Ethics Game Reflective Journal Essay

Nursing has evolved throughout the socio-economic classs. Gone be the years that the existence of nursing ge ared towards following the orders of senior members on the work and initiation of routine procedures. In todays nursing, hold ups are determine and pauperismed for their reasoning as well as intellectual skills. The changes in nursing require the desire to be more responsible and contributive to the wellbeing of those that needed care. These changes led to more complex honorcapable dilemmas that lactates encounter. This news report aims to provide a reflection on the Ethical predicaments presented on the ethical motive Game wile, the purpose-making steps taken to address the ethical materialisations, how the ethical concepts influenced the conclusivenesss claim, and the practise of the ethical concepts to a medical-surgical unit.The Case of the Troubled TeenThis case illustrates Rachel Banks a 16 year-old teenager who got expectant out of wedlock and currentl y on her tenth hour of labor on the OB/GYN unit at Seva Medical Center. Shes accompanied by her parents. Rachels parents are instructing the mental faculty nurses to withhold the pain medication as punishment for getting pregnant before getting espouse. Since Rachel Banks is a minor, leg aloney, the parents female genitals decide for her. The nurses are refer due to the possible detrimental health effects that the stance female genitals cause to Rachel and her unborn baby, Lily. The nurses excessively became aware that the parents may not be in full educated on the consequences of their last. In order to make an ethical decision on this case, I used the Baird Decision Model which provided volt frameworks blackguard 1 Be attentive, Step 2 Be Intelligent, Step 3 Be Reasonable, Step 4 Be Responsible, and Step 5 Be Reflective (University of Phoenix, 2013).The chief(prenominal) relinquish in this case is how to tell that Rachel and the baby get appropriate and timely medica l care. I reviewed the e-mails and communications gathered in order to get a picture of the situation and see that the best possible solution arise. Upon reason the main issue of this case, Ive identified that the primary stakeholders includes Rachel Banks, her parents, her unborn child, the rung nurse, and the primary nurse because they leave behind be impacted on the decisions made in this situation. subsequently identifying the main issue and the primary stakeholders, using the practiceds/responsibilities lense I was able to identify that my obligations and duties includes providing the best possible care to Rachel Banks and her unborn child, not to control parents who are harming their child, and also support my staffs professional improvement.On the results lens, I was able to recognize what would create the superior good for the greatest number of stakeholders which was to involve the nurses and the parents in assessing need for medication intervention and also provide information for aftercare support and education. I believe that the decision made on this scenario benefits both the affected role and her family. By involving the parents in the assessment of Rachels medical needs, conflict is alleviated and thus, creates a positive outcome.The Case of the Policies and regimeThis case is about Alain Trottier, a enduring brought in the emergency board by his domestic partner, Yves. Alain was admitted to the ICU unit and has been unconscious. The day- shift supervisor, Carlotta Baldwin is preventing Yves from seeing the patient and refuses provide information regarding the patient because he is not an actual family member. However, match to the infirmary insurance policy, domestic partners are to be treated as married couples for the purposes of access and, most importantly, when it must be determined who can make medical decisions for a patient unable to give their own consent. My handicraft as the nurse taking care of Alain is to identify t he critical issue in this situation which is the exist word and access of gay partners at Seva Medical Center as equal to those of straight couples. Upon identifying this as the main issue, it is easier to analyze the problem. Again, the following stakeholders were identified Alain Trottier (patient), Yves (domestic partner), Carlotta Baldwin, RN (shift supervisor), Amelia Flinch (Director of Nursing), the shareholders of the hospital, and lastly, I the staff nurse taking care of Alain.This scenario has led to the identification of kindred lens. The relationship lens focuses on the community. The main concern of this lens is to provide sanctioned liberties to all people (University of Phoenix, 2013). The three rights represented in this case were right to participate in decision-making for an unconscious family member, right to have hospital policy regarding participation by family members implemented, and right to be informed that your interpretation of hospital policy is inacc urate. I believe that these rights are the major component of this lens because it focuses on the patient, family, and healthcare providers. Upon understanding the basic rights related to this situation, the following actions such(prenominal)(prenominal) as educating all employees with hospital policies, establishing a taskforce to make sure that the policies are put into practice and conducting yearly audits to make sure that the policies are implemented.These actions go out ensure that the patient will benefit greatly on the policies displace on the facility. Lastly, the reputation lens discusses the virtues important for leadership core competencies such as managing diversity, problem-solving, self-knowledge, decision quality and fairness. These values are important because of the boilers suit positive effect that it can bring to the patient and the facility. My final decision in this case is to note on Alains chart that Yves is to be given access and treated as family.Speak t o Carlotta about my decision and let my supervisor know. I believe that this decision has no risk. This decision has demonstrated that I am fully knowledgeable on the hospital policies and also implementing what I know for the benefit of my patient. By assuring equal access will likely improve the hospitals placement in the community. Lastly, by informing Carlotta Baldwin and the supervisor know of the decision can be a message that further education is needed for all employees to be more aware and knowledgeable of the hospital policies.Ethical Dilemma at a Medical-Surgical UnitIve been working as a RN at a medical-surgical unit for almost a year now. I still consider myself as a novice nurse and I feel that I havent been exposed to a lot of ethical dilemmas. However, I believe that pain management or providing pain relief can be an ethical dilemma for all nurse. The ethical issue is this can we as nurses undertreat a patients pain because we are concerned about the repercussions or because we know that the patient is addicted to the medication.I believe when challenging situations like this arise, I need to be conscious of my own biases and make evidence-based decisions that can provide optimal treatment to the patient. By not being judgmental, I can fully assess what would benefit my patient greatly and include him/her on the treatment plan- giving autonomy. By including the patient I can also hang the harm because I will have a better understanding of what will work best for my patient, and lastly, by hindering my biases I will be able to treat my patients pain in a non-discriminating way possible.As nurses continues to encounter complex ethical dilemmas as the profession and society gears forward, we must still go back on the foundation of nursing in accordance to the mission of Florence Nightingale nurses are missioners of health dedicated to the advancement of human welfare.ReferencesUniversity of Phoenix. (2013). Ethics Game Simulation Multimedia. R etrieved from University of Phoenix, HCS478 website.

Stefan’s Diaries: The Craving Epilogue

My time in youthful York clarified the perils of my existence despite my good intentions, I am hazardous to humans, and my brother is dangerous to every bingle.And nary(prenominal)? What does the future hold? My days be to pass like minutes. I suppose this means Im growing given to the idea of eternity.I possess lost so much in the months since I became the creature I now am. But I have gained time. And with time, I gain opportunity. I will see Italy. And the rest of Europe. I will travel the whole human being. But I will neer make a home among humans again.As for Damon I deal our road together is long and our story is not everyplace yet. Should unmatched of us ever finally come to his doom, it will only be the other who causes it.And in the background heralded by the faint center of lemon and ginger will always be Katherine, laughing at both of us.Dont miss the new Vampire Diaries trilogy, The Hunters Read an exclusive short-change peek of the first volume, PhantomElena Gilbert stepped onto a smooth orbit of grass, the spongy blades collapsing beneath her feet. Clusters of scarlet roses and violet delphiniums pushed up from the ground temporary hookup a giant canopy hung above her, twinkling with glowing lanterns. On the terrace in front of her stood two curving white stain fountains that shot sprays of water high into the air. Everything was beautiful, and elegant, and somehow familiar.This is Bloddeuwedds palace, a part in her headway said. But when she had been here last, the field had been blowded with laughing, dancing partygoers. They were departed now, though signs of their presence remained empty glasses littering the tables set around the edges of the lawn, a silken shawl tossed over a chair, a lone high-heeled shoe perched on the edge of a fountain.Something else was odd, too. Before, the scene had been lit by the hellish rose-cheeked light that illuminated everything in the Dark Dimension, turning blues to purples, whites to pink s, and pinks to the velvet color of blood. Now a clear white light shone over everything, and a blanket(a) white moon sailed calmly overhead.A verbalise of movement came from behind her, and Elena realized with a start that she wasnt alone aft(prenominal) all. A dark figure was suddenly there, approaching her.Damon.Of course it was Damon, Elena plan with a smile. If anyone was going to appear unexpectedly before her, here, at what mat like the end of the world or at least the mo after a good party had ended it would be Damon. God, he was so beautiful. Black on black soft black hair, eyeball black as midnight, black jeans, and a smooth leather jacket.As their eyes met, she was so glad to see him that she could hardly breathe. She threw herself into his embrace, clasping him around the neck. She matte up the lithe, hard muscles in his arms and chest as he held her tight.Damon, she said, her voice trembling for some reason. Her body was trembling, too, and Damon stroked her a rms and shoulders, calming her.What is it, princess? Dont tell me youre afraid. He smirked lazily at her, but his hands were strong and steady.I am afraid, she answered.But what are you afraid of?That left her puzzled for a moment. Then, slowly, putt her cheek against his, she said, Im afraid that this is just a dream. Ill tell you a secret, he said into her ear. You and I are the only real things here. Its everything else thats the dream.Just you and I? Elena echoed, an uneasy thought nagging at her, as though she was forgetting something or someone. A fleck of ash tree landed on her dress, and she absently brushed it away.Its just the two of us, Elena, Damon said sharply. Youre mine. Im yours. Weve always loved each other, since the low gear of time.Of course. That must be why she was trembling it was joy. He was hers. She was his. They belonged together.She whispered one word, Yes.Then he kissed her.His lips were soft as silk, and when the kiss deepened, she tilted her head b ack, exposing her throat, anticipating the double wasp-sting hed delivered so many times.When it didnt come, she opened her eyes questioningly. The moon was silvern as ever, and the scent of roses hung heavy in the air. But Damons chiseled features were spotter under his dark hair, and more ash had landed on the shoulders of his jacket. all in all at once, the little doubts that had been niggling at her came into clear focus.Oh, no. Oh, no.Damon, she gasped, looking into his eyes despairingly as tears filled her own. You cant be here, Damon. Youre dead.For more than five hundred years, princess. Damon flashed his blinding smile at her. I dont know why its such a shock to you.More ash was falling around them, like a fine gray rain. the like the ash Damons body was buried beneath, worlds and dimensions away.Damon, youre dead now. Not undead, but gone.No, Elena Yes. Yes I held you as you died. Elena was sobbing helplessly. She couldnt feel Damons arms at all now. He was disappearin g into shimmering light.Listen to me, Elena She was holding moonlight. Anguish caught at her heart.All you bring to do is call for me, Damons voice said. All you needHis voice worn-out(a) into the sound of wind rustling through the trees. Elenas eyes snapped open. The room was full of sunlight, and a huge crow was perched on the sill of her open window. A overcloud must have gone over the sun for a moment, the world was dim.The crow tilted its head to one side and gave another croak, watch her with bright eyes.A cold chill ran down her spine. Damon? she whispered.But the crow just spread its wings and flew away.

Technology and Culture

There is no denying to the fact that changes occur in brio as the world develops in its technology. Traditions and customs, culture of each and every function in Malaysia desex a setback in this case. An attempt to remain them alive is a controversial matter and become debatable as we argon somehow modernized by the West. It is somehow painful and tragic to see traditions and customs dying as we all humans fox intense emotional bond with cultures and traditions but the stark reality subscribe to to be accepted that the world is a stage of flux and change.There are several reasons to why our traditions and customs are abandoned. Firstly, the accessment in telecom has influenced our minds to choose between cultures to which one that are genial. We tend to look for and bow to the way as well as the one that is more convenient and are accessible. It is human nature for youths especially to adapt to changes faster. For instance, the existence of the kind network called Faceboo k that enables us to connect with people from all walks of life by just typing a soulfulnesss name without rattling comeing the person well.On festive seasons, we, young people need not exhalation around visiting relatives and friends as well as going back to our respective hometowns anymore, we just wish them and greet them through the societal network and phone them. Somehow, the tradition of visiting relatives and friends during festive seasons soon get out be a history of life. Furthermore, the technology has moved peoples interest to play traditional games to modern and practical(prenominal) games. Many youths present are often categorize as the visual people.They often send away their time going to cybercaf or at home playing education processing system games to the wee hours. If you ask them about traditional games they would just stare blankly at you because they as well as children nowadays only screw how to swipe on the gadgets that theirs parents have. Probably , they are somehow called heliophobia which means a person who is fear of sunlight as most of our traditional games are compete outdoors. Traditional games have now been ruled over by virtual games and have now been an old-fashioned in youngsters mind.Moreover, the technology has equipped us with more knowledge and we become more open-minded and more demythologised in pretending. If we would like to know more about more information on a certain thing or events, we could just prate on the mouse and hunt club information from the internet as search engines provides us with much information. Referring to books and newspaper have been sort of out-dated thing. On the early(a) hand, we can now learn cultural saltation through the advance video technology, YouTube.We no longer take the first step to in reality ask our mentor or the cultural dance performer or instructor to train us to dance correctly. Even now, the cultural dance is called cultural cum modern dance in the video we bsite. The jr. generation eventually become more open-minded as they think what they are doing is cool and fashion has overpowered traditional wears in certain ethnics. all told in all, advancements in technology surely have caused traditions and culture to get a setback.The government as well as the responsible government activity should organize campaigns and take action so that the young impart know the legacy that our ancestors have practiced and passed on to us. Perhaps, a cultural dance such as lion dance, fan dance, bharatanatyam being performed on make will get younger generation to know their culture better. They will then pass on to the next generation. It is never too belatedly to teach them on culture and traditions, which is a legacy to leave cigarette when we are gone leaving a great impact on the next generation.

Importance on English Language Essay

In countries interchangeable Pakistan, with people of various cultures live, the languages of each part of the country also differ. side of meat can be the unaccompanied link as people in each place will non be able to get word all the other languages to communicate with the people. position bridges this gap and connects the people. When a person travels to another part of the earth either for the sake of telephone line or even as a tourist, the languages may differ. In these conditions, English is the language that helps people to deal with the situation. It is like a universal language.The mien of English as a universal language assumes importance in the fact that more and more people leave their countries not only for the sake of business and pleasure, but also for studying. Education has increased the aim of English. People who go to another country to study can only have English as their medium of study. This is because the individual will not be able to learn a subje ct in the local anesthetic language of the country. This again reinforces the fact that the English language is very important. contain more Importance of English essayAll correspondences between offices in different countries and also between political leaders of various countries ar in English. This linking factor also tells of the importance of the English language. In elicit of the growth of the internet in various languages, English is the mainstay of the network users. This is the language in which most of the information and websites are available. It is very delicate to translate each and every relevant webpage into the language of various countries. With Internet becoming very important in education, English language is apprenticed to grow. Thus the importance of English as a language is emphasized.The rising of English as a language is very secure. The day is not far when this language will become the single language of the world like we have a single currency.

Preparing A Career Development Plan Essay

1. What are more or less of the possible reasons Scott did not seek or receive advice from her contiguous supervisor?Some of the possible reasons Scott did not seek or receive advice from her immediate supervisor are because of the work relation with them. When you look for help and advice it sight be hard at times to go to a somebody who is your boss and in charge of you. Most of the times the work relationships in the midst of a worker and there boss is not as peers yet as a leader. It is hard to seek advice from someone who is not viewed as a peer. It makes it easier for her to talk to Elizabeth Burroughs because she is a manager but not in charge of her. Scott therefore has an easier time seeing Burroughs as a peer. some other reason why Scott could shake up a tough time press release to her boss could be because her boss would discourage her from moving on because she is serious at her job and her boss wouldnt want to see her leave.2. aft(prenominal) reviewing the cha pter, suggest all possible ways that Scott sess prepare her-self for travel advancement.Scott can prepare her-self for life history advancement by, first identifying career opportunities and requirements. formerly that is done she should identify and recognize different career paths. When considering she should think of places with boundaryless career opportunities. This is so she does not get stuck in a position where she can no longer move up and plateau. Other things that she can do to productively prepare herself are, taking career planning workshops, career discuss and mentoring. One of the most important things that she needs to do is network herself to have great support, and connections.

Pygmalion. Diary entries for Higgins and Eliza

decimal point 1 Elizas daybookat once it was raining and we all had to pass on shelter in Covent Garden. I met a young and afters man named Freddy and he was sweet and kind. I met military gentlemen named Colonel Pickering and he was a real gentleman. I assay to contend him near flowers only when he did non want them and told me in a polite and gentlemanly way and he did strive me three hapence. Anyway, thats interestter than no liaison.Suddenly a young man a stranger state to me theres a bloke over there taking down e precise blessed word your saying I moody round and face uped at him and said Im a good girl I am . I purpose he was a Police squealer until a man shouted out Hes a busybody, thats what he is, look at his boots. Then the none-taker told him he was from Selsey and all(prenominal)one was amazed and he knew where e trulyone was from it was as if he was trying to impress everybody and he knew what road they restd on.I later open out that this circul ar-takers name was Higgins and I realised he was a schnoz. He was very cheeky and did not have very good manners. He insults be by calling me a animal and he called me a gutter-snipe and a squeeze cabbage leaf and I dont even same(p) cabbage. He was very rude towards me and did not show respect. He said that I couldnt declaim English and he had a very stylish accent and spoke perfect English. I overheard him talking to Pickering saying how he could pass me away as a duchess. I was quite take a approve me a duchess (never in a million years). I tried to sell him some flowers and he threw me a handful of money. I had ridden in a taxi for the first time when I returned home.Stage1 Higgins diaryToday I was in Covent Garden listening to the different accents and making notes. They all position I was a Police informer and it was quite difficult rationalise to them because most of them could not comprehend proper English.I met a authoritative cockney animate being right aw ay and she was a flower girl. She spoke so much rubbish it was very difficult to understand her and she always make these horrible noises. I called her a gutter snipe and a squashed cabbage leaf I was referring to her brain but of course she did not understand.I began talking to Colonel Pickering and I said to him that I could pass this creature as a duchess. Colonel Pickering was quite an interest man I told him that he was from Cambridge, Harrow and had traveled India. I was pass to go to India to meet him but I was quite lucky to meet him here. I took Pickering to dinner and we had an interesting conversation.Stage2 Elizas diaryToday I went to see that heartless stubborn snob Higgins. I dressed up well and asked him if he could teach me some English. I had overhead him talking to Pickering how you can be tally everything with your pronunciation. When I asked him he made fun of me and treated me like an fair game or as dirt on his shoe where as Pickering treated me as a lady and I meant something to him.I offered to pay 2/5 of my allowance towards lessons. Higgins offered me a room in his house and I agreed to live in his bungalow. The housekeeper Mrs. Perch reluctantly agreed to me staying. She made me do a dreadful thing she made me have a bath in warm water. Also they made me wear nightdress when I went to sleep I normally slept in my underc volumehes and I slept in a luxurious room. It made me quite angry and I started to cry.Stage 2 Higgins diaryToday that bilious pigeon Eliza came to see me. I joked around with her at first and I asked for sixty pounds (what a joke from a creature in the gutter). She offered to pay me 2/5 of her wages but I knew this was too much.I betted with Colonel Pickering that I could sample with the girl and pass her off as a duchess. Mrs. Pearce asked me to be nice to the creature but it is effortful to be nice to an object.Also today an opposite common-breed (guttersnipe) it was Elizas father. He had come for money I cou ld see it but reluctantly I gave him quintet pounds. He had referred to himself as the undeserving poor and I show spacious respect to people who admit they are poor. I was quite move with Mr. Alfred Dolittle (dustbin man). He was quite happy with his money and in sent him on his way.Stage 3 Elizas diaryI went to see Higginss mum today (sorry mother. in that location were guests at her house there was sweet Freddy, Clara and her mother Mrs. Eynsford Hill. I was quite beauti well(p)y dressed no one hardly recognised me. According to Higgins I was talking the new small talk or new slang. That sweet Freddy seemed quite attracted to me and I was quite flattered by this. I did make a slip of the tongue because I said blinking(a) hell. Higgins seemed slightly disappointed with me but I thought I did quite well for my first test.Stage 3 Higgins diaryToday I took Eliza to my mothers house. This was to try her out in society. I knew that the guests that were there elza had met in advan ce and I wanted to see if they recognised the transformation of Eliza and it seemed they were impressed.One thing that I realised today was that Eliza now knows how to speak but not what to say. Her grammar is incorrect and she uses her vocabulary as the subject matter of the street not as if she was talking in a high society. She uses an awful lot of slang words like bloody and devil. Also I am quite concerned about that witty creature Freddy he seemed to never stop looking at Eliza.Stage 4 Elizas diaryAfter the ambassadors reception Higgins Pickering and me were all very tired. I overheard Pickering and Higgins talking. Higgins referred to me as a creature and then said, I made this thing it was as if I was an object and an experiment or a bet. He said he was glad the whole scenario was over.Higgins was very rude and I lost my wit and he called me a presumptuous insect. I had had enough and I called him a selfish brute. He does not care me at all and my feelings. I am unfit for e mployment because I am too educated. He does not care about me and sees me as and experiment that has worked.I left the house and was planning to throw myself in the river because I was very depressed. I met lovesick Freddy and we went off in a taxi.Stage 4 Higgins diaryToday I took Eliza to the Ambassadors reception to see if I could pass her off as a duchess. I had won the bet with Colonel Pickering and I was very happy.When we returned home that squashed cabbage leaf Eliza was very moody and stroppy. I was tired and was about to go to bed I said Put out the lights Eliza and tell Mrs. Pearce not to make coffee. Ill take teaI was looking for my slippers and suddenly she threw them at me. I thought what was up with that presumptuous insect. I was tired and was not in the mood for an argument. I tried to explain to her that I had given her every thing. She telephones that I am using her as an experiment which of I am not (It was only a joke). She thought I was going to hit the infam ous creature. I would not even cut a fly. She has wounded my heart. She made me leave a note because she wasnt going to tell Mrs. Pearce. In a rage she stormed up the stairs and I decided to go to sleep.Stage 5 RetrospectElizas diaryI call in that if I had the chance to do it all over once once more I probably would. I think that coping to speak proper English has improved my lifestyle. I have learnt how to speak proper English and I could get a good job and peradventure be person of High-class society, which obviously I am not. On the other hand maybe I was meant to be an undeserving poor and maybe I had to big ambitions. I should mix with people of my society and who understand me more. I should remember my roots. I was quite happy where I was and nonentity laughed at me or made fun of me and treated me as allude as them. I think that I could have led a happy life even if I was poor.Also I think that Higgins should have made it clear that I was just an experiment. I think the biggest blow was Higgins being nasty and did not respect me and I was an object. What annoyed me the most was that at parties and receptions he could be a current gentlemen so if he can do that at parties then I should try to him respect me.Higgins does not see me as the new Eliza but as a dirty flower girl who has transformed imputable to his experiment. He thinks, I am mutton dressed as dear.The adult Higgins actions are the same as a child.Looking back I think I would have done it all again but a few minor adjustments. I would have seen what ramify of person Higgins really is and see if would like to be part of his experiment. all(prenominal) in all it did not cost me anything and I have learnt to speak proper English and Higgins only gained money. (He won his bet won Colonel Pickering)Higgins diaryI think that if I had the chance to do it all again I probably would not. Eliza is too moody and cannot fit into high-class society. England is full of people who cant speak p roper English I would have picked someone quieter and someone who does not complain as much. Eliza must like me for who I am and if she does not like it then tough. I find it very had to talk to people from the gutter because they dont understand them and I try explaining to them to learn proper English. This experiment has helped me gain confidence that I could pass anyone as a duchess. All in all I would not do it all again with Eliza I would pick someone more suitable. There is plenty of the gutter snipe breed.

“Of Mice And Men” by John Steinbeck Essay

In Of Mice And custody by John Steinbeck there are many examples of verbal and physical conflict. there are psyche vs person and person vs self. The author uses dialogue and figurative description to put his ideas crossways to readers.Steinbeck starts the book with verbal person vs person conflict between George and Lennie during the orientation course of the characters. When I think of all the swell times I could nominate without you, I go nuts. As this is said, the audience realises George feels that Lennie needs constant attention.There is evidence of person vs self conflict for George when he is going to call for Lennie as he is worried about killing his friend. The author uses descriptive visual imagery, The glide by shook violently, but his face set and his hand steadied. He pulled the trigger. The responders understand Georges personal inner conflict as he doesnt want to kill Lennie, but knows he essential save him from the violence of the lynch mob.Verbal and physic al conflict occurs when Lennie perchance kills Curlys wife in the barn. She struggles and panics a Lennie grabs her hair, then Lennie by chance breaks her neck when she wont be quiet. The responders recognise the uncontrolled intensiveness of Lennie as he tries to silence Curlys wife who was struggle to get away. Readers understand that Steinbeck has foreshadowed this conflict from the beginning.Steinbeck offers conflict of different kinds in Of Mice And Men. He shows this through descriptive imagery and dialogue to send the content of conflict. The issues and physical, verbal and internal.