Johnny Tremain Essays (403 words) - Johnny Tremain,

Johnny Tremain Johnny Tremain takes place in pre-Revolutionary Boston. Johnny Tremain is boy who is proud?too proud. His pride made him overconfident. He pretty much planned all of his life while he was young; he would be a silversmith and marry Cilla. His mother dies when he is fourteen years old. Before his mother died, he was apprenticed to a silversmith named Mr. Lapham. When his mother died, she gave him a silver cup that showed that he was a member of the Lyte family. The cup signifies that he is related to the famous merchant Lyte who was very rich. One Sunday, in order to get a silver basin for Mr. John Hancock done on time, Johnny broke the "Sabbath" and cast a silver pitcher. Dove, who is very unintelligent and jealous of Johnny gave him a cracked crucible and it spilled all over the stove top and Johnny went to get it but it burned his hand. Mr. Lapham sent out for a midwife to come and fix his hand because they didn't want to get caught working on the Sabbath by a doctor. She wrapped it up together and it crippled and stuck together which meant he couldn't work as a silversmith anymore. Johnny's master, Mr. Lapham, said that he would always have a home there. Soon Mr. Lapham was getting impatient and Johnny knew that he needed to get a job. So Johnny went out to find a job. He had a rough time finding a job because nobody wanted a so-called crippled boy who supposedly couldn't do anything. After searching and searching for a new job, he was offered a job by a boy named Rab who was about his age to deliver the Boston Observer, which was a town newspaper. Johnny became a messenger for the Sons of Liberty, a group of patriots that includes Sam Adams, Paul Revere, and John Hancock. Johnny wanted to get to Lexington, so he made himself look like a soldier and tore open his shirt and smeared mud and blood on his face and body. He successfully slipped past the soldiers and got to Lexington. When he got there, he saw Pumpkin and gave him some clothes to escape and Pumpkin gave Johnny his uniform and a gun. Johnny dressed up and got to Dr. Warren. Dr. Warren fixed his crippled hand by cutting the skin. Johnny later finds out that Rab had been killed in the war. Dr. Warren tried to save him but could not because he had been fatally wounded.

Overview of the 27th Amendment

Overview of the 27th Amendment Taking nearly 203 years and the efforts of a college student to finally win ratification, the 27th Amendment has one of the strangest histories of any amendment ever made to the U.S. Constitution. The 27th Amendment requires that any increases or decreases in the base salary paid to members of Congress may not take effect until the next term of office for the U.S. representatives begins. This means that another congressional general election must have been held before the pay raise or cut can take effect. The intent of the Amendment is to prevent Congress from granting itself immediate pay raises. The complete text of the 27th Amendment states: â€Å"No law, varying the compensation for the services of the Senators and Representatives, shall take effect, until an election of representatives shall have intervened.† Note that members of Congress are also legally eligible to receive the same annual cost-of-living adjustment (COLA) raise given to other federal employees. The 27th Amendment does not apply to these adjustments. The COLA raises take effect automatically on January 1 of each year unless Congress, through the passage of a joint resolution, votes to decline them - as it has done since 2009. While the 27th Amendment is the Constitution’s most recently adopted amendment, it is also one of the first ones proposed. History of the 27th Amendment As it is today, congressional pay was a hotly debated topic in 1787 during the Constitutional Convention in Philadelphia. Benjamin Franklin opposed paying congress members any salary at all. Doing so, Franklin argued, would result in representatives seeking office only to further their â€Å"selfish pursuits.† However, a majority of delegates disagreed; pointing out that Franklin’s payless plan would result in a Congress made up only of wealthy people who could afford holding federal offices. Still, Franklin’s comments moved the delegates to look for a way to make sure people did not seek public office simply as a way to fatten their wallets.   The delegates recalled their hatred for a feature of the English government called â€Å"placemen.† Placemen were seated members of Parliament who were appointed by the King to simultaneously serve in highly-paid administrative offices similar to presidential cabinet secretaries simply to buy their favorable votes in Parliament. To prevent placemen in America, the Framers included the Incompatibility Clause of Article I, Section 6 of the Constitution. Called the â€Å"Cornerstone of the Constitution† by the Framers, the Incompatibility Clause states that â€Å"no Person holding any Office under the United States, shall be a Member of either House during his Continuance in Office.† Fine, but to the question of how much members of Congress would be paid, the Constitution states only that their salaries should be as â€Å"ascertained by Law† - meaning Congress would set its own pay. To most of the American people and especially to James Madison, that sounded like a bad idea. Enter the Bill of Rights In 1789, Madison, largely to address the concerns of the Anti-Federalists, proposed the 12 - rather than 10 - amendments that would become the Bill of Rights when ratified in 1791. One of the two amendments not successfully ratified at the time would eventually become the 27th Amendment. While Madison did not want Congress to have the power to give itself raises, he also felt that giving the president a unilateral power to set congressional salaries would give the executive branch too much control over the legislative branch to be in the spirit of the system of â€Å"separation of powers† embodied throughout the Constitution.   Instead, Madison suggested that the proposed amendment require that a congressional election had to take place before any pay increase could take effect. That way, he argued, if the people felt the raise was too large, they could vote â€Å"the rascals† out of office when they ran for re-election. The Epic Ratification of the 27th Amendment On September 25, 1789, what would much later become the 27th Amendment was listed as the second of 12 amendments sent to the states for ratification. Fifteen months later, when 10 of the 12 amendments had been ratified to become the Bill of Rights, the future 27th Amendment was not among them. By the time the Bill of Rights was ratified in 1791, only six states had ratified the congressional pay amendment. However, when the First Congress passed the Amendment in 1789, lawmakers had not specified a time limit within which the Amendment had to be ratified by the states. By 1979 - 188 years later - only 10 of the 38 states required had ratified the 27th Amendment. Student to the Rescue Just as the 27th Amendment appeared destined to become little more than a footnote in history books, along came Gregory Watson, a sophomore student at the University of Texas in Austin. In 1982, Watson was assigned to write an essay on government processes. Taking an interest in constitutional amendments that had not been ratified; he wrote his essay on the congressional pay amendment. Watson argued that since Congress had not set a time limit in 1789, it not only could but should be ratified now. Unfortunately for Watson, but fortunately for the 27th Amendment, he was given a C on his paper. After his appeals to get the grade raised were rejected, Watson decided to take his appeal to the American people in a big way. Interviewed by NPR in 2017 Watson stated, â€Å"I thought right then and there, ‘I’m going to get that thing ratified.’† Watson started by sending letters to state and federal legislators, most of who just filed away. The one exception was U.S. Senator William Cohen who convinced his home state of Maine to ratify the amendment in 1983. Driven largely by the public’s dissatisfaction with the performance of Congress compared to its rapidly-rising salaries and benefits during the 1980s, the 27th Amendment ratification movement grew from a trickle to a flood. During 1985 alone, five more states ratified it, and when Michigan approved it on May 7, 1992, the required 38 states had followed suit. The 27th Amendment was officially certified as an article of the U.S. Constitution on May 20, 1992 - a staggering 202 years, 7 months, and 10 days after the First Congress had proposed it. Effects and Legacy of the 27th Amendment The long-belated ratification of an amendment preventing Congress from voting itself an immediate pay raise shocked members of Congress and baffled legal scholars who questioned whether a proposal written by James Madison could still become part of the Constitution nearly 203 years later. Over the years since its final ratification, the practical effect of the 27th Amendment has been minimal. Congress has voted to reject its annual automatic cost-of-living raise since 2009 and members know that proposing a general pay raise would be politically damaging.   In that sense alone, the 27th Amendment represents an important gauge of the people’s report card on Congress through the centuries. And what of our hero, college student Gregory Watson? In 2017, the University of Texas recognized his place in history by at last raising the grade on his 35-year-old essay from a C to an A.

Tantalum Facts - Periodic Table of the Elements

Tantalum Facts - Periodic Table of the Elements Tantalum  Basic Facts Atomic Number: 73 Symbol: Ta Atomic Weight: 180.9479 Discovery: Anders Ekeberg 1802 (Sweden), showed that niobic acid and tantalic acid were two different substances. Electron Configuration: [Xe] 6s2 4f14 5d3 Word Origin: Greek Tantalos, mythological character, king who was father of Niobe Isotopes: There are 25 known isotopes of tantalum. Natural tantalum consists of 2 isotopes. Properties: Tantalum is a heavy, hard gray metal. Pure tantalum is ductile and may be drawn into very fine wire. Tantalum is practically immune to chemical attack at temperatures lower than 150  °C. It is only attacked by hydrofluoric acid, acidic solutions of the fluoride ion, and free sulfur trioxide. Alkalis attack tantalum very slowly. At higher temperatures, tantalum is more reactive. The melting point of tantalum is very high, exceeded only by that of tungsten and rhenium. The melting point of tantalum is 2996  °C; boiling point is 5425 /- 100  °C; specific gravity is 16.654; valence is usually 5, but may be 2, 3, or 4. Uses: Tantalum wire is used as a filament for evaporating other metals. Tantalum is incorporated into a variety of alloys, conferring high melting point, ductility, strength, and corrosion resistance. Tantalum carbide is one of the hardest materials ever made. At high temperatures, tantalum has good gettering ability. Tantalum oxide films are stable, with desirable dielectric and rectifying properties. The metal is used in chemical process equipment, vacuum furnaces, capacitors, nuclear reactors, and aircraft parts. Tantalum oxide may be used to make a glass with a high index of refraction, with applications including use for camera lenses. Tantalum is immune to body liquids and is a non-irritating metal. Therefore, it has widespread surgical applications. Sources: Tantalum is found primarily in the mineral columbite-tantalite (Fe, Mn)(Nb, Ta)2O6. Tantalum ores are found in Australia, Zaire, Brazil, Mozambique, Thailand, Portugal, Nigeria, and Canada. A complicated process is required to remove tantalum from the ore. Element Classification: Transition Metal Tantalum Physical Data Density (g/cc): 16.654 Melting Point (K): 3269 Boiling Point (K): 5698 Appearance: heavy, hard gray metal Atomic Radius (pm): 149 Atomic Volume (cc/mol): 10.9 Covalent Radius (pm): 134 Ionic Radius: 68 (5e) Specific Heat (20 °C J/g mol): 0.140 Fusion Heat (kJ/mol): 24.7 Evaporation Heat (kJ/mol): 758 Debye Temperature (K): 225.00 Pauling Negativity Number: 1.5 First Ionizing Energy (kJ/mol): 760.1 Oxidation States: 5 Lattice Structure: Body-Centered Cubic Lattice Constant (Ã…): 3.310 References: Los Alamos National Laboratory (2001), Crescent Chemical Company (2001), Langes Handbook of Chemistry (1952), CRC Handbook of Chemistry Physics (18th Ed.) Return to the Periodic Table

Small Business Management Essay Example | Topics and Well Written Essays - 3250 words

Small Business Management - Essay Example These businesses have an entrepreneurial tool that allows them to effectively compete with other small businesses and with the large corporations in the market. Integrity and responsibility plays a significant role in enabling small businesses to excel in customer service and in good product quality. Customers always respond to evidenced integrity by being aware of the business’ ethical issues. Innovation is also central to small businesses’ success. Small business entrepreneurs excel by seeing opportunities and business ideas differently through innovative approach to business (DTI, 2001). Innovation allows small businesses to compete with the large corporations, such innovations are not only reflected by the new products but are also reflected by the way business carries out business, the involved business processes, technology and leadership approaches. According to Gooderl et al (2005, p. 10), small businesses differ from other types of businesses in terms of potent ial for growth. Some of the small businesses have promising startups implying that they have potential to drastically attain significant profitability and size. Other small businesses have marginal startups implying that they lack such prospects. Small businesses offer great rewards to their owners, some of the small businesses rise to become multinationals. ... economy; its future strength and growth potential. There are various scholars who have written about small businesses and their growth and have provided the various benefits related to small businesses in an economy. Small businesses in U.K. have played an important role in reducing unemployment, improving people’s living standards and improving performance of the economy (Moore 2008, p. 249). Small business sector is thus vital in boosting of the economy. It is the small businesses that are translated to the medium and the large businesses allowing for continued flow of new small businesses. Despite the importance of small business sector to the country’s economic growth, U.K. is still dominated by the large corporations, which on average prove more innovative than the small firms. However, the economy has shown increasing growth of small business companies in the various sectors and the government has been supportive to the sector. Besides the contribution made by the small businesses sector to the U.K. economy, there are various other factors that reflect people desire to invest in entrepreneurship. There are various reasons that facilitate growth of small businesses that emanate from the owners or the entrepreneurs. There are few studies that have been on done exploring the relationship between the theory and small business management and the management behaviours of these businesses. This study will explore the small business sector by identifying one small business in U.K and examining the various aspects of the firm and relating them to the existing theories and literature on small business management. This study will seek to answer some of the following questions: What are the reasons that influenced the entrepreneurs of the

The three keys to success in retailing are location, location, Essay

The three keys to success in retailing are location, location, location - Essay Example This eventually led to symbolic representation, of these debts in the form of precious items like gemstones etc. and eventually the instrument 'Money' developed and is being exchanged. Ultimately, markets developed and shops became a permanent part of these markets. This was where the retail trade initiated. Retail trade in actual is embedded in two significant groups the Peddlers and the Producers. The peddlers would purchase the commodities they thought would sell in the market for a profit and the producers on the other hand were more interested in selling only the goods they were producing . This trend continues even today, with certain specific shops specializing in certain specific areas, these actually reflect their origins, as in a broad mix of producers. Such as a general store. Such as Casey's in the mid west of U.S.A .the general store has taken over the establishments of specialist shops. The customer's find this more convenient o visit, than to visit four different shops for their choice of goods. The term Convenience stores are also used for such stores. These have further developed into Super markets or super stores'1. 'It was Frank Woolworth who initiated his retail business also his career in 1873. He worked as a sales assistant in the Augusbury and Moore Dry goods store in Water Town New York. William Moore the co owner took pity on this young boy and accepted his plea of a three month free work trial at the store. The country (America) was still recuperating since after the civil war and the cash was surely tight. A brainwave occurred to Moore; he wanted to display all his surplus stock at a fixed price of 5 cents per piece. He then asked Frank to arrange for it. Back in 1877 this fixed price strategy for one whole day was quite new, and not a routine concept like today. In those days, the prices never used to be displayed along with the products instead the customers had to always ask the assistant for the prices. These prices in those times used to vary from individual buyer to another individual buyer majorly depending upon how they looked! An amazingly attractive display was setup by Frank, he used a red colored material and it had Gold lettering over it , this boosted sales and also developed a lot many peoples interest . Frank truly believed that a whole big Store could be filled up with five cent goods rather than just one single counter. And, so in 1879, he somehow was able to persuade Mr. William Moore to support him in the opening of a store of his own. He failed in his first attempt, which was at Utica in New York. His store was popular initially but gradually the sales declined. But at his first attempt frank had made enough money to clear all his debts and also along with all this he learnt a very valuable lesson , that he had to really make sure that his store should have been located at the heart of the town instead of some side street area . He gave it another try and this time around he, opened in Lancaster Pennsylvania, about 60 miles away. Franks' store opened on June 21st, 1879. It was a huge success from the start, taking $127.65 on its first day. Woolworth's Success Someone

Chocolate Industry Essay Example for Free

Chocolate Industry Essay * Indian chocolates industry is growing at a rapidly18-20% per annum. * Cadburys occupy about 72% of the chocolate/confectionery market with Dairy Milk, Five Star, Perk, Gems * The organized sector in chocolates constitutes 40%. Chocolate consumption in India is low, per capita consumption in urban India is estimated at about 250g compared to 8-10 kg in Switzerland. * Indian chocolate market is estimated to be close to Rs 2500 cr. of which metros like Mumbai and Delhi occupy a major share. HISTORY * 1765, First Chocolate Factory In the USA * 1800, Chocolate is an Industry * 1819, The Swiss Invest in a Chocolate Factory. * 1847, An English Company Introduced Fondant Chocolate * 1923, The CMA (chocolate manufacture association)was Established * 1956 Cadbury milk chocolate launched. * 1957 Cadbury 5 star launched. * 1970 Cadbury eclairs launched. * 1974 Amul chocolate launched. * 1986 Cadbury milk chocolate re-launched as Cadburys dairy milk. * 1991 Nestle chocolates TYPES OF CHOCOLATES 1. Unsweetened chocolate Unsweetened chocolate is chocolate in its rawest form. This unadulterated chocolate is also known as baking, plain or bitter chocolate and popularly used as the base for cakes, brownies, confections, and cookies. Unsweetened chocolate is made from pure chocolate liquor that has been refined and contains 50-55% of cocoa butter. 2. Milk chocolate Milk chocolate is the combination of chocolate liquor, cocoa butter, vanilla, milk solids, and lecithin. This type of chocolate could be kept up to a year if stored in a cool, dry place. Milk chocolate must contain at least 10% of chocolate liquor, 3. 7% milk fats, and 12% milk solids. 3. Semi-sweet chocolate and Bittersweet chocolate Both Semi-sweet and Bittersweet chocolate contain cocoa liquor, sugar, cocoa butter, vanilla, and sometimes lecithin. Semi-sweet and Bittersweet chocolate, if well wrapped and stored in a cool, dry place with good air circulation, could be kept for several years. Major types and brands of chocolates * Cadbury * Nestle * Amul Other * Comp co * Ferrero * Mars * Govind * Lindt * Hershey Chocolate global market share * The global chocolate market is expected to grow from $83. 2 billion in 2011. to $98. 3 billion in 2016 at an estimated CAGR of 2. 7% from 2011 to 2016. * The market in Asia is driving sales and is expected to hold a 20% share of the global market in 2016. The market in Asia is expected to have a high CAGR of 4. 7%. Chocolate global market share Source: (Euro monitor). Chocolate Market in India * Chocolate market is estimated to be around 2500 cores growing at 18-20% per annum. * Cadbury is the market leader with 72% market share * The per capita consumption of chocolate in India is 400 gram compared with 1. 9 kilograms in developed markets such as the United Kingdom * Over 70 per cent of the consumption takes place in the urban markets Chocolate Market in India A Snapshot * Jan. 2011 Kraft Foods acquires Cadbury India * Jul. 2011 Hershey’s exits JV with Godrej Group * Oct. 2011 Ferrero opens first production facility in India * Nov. 2011 Campco increases production to 23,000 ton. /year * Dec. 2011 Kraft Foods increases investments in Cadbury India The Indian confectionery market – Source:- Industry experts and leading manufacturers estimates, Promar’s trade interviews Indian confectionery industry Share by Volume 000 tonnes (2009) Source: (Euro monitor, 2009). Indian confectionery industry Share by Value (Rs cr. ) 2009 Source: (Euro monitor, 2009). CONSUMPTION SEGMENTATION BY AGE Segment| Share (%)| 2 to 8 years old| 16| 8 to 25 years old| 53|. 25 to 54 years old| 22| Over 55 years old| 7| Source: Ministry of food processing industries CONSUMPTION SEGMENTATION BY REGION Segment| Share (%)| North| 35| East| 12| West| 33| South| 20| Source: Ministry of food processing industries Product Variation Segment| Share (%)| Moulded Chocolates| 50| Count line bars| 33| Sugar panned| 13| Choco panned| 4| Source: Ministry of food processing industries Market share different company Company | Market share % | Cadbury | 72% | Nestle | 18% | Amul | 4% | Other | 6% | PRODUCTION YEAR WISE Source: Central Statistical Organisation (CSO). Import of Chocolate Sugar confectionery (value in us$) Source: commercae. nic. in Import of Chocolate Sugar confectionery (volume in mt ) Source: commercae. nic. in Consumer Trends * Mithai- is getting substituted by chocolates Convenient packaging and better shelf life. * Sudden spurt in advertisement between July Sep in festival seasons. * The range and variety of chocolates available in malls seems to be growing day by day, which leads to lot of impulse sales for chocolate companies. * Chocolates which used to be unaffordable, is now considered mid-priced. * Designer chocolates have become status symbols. * In past, consumers had negligible inclination for dark chocolates. But now we have seen a change in the Indian palate, which is increasing the base of this sub-segment Challenges in Indian chocolate industry * TEMPERATURE * UNAVAILABILITY OF CONTROLLED REFRIGERATION * RAW MATERIALS * TRANSPORTATION * THREAT FROM FOREIGN BRANDS Growth opportunities in Indian chocolate industry Untapped Market Limited Consumption: The fact that chocolate is not a traditional food, high prices and domestic production problems will provide the main problems to market growth. As these markets develop, prices will fall making these products more accessible to the wider population. However the Indian market is still untapped and provides immense scope for growth, both geographically as well as product basket wise. Chocolate consumption in India is extremely low. The per capita chocolate consumption in India is still much below the East Asian standards. Hence per capita consumption has a immense scope for improvement. Strategies for Growth Success in India 1. Revamp the product to keep the excitement alive. 2. Companies should look at new avenues, while expanding the reach of its products. Distribution will hold the key. Companies need to reach out to smaller towns, where three-fourths of the population does not even know the product. 3. Merger Acquisitions: Mergers Acquisitions with companies that match the product portfolio overall growth strategy should be considered which will not only strengthen the company to establish a stronger hold in the country but also ward off possible competition in the select category. Such collaborations will also facilitate companies to use each other’s distribution networks. Conclusion * Cadburys /Nestle occupy about 90% of the chocolate /confectionery market. * * While there are some places in India where people have never even tasted chocolates once. * Understanding the consumer demands and maintaining the quality will be essential. References * www. indiainfoline. com * http://www. marketsandmarkets. com/PressReleases/global-chocolate-market. asp * Central Statistical Organisation (CSO), Compiled by India stat. * http://www. espatial. com/articles/a-valentines-day-map-world-chocolate-consumption/ * www. ministryoffoodprocessingindustries. com * www. business-standard. com * http://www. indianmirror. com/indian/industries/chocolate. html * www. ibef. org * www. fmcg markets. com.

Hemp: A Help Or A Hindrance? Essay -- essays research papers fc

Hemp: A Help or a Hindrance? Hemp, also known as Cannabis sativa, marijuana, grass, and by many other names, has not been a legal commercial crop in the United States for almost sixty years. As common two centuries ago as cotton is today, hemp is not seen on the market. As many groups fight for hemp to become legalized as a drug, many people are battling for the plant to become legalized for its industrial and medical uses. From Disney Indiana Jones hats to fuel for our automobiles, hemp is a hardworking, environmentally sound renewable resource. People have become so wrapped up in the "drug" aspect of marijuana that many are forgetting its uses as an industrial material. Hemp is an ancient drug, first mentioned in a Chinese manuscript in 2700 BC. Its uses included treating gout, malaria, gas pains, and absent-mindedness. Hemp was an integral part of early Indo-European religious ceremonies for thousands of years. Records from Assyria in 650 BC referred to it as a drug called azulla that was used for making rope and cloth, and which was also used for experiencing euphoria. Hempen sails brought the Spanish, Dutch, and British conquerors to the new world (Charpentier 18). In North America, hemp was planted near Jamestown in 1611 for use in making rope. In order to keep a constant supply of hemp available, a law was passed in Massachusetts in 1639, requiring every household to plant hemp seed. In Maryland, Virginia, and Pennsylvania, hemp was even used as a monetary unit. Thomas Jefferson's draft of the Declaration of Independence, released by the Continental Congress on July 4, 1776, was written on paper made from hemp (Whole Earth Review 46). And the 49ers washed gold from California creeks in Levi's made from hemp. In 1937, the United States government passed the Marijuana Tax Act which prohibited the use of marijuana as an intoxicant and regulated its use as a medicine. Although there are hundreds of ingredients in marijuana, the main ingredient is a chemical called tetrahydrocannabinol (THC). THC affects the brain and the circulatory system, especially the heart. This makes the heart beat faster and causes small blood vessels to expand. This is the most visible in the eyes, where tiny capillaries swell and fill with blood, giving the eyes a bloodshot look (Ravage 6). Marijuana had its day of glory in the 1960s. Casual use was widespread, mai... ...aren't afraid to take the risk. The government may not approve of this, but it is going to happen. Legalize hemp to be used for its practical purposes. For many years, there has been debate on whether or not to legalize marijuana. Hemp has been used in many ways. From using it to get high, to making paper for money. Throughout its history the plant has been very useful. It has proven to be a valuable asset to our economy and is something that cannot simply be brushed away. Although there are many people that abuse it, they are far many more people that can benefit from its legalization. Works Cited "Tree Free Paper." Whole Earth Review Fall 1993: 46 Charpentier, Sean. "Kentucky's Tobacco vs. Hemp." Dollars and Sense May-June 1991: 18 "Can hemp help Northwest solve its timber problem?" Wood Technology May-June 1993 : 8 Ravage, Barbara. "Hemp or Health?" Current Health 2 Oct 1994 : 6 Mason, Alan. "Hemp for Victory." Whole Earth Review Fall 1993 : 48 Barry, John Byrne. "Is grass really greener?" Sierra Nov-Dec 1995 : 22 "Marijuana use among teens nearly doubles in two years." USA Today Nov 10, 1995 : Money

Civil Rights of African Americans Essay

Intro This essay will show how these two presidents tackled the problem of Civil rights of African Americans and it will demonstrate the extent of improvements and what remained the same. When one compares the extent of improvements which these two presidents make, the immediate reaction would be one praise towards President Kennedy because of his ultimate death while one would demonise President Johnson cause of Vietnam. This essay will show how little Kennedy actually accomplished as president but how much Johnson and the civil rights movement achieved thanks To be able to compare and objectively see the extent to which these two presidents improved civil rights for African Americans, we must first ascertain what their goals were and if they accomplished them or not; establish the extent of what they did with president each of the surrounding circumstances. In the early 1960S, the drive for voting rights became a central part of the major southern-based civil rights organizations’ strategy — the Southern Christian Leadership Conference (SCLC), headed by Martin Luther King Jr., and the Student Non-violent Coordinating Committee (SNCC), led by Bob Moses, John Lewis and James Forman. Argument for Kennedy What did Kennedy do to advance the cause of civil rights? 1) He put pressure on federal government organisations to employ more African Americans. Any who were employed were usually in the lowest paid posts and in jobs that had little prospect of professional progress. The FBI only employed 48 African Americans out of a total of 13,649 and these 48 were nearly all chauffeurs. Kennedy did more than any president before him to have more African Americans appointed to federal government posts. In total, he appointed 40 to senior federal positions including five as federal judges 2) Kennedy appointed his brother (Robert) as Attorney General which put him at the head of the Justice Department. Their tactic was to use the law courts as a way of enforcing already passed civil rights legislation. The Justice Department brought 57 law suits against local officials for obstructing African Americans who wished to register their right to vote. Local officials from Louisiana were threatened with prison for contempt when they refused to hand over money to newly desegregated schools. Such a threat prompted others in Atlanta, Memphis and New Orleans to hand over finance without too many problems – few if any were willing to experience the American penal system which had a policy of punishment then as opposed to reforming prisoners. 3) Kennedy was very good at what would appear to be small gestures. In American football, the Washington Redskins were the last of the big teams to refuse to sign African Americans. Their stadium was federally funded and Kennedy ordered that they were no longer allowed to use the stadium and would have to find a new one. The team very quickly signed up African American players. 4) Kennedy created the CEEO (Commission on Equal Employment Opportunity). Its job was to ensure that all people employed with the federal government had equal employment opportunities; it also required all those firms that had contracts with the federal government to do the same if they were to win further federal contracts. 5) The 1963 March on Washington was initially opposed by Kennedy as he believed that any march during his presidency would indicate that the leaders of the civil rights campaign were critical of his stance on civil rights. Kennedy also felt that the march could antagonise Congress when it was in the process of discussing his civil rights bill. A march might have been viewed by Congress as external pressure being put on them. Kennedy eventually endorsed the march when it was agreed that the federal government could have an input into it. Malcolm X criticised King’s decision to allow this as he believed that Kennedy was attempting to take over and orchestrate the march. Malcolm X was to nick-name the march â€Å"The Farce on Washington†. Argument against Kennedy 1) Kennedy had to tread a very fine line in the South. His popularity by September 1963 showed that his support had dropped to 44% in the South. It had been 60% in March 1963. At this time, the South was a traditional stronghold of the Democrats. Was Kennedy a keen civil rights man? 2) In the immediate aftermath of his death, only praise was heaped on the murdered president. To do otherwise would have been considered highly unpatriotic. However, in recent years there has been a re-evaluation of Kennedy and what he did in his presidency. For a man who claimed that poor housing could be ended with the signing of the president’s name, Kennedy did nothing. His Department of Urban Affairs bill was rejected by Congress and eventually only a weak housing act was passed which applied only to future federal housing projects. 3) The CEEO was only concerned with those already employed (though it did encourage firms to employ African Americans) and it did nothing to actively get employment opportunities for African Americans. The CEEO was concerned with those in employment within the federal government not the unemployed. 4) Kennedy was also aware that southern Democrats were still powerful in the party and their wishes could not be totally ignored if the party was not to be split apart – or if Kennedy was not to get the party’s nomination for the 1964 election. However, there is no doubt that the violence that occurred in the South during his presidency horrified and angered him. Argument for LBJ 1) Lyndon Baines Johnson has been credited with being one of the most important figures in the civil rights movement. Johnson does have some distracters who believe that he was merely an unprincipled politician who  used the civil rights issue when he realised the worth of the â€Å"Black Vote†. However Johnson himself claimed to be an idealist who dreamed of making America a â€Å"Great Society†. It was Johnson who put the presidential signature to the 1964 Civil Rights Act and the 1965 Voting Rights Act. Conclusion I recon that, it doesn’t actually matter if Kennedy was a genuine supporter of civil rights or not, as long as he was doing something to improve it. People tend to forget all other pressures that were on Kennedy at the same time as the civil rights crisis, such as the Cuban crisis which potentially threatened world peace. From my point of view that would become subsequently much more important than civil rights. However I do understand and take into account the view that civil rights was a serious problem, which definitely had to be addressed, especially when the united states were claiming that they were the perpetrators of peace and liberty. Considering JFK’s premature death, the general world situation, (Vietnam, Cuban Missile Crisis) I think that the extent of JFK’s civil rights achievements were limited. While President Johnson was able to achieve remarkably a lot, especially when faced with the Vietnam War. One can argue that LBJ’s achievements, such as the passing of the civil rights bill is all thanks to JFK’s death; that he only promoted civil rights to boost his campaign to get to the top; the only reason he pursued the voting rights act was because faced with the Vietnam war, he had to boost moral at home. All this is partly true and has an effect that on what he was doing and had done but it wasn’t the main policy that he was following. LBJ had done what no other President before had ever, could ever or will ever achieve. He single handed managed to pass legislation trough congress that would change every single African Americans life for ever, but not only he also managed to keep at bay the feared white backlash, and the black power movement, considering that it could have escalated, and caused much greater damage. Over all the extent of legislation, appo intments and gestures that President Lindon Johnson did was at a far greater depth and extent that any had done for the civil rights movement in the US.

Scarlet Letter and Crucible Letter

In 17th century, there was a group of Christians, known as puritans, in Massachusetts. One item that was different about puritans was that they had very strict rules, especially sins. The two famous works, one by Nathaniel Hawthorne, The Scarlet Letter and second by Arthur Miller, The Crucible, say a lot about puritan lives during this time period. The Scarlet Letter took place in Boston, Massachusetts, and The Crucible took place in Salem, Massachusetts. Both of his works deal with sin, its effects on different characters, people's reactions, each character's conflicts, and their resolution to the conflicts. Dimmesdale, who is one of the main characters in The Scarlet Letter, and John Proctor, who is in The Crucible. Dimmesdale is more about his respect than anything, while Proctor respects truth than his respect. We can get evidences by looking at their motivations, conflicts, and conflict resolutions, which differ the same way they do. Both, Dimmesdale and Proctor, are different men, but their external conflicts make them the most different. Dimmesdale and Proctor, are two of the main characters from books The Scarlet Letter and The Crucible respectively, who goes through many external conflicts. The conflicts that both characters undergo are different from each other. For instance, Dimmesdale has an external conflict with Chillingworth, his lover's husband, who wants to give a lot of pain for committing adultery with his wife, Hester. â€Å"His fame, his position, his life, will be in my hands. † (Chillingworth, Page 65). On the other hand, Proctor has an external conflict with Abigail, his lover, who wants to live with him for whole her life and kill his wife, Elizabeth Proctor. â€Å"Goody Proctor always kept poppets. † (Proctor, Act 2). Both characters have conflicts that led them a series of problems. Dimmesdale doesn't know that Chillingworth is Hester's husband, and so keeps him as a doctor for him. Chillingworth takes advantage of this and keep giving Dimmesdale wrong medicines, which results in more and more pain for Dimmesdale. Thus, Dimmesdale have to suffer pain due to Chillingworth. John Proctor, character from The Crucible, however, has a different kind of problem. Abigail tries her best to get Proctor, which also includes accusing thirteen people from the town with Elizabeth Proctor. When he confesses about adultery with Abigail in court, nobody listen to him. â€Å"I have made a bell of my honor! I have run the doom of my good name – you will believe me, Mr. Danforth! My wife is innocent, except she knew a whore when se saw one! † (Proctor, Act 3). Dimmesdale have to suffer the pain of his heart, while Proctor has to go to jail. In other words, Dimmesdale have to go through inner pain, while Proctor has to go through external pain. Dimmesdale's conflict with Chillingworth and Proctors conflict with Abigail are their primary external conflicts, but they also have some internal conflicts. Dimmesdale and Proctor have their internal conflicts, which are totally different from each other's conflicts. For example, Dimmesdale is becoming sick day by day due to the internal conflict that, which is the guilt of the sin of adultery. â€Å"It is for the reason that the minister keeps his hand over his heart! † (Pearl, Page 148). On other hand, Proctor has an internal conflict over confessing of committing adultery for the good of his wife or not. â€Å"(trembling, his life collapsing about him): I have known her, sir. I have known her. † (Proctor, Act 3). Both of these character's conflicts led them to problems. Because of Dimmesdale's internal conflict, he become very sick and at the end died on the scaffold. He was feeling so much guilt that he couldn't live and so one night he goes to the scaffold and stands with Hester and Pearl. There is one ironic entity about his sickness. As he became sicker, his popularity increased in the town. Proctor, however, doesn’t go through a lot of pain. He have problem with his wife due to Abigail and also during confessing in the court, he became very nervous. Proctor had to choose life of his wife or his own. In other words, if he confessed his wife would be saved, but if he doesn't than he will be saved from public humiliation. Thus, both had different internal conflicts and also different effects due to those. Dimmesdale’s internal conflict due to his guilt and Proctor’s internal conflict of confessing or not are different, but their motivations in the books are also different. The characters Dimmesdale and Proctor have motivations for acting in a certain way in books, The Scarlet Letter and the Crucible respectively, which are different. For instance, maintaining his respect in the town motivates Dimmesdale. â€Å"Hester, here is a new horror! Roger Chillingworth knows your purpose to reveal his true character. Will he continue, then, to keep our secret? What will now be the course of his revenge? † (Dimmesdale, Page 162). On other hand, Proctor’s motivation is the love for his wife. â€Å"These are my friends. Their wives are also accused-I come not to hurt the court: I only-† (Proctor, Act 3). Both characters are motivated in different ways to act the way they are acting in the book. Because of Dimmesdale's motivation, he keeps his guilt inside. He doesn't confess. Pearl even asks him to stand on the scaffold with Hester and her, but he refuses her. Thus, his motivation led him to suffer his pain and not confess. However, Proctor is motivated by the love for his wife. He took evidence with him that proved that Abigail is wrong in saying that his wife is witchcraft, but the judges ignore him. After trying that, he confesses of committing adultery with Abigail, but due to his wife's attempt of saving him, the court doesn't believe him this time either. He goes to jail and is hanged at the very end in attempt of saving his wife and of witchcraft. Dimmesdale's respect and Proctor's love for his wife are motivations that lead them to act in the way they do are different, and they also have different conflict resolutions. As Dimmesdale and Proctor's conflicts are different, the ways they resolved it are also totally different. For example, Dimmesdale tries to solve his conflict by confessing on the scaffold, but doesn't work. â€Å"Then, down he sank upon the scaffold! Hester partly raised him, and supported his head against her bosom. (Hawthorne, Page 209). John Proctor's way of solving his conflict was different from Dimmesdale's. He tried by confessing the contraption that was not right, but also didn't worked. â€Å"†¦. A man will not cast away his good name. You surely know that†¦ A man may think God sleeps, but God sees everything, I know it now. I beg you, sir, I beg you – see her what she is. † (Proctor , Act 3). They both have different ways to resolve their conflicts, which came to same result, a fail. Due to Dimmesdale's confession, he fall down and died immediately. His partial reason for his death is Chillingworth's torcher and also his internal conflict. He cannot see his reputation going down and so dies. On Proctor's side, it is different. He goes to the court and tries to save his wife with different ways, but at last when anything doesn't work, he confesses himself to prove Abigail Williams wrong. After this, the judge called Elizabeth Proctor to conform the statement that his husband said and the first time in her life, she lied. This way, the judges don't believe him and sends him to jail for practicing witchcraft and going against the court. Dimmesdale’s resolution of dying and Proctor’s resolution of confessing for the good of his wife and children were the last entity proving that they are different. In conclusion, the reader can interpret that Dimmesdale and John Proctor are entirely different men through their motivations resulting in conflicts and the ways of handling their conflicts. Dimmesdale and Proctor both have a great respect in the town, but made mistake of committing adultery. While, they have the similar situation, but handles it with different ways. John Proctor believes that his reputation is because he is a truthful man. â€Å"How may I live without my name? I have given you my soul: leave me my name! † (Proctor, Act 4). He said this after telling that lie of being witchcraft because he doesn’t want people to say him a liar, and want to teach his children a good lesson of saying the truth. While, Dimmesdale thought that it is good to ignore the truth to maintain his respect. He doesn’t confess until the end when he was going to die. So, the reader can conclude that everyone doesn’t think in the same direction by looking at Dimmesdale and Proctor.

How did the Tsar deal with unrest Essay Example

How did the Tsar deal with unrest Essay Example How did the Tsar deal with unrest Essay How did the Tsar deal with unrest Essay How did the Tsar deal with unrest during 1905? Throughout 1905 there were many Instances of unrest that the Tsar dealt with well In the sense that to a certain extent it was controlled. There were however many cases that the Tsar didnt deal with well or In fact, deal with at all. Nicholas failures during this period of revolution began with the Russians loss in the Russo-Japanese (lasting from 1904 1905) war. Russians defeat was hugely humiliating for the nation and many turned to blame the Tsar. It was the beginning f the exposure of Russians incompetent military and bureaucracy. This humiliating loss was almost a catalyst to the revolution, but this in mind, the immediate cause of the was the event of Bloody Sunday a peaceful march aiming to bring a petition to the Tsar resulting in the supposed deaths of around 1,000 people killed by the Cossack troops In a source It said The soldiers fired all day long. The dead were counted In the hundreds, the wounded In the thousands. 1 This source however Is probably Inaccurate seeing as Trotsky wasnt actually present In SST Petersburg at the mime. Bloody Sunday was a huge turning point In the relationship between the Tsar and his people Bloody Sunday put an end to the myth of the Tsar-Bathtubs The loving father from whom nothing good could come. 2 There is no apparent reason for this source not to be trusted, even though it was published 86 years after the events, it complies with the majority of sources (excluding sources that may appear biased) from the time. Bloody Sunday was the final act that broke that shattered the illusion that the Tsar was appointed as the leader by God as Marc Offer said in the name piece Bloody Sunday snapped the sacred bond which had united people with their Tsar3. Eventually the people began to revolt, there were acts of terrorism and strikes spreading rapidly all over Russia. In June there was mutiny aboard the battleship Pottering, creating disturbances wealth the government as they were concerned that other sections of the armed forces would also mutiny. The government decided something had to be done about this, If Nicholas lost the support of his military he would lose his most powerful tool in controlling the people, o to resolve the situation, in September a peace treaty was signed between the Russians and the Japanese, there were thousands of troops now available to end the disruption within Russia itself. In order to get back in favor with the military the government paid them all their pay back and promised them all better conditions in order to regain their loyalty. This was one of the better decisions made by the Tsar in controlling the unrest, as was peaceful and he didnt have to resort to force. In the countryside the peasant rioting were spreading more and more,offences would angel from simple acts of Insubordination and refusing to pay tax, to looting and burning the landowners houses and selling land and livestock, It is Important to realism that peasants made up for 80% of the population and not very much was little power. Different groups were also demanding changes, and strikes were happening all over the country; a source stated work stopped everywhere: on the railways, in all factories, workshops 4 The relationship between Russia and France was fairly stable at the time so there appears to be no reason for the French Consul o exaggerate or falsify the information. While these strikes were going on in SST. Petersburg a workers Soviet was formed where factory representatives would meet to organize strikes. Similar Soviets began to form in other cities, this was a great threat to the Tsars government. To deal with the forming of the Soviets and the strikes, the Tsar was left with two main options, deal with force ( possibly his preferred option, but would create an even bigger barrier between him and the people and was incredibly inhumane due to the amount of people that would have to e killed ) and giving in. So on October the 30th Nicholas very reluctantly issued the October manifesto, in order to provide reforms like the establishment of Dumb and liberal freedom, this worked possibly better than even the Tsar himself expected splitting the opposition as he had managed to please the liberals and middle class people with a supposedly democratic government that they had been fighting for ending their protests and turning their support to the Tsarist government. Although Nicholas concessions were actually limited, the laws were changed to voting laws to reverent the election of radicals and the secret police did actually carry on destroying the opposition. A newspaper in 1905 wrote Weve been given a constitution yet the autocracy remains5 This source however is possibly inaccurate and exaggerated at the time even if it was proven to be true later on, the constitution had barely been around when the source was posted and it was a newspaper that belonged to the Soviet who was formed to overthrow the government. In December, all the troops had returned back to Russia and the Tsar felt as though e had regained his power, and regained his control, he was now ready to face the opposition ( the SST Petersburg Soviet and an armed uprising taking place in Moscow). Although this would have made him unpopular, in terms of control however, it did work. This may have worked in the short- term but as a long term solution it Just drove a bigger divide between the Tsar and his people. The Tsar with the exception of Bloody Sunday- did actually managed to deal with the situation in the most peaceful way possible ( The gnaws mutiny and the reluctant gigging of the manifesto) with least bloodshed even if he was forced to do so. The October Manifesto may have ended up being a long list of broken promises and he may have never have had good intentions he did please a large proportion of his people momentarily. Although the way he dealt with opposition wasnt the most peaceful or humane method of dealing with the situation, ultimately it was dealt with, and it was dealt with quickly. So in terms of the question the Tsar dealt with unrest well, and within the year managed to regain almost complete control again.

Care for Mechanically Ventilated Patients

Care for Mechanically Ventilated Patients The following case study will focus on a discussion around pain assessment and complexity of care delivered to individuals, who are mechanically ventilated, with altered levels of consciousness. The pathophysiology of ventilation and its associated consequences and symptoms for a patient’s care will be thoroughly examined. Aspects of pain assessment in individuals, who are sedated on ventilation support, and nursing interventions to identify levels of pain will be critically analysed and justified. Finally, the complexity of patient’s care will be argued and critically evaluated and the wider context of care management will be conscientiously discussed. The International Association for the Study of Pain (IASP) outlines the definition of pain as an â€Å"unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage† (IASP, 2017). In accordance to Chanques et al (2007) pain is one of the mo st occurring complications associated with intensive care stay with an occurrence of moderate to severe level of pain experienced by almost 50 % of medical and surgical patients. Bertollini et al (2002) reported that approximately 80 % of patients on critical care units, amongst Europe, have experienced pain during nursing interventions and have not received adequate analgesia. In multicentre studies 50 – 65% of patients complained that they suffered severe pain in ICU; 15% were unhappy with the pain management they received. To maintain confidentiality and to protect the identity of an individual, the name of the patient will be changed to Mr Kenneth Smith (pseudonym), in line with Nursing and Midwifery Council (NMC,2015). Kenneth is an 74 year old male admitted to cardiac intensive care unit (day 10) following coronary artery bypass graft surgery. Kenneth was previously diagnosed with triple vessel coronary artery disease, following myocardial infarction four weeks prior to surgery. Currently, he cannot maintain his own breathing, therefore, to promote haemodynamic stability Ken is ventilated with a use of synchronised intermittent mandatory ventilation (SIMV) mode. To facilitate Ken’s ventilation, he is also sedated however, it has been found that Ken reacts to voice and occasionally opens his eyes. The possibility of delirium also emerged as the patient’s wife deems, that Kenneth appears disorientated and agitated at times (Kings compromising successful post-operative recovery (Rakel and Herr, 2004).   Twycross (2002) argues that pain appears to be a problem in acute settings, yet the knowledge and understanding of its management is limited amongst nursing staff; which breaches the principles of effective practice in line with the best available evidence (NMC, 2015). Awareness of causes and interactions of pain, agitation and delirium in Kenneth’s case is essential, to promote quicker recovery by managing pain effect ively and weaning patient off the ventilation support (Stein-Parbury and Mckinley, 2000). Endotracheal tube combined with sternal wound and chest drains contributes to nociceptor activation and sensitization at various levels (Dahl and Kehlet, 2006). Hence, Kenneth is experiencing ongoing pain at rest, that increases with movements. Although, pain analgesia is administered on regular basis to control discomfort levels (WHO, 2015); Koppert et al (2003) argues that increased pain sensitivity in surgical patients to stimuli is commonly recognised as an effect of opioids. The thesis is strongly supported by Wilder Smith (2006) who acknowledge, that hyperalgesia has a major effect on the way brain processes pain signals. There several mediators that contributes to nociceptor activation: prostaglandins, interleukins, cytokine and neutrophils (Brennan, 2017). Peripheral neutrophilic granulocytes (NG’s) also have an impact on peripheral sensitivity and contribute to pain where the in cision was made (Carreira et al, 2013). The intensity of pain is amplified by nociceptive neurones that send electrical signals to central nervous system along axons, which again depends on many factors, including surgical site and discomfort caused by endotracheal tube or Kenneth position (Steeds, 2016). Recent Kenneth’s arterial blood gas reading revealed, decreased tissue pH and increased lactate concentration, which in accordance to Brennan (2011) could also influence the intensity of pain and spontaneous pain behaviour. Initially, Kenneth was commenced on mechanical ventilation post operatively to maintain his haemodynamic stability, decrease cardiac workload and provide optimum for gaseous exchange (Goldsworthy and Graham, 2014). Upon physician assessment, Kenneth receives SIMV, which delivers set amount of breath and encourages patient to take spontaneous breaths (Wiesen et al, 2013). SIMV mode helps to reduce Kenneth’s cardiac output, although it has been p roved that it prolongs ventilation dependency. Due to persistent episodes of hypoxemia, weaning from ventilation is delayed, which put Kenneth at risk of further complications (Chlan, 2011). Pillbeam and Cairo (2006) conducted a study which shown that prolonged ventilation increases the mortality rate. Challenges faced by nursing staff in pain management influences the process of weaning, hence it affects Kenneth’s quality of life (Baazm et al, 2014). Nelson et al, 2010 argues that patients who struggle to wean of ventilation support are at greater risk of infection, delirium, pain and they are often experiencing anxiety. Therefore, it could be questioned whether, unmanaged pain is a leading cause of prolonged ventilation or vice versa. Whitehouse et al (2014) reports that pain can trigger stress response which can have detrimental effect on patient’s health and wellbeing. Increased levels of catecholamines can cause arteriolar vasoconstriction, impair tissue perfusion and decrease tissue oxygen partial pressure which would impact on delayed weaning of ventilation support and increased oxygen consumption (Barr et al 2013). Catabolic disturbances and hypoxemia caused by pain can also impair wound healing process and lead to wound infection; pain decreases natural killer cell activity, cytotoxic T cell and neutrophils which are pivotal for immune system (Woolf, 1989). Wagner et al 1998 emphasises that other factors such as sleep disturbances and anxiety can aggravate pain perceptions. Royal College of Nursing (2003) concludes that nurses have duty of care to minimise distress and suffering from pain. The â€Å"gold standard† in pain assessment by nurses is self-reporting by the patient, providing necessary information, that helps to identify source, intensity and underlying condition so that appropriate analgesia can be administered (Chanques and Constantin, 2010). but Kenneth cannot give sufficient response due to endotracheal tube and se dation level (Craig and Schlavenato, 2010). Pain is difficult to measure as it is an individual experience and everyone perceive it on their own way. It encompasses wide spectrum of physiological and psychological responses; therefore, it is pivotal for nurses to provide holistic approach when looking after critically ill patients (Woodrow and Moore, 2004). Kenneth during morning activities, whilst being assisted with personal hygiene needs appeared to be in discomfort, especially during moving and handling manoeuvres. Bird (2003) argues that there is no specific pain assessment tool for ICU patients and should evaluate effectiveness of tools used, to manage pain effectively. Chanques and colleagues (2010) have manifested that visually enlarged numeric rating scale (NRS) from 0 (minimal discomfort) to 10 severe pain, is the most successful and valid across other pain assessment tools available. Jensen (2003) has reviewed 164 journals and demonstrated that NRS tool is the most reliab le indicator of pain intensity. Although Kenneth can blink his eyes occasionally when asked about pain levels, it is difficult to determine the accuracy of patient’s perception due to level of sedation and cognition state. Kenneth’s effort to express and communicate pain is respected and adequate pain analgesia is provided. The evidence shows that the belief of patient’ report creates trust relationship between patient and healthcare professional, therefore pain management is more successful and effective (D’Arcy, 2011). Pain can increase with activity and it is revealed as dynamic process, therefore Kenneth is reassessed on a regular basis to maintain comfort and minimise distress (Dahl and Kehlet, 2006). Barr (2013) emphasises that pain in intensive care unit patients’ needs to be assessed frequently and repetitively in an effective manner to maintain high quality of care and promote healing. Puntillo (2009) stresses that healthcare professionals must use â€Å"structured, valid and reliable tools† due to complexity of patients’ needs. Upon Kenneth pain assessment, it was found that Behavioural Pain Scale was the most effective. Nurses observed that Kenneth is becoming restless and agitated and facial grimacing is present, which resolves with appropriate analgesia (Feldt, 2000). These behaviours fit into criteria of pain indication as per Checklist of Nonverbal Pain Indicators (CNPI) (Young, 2006). Nurses derived the total BPS score of 8-10, which indicated that Kenneth was experiencing severe pain on assessment. D’arcy (2011) speculates that the use BPS is not as effective and developed as current tools that have been in use for years. Li and colleagues (2008) also argue that there is some evidence about BPS, an updated revision in regards to validity and effectiveness is needed, so that it can be applicable for ICU patients. However, Payen (2008) and Arbour et al (2011) dispute with the opinion of h is colleagues and demonstrate that there are recent studies which show that BPS improve pain management and successful recovery, followed by shorter duration of mechanical ventilation. Implementation of Payen BPS appeared to be extremely useful, when repositioning Kenneth in bed, as it assesses compliance with ventilation, detecting specific pain behaviours (Puntillo et al., 2001). In addition to respiratory support, pain is also triggered by sternal wound and both chest drains which increase the intensity of pain experienced by Kenneth. The study carried out by Payen (2001) demonstrated that 63% of ICU patients could remember pain and 40% patients post cardiac surgery experienced the worst pain due to chest drains and surgical wounds. In addition to BPS, there are other assessment tools for critically ill patients, like Kenneth, such as Gelinas Critical Care Pain Observation Tool (CPOT) which is also based on behavioural observations (Gelinas et al, 2006). Its effectiveness was a gain reported during moving and handling manoeuvres, where ventilation machine was observed for alarms, which displayed that Kenneth stopped breathing spontaneously. Slight resistance was also felt by nursing staff; which indicated muscle tension that potentially resulted from pain (Li et al 2008). Marjorie, Kenneth’s wife, was also asked to provide information in regards to Kenneth’s usual behaviours which could be then compared with those gathered during specific assessments. Nursing staff found difficulties in interpreting Kenneth behaviours at times, as they represented numerous things amongst various periods of time (Garteth and Williams, 2017). Olding et al (2015) suggest that family involvement in nursing care positively influences patients care despite its complexity; therefore, behaviour changes were written down over a shift duration, with Marjorie’s active involvement, and clear picture of Kenneth’s behaviours created. It also facilitated imp lementation, care planning and evaluation that promote holistic and family centric model of care (World Health Organisation, 2007). Surrogate designation of Marjorie to help with pain assessment, represents Kenneth’s wishes and needs; effective communication and good relationship between relatives and nursing professionals protects Kenneth’s autonomy (Sprung and Azoulay, 2004).   Marjorie, visits Kenneth daily, hence, nursing staff could go through the pain assessment tool together, improving its effectiveness and recognising new changes. It has been reported that, when Marjorie is present, Kenneth is more settled and less agitated, therefore, social contact with beloved ones maximises quality of care and recovery (Aust, 2013). Family interaction in basic nursing care and patient psychological and emotional support is a way of demonstrating love and care, a unique aspect of care that can be only provided by them (Engstrom and Soderberg, 2007). Dowling and Wang ( 2005) conclude that family support has a positive impact on patient’s outcome and recovery rate. Close contact with family gives them strength to overcome struggles related to their condition and enables them to regain orientation within the environment (Magarey and McCutcheon, 2005). Kenneth’s physiologic parameters are monitored regularly to maintain patient’s stability and to provide nurses with information about Ken’s physiologic status so that, they can react fast upon any changes (National Institute for Health and Care Excellence [CG50], 2017). During personal hygiene and moving and handling manoeuvres, it has been noted that Kenneth’s blood pressure (BP), heart rate (HR) and respiratory rate (RR) increased with visible behavioural changes and became stable once the painful stimuli was removed. Although, vital signs are widely used by nurses in pain assessment, they are not validated and supported by clinical evidence (Donaldson et al., 200 3). Kenneth’s is also receiving inotropic therapy in terms of cardiovascular support and sedative agent are also used, therefore, his vital signs are likely to fluctuate (Imal et al., 2011); however, they have not been discussed further in this discussion. Payen et al. (2001) with Gelinas and Johnston (2007) found that BP and mean blood pressure (MAP) increased in patients with altered level of consciousness, when exposed to nociceptive stimuli. However, Frazier et al (2002) argued that alteration of vital signs could result from activation of autonomic nervous system as a stress response and anxiety indication from performed procedures. Barr et al. (2013) in Clinical Practice Guidelines do not recommend that vital signs should be used when performing pain assessment, although they can be used as a suggestion and cue to conduct further assessment.

Philosophy Ethics Essay Example | Topics and Well Written Essays - 1500 words - 1

Philosophy Ethics - Essay Example On the contrary, those with slave morality do make villains out of their masters and wish to make them slaves as well. Notably, master morality is associated with the powerful and the strong individuals, whereas slave morality represents the weak willed who are oppressed and abused, and they are expected to be submissive to their masters. However, both slave and master morality are expressive to will to power but differently in that, master morality â€Å"is the explicit recognition of the will to power whereas slave morality shows its will to power in the explicit denial of value of power† (Solomon 131). Accordingly, Nietzsche associate master morality with the nobles whereas slave morality with the herds. Nietzsche’s concept of master-slave morality provides an understanding of the conflicts between societies, and Nietzsche claims that master and slave morality have resulted to conflicts experienced in the society. He believes that there are always conflicts between t he slaves and their masters or a strong group versus a weak group of individuals in the society. Nietzsche’s works on the death of God reveals that he believed in a literal death of God. By declaring that God is dead, Nietzsche implies that people’s beliefs and need for God is dead, and with the death of God, human beings are looking for something to replace Him such as scepticism, nihilism, utilitarianism among others. The death of God signifies a break in the past and new non-metaphysical unity among others (Stauffer and Bettina 239); more so, Nietzsche’s argument about the death of God emphasizes the significance of losing faith. Arguably, the death of God signifies the decline of religion and the rise of atheism, therefore, Nietzsche claims that the absence of high moral authority would lead to chaos in the world. Nietzsche claims that the death of God signifies the reversal of nihilism (Stauffer and Bettina 239), and so he argues that the western world enti rely depends on the rule of God to give the society order and meaning to life and so His death would force the society to accept nihilism which he considers dangerous. Nietzsche argues that values are important for the wellbeing and existence of humans, and so by transformation of all values, Nietzsche meant that Christianity is not just a religion but also a predominant moral system of the western world. More so, Nietzsche states that Christianity elevates the weak over the strong; therefore, in the Antichrist, he condemns Christianity and calls for the revaluation of all values. Therefore, by transformation of all values, Nietzsche is addressing the Christians and those supporting Christianity. Q.2 The term gyn/ecology refers to the science of womankind as proposed by males (Daly 9); and according to Daly, gyn/ecology was an attempt to see through the deceptive and confusing patriarchal thinking about good and bad. More so, it focuses on the atrocities against women globally and i n all periods of patriarchy and shows that they are interconnected. In short, Daly’s work gyn/ecology  was concerned with the process of women’s becoming and the demotic obstacles to this process, the deceptive myths as well as the sadistic practices of patriarchal culture. Moreover, Daly explored the deadly myths that interfere with the minds of women and she recounts both the physical and psychological destruction of