Tuesday, January 28, 2020
Government Control and Subsidy of Energy vs. Private Sector Investment Essay Example for Free
Government Control and Subsidy of Energy vs. Private Sector Investment Essay A subsidy is a payment from the government to a business to encourage the continual use or development of a technology or product that is considered to be useful or beneficial to the society. Most often, the money (or subsidies) is coming directly from taxpayers. This is where Milton Friedmanââ¬â¢s signature phrase, ââ¬Å"thereââ¬â¢s no such thing as a free lunchâ⬠comes in to play. A unit of a product or service may be free for one person, someone or something is enduring an opportunity cost. Currently, renewable energy sources such as wind and solar power are being subsidized by roughly $24 billion a year because of the perceived environmental benefits that go along with ââ¬Å"greenâ⬠technologies. However, renewable energy companies such as Solyndra have gone bankrupt and the government has supported them to keep them running via subsidies. The argument for continuing these subsidies is that wind and solar are still in the start-up phase in the industrial world and have not yet reached large scale markets. Unfortunately, it is highly unlikely that these companies will ever be largely profitable because renewable energy, with a few exclusions, are unable to reach the profitable market margin that generating plants fueled by coal, natural gas or nuclear can. While the government tries to focus their support on said renewable energies, only providing limited tax breaks for the private oil companies, the US private sector has produced a substantial increase in oil. 2011 was the third consecutive year of higher domestic oil production and, at the same time, natural gas output reached an all-time high. Over the past five years, about two thousand new jobs have been created in the oil and gas industry while employment growth for renewable energies has been limited at best. With many of the recent failures of several renewable energy companies, employment has declined in this area during several periods. The renewable industry will also struggle to prosper because they rely too heavily on the government for support. The government has taken billions of dollars and will place it in this industry with little to no return for the enrichment of the economy and society. Friedman makes a rather sarcastic comment on activities like this by saying, â â¬Å"If you put the federal government in charge of the Sahara Desert, in 5 years thereââ¬â¢d be a shortage of sandâ⬠. This is an example of rent-seeking. Rent-seeking is a term, used by economists, to describe actions that involve a political process of taking wealth of others and getting essentially a loss of wealth. Without the incentive to compete to raise and gain money, the renewable energy industry doesnââ¬â¢t feel the need to produce more efficient and cost effective products or services. On the flip side of that, since most companies in the oil industry are in the private sector, the profit alone is a large enough incentive to supply valued goods and services at reasonable prices. If private sector companies do not continually improve or develop, they will quickly be ââ¬Å"weeded outâ⬠. Since the private markets are decidedly competitive, they are continually searching for the sweet spot in the market that assures a large and readily available supply of energy and the cleanest yet practicable balance of the usage of our limited resources, all at the lowest price possible. Despite the fact that for more than a decade, there has been a large amount direct taxpayer support, renewable energy still cannot meet the market demand and, therefore, the subsidies for these areas should be significantly reduced if not completely done away with. If politicians are truly concerned with cutting greenhouse gas emissions, a better allocation of federal spending would be to target subsidies and incentives towards natural gas and nuclear power plants. These clean-burning fuels can heat our homes, power our vehicles, and generate electricity for Americaââ¬â¢s households and industries a lot more cheaply and reliably than renewable energy can. If America is not careful, it will quickly fall into crony capitalism. Crony capitalism, in layman terms, is where private businesses focus on doing political favors rather than the consumer market because the government uses spending, regulations, and subsidies to benefit businesses that provide political support. Instead of trying to pick winners and losers, the government should create a competitive marketplace with fair rules, no subsidies, and allow the private sector to prosper. One great aspect of America is the freedom to continuously change business strategies and marketing to adapt to change. Like Milton Friedman said, ââ¬Å"Many people want the government to protect the consumer. A much more urgent problem is to protect the consumer from the government.ââ¬
Monday, January 20, 2020
David St. John :: essays research papers fc
The Work of David St. John David St. John writes of love in a pessimistic way in his collection of poems, The Red Leaves of Night. His writings suggest love is unattainable and his relationships with people (especially with females) are portrayed as negative. St. John creates a fallen man in his text, especially when his poems focus on his dilemmas with women. Psychoanalysis plays a large role in the writings of St. John being that he shows the effects of his downfall and the negativity the downfall incorporates. Lacanian psychoanalysis suggests our language is structured like our subconscious and full of desires. Lacanian analysis also shows that the à ¡Ã §signsà ¡Ã ¨ in language are split between the signifier and the signified and the barrier between the two lead to unfulfilled desires. St. Johnà ¡Ã ¦s poetry is swarming with lines alluding to unfulfilled desires or a longing for things that simply cannot be obtained. St. John establishes the breaking of a psyche and through Lacanian analysis we can s ee that the desires expressed in his poetry will never be met. Through Lacanian analysis, we are able to see that St. John is seeking more, and wanting more substance out of relationships and his life that cannot be obtained. St. John is longing for a sense completeness yet his completion is something that can never happen. Lacan shows the human psyche in three parts, similar to that of Sigmund Freud. Lacan calls the three parts à ¡Ã §Ordersà ¡Ã ¨ and they consist of the Imaginary, the Symbolic, and the Real. The Imaginary is à ¡Ã §the part of the psyche that contains our wishes, fantasies, and, most importantly, imagesà ¡Ã ¨ (Bressler 156). Lacanà ¡Ã ¦s major focus is in his theory that our psyche is lack and fragmentation. à ¡Ã §We have longings for love, for physical pleasureà ¡Kbut nothing can fulfill our desire to return to the Imaginary Order and be at one with our motherà ¡Ã ¨ (Bressler 158). Many of the poems in The Red Leaves of Night withhold the sense that St. John is yearning for something and is never complete. For example, in his poem à ¡Ã §The Unsayable, the Unknowable & Youà ¡Ã ¨ St. John presents a situation where he is completely captivated by a woman and lusts for more activity with her. à à à à à à à à à à à à à à à à ¡Ã §My prize: A night alone (again) with you,tracing/This brocade of sweat along your amber shoulder./Letà ¡Ã ¦s weave together the dawnà ¡Ã ¦s superior light-/A script of bodies, inscribed by the summerà ¡Ã ¦s nightà ¡Ã ¨ (St.
Sunday, January 12, 2020
Human Progress is Indeed Slow Essay
In the world today, people like to believe that they have evolved into societies of equality, justice, and fairness. Yet around the world there are many ââ¬Ëmodernââ¬â¢ societies that still treat women as second-class citizens. This is clearly evident in the novel Princess, the story of women in Saudi Arabia, introduced through the life of a Saudi Arabian Princess. Jean Sasson was asked by Princess Sultana to use her life to exhibit to the Western World how primitive customs still determine womenââ¬â¢s roles in the Saudi society. In Princess, Sasson argues that lack of change in Saudi Arabian society is the cause of menââ¬â¢s mistreatment of women through her repetition and severe imagery. Throughout the novel, Sasson continually uses multiple synonyms of the term ââ¬Ëpublicââ¬â¢ to emphasize the idea that society is the ruling force of the country. As various situations are described, Sasson uses several forms of this term for Sultanaââ¬â¢s reactions, which emphasizes the importance of public input in Saudi life. The first appearance of this term is shown as Sultana talks about the beating of local wife and the response it receives. She says, ââ¬Å"it is never the fault of the man in the Middle Eastâ⬠¦public congratulations are given from the man of the region for the fathers ââ¬Å"notableâ⬠act of upholding the commands of the Prophetâ⬠(Sasson 46). Sasson uses the term ââ¬Å"publicâ⬠to show the reader that acts like this are socially acceptable. By focusing on this term, Sasson shows the reader how universal and unrestricted mistreatment towards women is. The word ââ¬Ëupholdingââ¬â¢ makes this oppression seem as though it is a recognized and encouraged practice that women have very little chance of avoiding because of societyââ¬â¢s approval. Sasson shows that women must learn and keep their place in society because the public will always find women at fault, and defend the men. Sasson demonstrates how Saudi men are certainly the prominent sex in Saudi Arabia, but it is the public that gives them their power by allowing and even supporting their behaviors. Sasson then looks at a synonym of ââ¬Ëpublicââ¬â¢, ââ¬Ësocial orderââ¬â¢, to demonstrate the idea of ââ¬Ëus versus themââ¬â¢, with ââ¬Ëusââ¬â¢ being Saudi women and ââ¬Ëthemââ¬â¢ being the society at large. As Sultana begins to understand that she will be forced to fight for equality, the idea that the public will keep her in her place surfaces. She says, ââ¬Å"I had no doubt that my life as a woman would be a perpetual struggle against the social order of my landâ⬠(Sasson 64). By changing the idea of ââ¬Ëpublicââ¬â¢ to ââ¬Ësocial orderââ¬â¢, Sasson creates this sense of a group that is in charge of the Saudi Arabian world. By incorporating ââ¬Ëorderââ¬â¢ into society, it makes reader feel as though there is a specific structure or classification that everyone in Saudi society must follow. It shows the reader that there are rules, though they may be harsh or unfair, that must be followed to maintain the integrity and sustainability of Saudi Arabia. By using the word ââ¬Ëperpetualââ¬â¢, Sasson focuses on the idea that women will always have to battle against the system that gives men their power to keep women repressed. Throughout Princess, Sasson shows the reader how society is a dominating force and that it would first have to change before any other change comes about. To further broaden her idea of the Saudi Arabian public, Sasson uses the word ââ¬Ëcultureââ¬â¢ so that the reader gains an idea of how much influence the public has over its people. Very early in the novel, Sultana reflects on the history of her country and how it differs from many other sophisticated countries throughout the world. She says, ââ¬Å"From my reading, I know most civilized successors of early cultures smile at the primitive ignorance of their ancestorsâ⬠(Sasson 5). Sasson makes a jab at Saudi society, making them appear to be uncivilized and primitive. Rather than moving beyond the ignorance of past cultures, she represents Saudis embracing the old, obsolete, and nascent ideas. By including that cultures today ââ¬Ësmileââ¬â¢ at the past, Sasson makes it seem like other countries in the modern world are amused by how old-fashioned Saudi Arabia still is. Again she points out to the reader that it is the Saudi public that instills menââ¬â¢s basis for their interactions with women. Sasson insets this observation very early in the novel in order to distill the idea that while most civilized countries have progressed beyond how their ancestors lived, Saudi Arabia is still living the way they always have, with men in total control. Sasson also continually uses the term ââ¬Ëtraditionââ¬â¢ to emphasize the continuation of customs in Saudi society. As Sasson looks into the life of her main character, she continually uses this term negatively to emphasize how it is the fault of these traditions that causes the unhappiness of Saudi women. She muses, ââ¬Å"I was beginning to entertain the notion that some women might be happy in my land, in spite of traditions that do not belong in a civilized societyâ⬠(124). Sasson uses tradition in an unorthodox way by making the readers see it as something damaging. Tradition in this case is not a happy family custom or religious ritual, rather it is an unfortunate habit of society that causes the discontent of Saudi women. Sasson also uses the idea that these traditions keep Saudi Arabia from becoming a civilized nation. She makes it appear that their civilization continues to exist in a world without advancement, education, or refinement. In order for women to achieve a level of happiness in their homeland, the customs and ideas must first change. Sasson includes this reflection to show the reader that by maintaining the same traditions for centuries, it is hindering womenââ¬â¢s progress and allowing the continuance of a male dominated society. Another instance of this use of ââ¬Ëtraditionââ¬â¢ occurs when Sasson describes the process Sultana has to endure before her wedding. Even on what is supposed to be the happiest day of a womanââ¬â¢s life, Sultana still has to fight against the traditions of her society; ââ¬Å"Muslims are equipped with hot water and soapâ⬠¦we no longer had to use dirt for such purposes. I loudly pronounced that if the Prophet could speak in this new age of modern amenities, I knew he would end such silly traditionsâ⬠(Sasson 128). Sasson again incases the idea of tradition with something primitive. She makes them seem barbaric and crude, rather than modern. Her usage of Saudi Arabiaââ¬â¢s holy man and the idea that even he would oppose the current practices emphasizes that they are archaic and unsophisticated. By referring to the traditions as ââ¬Ësillyââ¬â¢, Sasson appears to be laughing at them, showing they are subject to mockery. She points out to the reader that regardless of how long a tradition may have been enacted in society, some need to be disbanded for the benefit and improvement of its people. Sasson inserts this outburst by Sultana to show the reader how ridiculous she finds the traditions of the land, and that even their highest religious leader would feel the same were he alive. As always, primitive customs determine womenââ¬â¢s roles in Saudi society. Sasson uses imagery to further explain the idea that the people of Saudi Arabia are fixed as a society and there is little effort to change. These images are used to convey a picture as to how Saudi society is unchanging in its ways. Sasson shows the idle nature of Saudi society as she describes her reaction to arranged marriages; ââ¬Å"This one issue alone proved that we Saudis were like uninspired mules; we trod the same weary track as the mules before is even if it led us to plunge off a cliffâ⬠(Sasson 128). As she describes this scene, the reader can see the repetitiveness and monotony that keeps any sort of change from reaching the women in Saudi Arabia. Describing people as ââ¬Ëmulesââ¬â¢ helps the reader to visualize the idea that Saudi people have no choice in what they do; it shows that their paths are simple and obstinate. Referencing an animal also makes the Saudi people seems like a less developed race. The uses of ââ¬Ëtrodââ¬â¢ and ââ¬Ëwearyââ¬â¢ show the reader how indifferent and oppressed Saudi women are within their society. She adds the phrase ââ¬Ëplunge off a cliffââ¬â¢ so the reader can clearly see the detrimental effects of having a fixed path. This imagery allows the readers to see the people of Saudi Arabia trudging one behind another with no hope but to fall into the void their society has created. Sasson shows the reader that Saudi society seems comfortable in its ways and is unwilling to change. Another instance of this imagery occurs when Sasson describes Sultanaââ¬â¢s life with her husband. As a married woman, Sultana has to follow both how society expects her to live, as well as her husband; ââ¬Å"Our lives were fixed on a carefully charted courseâ⬠(Sasson 154). This imagery allows the reader to see that it is not just the women who are expected to live a certain way, but the men as well. Sasson uses ââ¬Ëcarefullyââ¬â¢ to make it seem as though someone sat and attentively determined the best way for couples to live. A ââ¬Ëcharted courseââ¬â¢ helps the reader to see that couples have a blueprint for their life together; itââ¬â¢s as though they are on a voyage that is steering them in the proper direction. Society has established a specific way for its people to live, and they are expected to stay within the customary confinements. Again, Sasson instills this idea that Sultana is stuck, unable to move toward progress for women, emphasizing that she can do nothing but follow those before her. Sasson further uses imagery to show the consequences of falling out of the line society has created. When a friend of Sultana tries to fight against the rules that oppress her, society is there to keep her in her place; ââ¬Å"A woman who had embodied the life and hope of our land, a women now living in utter blackness, without sight or sound to sustain her lifeâ⬠(Sasson 194). Sasson uses the term ââ¬Ëblacknessââ¬â¢ to illustrate that the girl was isolated and her life was in ruin. The ending clause allows the reader to visualize the complete solitude that this woman endured because she tried to change the set outcome of her life. From the ending clause, the reader can sense the hope this woman had and the desolation created from it. Sassonââ¬â¢s use of ââ¬Ëembodiedââ¬â¢ makes it seen that a single girl is holding the hope for a better life for women, yet that hope is being erased. By embodying life and hope, it indicates to the reader how important one womanââ¬â¢s actions can be for so many others. Society is determined to stamp out all of the women that do not follow the roles that have been assigned to them. Sasson demonstrates for the reader how women see hope for social change while men feel the danger of any change in a society that differs from the way it has always been. Through the novel, Sasson exposes the causes of mistreatment brought upon Saudi Arabian women in the form of cultural immobility. Her language in the text demonstrates how years of societal reinforcement has led to Saudi menââ¬â¢s rationality for treating women as a lower class of people. Sasson uses synonyms of the term ââ¬Ëpublicââ¬â¢ throughout the text to remind the reader that this term is an underlying cause of womenââ¬â¢s mistreatment. The usage of the term ââ¬Ëtraditionââ¬â¢ with a negative connotation helps the reader to understand that practices of the past are not always practical in present day and can deter social progress. She uses severe imagery to display the mindlessness of blindly following past generations. Sasson uses these tools to express that menââ¬â¢s oppression of women is due to the stagnant nature of Saudi society. Works Cited Sasson, Jean. Princess. Marietta, GA: Windsor-Brook Books, LLC: 2001. Print.
Saturday, January 4, 2020
Tolerance and World Peace - 1557 Words
Tolerance and World Peace What is the meaning of tolerance or world peace? Tolerance is the ability to the fundamental of other cultures without using individuals or own culture to compare others. World peace is the freedom, peace, and happiness between all nations and people. The two articles, ââ¬Å"Patriotism and Cosmopolitanismâ⬠by Martha Nussbaum and ââ¬Å"Donââ¬â¢t Forget the Little Plattonsâ⬠by Michael McConnel, explains the tolerance and cultures. In my own understanding from the 2 articles, I think patriotism is opposite from the tolerance. However, the more patriotic the citizen is towards their own country, they will become less tolerant of other cultures. Nussbaum argues that all citizens should act cosmopolitanism to be sure thereâ⬠¦show more contentâ⬠¦Most of my point of view of different culture or belief did come from teaching in school when I took a World Religion course in grade 10. I learn a lot more about other beliefs and cultures more t han usual. It was interesting because most culture have their own traditions that are practically the same traditions than other cultures. I also learn the ideas from my family and realtives. I do believe that the students should learn and understand the cultural teachings in school, so that they have a strong influence that could possibly change their perceptions. ââ¬Å"They key to moral education is to fuse the sentiments (especially love) to teaching of the good. We begin to do good because we love our preceptors (especially our parents); we want to please them and we want to be like them. We continue to do good because that is the kind of person we have grown up to be.â⬠9 (McConnel1996, 79) McConnell is trying to say in this quote is that tolerance start at home and than become more involving with the community. He also said that one could be part of the local community even though cosmopolitanism states that. But, it cannot be forgotten that the main purpose is to look a t the world as a one society, world peace. Things will have to be accepted in some days where as it is possible that the communities maybe forgotten. To the conclusion, the 2 articles ââ¬Å"Patriotism and Cosmopolitanismâ⬠by MarthaShow MoreRelatedTolerance in The Freedom Writers Diary780 Words à |à 4 PagesWriters Diary by Erin Gruwell and her students show many great examples of the vast importance of tolerance. This novel is about one teacher who taught her students tolerance and knowledge. This novel even shares how to support tolerance and diversity. Tolerance is important to have in this world because without tolerance, there can be no peace The Freedom Writers Diary shows how the students learn tolerance. In Diary 36, the student writes ââ¬Å"ââ¬â¢Why should I read books about people that donââ¬â¢t look likeRead MoreThe Islamic Religion And Islam1301 Words à |à 6 Pagesreligions, Judaism, Christianity and, Islam, all support a peaceful world and advocate peace in their main teachings and sacred texts.â⬠(Mt Alvernia Task sheet) There are more than three religions in the world but these three religions are some of the main religions that profoundly support this statement. The Islamic religion is often portrayed by the Western media as a violent religion that does not teach or believe in interfaith or world peace, however through an interfaith understanding it can be seenRead MoreThe Wife s Story By Ursula Leguinn1043 Words à |à 5 Pagestheir viewpoints on tolerance. When comparing the texts of Suu Kyi and Langston hughes they both believe tolerance is you shouldnââ¬â¢t discriminate other people based off of tho they are , while Ursula Lequinn shows in her writing that her viewpoint on tolerance is that people are quick to fear something they donââ¬â¢t understand and will sometimes react out of fear not only human beings animals can do it too as shown in her story. In ââ¬Å"The wifeââ¬â¢s story ââ¬Å" the viewpoint on tolerance is that we are quickRead MoreHow Have the Concepts of Popular Sovereignty, Rule of Law and Tolerance Developed Through Time880 Words à |à 4 PagesJOURNAL 1 The United State has been established based on the foundation ideas of Popular Sovereignty, Rule of Law, and Tolerance. Those ideas have become the strong pillars for our Founding Fathers to build a new society (Coaty 23) which vividly accounted in the U.S. Constitution. The questions arise, what are the Popular Sovereignty, Rule of Law, and Tolerance? Why those ideas have become so vital?à The Popular Sovereignty means is a form of power that a nation state has over itself and its peopleRead MoreTolerence of Religion1636 Words à |à 7 PagesTolerance is a basic principle of Islam. It is a religious moral duty. Islam teaches tolerance on all levels: individual, groups and states. Tolerance is the mechanism that upholds human rights and the rule of law. The Qurââ¬â¢an says very clearly: in which you differââ¬â¢)à (Al-Hajj 21:76-69). Intolerance is on the increase in the world today, causing death, genocide, violenc (To every People have We appointed rites and ceremonies which they must follow, let them not then dispute with you on the matterRead MoreIdeal vs. Reality: Religious Pluralism vs. Religious Tolerance 1302 Words à |à 6 Pagesdifferent denominations of Christianity, three synagogues, two temples, and one mosque; all coinciding peacefully in the city (Yellow Pages). Because Riverside is so diverse, religious pluralism and religious tolerance are two steps in making Riverside more connected. The first step is tolerance, a reflex that acknowledges a person will come across people of a different faith. The second step is pluralism, which is a better understanding of a personââ¬â¢s religion as well as the other religions aroundRead MoreAung San Suu Kyi And The Lottery By Shirley Jackson791 Words à |à 4 PagesDifferent people make the world go round Human clones may make an exceptional story line for a mainstream science fiction movie. However if we all were clones, our world would lack the diversity it thrives on. We would be stuck in a humdrum cycle without the diversity others bring. Barbara Johnson expresses acceptance of diversity by saying ââ¬Å"We, as human beings, must be willing to accept people who are different from ourselves.â⬠Discrimination, acceptance and tolerance toward diverse people areRead More Too much Tolerance Essay676 Words à |à 3 PagesToo much Tolerance Dogmatic Tolerance = Hypocritical Tolerance. It is a word synonymous with peace, good will, brotherly love, acceptance and forgiveness. It is a virtue that is essential in a world filled with racial and religious discrimination. But at the same time tolerance, or, more specifically, the modern, politically correct definition of tolerance, holds some very dangerous pitfalls which, if our government, and we, as a people are not careful of, could be crippling to the individualismRead MoreHuman Rights927 Words à |à 4 PagesHuman rights are universal, indivisible and interdependent. Human rights are what make us human. When we speak of the right to life, or development, or to dissent and diversity, we are speaking of tolerance. Tolerance will ensure all freedoms. Without it, we can be certain of none. br brThe raging ethnic cleansing in Kosovo is an example of intolerance. The Serbians will not tolerate the Albanians at any cost. They are forcing them from their homes, turning the streets into killing fields. ThisRead MoreReligion Shaping America Essay895 Words à |à 4 Pagesof truth, life without sin, and altruism, or good works. Lastly, religious liberty is a major campaign so trite that one will find religious tolerance laws in every state as well as various religious tolerance groups with ease. Patently, the rudiments of religion are responsible for shaping the world we live and enjoy today. The absence of religious tolerance that pushed colonists from Europe to the newly founded England colonies sprang from the belief, held by both Protestants and Catholics, that
Friday, December 27, 2019
A Vasoplegic Syndrome Case - 997 Words
Vasoplegic syndrome is a severe vasodilatory shock characterised by hypotension, tachycardia, normal or elevated cardiac output, decrease in systemic vascular resistance, poor or no response to fluid resuscitation and vasopressor administration [1]. Though it is commonly seen during cardiac surgery, it is also been reported during non cardiac surgery [2,3]. The incidence of vasoplegic syndrome is 8-10% in cardiac surgery [4], and its risk factors include intravenous heparin, beta-blockers, calcium channel blockers, renin angiotensin system antagonists, protamine use, myocardial dysfunction, diabetes mellitus, presence of pre-cardiopulmonary bypass hemodynamic instability, increased duration of cardiopulmonary bypass and ventricular device insertion [5]. We present a case of successful management of vasoplegic syndrome the developed perioperatively following Whippleââ¬â¢s procedure. Report A 76yr old 52kg male, was schedule for Whippleââ¬â¢s procedure for carcinoma head of pancreas. He was a known hypertensive of enalapril and poorly controlled diabetic on insulin. His preoperative investigations were unremarkable except of elevated HbA1C. The proposed procedure was planned under general anaesthesia with thoracic epidural, for which the patient consented. After instituting appropriate monitoring thoracic epidural catheter was placed in T7-T8 interspace before induction of general anaesthesia. General anaesthesia was induced with fentanyl 2mcg. kg-1 and propofol 2mg.kg-1, andShow MoreRelatedA Case Report Of Probable Vasoplegic Syndrome1482 Words à |à 6 Pageshypotension in prone position is a challenge to anaesthesiologists and more so if this hypotension is complicated by non responsiveness to conventional therapy. This non-responsiveness may be due to vasoplegic syndrome. We cite here a case report of probable vasoplegic syndrome in prone position. Case report: A 52 year old male patient weighing 70 Kg, diagnosed with D9-D11 ligamentum flavum hypertrophy with canal stenosis was posted for laminectomy in prone position. He was a known hypertensive andRead MoreThe Concept Of Critical Care Nursing3148 Words à |à 13 Pagesintegrate these sophisticated technologies and interventions to deliver competent, evidence-based and holistic care to critically ill patients (Morton Fontaine, 2013). The aim of this written assignment is to present an Intensive Care Unit (ICU) case of Diltiazem Overdose (Deliberate self-Harm) who was admitted in a large metropolitan hospital in New Zealand (NZ). Care provided to Mr. Jack (pseudonym) will be discussed and evaluated, with main focus on the nursing care delivered which contributed
Wednesday, December 18, 2019
A Monkey And His Disease - 1941 Words
A Monkey and His Disease The day of his death was a scary day. His arms turned blue and pale, had tubes going into them to keep him alive; His face turned almost grey but eventually, the disease won this battle. The death certificate said he died of HIV/AIDS complications at approximately 3:32 p.m. The knowledge of HIV/AIDS treatment has progressed over the past sixty years due to scientific advancements making Huxleyââ¬â¢s quote: ââ¬Å"But I don t want comfort. I want God, I want poetry, I want real danger, I want freedom, I want goodness. I want sin,â⬠negative to historical figures but positive to people who are living in the new generation. Finding the origins of AIDS in a chimpanzee traumatically changed society and ever since 1950,â⬠¦show more contentâ⬠¦This caused the defect of the humanââ¬â¢s immune system, making it easier for any person with this disorder to become more susceptible to diseases that people with a healthy immune system usually will not get. Bette Korber created a model which estimated any virus ââ¬Ëage but since HIV is an unusual virus because it changes its own DNA by mutation and recombination, they could not really find the origin of it which is also why it is so hard to make a vaccine for this virus which is why they only used this machine to find the oldest age of that strain. Ever since the discovery of this, it has been much of a huge commotion. This commotion has been so big, ever since the origin date came about; scientists have been finding ways to cure this disease. The tools created to make medicine for AIDS patients have been very helpful and important to society. Ever since tools were created to make medicine to reduce the symptoms of AIDS, doctors have been doing everything they can to provide patients with the correct care so that they can survive. Due to this, people have gone far enough to the point where they made medicine cheaper and affordable by insurance making it available for many classes of people. ââ¬Å"We wonââ¬â¢t see the end of AIDS,â⬠says Gates, in terms of there being no cure therefore itââ¬â¢s not much of a point in not making the medicine cheaper. The tools to cure
Tuesday, December 10, 2019
Clinical Practice Reflection
Question: Discuss about the Clinical Practice Reflection. Answer: Introduction: Leadership can be described as a quality that influences the people for achieving any purpose or any set of goals. However, leadership and management are not the same and differentiating leadership from the management results in the origin of confusion in many cases. It is quite evident that all leaders can be good managers but not every manager can be an effective leader, hence, making the leadership a vital aspect of better and effective management (Chapparamani Jyothi, 2011). The work of various behavioral theorists provides insights into the democratic, autocratic, and laissez-faire styles of leadership, which impacts the organizational performance to a large extent. Despite the several conceptualizations based on the leadership, there are many authors that agree on the fact that leadership is a process, which includes influence, takes place in groups, needs an adaptive and goal seeking approach, as well as, occurs at all the levels. No doubt that leader are the ordinary people only who perform extraordinary things through the better use of power in formulating the future. Hence, this implies that the individuals as leaders are judged mostly by the consequences based on their behavior in spite of their physical characteristics (Thomas, Bellin, Jules, Lynton, 2012). This essay is basically a reflective essay based on the experience during clinical practice, which will reflect my own leadership qualities demonstration and development and the process that helped in analyzing the situation and implications of the leadership roles in the future. As we all know that nursing leadership compasses from staff nursing involved in caring the patient to the nurse who is an in charge of a hospital, the nurses should acquire the effective and appropriate leadership skills. Nursing leadership requires to be focused on the people, as well as, on the problem-solving ability in an ever demanding atmosphere of the health care system (Nazarko, 2004). Hence, with the use of Gibbs reflective cycle, I will reflect on the incidence of care that I was involved in during my clinical placement. As Gibbs cycle involves six different stages it will improve my learning from the situation I experience and will help in improving my nursing practice in the future. The Gibbs cycle involves the description of the situation, analysis of the personal feelings that I have experienced during the situation, evaluation of the overall experience I had from this situation, analysis of the situation, conclusion, and action plan which will prepare in case the same situation arises in the future (Black Plowright, 2010). Reflection is helpful in generating the practical knowledge, leads to the development of the self-esteem, helps an individual in assisting the abilities that will help in adaptation to the new situations, and generates satisfaction towards the professionalizing practice. It is the process of gaining confidence, improvement, self-awareness, and learning things from own behavior and mistakes that improve the future through the process of learning from the past (Gomez, 2014). Moreover, through the process of reflection one can have a good understanding of the things they do and what can limit our abilities, thus providing the opportunity for improving the way an individual can care in a health care system (Duffy, 2007). To use the situation for my reflective essay, I would not use the original personal details of the patient. To protect the patients identity, as well as, to maintain the clients confidentiality, I will address the patient as Joy, as according to the NMC code of professional conduct, it is the duty of a health practitioner to protect the information of the patient and should treat the information as confidential unless it is required for the given purpose with the consent of the patient ("Nursing Midwifery Council Code Of Professional Conduct", 2002). During my clinical practice placement, I once got a chance to assist a patient named Joy who was a 70-year-old man and was shifted from an emergency department. The patient was suffering from urinary retention and had a considerable pain. During his handover, my mentor and I were told that we have to take care of Joy on that shift, and were also requested to change the dressing of Joys right leg as his right leg was ulcerated due to the condition called as Peripheral Vascular Disease. Moreover, due to this disease, Joy also had an amputation of his left leg below the knee a few years ago due to which he was mobilized with the help of a wheelchair. It was quite evident during his handover that Joy was very difficult for the past two days. Further, the nurse in charge of the emergency department told us that he used to throw things across his room and used to press the nurse call button constantly and was shouting throughout the day. He had also denied changing his pajamas and didnt have a wash. After his handover from the emergency department, my mentor told me that we should now change the dressing of Joy but he should be first cleaned and get him changed and if I could assist her in that. We then gathered the required equipment from the treatment area and proceeded towards Joy's room. As soon as I entered his room, I saw that Joy was sitting on his bed and was quite tense. I then introduced myself to him as a stu dent nurse and asked his consent to assist in his washing and changing clothes. He looked and shouted as soon as he asked his consent. He said that he only wants to see the doctor and stated that he didnt smoke a cigarette for the past couple of days. I explained him very politely that I would be assisting in changing and applying the dressing of his right leg and prior to it he should have a wash, as well as, change his clothes. I then continued to engage him in the conversation by maintaining a slow and soft tone. Further, I asked him that should I send a cup of tea for him after the procedure. I noticed a change in his body language and he was softened in his language and smiled with the approval of sending a tea. I smiled and repeated that if he could allow me to assist in washing and changing clothes in a very polite and relaxed posture. Joy allowed me and I proceeded in maintaining the personal hygiene and cleanliness with dignity and respect. Moreover, with Joys cooperation w e were able to proceed with changing his dressing. Through this clinical practice situation, I experienced different feelings. As the nurse in charge created a negative picture of Joy during the initial handover and described him to be difficult, I wondered why the patient was so demanding and aggressive. I felt very nervous and anxious during the handover as it was the first time I was going to assist the patient directly and did not have enough experience of dealing with the situation. However, after meeting Joy I was clear about the reason why he was frustrated and angry. To my notice, I observed that there was no wheelchair in Joys room, and without a wheelchair, Joy was just confined to his bed, which led to the loss of his autonomy. Further, it was clear that Joy was a smoker and he was not put on nicotine replacement therapy for helping him to cope up with the withdrawal symptoms. Hence, the loss of his autonomy and inability to cope up with the withdrawal symptoms has made him feel frustrated and angry. On analysis of his sit uation, I also felt frustration for him and at the same time made me angry. From the situation, I evaluated that there was a breakdown in the development of the nurse-patient communication and relationship, which made the patient frustrated and angry (Evans, 2013). The communication skills and compassion of the nurse in charge was not sufficient for understanding the patient. She was not listening to the clients requests and was not showing an empathetic attitude towards the client, which is very much required for the development of a healthy therapeutic relationship amongst the two (Hodson, 2013). This incident enables me to self-examine and to find out my short fallings that I had to the incident. Moreover, I was able to associate theory to the practice through this incident. The foremost quality of a good leader is having good communication skills (McGough, 2007). Through this incident I realized that I had the communication skill as an outcome of communicating with Joy was positive and the personal hygiene goal was met. Self-awareness is considered to be the foundation of an effective management and is an important quality and skill required in leadership. To provide high standard care and improving the performance one must require management of the cognitive, behavioral, and affective self to engage the health care professional in therapeutic relationships (Pavlovich, Collins, Jones, 2008). It involves an understanding of own beliefs, motivations, thoughts, limitations, biases and recognizing their impact on the provision of the health care services. It is very necessary being a student nurse that there must be complete awareness of strengths, as well as, weaknesses (Martin, 2012). The incident made me realize that I was not comfortable in questioning the nursing care and should have acted in a more assertive manner as Joys basic needs were ignored. However, in the future I will be more assertive and will question if there is any bad practice or needs of patients are not carried out properly in the future, because as per NMC, the person is accountable for their own omissions and actions in the practice and one should always be capable of justifying their own decisions (Sutcliffe, 2011). The situation needed the implementation of the interpersonal skills, both verbal and nonverbal communication technique. Nonverbal communication can be described as the transmittance of information without speaking. Joys body language clearly indicated the anxiety and tension he was having and hence, approaching Joy with empathetic attitude ensured that his participation in the communication is appreciated and he was understood (Peate, 2009). Verbal communication was enhanced by utilizing the facial expression, as well as, paraverbal communication, which included pitch, tone, volume, and speed while speaking, hence communicating in a soft tone added more meaning and value to the words (Hofert, Burke, Balighian, Serwint, 2015). The participation in the clinical practice and through Gibbs's reflective cycle, Im able to recognize the way of putting the learning experience as a useful asset in my clinical practice in the future as a nursing professional. In case, I have to face the same kind of situation in the future, I learned that I require to show more assertiveness and should show the courage of questioning the attitude of the nurse at an initial stage as 'bad practice' is not acceptable. If I feel that the patients requirements are not fulfilled, my primary consideration must be the protection of the safety and interest of the patient as per the NMC Code of Professional Conduct ("Nursing Midwifery Council Code Of Professional Conduct", 2002). The nurse plays a vital role during the provision of healthcare services to the patient. The development of the therapeutic relation between the nurse and the patient is very important. By use of effective communication skills a good and effective therapeutic relation can be developed (Peate, 2009). From this experience and through this reflection, I learned that the use of communication skill is the most important and necessary skill for carrying out the care of the patient. Moreover, I was able to demonstrate the importance of ethical practice and one should always objectify if the needs of the patient are not met. 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