¬â¢s will after experiencing freedom. Irony as the ability to alter otherââ¬â¢s ideas about what might be expected and what things can really occur. Mrs. Mallard was very devastated and unable to think straight after hearing the news of the accident that had occurred with her husband. The only thing was she saw him alive and doing well. She prepared herself for her husbandââ¬â¢s death and grieving time, so that she can see him walking in the door. In this story formalist approach is used in this literary criticism on how it was developed. In our textbooks it states that ââ¬Å"Every writer chooses particular tools to create a presentation of something that exists in his or her imagination (Clugston, 2010). The setting of this story that makes it so memorable is that Mrs. Mallard is in her bedroom most of the time throughout this story getting ready for her to hear the bad news about her husband. There was a great surprise at the end of the story and it was that she was so shocked to know that her husband was alive and that nothing really happened to him. Mrs. Mallard with her heart condition and all was the one that got killed after a joy of killing. She thought she would have freedom even if it was just for one hour. After this hour passed it made her feel comfortable, happy, and free to make her understand a sense of her being. The story of an hour was long lived even if Mrs. Mallard only got to live an hour of her being free without her husband before she found out that he was alive. We should only believe what we see with our own two eyes before we start thinking that everything has happened. The bad news that Mrs. Mallard received was from other people that came to tell her about the accident, but really it wasnââ¬â¢t true because her husband appeared right through the front door. It really didnââ¬â¢t let her live that long after she was shocked with her husband being alive. She ends up feeling a sense of freedom, but it is a freedom that she is the one that ends up departing from this world.
Friday, January 3, 2020
Master Thesis Topic - 18078 Words
Master Thesis Topics Finance amp; Investments 2009-2010 Table of Contents Master Thesis topic 1: The Design of Lockup Contracts in IPO Firms in Europe 4 Master Thesis topic 2: Bank Risk Management 6 Master Thesis topic 3: The Ambiguous Role of Credit Ratings 8 Master Thesis topic 4: Mergers and Acquisitions 9 Master Thesis topic 5: Trading Volume and Asset Prices 10 Master Thesis topic 6: Liquidity in Asset Markets 11 Master Thesis topic 7: The Role of Corporate Governance in Mergers and Acquisitions 13 Master Thesis topic 8: The Risk of Corporate Fraud and Capital Market Consequences 15 Master Thesis topic 9: Credit Derivatives 16 Master Thesis topic 10: Bank-Borrower Relationships 17 Master Thesis topic 11: The Impact ofâ⬠¦show more contentâ⬠¦As directors assume important leadership roles and they are more informed than other shareholders, thus the information asymmetry tends to be higher between directors and outside investors than between venture capitalists and outside investors. However, venture capitalists are repeat investors who have valu able reputation at stake which may limit their conflict of interests with outside investors acquiring shares in the IPO. Outside investors may not purchase shares in the IPO backed by venture capitalists who were previously involved in taking advantage of insider information and reducing the wealth of outsider investors. Besides venture capitalists also use IPO as an exit mechanism to optimally recycle investments and maximize future returns. Hence the length and expiry of directorsââ¬â¢ lockup agreements will convey significantly different information than the length and expiry of venture capitalistsââ¬â¢ lockup agreements. Important Literatures Aggarwal, R., Krigman, L. and Womack, K., 2002, ââ¬Å"Strategic IPO Underpricing, Information Momentum, and Lockup Expiration Sellingâ⬠. Journal of Financial Economics 66, 105 ââ¬â 137. Brav, A. and Gompers, P., 2003, ââ¬Å"The Role of Lockups in Initial Public Offeringsâ⬠. The Review of Financial Studies 16, 1 ââ¬â 29. Cornell, B. and Sirri, E., 1992, ââ¬Å"The Reaction of Investors and Stock Prices to Insider Tradingâ⬠. The Journal of Finance 47, 1031 ââ¬â 1059. Field, L. and Hanka, G., 2001, ââ¬Å"The Expiration of IPO Share Lockupsâ⬠. The Journal ofShow MoreRelatedStatement Of The Post Graduate Master Degree1063 Words à |à 5 PagesAfter the Politecnico di Milano, I decided to enroll in the Post Graduate Master Degree in Architecture at Università degli Studi di Genova. The decision to move to other city was a natural choice: in order to be admitted to the masters degree at the Milanoââ¬â¢s university, I had to provide a proof of knowledge of the English language with a minimum level of B2 (advance) and additional preparatory exams. Because of the English exam, I had decided to apply to another university and to be fair, myRead More Writing the Academic Essay1531 Words à |à 7 Pagesthree: the introduction, the body, and the conclusion are its three essential parts. For starters then, let us begin with the introduction. Its job is to move from the general to the specific, to introduce the essays topic, clarify its central idea, and detail its thesis statement. Yet, before it can do that, it should attempt to hook the reader by catching his interest with some appropriate bait. The first way to hook a reader is by centering an original title above the introduction. PleaseRead MoreGraduate Degree At The University Of Waterloo927 Words à |à 4 Pagesbeen able to explore it as in depth as I could through a graduate degree. Completing a Master s of Applied Science in I/O psychology at the University of Waterloo will allow me to reach this goal as I know that research is an integral part of the program. As such, my current interest in career choices are focused on the teaching and research aspects of being a professor. My recent experience as an Honours Thesis student has demonstrated my passion for research and teaching as I have had the opport unityRead MoreA Study On Micro Cracks Of Concrete Plastic State1291 Words à |à 6 Pagesstop for a person with specified characteristic. Therefore, instead of running away from classes, I found myself wanting to explore more courses and to expand my knowledge of the flied, I even expanded my bachelor duration, so that I cloud peruse a master in it. Our board of transportation in Sharif University is significantly distinguished from other faculties in the department on many fronts, from the environment of their classes to their cooperation in research groups. I also had the chance toRead MoreResearch Proposal779 Words à |à 4 PagesMBA THESIS PROPOSAL GUIDELINES 1. INTRODUCTION The aim of this document is to give MBA students practical guidance about their thesis proposal. In addition to some general comments, the actual structure that should be followed in presenting the proposal is also outlined. The research proposal can serve many useful functions. The most important is that it helps the student to think out the research project he/she is about to undertake and predict any difficulties that might arise. For those who areRead MoreReflective Essay1508 Words à |à 7 Pagesobservations and opinions to express what you have learned about yourself from the experience; the growth, change or development impacted by the experience. This Smart learning module will help you to master the art presenting yourself in words by analyzing your experiences. In other words it will help you to master the art of writing good reflective essays. DEFINITION A reflective essay is a piece of writing that expresses your own feelings, views, beliefs, attitudes and observations about a particularRead MoreResearch Based Masters In Philosophy Essay1186 Words à |à 5 PagesSocial consciousness tends to focus on our knowledge of social topics, but I am more concerned with how we talk about them. If selected for the Fulbright, I would use the funds to pursue a research-based masters in philosophy at the University of Sheffield, focused on the topics of language and social issues. The program is a self-structured masters involving a dissertation. This program was selected to build experience in philosophy in order to later pursue a PhD and eventual professorship in philosophyRead MoreThe Requirements Of English 111 Essay1509 Words à |à 7 Pagesdevelop adequate writing skills among a variety of genres. The genres written about include a narrative, analysis, argument, evaluative, business letter, memorandum, bibliography, and report. By the end of the course, students are expected to master thesis development, revision, and writing as a recursive process. Along with learning a variety of writing strategies, students benefitted the most during the final unit of research and inquiry. Objectives of the research and inquiry unit were to developRead MoreThe Struggles and Movement for Black America1646 Words à |à 7 PagesESSAY PART ONE: THESIS I. Introduction paragraph A. Thesis Statement Over the centuries, the African people have endured many trials, obstacles, and tribulations. From the moment that they were kidnapped from their homeland, and had been savagely placed in the cargo holds on ships to be sold into slavery to the American people, the Africans (now known in the United States of America as African Americans or Black people) have journey far to achieve, as well as, accomplished what wasRead MoreMaster Of Science Degree Programs1502 Words à |à 7 PagesMaster of Science Degree Programs This entry gives a general overview of online Master of Science programs, then specifically examines programs in high demand and those offered in accelerated formats. Next, the entry focuses on information students need to succeed in M.S. programs: how to find the right program, and a major problem that they will likely face during online matriculation. A Master of Science degree (in Latin, Magister Scientaie) is a postgraduate academic Masterââ¬â¢s Degree awarded
Thursday, December 26, 2019
Herculine Barbin Essay examples - 1091 Words
Michelle Kim September 28, 2012 HIST 312 Response Paper on Foucault Upon reading Herculine Barbin, it helped me understand the difficulties in which Herculine had, living as a hermaphrodite living in his century, as it is still very difficult to lead such a life now. However, many parts of the reading were ambiguous because she never exactly mentions the condition of her body or what kind of sickness she is exactly suffering from. Although she always mentions the fact that she is suffering and in a great deal of pain, she only goes as far to describe the way she looks from the outside and how the others perceive her sickness. In the beginning of the novel, I canââ¬â¢t help but be confused about Herculineââ¬â¢s sexual identity. Sheâ⬠¦show more contentâ⬠¦Herculine always feels guilty about what she is doing, whether it may be falling in love with Sara or feeling sick. She has to be self-conscious about what she does because it can ruin her reputation. She had to hide her identity in order to get what she wanted. As a child, Herculine had a small problem growing up with all girls, because she felt a different intimacy with a girl names Lea, and that is where it all had started. Herculine was unable to control her desires later on, especially with Madame Pââ¬â¢s daughter, Sara. Their relationship was so intimate that it was becoming painful for Herculine. Herculine was unsure if the identity she was carrying was right or if she needed a change. But she knew that no one was to know about the change because it would condemn her from society and shun anyone around her. She could not just be cons iderate of herself but needed to think about everyone else around her, especially those who were offering and giving help to her. She possesses shame toward her body and its undergoing changes. When her body starts to grow hair, she tries to hide it and when she realizes she is becoming more masculine, she feels uncomfortable with the transformation. Her refusal to show off her body to the doctor shows us that she does regret and dislike the changes that are going on in her body. It shows off her feminine side. Although Herculine was
Wednesday, December 18, 2019
Drug Development Preclinical Development and Testing
When a drug is developed its safety and efficacy has to be established to qualify for a licence to market it in Ireland ââ¬â Irish Medicines Board or in the USA from the Food Drug Administration. The drug undergoes a series of tests to prove its medicinal ability is sufficient for the medicines market. Preclinical Development Preclinical testing performed by graduate researchers (Ph.D level), evaluate the medicines safety and efficacy before the medicine can be tested on humans. The medicine is rigorously tested for a 3-6 year period to assess its safety, biological activity, therapeutic ratio, and side effects in laboratory (in vitro) and on animals (in vivo). In vitro testing the drug is tested on cell cultures and isolated tissues. The concentration effect as are established. Pharmacological and toxicological effects are monitored. In vivo testing on two species of animal one rodent and non-rodent. Toxicological effects; mutagenicity, genotoxicity, teratogenic and carcinogenic are investigated. The lethal dose LD50 toxicity is defined. The dose-response relationship of the adverse effect is observed. Pharmacokinetics how the drug moves through living organisms, adsorption, distribution, metabolism and excretion are examined. The rate and amount of drug delivered to the blood and the dosage regimen to maintain therapeutically effective blood concentrations with little toxicity. What the body does to the drug when administered. Pharmacodynamics is the study ofShow MoreRelatedIn This Paper, I Am Going To Discuss About The Premarket1428 Words à |à 6 Pagespharmaceuticals from its drug development to ultimate approval conducted in Canada and United States. The main intention of Canada (Health Canada) and United States(USFDA) is safety and well-being of public. The Overall Process/steps of drug development to its approval in Canada and United states is almost same it differs in there authorities also the main difference is, In Canada during the drug development process prior to the beginning of a clinical trial, if the preclinical tests conducted indicateRead MorePre-clinical testing is performed to Good laboratory practice (GLP) and covers pivotal toxicology 1000 Words à |à 4 PagesPre-clinical testing is performed to Good laboratory practice (GLP) and covers pivotal toxicology safety pharmacology studies. In preclinical research, scientists test their ideas for new biomedical prevention strategies in laboratory experiments or in animals. ââ¬Å"Pharmacokinetics (PK) and pharmacodynamics (PD) can be seen as two sides of the same coin. PK and PD have a definite relationship, assessing how much drug gets to the site of action and then what that action is. Both activities are essentialRead MoreAbgenix Case Study1181 Words à |à 5 Pagesto payments as the drug development program reached certain milestones and a royalty on sales should the drug be commercialized. 2- The second way Abgenix hoped to generate revenues was by pursuing the early stages of XenoMouse-based drug development, meeting with some success and then selling off the rights to develop and market the drug. C. Abgenix XenoMouse Generated Drugs in various stages of the FDA Process: First of all we have to mention the Food and Drug Administration (FDA)Read MoreThe Importance Of Genetic Advancements In Oncology1266 Words à |à 6 Pageshoped that this would lead to more effective drugs, historically, our ability to translate cancer research to clinical success has been remarkably low1. Sadly, clinical trials in oncology have the highest failure rate compared with other therapeutic areas. Given the high unmet need in oncology, it is understandable that barriers to clinical development may be lower than for other disease areas, and a larger number of drugs with suboptimal preclinical validation will enter oncology trials. HoweverRead MoreInvestigative New Drug Testing : Testing And Development Of New Drugs836 Words à |à 4 PagesTesting and development of new drugs can be a long, strenuous and costly project for a manufacturing company. In 2003 drug companies spent $2.4 million on bringing new drugs to the market. By 2005 that figured ballooned to $802 million. If you think that is crazy, now experimental drugs cost pharmaceutical companies $312 million just for the post approval process of the drug and a whopping $2.9 billion to place the new drug on the market. The whole process can take 8-12 years until completion.Read MoreDrug And Drug Testing In The Roles Of The New Drugs831 Words à |à 4 Pagesorder to get the approval process by the Unites States Food and Drug Administration before any drugs can be prescribed to any of it patients. By the end of the year 2016, according to the 3.2 billion drugs were ordered from many physician practice for there patients (CDC, 2016). Many of these good and some are harmful drugs have bombarded numerous of pill bottles. Currently, the drugs supposed to go through a process of development, and next approval before being introduce/marketing to patientsRead MoreUnited States Food And Drug Administration1580 Words à |à 7 Pagesthe United States Food and Drug Administration (FDA), more specif ically, the FDAââ¬â¢s Center for Drug Evaluation and Research (CDER). 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Forming a joint venture with the biotech firm Biopart, equally sharingRead MoreA Review On The Viral Polymerase Inhibitor 7 Deaza 21293 Words à |à 6 Pagesbetween 8 and 14 weeks. The mice were inoculated with intraperitoneally with different inoculums of ZIKA Virus (Zmurko et al., 2016). This model was intended to observe the daily bod change of each mouse in terms of body weight in relation to the development of the virus. This means that a mouse that presented severe illness or the body weight, loss of over 20% would be euthanized. After that a sample of its blood would be collected for further study. SWOT analysis of this model Strengths: This modelRead MoreHiv / Aids : A New Form Of Viral Disease1287 Words à |à 6 Pagesbetween 8 and 14 weeks. The mice were inoculated with intraperitoneally with different inoculums of ZIKA Virus (Zmurko et al., 2016). This model was intended to observe the daily bod change of each mouse in terms of body weight in relation to the development of the virus. This means that a mouse that presented severe illness or the body weight loss of over 20% would be euthanized. After that a sample of its blood would be collected for further study. SWOT analysis of this model Strengths: This model
Tuesday, December 10, 2019
Analysis of Legal and Professional Issues
Question: Discuss about the Analysis of Legal and Professional Issues. Answer: Introduction As is the case with any other healthcare professional, the nurses engaged in this profession have to practice as per the statues given by the state and the federal statutes, which are full of complexities. But, the adherence to such statutes is crucial in order to make the ethical decision and to fulfill their responsibilities. And due to the growing advancements in the medical practices and technologies on daily basis, the healthcare professionals are often required to face the challenges of making the ethical decisions, which has not been provided by the given statutes for such new procedures or practices (Nursing Career Tips, 2017). Due to this, the nurses are required to take all the precautions in making any decision, so as to reduce their chances of legal liability. In addition to this, the ethical implications of such decision is also to be considered and it has to be ensured that their acts do not result in a harm to the patients and are in the best interests of such patients. Even though from a distance, it might seem that such decisions are pretty straightforward, but in most of the cases, it is exactly the opposite and at times, the legal decision may not be an ethical one, and vice versa (Nursing Career Tips, 2017). In Singapore, the statutes like the Mental Capacity Act, 2000, along with the common law principles of obligation, beneficence, autonomy and equity provide the guidance for the nurses in their decision making process, regarding the patients (Loke Thirumoorthy, 2015). Relevant Facts In the given case, B is a 56 year old patient, who is on heavy dosage due to his terminal illness. The extra dose which is given to him, to relive him from pain, is disliked by B. For this reason, he wants his doctor to stop the dose, as he believes it to be pointless. Legal and Ethical Issues The key issue in this case faced by the nurses is to decide if such treatment should be continued and be provided to the patient, against his will, or should it be stopped. To resolve this issue, the concepts of obligation, beneficence, and autonomy, given by the nursing boards in Singapore and Australia have to be used. Rules Obligation The principle of obligation states that it is the duty of the nurses to make certain that the patient is given the best quality treatment. And to take the best interest action, the nurses have to make sure that the patient receives whatever treatment is essential for such patient (Humphreys, 2011). So, if the doctor believes that the extra dose of medication is necessary for the patient, to relive him of the pain and the removal of such dose would result in distress to B, then as per the principle of obligation, the medicine should be continued. Beneficence The principle of beneficence puts a duty over the healthcare practitioners to form good relations with their patients (Elliot, Ho Lim, 2010). The rationale behind this principle is to enable the patient in developing a sense of trust towards such healthcare practitioner, so that the patient can bestow the necessary faith over the practitioner (Ho, 2016). But, if we apply the beneficence principle in case of B, than the principle of obligation, to act towards the patients best interest would be compromised. Autonomy The principle of autonomy addressed the concept of independence. As per the concept of independence, the patient has to be given the independence of making his decisions (Kaan Liu, 2006). So, applying the autonomy principle in case of B, he has to be given the independence to make the decisions he wishes. The ethical code of practices for the nurses dictates that the patient has to be presented with the requisite details, which could help the patient in determining their condition and making the decision to address the issue. Though, if this principle is applied in case of B, he would be left prone to distress due to extreme pain. Relevance of Issue The conflict issues which the nurses have to come across, while discharging their duties, is amongst the major issues arising in the professional healthcare and medical practices. The nurses often reach at an impasse where the decision regarding which approach is the correct one, to address the particular issue, becomes a dilemmatic decision. For the case of B, the decision of doctor, regarding the continuation of the dosage, cannot be critiqued as correct or incorrect, due to the reasons provided for the same. Though, the reasoning behind this decision can be and has to be analyzed. B has all the requisite knowledge about his terminal illness, and is also aware of the fact that the dosage provides him only a temporary relief. Reasonable Approach Had the illness of B not been terminal, the rationale behind the decision of the doctor, would have been taken to be quite strong. But, the condition of B has to be given importance, along with his wishes. Even though the nurses can support him in understanding the implications of his decisions, but the final decision has to be made as per the wishes of B. Legal and Ethical Issues Due to the grave mistake of RN Z, in administering the correct syringe, the patient C got a cardiac arrest. In this situation, the key issue relates to the concept of negligence. Negligence occurs when a person owes a duty of care towards another person and fails to discharge the duty of care, which results in a harm or loss to the other person Trindade, Cane Lunney, 2007). To establish negligence, the elements of negligence have to be established (Kennedy, 2009). These include the duty of care, the breach of this duty of care, the resulting harm or loss to the other party, the loss being significant and the direct causation (Gibson Fraser, 2014). In this case, RN Z owed a duty of care towards C, and this duty was breached when the syringes were exchanged, the cardiac arrest was the loss of significant nature, and as the nurse was responsible to ensure the correctness of the syringes, the causation is established. So, by interchanging the necessary medicine negligently, which resul ted in grave consequences for C, the tort of negligence occurred (Latimer, 2012). A noteworthy point here is that RN Z was unaccompanied to the cubicle by ED, which could have ensured the appropriate administration. The nursing malpractice, as well as, nursing negligence takes place when an injury, harm or loss is sustained by the patients as a result of the failure of the nurses in compliance of their duty (Grant Ballard, 2013). In other words, the negligence in nursing takes place when the duty of care, which was owed by them, towards their patients, is breached and such a breach results in harm to their patients (Amused, 2016). In both Singapore and Australia, the nursing negligence is considered as being more than a mere error or a mistake. The Nursing Board of Singapore has presented a Code of Conduct, to be followed by the nurses to ensure that the patients are provided with quality care (Singapore Nursing Board, 2017). The Nursing and Midwifery Board of Australia also provides the Professional Conduct Standards to be followed by the nurses (Nursing and Midwifery Board of Australia, 2017). Relevance of Issue It is crucial for the nurses to fulfill their duty of care towards the patients (Young, 2009). Even the smallest of errors or mistakes could result in grave situations as has been seen in the case of C. The nurses have to be accountable for their actions and have to ensure that the care which they provide to the patients is of the best quality (Hughes, 2008). It is the obligation of the nurses to make sure that they seek the necessary advice from the supervisor or the charge nurse, before providing the care to the patient. So, it was the duty of RN Z to follow the action plan and the guide which was provided to her by her superiors, without making any mistakes. Often the nurses go forward with the discharge of their duties, and fail to wait for the necessary supervision, which increases the risk of cases under negligence. So, it has to be ensured by the nurses that until and unless they receive the requisite guidance from their supervisors, they should refrain from taking any actions (Urden, Stacy Lough, 2014). Moreover, the guidelines given by NBV, regarding the delegation and supervision, the nurses are required to delay the treatment until their supervisor can guide them. Moreover, for the actions and decisions made during the course of work by nurses and the midwives, they have to be held accountable for the same as per these guidelines. And such actions are inclusive of the nurses personal efficiency for providing the care. The accountability given under the code is both legal and ethical (Nursing and Midwifery Board of Australia, 2008). Reasonable Approach In the given case, RN Z should have delayed the treatment till the time the requisite supervision was available in the ED. In case when such a delay was not possible, RN Z should have taken extra care in ensuring that no mistake took place due to the seriousness of the situation. Since, the negligent actions of RN Z proved fatal for C, who was the sole earner in the family, she would have to compensate the family of C, for their loss. Professional Issue The major issue relates to the reporting of professional malpractices in the system (Dove et al. 2010). In the given case, there is ample amount of evidence against M, which shows that she indulged in professional malpractices which have major negated impact over the quality of care she provided. But, if the evidence present against M is presented, she would lose her job, which would result in failure of her looking after her children. As per the Australian Code of Professional Conduct for Nurses Conduct Statement 2, the nurses have to base their practice on the professional standards, in addition to the broad health system (Nursing and Midwifery Board of Australia, 2008). This code determines that the nurses have the duty of protecting the interest of their colleagues, their partners and their family members as per the broad standards of Safety, Quality and Accountability in Healthcare (Gastmans, 2013). Information management, documentation, open disclosure procedures, and incident reporting are some of things involved in such practices (Huber, 2013). The most significant responsibility of a nurse is to provide safe and competent nursing care (Boyd, 2008). A situation which can result in negated impact over the professional standards or a situation where a questionable, unlawful or unethical practice is required to be reported to the authority or the concerned person. In case the issue remains unresolved, it becomes the duty of the nurses to intervene and protect the rights of patients by ensuring that quality care is provided. And the external authorities can be notified in case the internal process fails in solving the situation. Australian Code of Professional Conduct for Nurses Conduct Statement 4 provides similar provisions (Nursing and Midwifery Board of Australia, 2008). Relevance of Issue In this case, M used to steal the controlled medicine which was crucial for the patients. Such practices have a negative impact over the quality of care and the health of the patients. Moreover, patients lose the trust and faith in the nursing practices. There is a clash between the personal duties, and the professional and ethical obligations, which presents an ethical dilemma. Reasonable Approach The professional ethics have to be given the priority over the personal obligations in such situations. So, irrespective of the impact which would be on the personal life of M, the matter has to be reported. This becomes importance due to her denial regarding the involvement in this matter. As she was given a warning regarding this issue, beyond which the problem persisted, it became sufficient and mandatory to report the issue. Additionally, the compliance too the professional standards is also needed, so M has to be reported. Ethical and Professional Issues The key issue of this scenario relates to the decision of the medical practitioners against the patients will (Tong Robert, 2007). In case a patient is unwilling in getting the medical treatment, it becomes the duty of the medical practitioner to make certain that the best efforts are made to make the patient aware about the impact of his decision, by explaining about the disease, the treatment and its necessity (Parahoo, 2014). For the individuals in Singapore, guidelines are provided through the Mental Capacity Act, 2008, for such persons who are in the position of making a decision for others, who suffer from medical incapacity, which could be either permanent or temporary. As per this act, the decision made for the other person has to be in the best interest of such other person and prior to making such a decision, the best efforts have to be made for making the individual understand the situation and for taking the decision themselves (Singapore Statutes Online, 2017). Relevance of Issue Medical practitioners often face a dilemma in making the decision regarding which one is reasonable, as they are bound by the principles of obligation, beneficence, and autonomy (Lillemoen Pedersen, 2013). As occurred in case of B, no decision could be said to be the best one, due to the variance in view point of the medical practitioners and the patient. The practitioner has to act in the best interest and at the same time has to ensure that additional costs and time are not incurred (Shirvington, 2017). And due to the increasing cases of legal actions being brought in this regarding, finding a balance between the two becomes more difficult. This is coupled by the burden of proof over the practitioners to prove the reasons for going against the will of the patients. Reasonable Approach Since D is refusing to take the needful treatment for his heart condition, the doctors have to take the necessary steps needed to ensure that D is aware of the significance of this treatment and the resulting impact of not undertaking such a treatment. The family member or carer can also assist in this, so the son of D needs to help the doctors in making D understand the significance of the treatment. As this treatment would relive D from his disease permanently, which was not the case for B the doctors should go ahead with the treatment, in the best interest of D. Conclusion The preceding parts highlighted the various issues which can arise in the medical professional before the healthcare professionals. Such issues can occur due to the personal relationship amongst the nurses or the relationship of the nurses with their patients. The key decision relates to taking the decision for the patient, by the medical practitioners in cases where the patient is unable to make the requisite decision. The medical practitioners have to maintain a balance between the quoted principles and there is also a need to adhere to the statutes and the codes given in this regard, to ensure that the image of the practitioners is not ruined. The nurses have to be held accountable for their actions, and in cases of negligence, they have to be held responsible. They also have to follow the instructions and wait for the instructions of their supervisors. In case these things are not done, as was seen in the scenarios highlighted above, it could prove fatal for both the patients and the nurses. References Amused. (2016). What is Negligence?. Retrieved from: https://www.ausmed.com/articles/what-is-negligence/ Boyd, M.A. (2008). Psychiatric Nursing: Contemporary Practice (4th ed.). Philadelphia: Lippincott Williams Wilkins. Dove, J.T., Brush, J.E., Chazal, R.A., Oetgen, W.J. (2010). Medical Professional Liability and Health Care System Reform. Journal of the American College of Cardiology, 55(25), 28012803. doi: https://dx.doi.org/10.1016/j.jacc.2010.03.028. Elliot, J.M., Ho, W.C., Lim, S.S.N. (2010). Bioethics in Singapore: The Ethical Microcosm. Singapore: World Scientific Publishing Co Pte Ltd. Gastmans, C. (2013). Dignity-enhancing nursing care A foundational ethical framework. Nursing Ethics, 20(2), 142-149. Gibson, A., Fraser, D. (2014). Business Law 2014 (8th ed.). Melbourne, Pearson Education Australia. Grant, P.D., Ballard, D.C. (2013). Fast Facts About Nursing and the Law: Law for Nurses in a Nutshell. New York: Springer Publishing Company. Ho, W.C. (2016). Juridification in Bioethics: Governance of Human Pluripotent Cell Research. Singapore: World Scientific Publishing Co Pte Ltd. Huber, D. (2014). Leadership and nursing care management (5th ed.). Missouri: Elsevier. Hughes, R.G. (2008). Nurses at the Sharp End of Patient Care. Retrieved from: https://www.ncbi.nlm.nih.gov/books/NBK2672/ Humphreys, M. (2011). Nursing the Cardiac Patient. Hoboken: John Wiley Sons. Kaan, T., Liu, E.T. (2006). Life Sciences: Law and Ethics: Recent Developments in Singapore. Singapore: Academy Publishing. Kennedy, R. (2009). Duty of Care in the Human Services: Mishaps, Misdeeds ad the Law. Victoria: Cambridge University Press. Latimer, P. (2012). Australian Business Law 2012 (31st ed.). Sydney, NSW: CCH Australia Limited. Lillemoen, L., Pedersen, R. (2013). Ethical challenges and how to develop ethics support in primary health care.Nursing ethics,20(1), 96-108. Loke, P., Thirumoorthy, T. (2015). Medicine, Law, Professional Regulation And Ethics. Singapore Medical Association News, 47(11), 18-19. Nursing and Midwifery Board of Australia. (2008). Code of professional conduct for midwives in Australia. Retrieved from: https://www.nursingmidwiferyboard.gov.au/documents/default.aspx?record=WD10%2F1355amp;dbid=APamp;chksum=Mm624fvql2ZEKdEmT3l2ng%3D%3D Nursing and Midwifery Board of Australia. (2017). Professional standards. Retrieved from: https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx Nursing Career Tips. (2017). Legal and Ethical Issues in Nursing Explained. Retrieved from: https://nursingcareertips.com/legal-and-ethical-issues-in-nursing-explained/ Parahoo, K. (2014).Nursing Research: Principles, Process And Issues (3rd ed.). New York: Palgrave Macmillan. Shirvington, V. (2017). Avoiding A Breach Of The Professional Conduct And Practice Rules. Retrieved from: https://www.lawsociety.com.au/cs/groups/public/documents/internetcontent/026321.pdf Singapore Nursing Board. (2017). Code Of Ethics And Professional Conduct. Retrieved from: https://www.healthprofessionals.gov.sg/content/dam/hprof/snb/docs/publications/Code%20of%20Ethics%20and%20Professional%20Conduct%20(15%20Mar%201999).pdf Singapore Statutes Online, 2017). Mental Capacity Act. Retrieved from: https://statutes.agc.gov.sg/aol/search/display/view.w3p;query=DocId%3A7f933c47-8a34-47d1-8d0a-0a457d6fa1c2%20%20Status%3Ainforce%20Depth%3A0;rec=0;whole=yes Tong, S.F., Robert, C. (2007). A Patient Who Refused Medical Advice: The Doctor And The Patient Should Look For A Common Ground. Malaysian Family Physician, 2(3), 110113. Trindade, F., Cane, P., Lunney, M. (2007).The law of torts in Australia (4th ed.). South Melbourne: Oxford University Press. Urden, L.D., Stacy, K.M., Lough, M.E. (2014). Critical Care Nursing: Diagnosis and Management. Missouri: Elsevier. Young, A. (2009). Review: the legal duty of care for nurses and other health professionals. Journal of Clinical Nursing, 18(22). doi: 10.1111/j.1365-2702.2009.02855.x.
Monday, December 2, 2019
Informative Honey Badger Speech free essay sample
Do you think youre tough!? Well youre not. You have not even seen tough until you see a honey badger. This animal amazes me so much with its fierceness that I had to share it. You might be saying to yourself. ââ¬Å"Why would I want to hear about a honey badgerâ⬠? but trust me if one day you happen to run into a honey badger, You are going to want to be informed. Honey Badgers live in Africa, the Middle East, and India, So if you ever find yourself in one of these places beware. But before I tell you how fearless the Honey Badger is let me tell you what a honey badger looks like. They are about 2 feet long and about 2 feet tall, and they are part of the weasel family. They are black with a whitish gray stripe running down its back. Honey badgers are also equipped with extremely sharp teeth and a powerful jaw. We will write a custom essay sample on Informative Honey Badger Speech or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page A honey badgers jaw is actually strong enough to break a turtles shell open. Honey Badgers also have very tough skin. The skin is very thick and rubbery, which almost impervious to arrow and spears. Even a blow from machete cant scratch the skin. The skin protects them from bites. The skin also looseness. It allows them to twist and turn on their attackers when held. It said that the only safe grip on Honey Badger is on its back of the neck however nobody is brave enough to actually prove that. So i guess the recommended thing to do is to run away as fast as you can. The Honey badger has huge variety of foods that it eats. They eat over 60 species of animals Badgers eat a host of smaller food items like insect larvae, beetles, scorpions, lizards, rodents and birds. They will catch the larger reptiles like crocodiles and pythons and include the highly venomous cobras and black mamba in their diet. Larger mammals like the Springhare, polecat and particularly juvenile foxes, jackals, antelope and wild cats, are also caught. Honey badgers are accomplished climbers and can easily climb up into the uppermost branches of trees to raid bird nests or beehives. Honey badgers and the greater honeyguide have a unique relationship. The little bird leads a honey badger to a beehive, and then waits for the honey badger to open up the hive and eat the honey and bees . Once the honey badger leaves the hive, the honey guide will then feed on the remaining beeswax. This is where the Honey Badger gets its name, it loves honey, and is willing to sit there and tear apart a bee hive as it gets stung by hundreds of bees. This many stings could kill a human in minutes, but not a honey badger he doesnt even feel it. Honey badgers generally hunt alone. They find food by walking slowly continuously smelling mouse and small reptile holes and scent trails. Honey Badgers have no more than two cubs at a time. They are raised by the female badger. Male Badgers mate and go on their way. The cubs are born naked and blind in a hole prepared by the female and she will typically move the cub to a new den every two to five days, by carrying the cub in her mouth. The cub develops slowly with its eyes only opening after two months, and will emerge from the den The Honey Badger was named the most fierce animal in the guinness book of world records. There are many stories of honey badgers being so fierce. For example there is a story that 3 honey badgers took on 7 full grown lions fighting for a meal. They won of course. They also say that if a snakes venom actually pierces the honey badgers skin, it can still fend of the snake long enough to kill it. After it kills the snake it will pass out for a couple hours and get back up like nothing happened. No other animal in the world can reject a snake bite besides a honey badger. Now you all know that the honey badger is undoubtedly the toughest animal on the planet. and if you take anything useful out of this speech it is. That if you ever encounter a honey badger. Run! RUN AS FAST AS YOU CAN!
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