CRIMINAL AND CIVIL LAW IN HEALTH CARE Essay Example | Topics and Well Written Essays - 500 words - 3

CRIMINAL AND CIVIL LAW IN HEALTH CARE - Essay Example Due to continued swelling and pain, Arthur consulted another physician who finally diagnosed a fracture. Based on this, Arthur sued the hospital for negligence. The hospital requested the court to deliver summary judgment on the plea that physicians who treated Arthur were not employees of the hospital but they were working in the independent capacity as contractors. All reports, bills, x-rays and other documents provided to the Arthur carried the logo of the hospital and in no way, Arthur was informed that physicians with whom he was taking treatment were working as independent contractors in the Hospital. The court took judicial notice of the available common facts and took a stand that it was obvious on part of the patient/plaintiff to believe that all physicians were employees of the hospital while taking any treatment there. In Milton Bieber vs. Dr. Ash and St. Joseph Hospital case, Bieber filed a claim for physical damages against the doctor and hospital during his radiation treatment in the hospital. As a result, Dr. Ash filed a motion for summary judgment in the trial court and after the hearing the trial court granted summary judgment to Dr. Ashs motion. The trial court also granted hospital, on its motion, summary judgment. On this, Milton Bieber filed an appeal against these summary judgments in the Court of Appeal. The California Court of Appeal reversed one of the summary judgments that was granted in favor of the hospital; however, affirmed the other one in favor of Dr. Ash. The court took this view because Bieber was perfectly in good health after his surgery but it was the radiation treatment that caused him injury. According to the court, the hospitals motion could not shift burden to Milton as he alleged for the negligence on hospital while taking radiation therapy there (The Free Library,

Case study (Public relations) Essay Example | Topics and Well Written Essays - 1000 words

Case study (Public relations) - Essay Example Farmers consider blocking drillers from entering their farms; however, this is not easy since the company may sue them. Particularly, the farmers worry that the extraction will considerably affect sustainable farming. For instance, Mr. Back indicates that the practice would compromise his organic farming and force him to adopt chemical farming. Therefore, Mr. Back does not find the idea rational; hence, he is ready to engage in violent actions. Additionally, a concern arises that the procedure ought to weaken the aquifers. Phillip Jays, a landowner at Dulacca vows that he can never let the extractors into their land unless he is hugely compensated. Notably, he is surprised that the world has failed to learn from the earlier 10-year drought and wants to create another. Chinchilla, a farmer at Dane clarifies the issues associated with the case when he observes that there is no option besides confronting the practice based on unwarranted consequences. Chinchilla proposes an ideal solution to the case when he accounts that the companies can collaborate with farmers in promoting sustainable exploitation; however, engaging in dictatorial operations will not work for the company. In the case, the farmers occupy the position of the primary stakeholders since they present the most affected group. The extraction is threatening farmers’ activities since it has the potential of lowering the productivity of their farms (Poonia, 2010). Secondary stakeholders in the case include the bodies involved in the environment conservation particularly the Basin Sustainability Alliance (BSA) and the Friends of the Earth. The extraction activities contravene the interest of these environment organizations. The need of addressing the matter on the ground is apparent. Differences presented by the parties undermine the company’s activities. This plan aims at responding to the issues raised in the case by availing the

Reflecting On Prioritising Personal Development And Patient Care Nursing Essay

Reflecting On Prioritising Personal Development And Patient Care Nursing Essay For the purpose of this essay, I will use Gibbs (1988) Reflective Learning Cycle to reflect on an aspect of individual professional practice, which requires development in preparation for my role as a Registered Nurse. Gibbs (1988) Reflective Learning Cycle encourages a clear description of a situation, analysis of feelings, evaluation of the experience and analysis to make sense of the experience to examine what you would do if the situation arose again. To keep within the Nursing and Midwifery Council (NMC) Code of Professional Conduct guidelines (2008a) and to maintain confidentiality the use of names or places will not be used throughout this essay. Description Whilst on placement working on a general ward during my third year I was asked to research a drug I was unsure about by my mentor. On my way to research the drug I was approached by a health care assistant who asked me if I could assist her with a patient who was lying in a soiled bed. I chose to help the health care assistant as I thought this was priority as I could look up the drug at any point in the day as it was for my own learning and development and wasnt urgent. After I had helped the health care assistant, my mentor asked if I had researched the drug. I explained that I had gone to help the health care assistant and would now look up the drug, which I then did. My mentor then told me that I needed to improve on my time management, as I had not looked up the drug when she asked me to. She carried on explaining that when I become a Registered Nurse I would need to know drugs and what they are used for. This situation left me questioning which was the priority, the patients ne eds or my own professional learning and development. Feelings I automatically assisted the health care assistant in making the patient comfortable as I felt that this was the priority over researching the drug. I remember thinking that I could do this at home if the ward became busy. I felt annoyed with myself for not speaking up to my mentor about the issue as I had thought I had made the right decision to help the patient. I was concerned about the patients comfort and felt I could not justify leaving the patient lying in a soiled bed because I had to research a drug. Nurses need to be able to justify the decisions they make (NMC 2008a). After the incident, being told by my mentor that I needed to improve on my time management skills because I chose to assist the health care assistant confused me a little. This practice experience made me feel as though I needed to learn and develop more regarding my time management skills. I decided I would have to research into the meaning of time management as I thought that my time management skills were fine. I was always on time for my shift and I would make a list of the jobs I needed to do and prioritise them. This experience made me question how I was prioritising my workload at present. Evaluation I chose to assist the health care assistant in ensuring the patient was clean and comfortable and felt that this was the priority in this situation. As an accountable practitioner the NMC (2008a) states you must make the care of people your first concern, treating them as individuals and respecting their dignity which I did. I could understand what my mentor was explaining to me, that as a Registered Nurse I must be able to know what different drugs are and what they are used for. As an accountable practitioner, I must have the knowledge and skills for safe and effective practice when working without direct supervision, recognize, and work within the limits of my competence. I must also keep my knowledge and skills up to date throughout my working life and I must take part in appropriate learning and practice activities that maintain and develop my competence and performance (NMC 2008a). Post-registration education and practice (Prep) is a set of Nursing Midwifery Council standards and guidance, which is designed to help you provide a high standard of practice and care. Prep helps you to keep up to date with new developments in practice and encourages you to think and reflect for yourself. It also enables you to demonstrate to the people in your care, your colleagues and yourself that you are keeping up to date and developing your practice. Prep provides an excellent framework for your continuing professional development (CPD), which, although not a guarantee of competence, but is a key component of clinical governance (NMC 2008b). Following this experience my concern was which is the priority and which was not and that if I had have researched the drug I would have been leaving the patient in a soiled bed until I had done it. Analysis As Individuals, we do not invent the concept of time, but we learn about it, both as a concept and a social institution, from childhood onwards. In the Western world, time has been constructed around devices of measurement, such as clocks, calendars and schedules (Elias 1992). A study by Waterworth (1995) explored the value of nursing practice from the viewpoint of practitioners, she identified that time with patients is important, but raises the question of how nurses manage their time. The importance of time management will strike me at some point in my career as a Registered Nurse. I will be inundated with work and I will need to evaluate how to manage my time effectively. Time management is a dynamic process. It is constant actions and communications between you and your goals and dealing with changing situations (Brumm 2000). Time management tends to go hand in hand with good prioritisation skills, which mean managing your time, deciding upon priorities and planning accordingly, this can be one of the most difficult skills to acquire (Hole 2009). Managing time appropriately will reduce stress and increase productivity. There are three basic steps to time management. The first step requires time to be set aside for planning and establishing priorities. The second step requires completing the highest priority task whenever possible and finishing one task before you start another. In the final step the nurse must reprioritise what tasks will be accomplished based on new information received (Marquis and Huston 2009). We use planning in all aspects of our lives. In nursing, we often call it a care plan, and nurses use this process to guide their practice. The nursing process, or Assess, Plan, Implement and evaluate (APIE), can be used successfully as a time management tool. APIE is a systematic, rational method of planning and providing care but if you change, the meaning to read it is a systematic, rational method of planning and accomplishing a workable time management plan this can be a great tool for nurses to use to manage their time effectively (Brumm 2000). Assess/Analyze Collect and organise data and form a statement of actual or potential time management needs. Plan/Prioritize Formulate your plan. This involves devising goals and expected outcomes, setting priorities, and identifying interventions to help reach the goals. Implement/Intervene Put your plan into action. Evaluate Assess your outcomes and see how you measure up against your goals. There will be constant demands on my time and attention and it may be difficult to identify exactly what my priorities should be. In patient care, priorities can change rapidly and I will need to be able to constantly re-assess situations and respond appropriately. Priority setting is the process of establishing a preferential sequence for addressing nursing interventions. The nurse begins planning by deciding which intervention requires attention first, which second and so on. Instead of rank-ordering interventions, nurses can group them as having high, medium, and low priority. Life threatening problems such as loss of respiratory or cardiac function are designated as high priority. Health-threatening problems, such as acute illness and decreased coping ability, are assigned medium priority because they may result in delayed development or cause destructive physical or emotional changes. A low-priority problem is one that arises from normal developmental needs or that requires only minimal nursing support (Kozier et al 2008). The assumption is that priorities can be determined, and decisions made as to what is most important, and that this can be followed by appropriate nursing actions. To establish priorities is to question what will be the consequence if this is not done immediately. During this experience questioning what will be the consequence of not helping the health care assistant? The patient would have had to wait whilst I researched the drug and would have been left lying in urine and faeces. This could cause skin excoriation to the patient and they would have been left uncomfortable and undignified. I would not have been providing a high standard of practice and care as stated in the NMC (2008a) and I could be held accountable for this as a Registered Nurse. Urinary incontinence and faecal incontinence should be managed in a manner that is unobtrusive, reliable, and comfortable. The patient will need to be attended to quickly, in order to prevent skin damage, relieve discomfort and restore dignity. Nurses need to be aware of the potential skin problems that may result from incontinence (Baillie 2005). The presence of moisture from urine and sweat increases friction and shear, skin permeability and microbial load (Jeter and Lutz 1996). If a patient has been incontinent of urine and faeces, their interaction can result in the formation of ammonia, leading to a rise in pH and an increase in the activity of faecal enzymes that damage the skin (Baillie 2005). The importance of changing a soiled product promptly in cases of faecal incontinence to prevent skin excoriation has also been emphasised by Gibbons (1996). I must act at all times to identify and minimise risk to patients and clients (NMC 2008a). A research article and news story about student nurses and bedside care produced a phenomenal response on nursingtimes.net. The study authors Helen Allan and Pam Smith (2010) speak out  saying that given the current pressures, qualified nurses are unable to deliver bedside care. The perception is that technical care is valued over and above bedside care as a source of learning for students future roles, leaving them feeling unprepared to be registered nurses. Their research showed that students conceptualize nursing differently to qualified staff because of an intensified division of labour between registered and non-registered nursing staff. As students, we often observe health care assistants performing bedside care and registered nurses undertaking technical tasks. The absence of clear role models leads students to question bedside care as part of their learning and to put greater value on learning technical skills. In relation to my reflective experience my mentor suggested the technical task in researching the drug was the priority in relation to the bedside care of the patient therefore it is not surprising to find that student nurses are unclear as to what is a source of learning in preparation for our roles as Registered Nurses. Helping patients with personal hygiene is one of the most fundamental and crucial relationship-building skills available to nurses, regardless of their seniority and clinical experience, student nurses should embrace these opportunities while we do not have the other time pressures and we can then reflect on our experiences. These skills will prove invaluable in delivering, overseeing and evaluating meaningful, holistic care (Bowers 2009). Registered Nurses hold a position of responsibility and other people rely on them. They are professionally accountable to the Nursing and Midwifery Council (NMC), as well as having a contractual accountability to their employer and are accountable to the law for their actions. The NMC (2008a) code states that As a professional, you are personally accountable for actions and omissions in your practice and must always be able to justify your decisions. The NMC (2008a) code outlines the standards that I must work according to, what is expected of me as a registered professional by colleagues, employers, and members of the public. It also outlines what my professional responsibilities and accountabilities are. I may sometimes be faced with situations, which will require me to challenge, and question things that they are asking me to do if I feel that these things are unsafe or are not in the best interests of the patient or organisation. It is well recognised that it can be difficult to address these issues due to factors such as fear of the consequences, embarrassment, and lack of support like in my experience as mentioned above. Semple and Kenkre (2002) point out that the UKCC (2001) [now the NMC] reported the research of Moira Attree, which highlighted that fact that nurses are often reluctant to raise concerns about standards of care because they feared either inaction or retribution from employers. Nurses may also be inhibited b y fears of being ostracised by the team if deciding to speak out against poor practice. This is another aspect of my individual professional practice, which requires development, and I will try to question situations in the future if I feel they are not in the best interests of the patient. Being overwhelmed by work and time constraints will lead to increased errors, the omission of important tasks and general feelings of stress and ineffectiveness. Time management is a skill, which is learned and improves with practice (Marquis and Huston 2009). Literature on time management in nursing is mainly unreliable, providing a number of tips on how to manage time, along with descriptions of processes or strategies. The order for thinking about the process varies, ranging from setting objectives as the first step to working out how time is being used with the aid of time logs (Waterworth 2003). Determining the importance of tasks or priorities is part of the process, although the stage at which this should occur varies between authors. The main theme in literature is that nurses need to think about their own time management, with the main message being that individual nurses can manage their time. The reality of time management in nursing practice has been subject to experimental investigations, although studies on nurses work organization have found time management problematic, with nurses compensating for lack of time by developing strategies in an attempt to complete their work (Bowers et al. 2001). Conclusion Time management is a dynamic process and tends to go hand in hand with good prioritising skills. If you cannot prioritise you, will waste time and be inefficient. This can cause stress to yourself and your fellow team members, as well as causing potential harm to your patients. An efficient way to organising your time can be to use the nursing process as explained in the essay to Analyze, Prioritize, Intervene and evaluate. After my research into time management and prioritising, I believe that my mentor was wrong to question my time management skills. I had thought about which was the greater priority in this situation and I still believe that the patient was. The patient would have been at risk from skin excoriation and would have been left uncomfortable and undignified. As a Registered Nurse, I will be accountable for my actions and in the future, if the same situation arose again I feel that I would not do anything different other than to speak up and justify my decisions. I identified and minimised risk to that patient and as a Registered Nurse, I will hold a position of responsibility and other people will rely on me. Although saying this, my priorities as a Registered Nurse may be different to those as a student nurse and my continuing professional development will be extremely important. I must make the care of my patients my first concern at all times, treating them as individuals and respectin g their dignity (NMC 2008a). Action Plan With the increasing emphasis on efficiency and effectiveness in health care, how I manage my time will be an important consideration. Time management is recognized as an important component of work performance and nursing practice. As a newly qualified Registered Nurse, I will have to have excellent time management skills and be able to prioritise care appropriately. To achieve this I will: Break down my day to find out how long it takes me to do certain tasks. Using the nursing process as a tool, I will write a list in priority order and cross of tasks as they are completed and I will keep evaluating my list during the shift. I will delegate tasks to other members of the team where necessary. Through the reflection of this experience, I am now aware that I also need more development to challenge and question things that I feel are not in the best interests of the patients. To achieve this I will: I will speak up and justify my actions at all times. I will research more into assertiveness and confidence skills.

Kerouac :: essays research papers

Born on March 12, 1922, the youngest of three children in a French-Canadian family that had established itself in Lowell, Massachusetts, Jack Kerouac was by the age of ten already aiming to become a writer. His father ran a print shop and published a local newsletter called the Spotlight. Before long he began writing and producing his own sport sheet, which he sold to friends and acquaintances in Lowell. He attended both Catholic and public schools, and won athletic scholarships to the Horace Mann prep school (in New York) and then to Columbia University. In New York he fell in with fellow literary-icons-to-be Allen Ginsberg, the poet, and William S. Burroughs, the novelist. A broken leg hobbled his college football career, and Kerouac quit Columbia in his sophomore year, eventually joining the merchant marine and then Navy (from which he was discharged). Thus began the restless wandering that would characterize both his legacy and his life.   Ã‚  Ã‚  Ã‚  Ã‚  To Kerouac, â€Å"Beat† – a shorthand term for â€Å"beatitude† and the idea that the downtrodden are saintly – was not about politics but about spirituality and art. The thirty published and unpublished books he wrote from 1941 to 1969 include Kerouac’s thirteen-volume, more or less autobiographical â€Å"Legend of Duluoz† – a study of a particular lifetime, his own, in the manner of Honore’ de Balzac’s Human Comedy or Marcel Poust’s Remembrance of Things Past.   Ã‚  Ã‚  Ã‚  Ã‚  Kerouac set out to become the quintessential literary mythmaker of postwar America, creating his â€Å"Legend of Duluoz† by spinning poetic tales about his adventures. â€Å"I promise I shall never give up, and that I’ll die yelling and laughing,† Kerouac wrote in his diary in 1949. â€Å"And that until then I’ll rush around this world I insist in holy and pull at everyone’s lapel and make them confess to me and to all.† At the time when Norman Mailer was playing sociologist by studying â€Å"whit Negro† hipsters, Kerouac sought to depict his fascinatingly inchoate friend Neal Cassady as the modern-day equivalent of the Wild West legends Jim Bridger, Pecos Bill, and Jesse James. Like the Lowell boy he never quite ceased to be, Kerouac saw football players and range-worn cowboys as the paragons of true America; his diaries teem with references to â€Å"folk heroes† and praise for Zane Grey’s honest drif ters, Herman Melville’s confidence men, and Babe Ruth’s feats on the diamond and in the barroom. Kerouac brought Cassady into the American mythical pantheon as â€Å"the mad Ahab at the wheel,† compelling others to join his roaring drive across Walt Whitman’s patchwork Promise Land.

Assignment Task

Introduction to healthier food and Special diets. Task A- Healthier dish Traditional dish: Burger and chips with coke. Vs.. Healthier dish: Vegetarian burger with homemade chips and fruit smoothie. Traditional Dish Healthier Dish Beef burger Vegetarian burger Fried chips Homemade oven cooked chips Coke Fruit smoothie To make the dish healthier I would also- Cook the burger under the grill instead of cooking It In 011; this reduces the extra fat content. Homemade oven cooked chipsUsing homemade chips that oven cooked is much healthier than deep fat frying chips as the oil used is full of saturated fat and can lead to health problems such as obesity, heart problems, only if eaten regularly. Coke Coke is high in sugar which can cause health problems such as weight gain. Even diet coke contains aspartame which is a sugar substitute, the e-numbers in the coke will cause children to become hyper. Replacing coke with a fruit smoothie will benefit your diet lots as It's full of vitamins and very low In calories as are all of the healthier options.Which nutritional guideline is being met? – Your GAG is being met as the calorie intake is considerably lower than if you had the traditional' burger and chips with a coke. The recommended daily allowance for a man is around 2500 calories for a woman its 2,000 calories, an example of how many calories are in a burger, fries, and a coke from burger king Is around 1000 calories for a small portion. Sources used to find current nutritional guidelines: Information on calories- http://www. Has. UK/chi/pages/1126. Asps? Doctorate=51 &subcategoryid=165 Burger king Info http://w. NM. BC. Com/en/us/menu-nutrition/landed. HTML Info on coke http://www. Coca-cola. Co. UK. ‘health/gather-coca-cola-labouredly. HTML benefit from using healthy dishes because people that are health conscious will decide to come and eat there which will increase the restaurants revenue also healthy eating has increased more into the public eye that it was a few years ago.The customers will benefit from the new healthy dishes because: The customer will infinite from eating the new healthy dish because they'll be having a healthier option which will be part of their balanced diet which you need. Consequences of not using healthier ingredients for the restaurant and customers include: The restaurant won't be seen as up market The restaurant won't be seen as appealing The customers may decide not to eat at the restaurant because it's not promoting healthy meals. As a result the restaurant will lose revenue and may become bankrupt.

Zen Style

Zen Interior Design is a way of designing a space through meditative concepts in an attempt of giving the space a feel of enlightenment. The definition of this design is ambiguous compared to the other discipline in Interior Design. According to Shaolin-Wahnam Institute (n. d. , para 1) Zen basically means â€Å"meditation†. Meditation promotes flow of energy which is translated into space with Zen Interior Design. Over all design emulates a mind who is in an enlightened state, clearing it from the unnecessary load giving it harmony. The design strategy is to conform a space in such a way that it would be like a concrete picture of a mind will look like when it reaches a harmonious state. Origin Zen design was developed in China and spread into Japan in the twelfth century it gave its name to a style of Japanese architecture that was based in one of China’s dynasty called Song; the earliest recorded Zen design architecture was Jizodo Shokofuji (1404). Such influence came to existence because at that time the wide use of Zen Buddhism was rampant. If you would study the culture of Japan, Zen Buddhism is embedded everywhere. Moffett, Fazio, and Wodehouse, 2003, chap 4) Zen is also seen as similarly associated with the concept of Feng Shui which in English is literally â€Å"wind† and â€Å"water†. Feng Shui follows certain rules and principles that are sometimes thought of as practical solutions in order to keep the correct ch’i of the space. In Zen, the ultimate purpose of design is meditation that results in harmony and balance. Feng Shui aims to correct the living conditions in order to promote physical and psychological well-being to the dweller. Marie T. , Feng Shui simplified, para 3) Design Techniques Zen in Interior designing has no standard rule. Design is being done in the context of harmony. Its application is limitless in terms of space; it can be done for a whole house. An isolated room or even a space in you work area. It can be applied through the choice of color palette, space management and space use. All of this can be done be keeping it to what is just essential and natural. That is why Zen is often affiliated with the minimalist design. Colors are kept natural and limited, trying to keep it as light and as close to nature as possible. Strong colors must be kept at bay and everything that can be seen should be relaxing to the eye. Spaces ought to be open and free, up to the point that the designer should induce the illusion of it. Strategically placing mirrors and windows that will help spread light is one of the known strategies to achieve this. Allowing the space to be simple and close to its use is another technique often applied in this type of design. Applying Zen to Interior Decorating, para 1) Modern Developments Zen design is currently widely used in the industry of Interior Design. It was again largely noticed in the recent years entering 21st century. In residential homes it is simply not utilized for its beauty and charm but it gives the dweller a personal space as their own sanctuary, from today’s common busy lifestyle. (Mcevoy, Interior Design Style, para 5). Not only that, today’s housing especially in most of the South East Asian are getting smaller. With this kind of design on these houses a lot of issues can be addressed. Dwellers will be comfortably situated in their houses even if space is limited. The business sector benefits from this as well. Their commercial and industrial facilities, adapt some of its design because its parameters contribute to a lot of things like efficiency of flow in a workspace and improvement of or working environment. To them it affects the worker’s psyche which entails operation cost reduction, which is has a great impact to businesses.