Wednesday, January 29, 2020

Too easy to get a gun in the U.S Essay Example for Free

Too easy to get a gun in the U.S Essay Like vehicle owners in the U.S.A most people in the U.S believe that gun owners should be subjected to at least some safety regulations â€Å"there should be a parallel set of regulations for guns†, (Harvy Lipman, 1997 pg 1). People have differing value attachment to guns from the positive to the negative ones. However about three quarters of the American majority believe that imposing a total ban on gun ownership is not the way. It is estimated that nearly half of American populace think that if they own a gun then they are much safer within their homes. The biggest issue for America, becomes not how to ensure a total ban but then how to put some minimum regulations for every American citizen to own a gun and thereby control their number..   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Majority of some Americans believe that the contemporary laws are so different from one state to another; the message is that the citizens want reasonable gun laws that are not so strict and as such can reasonably be reinforced. One of the possible reasons that have been proposed includes; Attending a gun course: most people within the united states of America believe that if anyone who wants to own a gun was to be subjected to a mandatory gun clinic on how to operate and handle the weapon without endangering themselves or the rest of the society, then the number of people wanting to own a gun would find it cumbersome to attend such clinics. In fact the federal Brady law that requires citizens who wish to buy and own guns to wait for at least five days before that gun is sold to them is supported by nearly 90 percent of Americans (Harvin L, 1997). This they believe would ensure that these individuals who intend to buy the guns have their backgrounds assessed by law enforcers so that when they are issued with the guns they are given a clean bill of health. This according to them would limit the number of guns ending up in the wrong hands. In effect criminals would not find it easy to access guns and as such many problems such as robbery, deaths would be minimized. It al so has the effect of limiting the number of people possessing firearms. Barring Felons and drug users: the theory under this perspective is that, if access to guns for criminals is denied then the number of crimes that would have been committed by these fellows would certainly come down (Kurt F. 1981,pg6, Col. 4). Having uniform gun law across the states: the current gun control law varies from one state to another and some of them are just merely about registration of the original purchase and to the extent of licensing. However with the persistent gun issues, there needs to be an enactment to ensure that the interstate gun flow is controlled. For instance, a state such as New York that has enacted various laws that is restrictive to gun control faces the problem inflow of numerous guns from other states, with less restriction. The numbers of guns that are illegally owned by most Americans even complicates the situation further. These weapons are increasingly being stolen and as such restrictive laws are not enacted and with a major cooperation from gun owners and the rest of the public then not much progress will be done. Guns unlike other consumer products are quite durable. However, the federal law only requires the initial retail sale to be documented. Subsequently, the after sales are not usually monitored, as there is no documentation required by law. This makes it easier for people to sell their guns and criminals and other dangerous people easily obtaining guns. The initial gun owners unwittingly sell guns or giving them away to second parties. The federal government should also put a limit on the number of guns an individual is allowed to own. In effect this would bring down the number of guns that are owned by the public, as it would require those who have more than the maximum number required by the law to surrender the excess. Right now it is possible for a citizen to own as many as ten firearms. Empirical evidence suggests that most oft the countries that have successful gun regulations have very strict laws that punish offenders. It is argued that criminals usually find it hard to commit a crime if it poses a greater risk to them. Criminals would be hesitant to use guns if it would make the kind of crime they are intent on committing more severe. Thus if strict laws are passed to punish offenders most criminals would not engaged in the activities using guns. Gun owners should have their firearms registered with the federal government. This would make them more accountable to the use of the weapons. Within their homes and the society as whole the adults who posses the guns would make it their business to keep track of their firearms so that no one else uses the weapons. This in effect would also isolate criminals as their moves and actions with the guns would be monitored. . Even the ordinary citizens would find it hard to purchase the weapons, since there is the possibility that the gun might end up in the wrong hands making them liable to prosecution. Even though it might be seen to be going against the law and to some extent it might also prove to be costly in implementation, the police should be allowed to finger print every person and record the obtained data in a file. This would make it easier to monitor most criminals. Works Cited Harvy Lipman Rights and regulations; Americans want firearms and federal restrictions, poll finds.   Albany Times Union, 1997 Kurt F. Kluin, Gun Control: Is it a Legal and Effective Means of Controlling Firearms in the United States. 1. N.Y. Times, Mar. 31, 198 1,  § A, at 6, col. 4. Philip J. Cook and Jens Ludwig, guns in America: National survey on private ownership and use of firearms, USA Department of Justice, National Institute of Justice

Tuesday, January 21, 2020

Inclusion: Beyond Special Needs Essay -- Educational Issues

Inclusion in education is an approach to educating students with special educational needs; under this model students with special needs spend most or all of their time with non-disabled students. Evidence from the last decade reveals that segregation of special needs students, as opposed to spending time with non-disabled students, is actually damaging to them both academically and socially. Segregating students placed in the special education category is a trend that has been vastly common in public schools, but in the last few years inclusion in general education settings is becoming a more credible option. Placing students in an inclusive classroom is effective in positively adjusting not only their academic performance, but also social and developmental skills needed throughout life. Despite concerns of successfulness and outlook, the inclusion of special needs students in general education classrooms within the public school arena proves to be beneficial for all aspects of edu cation. In contrast to the beneficial validities of inclusive education, there are also particular disputed concerns that are occasionally brought to light and require attention in inclusive classrooms. â€Å"Despite a move toward inclusion being the most significant trend across†¦countries†¦the academic consequences of educating students with special needs in inclusive rather than separate settings remain contested† (Canadian Council on Learning 2). One of the leading worries being noticed because of this growing trend is generally how attention will be divided in the classrooms among all types of learners. â€Å"The growing demand for inclusive practices within mainstream schools has resulted in classroom teachers having to take direct responsibility for the ... ....† British Journal of Special Education 33.2 (2006): 76-81. Academic Search Premier. Web. 27 Feb. 2012 Roffman, Leslie, Todd Wanerman, and Cassandra Britton. Including One, Including All: A Guide to Relationship-Based Early Childhood Inclusion. St. Paul: Redleaf Press, 2011. 8. Print. Roffman, Leslie, Todd Wanerman, and Cassandra Britton. Including One, Including All: A Guide to Relationship-Based Early Childhood Inclusion. St. Paul: Redleaf Press, 2011. 9. Print. Schulz-Hamsa, Irene. Inclusion and Technology: A Marriage of Convenience for Educational Leaders. 1998. ERIC. Web. 27 Feb. 2012. Yuen, Mantak, Westwood, and Wong. â€Å"Meeting the Needs of Students with Specific Learning Difficulties in the Mainstream Education System: Data From Primary School Teachers in Hong Kong.† International Journal of Special Education 20.1 (2005): 67-68 ERIC. Web. 27 Feb. 2012.

Monday, January 13, 2020

Sergical Tech. Informative

Courtney Davis English 111 –CML 02-09-12 Essay #2 – informative Do You Want to Be A â€Å"Scrub†? Have you ever considered entertaining the idea of establishing a career in Surgical Technology? Many people are not thoroughly familiar with the job duties, educational requirements, earnings, job outlook, and potential downsides. Exploring these five areas will assist you in making a more informed career decision. Surgical Technologist can also be referred to as â€Å"Scrubs† (Occupational Outlook Handbook, p. ). A Surgical Technologists’ duties before an operation is to help prepare the Operating Room by setting up instruments and equipment that are used and needed by the Surgeon performing the procedure. Cynthia Davis, RN/ CST states her duty â€Å"I prepare and maintain highly complex sterile environments. † They get the patients ready for surgery by washing and shaving the necessary parts of the body that the surgeon will be focusing on. The y also observe the patients vital signs and check charts.During surgery a surgical technologists assist the surgeon or their assistant by passing and holding instruments, cutting sutures, counting needles and other supplies that are essential to the surgery being performed at the time. Sometimes the surgical techs even operate suction machines, sterilizers, adjust lights to a specific area, and help operate diagnostic equipment that is in the surgical room. .Cynthia describes her position as â€Å"the primary surgical tech responsible for handling instruments, supplies, and equipment during all surgical procedures. These procedures range from minimally invasive biopsies to highly complex surgeries†.After an operation Scrubs may help the patient to recovery. They also clean and restock the operating room so that it will be ready for the next operation. Jennifer Davis, NP . , says, â€Å"My responsibilities as a surgical technologist are to set up, maintain a sterile field dur ing surgery, assist the surgeon if needed and clean up and start all over again†. Most Scrubs work a regular 40hour week, but also will remain on call to work nights, weekends, or whenever needed just depending on how many surgeries are scheduled throughout the week. Usually, holidays are on a rotating basis. (Bureau of Labor Statistics,U. S.Department of Labor. ) Most employers prefer to hire certified technologist. Training programs last 9-24 months and lead to a certificate, diploma, or associates degree (Occupational Outlook Handbook, p. 1). Technologist may obtain voluntary professional certification from the National Board of Surgical Technology and Surgical Assisting by graduating from a CAAHEP-accredited program and a passing a national certification examination In order to maintain certification they must earn 60 hours of approved continuing education over 4 years or retake and pass the certifying exam at the end of 4 years (Occupational Outlook Handbook, p. 3).The wa ges of surgical technologist can vary with their experience, education, responsibility of the position, working hours, and the economy of a given region of the country (Occupational Outlook Handbook). The benefits that are provided by most employers will include paid vacation and sick leave, health, medical, vision, dental, life insurance; and a retirement program. A few even provide tuition reimbursement and child care benefits. Cynthia Davis reports she organizes her own schedule that must consist of four twelve hour shifts , says she is always on call but that the excellent benefits and health insurance make up for it. . On average surgical technologist made $38,740 in May of 2008 according to Occupational Outlook Handbook. According to the Bureau of Labor Statistics, U. S. Department of Labor the employment is expected to grow much faster than average. Job opportunities will be the best for those willing to relocate (ooh) in 2008, surgical Technologist held about 91,500 jobs, wi th 71 percent of the jobs being in hospitals. Other positions were held in offices of physicians’, dentist, and ambulatory surgical centers (Occupational Outlook Handbook). Industries employing the largest numbers of surgical technologist were Specialty hospitals $40,880 and Out patient centers $39,660. (Bureau of Labor Statics, U. S. Department of Labor) â€Å"Technologists must respond quickly and must be familiar with operation procedures in the order to have instruments ready for surgeons without having to be told to do so† (Occupational Outlook Handbook, p. 3). Scrubs need manual dexterity to handle instruments quickly. They must be conscientious, orderly, and emotionally stable to handle the demand s of the operating room environment.Potential downsides are standing for long periods of time, being exposed to communicable diseases and unpleasant sights, odors and materials. Jennifer describes this job as high stress but very rewarding. The worst part of the job is losing a patient. † In conclusion, the thought of establishing yourself in a surgical technology career can consist of knowing the duties, educational requirements, earnings, job outlook, and the potential downsides to the job.The relatively short amount of time it takes to obtain a degree or license needed to start a career, the joy of doing something different everyday, and the substantial earnings you can make each year are all good reasons to pursue nursing as a career, as long as the downsides are tolerable for you. If you are thinking that the downsides don’t seem so bad then you should check into pursuing a career in surgical technology and you can be a â€Å"Scrub†.

Sunday, January 5, 2020

My Educational Experience Fair Warning - 1450 Words

My educational experience. Fair warning, most of this just might be me ranting about some aspects of my education, but truly, I believe that I have had one of the best educational experiences I could ever ask for. I formed great relationships with peers and faculty, graduated with honors, and made it into the Public Ivy, Miami University. My educational experience hasn’t been like a lot of others though, and I recognize that not everyone that attended my school had the same great experience I had, but I still am incredibly thankful for all of the efforts my school and faculty put into each and every one of us. As I mentioned in class, I come from a very rural area in an area about an hour south of Columbus, with corn fields surrounding†¦show more content†¦Support for sports, concerts and other extracurricular activities are always strong. Fundraising for clubs is always strong. And when tragedy strikes, we are stronger than ever. With this sense of community, you can see teachers taking the extra time to form personal relationships with students. I, myself, had a very close relationship with a faculty member throughout my four years in high school, and was close with all of my elementary school teachers. Because of this, I, and other students, learned more than just what was supposed to be taught in the classroom. We learned life lessons. And when we were being taught more traditional academic stuff, we learned better because the teachers knew us, knew who we were, and how we best learned. So, despite many physical challenges with our schools, the close community atmosphe re that has hovered around our school district is what has made me and so many others successful. Sorry Ohio Department of Education, it’s not all about testing and who scores the best. Going off of that, I think my experiences in school have made me so critical of the testing and standards that teachers are held too nowadays. I have seen the teachers that try their best and hardest, but still have to be affected by the students that can’t test well. And it’s just that- some people can be extremely smart but be an awful test-taker. And personally, in my schoolShow MoreRelatedGraduation Speech : I Am A Writer1353 Words   |  6 Pagesimportant events. Students were also reminded of procedures and behaviors that were expected throughout the day. Each morning at Greenvale elementary school, I observed Mrs. Poli s 5th-grade class. She had the most profound impact on my teacher observation, experience because her personality and teaching style made all her students excited to be in her classroom. Daily routines were clear, her classroom was neat and organized, and most importantly, students knew exactly what behavior was acceptableRead MoreHow Legislation Related Education Impact Your Classroom Practice?939 Words   |  4 PagesAs a teacher, I would try to keep the classroom as fair and up to code as possible. One of the legislation’s I was sort of uneasy about was the Keefe v. Geanakos, where a teacher was fired for the continuous use to a derogatory word. After reading the short description of the case, I did research and found that the word used was an extremely disrespectful word. â€Å"Motherf**ker† was the word. As an adult, the word is one that I would not even use in my household let alone expect to hear out of an educator’sRead MoreDorm Check Ins At Valdosta State University1490 Words   |  6 Pages Dorm Check-Ins When paying large amounts of money, most people like to get the most out of what they pay for. Students all across the country pay thousands of dollars to live on campus housing in educational institutions. At Valdosta State University, there are nine residential halls on campus with most of them being freshman dorms. The on-campus housing follows a strict policy that states only two people can be checked in per student. Many students agree that there should be more than two peopleRead MoreEducation Is A Better And Stronger Society1161 Words   |  5 Pagesbetter and stronger society. It is important that my students are built for excellence in all they do. This is accomplished by engaging my students through the curriculum as well as getting to know them and work with them one-on-one. Meeting the needs of my students is the most crucial roll I play in the classroom. At the start of each school year, introduction activities will be vital to the success and flow the remainder of the year. In my classroom students will be comfortable with one anotherRead MoreMy Cousin Vinny : Truth, Justice And The Gambini Way968 Words   |  4 Pagesâ€Æ' My Cousin Vinny: Truth, Justice and The Gambini Way is a movie film constructed about two men, Bill Gambini and Stan Rothenstien in which are erroneously mistaken to be murderers by the Beechum County Sheriff’s Department. Bill Gambini and Stan Rothernstien become detained on the charges of murder by Beechum County Sherriff’s Department, the division possessed their firearms during the time of the arrest, although the two men initially thought they were being arrested for a purloined can ofRead MoreEssay on Outline for Organ Donation Speech1009 Words   |  5 Pages or Poem Conclusion Type: Summary Goal/Purpose persuade my audience to give the gift of life and become organ donors. Introduction I. I have always decided i wanted to dedicate my organs to others once i have oassed but it was not until January of this year i learned the true value behind organ donation. II. Last January my brother was pronounced brain dead after slipping into a coma, he was a organ donor and i got to experience first hand the lives that were saved through his generosityRead MoreEssay about The Equal Opportunity Employer Law and Discrimination1511 Words   |  7 Pagesdifficulty finding employment. Dawoud, a 25-year-old man, said: Another area where I personally felt discrimination, was about two months after 9/11 when I was looking for my first co-op term job. My rà ©sumà © stated that I was involved with Muslim organisations and I wouldn’t get any interviews. I never really blamed it on having Muslim on my rà ©sumà ©. The career counsellor suggested that, instead of saying ‘Muslim Students Association’ I say ‘MSA Campus Club’ and instead of saying Young Muslims Canada’ I sayRead MoreHow Laws Affect My Life1651 Words   |  7 Pagesï » ¿Laws Affect My Life If someone were to ask me, What has the government done for you today? I would most likely say nothing, but as I researched I have looked back on my past and my present. I have realized realized that through the years I have really noticed that laws do hold a foundation on my everyday life as well as others. Laws are principles and regulations that are established under the authority of the state and/or the nation. They help to form the foundation for a country that protectsRead MoreThe Importance Of A Good Staff Member Relations? Essay1581 Words   |  7 PagesIn my point of view, channelizing human energies in a predetermined desirable direction is not possible unless harmonious are maintained among organizational members. Relationship among employees provides the context in which organizational roles assigned to members are performed, team spirit inculcated, expectations clarified, conflicts resolved and shared norms of behavior developed. Maintenance of harmonious relationship among employees is a necessary condition for enabling organizations to moveRead MoreThe Adventures Of Huckleberry Finn By Mark Twain1647 Words   |  7 Pagesprinciples. Twain demonstrates Huck’s growth from childhood to adulthood, with respect to moral values, true friendship, and loss of innocence, in order to help readers connect their common experiences of growth with literature. The protagonist Huck undergoes complete moral transformation due to his experiences throughout his course of maturity. Huck first enters the novel as an adolescent outcast lacking religious and academic education. Although his caretakers, Widow Douglas and Miss Watson, try

Friday, December 27, 2019

`` A Rose For Emily `` By William Faulkner - 1775 Words

Is there any case in which a murderer would be justified in killing? What if the murderer suffered from a severe form of mental illness? In William Faulkner chilling short story called A Rose for Emily, we see a character who murders her lover, but was it her fault? Emily had been mentally unstable for a long time and her family had a long history of suffering from mental illnesses as well, but at the end of the day there is no justification for murder. Some of the most notorious serial killers and murderers have suffered from one form or another of mental illness. People like Ed Gein, John Wayne Gacy, and Jeffrey Dahmer all suffered from some form of mental illness (Dangerous Minds: Mental Illnesses of Infamous Criminals). Although there is an understanding on how a person with mental illness is more susceptible to commit violent crimes, it is still wrong. In a study it was found that â€Å"no significant difference in the rates of violence among people with mental illness and othe r people living in the same neighborhood† (Publications). Emily killed Homer due to lack of morality caused by a combination of terrible parenting and a system that put her above the law. The relationship she had with her father was a distinct one, he pushed her into a little bottle and never let her out. She wasn’t allowed to be a person, but instead a trapped soul yearning for attention and love. The town in which she lived, held her on this pedestal that separated her from the rest of theShow MoreRelatedA Rose For Emily By William Faulkner923 Words   |  4 PagesA Rose for Emily; A Tale of The Old South William Faulkner was born in New Albany, Mississippi in 1897 but lived most of his life in Oxford, a small town nearby. After dropping out of high school then briefly joining the Canadian Air Force, he returned home and completed three terms at the University of Mississippi (Fulton 27). During his early twenties Faulkner spent time in New Orleans and Europe before returning to Oxford and publishing his first book of poems. In 1929 he married Estelle FranklinRead MoreA Rose For Emily By William Faulkner1729 Words   |  7 PagesJune 24, 2015 â€Å"A Rose for Emily† In every neighborhood there is always that one house that is a mystery to everyone. A house that everyone wants to know about, but nobody can seem to be able to dig up any answers. It’s the type of place that you would take any opportunity or excuse to get to explore. The littler that is known, the more the curiosity increases about this mysterious place or person. In the short story â€Å"A Rose for Emily† by William Faulkner, this mysterious person is Emily Grierson, andRead MoreA Rose For Emily By William Faulkner949 Words   |  4 PagesIn William Faulkner’s â€Å"A Rose for Emily† it is clear how Emily’s gender affects how the individuals in the town perceive her. Emily’s gender particularly affects how men understand her. Throughout the whole piece Emily is seen as a helpless individual who is lonely and has suffered losses throughout her life. When the reader reaches the end of the story the actions that Emily has taken is unexpected because of the way she is perceived by the narrator. In the beginning of the story, when the wholeRead MoreA Rose For Emily By William Faulkner1577 Words   |  7 Pagesâ€Å"A Sarah Markins Dr. Bibby ENG 107 February 11, 2015 â€Å"A Rose for Emily† by William Faulkner â€Å"A Rose for Emily†, written by William Faulkner in 1931, follows a series of peculiar events in Miss Emily Griersons life. Written in third person limited, Faulkner utilizes flashbacks to tell of the period between the death of Emily’s father and her own passing. Split into five short sections, the story starts out with the townspeople of Jefferson remembering Emily’s legacy and how each new generation ofRead MoreA Rose For Emily By William Faulkner1552 Words   |  7 PagesRyan Dunn Mrs. Williams English 11 March 11, 2016 In the short story â€Å"A Rose for Emily† by William Faulkner, the reader is given a glimpse of the internal conflict of the main character, living in the past, and the involvement of an over involved society causing the reader to look into the consciousness of an individual haunted by a past and lack of a future. The story is set in a post-Civil War town in the South. He is able to give the reader a glimpse of the practices and attitudes that had unitedRead MoreA Rose For Emily By William Faulkner1507 Words   |  7 Pages1897, William Cuthbert Faulkner was born in New Albany, Mississippi. He stands as one of the most preeminent American writers of the twentieth century. His literary reputation included poetry, novels, short stories, and screenplays. Faulkner won two Pulitzer Prizes for Fiction and the Nobel Prize in Literature. â€Å"A Rose for Emily† is a short fascinating story written by William Faulkner and it was his first short story published in a national m agazine. The story involved an old woman named Emily GriersonRead MoreA Rose For Emily By William Faulkner883 Words   |  4 PagesIn the timeless classic, â€Å"A rose for Emily† by William Faulkner we are introduced to Emily Grierson, a matured sheltered southern woman; born to a proud, aristocratic family presumably during the American Civil War. Through out the short story William Faulkner uses many literary devices such as symbolism, metaphors and allegory to play with â€Å"time† and how time reflects upon his main character Emily Grierson. Emily being one who denies the ability to see time for what it is linear and unchangeableRead MoreA Rose For Emily By William Faulkner1270 Words   |  6 PagesWilliam Faulkner’s short story â€Å"A Rose for Emily† thoroughly examines the life of a strange woman name Emily Grierson who lives in the town of Jefferson. If we examine â€Å"A Rose for Emily† in terms of formalist criticism, we see that the story dramatizes through setting, plot, characterization, and symbolism on how Miss Emily’s life is controlled by a possessive love she had for her father and lover. William Faulkner uses Emily’s life as the protagonist to examine from a formalist aspect. In orderRead MoreA Rose For Emily By William Faulkner1780 Words   |  8 PagesIn 1930, William Faulkner wrote a five-part story entitled â€Å"A Rose for Emily† that follows the life of a young woman named Miss Emily Grierson. Faulkner sets his story in the Old South, soon after the ending of America’s Civil War, and represents the decaying values of the Confederacy (Kirszner Mandell, 2013a, p. 244). One of these values which the text portrays quite often in â€Å"A Rose for Emily†, is the patriarchal custom of society viewing men as having more importance than their female counterpartsRead MoreA Rose For Emily By William Faulkner1277 Words   |  6 PagesMiss Emily Grierson, the main character in the strange short story â€Å"A Rose for Emily† written by William Faulkner. It would be best to examine her in a mental capacity as well as the circumstances that may affect her. Throughout the story, Miss Emily’s unpredictable and eccentric behavior becomes unusual, and the reader, like the townspeople in the story, is left to speculate how Miss Emily has spent years living and sleeping with the body of Homer Barron. An important quote from the story was that

Thursday, December 19, 2019

Pros and Cons of Parole Programs - 572 Words

First off, parole is â€Å"the conditional release of a prisoner, prior to completition of the imposed sentence, under the supervision of a parole officer† (Schmalleger Smykla, 2013). Parole is a constrained relief that requires parolees to tolerate rules that do not apply to other members of society (Corbett, 2014) .Parole has been used for early release from prison for more over a century, but never before have so many individuals been released from prison (Schmalleger Smykla, 2013).Parole is usually certain by specialists in the correctional system who are accountable for offenders passed from the judicial system to the correctional system upon imprisonment (Schmalleger Smykla, 2013). Probation does not include a period of incarceration; it is served in the community rather than jail (Corbett, 2014). The sentencing judge always makes the decision concerning the offender’s probation conditions and violations, however, a judge may request that the Parole Board supervise certain county offenders with the judge retaining decision making power; however, these are known as â€Å"special probation† cases (Corbett, 2014). Does parole work? To some people no and to others yes. Instead of asking â€Å"Does Parole Work† we should ask what amount of people on parole supervision can complete there term in full. Some people believe parole offers give criminals a chance at producing a better life for themselves. Others, however see parole as having less trust in peoples abilityShow MoreRelatedThe Death Penalty Is Too Than Life Without Parole1274 Words   |  6 Pages there is a better alternative which is life without parole. The death penalty is unnecessary because the high cost of the death penalty, puts innocent lives at risk, capital punishment doesn’t deter crime, the death penalty is cruel and unusual punishment, and Deterrence value of the death penalty. The high cost of the death penalty is the first thing that will be talked about. the death penalty is much more expensive than life without parole because the Constitution requires a long and complexRead MoreThe Inmate Population And The Budget Of The Wisconsin Department Of Corrections1071 Words   |  5 Pagesexamining the scale of the issue and looking at the whether the various options would help tackle the issue at hand. In consideration of the analysis I have done, I would suggest further increasing funding for Treatment Alternative Diversion (TAD) programs for reasons that will become clear. Background Summary In Wisconsin the prison population and the budget has been growing for years and looks to keep on rising as the inmate population has risen from 21,651 in April 2013 (Wisconsin Department ofRead MoreElderly Parole Essay1297 Words   |  6 PagesParole for the Elderly Tynesha Wilson CJHS 430 November 17, 2014 Christopher Abreu Parole for the Elderly There are many arguments for and against confining the sick and elderly adults in jail. Some of the arguments include but are not limited to the cost to house these inmates (elderly and sick), monies used to house these inmates could be used to fund other programs, where will these inmates go once they are released, the reduction of overcrowding in the prison system, may increase crimeRead MoreParole1390 Words   |  6 Pagesnot individual states should abandon the parole system. Many people feel it is time to do away with parole, while others are fighting for its survival. As with any controversial change, there are pros and cons to both sides of the argument, all of which are very convincing. The basic arguments for and against the abolition of the parole system at the state level can be easily defined. One of the strongest arguments against the destruction of the parole system is the overpopulation problem in mostRead MoreThe Sentencing Phase Of A Criminal Case902 Words   |  4 Pagesmore previous convictions in federal or state courts, at least one of which is a â€Å"serious violent felony.† The other offense may be a serious drug offense (2016, Thomson Reuters.) So in essence, this law aims to convict career offenders. Some of the pros include harsh punishment for habitual offenders, lesser crime rates, preventive measure for career citizens, and effective crime control. In a nutshell, harsh punishment stops career offenders, lesser crime rates come into effect due to no one wantsRead MoreA Successful Reintegration Of A Rehabilitated Offender1643 Words   |  7 PagesFinancial Stability, Involvement in substance abuse programs, and Stabilization of any mental illness. Through discussion I will explain the pros and cons those rehabilitated face when re-entering society. Reintegration is offered to those individuals who are offered Parole. As we all know Parole is â€Å"the conditional release of a person prior to the end of the maximum sentence impose†(Parole | Define Parole at Dictionary.com, n.d.). The parole system is used to reward well behaved inmates who showsRead MorePunishment Versus Rehabiliation1445 Words   |  6 Pagescrime, how it affects victims and their family. I will also discuss how it affects offenders, the impact it has on society, and the fiscal impact upon society. Punishment and rehabilitation helps the inmate in different ways. This will show both pros and cons to punishment and rehabilitation. Punishment versus Rehabilitation The criminal justice system uses two objectives, these are punishment and rehabilitation. Society looks at these two with high prospects but the question is will the justice systemRead MoreWhy People Do Bad Things Essay1282 Words   |  6 Pagesthere needs to be a broad understanding of how the judicial system works and what statutes apply in what states. This type of work can be applied in many different settings such as prisons, correctional facilities, court systems, government agencies, parole boards and research. Salary is sadly always a component that matters when looking for a future career. I was interested in the salary for a Forensic Psychologist in Florida, Georgia, Texas and New York. According to the Bureau of Labor StatisticsRead More Are Prisons Effective? Essay1490 Words   |  6 PagesPrisons Effective? Imprisonment; is it beneficial or non-beneficial? This argument is presented from the viewpoint of both sides of this issue. One group, The Council on Crime in America, is pro-incarceration; while on the other side of this issue, The National Criminal Justice Commission, is con-incarceration. Both sides have presented their viewpoints clearly and factually. Those who are for incarceration present their opinions in such a way as to sway the reader toward accepting whatRead MoreThe Victim Of The Criminal Justice System1622 Words   |  7 Pagescapital punishment. PROS First of all coming to reality the death penalty versus life in prison, has significant impact on why we should or should have the death penalty, one of the significant part of this issue is the cost. In reality, a considerable amount of the disapproval of the death penalty, is attributed to decades of appeals. Financial expenses to taxpayers of the death penalty is various times that of keeping an individual in prison for life. Plus offenders can get parole or escapes and

Wednesday, December 11, 2019

Scenario Based Nursing Care Plan for Anastomotic - myassignmenthelp

Question: Discuss about theScenario Based Nursing Care Plan for Anastomotic Leakage. Answer: Problem Statement 1: Anastomotic Leakage Anastomotic leakage is not only one of the commonest postoperative problems after colostomy but also among the most serious problems. In most cases, this problem occurs 3 to 5 days postoperatively (Floodeen, 2016). Anastomotic leakage has a high prevalence and contribution to mortality. For example, anastomotic leakage accounts for about 2.9% to an alarming 15.3% of severe problems that are particular to intestinal surgery(Floodeen, 201). As far as mortality is concerned, anastomotic leakage accounts for at least one third of all mortalities associated with colorectal surgery. Mr. Peter Jones is in the third day of postoperative care. I have chosen anastomotic leakage as a postoperative problem likely to affect Mr. Peter Jones as high priority for a number of reasons. Firstly, it is because Jones is of male gender. Based on univariate analysis, the male gender is one of the major risk factors for anastomotic leakage (OR=3.5). As such, Mr. Peter Jones stands a higher chance of having this postoperative problem. Secondly, Mr. Jones has previous history of colostomy which is a risk factor for anastomotic leakage. Finally, Mr. Peter Jones has been previously diagnosed with cancer. Cancer is a significant risk factor for anastomotic leakage. Problem 2: Stress Induced by Current Surgery More often than not, stress that comes immediately after a surgical operation has been known to affect a couple of patient (Abd-Elfattah, 2014). Basically, this kind of stress is linked to a range of physical factors that include, but are not limited to discomfort, the bodys reaction to specific painkillers and antibiotics (Jestin, Phlman, Gunnarsson, 2008). Also, stress after surgery can occur as a result of psychological factors including facing death possibility (I. Syed, 2016). From the emotional point of view, post-operative stress can occur as a result of the patients disappointment in the likely results of the surgery and also due to his/her resulting feeling of fear and vulnerability. The signs and symptoms of post-operative are mainly manifested in reduced appetite, fatigue, mood swings, despair and hopelessness. I have chosen stress as the problem to likely affect Mr. Peter Jones on high priority for various reasons. Firstly, stress after operation affects scores of people, yet it goes unrecognized in most incidences. Stern opines that, of all the primary care physicians fail to recognize at least 50% of depression/stress cases in patient("Feeling Co-Operative," n.d). This is worrying since stress after operations affect lots of people. For example, as of 2007, 3 out of 100 Americans were diagnosed with stress after operation as compared to 1997 where only 2 people out of 100 people were affected. Secondly, Mr. Jones stands high chances of being affected by stress owing to his medical history. Mr. Peter Jones has a history of cancer; a disorder that is associated with stress resulting from the possibility of death. Problem 3: Rapid And Shallow Breathing Just 48 hours after surgery, a patient may experience shallow, rapid breathing (Engoren Blum, 2013). In most cases, this occurs in incidences in which the lung experiences either systemic or direct insult. Though it is a rare condition, the complication requires care that is intensive in nature coupled with mechanical ventilation that has positive end pressure (Engoren Blum, 2013). I have chosen this problem as high problem for Mr. Peter Jones since he has predisposing risk factors to the complication. Firstly, he has undergone laparoscopy and colostomy. These surgical procedures are likely to have caused obstruction of the airways. Incisions in the right upper quadrant of the abdomen, a procedure associated with colostomy, is also linked to infective breathing patterns. Nursing Diagnosis (From NADA-1) Nursing Goal Nursing Intervention Rationale Evaluation/Expected Outcome 1. Colorectal anastomotic Prevent Hypotension and cardiac dysrhythmias Administer medication Emergence Cart Assessment of Cardiovascular Status Monitor Patients Activity Various medications should be administered to prevent hypotension. Among the critical medications include diuretics, agents to cause vasodilatation and negative ionotropic agents (Rickert, Willeke, Kienle, Post, 2009). However, care should be taken when administering these medications such that a physician should be consulted should the systolic blood pressure be less than 100mm Hg. Also, medications like opoiod analgesics should be administered in a cautious manner. Also, give medications like sympathomimetics The emergency cart should be available for the purpose of cardiopulmonary resuscitation (Fulde, Preisz, Berry, 2009). Frequent cardiovascular assessment is critical to detect the symptoms and signs inadequate tissue perfusion (Shandilya 2013). These include cyanosis, cool skin, breath shortness, agitation, restlessness, decreased blood pressure, diminished peripheral pulses as well as the output level of urine The client should have reduced activity in the cases where the severity and tolerance of dysrhythmia 2. Fear and Anxiety Reduce fear and anxiety Encouraging patient to use positive talks Music therapy (Provision of music for him to listen to) Administer Animal Assisted Therapy By using positive talks like anxiety does not kill, the patient changes his feelings and behaviors. Essentially, this is a cognitive behavioral therapy technique whose aim is to positively change the patient feeling by simply altering his or her thoughts (Kropf Cummings, 2017). It helps replace a clients negative feeling with positive feelings hence reducing anxiety. According to the recent research, when music is administered together with preoperative instructions, the rate of the reduction of anxiety and fear in the patients increases (Dileo, Bradt, Murphy, 2008). This is because, when patients are allowed to listen to their favorite music, the rate at which their heart beats greatly reduce or become lower. To a great extent, when a person interacts with animals, the level of cholesterol and blood pressure reduces (Fine, 2010). When these reduce, anxiety also reduces. 3. Ineffective Breathing Pattern Improvement in breathing pattern Exercise Use of a fan in the room Suction Secretions Medications for oxygen and respiration Exercise programs are essential as they work by promoting the conditioning of the muscles of the body that are concerned about respiratory (TILLER, CAMPBELL, ROMER, 2017). The fan helps to enhance air circulation. Basically, when the air is moving, the feeling of being hungry for air will decrease. This will help remove any blockages in the airway The most essential medications are the beta-adrenergic agonist whose work is to relax the airways smooth muscles, hence enhancing vasodilation that in turn opens up the airway (Johnson, n.d). References Abd-Elfattah,A. (2014). Stress, Cardiovascular Diseases and Surgery-Induced Angiogenesis.Current Angiogenesis,3(1), 19-38. doi:10.2174/221155280301140929103647 Dileo,C., Bradt,J., Murphy,K. (2008). Music for preoperative anxiety.Cochrane Database of Systematic Reviews. doi:10.1002/14651858.cd006908 Engoren,M., Blum,J.M. (2013). A comparison of the rapid shallow breathing index and complexity measures during spontaneous breathing trials after cardiac surgery.Journal of Critical Care,28(1), 69-76. doi:10.1016/j.jcrc.2012.09.002 Feeling Co-Operative. (n.d.).Emotional Survival: An Emotional Literacy Course for High School Students Emotional survival: An emotional literacy course for high school students, 97-104. doi:10.4135/9781446212868.n16 Fine,A.H. (2010). Incorporating animal-assisted therapy into psychotherapy.Handbook on Animal-Assisted Therapy, 169-191. doi:10.1016/b978-0-12-381453-1.10010-8 Floodeen,H. (2016).Defunctioning stoma in low anterior resection of the rectum for cancer: Aspects of stoma reversal, anastomotic leakage, anorectal function, and cost-effectiveness. O?rebro: O?rebro university. Fulde,G.W., Preisz,P., Berry,M. (2009). Cardiopulmonary resuscitation.Emergency Medicine, 1-11. doi:10.1016/b978-0-7295-3876-3.10001-2 Jestin,P., Phlman,L., Gunnarsson,U. (2008). Risk factors for anastomotic leakage after rectal cancer surgery: a case-control study.Colorectal Disease,10(7), 715-721. doi:10.1111/j.1463-1318.2007.01466.x Johnson,M. (n.d.). 2-Adrenergic Receptors: Effects on Airway Smooth Muscle.Airway Smooth Muscle in Asthma and COPD, 255-275. doi:10.1002/9780470754221.ch13 Kropf,N.P., Cummings,S.M. (2017). Cognitive Behavioral Therapy.Oxford Scholarship Online. doi:10.1093/acprof:oso/9780190214623.003.0003 Rickert,A., Willeke,F., Kienle,P., Post,S. (2009). Management and outcome of anastomoticleakage after colonic surgery.Colorectal Disease,12(10Online), e216-e223. doi:10.1111/j.1463-1318.2009.02152.x Shandilya,S. (2013).Machine Learning and Non-Linear Dynamics to the Rescue: Assessment and Prediction of Cardiovascular Status for Decision-Support during Cardiac Arrest. Saarbru?cken: Scholars' Press. TILLER,N.B., CAMPBELL,I.G., ROMER,L.M. (2017). Influence of Upper-Body Exercise on the Fatigability of Human Respiratory Muscles.Medicine Science in Sports Exercise,49(7), 1461-1472. doi:10.1249/mss.0000000000001251