Saturday, January 18, 2020
Guiding Procedures for Response to Emergency Situations
GUIDING PROCEDURES TO RESPOND TO EMERGENCY SITUATIONS ON CONSTRUCTION PROJECTS By Maj  ® Muhammad Ijaz Student MS Disaster Management-2012 at NUST (MCE) Introduction Construction projects involve use of heavy machinery, execution of numerous work activities simultaneously. Working environment like in Pakistan where safety culture does not prevail results in increased vulnerability to accidents thus frequent emergency situations on construction projects. The author being a Project Manager on construction projects have experienced number of emergency situation involving loss of life of worker.The Safety Rules requires that the constructor shall establish Emergency Response Procedures for every project, Life Insurance of worker is also mandatory clause of the contract agreement in Pakistan but normally not implemented in letter and sprite. This article will be useful to assist constructors in developing Emergency Response Procedures. Detailed Emergency Plan helps to minimize the human suffering and economic losses that can result from emergencies. It should be understood that the size and complexity of projects, as well as their access and location, have a bearing on the degree of planning necessary for emergencies.It is therefore strongly recommended that the constructor ensure that a member of staff on site assist in developing the emergency response plan. The Planning Process Planning shall begin before any work commences on the project. Although there may be little time between the award of the contract and the start of the project, a good emergency response plan can be generic and, with some minor changes, can be easily adapted to specific sites and readily implemented.This is especially the case where a constructor specializes in similar types of projects. For meaningful Development of Response Plan following considerations should be kept in mind: 1) Identification and assessment of hazard 2) Assessment of resources 3) Mean of communication 4) Implementati on of the plan 5) Basic Principles 6) Sharing the Procedure 7) Post Emergency Consideration Each of these points is explained in the following sections. Identification and assessment of hazardThe process of hazard identification and assessment involves a thorough review that should include, but not be limited to, the following points: †¢ Transportation, materials handling, hoisting, equipment or product installation, temporary structures, material storage, start-up, and commissioning activities †¢ Environmental concerns †¢ Consultation with the client regarding potential hazards when working in or adjacent to operating facilities †¢ Resources such as material safety data sheets (MSDSs) to determine potential hazards from on-site materials. †¢ Proximity to traffic and public ways.Because construction sites are frequently fast-changing, the process of hazard assessment must be ongoing to accommodate the dynamic environment. Once hazards are identified, the nex t task is to assess the potential or risk involved in each. For each hazard identified, ask: †¢ What can go wrong? †¢ What are the consequences? For each potential hazard it is important to identify resources necessary for an appropriate emergency response. For most events in construction, a simple analysis based on the experience of the people involved on the project is likely sufficient.Assessment of resources It is important to identify which resources are available and have contingency plans in place to make up for any deficiencies. The most important resource on most projects will be a provincial rescue system like 1122. It is essential to verify that rescue system is in effect in the area. Most cities of Punjab have a 1122 system in place, but it is important to know the facilities or limitations available in that location. Is a high-reach rescue team available? What is the response time? What must site personnel do in the meantime?Other on-site resources such as fir e extinguishers, spills containment equipment, and first aid kits must be maintained and clearly identified. Construction equipment may be included among potential emergency resources. Personnel, especially on-site medical staff or workers trained in first aid, should be included in the plan. There may be situations where outside resources are so far away that an adequate response is not possible. In these situations, resources may have to be obtained and kept on site. Examples would include fire protection or ambulance/medical resources in remote areas.Whatever the situation may be, people, equipment, facilities, and materials are needed for emergency response. Where they will come from must be determined in advance. Moreover, the people supplying these resources must be made aware of their role in the plan. Mean of communication An important key to effective emergency response is a communications system that can relay accurate information quickly. To do this, reliable communicatio ns equipment must be used, procedures developed, and personnel trained. It is a good idea to have a backup system in place, in case the ystem is rendered useless by the emergency. For example, telephone lines may be cut. The type and location of emergency communication systems must be posted on the project. This will include location of telephones, a list of site personnel with cellular phones or two-way radios, and any other equipment available. Emergency phone numbers and the site address/location should be posted beside all site phones. On large sites, the location of emergency phones must be clearly marked. The poster like Emergency Response can be used to record this and other information.A communication system must be made up of strategically placed equipment and properly defined responsibilities. The emergency response plan posted in a conspicuous place on the project must identify the designated equipment and the people to operate it. Implementation of the plan The task of a dministering and organizing the plan is vital to its effectiveness. The person who has this task will normally be the person in charge of the emergency response operation or may be assigned to Quality Control Manager (QCM).It is their task to ensure that everyone clearly understands their roles and responsibilities within the emergency response plan (a chart may be helpful in this regard), that emergency resources, whether people or equipment, are kept at adequate levels in step with the progress of the project. It is very important to review the emergency plan on a regular basis and especially after an emergency has occurred. Changes may be necessary where deficiencies became apparent as the plan went into operation. Basic Principles An emergency can be reported from any source i. e. orker on site, an outside agency, or the public. Remember that circumstances may change during the course of an emergency. Any procedures you develop must be able to respond to the ongoing situation. T he following list covers basic actions to take in an emergency. These steps apply to almost any emergency and should be followed in sequence. †¢ Stay calm. †¢ Assess the situation. †¢ Take command. †¢ Provide protection. †¢ Aid and manage. †¢ Maintain contacts. †¢ Guide emergency services. Stay calm – Your example can influence others and thereby aid the emergency response.Assess the situation – Determine what happened and what the emergency is. Look at the big picture. What has happened to whom and what will continue to happen if no action is taken? Try to identify the cause that must be controlled to eliminate immediate, ongoing, or further danger. Take command – The most senior person on the scene should take charge and call, or delegate someone to call, emergency services and explain the situation. Assign tasks for controlling the emergency. This action also helps to maintain order and prevent panic.Provide protection †“ Eliminate further losses and safeguard the area. Control the energy source causing the emergency. Protect victims, equipment, materials, environment, and accident scene from continuing damage or further hazards. Divert traffic, suppress fire, prevent objects from falling, shut down equipment or utilities, and take other necessary measures. Preserve the accident scene; only disturb what is essential to maintain life or relieve human suffering and prevent immediate or further losses. Aid and manage – Provide first aid or help those already doing so. Manage personnel at the scene.Organize the workforce for both a headcount and emergency assignments. Direct all workers to a safe location or command post. This makes it easier to identify the missing, control panic, and assign people to emergency duties. Dispatch personnel to guide emergency services on arrival. Maintain contact – Keep emergency services informed of situation. Contact utilities such as SNGPL, SSGPL, Elec tric Supply etc. where required. Alert management and keep them informed. Exercise increasing control over the emergency until immediate hazards are controlled or eliminated and causes can be identified.Guide Emergency Services – Meet services on site. Lead them to emergency scene. Explain ongoing and potential hazards and cause(s), if known. Sharing the Procedure To be effective, an Emergency Response Procedure must be clearly communicated to all site personnel. The following activities should be considered: †¢ Share the procedure with new site subcontractors and new workers to ensure that it covers their activities adequately. †¢ Share the procedure with suppliers to ensure that it covers any hazards that the storage or delivery of their materials might create. Share new work areas in operating plants with owner/client to ensure that new hazards are identified and covered in the procedure. †¢ Share the procedure with the Joint Health and Safety Committee or H ealth and Safety Representative on a regular basis to address new hazards or significant changes in site conditions. †¢ Place the procedure in a conspicuous location. The Emergency Response Procedure for a construction project must continually undergo review and revision to meet changing conditions. Post Emergency ConsiderationThe recovery process, or what happens after the emergency response has been completed, is a critical step in the plan. Many emergency tasks may be handled by people who are not accustomed to dealing with emergencies. People may have seen their work partners and friends badly injured and suffering great pain. Once the emergency is over, the attitude should not be â€Å"Okay, let’s get back to work†or â€Å"Let’s go home. †Some of the people involved may need assistance in order to recover. In some cases professional counselling may be needed.As part of site emergency planning, construction companies should have measures in pla ce to deal with post-traumatic stress. Local hospitals, ambulance services, and medical practitioners may be able to help. Debriefing is necessary to review how well the plan worked in the emergency and to correct any deficiencies that were identified. Debriefing is critical to the success of future emergency response planning. Conclusion Slow response, lack of resources, or the absence of trained personnel will lead to chaos in an emergency.To minimize human suffering and financial losses, all personnel must know their responsibilities under the emergency response plan. Remember – planning for emergencies should include the following points: 1) hazard identification/assessment 2) emergency resources 3) communication systems 4) administration of the plan 5) emergency response procedure 6) communication of the procedure 7) debriefing and post-traumatic stress procedure. The plan should be used to set emergency procedures, implement and communicate the procedures, and ensure th at any required training has been completed.The plan should also be evaluated regularly to ensure that it conforms to current operations and conditions. In any Emergency Response Procedure, the following steps are basic and essential: †¢ Stay calm. †¢ Assess the situation. †¢ Take command. †¢ Provide protection. †¢ Aid and manage. †¢ Maintain contact. †¢ Guide emergency services. Reader must keep in mind that these are generalized guidelines/procedure and not itself an Emergency Response Plan. The plan should be formulated keeping the specific conditions of the project in mind.Though these guideline/procedures are prepared for the professional involved in construction project, however these may serve as useful basis for Emergency Managers working in related sectors like manufacturing plants, quarry sites etc. References Write a manuscript (term-paper) on any article related to disaster response and recovery. Last date of submission is 31 March 2 012. But please must take into an account the following points, while writing the article. –         The term-paper is an important part of the academic. –         The article must be in the lines of the course/subject parameter, i. . , â€Å"Disaster Response and Recovery†–         The article must be of 7-10 pages. Please don’t expand it by giving unnecessary discussion, be brief and to the point. –         The article must be supported by at least 12 references at the end of the manuscript which should be arranged in alphabetic order, according to the given style;             For Journal Articles; Name of authors, (year), â€Å"Title of the article/paper†, Journal, volume, page, ISSN For Book/Thesis Articles; Name of authors, (year), â€Å"Title of the book/thesis†, (Publishers) For Conference Proceedings;Name of authors, (year with month), â€Å"Title of the article/paper†(Conference theme) For Web-page Articles; (Complete site detail, with date and time) For citation, please follow the given instructions; For one author,                (Ali, 2012)            For two authors,              (Ali and Usman, 2012)            For three or more,          (Ali et al. 2012) O Very important point:   The â€Å"Similarity Index†(plagiarism check) must not exceed 15%. In case of more than 15% the article will be rejected and ZERO marks will be award for this activity. Good luck, wish you all the best ARSHAD
Thursday, January 9, 2020
Uc Personal Insight Question Essay Samples Explained
Uc Personal Insight Question Essay Samples Explained While you would like to tell a compelling story, it is necessary to make sure your essay is pertinent to the essay prompt. At our essay assistance, essays are always delivered in a brief moment. The essay is intended to be a revealing look within your ideas and feelings. Even though the essays are short, they cover plenty of territory, so you wish to make certain to have strong answers on all four of the prompts you pick. The actual folks highly praise our essay help site. By brainstorming within this way, you are going to have feeling of control about how you present yourself, as opposed to feeling as though you're simply responding to essay test questions. Not only are you going to describe the challenge itself, but you are going to speak about what you did when faced with that. Give yourself time to consider your topics, and carefully think about the rationale behind each question. Ensure that your essay explains everything the reader needs to know to comprehend what you were facing. Our crew of expert writers has excellent understanding of English that's why writing essay is a slice of cake in their opinion. This essay would like to know whether this mindset of out-of-the-box-ness is something you're already comfortable with. Furthermore, you wish to answer every portion of an essay prompt, not just one. What's Actually Happening with Uc Personal Insight Question Essay Samples Stephen's essay is quite effective. The author starts with a rather comprehensive story of an event or description of an individual or place. See that the author of this personal statement chose to use the term damn. Thus, don't be unwilling to reading. Now if you're on the lookout for tips on the best way to answer those questions, keep reading the next. Otherwise, you have to beef up your details. Bear in mind that for some things the explanation may be obvious. When it's no problem, you can simply substitute in the term topic'. Get the Scoop on Uc Personal Insight Question Essay Samples Before You're Too Late Despite the fact that you pay for homework, we provide those options at no cost. Thoughtfully describe not just what you've done, but likewise the choices you have made and what you've gained consequently. Even more than knowing that you had the ability to fix the issue, colleges wish to observe how you approached the scenario. Repeat this process till you are faced with just four questions. Before it is possible to solve an issue, you must understand that the problem exists. Start with describing the issue. If at all possible, share a particular case of the issue, and then background it. Then large school happened. Foothill college rep to provide you with stick out from southern california personal statement help you'll be a great. Our academic experts ready to produce your college life simpler. For instance, you may substantiate your selection of a specific major or your interest in studying with certain faculty on the campus. It will help save you from accidentally humble-bragging your way by means of this assignment. By the conclusion of high school, a number of the experiences that you're most proud of don't have a tendency to be the sort of things that wind up on your resume. You should have your reasons, and our primary concern is that you wind up getting an excellent grade. This illustration can be linked to other elements of your candidacy, like your distinctive volunteer experience in high school. Or it can be far more obliqueif you're disabled, then you might have the ability to provide a perspective that differs from the able-bodied majority. When it is possible to zero in on an experience which makes your heart swell, you are going to be in a position to pinpoint your essential subject. There are a lot of reasons why you need to prefer our services. The examples you provide in your individual statements ought to be interesting, but nevertheless, it will only be interesting if you answering the question that's being asked. Though some events have long-term or even lifetime ramifications, it's usually more advisable to concentrate on recent events since they shed more light on who you are at this time. In case you haven't had experience in the area, look at including experience in the classroom. It's the details that actually make this little experience come alive.
Wednesday, January 1, 2020
Victim Of Rape - Free Essay Example
Sample details Pages: 9 Words: 2669 Downloads: 7 Date added: 2017/06/26 Category Law Essay Type Analytical essay Did you like this example? In times gone by, the offence of rape was defined as the carnal knowledge of a woman forcibly and against her will.1 The offence was initially silent on the issue of mens rea and it was not until DPP v Morgan2 that its inclusion and the effect that this had on mistakes about consent was established. The House of Lords held that a trust in consent, even if irrational, would go against mens rea provided that the trust was honest. Although subject to a measure of criticism, such as that it represented a rapists charter,3 this is still the approach to the offence in the common law jurisdictions. Don’t waste time! Our writers will create an original "Victim Of Rape" essay for you Create order Rape requires evidence of the physical essentials of penetration without consent and also the mental aspect that the offender not only intended to penetrate but knew the victim was not consenting or was careless as to whether the victim was consenting.4 carelessness is generally understood subjectively to mean that the offender was conscious that it was probable that the victim was not consenting but continued in any case.5 The requirements of force and lack of will were replaced by the perception of consent in the mid 19th century. The turning point was the case of R v Camplin,6 where a woman was penetrated after being made drunk by the accused. Faced with no indication of force against the victim, the House of Lords decided that there could be rape if the penetration took place without the consent and against the will of the victim. In focusing on consent rather than force it has been argued that the offence does not capture the real nature of rape.7 Feminists have articulated s everal apprehensions about whether the focus on consent sufficiently protects women.8 Firstly, an objectionable consequence of making the consent of the victim the central question has been that criminal trials tend to focus on the conduct and sexual history of the victim rather than on the conduct of the accused.9 A second criticism is that the everyday use of the term consent does not satisfactorily distinguish between cases in which the victim submits out of fear and cases in which she is prepared to engage in sexual intercourse.10 Finally, it has been argued that the theory of consent cannot be determined reasonably while jurors and judges rely on their predictable views about sexual roles in their assessment of consent such as, put bluntly, yes means no; that women fantasize about being raped; or that women could resist if they really wanted to.11 The existing situation where there is no statutory definition of consent to any sexual act which might otherwise be a crime is far from perfect, leading to a lack of lucidity for the complainant, the accused and the Jury. The positive impact of a lucid definition should also be felt outside the courtroom, preventing at least some acts of sexual violence. It would seem best that an alternative expanded and more inclusive definition of consent should have as its primary focus the conduct of the accused rather than that of the complainant, as far as possible, with the aim of avoiding protracted, hostile and thorough cross-examination of the complainant on matters which are often of doubtful bearing to any real issues in the case. Of course, fairness to the accused is a crucial principle. However, no less imperative is the framing of the law to avoid unnecessary distress of survivors of sexual violence by cross examination, as there can be no doubt that fear of such a torment operates to increase the erosion rate. Now it is time to enact a new expanded comprehensive definition of consent which incorporates the benefits and avoids some pitfalls of the definition used in the UK Sexual Offences Act 2003 12. Some legal experts have identified, that the UK definition does not give any guidance as to whether the complainant must communicate consent by words or action 13. However, it appears from the subsequent cases that the most important practical issue has been capacity. The England and Wales legislation does not contain any definition of capacity itself, and its list of situations where there is presumed to be no consent, at sections 75 and 76 of the SOA 2003, does not expressly include the situation where there is no capacity to consent because of self-induced intoxication of the complainant which falls short of unconsciousness. It is fair to say that the UK Government examined this gap in the law in the light of the decision of the Court of Appeal in R v Bree [2007] EWCA 256, in which the Court interpreted the capacity to consent as something which may evaporate well before a compl ainant becomes unconscious, and explained that if, through drink (or for any other reason) the complainant has temporarily lost her capacity to choose whether to have intercourse on the relevant occasion, she is not consentingÃÆ' ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬Ãƒâ€šÃ‚ ¦. However, the Court also made clear that the complainant may still retain the capacity to consent (or not) even if she has had quite a lot to drink, which means that essentially each case will turn on its own facts. The UK Government decided not to change the law following this decision. It would seem best, given that this is a situation which arises very often, and which gives rise to misuse, that a broad definition of consent should include provision for the circumstances where the complainants consent is compromised by her voluntary intoxication. After all, the drink driving laws presume that after consumption of a very modest quantity of alcohol, our capacity to control a car safely is seriously affected. Of course, th is would mean that the behavior of the complainant would still be under inquiry. Some guidance as to what ought to be incorporated in such an extended definition will be found at Sections 75 of the UK SOA 2003 (evidential presumptions about consent) and Section 76 ibid. (conclusive presumptions about consent), which taken jointly provide a list of situations in which the deficiency of consent may be assumed, and except for the two rare situations contained in Section 76, further provide that it is open to the accused to bring in sufficient evidence to show that there is an issue as to whether the complainant consented, in relation to the particular state of affairs. This list of situations does NOT cover the situation where the complainants capacity to consent is impaired by self-induced intoxication, but he/she is not asleep or otherwise unconscious 14. Allowing sexual activity does not amount to consent in some situation like when she does not protest and/or offer physica l resistance to the activity or if the activity takes place while she is asleep or is unconscious. Similar situation may occur when she is affected by drugs or alcohol to such an extent that she is in no position to consent or refuse. It is not relevant whether or not she took the drug or alcohol voluntarily or involuntarily. Another condition could be when the person is so affected by a mental or physical condition or impairment that she is in no position to consent or to refuse consent. Similarly, it is not consent to sexual activity if she allows it because she is mistaken about the persons identity or she is mistaken about the nature and quality of the activity. A consent expressed by another person on behalf of the complainant cannot be considered a valid consent or if another person in a position of power, trust or authority incites her to engage in that activity. A complainant cannot express her consent by a lack of agreement to engage in that activity or having first cons ented, she expresses by words or conduct a lack of agreement to continue to engage in such activity. The Sexual Offences Act 2003 and thereafter Demand for change of Law The Government has already made a number of changes to the law on rape and the way the police and Crown Prosecution Service work on these cases. These changes include strengthening the law on rape through the Sexual Offences Act 2003 and developing a network of sexual assault referral centres that provide specialised, dedicated help and support to victims. The pioneer support for a change came from non-government groups and victim and survivor support groups, whilst members of the judiciary and legal profession were less persuaded of the need for change. Moreover, around a third of the respondents who believed that the law should be changed favored a further evidential presumption to cover intoxication by drink and drugs, often citing the recommendation that was made in the report to Home Offices review of the law on sexual offences, Setting the Boundaries, which proposed an evidential presumption that read: Where a person asleep, unconscious or too affected by alcohol or drugs to give free agreement. A number of respondents, particularly victim and survivor organizations, further argued that the law as it currently existed was inherently contradictory on the subject of intoxication. The respondents argued that where intoxication fell short of unconsciousness and was therefore covered by section 75(d) of the Sexual Offences Act 2003, it was both presumed and not presumed to invalidate consent depending on whether the intoxicating substance was administered surreptitiously or consumed voluntarily. It was suggested that the distinction between those intoxicated having had their drink spiked (or been drugged in some other way) and those intoxicated apparently of their own volition was not as clear cut as the legislation allowed for. There were cases in which offenders deliberately facilitated the intoxication of vulnerable victims in order to commit an offence. One example was where an uncle facilitated the intoxication of a younger niece in order to commi t a sexual offence. Even in situations where the offender had not been responsible for inducing intoxication there was a risk that some men can seek to take advantage of the fact that women are drunk and therefore have less capacity to resist pressure or coercion. Consequently, it was argued that the law should be changed so that it made no distinction between voluntary and involuntary intoxication if the ultimate effect was a lack of capacity to consent. The proceedings in the case of R v Dougal 15 were widely cited as an example of the difficulties caused in applying the current law to cases involving voluntary intoxication and as an argument in favour of adopting a change in the legislation. This case collapsed when the prosecuting counsel took the view that the prosecution were unable to prove that the complainant, because of her level of intoxication, had not given consent and informed the judge that he did not propose to proceed further. The judge agreed and directed the ju ry to enter a not guilty verdict. It was argued, that the case should have been proceeded with and the issue of the victims capacity to consent put to the jury. It was argued that a change in the law would allow a similar case to proceed in the future and would provide assistance to the jury in considering the issue of consent. While the relationship between capacity and intoxication was the most prominent issue, responses from police and prosecution representatives and childrens organizations identified other factors that should be taken into account when considering an individuals capacity to consent. These included mental health, domestic violence and the exploitation of victims made vulnerable by their circumstances, for example sex workers. There were differing opinions on whether a change in the law would be necessary to allow the effects of such factors to be considered in relation to consent. Organizations with a specific interest in children supported a change to the law which would take account of the particular vulnerability of children and the circumstances in which they can be exploited in order to commit sex offences. It was noted that alcohol can often be used by offenders to make it easier to commit an offence. However, it was also pointed out that alcohol is frequently consumed voluntarily by teenagers before engaging in consensual sex and that it was important that intoxication should not be the only factor taken into account when considering the capacity of those under 16 to consent as this could lead to inappropriate prosecutions. The opinion that the law did not need to be changed was most commonly held by members of the legal profession, the judiciary and law enforcement agencies. Some argued that the law had only been in force for a relatively brief period and that any meaningful assessment of the Acts provisions was therefore premature. Continual change, others argued, rather than bringing clarity, would only serve to cause furthe r confusion. Opponents of change argued, it would be wrong to seek to change the legislation simply because of the outcome of the case of R v Dougal. They took the view that the Sexual Offences Act 2003 had provided a welcome modification to the law on consent, which had improved the law because juries were now required to consider what steps the accused had taken to establish whether or not the complainant genuinely consented. Although there may now be a focus less on whether or not consent was given but rather on whether the complainant had the capacity to give consent, this did not challenge the adequacy of the law as it was currently framed. Those who did not consider that the law needed changing argued that it was already the case that a jury could ask themselves whether the complainant was in a fit state to give free and informed consent, especially if they had been drinking heavily. It was suggested by judicial respondents that R v Dougal had been an exceptional case and that in most similar cases juries have been properly directed that lack of capacity includes incapacity through excessive consumption of alcohol or drugs. There was concern for the broader implications of a change in the law. It was suggested that establishing a link between intoxication and a capacity to consent could result in, and according to some should entitle, a defendant to argue that he was too drunk to assess whether consent had been given. It was also argued that the effect of intoxication on a persons ability to make decisions could not be used as a defence to other offences, for example assault, and so should not be relevant to the capacity to consent in rape cases. However, it was also argued that these two situations were not analogous because victims were not on trial. Section 74 of the Sexual Offences Act 2003 refers to freedom and capacity and argued that there was a distinction between these two concepts. It was argued that capacity to consent was relevant to ch ildren and individuals with mental disorders impeding choice but not to adults who had become intoxicated. It was suggested that equating adults with children in this way was a step backwards. Should there be a statutory definition of capacity This change in law by way of inclusion of a definition of capacity would bring a clarity to proceedings and ensure that juries would consider the complainants circumstances, including any effect that alcohol or other substances may have had on their ability and freedom to choose. Advocates of this definition consider that it is clear and easy to understand and would cover the circumstances where a complainant was so drunk but not unconscious as to not know what was happening or unable to say no. A number of those who supported a further evidential presumption based on alcohol consumption suggested that this might be the statutory definition of capacity that was needed. Most commonly, the evidential presumption that was proposed was the one that appeared in Setting the Boundaries. Such an evidential presumption, it was argued would allow the case to be put to the jury, even where the complainant could not remember whether she consented or not. It would, of course, remain open t o the defendant to say that the complainant did indeed consent and for the jury to believe him or, at least, give him the benefit of the doubt.
Tuesday, December 24, 2019
Genesis A Historical, Literal, And Theological Sense
For this paper, I wanted to spend time in a passage that I felt like I have completely written off and just accepted what others have told me about it for years, it is because of this that I will be writing my paper on Genesis 1:1-2:3, which teaches the creation account. I limited it to this because, for obvious reasons, I cannot include anything before this section, and after this section it goes into more detail about the creation of man for the rest of Genesis chapter two and I will not be focused on the specifics of that as much as the whole narrative of creation. Limiting the passage to anything less would take away from the narrative of scripture and would lead to me missing something. There is also a textual parallelism found in the text, but I will go further in depth on this later in the paper. The purpose of this paper is to examine Genesis 1:1-2:3 in a historical, literal, and theological sense and then to discuss what I think the intended meaning of the passage is. Historical As Dr. Emerson stated in classroom lectures, idioms are not something that occur in every passage of scripture, but in this passage there are two clear idioms. First, in verse 1:2 â€Å"the deep†and then in 1:6, â€Å"an expanse in the midst of the waters†would be two examples of idioms. For nearly two millennia there was a general consensus from Biblical scholars that held Moses as the author of the book; however, over the last 200 years there has been a change in theory that says the Pentateuch,Show MoreRelatedThe Evolution Of Young Earth Creationism1698 Words  | 7 Pagescreationism, which constitute the foundation of the position: (1) An open philosophy of science; (2) all basic types of organisms were directly created by God during the creation week of Genesis 1-2; (3) the curse of Genesis 3:14-19 profoundly affected every aspect of the natural economy; (4) The flood of Noah was a historical event, global in extent and effect. 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As is the case with most textbooks in contemporary education especially that which is relevant to students at a secondary level of education JourneyRead MoreAn Analysis of Exodus 6:8-10 Essay966 Words  | 4 PagesIn Exodus 6:12, the Hebrew phrase â€Å"Poor Speaker†(NRSV), does not mean a physical speech disability in a literal sense, but rather it is used as a metaphor to describe Moses’ hesitation to speak to Pharaoh which was not only his own self-consciousness, but was also a product of Israelites disinclination towards him. A Plan of Defense I plan to start my defense by providing those arguments that claim that it was self-consciousness at Moses’ part rather than a disability. For instance, TheRead MoreThe Theory Of Progressive Evolution1726 Words  | 7 Pagesargued in the On the Origin of Species (1859)4 was still to be considered by all reasonable, educated persons as an astounding, unprecedented achievement. In historical terms, a dividing line has been reinforced between the pre and post-Darwinian worlds, emphasising the supposed difference between biological guesswork and precise judgement. A sense of caution and inquiry as well as lively internal debate on implications was not a block to overriding optimism. To the Neo-Darwinians, Darwin formed theRead MoreThe Concept Of A Paradigm Shift1640 Words  | 7 Pagesview of biology and the wider universe4. This idea of a paradigm-shift has been reiterated implicitly over time amongst others such as Shermer5. Most of the later Neo-Darwinian works making this point owe a heavy debt in terms of codifying their historical perspective to Daniel Dennett. Dennett explored the idea of positive Darwinian progress philosophically, famously describing Darwinism as a â€Å"universal acid†in Darwin s Dangerous Idea (1995)6. Dennett argued that nothing humanity was aware of subjectivelyRead MoreComparison of Plato, Aquinas, Aristotle and Augustine1464 Words  | 6 Pages‘cave bounding our human senses, begins to sound like a form of escapism from reality as we perceive it. Reason Reason is competent to know reality but it is necessary to begin with what exists in the world. Reason embodies a primacy-of-existence approach which states that knowledge of the world commences by looking at and examining what exists. Recognizing the validity of mans senses, men can increase their knowledge by augmenting the evidence of the senses through reason (i.e., throughRead MoreComparison of Plato, Aquinas, Aristotle and Augustine1473 Words  | 6 Pagesthe ‘cave bounding our human senses, begins to sound like a form of escapism from reality as we perceive it. Reason Reason is competent to know reality but it is necessary to begin with what exists in the world. Reason embodies a primacy-of-existence approach which states that knowledge of the world commences by looking at and examining what exists. Recognizing the validity of mans senses, men can increase their knowledge by augmenting the evidence of the senses through reason (i.e., throughRead MoreCritical Analysis of Genesis 1:1-2:4a Essays2625 Words  | 11 PagesGen 1:1-2:4a World Behind the text Historical and Cultural Context Genesis illustrates the way Biblical writers J (Yahwist), E (Elohist) and P (Priestly) drew upon the cultural and religious legacy of the Ancient Near East (ANE) along with its stories and imagery and transformed it to conform to a new vision of a non-mythological God and a monotheistic, superior religion. â€Å"The Pentateuch developed against the background of the Ancient Near Eastern culture first cultivated in and spread by Sumerian
Monday, December 16, 2019
Bellinger and Transsexuals Free Essays
Bellinger V Bellinger case might lawfully be epitomized as clear and unbiased reference to putative gender-sex differentiating and even opposition. Social role of an individual is what apparently regarded as a reflection of his/her inner, biological role. Male and female interact and represent themselves in their respective gender roles as they are accostomed to and as it is their only way to fully reveal their personality, gender role being an essential part to it. We will write a custom essay sample on Bellinger and Transsexuals or any similar topic only for you Order Now So far, within the academic notion of ‘sex’ or, if related to psychology, ‘sex identity’ two distinct and rather discrete categories, first denoting biological [inborn] components, second denoting acquired through socialization pattern of behaviour, were embraced to secure separate and considerate approaches. That gender role is a concept relating to second or ‘acquired’ group of elements is a fact which thus far scarcely entail any poisonous implication. If there be a game participants to which are free to chose their gender role and are warranted, by the rules of the game, to be fully accepted at their new status, this status will for the purpose of the game mean a ‘carte blanche’ for any constructive self formation and assuming myriad of new social roles which spurrs the creativity of the participants. That game is very much alike a masquerade, where costumes and dresses are commonly known and recognizable and the owners of those costumes, impersonal as they are wearing their dominos, are treated as if being a true heroes. The rules of the game which sanctionize impersonation, in fact, inaugurate the spirit of mockery and futher creativity of individuals which, perdued by the cloak of assumed gender, depart further from the province prescribed by their sex role assigned as birth. In fact, this abstract situation or game is hardly ruled by any societal regulation or government statutues; it is inherently present in human communities which tend to dissociate into a number of nuclear communiteis which develope their internal regulations and are characterized by certain margin of deviation. What really empowers the participants of that kind of abstract situation and actualize their further expansion is technical devices or ‘masks’ needed to successfully impersonate gender roles and special warrant that their will be accepted in their new acquired role. First creates the discourse of community, the accesability of technical devices draws the idea of the situation nearer to the partcipants; second creates continuum for their activity empowering scheme to expand and difining the extremities and limits of that expansion. Far from stating the internal driving forces which rule the participants when they ‘jump in the game’ I would like to underscore the dialectics between transsexuals and doctors which is accountable for re-asserting transexuals’ subjectivity, providing them with technical means which greatly contribute to that subjectivity’s formation, and dialectics between transexuals and law. In Re Bellinger, several facts point out to the current state of limitations law and society encounter as regards patterns of cross-sexual behaviour and their possible legal implications. It is clear enough that Mrs. Bellinger since her unsuccessful marrige to a woman which resulted in devorce as early as 1975 led a sexually deviant subjective life which found its expression in wearing womans dress and acting as a woman. That pattern of behaviour is characterictic of transvestites or cross-gender individuals which find sexual and/or cerebral gratification in assuming a gender role of woman by partial of complete cross-dressing and often (which is conditioned by a degree of boldness of a cross-dresser) venturing out into public . As we also might know Mrs. Bellinger was rather radical in her endeavour and has completely assumed new gender role and, in fact, had disguised her male side until eventually gone through gender re-assingment procedure. Although, for the purpose of present consideration the fact of her going through sex re-assignment treatment is immaterial as far as it may only indicate her being extremely persistent in assuming characteristics of wanted gender. The fact that she underwent operational treatment has no practical implications on the province of law concerned: it only designated that she been through treatment results of which are partially recognized by state and law in general and to that extent that she is entitled to correction of documents (passport, etc. ) That government corrects documents for the person which changed so profoundly that otherwise doing may impede his/her interaction with government and state services is absolutely reasonable practice. When individual wishes to change a name he/she is also entiltled to the correction of personal data in the passport lest there be any confusions of the personality of passport holder. Now the question is are there any material differences in the eyes of the law between situation when individual chose to ungergo operational treatment and having done so needs to have the personal data typed in passport (together with photograph) corrected and that when individual chose to change, say, her marriage status and needs to have her personal data (last name) corrected? I think, despite apparent difference of two cases, both of them involve substantial changes in person’s status which (changes) has to find their adequate reflection in official personal information. Initially, law is not concerned with changes or transformation person undergoes – it is only concerned with legal implications of those transformations or how they will affect legal status of individual should he participate in his new status within legal sphere. To participate within legal sphere, to put it accurately, mostly means to partake in complex of relations subject to regulation of specific law or specific legal norms. Thus, though two cases are entirely different with respect to the nature of changes individual undergoes, legal implications of sex re-assignment procedure are somewhat limited by the current state of law which is reluctant to acknowledge validity of marriage between persons at least one of which participated to it not in his/her original sex, but has chosen to change that original sex and actually did so prior to the marriage . It follows that as regards [spicific] law of family, individual that enjoyed legal recognition in general (recognition through correcting personal data, including name which indicate gender), is incapable of fulfilment his/her rights springing from that recognition in particular case and with respect particular province of law. Thus, as far as nature of changes concerned apparently matters in the eyes of law, since it delegates rights upon person who changed the name as a result of personal wish and withholds the legal capabilities of those rights fulfilment in the case with men who changed the name as a result of personal wish to change sex and thus appropriate more coming feminine name, it proceeds that the fact of general aprobation of the sex-reassignment procedure and its results, which finds its expression in registering individual as a woman and entails legal rights and prefenrences capable of fulfilment in specific provinces of law (pension age and, what is more important, the right to marriage), does not mean that general aprobation’s universal validity – it instead means some kind of contingent validity of general recognition of status. It practically means that general recognition is void as long as it does not entail recognition of persons rights in specific provinces of law (like labor law and family law). Particulary, the fact of gender re-assignment is immaterial to the case because neither it benefited the person any more than would do when testifying his/her expressed and extremal desire to posses the characteristics of opposite gender, nor it entailed some practical outcomes of government’s general recognition of the sex re-assignment fact when person was allowed to change a name in the passport. Thus far, I insist that Mrs. Bellinger was a transvestite which gone through gender re-assignment but the latter procedure did not qualitatively affect her legal status. As it is known from the case, the registrator did not ask Mrs. Bellinger about her gender status and Mr. Bellinger himself was not willing to inform him. So, it will be reasonable to presume that if at the moment marriage took place Mrs. Bellinger did not actually do gender re-assignment but instead prefered cross-dressing as transvestites do the registrator would hardly have more doubts about the gender of fiancee than he actually had. The difference between pre-operational and post-operational positions of Mrs. Bellinger was rather internal of character and laid deep in her self perception which apparently was tending towards further unification with all that constitutued ‘feminine’. Even at the time when Mrs. Bellinger still possesed secondary sexual atributes of male (penis) she also possesed a great deal of feminine traits and was very skilled at dressing woman clothes and make up. This allows for induction that it was not only after the operational treatment that Mrs. Bellinger did actually transformed in terms of gender as seen through public eyes. If transvestite looks skillful enough to pass the street and impart the idea of her ‘girlishness’ to every one looking at her, she, to certain degree, is a girl to herself at this moment and is, to absolute degree, a girl to society aroound her. When much of the things to visually transform boy into a girl was done and done with a good taste then nobody will distrust his/her feelings and venture to check her anatomical sex by pulling her skirts up. Thus, it is apparent that transvestite radiates feminine gender when in public eye which certainly does not go without further affirmation of [her]self in that believe. It follows that category of gender which comprise number of biological and non-biological or acquired elements is construed through and within societal perception of what that gender (male/female) should look like . If the society is misled and perplexed that only means that ‘gender identity’ of some of its members went awray. The latter conceive the idea of gender in the context of ‘self construction’, ‘self transformation’ and doctor actually aid them in perpetuating that belief in contigency of gender . That transvestite resort to special devices to assume the gender role and misled the society means that even without surgical treatment they may successfully socialize into society in the desired role and that actual sex reassignment does not have any implications other than on transvestite’s subjectivity and self perception, that is, no practical bearing on societal perception. At this point, if law is only concerned with empowering adequate socialization (securing the equality of rights and principle of genral equity and equlity) of individual in his/her gender role, then it precribes equality of scope of right which pertain to inborn woman and that which pertain to person gone through sex re-assignment. On societal level, that equality is already established since everyone perceive trasvestite as a woman and naturally does treat her as a woman . Methodological problem here is that marginal transvestites which cross dress completely, live like women and express a strong desire to transform their bodies so that to alter their secondary sexual attributes into that which pertain to woman and, in whole, strive to unify with another gender totally abandoming their own original one, present a distinct group which needs both taxonomization and separate legal approach . As we said earlier, there will be no virtual difference for the registrator whether Mrs. Bellinger would have been through surgical treatment at the moment of marriage or not. In the same manner, she will look equally feminine to people on the street before and after operation. The problem lays in her self perception. Acute desire to get rid of the abhorrant organs which (desire) borders with risc of self-mutilation or suicide was invoked by Harry Benjamine as reasons for surgical treatment of a patient. ‘Benjamine patient’ thus requires separate taxonomical niche and might also require medical and in extremal cases surgical treatment which , thus, looks akin to emergency surgical measures applicable to unstable patient. Surgical vocabulary has penetrated the terrain once inhabited by psychopathological terminology. Treatment of such hard cases involving Marginal drive towards unification with other sex by arsenal of intense psychoterapy was rendered futile and changed for more radical, surgical and hormonal technologies. Although, it is within approach of psychoterapy that demand of sex change, which was crucial in disclosure of syndrome itself, was recognized to â€Å"cover over another form of subjectivity that are fundamentally destabilizing. †It follows that emergency approach within which syndrome of expressed gender dysphoria taken at its extremity is only capable of rectification through surgical treatment intended at partial or full removal of secondary sexual attributes posseses not its past persuasiveness. Rather, its thesis about demand for sex change which serves as signifier of the syndrome invites critics on the ground of its Although, â€Å"Benjaminian patient†as a product of doctors and patients dialectical development of â€Å"cohesiveness for a subjectivity [which] constantly [is] under threat of destruction†is very appealing to the law. The law may find its subject in the â€Å"Benjamine patient†. Thus created taxonomical niche entail various legal situations. Earlier, we considered the possibility of Mrs. Bellinger’s actual marriage (in terms of social recognition of their civil union) in case if she would not undergo sex re-assignment procedure and concluded that marriage will be not less socially valid under that conditions. What if in her place was another person who only occasionally cross dress and does not wish to play that social role of woman forever? It is very possible that she would pass the social test and misled the public with its look but the degree to which she really needs that social and legal recognition is, presumably, incommensurable to that of Mrs. Bellinger. In this case, the fact that individual has undergone surgical procedure may testify her commitment to the purpose of ultimate unification with opposite gender (along the lines of ‘Benjamine patient’ approach) as well as underscore the intricasy of her psychosomatic neurosis ( psychopathology approach). In any case, surgical treatment dialigns the group of Marginal transvestites from other, Nuclear ones . And similary to medicine which aids that marginal patients by delivering them from their detestable organs , law is called to facilitate their further socialization into society by resolving the internal pressure they feel as regards inability to lawfully participate in civil unions. That law is called upon to faciliate in internal self development and self apprehension is no new: it has incorporated norms securing the right of disabled and retarded which contribute to their self esteem and facilitate their internal development or prevents them from [the threat] of destruction of personality. But is not it that law pre-maturely intervene into the relations which are to be at first clearified and agreed upon by the medical specialists and only then passed into the sight of law? Whether it us true or not that if there are presently two groups each of which has its explanation on what marginal transvestism is and how it should be treated then law is bound to side with one of those schools since no mutual agreement was developed? ‘Benjamine patient’ is very appealing taxonomical category which directly and logically connect Marginal transvestism (springing from expressedly antipathic reaction to individual original sex) and gender re-assignment treatment (which is deemed to be the only plausible resolution to thus posed problem). But in the eyes of law transvestite which undergone sex re-assignment posseses no single distinct advantage as compared to that (transvestite) which did not been through that treatment. It is gender identity of individual that matters when considering the issue of legislative changes to Matrimonial Causes Act. In this respect, gender re-assignment procedure is not a conclusive step which defines those who are eligible for the right to marriage; it is only one of those steps which are directed by human identity and, through acquiring further visual and material semblance, incrementally lead to unification with desired sex. This road may prove to be infinite. The position of gender re-assignment surgical procedure within the continuum of surgical procedures transexuals resort to allows for observation that transexuals, in fact, are continuously disturbed by abyss between them and ideal feminity (in case of men transexuals) and may never acquire bodily semblance enough to put their mind or gender identity at ease, that is to say that they are insecure in their feminity and their self apprehension is constantly impaired. Thus, it is impossible to render a transsexual somehow belonging to feminine gender solely on the ground of him/her being surgicaly treated. Rather, it is the expressed self apprehension as belonging to feminine gender that could make them what they want to be. This conclusion entails further ones. The most prominent of them is that pronounced desire to be a femine is what transsexual has and ever would have and the aim of the law is to state whether it is sufficient for granting them all rights pertaining to female sex. In context of right to marriage this pronounced desire has to somehow fit into the definition of marriage (marriage is void unless the parties are ‘respectively male and female’ (Bellinger para 1) or that definition has to be changed because of certain cases which hardly fall within that definition but nevertheless seem to have direct bearing on the marriage. Clearly, transsexual which articulate her gender to be feminine in the marriage tends to have a wife role which will organically consort with other characteristic of feminity she tends to. In Re Kevin (validity of marriage of transsexual) [2001] Fam CA 1074 it was stated that there is no ‘formulaic solution’ to determining the sex of an individual for the purpose of the law of marriage and â€Å"difference is essentially that we can readily observe or identify the genitals, chromosomes and gonads, but at present we are unable to detect or precisely identify the equally â€Å"biological†characteristics of the brain that are present in transsexuals†But to put right to marriage in direct dependance upon [determining] sex of person seems to be a dead end. The array of cases strating from Corbett v Corbett [1971] P 83 and ending with present case testifies that this approach is hardly efficient. The desicion in Goodwin v UK (2002) 35 EHRR 18 laid ground for re-apprisal of that approach. It reads that the Court found found ‘no justification for barring the transsexual from enjoying the right to marry under any circumstances’. Obviously, there are no such impedements springing from the law itself which would prospectively prevent Marginal transvestites from acquiring right to marriage provided that there be a legislative will of Parlament. That the perplexities of that problem partially and briefly stated earlier do prevent House of Commons from passing the bill also seems clear. At the same time, incentives coming out of European court are expressedly painted in colors of progressive and liberative legislative approach. Presently, I belive that formula which will satisfy ‘Europeans’ will involve legislation tending to antecede the resolution of academic debates as regards specific domains of meidine and, in fact, contribute to the progressive and enlighted resolution of those debates. In our case, present state of the law includes some deceptive provisions. It clearly states that parties to marriage are ‘respectively male and female’ which seems to be consonant with the desire of Marginal transvestites as they tend to artificially acquire ‘maleness’ or ‘femaleness’. At the same time, law and the court do not seem to bother about priciseness of their rendering of that provision. So far, as it occures from the great majority of the cases, the court only have approached notions of ‘maleness’ and ‘femaleness’, construed them to signify biological sex and made efforts to elaborate measures of ascertaining that [original] sex. It is now clear that societal perception of gender does not co-incide with legal one. The court insures the degree of preciseness of that legal perception but apparently, the split between society which eyes Marginal trasvestite and sees a girl, Marginal transvestite which lives and strives to be a girl actually ever-approaching to it, and the Court which eyes Marginal transvestite through microscope and employes all kind of hromosomal tests and technical appliances to disclose that individual’s original and abhorrent side is enormous. Doctors almost at once sided with their patient and developed certain categories (at the beggining ‘Benjamine patient’ and then ‘gender identity disorder’) actually saling transvestites to state as transexuals – taxon compulsory and contigent in itself – which would underscore their unstability at the original gender and destabilizing subjectivity. Another school of medicine tries to buy that category back from the state pointing at the internal incommensurability and incohesiveness of it. It (school) actually speak out that state and society bought the thing which is not what it seems. And it is the time when gender and sex opposition is to reveal fully. As it might be construed from Bellinger case despite her successful effort to approach ‘feminity’ Mrs. Bellinger did not managed to approach ‘femaleness’ which under the present provisions of the law warrant her a right to marriage. Doctors appealed to progressiveness and humanity of legislator so that the latter might confer ‘femaleness’ upon transexuals even if only to save their subjectivity. Unattainable status of, say, ‘femaleness’ is mainly in charge of legal deadend with marriage rights of marginal transvestites. If sex-related approach was changed for gender-related one (first signifies biological sex, second – gender role) within the provisions of the law it will greatly reduce that paintfull dialectics between transsexuals and doctors and transsexuals and law. Though, that changes ought to go with recognition of homosexual marriage. Transsexuals will never agree to register as homosexual family but this will reduce the degree to which marriage right depend on gender re-assignment procedure, which is immaterial to marginal trabnssexuals right to marriage. Number of words: 3558. References: Books: Changing Sex: Transsexualism, Technology, and the Idea of Gender by Bernice L. Hausman; Duke University Press, 1995 The Psychology of Sexual Orientation, Behavior, and Identity: A Handbook by Louis Diamant, Richard D. McAnulty; Greenwood Press, 1995 DNA and Destiny: Nature and Nurture in Human Behavior by R. Grant Steen; Plenum Press, 1996 Journal articles: Transvestism: A Survey of 1032 Cross-Dressers. by Richard F. Docter, Virginia Prince. Journal Title: Archives of Sexual Behavior. Volume: 26. Issue: 6. Publication Year: 1997. Page Number: 589+. Moving gaily forward? Lesbian, gay and transgender human rights in Europe. by Kristen Walker. Melbourne Journal of International Law, June 2001 v2 i1 p122 Paper articles: Law reports. (News) Daily Telegraph (London, England); April 17, 2003 Cases cited: Corbett v Corbett [1971] P 83 Re Kevin (validity of marriage of transsexual) [2001] Fam CA 1074 Goodwin v United Kingdom (2002) 35 EHRR 18 Bellinger v Bellinger [2003]2 FLR 1 Bellinger v Bellinger [2003] UKHL 21 How to cite Bellinger and Transsexuals, Papers
Sunday, December 8, 2019
Medication Management-Free-Samples for Students-Myassignmenthelp
Question: Identifies Strategies to overcome Challenges in regard to Safe Medication Management. Answer: Medication management can be defined, as a patient specific care to optimize effective, safe and suitable drug therapy. A patient is provided with care, with the collaborative action of a multidisciplinary team. Registered nurses (RNs) are one of the important members of the multidisciplinary team that influence a safer management of medications. As a new graduate nurse I have received elementary knowledge about medication management through our entire nursing program, yet I have faced with several new challenges while making a transition from the university ambience to a clinical setting (Cheragi et al., 2013). As a nurse I should be able to apply my knowledge about the patient and the medications. The process of nursing is not a very linear process. A continuous assessment is being done at all the stages of the medication management (Mirbahaet al., 2015). Newly graduate nurses are inexperienced; hence, it can be difficult for them to monitor the medication protocol of a patient. Apart from the types of drugs that have to be delivered, the correct method of drug administration also plays a pivotal role in patient's safety. Nurses play a very significant responsibility in the prevention of the medication errors. Most of the time, this is caused due to the clinical personnel failing to do his duty correctly (Cheragi et al., 2013). Some of the common medication errors that can, be caused by the registered nurses are omissions, administering wrong drugs or wrong dosage of drugs, improper methods of delivery and wrong prescriptions. It has to be noted that the work load, the responsibilities in a proper clinical setting is far more than the student workload, exams, and placements, which can be some of the main causes of medication errors (Keers et al., 2013). Newly graduated nurses are encountered with problems like lack of pharmacological information, lack of monitoring of the pre- administered drugs. I have come across one of my peers, who forgot to find out his tory of the adverse drug reaction in a concerned patient. When a nurse is undergoing training, the last thing that they are concerned is about the documentations. there are few things that has to be kept in mind while charting for a patient- Proper documentation of the drug administration and the doses, records of any discontinued medications, records about drug allergy (Campbell et al., 2012)(if any). I have grown and have developed skills through my personal experience placement so that I can think, collect and foster a safe medication management. The correct procedures of safe medication administration involve maintenance of an electronic medical record. In my nursing course I have learned that liquid medications are measured by standard measuring containers. Notably, while splitting the tablets, it should be ensured that the medications are scored by the manufacturer and the medication is splitted evenly. According to Campbell et al., (2012), it is important to carry out the some assessments before the application of certain medications. I have learnt that it is necessary to monitor the heart rate before the administration of antidysrhythmic medications. The duty of a nurse does not end with this. It is necessary to monitor the response of the patients to the medications, especially when we are applying the medications for the first time. In my learning career I have also learn ed about the importance of recording the site of injections. For high alert medications, it is essential to double check the doses. The Australian commission on safety and quality in health care (ACSQH) has developed medical charts in order to standardize the medication management and increase medication safety. There are separate medication charts for the paedriatics, aged care and more. I have always tried to keep an eye on these charts in order to develop my pharmacological skills. The NSQHS safety standard 4 for the medication errors in nursing ensures that the nurses safely administer medications to the patients. In order to meet the standard, the frame work proposes that it is essential to document the medication allergies and previous anaphylactic reactions (Flanigan, 2016). I have faced problems related to the administration of the intravenous medicines. In accordance with my problem I would like to share that Ohasi et al., (2014) have proposed that Intravenous application of medications involve a lot of complexities and preparations. The reports by Campbell et al., (2012), shows severe patient harm related to intravenous medications. It was found that most of the intravenous errors are due to the wrong intravenous rates, wrong volume and mixtures and drug incompatibility, previously I faced challenges in the preparation of the intravenous medications. Later on I have learned to check the medication standards provided in the Australian Injectable drugs handbook (AIDH). I should mention that the problems I encountered regarding the IV, during my learning career were much different from those in the actual clinical setting. In order to ensure a safe management of medications, a nurse should undergo extensive research to practice evidence based practice and should have an avid knowledge of pharmacology, pharmacokinetics (Kim Bates, 2013). From the problems, I have realized that it is very important for a nurse to have a foundational knowledge regarding human growth and development, physiology, human anatomy, nutrition and more. Surprisingly, the mathematical skills will probably help one out in the dosage calculations (Ohasi et al., 2014). According to the NMBA standard of nursing, nurses should indulge in critical thinking and clinical judgment while planning the drug dosage (Flanigan, 2016). Another thing that most of the new nurses are encountered with the catheter related medication errors (Kim Bates, 2013). Most of the errors that are caused by nursing students are related to intravenous tubing. Like any other fresh students, I am faced with problems related to the catheter tubes. Reports related to tube catheter misconnection involve a number of devices, such as peripheral intravenous, central venous, peritoneal dialysis). According to Alsulami et al.,(2012), a nurse should be able to support and advocate patient education regarding the adherence to medication regime. I have tried my best to have a transparent knowledge regarding pathophysiology and pharmacology, so that I am able to deliver a proper instructions and knowledge to the patient. One of the important aspects of becoming a successful nurse is self regulation. Medication error can arise due to improper documentation and reporting of the health care errors. Verbal, written or other forms of communication for recording the near misses are one of the crucial initiatives from the side of nurses. I have gained efficiency in preparing ISBAR, clinical handovers. Clinical handover plays a major role in error prevention (Simonsen et al., 2014). A proper clinical handover are intended as the handing over of responsibilities from one health care professional to the other. It helps in mitigating the medication related errors. It helps the person in the next shift to get an overall idea of the patient history and the undergoing medications. In my degree course I have gained knowledge regarding the medication reconciliation of each and every patient. As stated by Haw et al., (2014), medication reconciliation consists of three steps: - First is verification. I have always learned to verify the medication history of the patients, including the current medications, herbal or alternative therapies and more. It is important to get it clarified from the physician charge that all the doses are correct (Simonsen et al., 2014). The RN investigates, disseminate and document any further changes. As a freshly graduate nursing student I may make medication errors, but I should not deter to inform the higher authority regarding my mistake, as we know that medication error can be as lethal as death (Alsulami et al., 2012). An RN should be able to work together with the families, patients and the care providers for ensuring comprehensive and accurate medications. It is required that all the medications of a particular patient are reviewed in order to ensure that appropriate medications are added, changed or stopped (Parry et al., 2015). It is not that everyone should apply for a transition to practice, however they can motivate a nurse to strive more in his professional practice. It is important for ensuring a consistent, transparent and equitable process for the management of transition to practice nurses. This transition to practice can be done in any clinical setting .It helps a nurse to develop her inter professional skills. I am well aware of the fact that medication error may lead to adverse drug reactions, which can bring about life threatening conditions in patients. Since, a collaborative care is not possible as long as I do not make any interaction with the other members of the collaborative team, it is better that I consult with my peer and my senior nurses in case of complicated situations. I should be able to work with the health care agencies for identifying the individual risk factors and implement a proactive measure for decreasing the medication errors Each of these challenges is problematic for a newly graduate nurse. Proper help and guidance from the senior nurses and the peers can help the new nurses for a successful transition in to a new working environment. In conclusion it can be said as a graduate nurse, I can manage the medication challenges by practicing evidence based research work against pharmacology, proper assessment of the patient history and the current conditions, including the vital signs. Other things that I should keep in mind are proper clinical handovers, documentation, using technologies for monitoring and documentation. The nursing frameworks will also help me to overcome my fears. References Alsulami, Z., Choonara, I., Conroy, S. (2014). Paediatric nurses adherence to the double checking process during medication administration in a children's hospital: an observational study. Journal of advanced Nursing, 70(6), 1404-1413. Campbell, R. L., Bellolio, M. F., Knutson, B. D., Bellamkonda, V. R., Fedko, M. G., Nestler, D. M., Hess, E. P. (2015). Epinephrine in anaphylaxis: higher risk of cardiovascular complications and overdose after administration of intravenous bolus epinephrine compared with intramuscular epinephrine. The Journal of Allergy and Clinical Immunology: In Practice, 3(1), 76-80. Cheragi, M. A., Manoocheri, H., Mohammadnejad, E., Ehsani, S. R. (2013). Types and causes of medication errors from nurse's viewpoint. Iranian journal of nursing and midwifery research, 18(3), 228. Flanigan, K. (2016). NSQHS standard-patient identification. ACORN: The Journal of Perioperative Nursing in Australia, 29(1), 23. Haw, C., Stubbs, J., Dickens, G. L. (2014). Barriers to the reporting of medication administration errors and near misses: an interview study of nurses at a psychiatric hospital. Journal of psychiatric and mental health nursing, 21(9), 797-805. Keers, R. N., Williams, S. D., Cooke, J., Ashcroft, D. M. (2013). Prevalence and nature of medication administration errors in health care settings: a systematic review of direct observational evidence. Annals of Pharmacotherapy, 47(2), 237-256. Kim, J., Bates, D. W. (2013). Medication administration errors by nurses: adherence to guidelines. Journal of Clinical Nursing, 22(3-4), 590-598. Kim, J., Bates, D. W. (2013). Medication administration errors by nurses: adherence to guidelines. Journal of Clinical Nursing, 22(3-4), 590-598. Mirbaha, F., Shalviri, G., Yazdizadeh, B., Gholami, K., Majdzadeh, R. (2015). Perceived barriers to reporting adverse drug events in hospitals: a qualitative study using theoretical domains framework approach. Implementation Science, 10(1), 110. Ohashi, K., Dalleur, O., Dykes, P. C., Bates, D. W. (2014). Benefits and risks of using smart pumps to reduce medication error rates: a systematic review. Drug safety, 37(12), 1011-1020. Parry, A. M., Barriball, K. L., While, A. E. (2015). Factors contributing to Registered Nurse medication administration error: A narrative review. International journal of nursing studies, 52(1), 403-420. Simonsen, B. O., Daehlin, G. K., Johansson, I., Farup, P. G. (2014). Differences in medication knowledge and risk of errors between graduating nursing students and working registered nurses: comparative study. BMC health services research, 14(1), 580. Weeks, K. W., Hutton, B. M., Young, S., Coben, D., Clochesy, J. M., Pontin, D. (2013). Safety in numbers 2: competency modelling and diagnostic error assessment in medication dosage calculation problem-solving. Nurse education in practice, 13(2), e23-e32.
Saturday, November 30, 2019
The Great Gatsby - Male And Female Interactions Essays -
The Great Gatsby - Male and Female Interactions Through the interactions between male and female characters, Fitzgerald depicts a variety of social expectations regarding "typical" male behavior in the 1920's. In the novel The Great Gatsby, characters such as Tom Buchanan, Jay Gatsby, George Wilson and Nick Carraway demonstrate behavior that acts to maintain and live up to expectations inherent in society. Through their controlling ways, these characters strive to define the "typical" man in the 1920's. The notion that a man's success can be measured by his possessions becomes evident through the actions of Tom, Gatsby and Wilson. These characters strive to obtain more than just material possessions. For example, Tom seems to view the women in his life as mere possessions, a sign of his success and wealth. His attitude and interactions with Daisy, his wife, and Myrtle, his mistress, demonstrate this. Through out the story, Tom does not show respect or genuine caring for either woman. Rather, he commits open adultery with Myrtle. Tom makes this affair public because it is just another way of showing-off, another of his possessions and thus boosting his ego. Tom does this without regard for the shame his affairs may bring onto his wife. Daisy comes to represent a treasured and sought possession for both Tom and Gatsby. Although on the surface it appears that Gatsby has an ever-lasting love for Daisy, I feel that his longing for Daisy stems from his need to recapture a possession which he lost during his youth. Nick comments "He talked a lot about the past and I gathered that he wanted to recover something, some idea of himself perhaps, that had gone into loving Daisy" (117). Furthermore by possessing Daisy's love, Gatsby can reject defeat and feel successful as a man. In the novel, Gatsby goes as far as to view the green light as a symbolic way of holding onto his possession and keeping Daisy in some way close to him. After obtaining his dream of being reunited with Daisy, the green light begins to lose its symbolic strength. "Now it was again a green light on a dock. His count of enchanted objects had diminished by one" (98). Now that the realization of his dream has begun, Gatsby needs to feel a greater sense of possession or control over Daisy. He may feel the need to obtain another enchanted object to replace the loss of the symbolic meaning of the light. Now the only enchanted object which he is left to obtain is Daisy's complete and everlasting. Likewise, Tom refuses to forfeit Daisy to another man or even believe that she could love another. Tom states "But all the rest is a God damnened lie. Daisy loved me when she married me and she loves me now." (138). If Tom were to give up Daisy to another man, this would surely be a sign of defeat and failure like losing a football or polo trophy. Instead of admitting defeat, Tom rationalizes Daisy's behavior by demeaning her will. For example, he states "The trouble is that sometimes she gets foolish ideas in her head and doesn't know what she's doing" (138). Another social expectation of "typical" male behavior in the 1920's depicted in The Great Gatsby is the notion that a "real" man should be in control of the woman in his life at all times. This notion is exemplified through the struggling relationship between George and Myrtle Wilson. Although Fitzgerald describes George as "one of these worn-out men...He was his wife's man and not his own." (144), a need for control takes over George when he discovers his wife had "some sort of life apart from him in another world." (131) with perhaps another man. To gain control over this situation and thus live up to the social expectation, George takes drastic measures. He states "I've got my wife locked up in there. She's going to stay up there till the day after tomorrow and then we 're going to move away." (143). Through his actions, George forces his will on his wife and strives to maintain control over his possession, his wife. In addition, Tom demonstrates control over Myrtle when the issue of whether she has the right to
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