Edgar Allan Poe Essays (152 words) - Edgar Allan Poe, Poe

Edgar Allan Poe Poe's Never Ending Loneliness From childhood's hour I have not been/as others were; I have not seen/ as others say I could not bring/ my passions from a common spring. From the same source I have not taken/ my sorrow; I could not awaken/ my heart to joy at the same tone;/ and all I loved, I loved alone. -Edgar Allan Poe Edgar Allen Poe, the father of the short story, the mystery story and the first sci-fi short story, is a remarkable poet whose mournful and never ending memories will be remembered by readers for centuries to come. His life was the basis of his work. He virtually created the detective story and perfected the pshchological thriller. He also produced some of the most influential literary criticism of his time-important theoretical statements on poetry and the short story-and has had worldwide influence on literture (Regan) Poetry

College Essay

College Essay A college essay is a writing assignment meant to be a companion to a college application. College admissions offices often use applicants’ admissions essays to separate candidates who are otherwise practically identical. This means it’s absolutely crucial that your college essay  reflects  your best qualities. It might be a great personal advertisement.  Don’t leave  your admissions writing  to chance. Get college essay help from experts that have crafted and created countless successful essays for thousands of satisfied customers and buy college essay today. What Is a College Essay? A college essay is a writing assignment meant to be a companion to a college application. A standard college essay supplements the academic performance and standardized test scores for an admissions office and allows the students to give a more qualitative expression of themselves, contributing to a complete profile on their application. In some cases, college essays may be free form expressions for the students writing them, but often colleges will provide a prompt or list of topics on which to write, given an assigned word count range. This can take the form of a standard essay, or resemble a reflection or personal essay, depending on the stipulations of each college. In the United States, many colleges are using the Common Application, using standard essay topics and making the entire application process much less time consuming and more convenient for students. How to Write a College Essay To write a college essay, first consider the prompt or topic at hand, and how it applies to your life. It is important to consider several options to tie in the essay topic to your personal life experiences so that you can judge these options against each other. When you’ve decided on an experience or narrative that you feel reflects you in your best light, start writing. Follow these guidelines for the best college essay results: 1. Stay With Your Own Voice. When writing their college essays, many applicants may feel pressured to present themselves in a different light than they would in any other context. The fact is, you tend to do your best writing in the tone and voice where you feel the most comfortable. Don’t try to stretch your comfort zone to impress the person reading your essay. 2. Hold Your Reader’s Attention. As you write, think to yourself: â€Å"is this something I would enjoy reading?† Remember, the person reading your essay probably reads countless others each year. To make sure yours stands out and captivates, remember to reflect rather than simply recount events as you go through a narrative. This will help your work remain original, creative and hold the attention of the reader. 3. Answer the College Essay Prompts Directly. College admissions offices are looking for a creative, well-thought and well-crafted essay. To produce this result, make sure that you’re answering the prompt directly and reiterating that answer throughout your work. This will help you stay on-topic and remain clear and concise all the way through your essay. 4. Edit and Edit Again. You will likely need several drafts before you have a final version that you’re happy with, even after exploring all of your subjects strategies in thorough detail. Make sure you re-read over and over as you go, down to the smallest detail and phrase. Each small improvement can have a major effect on the way your writing flows, and each idea becomes cohesive throughout. Remember also to have at least one proofreader; a fresh pair of eyes can be the difference between an impressive college essay and another one the pile for admissions offices. 3 STEPS TO A GREAT COLLEGE ESSAY College Essay Format College essays typically take the form of reflective essays or personal statements. While there is no uniform distribution of content in a college essay, the following structure can be followed as a general rule for clarity: Introduction: this should be a single paragraph that provides an overview of the essay’s main ideas, answers the question in the prompt and provides context for the rest of the essay. Like a research abstract, the introductory paragraph allows the reader to comprehend the entirety of the essay before getting into the details, or the narrative. Body: the body of a college essay has the most variability, as it depends on the topic and length of the essay itself. For most college essays, plan to have 1-3 body paragraphs that tell a clear, concise and engaging story about your personal development and growth. As a general rule, each body paragraph should have a different focal point. Be sure to consider this stipulation as you plan the parts of your essay before you begin to write. Conclusion: the conclusion of a college essay should restate the central themes of the piece without simply restating the introduction or the parts of the narrative. The key is to find a unique way to wrap things up that shows the level of growth and development the applications office is looking for, clear and concise. COLLEGE APPLICATION ESSAY College Essay Prompts While college essay prompts can resemble prompts typical of a reflective essay, there may be more emphasis on personal accomplishments. Think of it as a resume, in a longer format. With more and more colleges moving to the Common Application, college essay prompts are more standardized than ever. Here are some of 2015’s Common Application prompts, courtesy of the Princeton Review. â€Å"Recount an incident or time when you experienced failure. How did it affect you, and what lessons did you learn?† â€Å"Discuss an accomplishment or event, formal or informal, that marked your transition from childhood to adulthood within your culture, community, or family.† College essay prompts are meant to be complicated so that responses are as varied as possible. Get professional college essay help in order to make sure you react to the prompts in the most effective way. MORE COLLEGE ESSAY PROMPTS AND TIPS Why Is It Better to Hire a  Writing Service for Your College Essay? For a student searching for the highest quality writing for their college essays, there is no better choice than a professional, expert writing service. Using a service can allow you to craft the perfect college essay, with input from professionals who have helped countless others and know exactly what kind of writing impresses admissions offices. You only get one shot to make an impression on the college of your choice. You can increase your odds enormously by letting a writing service be your: Guidance Counselor:  Simply seeking the advice of a more experienced, professional writing assistant can take your writing to the next level. When someone with an expert knowledge of what subject matter is most likely to work, or which prompt has the greatest potential to complement your personality guides you through the strenuous essay process, you’ll be shocked at how easy the whole thing becomes and how satisfied you’ll be with the finished product. Editor and Proofreader:  When you finish a draft of your work, get college essay help at each step along the way. A writing service can proofread your work for grammatical errors and inconsistencies as well as provide recommendations for changes from writers that know what works and what doesn’t. Writer:  If you want a truly complete product to consider the option to buy college essay from that will create a perfect advertisement for you and give colleges a true picture of your unique identity. Work along with a writing service to create the self-expression in the way that you intend to express it.

CONTRACT MANAGEMENT Essay Example | Topics and Well Written Essays - 3500 words

CONTRACT MANAGEMENT - Essay Example For instance, during the post period of World War II, various political agreements were formulated and implemented with the intention of reducing or eliminating trade barriers amid nations. In this respect, General Agreement on Trade and Tariffs (GATT) was recognized to be the most effective trade policy for the US towards increased trade opportunities in the global periphery (US Department of State, 1999). It was also in this period that development of technology became quite apparent and swerving as it was perceived to minimize the distance among countries as well as reduce geographical constraints; thus, facilitating better trade in the international context (Schmidt, 2001). The progress in telecommunication technologies also facilitated with better communication opportunities for better exchange of goods and information amid countries. The advancement of technology was also identified to improve the transportation services between countries for effective conveyance of goods throu gh international trade. ... Moreover, the discussion will also emphasize on the impact the changes in trade and technology have on contract management even in the current era. Changes in Trade and Technology after the World War II which are affecting US Corporations In the post World War II period, it was observed that trade agreements have been formulated by policymakers with the intention of minimizing or eliminating trade barriers amid countries. Apparently, there was rapid development in trade activities and technology since the post period of World War II. Since then, the US has been committed towards the achievement of free trade opportunities with the objective of developing its economic stability and political growth. The open trade activities were further expected to facilitate the country in developing its economy as well as building healthy relationship amid nations. It was also observed in this context that the US was more concerned about trade liberalization with the aim of conducting trade activit ies with minimized barriers among countries. In order to acquire a liberalized trade policy, the US further formulated GATT with the intention of reducing trade barriers which was signed by 23 countries in the year 1948. The ‘Free Trade Agreement’ also initiated after World War II, i.e. North American Free Trade Agreement (NAFTA) again facilitated the US corporations to perform their business operations in worldwide market segments with minimized trade restrictions. As a consequence, the rapid expansion of international trade activities increased market competition among corporate sectors of the US minimizing the inflation pressure for protecting the domestic

HPV in women Research Paper Example | Topics and Well Written Essays - 2000 words

HPV in women - Research Paper Example HPV in women Direct skin contact with an HPV infected person is the main way through which genital HPV occurs. The contact areas are the anal, vaginal, and oral sex. The diverse categories of HPV are responsible for the formation of genital warts on the skin. Genital warts are hard and usually rough lumps that become visible on the skin of a sick person. Any sexually active person is prone to acquire the virus and the genital warts. The genital warts in women predominantly appear around or inside the vagina, around or inside the anus, on the vulva, on the groin and on the cervix (Monsonego 37). Classification and morphology The human papilloma viruses are heterogeneous in nature. They affect both the mucosal epithelial tissues and the skin. Besides, they are hugely responsible for causing the cervical carcinogenesis. According to the results of the studies in molecular biology, more than one hundred genotypes of the virus exist in humans. The virus falls under two classifications mai nly the low risk HPV (LR-HPV and the high risk HPV (HR-HPV). The low risk HPV is predominant in squamous intraepithelial lesions (LSILs) with low grades and the benign lesions. Meanwhile, the high risk HPV includes the HPV-16 and HPV-18. Other high-risk HPV types include HPV-31, 33, 35, 39, 45, 51, 52, 55, 56, 58, 66, 68, and 70 (Evans and Kaslow 602). The high risk HPV has 80 to 90 per cent prevalence rate in cervical cancer and the squamous intraepithelial lesions (HSILs). In the morphological dimension, the genome of the papilloma virus is covalently circular and closed. Its DNA is double stranded and has a measurement of about 8kbp. All the genes of the papilloma virus are coded in the strands that define DNA. Through this, it utilizes the alternative DNA strand to splice the expression of individual gene. The expression of the papilloma virus has a characteristic of large mRNAs array of cells that code for diverse gene types. Additionally, the HPV has a diameter of 55nm (Evans and Kaslow 602). Molecular Biology and Replication Strategy The HPV contamination begins with the infection of the host cell. This promotes the discharge of the virus from the nucleus. As this happens, there are interactions of many cellular transcription factors. These interactions occur with the viral regulatory region (LRC) that does not code. As a result, the two HPV-16 begin to transcript and transforms earlier genes of E6 and E7. Consequently, the proteins that continue to transform interact with the cellular antioncogenic regulator p53. This action results in the disruption of the cell cycle. The cell cycle is under the regulation of the complexes of cyclin dependent kinases (CDKs) and the cyclins (Evans and Kaslow 692). The CDK complexes always inhibit the action of the cyclin. It is a condition for cells to pass the restriction point of G1 in order for the progression of the cell cycle (Evans and Kaslow 692). Retinoblastoma pockets bacteria, RB, p 107, and p 130 are the one s that regulate this process. There is only an indication in the RB leaving the other pocket proteins with the same functions and activities. In essence, they inactivate and bind up the E2F transcription factors. This leads to the inducement of the S phase genes expression that will trigger a mitogenic signal. This signal leads to the activation of the cyclin D1-CDK6 and cyclin D1-CDK4 complexes. The result of this is the

Human resource management & technical change Essay

Human resource management & technical change - Essay Example Megginson, L.C. (1981:6) defines personnel management as the "performance of all managerial functions involved in planning for, recruiting, selecting, developing, utilizing, rewarding, and maximizing the potential of the human resources of an organization". The implication here is that all managers, at all levels, have a duty to perform the personnel function. According to De Cenzo & Robbins (2002:2), inception can also be called "staffing" in that it is a way of getting individuals into the organization. This dimension entails strategic human resource planning, recruitment and selection. Hellriegel et al (1993:246) defines as the process of deciding on and analyzing the organization's mission, overall objectives, general strategies, and major resource allocationsThe overall purpose of strategic planning and management is to deal effectively with environmental opportunities and threats in terms of the organization's strengths and weaknesses". The major elements in strategic planning are mission, objectives, strategies and resource allocation. De Cenzo et al (2002:150) defines recruiting as "the process of discovering potential candidates for actual or anticipated organizational vacancies. Or from another perspective, it is a linking activity- bringing together those with jobs to fill and those seeking jobs. In other words, recruitment is the process of looking for persons who possibly may be suitable to fill the vacancies. It does not mean that an interested person has already been appointed in the vacancy, it only tries to find a number of suitable persons from which the final selection can be made. Hellriegel (1993:390) advises that "the organization should develop a pool of job candidates from which to select qualified employees. Candidates are recruited by, for example, running adverts, contacting employment agencies, and visiting college campuses". One thing that should be noted is the importance of trade unions because lower-level workers are recruited by trade unions. They have contact with all their members in the different enterprises and can bring vacancies in all the different enterprises to their members' attention. Selection according to Hellriegel et al (1993:390), "takes place after recruiting candidates for available positions. The organization selects and hires those people who are most likely to perform well on the job. These decisions can be difficult'. It is worth

Paternalism To Tell Or Not To Tell Nursing Essay

Paternalism To Tell Or Not To Tell Nursing Essay Mr. White is a 70 year old male patient who has been pretty healthy throughout his whole life besides some issues with pneumonia in the past few years. He was driving along the road last Monday where he hit a patch of black ice, swerved off the road, and crashed into a tree. He lost consciousness and suffered minor abrasions to his arms, legs, and face. When he regained consciousness, he stated he felt very cold, numb, and fatigued as several paramedics hovered over him placing a collar around his neck and a spinal board underneath him. He was very confused and was told to not move as they oriented him to person, place, and time. He was taken to the emergency room where he was placed him on oxygen via face mask and D5 Â ½ normal saline 100ml/hr. He was transferred to the ICU after lung complications and a tracheotomy was inserted to open his airway and allow for oxygen exchange. Each day his family has been at the hospital supporting him and praying he will recover from this severe accident. The nurse caring for him was reviewing his medical records and saw that he is a do not resuscitate patient and that he does not want to receive any life sustaining treatments that will prolong his life. The patient has been awake, alert, and oriented and confirmed competent two days ago, which enables him to make decisions for himself. His daughter, Mrs. Black, told the nurse that she doesnt know what she would do without her dad because he is the rock that holds their family together. The rest of the family replied that these are his wishes and we will have to accept what he has requested, even though it saddens us to think we may lose him soon. During a routine test a few days ago the physician noticed that his labs were not within normal limit and ordered stat tests to determine the problem. The chest x-ray ordered confirmed he had pneumonia, but also revealed he was suffering from metastatic lung cancer. The physician informed the nurse of the cancer and stated that Mr. White is still very weak and fighting for his life. We will inform him and his family when he is more stable and able to be strong enough to take the news. Identify the Problem The nurse is informed of the confirmation that the patient indeed is suffering from cancer secondary to his car accident and pneumonia. Does she advocate for the patients right to autonomy in delivering the news to him and his family or does she follow the doctors orders and withhold the news since the physician believes that telling him will only worsen his condition and result in a loss of hope for all involved? The nurse believes that withholding information is going against the patients rights to make his own decisions. The nurse wants to do what is best for the patient and believes that keeping this information from the patient is being dishonest and is not what any practical nurse would do in this situation. However, she is unsure of the best approach in addressing the issue. Gather Relevant Facts A sound doctor-patient relationship is an essential component when carrying out decisions based on a patients care for treatment. Studies have shown a correlation between the quality (communication) of physician-patient relationship and better (healthcare) outcomes (Stewart, 1995). The doctor and the patient need to have a strong relationship with the patient that includes sound communication, fidelity, knowledge based learning, beneficence, and Nonmaleficence. There are four different styles to a doctor-patient relationship which include consumeristic, default, paternalistic, and mutuality relationships. The mutualistic approach is considered the optimal relationship to have when both the patient and the doctor bring both of their ideas and resources to the table and make a commitment to work with one another to solve disagreements in a respectful way. Paternalism involves physician focused care because the decision is based on what the physician believes is best for the patient and not necessarily what the patient wants. In the scenario, the physician believed that it would be in Mr. Whites best interest to hold off telling him the news of his cancer until he was healthier and stronger, but this might not have been what Mr. White would have decided (Roter and Hall, 2006). At the beginning of the 1960s, medical procedures were beginning to address the ethical issues with paternalism by a patients right to autonomy and informed consent. Issues with paternalism began to arise due to an increase in consumerism, the womens movement, and laws passed that allowed for the rights of patients in their health care. The patients wanted to be more involved in their care in knowing about their health, quality of life, survival, and mortality rates of their condition. As a result, a physicians violation in duty to the patient caused an increase in lawsuits. Healthcare workers began to be faced with a difficult decision in determining what pertinent information the patient needed to know about their condition (Wear, 1993; Charles, Whelan, Gafni, 1999). Legal and more paternalism were in conflict from the example used with Mr. White. Legal paternalism base decisions around following laws and regulations created by federal, state, or local level while moral paternalism base decisions using ethical principles. The physician was going against legal paternalism because truth-telling is now considered a legal matter and the competent patient is to be informed of all matters related to their health, except if the patient is deemed incompetent. The physician was trying to practice moral paternalism because he believed that withholding the information from the Mr. White was beneficial in a sense that he would not be strong enough to handle the news of his cancer and cause his condition to worsen or not improve (McCarthy and Schafermeyer, 2004). The debate today about paternalism is whether it is acceptable for doctors to make choices about patients treatments in their health care when they may believe that the patient may possibly refuse the decision if they were correctly informed. Is it justifiable for doctors to go about the treatment since they feel the long term benefits to the patient would be provided and at some point the patient would concur that the actions of the doctor were suitable? Certain situations makes it challenging to know exactly what is best for the patient, and it is hard to know when a physician is carrying out an intervention that is in the patients best interest or their own interest. Mills is a strong believer of autonomy and fights for patients rights. He believes that each individual has the ability to identify what makes them happy and that independent exercise of aspirations is a large part of their happiness. Kant also supports patients rights and believes that every human has a responsibilit y to communicate their autonomy. (McKinstry, 1992). The Patient Bills of Rights of 1973 included the physicians responsibility to inform the patient on all matters related to their condition enabling the patient to make decisions based on this knowledge. The Bill was carried out to decrease the occurrence of malpractice by reducing the dissatisfaction of patients that meet the criteria for more liability from their providers (Faden and Beauchamp, 1986). The law entails that medical information presented to the patient be in plain language that can be voluntarily comprehended and adequate in quantity. A doctor who is unsuccessful in attaining informed consent may suffer criminal offense charges. In 1998, the Consumer Bill of Rights and Responsibility Act was carried out by President Clinton to help consumers get involved in their own health care by increasing consumer confidence in the health care system, to give support in identifying the reasoning for a sound healthcare provider and a sound provider-patient relationship, and to help the consumer realize the important role they carry related to their rights and responsibilities of their heath care and recovery. The guidelines included several rights of the patient to create the best quality health outcome. (Shalala,1999). Patients are competent to give informed consent unless examined and evaluated to have mental deficits and incapacity. Informed consent must follow several steps in order to be valid which includes informing the patient on the diagnosis, the suggested intervention, major benefits, risks, the consequences or prognosis if an intervention is not carried out, and any significant options along with their risks and benefits. Informed consent will need to hold true and be carried out in all cases except when the patient is susceptible to serious harm or death if the intervention is not carried out immediately, the patient voluntarily gives up their right, and if disclosure would cause serious physical or psychological harm to the patient or another person (Wear, 1993). At UPMC hospitals such as Magee and Presbyterian hospitals patients have certain rights and responsibilities that they are given such as the right to respected and quality care from staff, the right for information in medical records to be kept confidential, the right to pain control and management, the right to know diagnosis, prevention, and treatment options and alternatives given in simple language, the right to informed consent before any procedures, the right to refuse any medications, treatments, procedures, and several more . This allows the patient to decide what information they would want to know and to carry out care based on their wishes (UPMC, 2010). Identify Methods of Ethical Justification A person who practices consequentialism believes that a morally right act is one that produces a good outcome. The doctor was practicing a consequentialitic approach in that he believed that not telling the patient that he had cancer until he was stronger would cause a better outcome for the patient in the long run. He believed that Mr. White would give up all hope and stop fighting to survive if he was informed of the news. In deontological theory, an act is right or wrong based on fulfilling a moral duty and cannot be justified by their effects. Even though the physician was trying to do the right thing by not telling the patient that he had cancer because he believed that this would help save his life, the act was against the rules and duty of the physician to inform the patient on information related to his health (Gert et al., 1997). Several principles come into play in the scenario such as beneficence, nonmaleficence, fidelity, and autonomy. The nurse will have to advocate for the patient that keeping this information from him and is family is not doing good. It may in fact cause more harm to the patient since he is unaware of his cancer. The patient may be able to determine treatments that could delay the spread of cancer, which could allow him more time to spend with his family. The competent patient has the right to autonomy in deciding what information he would want to know about his health and the doctor should not be the one to make this decision. The physician is keeping essential information from Mr. White that may result in a break in their commitment and destroy the patients trust in his healthcare provider (Cassells and Gaul, 1998). Clarify Relevant Values, Rights, Duties, of Patient, Self, and Significant Persons The patient has the right to informed consent if he is seen as competent to make decisions based on his healthcare. It is the physicians duty as well as the nurse to respect the patient and inform him of all matters concerning his healthcare and making sure the patient demonstrates understanding. If Mr. White was deemed incompetent he may have appointed a family member as a substituted surrogate decision maker to make decisions in his health care based on the patients values, beliefs, and wishes. If Mr. White did not appoint someone to be a surrogate then the best interest principle would come to play and decisions on the patients healthcare would be determined by what is the best interest for any reasonable patient in this situation. The family will need explanations on the patients status and what the future will look like for him. The family may be the ones taking care of him and they will need sound education on how to care for the patient. Identify If There Is an Ethical Dilemma The nurse faces an ethical dilemma because the alternatives are between two equally insufficient solutions which display incompatible testimonies. Does the nurse take away the patients right to autonomy in keeping Mr. Whites new diagnoses of lung cancer from the him because the physician believed it was in the his best interest or should the nurse take the issue to higher authority to advocate and make every effort to protect the health, safety, and rights of the patient (Cassells and Gaul, 1998). Identify Guidelines from Nursing and Professional Codes of Ethics The American Nurses Association code of ethics for nurses was created to help guide nurses behavior when an ethical dilemma would occur. The requirements in the code advocate the nurses commitment to their patients autonomy, while still keeping in the safety of the patient (American Nurses Association, 2001). Provision 1 states that the nurse needs to practice with compassion and respect each patient regardless of their beliefs, ethnicity, class, age, etc. The patient was a 70 year old African American who was a practicing Southern Baptist and retired bus driver. The Caucasian, Catholic nurse had to make sure she didnt treat Mr. White differently because of his skin color, the religion he practiced, or his age (American Nurses Association, 2001). Provision 2 states that the nurses devotion is to the patient and anyone associated with the patient such as family and friends. The nurse has the ability to advocate for the patient in communicating their wishes to the doctor in carrying out treatment pertaining to his care. The nurse will need to communicate with the patient and determine what information the patient will want specific friends and family to know. The nurse with her high level of skill and knowledge can help educate his family on his condition and care (American Nurses Association, 2001). Provision 3 states the nurse will need to do all she can to protect the patient from any harm or unsafe events. The nurse would make sure the patients requests were followed through while maintaining his safety, health, and prevention from any harm. If she believed that the patient was not well informed of his disease and all treatment plans possible to help delay the progression of the disease, then she would need to address this issue (American Nurses Association, 2001). Identify and Use Relevant Interdisciplinary Resources First, the nurse should go to the doctor and see if they can work something out to determine the patients rights. If the doctor doesnt agree with the nurse then the nurse should then talk to the nurse supervisor and move up the latter until the highest person is able to confront the issue. If this does not work, the nurse can also get in touch with the people who deal with ethical concerns/ dilemmas. The nurse can also talk to lawyers and get legal matters in place for the patients rights to informed consent to be granted. The nurse can also get a psychiatrist involved who would speak on behalf of the patient to confirm that the patient is competent. The nurse may want to get social workers and counselors to help the patient and family finds ways to cope with grief and also determine the best care for the patients prognosis of his such as a skilled facility, home health, or hospice care. Identify and Prioritize Alternative Actions/Options The nurse can speak directly to the patient and his family about the information that has been withheld. This should not be carried out since this is not solving the conflict between the nurse and the physician and it is going behind the physicians back. The nurse can make the decision of not informing the patient or family of the news. She could convince herself that the doctor knows what is best for the patient and bringing up the issue would only cause chaos. This is also going against the code of ethics of a nurse in her lack of being a patient advocate (ANA, 2001). The nurse could talk with the physician about the issue she has with the patients right to autonomy and try to work out their differences. Communication is essential for the nurse and the physician to have a sound relationship and work together to resolve issues. If the doctor believes this is something Mr. White does not need to know right now, then the nurse will have to take the issue to higher authority which was addressed above (nurse supervisor, the ethics committee, social workers, court system and reference hospital policy, legal, and ethical principles on the matter). The nurse can be there for moral support and help build a trusting relationship with the Mr. White when told of the new diagnosis of cancer and the betrayal from his doctor. The patient may feel hurt, confused, angry, and may have lost trust in the health care providers. The nurse can also talk to the family about the matter as well and offer all the alternative treatments that can be carried out to help the patient decide what is best for Mr. White. This can be carried out but only after the patients rights are addressed. Select a Morally Justified Action/Option from Alternatives Identified The nurse will have to make a decision as to what she feels any reasonable nurse would do in this situation and carry out the patients wishes accordingly. She will need to advocate for his rights in decision making and converse with the physician. If this doesnt get resolved then take it to higher authority. The nurse needs to address the patients wishes and needs and then the families. If Mr. White determines that he does not want to carry out any treatments, then his wishes need to be addressed. If he decides he wants to start treatments immediately for his cancer, then these wishes would need to be followed through. The nurse talked with the physician about the issue, but the problem was never resolved. As a result, nurse took the matter into her own hands and talked with the nurse supervisor who confronted her boss and the case was then taken to court. The judge along with the help of the jury determined the patient must know all information related to his health care and he was properly informed of his cancer. Mr. White understood that his cancer was terminal and that he decided that he only wanted palliative means of care. He wanted to remain comfortable and spend the rest of his time with the people he loved dearly. The family agreed on his decision because they knew this was what he wanted. He was able to make decisions based on his care and was content at being in control one thing in his life. He was given quality care by his nurse and he remained comfortable throughout his illness. Mr. White passed away peacefully 3 months later at home surrounded by his family.

Faith Healing: How Many More Children Will Die ? :: Exploratory Essays Research Papers

Faith Healing: How Many More Children Will Die ? June 18, 1997-- â€Å"Only six more days until my birthday! Wow! I can’t believe I’m going to be seventeen finally! Even though I’m excited, I wish I could start feeling better. I’m not really too sick, but I still am a little scared. In my heart, I wish I could go see a doctor, but I know that I could never tell my mom and dad that. Even if they heard me say it, they still wouldn’t listen to me, no matter how sick I was. I know I’m supposed to have faith that God will heal me, but right now I’m so afraid. I can’t die now. There is too much stuff I still want to do; I have so many hopes and dreams for my future...† Shannon Nixon never lived to see her 17th birthday. On June 21, 1997, only three days before her birthday, Shannon went into a diabetic coma and died shortly after. In all her life, she had never been to a hospital, seen the inside of an ambulance or even visited her local doctor’s office. Even at birth, she was delivered without the aid of a doctor or nurse. Shannon’s parents refused to seek medical help for her or any of their other nine children. Her parents are members of the Faith Tabernacle Church, where all the members solely believe in the power of faith healing (Dowell). Faith healing is defined by Webster as a method of treating diseases by prayer and exercise of faith in God. The members of the Faith Tabernacle church, as well as many other groups in the United States including the Christian Scientists and the Followers of Christ, believe that the right and power to heal is solely God’s. â€Å"Like many fellow Pentecostals, the Followers believe the Bible prescribes prayer and the laying on of hands to cure physical ills. Unlike most, however, Followers reportedly refuse medical treatment-- for themselves or for their children† (Biema). The Followers believe that any medicine or doctoral attention is putting faith in people instead of God. Whether it’s something as minor as a mere finger cut, or as dangerously deadly as diabetes or leukemia, the family refuses to seek medical contact or attention. This belief has been around since Biblical times. James 5:14 says, â€Å"Is any one of you sick? He should call the elders of the c hurch to pray over him and anoint him with oil in the name of the Lord (NIV).