Autonomy Vs. Paternalism In Mental Health Treatment Essay -- essays re

Autonomy Vs. Paternalism In Mental Health Treatment The assignment for this Ethics class was to review Mr. Jacob's treatment, as described by the New York State Commission on Quality of Care for the Mentally disabled (1994). The class was further asked to comment on the major issues for each of the three perspectives. The agencies, family and review board were to be included. This student will begin with a fourth perspective; that of Mr. Gordon. In the Matter of Jacob Gordon (1994), is the story of the last eight years of a psychiatrically disabled man's life. Mr. Gordon appeared to vacillate between striving for autonomy and accepting the support of his family. Unfortunately, it appeared by this account that the families support was not synonymous with autonomy. It did not appear that Mr. Gordon had ever desired or sought agency intervention for himself. Mr. Gordon's association with the mental health system appeared to be marked by power and control issues. "Consumers/ex-patients often report a feeling of "invisibility"; they sense that their views and desires do not matter (Carling, 1995, p.79 )." The commission's report (1995) spoke of several incidences where Mr. Gordon eluded to his desire for autonomy. Mr. Gordon did not wish to live in a supervised setting. Mr. Gordon did not wish to attend group day treatment settings. Mr. Gordon did not wish to use medication in the treatment of his mental health disorder. Without medication his behavior was deemed unacceptable and did not permit him the opportunity to have any of these choices. "Choice is a right-not a privilege to be afforded by good behavior (Penny, 1994, p. 29)." Mr. Gordon's right of choice was limited even though he lived in his apartment independently. The condition of his apartment was scrutinized. His medication was closely monitored; sometimes to the degree that he was directed to leave his home to receive medication that was given to him crushed, in an attempt to insure it's ingestion. "Even peoples liberties in a highly controlled board and care home may be scarcely greater than in a hospital ward (Rubenstien, 1994, p.54)." In Mr. Gordon's case even within the sanctity of his own home, his liberties were scarcely greater than in a hospital ward. Other than his autonomy the second issue for Mr. Gordon appears to be the need for safety and suppor... ... on Quality of Care for the Mentally Disabled. New York State Commission on Quality of Care for the Mentally Disabled. A Pamphlet. What is The Commission? New York: Commission on Quality of Care for the Mentally Disabled. Corey, G., Corey, M.S., Callanan, P. (1993). Issues and Ethics in the Helping Professions. (4th ed.). California: Brook/Cole Publishing Co. Penny, D.J. (1994). Choice, common sense, and responsibility: the systems obligations to recipients. In C. J Sundram (Ed.), Choice & Responsibility (pp. 29-32). New York: NYS Commission on Quality of Care for the Mentally Disabled. Rooney, R. (1992). The ethical foundation for work with involuntary clients. Strategies for Work with Involuntary Clients. (pp. 53-74). New York: Columbia University Press. Sundram, C.J. (1994). A framework of thinking about choice and responsibility. In C. J. Sundram (Ed.), Choice & Responsibility (pp. 3-16). New York: NYS Commission on Quality of Care for the Mentally Disabled. Surles, R.C. (1994). Free choice, informed choice, and dangerous choices. In C.J. Sundram (Ed.), Choice & Responsibility (pp. 17-24). New York: NYS Commission on Quality of Care for the Mentally Disabled.

Essay --

This paper explores the relationship of the pathogenicity of the opportunistic bacterium P. aeruginosa specifically related to the pathophysiology of cystic fibrosis and the impact they have on patient care and nursing. Cystic fibrosis is a life-threatening, immunosuppressing genetic disorder unto itself, but is a primary cause of opportunistic infection. Studies show that  ¬P. aeruginosa infections, common and often chronic and lethal in CF cases, are most often established between ages 0-3 years in a CF patient and develop undetected until the infection is well established and difficult to treat. Because of physical complications related to a child’s age, immunosuppression exhibited by those affected with cystic fibrosis, versatile nature of the pathogen’s virulence and wide array of habitable environments, and comorbid factors the pathogen contributes to mortality among infected hosts, it is imperative that thorough diagnostic, preventative, and treatment measures be taken regularly and begun as early as possible with a cystic fibrosis infant in order to reduce prevalence and incidence of chronic lung infection. Nursing responsibilities include administration of long-term therapeutic medications, parental teaching, lifestyle planning, maintaining optimal health and vigil monitoring in the clinical setting, referrals, and improving the affected child’s overall growth, development, and happiness. â€Æ' P. aeruginosa in Young Children with Cystic Fibrosis The nature of an immunosuppressing disease among infants invites infection from bacteria normally a part of our normal flora. P. aeruginosa, a common hydrophilic bacterium found in most environments high in moisture, exhibits little virulence until it successfully invades the tissu... ... a necessity, especially during times of hot weather, fever, and excessive exercise in order to prevent hyponatremia. (Nettina, 2010) The nurse should actively encourage the parents to seek ongoing education about their child’s disease and share CF information with family members, teachers, school nurse, and anyone who would care for the child. It may be beneficial to refer the family for social work or support groups dedicated to CF. The nurse should also stress the importance of regular medical care and to pay attention to advances in treatment, recommending several pulmonary function tests, respiratory cultures, and liver enzyme analyses per year. Parent education regarding proactive roles in their child’s health care generally increases the child’s quality of life and longevity and promotes optimal development and growth. (Nettina, 2010; Porth & Matfin, 2009)

Internal Entrepreneurship at the Dow Chemical

The Dow Chemical Company was a leader company in science and technology, offering plastic and agriculture products in 2002. However, from 1995, Dow Chemical Company had ever lost its profit for several years especially in 1998. Dow Chemical Company tried to stop the decreasing so that it launched an initiative ‘E-epoxy. com venture’ in 2000. The purpose of this project was earning more small customers and spot market customers to increase the market shares. STRENGTH 1. Epoxy was a specialty, high margin business. The top 20% of its global customers have generated 80% of its revenue.Dow Chemical Company can take this advantage to expand the business oversea. 2. Epoxy was a creative online channel in the market. It was very convince for not only local customers but also global customers to purchase products online without calling or faxing. 3. Dow Chemical Company would be the first mover using online system to process the orders. Moreover, the cost of launching this onlin e system was not expensive. Using this system could lead Dow Chemical Company to the head position in electronic marketplace and ahead of other traditional competitors. . It was more flexible for managers to use online system to attract more customers. For example, Telford can provide promotion code to some particular customers via E-mail. Some customers might feel interesting and order products on E-epoxy. com because of special price. 5. Telford is an experienced employee who has worked in Dow Chemical Company for many years. He has exceptional ability to understand stakeholders’ thought and was aggressive to operate Epoxy project. WEAKNESS 1.Although customers can order products online, Dow Chemical Company still needed to contact with customers to clarify and confirm the order sometimes. It would increase the labor cost and decrease the order process efficiency. 2. Capacity utilization was a problem as well. The capacities of epoxy were in the range of 30 ktpa to over 100 ktpa. Dow Chemical Company has not enough capacities to fit the needs of new customers in the future. 3. The product price should be clear on the website. However, it might be inappropriate because Dow Chemical Company always changes the price according to different customers.Price transparency would potentially limit sales’ negotiating ability. 4. Telford wanted to charge distributors higher price because of other service such as a wide product palette and technical assistance. It might make Dow Chemical Company lose some distributor customers. 5. The E-epoxy. com was available everywhere. However, the language problem and currency problems were still need to be solved. For instance, Brazil didn’t allow Dow Chemical Company using US dollars as currency on the website. OPPORTUNITY 1. With new sales tool–E-epoxy. om, Dow Chemical Company has opportunity to expand its business globally. Dow Chemical Company could earn more market shares by this low-cost and effic iency online tool. 2. In order to fit increasing demand in the future, Dow Chemical Company needs to build its capacity utilization. It might be a chance for Dow Chemical Company to be the top huge company because of abundant production ability. 3. Smaller customers had less ability to negotiate the price with distributor. Distributors might charge them much price than ordering products from Dow Chemical Company directly.Smaller customers might love to order products online due to cost down. THREAT 1. The regulations of foreign government might change in the future. As the problems Dow Chemical Company faced in Brazil, Brazil didn’t allow Dow Chemical Company to use US dollars on the website. Other countries’ government might also change the policy like tax increasing or currency change and it might threaten Dow Chemical Company a lot. 2. In order to do something dramatic to push home the importance of his venture, Telford started a rumor via E-mail in the market.Altho ugh no one really condemned this event, that didn’t mean nobody would argue on day. Telford created a potential bomb for company. 3. Dow Chemical Company has less experience to manage website. Dow Chemical Company might waste money in a wrong way to operate E-epoxy. com. However, other competitors can learn Dow Chemical Company’s experience and avoid failure in the market. RECOMMEDATION 1. Dow Chemical Company needs to improve its website day by day to fit customers’ new needs. Moreover, Dow Chemical Company can build up other service at the same time.For example, Dow Chemical Company can mimic what it did on EpiCenter. Dow Chemical Company can create a specific contact phone number for customers to contact with sales immediately. Customers can get information from website or phone service. 2. Dow Chemical Company could offer more discounts on the website to inspire the sales. If Dow Chemical Company want to higher the price for distributors, Dow Chemical Compan y should offer something new and only available for distributors to attract them make orders. .Dow Chemical Company needs a well-organized strategy group for incoming international business. Because of the cultural difference, local currency, different language, and different consumer behavior, Dow Chemical Company should have a professional team to deal with country differences. For instance, the team members should have rich foreign working experience and ability to speak in foreign language. It would be helpful for Dow Chemical Company to enter global market.

Solving Problems

In this essay, I will solve two problems from our textbook Elementary and Intermediate Algebra; I will solve problem 56 on page 437 and problem 10 on page 444. For my first problem, I will choose an appropriate variable to help solve the equation, for my second equation I will identify the form of the equation I end up with once it is solved. I will also introduce five math vocabulary words, they are, extraneous, proportion, cross multiply, and extreme-means and the will be in bold.Problem number 56 states: To estimate the size of the bear population on the Keweenaw Peninsula, Conservationists captured, tagged, and released 50 nears. One year later, a random sample of 100 bears included only 2 tagged bears. What is the conservationist’s estimate of the size of the bear population? This is a ratio equation and my variable will be b, b= bear population b =10050 2 2*b= 50*100 cross multiply the extreme-means 2b=5000 b= 5000 2 b= 2500 bears 2500 is the conservationist’s est imation of the bear population. This equation is not an extraneous solution because the denominator does not equal zero.Problem number 10y-1= -3 this problem is a proportion x+3 4 (y-1)*4=(x+3)-(-3) cross multiply the x and y which are the extreme and means 4y-4=-3x-9 distribute the 4 and the -3 4y=-3x-9+4 add 4 to both sides 4y=-3x-5 divide both sides by 4 y= -3 x-5 both of these fractions are in parentheses the x and – are outside the () 4 4The linear equation in the form of y=mx+b with the slope of -3,  4This essay discussed two problems from our textbook Elementary and Intermediate Algebra. It introduced five vocabulary words to help explain the steps in solving the two problems, those vocab words are extraneous, proportion, cross multiply, and extreme-means. This essay identified the variable in problem one, and identified the form of the equation in problem two.Reference Dugopolski, M. (2012). Elementary and intermediate algebra (4th ed.). New York, NY: McGraw-Hill Pu blishing.

Gender Criticism based on Feminism and Masculinism in the Book “Skin” Essay

The book entitled, â€Å"Skin† is written by Ted Dekker and is a fiction novel about a killer who took as captives five people who each had stories to tell and had things about their past to confront. They were brought together by such deadly circumstances and despite their individual differences and suspicions drawn against one another, they had to work together somehow against a common enemy, their captor. â€Å"Skin† covers issues of feminism and masculinism in the details about how the captured characters – namely, Wendy, Colt, Jerry, Nicole and Carey – were victimized by the killer, Red. For Wendy, it all started one rainy night when she was driving herself to the place where her estranged mother was. The horror of all that they have gone through, all five of them, turned out to be something none of them was ever prepared for. Thesis The novel â€Å"Skin† relates a story that supports the thesis that the gender-defined roles of the characters therein damaged both sides. The story also presented the question of what true beauty is, both masculine and feminine beauty. Beauty is explored both as an external quality and as something that is more than what meets the eye – in men and in women. It turns out that beauty can be perceived by people as gender-defined. Beauty in men, thus, can be judged by parameters that are supposed to apply to men, and then beauty in women can be judged by altogether different parameters that, in turn, are supposed to apply to women. Feminism in the Story Wendy is an escapist from a cult where men reigned as the superior sex. In fact, even decisions pertaining to her life – who she was to wed eventually, who she could date and kiss – were made by the acknowledged head of their tribe, a man much older that her who was even supposed to be her future husband. Her mom was in the cult, too. As a member of it, she submitted to such leader and went to wherever the group went, never deciding for herself where and how she wanted to live her life. Through it all, she allowed the cult leader to make decisions that she should have made for herself and her daughter, Wendy. Wendy has become a prime feminist since her escape from the group whose members made up her world. She then became totally free – free to make choices for herself, free to make decisions concerning herself, her life and her personal interests. She has been equipped with good education and having been a scholar who made it through college by herself – with no help from parents, whose support usually comes in the form of financial resources to enable their children get through college as a way to have much better chances for a bright future. During her traumatic childhood experiences in the cult where the male leader was practically the ruler of all, Wendy had known what it meant to be eyed or even â€Å"reserved† for an older man. In the story, there was the pre-arranged marriage that Wendy had no choice but to succumb to when the time for it would come. For this reason, Wendy was even punished at one time for having kissed a guy. Through it all, Wendy came to have this fear of men. It was the same fear that went in the way of her having a serious relationship with a guy even when she was already a young woman. Thus, during years since her escape, Wendy had only female friends. Given the life she lived and the role of men in her life, Wendy has grown to be an independent woman who definitely did not need a man to make life easier for her. In contrast, Nicole had her brother, Cary, to adore her, to take care of her and to protect her. She grew up depending on the love and security that her older brother represented. Nicole represents the very image that present day feminists want to totally disassociate from women in general. She’s a victim of men who, like her brother, have to be needed by the women in their lives as the only way they would feel strong, masculine and happy. In such a trap, the likes of Nicole have been raised to believe that women are weak and are in constant need of the protection and support that only men can provide. For an independent woman like Wendy, it was indeed a novelty to watch Carey carry his younger sister all the way and to see for herself how much Carey loves his younger sister, Nicole. And Nicole, loved him, too. He was her older brother who has always been her source of love and protection. The same love and protection, though, can serve to curtail Nicole’s potentials as a person – a free thinker, a decision-maker and the master of her fate. Thus, the protective love of men – in this case, Nicole’s older brother – can be likened to a trap that can prevent women from going out into the world, making mistakes and learning in the process, and living their lives to the fullest. Curtailed freedom was one thing Wendy and Nicole had in common, but Wendy had chosen to break out of her prison cell and fly away toward freedom and self-realization. Men, as oppressors, can clip the wings of the women in their lives either intentionally or not, either lovingly or not – the manner, though, does not change the meaning of what is going on. Masculinism in the Story Colt’s masculinity would seem readily obvious in the light of his being a policeman. His marked skill as a gunman would serve to give his masculinity an added boost. After all, his being an adept shooter can easily be surmised to mean his being a good protector of people under his wings. As a great gunman, then, Colt has won the respect and admiration of his fellow cops in the police department, both male and female. And also as a great gunman, Colt would seem the kind of man who has little or nothing to fear. No one would guess, therefore, that for all his seemingly apparent masculinity, Colt has fears and has doubts of his capabilities and qualities as a man. In fact, the story says that having a woman around or being with one is enough to break Colt’s cool demeanor and to reduce him into a bundle of nerves. He therefore has neven been close to a woman. His life has been lived and has revolved pretty much around male friends. The story has mentioned Colt’s mom who has been murdered but was believed to have committed suicide – she might easily have been the only woman in his life. One’s childhood always leaves its imprints on the person. Events during Colt’s childhood have caused him to have insecurities and doubts about himself. These self-doubts leave no sign in the policeman that Colt has become. Such doubts and insecurities have stayed within him but have been buried way under Colt’s demeanor. In a way, Colt has been victimized by the way ladies ridicule guys they are not interested in, more so when ladies spurn those suitors whom they do not at all find attractive. Being rejected by a girl can have such an adverse impact on a guy’s confidence. Some guys even find it hard to recover their self-esteem after having been rejected by the ladies they loved. While Colt avoided women as characters he was not ready to have in his life, Cary was the type of guy who was instinctively protective of women he loved, like his sister, Nicole. Cary has grown up believing that the male sex is the stronger sex and that the females are therefore to be taken care of and sheltered. While adhering to this belief, being in helpless situations would kill the likes of Cary in their insistence that they be the protectors of the women they love. Thus, in the story, it tore Cary apart to watch his younger sister in pain and so helpless. It likewise broke his heart that he could not do what had to be done to keep them all safe from harm. Thus, independent women like Wendy would be a novelty to Colt, whose perception of women would be more of the clinging and needy sort. In the same way, frail and fragile women like Nicole would disarm Colt’s defense and lead him to overcome his fear of women, who in the person of Nicole can seem to be such weak, dependent and powerless creatures in need of somebody like himself. The story is adroitly set with twists that all served to help the characters eventually face their fears and find themselves. Works Cited Dekker, Ted. Skin. Tennessee: Thomas Nelson, Inc. 2007.

Film Analysis Essay Example | Topics and Well Written Essays - 750 words

Film Analysis - Essay Example The film portrays him as a counterculture individual defining the field of rock and roll of his time. The film’s depiction of Jim Morison goes beyond the iconic traits. He is portrayed as an alcoholic star with interests in the spiritual plane. He indulges in hallucinogenic drugs and has a growing obsession with death. Mise-en-scene The plot of the movie begins with an instance Jim Morison was recording his album, the American Prayer. The scenes quickly shift to years back when Jim Morison was a child. The memory of his family driving along a desert highway crops up. The younger Jim Morison seems like an elderly Native American about to die by the roadside. The movie picks up when Jim Morison arrives in California and he assimilates into Venice Beach culture and joins UCLA to study. He then meets Pamela Couson, his girlfriend. The origin of the Doors begins when Morison meets Ray Manzarek. Later in the film, the audience is introduced to Robby, John Densmore and Krieger. As th e movie progresses, Jim Morison convinces his band mates to take a trip to Death Valley. In the Death Valley, the band experiences the effects of psychedelic drugs. On their return to Los Angeles, the band plays several shows in famous clubs of the time. In particular, their performance at a nightclub Whisky a Go Go earns them a rapid growth of fan base (Stone, 1991). Jim Morison’s occasional improvised lyrics and on-stage antics raise the ire of night club owners. The popularity of the band continues to escalate, nonetheless. The movie does not give viewers the true picture of what made Morrison tick in his age and time. Even though the movie did a lot of staff the right way, the director left out a lot of positive moments in Jim Morrison’s life. Stone concentrated on the ugly moments Jim portrayed miscalculated actions marred with drugs and alcohol. An instant in the plot of the film that does not correspond to the true life of Morrison include the joining of the ban d by Robby Krieger. In the film, the director portrays Morrison as having the full band from the onset. The members included Robby Krieger. In real life, Robby Krieger joined the Door many months after the band began. In addition, Jim asks the bartender for Dos Equis. This was ages before the brand was imported into the United States. The drink was imported into the states for the first time in 1973. While taking a shower with Jim in New Haven, Connecticut, Patricia mentions that Jim attended University of Florida. In real sense, the artist attended Florida State University. Misconception in Characterization Screenplay of the Door is based on real people and events. Even though a number of the episodes explored in the movie are based on the lives of the people, some instances portray the visions of the director and dramatized events. An example of the dramatized events in the movie is the moment Jim is asked to change the lyrics of his famous song, Light my Fire. This special reques t for appearance on the Ed Sullivan Show depicts the artist as a blatant, non yielding individual. The movie depicts the artist as a defiant man, shouting the word â€Å"higher† on TV. In reality, Morrison had shouted the word â€Å"fire† during his lifetime. During his lifetime, Morrison had clarified that the incident was meant to change the lyrics of his song during a live TV performance, but was too nervous to make the change

How Attractive is the Keurig System in the Office Coffee Market Assignment - 1

How Attractive is the Keurig System in the Office Coffee Market - Assignment Example The data was collected from these test locations and from the feedback that was received from the office, as well as from the different facility managers in these locations. As per the feedback received by the Keurig company, these managers had mentioned that the OCS was considered to be a wonderful type of benefit, which they were able to provide the company staff and this created a better atmosphere in the entire workplace. Indeed the office managers were really positive regarding the performance and the benefits that the coffee machine placed by the Keurig Company since now they feel that the staffs enjoy the coffee breaks because of the in-house availability of the coffee. In addition to this, the company is also able to save valuable office time with the OCS machines, since the staff would otherwise be wasting precious time by taking coffee breaks outside the organization, at the nearest coffee houses. The flavor offered by the Keurig’s coffee machines was also quite acceptable to the staff since there was a total of eight varieties of flavor. Apart from this the marketing team at Keurig maintained that the use of the OCS coffee machines would lead to lowering the wastage levels of the coffee, that would have otherwise been washed off the drain due to the flavor problems, incorrect type of brewing, or because the coffee becoming stale. In addition to this, the OCS machines could be easily cleaned and maintained quite efficiently. The company also marketed what was popularly called as the K cups. Thus as per the company management, it was decided that the company would market and sell both its brewers as well as the K cups through its regional distributors to the offices. Thus the Keurig company was very successful in this market segment since there was approximately a total   1,700 of the OCS distributors and each one of them was able to achieve a whopping sales of $1.4 million.