Health care issues Essay Example | Topics and Well Written Essays - 500 words

Health care issues - Essay Example There are several challenges that the governments around the world are facing, however, financial challenges in the health care sector seem to be of utmost importance. According to a survey conducted on top issues a hospital faced, financial challenges topped the list of 13 challenges that the respondents were asked to rank (American College of Healthcare Executives(ACHE’s)(2011). The survey also took a closer look at the top 3 concerns. Medicare reimbursement and bad debts were major contributors to the financial problem. Another major contributor was increase in cost of staff and supplies. According to PricewaterhouseCoopers’ Health Research Institute, ‘In 2010, the emphasis on cost continues. (PWC, 2010). In a its annual report published in December 2009 the institute stated that managing costs and getting more out of less will be the second most important challenge for the health care industry. Second only to the impact of Health Reforms (PWC, 2010). MEDICARE CHALLENGES Medicare, a health care program taking care of the elderly has been facing problems for quite some time now. The problem has been two-fold: on one side the overall cost of providing health care is going up and on the other hand there is a large number of baby boomers who are going to be eligible for Medicare this year (Levey, 2009).

Appraising the Research Evidence Essay Example | Topics and Well Written Essays - 2500 words

Appraising the Research Evidence - Essay Example Rapid Risk Assessment in Acute Hospital for Patients with Intellectual Disabilities Background to the Study Nurses that work with patients with intellectual disabilities are faced with various challenges. For instance, they are required to use evidence based practice while treating their patients. However, there is not adequate and clear research regarding evidence based practices for safety available to nurses. This brings up debates regarding practices that will ensure safety and quality care for people with intellectual disabilities. Nurses are required to check out current evidence based interventions that are suitable for treating these patients. Calls have also been made against using unfounded and pseudoscientific interventions to treat these patients. There is increased pressure on nurses to ensure their practices are based on sound evidence. Evidence based practice has gained influence as an approach to clinical decision making. As health care becomes more and more evidence based, nurses are required to be aware of the skills, resources and principles needed for evidence based practices (Kline et al., 2011). There are doubts regarding just how effective and applicable the results of evidence based treatments are to the general clinical application. Nurses continue to handle patients with complex life experiences and also those that have very severe intellectual disabilities. These stressful circumstances will undermine participation of treatment and can ultimately contribute to non-adherence to available treatment options (Read and Johnson, 2012). Advances in medical care ensure that life expectancy of individuals with intellectual disabilities approaches that of quite normal and healthy people. Severe intellectual disabilities are mostly accompanied by other medical conditions and physical disabilities. Health care needs of people with intellectual disabilities should, therefore, be met by mainstream health services. Highly skilled nurses are also req uired to work with these patients as they have a high intensity of health care support needs. Research conducted into this group of patients revealed some areas of concern. These areas include inadequate patient assessment as well as inadequate communication between nurse and patient. It is essential for nurses and patients to communicate effectively as this will help them understand their health needs and they will be able to prevent frequent admissions to hospital. Delivery of quality health care relies upon a series of interaction between a patient and clinician (Hart, 2010). Interaction will assist the clinician to make an accurate diagnosis and provide suitable treatment option. Each acute health care facility is required to conduct a proactive risk assessment using risk assessment tools. This provides avenues for identifying, reducing and prioritizing risks associated with patient safety. This enables clinicians to choose appropriate treatment options, therefore, reducing the chances of developing undesirable outcomes in patients. Health care is a high risk industry that is prone to serious errors. However, clinicians, through evidence based research, can reduce the chances of making medical errors. Commonly cited barriers to use of evidence based practices by clinicians include information overload, limited time, lack of research evidence as well as lack of skills

Based on your understanding from the classes you have taken in the Essay

Based on your understanding from the classes you have taken in the interior design program, what values and contributions does the field of interior design offe - Essay Example During cold someone won’t prefer ice cream; instead he will look for a thing of another kind preferably coffee. That is what people want; to adjust with environment. Adjustment takes place in two basic steps: one is judgment where one tries to inspect the level of satisfaction by comparison and another is selection which comes into mind if first one directs to do so. Fashionable clothes, jewelries, rich food etc are common example of this. But what about shelter? All these luxurious wants go to slum if you don’t have place to take deep breath. After daily hard work when we return home, we look for peace, relaxation and happiness. It’s a place which refreshes our mind and gives us energy to face daily problems. So home also needs designing and proper arrangements with all facilities within that in order to bring ease and comfort in our life. This work can be beautifully done with help of interior designer. Nowadays Interior designer has more responsibilities, as e verybody has different needs and level of satisfaction; and he needs to satisfy customers’ thinking after maintaining his own constraints (budget, profit, house area etc...). Design is a term related to creativity. Interior design is a process to improve human interaction with the living environment. An interior designer is a qualified person who works on interior spaces to improve its quality and with a vision to enhance the lifestyle of human being, making it healthier and safer (Znoy, Jason A, 2004). It’s not about profession and revenues; but the art reflects to his personal life too as society is not a group of families rather individuals! One dominating factor comes and that is financial effort. One designer will do the work for mankind but a large class of people is not in a position to adopt it. Here comes the challenge. What’s that contribution where all are not getting the chance to feel pleasure? So, design must be flexible and easily acceptable. Nowadays People misunderstand

School of Health Ethics Form Essay Example | Topics and Well Written Essays - 2500 words

School of Health Ethics Form - Essay Example The research paper, therefore, is about a survey of a representative of a physician in the United States who can be deemed to care for patients nearing their deaths so as to assess the frequency in which request for assisted euthanasia or suicide and compliance with such requests (Atwood-Gailey, 2003: 2). Euthanasia is said is said to have historical rooting from the Greek language meaning â€Å"good health†. However, over time, the meaning has evolved to mean that one person knowingly leads to the death of the other who is considered terminally or seriously ill and can not be saved from the situation. The main emphasis attached this mercy killing is always to bring to an end the suffering of the later like for example patients diagnosed with bone cancer among other ailments. Within the country, the procedure for taking an away life in order to end is not allowed in all the fifty states, however countries like Netherlands and Belgium practice as it is legal under the law. In s pite of euthanasia not being legal within the country, physician-assisted suicide is legal and being practiced and being practiced in different states within the country. Examples of states practicing physician-assisted suicide are Washington, Oregon, and Montana (Lo, 2009). However, the two are always similar but the main difference depends on who administers the medicine to bring a patient life to an end (Mcdougall, Gorman & Roberts, 2008). In physician-assisted suicide, a physician plays a crucial role in creating lethal medications for the patients, but the medications are always used by the patient at his own time and comfort, however, this is the opposite of euthanasia because the physician here takes an active role in ending a patient’s life.

Comparison of Cousin Kate and The Seduction Essay Example for Free

Comparison of Cousin Kate and The Seduction Essay After she has taken the decision about what to do about the lord, she hints that she regrets her relationship with the lord by asking questions. The girl in The Seduction also admits that she regrets her fling with the boy by asking questions, the tenth, eleventh and twelfth stanzas are all asking questions for example how did she feel betrayed? . Both of the poems make the reader feel sorry for the girls featured in them. The Seduction makes you feel sorry for the girl by using phrases such as and he muttered little slag and she sobbed in the cool locked, darkness of her room. From these phrases you learn that the girl is unaware of what the boy is really thinking about her. She also seems to be unaware that she could get pregnant. Cousin Kate makes you feel sorry for the maid by using phrases such as Not mindful I was fair and now I moan an unclean thing that might have been a dove. These phrases tell the reader that she was innocent and unaware of the consequences when she met the lord. I feel more sorry for the maid in Cousin Kate than the girl in The Seduction. This is because I feel that although the girl in The Seduction knew what she was doing was wrong, she did it anyway. She didnt have to have sex with him and although she liked him and it appeared that he liked her she should have known better. I feel more sorry for the maid because she says O cousin Kate my love was true, your love was writ in sand. She truly loved the lord, more than she believes Kate does. The maid also seems innocent. Another reason I feel sorry for the maid is even when she was with the lord, they didnt have a proper relationship, he didnt treat her very well. She felt like his plaything. She didnt mean anything to him. In The Seduction the atmosphere is conveyed well. In the beginning of the poem there is a sense that something will go wrong. Descriptive phrases such as the quiet bricks, far past the silver stream of traffic and far from the blind windows are a sign that things do not all go well. The adjectives are used to show that no one will be around to see whats going on. Another sign that something is going to go wrong is that the poem keeps reminding the reader that the girl is very drunk. We are twice reminded about the number of drinks shes had, these are he handed her the vodka and she knocked it back like water and as he bought her more drinks. The poem says she sat her head rolling forward. This shows that the girl is not in control of what she is doing. The imagery used in the poem is not very positive. The girl is said to be facing the frightening scum on the water. The use of frightening scum gives a very unpleasant image of the water. In the beginning of the poem the scum she faces is only on the top of that water, in the later stages of the poem, she feels the scum facing her is the rest of her life. The Mersey, green as a septic wound is also a negative simile. It gives a bad image of the setting, which gives an image of bad things to come. After the girl has discovered she is pregnant, the atmosphere is very powerful. Using strong verbs such as ripped and flung, cheated, creates this. At the end of the poem the girl is very depressed. She says: Better to starve yourself like a sick precocious child- Than to walk through town with a belly huge and ripe. We anticipate what will happen in the future. The atmosphere also changed in Cousin Kate. In the beginning of the poem the atmosphere is good. The maids says contented with my cottage mates which tells me that she is happy with her life before she met the lord. After this point she becomes angry and depressed. This is because the lord has left her for Kate. She becomes enraged and jealous. I believe that The Seduction is aimed at a younger audience than Cousin Kate. The Seduction uses much simpler language, although this could be because The Seduction was written much later. Both poems warn about pregnancy but The Seduction is easier to understand for people my age. I found The Seduction easier to understand and relate to because the language is more modern. In Cousin Kate the maid says the neighbours call you good and pure, call me an outcast thing. In The Seduction it says: And better now, to turn away, move away, fade away, Than to have the neighbours whisper that you always looked the type. In both examples the girls are worried about what other people (the neighbours) think of them. The mood of both poems is quite angry. In Cousin Kate, the mood changes from excitement to anger and jealousy. The maid is excited because about her future with the lord and their relationship. She is then angry about the lord leaving her to be with Kate. She is jealous of Kate because she took the lord away from her. However, the maid also feels quite proud because she has a son and Kate does not, she is smug. In The Seduction the mood also changes from excitement to anger. She too is excited about her relationship with the man. She is angry because the man left her, instead of feeling proud or smug at the end of the poem, she is depressed. The tones of the two poems are very different. In Cousin Kate, the writer (Rosetti) seems to be very sympathetic to the maid. She says that the maid has sex with the lord because she loves him and does not criticize her behaviour or suggest that she has done anything wrong by doing this. The tone of The Seduction however, does seem to criticize the girl. The writer (McAuley) seems to criticise the girls behaviour, she makes out that the girl deserves what happens. The phrase and he muttered little slag suggests this. I have found The Seduction easier to understand, mainly because the language is simpler and the images described are more modern. However I prefer the imagery used in Cousin Kate because I feel it is more original and interesting. I prefer phrases such as his plaything and his love and he wore me like a silken knot to his eyes as blue as iodine and green as a septic wound. On the other hand, I think the symbolism used in The Seduction is very effective, i. e. the confetti and the high white shoes. I feel that the main reason I prefer The Seduction is its easier to relate to for my age group. It is very hard to imagine what it would be like to be singled out by a great lord and then to be left for her cousin and having the lords baby on the way. I find it much easier to relate to The Seduction as I can understand how it must feel to have a one night stand and then become pregnant. 1 Show preview only The above preview is unformatted text This student written piece of work is one of many that can be found in our GCSE JRR Tolkien section.

Emotion Equally Moral

Emotion Equally Moral ARE REASON AND EMOTION EQUALLY NECESSARY IN JUSTIFYING MORAL DECISIONS? Since the birth of human onto this earth, reasons and emotions are frequently used by us to justify any decisions made. However, to what extent that both of them play an important role in making decisions? This raises some arguable questions concerning reason and emotion; are they really equally necessary? Equally important means both factors must be present and without any of the factors which are reason and emotion, the decision cannot be justified. With that, I would say that reason and emotion have the same significant important role in justifying moral decision. Both of them work together to drive us in our daily life so the decisions made will be the best for the sake of human being. Thus, this essay will consider the equal role of reason and emotion in justifying moral decisions. First of all, how this two ways of knowing works together. Reason is the ability to think logically regarded as a basis for knowledge, while emotion is a strong feeling towards what you believed in and influencing behaviors. Reason and emotion are equally necessary in ethic as in justifying decisions emotion will be the catalyst for the next process which is reasoning. Rachel Carlson in his quote says, â€Å"If facts are the seeds that later produce knowledge and wisdom, then the emotions and the impressions of the senses are the fertile soil in which the seeds must grow†. As example, the news of natural disaster of Cyclone Sidr in the southern part of Bangladesh because of the global warming effect, the picture of 273,000 houses were destroyed and 650,000 damaged and more than 3,000 people dead will emotionally affect the reader. Then, the emotions will tell us the sympathy to the victims of the disaster. It would stimulate the reason to the morality of the countries that let their factories released the gases that caused the global warming disaster. Here, the emotion is the catalyst for the reason to take place. However, without the reasoning, the information from the news cannot be organized and to sort out the news in the rational way. The emotion make the reader of the news felt sympathy to the victims of the cyclone and the reason makes sense of the emotion part and end up with the moral decisions of the news. As Joseph Cook aptly commented, â€Å"Conscience is our magnetic compass; reason our chart†. Even reason and emotion equally necessary in justifying moral decisions, somehow reason play more important role as it can explain certain things that cannot be explained by emotion. In justifying a decision, it must be reasonable and acceptable. Emotion can distract what is wrong and what is right because it depends solely on what a person sees and feel. Thus, reason must present in the process to justify and correct what emotion think of. As example, if a pregnant women wanted to have an abortion. On the emotion level, she might think that having a baby is a burden for her. She just wants fun from the sex but she refuses the baby. She wants to get rid of the baby so that she does not have to take care of the baby and continue with her previous life. Her immediate response is the option to abort the baby. At that particular time, it may be right for her to abort the baby. But then, the feeling of a mother declines her to do the abortion and the reasoning process began. She started to consider the debate, ‘it is killing, and the baby deserve a live. Perhaps she might consider that it was not the babys fault, so why should the baby take it. Or maybe she poss ibly will consider her religion not allow abortion. So, the reasoning process continues until the women can justify her decision to do the abortion or not. Here we can see both are equally significant. Reasoning comes from the emotion process but the emotion itself cannot justify the decision that going to make. Thus, one cannot take place without the other. However, in this so-called civilization era where the cost of living is increasing, the option to abort the baby will be the most suitable choice for most of the people. Their reasoning brought them to that kind of decision because they claim having a baby will cost them a lot and they cant afford it. Even though they will feel it is a cruel action through their emotion, but it does not prevent the mother to abort that baby. In view of the fact that emotion is a feeling that is given form by a thought, it is usually bounded from the past experience that would influence the emotion that is created. If the past experience of the person is good, the person will have the good side of emotion or otherwise, the experience will end up with the bad emotion toward something. As a case in point, a person witnesses a horrible accident happened in front of his eyes. He can see the victims of the accident screaming for help. Very luckily, the person has some knowledge about the medical knowledge especially in emergency situation. However, because of the past experience where he failed to save a few lives after he gave the medical treatment, the person felt guilty and had the trauma. His emotion tells him not to help the victims as they would die because of him by justifying the action from his past experience. But then, he tries to reason his emotion; does it an appropriate action to let the victims that are really i n need for some help as he was able to help them? Does it worth him just to see them helplessly facing the end of their life? After a battle between his emotion and reason, in the end he might decide to help the victims. Even though in this example it is seen like reason is overpower emotion but actually they are equal. Someone may argue that reason is the cause that makes him to help the person. But in reality if his emotion is not stable enough or he did not have the confidence to help them but his reason push him to help, the probability that the victims would survive is low because he does not has the mental strength or something to inspire him to help them. This is just like what Winston Churchill has said, â€Å"Before you can inspire with emotion, you must be swamped with it yourself. Before you can move their tears, your own must flow. To convince them, you must yourself believe†. After his reason corrects his emotion or change the perception made by his emotion to inspire him, then he was able to help them. By looking at this example, it is clearly seen that reason has been plays the role the change the emotion of the person and the emotion has justified the decision that he going to make. Here, at first emotion stimulate the reason to work and in the later stage reason corrected and stimulates the emotion. Both of the factors play such equal role in justifying the decision as one might get it wrong without another one or perhaps the decision cannot be justified. There are some limitations where sometimes reason and emotion do not equal in making an ethical issue. This is frequently happen in the religious belief, field of works, and the level of knowledge of the person. In the religion such as Islam and Christian, bigamy (polygamy, adultery) is prohibited in those religions. Although a person wants to have more wives or having a little experience of sex before marriage which comes from his emotion, he cannot do that because of his religion. His reasoning will prevent him to do it as it is against the belief of him to his religion. In the field of work such as judge, emotion must be put aside to justify the verdict that going to make. A judge must only depends to the reason from the facts either the accused person is guilty or not. This is the situation where reason and emotion do not play equally necessary in justifying moral decisions. In conclusions, reason and emotion equally necessary in justifying moral decision, because emotion can change according to situation but reason will justify the emotion with logic and hence will drive us to the correct interpretation of the ethical issue. But, reason can only exist and be significant if and only if emotion exists. Emotion will be the catalyst for reason to work. In most of our life, we cannot deny the role of emotion and reason. However, other ways of knowing such as perception and language also can be important in justifying moral decisions but reason and emotion exist in the equal way to justify any moral decision that we make in our life. Therefore, reason and emotion are equally necessary in justifying moral decisions.

Battle of the Moms Essay -- Sociology, Motherhood, Working Mothers

â€Å"Motherhood has become a flash point for envy, resentment, and guilt because everyone struggles and envies what the other has† (nymag.com). There seems to always be a battle between working mothers and stay at home mothers, and the debate has always been controversial. Although there are many factors that differentiate children raised by a stay at home mother and a working mother, there is no right way on how to raise a child. The differences between both moms have both positive and negative characteristics but neither one can be said to be the correct way on raising a child. A â€Å"right way† does not exist. WHY WORKING MOTHERS WORK? â€Å"In the United States today, more than half of mothers with young children work, compared to 30% in the 1970’s† (American Academy of Pediatrics). Working mothers tend to work because they have been working since before they became a mom. They are so accustomed to their job that they decide to remain working after having a child. Others find that their families require two incomes or in some cases their income may be the sole source. Some research seems to persuade that the working mother is having detrimental effects on the child, however new research is showing no such result. INTRODUCTION TO BENEFITS OF A WORKING MOTHER While working mothers may be exhibiting excess stress on their decision to work outside the home any ill emotional and academic effects on their children seem to be nonexistent. In some situations it seems that children who pertain to working mothers actually benefit compared to those of non working mothers. Positive results that were found through studies show that mothers who work helped the family with economic conditions, consequently being able to avoid poverty and being ab... ...oms may choose to not work because of family roles they believe in. Many come from families who believe that the women should be a homemaker. According to society, mothers who stay at home for their children do not have a role that is truly essential (Fisanick 201). CONCLUSION Although according to studies, the status of a working mother or a stay at home mother does not determine a child’s academic ability, it seems as though parenting is an obsession. Both sides feel as though they are being judged by society and that they need to please the standards society is expecting from a mother. â€Å"We need someone to say: Do the best you can. There are no rules† in order for everyone to feel better about their own parenting style. â€Å"None of these parenting patterns is encoded in our DNA. â€Å"Mothering and Fathering are different all over the world† (newspaper article).