Sunday, December 29, 2019
Who Is Arnold Friend - 1591 Words
Who is Arnold Friend? Joyce Carol Oates was born June 16, 1938 in Lockport New York. At a young age Oates started writing. Scenes from her early environment are frequently used as settings in her stories. In her elementary years she wrote stories and â€Å"constructed 200 page books, which she designed and bound herself†(Helterman and Layman 371). The lack of information provided about her early years and her making large books at a young age is a good indication that she was an outcast and had a troubled childhood. This troubled childhood had an influence on her writing style. Oates’ style is described by Helterman and Layman as â€Å"minute details, extended dialogue and violent action†(378). Oates’ style is shown through the story of Where Are You Going, Where Have You Been through the characters Arnold Friend and Connie. Critics seem to like how Oates style allows for many interpretations while covering broad topics and popular interests like feminis m, treatment of women, and freedom. In the story of Where Are You Going, Where Have You Been Oates writes about a chain of events through the point of view of Connie. In the beginning Connie describes a normal outing with her friend and an encounter with a boy named Eddie. During Connie’s hanging out with Eddie she spots a man staring at her. Later her parents, whom Connie is not on the greatest terms with, and her sister go to a barbeque leaving Connie alone at home. The same man from her outing arrives at her house and offers toShow MoreRelatedJoyce Carol Oates Where Are You Going Where Have You Been1502 Words  | 7 Pagesnamed Connie who does not seem to have a care in the world. The story takes place in the seventies. Connie is a girl who just wants to have fun and is all about her appearance and boys. In the beginning of the story, you understand the relationship between the mother and Connie. The mother appears to be malicious of her young and beautiful Connie sayin g such harsh things about her beauty, â€Å"Stop gawking at yourself, who are you? You think you’re so pretty?†(145). Her sister June, who the mother constantlyRead MoreWhere Are You Going, Where Have You Been?989 Words  | 4 PagesArnold Friend, a main character founded in the short story, â€Å"Where Are You Going, Where Have You Been?†by Joyce Carol Oates, is often a debated by many readers to be a demon, a crazed stalker and maniac, or in fact Lucifer himself. After reading the short story and analyzing the details of the characters, Arnold Friend really stands out and leaves many unanswered questions on what the author was intending to do with this particular character in identifying who he really is. After thoroughly analyzingRead MoreSimilarities Between The Devil And Arnold Friend907 Words  | 4 PagesNot everybody is who they seem to be. Be careful about what you wish for, because it just might come true. In Joyce Carol Oates’ â€Å"s hort story†â€Å"Where Are You Going, Where Have You Been?†, a fifteen year old girl named Connie comes face-to-face with a man named Arnold Friend. Oates successfully portrays the similarities between Arnold Friend and the Devil through plot, setting, and characterization. Throughout the text, Oates shows the reader Arnold Friend’s characteristic sinister ability to drawRead MoreStarting At A New School887 Words  | 4 Pagesa New School The first day of school can be terrifying for some students. However, there are some important and helpful tips that can help start your journey on the right track, such as how to handle with those who are racist, how to face people who do the bullying, how to make friends in the classroom and extracurricular activities, and how to handle outside influences that impact on students’ learning. Starting at a new school can be challenging for some new students. New students may experienceRead MoreWhere Are You Going, Where Have You Been1249 Words  | 5 Pagesvulnerable to Arnold Friend’s temptation. Through the use of a symbolic figure, Arnold Friend, who represents the devil, Oates is able to manifest the power struggle between youth and maturity and how Connie strives to obtain the power that comes with maturity. As seen throughout the story, those who are younger are portrayed as powerless and looked down upon. This is mostly defined in Connie as she struggles to reach maturity. At home, she is viewed as a young, immature child who cannot do anythingRead MoreArnold Friend Analysis1096 Words  | 5 Pages12 16 November 2017 Arnold Friend our symbolic Satan There are many ideas about what or who the Devil is, even among believers. The number of differing sources and translations have led to plenty of inconsistencies, rumors, and assumptions surrounding the Prince of Darkness. Throughout the short story â€Å"Where Are You going, Where Have You Been?†, Arnold Friend is seen as a symbolic Satan. Joyce Carol Oates uses dialogue, characterization, and plot to show the readers how Arnold embodies features ofRead MoreArnold Friend Symbolism Analysis790 Words  | 4 Pagesunexpected visitors. Oates uses symbolism throughout the short story to support her theme of evilness and sinfulness. There are many examples of symbolism being used in this story, with Arnold Friend being the most important symbol. When Arnold Friend and Ellie arrive to Connie’s house she notices something strange about Arnold. For one, they pulled up in a bright gold car with writing all over it. His name is written on the car along with a grinning face with sunglasses and three random numbers. She noticesRead MoreThe Characteristics Of The Arnold Friend1436 Words  | 6 PagesSchmid Jr. to develop her fictional character Arnold Friend. Charles Howard Schmid Jr. was convicted of murdering three girls in the mid-sixties. He was coined with the nickname â€Å"the Pied Piper†by Don Moser, a writer for Life Magazine who wrote a piece on the killer in 1966. The nickname suited Charles Schmid well, considering his tactics were similar to the character of an old story about the Pied Piper of Hamelin (Buvson). The story tells of a man who was hired by townspeople to chase away theRead More Where Are You Going? Essay1052 Words  | 5 Pageswith her beauty, Arnold Friend’s car and Arnold Friend himself help to understand the story’s theme of evil and manipulation. The story, peppered with underlying tones of evil, finds Oates writing about 15-year-old Connie, the protagonist of the story, a pretty girl who is a little too into her own attractiveness, which eventually gets her into trouble with a man named Arnold Friend. The story is liberally doused with symbolism, from the way Connie dresses to the shoes on Arnold Friend’s feet. InRead MoreWhere Are You Going, Where Have You Been by Joyce Carol Oates1008 Words  | 5 Pagesher friends. When Connie is at home, she acts childlike. However, when she goes out she tries to act like an adult by changing her clothes and the way she talks. She has an older sister who shadows her with her smarts, but Connie believes that she is more beautiful and worthy than June. June is twenty-two years old, very well behaved and is actually close with their mother. Connie not only struggles with her family, but also gets herself into a bind with a much older man named Arnold Friend. This
Saturday, December 21, 2019
Women During The Military War - 1610 Words
Women over the course of hundreds of years have always struggled to be equivalent to men. Weather that be the right to vote, the right to speak up, or the right to lead. Leadership for example, is founded upon many different grounds. One being the military. Having a role in the military meant something greater than having a â€Å"regular†occupation to women. It meant that one has the opportunity to lead his/her country. To be the difference in the world. Females also wanted a taste of what it’s like to serve in the precise armed forces. Giving women the honor of being in the military has changed the military forever. Females have gone through a bumpy road filled with hardship and discrimination. However, having females in the military gives them the opportunity to feel equal to males. As proven throughout history women have and will always face discrimination. Nonetheless, women and men are all striving towards the same goal. Weather it be from the beginning, of letting women in the military, or the distant future. He/she wants to serve his/her country.Studies have confirmed that having women in the military is indeed important. Females not only play an influential role in the military, but also have affected unit performance in a decisive way. Women have evolved to be effective since the beginning of conflict, shown capability of serving in combat areas, and have been drawn to the front line due to military profession. From the time of 1918 to present day, women have shownShow MoreRelatedWhy Women Should Be Drafted and Serve in the U.S. Military during War1291 Words  | 6 PagesSection #15654 April 22, 2013 Why Women Should be Drafted and Serve in the U.S. Military during Time of War Throughout time women have gone to war along-side their male counterparts without any question as to what role they couldn’t play but rather what contributions they brought with them. History shows that women have played a vital role in military combat and have been very successful filling any role that their male equivalent has played during combat. Military women have led armies into battle,Read MoreEssay on Women Changing the View of the Military 821 Words  | 4 Pages The military has mostly been dominated by men; the women have also had history of military success. For example, during the second world war, the women were mostly serving as nurses (Manila Bulletin). Women have come far from being nurses during world war II to being able to hold any positions. Some women can be in almost any position. Now women are found on the fronts lines. Also, during World War II, women who were nurses at Pearl Harbor came into a combat situation in which they wereRead More Women During World War II1059 Words  | 5 Pages Women during World War II In the past, WWII and WWI, women were very dominant; they had to take care of their children, do all the chores and also had to cook the food. During WWII, women had to take place for the men (First world war.com). The war changed the life for all Canadian women. When men went to fight, women were called upon to fill their jobs, and this included many jobs that were previously thought of unsuitable for women. Women were called up for war work fromRead MoreWomen s Role During Wwii1345 Words  | 6 PagesRole During WWII 1939-1945 Men were leaving, people were fighting, and many were dying. World War II was one of the hardest times, and during that difficult time, women stepped up their roles and had a huge impact during the war. The women during World II in the United States and in Europe impacted the war by taking different jobs and becoming employed in the workforce, working in the home with normal household responsibilities while supporting the men oversees, and entering into the military withRead MoreWomen During The Great Depression1471 Words  | 6 Pagessignificance was the Second World War. The war came as a salvation to the United States because it helped liberate it from the Great Depression. However, one gender population, during this time, had the opportunity to demonstrate their potential. This gender population was women. WWII was not only a life changing event for all men in America, but also for women because it would become the first time in history when they begin to break the stereotypes between gender roles. During the Great Depression, theRead MoreEssay about Womens Roles in the Military1279 Words  | 6 Pages Womens Roles in the Military Before World War I, women assisted the military during wartime mainly as nurses and helpers. Some women, however, did become involved in battles. Molly Pitcher, a Revolutionary War water carrier, singlehandedly kept a cannon in action after a artillery crew had been disabled. During the Revolutionary and the Civil War, a few women disguised themselves as men and took part in hand-to-hand combat. The first enlisted women served in World War I as telephone and radioRead MoreWomen in the Military Essay1469 Words  | 6 Pages Women have fought alongside men in the United States Military in every major battle since the American Revolution. The roles of women in the military have evolved over time to allow the incorporation of women in expanding military career fields. Women have proven themselves to be an asset to the military despite some of society believing women would weaken America’s military effectiveness. Today more than 200,000 women are active-duty military, this is about 14.5% of all military. Currently, womenRead MorePolicy Introduction And Identification Of The Military Services And United States Special Operations Command1453 Words  | 6 PagesDefinition and Assignment Rule†(Carter, 2015). This takes all restrictions off women allowing all who meet the qualifications to hold a combat role in the military. The Armed Forces have opened over 110,000 positions to women and have set their standards. Anyone, who can meet operationally relevant and gender neutral standards, regardl ess of gender, should have the opportunity to serve in any position (Carter, 2015). The Military Services and United States Special Operations Command (USSOCOM) were directedRead MoreAssess the social impact of the Second World War on women and ethnic minorities in the United States.1043 Words  | 5 PagesSecond World War had a profound effect on white men who lived in the United States during the 1940s. Many volunteered for overseas military service, and many more joined the army in the nations first peacetime draft, which occurred in 1941 as a precursor to the United Statess future involvement in the war. World War II also, however, had a profound impact on the lives of women and ethnic minorities in the United States. Because white men were the primary candidates of the draft, women and minoritiesRead MoreWomen During World War II1534 Words  | 7 PagesDuring World War I, women stayed at home, aided the Red Cross, and volunteered with churches and civic groups to collect donations. Women s roles in World War II challenged the traditional roles of homemaker and caregiver. Women took on a more active role in the military and held positions alongside men. They were trusted with more responsibilities and offered more freedom than they had during the First World War. Women held more traditional roles in comparison to World War II when women took on
Thursday, December 12, 2019
Cholecystitis and Laparoscopic Cholecystectomy
Question: Discuss about the Cholecystitis and Laparoscopic Cholecystectomy. Answer: Introduction: Acute Cholecystitis is a disease that occurs due to severe inflammation of gall bladder and is also called as Gallstone disease. Sedentary lifestyle incorporating no physical activities, unhealthy diet and lifestyle oriented diseases such as morbid obesity, diabetes and others has led to the extreme prevalence of acute cholecystitis. Furthermore, Laparoscopic Cholecystectomy is a surgical treatment that is prevailing worldwide for the treatment of cholecystitis. The treatment is undertaken with optimal patient-oriented nursing care and formulation of condition oriented multidisciplinary team for the regulation of the treatment. This multidisciplinary team consist of different healthcare professional working all together for the regulation of effective treatment of the patient (Tornqvist et al., 2016). The topic of this report is a case study on acute cholecystitis and the effects of laparoscopic cholecystectomy targeting its merits and demerits. This report is an analysis the case of Joan Middleton who is suffering from acute cholecystitis, targeting the health alterations from the predetermined results, appropriate nursing methodologies and multidisciplinary team required for the treatment of the prevailing condition. Health condition: Cholecystitis is a medical condition which occurs due to the inflammation of gall bladder that is a profound resource of bile. The bile and its products are responsible for the digestion and absorption of fats and lipids such as triglycerides or phospholipids in small intestine. Medical condition cholecystitis hardens this bile blocking the passage and causing the inflammation of the gall bladder (Gurusamy et al., 2013). This condition is medically treated with the help of surgery called as laparoscopic cholecystectomy that undertakes removal of gall bladder with non-invasive technique with lesser post-operative pain. This surgery allows the patients to get discharged from the hospital same day of the operation or the very next day. Joan Middleton is a middle aged woman who is living a sedentary lifestyle and is suffering from lifestyle related diseases such as obesity and diabetes type 2. Furthermore, she has been diagnosed with acute cholecystitis and has undergone laparoscopic cho lecystectomy for the treatment. This surgery allows the patient to get discharged same day as of surgery or the very next day. But in her case, she has again developed same symptoms prior her surgery. Explanation of such health alteration could be the post-operative complications of the laparoscopic cholecystectomy surgery. This is considered to be one of the safest remedial treatment for cholecystitis but contains certain complications depending upon different conditions of the patients. In case of Joan Middleton, the signs and symptoms occurring in her post operation that are high pulse rate, high blood pressure, high fever and high respiration rate has led to the predetermination of certain possible complications such as bile leakage, severe anaesthetic implications, bile duct injury during surgery and post-cholecystectomy syndrome (Bickel et al., 2016). Bile leakage occurs when the bile leaks into the abdomen of the body passing through the tube which is blocked by certain clips required to seal the tube from one end after the removal of the gall bladder. Furthermore, another possible condition is bile duct injury that may happen during the laparoscopic cholecystectomy that leads to the leakage of the bile into abdomen or injury to other adjacent organs, arteries and capillaries. Besides this, complications can also arise from the anaesthesia provided to the patient during the surgery. The general anaesthesia leads to respiratory complications such as high respiration rate, high pulse rate, and high heart beat along with increased body temperature. Lastly, post-cholecystectomy syndrome can also be a possible reason of the altered signs and symptoms shown by Joan Middleton. This complication mainly occurs due to leakage of bile and persist for many days and months. One or more of these complications are the possible reasons of the ha phazard signs and symptoms shown by Joan Middleton after the conduction of laparoscopic cholecystectomy (Brooke et al., 2015). Nursing Settings: Effective patient-oriented nursing is required in case of Joan Middleton along with optimal implementation of pharmacological and non-pharmacological interventions. Nursing interventions priorities include balancing the equilibrium in respiration activity, prevention of any complications, optimal reporting on the existing condition, treatment and procedures and effective discussion with other healthcare professionals (Ignatavicius Workman, 2015). The safeguard interventions to be provided by nurse must be in accordance with optimal assessment of pain, promotion of comfort and rest, relaxing the patient, frequent communication, restricting and maintenance of dietary intake by restructuring the food consumption and analysing the laboratory results for future interventions. Different nursing care plan on the analysis on ineffective breathing pattern, acute pain and risk of infection are required for the optimal imparting of the treatment to Joan Middleton. Ineffective breathing pattern will undertake observation on respiration process and assistance on effective breathing (Lawrence, 2015). Acute pain will undertake optimal dispensation of medication and monitoring of the pain with the help of signs and symptoms. Furthermore, optimal implementation and regulation of non-pharmacological interventions such as massages, therapies and other to provide relief to the severity. Lastly, risk of infection will undertake the determination of infection and other conditions that leads to alteration in the predetermined results of laparoscopic cholecystectomy. This analysis is conducted with the help of personal protective equipment (PPE) (Dunphy et al., 2015). The analysis is required to be conducted on the probable source of the complications such as infection due to medication, bile leakage, anaesthesia and others. In addition to this, optimal reporting is an essential measure required to be undertaken for the consideration by other healthcare professionals. Furthermore, di scharge measures such as maintenance of the oxygen requirement, creating awareness on post-operative care to be undertaken by patient and his family and minimization of complications must be undertaken within two days of the discharge as prescribed. Oxygen requirement determines the rate of respiration, pulse rate, heartbeat of Joan Middleton and will help in undertaking optimal measures to lower it down. Awareness must be instilled on the post-operative care to be maintained after getting discharged from hospital at home by the patient and the family of the patient. Furthermore, balancing and maintaining of the prevalent signs and symptoms is essential in the hospital and as well as at home in order to minimize any sort of degrading implications to the patient (Doenges, Moorhouse Murr, 2014). Multidisciplinary Team: A multidisciplinary team or multiagency team is a group of different healthcare professionals working together for the remedial treatment of the patient. The multidisciplinary team approach the disease or illness by determining different possible solutions for the prevailing condition and planning a possible treatment that must be non-invasive and patient oriented. These two factors determines the extent of pharmacological and non-pharmacological interventions to be delivered by different healthcare professionals. Such team must consist of different patient-oriented professionals for targeting the severe condition (Weaver, Dy Rosen, 2014). Optimal treatment is conducted through the regulation of effective communication among all healthcare professionals with the help of reporting and change of shift report (cosr). Furthermore, the multidisciplinary team containing healthcare professionals must be accessible to all medications and non-pharmacological interventions and are required to be trained and experienced in their respective field for the effective imparting of the safeguard intervention. Besides this, they must be able to provide intervention in accordance with the laws and legislation of the specific country. Lastly, involvement of the patient and the family of the patient must be undertaken at the every step of the intervention as it will help in better response to the imparted treatment by the healthcare professionals to the patient (Santiago et al., 2014). In case of Joan Middleton, different healthcare professional can be radiologists, nurses, pharmacists, general physician, gastroenterologist, and physiotherapist. Radiologist is required for the undertaking of x-rays, computerized tomography scan, ultrasound and other essential scans required by the condition of Joan Middleton for the analysis of the existing issue. Nurses are pivot for the regulation of the treatment as they assist all other healthcare professionals and regulates the pharmacological and non-pharmacological interventions required by Joan Middleton. Pharmacists will provide medication as per the prescription on the haphazard signs and symptoms shown by Joan Middleton post operation (Basta et al., 2016). Gastroenterologists and general physician will assist the disease of Joan Middleton by undertaking detailed analysis on the organs present in the abdomen further determining possible remedial solutions to the altered signs and symptoms. Physiotherapist will help reduci ng the fat in Joan Middleton leading to reduction and maintenance of obesity and diabetes mellitus type 2. Furthermore, physiotherapist may help in reducing the pain occurring in the body (Karavias et al., 2015). Conclusion: This case study determines that sedentary lifestyle leads to many other critical and severe conditions such as cholecystitis besides obesity and diabetes mellitus. Cholecystitis can treated with the help of laparoscopic cholecystectomy which is a non-invasive surgical method of remedial treatment of cholecystitis. This surgical method is extremely effective and allows the discharge of the patient same day but carries certain complications such as bile leakage, injury to adjacent organs in abdomen, anaesthetic implications and post-cholecystectomy syndrome. These complications are required to be effectively treated within short period of time as repercussions can be devastating leading to ultimate death. Besides this, patient-oriented multidisciplinary team is required for the treatment of Joan Middleton. This team is required to contain different healthcare professionals from different sectors such as physiologist, general physician, gastroenterologist, nurses and pharmacist for the optimal regulation of the remedial treatment of the condition of Joan Middleton. The optimal formulation, implementation and regulation of concoction of pharmacological and non-pharmacological interventions as prescribed by the multidisciplinary team will lead to the discharge of Joan Middleton within two days. References: Basta, Y. L., Baur, O. L., van Dieren, S., Klinkenbijl, J. H., Fockens, P., Tytgat, K. M. (2016). Is there a Benefit of Multidisciplinary Cancer Team Meetings for Patients with Gastrointestinal Malignancies?.Annals of surgical oncology,23(8), 2430-2437. Bickel, A., Hoffman, R. S., Loberant, N., Weiss, M., Eitan, A. (2016). Timing of percutaneous cholecystostomy affects conversion rate of delayed laparoscopic cholecystectomy for severe acute cholecystitis.Surgical endoscopy,30(3), 1028-1033. Brooke?Smith, M., Figueras, J., Ullah, S., Rees, M., Vauthey, J. N., Hugh, T. J., ... Yokoyama, Y. (2015). Prospective evaluation of the International Study Group for Liver Surgery definition of bile leak after a liver resection and the role of routine operative drainage: an international multicentre study.HPB,17(1), 46-51. Doenges, M. E., Moorhouse, M. F., Murr, A. C. (2014).Nursing care plans: Guidelines for individualizing client care across the life span. FA Davis. Dunphy, L. M., Winland-Brown, J., Porter, B., Thomas, D. (2015).Primary Care: Art and Science of Advanced Practice Nursing. FA Davis. Gurusamy, K. S., Davidson, C., Gluud, C., Davidson, B. R. (2013). Early versus delayed laparoscopic cholecystectomy for people with acute cholecystitis.Cochrane Database Syst Rev,6. Ignatavicius, D. D., Workman, M. L. (2015).Medical-surgical nursing: Patient-centered collaborative care. Elsevier Health Sciences. Karavias, D., Kourea, H., Sotiriadi, A., Karnabatidis, D., Karavias, D. (2015). Gangrenous cholecystitis related to transcatheter arterial chemoembolization (TACE) treatment for hepatocellular carcinoma.Journal of Gastrointestinal Surgery,19(11), 2093-2095. Lawrence, R. (2015).Acute Cholecystitis. S. R. Eachempati, L. Reed (Eds.). Springer International Publishing. Santiago, C., Lazar, L., Jiang, D., Burns, K. E. (2014). A survey of the attitudes and perceptions of multidisciplinary team members towards family presence at bedside rounds in the intensive care unit.Intensive and Critical Care Nursing,30(1), 13-21. Trnqvist, B., Waage, A., Zheng, Z., Ye, W., Nilsson, M. (2016). Severity of Acute Cholecystitis and Risk of Iatrogenic Bile Duct Injury During Cholecystectomy, a Population-Based CaseControl Study.World journal of surgery,40(5), 1060-1067. Weaver, S. J., Dy, S. M., Rosen, M. A. (2014). Team-training in healthcare: a narrative synthesis of the literature.BMJ quality safety, bmjqs-2013.
Thursday, December 5, 2019
Patients Bill of Rights Essay Example For Students
Patient?s Bill of Rights Essay The basic rights of human beings, such as concern for personal dignity, are always of great importance. During illness, however, these rights are extremely vital and must be protected. Therefore, healthcare providers should make an effort to assure that these rights are preserved for their patients. Likewise, health care providers have the right to expect reasonable and responsible behavior on the part of our patients, their relatives, and friends. This is where the patients bill of rights comes into play. The Patients Bill of Rights was first adopted by the American Hospital Association (AHA) in 1973 and revised in October 1992. Patient rights were developed with the expectation that it would contribute to more effective patient care. It aids the patients and their families to understand their rights and responsibilities (Edge et al, 1998). In theory, once one understood the right, one should be able to reason out the correlative obligations. Below are two obligations to each of the items found in the patients bill of rights. Respect and Dignity. 1. Respect the dignity of the patient by being considerate and caring 2. Do not discriminate based on sex, race or religion, etc. Identity 1. Hospital staff should wear name badges to identify themselves. 2. Staff members should introduce themselves to you and describe their roles before care is given. Participation in Treatment Decisions 1. Provide the patients with their treatment option 2. Allow the patient to participate in the treatment options available Advanced Directive 1. Advice patients of their rights to make informed medical choices, ask if the patient has an advance directive. 2. Honor the wishes of the patient as stated in his/her directive as permitted by law and hospital policy. Privacy 1. Do not disclose information about the patients case to others without first obtaining written consent. 2. Avoid discussions about patients in public areas such as hallways andelevators Confidentiality 1. Protect the confidentiality of the patients information and records by storing them in a safe and secure place 2. Avoid discussing personal information with others without the signed consent of the patient. Review of Records 1. On request, allow the patient access to their medical record. 2. Identify the person making the request to ensure that the information is not mistakenly disclosed to another individual. Request and Transfers 1. Provide prompt response to any request providing the request is appropriate. 2. Transfer patient to another facility upon request providing receiving facility accepts patient. 9. Institution Affiliations 1. Inform patient of other health care and educational institutions that the hospital has authorized to participate in the patients treatment. 2. Upon request, provide information on business hospital does business with if it pertains to patient care (medical supplies etc) Consent 1. Provide easily understood information necessary to give informed consent prior to the start of any procedure or treatment. 2. Inform patient of any experimental or other research/educational projects that may be used in his or her treatment. If patient refuses care, inform them of the consequences. 11. Continuity of Care 1. Provide patient with appointment times to see physician after release from medical facilities (hospitals, clinics) 2. Provide treatment plan for patient to follow after discharge. Information 1. Provide accurate and easily understood information about your health plan, health care professionals, and health care facilities. 2. Provide an explanation of patients bill for services rendered. Which of the included patients rights are currently provided in the sanction of law? To the best of my knowledge, the AHA Patients Bill of Rights are not sanctioned in law, they are ethical standards, but not law. The AHA says this: Health care institutions, by virtue of their roles as health care providers, employers, and community health resources, have special responsibilities for ethical conduct and ethical practices that go beyond meeting minimum legal and regulatory standards. Their broad range of patient care, education, public health, social service, and business functions is essential to the health and well being of their communities. These roles and functions demand that health care organizations conduct themselves in an ethical manner that emphasizes a basic community service orientation and justifies the public trust. .u0664f0d388937a26d78df6e6ea683d88 , .u0664f0d388937a26d78df6e6ea683d88 .postImageUrl , .u0664f0d388937a26d78df6e6ea683d88 .centered-text-area { min-height: 80px; position: relative; } .u0664f0d388937a26d78df6e6ea683d88 , .u0664f0d388937a26d78df6e6ea683d88:hover , .u0664f0d388937a26d78df6e6ea683d88:visited , .u0664f0d388937a26d78df6e6ea683d88:active { border:0!important; } .u0664f0d388937a26d78df6e6ea683d88 .clearfix:after { content: ""; display: table; clear: both; } .u0664f0d388937a26d78df6e6ea683d88 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u0664f0d388937a26d78df6e6ea683d88:active , .u0664f0d388937a26d78df6e6ea683d88:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u0664f0d388937a26d78df6e6ea683d88 .centered-text-area { width: 100%; position: relative ; } .u0664f0d388937a26d78df6e6ea683d88 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u0664f0d388937a26d78df6e6ea683d88 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u0664f0d388937a26d78df6e6ea683d88 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u0664f0d388937a26d78df6e6ea683d88:hover .ctaButton { background-color: #34495E!important; } .u0664f0d388937a26d78df6e6ea683d88 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u0664f0d388937a26d78df6e6ea683d88 .u0664f0d388937a26d78df6e6ea683d88-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u0664f0d388937a26d78df6e6ea683d88:after { content: ""; display: block; clear: both; } READ: Career Goals Essay The health care institutions mission and values should be embodied in all its programs, services, and activities (Ethical Conduct for Health Care Institutions, 1992). So although the patient can sue for malpractice, it will be based on laws related to the ethical principles, but not the Ethical .
Thursday, November 28, 2019
Should developing countries be exempted from WTO rules Essay Example Essay Example
Should developing countries be exempted from WTO rules? Essay Example Paper Should developing countries be exempted from WTO rules Essay Introduction There are many sound supportive arguments for the view that developing nations have to be exempt from WTO rules. This essay will look into these in detail, while also presenting the rationale behind opposing viewpoints. Foremost among the arguments supporting exemption is the historical disadvantage suffered by developing countries. For example, most of the countries whose economies are in transition today are erstwhile colonies of European imperialist states. As a result of exploitation and usurpation of resources during the process of imperialism, these nations were left highly indebted and economically weak. Hence, there is a strong case to be made for WTO rules exemption from a post-colonial reparation perspective. Alongside several emerging economies, many other countries that presently fall under the Heavily Indebted Poor Countries (HIPC) category are former colonies for European imperialism (Cappelen, 2007). Moreover, the prevailing political chaos in most of these countries i s partly due to the abrupt transition of power from the imperialists to the local elite – a transition that did not make provisions for the establishment of democratic institutions and processes. Already, the implementation of the HIPC Initiative, which was conceived and proposed by the World Bank and its agencies, is one of the methods through which some developing nations are exempted from paying their debt. But countries such as India, China, Russia, Brazil, among others, which do not qualify for the HIPC program, are presently made to compete with advanced economies of North America and Europe, which is a little unfair, given that the they too have a claim for post-colonial reparations (Mcclough, 2006). The process of economic globalization and attendant free trade practices promoted by WTO has become ubiquitous in the new neo-liberal world order of the last few decades. However, all too often, the flaws inherent in this system have caused distress to sections of populati on in the developing world. Moreover, free trade â€Å"means that countries that do not enjoy a comparative advantage have to move resources to more productive sectors or activities, which is usually a painful process. The benefits of liberalized trade are equally distributed among all consumers, but categories of producers suffering from cheap imports may oblige the state to intervene. So many governments are tempted during recessions to slow the adoption of open trading policies in order to secure national independence. Where production is essential for national defence, it may be supported directly through procurement practices rather than indirectly by protection. In other sectors of the economy, tariffs and contingents are still powerful instruments of the state when the national interest requires the survival of inefficiently operating firms or sectors.†(Jilberto Mommen, 1996) Should developing countries be exempted from WTO rules? Essay Body Paragraphs Since business corporations are the facade of the process of globalization, the free trade rules are seldom concerning sovereign nations alone. In reality, the free trade practices promoted by WTO are driven by powerful business interests. Often, the power and influence of transnational corporations transcends and transgress the sovereignty of nations and the constitutional rights of local populations. The loopholes of international business law allow these Multinational Corporations (MNCs) to go scot-free and evade accountability toward the citizens of the countries in which they operate in. While the activities of MNCs in developing countries can either be bolster up the Gross Domestic Product of the country, recent evidence suggests that the effects on living standards minimal to none for a majority of the population. The primary criticism levelled against existing WTO rules is that it perpetuates lack of accountability and irresponsibility on part the practitioners of the neo-lib eral agenda (Narlikar, 2003). While global financiers and speculators can accurately evaluate the values of tangible assets, more often than not the measure of intangible consequences of a business corporation’s operations are not accounted. In other words, certain ‘externalities’ such as pollution of water sources, global warming, internal displacement of people are not accounted for, which makes prevailing WTO rules quite unfair (Colares, 2009). Hence there is a strong case for exempting developing countries from select WTO rules on these grounds. The WTO and the United Nations have always argued that an international free trade system without specific exemptions to any country is a sound policy. These institutions state that developing countries have to adopt WTO rules as they exist in order to meet the Millennium Development Goals (MDGs) set for 2015. In this regard, â€Å"international trade is recognized as a powerful instrument to stimulate economic progr ess and alleviate poverty. Trade contributes to eradicating extreme hunger and poverty (MDG 1), by reducing by half the proportion of people suffering from hunger and those living on less than one dollar a day, and to developing a global partnership for development (MDG 8), which includes addressing the least developed countries’ needs, by reducing trade barriers, improving debt relief and increasing official development assistance from developed countries†. (Cordoba Bouhey, 2008) Despite this rhetoric from WTO and the UN, the ground realities happen to be quite different. For example, globalization has led to the practice of exploitation of cheap labour in developing countries. A highly publicized recent case is the operations of sportswear maker Nike in countries such as Indonesia and Philippines. Documentary filmmakers have recorded the inhuman working conditions offered to labourers in Nike plants in these countries. Moreover, these workers were never offered medic al insurance or prescribed minimum wages. As a consequence of this negative publicity, many consumers in the West have refused to consume products that were manufactured through exploitation of labour in developing nations. While the condition in manufacturing hubs of Taiwan, Thailand and China are not as harsh as in Indonesia and Philippines, they only barely adhere to international human rights standards (Colares, 2009). So, while global capitalism is further developing the length and breadth of its reach, it benefits certain sections of people while disadvantaging others. While each country has its own set of labour laws that specify the minimum wage and acceptable working conditions and duration of work, it is common knowledge that these laws are easily circumvented. Given that several developing nations do not have robust law enforcement mechanisms and robust democratic institutions to carry out the mandate of the people, there is a case to be made for broadening the scope of o rganizations such as WTO, World Bank and the IMF. For example, in Southeast Asian nations of Indonesia, Thailand; Asian nations of Bangladesh, India and Pakistan, and several East European countries such as Belarus, Georgia, and Croatia and to a lesser extent in China, the levels of corruption have increased since the opening up of their economies (Narlikar, 2003). The misuse of public power for private gain is growing into epidemic proportions in developing nations. As of now the WTO is a purely economic institution, restricting itself to facilitating cross-national trade and money flow. If it takes upon itself the responsibility of social justice as well, then the results of neo-liberal globalization would be much different in the developing world. The implication being that along with exempting developing nations from certain WTO rules, a valid claim is to be made for broadening the existing rules as well (Frieden, 2003). It is a reflection of the unfairness of existing WTO and W orld Bank policies that there have been instances of protest and demonstration against policies made in these institutions. The issue of globalization and the resultant injustices to the developing world, such as exploitation of labour and degradation of environment, has outraged intellectuals and community leaders in these nations. This movement for an equitable and just economic system is termed in the mainstream media as â€Å"anti-globalization†movement. But this is a subtle ploy to undermine the movement, as those involved in it refer to it as the â€Å"social justice†movement. Generally, the issue of globalization has divided the world into two opposing camps (Siddiqi, 2006). Government institutions and business corporations from developed countries are predominantly in support of it and they also happen to possess most of the wealth and power. The majority of those opposing it are from the developing world, including the continents of South America, South Asia and Africa. Events such as the World Social Forum are conceived and conducted in the developing world and purport to serve as alternatives to the policies initiated by the World Economic Forum and its allied institutions such as the WTO. It is no coincidence that the WEF takes place in Davos in Switzerland, a country that is a banking haven for the rich. The World Social Forum events that are conducted with periodic intervals are proving to be a great success in invoking the spirit of resistance in the impoverished people of the world. WSF events in Porto Allegre in Brazil and Mumbai in India have seen large participation from people all developing nations. Intellectuals such as Vandana Shiva and Arundhati Roy (both from India) and the poet Marcos (from Mexico) are at the forefront of the movement for social justice. These developments show the inherent drawbacks in the policy framework adopted by the WTO towards developing nations (Siddiqi, 2006). Unless it recognizes this and ado pts a more equitable policy framework – one that caters to the needs of all people including the poor – the relevance and legitimacy of WTO would remain dubious. We will write a custom essay sample on Should developing countries be exempted from WTO rules? 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Sunday, November 24, 2019
UMASS Graduate School MBA Questionaire
UMASS Graduate School MBA Questionaire Free Online Research Papers UMASS Graduate School MBA Questionaire 1.How do you compare this MBA Graduate Program to others you have seen? I’m not very familiar with other MBA programs. However, since the MBA at UMASS is offered through an accredited college of business, I assume that the curriculum is very similar to other accredited schools. 2.What are the specific problems you see here? Many students complain that the program does not offer a bigger selection of core courses during each semester, and that courses offered in the fall are not repeated in the spring. Also, classes fill quickly and are very large due to fewer professors. 3.What are the specific strengths you see here? I feel that being an accredited school is a definite strength. I also appreciate that UMASS offers a variety of electives to supplement the MBA. This allows students to concentrate in a particular area of study. Lastly, many resources are available to students, including an extensive library network. 4.How do you feel about web-based MBA’s? I feel that having some web-based classes would be a good experience for students, however I don’t think that it should be all web-based. I feel that you can still learn more in a classroom-setting, and I, personally, wouldn’t want to be at a computer for so many hours. 5.How do you feel about satellite campus for the MBA program? I think that would be an excellent idea because many students live far away from campus. It would be very convenient for them to go to class at an alternate location, perhaps closer to home, and still receive the same quality of education. 6.How do you feel about tele-video for the MBA program? Similar to web-based classes, I feel that some tele-video would be beneficial. It is an excellent way to transmit new concepts to students. 7.How do you feel about adjunct faculty? I feel that it would definitely be helpful in managing a large student volume, especially when the school’s own faculty is going through a transition period. For instance, as in the case of UMASS Dartmouth, professors will be in short supply after a series of retirements fails to be immediately succeeded by new faculty members. In this case, adjunct faculty could be used in the interim. 8.How many faculty took early retirement? I don’t know the exact number of professors who retired, but I do know that it was enough to cause a much higher capacity utilization among the remaining professors. To make matters worse, the school has also built new dorms and experienced an influx of new students. A now crippled faculty has to stretch its limited resources over a larger student body. As a result, faculty and students suffer, alike. 9.How would you resolve the issue of large class sizes in future years? A combination of adjunct faculty and satellite campuses would help prevent large class sizes in future years. Research Papers on UMASS Graduate School MBA QuestionaireStandardized TestingPersonal Experience with Teen PregnancyHip-Hop is ArtInfluences of Socio-Economic Status of Married MalesThe Spring and AutumnBionic Assembly System: A New Concept of SelfAssess the importance of Nationalism 1815-1850 EuropeOpen Architechture a white paperCapital PunishmentIncorporating Risk and Uncertainty Factor in Capital
Thursday, November 21, 2019
Life Journey Essay Example | Topics and Well Written Essays - 1000 words
Life Journey - Essay Example After graduating from law school, I traced my way back to Chicago where I practiced as a civil rights lawyer with the firm of John and Carter Man. I taught constitutional law at the University of Chicago Law School, first as a lecturer and then as a professor and I helped in organizing voter registration drives during presidential campaigns. My lecturers usually told me that a lawyer is "a minister of justice, an officer of the courts, a client's advocate and a member of an ancient, honorable and learned profession." While, in this firm, it was my duty to serve the cause of justice, promote the interests of the state, be faithful to the clients, maintain the authority and dignity of the courts, demonstrated personal integrity and I was candid and courteous in relations with other lawyers. I married at the age of 25 to a beautiful wife, Rose Keane and we were blessed with two daughters, Shirleen, and Kate. I struggled to balance my time as a lawyer and as a dad too. However, it was fortunate enough to be surrounded by women, my wife, and the two daughters. They formed the most important part of my life, and they are the people who shaped me the most. I can term them as my sanctuary in this job. I usually attend the tennis matches of my firstborn and the oral recites of the second one during my offs. I usually feel persistent on the table while trying to stave off the passage of time as long as possible and I find myself enjoying every minute of the whole family together under one roof.
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