Thursday, October 10, 2019

Nrs-437v | Introduction to the Study of Ethics

My Moral Compass The personal values that help contribute to my worldview and philosophy of nursing that is most important, is my religion. I am a Christian and this means that I am to be Christ like in my every day life and work. I am taught to treat others as I would want to be treated and care for them as I would do for myself. I am to help the sick, wounded, poor and widowed. Nursing in its roots are very much the same thing. Helping the ones who are unable to help themself. The underlying rule for nurses is to do no harm. My spiritual vales shape who I am, what I am and what I do.If I do all things as if I were doing them to the glory of God, then I know all things would turn out right. When obeying God and his commands, my spiritual values teach me that all things work to the good of God and according to his purpose. Values are defined as the criteria to which actions, people and states of affairs are judged ( Encyclopedic Dictionary of Psychology 2006). Merriam-Webster defines morals as, of, or relating to principles of right and wrong behavior (Merriam-Webster). Ethics are the science of morality and also known as moral philosophy.It is defined as it seeks to discover a consistent principle by which human actions and character can be judged ( The Macmillan Encyclopedia, 2003a). The values, moral, and ethics that may effect my obligation to nursing practice are ones that are from the American Nurses Association’s code of conduct. It is my duty to follow a specific set of nursing code of ethics, which states the nurse shall in all professional relationships, practice with respect and dignity, worth and uniqueness of every individual, unrestricted by factors of socioeconomic class, personal attributes or the nature of the health problem.The primary commitment is to the patient, family, group and or community; protecting the health, safety, and the rights of the patient (American Nurses Association, Inc, 2001). My personal views, values, philosophy a nd world-view has been at times difficult in my nursing career. A couple of times we had to terminally wean patients from the ventilator support they were on, being a Christian and nurse you are to do no harm and this really plagued my values early on in my career.I was after a while to rationalize that because these patients had no quality of life and were clinically brain dead, we were not causing any harm. Then we had a patient with Amyotrophic Lateral Sclerosis (ALS). This patient was on ventilator support, unable to move his extremities, he was able to talk and make his needs known, and was able to eat. Then one day the doctors advised the patient related to the fact he was silently aspirating he was no longer going to be able to eat, and would require a feeding tube.The patient refused a feeding tube and then terminally weaned himself off the vent. It was my duty to take care of this patient on the day of the terminal wean, which was difficult for me, because I felt as though he was committing suicide and we were assisting his efforts. For me this was no different than the hospital being a Dr. Kevorkian. I do not believe in suicide and it was very difficult to maintain and preserve his wishes even though they were totally against my beliefs and values.I had to take care of him no matter what his decision was, whether right or wrong his values led him to remove his life support. During my years as working as a floor nurse I have now developed my own sense of what I feel is ethical and humane. I believe that if a patient has already been placed on ventilator support, instead of withdrawing life support, you place them on a do not resuscitate, do not treat, palliative measures only. Person’s whom are on long-term ventilator support, in most cases will develop some sort of infection, such as pneumonia or urinary tract infection.If you do not treat the infection and just let nature takes it’s course whether it is to have the body heal itself or if the body is overtaken in death, they can then die peacefully by letting nature take its course. Some personal thoughts on how my values, morals and ethics effect my nursing are that no matter what my beliefs and values are, when entrusted with the care of a patient, I may disagree with their values, beliefs, or ethics, however I am to treat them no different than I would someone with whom I do share the same values, beliefs or ethics with.My job is to treat everyone with the same type of respect, kindness and attention I would anyone else. I used to get a little unnerved at times when the hospital would have very important person (VIP) in the hospital and that particular patient would get preferential treatment, such as a 1:1 nurse. My education and beliefs are that no one in particular is a VIP, that all patients should be treated as if they were the president of the United States or the Queen of England. References values. (2006). In Encyclopaedic Dictionary of Psychology. Retr ieved from http://library. gcu. du:2048/login? qurl=http%3A%2F%2Fwww. credoreference. com/entry/hodderdpsyc/values Merriam-Webster. (n. d. ). Merriam-webster dictionary. Retrieved from http://www. merriam-webster. com/dictionary/moral ethics. (2003). In The Macmillan Encyclopedia. Retrieved from http://library. gcu. edu:2048/login? qurl=http%3A%2F%2Fwww. credoreference. com/entry/move/ethics American Nurses Association, Ince. (2001). Code of ethics with interpretive statements. Retrieved from http://www. nursingworld. org/MainMenuCategories/EthicsStandards/CodeofEthicsforNurses/Code-of-Ethics. pdf

Wednesday, October 9, 2019

Television Is a Great Invention

Some people say television is the worst inventions of modern times. They make this assertion for some reasons. The following points are some of them. First, they think that televisions make people more passive than before. Second, they think televisions contribute to the fact that people are more distant to each other. To begin with, I must admit that the first point is reasonable. With a television all you need to do—and all you can do is to sit on a comfortable sofa and look at the screen. People are becoming more passive simply because there is no interaction and no efforts on them. Everything contains good side and bad side and television has no exception. Yeah, of course, it makes people lazier and passive. They just watch things on TV instead of doing by themselves. But apart from that, television is by all means a great invention. There is only a minority of people who can watch some events on the scene, like some live matches and competitions . So how can the rest of people participate in the events far from the place the events happen? Of course through television which all people are legal and free to enjoy can we do so. In addition, to people who want to travel but with no money, television is undoubtedly a great thing through which people can see the world only by sitting ideally at home. To the second point, I want to say that it is true. Televisions do make people less close to each other. Family get-togethers and conversations are disturbed by TV—when one member is watching TV, he would like others to keep quiet. But everyone have time when he or she is alone. Television alienates people not so much as it provides all kinds of relaxation and entertainment for people when they are alone. Although television addict some adolescents to situation comedies; although televisions put glasses on millions of students' noses; although television reduce communications between families and friends, the advantages of television are far more than the harm it does to us. To us individuals, when we finish a whole day's work and feel exhausted both physically and mentally, we may turn on televisions and have a good relaxation; when we want to get information on sports?entertainment or large events in the world, we turn on televisions and get it from all kinds of TV programs; even when we want to learn English?etiquette or custom of foreign countries, we can turn on the television and get what we need from them, always. In a word, I think television is a great invention which is of great significance to the evolution of human society. References: http://www.oppapers.com/essays/Television-Great-Invention/100718 http://www.media-awareness.ca/english/parents/television/good_things_tv.cfm http://articles.famouswhy.com/the_benefits_and_dangers_of_television/ http://wenda.tianya.cn/wenda/thread?tid=24535823bd68dd80 http://wenwen.soso.com/z/q138729005.htm

Tuesday, October 8, 2019

New Ideas and Techniques in Intervention with Children With Essay

New Ideas and Techniques in Intervention with Children With Communication Disorders in Early Language Development - Essay Example In other words the developing brain is best able to absorb any language, during the initial three years of their life. Some of the main reasons of speech and language disorders include hearing loss, neurological disorders, brain injury, mental retardation, drug abuse, physical impairments such as cleft lip or palate, and vocal abuse or misuse. However, in many cases the real cause is unknown (National Dissemination Center for Children with Disabilities, 2004). As the years pass by the ability to learn a language will be more difficult, and perhaps less efficient or effective, if these critical periods pass without early exposure to a language (National Institute on Deafness and Other Communication Disorders, 2001). This research paper focuses mainly on the new ideas and techniques in intervention with children with communication disorders in early language development. Communication disorder is a common term that encompasses various problems in language, speech, and hearing. To be more specific, speech and language problems comprise expression or verbalization problems, voice disorders, fluency problems which include stuttering, aphasia which is generally caused because of brain injury, and hearing problems. Today there are several interventions designed particularly for each of the above mentioned problems and the best treatment is prevention and early intervention (Sanchez, 1991). There are also several other communication disorders that result from other conditions such as learning disabilities, cerebral palsy, mental retardation, or cleft lip or cleft palate. Therefore, it becomes very important to understand the need of each and every child before the treatment begins. Speech and language disorders in general can have an impact on the way a child talk, understand, analyze or process information. Speech disorders include the clarity, voice quality, and fluency of a child's spoken words. Language disorders include a child's ability to hold meaningful conversations, understand others, problem solve, read and comprehend, and express thoughts through spoken or written words (American Speech-Language-Hearing Association, 2005). Early intervention for the treatment of apraxia is intended to teach effective communication strategies and improve volitional control of the oral musculature. During the course of the treatment exercises mainly focuses on teaching sound s equencing, programming sound patterns, and improving rhythm in speech. It is only with the advent of computed tomography (CT) scan and MRI several medical conditions can be detected easily including the ability to identify small subcortical lesions as causes of aphasia. Successful treatment of aphasia depends on the knowledge of a child's cognitive and linguistic strengths and weaknesses obtained from the formal testing batteries. While the traditional treatment strategies focused on syndrome-specific approaches, where treatment is based upon the diagnosed aphasia syndrome, recent strategies promote getting a message across by any means, through language, gestures, drawing, or any other expressive method (Melfi, 2006). A child with speech or language delays may exhibit a number of characteristics including the inability to follow directions, slow and incomprehensible speech, and

Monday, October 7, 2019

Globalisation Essay Example | Topics and Well Written Essays - 1000 words - 1

Globalisation - Essay Example The World War I & II were the central points that proposed the idea of globalisation. The World Wars adversely affected national economies. On the basis of numerous studies conducted, economists realised that the concept of globalization would contribute to the rapid economic restructuring. In addition to the economic benefits, nations could improve its political as well technological relations globally. It is argued that globalisation can benefit developing countries more in achieving rapid economic growth. Obviously, it has several negative aspects too. This paper will critically analyse notable strengths and weaknesses of globalisation. Strengths According to Devetak and Hughes (34), globalisation connects nations through a global network, and it assists a nation to get access to foreign markets and customers. Sometimes, an organisation can attain more benefits from foreign markets than from domestic markets since the offshore country may provide better business conditions. The fa vourable conditions include cheap raw materials and labour, liberal government laws, and large number of potential customers. The removal of trade barriers promoted import and export activities by which a government acquires foreign investments. The emergence of a global financial market can be directly attributed to the concept of globalisation, which assisted the borrowers to get better access to external financing. The increased volume of national and international trade transactions will probably boost the rapid economic development of a country. The economic development of a country may raise the standard of living of its citizens. Moreover, every nation gets access to highly developed technologies so that organisations can take advantages of these improved technologies in order to enter the next phase of growth. Hence, technological improvement and increased productivity are some of the positive outcomes of globalisation. As per statistical data, â€Å"everyday more than $1.5 trillion is now swapped in the world’s currency markets and around one fifth of products and services are generated per year are bought and sold† (Benefits of Globalisation). The global interconnectedness helps nations to attract more and more investors and thereby complete their capital accumulation process successfully. It is evident that potential investors are invaluable assets of every organisation as these investors have the capacity to raise additional capital in times of unexpected contingencies. The buyer group also acquires benefits from world trade as they get better selection options through which a buyer can purchase quality goods at lower prices. Another fascinating feature of the globalisation is that it can keep inflation level lower. This feature greatly aids governments to trim down public sector spending and minimise troubles associated with a higher inflation level. The increased global trade creates a lot of employment opportunities across the glob e and thus it effectively contributes to each nation’s economy. Globalisation brought some excellent economical results in 1980s and it can be attributed to increased global trade activities. In 1986, commerce as a percentage of gross world product has risen from 15% to 27%; in addition, globalisation process brought revolutionary developments in the number of mobile phone subscribers and internet users during the last few decades (Benefits of Globalization). Weaknesses As in the case of any other potential

Sunday, October 6, 2019

Death Penalty should be legalized Research Paper

Death Penalty should be legalized - Research Paper Example This was to be upheld by all the member states of the UN. From the very beginning, the death penalty had been embroiled in controversy. The aforementioned International Bill of Human Rights was proclaimed in the year 1948, by the UN. However, this did not include any reference to the death penalty. It took nine years of debate, for the UN General Assembly to include a statement regarding the death penalty. This transpired in the International Covenant on Civil and Political Rights (Evans). As such, death penalty issues have been accorded a place in human rights. In the societies of the world, the list of penalties tend to be execution, loss of liberty by means of imprisonment or other restrictions on movement, corporal punishment, loss of property, mutilation, such as the amputation of the limbs, and loss of opportunities, such as the revocation of a driver’s license. The list of penalties for crime could vary to some extent, on the basis of the society involved. Nevertheless, deterrence would be the perceived objective of any system of penalties. It is in this context that one has to view a system of criminal justice that does not have a deterrence effect (Davis 23). Such a system would be rejected as being of no worth whatsoever. In addition, several academic studies, conducted in the recent past, have clearly shown that the death penalty has a significant deterrent effect upon murder. The analysts of these studies have declared that between three to eighteen lives could be saved for every convicted murderer who is put to death. In this context, the study conducted by Naci Mocan assumes significance. This study, which was conducted in the year 2003, by Mocan and other researchers determined that every execution would reduce the number of homicides by five. On the other hand, commuting a death sentence would translate into an increase of five in the number of

Saturday, October 5, 2019

Mental Health Nurses are the Best People to Aid Recovery of Depressed Assignment

Mental Health Nurses are the Best People to Aid Recovery of Depressed and Cardiac Patients - Assignment Example Over the recent decade, several studies have linked anxiety and depression with cardiovascular problems, as well as fatal heart attacks (Bogner, Ford & Gallo 2006). A wide-ranging analysis of empirical studies about cardiac patients’ psychosocial medications indicates that a vast sum of resources have been employed in this attempt (Pignay-Demaria, Lesperance, Demaria, Frassure-Smith & Perrault 2003). Hence, it is vital for mental health nurses to be knowledgeable of the important developments that have taken place. A vast number of studies and reviews over the recent decade have analysed the impacts of depression on cardiovascular problem. They propose a relationship between cardiovascular problems and depression, but not a decisive causality trend (Ai et al. 2010). The findings can be classified into three groups (Ai et al. 2010). Primarily, depression portends the start of and weak diagnosis for cardiovascular illness (p. 27). Second, the connection between heart disease and depression is due partly to the connection between cardiac patterns and risk factors and depression like refusal to take medication, poor compliance to minor precautionary treatment, social exclusion, and withdrawal from rehabilitation courses (Ai et al. 2010). Third, some studies indicate that coronary heart disease may reinforce depressive symptoms, particularly among women. Certainly, a significant number of Myocardial Infarction (MI) survivors are experiencing depression (p. 27). Duits and colleagues (1997), in an analysis of 17 potential investigations of psychosocial results after cardiac surgery, discovered that preoperative depression and anxiety portended postoperative mental instability.... The explanations why depression is usually insufficiently addressed and treated in cardiac patients have yet to be completely explained. Depression normally is expressed by grief but can be determined without this particular aspect. Since elders with persistent clinical illnesses such as heart diseases may not show grief or sorrow and because other indications like weakness or weariness are pervasive to cardiovascular problems and depression, overlap in symptoms may reinforce the failure to recognise depression by physicians. On the other hand, patients and physicians might think that depression is a natural response to heart problems. Previous researchers of depression in the perspective of clinical comorbidity evaluated the presence of depression to be a mental outcome of experiencing a disease. Furthermore, a number of physicians may be hesitant to interview their patients regarding their symptoms of depression and patients may be unwilling to reveal these specific symptoms. Moreover, successful treatment of comorbid cardiovascular disease and depression necessitates knowledge of the interaction between these health disorders.

Friday, October 4, 2019

Economic and Environmental Advantage through sustainable Real Estate Thesis

Economic and Environmental Advantage through sustainable Real Estate Development - Thesis Example As human beings were created on earth as the prime form of living specie their actions towards their survival started to effect the earth’s environment. The actions of the human species are collectively known as anthropocentric movements. In its initial days of survival the actions of human beings were environment benign, as they opted to live by initially through hunting, then through grazing and after that through cultivating. Though all these specially cultivation did put pressure on the environment mainly through cutting of trees in order to extract more cultivable lands to support the ever growing population but it was nothing in comparison to what did actually happen after industrial revolution. Industrial revolution initiated an unprecedented level of deforestation towards clearing of areas for industrial setups and to provide more and more wood as fuel to the industries as well as a raw material for industrial, commercial and residential setup. After the initiation of the industrial revolution miles after miles of land were cleared of through cutting of trees and buildings either for industries, office or residence were set up. Unlike the rural buildings that were mostly made up of materials taken from the environment1; these buildings were made out of concrete and other man made materials that are far more durable but had a tendency to heat up the surrounding environment and initiate other environmental maladies. The industrial revolution also started migration from village to towns and cities in search of jobs in industries. Urbanization led to congestion in cities through increased numbers of un-zoned buildings, too high of a person to room ratio and to a biomass that was far from the permissible level on a given piece of land. Commercialization of agriculture; lead to the shifting of technology from conventional environment friendly to energy intensive and chemical prone farming2. Apart from deforestation, and its associated environmental