Friday, February 14, 2020
Week 7 Essay Example | Topics and Well Written Essays - 500 words - 3
Week 7 - Essay Example These attacks are usually meant to coerce authorities into giving into the political, religious, and social goals of the terror groups. Therefore, terming the fight against terrorism as ââ¬Å"warâ⬠eludes logic. As a counterterrorism measure the ââ¬Å"combat on terrorâ⬠has various questionable aspects. The main problem with the approach by the United States is that terrorism is viewed as a factor that can be dealt with through military action. According to Reese & Lewis, in 2003, United States soldiers invaded Iraq on grounds that Saddam Hussein was manufacturing weapons capable of mass destruction and that he was linked to the September 11 attacks (779). The result of the invasion was mass deaths of civilians and the abuse of human rights. Critics of this invasion, according to Reese & Lewis state that the United States was not averting any terror threats; rather, the invasion was an excuse for imperialist activities in Iraq (779). The problem with viewing terrorism as being synonymous with the September 11 attacks is that it distorts the meaning of terrorism to the general American population. According to Pillar, most Americans view terrorism almost entirely in relation to the September 11 attacks (1). The difference with the 9/11 attacks and other terror attacks is that most terrorist activities are not as organized and lethal as the 9/11 attacks. The reason for this difference is that most terror groups have neither such sophisticated weaponry nor such detailed planning. Since 9/11, almost all counterterrorism measures are equated with the fight against the Al-Qaeda, with every terror-related incident being examined for possible links with Al-Qaeda. To date, most of the counterterrorism resources are channeled towards making sure that the Al-Qaeda does not reestablish itself (Pillar 2). The practice to equate terrorism with Al-Qaeda is misinformed considering that there are numerous other terror groups the world over. For example, Pillar writes
Saturday, February 1, 2020
Discussion Board Assignment Example | Topics and Well Written Essays - 250 words - 9
Discussion Board - Assignment Example By investigating and considering the diets of a suspect, psychiatrists, who always help establish the mental stability of suspects, readily establish the motives of the suspects thereby influence the entire judicial process. The phrase ââ¬Å"Twinkie defenseâ⬠portrays the importance of behavior analysis in court cases. In the trial of Dan White, a former police officer in San Francisco in 1979, the psychiatrist observe that the police officer killed the two victims involuntarily an was suffering from depression. Such determinations arose from the fact that White fed on junks a feature that portrayed his emotional and mental instability. The junks were therefore a symptom of the suspectââ¬â¢s psychological stability. The explanation changed the justice system as the judge later fund White guilty of manslaughter but not murder (Weiss, 2010). Briefly, observing diets among other external factors is vital process of psychoanalysis that helps determine the mental stability of people. In judicial processes, such observations are important since they prove the motives of the various actions. Observing such features is therefore vital inclusion in court proceedings that influence the effectiveness of the entire
Friday, January 24, 2020
One of Russias Greatest Leaders: Peter the Great Essay -- Papers
One of Russia's Greatest Leaders: Peter the Great The world is chaotic by nature. For this reason, both men and women alike have stepped forward to lead their people. As such, these people have been gifted with valor and courage to take their countries into ever lasting prosperity. An example of this kind of leader would be the grand emperor of Russia, Peter the Great (1672-1725). Peter the Great is a man who put his country before himself. As a matter of fact, Peter died saving one of his servants who fell overboard on one of his many expeditions. One will have to wonder what kind of man had this much energy to revolutionize their countries. In accordance, one will have to study the personal history of this great man. Consequently, one should learn his methods in achieving his goals. Such knowledge could help future leaders make more informed decisions. Lastly, the study of his accomplishments will give us the scope of how great the influence of this man had in his nation. To this extent, people like this must be studied to honor and help further our nation as a whole. Therefore, Peter the Great must be examined thoroughly with the following criteria: The personal history of Peter, the methods he employed to help achieve mother Russia's prerogative, and finally what he has accomplished for Russia in his life span. Peter was born in Moscow of the second marriage of his father, Alexis I, who ruled Russia from 1645 to 1676. Alexis's first marriage to Maria Miloslavsky, had produced 13 children, but only two of the sons, Fyodor and Ivan survived. After Maria died in 1669 Alexis married Natalia Naryshkin in 1671, and Peter, a stro... ...i. Peter the Great. Whiteside Limited, TO 1987 pp 196-97 5. Massie, Robert K. Peter the Great: His Life and World. Ballantine, 1980 pp 50 6. Jonge, Alex. Fire & Water: A Life of Peter the Great. First American, 1980 pp 317 7. Troyat, Henri. Peter the Great. Whiteside Limited, TO 1987 pp 163 8. Massie, Robert K. Peter the Great: His Life and World. Ballantine, 1980 pp 89 9. Troyat, Henri. Peter the Great. Whiteside Limited, TO 1987 pp 186 10. Torchinsky, Oleg. Cultures of the World: RussiaNorth Bellmore: Marshall Cavendish Corp. 1994. pp 204 11. Troyat, Henri. Peter the Great. Whiteside Limited, TO 1987 pp 294 12. Torchinsky, Oleg. Cultures of the World: RussiaNorth Bellmore: Marshall Cavendish Corp. 1994 pp 310 13. Troyat, Henri. Peter the Great. Whiteside Limited, TO 1987 pp 245-246
Thursday, January 16, 2020
Risk Management in Long Term Care
Within the culture of the St. John Health System (SJHS), risk management is considered the responsibility of every SJHS associate, from the CEO to the maintenance man. Each associate has an obligation to perform their jobs safely and to eliminate or at least minimize the risk of harm to any resident, visitor, or employee. The collection and utilization of data is also essential to a successful risk management program. Effective risk managers recognize the importance of data which may be used to identify residents at risk for falls, wounds, and infections for instance. When carefully collected and analyzed, this information may help the LTC manager identify at risk residents and target the resources needed to address their issues. Sources of data include the minimum data set (MDS) that provides information about residents resulting from multidisciplinary assessments. This information is also used for Medicare reimbursement, standards that identify the facilityââ¬â¢s quality of care, and for state surveyors to review (McKnightââ¬â¢s, 2013). Federal and state rules and regulations such as OSHA, incident reports, nurseââ¬â¢s notes, and physician progress notes are some of the other documentation risk managers analyze (Sullivan, 2013). In 1998, St. John Senior Community (SJSC) had an on-site risk manager. All new hires were required to orientate for a full day with the risk manager. My orientation included my becoming familiar with the types of issues I would want to notify the risk manager of, what her duties were, which forms I may need to use such as incident reports, and the protocol regarding incident reports. There were policy books that explained rules and regulations in her office and at each nurseââ¬â¢s station. I followed her throughout the day as she attended meetings and listened to the concerns of other employees. Having a risk manager in the facility was an advantage and was an interesting learning experience. Two Significant Risk Management Issues Two significant risk management issues occurred when a registered nurse on a skilled unit administered IV Vancomycin. Shortly after the infusion began the resident complained to her certified nursing assistant (CNA) of a burning pain in her arm. The CNA reported the complaint to the nurse who told the CNA to explain (to the resident) that the medicine is expected to burn but that she would be there to see the resident shortly. The CNA later said she was delayed approximately 20 minutes before returning to the resident whom by that time was in tears. The CNA used the call light for assistance and an LPN responded. This nurse immediately turned off the infusion pump. Her assessment found the resident to have a pain score of 10. Her IV site was red, hard to the touch, and painful. The nurse said she could palpate the vein and it felt cord like. The nurse elevated the residentââ¬â¢s arm on pillows, applied a warm compress, and called the physician. The second risk management issue occurred when the RN that infused the Vancomycin did not properly document the incident. There was a series of events that should have occurred when the nurse became aware of the order to give the medication. Steps Taken To Address the Issues. Steps were taken by the risk manager, director of nurses, and other managers to ensure such an incident would not happen again. During the time this event took place the risk manager and the Director of Nursing had initiated talks with corporate executives about finding constructive non-punitive ways of correcting nursing errors. Previously, when nurses made mistakes they engaged in deception out of fear of being punished. Leaders realized hiding errors could potentially harm residents and removed the opportunity for nurses to learn from their experiences. This nurse would be one of the first to be in a pilot program that required nurses that had made a nursing error to be trained in policies and procedures regarding their situation. The nurse received training in IV placement, infusion, and documentation. She was also taught the signs and symptoms of complications and steps to manage infiltration and extravasation. She was not able to put in an IV or infuse IV medications until she satisfactorily demonstrated her competency (Hadaway, 2007). Our risk manager could not emphasize the importance of accurate and legible documentation enough. In the instance of this nurse, the appropriate documentation would have included describing the initial placement of the IV cannula, the gauge, site characteristics, and the residentââ¬â¢s condition and tolerance of the procedure. Documentation should have continued regarding the residentââ¬â¢s condition, nursing interventions, evaluations and resident outcomes. An incident report should have been initiated, not mentioned in the chart, but noted on the 24 Hour Report, a nursing communication tool for all shifts. The most appropriate remedy for these two problems was education and re-training. Non-punitive error resolution was one of the most productive ideas nursing management had developed at SJSC. This approach increased morale, raised the awareness of nurses and managers, and increased the confidence and skills of most nurses that participated. Unfortunately, as managers changed and the risk management department relocated, the concept was discussed now and again but would not be implemented in their long term care facilities. Adoption of Valid Methods The most valid method in my opinion would be the Just Culture model that has been adopted by several hospitals across the country. The Institute of Medicineââ¬â¢s ââ¬Å"To Err is Humanâ⬠made a major impact on the thinking of many influential healthcare professionals and helped them to reconsider the punitive culture that had dominated healthcare for centuries. One of the most prominent hospital systems, such as those hospitals under the United States Department of Veterans Affairs, has recognized the wisdom of committing to the Just Culture model in the development of their health care workers (Barger, Marella, & Charney, 2011). Comparison of Results. The SJSC risk manager may never have used the phrase ââ¬Å"Just Cultureâ⬠when relating to staff nurses but she did use the principles. Perhaps had the management of Seattle Childrenââ¬â¢s Hospital embodied the concepts of a just culture a nurseââ¬â¢s life could have been spared. On September 14, 2010, Kimberly Hiatt, a registered nurse on the pediatric ICU, administered a fatal dose of calcium chloride to a critically ill eight month-old infant. Everyone in Kimââ¬â¢s circle knew that she was absolutely devastated. Her family, friends, and co-workers all attested to the unraveling of her life during the months after the incident. During a time when she surely could have used the support of her employers they decided to cut their ties to a nurse whom had gone from being an asset to a liability almost overnight. Kim had been a nurse for 25 years, all of them at Seattleââ¬â¢s Childrenââ¬â¢s Hospital. She had been one of their most dedicated, compassionate, and knowledgeable nurses according to her co-workers. Kim had immediately reported the incident. She explained in writing that she had been talking to someone while drawing up the medication and had miscalculated the dose. This was her first medication error in 25 years of working there. She went on to say that she was ââ¬Å"simply sick about itâ⬠. Kim was suspended immediately after the baby died and was terminated shortly afterward. Six months following the incident Kim committed suicide. There were two tragedies in this scenario. The outcome for Kim could have possibly been different had some of the stakeholders involved in the case reconsidered their positions. After Kimââ¬â¢s death the hospital decided to adopt the Just Culture model and now chooses to use errors to examine and correct systemic problems rather than focusing on penalizing an individual. I would like to have seen the hospital take this stance before Kim gave up but I appreciate the fact that she and the babyââ¬â¢s death were not in vain (Aleccia, 2011). Conclusion Until I prepared the research for this paper I thought of risk management as a legal watch dog for an organizationââ¬â¢s financial assets and reputation. I had never met a risk manager prior to my job and I was impressed with the dedication our risk manager devoted to our staff, especially the nurses. I realize now that our risk manager was focused on changing the staffââ¬â¢s perception of our ownership for managing the risks our facility faced. We learned from her the importance of each employee being aware of the risks around us and reporting the hazards and problems we saw. We learned to be accountable for making safe choices, ethical decisions and following procedures to keep our residents and each other safe.
Wednesday, January 8, 2020
An Analysis Of A Native Son By James Baldwin And Letter...
Discrimination has afflicted the American society since its inception in 1776. The inferiority of the African American race ââ¬â a notion embedded within the mindset of the white populace has difficult to eradicate ââ¬â despite the efforts of civil rights activists and lawmakers alike. Many individuals are of the opinion that discrimination and racism no longer exist and that these issues have long since been resolved during the Civil War and the Civil Rights movement of the 1960s. However such is not the case. Discrimination is a complex issue ââ¬â one that encompasses many aspects of society. The impact of discrimination of the African American race is addressed from two diverse perspectives in the essays: ââ¬Å"Notes of a Native Sonâ⬠by James Baldwin and ââ¬Å"Letter from Birmingham Jailâ⬠by Martin Luther King . Kingââ¬â¢s ââ¬Å"Letter from Birmingham Jailâ⬠discusses the topic of segregation and just and unjust laws, whereas Baldwin in his ââ¬Å"Notes of a Native Sonâ⬠places an emphasis on relationships, particularly the relationship between his father and him. Additionally, Baldwin discusses the impact of racism on the lives of African Americans during that time. Although these essays are dated back over fifty years ago; the topics discussed in them are still very common today. ââ¬Å"Notes of a Native Sonâ⬠is a narrative of Baldwinââ¬â¢s life. It is mainly about his relationship with his father and how after his father passed away he realized how his anger and rage, which was depicted as a disease, was
Tuesday, December 31, 2019
Sunday, December 22, 2019
Online Addiction A Growing Problem - 1008 Words
Abstract Online addiction is a growing problem. There have been numerous studies on online addiction and the affects it has on people, their lives and their families. More and more people spend large amounts of time with their online endeavors. Some people spend so much time online that it affects their everyday life in negative ways. They suffer from lose sleep, avoid family and friends and even skip out on school and work. What activities when done in excess are considered online addiction? What causes these addictions? What can be done to combat online addiction? In the following paper we will go over this subject and explore the many facets of online addiction. Online Addiction Online addiction is described as an impulse control disorder, which does not involve use of an intoxicating drug and is very similar to pathological gambling. When it comes to the topic of addiction most people overlook online addiction. Many people think that it isnââ¬â¢t a true addiction or are not even aware of it as an issue at all. Those that suffer from online addiction often use social networking sites, instant messaging, or online gaming as a safe way of establishing new relationships and more confidently relating to others. These activities in themselves are not a bad thing, but too much of anything can lead to problems. Spending time online only becomes an issue when it takes up way too much of your time, causing you to ignore your relationships, your work, school, orShow MoreRelatedWhat is Internet Addiction?1202 Words à |à 5 Pagesaccess to the internet from anywhere at any time has become the cause of a serious addiction that affects about one in every eight Americ ans; this addiction is referred to as Internet Addiction. Internet addiction is a compulsive behavioral disorder which affects the way a person lives their daily life (Weinstein and Lejoyeux). It causes severe tension on the addictââ¬â¢s family, friends, and work environment. This addiction is simply a behavioral disorder that entirely governs the addictââ¬â¢s whole life. InternetRead MoreEssay on Internet addiction1725 Words à |à 7 PagesInternet and Video Game Addiction Internet addiction is a worldwide disorder that is oblivious to the technological age we live in. Since its inception in 1991 (Livingstone), the World Wide Web has only improved our quality of life. People donââ¬â¢t perceive online technology as a problem but as a solution to make our lives cheaper and efficient. As a working college student, my whole life is run on the internet. I use Facebook religiously to keep in-touch with my friends, I play Xbox Live to competeRead MoreGambling1554 Words à |à 7 PagesIntroduction Gambling Addiction and Problem Gambling To some people gambling is just a waste of time and money but to some it can be a winning streak. Back then in the 1970s 30-55 years old was the typical age that most people gambled but now the typical age is 17-70 years old. In the United States the legal age to gamble is 21 in most casinos and in some Indian casinos the legal age is 18. There are many ways to gamble there are casinos, online gambling and even home gambling with family orRead MoreAn Analysis on the Advantages and Disadvantages of Playing Computer Games or Online Gamingâ⬠612 Words à |à 3 Pagesgames or online gamingâ⬠August 19, 2013 Presented by: Rey Pahunang Presented to: Ms. Michelle Odchigue Introduction Playing game is a natural part of growing up. It is one way that person can learn to socialize and compete. Computer and online games , in most instances are no more dangerous than other games that people plays. But sometimes computer and online games become more than just play. They become an addiction and when they become in addiction teenagersRead More Internet Addiction ( Pathological Internet Use ) Essay1313 Words à |à 6 PagesInternet Addiction ( Pathological Internet Use ) The Internet has become one of the most universal methods for communication with over 100 million users worldwide. From e-mail to the possibly billions of web pages, there is an infinite amount of information flowing. And another enticing aspect of the Internet, is the opportunity to interact with other people. Chat Rooms and MUD (Multi-User Dimensional) games offer the person the ability to talk and mingle with others online. But withRead More Internet Gambling and Its Effects Essay1006 Words à |à 5 Pagesuse of the Internet. Adding to the Internetââ¬â¢s growing popularity for entertainment purposes is online gambling. Around the world, the gambling industry is growing rapidly by way of casinos, and most recently, on the Internet. Four years ago, there was one online gambling site; today itââ¬â¢s estimated there are between 300 and 400. To some, gambling on the net may just be an entertaining past time, but for many others it soon becomes a serious addiction. Approximately 80% of the United States populationRead MoreWhat Are the Disadvantages of Computer Addiction?900 Words à |à 4 Pagesfor computer addiction treatment, one point regarding addiction to the computer needs to be made : Computer addiction is not an official psychiatric diagnosis. Despite a growing movement to have obsessive computer and internet use included in the Diagnostic and Statistical Manual of Mental Disorders (DSM), so far this has not happened. In relative terms when disadvantages of computer addiction compared to other addictions such as alcoholism and drug addiction, computer addiction is a very newRead MoreThe New Problem of Internet Addiction764 Words à |à 3 PagesWith reference to relevant literature, identify and discuss a concern which has become a problem for users of the internet. Miniwatts Marketing Group (2009) stated that more than two billion people use the internet. The internet is a world wide web of computer networks, all linked to one another. The internet enables people to communicate almost instantly, research and access data or information, and is most commonly used for email. The popularity of email has almost seen the demise of postalRead MoreThe Impact Of The Internet On Teenagers1361 Words à |à 6 Pages As teenagers use the internet exponentially growing in the last decades. In this study focused on three reasons internet doesnââ¬â¢t make teenagers smart they are:(1) teenagers usage for the internet; (2) Internet deals with teenagers privacy; (3) Internet causes teenagers not doing well in school. Researcherââ¬â¢s such as the Pew Research Center has proven that 80% teenagers ages 12-17 are in social media everyday. Over past years the percentage of teenagers in social media rises to 20%. Based on researchersRead MoreInternet Addiction And Its Negative Impact1002 Words à |à 5 PagesThe Buzz about Internet Addiction and its Negative Impact Meta Description: The internet connects millions of people, providing information, entertainment and communication platform. HealthyHow2 is a leading resource for well-researched medical information. Internet Addiction The internet has become an integral component of our life, and this has greatly transformed the way we access information, communicate and do our work. Added to this fact, the internet is widely available in peopleââ¬â¢s homes
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