Friday, March 27, 2020

Barons, Magna Carta and King John Essay Example

Barons, Magna Carta and King John Essay Example Barons, Magna Carta and King John Paper Barons, Magna Carta and King John Paper Henry II, one of the most influential’s of England’s government created and improved the judicial system as the laws of the land needed applied. His government gave fair trials to all and granted judges to cross throughout the land to maintain the criminal justice system that he created. After Henry II death Richard his son had succeeded him and maintained that his fathers’ form of government was being followed. However, Richard was not always in England due to the Crusades in the Middle East that he believed was worth fighting and with his absent his barons gained control of the government. Under both Henry II and Richard the barons were able to gain trust from the crown and gain power that had never happened before under any other monarch. When John, Henry II’s youngest son took the thrown he took away a large amount of the baron’s power and increased taxes without having council with his barons. John also took away the form of judicial system his father had created that gave fair trial to all. From these critical laws of government gone or corrupted John’s barons plotted against him and created the Magna Carta which is list of laws that were demanded to restore his father’s government. For the first time in history a monarch was forced to sign and obey laws created by his nobility. The barons wanted to limit John’s power through the Magna Carta. In which the church did have a small influence of the created charter when written. Throughout history many historians have been trying to figure out for what reasons John’s barons created the Magna Carta. Clarie Valente, argues that barons were looking towards John consider the concepts of law and government along with their more personal agendas. However, Sidney Painter states that John was not in the right mental state to take the concepts of the law and enforce them in a way that would benefit not only him, but his barons. Also, Painter concludes that John’s relationship that he destroyed between many close barons that were loyal to him lead them to unite against him and place him within the law. J. A. P. Jones, gives great reasoning that the authority that John had created was against the law from the view point of the barons. John the youngest son of King Henry II succeeded his father’s thrown after his brother Richard’s death in 1199. Even though John was next in line for the thrown, John’s nephew Arthur son of Geoffrey John’s elder brother. Three sets of considerations would play a part in the decision between them- the law of inheritance, the wishes of the barons and great officers of the realm, and the desires of the late king. [1] Both John and Arthur had their own support from their closest barons. England and Normandy accepted John who had been designated by his brother as heir to the whole of his dominions, the barons of Aquitaine rendered their homage to Eleanor, while those of Anjou, Main, and Touraine, in accordance with the custom of the country, swore allegiance to Arthur of Brittany. [2] John was finally recognized at Richards’s heir only by the action of his niece marring Louis son of, Philip king of France and the paying of 20,000 marks for her dowry. When John finally came into power his kingdom had lost Normandy, rumors of him plotting the killing of his nephew Arthur. The story of John murdering Arthur in 1203 and caused speculation among King Philip of France who tried to use this reason to condemn John, however it was too late because John bought out the barons who then clamed John the rightful king of England. Rumors also started to appear that John captured Arthur’s colleagues and starved them to death, while Arthur’s sister appears to have been imprisoned at Bristol until 1241 when she died. [3] Since his kingdom was drained of funds do to Richard’s Crusades which also left the people penniless. John’s first visit to England as chef he demanded the needs of men and money; he summoned his feudal host and ordered the levying of a scutage of two marks per knight’s fee. [4] John started to demand reliefs that sometimes amounted to thousands of pounds. [5] The rise of his few per vassal caused many of his vassals to leave or become treachery against him. If the funds could not be furnished other ways were available to obtain them by the selling of marriages of his heiresses for high prices on a marriage market, but there was no one to deny their tight to dispose of heiresses and there were always eager buyers. 6] Selling of heiresses could not be stopped due to the grounds that could prevent John from the control of his own estate. Jones argues that during the reign of Henry II he created the Angevin machine that was designed so in the absent of the king the sole direction of government affairs could be issued by the Chairman of the Bench and barons with his own wor ds. John Joliffe’s recent study of the Angevin monarchy is that the fundamental policies of the first three Angevin kings must be regarded as a whole. These powerful rulers, he asserts, opposed the older concept of feudal monarchy with a new attitude, difficult to define – kind of â€Å"unrealized absolution which would have exercised all the capacities of the Renaissance prince except that of comprehending its own proper nature and claiming it in set terms. †[7] Joliffe’s reasoning is that during John’s rule the Angevin machine never changed under his rule, but it changed due to the world changing. However there is greater evidence that states that with John’ never-ending activity within government and having to be homebound in England after the loss of Normandy and Anjou in 1203-4, tend to make his rule seem more personal, more tyrannical, more stifling than that of his predecessors. John’s Since John had no place to visit he began to take tours of the country causing him to try to attend to the smallest points of administrative detail resulted in efficiency but also in a general feeling of oppression. Lords that John considered most dangerous to his power were to be weakened by any possible means on the other hand barons that were considered to be most reliable were to be built up. [8] 1203, John turned many of his closest friends into his enemies and his once enemies he gave them handouts to win their loyalty over. His intentions of winning foe barons over created a strain of the relationships and backing that his closest barons once had. Without John having the backing of his once trusted barons and nobles tension increased, furthermore this concern John had with having to win rival barons may perhaps been one of the leading causes to his barons rising up against him and creating the Magna Carta that would limit his power and restore their authority back into the government. Events leading up to the Magna Carta include the feud John had with Pope Innocent III on who should be the new archbishop of Canterbury. Innocent III refused to accept the choices that John had elected for the new archbishop of Canterbury. Due to this dispute Innocent put England under an interdict, however John saw this to be wrong doing and he reopened some monasteries. John’s outlandish action lead to Innocent’s excommunicate of England. John’s barons repeatedly asked John to surrender to Innocents demands so that church services could continue. However, John finally gave into Innocents, but not until 1213 and he reinstates the Canterbury monks and receives Langston as the new archbishop, but not as his friend. [9] During, 1212 John raised taxes on the Barons in the attempt to regain Aquitaine, Poitou and Anjou. 0 July 1213 John renewed his coronation oath with the promise to restore Henry I laws and banish all evil customs; his promise was short lived by 15 November 1213. [10] 1215, John tried to gain power once again with his lost territory in France; however he was once again defeated then forced to pay to acquire a truce with Philip. John’s only way to obtain ? 40,000 was to raise tax es which lead to the barons rebelling. After this few barons remained loyal to John, while others were starting to plot against him. Those who were plotting against him drew up a list of grievances with Archbishop Stephen Langton and presented them to the king on June 15, 1215. The list of injustice, Magna Carta was signed at Runnymede in Surrey and was forced to accept and sign the terms or war was going to be declared against him. Within the Magna Carta there were sixty-three conditions that the twenty-five barons and Archbishop Langston required and forced John to re-establish. From those sixty-three provisions I have chosen several clauses that I see are the most important terms that the barons and the church wanted to have reinstated back into the government. The Church of England â€Å"shall be free, and shall have her rights entire, and her liberties inviolate; and we will that it be thus observed. †[11] Clause 1 explains that the King will stay out of church affairs especially with the elections of new archbishops. The Pope has all rights to elected whom he see fits without the interfering of the King. Also, the barons reasoning for this clause to be fashioned within the charter is to reinsure that excommunication never occurs in England once more. In addition, to the king’s limitation with the Church clause 61 states, â€Å"all quarrels between men who held government positions and clergy were to be forgiven and pardoned. †[12] This meant that all those in the clergy and government positions were to be forgiven be the king himself. Their names and positions would be cleared of all charges. The clergy who had once been dammed by John know can be restored back into the church. Furthermore all those politically excommunicated by John could now come back to England and withhold powerful positions yet again. John’s treasury dry and the wonting need to reclaim Normandy his stupendous scheme to wed of his closest heirs for money caused clause 6 in the Magna Carta to be fashioned. Clause 6 clearly states, â€Å"heirs shall be married without disparagement, yet so that before themarriage takes place the nearest in blood to that heir shall have notice. †[13] If John was to marry of any remanding heirs he was to count the distance between the two that were to be wed. The number between them had to meet current criteria to be allowed to wed. If conditions were not met then they he could go forth with the wedding. The most important clauses for the barons were 12 and 14, stated that John has to take counsel on aids and scutages with a duly-summoned assembly of leading prelates, nobles, and tenants-in-chief. [14] This clause would demand that John had to summon a convention in which his barons, tenants-in-chiefs, and leading prelates would attend once again being involved in decision making, negotiations, and law construction. They would gain the power that they once had when the Angevin machine was established when Normandy was being ruled by Henry II and Richard I. During the reign of his father Henry II, set up permanent court of professional judges and sent them throughout the land on frequent missions, criminal justice was to be administered all over the land in accordance with the same rules. [15] Clause 39 of the Magna Carta states â€Å"No freeman shall be taken or imprisoned or disseised or exiled or in anyway destroyed nor will we go upon him nor send upon him, except by the lawfuljudgement of his peers or by the law of the land. †[16] This is stating that King John can’t imprison or exile someone that he wants to without having broken a law and be judged within a court in front of his peers. Historian Clare Valente states within her book The Theory and Practice of Revolt in Medieval England, that clauses 39 and 40 are the utmost important due to the guaranteed free, available, impartial royal justice according to the law of the land. [17] The barons were demanding that John restore the judicial branch that England once had under the rule of his father. Also, with in the Magna Carta clause 52 states that all those who had been exiled without a lawful judgment was removed from exile and his rights were fully restored. 18] King John had removed the law system that his father and fore fathers had established that guided and helped their government develop. Instead of having the positions of law enforcements being held by those who had been educated and trained in the field, John replaced them with his close piers and those that he could trust to ensure that his ruling was going to be enforced throughout his real. The gratuitous concessions of Magna Carta, limited thought the y were, came to be seen as offering a more general guarantee for local liberties, to be enforced, exploited and misinterpreted in their defence. 19] The barons who under the rule of Richard had withheld power do to the invention of the angevin machine that was created by Henry II that was designed in the absent of the king the king’s alter ego who had sole direction of the government affairs and could issue chancery writs in his own name. [20] Under this concept the barons gained outstanding amount of power. During John’s rule their power had been eliminated and they believed that it was their born right to have the feudal principle that vassal should give â€Å"aid and counsel† to his lord. 21] With their rights and power taken the creation of the Magna Carta was away to try to re-establish their rights. â€Å"All foreign knights and soldiers were thrown out of the country do to the belief that they were living in England to corrupt the government†. [22] This clause was cruel to the barons, who believed that these foreigners were taking over England and influencing their lords over all decisions In addition with the nationality clause, With John agreeing to the terms of the Magna Carta, he was subjected to abide by each law. If any laws were broken then they would have all rights to revolt against him once again. As quoted by ‘The Twenty-five Barons of Magna Carta,’ by C. R. Cheney: If the king of his officials violated anything in the charter or failed to do extension of judicial distraint, to obey him and attack his property until he reconfirmed his promises and restored justice, at which point normal relations would resume. [23] It is clearly stated that if John or any of his nobility that followed him were to break the law in anyway, his property not him would be attacked. Within the clause itself it states that the twenty-five barons and the whole community have the right to seize their castles, lands, and possessions in anyway that they can until the situation has been obtained and meets their demands. The Magna Carta first set of laws that a monarch was forced to sign and accept to follow under his own barons. John had created a corrupted government by taking away power that was given to his barons from his father and brothers rule due to their absent and the invention of the Angevin machine. The barons were allied with Archbishop Langston who also believed that John’s ruling was in the wrong and that he should not be able to have any influence in the Church’s decisions. BIBLIOGRAPHY I. PRIMARY SOURCES White, Albert Beebe and Notestein, Wallace. Magna Carta 1215. Edited by Source Problems in English History. New York: Harper and Brothers, 1915. II. SECONDARY SOURCES A. Books Cheney, C. R. , The Twenty-five Barons of Magna Carta. Bulletin of the John Rayland’s Library, 50 (1967-68). Goodhart, Arthur L. Law of the land. Charlottesville VA: The University Press of Virginia, 1966. Holt, J. C. Magna Carta. Cambridge: University Press, 1965. Joliffe, John. Angevin Kingship. London, A. C. Black, 1963. Jones, J. A. P. King John and Magna Carta. London: Longman, 1971. Painter, Sidney. The Reign Of King John. NY: Arno Press, 1949. Poole, Austin L. From Domesday Book to Magna Carta, 1087-1216. Oxford: Clarendon Press, 1951. Valente, Claire. The Theory and Practice of Revolt in Medieval England. Burlington, VT: Ashgate Publishing Company, 2003. B. Journal Articles Maddicott, J. R. Magna Carta and the Local Community 1215-1259. † Past Present 102 (February, 1984):30. Stuart, William A. â€Å"The Constitutional Clauses of Magna Carta. † Virginia Law Review2:8 (May, 1915):567. [1] Sidney Painter, The Reign of King John (New York: Arno Press, 1949), 1. [2] Austin Poole, From Domesday Book to Magna Carta, 1087-1216 (Oxford: Clarendon Press, 1951), 378. [3] J. A. P. Jones, King John and Magna Carta (London: Longman, 1971), 8. [4] Painter, 16. [5] J. C. Holt, Magna Carta (Cambridge, University Press, 1965), 24. [6] Ibid. 7] John Joliffe, Angevin Kingship (London, A. C. Black, 1963), 341. [8] Painter, 24. [9] Sir. James H. Ramsay, The Angevin Empire of the Three Reigns of Henry II, Richard I, and John (A. D. 1154-1216) (New York: AMS Press, 1978), 417. [10] Jones, 46. [11] Albert Beebe White and Wallace Notestein, Magna Carta (New York: Harper and Brothers, 1915), Clause 1. [12] Ibid. , Clause 61. [13] White and Wallace Notestein, Clause 6. [14] Claire Valente, The Theory and Practice of Revolt in Medieval England (Burlington, VT: Ashgate Publishing Company, 2003), 26-27. 15] Goodhart, 9. [16] White and Wallace Notestein, Clause 39. [17]Valente, 26. [18] Ibid. , Clause 52. [19] J. R. Maddicott, â€Å"Magna Carta and the Local Community 1215-1259. † Past Present 102, (Feb. 1984): 30. [20] Jones, 4. [21] William A. Stuart, â€Å"The Constitutional Clauses of Magna Carta. † Virginia Law Review 2:8 (1915): 567. [22]White and Notestein,. Clause 51. [23] C. R. Cheney, The Twenty-five Barons of Magna Carta (Bulletin of the John Rayland’s Library, 50 (1967-68) 307.

Friday, March 6, 2020

Food Security †Living in Hunger

Food Security – Living in Hunger Free Online Research Papers Food security describes a situation in which a human being does not have to live in hunger or fear starvation. According to the (1996 World Food Summit) food security exists when every person has physical and economic access at all times to healthy and nutritious food in sufficient quantity to cover the needs of their daily ration and food preferences in order to live a healthy and active life. As a concept it can be applied at many levels: global, national, household and individual. World-wide around 852 million men, women and children are frequently hungry due to extreme poverty; while up to 2 billion people lack food security due to varying degrees of poverty.(FAO2003). Food consumption levels reflect on poverty, families that don’t suffer from chronic hunger are the ones with financial resources, while the ones that suffer most are the ones without any financial resources and are also that part of the population that will be affected most in case of food shortages or famine. Food insecurity can be categorized either as chronic or transitory. Chronic food insecurity translates into a high degree of vulnerability to famine and hunger, ensuring food security presupposes elimination of that vulnerability. Chronic hunger is not famine, it is similar to under nourishment and is related to poverty, it exists mainly in poor countries. Food security as an issue became prominent in the 1970s and has been a topic of considerable attention since then, thirty definitions of it have been identified by Maxwell and Frankenberger (1992). Originally there was a tendency to understand the issue of food security only from a supply point of view. In 1979 the World Food Programme Report conceptualized food security, equating it with an assurance of supplies and a balanced supply-demand situation of stable foods in the international market. The report also emphasized that increasing food production in the developing countries would be the basis on which to build their food security. This would mean that the monitoring by famine early warning systems for food insecurity should focus on the availability of food in the world marketplace and on the food production systems of developing countries. However, global food availability does not ensure food security to any particular country because what is available in the world market (o r the surplus in the US or Canada) cannot be accessed by famine-affected people in African countries, as the economies of these countries, in general, cannot generate the foreign currency needed to purchase food from the world market. Three-quarters of the world’s poor and hungry are located in rural areas. These people depend directly and indirectly on agriculture and agriculture-related activities for their food and income. USAID proposed several key steps to increasing agricultural productivity which is in turn key to increasing rural income and reducing food insecurity. These key steps include: Boosting agricultural science and technology. Rising agricultural productivity drives economic growth. Improved agricultural technology is a key component for boosting productivity. This includes support to agricultural research and support to the application of improved technologies and practices. Developing domestic market and international trade opportunities. Expanding farmers’ commercial opportunities is critical for ensuring adequate returns. This includes improving domestic markets and international trade opportunities. Improving policy frameworks. Only with sound policies in place can domestic and foreign private investment and development assistance catalyze growth by helping people solve the problems that all too often keep them poor and food insecure. Securing property rights and access to finance. Asset distribution shapes broad-based progress because it determines the impact of the economic benefits. Asset distribution also contributes to empowerment, hence participation and ownership, by the larger proportion of the rural population. Protecting the vulnerable. Conflict prevention and resolution mechanisms and democracy and governance based on principles of accountability and transparency in public institutions and the rule of law are basic to reducing vulnerability in the short term and eliminate conditions that create vulnerability over the long term. Enhancing human capital. Better education and improved health contribute to greater scientific capacity, more productive farmers, and better decision-makers over a range of economic and non-economic activities. The agriculture, hunger, poverty nexus is also a very important link involved into ensuring food security, utterly removing hunger and poverty requires an understanding of the ways in which these two injustices interconnect. Hunger, and the malnourishment that accompanies it, prevents poor people from escaping poverty because it reduces their ability to learn, work, and care for themselves and their family members. If left unaddressed, hunger sets in motion an array of outcomes that prolongs malnutrition, reduces the ability of adults to work and to give birth to healthy children, and erodes childrens ability to learn and lead productive, healthy, and happy lives. This shortage of human development undermines a countrys potential for economic development for generations to come. Of the eight Millennium Development Goals, eradicating extreme hunger and poverty depends on agriculture the most. Millennium development goal’s one calls for halving hunger and poverty by 2015 in relation to 1990 and also halve the proportion of people whose income is less than $1 a day between this same period. Another method of achieving food security is the ‘‘Special Programme for Food Security.’’(SPFS) This is Food and Agricultures Organization’s flagship into achieving the above goals which is adopted by 105 countries today with donations of up to $800 million dollars. It assists countries, particularly but not exclusively Low-Income Food-Deficit Countries (LIFDCs), to improve food security within poor households through National Food Security Programmes (NFSPs) and Regional Programmes for Food Security (RFSPs). Their most current goal after an independent evaluation in 2002 is to move away from their exclusive focus on raising agricultural output, to finding ways to improve poor peoples access to food. New directions include locally supplied school meals, food for work schemes and capacity-building activities to improve agriculture, aquaculture, agroprocessing, animal health and irrigation techniques. It is also replacing the earlier trend for smal l-scale pilot projects with National Food Security Programmes which address the needs of a country as a whole in a more holistic and comprehensive way. Bibliography A global view of food security. Agriculture + Rural Development Singer, H. W. (1997). Agriculture, food security, nutrition and the Millennium Development Goals Von Braun, Joachim; Swami Nathan, M. S.; Rosegrant, Mark W. World Bank. World Development Report 2000/2001: AttackingPoverty. Oxford University Press, 2000. worldbank.org/ Food and Agriculture Organization of the United Nations fao.org An Active Learning Approach to Teaching About World Hunger MATTHEW KRAIN and CHRISTINA J. SHADLE. (2006) US AID usaid.gov/index.html World Food Summit fao.org/wfs/index_en.htm Household food security: concepts, indicators, and measurements: a technical review. New York, NY, USA and Rome, UNICEF and IFAD. Maxwell, S. Frankenberger,1992. Research Papers on Food Security - Living in HungerGenetic EngineeringAssess the importance of Nationalism 1815-1850 EuropePETSTEL analysis of IndiaMarketing of Lifeboy Soap A Unilever ProductDefinition of Export QuotasLifes What IfsThe Effects of Illegal ImmigrationRelationship between Media Coverage and Social andInfluences of Socio-Economic Status of Married Males19 Century Society: A Deeply Divided Era

Wednesday, February 19, 2020

How have transnational NGOs and social movements impacted countries Term Paper

How have transnational NGOs and social movements impacted countries that practice female circumcision - Term Paper Example According to the World Health Organization, approximately 140 million girls have been circumcised all over the globe, of which about 92 million are believed to be from Africa. (Female Genital Mutilation, World Health Organization, February 2012). The origin of female circumcision is not known for sure, however some scholars on the subject speculate that this practice has its origins in the time of the ancient Egyptian pharaohs. This belief is corroborated by the fact that some ancient Egyptian female mummies were found to be circumcised. In today’s times female circumcision is commonly practiced in many parts of Africa. This practice is promoted in three ways by the people who propagate it. The Sunna type where the clitoris is excised, the clitoridectomy  type where the clitoris and minor labia are excised and the infibulations type where the whole clitoris and all the labia are cut off. (M. A. Dirie and G. Lindmark, 1992). The practice has however, been reinforced by Islami c tradition due to the belief that circumcising women dampens their sexual desire and leads to less promiscuous behavior generally. (Asaad M.B, 1980). Countries and cultures that advocate the practice believe that performing the procedure tunes down a woman’s libido. The opposition for female circumcision presents a strong case. ... According to the World Health Organization, female circumcision has no health benefits what so ever and is only a cause of damage. It is apparent with simple deduction that since the practice removes healthy female genital tissue for no medical reason; it will interfere with their normal bodily functions in addition to being the host of a bunch of diseases and infections. There can be instantaneous consequences like pain, shock, hemorrhage or tetanus etcetera or long term consequences which might include bladder and urinary tract infections, cysts, infertility and child birth complications etcetera (Female Genital Mutilation, World Health Organization, February 2012). However, debates regarding this issue are messy because of the cultural, religious, social and political connections to the issue of female circumcision on the side of the advocates of this procedure and thus, reaching a solution is a very complex course of action. The medical views on female circumcision are shrouded w ith confusion because they don’t understand the reason why people do it if it has such dangerous health implications. What needs to be done is that people should look at this practice through a cultural lens to understand its significance and why it means so much to the cultures and people who practice it. Firstly, they look upon this as a necessity according to what their beliefs have taught them. Second, this practice has different meanings for different cultures and people, third, although people who are against this practice to promote gender equality the women it is practiced upon don’t think of it as an infringement of their rights. Although this practice originated from the patriarchal society, it is women that have ensured that it keep being practiced to date.

Tuesday, February 4, 2020

Critical discussion of verbal and non-verbal communication Essay

Critical discussion of verbal and non-verbal communication - Essay Example Poor communication constantly occurs in hospitals and is believed to be responsible for a majority of hospitals treatment errors that cause death to many patients (Harrison and Hart, 2006). These communication breakdowns are likely to occur at specific points especially when breaking news to patients regarding their health, when doctors are being informed by nurses about patients’ health, when there is a medical emergency that requires quick treatment and during diagnosis and prescription of treatment. Various reasons have been found to lead to these lapses of communication that leads to wrong diagnosis and treatment as well as patients not being informed of their condition properly (Shives, 2008). Poor communication in hospitals has occurred frequently due to a lack of proper hospital policy in place to ensure that there is a basic protocol followed in the general treatment, resulting to nurses using different methods of treating. These errors could occur during discharge pro cedures as well as the report methods used during admission of emergency cases (Minott, 2008), as both nurses and doctors use different standards of measurement in report filling, making prescriptions and document handling, errors of interpretation are likely to occur. ... Hence, a mental model framework is imperative for the comprehension of verbal and non-verbal cues as well as for staff to share meaning and be able to develop common knowledge (Davidson and Blackman, n.d.). Lack of rules for face-to-face or any other verbal communication such as via telephone could also result in communication barriers forming during treatment especially while changing shifts. Different patients will respond differently to the rapport used by medical staff and although it is difficult to find a universal tone of conversation to use in conversation, it must be noted that it can result in patience feeling uncomfortable communicating as well as shutting down due to a feeling of disrespect or prying by the doctor. The use of vague language and unclear syntactic and pragmatics will also result in the misdiagnosis of patients and the inability of fellow staff members comprehending the sincerity of the patients’ illness (Byrne and Byrne 1992; Morrissey and Callaghan, 2011). A differing opinion on what is necessary and what is not is a serious impediment to effective communication between both patient-staff and staff-staff briefing. This is because different opinions have often led to scenarios where vital patient information about welfare is left out as either the patient or the nurses available feel that it is not necessary to explain some details especially if the affected area is very private or if it appears that they are healing and do not want to seem petty. This is more common during oral communication and emergency treatments than when viewing their chart files as different people will have various thoughts on what is important and what is not and information can be forgotten or left out. Infrequent communication by

Monday, January 27, 2020

Nurse advocacy

Nurse advocacy Nurses are faced with a lot of issues and dilemma in their work places.   Nurses are committed to deliver services for all persons irrespective of color, background, social or economic status.   They are committed to promote individuals, families, communities and national health goals in the best manner possible according to the code of conduct. Nurses are also involved in ethical, legal and political issues in the delivering of health care. Not all the time the nurses and doctors make decisions about the patients treatment. The patients themselves have the right to decide whether they want the treatment or not.   Nonetheless the duty to promote a patients best interest may conflict with the duty to respect the same patients autonomous wishes concerning treatment.   This can lead to legal issues and the nurses and doctors have to follow the four principles approach.   The four principles is one of most widely used frameworks and offers a broad consideration of medical ethic s issues generally, not just for use in a clinical setting, The four principles are general guides that leave considerable room for judgment in specific cases. (Study Skills Notes) The four principles are: THE RESPECT OF AUTONOMY.   The principle or respect for autonomy entails taking into account and giving consideration to the patients views on his/her treatment regardless of their competent.   This self-rule is limited by the particulars of events that may render some choices to be merely apparent autonomous choices.   An example may be that a persons choices are influenced by illicit drugs, medication, disease processes or just the plain influence of another person.   In some cases people who have been physically or sexually abused sometimes hide the true nature of their abuse or abuser.   However, in this instance respect for autonomy involves not only ‘acknowledging decision-making rights but enabling persons to act automonously.'(Beauchamp and Childress 2001:pg63).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   THE BENEFICENCE means to do good in Latin.   The healthcare professional should act to benefit patient or client.   This principle may clash with the principle of respect for autonomy when the patient makes a decision that the healthcare professional does not think will benefit the patient.   It is clear that the nature of the relationship between health professionals and their patients establishes an obligation of beneficence.   This obligation is frequently referred to as a duty of care.   Ho wever, a duty of care is clearly also influenced by other principles.(Beauchamp and Childress 2001:pg225-275) NON-MALEFICENCE: Do no harm. As a justification for condemning any act which unjustly injures a person or causes them to suffer an otherwise avoidable harm.   For example, if a patient suffers an infection from a bacteria like methicillin (or multidrug)-resistant or MRSA because health care workers fail to take precautions such as properly washing their hands then that would be a breach of principle of non-maleficence.(Beauchamp and Childress 2001:pg225-275)   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The fourth principle is JUSTICE: is the most difficult and elusive of the four principles.   One of conception of justice is termed ‘distributive justice.   This concerns for instance the just distribution of benefits such as state funded health care.   All distributions conform of justice that equals should be treated equally.   Justice means fairness not postcode lottery.   Each member of society, irrespective of wealth or position, should have access to healthcare.   However only those of health care that achieve or have priority. Such as emergency care or treatment for acute phases of illness or perhaps preventative health measures, education may be included in state-funded health care but purely cosmetic surgery or artificial fertilization treatments may not be included. (Beauchamp and Childress 2001:pg225-275) Like in this ladys case a 76 year old named Betty suffers from a continuous intestinal obstruction following a bowel perforation resection which means (a broken or burst bowel).   She has been chrormically unwell for a long time and has had recurrent chest infections and sepsis.   She has been admitted to intensive care on at least four occasions in the past year.   On each occasion, despite predictions to the contrary, she has been well enough to return home.   She was admitted again for the fifth time to intensive for an operation prior to another laparotomy.   This time she had heard enough so she refused treatment.   They then transferred her to an ordinary ward for nursing care with instructions for the nursing staff that she is to be kept comfortable but is not for further active treatment.   But Bettys daughter who is a doctor and lives abroad flown in and was adamant that everything possible should be done for her mother.   She asks for her mum to be returned to intensive care and be given the treatment.   Bettys son who lives locally and has been her main carer said his mother has been through enough and does not want her to have any further active intervention.   Thats when the four principles come in.   Betty has to be assessed to see whether she is competent then maybe persuade her to rethink if that doesnt work they just have to respect her wishes.   If Betty lacks capacity her views about the care she receives are important in determining her best interests.   The clinician may feel that he/she is not acting beneficently towards his/her patient if he/she allows her to die for lack of treatment.   With all that involve there will be tension between beneficence and non-maleficence in such a case.   Bettys son views are also important because he has been there for his mum regarding her wishes.   In Bettys case the law a competent person refusing treatment to put it in writing and witnessed.   The Act enables a person when competent to appoint a proxy to take healthcare decisions for her when she loses capacity.   This can be done through a Lasting Power of Attorney, a formal document that must be lodged with the Court of Protection. (Ethic education resource pack: Ethic and the vulnerable patient Ethox Centre 2005) According to the Nursing and Midwifery Councils Advocacy and Autonomy.   Every patient has the right to make their own decisions regarding their health care.   As a registered nurse, midwife or specialist community public health nurse, have to respect the patient or client as an individual.   Advocacy is concerned with promoting and protecting the interests of patients and clients, many of whom may be vulnerable and incapable of protecting their own interests.   They may lack the support of family and friends. (NMC Advocacy and Automomy).

Sunday, January 19, 2020

Differences between Genders Not Created by Social Conditioning

This paper intends to observe males in social settings, as well as, in the workplace. In addition to that, it will try to identify the differences between opposite genders in terms of those not created from social conditioning. Finally, it will also enumerate social conditions promoting gender inequality that adversely affects the society. Observations The following are some of the ones I noticed among the males in social settings and in the workplace:In the office, there was a man who didn’t care how excellent the result of his work will turn out to be, what he is focused on is accomplishing is (Marriage Missions International n. p. ). It doesn’t really matter to him if his colleagues will approve of his work just as long as it is done (Marriage Missions International n. p. ). Another man speaks of his desired promotion and salary increase which shows how important money and power are to him (Marriage Missions International n. p. ).Finally, there was a man at the party who did not seem to care how badly ironed his clothes were (Marriage Missions International n. p. ). His hair was even too messy to look at (Marriage Missions International n. p. ). It is clearly evident that he cares less about his appearance (Marriage Missions International n. p. ). Differences Based on the observations carried out, the differences among genders which are not brought about by social conditioning are the following: First of all is preference.The â€Å"outward show† of an individual is not taught by somebody he or she is with. This depends on what the person wants or desires. Another is known as innate ability/attitude. A man was not trained or taught to want money or fame, this is instilled in him. It’s an attitude he already has. The same is true with his performance; a man may be innately lazy and not motivated to work excellently. Social Conditions The social conditions that may promote gender inequality are the following: The first is gender role s.This may create adverse effects on the society because gender roles are behaviors which a particular culture or group of people expects from people (Net Industries, LLC n. p. ). Therefore, if a certain person acts contrary to whatever expectations their group may have then it creates chaos and bias from these people (Net Industries, LLC n. p. ). For example, in certain cultures only the men/husband are expected to work and earn for the entire family and so if there is anybody female/wife is the one earning/working, this somehow creates bias from the culture/society they belong to (Net Industries, LLC n.p. ).The problem with this is that the women may tend to be abused and may be looked down upon because of their expected role (Net Industries, LLC n. p. ). Another is based on â€Å"materialist theories† which means that genders are linked to the economic output of both genders (Eitzen et. al. 251). Here, women are constantly discriminated upon because in the past women are p aid much less than men (Eitzen et. al. 251). The society is affected believing that up to now this is still the case (Eitzen et. al. 251).

Friday, January 10, 2020

Adult Day Care

Adult day care (ADC) service centers should be built in our community to take care of elders during the day time when their family members are out at work or unable in pertaining necessary heed to the elders. Thus it is necessary to action in this regard. Services usually take place in their residences or in designated hospice residences or hospitals.Hospice services consist of basic nursing heed, mental health counseling, homemaker and personal care help, plus pastoral care and spiritual counseling. In addition, physician-directed procedures are used to assist in pain control and acute or chronic system management.II. Project DescriptionA. IntroductionWith a heart full of sun drenched reminiscences of his golden times of yore, when a person steps into the dusky horizon of old age, after traveling through all crests and troughs of life, he seeks a peaceful shelter to stay for the rest of his life. Parents or guardians when capable, bring up their children, provide them food, educatio n and fulfill all their basic needs.Therefore it also becomes the responsibility of the young to take care of their parents or guardians when they grow old.   There are elderly people, who entertain intensive care and affection from their families, but there also exist elderly persons who either do not have anybody in their family to pay attention to them or their family members are too busy to do so. Such elderly people can take the help of Adult day care services.B. Rationale and Significance:1. Definition of the problemOld age brings with it chronic diseases, intolerable pain, frustrating incapability, never ending solitude, etc. Though, it can become a peaceful shelter with care and affection of family and friends. But being a primary caregiver for an elder can be a difficult job.Matters like Bathroom Safety, pain management, proper nutritional care, special care for elders living with Incontinence, etc have to be always kept in mind. All these are not so easy for a busy perso n. The hours are time-consuming and it can be a wearisome and anxiety-provoking duty, for even the most enduring person.2. Background of the ProblemIn this dynamic world, that is moving from progress to greater progress, in an endless motion people are compelled to devote most of their time to their work and social life. Thus people are unable to dedicate the necessary time and care to the elders. Establishment of Adult day care (ADC) can prove to be a cost-effective way out to a loved one's care requirements during the daytime.Adult day care (ADC) services, with all modern medical equipments and techniques, endow with daytime care for feeble elders and aged people with disabilities in form of a group termed as adult day care center. Services may differ depending on the requirements of the people served.3. Need for a SolutionAs a result there is a specific need for solution to this problem. With varying routine of care, ADCs serve its members with wide range of social, health, recre ational, medical care, or rehabilitation to persons with chronic diseases or disabilities. Thus, it is necessary to comprehend what echelon of care can exactly meet the needs of the person to be admitted.4. There will be weekly evaluations doneAs corruption and unnecessary delay are common practices, which easily becomes part of any organization, weekly evaluations of the performance of the Adult day care (ADC) service centers should be done by government personnel, such as government doctors, food inspectors, health department representatives, etc, to provide the best of care to the elders of the community.5. Benefits from the solutionAdult day care put forward a dual benefit for elders and their families. Participants can get benefited from socialize with fellow members and receiving desired care services. Caregivers can also get benefited by getting a break from care giving responsibilities during the day time while being well convinced that a loved one is in good hands and they do not have to worry for them. Adult day care (ADC) services take profound care of their members.6. Feasibility of the solutionADCs are becoming more and more popular these days. More than 4,000 ADCs currently function in the U.S only and most of them are nonprofit programs. These ADCs acquire specialization in a particular populace or echelon of care, establishing qualification on one’s diagnosis or purposeful status and occasionally on age. Thus ADC can come up as a gainful system to meet the care requirements of elders in our community during the daytime.C. Plan of work:A. ScopeWith government subvention, support and direction, donations and assistance from non government or non profit or public welfare organizations, funds collected from residents of the community, and with their voluntary assistance Adult day care (ADC) service centers can be establisher in the community.B. MethodsAdult day care is a term generally used to portray different categories of adult day care s ervices. Most of the ADCs services serve to older adults where as some may specialize in taking care of   younger adults with disabilities, or those with developmental disabilities. Different adult day care foundations use different terms to describe their services.Though the programs may in names, three most widespread types of ADCs are social day care, adult day health care, and dementia day care. The social day care form offers a gentle environment for persons without particular health care requirements.Activities usually comprise socialization with other members, group activities which are ethnical and specially designed for the aged, such as, current proceedings, singing or games, therapeutic activities and meals, personal care support, etc.C. Task breakdownThe adult day health care (ADHC) form helps persons with an array of health, rehabilitative, social and mental health requirements, often relating a physician's assessment and recommendation. Nursing and health care servic es are offered on the program, such as help with medications, health monitoring, physical therapy, occupational therapy, incontinence care and speech therapy, etc.The aim of ADHC is to reinstate or maintain a member’s best possible functioning. AS ADHC is more medically designed, licensed organizations may be paid back by Medicaid for making it available to low-income members. The dementia day care program specializes in helping persons with Alzheimer's disease, or other such challenging conditions, such as Parkinson's disease, Huntington's disease, stroke, etc.Dementia day care aims at preventing early institutionalization of persons with dementia and to endow with a break for family caregivers. Specialized programs proffer suitable activities for those who are suffering with confusion or memory loss, such as music or art, reminiscence, therapeutic activities in a harmless, secure surrounding with proper care and staff-to-participant proportion.Staffs with experience and tra ining in dementia care, behavior management strategies, and communication techniques are appointed in Dementia day care. Along with the above models few more models of ADC are also available these days, such as Living board and care model, Independent living centers, Hospice care and Respite care. The Living board and care model consists of smaller group homes which endow with concern for seniors and feeble elders have several names.D. Time and work scheduleA hospice team associate is on-call 24-hours to provide advice or assistance with an emergency. Hospice clients obtain services in accordance with an individualized plan of service. A social worker is usually charged with supporting the patient and family and in helping the care team in working efficiently with the family.Respite care is formed to alleviate caregivers of their everyday jobs. Some Adult Day Health Centers even organize transportation facilities. Home health agencies can also enter the field to provide assistance b y introducing a homemaker or home health assistant.   Moreover, home health organization can arrange for round the clock care and over night care.E. Problem AnalysisDepending on where one resides, they could be termed as board and care homes, assisted living, personal care, adult group homes, adult foster care, boarding care homes or adult family homes. These dwellings proffer room and board in a small home like atmosphere, usually accommodating about 10 persons or less. They are often positioned in residential vicinity and provide a less professional substitute to trained nursing facilities of nursing homes or hospitals.As these homes do not provide medically-prescribed skilled nursing facilities, they usually can not be paid back by Medicaid. Some states provide licensing supplies for board and care homes which control services, staffing, facility environment and reimbursement. Alternate means of paying back such as supplemental security income – SSI are also accepted for low-income members.Independent living centers (ILCs) are usually private charitable community-based institutions which grant services and advocacy to persons with all sorts of disabilities. The majority are also consumer-controlled by persons with disabilities. The importance is on helping persons to maximize their prospective and live as autonomously as feasible in the community.The expansion of ILCs develops from the disability rights movement where persons with disabilities fought to recover their independence and reduce the requirements for institutional care. ILCs often make use of their constituencies to promote the rights of individuals with disabilities at the local, state, and national levels.Issues include admission to public buildings such as government buildings, restaurants, movie theaters, restrooms, parks, disabled parking and public transportation, and housing. They may be implicated in raging war against discrimination in the place of work and promoting employment prospects for citizens with disabilities, as well as engaging in avenues to increase health care exposures, contact to medical specialists and enduring care services.ILCs recruit staffs having knowledge on public reimbursements such as Medicaid, disability insurance, etc. Additionally, some ILCs also offer support groups, workshops, or instruction. Hospice services provide palliative care for persons with terminal sickness in the last stages of life and their families.Hospice coalesce medical, emotional, social and spiritual support to ease the dying person and his family and maintain dignity at the end-of-life. Services are dispensed through the involvement of physicians, nurses, social workers, therapists and volunteers.F. Likelihood of SuccessRespite care intends to ease the stress allied with care giving. Respite care can also be an unofficial arrangement, where acquaintances of the elder or another family member does the care giving duties for a few hours or a few days a week.à ‚   Adult Day Health Centers, Respite Centers, Senior Centers, and Skilled Nursing Facilities also offer respite care.Skilled nursing facilities that offer short-term respite are also available for the clients who require nursing care. Thus it becomes necessary to choose which services are to be provided in the ADC service center to meet our requirements and also fit within our budget. Once all these elements are analyzed and evaluated and implemented in accordance to plan there is no reason that the plan would ever fail. Thus likelihood of success is guaranteed.D. Facilities and Equipment:An Adult day care (ADC) service center having ultra modern equipments, well experienced and proficient doctors and nurses, surplus supply of medicines other stuffs, etc, required for instant diagnosis and proper treatment, should be formed in the community.A total carpet area of 3000 to 3500sqfts is required where there would be at least 8 to 10 rooms. Additionally there would be gardens or vast o pen areas. Modern medical equipments such as X-ray machines, CT scan, Ultra Sonography, ECG, Pace makers and other important instruments would be installed. Arrangements should be made to provide necessary and instant medical treatment to the elders in case of emergencies.III. Personnel Qualifications:Qualified physiotherapists, psychiatrists, yoga trainers etc should be appointed to endow with spiritual heal along with physical and mental fitness to the elders. Nutritionists and center supervisors can also be appointed to administer the workings in the center, so as to provide proper healthy food and maintain hygiene of the center.IV. Budget:Establishment of an Adult day care (ADC) service center accommodating at least a hundred members in it and providing all aforementioned facilities require a large area of about 3000 to 3500sqfts, having at least 8 to 10 rooms with gardens or vast open areas.   This may cost approximately $122000 to $134000.Costs of modern medical equipments s uch as X-ray machines, CT scan, Ultra Sonography, ECG, Pace makers and several other devices can be all together rounded up to $490000 to $580000. Remunerations of doctors, nurses and other employees together calculated makes near about $8000 to $12200 per month.Along with these disbursements expenses on purchase of food and medicines, payments of electricity bills, telephone bills, taxes, etc also have to be considered.   (Roy, 2006)V. Urge to Action:By and large people feel unenthusiastic to use adult day care services for the reason that they give the unknown impression, or since a loved one is tentative to endeavor something untried. Knowledge about Adult day care (ADC) services has to be made available to them. Some people, who are economically not so sound, may ADC expensive to use. Some concessions and relaxation in fees should be provided to them.VI. AppendixOld age never comes alone. It brings with it chronic diseases, intolerable pain, frustrating incapability, never end ing solitude, etc. Thus the journey in the twilight of life becomes a painful hell. Old age can become a peaceful shelter with care and affection of family and friends.Adult day care (ADC) services lend a helping hand to both the elder and their family. It relives from the pressure and monotone of taking care of their loved ones, at the same time endowing with the best care to the elder. Thus Official Proposal for Adult Daycare program in the Community is seriously needed.Reference:Roy, S; (2006) List of Instruments with Price; Medical Collage Equipment Handout- Year 2006; Kolkata Medical Collage. Kolkata: Universal Press