Personal Educational Platform Essay Example | Topics and Well Written Essays - 750 words

Personal Educational Platform - Essay Example Encourage interns to address the problems of socially excluded segment in the culturally diverse society in the current times of rapid globalization. Education empowers children. It also equips children with social and academic skills that widen their understanding of people and environment (Kurland et al., 2010). Moreover, education is intrinsically linked to the advancement of the society and helps children to contribute constructively to the development of the nation. Mentorship is important as it helps inculcates honesty, integrity and being ethical and knowledgeable. It also encourages trust in the mentee and belief in their competencies and values. Furthermore, mentors empower their mentees with knowledge and necessary skills in the area of education so as to become responsible citizen and constructive worker of society. Honesty, integrity, ethical considerations and sense of equity were vital attributes of educational leaders that influence the development of children positively. Better understanding of cross-cultural values helped me to impart education to diverse group of students that promoted social equity. It also revealed the importance of being able to connect with children and develop their interests in the studies. I have strong communication skills. It can be exploited in my teaching profession to build bonds with students and influence their academic achievements. It can be especially useful in education of children who are excluded like drug addicts, teenaged pregnant girl students etc. I have low understanding of cross-cultural values. In the contemporary multicultural society, cultural understanding is vital for teachers as it equips them to exploit cultural competencies of the students. Most importantly, enhancing cultural understanding promotes mutual respect and trust between students and interns for effective learning. School culture is important as it promotes equity across students coming from

A Physician Is Immune from Liability When a Patients Actions Assignment

A Physician Is Immune from Liability When a Patients Actions Contribute as Much to His Own Harm as the Physicians - Assignment Example In cases of medical liability, informed refusal often arises in instances when patients claim that they were not fully made aware of the fact that by not following the doctors’ suggestions for either a screening regimen, appointments or taking their medication as ordered. Instead, they claim that doctors and nurses were not either clear or assertive (Martin et al, 2005). These patients seemingly agree to follow the doctor’s recommendations and then do not. Thereafter, these patients allege that the physician did not provide them with a full picture of the potential harm that could come to them from not following the recommendations put to them by the doctor (Lerner, 2014). The role of the physician in patient care is to actively determine what the most appropriate treatment for a patient is based on their medical problem determined by the physician’s knowledge, medical judgment as well as experience (Furrow et al, 2013). Thereafter, his job is to present these recommendations to the patient for their consideration and ideally to gain consent that they will follow through on the treatment plan. As a general rule, the patient is the one who makes the ultimate decision with regard to their medical care and therefore has the final word on whether or not to carry on with the treatment recommended (Hoffman, 2011). If the patient elects to follow the recommendations put forward by the physician, then essentially the only thing that the physician can do is to provide helpful advice and to follow up on the missed appointments. Non-compliance is an issue that is well known and in many instances inevitable (Hoffman, 2011).  

Should Drugs Be Legalised Article Essay Example for Free

Should Drugs Be Legalised Article Essay Juliette Hughes wrote an article for The Age newspaper about how she thinks drugs should be legalised. She used many different sorts of metalanguage techniques such as using expert’s opinion, appealing to people’s self-interest etc. Hughes is an ethicist; her point of view is from an ethical standpoint. Hughes used examples from history and scientific experiment. The intended audience is a mature audience, who are open minded about the legalisation of drugs. Hughes starts off by talking about cannabis and the effect it has. This leads to talking about drug users being criminalised and how she opposes. Hughes writes â€Å"whether we approve of the activity or not, it is not ethical to punish people for what they do to themselves. † She is appealing to self-interest; it is making the reader think if they were punished for something that they choose to do to themselves. Hughes uses an appeal to hip pocket when she uses the example from the UN’s Office on Drugs and Crime have estimated the global drug trade is $US321 billion, she states that it will be a saving on money and social capital could be directed towards rehabilitation and support for families who are also affected by substance abuse. She appeals to parents when she writes â€Å"Banning something only makes vulnerable young rebels think it’s cool† implying that the youth may be more attracted to forbidden fruit if it made them look more cool. She uses a historic example from when the US banned alcohol from 1920 to 1933, she explains how having prohibition only criminalised most of the population and entrench organise crime. She uses scientific experiments to support her point. She uses a study done in 2005 by Dutch scientists which was published in the British Medical Journal, which showed that prescribing heroin made everyone win. She appeals to community values when she explains that the research shows the users had a better quality life and the community benefited from reduced crime. Hughes uses formal language throughout the article, using words such as â€Å"oxymoronic nexus. † This adds to the point of view that Hughes is trying to get across. Using formal language shows how serious she is about the topic and adds to the tone of the article which is serious and sophisticated. She does a small part of a rebuttal when she mentions drugs being used in sports, she writes â€Å"it is cheating and should be stopped. † In conclusion, Juliette Hughes used a wide variety of metalanguage. Using appeals, historic examples, scientific examples and formal language, she was able to effectively get her point of view across to her intended audience.

Negligence in Midwifery

Negligence in Midwifery Christine Borg After a spontaneous vaginal delivery a woman suffered a severe haemorrhage leading to hypovolaeima and severe adult respiratory distress. She was admitted to an Intensive Care Unit but had recurrent bleeding, than collapsed. After resuscitation in theatre, a substantial piece of placental tissue was removed under general anaesthesia. Upon routine checking the staff midwife was initially doubtful about the placenta, but then she documented that the placenta was complete. Discuss. Introduction A practising registered midwife is an accountable person who ensures that health and safety laws are implemented in her care provided (Dimond, 2002 pg.312). The registered midwife puts into priority the safety of the mother and her baby. The competent midwife is knowledgeable, understanding, skilled, and accountable. Unfortunately any behaviour that the research based professional carries out or fails to carry out, that result in harm to the mother or the child will have legal implications (Dimond, 2002). Postpartum haemorrhage Uncontrolled bleeding of more than 500mls from the women’s genital tract, at any time following delivery to 12 weeks postpartum is described as postpartum haemorrhage (Williams, 2011 pg.113). Blood lost can be either evident or concealed, resulting in shock (Tiran, 2012). Postpartum haemorrhage is the most common cause of maternal death occurring worldwide (Fraser Cooper, 2009). Optimum management of the third and fourth stage of labour is a matter of great concern towards preserving maternal health. Postpartum haemorrhage is most often a case of inappropriate management of the third stage of labour, along with an unprofessional inspection of the placenta (Fraser Cooper, 2009). Examination of the placenta Inspection of the placenta is a practical examination done in the labouring room by a fully qualified midwife. This exam includes the assessment of both the fetal and maternal membranes. Evaluation of the placenta is part of the duty of care of the midwife in the first hour following birth. On the delivery of the placenta, either by expectant or active management of the third stage, the midwife holds up the placenta from the umbilical cord with the fetal surfaces being examined first. The membranes are examined for integrity, completeness and any present abnormalities. Membranes; the amnion and the chorion should be made sure to be present and complete (De Kock, 2004). This assessment is usually done in the presence of the mother. The maternal surface is examined for completeness, so as to make sure that no cotyledons have been left inside the uterus. If a cotyledon is found to be missing, or if the midwife is uncertain with regards to placental findings, help from other health professionals should be sought and the placenta kept for further examination. Of utmost importance is to include the mother in the examination, describing reasons for the examination procedure, while explaining the possible risks of an incomplete placenta (De Kock, 2004). Women’s right for information The mother has the right to be informed of both the normal and abnormal findings. Communication is a necessary tool in midwifery. While being close to the woman, the midwife should have explained the situation and kept the mother calm, while talking her through the necessary procedures that were to take place (ICM, 2011) The midwife The title ‘midwife’ can only be used by the ’’person who has successfully completed a midwifery educational programme, that is duly recognized in the country where it is located and that is based on the ICM Essential Competencies for Basic Midwifery Practice and the framework of ICM Global Standards for Midwifery Education : who has acquired the requisite qualifications to be registered and/or legally licensed to practice midwifery and use the title ‘midwife’; and who demonstrates competency in the practice of midwifery’’ (Midwives code of practice, 2005). The core competencies of the midwife The midwife is fit to practise if she has the necessary knowledge and skills, has a good professional behaviour, character and a good health status, meeting the standards and competencies required (ICM, 2011). Competencies are set up as a guide for midwives to fulfil their profession. The guidelines provided by the code of practise in midwifery, aims to put in priority the safety of the mother and the child. The competencies of the expert of normality include her ability to work with the women and provide constant care and support. Being competent means, that a high quality care and a cultural sensitive assistance is given to the mother during birth. Such event is the monitoring of the fetal and maternal wellbeing and providing the assistance towards performing a safe birth. The midwife must be aware of the possible risks occurring during labour being able to observe, recognize and act when warning signs present (ICM, 2011). Being competent and accountable- the case scenario The skills and abilities allow the midwife to inspect the placenta for integrity and completeness, however, in such a case as described above, having a midwife not sure of herself, referral to other health care professionals should have been considered while assisting the latter if possible. Having the mother notified of the findings and given consent with relation to the procedures that needed to take place, appropriate analgesia should have been administered. Once the doctor confirms that a part of the placenta is missing, a vaginal exam followed by an examination of the uterus under sterile conditions is usually performed. Should the midwife acted as a responsible professional, she must have been in control to take the necessary urgent measures if help from other health professionals was not accessible, keeping in mind the risk against the benefits. In such a case the priority of the midwife should have been managing postpartum bleeding so as to avoid the incidence of haemorrhage (ICM, 2011). The skills and abilities of the midwife allow her to perform a fundal massage in order to stimulate a contraction and help any remaining clots left in the uterine or vaginal cavity to be delivered (De Kock, 2004). Of utmost importance in the delivering the appropriate care, was the monitoring and estimation of the maternal blood loss. Oxytocic drugs should have been administered while regularly assessing vital signs of the mother, in addition to the recording of concise and accurate data of the events (ICM, 2011). In such a case were haemorrhage occurred, lifesaving drugs could have been administered to the woman in order for shock and respiratory distress to be avoided. The midwife shall have the skill to identify shock and be able to manage it. An intravenous line should have been inserted in such case and while administering the appropriate fluids and drugs, drawing of blood for laboratory testing could have been made possible. The woman with serious complication needed to be transferred to a higher level of care so as for emergency care to be given as required. In extreme cases the midwife must be able to perform cardio pulmonary resuscitation (De Kock, 2004). Furthermore, following such care, the midwife must have given great importance to the postnatal period of the woman. Observations of the woman’s progress and monitoring of the vital signs should have taken place (ICM, 2011). Record Keeping- A professional tool Accurate documentation of the process of labour and birth is a responsible role of the midwife. Appropriate written information about the progress of labour and the on-going care provided during this experience, gives out relative information about the mother and the fetal well-being during the birth events. The midwife must ensure that all the records are filled appropriately before transferring the woman to the future health care professionals (De Kock, 2004). The purpose of documentation is to provide a written evidence of events as they take place (Dimond, 2002). Appropriate written communication in the event of labour shall be factual, well dictated, concise, consistent, accurate, clear, legible, relevant and signed. Writing shall include detailed information of the care provided, the plan, actions, observations and the events occurring during labour (Dimond, 2002) All the information being documented is to be written as a contemporaneous manner of events. Documenting childbirth is a description of the birthing process. Relative information shall include data of the estimated blood loss during labour, the findings from the placenta examination as well as the results of the mother’s vital signs, whenever taken during the mother’s stay. Assessment of the perineum and vagina along with identification of necessary repairs, type and quantity of sutures required should also be noted (Dimond, 2002). The midwife must preserve all information recorded. Keeping all the records provides guidance to the health professional (Dimond, 2002). Documentation is a tool in the experts practise and it shall be considered as an essential part of care and not as additional to the care offered (Dimond, 2002) When writing out records one is to eliminate abbreviations and write in a manner that is easily understood by others. Records shall be clear so as to serve as a tool to facilitate an investigation. If any mistake is present in the recording of information, this should be corrected by cutting out neatly the mistake, while making sure that a signature and a date is presented. All information recorded by students is to be seen and signed by the midwife assigned. Information is to be written in a consecutive manner, having problems arising during the birth identified, and the actions and plans noted (Dimond, 2002). Regular training on documentation shall be proposed especially in situations where pressure is present especially at the time of the delivery where time is limited and record keeping is given a low priority. Written information shall reflect a clear evidence of the care being constantly provided to the mother and the baby (Dimond, 2002) ‘’A record becomes a legal document whenever it is required as an evidence of events occurred and is relevant in a court of law’’ (Dimond, 2002). Tools of documentation are necessary in the court of law, as although they are not always a proof of truth; records are an instrument of evidence and are tool for criticism by the judge. All written records are to be accurately dated timed, and signed. Negligence ‘Negligence may be best defined as actionable harm where a patient claims compensation caused by the carelessness of a midwife in breach of their duty of care’’ (Griffith, 2008). Negligence is the failure to take care of someone or something. This is the most brought up action in health services for compensation (Dimond, 2002 pg.182). Compensation can only be given when the midwife infracted the law in her duty of care, when harm has been recognised, or in the presence of a negative result that had been led to by the disrupted duty of care. The midwife has the responsibility of the duty of care towards all her clients. The duty of care involves: caring safely for the women and family, being able to communicate effectively, sharing evidence based information, giving advice, notifying the women of risks and acting in a way to promote health (Dimond, 2002 pg.184). The duty of care does not only relate to the care and treatment, but includes also the act of recording factual information and storing records. Duty of care involves all actions and activities that ensure safety. The midwife must aim to avoid acts that put the person at risk of harm. The person described is one who is directly affected by the midwife act. The aim is to have a positive effect on the mother, new-born, family and the overall experience (Dimond, 2002 pg.185). When a midwife is found guilty of putting the mother close to death a custodial sentence is most likely to be received by midwife (Griffith, 2010). Legislation of care This case scenario is a typical example of a dispute in the legal duty of care. In this case the midwife must have first understood the present standards of care (Dimond, 2002). The midwife described here has failed to understand and follow the protocols, guidelines and procedures drawn up nationally and locally. The midwife has also failed to understand the importance of accurate record keeping. The midwife is challenged on her inappropriate actions. Her records, if written precisely can also aid in defending her actions (Griffith, 2010). As a general rule, midwives who are not certain about the changing and revised standards of care, being practised in the area, are to make sure that all necessary information is gathered, understood and followed, so as to enhance safety in the care given to the mother and the family (Griffith, 2008). All midwives are responsible to obey to all policies. Trained and competent midwives are trusted and the element of trust in a qualified midwife reflects her level of competencies (Dimond, 2002). The government aims to increase the standard of the registered professionals and makes sure that all practioners listed on the registration list are safe and protective towards the public. Legislation aims to protect the mothers from dangerous professional staff. When a professional staff identifies that she has made a mistake, she shall not be complacent. It is the role of the midwife to communicate effectively with the woman and give all the acknowledgment, explanations and apologies, so as to act in the best way to correct her behaviour towards safeguarding the women and her family (Dimond, 2002 pg. 220). Although health professionals are to be knowledgeable and assertive, being over confident with their behaviour might put the mother and child at risk. With regard to this case scenario, having the midwife not seeking help from other professionals signifies, that her over confidence has led her to reduce the quality of care provided. Furthermore, a competent midwife would not only make sure that the placenta is examined correctly, but would also ensure that the placenta is examined in the presence of the mother, having findings continuously being communicated and explained. Any competent assessment of the risk would have to take in account the post birth vital signs of the women. The midwife’s failure to document correctly, take action and evaluate the mother’s vital signs was a direct cause towards the deterioration of the mother (Dimond, 2002). Conclusion The professional care provided by the midwife should be based on research and be within the law. As the claims for compensation continue to rise, the need for midwives to understand and reflect on the cases of negligence is important; so as to minimize the risk of negligence and increase the levels of standards of care (Dimond, 2002 pg.226). It is the midwives’ duty to understand the elements of negligence and take care of their actions and behaviours. A holistic approach of care provided by the midwife includes ’’leadership; clinical knowledge and skills; documentation; guideline development; risk management and debrief; audit; and education’’ (De Kock, 2004). References The core competencies for basic midwifery practice. (2002). Journal of Midwifery and Womens Health, 47(5), 403-404-406. De Kock, J. (2004). Second and third stages of labour. In J. De Kock, C. Van der Walt (Eds.), Maternal and newborn care: A complete guide for midwives and other health professionals (1st ed., pp. 14-1-14-7). Lansdowne: Juta and Company. Dimond, B. (Ed.). (2002). Legal aspects of midwifery (2nd ed.). China: Elsevier Science Limited. Fraser, D. M., Cooper, M. A. (Eds.). (2009). Myles textbook for midwives (15th ed.). Edinburgh: Elsevier. Griffith, R. (2008). Negligence and the standard of midwifery practice. British Journal of Midwifery, 16(10), 676-677. Griffith, R. (2010). Understanding negligence as a crime in midwifery. British Journal of Midwifery, 18(7), 449-450. International Confederation of Midwives. (2011). Essential competencies for basic midwifery practice 2010. (). International confideration of midwives. (2015). Retrieved from http://www.internationalmidwives.org/ Medfort, J., Battersby, S., Evan, M., Marsh, B., Walker, A. (Eds.). (2011). Oxford handbook of midwifery (2nd ed.). New York: Oxford University Press. Midwives code of practice. (2005, July). Retrieved from https://ehealth.gov.mt/download.aspx?id=908 Tiran, D. (Ed.). (2012). Baillieres midwives dictionary (12th ed.). London: Elsevier.

Effective Time Management - The Foundation of Success Essay -- Time Ma

Effective Time Management - The Foundation of Success   Ã‚  Ã‚  Ã‚  Ã‚  Upon returning to college, the mature student (any student over the age of 24) soon realizes that their ability to manage time effectively directly impacts their learning experience and their family life. Unlike traditional students, the mature student may have a spouse, children and a full-time job that is necessary for them to survive financially. Adults with families will readily agree that their family alone places serious demands on their time. When adding the responsibility of school, it becomes even more difficult to make time for family, work and personal time. Enough time needs to be spent on these three major facets of life. Too much time spent in one area usually means to little time spent in another, which usually leads to stress. Time management professionals say that stress is usually the result of poor time management. Effective time management has to be the foundation of any successful and productive life.   Ã‚  Ã‚  Ã‚  Ã‚  There are 1,440 minutes in a day. If one is employed full-time, then about nine hours (540 minutes) of the day is spent at the office and commuting. The time left in the evening for family and self is very limited. Some companies allow their employees to telecommute, in which the company’s network is accessed from the employees’ home, usually via a high-speed or broadband connection. Telecommuting increases available time for family and self by eliminating the employee’s commute. Along with telecommuting, some companies offer Flex-Time. Flex-Time allows the work schedule to be configured differently from the typical Monday through Friday, 9am-to-5pm workweek. One will still work a total of 40 hours that week only one day may be shorter than the rest. Flex-Time is basically a flexible work schedule. Flex-time and telecommuting are examples of Flexible Work Options (FWO). FWOs allow employees the opportunity to find time for their families and s elves by introducing a time management element that â€Å"bends†.   Ã‚  Ã‚  Ã‚  Ã‚  Along with the changing nature of office-hours via telecommuting and Flex-Time, there is a need for employees to be more efficient at work. Companies are implementing the â€Å"virtual office† which partly entails telecommuting but with the main focus being a more efficient, yet mobile workforce. With the virtual office, traditional office setups such as permanent workspac... ...s to get these things done and back to the office in one hour: pick up cash for sitter tonight, pick up three birthday gifts, buy her daughter a notebook, pens and a new backpack for school tomorrow, eat, get oil changed and pick up son’s asthma prescription. Well, Super Jane is at it again, she headed to the grocery store/pharmacy and picked up her son’s prescription, three gift cards for various stores to be given as birthday gifts, a salad and enough money for the baby-sitter to take her daughter to the store tonight to get her pens, notebook and new backpack. Now, off to Jiffy Lube where she will eat her salad while waiting for her oil to be changed. In summation, the benefits of time management can be life altering. As one finds ways to get more done with the time available to them, it can lead to an increase in overall self-confidence and a more positive outlook on life. Effective time management is also a very useful tool that can help to reduce stress in day-to-day life. If effective time management becomes a part of one’s life then he or she can find ways to juggle family, career, personal time and education. In essence, effective time management can lead to success.

Essay --

Madison Lamb Louise Pompa English 11A 06 February 2014 Marriage Equality â€Å"Life, Liberty, and the Pursuit of Happiness† is one thing that homosexuals are not permitted to chase. Marriage plays an important role in our society, and I personally don’t believe that people should be allowed to choose who other people are allowed to spend their life with. The right for homosexuals to marry has been a controversial topic since 1924. Denying homosexuals is a violation of our civil rights, and love should not be determined by your gender: love is love. Homosexuals only want one thing and that is a marriage licenses. They want to express their love for their partner, just like heterosexuals do. Heterosexuals have the right to be in love, why shouldn’t homosexuals? Why should homosexuals have to fight for their right to be in love, when heterosexuals can marry, and love anyone they want? Marriage is a beautiful experience where you get to express your love, and your commitment to that person. I believe that everyone should have the right to do so. Homosexuality is becoming an accepted lifestyle nowadays with most evidence strongly supporting marriage equality. According to NCSL, â€Å"as of January 2014, California, Connecticut, Delaware, Hawaii, Illinois, Iowa, Maine, Maryland, Massachusetts, Minnesota, New Hampshire, New Jersey, New Mexico, New York, Rhode Island, Vermont, and Washington, including the District of Columbia have all legalized same-sex marriage.† Did you know that there is a tremendous amount of 598,791 gay couples, and 71,165 gay marriages? 53% of Americans strongly believe that same sex marriage should be legalized, while on the opposing side, 41% believe same sex marriage shouldn’t be legalized. How can homosexuality a... ...hat everyone thinks is the â€Å"normal†. Understand that everyone is equal, and it should always stay that way. Homosexuality is becoming accepted more and more in America, and whether it’s legalized or not, homosexuals are still going to be with whom they want to be with. Denying homosexuals, or anyone for that matter, is a violation of the civil rights. Discrimination is what’s wrong with our world, and denying homosexuals could put an end to all discrimination. Legalizing homosexuality will make the world a more peaceful place, and will allow each other to see what’s really on the inside. The labeling and homosexual jokes will finally come to an end, and people can love one another without questioning if it’s okay. Everyone is on the journey to find love in the world, and some people find that in the same gender. Love is love, and that’s all it really comes down to.

Arguments of the death penalty Essay

Is death the justification of a murder or are we merely subduing ourselves by performing the same heinous act? This argument had been debated for many decades and although some feel that death is the answer to a murder, there are others that find it completely barbaric. Through a careful analysis between Edward Koch’s â€Å"Death and Justice† and David Bruck’s â€Å"The Death Penalty†, I believe Koch had the better argument in claiming that death is the justification of a murder. I feel that if someone were to kill another person, we have all rights to sentence them to a death penalty to guarantee such a horrific crime would not happen again. If someone had the courage to take the life of another then he/she should have the courage to face the consequences. Although many believed that the death penalty is barbaric, I believe if it is not done, it would hinder America’s goal in working toward a country that possesses the least crime rates. In Koch’s essay he compared cancer with the death penalty. â€Å"Today we are faced with the choice of letting the cancer spread with†¦methods that considered barbaric†¦But to give up†¦would certainly delay the discovery of an eventual cure.† (Koch, paragraph 6) What Koch tried to convey to us is that certain methods of reducing cancer symptoms may be found barbaric but it is because of these methods we will find an eventual cure. This applies to the death penalty as well. Although someone may believe the death penalty is barbaric, they can still support it because if we create a society that does not tolerate the injustice of murder, incidents of murd er will decrease. In Bruck’s argument he attacked back by stating that the death penalty was applied in a discriminatory manner through a man by the name of â€Å"Ernest Knighton†. â€Å"Knighton had killed a gas station owner during a robbery†¦Why was Knighton electrocuted when almost everyone else who committed the same offense was not? Was it because he was black? Was it because his victim and all 12 members of the jury†¦were right?† (Bruck, paragraph 10) He’s stating the jury was racist to Knighton because he was black and the death penalty does not serve justice. I believe that his isn’t so because the appeals for each murderer are long and accurate. Our courts are made so that each case is handled effectively and thoroughly to bring forth justice in the case. Koch stated â€Å"It is not justice to exclude everyone from the penalty of the  law if a few are found to be so favored. Justice requires that the law be applied equally to all.† (Koch, paragraph 11). It is not a racial matter because the appeals process is long and elaborate for every individual and a person will not be given any less attention due to their race. The death penalty served justice to people who had abused it. It will ensure a safer society because potential murderers would be afraid to kill because if they did, they would be executed as well. If we do not continue to practice this then murder rates would steadily increase. It is also not a racial issue because each case is observed with the full extent of the law. I believe the death penalty should continue to be instated because it will provide for a quicker progression to a murder-free America.