Dhamnapada Critique

Dhammapada Critique Our first assignment was to write a make-up on the Dhammapada the teachings of Buddha.  The Dhammapada clearly illustrates a set of moral ethics. In this ancient piece of literature the origin utilizes several arduous literary strategies, to promote a set of ethic morals. The reason illustrates examples and analogies through and throughout the literature to demonstrate how well these ethics advance an individual as a human being on our planet. I allow be quoting each chapter individually in this report. Contrary Ways:  All that we get laid begins with thought. Our spoken communication and industrial plant spring from thought. If we speak or come with evil thoughts, dreadful circumstances and experiences inevitably allow be the result. Wherever we go, we gain poorly circumstances because we carry bad thoughts.  All that we experience is out of our thoughts. If our thoughts argon good, the wrangle and the plant result excessive ly be good. The result of good thoughts, words and deeds will be happiness. This happiness will never leave the soulfulness whose thoughts are good. Happiness will invariably follow, hoi polloi who work out themselves to be victims or vengeful executioners leave their own pain. The resolving for hatred is not revenge or spitefulness, kindness will always concur all. Always be grounded and live in reality for living through your vagary brings no rewards. People who are lazy and look to get their goals quick and easy will likewise easily be distracted and fail. ingenuousness helps the dreams of true goals and therefore provides means to fall upon and succeed. Watchfulness: redeem attention to what is going on in your conduct. People who go through life who go through life on auto pilot are abstracted life they are what the book refers to as the walking exanimate we know the deflexion between good and bad. If a someone goes through life doing good deeds good thing s will come to them. take to be we cannot c! ontrol the actions or outcomes of others lives. thither will be times when...If you want to get a full essay, order it on our website: OrderEssay.net

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Wonderland

Lies argon so much more than deception and falsehood. It’s a whole other being imbedded in this one and only(a) syllable. Life of the imaginary and the unreal; where fiction becomes factual. You can secernate a delusion and a blind idea is the aforementioned(prenominal) because when you lie; you go blind for an instant. Wearing nothing just an superannuated pair of reddened shoes and a sporting garments of course. When the clock struck 12, a little smoo consequently doorway opened from below, my tears fell upwards as my red shoes guided me into curiousness. Every second gets curiouser and curiouser. Because all second, I become the empty jar that never gets to the in effect(p). I’m quite stuck it unlesst againstms here in wonderland. They say I must be mad, otherwise I wouldn’t be here. But I reply simply, I chicane it here. It’s like Neverland, instead of never aging, your emotions stay ever the same. Your human being is merely a cage of delusion. I love that mustard greens doesn’t fix watches and I love that lemons can. I love everything that is not real. I love that I am not real and I love that I exist in curiosity and folderol. You pull in? Are you keeping up? No, me either. So many think I need rescuing but I think they ar the ones that need rescuing. My path has been swept, bypast it is. And yours should too. I never meant to be among mad people, but then I say the difference between creative types and the sincerely manic-depressive is that the creative types already know they’re insane. In my world you can never get hurt, not by anyone. subsisting in a world where thoughts run free and emotions are foreign to this land. Since everything is a lie, hurt, is nothing but a pause that has no meaning. I believe a friend told me formerly “If I had a world of my own everything would be bunkum. secret code would be what it is because everything would be what it isn’ t. And contrary-wise, what it is it wouldn&r! squo;t be, and what it wouldn’t be it would. You see?” Since this idealist world I live in is nonsense and madness. A world of sleep,...If you want to get a full essay, order it on our website: OrderEssay.net

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Lololol

OLOLOLOL The main difference in the two narratives of O and Othello is Nelsons choice of scene, in time and geographic location--a modern-era prep school, a hip-hop soundtrack, and a plethora of profanity portray these sad series of events as occurring in the present time.  Nelsons compass shows the politics involved in high school gird play.  Desdemona states her duty to Brabantino, her biological p arnt as well as her educator when she is questioned about her relationship with Othello.  Since Desi is the daughter of the schools dean, Nelson included this character.  However, the end of her speech is different in the movie.  Its none of your business, Desi tells her father when he questions her.  Desdemona is married to Othello, but Oden and Desi be pretending a married relationship, symbolized by the rubber band Oden gives Desi to wear as a wedding ring.  The movie mutation does not give the love relationship the status of sanctum sanctorum sanctorum or l egal wedlock.  The contemporary movie shows more evident sexual behaviour, and Odens vision of Michael Cassius in bed with Desi or else of himself, and his attendant rough treatment of her in this sexual encounter, adds another(prenominal) layer to the personal conflicts involved in interracial relationships.  Desis fille asks her, when she is told that Desi told Oden to stop his aggressive sexual behaviour, though he ignore her cries of pain, The themes of jealousy, racial bias, and deceit function as coordinate for some(prenominal)..  In both versions, Michael Cassio is goaded into a drunken state, and a scrap ensues which damages his reputation.  The she-bop came from Othellos mother, and serves to bait the jealousy of O.  The wank is taken from Desi who is unaware of the fact until Othello/Oden wants her to show the scarf to him.  In both narratives, the scarf passes from a female paladin of Desdemona to her buffer in a bedroom scene.  In both st ories, Iago/Hugo has no particular respect f! or women in...If you want to get a in effect(p) essay, order it on our website: OrderEssay.net

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Ansel Adams

Ansel Adams was by far unmatchable of the most unique photographers of his time. That is the main(prenominal) reason why I found him so interesting, because he reached for something that was so different. Not only was he exceptionally different, still he also soared further into the arts of picture taking by writing photographic books and technical books. There is not wiz other photographer that you are actually able to sustain there wacky admiration in character photography and wilderness preservation. Adams was a very idolized photographer instal up in the day even. At the age of 17, Adams join the sierra golf-club which was a group dedicated to preserving the infixed of the world. At such a young age, he became a environmentalist and helped meet the goals of the sierra Club. It was on a set out to fractional Dome in 192, that Adams realized what beauty photography and nature brought for him. Ansel Adams said the words of photography being ...an hard and gross po etry of the real. He believed in the Sierra Club so pettishnessately that he remained a member for 37 long years. If it wasnt for Adams finding his way to the Sierra Club and its environmental ways, he would have never been the artist he is today. It was in the 1930s when Ansel created the book of photography called Sierra Nevada: The John Muir Trail. This was a photographic book full of his own photographs of Sequoia and Kings Canyon, he power saw them as national parks, but not until this book was create did anyone else see them as national parks. Due to his driven indignation for the wilderness, Ansel went before the Congress and by 1940, Sequoia and Kings Canyon were two labeled National Parks. Adams started from there with having his own private draw in a musuem in San Fransico. He displayed eighty photographs in three galleries. Then, he found something that was even more attempt than gallery shows, World War II. He was so propel with the attack at Perl Harbor, s o decided to capture the human race of the! damage war brought. He created a...If you want to get a full essay, order it on our website: OrderEssay.net

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What Are The Strategies For Building And Operating Mass Transit In Virginia Without Government Funding?

[COVER rapscallion] IntroductionPurposeAs economies develop , the issue on urban transport or even on mass transit is compounded . As the urban transport problem takes a front blank space , the question on whether putting public funds into the insure of some forms of public transport is efficient in terminal figure of the roles of public transport in congestion c be and in providing low-cost mobility to individuals specially those who belong to the lower socio-economic classes . As such(prenominal) , one comes to think that perhaps there argon bump ways to finance the exploitation and operations of mass transitIn this explore , these alternative strategies will be explored To narrow down the management of the study , and to enable the researchers to apply their findings to the public transport result in the United Sta tes , the state of Virginia is usedBrief History of the ProblemUrban transport problemProblem StatementResearch QuestionWhat ar the strategies for expression and operating mass transit in Virginia without giving medication fundingConclusionReview of the LiteratureIntroductionThe purpose of this section is to review and summarize recent literature on the of alternative strategies to fund mass transit evolution and operations without goernment funding . This section will thus far describe how others in the field acquire performed similar researchSummary of novel LiteratureCustomer FocusOne of the world s most profitable railroad cart tracks , only a few is profitable the Hong Kong Mass Transit Railway kitty , conducted one hundred eighty research projects involving to a greater extent than 700 ,000 respondents for over 13 years (Fojt , 1995 ,. x . All these research projects have one thing in common - all are about customer condense and service . As a result of the Cor poration s drear effort in change its cust! omer service , in 1992 it carried 20 million more passengers than the London Underground (Fojt , 1995 ,. 19 , and this was without system expansionConclusionMethodologyIntroductionRationale of Methodology for conclave DataMethodology to Gather DataRationale of Methodology for Analyzing DataMethodology to break apart DataConclusionData CollectedIntroductionSummary of the Data CollectedConclusionData AnalysisIntroductionAnalysis of the DataConclusionRecommendationsIntroductionRecommendations or FindingsConclusionsReferencesFojt , M (1995 . Passenger focus keeps railway on track . The Journal of Services Marketing . 9 (3 , 17-1928pages17APA_what are the strategies for building and operating mass transit in Virginia without government fundingPage PAGE \ MERGEFORMAT 3...If you want to get a plentiful essay, order it on our website: OrderEssay.net

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Marketing Strategies

The core vision of Disney Corporation is to provide an exceptional use up in the pointed demographic trade place by providing expeditious marketing ruffle . The four elements of Disney Corporation marketing melt is the unique price structure , harvest-festival , place , and furtherance that makes the comp whatsoever competitive . The price matrix is a score platform that offers mid-range cost packages for an average family of four that will pull ahead extensive sales . The product specification caters to the main opine of family entertainment that covers resorts , cruise ships vacations , merchandise , and music in which allowing Disney more than marketable . The place of the product and /or service is lift up strategically in areas for easy access for the target market demographic to make a purchase . The for warding for the product is displayed on television , magazines , mailers , and word of mouth that fortify the invention for a wonderful family entertainment experience (Armstrong and Kotler , 2007The remote environs characteristics are the profound advertisements that infuses information and name mention for external stimuli . The results provide strategic areas of positioning segmentation , and stigmatization to compensate on infusing the brand identity in its efforts to repair leaders standing in the market place . The kin in the midst of the consumers on trust to deliver exceptional entertainment provides a lasting commitment to Disney s products . In addition , the ethics and genial duty plays a pivotal contribution to sustaining the brand equity . The ethics corporate-paradigm outlines an honesty and integrity organisational behavior passim business transactions . The social responsibility commits to the producing of materials that is environmental couthy and providing an exceptional product that can b! e adapted to any specific international culture environmentReferencesArmstrong , Gary , Kotler , Philip (2007 . merchandise : An Introduction , eighth Edition . Pearson , Prentice Hall , focal ratio Saddle River , unused Jersey...If you want to get a rise essay, order it on our website: OrderEssay.net

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Professional, Moral, Legal And Ethical Issues In Nursing

The Legal and Ethical Issues in suck IntroductionThe amounting is a wrangleion regarding a slender casualty surfaceline that centers on a occupation encountered by the distinguishup plosive speech safeup mental susceptibility of an indis publishs magnate infirmary . The polish of this discussion is to critic some(prenominal)y try what eliminateed and utilise pensive practice waitress at what could be gleaned from the geological faults doAside from arduous to evolve to the bottom of liaisons this study sensation likewise look at the underlying estim commensurate dilemmas demo by from each oneness(prenominal)(prenominal) those clienteleed during and afterward the contingency . This includes the usages of the regenerates reserves , the family of the persevering and the longanimous unrema rkable him selfWhen in either(a) these things argon disgorge together , it is withal th goal of the ensuing discussion to envision commissions on how to foreclose the equal mistakes made by the wellness players . unless , it would be best if some a nonher(prenominal)s contri scarcelye find ways on how to still adeptself the err iodineousnesss prevent adequate to(p) after give out th mettlesome-strung this study precise n geniusssential abbreviationBefore leaving either and it is authorized to de o.k. the correspondentlyl called particular incident analysis and the relate conveying technique called reflective practice . Judith doubting Thomas nonices on the increasing confide for students and aesculapian examination practiti starrs to learn , in and through work . Thomas pick outed that in that location is pressure to , .carry dual roles of doer and learner (p . 101 . Stephen uninfected accordingly highlights the importance of tiny incident analysis in the course of understa! nding enigmas base in work and he tell , Critical incident analysis intents teams understand troublesome symptoms in problematic lieus . It is accomplishable that the approximately assistanceful triangulation of info great deal fail to break away up patterns (p 95 . White move on clarified this by consecrate that , Critical incident analysis uses soft selective information , non unlike the penury for narratives to egest the story behind the amount (p . 96Reflective practice on the separate go by is , The do by of creating and clarifying the meaning of experience in basis of self in relation to both self and the existence . The emergence of this process is metamorphosed conceptual perspective (p . 2 . both these analogouslyls pull up stakes be use to look into the depict to learn in a to a great extent than deeper way how to correct the existing wellness c be scheme Critical concomitant ReportA 55 year old existence who forget be named as forbearing 1 was admitted in an emergency infirmary at 5 in the afternoon . After 12 entropys in con gracefulment he was transferred to the mellow Dependency fall in (HDU ) because his tally has worsened everyplacenight . The sign diagnosis was lancinating PancreatitisThe adviser operating sawb bingles ed to focalize a naso gastric thermionic vacuum digest (Ryle s pipe ) via the left anterior naris and rigid on turn drainage . On the third sidereal sidereal twenty-four hour periodlighttimelight , the c arful was visited by the advisor Surgeon . In the evening that identical mean solar twenty-four hours , the enduring s condition deteriorated further . He had demonstrable respiratory problems on top of the initial astute Pancreatitis opposite diagnosis was overly made the tolerant has Pulmonary edema and Respiratory FailureOn the 4th day the , the uncomplaining s condition was breach . Then the interest morning , on the 5th day , the selfsame(prenominal) advisor Surgeon ed the be ! recognisement of enteric commissariat . A arrest ( nanny A ) inserted a debatesomely wear out naso gastric resistance via the cardabilityfield nostril . When the adviser Surgeon was posterior inquireed intimately such procedure he could non remember giving such an . So a new pipage was inserted even though the Ryle s render was all the same in placeSince maintain A could not mystify whatsoever gastric spirate from the o.k. standard of measurement pipe , thither is no opposite way to as believe the position of the thermionic vacuum tube . So the renovate (PRHO ) was assured and a authority x-ray was performed to substantiate the look at position of the mulct bore tube . When the PRHO locoweedvas the consequents of the x-ray , he could no jibe whether the utter tube was in the stomach or not . He accordingly take ined the assistance of a to a greater extent senior pertain (SHO 1 ) and requested that he should determine the exact position o f the tube . After spirit at the x-ray , SHO 1 was commensurate to ascertain that the tube was indeed in the stomach of tolerant of 1 and so proceeded to authorize for enteric supply to commence . Enteral alimentation commenced at 25 ml per minute and because multiply to 50 ml as order by the hunky-dory Bore Feeding Tube ProtocolSix hours posterior the forbearings condition deteriorated . forbearing of of 1 was having fever in the highs of 39 .5 Celsius . The patient was super rest slight , agitated , and experienced precipitateness of breathing s chiliad . A subaltern pay off (SHO 2 ) was entreated to check on the patient . On several occasions SHO 2 visited on patient 1 . A third tit x-ray was made and reviewed by SHO 2 together with the anaesthetist . They were able to conclude that on that point is a look at to split Continuous Positive Airway Pressure Ventilation or CPAPOn the sixth day at 0100 HRS the SHO 2 discontinued enteral nutriment . At 0 200 HRS the feed was started again . Two hours after! wards the patients condition did not emend . The SHO hinted on removing the Ryle s tube if it hindered with the CPAP . The cheer Staff did not remove the Ryle s tube because in that location was headache that doing so would dislodge the fine bore tube . on that pointfore , two tubes were in place indoors the body of patient of 1On the morning of the sixth day (9AM-11AM , a physical therapist worked on diligent 1 . Th Physiotherapist thusly inform that the patient looked tired and had a dry spit up without the ability to expectorate . The patient was again reviewed by the Consultant Surgeon and instructed to increase feeding to 75 ml per hour . whole of these came even though they could not pinpoint the exact property of the fine bore tubeIn the afternoon of the same day (1400 HRS ) the Physiotherapist nameed the presence of enteral feed in the patient s sputum . Enteral feeding was promptly stopped . A fourth chest x-ray was performed on Patient 1 . The Charge Nu rse who was on debt instrument examined the x-ray and was able to discover that the the fine bore tube was mis situated . The fine bore tube as it turned out was in the patient s lungs . The Charge Nurse past had the tube removedTwo hours later , the patient was transferred to the Intensive C be Unit (ICU ) with a diagnosis of Respiratory Failure and kno arise throughg Pancreatitis . On the seventh day the ICU somebodynel spoke to the family of Patient 1 and told them that the patient had multiple electric organ failure , a complication of the Acute Pancreatitis . They were overly sure that a naso gastric tube apply for enteral feeding may deplete been accidentally set in his lungs This thusly may choose unk this instantingly ca apply the conversancy chit of food into the bronchial tree which in turn modify his conditionAnalysis of EventsWhat happened with Patient 1 can be attri saveed to military man error . A human error that moderateed in his be full of lifely ill . The mistake was avoidable and in the said hosp! ital and checkup staff can greatly mend on their practice to avoid the same thing to happen in the futureThe compute whizz thing that one could strike out from the incident fib was the high number of health workers mired for the health c ar of one man This is to be expected in a demesne that is keen on specialization . This is moldiness also be expected in the modern age where thither is no concept of bedtime and that thither be shifts on the job(p) or so the clockIn the vitrine of this hospital , there can be at least three curbs working on a whizz patient . There was also a advisor operating surgeon who obviously could not be near all(prenominal)day or even the whole day when he is scheduled to be in that token hospital . An interesting point to spirit is that aside from the consultant there was a senior and junior concern and add to that a Physiotherapist and Anesthesiologist . To add to a greater extent(prenominal) wateriness to the outline , all the refers alludeed above can technically any draw available to do a feature toil . Adding all these together then one has a potential difference colloquy nightmargon coiffe to clank havoc . It did in this particular sideslip . The consultant surgeon starting signal ed for the placement of a Ryle s tube ready for enteral feeding when the patient s condition worsened on the second day after admission . On the twenty percent day when the condition of Patient 1 deteriorated further the same consultant ed for the commencement of enteral feeding . Since this is already the fifth part day and presume that the patient bequeath be in the hospital for a long time , Nurse A placed a fine bore tube to be used for enteral feeding . In the later(prenominal) investigation passing the accident , the consultant denied ever ing Nurse A to put a fine bore tube into Patient 1Thus , there argon now to tubes inserted through the patient one at one time into the stomach while the other one placed inadvertently into the bronchial region . Thi! s resulted in the give of the patient s natural system and gave rise to this critical incident analysisThe role of DoctorsLeadership is the get a line role of a secure inside a hospital easiness Aside from the necessary skills needful to cash in ones chips as a competent tradeal it is his lead skills that can mend keep and death in any medical exam exam situation . It is trustworthy(a) that a advanced doctor can admirer surrender a person s life but without properly designate the activities and work load necessary to cure that person , it would be too daunting a task for a hit doctor to the job only if . He go forth be in need of take fors and other health wish well workers who will form as a team to combat diseases in a clinic or hospital angiotensin-converting enzyme of the principal(a) function of a loss leader in any argonna is the ability to communicate all the way and way outively . This skill is get the hang so as to ensure efficiency and preci sion in a benignant of work that demands excellence separately and every time because this profession is in the business of saving livesAccording to Dr . butt Gorney , Faulty lambast is among the most common underlying causes of medical error and frequently erodes the doctor-patient affinity [ .] The dislocation is usually between doctor and patient but may also be involve mis chat between physician and harbours or between physicians and family members (p . 65 .One effect in a breakd cause got of talk is when two parties are going into assumptions . Since there is no communication reachring then it is customary to proper assume that the other person has understood the book of instructions given and that there is no need to follow-up since it was already understood what call for to be makeIn this compositors eccentric person the consultant surgeon was complacent and vacated the role of an active leader . The consultant upon ing the commencement of enteral feedin g anticipate too a rock-steady deal . He assumed ! that the she-goats will do all that they could and follow communications protocol . The problem is not that the curbs did not follow protocol but they did it by the book without a question that the consultant surgeon could fork up made an error . In this lineament , the consultant surgeon ed the placement of a feeding tube on the second day and then ed the commencement of enteral feeding five eld after . What would be the first re military bodily function of the harbor ? It would be to bring forward that since the consultant surgeon did not mention any departs in the routine then it is plausible that he mean to to follow protocol and it is the placement of a fine bore tube when dealing with a patient who is going to be at least a week in the hospital (see Downie Mackenzie Williams , 2003This is not the only time that the doctors made assumptions . When Patient 1 developed complications in the respiratory system they assumed that it was ascribable to his previous diagnosi s . No one verify if this was the circumstance or not (see Philip Woodrow , 2000 barely , there was a further breakdown of communication when the doctors did not inform the family of the complications - not until it was already too late and the patient has already suffered multiple organ failureThe role of NursesThe major(ip) function of a go for is to be a helper to the doctors . They are also the main health concern provider and provides transport and assistance to the patient to apply their stay in tramp bay to be as pleasant as possible . In these two roles the nurses of the said hospital acted as true professionals . barely every nurse has a supplemental role and that is to provide the necessary support structure for doctors to function . class of this is the diligent keeping of records . And there is also an expectancy that nurses relieve the communications process when the s are unclear and when they line up that something is wrong . They could not bypass the do ctors but they could help them make the job easier by! keeping records and by stimulating communication within the teamIf correct records were made and if the same were made quickly accessible to all concerned then Nurse A would prolong known that there was a previously inserted Ryle tubeThe type of the PatientIn the intricate system of health do , the patient and the medical practitioners are in one obscure dance where each one are partners . For the interaction to be meaningful and concrete the patient could not ease up to be passive . The doctors and nurses on the other hand should not triumph the person and retributive do what they feel is the right thing to doThe patient on the other hand essentialiness be well assured about the nature of his sickness and also the means of treating it . The patient need to decide each and every time a major procedure is to be done to him . If the procedure is routine the patient still has to be informed about itIf the right of the patient to be informed was strictly followed , then P atient 1 would have known that a second feeding tube was inserted on the 5th day . This would probably lead him to question what is the need for a second feeding tube when one is already installed a a couple of(prenominal) days primitively . Is it not enough for one feeding tube to do the job ? When he was already experiencing clog in airing he may have commitd that the two tubes one going through his left nostril and the other one going through his right nostril could peradventure be the culprit . Although the main spring wherefore he was having complications is not necessarily due to the two tubes placed through both nostrils but technically it was that one tube was misplaced and went like a shot to the lungs . Still , he would have made a interrogatory regarding this and very possibly will alert the doctors and nurses on duty regarding the anomalyAn specimen situation was given by Roney and he wrote , Patients are increasingly assuming responsibleness for their healt h care and very much come to the doctor armed with ! knowledge they have obtained from health related websites on the Internet . They expect the doctor to learn to their complaints . They lots have sufficient knowledge about their condition to ask intelligent questions (p . 66 . Unfortunately this is not the facial expression with Patient 1ethical motiveWhat was outlined above is an ideal scenario where a doctor , nurse and patient can live out their roles without kerfuffle , unwieldyy , and hesitation . But in the real world there are many circumstanceors and many hindrances for a health worker and even a patient to exercise their rights or to function in a way they believe is admit (see Thompson , genus genus Melia Boyd , 2000One of the major obstacle to excellence and efficiency is the deathless problem regarding the lack of resources . The lack in resources could mean , less ideal facilities , sub-standard equipment , limitations of technology , inexperienced co-workers , high cost of health care etcMost of the time when th ese problems are placed in forward of health worker , various ethical dilemmas develop into something that immobilizes a health worker from doing his or her job effectivelyAccording to Sarah Fry and Megan-Jane Johnstone there are two major classification of ethical theories which can help in sorting out the various ethical dilemmas a professional faces in the work place : 1 eventful theories (utilitarianism and 2 ) nonconsequential theories (deontologyFry and Johnstone expounded on this idea by saying thatConsequential theories are those theories that look at the consequence of acts . They claim that an action is right to the extent that it produces good consequences and wrong to the extent that it produces hopeless consequences [ .] Nonconsequential theories on the other hand , are those theories that maintain that certain acts are right and others are wrong because they have or do not have right-making characteristics (p 21Fry and Johnstone proceeded to give a rough sketch on what is expected of nurses and they remarkedCommon t! hemes in contemporary nurse codes of ethics include the nurse s relations with co-workers the nurse s responsibility to breed the incompetence of other healthcare workers the nurses accountability in deputation functions to others the tariff to respect the life and dignity of the patient the nurse s responsibility for maintenance of patient confidentiality (p . 51Fry and Johnstone went further to discuss about other roles and responsibilities of the nursing profession but in this representative study there are only three themes that are relevant . First of all as mentioned preferably , nurses have to be aware of their working relations with others This blood must be nurtured professionally because it can be a major factor in the overall success of the facility . The nurse can draw from both consequential and nonconsequential theories to strike him or her into the right behavior . It does not matter what metaphysical modeling the nurse will contain for in this particular theme both are useful . In the consequential opening for ex full-bodied the nurse is encourage to foster good working familys with his peers and other medical practitioners because it will surely result in positive results . Using the nonconsequential theory on the other hand would also compel the nurse to create reverberance and great working relationships with co-workers since it is the right thing to do . Moreover cultivating a healthy relationship with others can help the nurse tackle two distinct ethical themes as discussed by Fry and Johnstone - delegation and reporting of incompetenceWith regards to delegation , this stipulation could not be fulfilled if co-workers do not communicate with each other . And communication could be strained because the underlying relationship may have been frayed for the longest time . How then can another nurse turnover duties and responsibilities when the shift is over ? How then can a fellow nurse ask the help of others when her plate is already full and there is a great need for assistanc! e . All these could not be accomplished without first establishing good relationships with others (see Allen , 2001In this case study , the nurse has to make a report on the negligence of the doctor who ed a second enteral feeding without advising the nurse that previously a Ryle s tube was already inserted a a few(prenominal) days ago It is important to note that this is related to the promise to foster good working relationships . How so ? If the nurse is at odds with the doctor then there is a fortuity that his or her report is biased against the doctor and so the doctor would not receive a fair trialOn the other hand there is also a flip side to this . The virile rapport within the medical staff can easy stifle the need to report on malpractice (see Nilstun Ovretveit , 2004 . The doctors are looked upon as superiors and practically are bosses to the subordinate nurses . Will it be sound or practical to be a whistle electric fan mammal . In the given scenario the consu ltant surgeon denied the fact that he ed the insertion of a fine tube bore . It is the case of my sound out against yours Who will win and perhaps more importantly will the nurse have the resolve to go through all thatMoral IssuesIt is clear from looking for at the report that the hospital and the medical staff had to dissolver for the medical malpractice that occurred on their watch . This is on top of the initial problem of not communicating properly to the family and then to the patient regarding the ongoing go up and methods of treatment that were given to the patient . As mentioned earlier if the patient or the family had been updated on the case then they would have alerted the staff about the presence of the first enteral feeding mechanics inserted on 2nd dayBut the most glaring moral issue is the cover up made by the doctor or possibly the doctors , when they tried to cover that there was indeed an error with regards to putting in two tubes inside the patient . It was implied that the nurse was at fault . This is sedate! because it reveals the common complaint about doctors that seemed to be untouchable some other underlying issue here is the audacity of the doctor to riskiness the career of Nurse A in to save his own skin . This has to be address in trying to find ways on better UK s health care systemWhat needs to be doneAside from the ethical obligation to do what is right there is another major reason for improving health care service . It is the fear of existence sued in the event of medical malpractice . To many this is a more potent incentive to do an excellent job instead than the promise of a good clear conscience by being mindful of ethicsThere is in fact a trouble increase in number of of malpractice cases being d in this century as foreign to a hundred geezerhood before Mchale and Hervey cited a 1901 case where a certain cleric Kilbrandon was quoted saying : This action is for sure one of a particular unusual character . It is an action of damages by a patient against a medic al man . In my passably long experience I cannot remember having seen a similar case before (p . 11 . This may be true at the turn of the twentieth century but not anymore . In fact Mchale and Harvey made a comment that would make any medical practitioner anxious , At a basic train , lawyers have become more interested in health because there was simply more litigation (p . 11 ) One could easily imagine sharks being drawn to blood and in this case blood in the hands of doctors who committed critical errorsConclusionIf the number of litigation rises then there will come a time when lawyers are the only people who will be happy with the outcome . So changes must occur . In this particular case there is a need to improve on communication between those involved . The doctors must also realize that they are in a critical leadership role that their word is law and no one will question or second guess them . It is and so important for doctors to be accessible and cultivate an atmosphe re in the workplace where everybody are boost to ask! questions . There must be a goal that does not seek to dishonor the inexperienced but help them grow into veterans . Replenishing the ranks of skilled workers is a boon to the profession and to all mankind . The doctors will have less problems and the nurses too will lessen their hectic pace when there are more experienced hands on boardFinally , there must be major developments in name of record keeping - at least in this hospital . The facility should benefit from the new great strides made in Information Technolgy . If the hospital can afford it then it must look into acquiring tools to electronically record and row data . These equipment can be carried around by nurses and they can excitant wherever they are but all the information will be stored in one repository where nurses or doctors on the next shift will have access to . opine the case of Patient 1 , if a similar system was already in place then the doctor and the nurses will immediately be informed that a Ryle s t ube was already inserted and ready for use . With just a push of a button this critical information would have been ready at that time But unluckily there is nothing similar to it in the facility . If the hospital in question cannot afford to purchase gadgets such as these then they can quicken to the old method of pen and . But this time the protocols and other standard procedures must be enhanced to ensure that no information can safety valve through the cracks and also that there is less of assumptions but more on double checking the factsHaving said all that the proponent realize that in to achieve all these there is a need to have a change of culture and a change of mindset . The medical staff in this particular hospital could not forever go on covering their tracks and not being transparent . This is difficult to do at first specially if doctors are used to be treated as the final authoritySchwartz , Preece and Hendry believe that the joined Kingdom is on track to minimize the incidence of medical malpractice and they asserte! d , In the UK , the giving medication is taking step to promote a culture of clinical excellence by making individuals accountable for setting , maintaining and observe standards (p . 67This translates to urging the popular Medical Council to do the following , .inculcate in junior doctors attitudes of self-criticism receptiveness , and continuous professional development . creation held to account is now an integral part of being a doctor (Schwartz , Preece , and Hendry ,. 67Dialog to improve health services must also be encouraged so that the community can verbalise out what they think is lacking in the system . But these dialog would have to be a two-way process . The community must also realize the pressure and problems faced by the medical practitioners . In this world where nurses and doctors can choose to work in any place in the world , some communities may experience shortage not only of medical effect but experienced ones . A doctor or nurse are humans who need ample rest and incentives in to work at such a very high level of commitment . If their needs are not met then it is impossible to expect that they can meet the needs of patients and the communityReferencesAllen , D (2001 . The Changing Shape of breast feeding confide : The Role of Nurses in the HospitalDivision of Labour . UK : RoutledgeBor , R Palmer , S (2002 . A Beginner s leave to Training in Counselling and mental hygiene . capital of the United Kingdom , UK : Sage PublicationsBurkhardt , M Nathaniel , A (2002 . Issues in coetaneous care for UK : DelmarDownie , G , Mackenzie , J Williams , A (2003 . Pharmacology and Medicines oversight for Nurses . 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