Best Essay Topics - Top Essay Writing Tips

Best Essay Topics - Top Essay Writing TipsThe best essay topics come in all sorts of formats, so you can be sure that your essay will get the attention it deserves. With that said, this article is going to offer some thoughts and ideas that you can use to help make your essay stand out among the rest.For starters, you should research on the topic you want to write an essay about. To do this, you can do a little research online. You will find all sorts of websites that offer the information you need to help you get started.Next, you will want to think about what it would be a good idea for your essay to address. Is it something that pertains to your current or future career? How about something that pertains to your personal life? Think about what the essay topics that you select will deal with and how you will best utilize them to give you an impressive and persuasive essay.After you have determined what the most important piece of information you want to include, you will want to co nsider writing a rough draft of the essay. Remember, a first draft is usually not worth much more than a scrapbook and is of no value to you or your teacher. Therefore, you need to make a note on the topics you are interested in and then make a concerted effort to incorporate those topics into your writing.Once you have an outline of the topics you want to address, you can begin to write. Your first paragraph should not only be concise but also allow you to use some of the best essay topics for your essay. You will want to try to include a twist or a turn on the topic and something that will get the attention of your reader as well.In addition to using the best essay topics, you will also want to be sure that your essay is well-organized. You wantto make sure that your document is structured and well-organized. If you find yourself having trouble putting your essay together, make sure you sit down and review it.Finally, you want to make sure that you take full attention to your work . Your goal here is to make sure that the outcome of your work is very compelling and powerful. So, take the time to really put some thought into your essay and make sure you get it all done.

Only 24 percent of Canadian children had the appropriate...

Only 24 percent of Canadian children had the appropriate number of doses of vaccines for measles, polio and DPT3 for children between the age of 12 and 23 months. It is possible that 16 percent of children are either under vaccinated or unvaccinated. ( ) When getting children vaccinated thoughts are often not on the side effects or possible side effects and viruses or diseases that they are putting into childrens bodies. The thoughts are more often on getting vaccinated against the viruses and diseases so that they will not contract them. Vaccinating children is doing more harm than good. Dr. Edward Jenner was the first person to make a vaccine for small pox. He made it from a cow pox vaccine. ( ) Being the first person to make a†¦show more content†¦Also by keeping clean, eating clean food and drinking clean water, can keep you healthy (IHF12). Eating healthy and keeping ones body healthy, by keeping fit, getting enough sleep, the immune system doesnt get run down and t he body is better prepared to keep healthy and fight off diseases and viruses. There is an unbelievable amount of bacteria and germs in feces (PC 3) to help prevent the spread of germs and diseases. Make sure to always wash hands after handling or being around any type of feces. Exposure to germs helps build up the immune system. Health cannot come through a needle. Health is an inside out job: keep healthy from within and nothing needs to be injected from without ostensibly to keep you from getting sick (direct quote) Vaccines are ruining natural immune systems (Moskowitz 16). When putting a vaccine into ones body they can damage or badly hurt their immune system. Children are better off being able to fight off the virus by natural immunity than by artificial immunity. Auto immune disorders can be caused by vaccines. Some disorders include arthritis, multiple sclerosis, lupus and other disorders (Tishler, Shoenfeld 13) By putting ones self in risk of getting one of these disorders one is going to have a lot more health problems than before they got vaccinated. An auto-immune disorder is when the immune system thinks that the healthy cells are bad and sends other cells to kill them. When getting a vaccine, one is also receiving aShow MoreRelated_x000C_Introduction to Statistics and Data Analysis355457 Words   |  1422 Pagesof FSCreations, Inc. Windows is a registered trademark of the Microsoft Corporation used herein under license. Macintosh and Power Macintosh are registered trademarks of Apple Computer, Inc. Used herein under license. Library of Congress Control Number: 2006933904 Student Edition: ISBN-13: 978-0-495-11873-2 ISBN-10: 0-495-11873-7 ââ€"   To my nephews, Jesse and Luke Smidt, who bet I wouldn’t put their names in this book. R. P. ââ€"   To my wife, Sally, and my daughter, Anna C. O. ââ€"   To CarolRead MoreLogical Reasoning189930 Words   |  760 Pagesrelevant page numbers (but not in any way that suggests that the book Logical Reasoning or its author endorse you or your use of the work). (2) Noncommercial You may not use this work for commercial purposes (for example, by inserting passages into a book that is sold to students). (3) No Derivative Works You may not alter, transform, or build upon this work. An earlier version of the book was published by Wadsworth Publishing Company, Belmont, California USA in 1993 with ISBN number 0-534-17688-7Read MoreDeveloping Management Skills404131 Words   |  1617 PagesComposition: Integra Software Services Printer/Binder: Edwards Brothers Cover Printer: Coral Graphics Text Font: 10/12 Weidemann-Book Credits and acknowledgments borrowed from other sources and reproduced, with permission, in this textbook appear on appropriate page within text. Copyright  © 2011, 2007, 2005, 2002, 1998 Pearson Education, Inc., publishing as Prentice Hall, One Lake Street, Upper Saddle River, New Jersey 07458. All rights reserved. Manufactured in the United States of America. This publication

U.s. Government And Terrorism - 1293 Words

The United States has been facing an array of diverse threats from Foreign Intelligence Entities (FIEs), terror groups, International Criminal Syndicates, Multinational Industrial Competitors, and Cyber Intruders. In most instances, the FIEs and terror cells use intricate modern covert, overt, and clandestine techniques to gather crucial information regarding the U.S. government and its operations across the globe. However, following the disastrous attacks on 9/11, the U.S. government has been formulating security policies to secure its borders against the threat from terror groups such as al-Qa’ida and the Islamic State. The U.S. government also disburses over 30 billion dollars to aid the intelligence groups in the collection of†¦show more content†¦Therefore, an analysis of the terror organizations use of social media platforms to recruit future members will enhance the Intelligence Community (IC) in formulating effective methods to curb the recruitment of America n nationals into terror cells. The Use of Social Media Platforms in Recruiting U.S. Nationals to Terror Cells After the infamous 9/11 attacks against the U.S., the country has put in place various measures aimed at securing its borders against foreign threats. However, despite the increased security measures, terrorist groups still find ways through which they can perpetrate their heinous attacks. In particular, these groups have taken advantage of the Internet as a means to circumvent the security apparatus put in place by the U.S. One may, therefore, raise a question as to whether social media platforms have made it possible for foreign groups to undermine the U.S. intelligence system. This paper will explicate how terrorist organizations and other similar groups have used the Internet, and in particular, social media platforms to attain their agendas by recruiting U.S. nationals, enabling terrorist groups to overcome intelligence measures utilized by the U.S. by focusing on the following questions: †¢ Is the country’s regulatory framework facilitating the subversion of intelligence efforts by prohibiting the ability of to monitor communication between the terrorists groups and American Citizens? †¢ How do social media platforms

Masculinity Masculinity And Masculinity - 1520 Words

To read Babio without recognizing the gender politics at work in the play would disregard much of how the play itself creates meaning. So much of the play’s plot and character dynamics are related to the way gender functions in this play. One major theme of Babio is the idea of masculinity and how masculinity is defined. Through the portrayal of Babio as an effeminate character, Babio is able to define masculinity through absences in Babio’s Character. Consequently, Babio makes the additional point that lovesickness is not an intrinsic aspect of medieval masculinity, despite the fact that love sickness is often attributed to men. Babio’s titular is portrayed as feminine and lacks traits that traditionally define masculinity. One such trait is rationality and control of one’s emotions. Instead, Babio is portrayed as being overly emotional and lacking in any sort of capacity for reason or common sense. Babio’s melodramatic and expressive nature is imm ediately evident in the play; Babio’s opening lines express grief that is beyond reason. The play opens with Babio saying, â€Å"I’m tormented by grief. Indoors, outdoors, / it’s always the same. If I grieve any more I shall not be able to bare it,† (77, ll. 1-3). In beginning the play with these lines, the not only centers the plot on Babio and his lovesickness, but also emphasizes his emotional nature—which ultimately drives much of the action of the play. Since Babio is not able to bare his grief, he is unable to gain control overShow MoreRelatedMasculinity : Masculinity And Masculinity1850 Words   |  8 Pagesin which femininity and masculinity play a role in society. At the end of World War II, there were many interpretations on what it meant to be a man† most notably for soldiers returning home from the war whom were either unemployed, handicap and/or suffering from PTSD (Post Traumatic Stress Disorder). Film and television acted as pivotal agents that influenced a change in the way masculinity was defined. They explored social values as they refer to the ideas of masculinity and femininity by reflectingRead MoreMasculinity : Masculinity And Masculinity851 Words   |  4 Pages Masculinity At its Manliest In both Douglas Schrock and Michael Schwalbe’s Men, Masculinity, and Manhood Acts and Sharon Bird’s Welcome to the Mens’s Club, we see compelling arguments for the treatments on the categories of â€Å"masculinity.† By comparing both articles, the significant similarities and differences between the two variations can be identified. In doing so, the function of â€Å"masculinity† in society, according to each author, can also beRead MoreMasculinity : Masculinity And Masculinity Essay1623 Words   |  7 Pagesbe a shot to his manhood. To most men and boys in western society, masculinity is what separate the men from the women and the boys from the girls. However, what is masculinity and why do most men and boys’ try so hard to guard theirs? My understanding of masculinity, and as technically defined, is having customary qualities attributed to or usually applicable to a male. My position is that society encourages hegemonic masculinity thu s forming basis for males to exhibit traditional masculine qualitiesRead MoreMasculinity : Masculinity And Masculinity1769 Words   |  8 Pages Masculinity There are different ways for men become masculine, people can teach them or let them figure it out when growing up. Masculinity is usually described as being strong, manly, or dominate. It is also used when someone is describing men and how masculine they are. Many people use the word â€Å"masculine† to describe a man and put them into a category if they see that he fits. Many people believe that boys should not be brought up by punishing them if they did not do something masculine. TheyRead MoreHegemonic Masculinity : Masculinity And Masculinity926 Words   |  4 PagesMultiple Masculinities The certain qualities a man processes plays into how masculine he is rated to be. The way he portrays himself in his looks, actions and everyday life paints a bigger picture for the type of male he is. Connell argues that hegemonic masculinity is the ultimate goal that men strive for. Hegemonic masculinity is the idea of men being powerful, strong and dominant. Not many people actually live up to this theory, but nearly all men strive to achieve it. Marginalized masculinity andRead MoreMasculinity : Masculinity And Violence Essay2278 Words   |  10 PagesMasculinity and violence Violence is a mechanism of coercive control that is used to maintain and reinforce gender difference and hierarchy. Building on Lynch s (2009) claim that hegemonic masculinity is toxic to both the men and women left in its wake this essay aims to explore the relationship between hegemonic masculinity and violence. Placing a specific focus on acts of intimate partner violence and mass shootings, and exploring the works of Lynch (2009), Keith (2011), Baugher, GazmararianRead MoreHegemonic Masculinity : Masculinity And Masculinity1092 Words   |  5 Pages‘hegemonic masculinity’ and ‘the field of masculinity’ depicted in this film. ‘Hegemonic masculinity’, which is proposed by Connell (1987), is assumed to ‘the pattern of practice (i.e., things done, not just a set of role expectations or an identity) that allowed men’s dominance over women to continue.’ (Connell and Messerschmidt 2005, p.832) However, hegemonic masculinity h as strong influence not only over women, but also over other men as Demetriou (2001, p.341) states. Hegemonic masculinity dominatesRead MoreMasculinity And Masculinity, By Michael Kimmel Essay1976 Words   |  8 Pagesmen are often subject to extreme methods of proving their masculinity, and to reinforce what it truly means to be a man. Michael Kimmel, famous sociologist said, â€Å"Masculinity is the relentless repudiation of the feminine† (Kimmel, 2015), which not only reflects how men think about themselves but how North Americans as an entire culture think about masculinity and manhood. The following pages will be centered on issues of the lens of masculinity in contexts such as the sphere of education, the predominanceRead MoreToxic Masculinity : Substance Masculinity1921 Words   |  8 PagesAs a boy grows into a man he faces the ever-raising mountain of masculinity. In regards to the occurrence, he finally reaches maturity he has no choice but in order to fight to re tain his measly sense of manhood. He is not allowed to act feminine or else he’s not man enough, he can’t show his emotions, he has to hide that he can do anything a woman can do sans give birth. Boys grow up being told they are not allowed to cry and that they are supposed to be tough, that they are not able to be likeRead MoreHegemonic Masculinity : Masculinity And Masculinity2351 Words   |  10 PagesWhat is hegemonic masculinity? What are the merits and shortcomings of this concept? In Connell’s original conception, hegemonic masculinity can be understood as ‘the pattern of practice that allowed men’s dominance over women’ (1987). Hegemonic masculinity is the exclusive masculinity of which only a few exhibit. The majority of men in fact experience complicit masculinity, allowing them to dominate in the patriarchal system in which it created. Connell (1987) believed it was this that created

Construction Management Consultation and the Construction

Question: Describe about the Construction Management of Consultation and the Construction. Answer: Introduction Ethics refers to moral principles guiding a person and is described as doing the right thing. In the business context, ethics refers to the extent of trustworthiness and integrity with which a business is conducted. The purpose of this report is to discuss the Ethical dilemma which is most commonly observed in the construction industry. This industry is considered to be fraudulent in Australia and has received a lot of negative media attention recently (Borys 2012). It is highly susceptible to unethical practices at every phase of a construction project. The report discusses identified ethical dilemma and support the fact with evidence from the literature article. It presents the options available in response to the situation and further evaluates the actions concerning an ethical code of conduct. The author will provide opinion supported with evidence and finally draw a conclusion. Identified Ethical dilemma I have received information from media articles that construction industry is plagued with malpractices in Australia (Collier, 2016). The literature review provided evidence that the scenario is same in other countries such as Hong Kong, South Africa, Singapore, and US (Oladinrin et al. 2014). This scenario is significantly reported in media as well. The common unethical practices in this sector identified by McCarthy (2012) are corruption in business due to bribery, fraudulent activities, tendering practices, substandard quality of construction work, corruption and public accountability for money spent on public buildings and infrastructure. In addition to bribery, there also exist the conflict of interest and collusive tendering. The majority of the construction companies in the world are not legally compliant (Levy et al., 2014). Ayers et al. (2013) conducted a survey, and his findings reveal that majority of the respondents experienced severe negligence from the contractors who provided inadequate information and had lack of supervision. These respondents also have experienced unfair treatment during tender negotiations. The unethical practices with the highest rank include cover pricing which is followed by bid cutting, short payments, lack of safety ethics in subcontractors, bureaucratic and government policy and poor docum entation (Adnan et al. 2012). The high risk of unethical practices in this industry is due to substantial capital investments that provide large-scale rent extraction opportunities. It also involves investments which are not redeployed after implementation. The other contributing factors of these unethical practices include the economic downturn, fierce competition in tendering process, an absence of selection criteria for the project, monopolistic nature of service delivery, lack of the code of ethics and industry-based training and inadequate legislative enforcement (Levy and Slavin 2014). Impact of the unethical conduct Unethical practices have the detrimental effect on the construction and engineering industry. It includes increased costs of projects, high economic damage, criminal prosecutions, fines, a blacklisting and reputational risk of the organization, blackmail, wastage of tender expenses and uncertainty in tendering. Daniel (2015) showed that corruption accounts for 25% to waste of public resources, instability in the business environment, and the cost of public contracting, and missed development opportunities. Statistical data reveals that these unethical practices have the significant impact on the quality of project performance (Ayers et al. 2013). There is an increase in the rate of fatalities by 60% since last decades, which is attributed to unsafe working practices, inadequate safety policies, and inspection programs. Action against Ethical dilemma The detrimental effects of the unethical practices have caused the public to demand good ethical practices and professional behavior. The government of Australia has adopted National Code of Practice for the Construction Industry to address the ethical issues. It was developed by Australian Procurement and Construction Council and the Departments of Labour Advisory Committee (Oladinrin and Ho 2016). It demands and encourages honesty and integrity, ethical behavior, and best practice by clients and service providers in the construction industry. While conducting business the contractors, consultants and clients are expected to comply with applicable code and address corresponding code issues (Barnes and Croker 2013). However, this code does not resolve the ethical dilemma or create ethical integrity in a person. Adnan et al. (2012) stated that it does not address problems faced by business consultants, does not consider the role of clients and many other problem areas. It appears to be set of written principles. The Commonwealth, State, and Territory Governments" are major clients of the construction industry. McCarthy (2012) believes that adopting and complying with Code of Practice for the industry participants would go a long way to achieving the Codes objectives. Recommendations I feel that law-enforcing bodies in Australia should develop both short-term and long-term measures to mitigate this issue. All the departments should have complaints system. The introduction of Punitive measures such as cancellation of licenses if found of guilty of violations will be effective in minimizing bribery and fraud (Majchrzak and Markus 2013). There is a need for ethics training program and ethics awareness workshops (Bal et al., 2013). Media system is highly efficient in improving the ethical practices by using robust strategies to publicly expose unethical activities in the construction industry (Ayers et al. 2013). It is recommended that every project team should be associated with quality assurance group to ensure compliance with code of ethics. There is a need of intense research in both public and private sectors to address ethical issues. It will help in providing useful information to the stakeholder and better tackle the pressing ethical issues (Levy and Slavin 2 014). It is necessary to develop industry wise code of ethics. To achieve the goal of creating the ethical environment in construction sector legislative bodies should be highly committed to introducing and implement the code of ethics (Daniel, 2015). Conclusion The construction industry plays a significant role in promoting country's economic growth. In addition to the advanced technology used in this sector, ethical practices are essential for its growth. It is vital to ensure ethical practices for a smooth functioning of this industry. Ethical lapses can be minimized by the active participation of government agencies, and professional institutes. The thorough literature review has enhanced my knowledge related to ethical issues in the construction business and its effect on the economic growth and people. References Adnan, H., Hashim, N., Mohd, N. and Ahmad, N., 2012. Ethical issues in the construction industry: Contractor's perspective.Procedia-Social and Behavioral Sciences,35, pp.719-727. Ayers, G.F., Culvenor, J.F., Sillitoe, J. and Else, D., 2013. Meaningful and effective consultation and the construction industry of Victoria, Australia.Construction Management and Economics,31(6), pp.542-567. Bal, M., Bryde, D., Fearon, D. and Ochieng, E., 2013. Stakeholder engagement: Achieving sustainability in the construction sector.Sustainability,5(2), pp.695-710. Barnes, L.R. and Croker, N., 2013. The relevance of the ISO26000 social responsibility issues to the Hong Kong construction industry.Australasian Journal of Construction Economics and Building, The,13(3), p.37. Borys, D., 2012. The role of safe work method statements in the Australian construction industry.Safety science,50(2), pp.210-220. Collier, G. (2016). ABCC quest full of misconceptions. [online] Theaustralian.com.au. Available at: https://www.theaustralian.com.au/opinion/columnists/grace-collier/abcc-quest-driven-by-misconceptions/news-story/abd7bfbf75fd9d2b146974649a23346a [Accessed 19 Aug. 2016]. Daniel, L., 2015. Safety leadership defined within the Australian construction industry.Construction Economics and Building,15(4), p.1. Levy, C.S. and Slavin, S., 2014.Guide to ethical decisions and actions for social service administrators: A handbook for managerial personnel. Routledge. Majchrzak, A. and Markus, M.L., 2013.Methods for Policy Research: Taking socially responsible action(Vol. 3). Sage Publications. McCarthy, S. F. (2012). Developing an Australian code of construction ethics.Australasian Journal of Construction Economics and Building, The,12(2), 87. Oladinrin, O.T. and Ho, C.M., 2015. Critical Enablers for Codes of Ethics Implementation in Construction Organizations.Journal of Management in Engineering,32(1), p.04015023. Oladinrin, O.T. and Ho, C.M.F., 2016. Embeddedness of codes of ethics in construction organizations.Engineering, Construction and Architectural Management,23(1), pp.75-91. Oladinrin, T.O. and Ho, C.M.F., 2014. Strategies for improving codes of ethics implementation in construction organizations.Project Management Journal,45(5), pp.15-26.

Planning in Dementia and Palliative Care †Free Samples to Students

Question: Discuss about the Planning in Dementia and Palliative Care. Answer: Introduction: This assignment is focused on the case study representing the condition of 46 years old man named Anthony Vella who had been suffering with stage 4 of pancreatic cancer which had been diagnosed six months back after he was presented to emergency department with acute abdominal pain. Anthony had been wedded to Luisa for 20 years; and the couple are blessed with two children, both aged 16 and 19 respectively. The rest of this assignment emphasizes on the procedure of defining and curating an advanced care plan (ACP) that is generally implemented in such cases, like that of James Smith. As per the design of this assignment, the first course of action is centered on discussing how a conversation session with the patient and the respective family members about crafting an ACP can be introduced and implemented. For any strategy to be successfully implemented it is extremely important to design the strategy carefully, however the very next step that is extremely necessary is the preparation that goes behind the implementation procedure. Hence, in this case as well, the strategizing step was followed by explaining the preparation required for that discussion process. The following section after the preparation procedure discusses the members that should participate in the said ACP discussion, followed swiftly by an elucidation of the necessary informational data needed in devising such a plan. Now, ACP can be defined as the document that has the potential to change over the lifespan of a particular individual, the next requirement is periodic reviewing and amending the ACP; the next section discusses the time limit after which the ACP must be reviewed and amended. The final section of this assignment discusses the activation period of the ACP program as well. Finally, the conclusion of the essay briefly concludes the primary points presented in the entire assignment. The importance form of the impetus for the development of the ACP derives from the fact that one out of four people dies in the United States that effectively occurs in the nursing homes and also 70% cases are been encountered in the hospitals. However, little has been observed in the early 1990s, that the statistics have reported that as many as the residents of the nursing home care have been receiving the end of the care of the life that was not in the compliance to the previous patients that have expressed the wishes in the advanced form of directives. In the part that are due to these form of issues, the Institute for Healthcare Improvements that are been producing the set of the principles that have been defining the responsibility of the health care professionals providing care that are holding the ACP form of discussions with the patients. There are five principles, that are represented in Figure 1, offer a framework for designing effective inter- conversation with patients (Adams, Kabcenel, Little, Sokol-Hessner, 2015). As opined by Adams et al. (2015) in his article, the key strategy instructs the health care professionals to be engaged with the patients and their families so that they can easily determine what care components in the most necessary to them. The model associated with this process instructs the health care providers to be connected with the families of the patients more compassionately and finally connects it with the patients in a specific way that are culturally and also individually been respectful. Various studies have observed that the home residents with respect to the discussions of the ACP have been found out that too often the discussions also takes place at the time of the admissions that if it occurs at all. In a particular form of situation, there needs to be systematic form of the reviews that are needed to be formed for the four specific studies of the ACP that have focused on the residents of the nursing home and they were found admitting, the healthcare staff often realized that the patients that were incapable for having for having the discussion at the time of their admission. However, it has to be understood that when dementia occurs the cognitive functioning power of the brain is more likely to be compromised, having the ACP conversation prior rather than later had always been a vital issue to ascertain enhanced quality of life. In the case represented in the assignment of James Smith, these principles or ideologies would initially mean discovering circumstances to connect with Mr. Smith along with his family regarding his EOL care needs. As the cancer care team designated to him had indicated two weeks prior that no additional treatment, except end of life care, would be efficient, the complete newest time for this conversation should actually be at that time. However, the survival rate of stage IV pancreatic cancer is only a window of five years time (ACS) (American Cancer Society, 2016). As per the condition that the patient under consideration is in the life expectancy for the patient is not more than five years, hence the ACP talk preferably been held immediately after diagnosis, in case that Mr. Smith had not arranged an ACP or AD in advance. The early ACP discussion just after the cancer diagnosis will increase the likelihood of the patient engaging in design and implementation of a patient centered ACP (Der Schmitten, Lex, Mellert, Rothrmel, Wegscheider Marckmann, 2014; Houben, Spruit, Groenen, Wouters Janssen, 2014). Additionally, it also needs to be considered that the AD documents that are completed after a successful ACP discussion are extremely beneficial for the traetmentv plan to follow, studies suggest that thes4e documents not provides relevant data regarding the severity of the patient as compared to the data collected without a valid ACP discussion with the patient (Der Schmitten et al., 2014; Garrido, Idler, Leventhal Carr, 2012). Another fact can be considerd completing both the documentation, AD along with ACP, considerably enhances the possibility of patient preferences being valued and complied along with being tended so that that care that complies with the preferred care requirements is provided (Brin kman-Stoppelenburg, Rietjens van der Heide, 2014; Houben, Spruit, Groenen, Wouters, Janssen, 2014). Preparation for the Advanced Care Discussion Adams et al. (2015) opined an imperative assortment of different steps that can be implemented by a healthcare providing organization to arrange and carry out ACP discussions with patients along with their family members. Although, the steps are not completely characterized still, utilizing the five different principles represented in the Figure 1 the IHI that characterizes main steps in planning to carry out these discussions. As per the findings of Adams et al. (2015), the initial phase of organization is to employ the connect population to care planning procedure so that they can interpret the number of patients that have already been selected a healthcare proxy, the number that have successfully documented their what matters issues, and of those without either or both of those documents, how many of them were asked to contemplate those issues. The stewardship part of the entire preparation cycle comprises of documenting the data from healthcare proxy and what matters concerns wit hin the records of the patients (Adams et al., 2015). The concept of exemplify principles indicate at exploring the exact figure of the health care workforce that have on their own discussed about ACP with their own families, and recorded their ACP and the what matters wishes along with having a advanced healthcare proxy that is recorded (Adams et al., 2015). The majorly difficult aspect of the entire preparation procedure is crafting a strategy that can employ the spiritual, philosophical, and cultural beliefs of patients even if those beliefs are potentially quite dissimilar from healthcare staff (Adams et al., 2015). In case of Mr. Smith, there had been no data provided that discusses his spiritual or cultural setting, neither were any recorded documentation about his what matters wishes; the patient even lacked a legal healthcare proxy to take clinical decisions in behalf of him in times he was incapable of response. The ACP conversation can engage a varied amount of several healthcare givers. However, it must necessarily include the patient his family members. With respect to Mr. Smith, the ACP discussion procedure should also have included one or more individuals belonging to the cancer care team he was assigned, it is not mandatory for the oncologist to be included, but someone skilled to carry out ACP discussions (Adams et al., 2015). In case the ACP discussion have not been carried out as an element of the cancer treatment plan he was designated, as suggested by the ACS, the primary instance he had been taken to the health care facility, a specialist must have had ACP conversation with Mr. Smith and the members of his family (American Cancer Society, 2016). Given that he had been pursued by the emergency department it can be interpreted that the patient had been in a critical condition, hence, it can be concluded that having the ACP discussion with the patient much earlier would have been fa r better. Now in case none of the above healthcare professionals discussed ACP with the patient, it would be extremely necessary for initiating the discussion by the primary physician. The main difference between the ACP document and a DNR (Do Not Resuscitate) is that the information provided by ACP documents is much more inclusive than the latter. The recommendations of the IHI indicate that an ACP must initiate with recording the answer given by the patient to What matters to you? (Adams et al., 2015). The questions belonging to this genre reveal the aspects of life that are most central to the patient and put in largely to the quality of their life. Furthermore, the ACP is also known to typically include a living will that describes the types of treatment procedures the patient wishes to undergo, along with providing a strong power of attorney which nominates some other individual to take the medical decisions on behalf of the patient in times when he or she is not capable of making those decisions on his own, and documents choices for organ and tissue donation, durable healthcare power of attorney, and religion documentation, cultural, or interpersonal for proc edures like dialysis or cardiopulmonary resuscitation (CPR) (National Institute on Aging, 2016). McMahan, Knight, Fried, and Sudore (2013) researched the factors that the patient families and the patients themselves felt were most important in preparing an ACP. The suggestions from the particular study incorporated typical AD forms, but at the same time identifying and documenting the factors that were deemed as most crucial, ensuring the care proxy designated for the patient (the person particular in the durable power of attorney) understood their role in clarity, determining whether flexibility should be allowed to the surrogates in decisiveness or adhere strictly to preferences that the patient has previously expressed which helped in the family member or friends knowing the patients wishes (McMahan et al., 2013). A chief aspect in this context is to ensure ACP being safely documented in a manner that can be effortlessly understood, for the patients that are not very fluent with English or those who do not understand legal terminologies; the ACP documents ensures that everyone associated with the patient and the treatment procedure selected for him is equally involved, from family and friends of the patient to healthcare providers, everyone is clear about wants and needs of the patient. Robinson et al. (2013) distinguished that healthcare providers frequently discover ACP plans are very critical to incorporate into a clinical setting due to the concerns of complicatedness in making the legal documentation comprehensible, concerns with ambiguity in the legal background of the different documents, and concerns with differences between patient preferences eventually (Robinson et al., 2013). For Mr. Vella, his ACP comprises of a strong power for the attorney for allowing his wife and the other members of the family for making the decisions of this healthcare when he was very much incapable for doing so. Moreover, it should the core responsibility of his wife to give his proxy, should have been aware of all her responsibilities, and should know about Mr.Vellas have expressed their form of needs in the care plan. Since he had not been responding when he was admitted to the health care facility in the last event, he was also incapable to make healthcare decisions on his own regarding his conditions. Furthermore, a DNR would have potentially avoided extreme measures required otherwise to revive him, and organ and tissue donation forms serve as the means to permit his needs related to those issues are respected. According to the recent studies, the perception of the cancer patients regarding the ACP is a very dynamic one, the cancer patients often find is to be a potent device rather than being a permanent decision that is made only at one time. Michael et al. (2013) discussed the nature of response that the cancer patients have shown to ACPs over the course of their diseases. The patients who are suffering from cancer has been often found out that the ACP is a very dynamic form of the instruments rather than the fixed form of decisions that are been fixed form of decisions over the course of the disease. American patients with the incurable form of the pancreatic cancer like Mr. Velle, it has been observed in their medical reports shows only about fifteen percent of the times. Moreover, the DNR orders have also shown that the cancer patients are overpoweringly signed after the day that the patients died, either by the patients or by the proxies belonging to the healthcare systems. In one of the study by the Australian cancer patients, discovered that the extent of awareness in the public and utilization of different components of ACP (like living will, DNR orders, and more) varied extensively amongst different participants, along with the fact ACPs were tremendously changeable to cancer patients, that were unusually sought to judge various aspects of ACPs during various phases in their disease procedure. The most evocative declaration that the participants made had been that the ACP was an iterative process (Michael et al., 2013, p. 2198). With respect to the case represented by Mr. Vella, the ACP discussions it ought to be at a minimal form of level that are needed to be addressed at the time of the initial form of the diagnosis of the cancer, if it is not done before. As every stage of the protocol of his treatment was concluding, the plan has never been revisited for ensuring that Mr. Vellas desires were also with accordance to the alignment with the plan. This form of literative form of process ensures that Mr. Vella wishes were documented and updated with accordance to his physiological health and his process of the disease have also altered. The commencement procedure of ACP program is actually established on the specific situation of the patient. It has been observed that in cases when the ACP is designed and characterized by Michael et al. (2013), the commencement of the ACP plan that may take place for the over the longer period or the from time to time. For instances, to have a proxy refers to the fact that when the patient becomes incompetent and looses the capacity of making the healthcare decisions, they designated form of the proxy becomes ultimate for the patients. A circumstance where a patient is incapacitated for a short period of time which can lead to an ACP being initiated in advance until the patient can make clinical decisions on their own. Adams et al. (2015) in his article has suggested that if the entire healthcare industry propagates towards achieving the five conversation-ready principles, which are considered to be fitting stewards of the patient wishes, ACPs in most cases can be efficient and depe ndable for all kinds of patients. For Mr. Vella, the ACP was supposed to be performed at the time he was initially taken to the emergency department and had been unable to communicate his desires or preferences regarding his healthcare. Conclusion The above paper addresses the issue for the advancing care planning for the patients in the context of Mr. Anthony Vella, the cancer patient suffering with the Stage 4 of pancreatic cancer. The situation that Mr. Vella had been in highlighted the significance of preparing for the carrying out the conversation about the ACP much earlier than the disease left the patient had not been responding. The instrumental structure of elements of ACP that incorporated a living will, ADs concerning patient desires for activities to be carried out on him, choices for organ and tissue donation, durable healthcare power of attorney, and religion documentation, cultural, or interpersonal for procedures like dialysis. The ACP plans here are nothing but appropriate iterative procedures instead of being a one-time permanent set of main decisions, along with that are accurately performed earlier in the course of diagnosis and treatment, the moment a potentially severe or grave condition is diagnosed and during disease progression. Commencement of the ACP happens each time the patients situation requires major measures being contemplated. References Adams, K. M, Kabcenel, A., Little, K. Sokol-Hessner, L. (2015). Conversation ready: A framework for improving end-of-life care. IHI White Paper, Cambridge, MA: Institute for Healthcare Improvement. 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Status of Women in Colonial America free essay sample

This paper examines the low political economic and social status of the colonial woman. This paper examines the role of women in the colonial period of the United States and finds that although the colonial female led a comparatively better life than her English sisters she went virtually uneducated, possessed limited legal status, and was politically nonexistent. Under English common law, married women were unable to contract or sue in tort unless they had their husbands? permission. English women had no contractual capacity because they had no proprietary capacity. Common law also dictated that a husbands interest in the personal and real property of his wife was absolute and he had an unlimited right over her possessions and chattels.[1] He also had an almost absolute authority over his wifes person. By law, a husband, as master over his wife, was permitted to restrain her in case of misbehavior, as well as chastise her in the ways he saw fit to correct her wrongdoing. We will write a custom essay sample on Status of Women in Colonial America or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page [2]