Sunday, October 13, 2019
Future of Islam Essay -- essays research papers
The Future of Islam When first approached with the question ââ¬Å"what the future of Islam is?â⬠my mind raced around many places and had lots of different thoughts. I had no clue what the future of this religion would be I thought there are people for the American Gov. who are being payed a lot of money to figure this out and I donââ¬â¢t think they even know. So I decided to do research to figure out what my opinion on this matter was. I found that there could be different futures for different places, like Islam in the United States and Islam in the Middle East. I found that in the pre 9/11 days Muslims were a proud people and one of Americaââ¬â¢s largest populations. Post 9/11 there was a lot of ignorance and hatred towards Muslim people. Most Americans did not know the difference between a law abiding Muslim and one of the terrorists who attacked our country. Soon most Americans were educated in this matter and learned about the religion, and how a Muslims interpretation of the Koran affected what kind of Muslim they were and how they viewed the western civilization. They found that most Muslims are in fact great people and are no threat to our society. They also learned about the radical Muslims that interpret the Koran as saying that they should defend by all means anyone who is a threat to there religion (The United States and the Western World ). I think in America Islam has a bright future where one can practice there religion in peace and where the population understands and ...
Saturday, October 12, 2019
Should I Use an e-Business Broker When I Buy a Website? :: Sell Websites Buy Web Sites
Should I Use an e-Business Broker When I Buy a Website? Reprinted with permission of VotanWeb.com A website broker is similar to a real estate broker to the extent that they try to put buyers and sellers together. Instead of real estate being sold, they focus on websites. The criteria to become a website broker vary from state to state and their individual training, history, specialty and area of expertise are things that you must investigate. Some website brokers work independently while others work for a website brokerage company. Website Brokers work on commission and if you do not ultimately buy a business then any work that they have done for you is not compensated. If you hire a website broker, it is critical that you hire the right one. A website Broker may be able to provide you with access to websites that are available for sale that you would never be able to find on your own. They can narrow the search for you to websites that fit your criteria and they can help you avoid a lot of wasted time. The one thing that brokers cannot do is to find a website that is right for you. This is something that only you can do. Brokers clearly prefer to work with knowledgeable buyers and if they have to spend their time educating you then they cannot make money. They can be an effective tool for you to use if you can provide them with a clear mandate of what it is that you are looking to buy. Avoid generalities; explain your strengths, weaknesses and objectives and never mislead them. Ninety percent of the potential buyers that brokers work with never buy a business. While this is part of the risk involved in their chosen profession, this does not give you the right to waste their time. Accordingly, they may be somewhat hesitant when working with new clients until you demonstrate your sincerity and commitment to buying a website. There is no doubt that if you are a serious and educated buyer then a good broker will go above and beyond the call of duty to service your needs. Be respectful of their time and realize that they have to make a living. If at any time you decide to drop out of the hunt to buy a website then let them know immediately. Conversely, if you do not feel that they are extending their best efforts on your behalf then find another one.
Friday, October 11, 2019
Guiding Children’s Behavior
I have rated the fourteen steps to guiding children's behavior based on personal belief and experience. 1. Model Appropriate Behavior: Show, demonstrate, model and supervise. Children are watching you therefore you need to be the best role model you can be. As a positive role model you need to make good choices and encourage children to do their best too. It has been proven that children with positive role models have higher self-esteem, do better in school and social settings, and are more likely to make good choices in difficult/stressful situations. Positive role models can last a lifetime. 2. Meet Children's Needs: Children need to eat nutritional foods, drink plenty of water, and get enough sleep and exercise. Children need a safe environment at home and at school. Children need love, affection and respect. Children need to be given opportunities to be successful so they can build self-esteem. Children need to be given responsibility and independence so they can experience self-actualization. As caregivers, it is our responsibility to provide all of these needs, children need us to do this for them. 3. Use and Teach Conflict Management: Teach children how to successfully resolve conflicts. Children need to learn how to handle difficult situations, they don't know how to resolve a problem if we don't show them how. As a role model, it is important to display conflict resolution, children will learn by watching you. It is important to show children how to share, talk it over, take turns, choose to do something else, and say ââ¬Å"sorryâ⬠. I think it is so important that adults apologize to children when it's appropriate, respect goes both ways, if you expect a child to say ââ¬Å"I'm sorryâ⬠to you then as a role model you should apologize to children when necessary too. . Know and Use Developmentally Appropriate Practice: Learn as much as you can about children, have high but appropriate expectations. As an instructor, it is crucial to always continue learning about Early Childhood Education, stay up-to-date with current methods and trends. 5. Teach Cooperative Learning and Living: This is such an important step because it's a lifetime step. It is crucial to discuss cooperation with children because life is full of social interactions, they need to know how to cooperate in a group settings and how to recognize different behaviors. Talk with children about different behaviors and reactions so they understand how they are feeling and how to react appropriately. 6. Develop a Partnership with Parents, Families, & Others: As an instructor, it is your job to communicate with people who are important in your students life because they are influencing the child outside of the classroom. Make it clear to parents and caregivers that you are always available for communication, that you care about the child and want whats best for them. I think it is extremely important to involve parents and caregivers in classroom activities, they should know what you are teaching and how children are learning. Overall, if there is understanding and communication between parents and teachers then the child will probably have a more rewarding learning experience in the classroom and at home. 7. Empower Children: Children need to learn that they are ultimately responsible for their own behavior, allow children to have choices and support them. It is important that children know you trust their decisions and feel successful when they make positive choices. . Establish Appropriate Expectations: The expectations you have for children should be attainable and used as guideposts in learning. Children should have a clear understanding of rules and limits, this way they know what is expected of them. As an instructor, you should always be clear about exactly what you expect and what the consequences will be if rules and limits are broken. 9. Clarify your Beliefs about Guiding Behavior: It is important to be certain about what you want for children in the classroom and at home. Use a philosophy of education to guide your teaching and review it often, be sure you are always doing your best to do best for the children in your classroom. 10. Use Social Constructivist Approach: Teachers should always be guiding students to behave in a socially appropriate and productive way. Once again, you are a role model, be the best role model you can be, children are watching your decision making and behaviors. Make responsible choices so children can ape this behavior. 11. Help Children Build New Behaviors: Give children praise when necessary. I am a strong believer in the power of positive reinforcement, children react positively when you reward them for making good choices. It is important that children know you recognize they are choosing to make a good choice because it lets them know you are watching them and acknowleding their efforts to control their behavior. 12. Recognize & Value Basic Rights: We all have basic rights, children too! Respect their basic rights and it will be easier to guide and direct children's behavior. 13. Avoid Problems: Positive reinforcement is a great way to focus on good choices and show children that you appreciate their good behavior. Too many times I see parents and instructors who focus on negative behavior and forget to acknowledge positive decision making. If you ignore negative behavior children will learn that they will not get attention or reward for negative behavior. Be sure to always reward and focus on good decision making. Children will learn that by making good choices they will receive praise and rewards. 14. Arrange and Modify the Environment: The classroom should be a safe place of learning and fun. As an instructor, it is your responsibility to provide an annpropriate environment that supports learning for everyone.
Thursday, October 10, 2019
Public Trust Doctrine: Indian Contours
Who owns the Earth and its resources? To what extent may the general public claim the pure water, clean air, rich soil, and the myriad services Earth provides to sustain human life? Across continents and spanning centuries, a dynamic tension continues between those who would circumscribe the Earthââ¬â¢s bounty for private use and those who would carefully allot Earthââ¬â¢s riches to satisfy human needs. Private propertyââ¬âsequestering Earthââ¬â¢s resources for personal, exclusive useââ¬âhas its zealous advocates, and in many locales its legal status is unimpeachable, and its ideology is unquestioned.But a competing ideology, dating from antiquity[1], holds that some of Earthââ¬â¢s riches should never be sequestered for private use, must be left for the publicââ¬â¢s enjoyment, and must be stewarded by those in power. Codified 1,500 years ago during the Roman Empire, legal scholars labeled this the ââ¬Å"Public Trust Doctrine. â⬠The Public Trust Doctrine perseveres as a value system and an ethic as its expression in law mutates and evolves. More recently, scholars, activists, and lawyers have begun discussing the rights of people to access and enjoy various essential resources and services the Earth so generously yields.The Public Trust Doctrine primarily rests on the principle that certain resources like air, sea, waters and the forests have such a great importance to the people as a whole that it would be wholly unjustified to make them a subject of private ownership. The said resources being a gift of nature should be made freely available to everyone irrespective of the status in life. The doctrine enjoins upon the Government to protect the resources for the enjoyment of the general public rather than to permit their use for private ownership or commercial purposes.Three types of restrictions on governmental authority are often thought to be imposed by the public trust: first, the property subject to the trust must not only be u sed for a public purpose, but it must be held available for use by the general public; second, the property may not be sold, even for a fair cash equivalent; and third, the property must be maintained for particular types of uses. I begin this article by tracing the historical origins of the Public Trust Doctrine, charting its (r)evolutionary leaps across centuries, legal regimes, and environmental entities.I then shift legal gears and analyze certain current environmental problems vis-à -vis this Doctrine. I explore how the judicial creativity complements and expands the Public Trust Doctrineââ¬â¢s legal connotations, which, for 1,500 years, have constrained how Earthââ¬â¢s resources can be used and have guided who must bear responsibility for stewarding resources for the public good. Evolution of the doctrine Roman Law: 1,500 years ago, the Roman Emperor Justinian simplified the jumble of laws governing his Empire.He commissioned dozens of the eraââ¬â¢s leading jurists, whose wisdom became codified in the Corpus Juris Civilis. [2] In 529, Justinianââ¬â¢s code contained a Section as: ââ¬Å"By the law of nature these things are common to all mankind, the air, running water, the sea and consequently the shores of the sea. â⬠[3] The Public Trust Doctrine, as this notion came to be known, suggests that certain resourcesââ¬âusually water, but now much moreââ¬âare common, shared property of all citizens, stewarded in perpetuity by the State. 4] Several hundred years after the fall of the Roman Empire, a copy of the Corpus Juris Civilis was rediscovered in Pisa, and scholars spent centuries analyzing the tome. [5]In the peripatetic manner that has come to characterize it, the Public Trust Doctrine migrated with the Corpus Juris Civilis throughout Europe, to both civil law and common law regimes. [6] English Law: The Magna Carta codified Justinianââ¬â¢s words in England, and in 1225 King John was forced to revoke his croniesââ¬â¢ exc lusive fishing and hunting rights, because this violated the publicââ¬â¢s right to access these common resources. 7] Thus in England, while the King had vested ownership of public lands, he stewarded them in trust for the public. This notion of government ownership of resources held in trust as a commons is a shared precept in all places where the Public Trust Doctrine persists. [8] Evolution in India: India has the roots of this doctrine in ancient Vedas when every king was to protect the trees and natural resources. But somehow it bore mere moral and religious obligations and lacked legal recognition. The PTD has been recognized as a part of law of the land in 1997 in the case of M.C. Mehta v. Kamal Nath. The evolution of the same has been discussed in the next Chapter. [9] An insight into Indian legal arena Article 21 of Indiaââ¬â¢s constitution declares: ââ¬Å"No person shall be deprived of his life or personal liberty except according to procedure established by law. â⠬ [10] Laws that conflict with or abridge fundamental rights named in the constitution are voided. [11] Citizens are allowed to challenge violations of these rights directly, and in fact citizen suits are the most rapid means to challenge actions that threaten fundamental rights. 12] In India, Judges have taken these substantive and procedural rights seriously and have buttressed them by establishing the Public Trust Doctrine to secure powerful protections for citizensââ¬â¢ Environmental Human Rights[13].While the constitution does not explicitly provide for Environmental Human Rights, Indian courts have gone further than almost any in naming environmental rights that serve the fundamental right to life. [14] The claims that impinge on Article 21ââ¬â¢s fundamental right to life include various challenges where ecosystems have been impaired. 15] Indiaââ¬â¢s Supreme Court stopped unauthorized mining causing environmental damage, holding that this ââ¬Å"is a price that has to be paid for protecting and safeguarding the right of the people to live in a healthy environment with minimal disturbance of ecological balance. â⬠[16] When a government agency action threatened a local fresh water source, the High Court of Kerala held that government ââ¬Å"cannot be permitted to function in such a manner as to make inroads into the fundamental right under Art. 1. . . . The right to sweet water and the right to free air are attributes of the right to life, for these are the basic elements which sustain life itself. â⬠[17] In a case upholding a statute that allows India to pursue justice following the Bhopal gas leak disaster, the Supreme Court further consolidated the link between Article 21ââ¬â¢s right to life and the right to a clean environment. [18] In 1997, the landmark case of M.C. Mehta v. Kamal Nath[19] conjured up the Public Trust Doctrine in India. In that case, the Minister of the Environment (respondent) impermissibly allowed a motel to be built at the mouth of a river, and impermissibly allowed the motel to change the course of the river (which created subsequent flooding in nearby villages) in violation of the Public Trust Doctrineââ¬âwhich hadnââ¬â¢t explicitly existed before this case. 20]Before invoking the Public Trust Doctrine, the court alludes to: the classic struggle between those members of the public who would preserve our rivers, forests, parks and open lands in their pristine purity and those charged with administrative responsibilities who, under the pressures of the changing needs of an increasingly complex society, find it necessary to encroach to some extent upon open lands heretofore considered inviolate to change. 21] In this case, the court summons up the Public Trust Doctrine by first saying ââ¬Å"The notion that the public has a right to expect certain lands and natural areas to retain their natural characteristic is finding its way into the law of the land. â⬠[22] To justify thi s notion, the court cites excerpts from a Harvard Environmental Law Review article: ââ¬Å"Human activity finds in the natural world its external limits.In short, the environment imposes constraints on our freedom; these constraints are not the product of value choices but of the scientific imperative of the environmentââ¬â¢s limitationsâ⬠[23] , promoting a new kind of natural law exigency for protecting environmental resources in the name of protecting fundamental human rights. [24] The court then revisited Justinianââ¬â¢s notion of the Public Trust Doctrine, including the exegesis of more than a half dozen seminal cases[25] of United States law that invoked and reinvigorated the Public Trust Doctrine. 26] The court concluded: ââ¬Å"Our legal systemââ¬âbased on English common law ââ¬âincludes the public trust doctrine as part of its jurisprudence. The State is the trustee of all natural resources which are by nature meant for public use and enjoyment.Public at l arge is the beneficiary of the sea-shore, running waters, airs, forests and ecologically fragile lands. The State as a trustee is under a legal duty to protect the natural resources. These resources meant for public use cannot be converted into private ownership. 27] And thus the ââ¬Å"aesthetic use and the pristine glory of the natural resources, the environment and the eco-systems of our country cannot be permitted to be eroded for private, commercial or any other use unless the courts find it necessary, in good faith, for the public goods and in public interest to encroach upon the said resources. â⬠[28] The Supreme court for the first time recognized and declared, ââ¬Å"the Public Trust Doctrine as discussed in this judgment is a part of the law of the land. â⬠[29] In M. I. Builders Pvt. Ltd. v.Radhey Shyam Sahu[30], the Indian Supreme Court subsequently hitched the Public Trust Doctrine to the constitutionally guaranteed right to life. [31] The court held that a pub lic park and market are public trust resources that may not be replaced with a shopping complex. [32] Citing the precedent of M. C Mehta, the court reasserted that the Public Trust Doctrine is part of Indian law,[33] and thus ordered the appellant to restore the park that it had destroyed when it (and the government agency that permitted its actions) improperly violated the public trust. 34] The park in a crowded area is of ââ¬Å"historical importance and environmental necessity. â⬠[35] To allow the construction would mean that citizens ââ¬Å"would be deprived of the quality of life to which they are entitled under the law. â⬠[36]Because the governmentââ¬â¢s Development Authority was the trustee of the park, it had violated ââ¬Å"the doctrine of public trust, which [is] applicable in India. â⬠[37] The government authority was obliged to manage this park for the public good, and it ââ¬Å"has deprived itself of its obligatory duties which cannot be permitted. [38 ] The court noted that ââ¬Å"this public trust doctrine in our country, it would appear, has grown from Article 21 of the Constitution. â⬠[39] The Public Trust Doctrine was invoked anew specifically to protect the fundamental human rights enshrined in the Constitution. Here, then, the Indian Supreme Court avers that the actions of the government and the private party appellant violated the right to life guaranteed in Article 21 of the Indian Constitution, and the government agency has committed these violations by violating PTD.Drawing on the Illinois Central[40] decision to explain Saxââ¬â¢s central tenet of the PTD[41], the court recited that ââ¬Å"when a state holds a resource which is available for the free use of the general public, a court will look with considerable skepticism upon any governmental conduct which is calculated either to reallocate the resource to more restricted uses or to subject public uses to the self-interest of private parties. â⬠[42] Subse quent litigation has affirmed the PTDââ¬â¢s relevance in Indian law.For example, the High Court of Jammu & Kashmir[43] allowed a manufacturing plant to be constructed, but only if the regional government observed its PTD duties to ensure that all possible pollution safeguards were implemented. A plant for filling cylinders with LPG was started after complying with the statutory requirements and clearance from PCB. When the residents objected the plant to continue and filed a writ of mandamus, the court after referring to Article 21, 47[44], 48-A[45], 51(A)(g)[46] and the post independence legislations invoked the doctrine of public trust and held that natural resources belong to people.The decision once again said that Article 21 of the constitution required that the government observe its public trust duties, for the ââ¬Å"public has a right to expect certain lands and natural areas to retain their natural characteristics. â⬠[47] The judgment also extended the scope of the Public Trust Doctrine, as ââ¬Å"there can be no dispute that the State is under an obligation to see that forests, lakes and wildlife and environment are duly protected. [48] The Fomento Resorts Case (2009)[49]: Here, Fomento Resorts and Hotels Ltd had extended the construction of its hotel resort encroaching upon a public road and parking place which was a natural access to people visiting the Vainguinim beach. On a writ petition filed by a local residents, the Bombay High Court ordered demolition of the unauthorized structures following which the resort company preferred an appeal in the apex court.The apex court concurred with the view of the local residents that the unauthorized construction had put hindrances in their access to the beach. ââ¬ËNatural resources like beaches, forests, rivers and other water bodies are for uninterrupted and unhindered use of the general public and even the State cannot deprive them of their natural rightsââ¬â¢, the Supreme Court held. Such rights are governed by the ââ¬Å"public trust doctrineâ⬠and people can move the courts for enforcing the rights and directed Fomento resorts Goa to emolish its unauthorised construction on Vainguinim Beach, which had been overlooked by the state government. ââ¬Å"The State cannot transfer public trust properties to a private party, if such a transfer interferes with the right of the public the court can invoke the public trust doctrine and take affirmative action for protecting the rights of the people to have access to light, air and water and also for protecting rivers, sea, tanks, trees forest and associated natural eco-system.The doctrine puts an implicit embargo on the right of the State to transfer public properties to private party if such transfer affects public interest, mandates affirmative State action for effective management of natural resources and empowers the citizen to question ineffective management thereof,â⬠the apex court ruled. AN ANALYSIS OF THE JUDICIAL TRENDS The aforementioned decisions, however a major breakthrough, do not reveal whether the judges are saying this Doctrine has always been a part of Indian law, or whether it is a new provision.Mostly they seem to reiterate that United States law has always found the Doctrine to be part of its common law heritage as a British colony, and so should be done here as well. What is distinctively clear, however, is that the court felt the Public Trust Doctrine was necessary to bolster its demands on the government to advance constitutionally protected rights. It also appears that putting the Public Trust Doctrine in service of constitutionally guaranteed environmental rights puts not only new strictures on government, but also places new constraints on private property rights in India.Those constraints could be cast as a sextuple threat to Indian private property rights. First, the Indian Constitution mandates a fundamental right to life. Second, two decades and dozens of court cases interpret this constitutionally provided right to mean that environmental harms themselves are proscribed in order to serve the fundamental right to life. Third, to prohibit private acts that threaten environmental resources essential to safeguard the right to life, the Indian Supreme Court has repeatedly cited the ââ¬Å"polluter pays principle and the precautionary principleâ⬠as emerging norms of international environmental law. 50] Fourth, the Public Trust Doctrine is asserted to buttress the governmentââ¬â¢s ineluctable responsibility to protect the right to life and the ancillary rights that serve the fundamental right.Fifth, private rights of action against private or government parties are permitted to vindicate the fundamental and corollary rights. Finally, the Indian Constitution requires an affirmative ââ¬Å"fundamental dutyâ⬠of every citizen of India ââ¬Å"to protect and improve the natural environment including forests, lakes, rivers, wild life, a nd to have compassion for living creatures. [51] While a thorough examination of Indian private property rights is beyond the scope of this project, the combination of court-enshrined corollary environmental rights in service of fundamental right to life when accompanied with a decade-old reinvention of the Public Trust Doctrine means that whatever rights private property owners had before in India are now cast in a new, circumscribed way[52]. Contemporary Twists in the tale:Multi faceted Application of the doctrine National parks and national monuments harbor some of the most scenic areas in India. Each summer, motorists and tourist lineup to see the majesty of places like Kanha National Park , the holy shrines of Haridwar, Mankadevi, Rishikesh, Gangotri and Yamnotri and numerous Beaches and backwaters, gawking at wildlife and snapping photos to share. These public lands are also rich in natural resources like coal, oil, gas and timber.It is generally expected that Nationââ¬â¢s leadership would put these ââ¬Å"public landsâ⬠wisely to use. Today, the conflict between protection of natural resources upholding the doctrine of public trust and the responsibility of state to manage national interests of industrialization and preservation of natural resources. Sometimes these conflicts are subtle, and sometimes the interests they represent are in direct opposition. This section discusses two case studies as a way to raise the issues.The first case the conflict is between traditional Native religious practitioners and commercial mountain climbing interests. The conflicts may seem more subtle as the policy makers see the mountain climbing ââ¬Å"recreationalâ⬠use that ought to be consistent with traditional native use since both depend, to some extent, upon the preservation of the mountain and its aesthetic qualities. However it is far too simplistic to assume that recreational use of public lands is consistent with ââ¬Å"preservationâ⬠uses.Whi le environmentalists frequently deplore the idea that natural resources exploitation can achieve a friendly coexistence with ââ¬Å"preservationâ⬠of these spectacular places, the current political and economic climate reflects the emphatic commitment to commercial exploitation of public lands. Native peoplesââ¬â¢ longstanding interests in these public lands are frequently reduced to a religious attachment or, in policy terms, an interest in ââ¬Å"sacred sites protection. All the policymakers overlook in the process that the native people have a unique relationship with their ancestral homelands, which are time and again encroached upon. Natives have legal, moral, political and cultural interests in their ancestral homelands, and these multiple and complex interests should not be described as purely religious in nature.The following case study addresses a compelling issue for contemporary policymakers: how do we protect the inherent rights of the people to the natural resou rces which are time and again endangered by industrial and commercial exploiters? 53] The story revolves around the tribes people of Kalahandi who oppose Vedanta[54]ââ¬â¢s takeover of a region they hold in reverence. For the last one year, the Niyamgiri hills in Kalahandi district of southwestern Orissa have been reverberating with protests and demonstrations. The tribals of the area[55], who worship the hills as living godsââ¬âare taking on Vedanta, a UK-based mining major that has acquired a license from the government to exploit the abundant bauxite reserves in the pristine region.Conflicts between tribals and the state are nothing newââ¬âespecially when they are portrayed as a struggle between the modern (read: progressive governments and corporates) and the primitive (read: tribals). Vedanta, in partnership with the state-owned Orissa Mining Corporation, promises to put India on the global map as undisputed leader in production of iron ore, aluminium and zinc. But th e tribals are asking if this should be at the cost of destroying their habitat, with which, in their animist traditions, they engage in a sacred covenant.And environment activists ask if there can ever be another Niyamgiri once the mining starts. A visit there is a trip to paradiseââ¬âlush greenery, scores of streams crisscrossing the mountains, rich soil, an abundance of wildlife. In fact much of the region is protected under Section 18 of the Indian Wildlife Act, and the Orissa government had declared it an elephant reserve as recently as 2004. But once the mining begins, the ecosystem will be lost. The pollution and degradagion and degeneration has begun. The earlier warnings were all ignored.The first had come from the central empowered committee in 2002, constituted under the EPA[56]. The committee observed: ââ¬Å"Had a proper study been conducted before embarking on a project of this nature and magnitude involving massive investment, the objections to the project from the environmental/ecological/forest angle would have become known in the beginning itself and in all probability the project would have been abandoned. â⬠The second came from WII in 2006. Its status report said, ââ¬Å"Mining could trigger irreversible changes in the ecological characteristics of the area.The cost-benefit value should not only take into account the material benefits of bauxite miningâ⬠¦ (but also) the perpetuity of the resources and ecosystem services that would be provided by these forests in the future. Compromising long-term economic returns, therefore, cannot be an alternative for short-term gains. â⬠The apex court, however, ruled in 2008 that the company was free to mine after it complies with the due process of law. Today the public trust doctrine serves an important role in adjudicating tribal rights and state responsibilities. 57] Modern case laws have defined contours of State responsibility and highlighted itââ¬â¢s application towards prote ction of the interests of ââ¬Å"We, the People. â⬠Skeptics may say the process could allow Vedanta scope for intervention, but the tribal activists are steadfast in their resolve. ââ¬Å"Weââ¬â¢re not against development,â⬠they say, ââ¬Å"But the state must recognize the rights of tribal communities that have lived here for ages. â⬠Critical analysis Is the public trust doctrine a threat to private property? Is it a vital, evolving common law doctrine? Or a metastasizing source of governmental uthority over private land? These are certain inevitable questions to be raised by the critics of the said Doctrine. Analysing the Doctrine, it can be said that it serves two purposes: it mandates affirmative state action for effective management of resources and empowers citizens to question ineffective management of natural resources. The Public Trust Doctrine can be used as leverage during policy deliberations and public scoping sessions and hearings. This forces agenci es to prove that their actions are not environmentally harmful to the extent that they will destroy a public resource.If the agencies fail to provide a more environmentally benign alternative, then you can bring up a Public Trust lawsuit. Although the court process may be long and arduous, many important precedents have been established. It is interesting to note that in the Kamal Nath case[58] the Supreme Court held that even if there is a separate and a specific law to deal with the issue before the Court, it may still apply public trust doctrine. If there is no suitable legislation to preserve the natural resources, the public authorities should take advantage of this doctrine in addition to the fact that there was a branch of municipal law.Secondly the Supreme Court in M. I. builders[59], however, stated that public trust doctrine has grown from Article 21 of the constitution. By attaching this doctrine to the fundamental right to life, the Supreme Court appears to be willing to diversify the application of this doctrine. It seems likely that the court would give precedence to right to life when the public trust doctrine, as a part of right to a safe and healthy environment, is challenged by any other fundamental rights.Thirdly by ordering the Mahapalika to restore the park to its original beauty, the Supreme Court redefined the duties of a trustee to its beneficiaries the users of the park. In effect, it aligned the local authorities duty as a trustee with the concept of intra-generational and inter-generational equity. Fourthly, the case came before the court as a judicial review and not as challenge against the decision of the government from a beneficiary. As this doctrine acts as a check upon administrative action by providing a mechanism for judicial or resource allocation decisions.Therefore, public trust doctrine could serve as an additional tool for environmental protection particularly where administrative discretion has been abused. IMPORTANCE O F PUBLIC PARTICIPATION FOR PROPER IMPLEMENTATION OF PTD Public participation is a necessary component of vibrant, dynamic, functioning and participatory democracy. It has potential to make all governmental decision making transparent, rational just, fair and responsive as a good governance practice which entails effective participation in public policy making provisions of the rule of law.Public participation also serves as a useful device to make government and its agencies accountable and at the conceptual level public participation is inextricably linked with democracy, decentralization, self-administration, self-management and respect for human rights and fundamental freedoms. The idea of public participation has also entered the arena of environmental protection and its recognition as an important part of environmental decision making is discernible at all levels of government. 60]The contribution of public participation in environmental decision-making to the substantive quali ty of decisions was given a significant boost with the entry into force of the Aarhus Convention[61] adopted through the United Nations Economic Commission for Europe. The Convention stresses that public participation in environmental decision-making contributes to ââ¬Å"the protection of the right of every person of present and future generations to live in an environment adequate to his or her health and well-being. â⬠NEED FOR PROPER FRAMEWORKOF LAWS IMPLEMENTING THE DOCTINEThe public trust doctrine could provide a practical legal framework for restructuring the way the oceans are regulated and managed. It would support ocean-based commerce while protecting marine species and habitats. The public trust doctrine is ââ¬Å"a simple but powerful legal concept,â⬠that obliges governments to manage certain natural resources in the best interests of their citizens, without sacrificing the needs of future generations. Extending the public trust doctrine to ocean waters would help State agencies better manage conflicting demands such as conservation, offshore energy development, fisheries and shipping in the 3. million nautical square miles of water included in the nation's territorial sea and EEZ.Currently dozens of laws, regulate species and activities in these waters, without any mandated, systematic effort to coordinate their actions for the public good. Though the public trust doctrine is well suited to serve as a critical legal foundation for a coordinated, ecosystem-based ocean policy, it has not yet been formally articulated by the executive branch, nor has it been recognized by courts or expressly established in statutory law.As we contemplate managing our ocean resources, not only for today but for future generations, we need to ask ourselves two critical questions: For whom should the country's oceans be managed? And for what purpose? The public trust doctrine answers both of these questions. International Scenario It is a common law concept, defined and addressed by academics in the United States and the United Kingdom. Various common properties; including rivers, the seashore, and the air, are held by the government in trusteeship for the uninterrupted use of the public.The sovereign could not, therefore, transfer public trust properties to a private party if the grant would interfere with the public interest. The public trust has been widely used and scrutinized in the United States (The Mono Lake case being the breakthrough)[62], but its scope is still uncertain. Various have been made to apply this doctrine to protect navigable and non-navigable waters, public land sand parks, and to apply it to both public and private lands and ecological resources.The Supreme Court of California has broadened the definition of public trust by including ecological and aesthetic considerations. Although the public trusts doctrine is not without its fair share of criticism it is being increasingly related to sustainable development, the precautionary principle and bio-diversity protection. The doctrine combines the guarantee of public access to public trust resources with a requirement of public accountability in respect of decision-making regarding such resources.Moreover, not only can it be used to protect the public from poor application of planning law or environmental impact assessment, it also has an intergenerational dimension. The Stockholm Declaration of United Nations on Human Environment evidences this seminal proposition: ââ¬Å"The natural resources of the earth, including the air, water, land, flora and fauna and especially representative samples of natural system, must be safeguarded for the benefit of present and future generations through careful planning or management, as appropriateâ⬠¦ Conclusion Om vanaspataye Shanti Bhavantu[63] The Rishis of Aryavrata, the great thinkers of the ancient period pronounced above in the Vedas in no uncertain terms. However, we have sadly forgotten this pre cept except uttering the words occasionally while conducting havan to propitiate Gods and Nature without understanding the implication of this Mantra.In recent years these life supporting systems are gradually declining through the capricious exploitation of earthââ¬â¢s resources by the ever expanding human population in order to meet its growing material needs in the name of modernization and development and so does our relationship with natural resources continues to deteriorate till natureââ¬â¢s resources are exploited and utilized in a more rational & economical way to maintain a sustainable development. Environment is common heritage for all.Obviously, conservation and development can and must go hand in hand unrevealing and understanding the complexities of various eco-systems with a changing attitude of ââ¬Å"touch-me-notâ⬠to ââ¬Å"use me wiselyâ⬠. It is evident that the state is not the owner of the natural resources in the country but a trustee who holds fiduciary relationship with the people. By accepting this task the government is expected to be loyal to the interests of its citizens and to discharge its duty with the interest of the citizens at heart and involve them in decision-making process concerning the management of natural resources in the country.The Public Trust Doctrine may provide the means for increasing the effectiveness of environmental impact assessment laws. The Public Trust Doctrine stands for the proposition that some of natureââ¬â¢s gifts inherently belong to all people, and the government must steward these to prevent both private arrogation of public resources and the ââ¬Å"tragedy of the commonsâ⬠from unfettered public access to these shared resources. [64] Environmental Human Rights represent a growing movement to codify this belief, to make positive law that firms up the philosophy promulgated for 1,500 or so years in the name of the Public Trust Doctrine.In addition, the Public Trust Doctrine h as expanded its reach to cover more of the Earth as the interrelatedness of ecosystem processes becomes more defined, and the success of the strategy in protecting those processes becomes more apparent. The Public Trust Doctrine encourages government officials to fulfill their stewardship duties. Judicial vigilance creates obligations erga omnes, i. e. , duties that must be performed. The Public Trust Doctrine urges judges to take a hard, skeptical look when government action appears to allow private interest to impede public trust environmental resources.The Public Trust Doctrine naturally shrinks what constitutes private property rights (and moves us to reconsider them as ââ¬Å"privateâ⬠ââ¬Å"propertyâ⬠ââ¬Å"rightsâ⬠), either because certain resources never actually were subject to private usurpation, or never should have been. The Public Trust Doctrine has always reflected a value preference for public over private access to environmental assets. Invoking envi ronmental rights as human rights amplifies the publicââ¬â¢s right, now and in the future, to share in ecological gifts fundamental to human health and wellbeing.
Wednesday, October 9, 2019
Assessment and Care Planning: Holistic Assessment
Introduction This essay deals with the holistic assessment of a patient who was admitted onto the medical ward where I undertook my placement. Firstly, the relevant life history of the patient will be briefly explained. Secondly, the Roper, Logan and Tierney model of nursing that was used to assess the care needs of the patient will be discussed, and then the assessment process will be analysed critically. Identified areas of need will be discussed in relation to the care given and with reference to psychological, social, and biological factors as well as patho-physiology. Furthermore, the role of inter-professional skills in relation to care planning and delivery will be analysed, and finally the care given to the patient will be evaluated. Throughout this assignment, confidentiality will be maintained to a high standard by following the Nursing and Midwifery Council (NMC) Code of Conduct (2008). No information regarding the hospital or ward will be mentioned, in accordance with the Data Protection Act 1998. The pseudonym Kate will be used to maintain the confidentiality of the patient.The PatientKate, a lady aged 84, was admitted to a medical ward through the Accident and Emergency department. She was admitted with asthma and a chest infection. She presented with severe dyspnoea, wheezing, chest tightness and immobility. Kate is a patient known to suffer from chronic chest infections and asthma, with which she was diagnosed when she was young. She takes regular bronchodilators and corticosteroids in the form of inhalers and tablets. Kate lives on her own in a one bedroom flat. She has a daughter who lives one street away and visits her frequently. Her daughter stated that Kate has a very active social life; she enjoys going out for shopping using a shopping trolley.Assessment of the PatientAssessment TheoryIn this ward, the Roper, Logan and Tierney model of nursing, which reflects on the twelve activities of living, is used as a base for assessing patients (Alabaster 2011). These activities are ââ¬Å"maintaining safe environment, communication, breathing, eating and drinking, elimination, personal cleansing and dressing, controlling body temperature, mobility, working and playing, sexuality, sleeping, and dyingâ⬠Holland (2008, p.9). Elkin, Perry and Potter (2007) outlined nursing process as a systematic way to plan and deliver care to the patient. It involves four stages: assessment, planning, implementation and evaluation. Assessment is the first and most critical step of the nursing process, in which the nurse carries out a holistic assessment by collecting all the data about a patient (Alfaro-Lefevre 2010). The nurse uses physical assessment skills to obtain baseline data to manage patientsââ¬â¢ problems and to help nurses in the evaluation of care. Data can be collected through observation, physical assessment and by interviewing the patient (Rennie 2009). A complete assessment produces both subjective and objective findings (Wilkinson 2006). Holland (2008) defines subjective data as information given by the patient. It is obtained from the health history and relates to sensations or symptoms, for example pain. Subjective data also includes biographical data such as the name of the patient, address, next of kin, religion etc. Holland defines objective data as observable data, and relates it to signs of the disease. Objective data is obtained from physical examination, for example of blood pressure or urine. Before assessment takes place, the nurse should explain when and why it will be carried out; allow adequate time; attend to the needs of the patient; consider confidentiality; ensure the environment is conducive; and consider the coping patterns of the patient (Jenkins 2008). The nurse should also introduce herself to help reduce anxiety and gain the patientââ¬â¢s confidence. During assessment, the nurse needs to use both verbal and non-verbal communication. Using non-verbal communication means that she should observe the patient, looking at the colour of the skin, the eyes, and taking note of odour and breathing. An accurate assessment enables nursing staff to prioritise a patientââ¬â¢s needs and to deal with the problem immediately it has been identified (Gordon 2008). Documentation is also very important in this process; all information collected has to be recorded either in the patientââ¬â¢s file or electronically (NMC, 2009b).Carrying out the AssessmentKate was allocate d a bed within a four-bed female bay. Her daughter was with her at the bedside. Gordon (2008) stated that understanding that any admission to hospital can be frightening for patients and allowing them some time to get used to the environment is important for nursing staff. Kateââ¬â¢s daughter was asked if she could be present while the assessment was carried out, so that she could help with some information, and she agreed. Alfaro-Lefevre (2008) recommended that nursing assessments take place in a separate room, which respects confidentiality, and that the patient be free to participate in the assessment. Although there was a room available, Kateââ¬â¢s daughter said it was fine for the assessment to take place at the bedside because her mother was so restless and just wanted to be next to her. The curtains were pulled around the bed, though William and Wilkins argued that it ensures visual privacy only and not a barrier to sound. NMC (2009a) acknowledges this, along with the n eed to speak at an appropriate volume when asking for personal details to maintain confidentiality. The assessment form that was used during Kateââ¬â¢s assessment addressed personal details and the twelve activities of living. A moving and handling assessment form was also completed because of her immobility. First, personal details such as name, age, address, nickname, religion, and housing status were recorded. Information was also recorded about any agency involved, along with next of kin and contact details, and details of the general practitioner. Holland (2008) stated that these details should be accurate and legible so that, in case of any concerns about the patient, the next of kin can be contacted easily. The name and age are also vital in order to correctly identify the patient to avoid mistakes. Knowing what type of a job the patient does or the type of the house she lives in helps to indicate how the patient is going to cope after discharge. Holland also insisted that religion should be known in case the patient would like to have some privacy during prayers, and thi s should be included in the care plan. The second assessment to be done focused on physical assessment and the activities of living. Barrett, Wilson and Woollands (2009) suggested that when enquiring about the activities of living, two elements should be addressed: usual and current routines. Additionally, identifying a patientââ¬â¢s habits will help in care planning and setting goals. During physical assessment, when objective data was collected, Kate demonstrated laboured and audible breath sounds (wheezing) and breathlessness. Use of accessory muscles and nose flaring was also noted. She was agitated and anxious. Her vital signs were: blood pressure 110/70; pulse 102 beats /min; respirations 26/min; temperature 37.4 degrees Celsius; oxygen saturation 88%; peak flow 100 litres; weight 60kg; and body mass index 21. Taking and recording observations is very important and is the first procedure that student nurses learn to do. These observations are made in order to detect any signs of deterioration or progress in the p atientââ¬â¢s condition (Field and Smith 2008). Carpenito-Moyet (2006) stated that it is important to take the first observations before any medical intervention, in order to assist in the diagnosis and to help assess the effects of treatment. Kateââ¬â¢s initial assessment was carried out in a professional way, taking account of the patientââ¬â¢s particular circumstances, anxieties and wishes. After the baseline observations were taken, the twelve activities of living were analysed and Kateââ¬â¢s needs were identified. Among the needs identified, breathing and personal hygiene (cleansing) will be explored.Identified Care NeedsBreathingWilkinson (2006) states that a nursing diagnosis is an account about the patientââ¬â¢s current health situation. The normal breathing rate in a fit adult is 16-20 respirations/minute, but can go up to 30 due to pain, anxiety, pyrexia, sepsis, sleep and old age (Jenkins 2008). In old people, muscles become less efficient, resulting in increasing efforts to breathe, causing a high respiratory rate. On assessment, Kateââ¬â¢s problem was breathing that resulted in insufficient intake of air, due to asthma. She was wheezing, cyanosed, anxious and had shortness of breath. Wilkinson (2006) explained that a goal statement is a quantifiable and noticeable criterion that can be used for evaluation. The goal statement in this case would be for Kate to maintain normal breathing and to increase air intake. The prescription of care for Kate depended on the assessment, which was achieved by monitoring her breathing rate, rhythm, pattern, and saturation levels. These were documented hourly, comparing the readings with initial readings to determine changes and to report any concerns. The other part of the plan was to give psychological care to Kate by involving her in her care and informing her about the progress, in order to reduce anxiety. Barrett, Wilson and Woollands (2012) stated that it is very important to give psychological care to patients who are dyspnoeic because they panic and become anxious. Checking and recording of breathing rate and pattern is very important because it is the only good way to assess whether this patient is improving or deteriorating, and it can be a very helpful method for nurses to evaluate whether or not the patient is responding to treatment (Jamieson 2007). Mallon (2010) stated that, if the breathing rate is more than 20, it indicates the need for oxygen. Blows (2001), however, argued that this can happen even after doing exercise, not only in people with respiratory problems. Griffin and Potter (2006) stated that, respirations are normally quiet, and therefore if they are audible it indicates respiratory disease. Nurses needs to be aware of these sounds and what they mean, for example a wheezing sound indicates bronchiole constriction. Kateââ¬â¢s breathing was audible and the rate was also above normal and that is why breathing was prioritised as the first need. Oxygen saturation level was also monitored with the use of a pulse oximeter. The normal saturation level is 95-99% (British National Formulary ((BNF)) 2011a). Nevertheless the doctor said that 90-95% was fine for Kate, considering her condition and her age. Kate was started on two litres of oxygen and she maintained her oxygen saturation between 90 and 94%. The peak expiratory flow was monitored and recorded to identify the obstructive pattern of breathing that takes place in asthma (Hilton, 2005). This is another method that is used to assess the effectiveness of the medication (inhalers) the asthmatic patient is taking, and this test should be carried out 20 minutes after medication is administered. It is the Trustââ¬â¢s policy to do hourly observations on patients who have had one, two or three abnormal readings, until readings return to normal. Kate was observed for any blueness in the lips and tongue and for oral mucosa as this could be a sign of cyanosis. All the prescribed nebulisers, inhalers, bronchodilators, corticosteroids, antibiotics and oxygen therapy were administered according to the doctorââ¬â¢s instructions. Bronchodilators are given to dilate the bronchioles constricted due to asthma, and corticosteroids reduce inflammation in the airway (BNF 2011b). Kate was also started on antibiotics to combat the infection because, on auscultation, the doctor found that the chest was not clear. Kate was nursed in an upright position using pillows and a profiling bed in order to increase chest capacity and facilitate easy respiratory function by use of gravity (Brooker and Nicol, 2011). In this position, Kate was comfortable and calm while other vital signs were being checked. Pulse rate and blood pressure were also being checked and recorded because raised pulse can indicate an infection in the blood.CleansingDue to breathlessness and loss of mobility it was difficulty for Kate to maintain her personal hygiene. Hygiene is the practice of cleanliness that is needed to maintain health, for example bathing, mouth washing and hair washing. The skin is the first line of defence, so it is vital to maintain personal cleansing to protect the inner organs against injuries and infection (Hemming 2010). Field and Smith (2008) stated that personal cleansing also stimulates the body, produces a sense of well-being, and enables nurses to assess the patient holistically. Personal hygiene is particularly important for the elderly because their skin becomes fragile and more prone to breaking down (Holloway and Jones 2005). Therefore this need was very important for Kate; she needed to maintain her hygiene as she used to, before she was ill. The goal for meeting this need was to maintain personal hygiene and comfort. The care plan prescribed involved first gaining consent from Kate, explaining what was going to be done. Hemming (2010) recommended that identifying the patientââ¬â¢s usual habit is very important because each individual has different ideas about hygiene due to age, culture or religion. Identifying usual habits helps individuals to maintain their social life if things are done according to their wishes. Though Hemming said all human beings need personal hygiene, Holland (2008) argued that it is important to ask patients how they feel about being cleaned, especially in private areas. Kate indicated that she didnââ¬â¢t mind being assisted with washing and dressing. She preferred washing daily, shower and a hair wash once a week, and a mouth wash every morning and before going to bed. Kate was assisted with personal care 5-10 minutes after having her medication, especially the nebuliser. Individuals with asthma experience shortness of breath whenever they are physically active (Ritz, Rosenfield and Steptoe 2010). After having medication Kate was able to participate during personal hygiene. According to NMC guidelines on confidentiality (2009a), privacy and dignity should be maintained when giving care to patients. Therefore, whenever Kate was being assisted with personal care, it was ensured that the screens were closed and she was properly covered. Field and Smith (2008) suggested that assisting a patient with personal hygiene is the time that nurses can assess the patient holistically. Since Kate was immobile, it was very important to check her pressure areas for any redness. She was also checked for any pallor, jaundice, cyanosis or dry skin that needed attention. The care was always carried out according to her wishes.The Role of Inter-Professional SkillsConsi dering Kateââ¬â¢s age and condition, she needed multi-professional teamwork. NMC (2008) encourages teamwork to maintain good quality care. Kate was referred to the respiratory nurse who is specialised in helping people with breathing problems. Since Kate was on oxygen since admission, the respiratory nurse taught her the importance of healthy breathing and taught her some breathing exercises to help wean her from oxygen. Kate was also referred to the physiotherapist who did breathing exercises with her. Kate was not able to walk without aid so she was also referred to the occupational therapy department to assess how she was going to manage at home, or if she required aids to help her manage the activities of living. Upon meeting together, all the multi-disciplinary team agreed that Kate needed a care package, as she could no longer live without care. She was referred to social services so that they could assess this aspect of Kateââ¬â¢s future. After one week Kate was medically fit but could not go home because she was waiting for the care package to be ready. Her nurse shared information with the multi-disciplinary team in order to establish continuity of care for Kate. The team prepared for her discharge: the occupational therapy staff went to visit her home to check if there was enough space for her walking frame; social services arranged for a care package; and her nurses referred her to the district nurse to help her with her medication and make sure it did not run out.OutcomeKate responded well to the medication she was prescribed; normal breathing was maintained, her respirations became normal, ranging from 18 to 20 respirations per minute, and her oxygen saturation ranged from 95% to 99%. Kate was able to wash and dress herself with minimal assistance. She was discharged on a continuous care package comprising care three times a day, and the district nurse helped her with the medication to control her asthma.Evaluat ionThe model of the twelve activities of living was followed successfully on the whole. The nurse collected subjective and objective data, allowing a nursing diagnosis to be formulated, goals to be identified and a care plan to be constructed and implemented. Privacy is very important in carrying out assessments, and this was not achieved fully in Kateââ¬â¢s assessment. However, this lower level of privacy has to be balanced against causing anxiety to the patient. Kateââ¬â¢s daughter thought that the bedside assessment would be more comfortable for her mother, and therefore cause least anxiety. This was very important because of the effects of potential panic on breathing; therefore, this was the correct balance to strike. A multi-disciplinary team was involved in meeting Kateââ¬â¢s care goals. This is a good example of the use of inter-professional skills, as a number of different departments were involved in creating and implementing the care plan. However, the system was not as efficient as it should have been: Kate spent unnecessary time in hospital after recovery because the care plan was not yet in place. Assessment can also take a long time, especially with the elderly who are usually slow to respond. Therefore, more time is needed to be sure that the necessary progress has been achieved before taking further steps. However, poor staffing also affects performance in this area, an observation supported by the Royal College of Nursing (2012). In conclusion, the assessment of this patient was completed successfully, and the deviation from best practice recommendations (the lower level of privacy) was justified by the clinical circumstances. Progress from assessment to care goals was good, and at this point an inter-disciplinary team was used successfully. However, the one flaw in this process was delays, caused partly by the difficulties of working across different departments, and partly, it seems, by staff shortages. Reference List Alabaster, C.S (2011) ââ¬ËCare and rehabilitation of people with long term conditionsââ¬â¢ in Brooker, C. and Nicol, M. (eds) (2011) Alexanderââ¬â¢s Nursing Practice (4th ed). London: Churchill Livingstone.. Chapter 32 Alfaroââ¬âLeFevre, R. (2008) Critical thinking and clinical judgment: A practical approach to outcome-focused thinking (3rd ed.). St. Louis, MO: Saunders. Barrett, D., Wilson, B. and Woollands, A. (2009) Care Planning: A Guide for Nurses (2nd ed). Harlow: Pearson Education. Chapter 2. Blows, W. T. (2001) The Biological Basis of Nursing: Clinical Observations. London: Routledge. British National Formulary (2011a) Oxygen. London: British Medical Association and the Royal Pharmaceutical Society of Great Britain. British National Formulary (2011b) Corticosteroids. London: British Medical Association and the Royal Pharmaceutical Society of Great Britain. Brooker, C. and Nicol, M. (eds) (2011) Alexanderââ¬â¢s Nursing Practice (4th ed). London: Churchill Livingstone. Carpenito-Moyet, L. J. (2006) Handbook of Nursing Diagnosis (11th ed). Philadelphia: Lippincott. Doughty, L. and Lister, S. (eds) (2008) The Royal Marsden Hospital Manual of Clinical Nursing Procedures (student edition) (7th ed). Oxford: Wiley Blackwell. Elkin, M. K., Perry, A. G. and Potter, P. A. (2007). Nursing Interventions and Clinical Skills. Philadelphia: Mosby. Field, L. and Smith, B. (2008). Nursing Care (2nd ed). Harlow: Pearson Education. Gordon, M., (2008). Nursing Assessment and Diagnostic Reasoning. Philadelphia: F.A. Davis company. Griffin, A., Potter, P. (2006) Clinical Nursing Skills and Techniques (6th ed). Philadelphia: Mosby Hemming, L. (2010). ââ¬ËPersonal Cleansing and Dressingââ¬â¢ in I. Peate (ed) Nursing Care and the Activities of Living. (2nd ed). Oxford: Wiley Blackwell. Chapter 9. Hilton, A. (2003) Fundamental Nursing Skills. London: John Wiley & Sons Holland, K., (2008) ââ¬ËAn introduction to the Roper-Logan-Tierney model for nursing, based on Activities of Livingââ¬â¢ in Holland, K., Jenkins, J., Solomon, J. and Whittam, S. (eds). Applying the Roper, Logan and Tierney Model in Practice. London: Churchill Livingstone. Chapter 1, pp.9-10. Holloway, S. and Jones, V. (2005). ââ¬ËThe importance of skin care and assessmentââ¬â¢ in the British Journal of Nursing Dec 2005-Jan 2006 14(22): 1172-6. Jamieson, E. Whyte, L. A. and McCall, J. A. (2002) Clinical Nursing Practices. London: Churchill Livingstone. Jenkins, J., (2008) ââ¬ËBreathingââ¬â¢ in Holland, K., Jenkins, J., Solomon, J and Whittan, S. (eds) Applying the Roper, Logan and Tierney Model in Practice. London: Churchill Livingstone. Chapter. 5. Mallon, S. (2010) ââ¬ËBreathingââ¬â¢ in I. Peate (ed) Nursing Care and the Activities of Living (2nd ed). Oxford: Wiley Blackwell. Chapter 8. Nursing and Midwifery Council (2008) The Code of Conduct. London: NMC. Available at: http://www.nmc-uk.org/Publications/Standards/The-code/Introduction/ Accessed 24/05/2012 Nursing and Midwifery Council (2009a) The Code of Conduct: Confidentiality. London: NMC. Available at: (http://www.nmc-uk.org/Nurses-and-midwives/Advice-by-topic/A/Advice/Confidentiality/) Accessed 24/05/2012 Nursing and Midwifery Council (2009b) Record Keeping: Guidance for Nurses and Midwives. London: NMC. Available at: http://www.nmc-uk.org/Documents/Guidance/nmcGuidanceRecordKeepingGuidanceforNursesandMidwives.pdf Accessed 24/5/2012 Rennie, I. (2009). ââ¬ËExploring approaches to clinical skills development in nursing educationââ¬â¢ in Nursing Times 105: 3, 20-22. Available at: http://www.nursingtimes.net/exploring-approaches-to-clinical-skills-development-in-nursing-education/1973990.article Accessed 14/05/2012 Ritz, T., Rosenfield, D. and Steptoe, A. (2010) ââ¬ËPhysical activity, lung function, and shortness of breath in daily life of asthma patientsââ¬â¢ in Chest 138(4), 913-918. Royal College of Nursing (2012) Safe staffing for older peopleââ¬â¢s wards. Available at: http://www.rcn.org.uk/__data/assets/pdf_file/0010/439399/Safe_staffing_for_older_people_V3.pdf Accessed: 24/05/2012 Wilkinson, J. M. (2006) Nursing Process and Critical Thinking. (4th ed). New Jersey: Pearson Prentice Hall.
Tuesday, October 8, 2019
Who Cares about Corruption Essay Example | Topics and Well Written Essays - 1500 words
Who Cares about Corruption - Essay Example Many businessmen, like Pavlo Zhuk, have to choose between their personal ethics and business rules of their countries and the local rules of a foreign country. à In many countries, like Ukraine, if markets are not to deal with the allocation of people to jobs and of outputs to consumers, then some centralized coercive power is necessary to do the same thing1. Such power creates incenà tives for bribery, corruption and allocation acà cording to the tastes of the central adminià strators2. If at the going prices and wages, there are not enough flats or plum jobs to go around, the local bureaucrat will often allocate some to those who pay the largest bribe, some to those with religious beliefs, hairstyles or political views that he likes, and only the rest to those whose names come up on the waiting list. During the final quarter of this century, increasing attention has been given to ethics concerns3. If Zhuk refuses to pay-off the tax officials, his friends and employees will lose their jobs and substantial sources of income. Taking into account facts and statistical results of the Third World countries, it is evident that Zhuk shoul d pay off the tax officials to save his business in Ukraine. à Corruption of officials is of concern to many throughout the world. Corruption can affect the international marketer in many ways, both positive and negative. Following Cuervo-Cazurra (1996): ââ¬Å"the official has an incentive to ask for a bribe to increase his or her income in exchange for a good that has little cost to him or herâ⬠4. Countries are using many measures to fight corruption with the intent of control, reduction, and ultimately elimination.
Monday, October 7, 2019
Research Methods used in Educational Psychology Essay
Research Methods used in Educational Psychology - Essay Example This study also integrated in an experimental group for comparison by observing the Title I students but also the non-Titled. Each teacher was observed for a total of 5 hours (totaling 175 hours) of reading instructional time. The Settings Factor Assessment Tool (SFAT), an ecobehavioral protocol, was used to measure a range of variables during the observational periods. Among the 4 Levels included in the SFAT, Levels 2-4 were used to verify factors such as the context of instruction; prompt, feedback, and instructional characteristics; non-instructional talk; and behaviors exhibited across the students. Levels 2-4 were then coded in real-time using the Multiple Option Observation System for Experimental Studies (MOOSES) (Stichter, Stormont, and Lewis 175). Statistical analyses were then performed to establish the relationship between the factors described with the SFAT and the status (Title I or non-Titled) of the classroom. The findings
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