Obesity Essay

One in every three Americans is obese. Worthy of notice is the statistical record showing that in the United States, roughly 300,000 deaths per year are directly related to obesity (http://www. medicinenet. com/obesity_weight_loss/page6. htm, 2003). This is alarming. The present day is perfectly described as a product of Mcdonaldization. In all walks of life, fast food restaurants are visible. This is a fact which greatly affects the health conditions of citizens particularly at an early age. One thing is attributable to this: people are not walking enough and people are not physically working enough! Worthy of notice are the effects of less walk and less physical activity. These include obesity and overweight. Obesity and overweight issues has been a subject of many inquiries nowadays. To define the two may be useful to distinguish one from the other. Obesity is simply one having excess fats in the body. Overweight on the other hand is one having excess weight over and above than the normal relative to one’s sex, gender and height (http://www. naturesintentionsnaturopathy. com/weight-loss/facts. htm, no year). More often than not, only cases of obesity result to various physical or health trouble ((http://www. annecollins. om/lose_weight/overweight. htm, no year)). But why tackle on both issues? Both obesity and overweight have physical and social adverse impact in day to day activities. First, on overweight. Experience tells us that having an overweight body is physically heavy to carry. Thus, oversized individuals tend to work less and move less. Resulting as it does to becoming more overweight and eventually becoming obese. Second, on obesity. Obesity, being a health dilemma may result to chronic diseases including high blood pressure, high cholesterol, stroke, heart attack, cancer osteoarthritis, to name a few (http://www. medicinenet. om/obesity_weight_loss/page6. htm, 2003). More importantly, obesity decreases life expectancy (http://www. annecollins. com/lose_weight/overweight. htm, no year). This is because studies show that obesity is associated with several diseases leading to early death. Caveat to all is the fact that not all overweight are obese and that not all obese are overweight. Thus, health problems associated with obesity may not be present in individuals who are merely overweight. nevertheless, it can be observed that solution to obesity is not in any way a hindrance. It does not have any adverse effect on the health of indidividuals, whether young or old. The way of resolving the problem is to first determine the causes. What causes obesity and overweight? One major reason of obesity and overweight is laziness. This means the refusal of one person to transport one’s self from home to gym. Research shows that over 34% of female and 12% of male adolescents take to time for leisure physical activity during a one-week period (http://en. wikipedia. org/wiki/Social_influences_on_fitness_behavior, no year). Moreover, present leisure among teenagers and youngsters are focused on accessing computers and the internet. Thus, having little time or worst, no time at all for any physical activity. Considering these causes, attention may now be focused on resolving the problem. First is the Wellness on Wheels in England (WOW). England created a mobile gym with electronic fitness monitoring equipment. This was resorted to because of there is greater probability for individuals to involve in physical activity. Second is the Walking School Bus project. This was initiated by the Heritage Elementary School in San Diego. This allows the students to walking to their respective designated spots for purposes of waiting for people for a train of people to pick them up. This gives the students the opportunity to walk along with their peers in going to school (http://en. wikipedia. org/wiki/Social_influences_on_fitness_behavior, no year). In this way, children at an early age are already exposed to physical activity. Because we have to remember that obesity starts at an early age. It is but proper that solution or shall I say prevention should likewise start at these ages. Both these projects boil down into one, physical activity or physical exercise. As said, people are not walking enough; people are not physically working enough! Walking and physical exercise of 30 minutes a day, for three days a week can lose up to a quarter-pound of fat a week. Constant activity could lose 12 to 15 pounds of fat from exercise alone. Take note, this is permanent solution (http://www. annecollins. com/lose_weight/overweight. htm, no year) as opposed to drastic ones. Constant physical activity and exercise such as walking help burn calories (http://www. medicinenet. com/obesity_weight_loss/page6. htm, 2003). More importantly, the United States is nowadays focusing projects in reducing obesity starting at early childhood. Thus, schools are the subject of various projects not only dealing with physical activity but on the health diet as well (http://en. wikipedia. org/wiki/Obesity#Environmental_factors, no year). This is amazing but true. Thus, it is highly encouraged for people to take time to walk and participate in an activity which requires movement of the body, the best way being is walking. More importantly, notice should be given that prevention is better than cure. Thus, prevention particularly at an early age should be given particular attention.

Succubus Dreams CHAPTER 12

â€Å"I can't believe you keep coming back,† Dante told me when I showed up at his shop the next day. To no one's surprise, the place was empty. â€Å"Me either,† I admitted. I never felt welcome here, yet I didn't feel I had anywhere else to go. â€Å"How do you stay in business?† â€Å"Beats me. I don't suppose you're here to give me the best night of my life? You missed your El Gaucho chance, though.† â€Å"I'm here because I had another dream.† â€Å"You're using me, succubus.† He sighed and sat down at the chintzy table. â€Å"Okay. Give it to me.† Settling down across from him, I recapped the latest dream events. â€Å"Not really much in the way of new developments,† he pointed out afterward. â€Å"You got, like, thirty more seconds of plot.† â€Å"Does it mean anything?† â€Å"Hell if I know.† I narrowed my eyes. â€Å"You are the worst dream interpreter ever.† â€Å"Nah.† He rested his chin in his hand, elbow propped on the table. His expression was typically lazy. â€Å"I'm a very good interpreter. There's nothing to interpret in your dream, though, unless it's just your subconscious lamenting your infertility. Which is likely. It also suggests you have bad taste in music. Is ‘Sweet Home Alabama' really playing each time?† Now I sighed. â€Å"The dreams clearly aren't prophetic either since we know it's impossible for you to have a kid.† He drummed his fingers on the table, face thoughtful. â€Å"You sure you might not adopt or something?† â€Å"She was mine,† I said firmly. â€Å"My own flesh and blood. I could feel it.† â€Å"Okay. Far be it from me to argue delusional maternal instincts. But like I said, it doesn't really matter. The content, I mean. What matters here, I guess, is the energy loss.† I could have hugged him. â€Å"Finally, someone fucking thinks that's important.† â€Å"It's a pattern now. Can't really blame it on anomaly anymore.† â€Å"So what's it mean?† â€Å"You sure you want the opinion of the worst dream interpreter ever?† â€Å"Good grief! Get on with it.† â€Å"If you were human, I'd say without a doubt that you were being preyed on.† I flinched. â€Å"What? What do you mean?† He reached across the table and caught my hand, flipping it over absentmindedly while he thought. I was too caught on the word preyed to care about him touching me. Little Kayla's words popped into my head. They're monsters. They swoop in the air and go in people's dreams. â€Å"You and I both know there are plenty of supernatural beings walking the world. Some walk the dreamworld and don't really have humans' best intentions at heart. Not that you do either. And honestly, some aren't too different from you. They crave human life and energy, and they can suck it out of dreams.† â€Å"But they can't do that to me?† â€Å"Mmm.† He let go of my hand. â€Å"I don't see how. You don't make your own energy. You steal it too. But who knows?† I shivered. The idea of some creature – some parasitic creature – latching on and sucking out my life made me ill. I was fully aware of the hypocrisy, however, seeing as I did the exact same thing all the time. â€Å"So†¦what kind of creature might be capable of doing that?† â€Å"Dunno. Not my specialty.† â€Å"But you're a dream expert! Shouldn't you know about dream†¦creatures?† â€Å"Supernatural creatures are Erik's thing, not mine. You should ask him.† â€Å"You're the worst dream interpreter ever.† â€Å"So I hear.† His earlier seriousness flitted away. â€Å"So†¦are we going to have sex now?† I stood up. â€Å"No! Of course not.† Dante threw his hands up. â€Å"What more do you want? I actually gave you useful information this time. And it's not like you couldn't use the fix – small or no.† â€Å"It's more than that,† I said. Suddenly, I hesitated. â€Å"I†¦I know you now.† â€Å"What's that supposed to mean?† â€Å"If you were some anonymous guy, there might be a chance. But now you're like a†¦Ã¢â‚¬  Friend wasn't quite the word I was looking for. â€Å"†¦an acquaintance.† He appeared genuinely baffled for once. It was almost amusing. â€Å"I'm really not following this, succubus.† â€Å"I've got a boyfriend, remember? When I have anonymous, casual sex, it's not really cheating. But if I do it with someone†¦Ã¢â‚¬  â€Å"†¦you like?† Was it my imagination, or was there something hopeful in his eyes when he asked that? â€Å"No, I don't think I like you. But I don't exactly dislike you either. The point is, you aren't anonymous. It would be cheating.† He stared at me for several moments, and whatever glimmer of hope I thought I'd seen was definitely gone. â€Å"No wonder succubi are so good at passing as human women. You've certainly got the head games and complete lack of rationality down.† â€Å"I've got to go.† â€Å"You always have to go. Where to now? Some anonymous guy?† I rose. â€Å"No, I'm going to find Erik and see if he can actually give me useful information.† â€Å"I did give you useful information!† â€Å"Debatable.† â€Å"Well, let me lock up, and we'll see what Lancaster has to say.† I froze. â€Å"What do you mean ‘we'?† Dante grabbed some keys from behind the counter. â€Å"You've piqued my curiosity. I want to see how this turns out. Besides, you owe me for my help, seeing as you won't put out.† â€Å"‘Help,' indeed,† I muttered. He walked to the door with me. â€Å"Did it ever occur to you that in spite of how unuseful you think I am, I'm still kind of concerned about what happens to you?† â€Å"No,† I said. â€Å"It actually hadn't.† But I let him go with me over to Arcana, Ltd. When we stepped inside, we found Erik unpacking a box of books. He smiled without looking up, having sensed me. â€Å"Miss Kincaid, always a – † He stopped when he noticed Dante. For the first time in our friendship, I saw Erik look angry. It was disturbing. Frightening, even. â€Å"Mr. Moriarty.† Dante nodded his greeting. â€Å"Always nice to see you.† The expression on Erik's face showed the feelings weren't mutual. He straightened up from his work and walked over to the counter. Crossing his arms over his chest, he peered at both of us. â€Å"What can I do for you?† No cordial host or tea chats today. The air between the two men suddenly felt thick and oppressive. I spoke uncertainly. â€Å"We†¦that is, Dante thinks he has an answer to my dream problems.† Dante laughed, wearing his trademark smirk. If he bore Erik the same animosity, he was hiding it well. â€Å"I wouldn't call it an answer, succubus. More like a theory.† â€Å"I've had the dream again,† I told Erik. â€Å"More than once now. And I still keep losing my energy. Dante says it could be some kind of†¦dream creature preying on me.† I stumbled over the words. The concept was still too ludicrous. â€Å"But he didn't know what kind. He said you might know.† Erik shifted his eyes from Dante to me. I could tell the old man was still unhappy about us being there together, but he cared about me too much and couldn't stop himself from helping me. I wondered at what point over the years I had earned such regard. And how. He sighed and gestured us to the table. We all sat down, but no tea was offered. â€Å"Something like that going after a succubus is hard to imagine,† Erik said at last. â€Å"That's what I thought,† said Dante. His lighthearted mask had slipped a little. He looked much as he had in the store, thoughtful and curious. He reminded me of a mechanical engineer I'd once known. The guy couldn't help himself when it came to fixing some technical problem. Give him something in pieces, and he had to analyze it and figure it out. Dante might give me a hard time, but his nature, corrupt or not, couldn't stay away from this. Erik's eyes studied me, hard and intent. I was an intriguing puzzle for him too. â€Å"If I had to pick†¦I'd say the symptoms most match Oneroi.† I'd heard of them. They'd been in the Greek myths I'd grown up with. â€Å"Dream spirits?† Dante considered. â€Å"More than spirits. They're the children of Nyx and Erebus.† I shuddered. I'd heard of them too. Nyx and Erebus. Night and Darkness. Primordial entities of chaos. They were powerful and dangerous. The world had been born of chaos, true, but it was also a fact – even science agreed – that the universe was always trying to move back toward chaos. Nyx and Erebus were destructive – so much so that they were now locked away, lest they tear the world apart. The possibility that their children could be sucking away my life made me feel sick again. Dante was still turning this theory over in his head. â€Å"Yeah, that'd be the closest. But they still don't match one hundred percent.† â€Å"Nothing does,† admitted Erik. â€Å"I've never heard of anything attacking a succubus.† â€Å"What do Oneroi do exactly?† I asked. The two men exchanged glances, each waiting for the other to explain. Erik was the one who stepped up. â€Å"They visit mortals in their dreams and feed off the emotions such dreams stir up. Victims of Oneroi wake up drained and sick.† More irony. Legend said that succubi visited men in their dreams too and took their life. â€Å"That's what's happening to me,† I argued. â€Å"Why couldn't it be them?† â€Å"It could be them,† agreed Dante, â€Å"but like we said, the details don't fit. Oneroi can seize control and shape what you dream. But the dreams they stir up are usually nightmares. Fear and other dark emotions tend to be more intense – they offer more for the Oneroi to feed off of. Your dreams are short, and they're†¦fluffy.† â€Å"Fluffy?† â€Å"Well, I don't know. Not nightmares. They're intriguing to you. They bring out emotions – fascinated, happy emotions. They're giving you visceral reactions, I suppose, but not the type that the Oneroi usually go after.† â€Å"And,† continued Erik, â€Å"there's also the fact that you aren't an ideal choice for them. You're inefficient. You're a conduit, a link to the mortal world and their energy. If Oneroi are stealing from you, they have to wait for you to get your power from someone else first. Far simpler for them to take directly from a human.† I suddenly realized I'd forgotten something. â€Å"One other weird thing happened†¦more than the energy loss†¦Ã¢â‚¬  I explained about waking up feeling cold and wet. â€Å"I guess that's kind of weird,† said Dante, â€Å"but I don't know that it's really related to this.† â€Å"Well, except later that day, I read this article about a guy who went crazy and tried to swim across the Sound. He thought it would help his family – and it did because he drowned and they got his insurance money. When I read the article, the wet and cold feeling came back. It was like†¦for a second, I was him. I felt exactly what he'd felt. Like I was drowning too.† â€Å"Empathy,† said Dante. â€Å"You read it and imagined what it must be like.† â€Å"No.† I frowned, trying to bring the feeling back. â€Å"I†¦I felt him. I knew it was him I was feeling. That guy. The same way I knew the girl was my daughter. It was in my gut.† Dante looked annoyed. â€Å"Would have been helpful to know this earlier.† â€Å"I forgot. I didn't really see it as relevant until now.† â€Å"Have you ever had anything like this happen before? Knowledge of something you didn't experience?† â€Å"I don't think so.† Erik glanced at Dante. â€Å"Clairvoyance?† â€Å"I don't know. Unlikely. Too many variables. None of them mesh.† Dante turned his gaze back on me. â€Å"Have you talked to your own people about this?† I shook my head. â€Å"Jerome's been gone. I mentioned the first dream before he left, but he didn't seem very concerned.† â€Å"Well, I don't know what to make of it,† Dante said. â€Å"Nor I,† said Erik kindly. â€Å"But I will look into this for you.† â€Å"Thanks,† I told him. â€Å"I really appreciate it.† We stood up, and like that, the momentary truce between Erik and Dante vanished. Erik looked stormy once more. Dante appeared smug and condescending. â€Å"Miss Kincaid,† Erik began stiffly. â€Å"You know I have nothing but the highest regard for you, and I am more than happy to assist you in any way you need. I also recognize that Mr. Moriarty can also offer you help. But I would prefer it if†¦Ã¢â‚¬  â€Å"†¦if you don't bring me around anymore,† finished Dante. He saluted. â€Å"Noted, old man. Meet you at the car, succubus.† He turned and walked out of the shop. Erik's mood didn't vanish with Dante's departure. I could still sense the fury radiating from him. Erik had said Dante was corrupt, but really, so was I. Erik didn't have this kind of reaction around me. There was something I was missing here. â€Å"I'm sorry,† I told Erik. â€Å"I didn't know it would bother you so much.† â€Å"You couldn't have known,† he replied wearily. â€Å"And after all, I was the one who directed you to him.† â€Å"I'll keep him away,† I promised. I thanked him again and went out to meet Dante. He leaned against my car, his thoughts obscured by a lazy smile. â€Å"Why does Erik hate you so much?† I asked. Dante glanced down at me. â€Å"Because I'm a bad man who does bad things.† â€Å"There's more to it than that,† I said. â€Å"And you don't seem that bad. The worst things you've done are trick customers and offer useless information. Although†¦well, you actually were pretty helpful just now. But like I said, I don't think you're as bad as your reputation implies.† â€Å"How would you know?† I shrugged. â€Å"Instinct.† In one swift motion, Dante snaked his hand behind my neck and pulled me to him. I put a hand on his chest and started to push him away and then stopped. There was a warmth in his body, the eagerness of a man who'd been deprived of something for a very long time. To my surprise, I felt arousal burning in me – a yearning of my own to touch someone who wasn't all business. I experienced that feeling a lot, and it usually got me into trouble. My succubus nature woke up, wondering if energy might be on its way. And despite my lofty talk earlier about not sleeping with people I was acquainted with, I suddenly wanted him to kiss me. I wanted his energy – just a taste. His mouth moved toward mine. I started to close my eyes and part my lips – then, abruptly, he stiffened. Releasing me, he stepped back. I opened my eyes, staring in astonishment. â€Å"What the hell?† I asked. â€Å"You backed off. And after all the grief you've given me about sleeping with you.† â€Å"You're drained and hungry, succubus,† he said. â€Å"It'd be like taking advantage of a drunk girl.† â€Å"Right. And you've never done anything like that.† â€Å"Yeah, well, I'm not eighteen anymore.† He opened the car door. â€Å"Are we going or not?† I studied him a bit longer, thinking again I saw that hope and compassion from earlier. I was starting to wonder if a lot of his cattiness was just bravado, hiding the same insecurities everyone in the world had. I kept my psychoanalysis to myself, however, and joined him in the car. We drove back to his shop, our usual flippant banter obscuring anything serious that might have happened.

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Teresa Reifs Insurance Fraud Case - Research Paper Example Report also shows that occupational fraud is the most common. Nevertheless, white-collar fraud is also reported being on the rise. This call for organizations to put strong control measures to prevent and detect any fraudulent act in an organization. Pest, janitorial company fraud case of 2011 is one of the most publicized fraud cases of recent times in which the owner of the company was charged with insurance fraud. This paper will provide an analysis of this insurance fraud case in light of the environmental factors in which the fraud occurred, how the fraud was an accomplished, as well as how it was discovered. Finally, the paper will provide recommendations on how best a fraud of this type may be prevented in the future. In this case, Durand (2011) reports that the proprietor of San Mateo pest and janitorial services was accused of under-reporting over $10 million of payroll in a bid to avoid paying over $2 million in the employee’s compensation insurance. After the accusation, Terasa Reif aged 31 years voluntarily presented herself to the police at Redwood City on a $1 million warrant but was set free soon afterwards after having pleaded not guilty to 44 counts of insurance fraud according to Durand (2013). However, she was required to present herself back in court on 26 May for a review conference and a subsequent preliminary hearing on July 13. Durand (2011) reveals that Reif used to purchase employees compensation insurance between 2004 and 2009 from the State Compensation Insurance Fund and Redwood Fire & Casualty Insurance Company for her business known as Genesis Building Services.

Special Needs Rule Criminal Evidence Essay Example for Free

Special Needs Rule Criminal Evidence Essay This week we were giving the following scenario and ask to decide if this incident follows in the special needs rule and if it justify the officer’s search of the parked car’s trunk without probable cause? In this essay I will be discussing the special needs rule and my thoughts on the scenario. First of all let me start by giving the scenario we were given to work on this week that way you have a better idea of what’s going on. A police officer was investigating a burglary during which a handgun had been stolen. The police officer was at the time also acting as the police advisor to a high school. School officials called the officer and told him that the gun might be in the trunk of a students car parked in the school parking lot. Next let me explain the special needs rule that way you have a clear understanding of what it means. This is when an officer feels that he or someone else is in danger and must satisfy a government interest beyond ordinary criminal wrong doing. Just so you understand what it means here an example .A officer goes to a call for domestic dispute and other people in house start acting sapience and he spots a gun near one of the resident’s then he may search house and retained everyone till the house is cleared for his safety and other. In the above scenario I believe the officer has full rights to search the said vehicle do to the facts as listed. The first cause would be guns are not permitted on school grounds and I believe it his duty to see to it that it not goanna be used to commit a crime against students on campus. Last of all I believe no student should have a gun in a vehicle without being legal age and having proper carriage licenses. I believe that the officer has all right to believe that there is a crime is being committed if said school officials have proof that there is cause to believe student has gun. My personal thoughts if this officer was made aware and didn’t check it  out as a parent I would be upset. For several reason but mostly due to fact that he could have put mine and other children in harm’s way. I believe it always better to be safe than sorry due to how bad the school shootings have got. I feel if we could get guns out of our kids hands then we should and authorizes should help. Well now that this is said I hope you find my points and thought to be helpful and honest. I have really enjoyed learning about this special need rule and believe that officer have become so afraid of being wrong that they don’t exercise this rule enough. As a officer wife I know I would rather my husband be safe and keep his oath to protect than to have a guilty conscience’s. Reference’s that I found useful: 1. www.enotes.com//consider-following-scenario-police-officer-was-260 2. www.policemag.com/channel/patrol//10/public-school-searches.aspx 3. www.legalupdateonline.com/4th/587 4. I also talk with Officer Luke Denning of Springfield Police Department of Springfield, FL

Nursing Process of Transurethral

Nursing Process of Transurethral Introduction Its said one knows not what he has until it is gone, This common proverb can be applied to the processes involved with Transurethral resection of the prostate( TURP). TURP is done to treat or alleviate enlargement of the prostate gland (benign prostatic hyperplasia) (mayoclinic.com, 1). The prostate is situated near the urinary bladder in an adult male. When a person urinates, urine flows from the bladder, through the prostate gland, then the urethra which is enclosed within the penile shaft, leading to the destination. When this process is interrupted, in this case by an enlarged prostate gland blocking the exit out of the bladder; it can cause various urinary tract symptoms. These symptoms can vary from difficulty urinating, to urinary urgency, nocturia, oliguria, urinary retention and others. If these symptoms are intense, a TURP procedure is recommended by the physician as a minimally invasive method of alleviating them Nursing Process of Transurethral Resection of the prostate Its said one knows not what he has until it is gone, This common proverb can be applied to the processes involved with Transurethral resection of the prostate( TURP). TURP is done to treat or alleviate enlargement of the prostate gland (benign prostatic hyperplasia) (mayoclinic.com, 1). The prostate is situated near the urinary bladder in an adult male. When a person urinates, urine flows from the bladder, through the prostate gland, then the urethra which is enclosed within the penile shaft, leading to the destination. When this process is interrupted, in this case by an enlarged prostate gland blocking the exit out of the bladder; it can cause various urinary tract symptoms. These symptoms can vary from difficulty urinating, to urinary urgency, nocturia, oliguria, urinary retention and others. If these symptoms are intense, a TURP procedure is recommended by the physician as a minimally invasive method of alleviating them. One does not think of what it entails to actually be able to get the urge to urinate and do so with ease. The pleasure of this almost automatic process has been taken away from clients with benign prostatic hyperplasia, leading to the need for a TURP. This explains the concepts of not knowing what one has till its gone or severely made problematic. A nurse comes into play in this process by using the nursing process of assessment, nursing diagnosis, goals, intervention and evaluation to manage the client through the entire course of treatment. That is the nurse follows the patient from preoperative to Post operative while diligently providing care and teaching. Preventing complications of TURP post operatively is a major part of the procedure, as this determines the success of such procedure. In reference to complication after TURP, Weaver 2001 stated that prevention must start long before the patient is admitted into the hospital (p. 1). The nurse needs to ask if the patient recently took Coumadin, Aspirin or any NSAIDs few days before the procedure. These drugs affects blood coagulation and they must have being stopped several days ago before to prevent hemorrhage. Weaver further explained that Coumadin should be discontinued 3-7 days before TURP and patient must have stop taking Aspirin for at least 10 days before (p. 1). During postoperative care, the nurse needs to assess the patients indwelling catheter for patency continuously. The content of the bag must also be checked. This is because a change in the urine color and consistency is the first clue to active bleeding.(Weaver 2001, p. 2) The patients vital signs need to be checked at regular intervals to detect any changes which could be related to bleeding and infection. Particular attention need to place on the patients laboratory values because a low white blood cell count could also show sign for infection. The patients input and output must also be assessed due to the continuous bladder irrigation (CBI). After the removal of the catheter, the nurse should assess the patients urine and explain to the patient that some tingling or burning might be felt and that this is normal. Gilhurst (2006) notes that TURP is used for approximately 90% of prostate surgery and that it is considered the gold standard'. Although TURP is such a high quality procedure, it is not without its risks. Nurses need to diagnose quickly to prevent further complications or mortality in patients. With this invasive procedure, along with catherization, patients are at high risk for infection. Fluid volume defect, as a result of hemorrhage, is another major diagnosis of concern. Patients doing this procedure would usually exhibit disturbed body image and knowledge deficit, although this varies by individual. The expected goals for TURP are that the patient would not experience TURP syndrome, the patient would not exhibit signs of hemorrhage, the catheters patency would be maintained without complication, the patient would verbalizes an understanding of the procedure and its desirable / undesirable effect. The nurse should ensure that the patient receives thorough discharge teaching. According to Ng (2004) continuous bladder irrigation (CBI) is an established procedure designed to prevent the formation and retention of blood clots following transurethral prostatectomy (TURP). (p . 97). This continuous irrigation is established by the use of a three-way Foley catheter. The nurse is responsible for the management of the Foley catheters patency. To ensure that patency is maintained, continuous assessment and early detection is implemented. It is the nurses duty to assess the saline irrigations height, volume remaining, and fluid level in the drip chamber. An assessment of the drainage bag for the amount, consistency and the color of the drainage is a necessary intervention in assuring efficiency of the procedure and in alerting to the development of any complications. Ng 2004 listed a few other interventions in the maintaining of catheter patency which include assess for kinking, traction, and leakage; adjust the clamps to ensure continuous flow rate; and continuously check fluid balance/ bladder irrigation. (p . 98). After a thorough assessment, if blockage is suspected the nurse is to intervene. As stated by Ng 2004 to unblock the catheter the nurses intervention should be to, reassure the patient and explain the procedure, turn off the bladder irrigation system; milk the tubing; observe drainage; and assess for a decrease in the patients level of discomfort. (p . 101). The most common complication after TURP is hemorrhage, with this in mind the nursing interventions should include checking the patients vital sign monitoring every four hours (Wasson 2004, p . 5). The color and consistency of the urine should also be checked at two hours interval. Instruct the patient to remain flat or at a slight incline immediately post-operatively, because sitting may increase venous and bladder pressure causing bleeding, (Wasson 2004, p . 5). While in the hospital, the nurse should inform the physician if there is an increase in the rate of bleeding, and of any drastic change in vital signs. Hypovolemia is a risk factor of extensive bleeding and the nurse should be prepared to intervene with replacements of intravenous fluids and blood products. According to Wasson 2004, the nurse should instruct the patient to drink at least 12 glasses of water per day and to avoid the use of alcohol, caffeinated beverages, and spicy foods that may over-stimulate the bladder (p . 5). Another serious TURP related complication is known as TURP syndrome (Wasson 2004, p. 4). TURP syndrome is described to be an abnormal vascular absorption of irrigating fluid during surgery which causes severe dilutional hyponatemia and hypervolemia (Wasson 2004, p . 4). Nursing interventions aimed at preventing TURP syndrome include careful assessment of its symptoms which include; bradycardia, confusion, full bonding pulses, dramatic increase in blood pressure, tachypnea, and temporary blindness. Discharge teaching is important in making certain that TURP is efficient in resolving the patients condition. The patient should be advised to keep a log of voiding and record the volume of urine, its characteristics, and the frequency. Strenuous activities such as climbing stairs should be avoided during the first few weeks after discharge. The patient should also be encouraged to rest regularly for approximately two to six weeks; this promotes healing of the surgical site. Activity restrictions that enables healing also includes, avoidance of lifting items weighing over five pounds, avoidance of excessive physical exertion, and long walks. Conclusion The patient should be taught by the nurse to notify the physician, if bleeding occurs and does not stop within one hour of therapy. A high fiber diet is encouraged during discharge teaching making sure to emphasize that his helps prevent constipation. Also thorough perineal hygiene should be stressed and the patient should be taught that it reduces the risk for infection. Patients should be advised to take antibiotics and any other medication as prescribed by the physician. Teaching kegal exercises is another important nursing intervention as it strengthens the pelvic floor muscles. After the intervention, the nurse will do an evaluation in order to find out if the goal has been achieved and to see if the patient is progressing as planned. The nurse should reassess the patient to ensure that he or she did not experience TURP syndrome, hemorrhage and any other complications previously mentioned. The effectiveness of the patient teaching should be reassessed, the more knowledgeable the patient is about steps to be taken, the greater the probability that the patient will comply. This may help the patient in taking proper care of themselves after discharge and also prevent complications. Therefore, nursing intervention always help the patient to get positive outcomes. (Wasson 2003, p. 12) As with the fore mentioned proverb, having the need or feeling of urinating, or even the ability to go to the bathroom and successfully relieve the pressure created by a full bladder is a gift. A gift that when gone or almost gone as with oliguria or anuria, and then regained with TURP one would realize it value, and develop a brand new appreciation for the process

Faith and Reason in the Enlightenment Essay -- The Enlightenment in Eu

In a time when faith and hard labor kept the majority of society alive, the introduction of reason by the Enlightenment was initially perceived as a threat. People had focused on their faiths and grasped the traditions and rituals of their dogmas. The Enlightenment introduced the possibility of faith and reason coinciding and cooperating to form a more civilized and equal society to replace the Old Regime, and the changes lasted far after the period of the Enlightenment. Leading up to the Enlightenment Prior to the Enlightenment, England and France instituted Old Regime societies in which three distinct classes of people embraced religion as the foundation of their lives. Each caste had a different lifestyle, with the clergy enjoying the upper class, the nobility in the position of influence, and the vast majority of the people trapped in the hardship of the Third Estate. The clergy was different in the Protestant Church than in the Catholic Church because the Catholics had only to obey the Pope while the Protestant Church was run by the monarch. None of the clergy paid many royal taxes, but still owned much of the land. Since the clergy was a high class, it was beneficial for some of the offspring of the nobility to join the clergy in order to receive higher status. The nobility as a whole controlled much money and power while maintaining constant struggle with the crown over governmental power. The Third Estate worked to live and had no freedom except for their religious beliefs. They believed that they were at the mercy of the land and of an overpowering Creator. The Old Regime was characterized in large part by conflicts between countries and within countries over religious matters. It w... ...ove their minds. European society that was once stuck in the Old Regime lifestyle grew in many facets with the introduction of reason and enlightenment. Although initially reluctant, the societies of the Old Regime embraced the thoughts of the Enlightenment, the conflict between faith and reason began to subside as people learned that they could practice both. References 1 Donald Kagan. The Western Heritage Brief Edition:Volume II Since 1648. (Upper Saddle River: Pretence Hall, 1999), 313. 2 Kagan 298 3 Perry Rogers. Aspects of Western Civilization: Problems and Sources in History 3rd ed. (Upper Saddle River: Pretence Hall, 1997), 12. 4 Rogers, 15. 5 Kagan, 317. 6 Peter Gay. Age of Enlightenment. (New York: Time Life Books, 1966), 32. 7 Kagan, 402. 8 Kagan, 329. 9 Gay, 56. 10 Gay, 54. 11 Rogers, 102.

Essay --

In his writings, Max Weber brought into focus the increasing tension between modern salvation religions and secular spheres ranging from the economic and political to the esthetic. Weber argued that divergent perspectives on religious â€Å"brotherliness† bred a tension with autonomous secular spheres and also suggested compromise between spheres in an absolute sense would be impossible but was necessary and pervasive given the state of humanity in the modern world. It is necessary first to establish how Weber distinguished these redemption religions from others and established them as an ideal type. Fundamentally, â€Å"the rational aim of redemption religion has been to secure for the saved a holy state, and thereby a habitude that assures salvation† (Religious Rejections, p. 327). This metaphysical holy state away from suffering, as characterized by Weber, is unique in its permanence. Weber acknowledged that other behaviors, outside salvation religion, were capable of providing such a state for a temporary period but could not promise eternal salvation. These other behaviors came into conflict with religion as providing alternative, albeit transitory pathways to inner-worldly salvation for the individual. A distinction is also made between salvation religion and â€Å"magic religiosity or for the religion of functional deities† (Religious Rejections, p. 333). In such systems, the various gods were conceived to overlap with wor ldly norms and behaviors. In essence, just as humans interacted on earth, deities representing war, agricultural production, commerce and countless other domains of human life were said also to be interacting and competing. In such systems, gods functioned as little more than a mechanism for explaining and, in a sense,... ...pes, such compromise between economic and religious spheres would seem to be irresoluble. Viewed through the lens of modern humanity and practicality, however, such a compromise is almost logical as a means for religion to cement its own social status, and thus its popular efficacy as a mechanism for salvation. The relationship between the esthetic sphere and religion provides yet another contrasting image of ideal types and of reality. Like the threats to religion posed by politics and economics, the inner-worldly salvation of art should seem to be â€Å"in a realm of irresponsible indulgence and secret lovelessness.†(Religious Rejections, p. 342) As ideal types, the world-denying salvation of religion and transient inner-worldly salvation of art could not coexist. Once form and not religious meaning became the reason for appreciation of art, religion and art became

Handmaids Tale Essay -- essays research papers

Many of the principles of Gilead are based on Old Testament beliefs. Discuss Atwoods use of biblical allusions and their political significance in the novel.   Ã‚  Ã‚  Ã‚  Ã‚   ‘The Handmaids Tale’ is a book full of biblical allusions, before Atwood begins the text an epigraph gives us an extract from Genesis 30: 1-3 â€Å"And when Rachel saw that she bare Jacob no children, Rachel envied her sister; and said unto Jacob, Give me children, or else I die. And Jacob’s anger was kindled against Rachel; and he said, Am I in God’s stead, who hath withheld from thee the fruit of the womb? And she said, Behold my maid Bilhah, go in unto her; and she shall bear upon my knees, that I may also have children by her.† This principle from the Bible is used throughout ‘The Handmaids Tale’, the principles being that it is the idea of both assemblages that a women’s duty is to have children and that it is acceptable for a man to be angry if a women can not produce a child. Both these beliefs show that in jointly the Bible and ‘The Handmaids Tale’, women are completely defined by fertility and are classed as ‘walking wombs’. ‘The Handmaids Tale’ recreates the selected stanzas from the bible with Jacob, Rachel, Leah and the two handmaids. The tale is an Old Testament story about surrogate mothers, on which the novel is based. The section gives biblical precedent for the several practices of Gilead, by doing this it paves the way for Atwood to comment on patriarchy where women are undervalued and abused in all walks of life. The idea is also expressed later when we discover the ‘Red Centre’ governmentally known as the ‘Rachel a nd Leah Centre’. As the basis of the novel it is replicated many times throughout the text, for example, it is found in the family reading before the monthly ceremonies, and in Rachel’s plea ‘give me children, or else I die’. This clearly lays emphasis on the threat to the Handmaids life. By failing to produce a child, they will be classed as Unwomen and sent to the Colonies to die. Atwood, to coordinate with biblical references has employed a biblical name for the place where the book is set. Gilead is the name Atwood saw fit to call her town. The fundamentalist Republic of Gilead is named after a place in the Old Testament, a mountainous region east of Jordan. Gilead is closely connected with the history of patriarch Jacob, and the prophe... ...ical references, for example, the lords prayer in chapter thirty where she changes the ‘norm’ and asks for the things that she really wants. Just like the commander and the teachers of regime do in order to get what they want. â€Å"Now we come to forgiveness. Don’t worry about forgiving me right now. There are more important things. For instance: keep others safe, if they are safe. Don’t let them suffer too much. If they have to die, let it be fast. You might even provide a heaven for them. We need you for that. Hell we can create ourselves.†   Ã‚  Ã‚  Ã‚  Ã‚  Gileads official discourse is a hybridised rhetoric, which combines biblical language with traces of American capitalist phrases; for example, ‘in God we trust’ is the motto on the dollar bill. Marxism and feminism. It uses and abuses the bible in the same way as it uses the slogans of the liberal ideology it has overthrown.   Ã‚  Ã‚  Ã‚  Ã‚  Ã¢â‚¬ËœThe Handmaids Tale’ is a blunt warning to modern society, Atwood underlines that all the points in her novel have occurred in the world previously, and if propaganda establishes itself it could take place again.   Ã‚  Ã‚  Ã‚  Ã‚  

The American Involvement in the Cold War

The role of America at the end of World War II was where the origins of policing the world originate. America had been engaged in a very costly war in terms of dollars as well as lives. But, despite the expense the United States came out of World War II better than any other nation that was involved. The Second World War was a battle between the Allied and Axis Powers. The Allied Powers consisted of the United States, Great Britain, the Soviet Union, China, and France. This war was seen as the fight against Nazi Germany, and therefore resulted in a majority of the battles fought on German and Russian soil. The aftermath left the Soviet Union in bad shape. Close to twenty million Russians had died fighting the war, which accounted for about eight percent of their population. Conversely, none of the fighting was done on American soil, and while the United States suffered in terms of casualties it was nothing compared to the loss Russia had endured. Because the war would not end until the Axis Powers fully surrendered to the Allied Powers, the United States was forced to use the first atomic warfare in history. The atom bomb would later serve as America's greatest possession. Stalin, the Premier of the Soviet Union had always distrusted the American and English intentions. Because of Stalin's aggression and attitude pertaining to Soviet influence on Europe, the postwar stance on Russia had turned into a standoff. This became the origin of the Cold War. The Cold War, seen as a battle between communism and capitalism, was â€Å"in reality a more complex struggle over a broad range of ideological, economic, and strategic issues. † Over the next several years the United States would spend more money on military and defense than ever before. Several measures were taken to ensure that the same mistakes at the end of World War I would not be repeated. The first in a series of measures was a postwar conference involving President Truman and the Soviet Foreign Minister, V. M. Molokov, where Truman controlled the entire meeting and basically scolded the Soviet's for not honoring agreements on Poland. Truman â€Å"told the Russians just where the got off and generally bossed the whole meeting. † This symbolized America's strong-arm stance against communism and signified the position we would hold throughout the Cold War. The next step in Truman's agenda was to work with Congress to pass the National Security Act of 1947, which was designed to strengthen defense operations. This act created a single Department of Defense, and created the Central Intelligence Agency, or CIA. These two new agencies acted as the first step in atomic warfare management. Continuing to act as police of the world and leader of capitalism, Truman drafted the Marshall Plan. The Marshall Plan, which complemented the Truman Doctrine, â€Å"was a program of large scale economic and military aid to Europe. Considered by some, this was the most â€Å"innovative piece of foreign policy in American History. Where over the next four years the United States contributed over $12 billion to a highly successful recovery effort. † The Soviet Union stilled commanded a blockade on highway, rail, and river traffic to West Berlin. As a result, the United States responded by entering into a peacetime military alliance; this being the first time since the American Revolution. The North Atlantic Treaty Organization (NATO) a project costing $1. billion, enabled the basing of all four United States Army divisions into Western Europe. Twelve nations agreed to sign this pact that stated â€Å"an armed attack against one or more of them in Europe or North America shall be considered an attack against them all. † Consequently, a few months later, Stalin â€Å"lifted the blockade which had made the city a symbol of resistance to communism. † Between the creation of NATO, the National Security Act and CIA, and the Marshall Plan, America was dictating their position with Russia and communism. These measures made it possible for Americans to become more comfortable with the Cold War. While all of these governmental policies were being put into action, Americans were settling back into the ideology of family and free enterprise. The post-war period became one of the most exciting in American history. With the rising economy and feeling of consumerism, Americans were rebounding from their efforts in World War II. Capitalism was on the rise and the â€Å"Apple Pie† portrait of middle class suburban families was shaping the country. America was now the wealthiest country in the world and Americans had â€Å"accumulated savings of $140 billion† in 1945. â€Å"Over the next two decades the gross national product more than tripled,† signifying prosperity. Between 1945 and 1960, the gross national product would grow from $213 billion to more than $500 billion, while real income would rise 25 percent. Included in these figures was the percent of American families owning homes, which grew from 43 percent to over 60 percent in this same time period; this created the suburban explosion. This suburban lifestyle was intended to symbolize the superiority of capitalism over communism and imply that the American way of life would win the Cold War. † Americans were again beginning to see the capitalist society they fought for, and the confidence level of the country continued to rise throughout the 1960's. The people cannot create a great nation themselves; great leaders must direct them. Besides the three Presidents who led America throughout the end of World War II and through the Cold War, there were many influential voices that helped to shape the views of the public. Among these influential people was a man named George F. Kennan. He was a member of the United States embassy to the Soviet Union and author of the â€Å"long telegram† which was sent to the heads of state in Washington D. C. In his telegram, Kennan described the Soviets as insecure, inferior, and less advanced than Americans. â€Å"As Russia came into contact with the economically advanced West, fear of more competent, more powerful, more highly organized societies,† was the general message Kennan was trying to get across. Because he saw the country from the inside Kennan also believed the United Sates should † pursue a policy of firm containment†¦ at every point where the Soviets show signs of encroaching upon the interest of a peaceful and stable world. † This opinion and idea of the relationship between the United States and Russia should have been widely accepted by Americans. They backed this idea of aggressive behavior, rather than a passive approach to the Cold War. Conversely, postwar liberal such as Henry Wallace, â€Å"a Progressive Party leader, continued to seek cooperation with the Soviet Union and defended the participation of Communists in their organizations. † These ideals were quickly silenced. The American majority, being extremely anti-communist, felt relations with the Soviet Union should be harsh and firm. This period introduced American dominance in foreign policy. The ideals of personal freedom and opportunity were the driving forces behind Western philosophy throughout the Cold War. Not only were these principles showcased, they were set as the benchmark of equality for the human race.

Martin Luther King

Martin Luther King Martin Luther King was an extremely inspirational Individual, a humanitarian, call rights activist In fact. He led the Montgomery Bus Boycott In 1955, helped CLC In 1957, helped to organism the March on Washington 1 963 in which he presented his ‘l Have a Dream' speech gaining his reputation as one of the greatest orators in American history. King, born son of Reverend Martin Luther King Sir. Spent most of his early life within church, singing amongst the choir in 1939.He attended Booker T. Washington High school, and then attended Morehouse College without officially graduating school. Then graduated from Crower Theological Seminary with a Bachelor of Totally degree 1951 furthermore, gaining his Doctor of Philosophy In 955, achieving an intelligent and large amount of qualifications which, within the time zone, was extremely unusual as segregation was large within America, specifically, the Deep South.King was one of many leaders yet, what made King so highl y respected and celebrated was his passion for change. King is mainly remembered due to his Inspirational speeches ‘l Have a Dream' for example, which he presented during the call rights march on 1963, Washington of August. In which, he gained respect and admiration from people of all races, being referred to as a ‘Moses' by his lieutenants, during his speech aimed for mainly African-Americans and their segregation, calling out with a nonviolent revolution.Kings admiration from many individuals was proven amongst his death, 1968, as the non-violent movement came to an immediate halt. Yet, not everyone agreed with King's tactics, Malcolm X for example, flying King's non-violent approach, stating that ‘If the man puts a hand on you- send him to the cemetery' Portraying that human self-defense should be remissive, many black individuals praised Malcolm X due to this and believed that a man of bravery should fight back, therefore winning his opponents respect.On the ot her hand, although many applauded Malcolm X for his opinion of self-defense, a larger quantity of black individuals favored King's approach portraying that his judgment and approaches were more successful and presented within a better light, creating positivist for change. Martin's many speeches create a ‘hair rising' upshot, touching our hearts and Imaginations, why?King simply used Imagery, as of which a writer would within his books to grab their reader, yet, King's persuasive imagery created a stir of emotional change, causing his listeners to create their perfect world in their heads , a desegregated America. This then resulted in why King's many followers, did follow him, his powerful, persuasive speeches along with his actions that backed up his many promises. One of which, the Montgomery Bus Boycott, 1955, lasting 382 days In which King provided leadership for the demonstration.The NAACP, Women's Political Company and King drafted three demands for the bus company: sea ting is to be available on a first-come, first-serve axis, drivers have more respect towards black passengers and also, black drivers are hired. Almost 20,000 black individuals supported the MOB resulting in numerous buses driven with empty seats due to black people's usual need for bus transport to and from work, The bus company's refusal resulted In the organization of WA: promise as a leader from only twenty-six, King's leadership skills commenced and transformed from this.The Montgomery Bus Boycott eventually ended, resulting in a huge change within Montgomery and Kings life, creating positivist for change within lack communities and sparking Martin's lead to fame and admiration. Following on from this, during the Montgomery Bus Boycott, King had a religious epiphany in which, when praying aloud felt the sudden presence of God, describing this as a never before presence.King explained that this experience redirected him to the pathway of danger of the Boycott and further protest s, despite the threat that portrayed. Ghanaian on the other hand, was another major influence for King. Shindig's policy of non-violence within India; Kings Involvement in civil rights was therefore tryingly related to Protestant faith. The success of the Bus Boycott placed King as president of the CLC (Southern Christian Leadership Conference) in 1957, the ideals, Christianity yet the method of non-violence, Ghanaian.The assassination of Martin Luther King, 4th April 1968, was a shock to many, the recent killing of John F. Kennedy was as great a shock and King's assassination was the final straw. Depression and anger flooded the streets, black individuals protested once again, yet with violence. Molotov cocktails, bricks and guns were aimed towards anything that depicted white schism, once night drew, more than 100,000 black individuals created havoc and chaos across the country.The assassination of Martin Luther King destroyed the words he once spoke, ‘non-violence' Their fi ght for freedom and desegregation which was once a non-violent movement came crashing down perhaps to represent the life they had taken, the man which had persuaded the black community as well as many white individuals to come together, the man who made a change, the man who was widely known and favored was now gone. Martin Luther King, the man who changed the world. Word count: 852 Martin Luther King Alan Mason period 8 Martin Luther King v. Malcolm X Martin Luther King has been known for using peace to help him get equality among all people but especially African-Americans. He was not the type of leader that resorted to violence in order to get the equality that he fought for. King has been known for moving people by the use of his speeches like King's I Have a Dream and Vive Been to the Mountaintop speeches. King shows through these speeches that even though he was determined to get equal rights for every African-American, he as only going to stick to subtle, nonviolent ways like court cases, protest, and boycotts.This philosophy Is the exact opposite to Malcolm X, another Call Rights Leader, who thought that African American should not waste their time on protest and boycotts (Document 7). Malcolm, like King, was not In favor of violence but believe that African Americans should by all meaner use violence to protect themselves when they â€Å"attacked by racists† (Docum ent 9). But, Martin Luther King's philosophy was more beneficial for the African-American community then Malcolm Ax's because the effort that he put into his nonviolent philosophy made gaining rights more successful and more meaningful.Martin Luther King showed that he had the better philosophy compared to Malcolm X because of his stance on violence. One way King upheld his beliefs was through protest. King said in his Our God is Marching speech, â€Å"We are on the move now. The burning of our churches will not deter us. We are on the move now. The bombing of our homes will not dissuade us† (Document 4). So Protesters, including King himself were having their homes burned down for retesting for what they believe is right. In March of 1965 King and other protesters walked in order to raise awareness of the need for a Voting Right Act. This Act was passed later that year.But even though they achieved their goal for voting right does not mean that the protesters did not receive opposition for their actions. Mass arrest, police attacks, and state troopers blockading all occurred throughout the walk. If King chose to fight back then that could have either delayed getting the Voting Right Act approved, or it may have been felt that African-Americans did not deserve to get the Act approved. But King Just showed by obtaining from violence you can still get what you want. Martin Luther King showed that there were other ways to fight for what you want aside form fighting itself.King did this by using boycotts and strikes. He said, â€Å"There Is nothing quite so effective as refusal to cooperate economically with the forces and Institutions. † King realized that one of the ways he was going to get American to give them the rights that African-Americans wanted was by disrupting the flow of money that was going Into the Caucasian shops. This meaner by not buying from places that o not offer Jobs for African-Americans then those businesses would see how much they needed the African-American community, even If It meant having to hire African- American workers.Malcolm X did not agree with boycotts and strikes he said, â€Å"We have to learn how to own and operate the businesses of our community and develop to be involved in picketing and boycotting other people in other communities in order to get a Job† (Document 7). But this idea completely went against the philosophy of being together not separate. If this would have happened then the country would eave always been separate and things would have never been equal.Martin Luther king has been known for using his words instead of his fist when it comes to defending what he many thousands of others believed to be correct. King once said in his I Have a Dream speech that he had a dream that â€Å"former slaves and the sons of former slave owners will be able to sit down together at the table of brotherhood†¦ They will not be Judged by the color of their skin but by their charac ter†¦ We will be able to work together, pray together, to struggle together, to go o Jail together, to climb up for freedom together† (Document 2).King fought for African Americans rights by using his words. He told the people of his desires for and equal and fair life where people could live in harmony with each other and not be judged by their skin tone. He thought of a time where there would be no more separate but equal as were stated prior, people would be able to â€Å"work together†¦ And go to Jail together. † (Document 2) So by using his speeches where thousands of people came to listen to him talk, he moved a nation to be in favor of his reasoning's.In conclusion, Martin Luther Kings philosophy was more beneficial for the African- American community then Malcolm Ax's because the effort that he put into his nonviolent philosophy made gaining rights more successful and more meaningful. King kept up with his no violence idea by participating in other thi ngs that got America's attention like protest, boycotts and speeches. King striver to achieve equality and because of his hard efforts he has succeeded in more ways than one to help African-Americans get the same civil rights as Caucasian Americans. Martin Luther King I admire Martin Luther King Jr. ; his transformational leadership was and remains important throughout American History. He inspired thousands of people with his speeches. His famous speech â€Å"I Had a Dream† shows his leadership style, he was very effective in giving his message. Although many transformational leaders have been remembered in the past decades, Martin Luther King Jr. has created a legacy. If it wasn’t for his transformational leadership, our nation could be in a different mindset overall. He had a way to get people working together rather than fighting. He was quiet and listened slowly while others would speak. His visions developed easily with others to excite and convert followers. His example of a servant leadership is the most important lesson I feel he has left behind. Being a servant leader that offers not only inclusive vision, but listens carefully to others, persuades through reasons and helps while building the community. Believing in others was key to his success. Transformational leaders create visions that inspire and motivate others to strive for a goal in leading others. Martin Luther King was passionate about his visions and was committed to success no matter what he had to face. He was a preacher who believed when people were seeing what the color of your skin was; they were all equal in God’s eyes. One idea that Martin Luther King shared in his message was how freedom could be accomplished without violence. He preached racial equality and wanted a nonviolent world filled with peace. Martin Luther King had an effective way of speaking to people. Usually he spoke to large emotional crowds, encouraging peace. His self-confidence translated to courage. Dr. King had the ability to create and communicate his visions during his speech. His persuasion and demeanor made him an effective leader. He was able to motivate thousands of people who were in desperate need and angry people who acted violently. He changed their perspective and led them to non violent acts. He was direct and honest. He was a man of influence because he knew the existing conditions and focused on changing the culture. It was a challenge to work against angry people who resisted him because he wanted a change. Martin Luther King was successful though his followers, his example of being non-violent and living in peace led his followers to have the same vision and live it. He was able to shift an entre culture by using the transformational leadership style to effectively motivate change throughout the world. Martin Luther King demonstrated his role as a leader by showing how much he cared and putting needs of others first. His way of motivating others with his speech opened optimistic views for his followers. His leadership style reached many people’s lives and gave them an emotional connection, which led to more followers. His message wasn’t only what caught the follower’s attention, but his level of education qualified him to be a respected leader. Many African Americans at the time were not graduating high school, yet he had a PhD from a respected school named Boston University. As we’ve learned transformational leaders also show Individual consideration in the same way – â€Å"Leaders also mentor followers by teaching and sharing knowledge and skills in addition to showing emotional concern and support†. (Weiss, 2012). Martin Luther King also showed Individualized consideration to his followers, and it was well trusted by his followers. Martin Luther King Jr. included ethical standards to consistently attempt to â€Å"do the right thing’. Leaders using their vision to inspire and transform will show in their actions. He was known to practice the same leadership he preached. Martin Luther King always spoke about the hopes and aspirations of his followers. His actions appealed to peoples highest standards of ethics and morality which is where most of his decisions came from. Great leaders possess high ethical standards and set examples for their followers who do the right thing. Martin Luther King Martin Luther King Martin Luther King was an extremely inspirational Individual, a humanitarian, call rights activist In fact. He led the Montgomery Bus Boycott In 1955, helped CLC In 1957, helped to organism the March on Washington 1 963 in which he presented his ‘l Have a Dream' speech gaining his reputation as one of the greatest orators in American history. King, born son of Reverend Martin Luther King Sir. Spent most of his early life within church, singing amongst the choir in 1939.He attended Booker T. Washington High school, and then attended Morehouse College without officially graduating school. Then graduated from Crower Theological Seminary with a Bachelor of Totally degree 1951 furthermore, gaining his Doctor of Philosophy In 955, achieving an intelligent and large amount of qualifications which, within the time zone, was extremely unusual as segregation was large within America, specifically, the Deep South.King was one of many leaders yet, what made King so highl y respected and celebrated was his passion for change. King is mainly remembered due to his Inspirational speeches ‘l Have a Dream' for example, which he presented during the call rights march on 1963, Washington of August. In which, he gained respect and admiration from people of all races, being referred to as a ‘Moses' by his lieutenants, during his speech aimed for mainly African-Americans and their segregation, calling out with a nonviolent revolution.Kings admiration from many individuals was proven amongst his death, 1968, as the non-violent movement came to an immediate halt. Yet, not everyone agreed with King's tactics, Malcolm X for example, flying King's non-violent approach, stating that ‘If the man puts a hand on you- send him to the cemetery' Portraying that human self-defense should be remissive, many black individuals praised Malcolm X due to this and believed that a man of bravery should fight back, therefore winning his opponents respect.On the ot her hand, although many applauded Malcolm X for his opinion of self-defense, a larger quantity of black individuals favored King's approach portraying that his judgment and approaches were more successful and presented within a better light, creating positivist for change. Martin's many speeches create a ‘hair rising' upshot, touching our hearts and Imaginations, why?King simply used Imagery, as of which a writer would within his books to grab their reader, yet, King's persuasive imagery created a stir of emotional change, causing his listeners to create their perfect world in their heads , a desegregated America. This then resulted in why King's many followers, did follow him, his powerful, persuasive speeches along with his actions that backed up his many promises. One of which, the Montgomery Bus Boycott, 1955, lasting 382 days In which King provided leadership for the demonstration.The NAACP, Women's Political Company and King drafted three demands for the bus company: sea ting is to be available on a first-come, first-serve axis, drivers have more respect towards black passengers and also, black drivers are hired. Almost 20,000 black individuals supported the MOB resulting in numerous buses driven with empty seats due to black people's usual need for bus transport to and from work, The bus company's refusal resulted In the organization of WA: promise as a leader from only twenty-six, King's leadership skills commenced and transformed from this.The Montgomery Bus Boycott eventually ended, resulting in a huge change within Montgomery and Kings life, creating positivist for change within lack communities and sparking Martin's lead to fame and admiration. Following on from this, during the Montgomery Bus Boycott, King had a religious epiphany in which, when praying aloud felt the sudden presence of God, describing this as a never before presence.King explained that this experience redirected him to the pathway of danger of the Boycott and further protest s, despite the threat that portrayed. Ghanaian on the other hand, was another major influence for King. Shindig's policy of non-violence within India; Kings Involvement in civil rights was therefore tryingly related to Protestant faith. The success of the Bus Boycott placed King as president of the CLC (Southern Christian Leadership Conference) in 1957, the ideals, Christianity yet the method of non-violence, Ghanaian.The assassination of Martin Luther King, 4th April 1968, was a shock to many, the recent killing of John F. Kennedy was as great a shock and King's assassination was the final straw. Depression and anger flooded the streets, black individuals protested once again, yet with violence. Molotov cocktails, bricks and guns were aimed towards anything that depicted white schism, once night drew, more than 100,000 black individuals created havoc and chaos across the country.The assassination of Martin Luther King destroyed the words he once spoke, ‘non-violence' Their fi ght for freedom and desegregation which was once a non-violent movement came crashing down perhaps to represent the life they had taken, the man which had persuaded the black community as well as many white individuals to come together, the man who made a change, the man who was widely known and favored was now gone. Martin Luther King, the man who changed the world. Word count: 852 Martin Luther King Martin Luther King Martin Luther King was an extremely inspirational Individual, a humanitarian, call rights activist In fact. He led the Montgomery Bus Boycott In 1955, helped CLC In 1957, helped to organism the March on Washington 1 963 in which he presented his ‘l Have a Dream' speech gaining his reputation as one of the greatest orators in American history. King, born son of Reverend Martin Luther King Sir. Spent most of his early life within church, singing amongst the choir in 1939.He attended Booker T. Washington High school, and then attended Morehouse College without officially graduating school. Then graduated from Crower Theological Seminary with a Bachelor of Totally degree 1951 furthermore, gaining his Doctor of Philosophy In 955, achieving an intelligent and large amount of qualifications which, within the time zone, was extremely unusual as segregation was large within America, specifically, the Deep South.King was one of many leaders yet, what made King so highl y respected and celebrated was his passion for change. King is mainly remembered due to his Inspirational speeches ‘l Have a Dream' for example, which he presented during the call rights march on 1963, Washington of August. In which, he gained respect and admiration from people of all races, being referred to as a ‘Moses' by his lieutenants, during his speech aimed for mainly African-Americans and their segregation, calling out with a nonviolent revolution.Kings admiration from many individuals was proven amongst his death, 1968, as the non-violent movement came to an immediate halt. Yet, not everyone agreed with King's tactics, Malcolm X for example, flying King's non-violent approach, stating that ‘If the man puts a hand on you- send him to the cemetery' Portraying that human self-defense should be remissive, many black individuals praised Malcolm X due to this and believed that a man of bravery should fight back, therefore winning his opponents respect.On the ot her hand, although many applauded Malcolm X for his opinion of self-defense, a larger quantity of black individuals favored King's approach portraying that his judgment and approaches were more successful and presented within a better light, creating positivist for change. Martin's many speeches create a ‘hair rising' upshot, touching our hearts and Imaginations, why?King simply used Imagery, as of which a writer would within his books to grab their reader, yet, King's persuasive imagery created a stir of emotional change, causing his listeners to create their perfect world in their heads , a desegregated America. This then resulted in why King's many followers, did follow him, his powerful, persuasive speeches along with his actions that backed up his many promises. One of which, the Montgomery Bus Boycott, 1955, lasting 382 days In which King provided leadership for the demonstration.The NAACP, Women's Political Company and King drafted three demands for the bus company: sea ting is to be available on a first-come, first-serve axis, drivers have more respect towards black passengers and also, black drivers are hired. Almost 20,000 black individuals supported the MOB resulting in numerous buses driven with empty seats due to black people's usual need for bus transport to and from work, The bus company's refusal resulted In the organization of WA: promise as a leader from only twenty-six, King's leadership skills commenced and transformed from this.The Montgomery Bus Boycott eventually ended, resulting in a huge change within Montgomery and Kings life, creating positivist for change within lack communities and sparking Martin's lead to fame and admiration. Following on from this, during the Montgomery Bus Boycott, King had a religious epiphany in which, when praying aloud felt the sudden presence of God, describing this as a never before presence.King explained that this experience redirected him to the pathway of danger of the Boycott and further protest s, despite the threat that portrayed. Ghanaian on the other hand, was another major influence for King. Shindig's policy of non-violence within India; Kings Involvement in civil rights was therefore tryingly related to Protestant faith. The success of the Bus Boycott placed King as president of the CLC (Southern Christian Leadership Conference) in 1957, the ideals, Christianity yet the method of non-violence, Ghanaian.The assassination of Martin Luther King, 4th April 1968, was a shock to many, the recent killing of John F. Kennedy was as great a shock and King's assassination was the final straw. Depression and anger flooded the streets, black individuals protested once again, yet with violence. Molotov cocktails, bricks and guns were aimed towards anything that depicted white schism, once night drew, more than 100,000 black individuals created havoc and chaos across the country.The assassination of Martin Luther King destroyed the words he once spoke, ‘non-violence' Their fi ght for freedom and desegregation which was once a non-violent movement came crashing down perhaps to represent the life they had taken, the man which had persuaded the black community as well as many white individuals to come together, the man who made a change, the man who was widely known and favored was now gone. Martin Luther King, the man who changed the world. Word count: 852 Martin Luther King Alan Mason period 8 Martin Luther King v. Malcolm X Martin Luther King has been known for using peace to help him get equality among all people but especially African-Americans. He was not the type of leader that resorted to violence in order to get the equality that he fought for. King has been known for moving people by the use of his speeches like King's I Have a Dream and Vive Been to the Mountaintop speeches. King shows through these speeches that even though he was determined to get equal rights for every African-American, he as only going to stick to subtle, nonviolent ways like court cases, protest, and boycotts.This philosophy Is the exact opposite to Malcolm X, another Call Rights Leader, who thought that African American should not waste their time on protest and boycotts (Document 7). Malcolm, like King, was not In favor of violence but believe that African Americans should by all meaner use violence to protect themselves when they â€Å"attacked by racists† (Docum ent 9). But, Martin Luther King's philosophy was more beneficial for the African-American community then Malcolm Ax's because the effort that he put into his nonviolent philosophy made gaining rights more successful and more meaningful.Martin Luther King showed that he had the better philosophy compared to Malcolm X because of his stance on violence. One way King upheld his beliefs was through protest. King said in his Our God is Marching speech, â€Å"We are on the move now. The burning of our churches will not deter us. We are on the move now. The bombing of our homes will not dissuade us† (Document 4). So Protesters, including King himself were having their homes burned down for retesting for what they believe is right. In March of 1965 King and other protesters walked in order to raise awareness of the need for a Voting Right Act. This Act was passed later that year.But even though they achieved their goal for voting right does not mean that the protesters did not receive opposition for their actions. Mass arrest, police attacks, and state troopers blockading all occurred throughout the walk. If King chose to fight back then that could have either delayed getting the Voting Right Act approved, or it may have been felt that African-Americans did not deserve to get the Act approved. But King Just showed by obtaining from violence you can still get what you want. Martin Luther King showed that there were other ways to fight for what you want aside form fighting itself.King did this by using boycotts and strikes. He said, â€Å"There Is nothing quite so effective as refusal to cooperate economically with the forces and Institutions. † King realized that one of the ways he was going to get American to give them the rights that African-Americans wanted was by disrupting the flow of money that was going Into the Caucasian shops. This meaner by not buying from places that o not offer Jobs for African-Americans then those businesses would see how much they needed the African-American community, even If It meant having to hire African- American workers.Malcolm X did not agree with boycotts and strikes he said, â€Å"We have to learn how to own and operate the businesses of our community and develop to be involved in picketing and boycotting other people in other communities in order to get a Job† (Document 7). But this idea completely went against the philosophy of being together not separate. If this would have happened then the country would eave always been separate and things would have never been equal.Martin Luther king has been known for using his words instead of his fist when it comes to defending what he many thousands of others believed to be correct. King once said in his I Have a Dream speech that he had a dream that â€Å"former slaves and the sons of former slave owners will be able to sit down together at the table of brotherhood†¦ They will not be Judged by the color of their skin but by their charac ter†¦ We will be able to work together, pray together, to struggle together, to go o Jail together, to climb up for freedom together† (Document 2).King fought for African Americans rights by using his words. He told the people of his desires for and equal and fair life where people could live in harmony with each other and not be judged by their skin tone. He thought of a time where there would be no more separate but equal as were stated prior, people would be able to â€Å"work together†¦ And go to Jail together. † (Document 2) So by using his speeches where thousands of people came to listen to him talk, he moved a nation to be in favor of his reasoning's.In conclusion, Martin Luther Kings philosophy was more beneficial for the African- American community then Malcolm Ax's because the effort that he put into his nonviolent philosophy made gaining rights more successful and more meaningful. King kept up with his no violence idea by participating in other thi ngs that got America's attention like protest, boycotts and speeches. King striver to achieve equality and because of his hard efforts he has succeeded in more ways than one to help African-Americans get the same civil rights as Caucasian Americans.

Nursing Practice and Profession

Nurses who are sensitive to the legal dimensions of practice are careful to develop a strong sense of both ethical and legal accountability. Competent practice is a nurses’ best legal safeguard. When working to develop ethical and legal accountabilities, nurses must recognize that both deficiencies and or excesses of responsible caring are problematic. Although it is reasonable to hold oneself accountable for promoting the human well being of the patients, nurses can err by setting unrealistic standards of responsiveness and responsibility for themselves. Prudence is always necessary to balance responsible self care with care for others. Inexperienced nurses might feel totally responsible for effecting patient outcomes beyond their control and become frustrated and sad when unable to produce the desired outcome Conversations about what is reasonable to hold ourselves and others accountable for are always helpful.Each employing institution or agency providing nursing service ha s an obligation to establish a process for reporting and handling practices by individual or by health care systems that jeopardizes a patient’s health or safety. The American Nurses Association code of Ethics obligates nurses to report professional conduct that is incompetent, unethical or illegal. For nurses, incompetent practice in measured by nursing standards, unethical practice is evaluated in light of the professional codes of ethics, while illegal practice is identified in terms of violation of federal legislations and laws.Nurses must respect the accountability and responsibility inherent in their roles.   They have the moral obligations in the provision of nursing care, hence they collaborate with other health care providers in providing comprehensive health care, recognizing the perspective and expertise of each member.   Nurses have a moral right to refuse to participate in procedures that may violate their own personal moral conscience since they are entitled to conscientious objection. They must keep all information obtained in a professional capacity confidential and employ professional judgment in sharing this information on a need to know basis.Nurses are expected to protect individuals under their care against lack of privacy by confining their verbal communications only to appropriate personnel; settings, and to professional purposes. They are obliged to adhere to practice that limits access to personal records to appropriate personnel. They must value the promotion of a social as well as economic environment that supports and sustains health and well-being. It includes the involvement in the detection of ill effects of the environment on the health of the patient as well as the ill effects of human activities to the natural environment.They must acknowledge that the social environment in which the patient inhabits has an impact on health. Nurses must respect the rights of individuals to make informed choices in relation to their care. They have this responsibility to inform individuals about the care available to them, and the choice to accept or reject that care.   If the person is not able to speak for themselves, nurses must ensure the availability of someone to represent them. It is vital to respect the decisions made concerning the individual’s care.   Standards of care are one measure of quality.   Quality nursing care provides care by qualified individuals.Likewise, the individual needs, values, and culture of the patient relative to the provision of nursing care is important to be respected and considered hence it should not be compromised for reasons of ethnicity, gender, spiritual values, disability, age, economic, social or health status, or any other grounds.   Respect for an individual’s needs includes recognition of the individual’s place in a family and the community. It is due to this reason that others should be included in the provision of care, most significan tly the family members. Respect for needs, beliefs and values includes culturally sensitive care, and the need for comfort, dignity, privacy and alleviation of pain and anxiety as much as possible.â€Å"Evidence-based practice (EBP) is a problem solving approach to clinical practice that integrates the conscientious use of best evidence in combination with a clinician’s expertise as well as patient preferences and values to make decisions about the type of care that is provided† (Melnyk, 2004). Quality of care outcomes refers to accuracy and relevance demonstrated by the decisions concerning the need for medical and surgical intervention. Evidence of appropriateness in healthcare is necessary to improve health outcomes, balance costs, provide guidance to physicians and meet the need of the new informed health consumer. Appropriateness is unlike effectiveness since the later refers to the degree in which an intervention achieves the objectives set (Muir Gray, 1997). One criterion of appropriateness is that of necessity.As technology and improved methods of care has advanced, access to appropriate interventions should likewise improve. Today some interventions are still limited such as magnetic resonance imaging (MRI) in rural communities and since access to this technology is limited, a criterion of necessity is used to determine who is able to access and how quickly. Therefore although use of MRI may be appropriate in diagnostics, it may be underused. Advancements in technology, interventions and clinical research will provide updated evidence which in turn would affect ratings of appropriateness (Muir Gray, 1997).Clinical guideline statements are developed from evidence to assist healthcare practitioners in making appropriate health interventions (Woolf, Grol, Hutchinson, Eccles & Grimshaw, 1999). The clinical guideline may be a general statement or concise instruction on which diagnostic test to order or how best to treat a specific condition. The purpose of clinical guidelines is as a tool for making decisions that will result in more consistent and efficient care. Guidelines are not rules nor are they mandatory. The benefits of clinical guidelines include: Improved health outcomes; Increased beneficial/appropriate care; Consistency of care; Improved patient information; Ability to positively influence policy; Provide direction to health care practitioners;ReferencesAgency of Healthcare Research and Quality. (n.d.). Outcomes research fact sheet. [Online].Available: http://www.ahcpr.gov/clinic/outfact.htmBrook, R.H. (1994). Appropriateness: The next frontier. [Online]. Available:http://www.bmj.com/cgi/content/full/308/6923/218?ijkey=t7GNbMJu0NIhAFitch, K., Bernstien, S. J., Aguilar, M. D., Burand, B., LaCalle, J. R., Lazaro, P. van het Loo,McDonnell, J., Vader, J. P., & Kahan, J. P. (2001). The RAND/UCLA appropriatenessmethod user’s manual. [Online]. Available:http://www.rand.org/publications/MR/MR1269?John A. Hart ford Foundation. (n.d.). [Online]. Available:   http://www.jhartfound.org/Muir Gray, J.A. (1997). Evidence-based healthcare: How to make health policy and managementdecisions, New York: Churchill Livingstone.Woolf, S. H., Grol, R., Hutchinson, A., Eccles, M., & Grimshaw, J. (1999). Clinical guidelines:Potential benefits, limitations and harms of clinical guidelines. [Online]. Available:http://www.bmj.com/cgi/content/full/318/7182/527?