Wednesday, October 30, 2019

Business & Society ( Ethics & Stakeholder management) Essay

Business & Society ( Ethics & Stakeholder management) - Essay Example A.2: A CEO has to lead by example and John Mackey must be aware of this basic ethical tenet. Else, he would neither have taken the trouble to hide his identity nor chosen the Yahoo! Finance Stock Forum, to air his messages. Yet he persisted with this deception in spite of knowing the implications of his activity. The loss of prestige in the event of his being found out probably did not bother him too much. I would qualify his attitude as being ‘indifferent’ in setting high ethical standards for his company. A.3: A firm’s image is the sum total of its products and social responsibilities. Firms go to great lengths to reinforce their positive images in fields such as corporate governance, social responsibility, environmental compliance etc., in order to attract various stakeholders – employees, suppliers, consumers, investors and regulatory authorities. John Mackey’s activities are definitely harmful for the future of Whole Foods. The specific example of the difficulties faced in its attempts to acquire Wild Oats can be seen A.1: The reality of the situation (or, ‘what is’) is that my boss used official resources for his personal purpose, however insignificant it may be. This was not a one time, inadvertent practice, but indulged periodically with the full knowledge of himself and his subordinates. The normative (or, ‘what ought to be’) behavior demands that personal works are not carried out at the expense of the business. A.2: The boss’s practice is not ethical. He is trying to justify his action by rationalizing. Neither his length of service with the company nor the limit put by himself on the maximum postage at 60 cents, offer any justification for his conduct. If this issue is ignored, one has to answer the logical ends up to which such behavior can be accepted as ethical, in an infinite number of situations. A.3: If his argument of low pay being compensated by his unauthorized use of company resources

Monday, October 28, 2019

Machine Elements in Mechanical Design Essay Example for Free

Machine Elements in Mechanical Design Essay Answers to Selectecj Problems Given here are the answers to problems for which there are unique solutions. Many of the problems for solution in this book are true design problems, and individual design decisions are required to arrive at the solutions. Others are ofthe review question form tor which the answers arc in the text ofthe associated chapter It should also be noted that some ofthe problems require the selection ot design factors and the use of data from charts and graphs. Because of the judgment and interpolation required, some ofthe answers may be slightly different from your solutions. AISI 1080. 28. AISI 5160 OQT 1000 is a chromium steel, having nominally 0. 80 percent chromium and 0. 60 percent carbon, a high carbon alloy steel. It has fairly high strength and good ductility. It was through-hardened, quenched in oil, and tempered at 1000Â °F. 29. Yes. with careful specitlcadon ofthe quenching medium. A hardness of HRC 40 is equivalent to HB 375. Appendix 3 indicates that oil quenching would not produce an adequate hardness. However, Appendix 4-1 shows that a hardness of HB 400 could be obtained by quenching in water and tempering in 700Â °F while still having 207f elongation for gciod ductility. 3. AISI 200 and 300 series 34. A hardness of 750 HB is extremely hard and characteristic of as-quenched high alloy steels, 15. The HRB scale is normally limited to HRB 100. 16. The HRC hardness is normally no lower than HRC 20. 17. The given relationship between hardness and tensile strength is only valid for steels. 18. Charpy and Izod 19. Iron and carbon. Manganese and other elements are often present. 20. Iron, carbon, manganese, nickel, chromium, molybdenum. 21. Approximately 0. 40 percent. 22. Low carbon: Less than 0. 30 percent

Saturday, October 26, 2019

Rhetorical Analysis of President Roosevelts Pearl Harbor Speech

Rhetorical Analysis of President Roosevelt's Pearl Harbor Speech The Pearl Harbor address to the nation is probably one of the most famous speeches made throughout time. In this essay I will evaluate the rhetorical effectiveness of Franklin Delano Roosevelt's famous speech and show that his speech is a successful argument for the United States of America. I will focus on the speaker's credibility, all the different appeals made throughout the speech, as well as the purpose and the audience of the speech. Also, I will discuss whether or not there are any logical fallacies that may have weakened his speech. President Roosevelt does a few specific things to be able to establish his credibility as a speaker. Since Roosevelt was the current president, the United States was inclined to listen to him and believe what he was saying. Being the president, the people knew that he was a credible source to receive information from. The president had also been appointed Assistant Secretary of the Navy in 1920. This shows that he had experience with the United States military services and knew how to handle the Pearl Harbor situation. Roosevelt?s speech is short, but it still utilizes pathos, ethos, and logos and has just enough detail to let the world know what was going on. The author of this essay is Franklin Delano Roosevelt. He was the president of the United States at the time of the Pearl Harbor attack. The purpose of this speech was to inform the entire United States about what had happened the day before at Pearl Harbor. The nation was to be warned that the United States was going to declare war against Japan. The intended audience is everyone in the United States. President Roosevelt ef... ... was a well-written and very credible speech that President Roosevelt gave to the United States of America. Through all the different appeals he makes a successful argument for declaring was. He makes many statements that could have only been made by someone who really knew what was going on. With all the facts he proves that he does know what he is talking about and that everyone should believe him. This speech gave just the right amount of information to be able to let people know what was going on without too much detail that may confuse them. The president did not commit logical fallacies in his speech. It was strictly facts and events that had taken place. The fact that there are no logical fallacies makes it a more credible speech, as well as a successful argument. So, this speech was very successful in the way that the ideas were put together and written.

Thursday, October 24, 2019

Segregation in The Color Purple Essay -- The Color Purple Essays

In the film â€Å"The Color Purple†, segregation plays an important role and the differences between black people and white people are shown through race and life. The Color Purple focuses on the lives of several African American women who are faced with abuse, violence, and cruelty. The fim is set in Macon County Georgia and there are two main characters’ Celie and her sister Nettie. Celie is the character the movie is centered around and she is also the film’s narrator. The story is based on Celie’s life and the many different issues along the way that she has encountered such as being raped by her father over and over again, abused by her father and forced into marriage at fourteen to another abusive man (Albert) who didn’t even want to marry her but w...

Wednesday, October 23, 2019

Describe the ways in which swing music and popular culture were interrelated during the time known as the swing era Essay

Describe the ways in which swing music and popular culture were interrelated during the time known as the swing era. There were many ways in which swing music and popular culture were interrelated during the time known as the swing era. Jazz became the cornerstone of popular culture during the period known as the swing era. The swing era influenced clothing styles, retail marketing, fashion, dance, and even language. Swing fans had their own clothing style and built a social phenomenon around it. With many dances coming and going the swing fans kept on dancing. Name some of the specific innovations Duke Ellington brought to jazz in the 1930’s and 1940’s. Duke Ellington brought some specific innovations to jazz in the 1930’s and 1940’s. Ellington was in time known as the greatest composer in jazz, he wrote roughly 2,000 compositions that had arranged from solo piano pieces, to works for orchestra’s, to highly symphonic concert music, etc. Ellington made a lot of changes to make the perfect sound, he used a variety of mutes on brass instruments to achieve more interesting tonal effects, often gave melodies to instruments that were not typically melodic instruments, and he used cross-sectional voicing. Read Also:  Topics for Descriptive Essay Ellington created an orchestra in the early 1940’s which later became known as his â€Å"Favorite Orchestra†. 4. Describe why Count Basie’s rhythm section is called the first modern rhythm section. Count Basie’s rhythm section is called the first modern rhythm section. Basie made the rhythm section to â€Å"breathe† which helped compliment instead of duplicate, as well as having the drummer Jo Jones who played the high hat cymbal style. With this Basie had created the All-American Rhythm section which was known at the first modern rhythm section because Basie had created such an amazing rhythm section to go with the rest of his band it was solid. 9. Describe some of the reasons why the swing era began and why it came to an end. There were many reasons why the swing era had begun and why it had come to an end. The beginning of the swing era started from a band called the Benny Goodman Orchestra. They traveled around on tour to get a spot and had been denied, until their last stop in Los Angeles, CA. The Palomar Ballroom wanted to hear the music that had been broadcasting and this began the swing era. The swing era decided to collapse with a shocking suddenness, with bands all over closing up their bags and shutting down. The swing era had suddenly ended from changing economics, the war, predictability, the changing audience, and bebop all of this had ended what was known as the swing era. 10. Describe how the styles of Lester Young and Coleman Hawkins were different. The styles from Lester Young and Coleman Hawkins were very different throughout the swing era. Hawkins and Young were two of the best tenor sax players that had emerged during the swing era. Considerably different, Hawkins played a huge dark sound, whereas Young’s was light and breathy. Some of the differences were as follows; Hawkins improvisations were based on his superior knowledge of harmony, Young’s were rooted in the blues, Hawkins played with a rhythmic approach that was always closely tied to the beat, and Young’s rhythmic conception was much looser, and often untied to the beat. Although they had many differences, they inspired sax players for years to come. 1. The arranging styles of Ellington and Basie are quite different when put next to each other to compare and contrast. In the song â€Å"Take the A Train† by Duke Ellington the rhythm section of the band is very on point, and broad it is a stand out section and wants to make their point. They are very loud obnoxious and want to make you want to dance. For the â€Å"One O’clock Jump† by Count Basie the rhythm section is very low key and mellow, although very good and has a good beat, more of a song to have a mellow night to or to hangout and relax to. I prefer the song â€Å"Take the A Train† by Duke Ellington, because I like to dance and it more fits my personality of a loud and obnoxious fun song.

Tuesday, October 22, 2019

Quotes About the Rwandan Genocide

Quotes About the Rwandan Genocide The First Genocide 1959–61 around 100,000 Tutsis were massacred in Rwanda in what is known as the Hutu revolution, approximately one-third of the Tutsi population. The most horrible and systematic human massacre we have had occasion to witness since the extermination of the Jews by the Nazis.British Philosopher Bertrand Russell in 1964, as quoted in A People Betrayed: The Role of the West in Rwandas Genocide by Linda Melvern, 2000. Seldom in history has a once-dominant group suffered so terrible a reversal of fortune as the Tutsi of Rwanda.British Historian Robin Hallett, Africa Since 1875, 1974. The Second Genocide In 1994 approximately 800,000 Tutsis and Hutu moderates were hacked to death in a carefully organized program of genocide. It continues to be a controversial event because of the apparent indifference of the international community to the plight of the Tutsi. How the World Responded If the pictures of tens of thousands of human bodies being gnawed on by dogs do not wake us out of our apathy, I do not know what will.Undersecretary-General of the United Nations Kofi Annan in 1994, as quoted in The East Africa 18 March 1996. Rwanda is clinically dead as a nation.Nigerian Nobel Laureate Wole Soyinka, Los Angeles Times, 11 May 1994. The horror of Rwanda is too high a price to pay for a very vaporous and whimsical notion of what constitutes inviolable territorial boundaries. Nigerian Nobel Literature Laureate Wole Soyinka, Los Angeles Times, 11 May 1994. All notions of sovereignty with respect to Rwanda should be completely forgotten and we should just go in and stop the killing.Nigerian Nobel Literature Laureate Wole Soyinka, Los Angeles Times, 11 May 1994. The OAU [Organisation of African Unity] was nowhere to be found †¦ during the 1994 Rwandan genocide against the Tutsis, the OAU was furiously doing the watutsi* in Addis Ababa [Ethiopia].Ghanaian Economist George Ayittey, in Africa in Chaos, 1998.* Watutsi is a synonym of Tutsi, but also the name of a dance. The whole world failed Rwanda†¦Words attributed to UN staff members under Secretary-General Kofi Annan, reported by Philip Gourevitch in Annals of Diplomacy: The Genocide Fax, New Yorker, 11 May 1998. In such countries, genocide is not too important†¦Words attributed to French President Francois Mitterand, reported by Philip Gourevitch in Reversing the Reversals of War, The New Yorker, 26 April 1999. On Dealing With the Perpetrators The international community must hand them – and the sooner the better. The crime was capital and the punishment must be capital.President Yoweri Museveni of Uganda, from a speech at the Conflict in Africa Conference, Arusha, Tanzania, as reported in New Vision, 11 February 1998.

Monday, October 21, 2019

Gene Therapy

Gene Therapy Gene therapy shows promise for Parkinson'sSevere tremors, rigidity of the limbs and loss of muscle control characterize Parkinson's disease, strikes as many as 100,000 Americans each year. The cause is unknown and the disorder results from death of brain cells that produce a neurotransmitter called dopamine. The dopamine plays a key role in transmitting commands from the brain's muscle control centers.Researchers had two teams that used the same technology for performing gene therapy. They inserted a desired gene into a common virus called adeno-associated virus. The genes each team used where very different. Both teams' leaders had no financial ties to the company.One team study, led by Dr. Matthew J During, used a gene that is the blueprint for an enzyme called glutamic acid decarboxylase. This enzyme converts chemicals in the cell into a neurotransmitter called GABA, which is important for controlling muscle movements. Injecting GABA directly into the brain ease symptoms of the di sease but the hormone is quickly cleared out of the system.Steve SelkirkGene Therapy: Historical OverviewGene therapy is by no means a new field of scientific query. The idea was first proposed back in the 1950's when James Watson and Frances Crick described a model of the double-stranded helix of DNA and basically discovered the structure of deoxyribonucleic acid. At that time, Crick was quoted as saying, "We used to think that our fate was in our stars. Now we know that, in large measure, our fate is in our genes" (Barker, 1995, p. 12).Knowing that DNA is composed of nucleotide base pairs in certain patterns, scientists began to ask questions about the DNA structure and how it could be manipulated. Scientists understood that the base pairs could be arranged incorrectly, and this prompted them to wonder if it would be...

Sunday, October 20, 2019

SOC 161 #3 Essays

SOC 161 #3 Essays SOC 161 #3 Essay SOC 161 #3 Essay Historically, Greek immigrants (during the nineteen and early twentieth century) tended to accommodate mass American culture. That is, they would residentially cluster, but at the same time adapted to the norms and expectations of larger society.It was also written in history that Greek immigrants in the United States of America had been observed with different feeling such as admiration, mockery, confusion or even hate. But they were considered to have been admired for their contributions to the development of western civilization. Greek immigrants had been considered as strange people having strange culture and had been branded by many Americans with the phrase â€Å"It’s all Greek to me†. But as time had passed, Greeks are becoming less strange in the United States since American citizens had been becoming aware of multicultural society. Greek immigrants had gained establishment in terms of having high profile jobs and even had been involved in the politics (Gordon, 1964).Because civil rights movement had been relevant, Greek immigrants had been able to change some of the perceptions of themselves. They had embraced little by little the American culture and had been able to accept the reality that they had been living already away from their own culture. In the past, Greek immigrants had experienced changing their names into American names in order for them to be accepted to jobs and for the m to be accepted in the society. Nowadays, they do no have to change their names only to avail of jobs. Greek immigrants are also now engaged in politics and they also do not have to change their names in order to be voted by the society (Glazer and Moynihan, 1975).As a matter of fact, nowadays, many of the American-born Greeks are having pride that they are part of the society and this is in opposition of the belief of their ancestors that they have to hide their culture in order to survive in the society were they live (Greeley, 1975).

Saturday, October 19, 2019

The allegory between wisdom and strength Essay Example | Topics and Well Written Essays - 2000 words

The allegory between wisdom and strength - Essay Example To the left, there is a description on the pedestals of the column that has a quotation from Ecclesiastes, which is â€Å"All is Vanity†. It means that all earthly thing including power, nations, wars, kingship, love and strength and are hence meaningless comparing to heavenly ones, as embodied by Divine. This is evident in Baroque style of painting, representation of the divine in painting. In addition, the theme here is the strength of Hercules, which by no means is comparable to the virtues of divine understanding. Boucher’s position of the figures in the painting, he places the mighty Hercules below Wisdom, who almost slumps downwards. A divine light is above the head of the woman and has one of her breast exposed. Apparently, based on a celestial figure, the saintly woman stands on a small globe, which symbolizes the world as she cast her eyes up to the heavens. It could also suggest that the male (Hercules) is falling while female (Wisdom) is rising. The woman is surrounded by a blue sky while the man is surrounded by earth colors. One could argue that the painting is suggesting that the force fails when faced by gentleness. The halo of light, which is above the woman, is a reflection of her spiritual wisdom. The painting suggests the power harnessing outside the everyday. The structure and patterns that the two artist use, are derived from the energies of the personal unconscious and the collective unconscious. However, mythic images are not presented in the person unconscious.

Friday, October 18, 2019

Project study Case Example | Topics and Well Written Essays - 1500 words

Project - Case Study Example Plagiarism is an illegal, punishable act that constitutes fines between $100 and $50000, one year imprisonment, or both (â€Å"Plagiarism FAQs†). If a writer copies even one sentence from another piece of work, it falls under the category of plagiarism. On the other hand, originality refers to one’s own words, ideas, thoughts, and expressions. In order to avoid plagiarism, the writer must be vigilant to change the 5 W’s and H (who, what, where, when, why, and how), but most significantly the writer must use his own words. In total, Plagiarism is illegal and immoral while originality is legal and moral. 2. Process of research question development Choosing an appropriate topic/issue is the first phase in developing a research question as it gives a ‘specific focus’ for the writing (â€Å"The relationship between†). The major topic may be subdivided into smaller pieces but the writer must stick to one major issue per research paper so as to have a coherent piece of work. While breaking down the major topic into its components, a series of questions may be listed. Once the listing of questions is completed, the researcher must review the listed questions in order to select the most appropriate one that is â€Å"neither too broad nor too narrow† (Bryman & Bell, 87). ... Difference between description and analysis As Egger and Carpi point out, the term description can be defined as a detailed presentation of certain aspects, features, or characteristics of a subject matter, something experienced, seen, heard, or known; in contrast, analysis refers to the interpretation of the described information and it includes lots of lists, data, and graphs (â€Å"research methods†). The difference between description and analysis is similar as that of data vs. information. For instance, an organization may compile ranges of data (description), but this description is of no use unless it is interpreted in a meaningful context (analysis). The reader gets lots of facts and data while going through the description part, but he would not understand why it is important and how it should be applied unless an effective analysis of the data is given. Therefore, description is only the factual representation whereas analysis makes this representation meaningful. 4. Data selection criteria Data selection is an important and complex process that determines â€Å"the appropriate data type and source as well as suitable methods† to gather data (â€Å"The Ohio State University†). The process of data selection is entirely different from selective data supporting and interactive data selection. The method of data selection would be often discipline-specific and is determined by the nature of research, existing academic literature, and accessibility to relevant data sources. While choosing data, first priority must be given on ability of data for effectively answering the research questions rather than cost and convenience of data accessibility. Similarly, researcher must be aware of fixing proper procedures in order for getting a representative sample while

FMEA Assignment Example | Topics and Well Written Essays - 250 words - 1

FMEA - Assignment Example It just happened as I predicted. A cold icy wind was whipping my fur while my heart was beating heavy like the â€Å"tum tum† drums of West Africa. My whiskers started to shiver like a twig in the middle of a storm, as snowflakes were sticking on my eyelashes. It was indeed cold like hell. The night snowstorm seemed to have fought the whole Wednesday night, causing several accidents that messed up traffic. Across the state, Highway Patrol troopers were seen in response to several crashes. Furthermore, as I sloped down the road, I witnessed casualties of the act of god. Two drivers were killed in the wee hours when their cars slid off snow-covered roads and struck trees. According to the running gossip around the scene, when I stopped to witness, the driver was killed when his car hit an embankment on before hitting a tree. In both cases, troopers concluded that the drivers had exceeded safe speeds for the slippery roadways. School buses were stuck in traffic the whole night until morning. Moreover, the streets were clogged as cars became trapped in gridlock because of the snow that ruled the highways. Indeed, it was a situation of life and death. In addition, I almost had an accident; my car was stuck at the bottom of a sloping corner. I decided to ditch my car after it spun out, trudged through the snow, and make it to school safely. Normally in 30 minutes, I could have driven to School; however it took me two hours, of which was a hilarious adventure. That snowstorm caught the populace off guard, including forecasters. The state Department of Transportation had been poised to spray brine on Triangle roads during the day Monday, in advance of snowfall that was not expected until the Tuesday night. However, the forecasts were all incorrect, and the snow came in a lot earlier at night. The snowstorm that occurred that night was indeed terrible. It reminds me of a story

Thursday, October 17, 2019

Strategic Management Involvement Essay Example | Topics and Well Written Essays - 2000 words

Strategic Management Involvement - Essay Example This pattern in decisions as well as actions clearly defines what Mintzberg called "realized" strategy. The examples given below clearly describe the situations in which this realized strategy will completely fail: External analysis is clearly described by Fahey and Narayanan (1986), they imply that organizations always in order scan the environment to recognize the ever changing trends and new patterns, keep an eye on all the specific trends as well as patterns, estimate the future course of the monitored changes and patterns, and then in the analysis the organizational impact these changes and patterns will have on the organization (Dolence etal 1997). Merged long with internal analysis of the organization's, well defined vision , mission statement , strengths, and weaknesses, external analysis greatly helps decision makers in creating strategic directions as well as strategic plans. The first and foremost goal of environmental scanning is to make the decision makers aware of the potentially important external changes long before they take shape so that decision makers have enough lead time to act in response to predicted the change. Therefore, environmental scanning plays a very important role for the organizations to manage change (Capon 1987). Environment Domains is a very board area, External environment refers to those people, resources, leadership and communication structures existing outside the organizational structure which may involve the following sector Industry sector Raw material sector Financial sector Market sector Technology sector Government sector International sector Internal and External Analysis Internal analysis of the organization is a practice that to help us to identifying the Strengths and weakness of the company, which point out some key factors that able the organization to get a better advantage of the market. And the most common tools are Core

Analyzing the play 'A Doll's House' by Henrik Ibsen from a critical Essay

Analyzing the play 'A Doll's House' by Henrik Ibsen from a critical psychoanalytical perspective - Essay Example In the story A Doll’s House, Henrik Isben skillfully uses figurative language, symbolism, and irony to create a literary movement through which the reader is able to identify with the plight of the oppressed female. Figurative language includes the use of devices such as similes, and metaphors. Figurative language becomes increasingly important in terms of the main conflict within the story. Helmer describes his wife by using the metaphor of â€Å"little squirrel† which implies that Nora moves frantically around completing task with no overall goal or intention (Isben, 1889). This implies that her actions are meaningless, and insofar as Nora’s actions are an extension of herself, she feels as if he is calling her existence meaningless. This is evident in the fact that Nora metaphorically refers to herself as a â€Å"doll-wife† (Isben, 1889). A doll implies that the object has no control over their own actions and is directed by the will of the person pulli ng the strings. This trend can be identified in modern society, evident in the fact that women produce 80 percent of the food on the planet, but receive less than 10 percent of agricultural assistance. In terms of the psychoanalytic approach, Nora’s desire to have a sense of self control forced her to disassociate herself from her husband and began to paint (Isben, 1889).

Wednesday, October 16, 2019

Strategic Management Involvement Essay Example | Topics and Well Written Essays - 2000 words

Strategic Management Involvement - Essay Example This pattern in decisions as well as actions clearly defines what Mintzberg called "realized" strategy. The examples given below clearly describe the situations in which this realized strategy will completely fail: External analysis is clearly described by Fahey and Narayanan (1986), they imply that organizations always in order scan the environment to recognize the ever changing trends and new patterns, keep an eye on all the specific trends as well as patterns, estimate the future course of the monitored changes and patterns, and then in the analysis the organizational impact these changes and patterns will have on the organization (Dolence etal 1997). Merged long with internal analysis of the organization's, well defined vision , mission statement , strengths, and weaknesses, external analysis greatly helps decision makers in creating strategic directions as well as strategic plans. The first and foremost goal of environmental scanning is to make the decision makers aware of the potentially important external changes long before they take shape so that decision makers have enough lead time to act in response to predicted the change. Therefore, environmental scanning plays a very important role for the organizations to manage change (Capon 1987). Environment Domains is a very board area, External environment refers to those people, resources, leadership and communication structures existing outside the organizational structure which may involve the following sector Industry sector Raw material sector Financial sector Market sector Technology sector Government sector International sector Internal and External Analysis Internal analysis of the organization is a practice that to help us to identifying the Strengths and weakness of the company, which point out some key factors that able the organization to get a better advantage of the market. And the most common tools are Core

Tuesday, October 15, 2019

TEENAGE SEXUAL HEALTH AND CRITICAL INCIDENT Essay

TEENAGE SEXUAL HEALTH AND CRITICAL INCIDENT - Essay Example unintended pregnancy, related policies and legislation of the United Kingdom government towards child and adolescent protection, and a critical analysis of John’s Model of Reflection 1995, towards improved nursing practice in the field of teenage sexual health. Sexual Health is defined by the Family Planning Association as â€Å"the capacity and freedom to enjoy and express sexuality without exploitation, oppression, physical or emotional harm†. Sexual health is stated to be an important part of physical and mental health. Together with other fundamental rights, it is a key part of our identity as human beings. According to Bekaert (2005: 86), the essential elements of good sexual health include access to information and services to avoid the risk of unintended pregnancy, illness or disease. Sexual intercourse at a younger age and poor condom use have led to increased rates of sexually transmitted infections (STIs) in the teenage group, states Bekaert (2005: 14). The government has responded to the general increase in STIs with the national strategy for sexual health and HIV. It recommends the promotion of sexual health and of mainstream sexual health services to decrease the incidence of STIs. 20% to 30% of teenage females diagnosed with a sexually transmitted infection acquire another disease within eighteen months. The consequences of infection with an STI vary according to the infection. They can include increased risk of cervical cancer, pelvic inflammatory disease (PID), ectopic pregnancy and infertility. With acquired immunodeficiency syndrome (AIDS), the individual is susceptible to opportunistic infections and will ultimately die. The consequences of STIs can be worse for teenagers as they tend to present late for treatment, have a poor knowledge of STIs and have unrealistic perceptions of their risks. The risk factors for contracting sexually transmitted diseases are: male sex, young age, early age at first intercourse, number of partners, ethnic

Sir Alexander Tilloch Galt Biography Essay Example for Free

Sir Alexander Tilloch Galt Biography Essay D. O. B-D. O. B: September 6, 1817 September 19, 1893, in London, England and came to Canada in 1835 to work for the British American Land Company. Family Information: On February 9, 1848, Galt married Elliott Torrance, the daughter of John Torrance, of Saint-Antoine Hall, Montreal. She died on May 25, 1850, shortly after giving birth to their only son, Elliott. Later he married her younger sister, Amy Gordon Torrance. Amy gave birth to 7 daughters and 2 more sons. They lived in Montreal at their house within the Golden Square Mile, which Galt built in about 1860. Galt appears to have had a very non-sectarian approach to religious faith and although the grandson of a Calvinist theologian, Alexander Galt supported both the Methodist and Anglican churches while his wife, Amy, was a lifelong Presbyterian. Occupation: He was a politician, member of the Canadian parliament. Is the Father of Confederation. Personality: Alexander Tilloch Galt, who was of Scottish descent, spent his early years with his brothers John and Thomas partly in the London area, partly in Scotland. Addiction: Sir Alexander Tilloch Galt had no addictions to anything. Political Party: Sir Alexander Tilloch Galt is from a Liberal-Conservative party. Political Beliefs: He was a member of the Great Coalition government in the Province of Canada that secured Confederation between 1864 and 1867. He became a leading figure in the creation of the Coalition when he was asked to become premier of the Province of Canada by then Governor General Sir Edmund Walker Head. Doubting his own ability to demand the loyalty of the majority of members of the Legislative Assembly, he turned down the position, but recommended that George-Etienne Cartier and John A. Macdonald be asked to become co-leaders of the new government. Political Career: The remainder of Galts political career was spent as the Canadian governments representative abroad until 1883, when he returned to the business world. Chronic health problems late in life forced him to limit his activities after 1890. He died at home in Montreal on September 19, 1893 Contribution to Confederation: He was one of the pioneers of the philosophy of Confederation. As early as 1858, he proposed a federation of the colonies of British North and planned the financial arrangements for the new nation. After Confederation, he served briefly as the Minister of Finance, but drifted into the position of Independent Conservative and in 1880 he was appointed as the first high commissioner to Great Britain which he kept until 1883. Additional Information: Alexander Tilloch Galt was one of the most influential politicians of his time. His role was most prominent during the constitutional conferences; he was involved in the issue of economic development and was committed to defending the rights of religious minorities. These things together made him truly one of the Fathers of Confederation. In 1824, Alexanders father John Galt founded the Canada Company a settlement company active in the area of Lake Huron and laid the groundwork for the city of Guelph, Ontario. It was during this time that the young Alexander first came to Canada, in 1828. He remained for two years. Despite the failure of the Canada Company, John Galt helped found the British American Land Company in 1834 and arranged for his son to be taken on as a clerk in the Sherbrook office. Thus, in 1835, Alexander Tilloch Galt returned to Canada for the second time. In 1840, he drafted a report on the companys successes and failures, and the document made its way to London. Galt had made an impression: in October 1843, the London office made him secretary of the British American Land Company and, in 1844, he was named commissioner.

Monday, October 14, 2019

Law Essays Admissible Criminal Evidence

Law Essays Admissible Criminal Evidence Admissible Criminal Evidence It matters not how you get it; if you steal it even, it would be admissible in evidence [per Justice Crompton in R v Leatham 1861] Discuss When considering the above statement it is necessary to examine legislation with regard to the admissibility of evidence. The starting point is to look at section 78 of the Police and Criminal Evidence Act 1984 which allows the court discretion to exclude any evidence they deem to have been unfairly obtained. There have been several cases where the issue of illegally obtained material has been considered. This paper proposes to examine the cases where judges have both exercised their discretion and excluded the evidence as well as the times when such evidence has been allowed. Within this framework consideration will be given of the factors that judges have taken into account when deciding whether or not to exclude such evidence. This will involve looking at policy issues in relation to the use of illegally obtained evidence in order to reach a conclusion as to whether in general terms the courts will opt to include or exclude such evidence. In reaching a decision as to the uniformity of the application of this discretion consideration will be given to whether changes that have occurred with regard to the rights of the suspect under the Criminal Justice and Public Order Act 1994 have impacted on the admissibility of such evidence. Although there have been many changes in the law with regard to the use of evidence that has been illegally obtained many judges still use the case of R v Sang [1980] as a yardstick by which to measure whether evidence such be excluded. In this case Lord Diplock commented that (1) A trial judge in a criminal trial has always a discretion to refuse to admit evidence if in his opinion its prejudicial effect outweighs its probative value. (2) Save with regard to admissions and confessions and generally with regard to evidence obtained from the accused after commission of the offence, he has no discretion to refuse to admit relevant admissible evidence on the ground that it was obtained by improper or unfair means.(at p 437) In this case the court following the comments made by Lord Diplock concluded that the judge would have no power to exclude the evidence on the basis that it had been obtained through the use of an agent provocateur. In many ways the decision whether or not to exclude illegally obtained evidence seems to centre on fairness. Sang remains as an authority of the rules on the exclusion of evidence as was demonstrated in the case of R v Nadir [1993] where Lord Taylor CJ said that if a judge considers evidence the Crown wish to lead would have an adverse effect on the fairness of the trial, he can exclude it under s 78 of the Police and Criminal Evidence Act 1984.He also has a general discretion to exclude evidence which was preserved by s.82(3) of the 1984 Act which would allow the judge to exclude evidence he considers more prejudicial than probative. In the later case of R v Khan [1994] 4 All ER 426, Lord Taylor seemed to change his opinion of the use of Sang as an authority stating that Since, on any view, the discretion conferred on the judge by s 78 is at least as wide as that identified in R v Sang it is only necessary to consider the question of the exercise of discretion under s 78 which is what the judge did. In general terms although the judge has the discretion to be able to rule the evidence as inadmissible it is more common for the courts to allow the evidence to be adduced. Many judges are of the opinion that the effect of s78 does not make very much difference to the cases brought before the court as most judges seem to decide in favour of inclusion rather then exclusion of such evidence as was the case of R v Mason [1987] and in the subsequent case of R v Samuel [1988]. Mason was later quashed on appeal when it was discovered that the only real evidence against the defendant was the confession and that this had been obtained by telling the defendant that his fingerprints had been found in glass near the scene, which was totally untrue. This decision was reached on the basis of interpretation of s78 where it was considered that there was bad faith and impropriety on the part of the police. A similar decision was reached in the case of Matto v DPP [1987]where the officers persuaded the defendant to undergo a breath test despite the fact that they were conducting the test under circumstances in which they were not entitled to do so. The conviction was quashed with the judge stating that the bad faith of the officers in carrying out the test when they knew they were not entitled to had tainted the case as a whole. This case was distinguished from the case of Fox v Gwent [1986] as in this case the officers were not aware that they were acting outside of there powers. A further case where the court have ruled that the police were not acting in bad faith was the case of R v Alladice [1988] in which the defendant confessed and the confession was allowed to be admitted to the court despite the fact that the police had wrongly refused to allow the defendant access to a solicitor. From all of the above it would seem that the court will only regard the police as acting in bad faith if there is clear evidence that the police deliberately deceived the defendant. There are of course exceptions where the action of the officers was questionable and the courts have still deemed the evidence to be admissible as was the case in R v Christou [1992]. In this case undercover police officers set up a shop were they were supposedly selling jewellery. All transactions in the shop were secretly recorded which led to the arrest of the defendant for dealing with stolen goods and making incriminating statements. The judge held that the police had not incited the offences and there had been no unfairness in their conduct. In the case of R v Smurthwaite and Gill [1994] the officers posed as contract killers and recorded conversations with the defendants who were attempting to hire the services of a contract killer to murder their spouses. The court regarded the officers as agent provocateurs but held that the officers had not incited the defendants to kill their spouses and therefore the evidence was admissible. In this case the judge stated that the fact that the evidence has been obtained by entrapment, or by an agent provocateur, or by a trick, does not of itself require the judge to exclude it. If, however, he considers that in all the circumstances the obtaining of the evidence in that way would have the adverse effect described in the statute, then he will exclude it. In some instances evidence that has been obtained through impropriety has been excluded. Impropriety can occur were there has been a breach of criminal law or a breach of PACE. This was held to be the case in R v Khan [1994] where surveillance devices had been placed on the premises of the suspect. It was argued that the placing of the equipment on the premises amounted to trespass by the police. The court however allowed the evidence to be admitted and the defendant was convicted. In cases where impropriety is alleged most of these cases centre on the admissibility of confessions or incriminating statements. The reliability and admissibility of confessions is governed by s76 of PACE. The most common impropriety is the denial of access to legal representation. The failure to contemporaneously record interviews has also been a problem in the past. One such case where the defendant was denied access to a solicitor was R v Samuel [1988]in which the defendant was arrested for burglary and after having been charged with one offence of burglary was denied access to a solicitor during which time he was interviewed again and confessed to a robbery. At the appeal the court held that the denial of the right to consult with a solicitor was a breach of s58 of PACE and of the Code of Practice on Detention and Questioning. As the judge had failed to exclude the confession at the original hearing the conviction for robbery was ordered to be quashed. The appeal court stated that even if the confession was reliable the breach of s58 rendered the confession as unfair. Within the criminal justice system the gaining of evidence illegally is classed as one of the exclusionary rules where evidence is suppressed or defendant’s rights are violated. Bentham (1827) argued that if you ‘exclude evidence you exclude justice’ He further argued that the solution to the problem was not to deprive the jurors of the evidence but to instruct them about the dangers presented by the evidence and allow the jury to decide for themselves whether to believe the evidence presented to them. Bentham stated that it was rather a contradiction for the court to declare their confidence in the decision of the jury whilst at the same time withholding evidence from that jury for fear of them reaching the wrong conclusion. Bentham stated that If there be one business that belongs to a jury more particularly than another, it is, one should think, the judging of the probability of evidence: if they are not fit to be trusted with this, not even with the benefit of the judge’s assistance and advice, what is it they are fit to be trusted with? Better trust them with nothing at all, and do without them altogether Bentham felt that exclusionary rules are â€Å"insults offered by the author of each rule to the understanding of those whose hands are expected to be tied by it.† He stated that relevant evidence should only be excluded when there was a risk of an inaccurate verdict without the use of the evidence. He went on to advocate ‘the abolition of all formal rules and a return to a ‘natural’ system of free proof, based on everyday experience and common-sense reasoning’. In the case of R v Kearley [1992] the House of Lords held that the evidence of telephone calls and visitor’s to the defendant’s house where they were asking for drugs was irrelevant or inadmissible as hearsay evidence. The primary evidence in this case came from two witnesses who had given evidence stating that the defendants were engaged in the sale of heroin. In this case the persons that came to the house or telephoned dealt with the police who were occupying the house at the time. The evidence of those that had rang or had come to the house could only be used as hearsay evidence as there was no way of getting the persons to give direct evidence to the court. Initially the defendant was found guilty but this was overturned on appeal on the grounds that the judge should have directed the jury of the inferences that could be drawn from the evidence. The court stated that the defendants could not be found guilty on the basis of their association with the people who had rang or called at the house. As with criminal law evidence can also be excluded in civil law cases under Civil Procedure Rules 32.1, though such exclusion is rare as the burden of proof in civil cases is significantly less then for criminal trials. Choo (1989) argued that there are three possible rationales for the exclusion of evidence, these being compensation, deterrence and repute. Choo (1993) stated that judicial legitimacy was the most satisfactory basis for the exclusion of evidence. Ashworth (1977) disagreed with this stating that exclusion was on the basis of discipline, reliability and protection. Hunter (1994) agreed with this stating that discipline is similar to deterrence. One of the main reasons for excluding evidence is on the basis of reliability. Where the reliability of the evidence is in question the courts will frequently opt to exclude the evidence from the proceedings. Bentham (1827) suggests that there is no need for total exclusion and that so long as a caution is issued with the presentation of the evidence the jury should be entitled to hear that evidence. Choo (1989) believes that allowing the evidence to be disclosed to the jury when such evidence could be unreliable is an ‘infringement’ of the rights of the defendant. Choo states that such evidence should be excluded if it admission would have such an adverse affect on the fairness of the proceedings that the court ought not to admit it. From the above it can be concluded that the rules regarding the use of illegally obtained evidence are not uniformly applied. In some instances the court will exclude such evidence from the jury whilst in other cases the evidence will be admitted. It is clear from s78 that evidence that has been illegally obtained can still be submitted to the court if it can be proven to be reliable or if an unfair result would be achieved if the evidence where not presented to the court. The courts seem to place emphasis on the notion of fairness as fair play. This is applicable both in deciding whether to allow the evidence to be heard or whether the evidence should be withheld from the jury. BIBLIOGRAPHY Allen, C, Practical Guide to Evidence, 2nd Ed, 2001, Cavendish Publishing Ashworth, A (1977) ‘Excluding Evidence as Protecting Rights’ [1977] Criminal Law Review 723 Ashworth, A and Blake, M The presumption of innocence in English law [1996] Crim LR 306 E Bentham, J, Rationale of Judicial Evidence 15-16 (1827), London Choo, A Mellors, M, ‘Undercover Police Operations and What the Suspect Said (or Didn’t Say), [1995] 2 Web JCLI Choo, A (1989) ‘Improperly obtained evidence: a reconsideration’ 9 Legal Studies 261 Choo, A (1993) Abuse of Process and Judicial Stays of Proceedings (Oxford: Clarendon Press) Elliott, C, Quinn, F, Criminal Law, 3rd Ed, 2000, Pearson Education Glazebrook, P R, Statutes on Criminal Law, 2001, Blackstone’s Hunter, M (1994) ‘Judicial Discretion: Section 78 in Practice’ [1994] Criminal Law Review 558 Huxley, P, O’Connell, M, Statutes on Evidence, 5th Ed, Blackstone’s Murphy, P, Blackstone’s Criminal Practice, 2002, Oxford University Press Smith. J C, The presumption of innocence (1987) NILQ 223 B Stephen, Sir JF, A Digest of the Law of Evidence, 12th Ed, 1936, Art 147

Sunday, October 13, 2019

The Fight for Human Rights Essay -- the security-for-rights compromise

Can you imagine a life without pre-meditated murder? In his movie Minority Report, Steven Spielberg brings this vision to reality in the trappings of a police state. The pre-crime unit is charged with the elimination of pre-meditated murder using three pre-cogs, humans with the ability to predict violent crime. Minority reports- sporadic, erroneous predictions- indicate the fallibility of this system of imperfect procedural justice. Civilians have their rights to privacy violated on a regular basis for collection of intelligence. This movie is chillingly pertinent in the real world, as today African-Americans and Muslim-Americans have their rights violated regularly in the name of security. Thankfully, we have more than a Hollywood protagonist to fight for the protection of rights. John Stuart Mill, Robert Nozick, and John Rawls provide a philosophic framework for evaluating the security-for-rights compromise. Though their respective theories vary greatly in theory and in practice, they provide models to condemn this exchange. Nevertheless, each differs in the persuasiveness and effectiveness of their tools for argumentation. Mill’s utilitarianism, Nozick’s libertarianism, and Rawls’ egalitarian liberalism reject the tradeoff of security for a majority in exchange for the violation of the rights a minority. John Stuart Mill outlines a sometimes dubious plan for protecting rights and lacks the a priori protection of rights that Rawls and Nozick afford. John Rawls presents the most convincing and solid argument for the omnipotence of rights in the confines of a welfare state. His philosophy acts as an ideal synthesis of libertarianism and utilitarian ism; he demands the utmost respect for rights while trying to maximize utility f... ...t for rights because Tom Cruise says so and because Mill, Nozick and Rawls prescribe it. Works Cited Bentham, Jeremy. Introduction to the Principles of Morals and Legislation. Published online by Constitution Society. Web 18 June 2015. http://www.econlib.org/library/Bentham/bnthPML.html Mill, John Stuart. "Utilitarianism." Web 20 June 2015. http://www.utilitarianism.com/jsmill.htm Nozick, Robert. â€Å"Distributive Justice.† Macquarie University, Modern Political Theory. Web 18 June 2015. http://www.csudh.edu/dearhabermas/nozick01bk.html Rachels, James. The Elements of Moral Philosophy. Birmingham, Alabama: Mcgraw-Hill College, 1999. Rawls, John. A Theory of Justice. Harvard, MA: Harvard University Press, 1999. Minority Report. Dir. Steven Spielberg. Perf. Tom Cruise, Max Von Sydow, Steve Harris. Videocassette. 20th Century Fox, 2002.

Saturday, October 12, 2019

Of Mice And Men: A Critical Look At Curley?s Wife :: essays research papers

‘Of Mice and Men’, a novel by John Steinbeck, tells a story of friendship, loneliness and aspirations. Two itinerants named George and Lennie go to work on a farm as labourers in a place named Soledad. The story then ends when George takes Lennie’s life. Almost everyone on the farm is lonely and the person that represents this the most is Curley’s (the boss’s son) wife, one of the most pivotal characters in the book. When Lennie and George arrive on the farm and are shown their quarters Curley’s wife, on one of her ‘looking for Curley’ routines, sees them both and immediately starts flirting with them. George gets angry when Lennie takes a shine to her and tell him to stay away and calls her a ‘bitch’ and a ‘rat-trap’ This view is also held by many of the workers on the farm. Curley instantly takes a dislike to Lennie when he firsts meets him just because he his much considerably larger that himself. Thi s attitude towards Lennie results in him getting into a fight with him but he loses when Lennie crushes his hand with his own fist. Curley’s wife knows Lennie did this even though Curly was told to say he had caught his hand in a machine. Curley’s wife pursuit of company leads her to seek solace with Lennie. She pours out her pent up frustration of her unrealised dreams and ambitions. When she realises Lennie isn’t taking much interest she lets him feel her hair. Lennie being Lennie strokes harder and harder even though Curley’s wife begs him to stop. As she struggled to get out of his grasp he accidentally broke her neck. Lennie then ran off to his hiding place where he was told to go if he ever did a ‘bad thing.’ When Curley discovers his wife’s body he runs after Lennie with a mob including George. This leads to George pulling a trigger on Lennie. I feel Curley’s wife is the most despairing and lonely character in the book. She has no friends, no future, no respect; she doesn’t even deserve a name. I really feel sorry for her, all she wants is someone to talk to, to converse with but in her mind the only way she can do this is by flaunting herself to the men just to get noticed. This leads her to be perceived as a ‘floosy’ by the men.

Friday, October 11, 2019

Determining the Right Quantity of Food (Home Remedy) To Give a Diabetic Patient In Case Of a Hypoglycaemic Episode

Introduction This project is concerned with an innovation that would enhance care delivery in the community. The area of focus is the hypoglycaemic effects on diabetes patients and the use of home remedies to manage hypoglycaemia. Diabetic patients know what kinds of food they have to consume to keep healthy, and how to restore their blood sugar levels in case of a hypoglycaemic episode. According Frier and Schernthaner (2011), people may know the right food to give or take, but most do not know the right quantity. The biggest challenge, however, lies with those family members who may not even be aware of the right food and quantity of carbohydrates that push the blood sugar to the accepted levels (Ali, 2011; Boughton, 2011; Onwudiwe et al., 2011). Usually, it is recommended that patients take fast-acting carbohydrates with 15-20 gms of carbohydrates. The blood sugar level is rechecked after 15 minutes, which prompts another dose of 15-20 gms if the blood sugar level is still low (Fonseca, 2010). Determining the right quantity of food that contains 15-20 gms of fast-acting carbohydrate is a challenge (Onwudiwe et al., 2011; Ali, 2011). Consequently, an innovation that can easily guide people on how to handle instances of hypoglycaemic attacks at home using the right quantity of household ingredients will ensure that such attacks are handled appropriately. The Innovation Health care delivery can be enhanced through a variety of means depending on available resources, ideas and the patient’s health conditions. In this research, focus is on diabetic patients who suffer from hypoglycaemia. Hypoglycaemia is a condition of low sugar levels than the recommended (Boughton, 2011). These patients can suffer from hypoglycaemic episodes anytime and anywhere. Because of that, their families, friends and other people around them should be aware of a quicker way to handle the situation. There are proposed means of getting out of the hypoglycaemic episode which includes taking foods and drinks that have fast acting carbohydrates (15-20gms). This is the best home remedy to the condition. Foods always recommended include; coke, table sugar, fruit juice, raisins, Lucozade, and many more (Boughton, 2011). The problem is, people may be aware of these fast-acting carbohydrates, but do not know the right quantity to take or give the patient suffering from hypoglyca emia (Boughton, 2011). The new idea is to provide a leaflet containing the quantity of fast-acting carbohydrates that these patients should receive. Examples are; eight ounces of skimmed milk, four ounces of soda or fruit juice, and five-six life savers candies. Hypoglycaemia Hypoglycaemia is the state of low blood sugar in the body. For diabetic patients, it is the episodes of abnormal low plasma glucose concentration that can cause harm to the patient. It occurs when there is too much insulin or too little glucose in the body all which may be due to; eating less than usual, taking too much insulin, more exercise than normal, eating later than usual, and medication interaction or due to an illness (Frier, Heller & McCrimmon, 2013). According to Yakubovich & Gerstein (2011), hypoglycaemia can either occur with or without symptoms. If the blood glucose level of a diabetic patient is ?70 mg/dL, then the patient should be concerned about hypoglycaemia and take necessary measures to increase the blood glucose level (Yakubovich & Gerstein, 2011), since they are likely to suffer from life threatening conditions such as insulin shock. Hypoglycaemia is a common problem among diabetic patients. Boughton (2011) posits that both diabetes type I and II patients can experience hypoglycaemic episodes several times a week. Briscoe and Davis (2006) also postulate that about 90% of patients who use insulin experience hypoglycaemic episodes. Hypoglycaemia is commonly a complication of diabetes treatment. Current treatment guidelines recommend intensive glycaemic control. Hypoglycaemia, however, is a threat to the achievement of this state, both because of its occurrence and incidence. The need for intensive glycaemic control prov ed that some microvascular complications and some macrovascular complications could be reduced by comprehensive metabolic control. This kind of control cannot be achieved when the available treatment regimens cause hypoglycaemia (Briscoe and Davis, 2006). Because of the regularity of occurrence and the high likelihood of such episodes occurring at home, school or far away from the hospitals, diabetic patients should have a quick way of managing them. A common way of managing hypoglycaemic episodes is by administering fast acting carbohydrates. This will ensure increased body sugar levels (Briscoe and Davis, 2006). Leaflets provide access to such information easy and quick. They also act as health promotional devices. Why Is It An Innovation? People may have the needed ingredients to stop a hypoglycaemic attack around them, but making use of these ingredients can be limited if they lack knowledge. There are health sources with information about fast-acting carbohydrates and the right quantity that should be taken in case a diabetic patient suffers a hypoglycaemic episode at home. The main problem is that these foods may be available randomly, and not all their quantities can be remembered easily. Additionally, one may think that he/she has the right quantity to give the patient, yet such a quantity can be confused by the other. It is from such a problem that the proposition to develop a leaflet containing the recommended quantity was developed. With such leaflets at home, anybody can help the patient. The Need for the Innovation This innovation is one of the ways of preventing the damaging effects of hypoglycaemia. If a diabetic patient can detect low blood glucose levels early enough, the detrimental effects of hypoglycaemia that have been documented can be reduced. Hypoglycaemia has been associated with increased risk of mortality (Kalra et al., 2013; Werner, 2013; Mccoy et al., 2012; Cryer, 2012; Frier, Schernthaner & Heller, 2011; Yakubovich & Gerstein, 2011, Heller, 2008). There are studies that have directly found links between hypoglycaemia and high mortality rates in diabetic patients and those that link it directly through other complications. According to Mccoy et al., (2012), severe hypoglycaemia has been associated with 3.4 times increased threat of death. This was a conclusion obtained from self-reports on hypoglycaemia. Additional information from patient-reported hypoglycaemia from hospitals could only mean that the risk is higher (Mccoy et al., 2012). Any health management officer would think of preventing hypoglycaemia so that this increased risk is reduced. One way of preventing it is through access to relevant information about its management. This proposed idea will contribute to the reduction of severe hypoglycaemic cases that may then lead to death. The same information about 3.4 fold risks is communicated in Cryer (2012). The study also indicates that hypoglycaemia is an impeding factor in the glycaemic management of diabetes. It damages the defences that can protect an individual from subsequent hypoglycaemia, therefore, causes recurrent hypoglycaemia. It causes morbidity in many with advanced type II diabetes and in most people with type I diabetes. It prohibits the maintenance of euglycemia and reduces the quality of life; the benefits of glycaemic control are never realized by the patient. Cryer (2012) also reviewed information from various reports about hypoglycaemia and found out that one in every ten or one in every twenty-five people with type I diabetes die from hypoglycaemia. It concluded that hypoglycaemia episodes need not to be life threatening for them to cause devastating effects (Cryer, 2012). This only emphasises the impact that this proposed innovation may have on diabetes patients. It has the potential of preventing any devastating effects, including death. Hypoglycaemia also has other health effects, for example, the effect on the cardio -vascular system, which in turn contributes to increased mortality. According to Frier, Schernthaner and Heller (2011), hypoglycaemia cause hemodynamic changes such as peripheral systolic blood pressure, and increased heart rate, reduced peripheral arterial resistance, a fall in central blood pressure and increased stroke volume, myocardial contractility and cardiac output. If such high work load finds an already weakened heart, like the ones found in type II diabetic patients with coronary heart disease, dangerous consequences should be expected. Hypoglycaemia has also been associated with abnormal electrical activity in the heart, therefore, has high chances of causing sudden death (Frier, Schernthaner & Heller, 2011; Yakubovich & Gerstein, 2011). All these evidences support the importance of preventing hypoglycaemia, at all levels. Prevention or good maintenance of blood glucose levels can enhance t he quality of life. Risks and Benefits of the Innovation Provision of the leaflets is a way of providing high-quality information recommended for self-care and helps in decision-making. In this case, there will be a variety of fast-acting carbohydrates with the right quantities. A patient may get tired of taking non-diet soda all the time, and decide on other options such as fruit juice, glucose tablets, and honey. The leaflets will improve: health literacy, clinical decision making, patient safety, care experience, self-care, service development, and access to health advice for both the patient and the family members (Greenwood, 2002). Research evidence has shown that chronic conditions cause anxiety, but understanding of the condition and how to manage and treat it improves the ability of the patient to cope with the condition or to recover from it. It is for this reason that the leaflets with information on what to take when attacked by an episode of hypoglycaemia are very important for diabetic patients. Patient information leaflets merge information (Lowry, 2005). The leaflets also act as health promotion devices and will assist nurses in their health education and promotional activities (Greenwood, 2002). This innovation has other advantages, such as they contain information relevant for the individual, ensure consistency of information, are cheap and easy to produce and can be easily updated. This proposed innovation would also allow readers to work through their own pace. According to Lowry (2005), they provide the carer and the patient with a focus for shared knowledge and discussion, and can also be used as a resource to healthcare organizations for informing their new staff members. In order to ensure that the leaflets have specific information specific to an individual patient, it will make use of a structure that allows for a variety of options to be included. Disadvantages of Leaflets Some are usually produced for general issues, therefore not individualised. This may be a problem to diabetic patients who need special attention or have specific restrictions when it comes to taking some fast acting carbohydrates. Some may be allergic to some foods. This may not be a problem in this case since the leaflet will provide a variety of food and their quantities. The leaflets can remain unused unless those they are meant for are motivated to use them. In the case of managing hypoglycaemia among diabetic patients, for those who do not suffer hypoglycaemia, these leaflets may remain unused. To avoid this problem, here will be monitoring of the use of the leaflets (Lowry, 2005). The leaflets may do more harm than good if they are badly produced. There are specific recommendations on how to produce a health information leaflet. If the leaflets are, for example, produced in a manner that can lead to the misconception of information, they may not achieve their aims as expected (Lowry, 2005). This will be avoided by a series of tests with the draft leaflet to ensure they are not misunderstood. Leaflets can be lost or misplaced easily. A proposed idea to eliminate this is to encourage the users to stick some of them on walls where they can easily be seen and have others in their bags, or wallets. Those that require professional attention may take longer to update and may also be costly. It needs some groundwork done before the resource is developed. As in the case of the proposed leaflet, there will be the groundwork needed to determine those with diabetes in the community, the number of the patients, and complications that they suffer. Groundwork will also find out about the family members around, their current self-care practices, and other important information that can inform the development of this health promotional resource (Lowry, 2005). Potential Resources Needed to Implement the Innovation A research study will be conducted on the community to find out the number of people with diabetes, what they know about hypoglycaemia and how they currently manage the episodes. There is also need to prepare for an education program for these people and their family members on how to manage such episodes and get the neighbours, and friends involved. One can experience a hypoglycaemic episode unexpectedly and can need help. It is important to know how to relay relevant information, and quick to the person that the patient may seek help. Resources needed, therefore, are; Field researchers or interviewers Health educators or just nurses Financial resources to undertake the research and educational program activities The innovation development and implementation have about five main stages. There is the planning stage, the writing stage, conducting final checks, the consultation, and finally the distribution stage. Planning This is the initial preparation stage where the leaflet developer will consider the kind of information he or she will need, and for what purpose, the kind of resources, needed and the people who will be involved. It will entail identification of those who will be involved and how each of them will be involved, for example, the research will need interviewers who will seek specific information from the patients. The person has to state why specific information is needed from a clinician, patient or carers. It is while planning that the individual should review all relevant and available information from relevant sources, for example, the NHS, peer-reviewed journal articles and Diabetes associations. He or she should also think of distribution methods, for example, if the leaflets will be given to the patients directly, placed on the rack where they can easily be accessed, emailed, or even just posted (NHS, 2008). Writing This stage involves writing down patient information and assessing its effects. One can look for recommended frameworks to guide the development of patient information. With the evidence from previously conducted research, the leaflet should contain the right information and should be easy to read. It involves a series of writing and testing until the right product is finally produced. When assessing readability, the developer can check the draft against leaflet development guidelines, and then check with team members, and maybe members of the public. When assessing whether it is good for patients, the developer can test it on people who are not familiar with the condition. The draft can also be checked by clinicians, patient support groups, experts, to confirm that it is right for the targeted patients (NHS, 2008). Conducting Final Checks Whatever is to be done in this stage depends on the contents in the leaflet and the purpose of producing such leaflets. In this proposed innovation, the leaflets are meant to improve patient self-care. Final checks may include confirming the patients’ and family members’ numbers and checking if the information conflicts with other information from influential and reliable health sources (NHS, 2008). Consultation In this stage, the draft is given to the patients and interested groups for feedback. Changes can be made depending on the responses received from the parties (NHS, 2008). Distribution This stage is all about identifying the right distribution strategies in relation to the aim of developing the leaflets. For example, if the leaflets are meant for improving self-care, the healthcare professional will have to think of how these leaflets will reach the targeted patients. The perfect method is to deliver each leaflet to each patient and family members after consultation with them, and educating them on its benefits. They should also be informed about the whole project of improving health care delivery. The stage also involves monitoring to identify how the information is used, and if there is a need for any improvements (NHS, 2008). Additional resources that will be needed are; writing materials, human resource for distribution, and financial resources for distribution and other project activities such as testing the leaflet draft. Implementation Difficulties There are no current implementation difficulties except for finding adequate resources to conduct the research in the community and identify the patients. It may also be difficult to convince all diabetes patients to come to educational programs on how to manage hypoglycaemia alongside the management of diabetes. According to the NHS guideline, the best approach is educating the patients and their families on a one-on-one basis, but this is expensive and time consuming. It may depend on the patients’ visit to the hospitals, which is an unsure way of reaching the patients. Leadership and Management Skills Needed The leadership and management skills belong to one category of management which is; project management. Under this category, these skills can again be classified under technical project management skills, general management skills, and leadership skills (Hallows, 2002). Technical project management skills are such as project planning and execution skills. Planning skills gives one the ability gather and assess information for estimates, identify dependencies, develop a work breakdown structure, assign and level resources, and analyse the risks among other abilities. Project execution skills give one the ability to develop estimates at completion, gather and evaluate data, prepare meaningful reports, and monitor the progress of the project (Hallows, 2002). These technical skills are very important for planning and execution of the proposed project. Project leadership skills involve managing the expectations and relationships of the participants. Hallows (2002) indicates that project m anagement leadership requires the ability to engage the main stakeholders involved in the project in each phase. An example, is, in the planning stage, the project manager has to get all the relevant departments involved, and any other parties that will be involved. Like in the leaflet development case, the project manager has to find a way of engaging the patients, the carers, family members and the health care organization supporting or sponsoring the project. The project manager can decide when it is necessary to share ideas, and the communication strategy that is necessary for attainment of the objectives of the project (Hallows, 2002). The project manager of this proposed project should have the ability to convince others about the benefits of the project, and explain the value of their roles. General management skills are such as; the ability to listen, delegate, goal setting, time management, communications, negotiation, and meeting management. There is also the need for huma n resource management skills. Project planning and implementation will require people to perform different duties. The performance of the project depends on the employees’ activities, without good management skills, the outcome of the project may be affected negatively (Hallows, 2002). References Ali, Z. H. (2011). Health and Knowledge Progress among Diabetic Patients after Implementation of a Nursing Care Program Based on their Profile. Journal of Diabetes and Metabolism, 2:121. Boughton, B. (2011). Patients with Diabetes Lack Knowledge about Hypoglycemia. Medscape Medical News. Retrieved from: http://www.medscape.com/viewarticle/740881 Briscoe, V. J. and Davis, S. N. (2006). Hypoglycemia in Type 1 and Type 2 Diabetes: Physiology, Pathophysiology, and Management. Clinical Diabetes, 24 (3): 115-121. Cryer, P. E. (2012). Severe Hypoglycemia Predicts Mortality in Diabetes, Diabetes Care. 35(9): 1814-1816. Fonseca, V. (2010). Diabetes: Improving Patient Care. New York: Oxford University Press. Frier, B. M., Heller, S. and McCrimmon, R. (2013). Hypoglycaemia in Clinical Diabetes. (3rd Ed.). West Sussex, UK: John Wiley & Sons. Frier, B. M., Schernthaner, G. and Heller, S. R. (2011). Hypoglycemia and Cardiovascular Risks. Diabetes Care, 34(2): S132-S137. Greenwood, J. (2002). Employing a Range of Methods to meet Patient Information Needs. Nursing Times. Retrieved from: http://www.nursingtimes.net/employing-a-range-of-methods-to-meet-patient-information-needs/200054.article. Hallows, J. E. (2002). The Project Management Office Toolkit. New York: AMACOM Div American Mgmt Assn. Heller, S. (2008). Sudden Death and Hypoglycaemia. Diabetic Hypoglycemia, 1(2): 2-7. Kalra, S., Mukherjee,J. J., Venkataraman, S., Bantwal, G., Shaikh, S., Saboo, B., Das, A. K. and Ramachandran, A. (2013). Hypoglycemia: The Neglected Complication. Indian Journal of Endocrinology and Metabolism, 17(5): 819–834. Lowry, M. (2005). Knowledge that Reduces Anxiety: Creating patient information leaflets. Professional Nurse, 10 (5): 318-320. Mccoy, R. G., Van Houten, H. K., Ziegenfuss, J. Y., Shah, N. D., Wermers, R. A. and Smith, S. (2012). Increased Mortality of Patients With Diabetes Reporting Severe Hypoglycemia. Diabetes Care. 35(9):1897-1901. NHS. (2008). Quality and Service Improvement Tools. Retrieved from: http://www.institute.nhs.uk/quality_and_service_improvement_tools/quality_and_service_improvement_tools/patient_information.html Onwudiwe, N. C., Mullins, C. D., Winston, R. A., Shaya, F. T., Pradel, F. G., Laird, A. and Saunders, E. (2011). Barriers to Self-management of Diabetes: A qualitative Study among Low-income Minority Diabetics. Ethnicity & Disease, 21: 27-32. Werner, J. (2013). Diabetic Status, Glycaemic Control & Mortality in Critically Ill Patients. ESICM News. Retrieved from: http://www.esicm.org/news-article/Article-review-ESICM-NEXT-Diabetic-status-Glycaemic-Control-Mortality-WERNER. Yakubovich, N. and Gerstein, H. C. (2011). Serious Cardiovascular Outcomes in Diabetes: The Role of Hypoglycemia. Circulation, 123: 342-348.

Thursday, October 10, 2019

Privacy Laws and Policies Debate Essay

Upon viewing this weeks reading as well as going through other student arguments about why they are against communication privacy laws and policies, I feel even more strongly about them being crucial for success. Those who fear being watched are the ones who know they are doing wrong. Companies have the right to see what is going on, they pay the salaries of each employee. In times like today a company needs to know what is going on within itself. This means that having access to computers, email, mobile devices along with monitoring systems in the work place. Some of my fellow classmates to not agree with some of the practices but per our reading in Workplace Privacy it stays that â€Å"Under the â€Å"ordinary course of business† exemption, for example, employers may monitor email communications if the employer can show a legitimate business purpose for doing so† (Friedman, Reed, 2007). If employees know that they are being closely watched it decreases the chances of them not working or cheating the company. Some may argue that from our reading it says â€Å"While employers have many legitimate reasons to monitor employees’ electronic communications, they also need to consider negative implications of increased employee monitoring in terms of the effect of such practices on employee perceptions and attitudes† (Friedman, Reed, 2007). For me this does not work because if you are scared of being seen on camera or having someone go through work items then you are clearly doing something you should not be. Any person who owns a company would agree that the best way to stay in business is know what is going on within your company. Reference Friedman, B., & Reed, L. (2007, June). Workplace privacy: Employee relations and legal implications of monitoring employee e-mail use. Employee Responsibilities and Rights Journal, 19(2), 75.

Wednesday, October 9, 2019

International Business Economics Essay Example | Topics and Well Written Essays - 1500 words

International Business Economics - Essay Example The figures show labour cost in hours for producing one unit of good David Ricardo formulated the theory of comparative advantage and argued that even if a one country is more productive in both lines of production it would be still profitable to trade. Country A is more productive in both lines of production but it will still be profitable to trade with country B, this is shown by first stating that country A is more advantaged in production of good X, therefore when wee calculate the comparative advantage country A will specialise in the production of good X and country B will produce good Y and they will gain by trading. (Hardwick, 1997) The Hecksher-ohlin trade model states that trade is based on the difference in factor endowment, a labour rich country will produce and export labour intensive good, and it will also import capital intensive goods. A capital rich country will produce and export capital intensive goods; it will also import labour intensive goods. According to the factor equalization theory, if we have a situation where factors of production cannot move from one country to another but there is free movement of goods, then the free movement of goods will eventually equalize factor prices. Point Q is the equilibrium point of producing both goods for country one, point P is the point of equilibrium for country two in producing both goods. The movement of goods will cause a shift in equilibrium points and case price equalization. Equilibrium shift as shown by the arrow. According to the Rybczynski theory an increase in factor of production and the other factor remains constant in a country , then the output of the good using the factor of production intensively increase while the output of the other good will decrease in absolute amount provided factor and output prices remain constant. (Jagdish, 1987) The countries original equilibrium is at point P, after increase in labour the new equilibrium is at point P'. According to the Stolper Samuelson theory, he argues that a tariff imposed on import goods causes an income distribution. He argues that a tariff on an import causes domestic prices to rise; this causes an increase in domestic production as firms emerge to capture the profits caused by the price in this goods. This effect is

Tuesday, October 8, 2019

Nursing Theories Assignment Example | Topics and Well Written Essays - 1750 words

Nursing Theories - Assignment Example This can be achieved by following and applying a theory for each time of intended care i.e. Nightingales Environment theory to care for the patients’ environment, Watson philosophy and Science of Caring to help build a bond with the patient and Parse human becoming theory to cater to the patient’s emotional and psychological needs. Nightingales Environment Theory was theorised by none other than Florence Nightingale who is an aspiration for all nurses around the world. Florence Nightingale believed that the nurse was primarily responsible in utilizing the environment and assist in speedy recovery of the patient. This particular theory primarily focuses on taking care of the patient by managing the patients’ environment either at home or within the nursing settings. The theory states that the patients’ environment needs to be altered in such a way that the conditions are optimal for his/her comfort, well being and recovery. The alterations may include ventilation, temperature, air flow, cleanliness, bedding, food, and even offering of word of hope or advice. Posotive changes in one’s environment have a positive effect on the life and well being of a person. The second theory is Watsons Philosophy and science of Caring forms the basis of philosophical and ethical responsibility of nurses. It is the ethical responsibility of the nurse to provide heartfelt care to each and every patient that the nurse comes in contact with. It helps them develop a bond with the patients under their care. The nurses need develop a strong relation by offering dignity, respect and love to their patients. The nurses need to be open to their patient and take care of them with eagerness and warmth and build a caring and protective environment around the patient and guide the patient find inner harmony. The relation maybe made stronger by sharing experiences, offering hope and talking to each other without any ego or other problems. The Parse Human

Monday, October 7, 2019

The Fish by Elizabeth Bishop Essay Example | Topics and Well Written Essays - 750 words

The Fish by Elizabeth Bishop - Essay Example But this initial impression of a sedentary, large old fish being caught with a struggle is belied when the poet sees the evidence of the tremendous battles the fish has already gone through in referring to it as â€Å"a five haired beard of wisdom trailing from his aching jaw.† The poem is therefore a tribute to the beauty and the miracle of survival. This is where the poet crates sympathy for the fish by combining both simile and metaphor as she mentions the five â€Å"old pieces of fish line† with their â€Å"five big hooks grown firmly in his mouth†, describing them as â€Å"medals with their ribbons frayed and wavering.† The fish with its aching jaw full of hooks, emerges as a symbol of pain and suffering, a battle embittered veteran of the waters. The poet has used the battered image of her boat and the grizzled old veteran fish of the waters, neither of which is particularly beautiful, in conjunction with an pool of oil bilge that produces a rainbow towards the end of the poem. â€Å"Rainbow, rainbow, rainbow!† before she lets the fish go at the end highlights the beauty that exists in the ugly old fish – it has survived. As the poet stares into its eyes, this is â€Å"the victory† that â€Å"filled up the little rented boat† and the realization of its beauty is highlighted t hrough the simile of the rainbow. Bishop has used the device of parallelism very effectively in this poem to enhance the beauty of sheer survival in this poem. She starts the poem with the parallelism of â€Å"didn’t fight, hadn’t fought at all† but hangs a dead weight, â€Å"battered and venerable and homely† and leads it into the repetition of â€Å"rainbow, rainbow, rainbow† to show the discovery of the beauty of the fish’s sheer struggle for survival, which is why she lets it go. While reading the poem initially, the reader gains the impression that the poet finds

Sunday, October 6, 2019

Critical evaluation of Freemark Abbey Winery Essay

Critical evaluation of Freemark Abbey Winery - Essay Example The best quality wine is produced only when the fruit has been ripened to a level where it reaches a perfect balance of acidity and sweetness. The ripeness of grapes is influenced by the existing weather conditions as well. In order to produce the right type of wine it is crucial that everything from the level of ripeness the grapes have achieved to the existing weather are all in a perfect balance. Most of all the fermentation process is accelerated by a certain type of bacteria known as botrytis mold. The latter part of the case takes an elaborate look at the different factors which impact its owner’s decisions regarding whether or not to harvest the grapes based on the weather predictions of an approaching storm. It discusses the ways in which the storm could affect the quality of wine and in turn its market price. If the wine was perfectly botrytised the wine would be significantly superior in quality but its quantity would be reduced. This kind could produce fewer bottles but they could easily be priced relatively high at a price of $8.00. The case study revolves around discussing all these factors which influence William Jaeger about deciding whether or not he should harvest the grapes prior to the approaching storm or wait for luck to strike. This is a critical decision to make and all possible options should be evaluated before taking a decision. There are several predictors of decision and various factors which have to be taken into consideration in order to decide whether the grapes should be harvested immediately or at a later stage. The biggest problem is that Jaeger’s decisions are all based on assumptions about the weather forecast. Incase the assumptions fail, the consequential strategy will also be unsuccessful. Freemark Abbey can rent a weather detector to maximize surety. In case the storm does not strike, early harvest can lead to a

Saturday, October 5, 2019

Spiritual Assessment of Mentally Retarded Patient Essay

Spiritual Assessment of Mentally Retarded Patient - Essay Example This discussion stresses that FICA serves as an imperative tool for the spiritual assessment of the patients in order to cure them from spiritual and psychological disorder. The medical advisor concentrates upon the nature, influence, community and application of the patient’s faith in order to pacify and soothe him in the light of his religious and spiritual beliefs. â€Å"The connection between spirituality and medicine†, Puchalski observes, â€Å"has been receiving a lot of attention in both the scientific and lay presses recently, but research and anecdotal evidence all indicate that spirituality is central to the care of the chronically ill and dying.† Consequently, almost all therapeutic and healthcare centers take spiritual needs of the patients into serious consideration in order to rescue them from emotional trauma on the basis of their spiritual needs.This paper discusses that  Mrs. Wilson claimed to be a spiritual person, as she aptly heard the call of conscience and virtue deep in her heart; consequently, she used to offer charity and donation to the disabled persons and orphans through non-governmental and charity organizations. She endorsed the very reality that religion maintained imperative significance in her life. Since the noble teachings of St. Perpetua had left indelible imprints upon her mind, she felt great relief by studying the marvelous sacrifices made by her. She also sought support from Heavens to get cured immediately, which revealed her strong belief in her Creator.

Friday, October 4, 2019

Patients and Clients in Home Care Essay Example for Free

Patients and Clients in Home Care Essay It is said that â€Å"there’s no better place than home†. This is the comfort that home care provides its patients. It permits the assistance of people that have special needs in the comfort of their homes and with the companionship of their families. Medical services and health assistance can now be obtained without going away from the confines of your home. It is now possible that health service providers will be the ones to go to the patient’s home so that the patient will not have to be confined in a hospital or a nursing institution. Home care is an alternative method to sustain the growing demand for medical health services. Due to the observed surge in the number of people with special needs, unconventional venues for taking care of this people aside from hospitals, rehabilitation centers, and nursing homes were considered. The establishment of home care services answers the demand of different venues for health services. Home care is the offering of medical services by formal providers such as doctors, registered nurses, and physical therapist or by informal providers such as caregivers in the patient’s homes. It aims to promote, reinstate, and sustain the comfort, function, and health of a patient to its maximum limit. Taking care of patients during the last days of their life is also part of the objective. Classifications of home health care includes: preventive, promotive, therapeutic, long-term maintenance, rehabilitative and palliative care(DOH). People that need home care are geriatric individuals, chronically ill patients, persons with disabilities, and patients that are recovering from surgeries. Seventy percent of the clients that availed home health care services are geriatric people of age 65 and above. Disease diagnoses that are most rampant in these home care patients are: Heart disease, diabetes, cerebral vascular disease, chronic obstructive pulmonary disease (COPD), malignant neoplasm, fractures, congestive heart failure, osteoarthritis and allied disorders, and hypertension(NCHS). Care from registered nurses, physical therapists, and social workers; access to medical equipments; check up by doctors; help with running errands; medication delivery; and meal preparation are some of the services that are offered by home health care providers. Types of home care vary with different kind of providers. Skilled care type is offered by licensed medical practitioners like doctors, registered nurses, medical social workers and physical therapist. This type of home care service focuses on the reinstating and maintaining the health of a client. It includes disease diagnoses, disease treatments, wound care, injection and intravenous therapy, medical assessments, nutritional management, and counseling. The other type of service is the home support services that are offered by caregivers or health care aides which are more inclined to domestic tasks like personal hygiene or bathing assistance; running errands; grocery shopping; cooking and eating assistance; light house keeping; and medication reminders(MFMER ). Clients of home care services expect the providers of these services to meet their specific needs. The most common client specifications are good quality care; availability of service; health service provider with appropriate training and expertise; high quality, effective care; and affordable service. Home care providers are expected by clients to give them respect, inflict no harm to them, and treat them well(Nina Preto). They also expect to have their rights as a patient considered, respected and instituted. The law currently implements the home care patients right to: choose their care providers; be informed fully by the health service agency provider of his/her rights and responsibilities as a patient; obtain the needed professional care following the doctor’s orders; receive continuous care; be asked consent prior to any treatment regimen or procedure; advised for any plan changes prior the change; avail service that is safe and in accordance to the professional care needed; be informed of actions in the event of emergency; and to voice opinions regarding the treatment or procedure(Hospice). Different individual conditions require varied specific needs so the provider should be competent enough to be able to address these circumstances. The geriatric or elderly persons for example have various conditions that have complex needs. Usually diseases of the old individuals are multi-factorial; the change of their condition is unpredictable; and outcome of treatment or management is random. So it is best if the home care providers of the elderly with diseases to be registered nurses or doctors for prompt treatment and disease management. Though in other instances home care is employed by geriatric patients that are healthy but in need of assistance in performing their daily tasks from as simple as opening doors for them to household chores. Another example of patients with different needs is the patients with cancer. These individuals are more at ease in the confines of their homes and families. They do not want to be separated from there families because usually these patients gain there strengths from them. The emotional and moral support the families give are vital for a cancer patient. Home care allows these patients to have all the support they can get from there families. As cancer is a devastating disease the home care provider should be able to give support to the patient, address his/her medical needs, and educate the family about the situation of the patient. Diabetes patients on the other hand, need home care providers to always encourage them to control the blood glucose levels because complication development can better be prevented with serious control on glycemia. These patients also need home care providers that are inclined in nutrition for diabetes patients to obtain the needed nutrients without sacrificing their blood glucose levels. Along with the boost of home care industry are problems or issues that need to be resolved. Some of these problems that affect both the home care consumer and the provider are the following: worker related injuries; worker abuse and exploitation by the client; competency of the health care provider; abuse of the client; client prejudice toward the caregiver; worker benefits issue; confidentiality issues in the clients home; and clients being at risk of theft and other forms of crimes. Confidentiality issue in client-caregiver relationship is one of the prime problems of home care services. Prone to this problem are the caregivers or health care aides that have little backgrounds or training in professional ethics and usually provide service to their clients twenty-four hours a day, seven days a week. Most of them also stay in the houses of their clients so it is common that they know the things that happen inside the house especially among family members. The dilemma is in situations that either the caregiver spill the information he/she knows or if the information is critical to the well-being of the client and the caregiver will not know whether to keep it confidential or not. An example situation is when a client is being battered by a member of his or her family, what will the caregiver do? Is he/she supposed to tell anyone like the authorities or is he/she will just keep silent and wait that other people will discover the situation? If the caregiver gives the information to authorities it might be an invasion of the client’s privacy. Moral risks, virtues, intimacy, and professional ethics are bound with confidentiality issue in home care. Home care service providers should be made sure to have proper training in professional conduct and ethics to avoid any problems that will interfere with the client and their family relationship. Problems such as this needs attention of legislators for the home care consumers to be secured that the service provider they employ are properly trained and knows his place as a home care worker in a family setting. Client prevention of problems related to the home care service provider begins with choosing a competent agency that ensures the capabilities of their workers. Clients should not just consider the monetary factor involve in employing a home care worker to prevent the hiring of low paid providers and yet incompetent in many aspects of health service provision. Health care organizations have to address these problems and anticipate other issues that will emerge for the improvement of the home care service, benefit of the client, and avoidance of dilemma in the part of the caregiver. Government agencies concerned need to make rigorous effort towards the establishment and implantation of rules that would not just protect the home care consumers but the home care service workers as well. In every development there is always the emergence of problems and this is just what happened in home care. The burst of this industry is high-speed that problems are realized only when it was already encountered. The shift from institutionalized health care to home care brought about problems that touch aspects like professional ethics, unavailability of equipments in the patient’s home, monetary factors, client-worker relationship, and home care provider-patient’s family relationship. Despite of this, home care still provides an alternative venue for the patients or clients to have their needs being taken care of. The problems will just have to be addressed for the improvement of the industry. Home care is a promising revolution of institutionalized care wherein patients of institutionalized care are deprived of their right to spend their lives in the comfort of their home and with the presence of their loved ones. Reference http://www.mayoclinic.com/print/home-care-services/HA00086/METHOD=print