Health care laws and how it affects working nurses Research Paper

Health care laws and how it affects working nurses - Research Paper Example Three types of laws govern the Public Health Law as previously discussed: Legislation, Regulations and Judicial Law. The legislative bodies of state, federal and local government, formulate the Legislative laws that have a considerable impact on the way nursing is practiced in the United States. Regulations are specific set of rules pertaining to individual while the legislation and Judicial law is based on the court’s and jury’s’ decision (Stanhope and Lancaster 124). Stanhope and Lancaster illustrate the impact of Regulations and the Judicial Law on nursing practice by stating that the state legislators will enact laws governing the board of nursing and will coin technical terms such as ‘licensed registered nurse’ and ‘nursing practice’, the board of nursing on the other hand will enforce the laws that will bring into existence a licensed registered nurse and recognized nursing practice procedures by stating all the requirements and pr erequisite (124). The writers express that in case of judicial law, courts take into consideration previous cases and give sentences in conformity with them except during the instances when the judge or the jury thinks that the old laws have become obsolete and a more valid form of it is needed. Everything that is done in a health agency has a basis in law and is subject to legal sanction of one type or another (qtd. in Maurer and Smith 124). This statement implies to health care workers and more particularly community oriented nursed since they have direct, face-to-face relationship with the patients. Rules and regulation in addition with those associated with the upheaval of the health industry; predominantly laws that pertain to the maintenance of discipline in the health sector and allotting punishment related to malpractice are applicable to nurses to a great extent. Nurses are regarded, as learned individuals with sound knowledge of the profession that they practice for their living, consumers are totally reliant on this particular knowledge for their treatment. If any patient is harmed in any way due to the nurses’ malpractice that according to a source Hall and Hall (2001) cited in Maurer and Smith (124), includes: Provision of unsafe environment, inadequate assessment, failure to follow physician’s order, erroneous medication and treatment, usage of defective technology and products, inadequate infection control and poor communication with the patient, the nurse would be held accountable for her actions and lawsuits can be filed against her. Nurses should be well aware of the laws and legislation pertaining to their legal practice of the state they are professionally working in, and should be well familiar also with any changes that might be introduced in the legislation of not just nursing but also in related professions such as those of medicine and pharmacy (Lancaster and Stanhope 125). These writer demonstrate the importance of inter disciplinary knowledge for the nursing profession by stating the example of a community oriented nurse who has reviewed the pharmacy act would be able to ascertain whether to question the right to dispense medication in the local family planning clinic or not. According to The Nurse Practice Act of New York, 1970 nursing is defined as: The practice of the profession of nursing†¦. is defined as diagnosing and treating human responses to actual or potential health problems through such services

Report 501 Research Paper Example | Topics and Well Written Essays - 6500 words

Report 501 - Research Paper Example One of the widely used resource centre for efficient information service management is the Information Technology Infrastructure Library (ITIL). To be precise, hundreds of organizations all around the globe are encouraged to adhere to the practices outlined in the ITIL. In essence, different groups of stakeholders comprehend that to achieve top most success in information service management, then, it is essential that the key basics of the Information Technology Infrastructure Library are put into close consideration. The library offers the best platform for ensuring that an organization can efficiently achieve its set out operational goals. It further paves way for our organization to execute the right set of procedures towards creation of a successful and innovative business environment for the future (Mar 2013, 1). To be exact, the implementation of the ITIL in an organization is seriously a key subject not only in promoting our company’s competitive advantage but also in t he achievement of all our set out business goals. On this regard, this paper aims at delivering a well-designed report on the subject matter of issues related to the implementation of the Information Technology Infrastructure Library. In simple terms, the Information Technology Infrastructure Library (ITIL) entails a comprehensive and well-designed set of information technology documents that define the finest practices and techniques to be applied in an information technology environment. That is, it contains a high quality set of guidelines that are widely used in the day-to-day operations of both public and private companies (Chen 2010, 5). This is by providing them with an advanced blueprint necessary for the organization and management of the operations of an information technology company. The Information Technology Infrastructure library has aided many companies in promoting their global competitive advantage and be

In what ways does low-wage work involve more Essay

In what ways does low-wage work involve more - Essay Example (Miller, 1992) Normally, a married couple shares household expenses making it easier to support the financial needs of the family. This way, married women have ample time to do housework and duty as a mother. In the case of single mothers, the only way she could increase the income is by increasing the working hours. It means that a single mother usually ends up sacrificing her leisure time with her children in exchange for the income she would earn while working. For example: Jack is earning $5,000 a month working 8 hours a day as a manager in a five-star hotel whereas Cindy earns only around $500 a week working 8 hours on a part-time job as a waitress because she is taking care of her child as a single mother in the morning. For Cindy to be able to earn $5,000 a month, she will have to work longer hours so she financially supports her child. For Cindy to earn the same earnings of Jack, she will have to work for a total of 80 hours a month. [($500 / 8hours) = $62.50 / hour; $5,000 a month / $62.50 per hour = 80 hours a month] (Jones, 1999) Yes. I agree that the U.S. government should protect the workers and their retirement savings from a similar case with the Enron. The pension law prepared by the Department of Labor clearly states that each employer has the duty to provide the 401(k) plans for its employees. In this case, the trustees who are responsible in overseeing the 401(k) plan as well as the top executives or directors who monitors the plan should be held liable to employees in case of the court could prove that there was a breach in the fiduciary duty. (Dugas, 2002) The main cause of Enron’s bankruptcy was illegal in the sense that the top executives of the company manipulated the corporate statement of account for many years in order to mislead the public shareholders with billions of dollars and eventually abandon its employees with their pension funds. (Jezer, 2002) Setting the corporate top executives who are

Report 501 Research Paper Example | Topics and Well Written Essays - 6500 words

Report 501 - Research Paper Example One of the widely used resource centre for efficient information service management is the Information Technology Infrastructure Library (ITIL). To be precise, hundreds of organizations all around the globe are encouraged to adhere to the practices outlined in the ITIL. In essence, different groups of stakeholders comprehend that to achieve top most success in information service management, then, it is essential that the key basics of the Information Technology Infrastructure Library are put into close consideration. The library offers the best platform for ensuring that an organization can efficiently achieve its set out operational goals. It further paves way for our organization to execute the right set of procedures towards creation of a successful and innovative business environment for the future (Mar 2013, 1). To be exact, the implementation of the ITIL in an organization is seriously a key subject not only in promoting our company’s competitive advantage but also in t he achievement of all our set out business goals. On this regard, this paper aims at delivering a well-designed report on the subject matter of issues related to the implementation of the Information Technology Infrastructure Library. In simple terms, the Information Technology Infrastructure Library (ITIL) entails a comprehensive and well-designed set of information technology documents that define the finest practices and techniques to be applied in an information technology environment. That is, it contains a high quality set of guidelines that are widely used in the day-to-day operations of both public and private companies (Chen 2010, 5). This is by providing them with an advanced blueprint necessary for the organization and management of the operations of an information technology company. The Information Technology Infrastructure library has aided many companies in promoting their global competitive advantage and be

Jasmine Revolution Essay Example for Free

Jasmine Revolution Essay Leadership or Tyranny? Summary: Within just 28 days, Zine El Abidine Ben Ali had no alternative but to step down from his 23-year presidency in Tunisia. A single spark set by Mohamed Bouazizi turned out to be a prairie fire across the whole country. Economic Growth Paradox Although the economy of Tunisia has been growing steady at an average rate of 5% for the past 23 years, the unemployment rate has been standing at over 10% since 2003, which is indeed alarmingly high. The rate is double for the young Tunisians, and even higher for the fresh graduates. A recent survey has shown that the unemployment rate stands at 25% and 44% for male graduates and female graduates respectively. If the economy is growing every year, why are there so many people out of job and struggling to survive against serious inflation? What is going on behind the scene? Surrender to Dictatorship In addition to the economic factors, the political situation in Tunisia has played a crucial role in this Jasmine Revolution. The Tunisians have been silent for years: minimal (if any) freedom of speech, deprivation of other political rights and stringent censorship over information and the press. Rampant corruption at the top tier level of the Ben Ali regime, as revealed by Wikileaks, is another burning issue. On the other hand, the Tunisians had to confront the unreliable and abusive police force from the government. Instead of being protected by the local police force, Bouazizi (who was operating as an unlicensed hawker) had his produce confiscated and his subsequent complaints entirely ignored, which eventually led to his self-immolation. Transactional Leadership The exchange relationship between the Ben Ali government and the citizens in Tunisia did not seem to be balanced. Prior to a series of protests and demonstrations and subsequent abdication of Ben Ali, the Tunisians had been resigned to the dictatorship of Ben Ali in exchange of a decent life. However, are the Tunisians getting what they are supposed to obtain? Undeniably, Tunisia has become one of the most stable countries in Arab. True, the slow yet steady economic prosperity and gradual increase in basic health care and education have made the Tunisians look better-off than their Libyan and Algerian counterparts. Nonetheless, they are also under constant threat of unemployment, corrupt officials and violent police force instead of what guarantees a decent life – law and order. Media in Play? While some critics have also partially attributed this revolution to Internet social media, Twitter and Facebook in particular, caution should be exercised in order to avoid playing up the actual influence of social media. No doubt, the speed of information transmission has been greatly enhanced with the introduction of the Internet. In the case of Tunisia, some have named it as â€Å"Twitter Revolution†. However, all social media are better seen as a vehicle or a catalyst of the protests and subsequent overthrowing of Ben Ali. In other words, they are not the sole enablers of such revolution. After all, the crux lies with the fact that when the leader realises his self-interests and benefits at the expense of the interest of the other party, such transactions can no longer be deemed as satisfactory or fair in the eye of the exploited party. What’s Next The single spark in Tunisia has already started a prairie fire in Egypt, with the flame spreading to Libya and China at a great speed. How should the leaders faced with similar dilemmas react? Adopting an even more high-handed approach on the people helps very little at best, and aggravates the problem further at worse. Stricter censorship and control over the information flow to the citizens might sound plausible, yet people can always find means to overcome such barriers. On the other hand, people do not seem intimidated by the dire consequence of their protests – arrest and torture. The self-immolation of Bouazizi is a case in point to show the ‘make-or-break’ determination of the people when pushed to the dead alley. Fair Deal If the transactional relationship is to be maintained, the leaders should identify, understand and respond to the true needs of people. Marginalizing any segment of the society is the last thing to do – frustration and disappointment of the people can evolve into a fatal blow to any regime. If people’s basic welfare were not well taken care of, could the government rest assured that social peace would be maintained? What can go hand in hand with the above is that the leader should create a vision for the people and motivate the people to pursue and actualize the same version, not for themselves only but for others as well.

Diabetes Mellitus and Erectile Dysfunctions

Diabetes Mellitus and Erectile Dysfunctions CHAPTER 1 INTRODUCTION 1.1 Diabetes Mellitus Diabetes Mellitus is a group of metabolic disorders which is characterized by chronic hyperglycemic condition with elevated blood glucose levels (Kohei., 2010). It may be either impaired insulin production or inability of cells to respond properly to the insulin synthesized from beta cells (Rudolf et al., 2012). There are majorly two types of diabetes- Type I or Insulin Dependent Diabetes Mellitus and Type II or Non-Insulin Dependent Diabetes Mellitus.The later condition is characterized by fasting hyperglycemia along with a risk of thrombolytic and atherosclerotic disorders that mainly affect the cerebral, peripheral and coronary arterial trees (Grant., 2007). Diabetes is associated with various complications including micro vascular and macro vascular complications such as retinopathy, nephropathy, atherosclerosis, endothelial dysfunction and erectile dysfunctions. 1.1.1 Type-I Diabetes (IDDM or Juvenile onset Diabetes Mellitus) Type I is a form of diabetes mellitus that results from the autoimmune destruction of the insulin-producing beta cells in thepancreas The ultimate lack of insulin leads to enhanced blood and urine glucose. The hallmark symptoms are polyuria (frequent urination), polydipsia (increased thirst), polyphagia (increased hunger), and weight loss. The reason of diabetes mellitus type 1 is unknown. Type 1 diabetes can be distinguished from type 2 by autoantibody testing. TheC-peptide assay can also be used to measure endogenous insulin production. Global the number of people with DM type 1 is unknown. It is estimated that about 80,000 children developed the disease a year. Numbers of people who currently have the disease in the United States are possibly as much as three million. Rates varies from a low of 1 per 100,000 in Japan and China to 8 to 17 per 100,000 in Northern Europe and the U.S., to a high of about 35 per 100,000 in Scandinavia Caused by immune destruction of beta cells of the pancreas. Antibodies to islet cells and insulin are observed at diagnosis. Insulin secretion gradually decreases. May present at any age but most common in childhood and adolescence. Insulin by sc injection is necessary for survival. Contributing factors:- Genetic predisposition, Environmental trigger (infection or stress) 1.1.2 Type- II Diabetes (NIDDM or Adult onset Diabetes Mellitus) Type II diabetes may be caused either by insulin resistance in the liver and skeletal muscle, or enhanced glucose production in liver, or excess production of free fatty acids by fat cells and insulin deficiency. Insulin secretion diminishes with gradual beta cell failure. Reductions in blood glucose levels can be achieved with changes in food intake and also physical activity patterns. Oral medication and/or insulin injections are finally required. Contributing factors: Obesity Age (onset of puberty is associated with increased insulin resistance) Lack of physical activity Genetic predisposition Racial/ethnic background (Native American, African American Hispanic and Pacific/Asian Islander) Conditions associated with insulin resistance as in polycystic ovary syndrome 1.2 Penile Anatomy The penis composed of three bodies of erectile tissue which run in parallel; the corpus spongiosum, surrounding urethra and terminating in glans penis and the two corpora cavernosa (CC) function as blood-filled capacitors which provide structure to the erect organ (Andersson et al., 1995). The penile CC is highly organised vascular structures which are morphologically acclimatised to their function of becoming engorged of sexual arousal. The trabecular smooth muscle comprises approximately 40-50% tissue cross-sectional area, as evaluated by histomorphometric analysis (Nehra et al., 1998). There are three main arteries in penis ie, cavernosal, dorsal and bulbourethral. These three arise from a shared branch of internal pudendal artery and provide an immense anastomotic network (Tiee et al., 2010). Nowadays, there is a tendency to Role of Arginase Inhibitor and Alpha-Tocopherol in Streptozotocin Induced Sexual Impairment in Male Rats 2013-14Â  perform experiments using pudendal artery in vitro instead of cavernosal tissue to check pathophysiological aspects of ED as this artery is the vital resistance of penile engogerment during sexual stimulation. Novel research suggests that pudendal artery contributes about 70% of total penile vascular resistence (Manabe et al., 2000). The blood supply in CC is mainly fed from the penile cavernosal artery (Andersson et al., 1995) which causes corporal engorgment during erection, whereas deep dorsal artery causes glans enlargement but venous drainage is not similar to the arterial supply; there has only one deep dorsal vein which runs alongside dorsal arteries and nerves in the Buck’s fascia above the tunica albuginea which is a multilayered organized structure where emissary veins pass. The penile venous system is generally stated as a single deep dorsal vein along with a pair of dorsal arteries located between tunica albuginea and Buck’s fascia for venous drainage (Moscovici et al., 1999). The corpus spongiosu m which is erectile tissue analogous to CC but with thinner tunica albuginea. The urethra lies inside the spongiosum. The innervations of penis is both autonomic ie, sympathetic and parasympathetic and somatic ie, sensory and motor. From the neurons present in the spinal cord peripheral ganglia, the sympathetic with parasympathetic nerves merge to form cavernous nerves, which enter in CC and corpus spongiosum for affecting the neurovascular events during detumescence and tumescence (Dean et al., 2005). 1.3 Physiology of Penile Erection Penile erection involves central and peripheral pathways. Tumescence initiated after central integration and processing of visual, tactile, olfactory and imaginative stimuli. At the initial of sexual stimulation, signals are generated to peripheral tissues involved. Hence final response is mediated by coordinating spinal activity through the autonomic pathways to penis, and also in somatic pathways to perineal striated muscles. Both of the central and peripheral regulation of the PE involves several neurotransmitters, of which details are still incompletely known. Spinally, there may be a network consisting of the primary afferents from the genitals along with spinal interneurons, sympathetic, parasympathetic and (somatic) nuclei, which is capable to integrate all information. Peripherally, a balance between substances which control the degree of contraction of cavernosal smooth muscle determining the functional state of the penis (Gratzke et al., 2010). The dynamic interplay between vasoconstrictors and vasodilators within the penis establish the state of erect or flaccid. PE is determined by the pressure changes in cavernosal arterioles and sinuses. The vasculature nature of the erectile mechanism differs from most of the vascular beds as it is comprised of arterioles and hollow blood-filled sinuses, both that are lined with endothelial cells and smooth muscle (Dean et al., 2005) as previously described. During flaccidity, this tissue is tonically contracted which allow only a small amount of arterial flow regarding nutritional purposes. Partial pressure of oxygen (PO2) in blood is around 35mmHg (Sattar et al., 1995). On the other hand, dilation of penile arteries is the primary event in the consequence of erection

Money Cannot Substitute Passion :: Personal Narrative, Autobiographical Essay

Money Cannot Substitute Passion "Tuan, this is the last time I'm going to tell you, you better clean the house." said my father. "I'll do it later," I replied. "Later?" he said. "Why don't you just make some money and hire a maid to do it. Then you don't have to worry about it!" Coming from a blue-collar background, my father constantly reminded me of the importance of money. It was many years ago that he arrived in this country, carrying me in one arm and his hopes and dreams on the other. It was upon arriving in the advertised land of opportunity that he quickly learned that money was the only ticket to upward mobility. It was rough in the beginning. My father was forced to scrape and save in hopes of providing us with a better home. A family of four, we shared a bedroom in which we all slept together, never separated by more than a few inches apart. We did not have much except the daily warmth and undying devotion for one another. Through diligence and sacrifice, his hard work paid off and newfound success smiled upon us, changing our lives forever. As our new home quickly filled with all the luxuries and amenities the newly reaped profits and investments could afford, it seemed to become emptier to me. Money soon became a substitute for our slowly vanishing relationships. Lazy Sundays spent with him at the Japanese gardens feeding goldfish were replaced by late nights at the store and a brand spanking new widescreen television. The once friendly dinner table where our lives were intertwined through bowels of rice porridge and bean sprouts was abandoned for meals in seclusion. We ate not together, but in our own rooms. The doors and the walls sealing us off in our own separate worlds, closing us off from one another, and hence leaving only a bad taste lingering inside of me. It was not until I left home for college that I was able to fully comprehend what was happening. You see, I lived on the inside and my father lived on the outside. Standing on the hilltop of the university, I am able to look out and see all the possibilities my brick and ivy education has opened up for me.