Responding to the Public Essay Example | Topics and Well Written Essays - 1500 words

Responding to the Public - Essay Example On the 14th of February 2008 a gunman shot twenty-four people on the campus of Northern Illinois University that is located in Dekalb, Illinois, wounding eighteen and killing six (The Evening Standard, 2008). Descriptions of the event recounted the gunman, who was later identified as Steven Kazmierczak, 27, stepped out from behind a curtain in the large lecture hall, and opened fire then turning the weapon on himself, committing suicide (Western Mail, 2008). Later identified as a former student at the university, police were not able to ascertain a motive for the shootings, citing that Kazmierczak was taking some type of medication and was reported by friends and neighbours as acting increasingly erratic during the weeks leading up to the incident (Western Mail, 2008). Further puzzling is that he did not have any type of police record (Western Mail, 2008). ... Later identified as a former student at the university, police were not able to ascertain a motive for the shootings, citing that Kazmierczak was taking some type of medication and was reported by friends and neighbours as acting increasingly erratic during the weeks leading up to the incident (Western Mail, 2008). Further puzzling is that he did not have any type of police record (Western Mail, 2008). Reported as an outstanding student when he attended the university, it was found that Kazmierczak has been treated temporarily for mental illness as a result of unruly behaviour toward his parents in his early teens (Daily Post, 2008). Prior to this tragic event, the university had not have any type of violent incidents, not even student riots or unrest, as Northern Illinois University is located in a quiet small Midwestern town. The Hidden Factors Later investigation turned up that Steven Kazmierczak indeed had a secret life that hide his good student and known public behaviour opinions (The Huffington Post, 2009). In the late 1990s Kazmierczak spent in excess of "a year at the Thresholds-Maryhill House ", which was "an alternative high school program for children suffering from mental illness" (The Huffington Post, 2009). The foregoing was a result of unruly behaviour, and he was admitted by his parents. Kazmierczak's condition, which Dr. Jay Rice (2008) describes as abandonment that could have its causes in the following events "1. He may have felt abandoned by his parents for placing him in treatment at Thresholds, 2. He may have felt abandoned by the illness of his mother and her death from ALS or Lou Gehrig's Disease in 2006, 3. He may have felt abandoned by the death of an older sister to cancer, 4. He may have

Management 4900 Essay Example | Topics and Well Written Essays - 2500 words

Management 4900 - Essay Example It should state the result, its significance and any other conclusion(s), which may be relevant. Introduction: A novel mouse mutant and the corresponding protein, mKIAA058 (in the following ‘KIAA’), was identified and further analysed. In order to understand the functions of this gene/protein, a mouse strain containing a non-functional allele (mKiAA058-; Null-allele) was successfully established. First data indicated an autosomal recessive inheritance as heterozygous (KIAA+/-) as well as homozygous knockout (KIAA-/-) animals were identified. The deficiency of this protein (‘Knockout KIAA’) affects multiple tissues, including skeletal defects (delayed/reduced development of bone and cartilage; growth retardation) as well as a progressive form of vascular degeneration. Later, a corresponding disease in humans was found in a small number of very young patients. The prospects of the patients are not clear at the time and the analysis of the mouse model may provide some hints for the severity of the disease. The analyses of the molecular mechanisms underlyi ng the disease are still ongoing and some problems and experiments linked to these studies are given in the following. Statistical tests may be used to answer some of the questions. In order to define potential effects of the presence/absence of the KIAA protein on the inheritance patterns, a number of breedings were performed. The genotypes of the parents were known and the genotypes of the litters (age: 14-16 days) were analysed by allele-specific PCR reactions. In three parallel experiments (1.1, 1.2, 1.3), crossings of 5 wildtype males (KIAA+/+) with 10 heterozygous females (KIAA+/-) were started and all litters (given as total number of mice) were genotyped and the numbers of all possible genotypes are given in the following Table 1. All tested mice appear normal and show no altered phenotype at the tested age (day 14-16). In three parallel

Leadership And The Delegation In Nursing Nursing Essay

Leadership And The Delegation In Nursing Nursing Essay Florence Nightingale once said, But then again, to look to all these things yourself does not mean to do them yourselfà ¢Ã¢â€š ¬Ã‚ ¦But can you insure that it is done when not done by yourself. (p. 17). These words, written in her Notes on Nursing, spoke of the idea of delegation in nursing. Over the years, delegation has become increasingly important in the nursing profession. It is important for a nurse to understand how to delegate to others efficiently without compromising patient safety or facing a lawsuit. This can sometimes prove to be a harder task than one might think, especially for a new graduate who has no experience with delegation. However, there are certain guidelines set in place that, if followed, will enable you to delegate tasks safely, properly, and effectively. Delegation is defined as the transference of responsibility and authority for an activity to a competent individual (Berman Snyder, 2012). When delegating a task to another individual, there are five rights of delegation that must be considered. The five rights of delegation include the right task, the right circumstance, the right person, the right communication and the right supervision (Tomey, 2009). The first right, the right task, takes into consideration whether it is within a persons scope of practice to perform the task being delegated. A specific task that can be delegated to one person may not be appropriate for another person, depending on each persons experience and individual skill sets. Also, a task that is appropriate for one person to perform with one client may not be appropriate with a different client or the same client under altered circumstances. (Berman Snyder, 2012) A lot of times, a list of tasks that can and cannot be delegated can be found in the nurse practice act for the state of practice. In addition to considering if a task is within a persons scope of practice, the nature and complexity of the task to be delegated should also be considered. Only activities that have a predictable outcome and are done the same way every time should be delegated (Sheehan, 1998). For example, it is okay to delegate a task such as taking a blood pressure or measuring urine output. Tasks that are more complicated or could hurt a patient, such as changing a patients surgical dressing, should not be delegated. The right circumstance is the second right of delegation. Even if a person has the ability and is allowed to perform a certain task, it is important to consider the circumstances before delegating. For example, ambulating a patient is a task that can normally be delegated to a nursing assistant. However, if you consider a patient who is post-op for a hip replacement and has a history of hypotension and anemia, this task would not be appropriate to delegate to a nursing assistant or any other person who does not have the necessary training to know what to do if the person were to become unstable. Generally, appropriate activities for consideration in delegation decision making include those which frequently reoccur in the daily care of a client or group of clients, which do not require the UAP to exercise nursing judgment, do not require complex and/or multi-dimensional application of the nursing process, for which the results are predictable and the potential risk is minimal, and which utilize a standard and unchanging procedure. (National Council of State Board Nursing, 1997) The third right of delegation is the right person. It is important to consider who the best person would be to handle a given situation. This means taking into consideration whether or not a person has the knowledge, skill, and competency to perform the task. Also, it should be considered whether or not the person has performed the task in the past and if not, if they need supervision in performing the task. The RN must consider qualifications, job descriptions, and competency when delegating task to various caregivers. Qualifications are generally determined by state licensure or certification, and the RN may reference hospital policies and procedures, job descriptions, published state practice acts, or unit guidelines if unfamiliar with specific qualifications. For instance, an LVN/LPN may be permitted by license to draw blood in some states. In other states the LVN/LPN must have an additional certification to draw blood. (Osborn, 2010) The fourth right of delegation is the right communication. It is very important when delegating a task to another person to make sure and communicate what is needed. This means not only telling the person what to do, but giving all information that will be needed in order to perform the task. For example, when assigning the task of taking a patients blood pressure to someone, it is important to include when they need to be taken, as well as restrictions that may be needed such as to only use the left arm. In addition, specific instructions need to be given about when information should be reported back to you and any information that should be reported back immediately. For instance, if you assign the task of taking a patients blood sugar to a nursing assistant, it is important to make sure that he or she knows what a normal reading and that any readings that are not in the expected range should be reported immediately. It is also important to make sure that all instructions are unde rstood by the person you assigning the task to and if any supervision may be needed. The fifth right of delegation is the right supervision. It is very important that any time you delegate a task, you make sure that it has been done correctly and completely. At times, a task that is delegated will be completed under direct supervision. For example, when teaching a student to insert a foley catheter, you will be with them during the task guiding them through the process. It is not always possible to be present to directly supervise all tasks that you have delegated, even though you are still ultimately accountable. It is critically important to make sure and oversee the progress on the tasks that you have delegated to ensure they are properly executed, The Board of Nursing has the legal responsibility to regulate nursing practice and provide guidance regarding delegation of nursing tasks. The licensed nurses specialized education, professional judgment and discretion are essential for quality nursing care. Nurses are uniquely qualified for promoting the health of the whole person by virtue of their education and experience. Nursing is a knowledge-based process discipline and cannot be reduced solely to a list of tasks. Therefore, the nurse must coordinate and supervise the delivery of nursing care, including the delegation of nursing tasks to others. While some nursing tasks may be delegated to unlicensed assistive personnel (UAP), the practice-pervasive functions of assessment, evaluation and nursing judgment must not be delegated. All decisions related to delegation of nursing tasks must be based on the fundamental principle of protection of the health, safety and welfare of the public. The issues surrounding delegation are compl ex and multi-faceted. It is the responsibility of the licensed nurse to determine which tasks can be appropriately delegated and accept accountability for the outcomes. Assigning unqualified persons to perform nursing care functions, task or responsibilities and or failing to effectively supervise persons to whom nursing functions are delegated or assigned constitutes misconduct. (South Carolina Board of Nursing, 2010) In order to be able to delegate efficiently and effectively, it is important to consider the four principles of delegation. The first is the principle of result excepted, which suggests that before delegating a task to someone, you should be able to clearly define the goals and results that are expected of them. In other words, as a nurse, you should be able to perform the skill that you are delegating to another person and be able to teach about it if necessary. The second principle is the principle of parity of authority and responsibility , which says that when delegating a task, you should choose a person who is capable of doing the job on their own and not impress excessive authority. The nurse should know the regulations in the state of practice regarding which tasks can be delegated to another person and those which should be done by only an RN. The third principle is the principle of absolute responsibility. This principle says that when delegating care to another person, the RN should be aware that he/she is the one who is ultimately responsible. It is very important to supervise tasks which have been delegated in order to ensure the safety of all patients and of her own license. The fourth principle is the principle of authority, which suggests that you should only delegate tasks that are within your jurisdiction. If you are ever in doubt about an important decision, you should consult someone in a higher position about the issue. Also, you should understand which tasks you are allowed to delegate and which tasks that only you should be performing. You should also consider that there are some situations that do not require tasksto be delegated in order to be performed. For example, in assisted living facilities, care is provided to patients without having to have delegated by an RN. (Management Study Guide, n.d.). It is very important as a nurse to consider all aspects that go into delegating tasks to others. When all the guidelines are followed correctly a good judgement is used when choosing who to delegate a task to, delegation can be a great tool that nurses can use. Your floor will run smoothly and you will be able to more efficiently care for your patients. It is of utmost importance that we as health care providers put the care and needs of the patients first when making decisions that could affect their treatment and ultimately their lives.

Spinoza And Free Will Essay -- essays research papers

  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  There are many great philosophical ideas and questions that are known and of course unknown. One of the questions that really enticed my interest was the question of whether or not we have free will. I myself was once a believer of people having free will and doing what I want was my choice and my choice alone. However, after careful consideration and lectures I have been reversed in how I believe in free will. Is there any free will though? Many people would say yes there is and of course there are some who believe that free will is a fallacy and not to be believed. Whether or not there is free will is yet to be determined but what we have to go on and by is from philosophers and every person who has their two cents to fill in. In this discussion of philosophy there will be points made for and against the establishment of free will and basis for judgement of free will exists or not.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Spinoza, Paul, Augustine, Luther have all grappled with this question of free will for many years. What has been said goes to a religious side. Which has been believed of an omnipotent God who will preordain who would be saved and who would be lost. In the simple but complex question in the book of whether or not you slept in late or not, and has been said that God knew you would. With the explanation of the book in its words go as follows; â€Å"This...

Comparison Contrast of Death of a Salesman and Glengarry Ross

Sasha Schmidt Midterm Essay Question 4 Jeannine Russell 10/28/12 The True Criminal Being a salesman has always carried a negative stigma since the early 1900s. Being seen as pushy, high pressure, deceitful people; the dreaded activity of purchasing some car or new appliance has haunted everyone at some point or another. Many words have come to describe salesman such as â€Å"sharks†, â€Å"cons†, â€Å"thieves† etc. , and these words have stuck with the profession throughout the century. Two very realistic depictions of such phonies can be seen in Death of A Salesman by Arthur Miller and Glengarry Glen Ross by David Mamet.They depict the styles of two salesmen who have very similar selling techniques, but at the same time can be contrastingly different. Willy Loman, the protagonist of Death of a Salesman, is often regarded as a tragic figure with whom the audience feels sympathetic. At the same time, his deceitful, dishonest, adulterous ways are despised. In addi tion to this, his over confident attitude seems supercilious and creates more of a disdain for the character as can be seen when he says â€Å"Goddammit, I could sell them! † (Miller 1071). The same can be said as Mamet’s character, Shelly Levene, starts declaring how great of a seller he was.Basking in his own light he boldly exclaims that his success as a salesman is due not to his luck but his skill†( Mamet 1419). Both characters often times talk about how back in the day they were great assets of the company â€Å"averaging a hundred and seventy dollars a week in commissions† (p. 1089) and â€Å"Cold calling. Nothing. Sixty-five, when we were there†¦Ã¢â‚¬  (Mamet 1419). Both characters meet their tragic ends as they realize that their deceitful and deceptive nature, the facade of great selling they lived behind, is a shattered reality. All both of them want is a chance and to live like they did in the old days and both are denied the chance.Whil e their characters mimic each other, the selling techniques of these two are completely different. Willy’s approach is to go in making natural conversation and the client feel as if they are human. Much to his chagrin is the new reality he is facing, where â€Å"it’s all cut and dried, and there’s no chance for bringing friendship to bear†(Miller 1089). In contrast, Levene takes on the role of â€Å"cut and dried† sales techniques, often using his other associates as pretend clients in order to just make the sell, whether or not he’s tricking extorting money out of his clients.Right from the beginning, he is trying to con â€Å"leads† out of Williamson, his supervisor. â€Å"†¦ I need the leads†¦Ã¢â‚¬ , he boldly tells Williamson who reluctantly begins to make him a deal (Mamet 1418). Right from the get go, Leven is already using the manipulation techniques he uses day in and day out on his co-workers even. Loman pushes hi s honest, integrity, and personality traits as the key to selling success, though we see an obvious decline in his selling abilities compared to the others. That being said, both characters are still very flawed with illusions of owning their own companies and waiting for the right client to come along.They both still have some nasty personality traits and are still putting on a facade to trick people; however, Willy Loman is tricking his family while Shelly Levene is tricking his consumers. Hard selling is a selling technique in which the salesman manipulates the psychological state of the consumer in order to achieve a sale, whether or not the sale is good (Baron & Branscombe). There is little concern for the consumer at all, in fact, often times the seller knows that the consumer is going to be placed into a bad situation, but they specifically rely on the ego-depletion of these buyers.They use a variation of techniques such as door-in-the-face and foot-in-the door just to name a few (Baron & Branscombe). Miller and Mamet depict this from the salesman’s side. They place this psychologically demanding technique at fault of the company, who requires them to sell a goal amount or face termination from the job. Such fear could incite higher pressure selling techniques, which actually make the consumer and the seller feel uncomfortable.Mamet and Miller criticize such deceptive techniques through their plays, highlighting the negative effects (the destruction of the central unit) and exacerbating the flaws of the technique. The role of a salesman has been part of America since the very beginning. With its recent revolution in the 1900s, it has now been associated with a negative stereotype often depicted by movies, literature, and plays. While there might be individual differences in the selling techniques, sellers are all perceived the same: dishonest, deceitful, and as con artists.Such a stigma created by their lack of concern after the sell has been mad e often reconfirms this stereotype. These prejudices notwithstanding, society often places a high demand on consumerism to help the economy and pushing the achievement of the American dream. Miller and Mamet uncover the treacheries of the salesman industry leaving the question as to whom the true criminal is : society or the salesman. Works Cited Jacobus, Lee A. The Bedford Introduction to Drama. Boston: Bedford/St. Martin's, 2009. Print. Baron, Robert A. , and Nyla R. Branscombe. Social Psychology. Boston: Pearson, 2012. Print.

Rikki Tikki Tavi Theme

Theme is a big idea we take away from a story after reading it. In the short story, â€Å"Risk Tick Davit† by Rudyard Kipling, the primary theme of the story is the Idea of good versus evil. Above all, Risk's character represents good, and the cobras In the story represent evil. In Dalton, another possible theme for this short story could be courage versus fear. By and large, the story contains action and dialogue that helps us determine what the author wanted to reveal about mankind. Body Paragraph 1Risk = Good Explain each characteristic of Risk's through summarizing and quotations. Protective courageous loyal Kipling develops the character of Risk to represent the good in our world. Though Risk is somewhat of an underdog, he demonstrates protectiveness, courage, and loyalty. Risk's protectiveness Is evident at the beginning of the story when he went to bed with Teddy, the young boy. He was awake on the pillow as Teddy was sleeping. Teddy's mother didn't like it, because she thought Risk might bite Teddy.But Teddy's ether explains, â€Å"He Is safer with that little beast than If he had a bloodhound to watch him. † Rural was motivated to protect the family because he wanted to live with them. Courage was a trait Risk showed several times throughout the story, but when Nag came into the house through the sluice, he became very frightened when seeing the size of the big cobra. At that point, Risk began to reason and ask himself questions about what he should do. Then he says to himself, â€Å"It must be the head, the head above the hood; and, when I am once there, I must not let go.Though he was afraid, he showed courage and never gave up even during the toughest battles. When Rural Interacted with Dare, he discovered that the tailboards were miserable because one of their babies fell out of the nest and Nag ate him. Risk demonstrated loyalty to his friends by standing up to Nag, the big black cobra, and asking him, † Do you think It Is rig ht for you to eat fledglings out of a nest? † This loyalty helped him gain hero status with Dare and his wife. Body Paragraph 2 Anglia = Evil selfish 1 OFF determined Body Paragraph 3Alternate claim Courage vs.. Fear Risk = courage Schnauzer = fear Conclusion: Kipling used the theme of good versus evil to help us think about what this means for mankind. When we demonstrate protectiveness, loyalty, and bravery we make life better for others not Just ourselves. If we are selfish and threatening, and our only goal is survival, then we aren't contributing and making the world a better place. In conclusion, we learn that our focus in life should be to think about others before we think of ourselves in order to make a difference in the world.