Friday, September 6, 2019

Length for Nickel-chrome wire of a diameter Essay Example for Free

Length for Nickel-chrome wire of a diameter Essay This is because the resistance is very high so current will be low. The wire will heat up because the resistance is high leaving me with a good range of resistances between 100-10cm. I shall now work out the current that would flow through 1m of wire: I=V/R 3/3. 6= 0. 833 A 3/5. 3= 0. 566 A 3/15. 2= 0. 197A 3/21. 3= 0. 141A 3/35. 1= 85mA   This is my desired Current. By using these results I now know what range of the ammeter needs to be. It shall be that of 0-100mA. My school has ammeters that can measure to this range. Results Length (cm) Voltage 1 (V) Current 1 (mA) Voltage2 (V) Current 2(mA)   Measurements of diameter of wire at 20 cm intervals Point measured at (cm) Diameter measured (mm)Final data (allowing for end error) I then checked the end error of the micrometer was +0. 04mm leaving me with the final data Percentage Errors of Apparatus Micrometer. When the diameter is put into the equation A=? (d/2)2 the diameter is squared so the error is doubled i. e. 10. 5% Conclusion Alessadnro Bizzarri I found out that my predictions were correct. The longer the piece of wire, the greater the resistance. This is due to the idea of the free moving electrons being resisted by atoms in the wire. There would be more collisions in a longer piece of wire, which explains the increased resistance. I also predicted that the relationship between the wire length and the resistance should be directly proportional because the line pass through the origin. I finished with a straight line graph so this prediction was also correct. This is because in a wire twice the length of another wire, there would be double the number of atoms causing resistance. From my graph my gradient is equal to 41/1. 04= 39. 42? m. Gradient= 39. 42? m. By using the formula P= Gradient ? A , I can find P. A=? (d/2) 2 = (0. 19? 10-3/2) 2 Area =2. 8? 10-8 P=2. 8? 10-8 ? 39. 42 P=110? 10-8? m Evaluation I am relatively pleased with the results obtained. I ended up with a wide range of results and my predictions were proved correct. I predicted that when I plotted R against l it would produce a straight line going through the origin. My results were accurate because on my graph nearly all of the points came into contact with the line of best fit or were very close. My techniques of measuring current and voltage were also good because the variation between repeat readings of voltage and current at each length is small. Length (cm) Difference in voltage (V) Difference in Current (mA). The range of resistances between each reading is large which gives me more spread, which makes my graph more accurate. Evaluation of results The value I have calculated for resistivity is 110? 10-8 ? /m. I looked up my data laboratory book and found it to be 110? 10-8. My unrounded value for the resistivity is 110. 3? 10-8 ? /m . This is an almost identical value to that found in the book. Sources of error In this experiment I encountered many sources of error. The inconstant thickness of wire accounts for one of them. Although I took diameter readings along the length of wire, there could still be chinks in the wire which could affect many of my results. The crocodile clips which I used also increased error slightly. The crocodile clip was in contact with an unnecessarily large section of the wire during the experiment. Because of this, I was taking voltage and current readings for a slightly inaccurate length. This is also partly due to human error because I could have placed the crocodile clip onto the exact length I wanted. My micrometer also proved to have significant source of error. The end error of the micrometer I used was +0. 04mm. The micrometer was also found to have the greatest percentage error. Its percentage error was doubled because the diameter it was used to measure was squared . (A=? (d/2)2). Measuring the length of my wire proved quite difficult because it was hard to get an accurate reading by eye. Even though the wire was cello taped to a meter rule there was some slackness in the wire proving that there was in fact more than a meter there. I managed to avoid getting the temperature too hot and so increased accuracy and reliability. Improvements. Many of improvements could be put in place if I was to redo this experiment. I would buy a wire, which has the same diameter all the way through. I could also find an improvement to the crocodile clips. Instead of the clips I could use a jockey key. The length of wire which I would be collecting data for would be a lot accurate as jockey key comes into contact with the wire over a small distance compared to the crocodile clips. Further work A possible source for further work is analysing the effect of the cross sectional area of the wire with resistance. Using the equation R=pl/A in the form of Y=mx+c. Plotting R against l/A again I could predict another straight line and the resitivity would be found. This would be the same for nickel Chrome. I could also see if the equations R? l and R? l/A are true for other types of wire. Bibliography Physics by Tom Duncan   Salters Horners advanced Physics Collins advanced modular sciences Show preview only The above preview is unformatted text This student written piece of work is one of many that can be found in our GCSE Electricity and Magnetism section.

The Simple Gift Essay Example for Free

The Simple Gift Essay It’s about Billy, who leaves home aboard a freight train heading interstate. Billy finds himself in Bendarat, living in a disused train carriage, where he meets a homeless man called Old Bill. Old Bill drinks away his past while Billy tries to find a future. The other main character is Caitlin, a girl Billy meets in Bendarat. All three characters are searching for something to give their lives substance. Steve Herricks poetry novel tells the story of a homeless boys quest to find somewhere to belong. After he runs away from an abusive father, Billy lives in an abandoned railway carriage. There he meets another homeless man, Old Bill and starts to understand the nature of belonging. Caitlin, a lonely girl from a rich family, helps him along the way. http://www.stevenherrick.com.au/notes.htm Why did you write the simple gift? I wanted to explore the relationship between a young man and an old man. As adults, we seem to believe that the idea of being an influence works only one way we adults can influence young people for the better. In the book, I wanted to show it working the other way that is, young Billy really being the positive influence, in fact, the catalyst, for Old Bill rejoining the world. I know my two teenage sons are a wonderful positive influence on my own life. It seems to me that the world of young people is becoming increasingly marginalized by mainstream media. As adults, we need to accept, encourage, and indeed, embrace the world of young people. Let’s see the relationship as a priceless two-way street. What is the theme of the simple gift? At the time of writing this book, I was listening to a wonderful folk CD by Bruce Springsteen titled the ghost of Tom Joad. On this CD, there are a few songs about middle-aged men who are searching for something to give their life meaning. The word redemption kept rolling around my head when listening to the songs, and writing this book. That word certainly came into play in how I created the character of Old Bill. The other thing I kept thinking about while writing was the whole notion of gifts what is valuable in our life? How do we measure what is valuable? The notion of the spiritual versus  the material is something that informs a lot of my writing. Anything else you want to tell us about gift One reviewer called Billy an atypical hero, which I thought was interesting. That got me thinking about what is heroic, and how it relates to some of the characters in my other books. I reckon Billy from gift, within the story they do something of great value, that is a little thing give friendship and hope to an old hobo; these simple little things are what I think of as heroic. They are done by ordinary people, in a quiet unobtrusive way, and to commit these acts it requires compassion and love and respect. And they are far more heroic and necessary than any world-record sporting achievement. And they cannot be measured in dollars and cents. the wind and rain hits you in the face with the force of a fathers punch. That was a relatively easy image to think of because Billy was escaping the violence of his home life. Yeah, thats fine, but what about BELONGING!!!!  I think a closer understanding of the notion of each characters search for an identity and for a place in the community theyve constructed would be worthwhile. I also think its fair to say that a search for an identity can be related to the idea of wanting to belong to oneself. That is, the search for a conscience you can live with/inhabit. The use of interior monologues throughout gift can be seen as keeping your own community the conversation with yourself (which is the essence of an interior monologue) is an attempt to understand how you belong both in this world, but more importantly, to your sense of self. The Simple Gift, Stephen Herricks narrative poem demonstrates elements of belonging and acceptance through the pain and suffering of rejection, homelessness and dealing with death by the characters Billy, Caitlin and Old Bill. The protagonist Billy Luckett sixteen years of age ventures into the world; leaving home on his own decision. Billy reveals himself as a  reject, a thief; and a troubled character who rejected a restrictive regimented irrelevant education system. The cause of his alienation appears to be physical and psychological abuse from his father, lack of caring from his school and his run down neglected neighborhood with its â€Å"truck still on blocks† â€Å"unmown grass†, â€Å"broken windows† and which he derisively refers to as â€Å"each deadbeat no hoper sh-thole lonely downtrodden house in Longlands Rd, Nowheresville†. All the symbols pointing to a decaying, decrepit, depressing environment. The school also receives a blast from Billy ’s poisonous pen. Why 4:30? Most schools would have emptied two hours earlier, however the rest of the stanza rings true as Billy sets the scene on a windy rainy day with the Principal’s run down car blowing smoke, the rubbish strewn oval, Mr Cheetam (Cheater?) notes on Japan to 26 bored students and Billy self-described as â€Å"one lucky bastard† admitting to have ‘stolen’ the lipstick used for his graffiti. He leaves an elliptical epithet: Billy Luckett rhymes with revealing his frustration through a loss of words Another evocative portrait is reminiscences in the poem sport in chapter one. The pain and suffering’ of soulless tyranny endured by him from the old bastard his father. This technique of expletive language is used to depict the poor relationship he shared with his father he gave me one backhander I felt the blood† and his attitude toward the world hes living in. Whilst catching a train, uncertain where the train will take him, bad weather, wind and rain recalls the violent significant memory of his father with the forces of a fathers punch. The metaphoric terms further reveal Billys harsh living environment he is seeking to escape. Herrick induces us to feel empathy rather than antagonism to the protagonist. This is accomplished through the intimate use of language, changing perspectives and personal anecdotes. Ernies train whistle symbolises the beginning of Billys new life contrasted favourably by Ernie’s ‘not bossing you around’. His next positive role model is Irene, Bendarat’s Librarian, who welcomes him and encourages him to borrow books. Billy faces many obstacles or challenges in his new environment, such as lack of accommodation and food, because he has no income. An old train carriage becomes the protagonists new accommodation while he feeds off scraps of leftover food at McDonalds where he catches the attention of Caitlin. Another self imposed exile is, Old Bill, who suffers trauma due to  the loss of his daughter Jessie, after an incident of Jessie falling out of a tree. This led Old Bill to ‘homelessness’ as his home reminds him too much of his daughter, which eventually brings him to the streets turning to alcohol to relieve the pain. After this loss, Old Bills pain and suffering that he endured means he doesnt care much about life. Billy and Old Bill developed a friendship and sense of camaraderie as he treats Old Bill as his father figure. I like the kidI like his company contrasts the lack of love and relationship between Billy and his real father. Old Bill’s emotive language as he explained to Billy and I fell with her, and Ive been falling ever since emphasizes hes still not over it. The bond of friendship is important, it emphasizes the strength in ones relationship, yet it doesnt grieve nor boast but helps one another through rough tough times, which is portrayed as Old Bill becomes less alcoholic, and slowly recovers from the loss of his daughter as he experiences life that we planned. Growth in maturity is shown as both of the two protagonists show signs of growth as they help each other. Billys growth is demonstrated as he becomes a different individual from the beginning of the narrative poem showing positive thinking â€Å"sure theres hope in the worldeven for hobos like us. Whilst Old Bills relationship with Billy and Caitlin, Old Bill’s view of the world slowly starts to change, as the protagonist reduces his consumption of alcohol and ventures to achieve plans that were made with Jessie. While Old Bill demonstrates the symbolism of A Simple Gift when he gave his keys to his old home to Caitlin and Billy. Caitlin also feels as a misfit in her affluent society. She feels discomfort in her uniform, her school, and her luxurious home due to a whispering in her heart that it is all false, superficial, affected and pretentious, so she escapes by slumming it, looking for real values to replace the artificial ones in her world. She is attracted to Billy because of his self assurance and his genuine intelligence. It is the interaction between these three characters and the sharing of gifts, coffee and food, that unites them against a cold, callous and uncaring society. As St Francis of Assisi says â€Å"For it is in giving that we receive†. This narrative novel/poem/drama (?) is very successful and appeals to young people. In a recent poll it was voted the best drama in Australia despite the fact that is generally categorised as a narrative poem. It is fairly realistic and  credible though there are parts that stretch the imagination. Caitlin comes across a bit contrived but her portrayal is plausible. There are many reasons for individuals to venture into the world as the text The Simple Gift shows to achieve self-reliance and independence, even so, many individuals personality in life may change as they experience parts of life first hand. Many would like to experience their own mistakes, which is dealt with in texts like â€Å"Ten Things I Hate about You,† Looking for Alibrandi and the Simple Gift yet to find eventually that their perspective was completely opposite. Like most clichà ©s dont judge a book by its cover. The Simple Gift illustrates that gain acceptance from others by uncritically accepting them.

Thursday, September 5, 2019

Legal And Ethical Issues In Mental Health Nursing Essay

Legal And Ethical Issues In Mental Health Nursing Essay This assignment aims to critically appraise an ethical conflict in relation to the care provided to a patient. It will explore how ethical decisions are reached and how they can directly influence patient care. To achieve this aim the author will examine a case study of a patient whose care he was involved with whilst in placement. We will look at how, after an episode of self-harm, the patient refused any medical treatment for the wound and how this posed an ethical dilemma for the nursing staff involved in their care. Using the application of the Mental Capacity Act (MCA) (Great Britain (GB) 2005) and an established model for ethical decision making, we will look at how the decision of whether or not to enforce treatment for the wound was formulated and implemented. Ethics can be seen as the study of human conduct and morality (Buka 2008). It is about people reasoning, thinking and applying a process of reflection (Adshead 2010); however these people may have opposing views, values and experiences on which to base their moral judgements to define what is the right and wrong course of action (Hendrick 2009) and the principles used to decide this, not only by the individual but also within social groups and societies. (Adshead 2010). From this we can surmise that ethics is a complex system of reflective thinking, which is used in the search for a standard that can be used to judge your own actions, or the actions of others, within your own moral code. The Nursing and Midwifery Council (NMC 2008) stipulates that nurses must respect a patients right to confidentiality at all times and ensure that the patient is informed about how information concerning them is shared. In accordance with this the name of the patient has been changed and permission has been sought from the patient to use them in the case study. Case Study. Anitas story. Anita is a young woman with a primary diagnosis of emotionally unstable personality disorder borderline type as defined by the World Health Organisation (WHO 2010). During a one-to-one therapeutic session Anita disclosed that she was having strong urges to self-harm. As such the therapeutic session concentrated on exploring her feelings surrounding her impulses, alternative coping mechanisms to manage her thoughts of self-harm and strategies to help maintain her safety upon the ward. As she felt that the pressure of being constantly watched would unsettle her further, thus not allowing her to manage her own feelings, it was initially agreed to place Anita on intermittent observation (as opposed to constant) within the scope of the policy on safe and supportive observations of the service that was caring for her (Oxford Health 2010). This approach was agreed in collaboration with Anita and the wider team as a way of her taking responsibility for her own decisions and actions. Later in the shift Anita approached staff and stated that she had overwhelming urges to self-harm and that she had acted upon them. She was taken to the clinic room where the wound could be cleaned and assessed. Anita presented with a laceration to the inside of her thigh which was deep enough to expose the adipose tissue beneath, however was not deemed by the medical staff to be life threatening. Staff explained to Anita that the wound was deep enough to require stitching although not life threatening and advised her that she would need to attend the minor injuries unit of the local general hospital for assessment of the wound. At this time Anita, due to her mental state, could not fully appreciate the nature of the wound and felt that she needed to punish herself further by refusing treatment. The nurses on duty cleaned and bandaged the wound and allowed Anita time to consider the implications of her decision further. When Anita had calmed the nurse had a discussion surrounding the implications of not having the wound sutured such as infection, Anitas possible need to attack the wound in the future and pain relief issues, However Anita maintained her decision not to have the wound sutured. Following a wider team discussion around whether Anita understood the severity of the wound, thus having capacity to make a decision to refuse treatment, the Responsible Clinician (RC) spoke to Anita and attempted to persuade her to have the wound sutured. As Anita was still refusing to have the wound sutured the RC decided that an assessment would need to be carried out to ascertain whether Anita had the capacity to decide to refuse treatment. Upon completion of the assessment it was decided that Anita did have capacity to make decisions surrounding treatment at that time, within the framework of the Mental Capacity Act (GB 2005). This decision was reached due to Anita being able to understand the information being given to her, being able to retain the information and weigh it up to make a decision to refuse treatment. Although this appeared to be an unwise decision, which felt uncomfortable to the team, it was agreed to monitor the wound, keep it clean and dry and continue to talk to Anita about her thoughts and feelings surrounding getting medical treatment for the wound. This collaborative approach allowed Anita opportunities to explore her emotions, thoughts and feelings and promote her autonomy whilst still allowing her to decide to have the wound sutured should she change her mind. The main legal and ethical dilemmas that can be extracted from this case study are whether the Anitas capacity to make decisions about her treatment should be overridden by use of the Mental Capacity Act (GB 2005) and whether Anitas ability to make autonomous decisions surrounding her care should outweigh the nurses obligation towards beneficence. The Legal Dilemma. Mental Capacity. What legal dilemma can be hypothesised as underpinning the decision making process of the mental health professionals in this case? Anita initially made her decision to refuse treatment shortly after self-harming. Self-harm has been strongly associated with borderline personality disorder (Motz 2008) where thoughts of self-loathing and self-punishment are common precipitators; the act of self harm can be seen as a symptom of internal turmoil, an expression of internal pain or as controlling factor to maintain a level of care (Grocutt 2009). This may indicate that Anita was under a great deal of distress at the time, which could have affected her capacity to make sound decisions; however her later decision of continuing to refuse treatment was based on her own morals and values towards her body that may have included these thoughts of self-loathing and the need to be punished. Although a person, under part four of the Mental Health Act (GB 2007) can be treated for mental disorder with out their consent, it is important to note that a physical problem can only be treated without consent should the person lacks capacity or treatment is deemed to be in their best interests under the auspice of the Mental Capacity Act (GB 2007, MIND 2009). To help determine whether Anita has capacity, The Mental Capacity Act (2005) sets out a two stage functional approach. Firstly the practitioner needs to ascertain whether the person being assessed has some sort of disturbance of the mind and, if such a disturbance exists then it must affect their ability to make decisions when they need to (Department of Constitutional Affairs (DoCA) 2007:45). If this is not the case then the person cannot be seen as lacking capacity under the Act (GB 2005, DoCA 2007). In considering whether Anita needed to make the decision around treatment, we can see that, as the wound was not life threatening, it was decided to allow her time to settle and re-approach the question of treatment. The Mental Capacity Act (GB 2005) is clear in expressing that capacity is time and decision specific. In deciding that the decision could be made at a later time not only complies with the Act but also promotes Anitas autonomy. As the wound could be safely managed in the s hort term upon the ward the decision to allow Anita time to weigh up the information was the correct one to make. Conflicting ethical principles and dilemmas Lakeman (2009) points out that an ethical dilemma occurs when there are a multitude of alternative courses of action to deal with a particular situation. Conflicting moral principles may create difficult ethical dilemmas for nurses by having to contravene one moral obligation to uphold another (Beauchamp Childress 2009). Anitas ability to make autonomous decisions surrounding her care should outweigh the nurses obligation towards beneficence. However this may not feel entirely comfortable for the nurse. In mental health nursing, autonomy is sometimes overridden in the interests of promoting the principle of beneficence (Lakeman 2009). Which can make the nurses ethical dilemma difficult to manage due to balancing the two valid ethical principles of autonomy (respecting and supporting decisions making) and beneficence (relieving or minimising harm in the best interest of the patient) (Hendrick 2004, Beauchamp Childress 2009). To answer the question we need to examine how the dilemma sits within an ethical theory and the principles that apply. Beauchamp and Childress (2009) devised four basic moral principles which function as guidelines for professional ethical decision making. The principles of autonomy (freedom to act on your own belief), Nonmaleficence (obligation to avoid doing harm), Beneficence (providing benefits and help) and Justice (fair distribution of benefits, risk and cost) which are derived from a duty based theory of Emmanuel Kant (1724-1804) (Beauchamp Childress 2009). Principle 1 Autonomy. Respect for autonomy flows from the recognition that all persons have unconditional worth, each having the capacity to determine his or her own moral destiny. To violate a persons autonomy is to treat that person merely as a means: that is, in accordance with others goals without regard to the persons own goals. Beauchamp Childress (2009: 103) after Kant Autonomy is the freedom and ability to act in a self determined manner (Butts Rich 2008: 42) and the right of a rational person to achieve personal decisions without any outside interference. Therefore the principle of respecting autonomy concerns the nurses acknowledgement of, and obligation in respecting, Anitas decision over her own life. It may be that Anita is already feeling a loss of autonomy or disempowerment by the very nature of being a patient upon a secure ward and being under the Mental Health Act (GB 2007) and the restriction of her basic autonomous decisions such as when to eat, sleep or who she resides with. Therefore it may need to be considered whether Anitas is refusal of treatment is something that she feels in control of, thus a way in which she feels empowered. Principle 2 Beneficence. Morality requires not only that we treat persons autonomously and refrain from harming them, but also that we contribute to their welfareà ¢Ã¢â€š ¬Ã‚ ¦ and à ¢Ã¢â€š ¬Ã‚ ¦[is therefore]à ¢Ã¢â€š ¬Ã‚ ¦ a moral obligation to act for the benefit of others. These beneficial actions fall under the heading of beneficence. Beauchamp and Childress (2009: 197) Beneficence can be seen as actions to benefit and promote the welfare of others (Butts Rich 2008). All actions that are performed by nurses can be regarded as having a moral dimension, most of which are for the benefit of the patient (Edwards 2009). The NMC Code of Professional Conduct is clear in stating that nurses have an obligation to both protect and promote the health and wellbeing of patients as their primary consideration (NMC 2008:2) and this is no different for mental health nurses working with patients who self-harm. This statement clearly incorporates the principle of beneficence and shows that the nurses in the case study are considering whether Anita should have medical treatment for the wound enforced upon her due to the principle of beneficence as described due to the worries of the wound becoming infected if not sutured. The dilemma. When nurses experience the ethical dilemma of having to enforce treatment irrespective of a patients right to autonomy, they can be seen as working in a paternalistic manner (Butts Rich 2008). In Anitas case, the nurses worry, that the consequences of the wound becoming infected, is driving their desire to treat the wound irrespective of Anitas wishes. However, although the actions on behalf of nurses is clearly driven by obligations towards beneficence, nurses need to weigh up the harms and benefits of enforcing treatment before acting in such a way as to produce the best outcome for Anita (Edwards 2009). A paternalistic approach is frequently used to infringe upon a persons right to autonomy. This infringement is supported by the principle of beneficence, which is the argument frequently used to impose treatment on patients whether they want it or not (Buka 2008: 29). Should the decision to treat Anita for her self harm regardless of her wishes have gone ahead, there may have been a risk of impacting on the nurse-patient therapeutic relationship. This relationship is built upon trust as well as purposeful and effective communication (Buka 2008) and is considered to be the cornerstone of nursing care (Lakeman 2009, Pryjmachuk 2011).Therefore the nurses would need to consider future risk as part of the ethical decision making process. Enforcing treatment on Anita may produce barriers to the therapeutic relationship such as difficulties in trusting the nurse in the future, disengagement from therapeutic communication, opposition and rejection of future treatment, increased self harming behaviours due to the trauma and hostility towards others (Kettles et al 2007, Byrt 2010), all of which may stop Anita from telling the nursing team when she self-harms in future episodes of distress. This raises the principle of Nonmaleficence (doing no harm), in this instance to the therapeutic relationship, wellbeing and care of Anita. The decision to manage the wound on the ward and allow Anita time to calm and consider her options is, in the authors opinion, the correct course of action to take. As the wound was neither life threatening or of such a degree that it could not be safety managed upon the ward enabled the staff to consider the possibility of enabling Anita to make an autonomous choice. In considering Anitas wishes and agreeing a management plan to care for the wound incorporates both principles of Anitas autonomy and the nurses obligation towards beneficence. Beneficence could be interpreted to incorporate the patients autonomous choice as the best interests of the patient are intimately linked with their preferences [from which]à ¢Ã¢â€š ¬Ã‚ ¦ are derived our primary duties towards them (Beauchamp Childress 2009:207). If the nurses obligation to act beneficently is informed by the patients choices and preferences, then the respect for the patients autonomy will ultimately override any paternalistic actions on the part of the nurse (Beauchamp Childress 2009). This would not only encourage a supportive nurse-patient relationship but also provides care that is holistic, develops Anitas confidence in being able to negotiate her care and allows her to take greater personal responsibility, This in turn will promote empowerment and hope which will improve the potential for recovery and discourage overly oppressive practices. The practice of paternalism is now generally discouraged in health care (Butts Rich 2008) and is considered unjustifiable in cases where the patient has capacity to make a decision (Edwards 2009, Beauchamp Childress 2009). Conclusion. Every decision that a nurse makes concerning the care of a patient needs to be considered from an ethical base. Any decision made from this ethical viewpoint has a higher probability of producing the best outcome under any given circumstance. The conflicting principles of autonomy and beneficence that have been presented within this case study would both be ethically and morally correct courses of action to take. From this we can surmise that a morally correct course of action may involve two opposing principles being applicable in any one situation. A large proportion of moral and ethical dilemmas that are faced by nurses stem from the conflicting principles of autonomy and beneficence. However, the nurses ability to critically appraise risks and benefits will help them to make decisions that are beneficial to the patient involved. In encouraging autonomy for Anita involves taking risks on the part of the nurses which may go against their principles of nonmaleficence and beneficence. However with collaborative working practices this case study has shown that solutions can be found in even the most complicated of nursing dilemmas. Word Count 2733.

Wednesday, September 4, 2019

Of Mice and Men Essay examples -- Literary Analysis, John Steinbeck

â€Å"One day our descendants will think it incredible that we paid so much attention to things like the amount of melanin in our skin or the shape of our eyes or our gender instead of the unique identities of each of us as complex human beings† (QuoteGarden.com). This quote by Franklin Thomas is a great example of marginalization and mistreatment in the past, both issues that were made very evident in the books that were read during the summer. Throughout A Lesson Before Dying, Burned Alive, and Of Mice and Men, marginalization and maltreatment were immanent. In the novel Of Mice and Men by John Steinbeck, some of the characters experience several examples of both mistreatment and marginalization. Throughout the book Curley’s wife is mistreated due to her female gender. The farm hands were always calling her a ‘tramp’ and George once said, â€Å"I seen ‘em poison before, but I never seen no piece of jail bait worse than her† (Steinbeck, 32). When George says this, he is warning Lennie to stay away from Curley’s wife because he thinks that she is very effective at deceiving men to get what she wants. Lennie was also mistreated throughout the book, though not because of his gender but due to the fact that he was developmentally delayed. He was even neglected by his own friend, George, who would constantly be thinking of a life without Lennie. George continuously blamed Lennie for causing him to lose his jobs and having to move all around the country (Steinbeck, 11). Unlike Lennie, Crooks was discriminated against considering his race and color. One example from the book would be: â€Å"Where the hell is that God damn nigger† (Steinbeck, 29)? Just like in this example, throughout the book Curley would refer to Crooks as a ‘nigger’,... ...k had many ideal examples of various types of marginalization and mistreatment including those about gender, race, and the Handicapped. Where Of Mice and Men had diverse examples of maltreatment, Burned Alive by Souad was based on just one case of maltreatment: the mistreatment of women in a Middle-Eastern society. The marginalization and exploitation of African-Americans was also made very apparent in the novel A Lesson Before Dying by Ernest J. Gaines through the treatment of Jefferson and his community. Many people throughout history have hoped for a better future free of marginalization and mistreatment, and one of those people was Martin Luther King Jr. He once said, â€Å"I have a dream that my four little children will one day live in a nation where they will not be judged by the color of their skin, but by the content of their character† (BrainyQuote.com). Of Mice and Men Essay examples -- Literary Analysis, John Steinbeck â€Å"One day our descendants will think it incredible that we paid so much attention to things like the amount of melanin in our skin or the shape of our eyes or our gender instead of the unique identities of each of us as complex human beings† (QuoteGarden.com). This quote by Franklin Thomas is a great example of marginalization and mistreatment in the past, both issues that were made very evident in the books that were read during the summer. Throughout A Lesson Before Dying, Burned Alive, and Of Mice and Men, marginalization and maltreatment were immanent. In the novel Of Mice and Men by John Steinbeck, some of the characters experience several examples of both mistreatment and marginalization. Throughout the book Curley’s wife is mistreated due to her female gender. The farm hands were always calling her a ‘tramp’ and George once said, â€Å"I seen ‘em poison before, but I never seen no piece of jail bait worse than her† (Steinbeck, 32). When George says this, he is warning Lennie to stay away from Curley’s wife because he thinks that she is very effective at deceiving men to get what she wants. Lennie was also mistreated throughout the book, though not because of his gender but due to the fact that he was developmentally delayed. He was even neglected by his own friend, George, who would constantly be thinking of a life without Lennie. George continuously blamed Lennie for causing him to lose his jobs and having to move all around the country (Steinbeck, 11). Unlike Lennie, Crooks was discriminated against considering his race and color. One example from the book would be: â€Å"Where the hell is that God damn nigger† (Steinbeck, 29)? Just like in this example, throughout the book Curley would refer to Crooks as a ‘nigger’,... ...k had many ideal examples of various types of marginalization and mistreatment including those about gender, race, and the Handicapped. Where Of Mice and Men had diverse examples of maltreatment, Burned Alive by Souad was based on just one case of maltreatment: the mistreatment of women in a Middle-Eastern society. The marginalization and exploitation of African-Americans was also made very apparent in the novel A Lesson Before Dying by Ernest J. Gaines through the treatment of Jefferson and his community. Many people throughout history have hoped for a better future free of marginalization and mistreatment, and one of those people was Martin Luther King Jr. He once said, â€Å"I have a dream that my four little children will one day live in a nation where they will not be judged by the color of their skin, but by the content of their character† (BrainyQuote.com).

Tuesday, September 3, 2019

Impermanence, Selflessness, And Dissatisfaction Essay examples -- essa

Impermanence, Selflessness, and Dissatisfaction Buddhism is neither a religion nor a philosophy, but rather a way of life. This does not imply that Buddhism is nothing more than an ethical code: it is a way of moral, spiritual and intellectual training leading to complete freedom of the mind. (DeSilva, 1991:p 5). Of the many Buddhist sects, Zen Buddhism places particular emphasis on living ‘the right' life, and does not revolve around rite and ritual. Buddhism outlines the three characteristics of existence, which aids one in achieving enlightenment. Impermanence, selflessness, and dissatisfaction are concepts that are easily understood on an intellectual level, but to apply these concepts in one's life is challenging. Impermanence is concerned with the thought that nothing remains static, and change is to be expected. Selflessness holds that there is no immortal soul or external Self that exists in each individual; (Fadiman & Frager,1994:p 545) selflessness is closely connected with impermanence. Dissatisfaction is a larger concept entir ely- it involves the acknowledgment that suffering exists. The world is founded on suffering, (DeSilva, 1991:p 21) and once anything becomes a problem there is bound to be suffering, unsatisfactoriness, or conflict- conflict between our desires and the state of reality. Dissatisfaction is the most difficult characteristic of existence to apply to one's life, as it involves not only the acceptance of this state, but also outlines one on how to treat and cure this state.   Ã‚  Ã‚  Ã‚  Ã‚  The notion that the world is an ever-changing environment on all levels of existence is not a radical idea. In fact, those that have not yet accepted change as a natural state of nature is denying the reality of life. A being and the empirical world are both constantly changing. They come into being and pass away. All is in a whirl, nothing escapes this inexorable unceasing change, and because of this transient nature nothing is really pleasant. There is happiness, but very momentary, it vanishes like a flake of snow, and brings about unsatisfactoriness (DeSilva, 1991:p 29). Both pleasant and unpleasant conditions come and go, it is then the responsibility of the individual to deal with each situation in the ‘right' way. Understanding that there is no universal truth, that thoughts and ideas evolve- leaves one open to impr... ... individual is in the fortunate position of having the ability to end the suffering conditions, whether they be psychological or physical.   Ã‚  Ã‚  Ã‚  Ã‚  Consequently, the Buddhist characteristics of existence are useful to the average individual. These concepts can aid the individual in healthy analysis of their behavior and motivations, as well as offer methods that enable one to actively change aspects of their life that they may be dissatisfied with. BIBLIOGRAPHY DeSilva, J.  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  The Spectrum of Buddhism: The Writings of Piyadassi.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Buddhist Missionary Society: New York, 1991. Fadiman, J. Personality and Personal Growth. HarperCollins College Frager, R.  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Publishers: United States, 1994. Suzuki, D.T.  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Manual of Zen Buddhism. Rider: London, New York, 1956. Web Sites http://www.ncf.carelton.ca/freenet/rootdi...ism/introduction/truths/NobleTruth- -1.html http://www.inet.co.th/cyberclub/over_buddhism.html

Monday, September 2, 2019

Essay --

The Rise of the Seahawks Section 1: Pre-game The Seattle Seahawks located in Seattle Washington, is one of the top teams in the NFL. The Seahawks were founded in 1976 and are owned by Paul Allen. The Seattle Seahawks haven't had it easy, it's been rough ride throughout the years. There have been many coaches and many players have passed through the Seattle team. There are some very special people that the Seahawks truly treasure that aren’t players or coaches out on the field. They treasure the 12th man. This allusive 12th man isnt a player out on the field, it's the fans. Even though the 12th man spirit didn't start in Seattle they are loud and proud about it. Seattle has some of the loudest fans in the league. They are so loud that they get earthquake readings at Century Link Stadium, they call the earthquake reading "Beast Mode." This season(2013-2014) they have a very tough lineup, they have "Beast Mode"aka Marshawn Lynch, Richard Sherman, Russell Wilson, Golden Tate and the amazing coach Pete Carroll. The Seattle Seahawks have been a very successful team in the 2013-2014 season. The Seahawks have a strong defense which has been a key part in their success this year. The Seahawk’s offense hasn’t been bad this year either. They have some very strong player that contribute to their success. Their offense includes: #3 quarterback Russell Wilson, #24 running back â€Å"beast mode† Marshawn Lynch, #89 wide reciever 1 Doug Baldwin and #81 wide reciever 2 Golden â€Å"Showtime† Tate. Without this strong offense and strong defense the Seahawks wouldn’t be where they are today. There are many questions I would like to answer throughout the paper. How has Seattle recently become so successful in the past year?. Is it their ... ...hquake readings. The magnitude of the earthquakes are ranging in the 1-2 range. When fans can get that loud to have earthquake readings you know that they are truly dedicated to be a Seahawks fan. I have learned so much about football in general and the Seahawks from doing this paper. Its amazing on when I pick a topic that I really like on how I can into the paper and make it the best that I can. While I was doing my research I really started to understand the game better. When you understand the game the more fun it is to watch the game and more intense the game is. I really enjoyed getting to research such a cool topic that has been in the news a lot recently for winning the super bowl. But it was kinda hard trying to find the rich history from when the team started. It was still awesome to be able to write about this topic while they won their first Super Bowl!

Sunday, September 1, 2019

The Investiture Controversy

The Investiture Controversy is seen often times as a significant conflict between Church and State in medieval Europe. However, it was really a conflict over two radically different views of whether the secular authorities such as kings or dukes, had any legitimate role in appointments of spiritual offices such as bishoprics. In the eleventh and twelfth centuries the control of appointments or investitures of church officials such as bishops and abbots became a conflict between Pope Gregory VII and Henry IV, Holy Roman Emperor.This reveals that medieval society had to decide which authority figure to support, either the secular or spiritual authority, because each one believed that the other was entitled to more authority than the other. The Investiture Controversy was significant in medieval history because though Henry IV and Gregory VII had very different opinions of what the spiritual and secular authorities duties were they both wished to preserve the Catholic faith against corr uption. The Middle Ages began after the fall of the Roman Empire.Significant changes began to occur in every part of the continent due to the lack of an absolute ruler, which was Rome. The churches around Rome looked to the Pope for guidance but seeing that their needs were not being met, nobles and especially kings assumed numerous Christian duties, including the protection and foundation of churches and abbeys. Although canon law, which is the body of laws and regulations made for the government of the Christian organization and its members, declared that bishops were to be elected by the clergy and the people but the rulers ignored it.Secular authority slowly started to become more dominant than spiritual authority being that weak church authorities were monitoring their powers. During the eighth and ninth centuries, the Roman aristocracy dominated the election of the papacy due to no Carolingian powers to control them. The aristocratic family with the most power would have the a bility to elect the pope or sell his office. Bishops and abbots were nominated and installed by rulers in a ceremony known since the second half of the eleventh century as investiture.This was a ceremony conducted by the king who granted the new bishop or abbots with a staff and, since the reign of Emperor Henry III (1039-1056), a ring signifying that they â€Å"receive the church†. By church it did not only mean the spiritual office but also the secular rights. In return to the king, an oath of fealty to the ruler was made that indicated homage to the king that the bishop or abbot would assist the ruler spiritually and materially, which would fulfill the requirement of â€Å"service to the king† including paying fees, distribution of fiefs to royal supporters, military support, and court attendance as an adviser and collaborator.A notable monarch who practiced investiture was Holy Roman Emperor, Henry III. Henry III wanted to be crowned emperor but currently there wer e three popes, Benedict IX, Sylvester III, and Gregory VI because of the domination of the Roman aristocracy. Henry III reached Rome in 1046 and imposed his secular authority over the situation and elected as the new pope a German, Suidger, bishop of Bamberg, who was inaugurated as Clement II.Control over the Roman Church passed into the hands of the German king. In succeeding years, Henry III used his secular authority to appoint a pope at three more occasions. The spiritual authority was in ruins and a need for reformation within the church was necessary. A man who began reforming the church was Bruno of Eguisheim-Dagsburg, who later became Pope Leo IX, was a German aristocrat and a powerful spiritual ruler of central Italy while pope.On the death of Pope Damasus II, Bruno was selected as his successor but as a condition of his acceptance for the papacy, he had to first proceed to Rome and be freely elected by the voice of the clergy and people of Rome. After receiving much suppor t of his election, Bruno formally became Leo IX. Favoring traditional morality in his reformation of the Catholic Church, Pope Leo IX publicly declared that he was against simony that had been occurring due to a weakened and corrupt papacy. Simony is the act of paying for sacraments and consequently for holy offices or for positions in the hierarchy of a church.Another type of reformation in church that had been occurred before the Investiture Controversy was the establishment of Cluny Abbey. Founded by William I, Duke of Aquitaine in 910 this Benedictine monastery was located in Cluny, France. William I nominated Berno as the first Abbot of Cluny who forced a strict enforcement to the Rule of St. Benedict. Though this was a demonstration of a secular authority appointing an abbot to a spiritual office, William I released the Cluny abbey from all future obligation to him and his family ther than prayer: Therefore be it known to all who live in unity of the faith and who await mercy of Christ, and to those who shall succeed them and who shall continue to exist until the end of the world, that, for the love of God and our Savior Jesus Christ, I hand over from my own rule to the holy apostles, Peter, namely, and Paul, the possessions over which I hold sway, the town of Cluny, namely, with the court and demesne manor, and the church in honor of St. Mary the mother of God and of St.Peter the prince of the apostles, together with all the things pertaining to it, the vills, indeed, the chapels, the serfs of both sexes, the vines, the fields, the meadows, the woods, the waters and their outlets, the mills, the incomes and revenues, what is cultivated and what is not, all in their entirety. This is an extremely significant declaration by a secular authority figure because not only did many other secular authorities follow William I’s example, monasteries across Europe began adopting the Rule of St.Benedict causing many leaders in the spiritual realm to rise agai nst the secular authority and start to divide the powers between the church and state. Before becoming the pope who would challenge secular authority over the topic of investiture, Hildebrand of Sovana was a cluniac monk who was deacon and papal administrator for the Leo IX. During the reign his reign, Nicholas II established a new election system for the papacy. The Papal Election Decree of Nicholas II was established in 1059.It declared that a College of Cardinals would convene, during a period of vacancy in the papal office to elect a Bishop of Rome who then becomes pope. However, Hildebrand did not become Pope Gregory VII by the College of Cardinals. He was elected in an informal fashion and the decree of Nicholas II was ignored, nevertheless Hildebrand did not encounter strong opposition and received sacerdotal ordination thus becoming pope Gregory VII. A reformer, Gregory VII’s main focus was to reform the church and by that he wanted to reduce the secular authority ove r the spiritual.He strongly believed that God alone founded the Church and that she is supreme over all human structures, especially the secular state. However, he did believe that there could be coexistence of church and state, but in no way were they two equals. The superiority of church was much greater than that of the state because God elected the church officials while men who could be corrupt selected the state officials. Henry III had retained a firm hold on the church and resolved a schism.However, after Henry III died at an early age, his son Henry IV believed that he had been appointed by God to become Emperor and spiritual authority figures like the pope were subordinate to him and his decisions. Known as the Milan Controversy, there were two candidates in the running for the position of archbishop. The people of Milan who were supported by the pope supported one of the candidates. However, Henry IV countered by having his own nominee demonstrating a secular authority at tempting to elect a candidate of a religious authority, referring to a king-committing investiture.Henry IV interfered in the situation to help resolve the issue rather than allowing the people of Milan with the support of Pope Gregory VII to achieve a resolution. Refusing to obey the spiritual authority, Henry IV received a letter from Pope Gregory VII warning him of an awful fate if he is to ignore the pope’s negotiations in regards to the investiture problem. Offended by this threat, Henry IV refused to obey the pope because of his belief that God had made him emperor. God alone was the only one who determined the wrongs of kings or emperors.Nevertheless, Pope Gregory VII replied by excommunicating Henry IV for refusing to accept that a king or emperor must obey the wishes of a spiritual authority and continue to interfere in church matters, thus the Investiture Controversy ensued. A series of letters by Gregory VII and Henry IV presented the positions of each side and the ir attempts to best their opponents in public opinion. Gregory VII wanted Henry IV’s acknowledgement that the spiritual authority triumphed over the secular authority.Pope Gregory VII demonstrates in many of his letters that though Henry IV was an emperor he is unfit to appoint bishops or abbots because God had elected church officials who are able to perform such actions. Hence, Henry IV should withdraw all his power from church matters just like William I had done for the Cluny Abbey. Establishing that royal powers were subordinate to the priesthood because secular authority figures continuously lusted for power, which in the eyes of the church lowers their spirituality for committing an act that is considered a sin.Henry IV retorted with the claim that Pope Gregory VII was never a pope due to the fact that he had been appointed by an invalid election and even attempted to gain the papal office while the current pope was alive. Again, when a synod was celebrated in the time of Pope Nicholas [II], in which one hundred twenty-five bishops sat together, it was decided and decreed under anathema that no one would ever become pope except by the election of the cardinals and the approbation of the people, and by the consent and authority of the king.In this statement, Henry IV agrees with the idea that cardinals have the right to elect a new pope but a person of extremely high authority, like himself, has the right to agree or disagree with the decision made by the College of Cardinals. Among other accusations that Henry IV made against Gregory VII, he deemed the pope as a â€Å"bad monk† who did not follow what he preached and had mistresses before and after he became pope. Henry IV finally indicated that God alone can judge the actions of the secular authority and that no spiritual authority, especially a corrupt one such as Gregory VII, could assert their authority over a king.The Investiture Controversy was between the church and state and the ma in issue was the rulers’ ability to continue to invest and install bishops and abbots with the symbols of their office. It soon quickly became an argument between Henry IV, Holy Roman Emperor and Pope Gregory VII trying to determine which had more authority, spiritual or secular. Gregory VII saw the emperor’s disobedience to the papacy as an attack on the church, while Henry IV viewed it as the pope forcing his authority over an emperor.However, each saw that the other side was corrupt and unfit to make decisions within the church. Both wished to control the matters of the church since according to each side, God had elected him to his position of authority signifying more power than the other one. Nevertheless, their main goal was to keep the sacrifices of mass and the church untainted, with no influence of corrupt authority figures.Bibliography Geary, Patrick J. â€Å"Pope Gregory VII and King Henry IV†, in Readings in Medieval History , 562-586. Toronto: Univ ersity of Toronto Press Incorporated, 2010. Geary, Patrick J. â€Å"Cluniac Charters†, in Readings in Medieval History , 315-321. Toronto: University of Toronto Press Incorporated, 2010. Thompson, James Westfall. â€Å"Church and State in Medieval Germany. † The American Journal of Theology, 22, no. 4 (1918): 513-540, doi: 19, Feb. 2012. http://www. jstor. org/stable/3155326 ——————————————– [ 1 ]. Henry III was the son of Conrad II and Gisela of Swabia. His accession to the throne did not lead to civic unrest due to the fact that he was a descendent from the two sides that were causing civil war in the empire. [ 2 ]. The Rule of Saint Benedict is a book written by St. Benedict of Nurisa for monks living communally under the authority of an abbot. [ 3 ]. Patrick J. Geary, â€Å"Cluniac Charters†, in Readings in Medieval History (Toronto: University of Toronto Press Incorporated, 2010), 316. [ 4 ]. Patrick J. Geary, â€Å"Pope Gregory VII and King Henry IV†, in Readings in Medieval History (Toronto: University of Toronto Press Incorporated, 2010), 580.