Ethical Dilemmas in Nursing Profession Essays -- Nursing Health

Nurses are faced with ethical dilemmas on a daily basis, each situation being unique and requiring the nurse to set aside their own values and beliefs in order to properly care for their patients. Situations requiring nurses to make an ethical decision are diverse and dynamic; the values set out by the College of Nurses of Ontario code of ethics remains the same. Therefore, all decision based on these vales regardless of the setting and circumstances ensure consistent solutions. The scenario involves a woman who was admitted to the NICU due to complications during her sixth month of pregnancy. The patient indicated that no extraordinary measures should be made to save her baby; she became further detached when the baby developed a bleed that resulted in some permanent brain damage. The ethical dilemma arose when the mother decided to put the baby up for adoption, stating she did not have time to take care of a special needs child. This paper attempts to explain the ethical values imp licated in the scenario detailed below, in which the nurse cares for both mother and baby. The client was a professional, thirty-five year old woman who had been married for 10 years. She was of South Asian decent and hailed from a poor family background. After years of trying to start a family, she finally achieved her first pregnancy through in vitro fertilization. During her sixth month of pregnancy the mother started to experience complication. She was advised by the nurse and the medical team to remain on bed rest and relax. The patient confided in the nurse, that she was having trouble balancing her work life while being pregnant and became resentful when the pregnancy complication forced her into bed rest. She further confided to the nurse th... ...ent value system possessed by their clients. The nurse identified her own values in this situation and ensured that it did not impact the decision of the mother; her solution to the problem was soundly based on the CNO ethical values. The nurse worked with her team to ensure the best possible solution to the situation, one which would benefit the mother and child equally. The mother indicated her decision to not care for her baby and so the nurse aided her in choosing the best possible alternative. In the end the mother chose to put her baby up for adoption. Works Cited Ethical values . (2009). College of Nurses of Ontario , Husted, J, & Husted, G. (2008). Ethical decision making in nursing and health care. New York: Springer Publishing Company . Daniels, R. (2004). Nursing fundamental, caring and clinical decision making . NY: Thompson Learning .

Performance and Safety of Hydraulic Turbines

Research Paper M.V. Sai Ram AP17110020010 Branch: ECEHYDRAULIC TURBINES:Abstract: The first part of the paper contains the choice of small turbines for run of the river power plants. Then a discussion is given on the optimization of the performance of different types of large turbines. Finally a discussion on the safety and necessary maintenance of turbines is given with special attention to bolt connections.A set of empirical equations has been developed which defines the peak efficiency and shape of the efficiency curve for hydraulic turbines as a function commissioning date for the unit, rated head, rated flow, runner speed, and runner throat or impulse turbine jet diameter. The aim of this investigation was to develop an environmentally friendly nano -hydraulic turbine utilizing waterfalls. A model of an impulse type hydraulic turbine constructed and tested with an indoor type waterfall to arrive at an optimum installation condition. Effects of an installation parameter, namely distance between the rotor and the waterfall on the power performance were studied. The flow field around the rotor was examined visually to clarify influences of installation conditions on the flow field. The flow visualization showed differences of flow pattern around the rotor by the change of flow rate and rotational speed of the rotor.Every single turbine is custom-designed specifically to meet the requirements of a hydroelectric power plant. Performance of a designed turbine is validated, to some extent, by computational fluid dynamics simulations. Field performance testing of hydraulic turbines is undertaken to define the head-power-discharge relationship that identifies the peak operating point of the turbine. This relationship is essential for the efficient operation of a hydraulic turbine. The art of hydraulic turbine design never stands still but always progresses. In recent years major emphasis has been on the materials of construction and on such features of design as will reduce maintenance work and costly outages in the field.LimitationsHydro power plant or we can say that hydraulic turbines are widely used from the last decades. It is an efficient renewable energy source. There are many up and downs. Hence there Some limitations as shown in below,1.It is a renewable energy source. Water energy can be used again and again.2.the running cost of turbine or less compare to other.3.It has high efficiency.4.It does not pollute environment.5.It is to maintain.

Healthy People Objective essays

Healthy People Objective essays Healthy People 2010 Objective: Reducing childhood obesity in poor communities One of the stated goals of Healthy People 2010 is to eliminate health disparities between different socioeconomic groups. Promoting a healthy weight and increasing physical activity must be the cornerstones of any health promotion policy, particularly in light of Americas burgeoning obesity epidemic. Everyone in America, poor and rich, is growing fatter-however, the epidemic seems to be suffered by the poor in greater numbers, and the poor have fewer resources to treat the causes of obesity. The 1994-1996 Continuing Survey of Food Intakes of Individuals (CSFII) survey showed significantly higher Healthy Eating Index (HEI) scores for wealthier respondents (Martin 2005:2). Most of the currently existing literature suggests that poverty and obesity is causal as well as correlational. The poor have less access to lower-calorie, nutritious food and safe places to exercise. Poverty and disease can participate in a vicious cycle wherein each one perpetuates the other. Deprived living conditions, malnutrition, and poor access to health care can advance the progression from poverty to disease. The resultant disease can lead to more poverty via the association of disease with limited employ-ability, high health care expenses, and losses of skills and ability. This can become a tough cycle to break for the members of the next generation, who often continue to emulate their parents unhealthy lifestyle and remain in poverty (Martin 2005). The School Nutrition Program notes that nutrition and lack of exercise lead to poor concentration, lower test scores and higher rates of school absence (Childhood obesity crisis poses financial losses to schools, 2004, Busines s Wire). In America, sugary, energy-dense foods are both highly palatable and cheaper than less processed,more difficult to prepare but healthier foods like fr...

Restrictive and Unrestrictive Use of Such As

Restrictive and Unrestrictive Use of Such As Restrictive and Unrestrictive Use of Such As Restrictive and Unrestrictive Use of Such As By Mark Nichol The phrase â€Å"such as† comes in handy for referring to specifics, but whether it begins a longer phrase framed by a pair of commas depends on whether that longer phrase is essential to the sentence or is provided as additional but nonessential information. The following sentences demonstrate erroneous use or omission of punctuation with the phrase; discussion and revision indicate correct usage. 1. In circumstances, such as these, are our strengths and weaknesses revealed. A pair of commas around â€Å"such as these† presumes that the phrase is optional, but â€Å"In circumstances are our strengths and weaknesses revealed,† though a valid statement, misses the point of the sentence, which is intended to relate the sentiment to a particular set of circumstances, so the phrase is essential and should not be set off: â€Å"In circumstances such as these are our strengths and weaknesses revealed.† 2. The use of the technology allows companies, such as World Wide Wickets, to transfer funds faster, cheaper, and in a trackable mechanism. Out of context, it may not be clear whether the parenthesis is necessary, but when one accepts the assumption that the company has already been mentioned, the phrase seems oddly intrusive when treated as an interjection, while its integral placement in the statement is natural: â€Å"The use of the technology allows companies such as World Wide Wickets to transfer funds faster, cheaper, and in a trackable mechanism.† 3. Specific employee information, such as Social Security numbers and I-9 forms for employment eligibility must be transferred in accordance with law. The examples given in this sentence are helpful but not essential, so the phrase beginning with â€Å"such as† and ending before the verb phrase â€Å"must be transferred† should be treated parenthetically. This sentence starts off correctly but neglects to close off the parenthesis with a second comma: â€Å"Specific employee information, such as Social Security numbers and I-9 forms for employment eligibility, must be transferred in accordance with law.† (The sentence is also correct without internal punctuation.) Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Style category, check our popular posts, or choose a related post below:Passed vs Past45 Synonyms for â€Å"Old† and â€Å"Old-Fashioned†The Difference Between "Shade" and "Shadow"

Strategic Management of Ford Motor Company Essay

Strategic Management of Ford Motor Company - Essay Example The paper tells that one of the key challenges of firms operating in the modern market is to locate the resources required for the development of their activities. The recession of 2008 onwards has led firms in all industries to develop innovative strategies – aim to compete with their rivals and stabilize their position. The industries, which have already reached their higher level of growth, like the automotive industry, are expected to proceed to key strategic measures in order to ensure their survival. In the last two years, the performance of the automotive industry indicates that the specific industry has already reached a high level of performance – compared to the most industrial sectors worldwide. It is for this reason that most firms of the specific industry have started to report losses – which, in certain cases, are extremely high. However, the survival of the firms operating in the specific industry can be achieved through additional measures  œ such the ones developed by managers in Ford Motor Company. Ford was first established in 1903. Since then, the firm has managed to expand its activities at such point, that it is now considered as the third major competitor in the global automotive industry. The firm’s growth is highly based on its brands, which are well known in the global automotive market. On the other hand, the firm has managed to achieve a stable growth, a fact that indicates its ability to transform its strategies in order to meet the market trends. The performance of the firm during the first quarter has been encouraging – compared 2008 when the effects of the crisis on the organizational profitability were made clear. The firm’s external environment should reveal the changes that should be promoted across the organization aiming to ensure the stabilization of the firm’s performance. The major competitors of the firm in the context of the global market are General Motors, Chrysle r, and Toyota – after the bankruptcy of the two first companies, Toyota has been left as the main competitor of Ford.

Effective Project Management Essay Example | Topics and Well Written Essays - 1000 words

Effective Project Management - Essay Example Effective projects are based on time management which ensures that certain activities are undertaken and can be altered to reduce the overload on critical resources. This approach is called resource leveling and, whilst it enables resources to be used more effectively, it may result in the project taking longer to complete if it is necessary to reschedule activities that are on the critical path. Ford and General Motors follow this approach in production and operational management in order to ensure high level of productivity. Resource leveling directs to schedule flows through batch working and demand dependent oriented systems in order to maximize the output. This approach emphasizes the desirability of ensuring a steady flow through the system like balanced flow, rather than seeking to keep all resources busy. Samsung follows time -boxed scheduling method (Spinner, 1998). The advantage of this approach is that its production activities are rescheduled to take account of float with in non-critical activities, the overall completion date would not be affected. Thus, Samsung's executives admit that this technique is salubrious because it requires project workers to understand thoroughly the steps that needed to be taken to implement their projects. Shiseido, the forth world leader in cosmetics industry, uses critical chain scheduling in order to produce their deliverables faster than ever. The advantage of the approaches mentioned above is that they allow the companies to meet customer expectations and ensure on time delivery. While users insist that a deliverable be produced in an impossibly short time frame, they are reluctant to drop any desired features in order to make the time frame realistic (Bateman and Snell 2004). Money Many companies with excellent products have gone out of business simply because they ran out of cash and financial resources. Cash shortages can result if accounts receivable are not collected promptly, if a key customer disappears, if money is tied up in equipment, or if financial reserves are limited. Similarly, a company will not stay in business long unless it achieves profits. There are countless ways for companies to fail to achieve their profit objectives. For instance, Shiseido, running in-house projects, does not estimate the cost of its internal staff working on the project, but does estimate the cost of contractors and suppliers. The problem is that the company does not have systems in place to allow it to accurately track and record the time people spend on individual projects. Samsung calculates the actual cost per unit of time. This approach allows company to ensure normal modes of working and availability. Ford calculates the efficiency levels for each resource. It pay s a special attention to capital and revenue expenditure budgets (Fleetham, 1989).. Plans reduced to specific figures show where money is going or where physical input and output have taken place. General Motors widely uses MRP II which generates a forecast of demand and a manufacturing plan is developed to meet those demands. This plan drives the issue of works orders (www.gm.com). Effective projects need effective management of financial resources to make plans effective, within the budget limits. The budgets are also used as checks on the actual results of a business (Burkun 2005).

The Strategic Causes of Conflict - What caused the 1991 Gulf War Essay

The Strategic Causes of Conflict - What caused the 1991 Gulf War - Essay Example There are other reasons for war such as ethnic and religious killings among others. War has become part of human beings and for a long time, it has really affected them. Generation after generation, nations have sent their youths to the fields to participate in these wars. Some have died in these wars as war does not discriminate. The costs of these escapes are very evident and some have been very severe1. For example, a look back to the damages that the First World War brought to the political structure of Europe makes it possible to understand the effects of war, and fight to stop its causes. 2 It is not a surprise to find that most historians are less concerned on the causes of war and have tended to concentrate on the causes of peace. This is not sufficient because the absence of peace is as a result of the war. Therefore, it is very important to look at the causes of a war rather than look for ways to bring peace after a war has already happened. The aim of this paper is to dig deep to the events that triggered the gulf war of 1991, and briefly shed light on the consequences of that war. What is the Meaning of the Term War? Before embarking on discussing the Gulf war that took place in 1991, there is need to clearly understand the meaning of the term war. There are many definitions of the term war, but only one definition will be used in this paper. The term war refers to the large scale violent conflict that occurs between organized groups that have already established governments or at times, those that seek to one day establish their own.3 Something that should be noted is that not all conflict is war, but only the large scale conflict is referred to as war. Therefore, the Gulf war of 1991 suits the description of war, as it involved large scale conflict. As mentioned earlier, this paper will concentrate on the causes of the Gulf War that took place between the American military and their supporters, and the Iraqi government in the year 1991. First, her e is a brief on the general causes of any kind of war and the meaning of the term war. General Causes of War The televisions, radios, and newspapers constantly remind people that the world they live in is not a world that has absolute peace. Day in day out, the reports are showing different nations being affected by conflict. For example, Somalia is country that has suffered warfare for many years. Statistics about wars are always frightening and since the Second World War, most of the social scientists have made great efforts, to attempt to identify the causes of interstate wars. Many researches have shown that there is no single master cause of war, but rather, the causes are different. Most of the wars occur as a result of a number of important causes and due to this, many states have found it difficult to solve their differences to bring about peace.4 Some have tended to argue that banning of nuclear weapons will help in eliminating the causes of war in the world. I tend to argu e otherwise because there are other root causes of wars around the world and some may come as a surprise. The following are different classes that can be used to classify the causes of war: Individual level causes: The causes of war in this category are normally short term and immediate. These are causes such as a leader’s personality. A leader’s personality on occasion plays an important role in the way he or she reacts to stressful situations. For example, a leader