Monday, September 30, 2019

Better Business Bureau Essay

The BBB was created to establish an environment of trust between buyers & sellers. This trust is created through the BBB’s â€Å"standards of trust†. Companies that abide by these standards in turn receive accreditation. As a not for profit, the BBB relies on funds from sponsors and members. Up until recent, the BBB seemed to have offered special benefits to those that paid a fee to become members. Such accusations have caused the BBB to address their current system and make changes to ensure fairness amoung members and non-members. 1)Who is the BBB’s most important stakeholder, business or consumers? ->The most important stakeholder for the BBB is the consumer. Yes, businesses provide the resources for the BBB, but they only do this to create a positive image for their brand in the eyes of consumers. If the consumers did not care about the ratings of the BBB then businesses would not invest. 2)Do you think the BBB can truly be impartial given its financial dependence on business? ->No the BBB can’t be impartial. There needs to be a reason for companies to invest in the BBB. If the treatment of non-members were truly the same as members, then the company will give companies little reason to invest. 3)What actions can you take to make sure the â€Å"pay for play† scheme did not happen again? ->The main issue with the â€Å"pay for play† scheme was the fact that those who sold first year memberships received a 45 percent commission. This type of reward system is very similar to the AIG system that caused problems within their company. ->The BBB should implement a new reward system. Maybe a system that provides rewards based on the pitching of memberships to potential business. Employees should be rewarded regardless of if the sale goes through or not.

Sunday, September 29, 2019

Ethics

Ethics 101 1. 1 background and development of theoretical ethical approaches Deontological Theory The deontological theory state that the consequences or outcomes of actions are not important, what actually matter is that the actions are morally Justified. For example drunken driving is wrong, now if a person argues that he safely navigated his way back home and for that reason he/she should not be held accountable by law, they are wrong because their action was wrong in the first place and was breaking the basic principle for morally correct behaviour that a person should not drive while being drunk.The contribution of Immanuel Kant towards development of Deontological theory Immanuel Kant proposes that in taking a decision â€Å"Duty' carries the foremost importance. Kant is of the view that a person's actions will only be regarded as morally and ethically correct when they are taken keeping in mind the sense of duty and responsibility in mind. Teleological Ethical Theory The tele ological ethical theory put the primary focus on the â€Å"Consequences† i. e. â€Å"What are those actions that produce the best possible results†?Along with attaching importance to the consequences the teleological theory also suggests that the ecisions framework that is developed for achieving the desired consequences should also be managed with care. Consequentialist Theory According to the â€Å"Consequentiality Theory', the basis for determining how moral a person's actions are the consequences. The consequences of actions can be good or bad, and they can be damaging or favourable. The contribution of Jeremy Bentham towards development of a person's actions can be a classified as good or bad depending on what consequences the action has produced.According to Bentham's opinion the good things are classified as â€Å"pleasure† and the bad ones as pain†. (http://www. studymode. com/) 1. 2 Absolute ethics has only two sides: Something is good or bad, bl ack or white. Some examples in police ethics would be unethical behaviours such as bribery, extortion, excessive force, and perjury, which nearly everyone would agree are unacceptable behaviours by the police. Relative ethics is more complicated and can nave a multitude ot sides witn varying shades ot gray . What is considered ethical behaviour by one person may be deemed highly unethical by someone else.The Absolutist theory is the theory that certain things are right or wrong from an bjective point of view and cannot change according to culture. Certain actions are intrinsically right or wrong, which means they are right or wrong in themselves. This is also known as deontological. The relativist theory is the theory that there are no universally valid moral principles. All principles and values are relative toa particular culture or age. Ethical relativism means that there is no such thing as good â€Å"in itself†, but if and action seems good to you and bad to me, that is it, and there is no objective basis for us to discover the truth.This theory is also known as teleological. An example of an absolutist ethical system would be if a single mother with a very young child had no money and therefore no food to feed the child, and she stole some food from the shop and the mother was caught and had a trial, an absolutist would argue that its morally wrong to steal and should suffer the consequences of the crime. They don't take into account the situation the person might be in and use an absolute law. However, this is in contrast to the alternative ethical system, called â€Å"relativist†, because this system is really the complete opposite.Again I'll use the same example s I did for absolutist. If a relativist was looking at this they would take into consideration the situation the woman might be in and empathize with her and try to find an outcome that is the most fair. One reason to support the absolutist approach as the only defensible approac h is that it provides Justification for acting which means that morality seems to demand some sort of obligation. If there's a fixed moral code then there is no obligation to act in a way. Another strength is that it gives clear guidelines, which basically means the rules are fixed and clear to apply. () 1. 3 Ethics refers to a prescribed or accepted code of conduct. Ethical issues are a set of moral values that need to be addressed while carrying out business. Businesses operate in a society that is structured around moral values. Therefore, when conducting its operations, a business has certain responsibilities which are to provide the society with quality goods and services that will improve the people's living standards. In order to survive, a business needs to maintain its customers. Product packaging is one way of ensuring a business maintains its existing customers and also acquire ew customers.Some companies are known to allow underweight packaging of products which are then highly priced and this is a rude way of increasing profits. However this negative trend will affect the business in the long run as customers will eventually come to learn that they are being swindled. In an attempt to boost sales, some businessmen adapt promotional method mislead customers as the message conveyed may not give the exact details of the product. Businesses should desist from increasing prices without valid reasons. In doing so, they will be taking advantage of the customer and this is unethical.Businessmen should also desist from taking part in corrupt practices such as selling low standard goods while bribing government officials in order to continue operating. Entrepreneurs should consider the effects of their activities on the society they serve. In the long run, wrong dealings and corruption will tarnish the image of the business and have a negative effect on sales. Business people ought to comply with the law requirements and observe laid down principles of mora lity in their dealings. They should seriously consider expectations of the community they serve. (    Ethics Table of Contents Therapeutic Patient Relationships Overview Since the sass, ethics has been incorporated into virtually every aspect of the health care system. Because of such a small time window, the study of ethics in a medical perspective continues to change and improve for the benefit of the patient. Studies of doctor-patient relationships Indicate the need of greater ethical study and intervention.Studies show that although many physicians are aware that a romantic r sexual relationship Is unethical, as many as nine percent believe that the ethics depends on the situation (Reese, 2012). Often, an abuse in the doctor-patient relationship does not occur because of a lack in educational skills. Rather, abuse in the doctor/patient is attributed to flaws, or loopholes, in the rules of ethics and law (Subplots et al, 2010). Continued research of the most recent ethical framework can begin lowering any chance of unprofessional.In order to have a successful patient relationship, a phys ician must understand and respect the barriers in place. This session will take a look at ethics. Participants will assess their own ethical principles and apply the concepts they've learned to problems in ethical communication and/or conduct in the workplace. Behavioral Objectives Intended to inform the physician on the definition of ethics Clarify the nature of the ethical responsibilities held in common by current and prospective physicians. Identifies ethical considerations relevant to physicians Recognize different situations containing unethical conduct.Gain the knowledge on how to respond to in situations that require ethical decision-making. Apply the incept of good ethical behavior in their current practice. Outline of Training Session I. Introduction:What is ethics? Ethics refers to a framework of discipline from a branch of philosophy, in which ideas of right and wrong, virtue and vice, and good and evil, are all examined systematically (salvoes & Meyer, 1990). II. Compon ents of Ethics Participants will know basic history, definition, and examples of ethics. A.Ethical Framework – before we can manage ethical dilemmas in the health care setting, we must understand examples of ethical principle, as well as our own, to avoid any conflict of interest. . Self-Assessment Culture Values Beliefs Ideas 2. Continuous Regulation Self-control Trustworthiness Professionalism Education Intervention B. Understand the Significance of Ethics 1. Factors That Improve Ethical Conduct a. Public view c. School curriculum d. Government regulations 2. Factors That Require Ethical Behavior a. Provide company guideline for ethical behavior b.Teach the company's guidelines importance c. Describe punishments for unethical conduct C. Review Examples of Unethical/Ethical Conduct IV. Class Activity – Ethics Assessment V. Effectively practice effective ethical communication A. Understand the needs of the recipient D. Ensuring the message considers the common good E. Continue to interpret for conflicts of interest F. Consider the consequences of each message 1. Is this message mutually valuable? 2. Is this message violating confidentiality of another person? Is this message questionable to your professionalism? . VI. Class Discussion VII Summary of Training Session VIII Conclusion Literature Review: Where the Patient Relationship Ends Dry A, a 49 year-old gynecologist, was treating a 36 year-old female patient, Ms B, for chronic vaginal yeast infections. He described her as being seductive during the husband. Dry A found himself feeling very sympathetic towards her and began scheduling longer patient appointments so he could provide some therapy for her as well as assessing and treating the vaginal complaints for which she ostensibly saw him.He would hold her hand while she talked about her difficult situation at home. This decent down the ‘slippery slope' progressed into hugging, and then kissing at the end of the session. He recognized t hat he was feeling lonely and not having regular sexual relations with his wife. Dry A even noted that his wife was inorganic as though her condition was in some way an excuse to progress to a sexual relation with the patient) (Gabbed & Hobby, 2012). The first time that Dry A and Ms B had sexual relations was after hours in his office.This sexual encounter consisted of mutual oral sex. The meetings were set up during appointments in the office, usually at the end of the day. He finally ended these contacts when he felt the encounters were no longer gratifying to him. In addition, he was worried about being caught and that others would not understand his reasons for departing from the usual procedures (Gabbed & Hobby, 2012). Following the filing of a complaint by the patient, Dry A was sent for evaluation.When asked directly he thought he had harmed the patient, Dry A responded that he felt he had actually helped her by his sexual involvement with her (Gabbed & Hobby, 2012). Introduc tion This physician, Dry A, failed to recognize the unethical conduct he was committing in the obvious power differential with the patient, Ms B. Dry A failed to recognize that a patient is paying for his expertise for the treatment of a disease or ailment, and not a relationship of conscious feelings.If Dry A had greater understanding regarding the ethical principle of the doctor/patient relationship, Dry A may have been able to make a more rational decision so this situation never occurred; likewise, if Ms B had more understanding of the ethical principle prior to her first appointment, Ms B may have had the knowledge to evade Dry Ass advances. In summary, the doctor and the patient should be educated on ethical conduct before the doctor-patient relationship is formed to avoid situations, like the example.Studies show that although many physicians are aware that a romantic or sexual relationship is unethical, as many as nine percent believe that the ethics depends on he situation (Reese, 2012). The American Medical Association (AMA) states that prior doctor/patient relationships can influence the patient's treatment and that such a relationship is unethical if the doctor â€Å"uses or exploits trust, knowledge, emotions or influence derived from the previous professional relationship† (American Code of Medical Ethics, 2012).The Mama's use of â€Å"prior relationship† leaves wiggle room for the â€Å"it's complicated† answer, which over one third of the physicians had answered to the question, â€Å"Is it acceptable to become involved romantic or sexual relationship with a patient? In Medicare's 2012 ethics survey (Reese, 2012). Could it be that the and Ms B are aware of the rules but chose in proceeding to break the barriers of the doctor/patient relationship because â€Å"it's complicated? † The â€Å"it's complicated† answer may originate from feelings from the physician to do anything possible to treat the patient.One s tudy on therapists, explains that the therapists would get sexually involved relationships with suicidal borderline patients in order to save the patient from suicide (Gabbed & Hobby, 2012). This ration is flawed, however, because the physician, like Dry A, should have continued to worked to attain the nature of the intended relationship as clearly therapeutic with any potential unexpected circumstances, which is the idea behind the entire therapeutic process (Crower, Belly & Subplots, 2010).A professional needs to self-regulate their internal drives and thoughts in the absence of clear standards or unexpected circumstances, such as that of a suicidal patient whom is not responding to evidence- based treatment (Crower, Belly & Subplots, 2010). This is critical because usually a patient will give up his or her own autonomy to respect the decision of a paternalistic physician (Shari, Samara, Arachnids, 2013).Not to say this approach to a doctor/ patient is unethical, but it can leave room for unethical conduct if the physician cannot control his or her internal drives or thoughts. Patients, like Miss B, need doctors that are competent in all areas of their profession. The study of ethics in undergraduate courses and medical school curriculum is still improving; consequently, it should continuously be assessed in terms of content, educational methods, and change in behavior, and be revised accordingly (Shari, Samara, Arachnids, 2013).Within only the past 20 years or so, medical schools have gun incorporating ethics as its own respective subject (Houghton, Sparks & Chadwick, 2010). The introduction of ethics in to medical undergraduate curriculum has met resistance, however, because it is evolving constantly and some believe ethical topics are redundant or impossible to be taught (Houghton, Sparks & Chadwick, 2010).Once a few generations of physicians are educated, they can begin teaching newer generations from first hand experience to ensure they are fully compet ent, rather than trainers teaching the instructors (Shari, Samara, Arachnids, 2013). Ethics, according to James S. Recourse (2003), â€Å"refers to a field of inquiry, or discipline, in which matters of right and wrong, good and evil, virtue and vice, are systemically examined (p. 49).Professional ethics is described by Craven & Hiring (2009) as involving â€Å"principles and values universal application and standards of conduct to be upheld in all situations (p. 76). The traditional principles that provided the moral grounding for the protection on human subjects in the United States began forming in the sass (Faded, Sass, ethical concern has been to protect patients from injury, risk, abuse, and unjust orders of medical research (Faded, Sass, Goodman, Provosts, Tunis & Bà ©chamel, 2013).There has been an importance in our society of forming a Just health care system, which is guided by principles of healthcare ethics that include benefice, non- maleficent, respect for autonomy, and Justice (Craven & Hiring, 2008). Physicians, nurses, and other members of the health care team have been developing codes of ethics in order to sustain a Just health care system.Faded, Sass, Goodman, Provosts, Tunis & Bà ©chamel (2013) propose a framework that consists of seven ethical obligations, they include: ) to respect the rights and dignity of patients; 2) to respect the clinical Judgment of clinicians; 3) to provide optimal care to each patient; 4) to avoid imposing monomaniacal risks and burdens on patients; 5) to reduce health inequalities among populations; 6) to conduct responsible activities that foster learning from clinical care and clinical information; and 7) to contribute to the common purpose of improving and quality and value of clinical care and health systems (p. ). Most frameworks regarding medical ethics loosely follow these seven steps. Frameworks in ethics provide a systematic way to decide what's right from wrong in a rarity of assigned priorities th at are goal emphasized (Craven & Hiring, 2008). All members of the health care team have a framework, and they can find it resembles this model. Several issues of unethical conduct in the health care setting can arise if ethical principle is ignored.The following are a few debated matters of medical ethical principle that occurs in the health care setting: physician-assisted suicide (Glover, 2010), clinical trials (Barton & Ugly, 2009), bribes/gifts from patients (Sash & Fug- Barman, 2013), patient abuse, sexual comments/actions toward patient (Crower, Belly & Subplots, 2010), confidentiality (Craven & Hiring), and financial interests (Reed, Mueller, & Brenna, 2013). While some subjects such as euthanasia (physician- assisted suicide) may have different labels of good or bad from different people, other subjects such as sexual patient abuse is generally discovered by most of society.While ethical principle of that society on certain principles might change at the about the same rate medical technology changes, it is still important for any health care worker to keep these principles in mind. Since the implementation of medical ethics is relatively new, changes are rapidly occurring in medical education curriculum as well as the workforce. Evidence shows, the effects of the teaching of medical ethics causes greater ethical sensitivity in the clinical setting (Crower, Belly & Subplots, 2010). However, there are still many cases in which medical ethics education does not have an impact.As the progression of ethics continues in the health care setting, evaluation of medical ethics teaching is vital. Research by Shari, Samara, and Arachnids (2013) finds that matching education is successful, and not a waste of human or financial resources. The Institute of Medical Ethics recommends a pyramid of increasing levels of education, they include: knowledge, habituation, and action (Crower, Belly & Subplots, 2010). The idea is to have medical students think critically abou t historical precedents and future situations involving ethical dilemmas, then put into practice the best consideration.The most important thing teaching ethics gives to medical students is awareness (Crower, Belly & Subplots). With practicing physicians, it is important to continue education on professionalism because doing so shows its significance as a competency (Reed, Mueller, & Brenna, 2013). As introductory and continuing teaching methods are evaluated and improved, future medical students can become more ethically sensitive in their communication and actions. References AMA Code of Medical Ethics. Opinion 8. 14 sexual misconduct in the practice of medicine. Http://www. AMA-assn. Org/AMA/pub/physician-resources/medical-ethics/ code-medical-ethics/opinion. Page Accessed November 3, 2012. Shari, F. , Samara A. & Arachnids, A. (2013). Medical ethics course for undergraduate medical students: A needs assessment study. Journal Of Medical Ethics & History Of Medicine, 6(1) Barton, E. , & Ugly, S. 2009) Ethical or unethical persuasion? The rhetoric of offers to participate in clinical trials. Written Communication, 26(3), 295-310 Craven, R. F. & Hiring C. J. (2008). Fundamentals of nursing: Human health and function, 6th. Liposuction Williams & Wilkins Inc.Philadelphia, PA. 76-77. Crower, M. , Belly, S. , & Subplots F. (2010) Abuse of the doctor-patient relationship. London: Royal College of Psychiatrists. Faded, R. , Sass, N. , Goodman, S. , Provosts, P. , Tunis, S. , & Beach, T. (2013). An ethics framework for a learning health care system: A departure from traditional research ethics and clinical ethics. The Hastings Center Report, Spec Noses-ASS Gabbed, G. 0. , & Hobby, G. S. (2012). A psychoanalytic perspective on ethics, self- deception and the corrupt physician. British Journal Of Psychotherapy, 28(2), 235-248. Glover, P.C. (2010) Physician-assisted suicide is unethical. Greengages Press. Recourse, J. S. (2003). Communication ethics. Management Communic ation: A Case- Analysis Approach. 2nd. New Jersey: Pearson Education. Professionalism challenges and opportunities. Minnesota Medicine, 96(1 1), 44-47 Reese, S. (2012). When is it okay to date a patient? Netscape ethics report 2012. Netscape, http://www. Educate. Com/vertically/774295. Sash, S. & Fug-Barman, A (2013 Physicians under the influence: Social psychology and industry marketing strategies. Journal Of Law, Medicine & Ethics. 41 (3), 665-672.Attachment: Principles of Medical Ethics Revised and adopted by the AMA House of Delegates (June 17, 2001) l. A physician shall be dedicated to providing competent medical care, with compassion and respect for human dignity and rights. II. A physician shall uphold the standards of professionalism, be honest in all professional interactions, and strive to report physicians deficient in character or impotence, or engaging in fraud or deception, to appropriate entities. Ill. A physician shall respect the law and also recognize a responsibil ity to seek changes in those requirements, which are contrary to the best interests of the patient. ‘ IV.A physician shall respect the rights of patients, colleagues, and other health professionals, and shall safeguard within the constraints of the law. V. A physician shall continue to study, apply, and advance scientific knowledge; maintain a commitment to medical education; make relevant information available to tenets, colleagues, and the public; obtain consultation; and use the talents of other health professionals when indicated. VI. A physician shall, in the provision of appropriate patient care, except in emergencies, be free to choose whom to serve, with whom to associate, and the environment in which to provide medical care VI'.A physician shall recognize a responsibility to participate in activities contributing to the improvement of the community and the betterment of public health. As paramount. ‘X. A physician shall support access to medical care for all peo ple. Source: Code of Medical Ethics: In-Hand Activity: Ethics Self-Assessment The American College of Healthcare Executives (ACHE) made this survey so you can identify areas of ethical practice in which you are weak or strong. For each question, identify one of the five answers that is best suited to you.The ACHE does not believe in a numbered final score, because it is not a tool for evaluating ethical behavior of others. The number that corresponds with each response simply helps you uncover any areas of concern that may require the need for enhancement in some of your current ethical practice. Almost Never Occasionally Usually 4 5 Always Not Applicable 2 I. Leadership 3 I take courageous, consistent and appropriate management actions to overcome barriers to achieving my organization's mission. I place community/patient benefit over my personal gain.I strive to be a role model for ethical behavior. I work to ensure that decisions about access to care are based primarily on medical necessity, not only on the ability to pay. My statements and actions are consistent with professional ethical standards, including the ACHE Code of Ethics. Circumstances would allow me to confuse the issues I advocate ethical decision making by the board, management team and medical staff. I use an ethical approach to conflict resolution. I initiate and encourage discussion of the ethical aspects of management/financial issues.I initiate and promote discussion of controversial issues affecting community/patient health (e. G. , domestic and community violence and decisions near the end of life). I promptly and candidly explain to internal and external stakeholders negative economic trends and encourage appropriate action. I use my authority solely to fulfill my responsibilities and not for self-interest or to further the interests of family, friends or associates. When an ethical conflict confronts my organization r me, I am successful in finding an effective resolution process and ensure it is followed.I demonstrate respect for my colleagues, superiors and staff. I demonstrate my organization's vision, mission and value statements in my actions. I make timely decisions rather than delaying them to avoid difficult or politically risky choices. I seek the advice of the ethics committee when making ethically challenging decisions. My personal expense reports are accurate and are only billed to a single organization. I openly support establishing and monitoring internal mechanisms (e. G. , an ethics committee or program) to Ethics Ethics 101 1. 1 background and development of theoretical ethical approaches Deontological Theory The deontological theory state that the consequences or outcomes of actions are not important, what actually matter is that the actions are morally Justified. For example drunken driving is wrong, now if a person argues that he safely navigated his way back home and for that reason he/she should not be held accountable by law, they are wrong because their action was wrong in the first place and was breaking the basic principle for morally correct behaviour that a person should not drive while being drunk.The contribution of Immanuel Kant towards development of Deontological theory Immanuel Kant proposes that in taking a decision â€Å"Duty' carries the foremost importance. Kant is of the view that a person's actions will only be regarded as morally and ethically correct when they are taken keeping in mind the sense of duty and responsibility in mind. Teleological Ethical Theory The tele ological ethical theory put the primary focus on the â€Å"Consequences† i. e. â€Å"What are those actions that produce the best possible results†?Along with attaching importance to the consequences the teleological theory also suggests that the ecisions framework that is developed for achieving the desired consequences should also be managed with care. Consequentialist Theory According to the â€Å"Consequentiality Theory', the basis for determining how moral a person's actions are the consequences. The consequences of actions can be good or bad, and they can be damaging or favourable. The contribution of Jeremy Bentham towards development of a person's actions can be a classified as good or bad depending on what consequences the action has produced.According to Bentham's opinion the good things are classified as â€Å"pleasure† and the bad ones as pain†. (http://www. studymode. com/) 1. 2 Absolute ethics has only two sides: Something is good or bad, bl ack or white. Some examples in police ethics would be unethical behaviours such as bribery, extortion, excessive force, and perjury, which nearly everyone would agree are unacceptable behaviours by the police. Relative ethics is more complicated and can nave a multitude ot sides witn varying shades ot gray . What is considered ethical behaviour by one person may be deemed highly unethical by someone else.The Absolutist theory is the theory that certain things are right or wrong from an bjective point of view and cannot change according to culture. Certain actions are intrinsically right or wrong, which means they are right or wrong in themselves. This is also known as deontological. The relativist theory is the theory that there are no universally valid moral principles. All principles and values are relative toa particular culture or age. Ethical relativism means that there is no such thing as good â€Å"in itself†, but if and action seems good to you and bad to me, that is it, and there is no objective basis for us to discover the truth.This theory is also known as teleological. An example of an absolutist ethical system would be if a single mother with a very young child had no money and therefore no food to feed the child, and she stole some food from the shop and the mother was caught and had a trial, an absolutist would argue that its morally wrong to steal and should suffer the consequences of the crime. They don't take into account the situation the person might be in and use an absolute law. However, this is in contrast to the alternative ethical system, called â€Å"relativist†, because this system is really the complete opposite.Again I'll use the same example s I did for absolutist. If a relativist was looking at this they would take into consideration the situation the woman might be in and empathize with her and try to find an outcome that is the most fair. One reason to support the absolutist approach as the only defensible approac h is that it provides Justification for acting which means that morality seems to demand some sort of obligation. If there's a fixed moral code then there is no obligation to act in a way. Another strength is that it gives clear guidelines, which basically means the rules are fixed and clear to apply. () 1. 3 Ethics refers to a prescribed or accepted code of conduct. Ethical issues are a set of moral values that need to be addressed while carrying out business. Businesses operate in a society that is structured around moral values. Therefore, when conducting its operations, a business has certain responsibilities which are to provide the society with quality goods and services that will improve the people's living standards. In order to survive, a business needs to maintain its customers. Product packaging is one way of ensuring a business maintains its existing customers and also acquire ew customers.Some companies are known to allow underweight packaging of products which are then highly priced and this is a rude way of increasing profits. However this negative trend will affect the business in the long run as customers will eventually come to learn that they are being swindled. In an attempt to boost sales, some businessmen adapt promotional method mislead customers as the message conveyed may not give the exact details of the product. Businesses should desist from increasing prices without valid reasons. In doing so, they will be taking advantage of the customer and this is unethical.Businessmen should also desist from taking part in corrupt practices such as selling low standard goods while bribing government officials in order to continue operating. Entrepreneurs should consider the effects of their activities on the society they serve. In the long run, wrong dealings and corruption will tarnish the image of the business and have a negative effect on sales. Business people ought to comply with the law requirements and observe laid down principles of mora lity in their dealings. They should seriously consider expectations of the community they serve. (    Ethics Table of Contents Therapeutic Patient Relationships Overview Since the sass, ethics has been incorporated into virtually every aspect of the health care system. Because of such a small time window, the study of ethics in a medical perspective continues to change and improve for the benefit of the patient. Studies of doctor-patient relationships Indicate the need of greater ethical study and intervention.Studies show that although many physicians are aware that a romantic r sexual relationship Is unethical, as many as nine percent believe that the ethics depends on the situation (Reese, 2012). Often, an abuse in the doctor-patient relationship does not occur because of a lack in educational skills. Rather, abuse in the doctor/patient is attributed to flaws, or loopholes, in the rules of ethics and law (Subplots et al, 2010). Continued research of the most recent ethical framework can begin lowering any chance of unprofessional.In order to have a successful patient relationship, a phys ician must understand and respect the barriers in place. This session will take a look at ethics. Participants will assess their own ethical principles and apply the concepts they've learned to problems in ethical communication and/or conduct in the workplace. Behavioral Objectives Intended to inform the physician on the definition of ethics Clarify the nature of the ethical responsibilities held in common by current and prospective physicians. Identifies ethical considerations relevant to physicians Recognize different situations containing unethical conduct.Gain the knowledge on how to respond to in situations that require ethical decision-making. Apply the incept of good ethical behavior in their current practice. Outline of Training Session I. Introduction:What is ethics? Ethics refers to a framework of discipline from a branch of philosophy, in which ideas of right and wrong, virtue and vice, and good and evil, are all examined systematically (salvoes & Meyer, 1990). II. Compon ents of Ethics Participants will know basic history, definition, and examples of ethics. A.Ethical Framework – before we can manage ethical dilemmas in the health care setting, we must understand examples of ethical principle, as well as our own, to avoid any conflict of interest. . Self-Assessment Culture Values Beliefs Ideas 2. Continuous Regulation Self-control Trustworthiness Professionalism Education Intervention B. Understand the Significance of Ethics 1. Factors That Improve Ethical Conduct a. Public view c. School curriculum d. Government regulations 2. Factors That Require Ethical Behavior a. Provide company guideline for ethical behavior b.Teach the company's guidelines importance c. Describe punishments for unethical conduct C. Review Examples of Unethical/Ethical Conduct IV. Class Activity – Ethics Assessment V. Effectively practice effective ethical communication A. Understand the needs of the recipient D. Ensuring the message considers the common good E. Continue to interpret for conflicts of interest F. Consider the consequences of each message 1. Is this message mutually valuable? 2. Is this message violating confidentiality of another person? Is this message questionable to your professionalism? . VI. Class Discussion VII Summary of Training Session VIII Conclusion Literature Review: Where the Patient Relationship Ends Dry A, a 49 year-old gynecologist, was treating a 36 year-old female patient, Ms B, for chronic vaginal yeast infections. He described her as being seductive during the husband. Dry A found himself feeling very sympathetic towards her and began scheduling longer patient appointments so he could provide some therapy for her as well as assessing and treating the vaginal complaints for which she ostensibly saw him.He would hold her hand while she talked about her difficult situation at home. This decent down the ‘slippery slope' progressed into hugging, and then kissing at the end of the session. He recognized t hat he was feeling lonely and not having regular sexual relations with his wife. Dry A even noted that his wife was inorganic as though her condition was in some way an excuse to progress to a sexual relation with the patient) (Gabbed & Hobby, 2012). The first time that Dry A and Ms B had sexual relations was after hours in his office.This sexual encounter consisted of mutual oral sex. The meetings were set up during appointments in the office, usually at the end of the day. He finally ended these contacts when he felt the encounters were no longer gratifying to him. In addition, he was worried about being caught and that others would not understand his reasons for departing from the usual procedures (Gabbed & Hobby, 2012). Following the filing of a complaint by the patient, Dry A was sent for evaluation.When asked directly he thought he had harmed the patient, Dry A responded that he felt he had actually helped her by his sexual involvement with her (Gabbed & Hobby, 2012). Introduc tion This physician, Dry A, failed to recognize the unethical conduct he was committing in the obvious power differential with the patient, Ms B. Dry A failed to recognize that a patient is paying for his expertise for the treatment of a disease or ailment, and not a relationship of conscious feelings.If Dry A had greater understanding regarding the ethical principle of the doctor/patient relationship, Dry A may have been able to make a more rational decision so this situation never occurred; likewise, if Ms B had more understanding of the ethical principle prior to her first appointment, Ms B may have had the knowledge to evade Dry Ass advances. In summary, the doctor and the patient should be educated on ethical conduct before the doctor-patient relationship is formed to avoid situations, like the example.Studies show that although many physicians are aware that a romantic or sexual relationship is unethical, as many as nine percent believe that the ethics depends on he situation (Reese, 2012). The American Medical Association (AMA) states that prior doctor/patient relationships can influence the patient's treatment and that such a relationship is unethical if the doctor â€Å"uses or exploits trust, knowledge, emotions or influence derived from the previous professional relationship† (American Code of Medical Ethics, 2012).The Mama's use of â€Å"prior relationship† leaves wiggle room for the â€Å"it's complicated† answer, which over one third of the physicians had answered to the question, â€Å"Is it acceptable to become involved romantic or sexual relationship with a patient? In Medicare's 2012 ethics survey (Reese, 2012). Could it be that the and Ms B are aware of the rules but chose in proceeding to break the barriers of the doctor/patient relationship because â€Å"it's complicated? † The â€Å"it's complicated† answer may originate from feelings from the physician to do anything possible to treat the patient.One s tudy on therapists, explains that the therapists would get sexually involved relationships with suicidal borderline patients in order to save the patient from suicide (Gabbed & Hobby, 2012). This ration is flawed, however, because the physician, like Dry A, should have continued to worked to attain the nature of the intended relationship as clearly therapeutic with any potential unexpected circumstances, which is the idea behind the entire therapeutic process (Crower, Belly & Subplots, 2010).A professional needs to self-regulate their internal drives and thoughts in the absence of clear standards or unexpected circumstances, such as that of a suicidal patient whom is not responding to evidence- based treatment (Crower, Belly & Subplots, 2010). This is critical because usually a patient will give up his or her own autonomy to respect the decision of a paternalistic physician (Shari, Samara, Arachnids, 2013).Not to say this approach to a doctor/ patient is unethical, but it can leave room for unethical conduct if the physician cannot control his or her internal drives or thoughts. Patients, like Miss B, need doctors that are competent in all areas of their profession. The study of ethics in undergraduate courses and medical school curriculum is still improving; consequently, it should continuously be assessed in terms of content, educational methods, and change in behavior, and be revised accordingly (Shari, Samara, Arachnids, 2013).Within only the past 20 years or so, medical schools have gun incorporating ethics as its own respective subject (Houghton, Sparks & Chadwick, 2010). The introduction of ethics in to medical undergraduate curriculum has met resistance, however, because it is evolving constantly and some believe ethical topics are redundant or impossible to be taught (Houghton, Sparks & Chadwick, 2010).Once a few generations of physicians are educated, they can begin teaching newer generations from first hand experience to ensure they are fully compet ent, rather than trainers teaching the instructors (Shari, Samara, Arachnids, 2013). Ethics, according to James S. Recourse (2003), â€Å"refers to a field of inquiry, or discipline, in which matters of right and wrong, good and evil, virtue and vice, are systemically examined (p. 49).Professional ethics is described by Craven & Hiring (2009) as involving â€Å"principles and values universal application and standards of conduct to be upheld in all situations (p. 76). The traditional principles that provided the moral grounding for the protection on human subjects in the United States began forming in the sass (Faded, Sass, ethical concern has been to protect patients from injury, risk, abuse, and unjust orders of medical research (Faded, Sass, Goodman, Provosts, Tunis & Bà ©chamel, 2013).There has been an importance in our society of forming a Just health care system, which is guided by principles of healthcare ethics that include benefice, non- maleficent, respect for autonomy, and Justice (Craven & Hiring, 2008). Physicians, nurses, and other members of the health care team have been developing codes of ethics in order to sustain a Just health care system.Faded, Sass, Goodman, Provosts, Tunis & Bà ©chamel (2013) propose a framework that consists of seven ethical obligations, they include: ) to respect the rights and dignity of patients; 2) to respect the clinical Judgment of clinicians; 3) to provide optimal care to each patient; 4) to avoid imposing monomaniacal risks and burdens on patients; 5) to reduce health inequalities among populations; 6) to conduct responsible activities that foster learning from clinical care and clinical information; and 7) to contribute to the common purpose of improving and quality and value of clinical care and health systems (p. ). Most frameworks regarding medical ethics loosely follow these seven steps. Frameworks in ethics provide a systematic way to decide what's right from wrong in a rarity of assigned priorities th at are goal emphasized (Craven & Hiring, 2008). All members of the health care team have a framework, and they can find it resembles this model. Several issues of unethical conduct in the health care setting can arise if ethical principle is ignored.The following are a few debated matters of medical ethical principle that occurs in the health care setting: physician-assisted suicide (Glover, 2010), clinical trials (Barton & Ugly, 2009), bribes/gifts from patients (Sash & Fug- Barman, 2013), patient abuse, sexual comments/actions toward patient (Crower, Belly & Subplots, 2010), confidentiality (Craven & Hiring), and financial interests (Reed, Mueller, & Brenna, 2013). While some subjects such as euthanasia (physician- assisted suicide) may have different labels of good or bad from different people, other subjects such as sexual patient abuse is generally discovered by most of society.While ethical principle of that society on certain principles might change at the about the same rate medical technology changes, it is still important for any health care worker to keep these principles in mind. Since the implementation of medical ethics is relatively new, changes are rapidly occurring in medical education curriculum as well as the workforce. Evidence shows, the effects of the teaching of medical ethics causes greater ethical sensitivity in the clinical setting (Crower, Belly & Subplots, 2010). However, there are still many cases in which medical ethics education does not have an impact.As the progression of ethics continues in the health care setting, evaluation of medical ethics teaching is vital. Research by Shari, Samara, and Arachnids (2013) finds that matching education is successful, and not a waste of human or financial resources. The Institute of Medical Ethics recommends a pyramid of increasing levels of education, they include: knowledge, habituation, and action (Crower, Belly & Subplots, 2010). The idea is to have medical students think critically abou t historical precedents and future situations involving ethical dilemmas, then put into practice the best consideration.The most important thing teaching ethics gives to medical students is awareness (Crower, Belly & Subplots). With practicing physicians, it is important to continue education on professionalism because doing so shows its significance as a competency (Reed, Mueller, & Brenna, 2013). As introductory and continuing teaching methods are evaluated and improved, future medical students can become more ethically sensitive in their communication and actions. References AMA Code of Medical Ethics. Opinion 8. 14 sexual misconduct in the practice of medicine. Http://www. AMA-assn. Org/AMA/pub/physician-resources/medical-ethics/ code-medical-ethics/opinion. Page Accessed November 3, 2012. Shari, F. , Samara A. & Arachnids, A. (2013). Medical ethics course for undergraduate medical students: A needs assessment study. Journal Of Medical Ethics & History Of Medicine, 6(1) Barton, E. , & Ugly, S. 2009) Ethical or unethical persuasion? The rhetoric of offers to participate in clinical trials. Written Communication, 26(3), 295-310 Craven, R. F. & Hiring C. J. (2008). Fundamentals of nursing: Human health and function, 6th. Liposuction Williams & Wilkins Inc.Philadelphia, PA. 76-77. Crower, M. , Belly, S. , & Subplots F. (2010) Abuse of the doctor-patient relationship. London: Royal College of Psychiatrists. Faded, R. , Sass, N. , Goodman, S. , Provosts, P. , Tunis, S. , & Beach, T. (2013). An ethics framework for a learning health care system: A departure from traditional research ethics and clinical ethics. The Hastings Center Report, Spec Noses-ASS Gabbed, G. 0. , & Hobby, G. S. (2012). A psychoanalytic perspective on ethics, self- deception and the corrupt physician. British Journal Of Psychotherapy, 28(2), 235-248. Glover, P.C. (2010) Physician-assisted suicide is unethical. Greengages Press. Recourse, J. S. (2003). Communication ethics. Management Communic ation: A Case- Analysis Approach. 2nd. New Jersey: Pearson Education. Professionalism challenges and opportunities. Minnesota Medicine, 96(1 1), 44-47 Reese, S. (2012). When is it okay to date a patient? Netscape ethics report 2012. Netscape, http://www. Educate. Com/vertically/774295. Sash, S. & Fug-Barman, A (2013 Physicians under the influence: Social psychology and industry marketing strategies. Journal Of Law, Medicine & Ethics. 41 (3), 665-672.Attachment: Principles of Medical Ethics Revised and adopted by the AMA House of Delegates (June 17, 2001) l. A physician shall be dedicated to providing competent medical care, with compassion and respect for human dignity and rights. II. A physician shall uphold the standards of professionalism, be honest in all professional interactions, and strive to report physicians deficient in character or impotence, or engaging in fraud or deception, to appropriate entities. Ill. A physician shall respect the law and also recognize a responsibil ity to seek changes in those requirements, which are contrary to the best interests of the patient. ‘ IV.A physician shall respect the rights of patients, colleagues, and other health professionals, and shall safeguard within the constraints of the law. V. A physician shall continue to study, apply, and advance scientific knowledge; maintain a commitment to medical education; make relevant information available to tenets, colleagues, and the public; obtain consultation; and use the talents of other health professionals when indicated. VI. A physician shall, in the provision of appropriate patient care, except in emergencies, be free to choose whom to serve, with whom to associate, and the environment in which to provide medical care VI'.A physician shall recognize a responsibility to participate in activities contributing to the improvement of the community and the betterment of public health. As paramount. ‘X. A physician shall support access to medical care for all peo ple. Source: Code of Medical Ethics: In-Hand Activity: Ethics Self-Assessment The American College of Healthcare Executives (ACHE) made this survey so you can identify areas of ethical practice in which you are weak or strong. For each question, identify one of the five answers that is best suited to you.The ACHE does not believe in a numbered final score, because it is not a tool for evaluating ethical behavior of others. The number that corresponds with each response simply helps you uncover any areas of concern that may require the need for enhancement in some of your current ethical practice. Almost Never Occasionally Usually 4 5 Always Not Applicable 2 I. Leadership 3 I take courageous, consistent and appropriate management actions to overcome barriers to achieving my organization's mission. I place community/patient benefit over my personal gain.I strive to be a role model for ethical behavior. I work to ensure that decisions about access to care are based primarily on medical necessity, not only on the ability to pay. My statements and actions are consistent with professional ethical standards, including the ACHE Code of Ethics. Circumstances would allow me to confuse the issues I advocate ethical decision making by the board, management team and medical staff. I use an ethical approach to conflict resolution. I initiate and encourage discussion of the ethical aspects of management/financial issues.I initiate and promote discussion of controversial issues affecting community/patient health (e. G. , domestic and community violence and decisions near the end of life). I promptly and candidly explain to internal and external stakeholders negative economic trends and encourage appropriate action. I use my authority solely to fulfill my responsibilities and not for self-interest or to further the interests of family, friends or associates. When an ethical conflict confronts my organization r me, I am successful in finding an effective resolution process and ensure it is followed.I demonstrate respect for my colleagues, superiors and staff. I demonstrate my organization's vision, mission and value statements in my actions. I make timely decisions rather than delaying them to avoid difficult or politically risky choices. I seek the advice of the ethics committee when making ethically challenging decisions. My personal expense reports are accurate and are only billed to a single organization. I openly support establishing and monitoring internal mechanisms (e. G. , an ethics committee or program) to

Saturday, September 28, 2019

Japanese and centralization Essay Example | Topics and Well Written Essays - 250 words

Japanese and centralization - Essay Example However, in tandem with an understanding that centralization establishes and upholds a natural order, the piece also indicates that the â€Å"unsettled† minds of the people and the doubt that they have for the future is likely to create a significant hardship for any that would attempt to establish a further level of centralization or control over the territories. Likewise, the second document, entitled â€Å"The Capital, Taxes, and the Army†, written in 646 AD also compounds the importance and need for centralization. In such a way, the author focuses on the need to maintain a national army and the importance of subservience and loyalty that this army will have to the emperor. Yet, rather than focusing on how this could be established, the article returns to the competing interests of tribal warlords and those that might wish to have a disproportionately large say in the affairs of the newly created state. The undertone of the entire article is one that leaves the reader with little question that these types of individuals cannot be won over to the cause and must ultimately be coerced by force to engage in the process of centralization. Similarly, the third document, entitled â€Å"The Corruption of Local Officials†, focuses, not surprisingly, on the high levels of corruption being a stumbling block to further levels of centralization. With these local officials withholding money and tribute for themselves, the degree and extent to which a central emperor can raise taxes and have sway over a given region was obviously

Friday, September 27, 2019

What are the key ingredients of building a successful team Essay

What are the key ingredients of building a successful team - Essay Example The previous quotation summarized the process of building a team, as it is starting with two or more people interacting with one another, to accomplish an objective or goal through performing independent tasks, with individual accountability, per person evaluation focus and the rewards as well.Accomplishments that are made in the form of groups are much more satisfying for the employees and meaningful for the organization than individual’s achievement because this enlarges the scope of success and helps unite the members of the workforce. A team, on the other hand differs from a group particularly on its individual tendency, shared values and goals. The purpose behind forming any team is the search for success on the project assigned to its members. The following paragraphs highlight key ingredients that are necessarily required to build team spirit in the organizational personnel. Shared decision making: Managers should seek the opinions of all employees while making decision s. This tells the employees that their opinion is valued, and they feel respected. Also, quite often, employees become a very good source of information and provide managers with innovative ideas. Consulting them is always a good idea. This also males the employees feel themselves part of the larger organization. Foster collaboration and group rewards: Employees derive a lot of positive feelings from the success of the team. Accomplishments that are made in the form of groups are much more satisfying for the employees and meaningful for the organization than individual’s achievement... As a result of the interaction, all members of the team become aware of the current status of the work from all aspects. Employees may avail meetings as an opportunity to discuss the problematic areas with their colleagues or managers as required. Meetings grow much more in importance in such a work setup where employees work at distance and do not often get to meet one another. In order to make the meetings most beneficial, managers should try to incorporate virtual means of conducting meetings. These days, teleconferencing and videoconferencing are increasingly being employed as a means to conduct the meeting as they provide the participants with the facility to attend the meeting without having to cover long distances to reach the location decided for it. Clear roles and responsibilities: In order to make everyone do his/her part of the job, it is imperative that everybody is clearly made aware of his/her respective duties and job responsibilities. Incomplete knowledge of job resp onsibilities and limitations causes the employees to enter into dysfunctional conflicts with one another. The conflicts totally ruin their interrelationships and distort the bond among them. In order to make the work flow smoothly and without conflicts, managers should tell each and every employee his/her duty both in their individualistic and collective tasks. This also has many added advantages. This reduces the chances of duplication of effort by employees for achieving certain things. Likewise, it is made sure that no areas are left unaddressed. Support: There is no doubt in the fact that everyone needs help, so there should be no shame in asking for

Thursday, September 26, 2019

Constitution questions Article Example | Topics and Well Written Essays - 500 words

Constitution questions - Article Example That said, however, I would advise that you follow certain guidelines. First, the funding should go to organizations which do not discriminate based upon religious belief or affiliation. Second, the group must not link the distribution of the social benefits to attendance at a church or conversion to a faith. If these guidelines are followed, then the funding of the faith-based initiatives should be fine. Let me begin by stating that free speech is guaranteed under the First Amendment, and should not be abridged except in the most serious of circumstances. This case, as you can see hardly rises to this level; indeed, the pamphlets are merely descriptive and carry no political or ideological message which might be construed as an incitement to violence or the causing of a panic. That something may be offensive is hardly a justification for abridging speech. Without more, these pamphlets, however distasteful to some, ought not to be censored. It must be noted at the outset that defamation, the publication of a fact which is false and harms a person's reputation, is not accorded First Amendment protection in many situations.

Wednesday, September 25, 2019

The Progressive Era and the Great Depression in the US Essay

The Progressive Era and the Great Depression in the US - Essay Example Aside from this, the automobile industry was also strengthened, and flights were also fueled. Currently, the Oil and Gas Extraction subsector in the United States has been employing citizens by exploring new sources of natural gas and petroleum and other industrial activities (Jaycox, 2005; United States Department of Labor, 2013). Women and the Right to Suffrage In August 18, 1920, the congress ratified the 19th amendment which allowed the women the right to suffrage. This was considered as a milestone that required a long line of write-ups, lectures, marches, and lobbying by the supporter of the women's suffrage. However, not all women in the country earned the right to vote simultaneously. The women in the Western states first earned the right to suffrage because they were treated similarly and with equal rights with men, which is why the amendment was openly accepted and enacted. Nonetheless, the eastern states had limited independence. Some states arrested women who are smoking or dining alone in a restaurant. The women in southern states were also given lesser independence if a woman works; her wages will be given directly to her husband. These unequal rights in the eastern and southern states which were stated in their laws were the reason why these states did not immediately adopted the amendment on giving equal rights for women to suffrage (Brill, 2010). Economy during the Progressive Era Years During the time of Roosevelt, the passage of the Hepburn Act in 1906 was done in the congress. The act changed many regulations, especially in the business sector. For the railroads, the act tried to eliminate the transportation and hauling of... In August 18, 1920, the congress ratified the 19th amendment which allowed the women the right to suffrage. This was considered as a milestone that required a long line of write-ups, lectures, marches, and lobbying by the supporter of the women's suffrage. However, not all women in the country earned the right to vote simultaneously. The women in the Western states first earned the right to suffrage because they were treated similarly and with equal rights with men, which is why the amendment was openly accepted and enacted. Nonetheless, the eastern states had limited independence. Some states arrested women who are smoking or dining alone in a restaurant. The women in southern states were also given lesser independence if a woman works; her wages will be given directly to her husband. These unequal rights in the eastern and southern states which were stated in their laws were the reason why these states did not immediately adopted the amendment on giving equal rights for women to su ffrage (Brill, 2010).During the time of Roosevelt, the passage of the Hepburn Act in 1906 was done in the congress. The act changed many regulations, especially in the business sector. For the railroads, the act tried to eliminate the transportation and hauling of products. Aside from this, the Act also lengthened the notice of changes in rates, from 10 days to 30 days. The most valuable part is that the act gave the Interstate Commerce Commission (ICC) to create rates which are just and reasonable.

Tuesday, September 24, 2019

Crisis Communications Plan Essay Example | Topics and Well Written Essays - 7000 words

Crisis Communications Plan - Essay Example The plan to do this will need to be executed in the next 7 days and will involve executive participation all levels including that of the Managing Director. 3. The significance of the situation is that pressure from the victim's family and from a well-known entity (BBC Watchdog) may generate public demand for Breathe Flow Strips to be banned from sale. This would potentially cut sales revenue by up to 50%. We present here a summary of the strengths, weaknesses, opportunities and threats (SWOT) with respect to this crisis situation. As a consequence, we also extend to a CASE (Confront, Avoid, Search, Exploit). Because of the nature of this crisis and its potentially devastating effects on the company as a whole, we also extend our analysis to include EPISTLE as well. Strengths: The company has a positive brand image (recent reports) for Breathe Flow Strips with the general public and is endorsed by popular sporting figures who are associated with integrity and honesty by the public. Weaknesses: The company was unaware of the problem of abuse of Breathe Flow Strips by drugs users and had not made efforts to contain or reduce the problem, other than general instructions on Breathe Flow Strips products to only use them for the purposes indicated on the packet. Lack of control of sales channels concerning clubs and club-goers. Threats: Mounting ... Weaknesses: The company was unaware of the problem of abuse of Breathe Flow Strips by drugs users and had not made efforts to contain or reduce the problem, other than general instructions on Breathe Flow Strips products to only use them for the purposes indicated on the packet. Lack of control of sales channels concerning clubs and club-goers. Opportunity: Restore and strengthen public confidence in Breathe Flow Strips by mounting an anti-drugs campaign and involving current popular endorsers in this campaign Threats: Mounting public pressure to curtail or ban the sales of Breathe Flow Strips, possibility of government intervention, growing perception by drugs-users of Breathe Flow Strips products being a desirable accessory to drugs abuse. For the CASE analysis (Confront, Avoid, Search, Exploit): Confront (Strength against Threat): The company must leverage its current public image to the full and publicly state its ban on the use of Breathe Flow Strips for any application other than medical and sporting. Involvement of endorsers in a campaign in clubs to warn against the dangers of drug abuse. Avoid (Weakness against Threat): Avoid confrontation with the public or with BBC Watchdog, even though the company has always acted with honour and integrity. Avoid discussion of lack of prior information concerning the abuse problem that might be interpreted as negligent on the part of the company. Search (Weakness compared to Opportunity): Issues Management group to repair public image and to prevent the recurrence of similar situations. Exploit (Strength compared to Opportunity): Strengthen endorsement relationship by involving popular endorsers in an

Monday, September 23, 2019

Obstacles and Constraints Paper Essay Example | Topics and Well Written Essays - 750 words

Obstacles and Constraints Paper - Essay Example It is a common term that is used by ecologists in their study to define the relationships between two or more organisms. Mutualistic is a term that is used to define a relationship between two organisms, in which they co-exist with the help of each other. In this case of relationship, both the organisms’ co exit in a mutual way, both of them gain benefits from each other, there is no organism that is at harm. Commensalistic is a term that is used to describe a relationship is which there one party who is benefitting is and then there is one party that is not benefiting at all. The two parties are existing together in a mutual way, and one is gaining advantage from the other while the other is gaining no benefit or no disadvantage as well. Parasitism is a term that is used when both the parties exist mutually but one party is living off the other. One of the parties derives benefits from the other party and the other party is getting harmed by the benefits. Competition in this both the parties try to exist mutually but then they fail due to the fact that both of them try to gain benefits but none of them gains anything out of it. In this both the parties end up harming each other. While the final form is Neutralism, in this both the parties remain unaffected and neither benefits nor is disadvantaged. In a good sense, the relation between the policy maker and the agent of implementation is an mutualistic relation. They can both function together in a mutual way and benefit each other. In this case, a policy designer is the person who designs policies, he designs policies keeping in mind the actual requirements of the city, now after he has done designing he expects that the policy implementer would implement it as it is and make amends only when required not on his personal opinion. When the relationship is bad then, we can say that there exists a Competition type of relationship, both try to implement and have their choice implemented, this way the genera l masses get no advantage out if it and they both end up harming their own reputations and their own egos (Amos, 1988).   In this case the government has faced a serious lack of implementation, they ordered a step but then refrained funding. It should have happened that the government should have actually provided the funds that were enough to sustain and maintain the police force. When such high amount of force is added, there is a need to accommodate their salaries, the ammunitions that is being provided to them and the uniforms that has to be provided. These are some of the basic things that have to be provided. The government had provided for the first timers only, later there was no release of funds which actually became a burden (Amos, 1988).   There are many financial constraints that are involved when any policy or any project is to be implanted. The budget is divided according to the requirements of the projects. But usually the prices are underestimated. It has also be en seen many times that the government or the higher officials do not allow the money to trickle down enough to be sufficient. Many a times the sanctioning of the budgets take up a lot of time and hence the projects are stalled a lot. There is always a serious need of training for the police officers that were hired; the government did not fund the training. When new people are hired they need to be trained. This is the

Sunday, September 22, 2019

Readings on Native and Women of Color Essay Example | Topics and Well Written Essays - 1000 words

Readings on Native and Women of Color - Essay Example This is followed by a compilation of self-assessed gender roles in the family unit, as indicated by her mother moving furniture around the home in rearrangement (Allen 34). The third section of the text discusses the foundation of the Indian identity through various struggles of the community, such as martyrs and savages. The themes that are captured in the writing are encompassed in the definition of society. Identity is the foremost theme in the writing in which the identity of the Indian woman is derived from the social and sexual concepts. Identity theme is further enhanced with the inclusion of gender roles and responsibilities, from the expectations of society, and behaviors and acts in which the subjects engaged. In addition, the theme of oppression is captured in the cultural difference between the west and America and the invasion of the other cultures, even though they seemed stronger. A clash of cultures is encapsulated in the discussion of the Indian woman’s identi ty (Allen 34). Characters in the passage include the author and her mother. This text is a personal reflection and is based on an analysis of the Indian woman and society. The most content present in the text is discussed from an individual’s point of view means that the role of the character is the presentation of data, analysis, and conclusions to the problem identified in the writing. The role of the mother is playing a supporting character to the hypotheses that are proposed by the author (Allen 34).

Saturday, September 21, 2019

Hematologic Discussion Essay Example for Free

Hematologic Discussion Essay Question 1 Anemia is a condition of the blood in which the number of healthy red blood cells is very low to meet the oxygen requirements of body tissues. It is mainly classified on the basis of erythrocyte morphology, physiology and probable etiology. The classification based on morphology of red blood cells takes into account the size of erythrocytes. Under this category microcytic anemia occurs if the red blood cells are smaller than normal. Normocytic anemia is present if the red blood cells have the normal size but lower in number whereas macrocytic anemia occurs when the red blood cells are larger than normal. Based on etiology, various conditions are considered which result in either blood loss, excessive destruction of red blood cells and decreased or impaired production of red blood cells. On the same note, the physiological classification is based on hemoglobin level and occurs in three stages. These include the mild stage in which the Hb level is 110-90g/l, moderate stage in which Hb level is 90-70g/l, and severe stage in which Hb level is Laboratory criteria (Makama, 2010). The three types of anemia are iron-deficiency anemia caused by blood loss such as in cases of heavy or prolonged menstrual periods, insufficient iron supply or underutilization of iron in the body.   Aplastic anemia is caused by inability of the bone marrow to produce enough erythrocytes, platelets and white blood cells. Sickle-cell anemia is caused by a hereditary defect which affects Hb production in which the red blood cells assume an abnormal crescent shape. It is worth noting that the most common type of anemia in the United States is iron-deficiency anemia since most women are of child bearing age and experience excessive blood loss during menses. Similarly, the signs and symptoms of this type of anemia are pale skin, fatigue, headache, dizziness, gastrointestinal disturbances, and dry mouth. Its treatment involves intake of iron rich diet including iron supplements (bodyandhealth.canada.com, 2009). Question 2 DIC is an acronym that stands for disseminated intravascular coagulation. It is a serious disorder in which proteins which control blood clotting become abnormally active resulting in formation of blood clots within blood vessels. The clogging of blood vessels cuts off blood supply to various organs such as the brain, liver and kidneys. DIC can be caused by certain types of blood cancer, blood infection by fungus or bacteria and blood transfusion reactions. Clinical manifestations include excessive hemorrhage, hypertension, and blood clots. DIC can be treated by using plasma transfusions to replace blood clotting factors. Also heparin may be used to prevent blood clotting (nlm.nih.gov, 2010).

Friday, September 20, 2019

Exams are Not Good Forms of Assessment

Exams are Not Good Forms of Assessment Assessments can be classified into few categories which are discussion, self- report, observation, portfolio assessment, practical work, demonstration, class activities and oral presentation. In the similar way, assessment can also be defined as a learning process that provides information on students learning and guides student to make great changes in their studies (Business Dictionary). In general, examination is non-destructive inspection, detailed investigation, or analysis of objects, products, or materials to decide their conformation to specifications with no special laboratory apparatus or technique. It includes sensual experiment such as auditory, visual, tactual, olfactory and gustatory or simple manipulation and measurement. Besides, it is also a testing of qualification of students in their examinations. (Business dictionary).There are two types of examinations that can be found which are standardized exams (commercial) and locally developed exams. 1.2 Current Statistical Information At present many schools, colleges, and universities assess their students by means of final examinations. These can be very stressful and majority of students usually do worse in normal exams compared to in other forms of assessment. However, it may be a good early practice for students for their future if success depends on the ability to deal with pressure and perform well on big occasions (Newman 2000). Based on the experiment that conducted by Qureshi, Alam, Khan and Sheraz (2002) in Women Medical College, Abbottabad, Pakistan, the statistics shows that a rise in systolic blood pressure by an average of fifteen mm Hg was observed in eighty eight percent of the students as compared to pre-examination readings. The parameters of blood cell determined before examination and during examination were compared .Those results are recorded and presented in Figure 1 and Figure 2. As a result, it has been proven that examination stress can affect the blood cell parameters and bring such huge impact to students health. First of all, the main reason examination should not be replaced with other forms of assessment is because of the equality of opportunity it has. The best application of it is the content of knowledge and it is fair enough to all the students who have to sit for the same exam using the same method in one particular country. For an instance, examination allows for a standardized administration to a large numbers of students and thus it is more convenient to measure and compare students standard. Of course, it cannot be denied that it is very useful for accessing individual students as well. 2.2 Test on students performance. Besides that, examination can test on students performance by reflecting the way how students express themselves in their own words based on what they have been taught in class. Throughout the whole process of examination, student will be able to adopt and implement in a faster speed and improve their knowledge and performance during assessment (Assessment Handbook 2006). For this purpose, students can spend more time to do revision on other weaker subjects. 2.3 Brings knowledge to students. In addition, students will gain more knowledge. This is because examination is used to determine students ability to draw on a wide range of knowledge. It is to make sure that students can fully apply their knowledge in their daily life but not misuse their knowledge. The knowledge on science, geography and mathematics will be helpful for them to do better in everything in their life. Examinations should be replaced with other forms of assessment. 3.1 Assessment gives better explanations to students, The very first advantage all learners can have by doing assessment is that assessment gives better explanations to students. So that learners will be able to understand clearly and quickly on what they have learned after doing all the assessments. This ensures that students can absorb the syllabus completely but not partially and understand what they are learning about. As everyone knows, students who have good understanding will surely do better than those that do not understand every single thing. 3.2 Assessment helps learners to improve their performance. Moreover, learners are given timely feedback about the quality of their works and try to improve it without repeating any mistakes (Young 2005). Learners are also given some useful advices and recommendations by teachers about how to make things better. Every learner always needs good suggestions and feedbacks from others so that it will lead them to the road of success. This statement can be shown that assessment helps learners to improve their performance. 3.3 Assessment tests children in a proper and better way. Additionally, assessment tests children in a proper and better way as it could determine childrens ability to express oneself during oral presentation. For an example, children will be more confident in talking, presenting and voicing out their views, opinions and ideas. Apart from that, a good assessment could test children on their analysis skills and creativity. Through that particular way, children will be having the opportunity to learn to improve on their thinking skills and have more mature thinking than previous as efficient assessment are more focusing on higher level thinking skills (Crehan 1991). Students will probably give out more creative and special ideas. In the similar way, students will also get to sharpen their research and planning skill after doing many researches for assessment. 3.4 Examination does not work on students. Other than that, the reason why examination does not work on students is because of examinations usually test on students memory but not their real understandings (Newman 2000). In the other words, this statement also means that student who has good memory can do excel in all the tests. On the other hand, student with bad memory might get low grades. There are also some lazy students who always do last minute revision tend to memorise everything on their notes without even trying to understand the principles. Therefore, students often assume that they understand and eventually they will never remember things that they have learned before. Also, examinations tests students ability to keep cool more than their intelligence. (Newman 2000). A case in point, during the examination, if a student is too nervous, the student normally will forget about everything. Hence, student frequently needs to keep himself /herself cool so that student can perform well in exam and avoid themselves from d oing mistakes in the test. 3.5 Examination brings negative effects to students. Furthermore, examination brings more negative effects than giving more positive effects to students. Firstly, over-testing will also cause children to have stress. In most of the schools, students will be sitting for more than four examinations in a year and that can be so stressful to students. Stress is invisible and difficult to be seen. That is why many people do not realise the power of stress. Consequently, there are many commit suicide cases that can be seen in newspaper in our country recently such as a large number of students who get unsatisfied results in the exam. Some of the students cannot handle the pressure and accept the fact will eventually choose to end their life by committing suicide. Besides, dreadful examinations can cause personal problems such as peer pressure and low confidence to students. According to some legal reports, students will lose their self confidence in their studies and prone to exhaustion and illness when they cannot bear with the large tensio n. Conclusion Based on the evidences that I have pointed out, I strongly agree that examination should be replaced with other forms of assessment. The main reason is because I always believe that other forms of assessments are more beneficial to students compared to written examinations. As I have mentioned above, the disadvantages of examination are slightly more than its advantages and it has greater impact on students. Thus, there are several serious actions that are needed to be carried out in order to solve this problem. To overcome this particular problem, the very first thing government, ministry of education, or other relevant bodies should do is to start practicing both study methods which are examination and assessment on students. Those relevant bodies will have to examine students performance from time to time. So, comparisons and differences can be easily made and seen after some period of time. Then, the effects of other forms of assessment on students can be proven to everyone. Of c ourse, the importance of other forms of assessment should not be ignored too. In fact, education department should try to emphasis more on the advantages assessments and also introduce this new education system to every school. For example, students grades are all depended by their performance in the form of presentation, oral assessment, practical work and many more to count. So that it will be an early practice for students before they step into their later working life or social life. It can be said that all of us are afraid of examinations. In the meantime, examinations should be replaced with other forms of assessment in all the schools as it may be a huge burden for students. Huge burden will not only cause students to lost interest and but also lost concentration in studying. Last but not least, I personally think that the process of doing assessment is much more interesting than sitting for examination. At least, assessment is less stressful compared to examinations and thus it may be an attraction to students. Through assessment, we can learn many things that can never be found in the text books. As the saying goes, practice makes perfect. Students will have improvement in their studies if they are hard working to do more practices and never ever try to give up whenever they fall. On the contrary, if students do not even bother to put effort in their studies, no one can actually help them. In short, efforts are to be made to lead our education to reach a higher level.