Personalized general health assessment Essays

Personalized general health assessment Essays Personalized general health assessment Paper Personalized general health assessment Paper Scientific and social changes of the 21st century have brought as radical change in the Health care delivery system (Patricia A Potter, 2005). The Healthcare profession has evolved through time to establish a firm role in the medical domain based on strong ethical, moral and professional principles. The healthcare practices have undergone a positive shift from that of a vocation to a professional status today and is ‘accountable’ today. Healthy People 2010 contain comprises of 467 objectives that clearly identify specific measures to monitor health in the first decade of the 21st Century (cdc.gov). Each objective comprises a statement of intent, a baseline value for the measure to be tracked, and a target to be achieved by the year 2010. The objectives are organized into 28 specific areas, each representing an important public health problem. PERSONALIZED GENERAL HEALTH ASSESSMENT General Health Assessment: 1.Personal Wellness Score: As of 03/29/2007 for Titilayo bakre; Personal wellness score is 84 against the achievable wellness score of 100. The results of the assessment are based on patient’s answers compared with U.S. average scores for people of the same sex, age and lifestyle habits. This is then compared to the highest possible score to arrive at the patient’s wellness score. A wellness score of 84 indicates moderate risk and that the patient might already be experiencing health problems. Thus, it was time to start making changes following the recommendations in this report to get her health back on track.

How to Bounce Back When You Make a Mistake at Work

How to Bounce Back When You Make a Mistake at Work The reply-all with a snarky comment, when you meant to forward to a trusted friend. The dropped ball that caused you to miss a major deadline.The â€Å"I’m disappointed in you† talk from your boss.So you’ve made a major mistake at work. Or you’ve gotten a poor review, or maybe you just feel like you’re coasting along, performing way below your ability. Whatever the reason, you feel like you’re just barely holding on. What can you  do when you make a mistake at work?At some point in their career, everyone has a stumbling point. Sometimes mistakes happen due to being overwhelmed, making an oversight, or having a moment of carelessness. It happens to everyone, even the most conscientious employee. So when something happens and you feel like you’re sitting in the corner of shame, remember that you’re not the only one. Even the people who are angry with you have been there (or will be) at some point, so try not to take it too perso nally.The Aftermath of your GaffeAfter a mistake, it can feel like you’re stuck in a kind of purgatory. Am I going to get fired? Have I totally ruined my reputation? And everything, every little bobble or mistake, feels magnified. It’s important not to get stuck under this tidal wave of stress and worry. Once you’ve made a mistake, or been called out for poor performance, the most important thing is to step up.Apologize/acknowledge what happened.You don’t need to wear a sandwich board saying, â€Å"I screwed up,† but letting your boss (and anyone affected by the mistake) know that you understand how you failed is key. If you messed up, a simple â€Å"I’m sorry† goes a long way here, just like it does in all aspects of life. And FYI: â€Å"I’m sorry you feel that way† is not a legit apology here.Own itAccept responsibility for what happened. Resist the urge to throw anyone under the bus here; it won’t lessen your o wn consequences, and will just cause further issues and bad blood. That’s not to say you should take all blame; rather, if it’s a shared mistake or problem, be clear about your part in the mistake, and take your share of the blame. Naming names, or the kindergarten classic â€Å"but he was doing it too!† won’t get you any brownie points right now.Show that it won’t happen againIf it was a lapse on your part, let people know that you’re taking action to make sure it doesn’t happen again. If it was a process that failed, show how you’re changing things so that there’s not a repeat.Look for small winsUnfairly or not, you’re likely going to be under increased scrutiny for some period of time, while things are still recent and raw. In addition to making sure the blunder isn’t repeated, it couldn’t hurt to be an A+ employee for a while: show up early, stay late, put in extra hours to show that you’r e back on it. Take on extra projects to demonstrate your commitment to the job. It’s about rebuilding others’ confidence in you, sure, but it’s just as much about rebuilding your own confidence. Succeeding at things, even small ones, can help you get back into your groove while showing everyone else that you’re ready to move onward and upward.Move onIf it’s not a fatal (e.g. firing) mistake (more on that in a bit), this too shall pass. Odds are, things will get back to normal pretty quickly. And while you can’t erase what happened, or make everyone forget what you did, everyone has a job to do. This incident will get lost in the shuffle of everyday work. You might have a rough few weeks, but at some point you’ll notice that things have gotten back to the routine.Ask Yourself: Why Did This Happen?Once you’ve got the problem in hand and have started your apology tour, you have some space to think more about why this happened. Som etimes mistakes just come out of the blue, in a moment of inattention or poor decision-making. Other times they’re part of a pattern of carelessness, or a lack of caring about the job. So after you’ve started the damage control process, it’s time to figure out why you’re in this situation in the first place.Did I make this mistake/perform poorly because I don’t care about this job anymore?Did I make this mistake/perform poorly because I’m overwhelmed by my job, and need to make adjustments?Did this happen because I don’t have the right skill set, or need to know more about how things work?If you made the mistake or got a poor performance review because you’re just not into your jobIt might be time to get out. It’s not ideal to quit straightaway- it’s much better to start exploring your options and opportunities before you jump ship. But if you’re already performing at a lower level because you’re unh appy or disinterested, that’s a major red flag.If the performance issue was due to you being overwhelmed by your jobTalk to your boss. ASAP. It’s time for a very frank discussion about your priorities, your tasks, and your role. If things don’t change and performance continues to slide, that will be on you, and it will make things even more uncomfortable. Your boss has a strong interest in making sure you perform your best and stay a satisfied employee, so don’t fear the conversation. It might be possible to restructure your daily tasks, or find new ways to do them, so that you’re able to do your job at the level you know you can hit.If the mistakes are happening because you don’t have the right skill setYou need to figure out what you’re lacking, and strategize how to either a) get those skills and knowledge; or b) share responsibilities in a way that works for you and your team. It may be that this is something you can handle on you r own (for example, getting trained on a particular kind of software, or taking online seminars about time management). But it may well be that you need help from someone else in your company, and that’s okay. If you need to sit down with someone to understand processes or tasks, do it. If you need help from your boss prioritizing, ask for it. This goes back to showing that you’ve learned from past mistakes, and are trying to get stronger.What If I’m Fired As a Result?Some mistakes, well, sorry to say that you can’t bounce back so easily and keep your job. Say there was a major money loss, or you happened to do something that was considered unforgiveable by the powers that be. If this turns out to be the case, and you’re let go for cause, your career is not over. Remember before, when I mentioned that you have to work hard to prove yourself and move on? That’s doubly true if you’re fired- and you have to cope with that while also look ing for a new job. So it’s not an easy road, but also not impossible.If you lose your job because of performance issues, you still have options:1. Don’t put off your job search.It can be tempting to lay low for a while, but the longer you wait, you’re delaying the inevitable moment you get back out there. You also run the risk of (unintentionally) reinforcing the idea that you’re unhireable, the longer you stay out of the game. As with a big mistake, accept that it happened, think about how you can do better, and find ways to improve and make yourself a stronger candidate.2. Think hard about what you want to do.Is your field really a good fit for you, after how things ended at your last place? If it was just the company or the role that was the problem, that’s a pretty straightforward fix. But this is a chance to think about what you should really be doing next.3. Get your references in place.Given how things ended, you probably won’t want y our most recent boss to sing your praises (especially if you’re not sure what he/she will say), but you can still get former colleagues from other jobs, or people in your network to act as references.4. Spin it.You lost your job, and that’s going to come up when someone sees an end date on your resume, or asks why you left your last job. The important thing is to turn the narrative into a more positive one. â€Å"I left my last position because it wasn’t a good fit. I’m ready to move on to the next challenge.† It’s a little vague and not ideal, but it’s also not a brutally honest, â€Å"I got fired. Hire me please?† Keep in mind that the reasons you were let go might come up during a background or reference check, so it’s best not to flat-out lie about your reasons for leaving.While you’re looking for a new job, the old one might haunt you somewhat. But again, it’s important to acknowledge, accept, and move on with your life. Everyone loves a good comeback story, and if you work hard to be better than your past mistakes, you can pull yourself up and out of the muck. You can survive, you will survive, and you’ll walk away with some very hard-won insight about yourself and your career.

Romanticism Art Movement Essay Example | Topics and Well Written Essays - 500 words

Romanticism Art Movement - Essay Example The artists of Romanticism considered imagination as a gateway to transcendent experience and spiritual truth and these qualities were evident in their artistic creations. . It is significant to note that the Romantic Movement in art was a product of the movement in literature and philosophy which accentuated emotional, spontaneous and imaginative approaches. â€Å"In the visual arts, Romanticism came to signify the departure from classical forms and an emphasis on emotional and spiritual themes. Caused by the sudden social changes that occurred during the French Revolution and the Napoleonic era, Romanticism was formed as a revolt against Neoclassicism and its emphasis on order, harmony, balance, idealization, and rationality.† (Romanticism) Thus, the movement stressed freedom, emotion, and imagination of individuals and was subjective in character. The artists of this group emphasized spontaneity and freedom and considered imagination as greater to reason and beauty. Therefo re, they depended greatly on personal spirit and creativity as against formal training. â€Å"Romantic techniques were developed to produce associations in the mind of the viewer. These foundations of the Romantic Movement were influential in the development of Symbolism and later Expressionism and Surrealism.† In conclusion, Romanticism has been a significant movement in the history of art and literature which tremendously influenced the artists of the period as well as the other movements of the time and the following age.

Oppositional Defiance Disorder Essay Example | Topics and Well Written Essays - 2500 words

Oppositional Defiance Disorder - Essay Example The symptoms of Oppositional Defiance Disorder (ODD) are observed in multiple settings with more noticeable actions at school or at home. The rate of ODD found in adolescents and school age children is 1-16 percent. The factors that cause ODD are not known however psychological, social and biological factors can play a role in the development of the disorder. Therefore it is essential to conduct a comprehensive evaluation of a child with ODD symptoms since there are chances that the child may have disorders like learning disability, ADHD (attention deficit hyperactivity disorder, anxiety disorders and mood disorders (bipolar disorder, depression). A comprehensive evaluation can diagnose these coexisting disorders that require preliminary treatment before treating the child for ODD (Children With Oppositional Defiant Disorder 2009). The Diagnostic and Statistical Manual of American Psychiatric Association explains oppositional defiant disorder (ODD) as a recurrent process of defiant, negativistic, hostile and disobedient behavior exhibited towards authority personality that continues for a minimum period of six months. Some of the behaviors comprise arguing with adults, losing temper, actively resisting requests, purposely annoying people, refusal to obey directions and rules, being touchy, complaining others for the misbehavior and mistakes of the person, spiteful, resentful, easily angered or annoyed or vindictive. Oppositional defiant disorders can be diagnosed in a child when there is a consistent and persistent pattern of hostility and disobedience towards teachers, parents or other adults. Children with ODD show testing limits and stubbornness even their early childhood. The primary behavioral complexity of ODD is the constant pattern of refusal to follow the commands or obey the requests of adults. ODD i s substantiated when problem behaviors take place more recurrently in a child when compared to other children of the same

A Brief History of Energy Use in Human Societies Essay Example for Free

A Brief History of Energy Use in Human Societies Essay The industrial revolution started the intensive use of oil, coal and natural gas. The development of factories, cars, and technological advances marks the start of air pollution. Smog from factories and the release of carbon dioxide from cars began to become detrimental to the environment as well as to health. Ever since the world continues to burn fossil fuels and will continue to do so. Factories, motor vehicles, buses, etc., are used throughout the world to provide people with transportation, products or food and have been a leading cause of air pollution. Similarly, these things have led to a series of environmental issues as well as health concerns, including many respiratory diseases (The Industrial Age). Although air pollution is a concern throughout the world, developing nations take different approaches to concerns as well as developed nations. Most of the worlds children live in developing nations, which means that they are exposed to higher levels of poverty and have different levels of health quality as oppose to developed, wealthier nations (Loomis et al. 1999). In a country like Mexico for instance, childhood mortality is high. Mexico City is one of the most populated cities in the world, with a population of eighteen million people and three million motor vehicles (Borja-Aburto et al. 1998). Nevertheless, air pollution has the same effects on the respiratory system among the population in New York City. Similarly, it is also densely populated and traffic congestion leads to the emission of air pollutants that are harmful to respiratory health. Air pollution affects the respiratory system, causing different respiratory diseases in both Mexico City and New York City, but there are a number of different methods used in each city to prevent further air pollution. Many countries in Latin America are going through rapid industrialization, as well as an increase in transportation and have not yet resolved health concerns related to air pollution. Due to the poor sanitation that young kids experience in poor countries, they are becoming infected with many diseases, thus becoming more susceptible to respiratory diseases (Loomis et al. 1999). When poor children experience life-threatening diseases, they are more likely to die because they cannot receive medical attention. In addition, studies reveal that air pollution is the main cause of the increasing infant mortality in Mexico City (Loomis et al. 1999). The main pollutants that are of a concern in Mexico City are nitrogen oxides, carbon monoxide, sulfur dioxide, particulate matter and tropospheric ozone (BellML et al. 2006). It is estimated that the transportation sector is responsible for about forty percent of the particulate matter emissions in Mexico City. Transportation however, is a vital sector in Mexico City traffic congestion in Mexico City forces people to take transportation methods to reach work, school, etc. Similarly, a large part of the population lives in poverty, which means they cannot afford a car. In addition, it has been reported that ozone causes the airway inflammation among young children playing outdoors. Nitrogen oxides increase the chance of respiratory infections as well as wheezing (Bernstein JA et al. 2004). Particulate matter is associated with infant mortality and also includes an increasing number of absences of students in schools as well as emergency room visits for respiratory problems including asthma (Bell ML et al. 2006). In addition, a reduction of 10 percent of particulate matter and ozone levels would save 273 to 1189 lives every year as well as save 760 US dollars a year there would be less emergency room visits, less medicine to purchases, less days of work or school missed or hospital admissions. New York City, similar to Mexico, has an air pollution problem caused by motor vehicles. However, morbidity and asthma is higher in different communities around New York City South Bronx and Harlem. These communities for instance, have higher diesel exhaust le vels from bus depots, truck routes, and waste transfer stations (Patel et al. 2013). As a result, this diesel exhaust creates black carbon. The black carbon is linked to the increasing number of respiratory diseases as well as the hospital admissions among children and adolescence in Harlem and South Bronx (Patel et al. 2013). Similarly, Patel et al. also explain that short-term increases of particulate matter and nitrogen dioxide are associated with airway inflammation among adults and children. The number of people being affected by air pollution will continue to grow, if no regulations to stop air pollution are enforced. Mexico city suffers from a serious air pollution problem, which has led to many respiratory diseases. However, there are policies that exist which help control air pollution. An air pollution problem that they face is ozone released from transportation methods. One measure Mexico City has taken to reduce vehicle pollution includes a motor vehicle Maintenance and Inspection (IM) program. This program keeps track of vehicle emissions to make sure th at the advanced emission control systems are working properly in modern-day cars (Riveros HG et al. 2002). In addition, catalytic converter devices added to the exhaust of a motor vehicle consisting of a catalyst that transforms pollutant gases into less dangerous ones were introduced in 1995 to Mexico City. In 1995, vehicles were emitting 70 percent less hydrocarbon, 75 percent less carbon monoxide and 65 percent less nitrogen oxide (Riveros HG et al. 2002). Similarly, methyl tertiary-butyl ether was added to gasoline beginning in 1995, to refine combustion efficiency and applied boundaries on the aromatic aspect of fuels as well as on the sulfur content in fuel used in industries (Mckinley G et al. 2005). However, despite the tries to limit air pollution, the levels of air pollution emissions remain high.The State of New York has many programs, which take care of the environment. For example, there is the Department of Environmental Conservation. This department carries out monitoring programs as well as pollution control. It also contains a Maintenance Program and requires a Vehicle Inspection, which monitors motor vehicle emissions and requires unsuccessful pollution control equipment to be fixed. Furthermore, New York City also has Inspection and Maintenance (IM) programs. These programs requires cars to take an annual emission inspection and requires a repair when emission system is not working properly. All of these methods are used in New York to prevent more air pollution to enter the atmosphere. As a result, although air pollution remains high in New York City, these methods to protect the environment from harmful pollutants (Controlling Air Pollution from Motor Vehicles).Air pollution is a major problem in both densely populated cities New York City and Mexico City. This problem has led to an increase in asthma, as well as other respiratory diseases. It has also led to an increasing number of hospital admissions, and emergency room visits. There are a large number of fatal deaths as a result of air pollution, which is why each city must have regulations to help eliminate the pollution. People are becoming sick, and a lot of money is being spent as a result of the pollution. Not only the people are suffering from this environmental problem, but the environment as well. Carbon emissions, as well as ozone are detrimental to Earth, as well as to health. Young children and seniors are the most vulnerable to these diseases, but something can be done to protect the citizens of these cities, and that is more air pollution control policies. Mexico City and New York City have regulations, but they are not enough to end the air pollution. Cars are a necessity in every major city around the world, which creates more air pollution for the world. However, more regulations need to be placed before the environment becomes greatly impacted by the man-produced emissions

An Inspector Calls by J.B. Priestley :: Papers

An Inspector Calls by J.B. Priestley Set in a modern Victorian house in South America. It is mid autumn in October.Charmaine lives with her mother,Liz. ''Ive told you already,Charm, your not having a Halloween party!'' ''But mum, you have never let me have a party before.'' ''I know and whatever you do or say isnt going to change my mind about it.'' ''Just at least let me take responsibility for something for once!'' ''No,your not having a party in this house.'' ''Why are you being so unfair, i hate you sometimes!'' ''Dont you ever say you hate me. Just go to school. Ive had enough of you!'' exclaims her mother. Charmaine grabs her bag,sandwich,Snickers bar and bottle of Evian,then she checks her long,silky hair in the mirror before she leaves. As Charmaine arrives at school she sees her friend Maxine starting to approach her,Maxine looks kinda upset and Charm wasnt really in the mood to make her best friend feel as happy as usual. Also Charm had bad news to tell her friend about the party. ''Hey Max, are you alright?'' ''Not really, I had an argument with my mum this morning and she said I am not aloud to go out tonight,I have to babysit Liam because shes going to a meeting at work.'' ''I had an argument with my mum too, I asked her if I was aloud a party tonight and she said ''No'' just like everything I ask for.'' ''Oh maybe we should just give Halloween a miss this year.'' ''Well I had an idea. My mum is going out tonight night with some work mates and maybe if I asked her if I could have a couple of friends round to watch a few scary movies,she might let me.'' ''Yeah she might do and I could ask her if I could bring Liam with me to your house, if you don't mind him being there.'' ''Sure,I dont mind, it will be well good,get to see Johnny Depp,in his new flick.'' ''He is so gorgeous!''

Howard Zinn Essay

Howard Zinn was born on December 7 19922 in Brooklyn New York. Zinn was raised in a working-class family in Brooklyn, and flew bombing missions for the United States in World War 2, which experience he uses to shape his opposition to war. Howard Zinn is one of the most respected historians, the author of various books and plays, and a passionate activist for radical change. A clear statement of his nature is his autobiography You Can’t Be Neutral on a Moving Train. He is perhaps best known for A People’s History of the United Sates, which presents American history through the eyes of those outside of the political and economic establishment, like the Native Americans, slaves, women, blacks, etc. In his essay â€Å"Violence and Human Nature† Howard Zinn points that; even if humans are capable of violent behavior, it is social conditions that harness that cruelty. He warns us to steer clear of the widespread notion that humans are biologically predisposed to violen ce and warfare. Mr. Zinn starts off by using an arsenal of famous thinkers, pointing out their pessimistic views and believes on human behavior. Views based on no concrete evidence that we humans are born with this trait called violence. Zinn starts off using Machiavelli’s positive view in the â€Å"The Prince† that humans tend to be bad. Zinn add great minds such as Einstein and Freud and their correspondence to illustrate their own views on the subject, and their conclusions that humans are violent by nature. Other scholars are also thrown in to support this traditional view of human nature being evil. The writer goes on with the idea that scientific evidence doesn’t proves it, and that is the notion that humans are in nature prone to violence. Howard picks on some scientific fields to show as that there is no evidence of human instinct for the kind of aggressive hostility that characterizes war. He turns to sociobiology, where the Harvard professor E.O Wilson in his book â€Å"On Human nature† answers with a yes on the question â€Å"Are human beings innately aggressive?† and finds his evidence not in his field but as Freud did in History. Wilson goes on to describe that humans are born with such a trait as violence, that we own it to our genes. Zinn counter attacks this with the following, Stephen Jay Gould a colleague of Wilson and a expert in evolution categorically just replies when asked that there no evidence for  such a statement by Wilson. Zinn is starting to show us an interesting pattern, a blueprint that clearly show us that every explanation from those important people look to root their selves with evidence found only in History. Zinn invites us to illustrate why History is being picked as the field from where those people can pull their evidence of Human violence. It’s easily proven when you choose humans to be evil, you just need to pick your example, and history is flooded with it. Zinn shows us that there is a down side of it picking on history, because it depends on which historical events you examine to be in your favor. It’s dangerous and very biased to follow this trail. Zinn goes on to convince us that our concentration get deflected by the real cause of violence and war. Zinn uses the 1986 international conference of scientists in Spain to express their conclusion on the question of human nature and violent aggression, to lure as to the very point of the whole essay that society has the power to harness this violent instinct in humans, and not our biological makeup. To further straighten his observation, Zinn uses the well-known Milgram experiment. In sum, carefully controlled experiments demonstrate that we follow others more often than we might like to think. However, it also seems to true that we don’t always conform. We are more likely to conform when authority figures are close by, and are more likely to express our individuality and dissent when the consequences of our actions are more apparent. Also from the area of anthropology Zinn uses the two tribes of The Forest People and The Mountain People from the studies of Colin Turnbull, to show us what an impact can an out side disturbance have on one tribe, which brought out a violent behavior in them. But the second tribe uninterrupted continued on a gentle and peaceful life. Howard decided to turn our attention from all does academic studies to the war itself. He gives himself as an example to explain war. Zinn argues that he and his fellow soldiers killed as a result of a set of experiences that  brought them to the front lines of war, not because they felt an instinctual compel to do so. He doesn’t view the soldier’s willingness to go to war as genuine to their human nature but is rather triggered by existing social conditions. This is what is expected from you, the pressure of people around him to do his duty. Zinn recalls being brought up to trust that the nation’s political leaders would make just and fair choices, and that the world was divided into good and bad countries, his own country being one of the good. He also recalls being trained not to question orders and being reminded that there was no reason to question those orders since they all stemmed from good political leaders and you should obey those people. Ones in the war and having such obedience, produced in him by his society, a soldier easily demonstrates the power of culture in extreme ways, like for example the My Lai Massacre. Where a detachment of units annihilated a whole village consisted only by elderly people, women and children. Zinn decides to show us that in the aftermath of the massacre, GI’s as in the case of Charles Hutto said that he did what he was told to do. But we see that also a helicopter offices decides to save as much people as he can from the village below, Howard suggests that men are disposed to war under certain setting. Society should come to turns to this power which it holds over people harnessing this violent instinct and avoid doing so at all costs.

Patient Confidentiality: Ethical Implications to Nursing Practice Essay

Patient confidentiality is a fundamental practice in healthcare and it is integral part of healthcare ethical standards (Purtilo & Dougherty, 2010). According to the American Nurses Association (ANA) code of ethics â€Å"the nurse has a duty to maintain confidentiality of all patient information† (Nursing world, p.6). Also, when a patient confidentiality is violated the nurse may risk their safety and welfare. There are a few exceptions to this obligation such as: an increase need to protect the patient and other parties or mandatory laws that protect public health (Nursing world, 2012). The dilemma disclosed in the article Betraying Trust or Providing Good Care? When is it okay to break confidentiality? Constitutes an ethical dilemma for the nurse caring for a teenage patient diagnosed with a sexually transmitted disease as well as related cervical cancer. The nurse sooner or later has to notify the patient parents due to further treatment is needed and parental consent is re quired. The nurse also has to notify the patient’s school since it raises concern for public health issues. There are many compelling concerns presented in this article. First of all, if a patient’s confidentiality is betrayed the patient may not want to cooperate in the future with the healthcare team. The patient may decide he/she doesn’t want medical care period, so this could risk the treatment of the patient. Secondly, the nurses must show respect and dignity for the patient by honoring the patient’s privacy. Lastly, the sanctity of the nurse-patient relationship mandates maintaining confidentiality. The patient entrusts the medical professional with private and confidential information. The medical professional must be absolutely certain of the risks versus benefits when deciding to breach confidentiality (Nathanson, 2000). The decision to break confidentiality should only be made using a systematic approach that follows an ethical decision making model. The first step in this process is gathering all relevant information. Once the healthcare provider is certain that all pertinent information is evaluated they can determine the type of ethical dilemma. In this case the ethical dilemma was the choice to maintain or breach patient confidentiality. After  determining the nature of the dilemma it is important to use a theoretical framework to analyze the issue. The nurse using a utilitarianistic theory would look at all consequences of breaking confidentiality versus maintaining confidentiality. If the nurse utilizes a deontological approach the decision is made based on the nurse’s duty and responsibility to uphold patient confidentiality. The nurse would then determine what to do in the situation by looking at all the alternatives. After determining a course of action the nurse must proceed with the action that is thought to be best. In the end the nurse should evaluate the outcomes of the decision for future professional development (Purtilo & Dougherty, 2010). A nurse faced with this type of situation may seek advice from the institution’s ethics committee in order to determine the appropriate course of action. An ethics committee may be composed of clinical personnel as well as non-clinical personnel. The committee most likely has and ethical consultant available as well to guide the decision making process. The role of an ethics committee in the clinical setting is to provide support and guidance to caregivers when they are faced with an ethical problem. The committee helps to â€Å"reduce moral distress and maintain ethical practice† (Lachman, 2010, p. 1). In the previously mentioned case involving the teenage patient’s right to confidentiality the ethics committee may have taken the following approach. First the committee would determine the patient’s ability to make decisions. They would then review all clinical information and facts related to the case. All of the alternatives would be examined and then valued according to the risks and benefits for the patient. Facility policies related to patient confidentiality as well as legal implications would be referenced. In this case the committee would investigate the potential for community harm related to the situation. After determining an ethical plan of action, recommendations would be made to the physician and nurse in this case (Lachman, 2010). In the end the decision would be a collaborative effort between the nurse and physician based on the recommendations. Protecting a patient’s private health information is an ethical practice that helps to maintain the trusting relationship between patient and nurse. The professional nurse is obligated to do so not only by the professional code of ethics but also by government mandates related to Health Insurance Portability and Accountability Act (HIPAA). There are instances when the  best interests of the patient or community safety provide good cause for breaking patient confidentiality. It is important for the nurse to use an ethical decision making process either alone or in collaboration with the healthcare team to determine the appropriate course of action (Purtilo & Dougherty, 2010). References American Nurses Association Code of Ethics retrieved from Nursingworld (ANA website) available at http://www.nursingworld.org/MainMenuCategories/EthicsStandards/CodeofEthicsforNurses/Code-of-Ethics.pdf Lachman, V. (2010). Ethics, law, and policy. Clinical ethics committees: organizational support for ethical practice. MEDSURG Nursing, 19(6), 351-353. Nathanson, Pamela G., â€Å"Bioethics on NBC’s ER: Betraying Trust or Providing Good Care? When Is It Ok to Break Confidentiality?† (February 24, 2000) located at http://www.bioethics.net/articles.php?viewCat=7&articleId=133 Purtilo, Ruth M. & Doherty, Regina (2010). Ethical Dimensions in the Health Professions [5] (Vital Source Bookshelf). Retrieved from http://pageburstls.elsevier.com/books/978-1-4377-0896-7/id/B9781437708967000126_f5010

Learning to Love the Bomb Essay Essay Example

Learning to Love the Bomb Essay Essay Example Learning to Love the Bomb Essay Essay Learning to Love the Bomb Essay Essay Essay Topic: Dr Strangelove At first glimpse to the nonreader filmgoer this film looks like an early 70’s feeble effort to demo the farcical side of war. I was prepared from something somewhat humourous and mildly entertaining. However. I was shocked to happen that I was riveted to the plot line during the full film. absorbing so many symbolically charged characters and duologues that I was practically fascinated while I worked out the significances and messages that Stanley Kubric was slyly relaying to me through the medium of movie. Kubric’s movie. Dr. Strangelove: Or How I learned to Love the Bomb. is a black comedy with some really interesting messages about work forces. gender and war. Symbolism abounded in a assortment of signifiers and was so smartly disguised that it took several minutes for the spectator to experience the full impact of Kubric’s message. See the gap scene. set to the background music of really cockamamie love affair music we are introduced to two elephantine military planes in the act of refueling during flight. The first feeling is that of strife. War-time aircraft and love affair music in a scene that lasts what seems likes five full proceedingss. The manager prolongs the scene long plenty for the audience to go leery of the underlying sexual symbolism of two planes copulating before he cuts to his following instantly sexually charged scene of a perfect imitation of a US Army officer. with an tremendous cigar stick outing obscenely from his oral cavity. As the film continues. so do the sexual insinuation. By the terminal of the film Kubric’s message is clear. but it takes clip to construct us up before we reach complete realisation of his intent. which in itself is besides interesting. The first compelling character that we are introduced to is the US Army General and his of all time present cigar. The cigar is evidently a phallic symbol. It rises when the General is excited and sags lamely when the letdown of his work forces overcomes him. He is an interesting character chiefly because of his compulsion with â€Å"bodily fluids† and what he feels to be the infiltration of his â€Å"pure essence† . This is the viewer’s foremost existent hint to the ties between work forces. gender and war that Kubric is seeking to relay. The General’s name is Jack D. Ripper. Taking his name from a sexual psychopathic was no error. Ripper is obsessed with the fact that he can non blurt out during sexual intercourse and attempts to happen the reply to this quandary by faulting the Russians for fluoridizing the American H2O supply. There are several interesting imitations here get downing with the outward visual aspect of ultimate maleness. that of an American Army General. his of all time present cigar. and the tremendous gun he pulls out as he starts hiting at the soldiers that are seeking to salvage him. He is every inch a sexual sociopath. Ripper is more interesting when seen from the point of view that work forces and their obsessional sexual issues wreak mayhem on the remainder of the universe. Ripper’s psychopathologic behaviour leads him to believe that he must take issues into his ain custodies and declare war on Russia. even if that means overruling the President of the United States. He is bound and determined to eliminate anyone who stands in the manner of his sexual disfunction. The General moves swimmingly from faulting others. to quashing himself. right into violent reverberations for himself and everyone else. Closely connected to Jack D. Ripper is an English Officer in the US on an Officer Exchange Program. Although the imitation of the English Officer is humourous. his name. Mandrake. keeps us on Kubric’s way. Mandrake root is an herb that is frequently used in male powerlessness. for virility and as an aphrodisiac. This is interesting because of the interplay between Mandrake and Ripper. Straight-laced. foreign or different. and a spot feminine Mandrake is the complete antonym of Ripper. He besides tries to comfort Ripper that his â€Å"bodily fluids† are absolutely normal and that he has no job utilizing them. Several times Ripper asks Mandrake to assist him feed the tremendous gun he is exerting approximately. and Mandrake’s response is rather feminine when he lays prostrate on the floor impotently. The sexual symbols grow more legion and less hidden as the film progresses. We are introduced to the little group of work forces on the bomber who are sent to transport out the orders. The pilot in charge. Major Kong. plays an interesting function in presenting a different type of imitation of work forces. As opposed to Ripper who was psychopathologic and sexually dysfunctional. Major Kong was the All-American cowpuncher. Honest. naif. and non afraid to acquire the occupation done. There are several scenes in which the major attempts to drop the bombs he is transporting and discoveries that they are stuck. Although his work forces can non pull off to work out the job Major Kong leaves his station at the planes helm and goes to the underbelly of the plane to seek to repair the wiring. He succeeds but when the bomb drops he is siting it. the bomb between his legs. This is the largest phallic symbol used in the film and the sing the pilot’s name. Major Kong. it is no surprise. However. Kubric has the Major ride the bomb to its mark where it so explodes in an tremendous mushroom cloud. The detonation which is evidently symbolic of the conclusiveness of climax and the madness that drives work forces to accomplish that terminal appears to be a perennial subject. The male sex thrust as connected to war is once more driven place by Kubric. Furthermore. he builds on this subject and gives us a footing for understanding with the characters and plotting that occurs in the War Room. It is here that we meet the President. whose sexually illicit name refers to sexual zones of a adult female. and the really vocal Buck Turgidson. The imitation of Buck is absolutely summed up in the significance of his name. The term vaulting horse means stud while the word turgid means swollen. These two chief characters do most of the speaking in a really big room. The President mimics the properties of his female name and is really submissive and feminine. His address is fretful and excusatory on the phone and most of his controversy is with Buck. They argue across a big tabular array and are so far off they practically have to shout to be heard. Buck merely gets excited when he sees chances for devastation whereas the President is ready even to destruct his ain bombers to maintain the peace. The functions of these two characters are symbolic of the male versus female positions. Even the great distance across the room from which they speak contributes to the feeling that they are coming from different points of position. The female position of peace and harmoniousness as opposed to the male position of domination. As a character survey Buck portrays several properties of male domination. He is ever the first to talk. overbearing when he communicates. frequently ill-mannered and junior-grade. ever stuffing tonss of gum into his oral cavity and thwacking obscenely. and moues like a yearling when he is asked to act. He uses tactics to overmaster the others by standing on his chair. glowering rebelliously with those who disagree. and going physically violent to acquire his manner if all other tactic fail. Of all the characters he is most wishful to transport out the war programs. for no other intent than to win. The sexual insinuation associated with Buck relate to the lone female in the film who we meet briefly before he is called into the War Room. Kubric’s pick to do Buck’s love involvement a secretary much younger than himself and who is ever shown barely clad in a Bikini and high heels dramas along with the typical male stereotype. At one point in the film Buck receives a phone call from his kept woman. He tries to guarantee her that he doesn’t want her for her organic structure but â€Å"deeply respects her as a human being. † He so promises he’ll be back shortly to â€Å"take attention of her needs† shortly. Buck besides was unable to hold intercourse with his kept woman before the meeting as he was busy traveling to the bathroom and so was called off. Kubric is mocking the male demand to replace sex for war. Another interesting facet about the war room is the â€Å"Big Board† that is set up as the background. It is an tremendous map of Russia with the locations of all the bombers bleeping around the boundary lines of the state. As the planes are all given the â€Å"go† codification. the blinking visible radiations start their class toward the boundary line of Russia. The first plane to traverse the boundary line will so trip the unwanted reaction of the Russians. This is really symbolic of the sperm’s rushing to the egg. All the sperm racing to be the first to occupy the egg. One of the last characters introduced is Dr. Strangelove. Although he has little do in the film his symbolic presentations are truly Kubric’s implicit in message. First. the name Strangelove is an accurate portraiture of what’s been go oning in the film from the beginning. This unfamiliarity or perversion of love is the kernel of Kubric’s subject. Dr. Strangelove himself has several symbolic issues as a character. First is his inability to maintain his arm from involuntarily toasting Hitler. Second is his sudden remedy from stationariness from his wheelchair when he stands vertical from so much exhilaration. Although both of these Acts of the Apostless are sexually symbolic. the cause for the exhilaration is the disclosure. As the work forces sit in the War Room they discuss the possibilities and reverberations of atomic war with Russia. Dr. Strangelove suggests taking a little community of people and populating in belowground mines. This prospect doesn’t seem appealing until he mentions that in order to animate all the lives lost from the desolation of atomic war each adult male will necessitate to hold ten female spouses. The treatment becomes lively and animated as the work forces imagine the possibilities and so get down to denominate appealing sexual attributes the adult females must possess. Suddenly the immanent day of reckoning that awaits them with the entire obliteration of the planet doesn’t expression so bad with a 10:1 ratio of adult females to work forces. and they find themselves looking frontward to doomsday after all. It seems as though Kubric is seeking to portray the fact that work forces use utmost state of affairss such as war and entire devastation as a tool to open up doors to see sexual phantasies that would otherwise be tabu. Kubric’s jeer of this attitude relays his thought that this is the most farcical thought of all. and all of a sudden the rubric makes perfect sense. The film ends with orgasmic detonation after detonation of H bombs. merely as it began with the arousal of military planes. Stanley Kubric’s penetration and sentiment about the relationship of sexual compulsions. power and war were astutely masked in the symbolism that abounded everyplace in the movie. but even to the untrained oculus his message came through loud and clear. REFERENCES Dr Strangelove or: How I learned to Love the Bomb. Dir. Stanley Kubric. 1964.

The 15 Most Loved, Read, and Shared Career Articles of 2015

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John Locke and the Tacit Consent Theory Essay Example | Topics and Well Written Essays - 2000 words

John Locke and the Tacit Consent Theory - Essay Example John Locke’s Theory of Tacit Consent is actually necessary but should not be the only basis of the legitimacy of a government. According to John Locke, the so-called Tacit Consent Theory refers to the notion that â€Å"one can only become a full member of society by an act of express consent† (Tuckness), which may translate as â€Å"simply by walking along the highways of a country a person gives tact consent to the government and agree to obey it while living in its territory† (Tuckness). This is, in fact, a rather self-explanatory definition of tacit consent. The point of Locke then is that â€Å"a government can only be legitimate when its citizens have consented to it† (Greenwood). Tacit consent, therefore, becomes for Locke an implication or indication not only of consent but also of obligation. This means that the idea of being in a particular place implies two things – that one â€Å"voluntarily† or â€Å"tacitly† consents to be ing under the governance of the law of that place, and that one therefore is obliged to follow the law of that place. Furthermore, this obligation to the law is also tantamount to consenting to be subject to the sanctions that will result if the law is not followed. This idea – the Tacit Consent Theory, however, no matter how logical it may sound, lends itself to several flaws. One objection to Locke’s theory of tacit consent is that Locke cannot possibly expect political obligation from the citizens since, based on the theory of tacit consent, it is the citizens’ consent that precedes and determines the legitimacy of the government, and not the other way around. According to Locke, â€Å"a government can only be legitimate when its citizens have consented to it† (Greenwood). This means that unless the citizens consent to the dictates and laws of the government, this government may exist but will remain illegitimate. The citizens’ consent therefore is essential to determining the legitimacy of the government. If, therefore, the actions of the government – imposing laws and sanctions – are dependent upon this legitimacy, then these actions are all dependent upon the consent of the citizens. In simple terms, if the citizens do not consent to the legitimacy of the government – or if there is no public trust – then the government cannot therefore impose laws on the citizens as well as sanctions if they violate these laws. However, Locke would answer this objection using his idea of the â€Å"majority,† which is clearly stated in Sections 97 and 98 in Chapter VIII of his Second Treatise of Government. Although negatively stated by Locke in Section 97, his point is that â€Å"†¦every man [should] submit to the determination of the majority [or else he] would signify nothing and be no compact, if he be left free, and under no ties than he was in before in the state of nature† (Locke). M oreover, Section 98, although also negatively stated, claims that â€Å"if the consent of the majority shall not†¦be received as the act of the whole, [this] will necessarily keep many away from the pubic assembly† (Locke). If Locke therefore would argue with the first objection stated above, he would simply state, based on the provisions of Sections 97 and 98, that the government is simply synonymous to the â€Å"majority† who declare among themselves that certain laws and sanctions should be imposed on the whole body of citizenry. In short, the government, to which some citizens may claim that they have no compulsory allegiance or political obligat