Friday, January 17, 2020

Post Sigmoid Coletomy Care

This paper will critically examine the care needs and management of Mr Braun. An appropriate framework will be used, namely the ABCDE. Alternative treatment will be analysed using the 5 WHs critical decision making too (Jasper, 2006)l. His care will be based upon the nursing process ensuring that patient outcomes are agreed, implemented and evaluated. The assessment framework to be used is this assessment is the ABCDE assessment framework. The ABCDE framework looks at Airway, Breathing, Circulation, Disability, and Exposure/Elimination.The reason for choosing this framework is that it uses a systematic method of assessing, it aids with elimination of post op complications. In addition, it is a commonly accepted framework which is widely used and can be used in critical care situations, pre & post-operative care and emergency situations. Furthermore, it allows the nurse to use her skills in accessing the patient’s needs. The disadvantages of the framework are that it is a medic al model in the sense that it looks specifically at the biological aspects of care and lumps emotional/psychological/cultural/social care under the exposure/elimination catergory.Therefore it does not promote exploring these issues in great detail (Younker, 2008 & Hargan 2012) Cancer Physiology Bowel cancer normally starts in the rectum or sigmoid colon. It starts as adematous polyps and then progresses to adematous carcinomas. It spreads by direct extension via the bowel circumference, submucousa and outer bowel wall layers. It can also spread to other areas by direct extension, for example, to the liver, pancreas and spleen. Metastasis is normally by way of the surround lymphnodes.Primary cancerous cells can also travel into the lymphatic and circulatory system causing secondary cancer in other organs such as liver and pancreas (LeMone & Burke, 2003). Mr Braun is undergoing an operation for his sigmoid colon cancer. One route to take would be the traditional method. This consists of open bowel surgery. This entails making a large opening. A bowel prep is given prior to surgery, there is a longer starvation process, which can cause dehydration and electrolyte imbalance. Furthermore, it causes stress on the body, insulin resistance in the body is longer and the recovery period is longer.In addition it causes longer paralytic ileus (Siddiqui et al. , 2012). The alternative treatment to the traditional method would be the laparoscopic method. Mr Braun would have a smaller incision, therefore making a quicker recovery. He would be in less pain and would be able to mobilise quicker. He would have a quicker return of GI function and a lesser period of paralytic ileus. He would be able to deep breath better as he would not be experiencing a lot of pain, therefore he would be at less risk of contracting a chest infection.This would all work towards him having an earlier discharge, for example, 3-5 days post op compared to anywhere between 8-12 days on the traditional method. Research has also shown that community rehabilitation is much quicker, 2-3 weeks rather than 6-8 weeks on the traditional method (Jenson 2011). Further research shows that patients undergoing laparoscopic surgery have fewer complications post discharge (Hargan 2012). It appears then the laparoscopic route has better outcomes for the patient and in addition, the NHS.Being able to discharge a patient between 3-5 days who experience fewer complications post operatively not only frees up beds but costs less to treat the patient. Therefore, after weighing up the pros and the cons of both the traditional and the laparscopic it would seem that Mr Braun would be better off having the laparoscopic route. It appears from research that the lapascopic route is the route which is used in almost 90% of colorectal surgery. However, the route that is taken ultimately depends on the surgeon’s choice. Prior to collecting the patient from the recovery roomBefore collecting Mr Braun fro m the recovery room I will need to check the bed area. This includes checking that the oxygen is working. I will need to ensure that there is a nasal tube and a venturi mask. I will also need to check the suction is working and ensure that a new tube is present by the bedside. I will also need to make there is a yonker. I will put a dynamap beside the bed which will allow me to take Mr Braun’s clinical observations on return to the ward. I will also ensure that a drip stand is next to the bed as he may be on fluids or have a PCA on his return to the ward (Nicol et al. 2012).Collecting the patient from the recovery room On collecting the patient from recovery, I will take with me a kidney bowel in case the patient needs to be sick on his return journey, a pair of gloves, a oropharyngeal (geudel) airway in case his airway becomes compromised in anyway and a pocket mask for mouth to mouth. My first priority is to ensure that Mr Braun is safe to return to the ward. I will check h is level of consciousness using the AVPU tool. This tool looks at whether he is Alert, whether he responds to Voice or whether he only responds to Pain and whether he is Unconscious. I will then take a handover from the recovery nurse.This should include informing me of the procedure Mr Braun has had, how well he has responded to the surgery and his current responsiveness/consciousness level. I would need to check with the recovery nurse whether his vital signs are within the normal range. This is for patient safety which is paramount and is at the centre of nursing care. This would need to be checked against the Early Warning Score (EWS) system which includes level of consciousness, the physiological parameters, for example, temperature, blood pressure, Oxygen saturation (SATS), respiratory rate, pulse and urine output.The EWS gives an overall score which informs me whether or not it is safe to take Mr Braun back to the ward. The recovery nurse would also inform me which medication s he has had, information regarding IV fluids, how long they should run for and whether more are needed when it finishes and check they are written up on the drug chart. In addition, I would need to see the wound bed. This would help with later assessment on the ward where I would be able to compare whether there has been any further bleeding or leakage. I would need to see the stoma site.The recovery nurse would inform me whether Mr Braun had a urinary catheter and whether there had been any urine output. After handover I would say hello to the patient and manually take his pulse so that I can get an indication of his heart rate (Nicol et al. 2012). On the ward On returning to the ward I will orientate the patient. I will inform him of every procedure that I do so that I can gain informed consent (NMC 2012). I will immediately carry out a set of clinical observations. This is so I can make a comparison with his perioperative baseline.Although doing the clinical observations with th e dynamap, I will manually take his pulse as it is vital that I know whether it is regular/irregular, strong or weak. ABCDE Assessment Airway The best way to check the airway is to speak to ask the patient and get him to respond to you. If he is able to talk in normally, this will be indicative of his airway being patent. I would need to listen to whether there are any sounds, like barking or gurgling as this could indicate that there is partial obstruction.I would also need to check whether Mr Braun is experiencing any nausea or vomiting. If Mr Braun is experiencing this I would need to immediately administer an anti-emetic as per drug chart instruction. This would help prevent the risk of pulmonary aspiration. I would also need to check whether Mr Braun has any allergies. I would ensure that he is wearing two red wrist bands with the allergies clearly written on them so that other staff members are aware. His allergies would be documented in his nursing notes and on his drug chart with information on what sort of reaction he experiences.Assessing whether Mr Braun has any allergies is extremely important as allergic reactions can cause swelling of the tongue and in the throat which would compromise his airway and leave him with difficulties breathing (Resuscitation Council UK, 2012). Breathing I would now assess breathing by checking Mr Braun’s respiratory rate (RR). The normal range is between 12-20 breaths per minute. In PAC, his RR was slightly raised. This could have been due to anxiety but was more than likely due to his anaemia (this will be looked at further under circulation). I will be able to gain a comparison and start looking for a trend.It is important that the RR is counted for a full minute. His breathing may be irregular and therefore not counting the full minute would give an inaccurate measurement. I would also check Mr Braun’s SATS. The normal range should be >95%. Checking his SATS will inform me whether he is getting enough oxygen and whether his tissues are being perfused adequately. Lack of oxygen can cause hypoxia which if not managed will lead to multiple organ dysfunction and ultimately death. I will also therefor check for cyanosis as this will also inform me whether he is lacking oxygen. It is important to look at how Mr Braun is breathing.For example, is he struggling to breath, is he breathing deeply or is it shallow. Does he have to use his accessory muscles to help him breath. I would check whether his chest is rising equally on both sides. I would also speak as him a question to ascertain whether he is able to speak in full sentences because someone who is struggling to breathe is unable to speak in full sentences. I would look at whether he is breathing fast or slow. Furthermore, I would look at how he is sitting, for example, is he leaning to one side. Also when you are assessing breathing it is important to listen for any wheeze or stridor.RR is one of the first things to alter when a pa tient is deteriorating. It is vital that if Mr Braun is experiencing any of the above, the nurse responds quickly. The first thing would be to check whether he is written up for any more oxygen and if so to increase it. The nurse would then have to check in RR and SATS again after 15 minutes to ascertain whether there was any improvement or further deterioration even. If the patient was deteriorating further the nurse would need to involve the doctor who would be able to review Mr Braun immediately and give further instructions on his care (Queen Mary University & City University, 2006).Circulation An assessment of Mr Braun’s pulse needs to be undertaken. This will allow the nurse to ascertain his heart rate. In addition, it would allow me to feel whether his pulse is strong or weak and whether it is regular or irregular. The normal resting pulse should be between 60-80 beats per minute (bpm). In the PAC, Mr Braun was slightly tachycardic, which could be due to anxiety of his diagnosis, hearing about the treatment he would receive or his prognosis. By taking his pulse it will allow for a baseline, pre-operative and peri-operative comparison.His blood pressure (BP) would also be assessed. The normal ranges are 90/60-140/90. Mr Braun’s BP in PAC was 135/80. Although this is still within the normal range, it is slightly high. However, this would be an appropriate BP given his age. It is vital that clinical observations are carried out every 15 minutes for the first two hours post-op as there is a higher risk of complications occurring and clinical signs are the physiological parameters which tell you whether a patient is deteriorating or improving.For example, if a patient is tachycardic and hypotensive this could be indicative of hypovolaemic shock which would need to be managed immediately as this can lead to potential death. It is vital when taking clinical observations that the nurse is aware that she should not only rely on the measurements. Th is is because a patient can be in hypovolaemic shock and still have a normal BP. This is because in hypovolaemic shock, the compensatory mechanisms take over and the body will do everything it can to keep the BP at normal level.Therefore, it is vital that the nurse also observes what the patient looks like, for example, does he look palor, he is sweaty or clammy. These are all important factors when carry out clinical observations. When a patient undergoes surgery he has enforced reduced mobility. Mr Braun will be in bed for a while and due to these factors is therefore at risk of Deep Vein Thrombosis (DVT), which is one of the highest cause of PE leading to hospital deaths. The nurse should check whether he still has his TED stockings on and check that they are not rolled down or creased as this may prevent them from achieving good prophylaxis.Furthermore it could compromise his skin integrity. Mr Braun will probably also be prescribed oral or subcutaneous anticoagulants as a furth er prevention of DVT. Mr Braun’s Hb levels should be checked to ensure that his anaemia is improving. If Mr Braun was assessed in PAC as having met the criteria, which is expected to make a good recovery, for the ERP, his anaemia would have been dealt with prior to him being admitted. He would have been assessed for any co-morbidities and his GP would have been involved to treat his anaemia.If his anaemia had not been treated, prior to his admission, it is likely that Mr Braun would have undergone a blood transfusion during surgery. This would mean that he would have a cannula in situ which would need to be assessed to check for phlebitis. This would need to be documented on the VIP chart (Hargan 2012). The cannula needs to be checked to ascertain whether it is patent. The date of insertion should also be noted on the VIP chart as it is not allowed to stay in for longer than 72 hours. Mr Braun will also have a catheter in situ. Therefore it is important to check for urine out put.Mr Braun should have a urine output of 0. 5ml/kg/hr, in other words half his body weight per hour. Therefore if Mr Braun weighs 80kg, he should have a urine output of 40mls per hour. If going through the traditional method, Mr Braun would have to have a low residue diet approx. 2 days prior to the operation. He would only be allowed clear fluids approximately 12-18 hours before surgery and would then be starved from the midnight before the day of surgery to prevent aspiration. Research has shown that prolonged starvation causes dehydration and electrolyte imbalance.It causes the body to experience insulin resistance for longer and cause the body more stress (Burch & Slater 2012). In contrast, he would have been given carbohydrate loading prior to surgery in the form of iso-osmolarity which 90% passes through the stomach within 90 minutes therefore he would have been able to have it one and a half hours prior to surgery. This would cause less insulin resistance and put his body t hrough less stress. He would be able to come off any IV fluids as he would be encourage to eat and drink at will post operatively.

Thursday, January 9, 2020

Essay about Economic Conditions - 860 Words

To analyze an economy, certain statistics can be used to predict the economy’s future. This is important because it helps prepare people for prosperity or hard times. Certain indicators can be used to determine the future of aggregate demand and others can be used to determine aggregate supply. Using eight aggregate demand indicators and four aggregate supply indicators we developed a prediction for the economy in the near future. Changes in aggregate demand are reflected in changes of GDP. To find valuable indicators of the future aggregate demand is to find statistics that tell about change in the components of GDP (C+I+G+Nx). Aggregate supply is influenced by the costs of production to producers and the advent of new or better factors†¦show more content†¦In general, they are a good indicator of the economy and public sentiment for it. If people are confident in an economy, they will invest more in stocks, but if they are wary of an economies future, they are more likely to save their money. Stock prices have been falling after a year of record gains, indicating that the period of economic growth is either slowing or coming to an end. The Industrial Production Index is a good indicator of the I in GDP. This index will reflect growth for producers, whether they are making profits, and if new jobs are being created. After several years of steady increase, Industrial Production is down, hinting that a ggregate demand may soon be too. Unemployment is another indicator of aggregate demand. If unemployment is low, many people have jobs, and they will probably be spending, adding to GDP. Unemployment has been at a record low, but recent layoffs in the auto industry as well as other have driven that number up to 4.2 from 4.0. This is still a low figure, but if it continues to rise, that may impact GDP greatly. Disposable personal income reflects how much money people have to spend. Obviously, the more money someone has the more likely that person is to spend it. After many quarters of positive figures for real disposable personal income, those numbers have been dropping, even registering as negative in the last few months. Less income will mean less spending, a lower GDP, and aShow MoreRelatedCurrent Uk Economic Conditions1160 Words   |  5 PagesOrganization for Economic Cooperation and Development (OECD). United Kingdom is a well developed country. It has a rich economy brought up by economies of its individual countries England, Scotland, Wales and Northern Ireland. Landon which is the capital of UK and England is the most important financial center for international business and commerce. UK is one of the most important globalised countries of the world. GDP GDP, or Gross domestic product is a measure of a country s economic activity, namelyRead MoreEconomic, Monetary And Financial Conditions1955 Words   |  8 PagesEconomic, Monetary and Financial Conditions China An efficient economy is an economy where resources are allocated to serve every citizen in the best way so that there will be minimal waste and inefficiency within the economy. China is the short name for the country, but the real name is People’s Republic of China. China happens to be one of the economies that falls under an efficient economy because it has continued to improve other the past decades. â€Å"Over the past five years, economic freedomRead MoreThe Historical Conditions For Economic Development1627 Words   |  7 PagesQuestion A In the historical conditions for economic development, the change in development of countries has lead to enormous transformations of both political and social state. Why did China refuse between the year 1400 and 1980 only to re-build a major presence in the world economy? Why did Europe, an area separated by suffering and strife after the downfall of the Roman Empire, become the existence of modern economic growth? As experts on these two regions of the world, we make particular differencesRead MoreAssignment on Economic Condition of Bangladesh3697 Words   |  15 PagesASIAN UNIVERSITY OF BANGLADESH An Assignment On â€Å"Economic condition of Bangladesh† Course Title: Microeconomics Course code: BBA 1204 Submitted to Dr. Shamsul Islam Latifi Associate profesor, Dept. of Economics Asian University of Bangladesh Submitted By Md. Hasan Khan ID: 200920863 Batch: 36th Date of Submission 5th September, 2013 Letter of Transmittal Dr. Shamsul Islam Latifi Associate professor, Dept. of Economics Asian University of Bangladesh. Sub: Letter of Transmittal. DearRead MoreThe Impact Of Economic Condition Of A Business Organization1433 Words   |  6 Pagesinfluenced by the formation of economy. Economics is the fact that can establish or demolish a business. Changes of economic condition of a business organization are the main following factor. The increase of economic condition is the sign of business success. On the other hand a business organization can identify its failure by seeing the decrease of economic condition. Economics for business is related with the issues and problems regarding the economic strategies. The structure of an organizationRead MoreEconomic And Social Conditions On The Health Of People And Communities Essay1544 Words   |  7 Pagespoorer countries live shorter lives and this is directly related to the inequality. Unequally access to the healthcare, food, housing, education. Job that does not come with stress. 2. I think that economic and social conditions effect the health of people and communities. Economic and social conditions are resulted by the amount of money people have, by power, and by available resources and all of these are influenced by the policies. In short, if you are closer to the top of the chart, you are healthierRead MoreAnalysis Of The Fomc On Economic Conditions And Monetary Policy3046 Words   |  13 Pages Report to the FOMC on Economic Conditions and Monetary Policy April 2015 4/30/2015 B7251 - Group 3 Samar Al Sayyed Nicholas Blake-Knox Nisrin Hala Damian Rozo Munoz Raluca Tintoiu Jassen Trenkow (Chair) Mimi Vavilala â€Æ' Table of Contents Part 1: Summary of Current Economic and Financial Conditions 3 Labor Market 4 Inflation/CPI 7 Output/GDP 8 Housing Market 9 Consumer Confidence and Retail Sales 10 Consumer Credit 11 ISM 12 PPI 13 Durable Goods Orders 13 Industrial Production 14 Trade BalanceRead MoreCurrent Economic Conditions Of The United States Economy1963 Words   |  8 PagesCurrent Economic Conditions †¢ As previously stated in the executive summary, the United States’ economy is currently stagnating. From week to week we may see a rise in one indicator while there is a fall in another indicator, but none of the rises or falls are drastic enough to have an overwhelming impact on the economy as a whole. Although the economy is not near as strong as it was before the 2008-2009 recession, arguably one of the biggest economic crises of the past decade, there has beenRead MoreEconomic Conditions Applied For Farmers Bank Trust1392 Words   |  6 Pages ECONOMIC CONDITIONS APPLIED TO FARMERS BANK TRUST Junior Intersession Assignment #1 Kevin Huff SW Graduate School of Banking Class 59 Completion Date Farmers Bank Trust Texarkana, TX TABLE OF CONTENTS TITLE PAGE†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...i TABLE OF CONTENTS†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ii INTRODUCTION†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...1 GLOBAL MACROECONOMIC SNAPSHOT AND FORECAST†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...2 MACROECONOMIC SNAPSHOT AND FORECAST†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. FORECAST†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Read MoreIntroduction And Literature Review : The Decline Of Economic Conditions881 Words   |  4 Pages1. Introduction Literature review The early 2000s recession was a drastic decline in economic conditions, which mainly occurred in the developed countries. From 2001, the Federal Reserve initiated a move to quell the stock market, caused successive inflation in interest rate, thus â€Å"plunging the country into† the worldwide economic recession (Ruddy, 2006). The annual GDP growth rate dropped below 1% along with the significant downturn in U.S. housing and the stock market. From 2002, the economy

Wednesday, January 1, 2020

The Trial Of Rape Cases - 1940 Words

Over the years there has been much controversy on the idea of defendants being kept anonymous during the trial of rape cases. This essay will be discussing the history of rape trials, including the Heilbron report and the Sexual offences (amendments) act 1976, section 4 and 6. There will be recent cases that bring to light different sides of the anonymity debate and will be used in the conclusion of this essay. The idea of anonymity in rape cases began in 1975, when Mrs. Justice Rose Heilbron (the Heilbron Committee) was asked to look into the issue of rape and write a report, creating an overview of the need for anonymity for defendants (Whiston. R, 2011) .The Heilbron Committee felt that fear of publicity by the complainant was getting†¦show more content†¦The Sexual offences act 1976 was put in place to ‘prohibit the publication and broadcasting of a name, and of any other material likely to lead to the identification of, a woman as a complainant in a rape case after a person has been accused of the offence.’ (Adler. Z, 1987) .The sexual offences (amendments) act in 1976 brought anonymity, not only to complainants in section 4 but also defendants in section 6, against the recommendations of the Heilbron Committee. Complainants were given anonymity to persuade any other victims to come forward and they would feel safe in doing so. Furthermore victims would feel safer , knowing that if there was not enough evidence to convict the defendant they will not try to seek revenge on the complainant or repeat the offence, as he would not know who it is. If a name is mentioned in the press it opens up the world of the victim (and also the defendant), reporters delve into their background and personal life, as seen in one specific case in this article. As soon as complainants’ names are mentioned, there life becomes news and they are subjected to

Tuesday, December 24, 2019

The Problem With The United States Constitution

Allana Diego Mrs. Morris CLN4U 9 January 2015 The Problem with the United States’ Constitution According to the United Nations, human rights are defined as â€Å"rights inherent to all human beings, whatever their nationality, place of residence, sex, national or ethnic origin, colour, religion, language, or any other status. Humans all equally entitled to human rights without discrimination. These rights are all interrelated, interdependent and indivisible.† The fight to protect human rights has been ongoing since the creation of law. The question of what constitutes as a human right has been raised time and time again to redefine laws in order to accommodate groups who have had their rights violated. From women’s rights to the rights of coloured people in America, social movements have been an integral part of creating change for the betterment of society. Today, the world faces yet another movement: the campaign for gay rights and the legalization of same-sex marriage. The gay rights movement in Canada began in 1967 with the arrest of Everett George Klippert on the grounds of his homosexual conduct. He was the last person in Canada to be arrested for his sexual orientation, as his case sparked protests and demands for reform. Ten years later, the decriminalization of homosexuality in Canada ensued as a direct result of this case. In the United States, the gay rights movement began much earlier. Dating back to 1924 the Society for Human Rights in Chicago, the earliestShow MoreRelatedThe Constitution As A Democratic Document1286 Words   |  6 PagesThe Constitution as a Democratic Document Since the ratification of the Constitution, more than 11,000 amendments have been proposed. The Constitution of the United States of America was Officially ratified in 1789. This makes the document over two-hundred years old. Since the time of its writing and eventual ratification, the document has been amended and interpreted in many ways. Whether it be prohibition to the abolition of slavery. The Constitution has been constantly updated over time. ItRead MoreThe United States Constitution and Its Various Amendments766 Words   |  4 PagesThe United States Constitution is a healthy document which still serves our nation exceptionally well and does not need drastic change or revision. Since June twenty first of 1788, when the United States Constitution was ratified in Washington D.C. it has been considered The Law of the Land. Ever since that date, we have followed those rules as the Federal law and overall â€Å"ruling† of our lives. For almost two hundred twenty four years, this has been what our country has been following to thisRead MoreThe Constitutional Convention Of Philadelphia Signed The United States Constitution1107 Words   |  5 PagesConstitutional Convention in Philadelphia signed the United States Constitution on September 17, 1787. Designed to replace the weak Articles of Confederation previously in place, the Constitution delineates and outlines the powers of the different branches of government. The Constitution also includes the Bill of Rights that states the rights of the citizens. As of this year, the Constitution is two hundred and twenty-nine years old. The Constitution continues to have an impact on modern society as itRead MoreEs say on The Inefficiency of the U.S. Constitution1272 Words   |  6 PagesThe Inefficiency of the Constitution The United States Constitution is one the most heralded documents in our nations history. It is also the most copied Constitution in the world. Many nations have taken the ideals and values from our Constitution and instilled them in their own. It is amazing to think that after 200 years, it still holds relevance to our nations politics and procedures. 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Sunday, December 15, 2019

Plato Book V Is Plato a Feminist Free Essays

In book V of Plato’s republican Plato is very clearly a feminist although he does not hold women completely equal to men. In fact Plato states that the majority of women are inferior to all men, but not all women were inferior. Plato was indeed a feminist, but his feminist views were as a result of decisions made for what he thought was in best interest of the good city. We will write a custom essay sample on Plato Book V Is Plato a Feminist or any similar topic only for you Order Now A feminist is a described as an advocate for women’s rights and legal protection. Within book V of the Republic, Plato advocates equality in different features of life within the good city for women. The equal education of man and woman is one feature of the good city which Plato desired to put in action. Plato felt this was necessary not based on feminist views, but due to the fact that women were potential guardians of the good city so they should have equal education as the male guardians. Due to the fact that Plato calls for equal education of the two sexes clearly classifies him as a feminist. Plato states in the Republic that the majority of women are inferior to men, he later states that some women may be capable of being equal to or even superior to some men. With this fact being, Plato feels that women must also be given an equal opportunity to govern the state due to their potential superiority over men. Therefore/ Plato called for equal education of men and women in the good city (Is Plato a Feminist? ). Another topic discussed in Book V of the Republic was the Nature of a human’s soul. Plato felt that just because women had inferior physical features then men did not mean that women should be ruled disregarded from their nature. In other words, if a man and woman both had guardian nature, the woman should not be neglected due to her gender. Plato’s feminist views are greatly expressed when he explains that women could be well-suited to govern the good state. In the best interest of the good city Plato felt that potential guardians or politicians of the good city should not be limited based upon their gender due to his belief that all humans have a certain nature within them regardless of their sex (Is Plato a Feminist? ). Once again this feminist belief portrayed by Plato was not accredited to his passion for women’s equality, but is represented by his opinion in preserving the good city. Plato would not be considered the ideal feminist; his decisions in giving the women of the good city equality were not made in the best interest of the women. Plato feminist decisions were made as a result of what he thought would be in best interest of the good city. Throughout the Republic Book V Plato expresses his views and opinions on different issues relating to the good city. Although Plato states that does not hold women equal to men in mainly all aspects measurable he is still undoubtedly a feminist. The main aspect of Plato’s feminism is that he gave women rights for what he thought was in the best interest of the good city, not the women. Even though Plato would not be considered the ideal feminist he is evidently a feminist nonetheless. Plato would not be what many consider to be an ideal feminist. But, when answering the question if Plato is a feminist or not, he and decisions he made regarding the good city are undeniably feminist. Plato’s views of feminism are not a direct result of concern of women’s rights, but are directly related to Plato’s idea of the ultimate good city. How to cite Plato Book V Is Plato a Feminist, Papers

Saturday, December 7, 2019

Metal Manufacturing Subscribers Mutually †Myassignmenthelp.Com

Question: Discuss About The Metal Manufacturing Subscribers Mutually? Answer: Introduction The purpose of this report is to describe the various duties being performed by the logistics manager of the company or an organization. In this report, we will discuss about the HG Metals Manufacturing Limited, Singapore. First of all in this report, we will discuss about the role of the logistics manager in the company and then we will study about the core function of the overall process, i.e., about the production process being carried out in the company, about the fields of marketing along-with the study of accounting and finance system of the company (Team, HG Metal, 2017). Key Information HG Metals Manufacturing Limited is the manufacturer of steel products and it manufactures a large variety of steel products from last forty five years in the country. HG Metals was founded in the year 1971, and working from such a long time at present the company holds approximately eight Lac square feet of the warehousing facilities. The company is successfully carrying out its business in a large number of countries across the world and it is capable of doing so with the help of its strong sourcing network with the other countries. The company manufactures and delivers more than three thousand steel products among the people all over the world. The company also offers several customized steel solutions to the customers all over the world. The HG Metals has divided its whole business into three different sections or companies, i.e., HG Distribution, HG Industrial Steel Services and the third one is HG Construction Steel. HG Metals were also listed on the Singapore Exchanges Main Bo ard in the year 2004. The company has successfully attained this position by maintaining good customer relationship as well as its supply network through its various representatives in the countries like Japan, Turkey, Russia and many other Eastern European Countries. The Interfaces Working as a logistics manager in the company, the basic task is to coordinate all the processes being carried out by the company such as, satisfying the employees, suppliers as well as the customers of the company. The working of the logistics manager ensures the success of the companys business by selecting an effective and efficient the supply chain management technique. Three core functional areas given in the case study, i.e., the process of marketing, production and the finance process are actually the part of supply chain, which are totally similar to the functionality of a logistics manager of the company or an organization. Both the processes include similar types of task or responsibilities like issues related to the environment, issues related to the transportation of the products from one place to another and many other processes related to the delivery of the products from the manufacturer to the customer on right time while ensuring all the safety procedures. The logist ics manager has to perform several important tasks like forecasting the requirements of the customers and fulfilling them according to their need. Effectively evaluating the buying patterns is also one of the most important tasks of the logistics manager/ supply chain manager. It is the responsibility of the logistics manager to introduce new-new policies related to the logistics activities and to modify these policies from time to time (Sin, 2014). He/she needs to track all the processes continuously to meet the requirements of the production staff and the customers. They need to introduce time to time training facilities for the newly recruited staff and to introduce the new technologies as well with the help of several models specially designed for the evaluation of the logistics services and programs. The complete working of the logistics manager is divided into two main categories, i.e., inbound logistics and the outbound logistics. Accomplishment of the several tasks like purc hasing the raw materials for the production of the products or we can say for the manufacturing process comes under the inbound logistics. On the other hand, the tasks related to the storage and delivery of the products across the world come under the outbound logistics (Team, 2016). Working as a logistics manager in the HG Metals, I would classify the whole working into different steps, which are as mentioned below: Manufacturing/ Production process talking about this phase we can say that, the company manufactures more than two thousand metal products and as a logistics manager it is our duty to implement the material flow management theory for evaluating the quality, quantity and the specification of the product needs to be manufactured depending upon the demand and the sale of the product. The Flow of the product as the name specifies, in this step the flow of the products from supplier to distributors and further from distributors to retailers, etc. is being monitored. Approximately 20% of the total products are plates, 30% are the bars, 19%are the beams, etc. therefore, we can say that all the marketing tasks like forecasting of the products, services, etc. are carried out in this phase. Cash flow in this phase the flow of the cash between the suppliers, manufacturer and the customer is being carried out. Operating cash flow of the company is approximately 2.67, whereas the free cash flow of the company is 5.16. By making an effective use of documented reports, metrics and any other type of record can be maintained easily. Order Cycle It is the process in which the routing of the products from place to the other is being carried out. The order cycle includes various steps like processing of the products, cycle actions, pick and release of the products, shipping confirmation, etc. with the help of this cycle anyone can check the current status of his/her products from anywhere and at any time. At present, each and every company working on small, medium or large scale requires latest technology for monitoring its order cycle. The insufficient forecasting of the products is one of the major reasons due to which the overall performance of the company lacks behind. Therefore, for the successful supply chain forecasting or we can say for the successful order cycle the trained staff and the business based modelling are required (Oracle, 2015). Order cycle helps in overcoming the mismatch, state between the demand of the products and the availability of the products as well. The process of order cycle helps the management of the company in less overstocking of the items or the products, which are already present in the stock. Further, this helps in decreasing the loss of the company in manufacturing those products which are shorter in demand, etc. for the future forecasting various logistical studies needs to be implemented in the company like Qualitative forecasting techniques, quantitative forecasting techniques, graphical forecasting techniques, etc. All these methods help in attaining the data from the previous sale of the products depending upon the requirement of the products by the customers across the world. The logistics manager can successfully accomplish all the tasks by selecting optimal transportation facilities, equipment being used for the transportation and by selecting chain based management system for the company. Working according to the logistical theories it is his/her responsibility to create and introduce new-new policies from time to time and he/she also needs to monitor thos e policies so that, they should be modified if required depending upon the present conditions (Kyith, 2011). At present the HG Metals are supplying its products in various countries across the world through their representatives. More than two thousand products are being delivered from the manufacturing plant of the company to the distributors of the company working in the country as well as outside the country and then those products are being delivered to the retailers and to the customers. The company can easily attract more and more customers towards it by providing services related to the products and by accepting customer returns against some valid reasons. Therefore, we can say that the order cycle is the measurement of the time interval taken by the system for the production of the products to the delivery of that product to the customer and they are as mentioned below. Production cycle time In this phase of the order cycle, production of the products is being done and monitored by the management at several intervals. Order processing This phase of the order cycle describes about the overall time invested in processing the products. Cash-to-cash cycle time In this phase of the order cycle, the financial investment or we can say the cash flow between the supplier and the customer is being carried out (PLS Logistics, 2015). Inventory management In this part of the report, we will discuss about the inventory management of the company. In actual, the inventory management is the process of controlling the flow of the products through various phases like production, cost, the value of the goods, etc. It is the process in which the actual record or we can also say that in which accurate records are being maintained by the management of the company about the finished goods, which are ready for the shipment across the different countries of the world (NextInsight Pte Ltd, 2017). The company holds a strong position in the markets of the various countries, which is possible only due to the strong procurement network. With the help of trained and well defined staff the company has covered a huge geographical area. The management of the company keeps on modifying the economic policies reactive to the price of the similar products present in the market (Spacey, 2016). With the help of latest technology the management can easily prepare general notes, buyer notes, vendor notes, etc., which are beneficial for accessing the history of the products manufactured. By introducing and effectively utilizing the latest technology machines we can easily track all the transactions, physical counts, etc. The two main tasks for the successful accomplishment of the inventory management are tag control and the replenishment process. Some of the phases can easily improve the overall working of the system, which are as mentioned below. By maintaining all the records related to the history of the products sale and purchase. By using the tag control module effectively for the inventory management (Ming, 2010). Ability to trace any object or the product completely such as, tracing the previous transactions, physical adjustments, etc. All this can be easily attained by providing time to time training to the employees so that, each and every employee of the company participates in each and every activity of the company. Conclusion Logistics manager plays an important role in the manufacturing company. Depending upon the guidelines of the logistics manager the management of the company can directly influence its business growth. Making an effective use of the technology directly influences the various factors like money, time, efforts, etc., invested in the production and the delivery of the products. The company needs to take timely surveys for the cross verification of the quality of the raw materials being purchased by the company and the equality of the products being delivered to the customers. An effective logistical technique helps in avoiding the loss of the money, shortage of the material required for the production process, which also influences the time and cost invested in that product. Proper planning is required for the implementing the various processes related to the internal and external system of the logistics. Collecting reviews from the employees as well as from the customers help in maintai ning the quality of the products, which raises the faith of the employees and the customers of the company. Therefore, we can say that all these processes will surely increase the growth of the companys business. References Kyith. (2011, May). HG Metal Quick Take: How to kill a steel stockist. Retrieved from https://investmentmoats.com/stock-market-commentary/value-investing/hg-metal-quick-take-how-to-kill-a-steel-stockist/ Ming, Y. (2010). Annual Report 2010: HG Metal manufacturing limited. Retrieved from https://hgmetal.listedcompany.com/misc/ar2010.pdf NextInsight Pte Ltd. (2017). HG METAL: Gets open letter from Quarz Capital. Retrieved from https://www.nextinsight.net/story-archive-mainmenu-60/939-2017/11533-hg-metal-gets-open-letter-from-quarz-capital Oracle. (2015). Defining and Maintaining Order Cycles. Retrieved from https://docs.oracle.com/cd/A60725_05/html/comnls/us/oe/defordcy.htm PLS Logistics. (2015, August 19). Reduce Cycle Time, Improve Efficiency. Retrieved from https://info.plslogistics.com/blog/reduce-cycle-time-improve-efficiency Sin, G. (2014). Resolution passed at annual general meeting. Retrieved from https://hgmetal.listedcompany.com/newsroom/20140423_173916_526_LLZUWLPIPXJ8OC53.1.pdf Spacey, J. (2016, June 27). 12 Key Metrics For Supply Chain Management. Retrieved from https://business.simplicable.com/business/new/12-key-metrics-for-supply-chain-management Team, HG Metal. (2017). Company Profile: HG Metal Manufacturing Limited. Retrieved from www.hgmetal.com: https://www.hgmetal.com/company-profile/ Team, R. (2016). HG Metal Manufacturing and subscribers have mutually agreed to terminate share subscription agreement. Retrieved from https://in.reuters.com/finance/stocks/HGMM.SI/key-developments/article/3437215

Saturday, November 30, 2019

The Great Gatsby Jay Gatsby Character Analysis Essay Example For Students

The Great Gatsby Jay Gatsby Character Analysis Essay Jay Gatsby was a very decent person despite most of his acquaintances and his occupation. Gatsby was relatively kind to everyone despite how anyone treated him. He was also a very altruistic person in what he did for people. Gatsby also was very determined to accomplish his dream. All Jay wanted was for the people around him to like and befriend him. Gatsby showed a certain amount of kindness to almost everyone he met. The way he hosted his parties showed this trait very well. His parties where open to anyone who wanted to attend no matter what his/her social class was. Gatsbys amiability was shown by the way that he befriended Nick and tried to make friends with other people without caring about their background. No matter how he was treated he did his best to be kind to almost everyone. We will write a custom essay on The Great Gatsby Jay Gatsby Character Analysis specifically for you for only $16.38 $13.9/page Order now Gatsbys parties showed how he would go out of his way in order to make others happy. Jay would throw extravagant parties just to have people come and enjoy themselves. He would also do his best to make Nick feel welcome in whatever setting they were in. Gatsby was living in New York in order to procure his dream. Jay has wanted to rekindle his relationship with Daisy so he moved close to her and did what ever he had to just to be alone with her. Gatsby spent a good portion of his life pursuing what he considered the ideal life, which consisted of Daisy, money, and happiness. Jay Gatsby was one of the best all around people in the novel. Even though he was a bootlegger and all his money was illegally made he still had more personality and class than any other socialite did in the book. Gatsby wanted people happy, and if they were happy he was happy.