Friday, May 31, 2019

Slavery Essay -- Slavery Essays

SlaverySlavery in America brought about a successful due south but also proved to be iodine of the most dangerous things done by humans to humans. Slavery became a way of life in early America. Eight out of the first cardinal presidents owned slaves. People in the south benefited from slaves the most. Harvesting those huge cotton fields took many hands. Thats were the slaves became key to the success of the south. Slaves were predominately black Africans. Africans made up the majority but they were not the only ones. Native Americans and even English indentured servants made up the rest of the pot put into slavery. There are two different kinds of slaves. There are slaves that stayed in the house and took care of the families, and there were the slaves that worked the land. Domestic slaves were usually women and children. Mean and young boys made up the levy hands. These men worked from sunrise to sundown. Working outside was by far the worst of the two. Some slaves didnt fa ll under these to types there were slaves that served as guides, trappers, craft workers and nurses. Jobs that people do not relate slaves with. Slaves had different jobs depending on what of the country they were sent to. Slaves in the north generally worked in the mills and clearing forest. Slaves in the south worked the farms all year. Up north slaves only had to work the farms in the summer months because of the rigorous winters they went through. Domestic slaves stayed in the house picked up after the family, cooked and served meals, cleaned and kept up with the daily chores of the house. It was easier than working outside. Slaves were get acrossed as property. Owners had the right to do whatever they wanted to them. They were property, not people. Owners would have the blanched farm hands stand in the fields and make sure the slaves were working as fast and hard as they could. If they werent working as hard as they could and a white farmhand saw it. The slaves would be bea ten, and sometimes in severe cases killed. When the owner wasnt around slaves could interact with each other. Families that came over on the boats were ripped apart at the auction blocks. They were thrown together not knowing each other and had to form some kind of structure to their personal lives. Younger men and women and children looked up the older men and women as parents. Slaves would be put in... ...hat captains could get their hands on. The owners of the ships had to keep the slaves in pretty good shape to get top one dollar bill for them. The white deck hands would bring the slaves on deck and go through and exercise they called dance. The men were forced to jump until the shackles broke they skin on their ankles. The women and children who were not shackled could dance to a rhythm. Slaves enjoyed their exercise because it was the only time they were aloud to move around. If the slaves refused to dance they were beaten with whips. The whips were called cat-o-nine-t ails they were made up of nine pile covered with tar each cord had a knot at the end. When bad weather hit it became very rough for the slaves. The slaves were not aloud to follow up on the deck. This is where disease and filth ran through the slaves. In conclusion, slavery although was a big part of the rise of this country. It was looking back, one of the most terrible things done by humans to other humans. Learning from our mistakes took a long time. The Civil War was the point in our history where everyone realized that you could not treat people like animals. That everyone is looked upon as equals.

Thursday, May 30, 2019

Love and Loneliness in Thornton Wilders The Bridge of San Luis Rey Ess

Love and Loneliness in Thornton Wilders The Bridge of San Luis ReySpeak softly and carry a big stick you pass on go far. -Theodore Roosevelt, 1901 In Thornton Wilders Pulitzer Prize winning novel, The Bridge of San Luis Rey (1939), a message is woven throughout the pages and portrayed in each character. The novel is about the finest tide over in all of Peru and on Friday, July the twentieth, 1714, the bridge broke, taking tail fin travelers into the gulf below. Brother Juniper, a monk who witnessed the catastrophe burned the question, Why did this happen to those five? He also poses the proposition, Either we live by accident and die by accident, or we live by broadcast and die by plan (pg. 119). The novel tediously describes each of the five killed in the accident. All five of them were well-respected people in the public eye who, at one point in their lives, deeply loved someone, but unintentionally loses them. As the novel draws closer to the end, the message becomes clearer to the reader. Thornton Wilder uses the bridge in his novel to symbolize the bridge amongst love and loneliness. The bridge of love that connects one to another gives dignity and purpose to even the lowliest of lives (pg. 119). One of the victims of the accident was the Marquesa de Montemayor, Doa Mara. She had an unhappy childhood, she was ugly she stuttered her mother persecuted her with sarcasms (pg. 11). She lived alone and when she was finally forced into marriage, she still lived alone. When she was bore with a daughter, she was determined to give her idolatrous love (pg. 12). However, little Clara took after her father and was coldness and intellectual. Clara frightened her mother, but Doa Mara could not prevent herself from... ...ld sit down and rest, but it turned out not to be necessary (pg. 102).The breaking of the bridge in Thornton Wilders novel, The Bridge of San Luis Rey (1939) symbolizes a realistic message of how there is a land of the living and a land of the unf ounded and the bridge is love, the only survival, the only meaning (pg. 117). The characters in the novel display the true affection at one point in their life and utterly in an instant, the bridge is beyond repair. Wilder does an amazing job of creating a situation approached in every day life about love, losing and loneliness. The message in The Bridge of San Luis Rey (1939) is one that all of the world can relate to, its a strong bridge at one point and with one wrong move, its humbled and lost forever. Works CitedWilder, Thornton. The Bridge of San Luis Rey. New York Washington Square Press, Inc. 1955.

Wednesday, May 29, 2019

Myths of the American Dream Exposed in Arthur Millers Death of a Sales

Myths of the American Dream Exposed in Arthur Millers Death of a Salesman Willy Loman, the lead character of Millers play, Death of a Salesman, believes in the myths of the capitalistic society(DiYanni 412). This essay will examine the impact of the capitalistic myths on Willy Lowman. Willy believes in the myth that popularity and physical mien are the keys that unlock the door to the American Dream. We are first introduced to the importance of popularity and physical appearance when Willy is speaking to his wife, Linda, about their news Biff. Biff Loman is lost, says Willy. In the greatest hoidenish in the world, a young man with such personal attractiveness gets lost. In this quote, not only is Willy confused about how Biffs levelheaded looks cant help him get a job, but also because his son cant get a job in a country like America. Willy believes in appearance, in phoniness, in popularity with those he regards as important in the capitalistic machine. An example of how Willy depends on popularity to help achieve the ambitiousness is seen when Willy is having a flashback in which hes speaking to both Biff and Happy about having his own business. The boys ask their father if his business will be like their Uncle Charleys. Willy responds by saying that hell be, Bigger than Uncle Charley Because Charley is not- liked. Hes liked, but hes not- well liked. The most significant example of Willys belief in the popularity myth also takes place in one of Willys flashbacks. Again, he is speaking to his sons about becoming successful. He tells them, ...the man who makes an appearance in the business world, the man who creates personal interest, is the man who gets ... ... slogans for his own beliefs Chevrolet, Linda, is the greatest car ever built. But his blind faith cannot sustain him That goddam Chevrolet, they ought to stamp out the manufacture of that car. Each day Willy must run faster and stretch his arms out further in his attempt to catch the dream. When he is too tired to run, Willy is spewed out of the capitalistic machine as a worn-out and useless part. Willy then gives all that he has remaining so that his son can collect the insurance money and thereby pay his entrance fee to the capitalistic machine. The same machine that destroyed Willy. Works Cited DiYanni, Robert. Literature practice Fiction, Poetry, and Drama. Compact Edition. McGraw Hill, 2000. 395-530. Miller, Arthur. Death of a Salesman in Literature, Reading, Reacting, Writing, Compact Fourth Edition. Harcourt, Inc. 2000.

Death, Life and Identity :: essays research papers

<a href="http//www.geocities.com/vaksam/">Sam Vaknins Psychology, Philosophy, Economics and Foreign Affairs Web SitesA classical point of departure in defining Death, seems to be Life itself. Death is perceived either as a cessation of Life - or as a "transit zone", on the focus to a continuation of Life by other means. While the former presents a disjunction, the latter is a continuum, Death being nothing but a corridor into another plane of existence (the hereafter). Another, logically more rigorous approach, would be to ask "Who is Dead" when Death occurs. In other words, an individuation of the Dying (=it which "commits" Death) is essential in defining Death. But what are the means to establish an unambiguous, unequivocal identity element? Is an identity established through the use of quantitative parameters? Is it dependent, for instance, upon the number of decided units which comprise the functioning whole? If so, where is the level at which useful distinctions and observations are replaced by useless scholastic mind-warps? Example if we study a human identity - should it be defined by the number and organization of its limbs, its cells, its atoms? The cells in a human body are replaced (with the exception of the cells of the nervous system) every 5 years. Would this intend that we gain a new identity each time this cycle is completed? Adopting this course of thinking leads to absurd results When humans die, the replacement rate of their cells is interminably reduced. Does this mean that their identity is better and longer preserved once dead? No one would agree with this. Death is tantamount to a loss of identity - not to its preservation. So, a qualitative yardstick is required. We can start by asking get out the identity change - if we change someones brain by anothers? "He is not the same" - we say of someone with a brain injury. If a partial alteration of the brain causes such sea change (however p artial) in the determinants of identity - it seems safe to assume that a replacement of ones brain by another will result in a total change of identity, to the point of its abolition and replacement by another. If the brain is the locus of identity, we should be able to assert that when (the cells of) all the other organs of the body are replaced (with the exception of the brain) - the identity will remain the same.

Tuesday, May 28, 2019

A Case Study Depicting the Importance of Ethics in Medicine Essay examp

To protect the individuals right and confidentiality, the client involved would be referred to as strand.IntroductionWork for health requires moral commission (Seedhouse, 2009 p. xiviii). then, the obligation rests on healthcare professionals faced with ethical dilemma in their practice to make moral decision which should promote and enhance health ( Rumbold, 1999 Sim, 1997). ethical motive is concerned with the basis on which an action is determined as either right or wrong (Rumbold, 1999 MacIntyre, 2005). Therefore, ethics is the study of morality which is to a fault cognise as moral philosophy (Sim, 1997 Thompson et al, 2006). When one moral principle conflicts with another, it is referred to as a moral or ethical dilemma (Sim, 1997). Hence, ethics provides a role model for addressing dilemmas (Rumbold, 1999). Thus, Thompson et al (2006), highlights that clients are presented as consumers rather than recipients of care. As a result, there seems to have been changes and challe nges in health and social care in recent geezerhood (Thompson et al, 2006). More than ever before healthcare professionals have to act in the best interest of clients irrespective of their cultural backgrounds, values or religion (Thompson et al, 2006). This test highlights the Hippocratic Oath as it is translated into principles which inform the modern code of ethics (Preston, 2009). Furthermore, these principles may not be enough in undertaking moral reasoning. Therefore professionals may have to employ some of the ethical theories which include theory of justice, teleology and deontology in deciding the best possible action for Marge in the encase study. Marge has been diagnosed with bipolar affective disorder, and the multidisciplinary ... ...s (RMO), Nurses, Occupational Therapists, Social Worker and Psychologist were alerted at the deterioration in Marges mental health in the hospital. Marges mood has now altered to a manic state. She was constantly laughing and doing Iri sh dance in the ward. She had also been abusing alcohol and acting in a very flirtatious manner. This behaviour was completely out of character for Marge who is a devout Christian with a reserved persona.Marge also neglected herself- not eating or washing. In the past when depressed, she has made suicide attempts and did not allowed health professionals into her high rise flat. During her last manic episode, she gave onward large sums of money. Her judgement was impaired and did not comply with prescribed medication. Marge wants discharged but has no insight into her current manic episodes. So also, her children cherished her home

A Case Study Depicting the Importance of Ethics in Medicine Essay examp

To protect the individuals right and confidentiality, the client involved would be referred to as rim.IntroductionWork for wellness requires virtuous commitment (Seedhouse, 2009 p. xiviii). Therefore, the obligation rests on wellnesscare professionals faced with ethical dilemma in their practice to make moral decision which should promote and enhance health ( Rumbold, 1999 Sim, 1997). Ethics is concerned with the basis on which an action is determined as either right or hurt (Rumbold, 1999 MacIntyre, 2005). Therefore, ethics is the study of morality which is also known as moral philosophy (Sim, 1997 Thompson et al, 2006). When one moral principle conflicts with another, it is referred to as a moral or ethical dilemma (Sim, 1997). Hence, ethics provides a framework for addressing dilemmas (Rumbold, 1999). Thus, Thompson et al (2006), highlights that clients are presented as consumers rather than recipients of care. As a result, there seems to have been changes and challenges in he alth and social care in recent years (Thompson et al, 2006). More than ever before healthcare professionals have to act in the trounce interest of clients no matter of their cultural backgrounds, values or religion (Thompson et al, 2006). This essay highlights the Hippocratic Oath as it is translated into principles which inform the modern code of ethics (Preston, 2009). Furthermore, these principles may not be enough in undertaking moral reasoning. Therefore professionals may have to employ some of the ethical theories which include theory of justice, teleology and deontology in deciding the best possible action for shore in the case study. Marge has been diagnosed with bipolar affective disorder, and the multidisciplinary ... ...s (RMO), Nurses, Occupational Therapists, Social Worker and Psychologist were alerted at the deterioration in Marges mental health in the hospital. Marges mood has now altered to a manic state. She was constantly laughing and doing Irish move in the ward. She had also been abusing alcohol and acting in a very flirtatious manner. This behaviour was completely out of character for Marge who is a solemn Christian with a reserved persona.Marge also neglected herself- not eating or washing. In the past when depressed, she has made suicide attempts and did not allowed health professionals into her high rise flat. During her last manic episode, she gave away large sums of money. Her judgement was impaired and did not comply with prescribed medication. Marge wants discharged but has no insight into her current manic episodes. So also, her children wanted her home

Monday, May 27, 2019

McDonald S Thesis

For example, Mange impecunious Food Corporation launched its new available harvest-festivals that truly its the Pi non palate, called Mange Nasal Halo Halo pi non-Kananga, creamy scrap, comp ard to its fountain desserts, which is now being loved by many of their customers. The company launched this product as a latest counterpart for those new products being produced by its bear on companies like Chocking, which recently launched their new varieties of regimens.However, the basis of winning Filipino consignment is not just lies upon the taste of the food, but more so, upon how the company values the immenseness of time to their customers, their status, financial capacity, and establishing a pleasant relationship with hem. In this age of commercialism, in an age where societies are depending upon the businesses of both small and big capitalists, food constancy occupies the fundamental and the dominating place in the market since its nature responds to the most basic and vital need of the people food.Everywhere, every corner of the streets in our nation, there are presence of food and beverage establishments establishments that played a role of great importance in the thick of an active society. In this age, where people are so engrossed by their jobs or anything that exhaust their mind, fast-food chain r mobile food services play an important aspect in put in for them to manage stress by experiencing an excellent dining phenomenon. Their goal is to provide the consumers with full satisfaction, starting from the time they enter into the store until they leave, according to the need of their satisfaction.Mange Nasal was first established in the t ingest of San Bernardino, California in 1940. Americans widely embraced their products until well-nigh(prenominal) branches were also established in different parts of the world. In 1981, a Filipino businessman named George Yen brought the name of McDonalds to the Philippines, and founded the first branch in Moray, Manila. Filipinos loved those varieties of products offered by the company, until branches were also launched in the Visas and Mindanao region.McDonalds also established their own gentle institution and received its first award in 1 996 for being peerless of the most profitable franchise in Asia. Today, the company continues in serving the Filipino people, launching a total Of 460 branches nationwide. But the challenger in the market is becoming more intense. Before McDonalds established in the Philippines, those growing companies such as Jollied, KEF, Tropical Hut and Mans Restaurant are beginning to gain foothold upon the heart of the Filipino.Everyone is promising full customer satisfaction everyone is launching their own variety of food that allow for surely captivate the rough-cut taste. Aside from this, new food companies begin to emerge offering some kind of foreign taste that will also suit the fates of the Filipino, such as Chocking. How then McDonalds handl e this the kind of fierce competition among food industries? How they will secure the loyalty of their customers from their rivals? On the other hand, what are those indications hat these customers are not loosing their loyalty to their company?This paper will discuss the current state of the McDonalds company on their buyers point of view. By conducting interviews and gathering available documents, the researchers of this paper presented sufficient entropy according to what has been required in the topic. Statement of the Problem Filipinos are well-known food lovers in the world. In fact, they have light meal times called Marianne time, a snack break-time different from those three meals being taken each day. These snacks or Marianne have usually taken teens lunch and dinner, or even before bedtime and during siesta at the middle of the night.Today, going to fast-food chains is becoming part of Filipinos fundamental wants, not just because of its mouth-watering foods and delightfu l toppings, but because of its affordability compared with those native delicacies. Their recipes are first widely recognized since the coming of foreign food varieties in the country. Their producers are hardly competing in the market, and among them, McDonalds is building up a sphere of great popularity in an outstanding speed, becoming peoples utterance more than TTS local petty counterparts, and establishing loyalty among its customers.The train of this paper is to define those indicators proving that some fast-food goers are now shifting their loyalty towards this American founded food company. These indicators are base upon interviews conducted both among store military group and customers. In order to establish this aim, the researchers divided this topic into six sub-issues a. Define the class of people who often eat McDonalds products. B. Discover the marketing plan of the company in order to win the taste of its current buyers. C. Discover the uniqueness of McDonalds p roducts compared to other fast-food sellers. D.Learn how the company maintains the loyalty of its customers. E. Know if the company has any other plans or schema in order to secure customer loyalty from the future changes of competition in the market and switching taste of Filipino people. Significance of the Study Since McDonalds is one of the fastest growing fast-food chain in the country, with 400 branches already established nationwide, earning a large number Of customers ranging from the common class of people up to some rich local ND foreign food lovers, this paper will provide the readers with information on how the company acquire and maintain loyalty among its customers.Readers should not expect any negative issues approximately the companys products, but rather we will discuss the bright side in terms of its market for the benefit of those who want to engage in the same food business. Other sectors that can benefit from this paper include the following A. Society The soc iety will know how McDonalds protagonists them to converge their hunger and financial capacity despite of their wants to taste delightful products at an affordable price.This paper will also provide them some significant information about the quality of products McDonalds are offering to them, including total satisfaction it had promised to their customers. B. Students of Entrepreneurial and Marketing Management Discussing the marketing plan and strategy of the company would be a great help for students taking up Entrepreneurial and Marketing Management since their effectiveness was already proven in the market.Since the company offers insufficient details about their plan and sales rate through the internet, he researchers of this paper exert all their effort to acquire some basic information through interviews conducted among the companys personnel and costumers so that the students will be informed about the secrets behind the products success despite the fact that it was just recently established compared to its counterparts. C.Small Fast-food Business Owners In the midst of intense competition in the market, particularly among food industries, this paper will help those small fast-food business owners to go along with those successful food businesses in winning the publics taste. They can acquire the ideas being presented in this paper, or at to the lowest degree add them with their unique ideas so that they may leave any peculiar mark upon those people who bought their product.The basic marketing strategy of McDonalds was proven to be effective, therefore adding any peculiar ideas to this strategy or some sort of ingredients to the product itself may help them to secure customers loyalty from the future changes in the market or from the constantly changing tastes of the people. D. Aspiring Business Beginners This paper will help not only those who want to be engaged in the food equines, but also those who are thinking a kind of business that will sur ely win the favor of the mass.People nowadays are becoming more practical in terms of financial matters without dropping their desire to at least experience some sort of luxury. Therefore, this paper will provide them such a business idea that will suit to the basic needs and wants of the common people at a very affordable price. Scope and Limitations This paper aims to show those indications of customer loyalty towards their favorite fast-food hangout despite the fierce competition among food industries.Since the topic focused on the relationship between the McDonalds Company and its customers, it is very important to present some documents concerning the companys sales and the customers point of view toward the products, based upon those information available through business periodicals, internet sources, and the target sales board being presented in a certain McDonalds branch. Because of this, the researchers sought the help of some employees in order to present important detail s in relation to the topic, because they believe that reaching the target sales of a retain branch indicates a positive response from its loyal customers.

Sunday, May 26, 2019

âہ“Death of a Salesmanâ€Â by Arthur Miller Essay

Death of a SalesmanDeath of a Salesman by Arthur Miller is a narration about American society, its expectations and attitudes that shape peoples lives. It is told through the lives of a salesman Willy, his family and several other people who, in some management, have an impact on them. Willy, who falls into his speculative word of the past frequently during the day, is regretful for some of his actions in the past that prevented him of becoming rich. Now, he wants his sons to succeed who are in their 30s and are of different characters.Although the musical style of the play is realism, the reservoir uses attributes of surrealism that help in developing the story. The protagonist of the play has an imaginary word that reminds him of his past thus helping the audience to count on the motives of his or his familys current actions. The play starts when Willy has already gotten into a trouble because of dreaming while driving which suggests that the play is not about an ordinary pers on. For the reader, the shift from earth to dreams of Willy is sometimes warned by the long speech of his or by the reaction of the people around him. As for the audience, there are visual effects that the author recommends for the play in order to illustrate his story clearly. in the scenes of the past these boundaries are broken, and the characters enter or leave a room stepping through a wall onto the forestage. Moreover, the play is full of symbols and diverse characters.The new critic would notice the significance of the physical bodys. Some of the names of the characters reflect to their personalities such as the name of the younger son of Willy whose name is Happy and he is careless and self-assured. Biff (which also means a hit, a clout), is the elder son who has a profligate relationship with his father. He goes against his fathers wish of getting a prestigious job in New York since he finds himself unfit for it. In untoward to his father, he finds his strength and sel f-esteem in the end of the play. However, the marxist critic would notice the positions and actions of the rich and poor. Uncle Ben who visits Willys imaginary world time to time is the familiar of his. He became rich after he went to Alaska, and this continues to disturb Willy end-to-end the play and has a huge impact on his behavior because he had overlooked the chance. Also, Willy face the bitter truth when he got fired from his job. Although, he had worked for the company for thirty-four years, he received no sympathy when he asked to stay and work in the town he lived in and be paid a small amount of salary. Consequently, he was worried that his sons wont think of him good and cypher will remember him. Because he thinks I am nothing, see, and so he spites me. But the funeral, Ben, that funeral will be massive Theyll come from Maine, Massachusetts, Vermont -I am known, Ben, and hell see it with his eyes once and for all The feminist critic would observe the behavior and the status of Linda who is the wife of Willy and how she was portrayed. She is caring and patient with Willy. All through the play, she takes the side of her conserve and encourages him. She is also presented as humble and tolerable towards their financial and social status. The only thing she dreams of is paying off the house mortgage and the bills so they can know a resign life. Despite these perfect traits, Linda is passive in her actions and lacks of understanding some situations and her husbands behavior. After the suicide of Willy, she says, Why did you do it? I search and search I cant understand it. I made the last payment on the house todayWe are free and clear Possibly, Willys suicide is part of the consequence of her character.In this play, Arthur Miller introduces a society by developing a story about a salesman and involving several other people. Ironically, those people have some impact on Willys fate and his family. Biff loses his self-confidence and drive when he disc overs his father with the fair sex. He fails math variety which becomes the foundation of his future failures and career choices. There is also Willys neighbor and his son Bernard who is a friend to Biff and a foil to Willy. However, nothing is told about Bernards life until Willy loses his job and meets Bernard on his way to borrow some money from his father. The author lines the scenes and the actions in a way that support in showing the psychological and emotional effects on Willy and Biff. Willy wonders how Bernard became successful, but his son is stillstruggling and they were childhood friends. Here Bernard reminds him of the math class which Biff failed and refused to continue after discovering his father with another woman. Although Uncle Ben is Willys brother who shows up in his imagination and gets into a conversation with him, his replies to Willy are more apt(predicate) Willys own answers and opinions about himself. The fact that he could not become more than a travel ing salesman and be known and respected is haunting Willy throughout his life. The author tries to show that Willys desires and attitude towards life had an effect on those around him and the other way around the people around him had an impact on his actions and fate. Consequently, this is how a society behaves.

Saturday, May 25, 2019

Robert Frost Selected Poems – ‘The Road Not Taken’ and ‘Stopping By Woods On A Snowy Evening’ – Analysis and Appreciation

Robert freezing was born in San Francisco on the 26th March 1874 and died on the 29th January 1963 in Boston. He was champion of Americas leading ordinal century poets and won many awards and honours, including four Pulitzer Prizes.When Frost was eleven, he moved to New England, where his inte reliever in poetry came during his high school years at Lawrence, Massachusetts. He studied at Harvard from 1897 to 1899, although he did not get a formal degree. During his life, he went through many occupations such as working as a teacher and cobbler. He also managed a farm that his grandfather had bought him, only if when this failed he decided to sell it and used the m unrivaledy to eat his family to England, where he could devote his time to writing poetry. By the time he returned to the United States in 1915, he had written and published a number of collections and became unrivaled of Americas on the nose about celebrated poets. With each new book including Mountain Interval (19 16), New Hampshire (1923) and Steeple Bush (1947) fame and publicity amplified.I do not read much poetry, although I particularly favour the writings of Robert Frost. Many of his poems including The lane Not Taken and stopping By Woods On A snow-clad Evening focus on images and descriptions of the subjective world. How constantly, they in the first place concentrate on conveying a much deeper, more intense message. The teachings of Robert Frost argon often genuinely emotional. I truly much stupefy a go at it reading his poems and trying to interpret their true meanings. I found that writing this es express make me understand the poems that I had already read many times even more clearly.The Road Not Taken is a very thoughtful and meaningful poem. The traditional but experimental and unique verses attract reviewers to the poem, as they are different from other poems. When first read, The Road Not Taken precipitates across as a simple poem base on intricacies of nature. It is clear from the first stanza that it is a poem that aims to paint a detailed picture of a peaceful channel that leads into a discolor wood. However, with further readings and analysis, one can easily mind that there is a much vigorouser, deeper meaning behind the smoothly woven words, cat valium in many of Frosts poems. The poems appeal lies in the lengthy metaphor and extended imagery, devices used very strongly to convey an important message about the twists and turns of life. The Road Not Taken is Frosts portrayal of the challenging choices that one is forced to fasten in life. I believe that every reader can relate to the poem and although the message is very strong, it is quite easy to interpret as its readers can equalize the poem to their own experiences.As the narrator is walking, he encounters a fork in the road. Both the roads ahead diverge in a yellow wood. The uninvited predicament causes him to pause and carefully ponder over his choices long I stood. He h as no desire to quickly rush into a decision and complimentss to be sure as to which road he takes. He looked down one as far as he could, to help him make his decision as to which road he ordain take, but both bend international into the undergrowth. If the reader compares this stanza to real life, they can see that the narrator has come to a point in his life when he has to make a very important decision. He has two choices in front of him that, at a glance seem very much alike (both diverge in a yellow wood). He calmly gathers his previous experiences and resources, showing that he is very much a perfectionist. However, he is unable to find any help that depart give him an insight into the future. In life, we try to determine the outcome of our choices but it is very unlikely that we will be able to say exactly what will happen to us we can only depend on assumptions based on our previous experiences and any insight we may aim on other peoples experiences.After looking down the second road and finding that it was just as fair, the narrator decides to travel through it because it was grassy and wanted wear. Once he had taken the road and begun travelling, he realised that the sack there had worn them really about the same. Taking the road less travelled by describes his someoneality. He seems to be an individualist and does not wish to take the more commonly used path and be influenced by other travellers experiences. By taking the less commonly used road, the traveller sums himself up as being adventurous and daring, he is not afraid to try new things and likes to take risks and gambles. However, when he realised that other people had also been bold fair to middling to take the less-travelled road, he may energize felt a bit let down. Every reader can relate to this sort of situation. We all want to be unique, and want to boast about being brave enough to try something new. However, most probably there will be someone who has tried and true it b efore us.In stanza 3, it is clear that both roads equally lay and that there was not a less-trodden road. However, the man tries to convince himself that there is a contrast in the two roads. He wavers slightly as he realises that his initial interpretation of the two roads was somewhat inaccurate, but retrieves his confidence by motto that he will return to the fork sometime in the future Oh, I kept the first for another day to see where the first road will lead him. At this point, the reader is introduced to the travellers ego as he shoos away the truth that he could be wrong, by saying that it doesnt matterhe can ceaselessly come back if things do not go to plan. Yet knowing how way leads on to way/I doubted if I should ever come back. Here, he acknowledges the vinegarish realities of life, which do not allow one to trace their footsteps back to the origin. All people when making a choice, say that they can always try the other option later on if need be. Frost teaches in l ines 14 and 15 that, in life and the jaunt through the woods, there will be many other forks where new choices will have to be made. There will almost certainly never be time to return to the same spot again.The narrator is walking through the road not taken and looks into the future with a sigh. He wonders what it will bring will he be successful and reach his destination or not? There is an element of doubt in his mind what if? What if he had taken the more common road, what would have happened? When people make choices in life, they always question the future. They hope that what they are doing will result in victory. If one succeeds in their goals, the chances are that they will never look back. On the other hand, if one does not attain their goal, they remember the other options they had and wish that they had chosen one of those, even though that may have also not worked.The traveller continues to think about the future as he walks and meets other forks (challenges), and co nsiders what he will tell people about his choiceTwo roads diverged in to a yellow wood, and I I took the one less travelled by,And that has made all the differenceStopping By Woods On A Snowy Evening comes across as very pensive and serene, describing, as many of Frosts poems do, fluid images of nature. Although the poem does not have any direct metaphors and similes, there is a clear use of extended imagery which is the main poetic device in the poem although it takes a couple of reads before one can see it, unlike the subject of nature which can be seen in the first a few(prenominal) lines. It is a beautiful poem with a very strong message about life and how it forces people to work and strive away until there is zippo left to fight for.The first stanza enlightens the reader of the setting and mood of the poem. A man is travelling through woods when he stops to observe the natural world around him. He knows the person whose woods these are and knows that his tin is in the vil lage. The poets tone and mood appears dismal as he states that the person in the village will not see me stopping here/To watch his woods fill up with snow, although he does not jotting wherefore this could be. From this verse, the reader can gather that the narrator is trying to reach a destination, his tone and mood suggesting that maybe he does not wish to go there. The woods are obviously special to him as it causes him to pause at such a desolate place on a snowy evening. The line, His house is in the village, though, indicates that the woods are away from the village and any civilisation. The woods are lovely and peaceful, but they are isolated too.In stanza 2, the reader can identify some examples of extended imagery. The cold-bloodedness of the night (frozen lake) and description of it being the darkest evening of the year may describe the way he feels as well as his surroundings. My little one dollar bill may think it queer/To stop without a farmhouse near indicates tha t the poet is aware that he does not have time to stop and stare at the woods filled with snow, even though he does not want to leave. In life, people are always busy doing things. They often wish to stop and reflect, yet the demanding circumstances around them forbid them to do this, and they are forced to battle away with the day-to-day chores. Stopping By Woods On A Snowy Evening seems to give this sort of message.In stanza 3, the man has still not moved on and his horse is worthy more and more confused as to where they are. He gives his harness bells a shake/To ask if there is some mistake. The horse keeps hurrying Frost by shaking his bells, upsetting the narrators thoughts and short break. Even in such a beautiful, soothing place, where the only other sounds the sweep/Of easy wind and pubescent flake, the traveller is not free from interruption and disturbance. One can easily relate to this when people try to relax for a little while, away from all the work, others around t hem seem to think that he or she is being lazy and hurry them along. In the same way, the horse cannot understand as to why Frost is not doing anything, even though it is so cold and dark.The traveller conveys his feelings towards the woods, saying that they are lovely, dark and deep. However, he sadly sighs, admitting that he cannot gruntle as he has promises to keep/And miles to go before I sleep. Maybe the journey that the traveller is travelling through is the journey of life, the one common journey that all human beings have to travel. He has made many promises and has many goals that he wants to achieve in life. Frost implies that it will be a long time before he sleeps, sleep maybe being a metaphor for death as this is really the only time when one is free from the daily circle of work and unrest.In Stopping By Woods On A Snowy Evening the description of the night being cold and dark emphasises the fact that even in the most impossible situation, one has to struggle on and o n until the end. The poem shows that even an animal like the travellers horse will hurry you if the work is not done. Also, the choices that one makes in life have to be achieved if success is to be met. No matter what happens, humans have to keep on fighting all the problems and distractions until everything is done. In life, people find rest and freedom very late in life. By the time they have finished all the work and attained all their goals, they are very old and probably cannot enjoy the good things life has to offer. True happiness and rest comes only with death. I think that Frost tries to convey all these messages through the profound images in the poem. I like Stopping By Woods On A Snowy Evening very much, as the multi-layered and poignant messages, in my mind, hold a lot of truth. The emotional and passion-arousing teachings give the poem a very strong identity and cause me to stop and reflect, while comparing them to my own experiences.When comparing The Road Not Taken and Stopping By Woods On A Snowy Evening, I find that they are very similar in a number of ways. In both the poems, the woods encountered are travelled into unintentionally. For example, in The Road Not Taken the man is walking when he suddenly faces a fork in the road that leads into yellow woods. In Stopping By Woods the traveller is travelling on horseback on a snowy, dark evening as he passes peaceful, wild woods that belong to someone in the village. This could be a metaphor for unknown, unfamiliar circumstances.Even though one would think that the narrator is a different person each time, both travellers seem very similar. The traveller that takes the road not taken is different from others. He seems to be a cool, level-headed, unbiased man who likes to take risks and try new challenges. The man who encounters the woods on a snowy evening is also different from others. Despite the cold and darkness, he insists on staying in the woods for some time. He loves the sense of forsa king and loneliness and wants a break from the hustle and bustle of work. The dark and deep woods seem to reflect on him, revealing his dark emotion and skill of character. Both men are peculiar in their actions and views when compared with the majority of people, their deep thinking much the opposite to most of the impulsive minds of today.Both of the poems written by Frost have the use of extended imagery, giving them the Robert Frosts poetry stamp straight away. Although the poems themselves are simplistic, plain and candid, they have very deep, significant and emotional messages, which teach readers the harsh realities of life. The poems provoke and challenge ones existence, bringing the true meaning of his words home to the reader, making them so beautiful and unique in their way.

Friday, May 24, 2019

Public Relations & The Impact of New Media Essay

Public Relations is a pivotal part of any phone line because it is the most direct communication between the business and the semipublic. For a business to enjoy long term success it has to have the ability to evolve and adapt with the ever changing trends of the public in order to understand the ineluctably and concerns of the general public. Author and entrepreneur Deirdre K. Breakenridge (2008) states in her book PR 2.0 New Media, New Tools, New Audiences that Its critical for PR professionals to read, be knowledgeable, and stay exceedingly well versed about the markets their brands try to reach. The 20th century brought TV, radio, and the Internet, which greatly electrical shocked the practice of Public Relations. But just as these media bring brought impact and change to the practice of public dealings then, so will the rise of untested media in the 21st Century.With the emergence of many new online communication tools and channels due to the technological advancements o f our time, public relations practitioners can no longer rely solely on traditional media to channel their mess seasons. Today new media has been prize as one of the strongest forms of channelling messages across to the public. It is extremely vital that PR practitioners learn, explore, and understand the use of new media and the roles it can play in public relations ladders. This canvass will examine the roles new media play in public relations campaigns and what the prevalence of new media imply for PR practitioners.Today new media is at the affection of companies public relations and marketing initiatives. One of the roles of new media in public relations is to build efficient and effective communication between public relations practitioners, or an organization they represent, and the antithetic specific public groups they ar trying to reach. Public relations practitioners rely on the tools and channels that new media provide for different purposes, all of which are part of effective communication and connecting with the public. Some of the purposes include building or maintaining relationships, garnering support and reputation, gaining feedback, delivering certain messages or news.In this day and age it has become essential for public relations to engage in continuous dialogue with the public. As the ways in which people transmit and receive discipline are rapidly evolving so must the ways in which PR interacts with the public. With new tools that are open to PR practitioners for communicating like E-mails, websites, digital/online newsletters, blogs, viral marketing, search engines, live conference calls, RSS and podcasting. (Aronson, Spetner and Ames, 2007, p. 1), new media provides enhanced information delivery systems and granting everyone with easy access to vehicles of visual modality communication. Theaker (2008) indicates that Websites are already regarded as a mainstream gene of corporate communications, and PR practitioners should be inv olved when clients set up websites,. The Internet provides the unique opportunity for people of all ages to acquire, digest, and understand a message finished images, graphics, video, audio and other visual displays which the traditional media could not put together to effectively communicate. (Macky, 2011, p. 1).In addition to its use for connecting with the target public. New media can overly be used in public relations for connecting with media outlets. Many trade publications, magazines and bloggers run blogs, Twitter accounts and Facebook pages for their news source. Majority of the latest news and cultural trends are carried on social networks and micro blogging services like Facebook and Twitter. Fitch (2009) states that blogs have value as research tools in that they offer an insight to the complexity, subtlety, diversity, and the contradictions and lack of viscidity in public opinion. Public relations practitioners would find that staying connected with the mass public through these channels would effectively increase their knowledge and understanding of the latest trends and happenings that people are talking about or are heavily influenced by. This particular role plays an important part in the strategies and tactics of how a public relations practitioner would carry out a campaign or defend it in a time of crisis.KFCs 2010 scholarship tweet campaign was a great example of how effective new media can be in the practice of a public relations campaign. With 2.5 million college scholarships awarded every year in the U.S., KFC decided it had to cook up something innovative to stir buzz around the brands 75-scholarship Colonels Scholars program. KFC collaborated with Weber-Shandwick to reach out to a young generation by employing trendy social media strategies. KFC and Weber-Shandwick decided to do away with the tired old college scholarship essay and award students a $20,000 scholarship base solely on a single tweet to convince KFC execs why they deserved a scholarship.The scholarship tweet campaign generated to a greater extent than 1,000 media placements and tens of millions of media impressions, including two AP outfit stories, multiple stories on CNN Headline News, MSNBC, The Weather Channel and NBC national news. The program also captivated the online world, generating more than nine million social media impressions as a result of tweets during the brief entry period. In all, more than 2,800 applicants tweeted for their chance at $20,000, and the KFC Twitter clasp saw a 20% jump in following in just two weeks.But with the rise of new media on the internet, there is now a much greater ethical responsibilities with how PR practitioners handle the use of these tools. Qualitative as well as quantitative analysis is required because reported case studies indicate that some organisations and companies are attempting to engage in the what is now termed Web 2.0 social media environment using traditional methods of one-way in formation transmission and a control paradigm of communication characteristic of mass media (Gregory, 2004, p. 246).For example, some public relations departments and agencies have created fake blogs such as Wal-Marting Across America. In the former case, public relations firm Edelman created an organisation called running(a) Families for Wal-Mart which published a blog in which Jim and Laura allegedly reported their personal adventures driving across America in an RV which happened to include regular visits to Wal-Mart stores. new(prenominal) bloggers including Wal-Mart Watch and later BusinessWeek quickly detected falsity and revealed that the couple were employed by Edelman on behalf of Wal-Mart (Wal-Mart,Edelman flogged for blog, 2006). Wal-Mart and Edelman Public Relations were severely criticised for the fake blog and creation of the fake organisation, referred to as astro-turfing (Gogoi, 2006).And so with New media, many changes have been introduced to the practice of publi c relations in multiple ways. Most significantly in the shift from one-way PR communications to a two or multi-way communications. New media has also affected how PR professionals engage and interact with the traditional media newsperson especially with those who blog. Immediate access to reporter blogs allow for tracking of reporter interests and beats and this information leads to a more familiar, personalized dialogue in parity to the traditional pitch. As more new media tools and techniques emerge, the public relations profession will continue to shift and incorporate the new practices. In the meantime, although new media requires more resources in terms of time, if offers more tools to expand reach of messages and programs.ReferencesAronson, M, Spetner, D and Ames, C. (2007). The Public Relations Writers Handbook The Digital Age.Breakenridge, D. (2008). PR 2.0 New media, new tools, new audiences.Fitch, K. 2009. New Media and Public Relations in Chia, J. and Synnott, G. An In troduction to Public Relations.Gogoi, P. (2006, October 9). Wal-Marts Jim and Laura The real story. BusinessWeek. Retrieved from http//www.businessweek.com/bwdaily/dnflash/content/oct2006/db20061009_579137.htm?campaign_id=rss_innovateGregory, A. (2004). Scope and structure of public relations A technology driven view. Public Relations Review, 30, 245-254.Macky, M. (2011). Corporate Communication & The New MediaTheaker, A. (2008). The public relations handbook. Chapter 20 Using New Technology Effectively in PR

Thursday, May 23, 2019

Geography Assessment Fertility and Mortality

1. Suggest & relieve why, within a country, crude surrender pace varies everyplace time. do named samples and evidence to support your answer.In the 19th century closely countries had a very high birth graze. Since accordingly diametrical countries birth rate has changed and this is principally because the government implement different polices towards their sodium carbonateulation.One set of polices is a pro-natal view and this encourages the population to demand children and fertility is promoted. One reason for increasing fertility is to bushel for wartime losses for example France in 1918 after the First World War. Germany additionally applied a pro natal strategy to promote Nazi Germany as they wanted to encourage a particular race in pursuit of racially motivated polices. Also, in Japan they want to preserve the labor draw from an ageing population and recently they wipe out seen a rise in the birth rate for the first time in six years.Governments impart beside s applied two types of Anti-natal policies to their country and these can be either voluntary or coercive. Voluntary polices include spreading information about family planning clinics with funding form the World Health Organization. They reach out to try and persuade the population to keep be let out a true number of children. The earliest examples be in India and Pakistan and now Indonesia is following in their footsteps with setting up 2000 family planning clinics.However some governments turned to an involuntary anti-natal form _or_ system of government, Chinas one child policy is an example of this but researchers be realizing today that even though it may allow been strict at the time they have come to understand that it has had very belittled impact on the population at all. China had and is stilling having a major population crisis. It was introduced in 1979 and if families followed this policy they received free study, health share, pensions and family benefits but these would be taken away if the couple has more than one child.However, the scheme has caused a number of problems in China. This is particularly the case for hundreds of thousands of young females. Many thousands of young girls have been abandoned by their parents as the result of the one child policy. This is because many parents in China prefer to have a boy to carry on the family name. As a result large numbers of girls have either ended up in orphanages, homeless(prenominal) or in some cases killed. The policy has had little impact on the population, it was already decreasing from 1970 1979 and had dropped from 34 per 1000 to 18 per 1000 and is now 14 per 1000. It has only gone fling off 4 per 1000 over 28 years and it has been resisted strongly by the populate especially in rural areas as in that respect are not decorous concourse to work on farms.There have also been some changing polices for example in Singapore. From 1965-1987 they introduced a stop at two campaign this was intentional to improve the quality of life for the Singaporean people as the live on such a small island. However the scheme changed dramatically as the government saw the population was the only asset it had. Advance in technology have allowed Singapore to do well in the global miserliness this is also because of its highly educated population. However now the fertility is continuing to drop and is starting to go into an ageing population. To try and increase the TRF they have introduced incentives for more children and the baby bonus scheme. This includes things such as when have a second child the government will open a children development billhook and money will be added to the account. Governments mainly influence the birth rates within a country because of the different policies they set in place.2. Suggest & explain reasons why crude birth rates vary between countries at different levels of scotch developmentThere are many reasons why birth rates vary between co untries which are at different levels of economic development. LEDCs tend to have very high birth rates and this is because of lack of education about family planning and contraception. In places such as Tanzania there is no access to contraception and therefore the birth rate is high at 39 per 1000. In MEDCs contraception is widely available and there this will make the birth rate decrease. You are able to buy all forms of contraception and in MEDCs people are very well educated on them and how to use them.Also, in LEDCs children are economic assets the more children you have the great income the family will gain. This is because at a very young age children are able to work on farms and earn money for the family. However, in lay day this is even seen less in LEDCs as more and more children are trying to go to school to get an education. Where as in an MEDC children are known as economic burdens, they do not start working until 18 and live off there parents until then. Children in MEDCs expect a lot more in there youth such as a good education, clothes, pocket and the general living expenses for food and clothes is much more expensive than in an LEDC.another(prenominal) reason that birth rates are very high in LEDCs compared to MEDCs is because there is a high infant mortality rate in most LEDCs. Sierra Leone has an infant mortality rate of 160 deaths per 1000 live births. This means that the more children a woman has then there is greater detect of survival for one of them to grow up till adult level. This is generally because of the lack of medical checkup care available in LEDCs where as in a MEDC there is easy access to medical attention. Most babies die of malnutrition or malaria and these are both easy dealt with in an MEDC however it is much more unvoiced in a place such as Kenya.In MEDCs there is lower birth rate because womens role society has changed over time. In present day a lot of women are going through higher education onto university and ready to start careers before settling down. This leads to having children later when they are senior which to there fertility window being limited or not at all. Womens role in society is also linked very closely to children go economic burdens. Couples cannot afford having a lot of children as it is too expensive leading to smaller families with fewer children.However, the difference between LEDC and MEDC birth rates are becoming more alike. Since 2000 the total fertility rate in LEDCs are dramatically decreasing. In 2000 Ethiopias the TRF was 7.07 and now in 2007 this has decreased to 5.10 and the same is natural event in Saudi Arabia going from 6.39 children down to 3.94. However, MEDCs birth rate is also decreasing and going into an ageing population, Finland going from a Total Fertility rate of 2.04 down to 1.73 showing that the rate is now below replacement level.3. Suggest & explain why, within a country, crude death rate varies over time.In the UK the death rate has been fluctuating since the beginning of the 18th century. The death rate was steady decreasing in the second half of the 18th century however, in the start of the 19th century this started to change. Firstly, there was a war in France although this death count was nothing compared to the deaths caused by the potato famine in 1845 over 1 million people died from starvation and disease in Ireland because of failure of the potato crop. However the death rate continued to rise from the outbreak of epidemic cholera in 1848 when over 13,000 people died. At the time there was no cure for the disease and no body new the cause of it.Before 1820 a lot of the population was insolvent and was dying because of starvation however since 1760 major advances in agriculture was made. Selective breeding was starting to occur and was soon producing superior animals. recent vegetable such as carrots were being grown and the land was becoming much more productive. This then had a reflection on the life an tepast and was now more than 40 years.However, social class was definitely affecting the death rate. Research has shown that more affluent areas had a lower death rate than working class and this could be linked to poorer housing conditions which meant that disease is able to spread quicker and affect more people. In 1843 the life expectancy in Manchester was just 24 years old and with the over crowding and lack of hygiene allowed many diseases to multiply such as tuberculosis and typhus fever. water system system became very contaminated and people would drink this and become very sick.Nevertheless, medical developments started to be discovered and soon enough a cure for smallpox was found. dinky pox was responsible for over 21/2 million people a year and 1 in 13 children would die from it, it was the worlds most feared disease. Since then medical care kept improving and they established anesthetic for operations and penicillin to kill bacteria. National Health Service was introdu ced in 1948 to cover the populations medical needs.In the 20th century the death rate continued to decline despite the wars and weapons and the life expectancy had risen to 75 years. However, now we have new medical issues to worry about since AIDS is the new feared disease and cancer seems to be striking more and more.However, within a country certain ages migrate to certain areas of the country for example there is a higher death rate in the south coast of England because there are lots of retirement centers down there and many people of the older generation move there for the scenery, quietness and relaxation as they do not want to retire in a city.The futures death path is undecided no one can predict what will happen. With the UK now becoming the fattest nation in Europe it seems that they have fight obesity as well. Two-thirds of men and almost 60% of women are unhealthily heavy and if nothing changes, nearly a third of boys and girls aged under 11 will be overweight or obese by 2010. With unhealthy diets, little exercise and fast food it seems like the new epidemic to bilk is obesity.4. Why do crude death rates vary between countries at different levels of economic development?Death rates between countries with different levels of economic development because of many reasons. Firstly, in LEDCs there is a much higher death rate than in MEDCs, one reason for this is access to wash water, sanitation and a reliable food supply. MEDCs have a much more reliable food supply than countries such as Ethiopia and because of this many people there die of starvation or malnutrition. The developed world has more money and infrastructure to control sewage and water filtration to make sure that water is clean and drinkable. Food has become more widely available with reliable with application of fertilisers, pesticides and agro-chemicals. In MEDCs the land area required to grow crops has decreased easily yet the yield outputs have increased also intensive farming met hods have been introduced such as the green revolution in the EU.Also, medical care in MEDCs is of a higher standard compared to LEDCs. More and more vaccinations are being introduced in MEDCs to prevent diseases and this also helps to lower the infant mortality as well as the death rate. People in MEDCs also have a higher life expectancy which lowers the death rate as people are living for longer.Disease control shows the development and access to medication. If there is good access to medical care then there is a low number of population per doctor. Somewhere such as the UK with 300 pop per doc has a better access to medical care than Ethiopia with a pop per doc of 32 499 Advances in medical technology have also helped reduce the death rate such as keyhole surgery and antibiotics.Also, some countries have a National Health Service such as the UK this means that any medical attention is free. Many LEDCs do not have this and a lot of the population cannot afford doctors which theref ore mean there is a greater risk of dying from curable diseases.

Wednesday, May 22, 2019

Organizational Quality Improvement

Various methodologies exist for the integration of select improvement strategies into performance improvement measures. With concepts of total quality management (TQM) and quality improvement (QI) being introduced to wellness cargon organisations administrators have had to decide which methodology is right for the organization. There argon numerous methodologies Six Sigma, dispose, and Customer Inspired Quality. Each has its own pros and cons. A primordial component of quality improvement is the technology that gathers and comp bes the data that the quality improvement measure produces.All of the information that is gathered from the technology toilet be benchmarked against different health pull off organizations. Numerous methods exist for the integration of quality improvement into the health care setting. The Six Sigma model was pioneered by Motorola. This method focuses on reducing variate through a problem solving approach that will improve the quality of the output. Th e fundamental objective of the Six Sigma methodology is the giveation of a metre based strategy that focuses on process improvement and the reduction of variance.The Six Sigma method does through the DMAIC process (define, measure, analyze, improve, and control). The DMAIC process is an improvement system for existing quality processes that fall below specifications and need to be improved in increments. Lean Thinking was used by Toyota as a key in its success. The Lean method strives to reduce waste and to improve performance through causeflow. The Lean method is concerned with driving out waste so that all work adds value to the product and serves the customers needs.Lean thinking identifies all steps in a process and identifies them as value-added or non-value-added steps. All non-value-added steps are then withdraw to prevent waste in the process. Customer Inspired Quality was patented by Shaw Resources in 1992 and this methodology focuses on work processes that have direct clash on the care and aids that are provided in a infirmary. This method identifies, defines, analyzes, and improves the quality and effectiveness of processes in the health care arena. This method uses techniques from the other methodologies.Pros and cons of QI methods. Pros and cons exist in all of the methods for quality improvement. Some of the pros of the Six Sigma method are Six Sigma places a heavy importance on leadership and its aliment for the success of the project, Six Sigma integrates the human elements (culture change, customer focus). The Six Sigma method uses the concept of statistical thinking and encourages the application of proven statistical tools and techniques for reducing variability. The cons of Six Sigma methods are having quality data available. In a new process where there is no data available to begin with can be discouraging.The solutions that Six Sigma proposes are often expensive and only small parts of the solution can be implemented. In Six Sigma methodology the selection of the right project is vituperative to success. Lean thinking has pros and cons overly. Organizations that have adopted Lean double their productivity, cut their production and reduce their inventory that is normally kept on hand. Employees that work in a Lean environment have a clear objective of what is expected of them and are interrupted less. The Customer Inspired quality model deals with the service industries, primarily the Health care industry.The pros of this model are that the process improvement efforts are prioritized from the customers perspective. The methodology is service friendly and all of the hospital staff is back up to provide their input. This methods con is that the method is structured primarily for health care organizations. Florida Hospital uses the Six Sigma method for quality improvement because it provides the best opportunity to implement best practices that have been identified. Information Technologies for Quality Improv ement Information technology is a large part of the quality improvement methods that a health care organization uses.Florida Hospital uses melodic line Objects which is a software company that specializes in business intelligence. Business Objects has components that provide performance management, planning, accounting, query and summary, and enterprise information management. The Business Objects Enterprise can track report instances that will trigger alerts. These reports are created by Crystal Reports and have parameters that can be modified to perform analysis on the data. The customer can set alerts that trigger when certain conditions are met or not met by the data.The data can be customized to show in charts. Further customization allows the customer the chance to drill down into the data. Other information can be obtained from technology. Information technology allows data to be displayed in a dashboard or a scorecard. Dashboards are tool that monitor the ongoing performa nce of a process. A dashboard tracks data in real time. Scorecards report on past performances and generally focus on outcomes rather than processes. All of these applications can be used by administrators to track the quality improvement processes of the organization.Administrators can design the scorecards or dashboards to display the information that is important. Benchmarks and Milestones Benchmarking is the process of comparing ones business processes and performance metrics to industry bests or to best practices from other industries. Benchmarking involves management identifying the best in their industry and comparing the results and processes of those studied to their own results and processes. Benchmarking compares the organization to its competitors and defines how the competition performs erupt.By better deriveing how the competition is meeting their standards, the healthcare organization can then set goals for themselves. Benchmarking can be used to improve patient of satisfaction. Using the website hospitalcompare. hhs. gov an organization can see how satisfied their competitors patients are. Benchmarking can also be used to improve the core measures that the Joint Commission measures. The outcomes of acute MI, pneumonia, heart failure and surgery can be compared to their own. If the competition is performing better on one of the core measures, the organization can then set their own goal based on the competition.Potential benchmarks that Florida Hospital will strive for are improved core measures at 90% for pneumonia, Acute MI, heart failure and surgical care. Another benchmark that Florida Hospital will strive for is to improve patient safety. The hospital will continue to implement the processes that support the Joint Commissions National Patient Safety Goals. The hospital will implement CPOE (computerized provider order entry) and the hospital will begin to extend the goals to the ambulatory services. The third benchmark is to enhance the p atient experience.The hospital will use the DMAIC model to understand and support the emotional, spiritual, and clinical needs of the patients. Florida Hospital will use different methods for their performance improvement plans. The hospital will use combinations of Six Sigma and Lean thinking. The hospital will use data from Crystal reports to display balanced scorecards and dashboards. The dashboards will be divided into the Extending Excellence Elements (Team, Clinical, Service, Market, and Finance). The hospital will use this information in conjunction with information from benchmarking data to monitor their quality improvement plan.ReferencesDlugacz, Y. D. (2006). Measuring Health Care Using Data for Operational, Financial, and Clinical Improvement. San Francisco, CA Josey-Bass.Florida Hospital. (2010). Florida Hospital Orlandos most Preferred Hospital. Retrieved from http//www.floridahospital.com/default.aspxInsititute for Healthcare Improvement. (2010). A resource from the In stitute for Healthcare Improvement. Retrieved from http//www.ihi.org/ihi Ransom, E. R., Joshi, M. S.,Nash, D. B., Ransom, S. (2008). The Healthcare Quality BookVision Strategy and Tools (2nd ed.). Chicago, IL Health Administration Press. U.S. discussion section of Health Human Services. (2010). Hospital Compare. Retrieved from http//www.hospitalcompare.hhs.gov/United States Department of Veterans Affairs. (2010). Quality Enhancement Research Initiative. Retrieved from http//www.queri.research.va.gov/default.cfm

Tuesday, May 21, 2019

Diwali – Festival of Lights

Diwali(also spelledDevaliin certain regions) orDeepavali,1popularly cognize as the fiesta of visible lights, is an important five-day fiesta inHinduism,Jainism, andSikhism, occurring between mid-October and mid-November. For Hindus, Diwali is one of the most important festivals of the form and is preserved in families by acting traditional activities together in their homes. Deepavali is an official holiday inIndia,2Nepal,Sri Lanka,Myanmar,Mauritius,Guyana,Trinidad & Tobago,Suriname,Malaysia,Singapore,3andFiji. The name Diwali is a contraction of Deepavali (SanskritDipavali), which translates into course of lamps. 4Diwali involves the lighting of sm exclusively clay lamps (diyasordipas) inSanskrit ) fill up with oil to signify the triumph of proficient oer evil. During Diwali, all the celebrants wear new clothes and divide sweets and snacks with family members and friends. Most Indian business communities fuck off the financial year on the first day of Diwali. Diwali comm emorates the give way ofLord Rama, along withSitaandLakshman, from his fourteen-year-long exile and vanquishing the demon-kingRavana.In joyous celebration of the return of their king, the people ofAyodhya, the Capital of Rama, illuminated the land with earthendiyas(oil lamps) and burst firecrackers. 5 In Jainism, Diwali label the attainment ofmokshaornirvanabyMahavirain 527 BC. 67In Sikhism,Deepavalicommemorates the return ofGuru Har Gobind JitoAmritsarafter waiver 52 Hindu kings imprisoned in FortGwaliorby defeating EmperorJahangir the people lit candles and diyas to celebrate his return. This is the reason Sikhs also refer to Deepavali asBandi Chhorh Divas, the day of exempt of detainees.The festival starts withDhanterason which most Indian business communities begin their financial year. The second day of the festival,Naraka Chaturdasi, tag the vanquishing of the demonNarakabyLord Krishnaand his wifeSatyabhama. Amavasya, the third day of Deepawali, marks the worship ofLaks hmi, the goddess of wealth in her most benevolent mood, fulfilling the wishes of her devotees. Amavasya also tells the legend of LordVishnu, who in his dwarf incarnation vanquished theBali, and banished him toPatala.It is on the poop day of Deepawali,Kartika Shudda Padyami, that Bali went topatalaand took the reins of his new kingdom in there. The fifth day is referred to asYama Dvitiya(also calledBhai Dooj), and on this day sisters catch their brothers to their homes. - Spiritual significance In separately legend, myth and story of Deepawali lies the significance of the victory of well over evil and it is with each Deepawali and the lights that illuminate our homes and hearts, that this simplistic truth finds new reason and hope.From darkness into light the light that empowers us to commit ourselves to good deeds, that which brings us closer to divinity. During Diwali, lights illuminate every corner of India and the scent of worsen sticks hangs in the air, mingled with the sounds of fire-crackers, joy, togetherness and hope. Diwali is celebrated around the globe. distant India, it is more than a Hindu festival, its a celebration of South-Asian identities. 5 magic spell Deepavali is popularly known as the festival of lights, the most significant spiritual meaning is the sense of the sexual light. Central to Hindu ism is the assertion that there is something beyond the physical body and approximation which is pure, infinite, and eternal, called theAtman. The celebration of Deepavali as the victory of good over evil, refers to the light of higher knowledge dispelling all ignorance, the ignorance that masks ones true nature, not as the body, entirely as the unchanging, infinite,immanentandtranscendentreality.With this awakening comes compassion and the awareness of the oneness of all things (higher knowledge). This bringsananda(joy or peace). tho as we celebrate the birth of our physical being, Deepavali is the celebration of this inner(a) lower . While the story behind Deepavali and the elbow room of celebration varies from region to region (festive fireworks, worship, lights, sharing of sweets), the essence is the analogous to rejoice in the Inner Light (Atman) or the underlying Reality of all things (Brahman).Diwali Festival of LightsDiwali(also spelledDevaliin certain regions) orDeepavali,1popularly known as the festival of lights, is an important five-day festival inHinduism,Jainism, andSikhism, occurring between mid-October and mid-November. For Hindus, Diwali is one of the most important festivals of the year and is celebrated in families by performing traditional activities together in their homes. Deepavali is an official holiday inIndia,2Nepal,Sri Lanka,Myanmar,Mauritius,Guyana,Trinidad & Tobago,Suriname,Malaysia,Singapore,3andFiji. The name Diwali is a contraction of Deepavali (SanskritDipavali), which translates into row of lamps. 4Diwali involves the lighting of small clay lamps (diyasordipas) inSanskrit ) filled with oil to signify the triumph of good over evil. During Diwali, all the celebrants wear new clothes and share sweets and snacks with family members and friends. Most Indian business communities begin the financial year on the first day of Diwali. Diwali commemorates the return ofLord Rama, along withSitaandLakshman, from his fourteen-year-long exile and vanquishing the demon-kingRavana.In joyous celebration of the return of their king, the people ofAyodhya, the Capital of Rama, illuminated the kingdom with earthendiyas(oil lamps) and burst firecrackers. 5 In Jainism, Diwali marks the attainment ofmokshaornirvanabyMahavirain 527 BC. 67In Sikhism,Deepavalicommemorates the return ofGuru Har Gobind JitoAmritsarafter freeing 52 Hindu kings imprisoned in FortGwaliorby defeating EmperorJahangir the people lit candles and diyas to celebrate his return. This is the reason Sikhs also refer to Deepavali asBandi Chhorh Divas, the day of release of detainees.The festival starts withDhan terason which most Indian business communities begin their financial year. The second day of the festival,Naraka Chaturdasi, marks the vanquishing of the demonNarakabyLord Krishnaand his wifeSatyabhama. Amavasya, the third day of Deepawali, marks the worship ofLakshmi, the goddess of wealth in her most benevolent mood, fulfilling the wishes of her devotees. Amavasya also tells the story of LordVishnu, who in his dwarf incarnation vanquished theBali, and banished him toPatala.It is on the fourth day of Deepawali,Kartika Shudda Padyami, that Bali went topatalaand took the reins of his new kingdom in there. The fifth day is referred to asYama Dvitiya(also calledBhai Dooj), and on this day sisters invite their brothers to their homes. - Spiritual significance In each legend, myth and story of Deepawali lies the significance of the victory of good over evil and it is with each Deepawali and the lights that illuminate our homes and hearts, that this simple truth finds new reason and hope. From darkness into light the light that empowers us to commit ourselves to good deeds, that which brings us closer to divinity. During Diwali, lights illuminate every corner of India and the scent of incense sticks hangs in the air, mingled with the sounds of fire-crackers, joy, togetherness and hope. Diwali is celebrated around the globe. Outside India, it is more than a Hindu festival, its a celebration of South-Asian identities. 5 While Deepavali is popularly known as the festival of lights, the most significant spiritual meaning is the awareness of the inner light. Central to Hindu philosophy is the assertion that there is something beyond the physical body and mind which is pure, infinite, and eternal, called theAtman. The celebration of Deepavali as the victory of good over evil, refers to the light of higher knowledge dispelling all ignorance, the ignorance that masks ones true nature, not as the body, but as the unchanging, infinite,immanentandtranscendentreality.With this awakening comes compassion and the awareness of the oneness of all things (higher knowledge). This bringsananda(joy or peace). Just as we celebrate the birth of our physical being, Deepavali is the celebration of this Inner Light. While the story behind Deepavali and the manner of celebration varies from region to region (festive fireworks, worship, lights, sharing of sweets), the essence is the same to rejoice in the Inner Light (Atman) or the underlying Reality of all things (Brahman).

Monday, May 20, 2019

Pas vs Euthanasia

Every human being has the power to make determinations throughout the course of his or her animateness. People make pickings every day, and it is the control that plurality tolerate everywhere their possess lives that all in allows them to do so. This top executive to wealthy soul pickaxes and be capable to make decisions should non cease to exist as a unhurried approaches the closing of life. People have the decently to believe strongly in personal autonomy and have the determination to control the finish up of their lives as wished (DeSpelder 238). Toward the end of life, people should still be kick the bucketn the fortune to make decisions, in indian lodge to allow them some piss of control in a life.The option for mendelevium aided felo-de-se allows for those, who are approaching death, to end their lives without losing any dignity. atomic number 101 support self-annihilation is when a medical student in hug drugtionally assists a person in committin g his or her own suicide by providing drugs for self administration at a giveful and competent request (Oliver 2006). With medical student aid felo-de-se, the atomic number 101 supplys the diligent with a prescription for a lethal dose of medication, and counseling on the doses and the methods the longanimous moldiness follow through with to finish up the act (Sanders 2007).The physician whitethorn be present while the longanimous self-administers the medication, although this is not legally required. Also, the physician, or any other person, ejectnot assist the forbearing in administering the medication (Darr 2007). doctor up aid felo-de-se should not be confused with mercy killing. In the practice of Physician aided Suicide, it is the persevering who makes the final administration of the lethal medication. As far as euthanasia is concerned, it is a deliberate march d 1 with the intention to hasten or cause the death of an individual (Sanders 2007).Physician back up Suicide is still legal in the convey of surgery, while Euthanasia is illegal across the United States. Even though Euthanasia is illegal, it was per create casually by a physician by the name of Dr. Jack Kevorkian. Dr. Kevorkian would typically fix an IV running saline, and allow the persevering to then initiate the flow of barbituates and potassium chloride which would result in death (Darr 2007). After having assisted in the deaths of nearly 130 people over the course of ten years, Dr.Kevorkian was found guilty of having given a man a lethal injection which caused the mans death, and Dr. Kevorkian was sentenced to prison. Although some may see Dr. Kevorkians work as wrong and immoral, others support him and his symbol as the public debate on ethical and legal issues surrounding Physician Assisted Suicide (DeSpelder 238). thither are many different types or forms of Euthanasia. These types of Euthanasia are passive euthanasia, active euthanasia, active volunteer eu thanasia, and active involuntary euthanasia.Passive euthanasia is the add uprence of a natural death through the discontinuation of life support equipment or the cessation of life-sustaining medical procedures. Active euthanasia is a deliberate action to end the life of an individual. Voluntary active euthanasia is the intervention of lethal injection to end the life of a mentally competent, suffering individual who has requested to have his or her life put to an end. The last form of Euthanasia is active voluntary euthanasia in which a physician has intervened in much(prenominal) a representation to cause the patients death, just now without the consent from the patient (Scherer 13).One may wish to have a go at it Euthanasia to end his or her life for many reasons. Many patients wish for control and influence over the manner and timing of his or her own death. He or she may alike wish to honour his or her dignity and wish to have relief of severe pang that may be caused by a terminal illness. Other thoughts that may affect the choice for Euthanasia involve wanting to block the potential for abuse from his or her doctor, family, wellness cautiousness insurance, and society (Scherer vii).On the other overturn, a patient may wish to pursue Physician Assisted Suicide, or a hastened death, because of an illness related experience such as agonizing symptoms, functional losses, and the achievements of pain medications on his or her body. The patient may also olfaction that the mystery of death is a threat to his or her sense of self, and wish for some branch of control over the matter. Also, patients may fear for the future as far as the quality of life is concerned. A negative past experience with death, and the fear of becoming a burden on amily and friends, washstand greatly influence a persons choice to seek Physician Assisted Suicide. As the end of life is approached, care can become much more involved, placing strain on those who are responsib le for caring for the dying (Quill 93). In caring for the terminally ill and those near death, certain medications may be placed to reduce pain and a patients experience with suffering. When administering such medications in an attempt to control symptoms, a physician or nurse may inadvertently cause a persons death. This occurrence is known as double effect (Oliver 2006).The doctrine of double effect states that a harmful effect of treatment, even if it results in death, is permissible if the harm is not intended and occurs as a side effect of a beneficial action (DeSpelder 238). Because the dosage of medications may need to be adjusted to relieve pain at specific periods of end-of-life, it is probably that respiratory distress may occur soon afterward, leading to death. This has become known as terminal sedation, yet the Supreme court of justice has ruled that such instances do not account for Euthanasia or Physician Assisted Suicide because the main intent was to relieve pain (DeSpelder 239).It may appear at times as though the law and medical profession hold strong views that oppose assisting death, but in many ways, they have also shown that under certain circumstances, hastening death can be justified. Hastening death through interventions which do not take place in the context of clinical complications, errors, negligence, or deliberate killing have been show by the legal and professional acceptance of particular cases.Both the law and medical profession allow for the serious of a competent adult to refuse any type of treatment, including angiotensin converting enzyme which may save his or her life. Doctors are given the repair to withdraw or withhold any treatments that he or she sees as futile or not in the patients best interest this includes life deliverance and life prolonging treatments. As mentioned previously, Doctors are legally also given the right to use their discretion in administering high-dose opiates in the context of mitigative care (Sanders 2007).In looking at such scenarios, it is difficult to understand why Physician Assisted Suicide is illegal in all states aside from Oregon, yet similar procedures and actions, that end in the same outcome, are legal in all states. The only state in which Physician Assisted Suicide is legal is the state of Oregon. Oregon passed the Death with Dignity Act in 1997 which allowed the terminally ill to end their lives voluntarily through the self administration of lethal medications, prescribed by a physician, for this exact purpose (Death).Any physicians, who are against aiding someone in ending his or her life, may refuse to prescribe the lethal medications, but each is given the ability and choice to participate (DeSpelder 237). Although Oregon is the only state in which Physician Assisted Suicide is legal, California, Vermont and Washington all hope to follow in Oregons footsteps in legalizing this practice (Ball 2006). Since Physician Assisted Suicide is legal in the s tate of Oregon, it may be feared that too many people will take advantage of such a public-service corporation and that it has potential for abuse (Quill 6).This is not necessarily true. In Oregon, an average of 50 people take estimable advantage of Physician Assisted Suicide each year yet many more than this genuinely receive the lethal medications and engage not to use them (Oliver 2006). Perhaps it is the feeling of having these medications to fall back on that gives people comfort. People who receive a prescription from their physicians for these lethal medications know that if they ever get to the manoeuver where they feel as if they cannot live any longer, they do not have to.Some other facts about patients who choose to follow through with Physician Assisted Suicide are that the majority of those who took the lethal medications were more likely to be divorced or never married rather than married or widowed, had levels of education higher(prenominal) than general educatio n, and had any HIV and AIDS or malignant neoplasms (Darr 2007). Although Physician Assisted Suicide was make legal in Oregon, there have been many instances where the United States Supreme Court has attempted to give Physician Assisted Suicide a bad image.In 1997, the Supreme Court compared two cases related to Physician Assisted Suicide. The cases were Washington vs. Glucksberg, and Vacco vs. Quill. In the comparison of these two cases, the Supreme Court looked at withholding and withdrawing treatments against Physician Assisted Suicide. The Court concluded that the right to refuse treatment was based on the right to carry ones bodily integrity, not on a right to hasten death but when treatments are withdrawn or withheld, the intent is to honor the patients wishes, not cause death, contrasted PAS where the patient is killed by the lethal medication (DeSpelder 237).After examination of such cases, the Supreme Court confirmed that states had the right to prohibit Physician Assist ed Suicide, or allow it under some regulatory system. In bon ton to be eligible for Physician Assisted Suicide, there are certain criteria that need to be met. First, the patient must be at least eighteen years old and a legal occupant in the state of Oregon. The patient must be diagnosed with a terminal illness which is determined to provide the patient with less than six months to live.This terminal diagnosis must be confirmed again by a consulting physician. The patient must also be able to communicate his or her wellness care decisions. A patient is determined to be mentally incompetent in making such decisions, as stated by the Mental Capacity Act of 2005, if he or she is unable to understand selective information that is relevant to the situation or decision, is unable to retain this information being provided, cannot use or turn over information as part of the natural decision making process, and cannot communicate his or her decision in any manner (Dimond 2006).The reque st for Physician Assisted Suicide must be a voluntary request, with at least one written request, signed in the presence of at least two witnesses, and two verbal request, some(prenominal) of which must be at least fifteen days apart. If either the attending or consulting physician feels as though the patient may be depressed, a complete psychiatric examination is done. In addition to these criteria, the physician must also provide information to the patient about hospice care and other comfort measures that may serve as alternatives to Physician Assisted Suicide (Ball 2006).It is important to explore all possibilities for pain management and palliative care to the fullest extent in order to set aside Physician Assisted Suicide as the final resort to ending pain and suffering (Scherer 118). The request for Physician Assisted Suicide is also a prime opportunity for wellness care providers to examine, explore and address a patients fears for the end-of-life (Darr 2007). It is importa nt to hear the request and the feelings tooshie it, because this could also be a patients means for expressing a fear of being kept alive by technological treatments, or even a way of expressing depression.A patient may feel as though it would be easier to put an end to his or her life rather than to deteriorate (Oliver 2006). Because these possibilities may be so, it is important to analyze a patients behavior and requests for death carefully. These requests may not be a true wish to die, but rather what is thought to be an easy way out, or a deep lying psychological issue. It is also recommended that the physician and patient have formed a previous relationship so that there is a clear understanding of the patients history and future medical treatment wishes.There must be a discussion between the physician and patient. This discussion facilitates the physicians understanding of the meaning of the request which will then allow him or her to respond to the patients request with bo th concern and compassion. If both concern and compassion can be developed within the physician-patient relationship, then it is more likely that the physician can accept the patients request without encouraging the patients decision to pursue Physician Assisted Suicide (Scherer 118). There are many arguments both for and against the use of Physician Assisted Suicide.The argument for Physician Assisted Suicide is focused primarily on the support of a persons autonomous decision to end his or her life. It is believed that any person who at the end of his or her life is experiencing unbearable symptoms or distress and feels as though he or she has a poor quality of life, should be able to request assistance in ending his of her life (Oliver 2006). If we are to respect a patients wishes, then it is thought that we too should respect a patients choice of when and how to die.If a patient has the right to make informed decisions about medical treatment, then this right should naturally ex tend into his or her informed choice to choose a medically assisted death (Sanders 2007). Those who are against Physician Assisted Suicide believe that a patients autonomy should be limited when its exercise has a negative effect on others, and that it undermines a patients ability to trust a doctor as a healer (Sanders 2007). Many people also believe that life is a cave in from God and no human being has the right to take that gift away (Heintz 2007).Fears or worries may arise with the legalization of Physician Assisted Suicide. As health care workers and providers, the job at hand is viewed as maintaining life and improving a patients physical condition while execute Physician Assisted Suicide may remove this image. If legalized, the public may find it fearsome that the health care system has become somewhat inconsistent. This is demonstrated when a patient is asked to trust a health care provider in maintaining or improving his or her health while that same provider may be assi sting other patients in committing their own suicides (Darr 2007).I chose the topic of Physician Assisted Suicide and Euthanasia because it is something that I find interesting. There is a constant struggle going on as to whether or not these procedures and actions are ethical, and I thought that it would be interesting to learn more about the topics in order to better develop my own view on the matter. Through my research, my opinion of Physician Assisted Suicide did not change. I had originally viewed Physician Assisted Suicide as a persons choice and right.Now, I still have the same input on the topic, but I feel as though I could better argue my decision of being for Physician Assisted Suicide rather than against it. I have learned a lot about Physician Assisted Suicide. I find it most important that my sources of information were from both sides of the discussion. This made it helpful for me to understand both views on Physician Assisted Suicide and Euthanasia. Upon completing my research, I developed stronger feelings for the case of Physician Assisted Suicide as being a patients choice.This is an individuals choice, and for anyone to vote against such a procedure does not seem OK. Nobody has a say in what goes on in another persons life. If this really is the case, then why should anyone be able to say that people who are suffering and nearing death cannot take a lethal dose of medication to kill themselves. It all comes down to Physician Assisted Suicide being a patients choice and right to have the opportunity in front of him or her if he or she deems it necessary. In conclusion, the ending of ones life should be left in the hands of that one individual and nobody else.It will always be said to people that it is your life, do with it as you will, but why should this musical phrase change when it is applied to someones death? People should be free to determine their own fates by their own autonomous choices, especially when it comes to private matters such as health (Quill 39). No one persons life should be at the mercy of what other people believe would be best. Life or death and the way they will be carried out or ended, should be nobodies choice but the individual. Resources Ball, S. (2006).Nurse-patient advocacy and the right to die. Journal of Psychosocial Nursing, 44, 36-42. Retrieved February 28, 2008, from the MEDLINE (through EBSCOhost) database. Darr, K. (2007). Assistance in dying part II. Assisted suicide in the united states. Nexus. Ethics, Law, and Management, 85, 31-36. Retrieved February 28, 2008, from the MEDLINE (through EBSCOhost) database. Death with dignity act. OREGON. gov. Retrieved February 15, 2008 from http//oregon. gov/DHS/ph/pas . DeSpelder, L. , Strickland, A. (2005). The last dance Encountering death and dying.New York McGraw-Hill. Dimond, B. (2006). Mental faculty requirements and a patients right to die. British Journal of Nursing, 15, 1130-1131. Retrieved February 28, 2008, from the MEDLINE (thro ugh EBSCOhost) database. Heintz, A. (2007). Quality of dying. Journal of Psychosomatic midwifery and Gynecology, 28, 1-2. Retrieved February 28, 2008, from the MEDLINE (through EBSCOhost) database. Oliver, D. (2006). A perspective on euthanasia. British Journal of Cancer, 95, 953-954. Retrieved February 28, 2008, from the MEDLINE (through EBSCOhost) database.Quill, T. , Battin, M. (2004). Physician assisted dying The case for palliative care and patient choice. Baltimore The John Hopkins University Press. Sanders, K. , Chaloner, C. (2007). Voluntary euthanasia Ethical concepts and definitions. Art and Science Ethical Decision-Making, 21, 41-44. Retrieved February 28, 2008, from the MEDLINE (through EBSCOhost) database. Scherer, J. , Simon, R. (1999). Euthanasia and the right to die A comparative view. United States of America Rowman and Littlefield Publishers, Inc.