Cultural Diversity Essay

Cultural diversity is a big part of the community I was raised in and apart of today. Many people spend their whole lives surrounded by one race or culture, but I grew up surrounded by many. Having been raised in a society influenced and shared by so many different races, I had very little idea about what or why racism existed in the world. Having never been taught and seeing very little racism growing up I believed benefited me, today and benefited my future. Today being in the Marine Corps I am surrounded by different races and knowing one day my life could rest in their hands I respect them for who they are not what color they are. Martin Luther King once said â€Å"Men hate each other because they fear each other, and they fear each other because they don’t know each other, and they don’t know each other because they are often separated from each other.† If the rest of the country had been raised in a military lifestyle then I believe racism would be all but extinct in the United States. Sadly racism is not only intertwined with the United States past but also with its present and its future. Racism has been part of the history of the United States, and helped create this country as we know it today. Racism not helped shaped the United States and infiltrated every aspect of American society while showing no signs of decreasing. Many people view racism as an evil minded treatment of one individual to another. This is not a correct assessment though, and would be more easily understood if it was viewed more accurately, an institutional ideology. The reason racism is allowed to subsist because governments and institutions foster and maintain racism. Even when these governments and institutions determine that the practices of a particular group of people are racist, individuals at the top of these hierarchical organizations are hard pressed to bring about change. To understand how racism relates to us in the United States today, one must understand the real definition of racism. â€Å"Racism is the belief that one group of people with a particular biological make up is superior to other groups with a differing biological make up.† So one could infer that the groups deemed superior gain economic and social dominance over the other cultural groups that are deemed inferior, even with the many strides that have been made over decades to mend the situation. An excellent example of a country that has made those strides and still lack racial reconciliation is the United States. From the bus boycotts in the fifties, to the sit-ins and marches in the sixties one could assume that these would be the starting steps to improvement. While the United States was mending the hatred and racism between black and whites another type of racism was creeping its way into American society. Today racism has taken a new face, one that has become multi-coloured and multicultural. To be able for the United States to keep a culturally diverse appeal new legislation and laws are being written against discrimination. Affirmative action has been taken to allow equal opportunity for employment, housing, and even in the military. Television and movies have had to change their format and even some of their characters in order to obtain political correctness. Even with so many fighting for change, there will always be the ancient invisible barriers blocking the few who are looking to main the status quo. Even with so many people trying to seek improvement for this country, it cannot happen unless every individual is working to abolish racism. There is racism in every facet of life no matter who someone hangs out with, or who someone even works for. Being in the Marine Corps I see different races every day, and work with different races every day. Mission accomplishment is the number one goal of the Marine Corps, so when a job needs to get done every one does their part of their job and race is not an issue. That is the way my career has gone so far, so when I read an article about racism in the Marine Corps it shocks me. New websites and social networking sites are being created all the time. A new social network website was created with the logo â€Å"online community for whites by whites†, so it was a social website for only white people. Out of the many number of people who have made a profile there have been about forty personal profile that have listed the military as their occupation. Out of those forty a number of them are wearing their military uniforms in their profile pictures. Even more disturbing a number of the military members have poster racial slurs and racial propaganda. One member states that he â€Å"hate(s) illegal immigrants with a passion and feel(s) every true red-blooded, white American should do whatever it takes to stop the foreign invasion.† While another lists The Turner Diaries, which is a white supremacist novel, as his favourite book. It is important for members of the armed forces to not participate in these types of websites or groups. The first reason not to participate in these organizations is the Pentagon has regulations in affect that prohibit active duty members form participating in extremist groups. The second reason is those racial extremists who serve in the military could be inadvertently training future domestic terrorists, and the United States does not need any more terrorist on her soil. A solution for this problem would be senior military members mentoring their junior service members on the dangers of becoming involved in these organizations. Being in the United States Marine Corp I have many close friends that are from different countries in the world. One of my close friends is from the Philippines, and has a very strong accent when he speaks. Sometimes he gets his words confused and does not make any since when he speaks. Marines tend to point out these faults, not just with him, but with many other Marines that are from different countries and have trouble speaking English. My friend does not believe that his fellow Marines are being racist, but are just having a friendly poke at him. Marines do not mess with only a few Marines, or the Marines from other countries, but every Marine. It is not because we are racist, or are a mean group of people, but picking and jibing on one another is just the way that Marines bond with each other. When my friend says that he is getting picked on, yes it sometimes hurts, but in the end it makes him feel like he is part of the family. If Marines are not being picked on they are usually secluded and out of the Marine Corps family. Racism is wrong and should not be used for any reason, even to bring people together. Racism may start with a good reason, but the final product will fester into an infection that could spread and destroy a family within a short time. Racism is in this world to stay whether people like it or not. Individuals believe that if they spread the word about the dangers and negatives of racism then it will cease to exist, but that is not the truth and will never happen. As long as we humans exist and have emotions, the knowledge of right and wrong, and pride there will be crimes. Whenever a person graduate’s high school as valedictorian or an athlete becomes the fastest man on the planet, stereotypes will follow. Crimes, education, athleticism all turn into a stereotype and stereotypes are a form of racism. Racism is one of the things that drive our great country, and create some of our countries greatest works. Racism is what helped form and mold this country into what it is today. Without racism then this country could be one of a single culture, there would be no freedom to branch out and try new diverse things. The dangers of bringing so many different cultures into one space are there, but I believe the good thing we bring to the table References Vardell, M. (1998). Cultural diversity. Retrieved from http://www.markvardell.com/quotes.htm. Associated press (2009). Congress asked to address racism in military. Retrieved from http://www.msnbc.msn.com/id/31854789/ns/us_news-military/t/congress-asked-address-racism-military/#.Tr3ZM4LSRkY AllAboutPopularIssues (2011). The History of racism. Retrieved from http://www.allaboutpopularissues.org/the-history-of-racism-faq.htm

Educational Nursing Strategies: Prevention of Elder Abuse and Neglect

Canada’s population is ageing. Along with the increasing population of elderly, the rate of abuse and neglect in long term care facilities has risen proportionately, and nursing practice is presented with formidable challenges that call for prevention of elder abuse.Recent studies in the literature on elder abuse and neglect emerge with consistent inferences that primary care workers in long term facilities are complicated by an understaffed and unprepared workforce that lack the specific knowledge and training to successfully prevent and report elder abuse and neglect. The purpose of this paper is to explore the strategies to improve reporting, increase awareness, and manage elderly abuse in long term facilities.IntroductionStatistics Canada (2005), â€Å"predicted a substantial growth in the senior population in Canada from 3.5 million people in 1996 to 6.9 by 2021.† The aging population is growing globally, and â€Å"society places great demands upon the health care system to meet the needs of elder persons† (Zamaal, 2006, Pg 2.).Statistics Canada (2007), reported â€Å"more than 150,000 Canadian seniors are now living in residential care facilities† (p.16). An already overwhelmed healthcare system with a critical nursing and staffing shortage now faces the special needs of a continuing growing population with specific and substantial needs.As Canadians increase their life spans, the demands placed on institutional facilities to deliver quality care of elder residents becomes critical in educational and training planning (Zamaal, 2006, p.5). Abuse of older people is a complex phenomenon which in some instances will require complex prevention and management strategies (British Geriatrics Society, 2002, p. 313).The dependence of an elderly person can increase her risk to violence by causing a strain on family relationships that escalates as the older person becomes more vulnerable and requires more care. â€Å"At the very core of a buse is this fundamental loss of respect for older people andtheir resultant vulnerability† (British Geriatrics Society, 2002, p. 313).Many victims do not report the abuse from families, and the problem is complicated with their dependence on the perpetrator, especially if the abuse comes from an adult child, friend, or persons held in a trusted position (National Counseling on Ageing and Older People, 2006).According to a study (Wolf, 2004), a qualitative survey of Canadian elders showed that 4.0 percent of older adults surveyed had been abused at some time by a family member or caregiver (p. 39).According to the National Advisory Council on Aging (2006), â€Å"Canada’s abuse and neglect of the elderly are thought to be seriously under-reported, so statistics are unreliable, due to surveys that capture only what the victims want to disclose, while police data reveal only the abuse that comes to their attention.†

The four principles that should guide business negotiations Essay

The four principles that should guide business negotiations - Essay Example By applying these policies in business negotiations, one can be capable of satisfying the requirements and needs of consumers more adequately. For example, the first policy demonstrates that by understanding what a consumer needs one should be able to specifically manufacture what is needed by the customer and this eases negotiations between both parties which eventually ensures that the communities’ needs are met (Weiss and Hughes, 2012). The second principle shows that when you as a producer offers a wide range of products or take into account your consumers opinions, you enable the consumers to have the freedom of choice which ensures that they are able to choose wisely and adequately on what suits them best. The third policy explains that one should be able to provide accurate information about the product he is selling to the consumer and these lessens their questioning during negotiation which in the long saves on time and ensures that others are served in the business premises. Lastly, the fourth policy illustrates that when one is able to agree with the consumer on the product chosen they both ensure that a fair agreement has been reached since the consumer’s needs have been met, and these enables more service to the community since you meet their

Beauty & Love Research Paper Example | Topics and Well Written Essays - 1000 words

Beauty & Love - Research Paper Example Other studies have revealed that appreciating moral beauty by a person leads to moral emotion elevation. Nevertheless, a point of contradiction lies between the two terms; moral beauty and moral good. The two terms though used interchangeably may refer to different perspectives as applied in varying disciplines. For instance, while the moral beauty elicits emotions in psychological fields, the moral good only elicit satisfaction in motivation. Therefore, the commonality of the broad subject of moral beauty lies in the appreciation of charity, courage, self-sacrifice kindness, as well as loyalty (Diessner, Rust, Solom, Frost and Parsons 304). History and philosophy illustrates that the discussion of moral beauty arose from early civilization stages. Two main schools of thought tried to understand beauty from the point of rationalism as well as from intention perspective. Reason alone is the sole origin of moral beauty as according to the rationalists while the sentimentalists held tha t the beauty was partly understood from sentiments. Nevertheless, from the two approaches, one thing that sticks out is that morality can be explained from the perspective of rationality and or the perspective of sentiments. It is pegged on the understanding of what is good or bad as is initiated by the process of socialization. The analogy of morality and beauty is thus inseparable from the attributes of natural appearance as well as the judgment through virtues (Gill, 16-20). Lewis in his great writing about the ‘four types of love’ appreciates the supernatural being of god who through his own way created all things that we perceive, seen and...Using some points of view of many philosophers the paper makes a conclusion that they have carried out extensive research studies to define the term beauty. A consensus is that beauty can be interpreted through vast approaches. Natural and moral beauties are appreciated comparatively as the natural beauty holds lots to do with the ‘uncreated’ beauty and as such may allude to the supernatural. Summarizing the paper, we can say that moral beauty is defined differently by people. However, commonality in the definitions hold in that there is appreciation of what is created or made through the judgment of the commonly agreed upon virtues within the human beings’ set up. Moral as well as ethical attributes of the attitude of human beings spell out what morality and beauty is to the people. This paper has found that people define moral beauty in regard to the convergence of the five senses of hearing, tasting, feeling, touch as well as the sight. Beauty is understood in the capacity to appreciate through liking or loving objects. Lewis on his book about love described the various types of love that exist between people; the erotic love, friendship, affection as well as the love of God. Through the book, it is apparent clear that a distinction between loving and liking holds in that loving has aspects of appreciation that links emotional feeling to the feeling. Moral beaut y can therefore be understood in the various approaches and through them all, appreciation is the key attribute.

The role of nursing theory in nursing education, research, and Essay

The role of nursing theory in nursing education, research, and clinical practice - Essay Example Nursing theories help in generating further knowledge in the field of nursing. Though some theories may differ and can be confusing to the nurses, they are all meant to provide additional information to the nurses. Nursing theories are supposed to form the basis of practice, in that they lay down the foundation and provide a framework upon which training is based on. Before the training starts, it is important to bring out some ideas and concepts, which will help the students to comprehend the training process. The theories act as a form of introduction, thus preparing the nurses for the practice (Parker and Smith, 2010). One will find that other professions have theories that help in establishing a unique approach to the different aspects involved in that particular discipline. Since nursing is also a profession, it is important for it to have its own theories that will help the nurses to understand their role and purpose in the medical sector. Nurses need to be recognized in their own profession and this can be achieved by establishing a unique body of knowledge and concepts. Therefore, nursing theories play a role in establishing the professionalism in Nursing by providing a different approach to health care and treatment from the one used by doctors. They play an important role in creating a boundary between medicine and nursing. They help in defining a nurse’s role in the hospital, medical field, or medical practice (Ahmad, 2010). Nursing theories play a role in reinforcing nursing practices for they provide education required in treatment and care of the patients. They help the nurses to understand why a certain procedure is carried out in a certain manner and help the students to react in an appropriate manner when faced by a particular situation. By providing the education needed, the nurses are able to carry out the actual practices that their nursing

Speech Recon Assignment Example | Topics and Well Written Essays - 250 words

Speech Recon - Assignment Example It is not unreasonable to assume therefore that in the future advanced speech recognition software will govern more and more of our common day to day activities (Li, 2004). One particular aspect that it is likely to replace is the job of the drive thru order taker. Everyday, tens of thousands of orders are placed and received by a human being; however, the fact of the matter is that there is no reason why speech recognition software would not be capable of doing the exact same task. Further, technical support automation is already something that has experienced a great deal of success. As such, it would not be a stretch to assume that at some point, calling your banking institution, cell phone provider, or electrical company could all be handled by speech recognition software; with a human only acting as a last resort back up for very complex and convoluted issues. Authors and futurologists have long feared the time in which computers/robots will take over a high number of jobs from humans; thereby stripping humanity of its wherewithal and ability to perform certain functions on their own. In the same way, having voice recognition software conceivably performing a majority of customer care/relations jobs will doubtless have a negative effect on consumer satisfaction as the consumer feels as if their business is unworthy of the time it would take a â€Å"real human† to answer their questions. In the end, the technology in and of itself is not a bad thing; however, its application if overused is troubling for the

Singapore and Its Legal System Essay Example | Topics and Well Written Essays - 750 words

Singapore and Its Legal System - Essay Example Some of their beliefs have influenced the way the country handles issues to do with discipline and the respect for nature, and has differentiated Singapore’s laws and rules from those of other countries like Australia. People say that Singapore has fine cities because of their fines, but it is really more of common sense and good etiquette. Tan (2007), highlights that â€Å"the most powerful judicial institutions in Singapore is made up of Supreme and subordinate courts†. The president does appointment of judges in Singapore, and the prime minister recommends other judges after consultations with the chief justice. Specialist judges were appointed to the bench in the year 2006, drawn from legal practitioners and academia with an aim of supplementing expertise to the subordinate courts (Tan & Chan, 2007). However, since 1992, capital offences trials have been heard and addressed by a single judge after amendment of the constitution. Capital punishment is still legally in force in Singapore, and offenders are executed according to the laws of the land. The United Nations terms the executions in Singapore to have the highest rates in the world, which are executed by hanging at down on Friday. The practice of capital punishment in Singapore was borrowed from Britain since Singapore was a British colony, and this is different from what other countries in Europe, America and Australia do(Tan & Chan, 2007). The legal system in Singapore includes the common law and higher courts decisions are binding to other less status courts. The judiciary system is made up of â€Å"the court of appeal, the high court, the constitutional tribunal, the subordinate courts, the district and magistrates’ courts, the small claims tribunals and the family courts† (Tan & Chan, 2007). â€Å"The court of appeal is the highest court,† and is mandated to hear civil and criminal appeals, which come from the high court and other subordinate courts (SamSim, 2007 ). The high court in Singapore comprises of judges who have security of tenure and contracted judicial commissioners. The high court in Singapore has powers to hear civil and criminal cases and their appeals. In addition, the high court has specialist roles of specializing in arbitration cases. The constitutional tribunal was founded in the Supreme Court with jurisdiction of hearing cases and issues that the president refers on the effect of provisions of the constitution (SamSim, 2007). All other courts and small claims tribunals in the country make up the subordinate courts. In addition, there are criminal and commercial civil courts that were established under the subordinate courts and they deal with business transactions and complex cases (SamSim, 2007). The district and magistrates’ courts both have equal powers over jurisdictions such as claims on debts, damages, and monies recovery actions. Their difference is on the monetary limits jurisdiction of each, and the power s on criminal sentences. The small claims tribunals are courts that have jurisdiction on small claims cases with $ 20,000 limits, and they offer faster and cheaper administration of justice (Tan & Chan, 2007). Finally, there are family courts which have jurisdiction on divorce, maintenance child and property custody and adoption cases. There are various laws and rules observed in Singapore in order to avoid legal actions and penalties. However, some of these laws and rules are

Drawing from either transactional or transformational leadership Essay

Drawing from either transactional or transformational leadership theories, critically reflect on the main differences between a - Essay Example He divides a manager’s duty into five primary functions that are planning, organising, commanding, coordinating and controlling, which in the 1900s, commanding was an accurate description of the relationship between a manager and the subordinates. On a practical perspective, managerial decisions form complex decision functions and especially when leading is one of them as it is such a complex matter. Managers as well as leaders have to take into considerations some important aspects that include goals/outcomes that need to be accomplished. The goals to be met need to be included in order to meet the challenges and gain full advantage of opportunities as well as set the stage for consideration of approaches to situations. Communication with internal and external stakeholders should be effective to prepare way for other people to become involved and for effective responses to questions that may follow. Ensuring the participation of those who can and should contribute to decision s and plans is a key component as well as the highest competence in all the activities being carried out. It is also expected that the shareholders and staff members as well as others feel satisfied with decisions and hence achieve the highest levels of cooperation and coordination. Norms are important in an organisation as they affect ethics and diversity. Finally the need for performance reviews cannot be left behind as they are a significant factor in the evaluation of critical decisions. Discussion on management and leadership Godfrey (1994, p.58) asserts that it is human nature to wish to sojourn comfortably in an adequately feathered nest but the world is restless and change is imperative. The skilled manager will accept this and, against all the inertia, work to cope with and to improve all that lies before him and he must accept that â€Å"stability† may not be his – but successful survival can be. It is useful for managers occasionally to review their attitude s and experiences and this article attempts to assist that process. It is couched in general terms so as to be as widely helpful as possible, irrespective as to whether the matter in hand is as it is a truism that any action of management may be badly planned, or otherwise mishandled, almost without being noticed by anyone until it is too late. But much management activity has always been and still is inadequate in some aspect, mainly because of the decay of old-fashioned virtues – â€Å"business acumen† is one that is often in very short supply. In any management situation the agenda for operation must be set as to what is involved; what is to be done and how is it all to be improved. The good manager will realize from the outset that it may be not only staff skills, available capital, business field, market complications and so on, but also management limitations which restrict his operations – and these are in his own hands. These limitations often surface as inadequate consideration of alternatives in the market, in associations such as with third parties, in technicalities, in the financial approach and in staff deployment. A promising activity can be sunk by insufficient attention, or perhaps by traditional attitude-taking, in any of these elements – all of which betrays an unwillingness to think things through with an open mind: not trying to be continually inventive, but nevertheless being always alive to new opportunities in every

International Business Finance Research Paper Example | Topics and Well Written Essays - 2000 words

International Business Finance - Research Paper Example re liable to pay the interest at the pre-determined rate throughout the tenure of the bonds and repay the face value at the time of maturity which means there is no question of incurring loss for the investors out of investing in such financial instrument (Burger, Sengupta, Warnock and Warnock, 2014). However, in recent times it has been noticed in Europe that in some countries such as Denmark, Germany and Switzerland, the government bonds as well as corporate bonds are yielding the investors a negative return. To be more specific, such negative yields are not inflation-adjusted returns; the bonds are simply yielding the investors less than their capital (Ivashina and Becker, 2015). Therefore, the research paper will aim to investigate regarding credibility of bonds as a financial instrument, their buyers and the factors that may influence such investor to purchase bonds even with negative returns in order to find out the rationale behind such negative return and to identify buyersâ €™ motivation behind purchasing such bonds with negative yield. For the purpose of analysis, relevant economic theory that may justify the reason behind buying bonds with negative yields shall also be incorporated. Traditionally, bond is considered to be one of the most secured investment options among all other financial instruments available in the financial system. Dann (2005) has defined financial instrument as a mechanism that institutes a contractual right between the borrower and lender to receive and deliver some of money. Bond is a financial instrument that establishes a indenture between the two parties: bond holder and issuer. The indenture specifies that the issuer will pay a fixed or variable rate of interest during the whole life of the bond and will refund the principal amount at the time of maturity (Maginn, Tuttle, McLeavey and Pinto, 2010). Bonds can be of various types such as fixed and floating rate of bonds, zero coupon bonds, perpetual bonds, inflation-index bonds

Mythic proportions Essay Example for Free

Mythic proportions Essay Linton Heathcliff is a contradiction in terms. His name signifies the unnatural union between Heathcliff and the Lintons or between passion and convention and his sickly nature demonstrates the impossibility of such a union. In Linton both love and convention emerge as corrupted by each other. He is described as a pet, a puling chicken and a whelp. Like both his parents, however, Lintons view of the world is singular, and it is his inability to see it in any way but his own terms which renders him absolutely available for manipulation by Heathcliff. Hareton Of his generation, Haretons character is perhaps the most intriguing, reversing the comparative lack of interest we feel for his father, Hindley. Hareton is brutalised by Heathcliff, structurally repeating Heathcliffs own suffering at the hands of Hindley. Haretons relationship with Cathy has similarly been read as mirroring Heathcliffs with Catherine, in as much as he is desirous of impressing her, and he is proud in her presence. His love of Cathy, however, might be said more closely to resemble Edgars love of Catherine in as much as it is moderate yet tender, devoted yet restrained. Hareton also exhibits an unwavering love for Heathcliff, in spite of the ill-treatment he has received at his hands. Like Catherine, Hareton is constant in his initial affections, and when Heathcliff first arrives into his life they form an alliance against Hindley. Although Haretons name is inscribed above the door of Wuthering Heights, his inability to read, coupled with the repetitious doubling of names and signatures, means that he fails to inherit his rightful property. Hareton is dispossessed by Heathcliff, but can also be seen as a rewriting of Heathcliff, a surrogate or symbolic Heathcliff. The development of Haretons characterisation revolves around his education. He is initially nursed by Nelly, the novels surrogate mother, and under her tuition he begins to learn his letters. However, left to the ministrations of his dissolute and unpredictable father Hindley, Hareton grows wild and uncultivated, unable to read, and with no social skills. His attempts at self-improvement are the source of mockery and derision by Linton and Cathy, and it is not until the end of the novel that he is able to acquire the skills necessary for him to achieve social status with Cathy and come into his rightful inheritance. The domestic romance which typifies the final union between Cathy and Hareton may well resolve some of the conflicts that thwart the other relationships in the novel, but their union lacks the grand passion, the wild power of the original love between Catherine and Heathcliff. Cathy Structurally the second Cathy can be seen as revising her mothers story. She achieves her identity at the price of her mothers, and Edgar always differentiates her in relation to the first Catherine, whose name he never diminished. Unlike Linton, who has the misfortune of inheriting the worst of both his parents, Cathy appears to have inherited the best from both of hers. Nelly sees Lockwood as a possible escape route for Cathy should he be induced to fall in love with her. We are privy to reports of Cathys pride, and her insensitive mockery of Haretons lack of formal knowledge. The revolution of the novel in which she and Hareton form their attachment is something of a mythical resolution, a romantic conclusion which transcends the central conflicts of the novel to restore a traditional novelistic plot of courtship and marriage. Cathy and Haretons relationship restores to the novel and version of domestic bliss that was the Victorian ideal, but it is well to bear in mind that Brontes is a version in which Cathy clearly has the upper hand. Nelly Nelly Dean is the second and dominant narratorial voice in this novel. She takes up the story from Lockwood and gives it both substance and credence. Lockwoods inability to read the signs of the culture in which he finds himself cannot sustain the story, though it acts to remind us that all narratorial voices, including Nellys, are partial. Nelly Dean is a local, and has known each generation of the Earnshaw and Linton families. She is therefore well-placed to offer Lockwood a commentary upon the events she describes. Her position of servant is differentiated from that of that of other servants, both in terms of the fact that she appears to move effortlessly between the two houses, mediating between their differences, and in terms of her voice. Nelly Dean does not share a regional dialect with the other servants but she understands it perfectly. She also emerges as an educated woman, having read most of the books in the library at Thrushcross Grange the house of culture and in having experienced the vicissitudes of Wuthering Heights the house of nature. In keeping with her dual roles, Nelly has two names, Ellen, her given name which is used by those wishing to accord her respect, and Nelly, the name her peers and familiars employ. Nelly is one of the most interesting characters in this novel, not least because of the language she uses. She occupies a unique cultural position in this novel. She has access to a range of discourses that might be considered beyond her ken in terms of her position as a family servant; yet as the central narrator Bronte presents her as a speaking subject, partially excluded from culture but nonetheless positioned so as to be able to comment upon it. Nelly acts as a surrogate mother to many of the motherless characters in this novel: she brings up Hareton for the first five years of his life; she cares for Cathy from birth through to her marriage to Linton; she regrets the brevity of her charge of Linton, which is forced by circumstance; and she acts as confidant and advisor to Catherine and Heathcliff. She also acts as a mother-figure to Lockwood as she nurses him back to health. As surrogate mother Nelly provides food and moral sustenance to her nurslings. Nelly Dean is most carefully, consistently and convincingly created for us as the normal woman, whose truly feminine nature satisfies itself in nurturing all the children of the book in turn. This reading of Nelly as the mother-figure alerts us to another of her roles, for Nelly is a mother goose, the teller of this fairytale, the keeper of its wisdom. The name might also be a corruption of Mother Gossip. Both of these definitions are pertinent to the figure of Nelly, since the knowledge she conveys is at least twofold: it is about womens experience, and it is about the nature of love. Nelly knows that her story has to entertain and ensnare us. Yet her voice is rooted in the realist narrative. With her love of a well-brushed hearth and gleaming copper pans, Nelly weaves for us a fairy tale of mythic proportions. Given our narrators sympathies we are inevitably drawn to the novels celebration of passion, and find the strictures of its dominant discourses of marriage and religion as stifling and incomprehensible as do its main protagonists.

Consent Treatment Children

Consent Treatment Children This assignment will be an in depth exploration of consent to treatment in children as an issue affecting practice .An analysis of both ethical and legal perspectives relating to consent to treatment will be explored and the possible solutions will be highlighted .In ethical issues the following will be looked at : autonomy ,beneficence, non-maleficence and justice. The legal issues such as duty of care and decision making will be analysed .The parental and professional responsibilities and their implications will be dealt with. The attached scenario examines some of the ethical and legal issues that may arise concerning parental decision making regarding surgery on children. It uses two cases, each of which raises issues concerning childrens competence to be involved in decisions; the notions of best interests and best health interests; how interests are related to wishes and welfare the role of parents in assessing best interests and parental rights in deciding for their children.T he scenario is attached on appendix 1 1.Ethics is relevant to clinical, practice-based issues and it affects all areas of nursing practice. It is concerned with right or wrong although agreeing on what is right can be challenging (Chaloner 2007).Ethics and law are closely related 2.In the healthcare practice the Utilitarian ethics (Bentham 1748-1932 and Mills 1806-1873 and the Deontological theories cited by Cooke and Hurley (2008)are commonly used to resolve moral dilemmas. The two theories take opposing views about the rightness and wrongness of acts and decisions. Patients are individual persons with their own opinions and aims in life, which require them to act intelligently in what they do. In order for them to act intelligently they need to be allowed to make their own decisions and given the right information. Deontology is a theory that says decision should be based on whether or not an action is morally right with no regard for the result or consequences. Utilitarianism is a theory that is bases decision on the greatest good for the greatest number (Videbeck 2006). Autonomy is the principle of self determination, freedom of choice or being your own person (Parker and Dickenson 2001). Chaloner (2007) viewed autonomy as the idea of moral reflection, for example choosing your own moral position and accepting responsibility for the kind of person you are In agreement with above definition ,Hendrick (2004) equated autonomy with integrity, dignity and independence and identified it with qualities such as self assertion and critical reflection .Autonomy literally means self rule. Respect for autonomy demands that healthcare professionals respect autonomous choices made by patients and that patients are not deceived about their diagnosis (Brazier 2003).For example the nurse respects the client’s autonomy through patient’s rights, informed consent and encouraging the client to make choices about his or her health care. Videbeck (2006) defined the principle of beneficence as one’s duty to benefit or to promote good for others. Maclean (2001)viewed beneficence as a positive obligation to provide and to balance benefits against risks and costs . From a nursing perspective the responsibility for the patient’s well being and avoiding actions that are detrimental to them as laid down within the code of conduct Therefore the principle of beneficence supports the obligation to do good. Nonmaleficence is the requirement to do no harm to others either intentionally or unintentionally(Videbeck 2006).It requires that one should not inflict harm to others .Contrary to beneficence ,nonmaleficence is a negative obligation which can only occur through an act of commission to inflict harm on others as opposed to an act of omission even when such an act of omission results in harm to another person. Justice refers to fairness ,that is treating all people fairly and equally without regard for social or economic status ,race ,sex, marital status religion or cultural beliefs (Stauch et al 2006, Videbeck 2006).The above principles have a significant in meaning in health care. Therefore the nurse can minimise the risk of lawsuits through safe competent nursing care and accurate documentation. For instance ,the clause of the Code of Nursing and Midwifery Council (NMC 2008) states that nurses have a duty of care to their patients who are entitled to receive safe and competent care. 3.Consent refers to the right of the individual in law to determine what shall be done to his or her body (Rodger 2000).This statement is supported by Griffith (2004) who clarifies that consent is a state of mind personal to the patient where they agree to the violation of bodily integrity. In clinical environment this includes the right of the individual to refuse treatment even if the outcome of this is detrimental and may even cause death. For consent to be valid in law a patient must be capable of making that decision (Tingle and Crib 2003). Dimond (2005) explains how capacity to consent was established in a case where a judge suggested a three part test to determine whether a patient possessed the capacity to consent :the patient must understand and retain the relevant information, he must believe in it and be able to weigh this information in the balance before reaching a decision (McHale and Tingle 2004).However this process should be free of any duress. The practical significance of the law of consent is that it encourages a patient’s trust , co-operation and confidence and it protects the practitioners from criminal charges and civil claims whey they treat patients. Failure to obtain consent may result in legal action or disciplinary procedures against the practitioner by their regulatory body (Rodgers 2000). Rational for choice. Children and young people are believed to be incapable of weighting the risks and benefits . Children, because of age-related reasons are a vulnerable population and protecting their health is a social ,scientific and emotional priory (Merlo et al 2007).They are considered to be vulnerable subjects with whom special protection is needed. The Mental Capacity Act (2005) concurs with above by providing a statutory framework to empower and protect vulnerable people who are not able to make their own decisions. The dying, the aged who may be unable to comprehend the implications of treatment and the mentally ill or those with learning disabilities all fall into the category and are considered to be vulnerable. The Nursing and Midwifery Council (2008) clause 3.9 informs the nursing staff of their professional duty towards children in the matter of consent and maintains that nurses must be aware of the legislation and the local protocols. In the Royal Bristol Infirmary Inquiry ,Kennedy (200 1) highlighted that some of the recommendations were that the parents and the public should be included in decisions about their treatment and care of their children. Ibid (2001) suggested that for the future, children in hospital must be cared for in a child-centred environment, by staff trained in caring for children and in facilities appropriate to their needs. In the modern era, the ethics of nursing has shifted more toward the promotion of these rights and the duties of the nurse (McHale Gallagher 2003). This principle was identified previously in the Patients Charter: Services for Children and Young People (Department of Health, 1996) which highlighted the rights of children and young people to be involved in choices about their care and treatment. In order to design and deliver services around children and young people, their voices need to be heard and their perspectives acknowledged. Legal consent rests on the competence of the individual while the ethical aspects of consent are concerned with the respect and autonomy of the individual (Tschudin 2003). 5.Identify legal aspects make links with ethical concepts under discusion The present age of consent in children was established in the Family Law Reform Act 1969 (Dimond 2003) .Section one of this act gives a young person of 16 or 17 the statutory right to give consent in their own right, without also obtaining from their parents .A paternalistic decision must be made to protect the children from any harmful consequences, as the nature of medical decisions is complex( Chadwick and Tadd 2003). Recently there has been a growing recognition of the rights of children, backed by legal instruments such as the United Nations Convention on the Rights of the Child 1989 and, in the UK, the Children Act 1989.Also the International Council of Nurses (ICN 2007) advocates for promoting the rights of the hospitalised child, including parental involvement in caring for the sick or institutionalised child or the child being cared for in the community. These represent a shift from a highly paternalist view to a more rights-based approach in recognising the rights of children to adult protection alongside a right to participate (Parekh, 2006).Children do have rights as enshrined from the international and national legislation. For example the United Nations Convention on the rights of the Child (1998) advocates for the rights of every child to self determination, dignity , respect, non-interference and the right to make informed decisions. The European Charter for Children in hospital (1988) states that children and parents have the right to informed participation in all decisions involving their health care. The legislation asserts that every child should be protected from unnecessary medical treatment and investigation. The Children Act 1989 insists that children’s wishes and feelings should be incorporated into the decision making concerning them. As observed in practice the tension between respecting and promoting children’s autonomy and recognising that often children need protecting from harm is not the one that can be easily be resolved.. DECISION MAKING PROCESS Ethical decision making is a rational way of making decisions in nursing practice. Decisions cannot be made in a scattered, disorganised way based on entirely on intuition or emotions. Wrong decisions are made because they are often made in haste, and may be based on past experience rather than new situations. Sometimes they are made without consultations and may be over-analysed (McGuire 2002).In making clinical decisions McGuire( 2002) agreed with Aiken (1994), six step process which is divided into six levels: identify, analyse data (2) State the dilemma (3) consider the choices of action (4) analyse the positives and negatives of each course of action (5)make the decisions (6) evaluate the effectiveness of the decision. With regard to the Children Act 1989 ,parental responsibility includes the right of parents to consent to treatment on behalf of their child provided that the treatment is in the child’s best interest (BMA 2005). However , in practice there can be conflicting obligations and ethical dilemma ,if the practitioner does not believe that the parents are acting in the child’s best interests. It was felt that Danny’s parents were not acting in his best interests. The practitioner can apply to the court for assistance under section eight of The Children’s Act 1989 to prohibit the parents from exercising their parental responsibility(McHale and Tingle 2004). Children under the age of 16 are not regarded automatically and legally competent to make decisions about their health care .Danny is below the age of 16 and his parents have the power to consent. However, they have refused to give consent and the given scenario is that Danny’s life is at risk. The healt h care professionals have the right to act in the best interest, Dimond (2003). If the nurse considers that the child may be exposed to significant harm as a result of the parents refusal of consent , then section 47 of the Children Act 1989 places a duty on the local authority to assess the situation and to decide the best way forward (Pocock 2003). In this scenario of Danny the actions of the nurses are consistent with the principle of beneficence. The principle of beneficence requires healthcare givers to strive to promote the interests of their clients by conferring benefits upon them (Maclean 2001).The ethical principle of nonmaleficence is executed for instance when the nurses consider that the patient may be exposed to a significant harm .The National Institute for Clinical Excellence (NICE 2006) suggested that treatment and care should take into account patients individual needs and preferences. Good communication is essential, supported by evidence-based information to allow patients to reach informed decisions about their care. However, Danny is considered to be competent to give valid consent because he had demonstrated a level of competence equivalent to that of adults since he understood what is proposed (Department of Health, 2001). Kennedy and Grub (1998) cited by Griffith (2004) argue that for children to have ful ly autonomous they pass through three developmental stages :the child of tender age ,the Gillick competent child and children16 and 17 years old. This ruling came about as a result of the legal case Gillick v. West Norfolk and Wisbech Area Health Authority (1986) AC 112, which challenged the legal right of a medical practitioner to provide contraceptive advice and treatment to girls under the age of 16 without the consent of their parents (Mason and Laurie 2005). After lengthy legal proceedings, this trial was taken to the House of Lords. The Law Lords found in favour of the Health Authority. The key concept is that the child has the capacity to consent which has been referred to as Gillick or Fraser competence (DoH 2001). The Gillick Decision defined competence as the ability to understand information about the proposed treatment ,its purpose ,nature, risks and likely side effects(Shaw 2001).Although Danny’s parents had declined to give consent his behalf ,by law he was permitted to give his own consent. Danny was deemed ‘Gillick’ or ‘Fraser’ competent since he met the criteria laid down in th e assessment of capacity. He had demonstrated the he found out the benefits of the operation and that he could retained the information enough to relate it to the healthcare professionals involved. The principles of nonmaleficience and beneficence in nursing practice can lead to paternalism as pointed out by (Beauchamp and Childress 2001).The Children Act 1989 stipulates that parental responsibility includes the rights of parents to consent to treatment on behalf of their child provided that the treatment is in the child’s best interests(BMA 2005).This view of children’s rights in relation to autonomy and consent to treatment assumes that children are incompetent. However this paternalistic view does not consider the ethical principles of self-determination and autonomy of the child as laid down in the children Act( 1989) and the United Nations Convention on the Rights of the Child (1989).Consent in children also relies on the ethical principle of justice, which requires equal treatment for all with no discrimination on the basis of age. The National Service Framework for Children, Young People and Maternity Services (DoH 2004) states that there has been a shift i n government policy to respect the autonomy of children. The issue of consent is related to the ethical principle of autonomy , an individual’s ability to make his or her decisions. It requires nurses to respect the choices clients make about their own lives (Hendrick 2000,NMC 2008).The utilitarian view would also support Danny being operated at the time, as it would correct and relieve the pain. Other options open to the nurse were to seek advice from the NMC advice service or to apply to the courts for an opinion in law as it was felt that Danny’s parents were not acting in his best interests. The other solution might have been to encourage Danny to share his feelings with his parents. Role of a Nurse As observed in practice the nurses’s decision about children’s consent can often be influenced by own experiences of parenthood. The Kennedy Report (2001) emphasised the need for specialist training to be given to healthcare professionals who deal with children regularly. The NMC( 2008) states that the nurse has a duty of care to the client. It sets out standards for achieving this duty of care, including obtaining consent from legally competent, informed person who gives consent voluntarily .For the children under the age of 16 awareness of local protocols and further guidelines from the should be followed .Nurses are often uncertain whether they should respect children’s wishes or whether they risk breaking the law (Lowsden 2002).However anxiety about litigation may lead to defensive practice, which is not in the child’s best interests. In order to promote greater respect for the children’s autonomy nurses should keep up date with legal development which may have a bearing on practice .In order to promote a greater respect for autonomy in children , the commonly held attitudes and prejudices about children’s rights need to be addressed through education and relevant training .Consent in children also relies on the ethical principle of justice which requires equal treatment for all with no discrimination on the basis of age .In the document ,the Essence of Care (DoH, 2003) the NHS encourages healthcare professionals to ensure that high quality of care by exploring the benefits of benchmarking .This document focuses on privacy ,dignity and modesty as the cornerstone of freedom and autonomy. The essence of care offers nurses a toolkit for comparing, sharing and reflecting on the best practices, in order to improve care offered to clients(Davies 2003).In agreement with the above section 2.2 of the (NMC 200 8) states that a nurse is accountable to promote and protect patients privacy and dignity. Ensure good communication with parents Nordam et al (2005) considers that good nursing care should involve the knowledge, language and communication between nurses and the members of the multidisciplinary team. Consultation with colleagues to ensure the best possible basis for the professional opinion is offered. Nurses and other healthcare professionals should ensure good communication with parents and as far as possible with the child, since communication is a two way and should attempt to ensure that both parties understand the other’s preferred options and the reasons for these. Therefore co-operation and communication between professionals will improve efficiency as well as promoting a conducive working environment. Renee (2007) supported the above by stating that developing an ethical framework will facilitate making a decision that is beneficial for both the patient and the nursing team. To conclude this assignment I would say that the principles of beneficence ,non maleficence ,justice autonomy and respect are the characteristics which all healthcare professionals should have in order to avoid ethical dilemmas and litigation. Nurses should continue to advocate for patients. The needs and safety of the patients must always come first.

Othello †the Universal Appeal Essay -- Othello essays

Othello – the Universal Appeal  Ã‚        Ã‚  Ã‚   For 400 years the audience has found William Shakespeare’s tragedy Othello to be relevant to their lives and tastes. Why? What enduring qualities does the play possess in order to ensure its continuing success?    Does the reason lie in the great heterogeneity of characters and scenes and actions within the play?   Robert B. Heilman in â€Å"The Role We Give Shakespeare† relates the universality of Shakespeare to the â€Å"innumerableness of the parts†:    But the Shakespeare completeness appears graspable and possessable to many men at odds with each other, because of the innumerableness of the parts: these parts we may consider incompletenesses, partial perspectives, and as such they correspond to the imperfect (but not necessarily invalid) modes of seeing and understanding practiced by imperfect (but not necessarily wrongheaded) interpreters and theorists of different camps. Each interpreter sees some part of the whole that does, we may say, mirror him, and he then proceeds to enlarge the mirror until it becomes the work as a whole (10).    Indeed, the reader finds a wide variety of â€Å"parts† from beginning to end of Othello. This is seen in the fact of about 20 characters with speaking roles; and in their variety of   occupations from duke to clown; and in the numerous scene changes; and in the differentiation in speech, actions, manners between every single individual character.    Is characterization another cause of the dramatist’s broad popularity? Harry Levin in the General Introduction to The Riverside Shakespeare finds other reasons for his appeal:      Universal as his attraction has been, it is best understood through particulars. Though – to our advan... ... Diego: Greenhaven Press, 1996. Reprint from Shakespeare: The Pattern in His Carpet. N.p.: n.p., 1970.    Frye, Northrop. â€Å"Nature and Nothing.† Essays on Shakespeare. Ed. Gerald Chapman. Princeton, NJ: Princeton University Press, 1965.    Heilman, Robert B. â€Å"The Role We Give Shakespeare.† Essays on Shakespeare. Ed. Gerald Chapman. Princeton, NJ: Princeton University Press, 1965.    Levin, Harry. General Introduction. The Riverside Shakespeare. Ed. G. Blakemore Evans. Boston: Houghton Mifflin Co., 1974.    Shakespeare, William. Othello. In The Electric Shakespeare. Princeton University. 1996. http://www.eiu.edu/~multilit/studyabroad/othello/othello_all.html No line nos.    Wilkie, Brian and James Hurt. â€Å"Shakespeare.† Literature of the Western World. Ed. Brian Wilkie and James Hurt. New York: Macmillan Publishing Co., 1992.       Othello – the Universal Appeal Essay -- Othello essays Othello – the Universal Appeal  Ã‚        Ã‚  Ã‚   For 400 years the audience has found William Shakespeare’s tragedy Othello to be relevant to their lives and tastes. Why? What enduring qualities does the play possess in order to ensure its continuing success?    Does the reason lie in the great heterogeneity of characters and scenes and actions within the play?   Robert B. Heilman in â€Å"The Role We Give Shakespeare† relates the universality of Shakespeare to the â€Å"innumerableness of the parts†:    But the Shakespeare completeness appears graspable and possessable to many men at odds with each other, because of the innumerableness of the parts: these parts we may consider incompletenesses, partial perspectives, and as such they correspond to the imperfect (but not necessarily invalid) modes of seeing and understanding practiced by imperfect (but not necessarily wrongheaded) interpreters and theorists of different camps. Each interpreter sees some part of the whole that does, we may say, mirror him, and he then proceeds to enlarge the mirror until it becomes the work as a whole (10).    Indeed, the reader finds a wide variety of â€Å"parts† from beginning to end of Othello. This is seen in the fact of about 20 characters with speaking roles; and in their variety of   occupations from duke to clown; and in the numerous scene changes; and in the differentiation in speech, actions, manners between every single individual character.    Is characterization another cause of the dramatist’s broad popularity? Harry Levin in the General Introduction to The Riverside Shakespeare finds other reasons for his appeal:      Universal as his attraction has been, it is best understood through particulars. Though – to our advan... ... Diego: Greenhaven Press, 1996. Reprint from Shakespeare: The Pattern in His Carpet. N.p.: n.p., 1970.    Frye, Northrop. â€Å"Nature and Nothing.† Essays on Shakespeare. Ed. Gerald Chapman. Princeton, NJ: Princeton University Press, 1965.    Heilman, Robert B. â€Å"The Role We Give Shakespeare.† Essays on Shakespeare. Ed. Gerald Chapman. Princeton, NJ: Princeton University Press, 1965.    Levin, Harry. General Introduction. The Riverside Shakespeare. Ed. G. Blakemore Evans. Boston: Houghton Mifflin Co., 1974.    Shakespeare, William. Othello. In The Electric Shakespeare. Princeton University. 1996. http://www.eiu.edu/~multilit/studyabroad/othello/othello_all.html No line nos.    Wilkie, Brian and James Hurt. â€Å"Shakespeare.† Literature of the Western World. Ed. Brian Wilkie and James Hurt. New York: Macmillan Publishing Co., 1992.      

The Darkness Out There - The Signal Man - A comparetive study :: English Literature

The Darkness Out There - The Signal Man - A comparetive study The mood at the beginning of both stories could not contrast any more than it does. 'The Darkness Out There' has a beginning that is summery and fresh. Whereas 'The Signal Man' has a start that is very eerie and creates a sense of fear. A factor that runs all the way through the story. The effect that the beginning of 'The Darkness Out There' has is that Mrs Rutter's story hits the reader when they are not expecting it making it a lot more shocking. The mood change is massive. 'The Signalman' however, attempts to sustain the atmosphere from beginning to end. This makes the overall story more eerie by gripping the reader so that they want to read on to discover what happens later on. Historically the two texts are set in very different periods. With 'The Signalman' being set in the Victorian era and 'The Darkness Out There' being set around the 1970's. We can tell this because of many factors such as the types of jobs mentioned. Signalmen worked on early railways and were abandoned when electronic signalling was introduced into railways. Also the language used in The Signalman` seems to be from around that era. Whereas Mrs Rutter is an old woman involved in the second world war, but some of the things she mentions lead us to believe that the story is set around the 1970's. Physically both stories are set in a similar climate to each other. In cosy little rooms, with atmosphere, that are lonely and secluded with an open fire. Fire helps create a perception of evil as many people think of hell as fire and brimstone orientated. As I have already said, the beginnings of the two stories are contrasted. 'The Signalmans' beginning is eerie and weird and doesn't give out a lot of information to the reader. This means the reader is enticed to read on just to see how the story develops. 'The Darkness Out There', however, has a light and refreshing start. Leading us into a false sense of security. But there are also similarities between the two. Both stories include places that represent people's fears. Packers End and the Tunnel. The main theme of 'The Darkness Out There' is that people are not necessarily what they seem to be. Also in 'The Darkness Out There' is the theme of young people growing up and realizing whom they are. Whereas the main theme in 'The Signalman' is death and responsibility and how it affects's people. So really they are similar in a way.

Hamlets Insanity :: essays research papers

Hamlet’s Insanity…is it real?   Ã‚  Ã‚  Ã‚  Ã‚  In William Shakespeare’s Play Hamlet, many issues have been raised about Hamlet’s over all sanity. He has experienced many things that might make one think he has gone crazy, for example, his father’s murder, killing Polonius accidentally, and his mother’s abrupt remarriage. Hamlet begins to act shady towards the middle to the end of the play while talking to others. In several scenes it appears that Hamlet has gone crazy. Many critics have varying opinions of this issue. Joshua Wells wrote an article that comparing Hamlet’s sanity and insanity. Another critic, that did not mention his name, thinks that Hamlet is sane. Hamlet was not actually insane, it was simply a ploy to seek revenge for his father’s murder.   Ã‚  Ã‚  Ã‚  Ã‚  Wells, in his article “Was Hamlet Mentally Disturbed?'; stated that Hamlet is truly insane. In the first act Hamlet appears to be crazy when he hears of his father’s murder. He speaks irrationally to Horatio, who comments that Hamlet is speaking “ wild and whirling words';(I.v.149). Also, Hamlet plays with Horatio and will not tell him what the ghost told him. Horatio asks Hamlet about the news he heard and Hamlet replies “O, wonderful!';(I.v.130). The news is actually not good news at all. Hamlet then sees the ghost in his mother’s chambers, but she can not see it. This is strange because earlier in the play Horatio and the other watchmen could see the ghost. When Hamlet starts a conversation with the ghost, his mother says, “Alas, he’s mad!'; (III.iv.122).   Ã‚  Ã‚  Ã‚  Ã‚  Hamlet does some other actions throughout the play that give the impression that he has gone crazy. One is that his moods change abruptly for no reason. While he is talking to his mother in her chambers, they are speaking calming to each other and then Hamlet starts acting violently towards her. He also jumps on a pirate ship without a second thought or anyone to protect him. At the same time, he has Rosencrantz and Guildenstern killed, even though it was not part of his revenge plan. Finally, Hamlet hides Polonius’ body and will not tell anyone where it is. He tells Laertes that he killed Polonius in a fit of madness (Wells).   Ã‚  Ã‚  Ã‚  Ã‚  There are many good reasons to believe that Hamlet is truly crazy. He acted rashly and many of his thoughts were random. He did not act as though he had just lost a loved one; he acted like the world had come to an end.

Love or Fame: Which is More Important?

The issue regarding which is more important, love and family ties or fame and political power are issues that are always present in every generation. Well, which is really more important that we should devote our lives in search for the more important thing? Is blood really thicker than water? It is a subjective topic in which persons have different experiences and stand about the subject matter. This paper aims to answer this question by referring to three different epic plays: Oedipus the King and Antigone by Sophocles, and Aeneid by Virgil. It is also important to look at the values and actions displayed by the characters of the stories and to analyze whether they are still applicable in our contemporary time. In the story of Antigone, Haemon must choose between her love for Antigone and the fame and political power that await him if he obeys his father. Now Haemon is facing a dilemma because of the conflict between his love and his father. The same choice goes for Antigone for she wants to give her brother the honor of being buried in the right way. However, doing so would mean that she must disobey King Creon’s order. Disobeying the king does not only take the opportunity to be the princess by marrying the king’s son, Haemon, but her own life as well. But Antigone and Haemon decided to follow their hearts. In the end, Antigone killed herself. Knowing that his love is death, Haemon also decided to end his life. Thus, their value for their love ones cost them their own lives. However, they still gain the respect and sympathy of the people of Thebes. It can be said that the actions of Antigone and Haemon are not applicable in our present time. Although there are several movies that portray the same idea, this rarely happen in reality. It is a very rare case in which lovers decided to end their lives since it is impossible for them to be together. They can be considered as martyrs rather than heroes because of the act. Antigone also displays the kind of courage and determination that is greatly needed in our society today. Although she is a woman, she defies the odds and even the king for what she believes is right. Adding to the fact that she lives in the period when woman are considered inferior to man. This kind of courage is really needed by the present generation. Not only woman but men as well that have the courage to stand up and are willing to sacrifice their own lives in order to make a change. Today, although woman are accepted by our society and are ‘said’ to be equal to men, there are still some times that they are afraid to speak out and fight for their rights. Also both men and women are sometimes afraid to question some of the things that they find unjust in the society. They are afraid to face the consequences and are unwilling to make a change to improve social order. This characteristic is really needed in our society today, the courage to fight for what is right even if the whole society is against us. If only there are those like Antigone that are willing to give it all in order to make a change, I’m sure that our society will be a better place to live. On the other hand, King Creon cannot consider himself victorious. His persistence and determination to exercise his power over the people of Thebes had a considerably great cost. Not only had he lost the sympathy of the people of Thebes and the approval of the gods but the life of his son and wife as well. His authority blinded him and the result is loosing the persons that he values the most. If our present leaders will demonstrate the same reason and behavior like that of King Creon, the people will surely revolt and take their powers and authority away and give it to someone more deserving and just. The people will surely not tolerate such actions. In the Aeneid, Dido falls in love with Aeneas. They live together that makes Dido thinks that they are really husbands and wives. However, due to Aeneas vision of building a great city, he left Dido. Thus, Dido killed herself using Aeneas own sword. This action by Dido can also be considered as inappropriate in our time. Having that wealth and power is what everyone wants and throwing it all away together with your life is a very foolish thing to do. The same thing also goes for Aeneas, staying beside Dido ensures that a good future awaits him. No one would dare to exchange a wealthy living to a future that is unknown especially putting his or her own life on the line. But Aeneas is in search of greater glory and power. He pursues his desire to build a strong city. Indeed, he was able to build a great city and fulfill his destiny. He was a successful warrior, leader and founder and was able to fulfill a great vision. Still, things had not been easy for him. He also lost some of his love ones including his beloved wife and father. On the story of Oedipus, Oedipus chooses love over power. Although his known father Polybus is the King of Corinth, Oedipus decided to ran away from Corinth, sacrificing his title as the prince and the opportunity to be the future king. The fear of killing his father and marrying his mother had been the basis of his actions. In order to protect the people that he loves and to thwart the destiny that had been foretold about him, Oedipus lost everything that can be considered of great value, the easy and good life that he has in Corinth. In the end, he blinded himself and left Thebes without anything because of the words that he had given and as a punishment for all that he had done.   T oday, such punishment is not applicable and no one will also have the courage to do such thing. There are so many ways in which you can pay the wrong things that you had done and doing something like what Oedipus did is something unimaginable.   Death would be more acceptable than to suffer in the same way like Oedipus suffers. In the case of Queen Jocasta and King Creon, no one would abandon his or her child because of a prophecy. Abandoning a child at an early age is a very terrible thing to do. Yes there are times that we consult things like tarot reading, fortune telling an the likes in search for the answers to our questions about the future, but these visions are never considered as the primary basis of making decisions especially when life is involve. The respect given by the characters to the members of their family is also needed in the contemporary time. Today, youths are said to be losing respect especially to their parents whom they owe everything. Respect is a very important component of building a strong family ties. Also, respect for the authorities is needed in building a strong nation. Conflicts and wars arise because of the lost of respect to those who have the authority and to the right of every individual to live a peaceful life. In the three stories, those who value their family and love ones so much ended up in misfortune. The same thing goes for those who wanted to protect and achieve power. Thus, to search for love and for power both have negative consequences. To pursue love means to put your own life in the line and to face several hardships, to pursue power means to endanger the lives of the persons that you love and be left alone. Whether to choose love and family over fame and political power is really a big decision. You cannot have the best of both worlds. To pursue love means to let go of powers and fame and vise versa. Also we cannot really determine which is important, whether to choose love and family ties over fame and power depends upon the situation. What is important is that we do not only consider our own benefit in making the right decision. Also the stories show that to pursue love and power is not wrong, however living your life to attain just one of them is sure to cost you a lot. In making a decision we should both consider the heart and as well as the mind in order to come up with the right decision. Reference GradeSaver LLC,. (2007). The Aeneid. Retrieved December 8, 2007 from http://www.gradesaver.com/classicnotes/titles/aeneid/fullsumm.html GradeSaver LLC,. (2007). Oedipus the King. Retrieved December 8, 2007 from http://www.gradesaver.com/classicnotes/titles/oedipus/section3.html GradeSaver LLC,. (2007). Antigone. Retrieved December 8, 2007 from http://www.gradesaver.com/classicnotes/titles/antigone/section3.html         

Equality, Diversity and Inclusion Leaflet Essay

There are many forms of prejudice and discrimination and it can be experienced by anyone at anytime. This booklet is designed to help parents understand the impact it can have on children and young people and why as a school we do not accept it in any form, be it from a fellow pupil, a member of staff or outside professional or a parent/guardian or family member. Who is most at risk? The children and young people most at risk from prejudice and or discrimination are:- * The disabled * Those with Special Educational Needs * Those who speak a language different from the majority * Those from a different culture, ethnicity or race * Those who appear differently (red hair, glasses, birth mark etc) * Anyone new to school * Anyone who has an high or low ability * All children according to their gender Different forms of prejudice and discrimination. There are many different forms of prejudice and discrimination and they may experience one or more of these at any given time. * This can include name calling. * Being left out of activities or groups. * â€Å"Dumbing down† so as not to be labelled a â€Å"swat or geek†. * Being left out because they have a lower ability and are classed as â€Å"stupid†. * Those from a poorer background may suffer because they cannot afford to go on school trips. * Being picked on because they look different, i.e. being called â€Å"ginger nut or carrot top† because they have red hair or â€Å"specky four eyes† because they wear glasses. * Any one new to school may experience being left out because they have no friends and peer groups have already been formed. * Girls and boys can be discriminated against just because of their gender, â€Å"girls are not supposed to play football† and â€Å"boys shouldn’t play with dolls or dance†. All of the above are forms of prejudice and discrimination and not everyone will realise this and may have experience it or been the abuser. The effects prejudice and discrimination can have on children and young people. There are many affects that these forms of prejudice and discrimination can have on the victim. They range from mild to severe dependent on how long, severe the abuse and the state of mind of the victim. They may feel unvalued, lack in confidence, withdraw into themselves, they won’t volunteer for activities so as not to draw attention to themselves, they may have difficulty focusing and low self esteem and all this impacts on their friendships and family life. The longer this goes on the more withdrawn they become and they can then turn self harming or drink and drugs (young people) and in very severe cases they could commit suicide. The impact our values and attitudes have. The way we behave around children and young people with regard to our attitudes and values have a huge impact on the children and young people we live with, work with and care for. The way we interact with these children and young people is very important because they are not born with attitudes; attitudes are learnt from those who have a significant input in their lives. It is our job as adults to set an example to them and the earlier the better. * How can we expect them to do something if we are not prepared to do it ourselves? * Whatever our religion/beliefs we should show them that it is alright to be curious about other religions and beliefs, diversity is part of our everyday lives. * Other cultures can teach us different views and rituals (so increase our awareness of why they may do things differently). * We should encourage our children and young people to experience different activities (be it a girl playing football or a boy dancing). * We are all individuals and should be treated as such. * A child with special needs or a disability is still a child with feelings and emotions. * If we are gifted and talented and learn easily doesn’t mean we are not fun to be around. * If we have special needs and need extra help with things it doesn’t mean my feelings cannot be hurt. In school it is important to promote Anti-discriminatory practice to the children and young people in our charge so that they are aware that it is not acceptable behaviour. It is important to teach them that we are all different and unique and that this is a good thing. We have to teach them to respect one another’s diversity and empathize with those who are different (those who are the victims of prejudice and discrimination) who they may be abusing or know to be the victim of abuse. We must teach them to value each other as individuals and value each other’s opinions and rights to be different, and teach them that we are all equals. As a parent/carer, professional or even a pupil it is our duty to report any form of prejudice or discrimination that we experience or witness, whether it be from a member of staff, an outside professional, a parent/carer or a pupil. You should always challenge prejudice and discrimination and you should tell whomever it is that it is unacceptable to express their views in this way, be it to you or someone else or indeed to the pupil themselves. It is not acceptable to discriminate against another person and if it carries on you will report it to the relevant senior member of staff in line with the policies and procedures set out for your setting. Support must be provided to the victim of the abuse and they must be encouraged to respond with positive action. Extra help may be needed to help them recover their self esteem and confidence. Wherever possible get the abuser to apologise to the victim and if possible get them to empathize with the victim. So if you see it, experience it or hear it, report it!

Professional and legal implications Essay

This assignment will explore the professional and legal implications of a scenario which took place within a healthcare setting during the last year. Health care is very complex and decisions about how services are provided can have a huge effect on people’s lives. Therefore it is imperative that the care offered has the best chance of benefiting a patient and not harming them. However, in the following scenario a decision made by a healthcare professional for the best interests of their patient is challenged by the patient’s mother. To protect confidentiality the real names of the individuals involved have been changed (NMC, 2008). Katie is a 24 year old woman who has been admitted to hospital with a severe chest infection. Katie suffers from recurring chest infections due to her condition and also has cerebral palsy, learning disabilities and epilepsy. Due to these conditions Katie is unable to communicate, requires a Naso Gastric Tube for feeding, is doubly incontine nt and has one to one care from a Health Care Support Worker for all her personal and clinical needs. Katie lives with her mother at home, who provides her care during the night. The medical team discovered that her chest infection is Pneumonia and begin the relevant treatment, however believe that due to Katie’s quality of life she should be Not for Resuscitation (NFR) in the event of a cardiac arrest. However, Katie’s mother argues that her daughter should be resuscitated and the decision should be made by her, because she is her mother and that the health care team are neglecting her daughter’s right to life and are acting illegally by making such a decision. Katie’s mum also believes that the health care team are basing their decision on Katie’s learning disability rather than her best interests. This essay will encompass the ethical considerations that need to be sought when a decision such as NFR is made. Taking into account the legal and professional implications this has on the health care team involved. Before making any decision the health care professional will need to consider if the Katie has the mental capacity, what are in the her best interests and protecting the her human rights. All these topics will be included in this essay. This essay will also explain why it is important for a health care professional to take into account the Bolam Test and Section 4 of the Mental Capacity Act (2005), taking into consideration a patient’s best interest when they lack capacity, before they make any decision. The Medical Team must act in accordance with the practice  that is accepted at that time and by a recognised professional body (Dimond 2008). All these issues are relevant in this scenario. Making a decision such as NFR is taken very seriously due to the known outcome in the event of a cardiac arrest. A Not For Resuscitation (NFR) decision indicates that a decision has been made not to call the resuscitation team if in the future that patient, such as Katie, suddenly stops breathing or suffers cardiac arrest. Resuscitation decisions are very controversial and have been the subject of much media interest. Especially when that patient has a learning disability. There is evidence of this in the appendix at the back of this essay and it will be discussed further on in the essay. A decision such as NFR is the responsibility of the most senior clinician for the specific patient, according to a revised guidance of cardiopulmonary resuscitation (2007). Every health board should have a resuscitation policy. The Local Health Board’s policy involved in this scenario can be found in the appendix of this essay. The policy, published in (2009) states that cardiopulmonary resuscitation (CPR) should be commenced unless; the patient has refused CPR; the patient is at the palliative stage of illness or the burdens of the treatment outweigh the benefit. The Health Care Team are required, before they make any decision to determine if Katie has mental capacity and if she is able to understand and contribute to the decisions of her treatment. If Katie had capacity and was not consulted about the decision then the heath care professional could be seen as acting unlawfully and the decision maker would be legally and professionally accountable (B v An NHS Trust [2002]). The Mental Capacity Act (2005) describes capacity as an individual’s ability to make a certain decision at a specific time and not on their ability to make decisions generally. Legal capacity depends on the patients understanding rather than their wisdom. They should be able to retain and understand the information that they are given and then communicate their decision with the appropriate professional (Simpson, 2011). A patient’s competency to capacity should not be presumed. An assessment of capacity should be made before a person can be said to be incapacitated (NMC, 2008). Nurses have the ability to assess capacity, if they feel that it is needed. However, they do not have the authority to make a decision such as NFR (Hawley 2007). Therefore, they must  refer to a doctor or psychologist to assess the patient’s capacity and make such a decision (Hutchison, 2005). Katie’s mental capacity, following the Mental Health Act (2005), will need to be assessed by a doctor or a psychologist due to the significance of the decision. The Case of Re C (1994) helped produce the 3 stage test of capacity and this has proved to be a suitable test used in the assessing process of capacity. However, the introduction of the Mental Capacity Act resulted in a 4th Stage being added (Section 3 MCA). The test decides whether the individual is able to: Comprehend and retain information, Believe information given and weigh it up, balance the risks and needs, make a choice. The fourth stage is to communicate the decision. In this particular scenario, after an assessment of Katie’s Mental Capacity using this test, determined that Katie did not have the Mental Capacity to make decisions due to her inability to understand the information and communicate the decision. This enables the team to make this decision for her as long as it is in her best interests. Katie’s mother believes that she should be the one to make this decision for her daughter because she is her next of kin and Katie’s power of attorney. The Mental Capacity Act (2005) allows a person to legally set up a lasting power of attorney. The chosen person or persons have the power to make decisions on the individual’s financial and personal behalf. The act does not allow enduring power of attorneys to be set up; however those already in existence can continue to be used. The lasting power of attorney has the power to give consent on behalf of a patient who is incapacitated if it is in their best interest (Thomson et al, 2006). However, the lasting power of attorney does not have the power to order a patient who is NFR or who is becoming NFR, as in this scenario, to be resuscitated if a health care professional has assessed that the outcome would not be in the best interest of the patient. There is no obligation to give treatment that is futile or burdensome as seen in the case of Re J (A Minor) (Wardship: Medical Treatment [1990]). As in the case of R (Burke v General Medical Council [2004]) no person has a legal right to insist on specific treatments either for themselves or relatives. The health care professional is not obliged by law to resuscitate Katie irrelevant weather Katie’s mother is next of kin or has power of attorney. It was discovered afterwards that Katie’s mother was not her power of attorney because Katie had never had the capacity to  appoint one. The health care professional will make their decision after assessing the patient and following the appropriate legal frameworks which are set to protect them and the patient and examining what decision would be in Katie’s best interests. Section 4 of the Mental Capacity Act (2005) sets out the legal framework for a best interest decision to be made, for people without mental capacity. This can be found in the appendix of the essay. The Act states that the health care professional making the decision must not make it simply on the basis of the patient’s age or appearance. The patient’s condition and aspects of behaviour must not affect the judgements of best interests and duty of care. The health care professional making the decision must consider all the relevant circumstances and consider the possibility of the patient gaining capacity (MCA, 2005). However, if this is not possible then the health care professional must revise the past and present wishes of the patient, especially if an advance directive has been made. In relation to the scenario, it is crucial that this checklist is considered when making a decision such as NFR, due to Katie’s Learning disabilities’. Mencap (2007) published a report called ‘death by indifference’ which can be found in the appendix of this essay. The report examines cases where families believed that doctors used inappropriate use of Do Not Resuscitate Orders simply because the patient had a learning disability rather than assessing the best interest of the patient resulting in institutional discrimination. The Mental Capacity Act (2005) adds that the health care professional must consult anyone caring f or the patient or who is concerned for their welfare and gain their views on the decision (Dimond, 2008). In this scenario Katie’s mother was addressed and informed of the decision and her views were taken into account, despite the disagreement of the overall decision. Katie’s mum’s attitude and opinion towards the decision could be biased. She may genuinely not recognise that an NFR decision would be in the best interests of her daughter. Katie’s mother has her own values and beliefs that are likely to be factors that can influence her disapproval. The health care professional involved with Katie’s care will need to reassure Katie’s mum, show compassion and empathise with her situation. As stated earlier in the essay, the best interests of Katie can be determined via consideration of a checklist of circumstances within Section 4 of the MCA (2005). The benefits of treatment  and the probability of them arising are considered (Griffiths and Tengnah 2008). In this scenario the benefits of resuscitation would be measured. If it was agreed that res uscitation would do more harm than good then it would be considered that NFR would be in Katie’s best interests (Re A (mental patient: sterilisation) [2001]). Due to Katie’s quality of life, because of her cerebral palsy and epilepsy, it was considered by the health care professionals that it was in the best interest of Katie that she becomes NFR, as the outcome of resuscitation would not improve her quality of life. It was also agreed that resuscitation would do more harm to Katie than good, due to the probability of resuscitation being unsuccessful. However, Katie’s mum believes that the health care professionals are depriving her daughter of a right to life as was in the case of Airedale NHS Trust v Bland [1993]. The Human Rights Act (1998) is an Act of Parliament produced to protect the rights of individuals. The Act incorporates convention rights and protocols and is comprised of several articles. Schedule 1 Article 2, the Right to Life is of particular relevance in this scenario. The Article legally entitles every person’s individual’s right to life to be protected by law. It states that an individual†™s life should not be deprived intentionally. Katie’s mum believes that the decision of NFR is infringing her daughter’s human rights. If this is proved to be the situation then the professional could face legal action (Dimond, 2008). In this scenario the health care professionals are acting in Katie’s best interests and will not face any legal proceedings as long as they can justify their decision. This was illustrated in the cases of; National Health Service Trust A V D and others [2000], NHS Trust A v M [2001] and NHS Trust B V H [2001] indicates that decisions such as NFR, which are found to allow the individual to die with dignity and be in the best interests of the person, are not legally classed as infringing human rights. It could be implied that the decisions of NFR supports Katie’s human rights. If it is considered that Katie’s quality of life would remain poor or that resuscitation could potentially cause her harm and not be in Katie’s best interests then it could be implied that resuscitation in the event of Katie experiencing a cardiac arrest could prove a degrading treatment (Thompson et al, 2006). In this particular scenario Katie’s mother is accusing the health care professionals of being negligent. The case of (Bolam v Friern Hospital Management Committee [1957])  initiated the Bolam test. The Bolam test is used to examine if a health care professional has been negligent. If the health care professional has acted in accordance with an accepted practice which is approved by a recognised professional body then they cannot be thought as negligent. However, it could be disputed that the health care professional could be assumed negligent if they resuscitated Katie since it is not in her best interests as the health care professionals have a legal duty of care to preclude acts or omissions which can potentially injure the patient (Donogue v Stevenson [1932]). If the health care professionals were to resuscitate Katie and it resulted in her becoming harmed then the health care professionals could be accused of being negligent under the Bolam test. Once a decision such as NFR has been justified and documented then if Katie was resuscitated in the event of a cardiac arrest then this treatment could been seen as battery and it is unlawful as in the case of (Airedale NHS Trust v Bland [1993]). Such as in the case of Bland where the patient’s recovery was not going to happen due to him being in a Permanent Vegetative State, then the courts can decide that treatment can be withdrawn and not infringe the human rights of the individual (NHS Trust v M [2001]). In this scenario the health care team have decided, that due to Katie’s ongoing chest infections, the pain that she experiences from her conditions and her poor quality of life, it would not be in Katie’s best interests for her to be resuscitated in the event of a cardiac arrest. Consequently health professionals are not infringing her right to life and consequently not legally negligent. All health care professionals have a duty of care to their patients (Dimond, 2008). For this section of the essay the author will focus on how a decision such as NFR can have on a nurse and discuss the legal implications that may occur. Registered nurses are governed by The Code: Standards of conduct, performances an d ethics for nurses and midwives (NMC, 2008). The code is not a legal document however, it sets a framework of standards that a nurse must adhere to within their practice and it enables them to act lawfully. Decisions such as NFR can cause professional issues for a nurse. The nurse is the frontline provider of their patient’s care (Dimond, 2008). They have the most contact with the patient and their relatives. They often develop a therapeutic relationship with both. This could cause the nurse to face a dilemma of being criticised by the family and friends of the patient if they  do not commence CPR or even face criticism from their colleges if they did proceed with CPR (Dimond, 2008). The nurse may feel duty-bound to commence CPR due to the relationship they have formed with the patient. However, the nurse must always act lawfully. Due to the nurse’s role as the care provider, they often have contact with the family members. This may provide difficulties for the nurse if the family, such as Katie’s mum, disagree with a decision that has been made. Therefore, the nurse may be faced with a possible confrontation from the family or friends of the patient due to their disapproval (Hughes and Baldwin, 2006). The nurse has a responsibility to their patients to provide a high standard of care (NMC, 2008). However, at times they may feel as though they are being prevented from providing this standard when a decision such as NFR is issued and could cause them professional implications. However, it could also be argued that the nurse is fulfilling their role in such a situation as the nurse has a duty to alleviate the suffering of patients (Rumbold, 2002). The nurse would not be alleviating a patient’s suffering if they commenced CPR and it had been decided that it was not in the patients best interests. Nurses are accountable for their actions (NMC, 2008). The accountability of not providing CPR to a patient can present the nurse with a professional implication. Therefore, as the essay mentioned earlier, if the decision of NFR is legal then the nurse will not be held professionally accountable for not commencing CPR if their patient experiences a cardiac arrest. All Health care professionals are responsible for maintaining standards set in the code of professional conduct. The NMC (2008) governs nurses to ‘Adhere to the laws of the country in which you are practicing’. This implies that nurses are required to act lawfully. They are required to follow orders such as NFR regardless of their own values and beliefs. A decision such as NFR creates the question of: who has the right to decide what is in the best interests of a patient. Even though the person making the decision is professionally qualified to do so they may find it complicated in proving that it is in the best interests of a patient without capacity (Runciman et al, 2007). The professional has a duty to act lawfully and be able to sustain this when making such an important decision. The attitudes of a nurse can offer professional implications for a decision such as NFR. Attitudes are governed by personal values and beliefs. If the nurse did not agree that it is in theà ‚  best interests of the patient to become NFR this could create some difficulties. The nurse may decide to vocalise what they consider is in the best interests of their patient and this could conflict with the NFR decision made by the health care professional resulting in an ethical dilemma (Thompson et al, 2006). According to Schlutz (1998), there is considerable evidence that many nurses experience the feeling of powerlessness when confronted with an ethical dilemma and fear conflict with other professionals such as consultants and doctors. Due to this they may abide by instructions regardless of it conflicting with their own professional values and beliefs. This could imply that the nurse involved with Katie’s care could follow an instruction as NFR despite it being against their own professional opinion. However, the nurse must be accountable for their actions and must indicate a satisfactory reason for their conduct (NMC, 2008) therefore potentially resulting in a professional implication. Rundell (1992) claims that the nursing of a palliative patient and providing them with a dignified death, uncomplicated or uncompromised by CPR could prove to be more complex than simply intervening and commencing CPR. Therefore not intervening when a patient is suffering a cardiac arrest can res ult in a professional implication of the NFR decision. The nurse could find it very difficult to watch a patient suffer a cardiac arrest and not be allowed to intervene because of an NFR decision made by a health care professional who may not even have had a therapeutic relationship with the patient or their family. Doctors and nurses are professionally responsible to perform beneficently, justifying and respecting the rights of others (Thompson et al, 2006). Beneficence can be defined as an action taken that will benefit others and prevent and remove harm. Examples of harm are suffering and death (Herbert, 1998). If a health care professional fails to act beneficently it violates social, moral and professional standards (Beauchamp and Childress, 1989). This principle implies that the health care professional would be acting unprofessional by not commencing CPR. However, Casteldine (1993) implies that it is of greater beneficence for the health care professional to acknowledge end of life on certain occasions rather than using CPR, which could potentially cause harm, to prevent death. This implication is seen within the scenario. However it is imperative that the staff perform lawfully. Health care professionals are often faced with the  dilemma as to whether a certified decision has been made morally and legally accepted. This could result in disputes due to differentiating values and beliefs (Herbert, 1998). The NMC (2008) states that a patient, who does not possess capacity, should be protected. This may cause conflict in role responsibility in an NFR decision, as a health care professional not commencing resuscitation in the event of a cardiac arrest could potentially cause the issue of passive non-voluntary euthanasia. This is a further professional implication that the nurse may experience when a decision such as NFR is initiated. Passive non-voluntary Euthanasia can be defined as when the individual who dies is unable to give their consent and the individuals competent requests concerning euthanasia are not known, such as Katie’s wishes are not know due to her not having the mental capacity. In effect it involves not providing or discontinuing treatments that would be relatively successful in preventing the patient’s death because death is considered to be kind to the patient by the health care professional making the decision. Therefore, this type of euthanasia depends on other factors for its achievement in causing death, such as Katie’s underlying pneumonia which if left untreated could kill her or promote her inability to breathe satisfactorily without oxygen or respiratory assistance. By withdrawing treatment or as in Katie’s case creating an NFR that would normally be done for a patient with this condition, with the objective of causing the patient’s death out of compassion could be regarded as passive euthanasia and be interpreted as allowing the patient to die rather than killing them. Again when faced with such a situation the nurse must always abide by the NMC Code (2008) and act lawfully in their practice and they will not be accoun table for breaching their professional duties. In conclusion, this essay has contained numerous reasons why legal implications could arise due to Katie’s mother disagreeing with the NFR decision. When a health care professional makes a decision such as NFR, it is taken very seriously and as this essay has explained the health care professional has a legal obligation to justify their decision. They are required to follow the appropriate assessments and procedures before making their decision. The health care professional has a duty of care to their patient and they must ensure that they are considering the overall outcome and quality of life if CPR was performed and if it would be in their patient’s best interests or  potentially cause harm. It is imperative that they discuss all decisions with the immediate family and reassure the family that they are acting in the best interest of the patient (Hawley, 2007). Decisions such as NFR need to be regularly reassessed because a patient’s condition may improve or they may regain their capacity to make decisions. There are many legal and professional implications that the health care professional could encounter due t o such a decision. Therefore it is essential that they are aware of the law because they will be accountable for their actions. Ultimately they must be able to prove that they are acting in the best interests of the patient and be able to provide relevant evidence to support this. In this particular scenario, Katie’s mother was made fully aware of the NFR decision and what it meant if Katie was to have a cardiac arrest. She was involved in the decision making process and consulted regarding her daughters condition. Soon after the health care professional made the NFR decision Katie’s health deteriorated due to the Pneumonia and subsequently her quality of life was poorer than previously. It was at this point that Katie’s mum finally accepted the NFR decision and realised that it was in the best interests of her daughter that she should not be resuscitated. As the essay has shown, in the event that Katie’s mother pursued a clinical negligence claim against the Health Board, on the grounds that she believed the health care professionals in charge of Katie’s care were neglecting her daughters right to life, the likelihood of a ruling that Katie be for resuscitation in the event of a cardiac arrest would be unlikely due to Katie’s mental capacity, overall outcome, quality of life and the evidence supporting the health care professional’s decision that it would be in Katie’s best interest. In conclusion, the essay draws on the fact that all health care professionals, when making a decision such as NFR are required by law to assess patients mental capacity, follow a code of practice and always act in the best interest of the patients regardless of the patients families views and a patients disability. In order for this to be achieved, the Bolam Test and Section 4 of the MCA (2005) should be considered. The health care professional in this scenario conducted their decision process accordingly, following the correct assessments and legal frameworks, basing their decision on Katie’s best interests due to her ill health rather than her learning disability. 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