Japan :: essays research papers

lacquerSlide Program ReportJapan is a very(prenominal) small country, approximately 144,000 shape miles (smaller than California), and is inhabited by a considerably large population of over 120 million people (half the United States) This makes Japan the seventh most thickly settled nation in the world. Japan is located at the far west side of the north pacific ocean, and consists of more than 4,000 islands However, the Japanese people live on less than 10 percent of this land mass due to rough, mountainous, volcanic terrain, which make up a substantial 70 percent. One of the most famous and symbolic volcanos is Mt. Fuji. Among these many islands, only four are commonly known, including Hakkaido (northern-most, considered to be Japans frontier), Shikoku (the smallest of the four), Kyushu (most southern), and Honshu ( the largest and most populated.) Japans capital city is Tokyo, which is also one of the worlds largest cities. It consists of 12 million people Tokyo became the i mperial capital in 1868, with the downfall of the Tokugawa totalism and the end of the feudal period. And of course, it is home to the Imperial palace. The chrysanthemum flower is the symbol of the imperial family. Japan is an extremely modern civilization. After World War 2, much of Japan was destroyed, so in the rebuilding process of the nation, they were able to impose the very latest in technology, making them an economic superpower today. Their Gross National return is so successful in fact, that it has nearly surpassed ours here in the United States And is ranked second in the world. One of my favorite things in their very technologically-advanced guild are the bullet trains, which are able to carry many people at speeds of up to 130 mph They are safe, reliable, immaculately clean, and on condemnation to the very second...How efficient Another is their very modern system of parking in the thriving city of Sapporo, in which cars are lifted and rearranged in found to take f ull advantage of every last inch of precious space in crowded Japan. Despite this modernization, Japan is also very fixed to maintain its highly distinctive (and lovely) tradition. In an attempt to keep the country culturally isolated from the surrounding world, like it is physically, the ancient Japanese invented their very own unique culture including beautiful (and very expensive) kimonos for the women, and sumo- wrestling for the men, just to name a few.

Electronic Medical Records and Charting Essay -- Medical Technology

electronic Medical Records and ChartingTodays healthcargon is changing, and more hospitals are commencing to go stemless using computing machines for both medical records and charting. Computers are widely accepted, in personal and captain settings. It is an essential requirement for computer literacy. Numerous advances in technology during the past decade require that nurses not tho be knowledgeable in treat skills but also to become educated in computer technology. While electronic medical records (EMRs) and charting can be an effective time management tool, several(prenominal) questions have been asked on how exactly this will impact the role and process of nurse, and the ultimate effects on uncomplaining of safety and confidentiality. In order to check out these topics, I will be addressing the individual aspects of EMRs that nurses use every day, how they affect collaborative care, and the impact they have on the nursing role.In the Emergency Department at General Le onard Wood legions Community Hospital (GLWACH) manual paper charting is still used for charting most of the patient care that is per-formed the exception would be any laboratory studies needed and any kind of radiology proce-dures that must be done. These orders are then put into the computer system, most often by the nurses. I had an opportunity to observe both positive and negative indications during my 72 min preceptorship at the General Leonard Wood Army Community Hospital. Some of the positive of having EMRs and electronic charting are that they are pass code protected, go away admission price to in-formation quickly, legibility and organization aspects, efficiency of time, and allow for easy transfer of data which minimizes errors. If a patient comes in by ambulance, and is un... ... Informatics & the EMR on leaven for Nurses. ADVANCE for Nurses. Retrieved April 16, 2012, from http//nursing.advanceweb.com/Regional-Content/Articles/Nursing-Informatics-EMR.aspxDykes, P., Cashen, M., Foster, M., Gallagher, J., Kennedy, M., MacCallum, R., et al. (2006).Serveying Acute Care Providers in the U.S. to search the Impact of HIT on the Role ofNurses and Interdisciplinary Communication in Acute Care Settings. Journal of health care Information Management , 36-44. Retrieved April 16, 2012, from http//www.nursingcenter.com/library/JournalArticle.asp?Article_ID=678742Yee, T., Needleman, J., Pearson, M., Parkerton, P., & Wolstein, J. (2012). The decide of Inte-grated Electronic Me... Comput Inform Nurs. 2012 - PubMed - NCBI. National Center for Biotechnology Information. Retrieved April 16, 2012, from http//www.ncbi.nlm.nih.gov/pubmed/22411414 Electronic Medical Records and Charting Essay -- Medical Technology Electronic Medical Records and ChartingTodays healthcare is changing, and more hospitals are commencing to go paperless using computers for both medical records and charting. Computers are widely accepted, in personal and professional set tings. It is an essential requirement for computer literacy. Numerous advances in technology during the past decade require that nurses not only be knowledgeable in nursing skills but also to become educated in computer technology. While electronic medical records (EMRs) and charting can be an effective time management tool, some questions have been asked on how exactly this will impact the role and process of nursing, and the ultimate effects on patient safety and confidentiality. In order to investigate these topics, I will be addressing the individual aspects of EMRs that nurses use every day, how they affect collaborative care, and the impact they have on the nursing role.In the Emergency Department at General Leonard Wood Army Community Hospital (GLWACH) manual paper charting is still used for charting most of the patient care that is per-formed the exception would be any laboratory studies needed and any kind of radiology proce-dures that must be done. These orders are then put into the computer system, most often by the nurses. I had an opportunity to observe both positive and negative indications during my 72 hour preceptorship at the General Leonard Wood Army Community Hospital. Some of the positive of having EMRs and electronic charting are that they are pass code protected, allow access to in-formation quickly, legibility and organization aspects, efficiency of time, and allow for easy transfer of data which minimizes errors. If a patient comes in by ambulance, and is un... ... Informatics & the EMR on ADVANCE for Nurses. ADVANCE for Nurses. Retrieved April 16, 2012, from http//nursing.advanceweb.com/Regional-Content/Articles/Nursing-Informatics-EMR.aspxDykes, P., Cashen, M., Foster, M., Gallagher, J., Kennedy, M., MacCallum, R., et al. (2006).Serveying Acute Care Providers in the U.S. to Explore the Impact of HIT on the Role ofNurses and Interdisciplinary Communication in Acute Care Settings. Journal of Healthcare Information Management , 36-44. Retrieved April 16, 2012, from http//www.nursingcenter.com/library/JournalArticle.asp?Article_ID=678742Yee, T., Needleman, J., Pearson, M., Parkerton, P., & Wolstein, J. (2012). The Influence of Inte-grated Electronic Me... Comput Inform Nurs. 2012 - PubMed - NCBI. National Center for Biotechnology Information. Retrieved April 16, 2012, from http//www.ncbi.nlm.nih.gov/pubmed/22411414

Van Doren :: essays research papers

The scientific revolution had a huge influence as to why people thought they could be God. Van Doren explains how part of cognizance led these individuals to believe that they could be God if they could understand how the world worked and why it worked that way. He explains that there are five parts of science. These parts of science were biology, physics, mathematics, chemistry, and psychology. With the knowledge of these five parts of science, people thought they could answer any questions by using scientific method and play the quality of God in explaining how the world works, why it works that way, what the world was made up of, and also what people think and why they think a sealed way in certain situations. Biology allowed people to know the make up of the world and people. Physics and mathematics allowed individuals to see how the world worked and why it worked a certain way. Psychology showed the people that we could figure out what and how people thought by doing experi ments on groups of people.Van Doren explains how these five parts of science are non better than any certain one. He explains how everyone in that day believed that the world was flat and not round as we know it today. He explains how they thought that science is the one method that will allow them to arrive at the truth. He explains how science was a common thing that everyday people could understand. This led more(prenominal) to believe that they could answer a lot of questions thus making them think they could be God. Van Doren tells us that there are three self-assertion of science. The early assumption of science is that we can describe what goes on in a physical world. He explained how scientists are both honest and humble. They never claim more than they can prove and love to talk about their findings with other scientists or poets. This first assumption gives people the ideas that we can know what is going on in the physical world, why it goes that way, and how it works . The second assumption of science is we can explain why something is happening. This deals more with actual things and not ideas or feelings as Van Doren said. This assumption dealt more with the issues concerning the external world and its working rather than the inner part and how it works.

Its Time to Declare English the Official Language Essay -- Argumentat

Its Time to Declare side the Official LanguageIn no way would having English as the official language intrude upon anyones private life, business, or day-to-day living. Official English applies only when to the conduct of government business. -S.I. Hayakawathe States today is a melting pot of different societies. Everywhere, in every city and in every state, there are Germantowns, and Chinatowns, and Greektowns. America has certainly veritable into one big multicultural society. With the many different cultures, come the many different languages as well. When a person imagines the language of the United States, naturally to the highest degree believe that English is the national language. America, however, does not have an official language. According to the Center of Immigration Studies, more than 300 languages are currently spoken in the United States (U.S. Bureau of the Census). Immigration in the United States i s a positive event that cannot be altered no matter what actions are taken against it. Immigration, in fact, has many positive influences upon this great nation. With the positive effects on this country also come the harmful effects. If America wants to continue to live harmoniously with the hoi polloi of different cultures, the first step would be to make English the official language of the United States of America.Today, 1.9 billion people speak the English language more than one-third of humanity (U.S. Bureau of the Census). English is also the national language of many countries- countries with a multiple of different cultures- including India and several populous countries in Africa. race in those countries use English to conduct common and o... ...for our flag. It was not easy, but they did it the beautiful thing was we were united. A World War I Veteran told me that when he came to this country from Poland, he did not speak a word of English, nor did his parents. He sai d he learned English and spoke it well enough to complicate by. This is America, he said, and it is only right to honor its language. When asked if he felt if his love and pride for his own country had faltered, he gave a stern no.English is the language of freedom, commerce and opportunity around the world. Declaring English the official language of the United States of America will honestly do no harm. In the end, only positive effects could come out of the measure because the day-to-day lives of a common citizen would rarely be altered. Declaring English the national language is the right and artless thing to do. Now lets do it.

Introduction on Charles Dickens :: English Literature

Introduction on Charles DickensHe was born in 1812, his family were very scummy, his father who was aclerk in the Royal Navy based in Portsmouth, when he was five yearsold his family moved to Chatham which at the clip was a grownup Dockyard.At the age of nine he moved again but this time it was to London,because his family were so poor they could not afford to send Charlesto school so he taught himself.Charles started work at the age of 11 in a blacking factory helped andtaught what to do by a friend named Bob Fagin (who is in OliverTwist). As a result of being so poor his father went to debtorsprison, because his mother could not afford things she joined himgoing to prison the bailiffs took away all there possessions.His Grandmother died and left money to the family and as a result ofthis they got out of prison. Charles then went to school as a day boyin Hampstead where he had a cane happy headmaster called Mr Jones.Charles then got an office job for newspapers and magazines doi ng newsreports from parliament and Law courts, soon after he started writingshort stories for magazines, he then died in 1870 at an age of 58.Oliver Twist was written in 1839 by Charles Dickens and was publishedin monthly issues in magazines and newspapers. The first time OliverTwist was made into a book was in 1850 this was when Charles Dickenswas thirty - eight years old. This book was based on his history andabout the poor who lived in London. Some characters in the book arefrom his history such as Fagin who was his old childhood friend or Mr.Bumble who was Dickens Headmaster.The accommodateOliver Twist is an orphan who was born in a workhouse. After anunhappy apprenticeship, Oliver runs away to London where he falls inwith thieves, headed by Fagin a villainous Jew . Mr Brownlow rescueshim but the gang kidnaps him back. Oliver discovers the identity ofhis parents. The gang that Fagin runs are exposed.This would be similar to the workhouse Oliver would have spent 10years of his l ife in.Chapter VIIIWe learn a lot about the way people lived then from the way Dickensdescribed it. In chapter eight Oliver runs away from the workhouse andfrom Mr Sowerberry and heads off to London.As Oliver walked away from the workhouse he was hiding behind thehedges because the fear of him being pursued had overtaken. He saw a

Introduction on Charles Dickens :: English Literature

Introduction on Charles hellionHe was born in 1812, his family were very poor, his drive who was aclerk in the Royal Navy based in Portsmouth, when he was five yearsold his family moved to Chatham which at the time was a big Dockyard.At the age of nine he moved again but this time it was to London,because his family were so poor they could not afford to send Charlesto crop so he taught himself.Charles started work at the age of 11 in a blacking factory helped andtaught what to do by a friend named bob Fagin (who is in OliverTwist). As a result of being so poor his father went to debtorsprison, because his mother could not afford things she joined himgoing to prison the bailiffs took remote all there possessions.His Grandmother died and left money to the family and as a result ofthis they got out of prison. Charles then went to school as a day male childin Hampstead where he had a cane happy headmaster called Mr Jones.Charles then got an office job for newspapers and magazines doing newsreports from parliament and Law courts, soon after he started writing poor stories for magazines, he then died in 1870 at an age of 58.Oliver Twist was written in 1839 by Charles Dickens and was publishedin monthly issues in magazines and newspapers. The frontmost time OliverTwist was made into a book was in 1850 this was when Charles Dickenswas thirty - eight years old. This book was based on his history and just about the poor who lived in London. Some characters in the book arefrom his history such as Fagin who was his old childhood friend or Mr.Bumble who was Dickens Headmaster.The BookOliver Twist is an orphan who was born in a workhouse. After anunhappy apprenticeship, Oliver runs away to London where he falls inwith thieves, headed by Fagin a villainous Jew . Mr Brownlow rescueshim but the gang kidnaps him back. Oliver discovers the identity ofhis parents. The gang that Fagin runs are exposed.This would be similar to the workhouse Oliver would have spent 10years of his life in.Chapter VIIIWe nab a lot about the way people lived then from the way Dickensdescribed it. In chapter eight Oliver runs away from the workhouse andfrom Mr Sowerberry and heads off to London.As Oliver walked away from the workhouse he was hiding behind thehedges because the fear of him being pursued had overtaken. He saw a

A Dog’s Death Analysis Essay

The reason why I chose to write ab bring out of A Dogs Death, is because it reminds me of a hang back that I had growing up. Whenever the cut across got sick my brothers, sisters and I would always sound off the worst about what happened to him when he got sick. Since we lived in the country on farm land there was always the possibility that he may have gotten hit by a car, bitten by a snake, or poisoned by neighbors that didnt like him. In John Updikes poem, Dogs Death, the dog who dies in the poem and her owner expresses a sense of giving up which illustrates the mourning of one who loses their dog.I think the approach for analyzing this poem will best fit for reflecting the imagination, tone, image, and similarly designed to reveal the tone I observed in the poem. The theme of Dogs Death is based on the life and death of a family dog. When the author, John Updike starts at the beginning explaining how the dog aptitude have gotten the fatal injury. This short paper will discu ss the dogs death as a theme for this short story. The beginning dialogue of the fatal injury that might have brought this family pet to her demise. The family thinks that she must have been kicked unseen or brushed by a car (Updike, Clugston, 2010).Imagination comes into be by speaking of the dog learning to use the potty on the newspaper, and then again it could also be that the paper was put down on the floor because the dog was suffering from diarrhea and didnt have a chance to go on the newspaper either. It gives the reader a chance to think of a pet they once had and empathize with the writer about his dog dying (Clugston, 2010). The plot of the story is very similar to the theme of the story. The plot discusses the trend in which the dog dies, or the circumstances surrounding the dogs death.The family continues to play and go on as if nothing is wrong with her. As the children went to groom that Monday morning, the dog went under the bed. As the children went off to schoo l in their minds she was ok until they see her underneath the youngest childs bed lying in a heap. Holding the dog in his lap on the in car, he was stroking and rubbing her warm fur. One can see the image in their mind of the writer touching and looking at his pet using all of his senses of the dog lying in his lap dying (Clugston, 2010 pg. 2. 5).When the wife called out to her husband in tears one can feel the pain in the reading of the poem, especially one that has lost a pet. In an undertake to show a sign of life, the dog attempts to bite the hand of the owner that is caring for and holding the dog on the way to the vets office, except instead the dog dies. In the poem, a young unnamed dog is just learning to be good, which the Speaker associates in particular with being housebreak She was beginning to learn/ to use the newspapers spread on the kitchen floor and to win, wetting there, the words, Good dog Good dogThe shy malaise that the speaker ab initio attributes to a shot reaction but turns out to be a ruptured liver is characterized as her heart learning to lie down forever. This last omit is from nature rather than culture, however, and the poem frames the final moment of the dogs death as the final contest between these two forces the dog is ultimately disobedient, showing her untamed side by biting the speaker and by failing to heed the imperious, commanding tone of the speakers wife, who tries to call the dog back as she is dying, slipping from the realm of culture into that of nature. The beginning of this story seems to be telling you about the dog learning to use the newspaper to go to the bathroom, but the actual message is the dogs death. The very last part of the story talks of the dog not making it to the newspaper when the dog was nearing her death. In my criticism of the poem, this story could have given the reader to a greater extent background of the story.What we do know is that she could have been kicked or brushed by a car is n ot enough information to really tell us what really happened to her. Besides the fact she had a ruptured liver. How did this happen? It could have been much more personal if the dog had a name in the story, as the only thing that brings the dog to reality is the fact that we are given the fact that she is a girl, there were children in the home, and the wife comforted her on the way to the vet.

Research And Ethics Essay

Conducting a soft look is not an easy task. Aside from considerations regarding aggregation data, looking up literature and other sources related to the study, and such, detectives engaged in qualitative studies should withal consider ethical issues in order to provide results that argon not only reliable and valid but also acceptable in name of morality and standard principles. For qualitative researches to exhibit the qualities of ethically veritable studies, they should comply with certain principles and guidelines.These principles and guidelines include simple yet socially acceptable rules such as respecting the rights and world dignity of other people, providing research results that are passing beneficial and contributive, adhering to fairness and equality, and presenting the truth and nothing but the truth. (Gonzales-Perez, 2007) One specific ethical issue in qualitative research is evolution. This is a highly epochal matter because it is related to the researchers relationship to the participants. Researchers should always respect participants avoiding exploitation, such that researchers do not impose power over them.(Gonzales-Perez, 2007) For instance, a researcher takes advantage of the vulnerability of child or female participants by imposing power and authority and drawing from them personal and sensitive breeding that violates the privacy of human beings. (Gonzales-Perez, 2007) Exploitation does not meet the responsibility of researchers over the security and welfare of the participants. Personal and sensitive information that will be presented in the research obtained from exploitation will not make the research study ethically or morally acceptable, annulling its reliability and validity as a research case.(Ethical Issues in qualitative Research, 2008) Another ethical issue is the researchers responsibility to inform participants of the true nature of the research. This is based on the founding principles of qualitative research whic h states that the researcher should always protect participants from harm. Researchers should be able to inform participants of events that will follow the research process, such as the processes, operations, requirements, and such, in order for both the participants and the researcher to croak aware of possible risks or threats.Considering the health of a participant is one possible consideration. For instance, the research study focuses on the effect of food to mood or emotions. The participant should be informed of the process, as a standard operating procedure, in order to determine problems, such as food allergies, and such. In addition, researchers should also obtain consent from participants before continuing the operation of the research process. This is one of the major responsibilities of the researcher as an advocate for human rights and dignity in terms of personal safety and wellbeing.In doing so, harm and catastrophes will be avoided. (Gonzales-Perez, 2007) The third ethical issue concerning qualitative research is misrepresentations of information covered by the research study. Opportunities for misrepresentations will not make the research study valid and reliable, simply because its content is open to many interpretations and points of view. The purpose of the research process is to provide information that is clear and direct, stating facts that represent the preciseness of data. Misrepresentation defeats this purpose.This violates ethical standards and guidelines because misrepresentations hold risks and threats, especially if data or information is interpreted in the wrong way. (Gonzales-Perez, 2007) Imagine a research study focusing on health practices that will protect the safety and wellbeing of the patients. Suppose the research study concludes with suggestions that will assist health care professionals in caring for their patients. If the information is interpreted wrongly, health care professionals might commit mistakes that will en danger the lives of their patients.Abiding by ethical issues and considerations, when conducting qualitative research, is highly important. Following ethics in qualitative research determines the nature and quality of the results and the research itself whether it is acceptable, conducted in good faith, and is beneficial to the public. Researcher should always pass on in mind that they are highly responsible for the results, whether desirable or undesirable, that might arise from the research study.Therefore, following ethical standards and guidelines is a must in order to go about the research process in a correct, accurate, and appropriate way.ResourcesEthical Issues in Qualitative Research. (2008). Retrieved October 18, 2008, from SA Health Info. Website http//www. sahealthinfo. org/ethics/ethicsqualitative. htm Gonzales-Perez, M. A. (2007). Ethical Issues in Qualitative Research. Retrieved October 18, 2008, from The Community Knowledge Initiative. Website http//www. nuigalwayc ki. ie/admin/documents/Ethical_Issues. pdf

African American in 19th Century Essay

The Civil war after effects set the scene for what would become a long track of discovery, hardship, violence, and freedom however, during this process of transition the the maintainsn people went through emotional as well economical changes which added additional stress to an already stressed ground where many groups became fearful and were subjected to racism which crossed over the boundary of liberty and Justice for both.Equality had become an endangered liberty guaranteed by a surface area build upon democracy, regrettably the African American people were not the only ones to suffer many vast groups faced hard days in America at the turn of the century several violent attacks were specifically carried out on the African American men and women even though, the civil war brought a lot of changes it produced little or no results for African American men however, it did bring harsher persecution all over the country, whereas mass numbers of melanise men were lynched in the lowe r southern states in a show of defiance.The Emancipation Act did nothing for the white man but still provided less for the African black man who were still unable to vote in addition to having descent jobs with adequate pay many were forced back to the farm as sharecrop farmers despite the set backs they percervered through the racial remarks and slanders. Black men and women were segragated from the start and separate waiting rooms bathrooms and dinning facilities openly poject the sentiments of the American people of the era,within the State of Mississippi In Plessy vs.Ferguson (1896), The Supreme Court reinforced that Blacks and Whites should be separate, but equal. The statement SEPERATE but EQUAL thosewords only produced Segregation on a deflect legal system of fairness and equality in which a country struggling already became the fuel on a fire already longing and would later divided the country in later years sparking new violence and refocused hatred.More over the Men an d women of that time were forced to swear on separate bibles, they couldnt vote in the election in the country in which they were guaranteed equal rights because they were under disfranchisement, and the racism was developing more and more is both(prenominal) southern locations, for an example many southern states legislated that if your grandfather had cast a ballot then you are allowed to vote and this law supported that nearly allsouthern white mean were permitted to vote and excluded all African Americans in most situations men whose grandparents had most likely been slaves never voted. Booker T. Washingtons submitted a lot for the African Americans in turn of the century, after his famous speech in Atlanta 1895 (Atlanta Compromise) in about one year the African Americans got more rights, they began to use separated but equal facilities, it was stupid to say the least but it provided a line of truths temporarily and unfourantely included racist ideas inner(a) but it was better than it had been before.Booker T. Washingtons met the American president Theodore Roosevelt at the white house in 1901 and that was a good step towards derive the African American and their rights another great pioneer of that time was Du Boise who supported the right for equality and the strive to have equal opportunities within clubhouse however Booker T. Washingtons did a lot more for the African American rights, Washington became the Founder of the Niagara lawsuit in 1905. In 1909 the Niagara stool efforts led to foundation of the National Association for the Advancement of Colored People (NAACP) which now is the enforcing representation of the African American whereas Booker T. Washingtons ingestion became a door way to freedom and allowed the African American man to have a voice in society.Finally, if I was African American quick at that time, I will say that Booker T. Washingtons and Du Bois were the best representatives of the African Americans all over the country, a nd Booker T. Washingtons started the movement of the African Americans civil rights, while Du Bois came later to continue and support his efforts, they were great team and deserve the respect.

Automobile and Swot Analysis Essay

1. Introduction This report is based on the company Mercedes Benz, and the chosen country is Singapore. The purpose of the report is to conduct an environmental and marketing psychoanalysis of Mercedes Benz in Singapore. Firstly, this report will state the company background. Next, it will state the country background. Thirdly, it will state the trick out analysis. Fourthly, it will state the PEST analysis. subsequently that, it will state the marketing strategy, new product development, and lastly the conclusion.Company background Mercedes-Benz is a German car company, some sort of multinational plane section from the German company Daimler AG. The company is used intended for high gear-class motor vehicles, buses, motor coachs, as well as vehicles. The particular brand made an bearing in 1926 within Daimler-Benz yet history the sources to Daimler-Motoren-Gesellschafts 1901 Mercedes and to Karl Benzs 1886 Benz Patent Motorwagen, which is commonly viewed as the first car.Merced es-Benzs slogan is Das Beste oder nichts (English The best or nothing). Mercedes-Benz is just about the most commonly known as well as set up car makes in the world, which is on the leaning of the worlds oldest car company nevertheless around the world today in 2014,possessing the first petrol-powered vehicle. Country background Singapore is an affluent island nation, positioned in Southeast Asia within the southern tip of the Malay Peninsula.The occupants of Singapore delight in one of the maximum standards associated on earth, with each capita GDP adequate to in which from the top international locations within American The european union. The particular economy would depend intensely upon exports, and the nation houses one of the busiest ports on earth. 2. SWOT analysis SWOT analysis is part of strategical planning. The SWOT analysis helps organizations assess issues within and outside the organization.The SWOT analysis, made up of an assessment of strengths, weaknesses, extern al opportunities and threats from competition, provides an outline for strategic decision-making Table 1 From the table above it is seen that strong brand determine measures that Mercedes is considered as a premium brand, such as BMW, Porsche, Audi and etc. There is no exception that Mercedes will stay in premium segment for a very long time.Almost all the rich and old people contemplate this particular car brand. Also, this company has an advantage over their competitors as increasing production hybrid cars because of environmental friendly and exact number of miles driven. To produce high quality cars and hire well educated employees makes production expensive. That is why Mercedes is interested in upper class people who are able to buy such a car. It makes the brand attractive investment funds for people with high income (upper class).PEST analysis Originally known as PEST depth psychology, this is a macro environmental framework used to understand the impact of the externa l factors on the organization and is used as strategic analytical technique. Strengths Weakness Opportunities Threats Strong brand value High price cost Fast growing company Government policy Leader in innovation Expensive service New products and run Increasing in competition High level safety of cars High fuel consumption Developing hybrid cars Decrease in demand Investment. boss that this car is for the rich people Fuel price rises Rising price of raw material High quality It is hard to find manual transmittance in such a car Positive attitude towards green vehicles Unexpected problems A PEST analysis is looks at how those external factors can allude a businesss activities and performance, and it can be used in combination with other tools.It helps to determine an organizations overall outlook for success. political Economic Socio Cultural Technological Bureaucratic Interest rates Fast growing society Modern technology Stable government law corpse High income level Diversi ty of cultures WI-FI zones Taxation system.High power of the local currency Variety of language cultures Automation of work Law level of rot Low level of economic freedom (-2) Most of the people are in advanced age Production of high quality medical equipment Foreigners investment Trade freedom Prevalence of upper class Investment in technology Table 2 From the table above let us take 3 characteristics for discussion.Firstly, high income of Singapore measures that Mercedes Benz is one of the most suitable brands for upper class. It is considered, that Mercedes Benz is a car which is suitable for old population, especially for men.Therefore, this car brand has a priority to take Singapore as a sales leader in the adult audience because of the prevalence of old population. Diversity of cultures of the populations shows that every individual(a) nation has different understanding of car design.That is why this brand can offers cars such as family car like Sedan (C class) to celebri ty car as Crossovers (G class) with the newest and technology to their customers. 1) Franki Colbert (n. d). Definition of a SWOT Analysis. Retrieved from http//smallbusiness. chron. com/definition-swot-analysis-43274.html 2) Russ Heaps (n. d) 10 most expensive cars to own and drive. Retrieved from http//www. bankrate. com/finance/auto/10-most-expensive-cars-to- own-and-drive-1. aspx 3) Chad Brooks (2013, November 22). PEST Analysis Definition, Examples & Templates.Retrieved from http//www. businessnewsdaily. com/5512-pest-analysis-definition- examples-templates. html 4) Abha Pandey (2011, 26 September). What is PESTLE Analysis? Retrieved from http//bpmgeek. com/blog/what-pestle-analysis 5) Leading through innovation (n. d/ n. a) http//www. mbusa. com/mercedes/benz/innovation.

Characteristics of a Good Learning Environment

Characteristics of an excellent learning environment. The physical place of the classroom can affect a students learning. I noticed that many classrooms are shaped like a box. In which the teacher stands at the front providing the students with information, rather than knowledge. Classrooms should be designed so that the teacher and students can meet as a group, as well be able to work independently. The method that I find works the best is when students work together as dainty groups. Information can be better examined and be explained in different perspectives.Students need excellent instructors in their classrooms. Instructors create a natural critical learning environment for their students. Every instuctors environment will be different in some type of way. Some instructors create this environment with lectures, discussions, or map playing. These types of education will help students to learn new material and apply it in their lives. Many times an instructors lecture is su per long, and I meet interest. I often look at the clock or daydream after a while.Its not because I dont treat what their talking about, its serious that I enjoy working hands on. Instructors play an important role in a students triumph and should teach in a way that students best learn. The role of grades is an important part of evaluating a student. A student who works hard and puts forth a lot of effort will normally earn good grades. The students are eager to learn new material and apply it. Me, myself often works extremely hard to earn good grades. Many times I do not get my desired grade because many times I just do enough to get by.I often get frustrated with myself for not achieving a grade I could have earned. Learning is my number one role and responsibility as a student. If I fail to learn it who will learn it for me. I have to be one hundred percent give to learning new things. I know that every class hat I am attending in college will be applied in my career. I kn ow that I am far from being a good writer but Im willing to learn how to perish one. I will also learn how I could have written this essay better from my instructor.

The neoliberal economic and political situation

The $30-billion loan from IMF in 2002, which initially had to spend rise to the Brazilian economy and lead it from the existing financial crisis, has proven to be ineffective. The presidential election and the Lula political science fork up not met the goals, set by the International Monetary Fund and other international institutions. The government has neither taken the right orientation of carrying out legal and regulatory policies, nor opened the way out for others.The neoliberal economic and political situation have only caused confrontation and worsened the existing problems with public debt, poverty, wage rates and other essential issues. The core problems of Brazilian political climate contain compute deficit (which causes increase of public debt and high inflation rates), lack of agrarian, pension, military and social-program reforms, bureaucracy of trade unions, privatization (the most of the business concernes are in the hands of Lula government and its allies), and i ntrusion of workers rights. The key element of any country the worker is over-discriminated by the state.Women and Afro-Brazilians are discriminated and underpaid, the second of slaves and forced workers drastically increases, the corrupted government is involved in bribery, therefore, the illegal land exploitations (forest clearing, mining, etc. ) that violate the right to adequate housing are widespread (Danish fetch for Human Rights, 2006). The lower tax rate for private business do not meet the efficiency and equity for macroeconomic stable situation and fiscal control, for income and property taxes are reduced by decreasing number of official workers.According to the risk data, the Brazil government effectiveness risk is 68 of 100, tax policy risk is 63, with Brazil overall risk rating mind of 47 (data obtained from viewswire. com). These numbers give the clear picture that the 250-billion debt in Brazil, violation of laws, illegal actions of the government and key entrep reneurs, create the disfavorable and unstable ground to foreign-owned businesses and dollarization does not give confidence in Brazilian economy.Moreover, the IMF debt can be cut off in the case if the Brazilian government does not meet the target. References Danish Institute for Human Rights. (2006). Executive summary of the Brazil country Risk Assessment. Online. October 29, 2007. Available http//www. humanrightsbusiness. org/pdf_files/Brazil_%20Executive%20Summary. pdf. Risk ratings. (2007). Brazil risk ratings. Online. October 29, 2007. Available http//www. viewswire. com/index. asp? layout=RKcountryVW3&country_id=1480000148&rf=0

Following Conditional Construction Following Conditional Construction

ZERO CONDITIONAL A. Sample sendences If interest rates fall, company profits rise. If prices wear outt go up, people barter for more(prenominal). B. Form (condition)(result) If sales increase,we make more profit. ZERO CONDITIONAL C. Uses The sentences of Zero conditional are general facts or things that are forever and a day true, i. e. the consequence always follows the event. Statements in this form commonly appear in factual discussions or scientific and technical material. In the condition cla occasion there commode be a variety of present forms. When you fly business class, you get much more legroom. present simple) If interest rates are rising, bank loans become more expensive. (present continuous) When youve finished the course, you get a certificate. (present entire). ZERO CONDITIONAL In the result clause there undersurface be a present simple (last examples) or an imperative. When you fly business class, dont drink too much of the supernumerary alcohol. Notice that w e can use either if or when(ever) where the meaning is each time. CONDITIONAL I A. Sample sentences If I do an MBA, Ill improve my job prospects. If our main competitor goes bankrupt, well increase our market share.B. Form (condition) (result) If you increase your order,well devolve you a bigger discount. If any oneness from Head Officesay Im in a meeting. calls, CONDITIONAL I C. Uses 1. In conditional I the speaker sees the event as a real possibility, i. e. , if-clause is use to talk about future events that are reasonably likely and their results. The if-clause states the condition, and the other clause states the result If sales dont go intimately this year (condition), we wont increase our profits. (result) With all types of conditionals the if-clause can come second. Well make more profit if sales increase. CONDITIONAL I 2. if and unless Unless often replaces if + negative expressionIf you dont wear a suit and tie, you wont be allowed into the club. You wont be allowed into the club unless you wear a suit and tie. conditional statements can function as either promises, warnings or threats. But note that unless cannot be used to make a promise. If you order now, youll get a free gift. (promise) We wont be able to do business with you unless you comply with our ethical policy. warning) Unless we receive payment by the end of the week we will be forced to consider legal action. (threat) CONDITIONAL I 3. In Conditional I, the imperative, or modal verbs can be used in the main clause, e. g. may, can or must, instead of will + infinitive If you hear from Anne today, tell her to give me a call. If the traffic is bad, I may miss the appointment with our supplier. If we sign the contract today, we can start production at the end of next week. If Mr. Porter rings, you must ask him to leave his number.CONDITIONAL I 4. We do not use will in the if part of the sentence even when the meaning is future If the goods will arrive tomorrow, I will collect it. (? ) If th e goods arrive tomorrow, I will collect it. (? ) leave is only possible in such cases if it is used to express not future time but willingness or invitations (the style is formal), e. g. If you will sign this agreement, I will let you confound the money at once. If you will come this way, Mr. Jones will see you now.CONDITIONAL I 5. In formal written documents, e. g. egal contracts or agreements, one may find the following conditional construction in Conditional I Should the agent default on the contract, we will take legal action. Should the unions assume new productivity agreements, the employers will meet their wage demands. Should + infinitive is an inverted construction in place of If the agent defaults or, If the unions accept. Note that only should, never would, is used in this way. CONDITIONAL II Sample sentences If trains were more reliable, more people would use them. If I had as much money as Bill Gates, I would retire.B. Form If you wanted a quantity you would have t o order discount, at least 1,000 units. If I knew her number, I would send her a fax. CONDITIONAL II C. Uses 1. We use the Conditional II to refer to an action or state we imagine, i. e. , the speaker sees the event as a remote possibility If these machines were not so expensive, we would bargain them. (But they are expensive, and we are not going to buy them. ) If he lost his job tomorrow, he would move to London to find another one. (He doesnt think he will lose his job, but he understands the possible consequences.CONDITIONAL II 2. It is also possible to use could or might instead of would If we hired a factor agency, we could recover our debts more easily. If every piece of mail was personalised with your company logo or message, your customers might be very impressed. CONDITIONAL II 3. We do not use would in the if part of the sentence If trains would be more reliable, more people would use them. (? ) If trains were more reliable, more people would use them. (? ) But, in th e sentences We would be very grateful if you would send us the information as soon as possible. I would be very grateful if you would put your continue on the back of the cheque. would is not part of a conditional tense here. It is a modal verb, and represents a more polite form of will as used in conditional clauses in Conditional I. It introduces the idea of your agreeing, or being willing, to do what is suggested.CONDITIONAL II 4. In formal written documents, e. g. legal contracts or agreements, one may find the following conditional construction in Conditional II Were the agent to default on the contract, we would take legal action. Were Alice to turn over for the post, she would get it. Inverted constructions are in place of If the agent defaulted and If Alice applied for. Conditional II ?What would you say to a friend who asked you which faculty to go to? ?What would you do if you were ?the Prime Minister ?the Dean of the Faculty of Economics? CONDITIONAL III Sample sentenc es If I had done an MBA, I would have had more opportunities. If we had anticipated the crash, we wouldnt have lost so much money. B. Form If the price had been lower,sales would have been higher.If we had made a better offer,we would have won that contract.CONDITIONAL III C. Uses We use Conditional III to imagine the opposite situation. If what actually happened was negative, we use a positive form, and vice versa. If what actually happened was positive, we use a negative form ?We didnt put up our prices (-), so we kept our market share (+). ?If we had put up our prices (+), we would not have kept our market share (-). ?We promoted him (+) and he didnt give his notice (-). ?If we hadnt promoted him (-), he would have habituated his notice (+).CONDITIONAL III . In Conditional III the speaker recognizes that the event is an impossibility, i. e. cannot be fulfilled If we had waited a few more months, we would have saved a great deal of money on the new faxes. (But we didnt wait a few more months so, we didnt save money on the faxes). If you had sent the letter by airmail, it wouldnt have been delayed. (But, you didnt send the letter by airmail, so it was delayed). CONDITIONAL III 3. We can use could or might instead of would The merger could have succeeded if the management styles hadnt been so different. The presentation might have been better if she had felt more confident.CONDITIONAL III 4. You may find the following conditional construction in Conditional III Had we made a better offer, we would have won that contract. Had the shop packed the goods properly, they wouldnt have got damaged. Inverted past perfect is in place of If we had made and If the shop had packed . We do not use would in the if-clause. If the interview wouldnt have been a success, they would not have given me the job. (? ) If the interview had not been a success, they would not have given me the job. (? )

Heat of neutralization Essay

Discussions1.Why theoretical value diverse from value get under ones skined?It may waken loss to the surroundings.It may have parallax error during taking the reading.2.Why is usually the instill used in this experiment made of polystyrene? To prevent heat loss to the surroundings because it is a heat insulator.3.Why the heat of counteraction has a negative sign?The reaction gives out heat that results in the growing of temperature of the products formed.I. DiscussionDuring this experiment, the thrust in the testing ground give be constant or essentially constant. When pressure is constant, channelises in energy (q) can be related to change in the enthalpy of reaction (Hrxn).1Energy changes accompany chemical reactions as original bonds are broken and new bonds are formed. commonly the energy change takes the form of heat. If heat is released from the reaction, the change in energy or enthalpy (H) is negative and the reaction is exothermic. Conversely, if heat is absorbed by the reaction, the enthalpy is positive and the reaction is endothermic. In this experiment you leave alone measure the enthalpy (H) of an pane of glass/ ancestor neutralization. A neutralization reaction occurs when acid and base approve to form water as shown in the example below. Overall Reaction HCl (aq) + NaOH(aq) NaCl(aq) + water(l) TIE H+(aq) + Cl(aq) + Na+(aq) + OH(aq) Na+(aq) + Cl(aq) + H2O(l)orNIE H+(aq) + OH(aq) H2O(l)Notice in the neutralization reaction higher up the Na+and Clions, the spectator ions, remain unchanged.The only chemical reaction occurring is between the H+and OHions. neutralisation reaction reactions haveheat as a product since energy is released when H+and OHform a H2O molecule.The heat flow, q, of a service like a chemical reaction can be canvass by analyzing its heat exchange with its surroundings. The heat released by a system (a chemical reaction) is absorbed by its surroundings (often this is the solution).qrxn = qsystem = qsurroundi ngsThe equation above says that the heat lost by the system is equal to, but of resistance sign from the heat gained by the surroundings. Thus if the heat change in the surroundings is measured whence heat released by the chemical reaction can be calculated. Frequently, such a heat change measurement is done in an insulated container called a calorimeter. In a perfect calorimeter, all of the heat released by the chemical reaction would stay inside the calorimeter. Although our experimental setup utilizes a lessthan perfect calorimeter, a coffee-cup calorimeter, the data collected is close to that for a perfect calorimeter.The heat flow into the reaction surroundings (solution), qsurroundings, from the neutralization reaction can be calculated using the following equation where m is the mass of the calorimeter contents, T is the change in temperature, and Cs is the specific heat of the contents. We will assume that the solution in the calorimeter has the said(prenominal) physical properties as water, specifically that Cs = 4.184 J/gC. qsurroundings = m T CsIn contrast when volume is constant, changes in energy (q) can be related to changes in the internal energy, Erxn.2 In this experiment the neutralization of sodium hydroxide (a strong base) with hydrochloric acid (a strong acid) and acetic acid (a abstemious acid) will be investigated. The base is present in slight excess and, therefore, the acid is the limiting reagent and determines the weigh of moles of acid and base reacting. Therefore, the heat flow from the reaction isqrxn = Hrxn (mol acidII. Objectives1. To determine the enthalpy of neutralization of a strong base with a strong acid. 2. To determine the enthalpy of neutralization of a strong base with a weak acid. 3. To use Hess Law to determine the enthalpy of dissociation of the weak acid.III. Procedure This lab is done is pairs.A. Preparation of Solutions1. Each lab bench will need make the 0.5000 M acid solutions needed for this lab by diluti ng 1.000 M stock solutions of HCl and acetic acid. Read the label on the container to obtain the exact molarity of the acid solutions. It will be very close to 1.000M. Lab groups at individually bench will share these solutions.2. Each pair of students will need at least one hundred twenty mL of each acid. Accounting for errors and/or extra trials, a total volume of 500 mL of the 0.5000 M acids will be enough for 3 pairs of students.3. The equipment available for the dilution includes 250.00 and 500.00 mL volumetric flasks. Your instructor will demonstrate how to perform the dilution. (Although volumetric glassware is not commonly used to make quantitative dilutions, the process is appropriate for the solutions used in this lab.)Recall the formula for dilution calculationsM1V1 = M2V2For this dilutionM1 = 250.00 mLV1 = megabyte of the stock acid solution(known)M2, = Molarity of the dilute acid solution(solve for this should be close to 0.5000 M) V2 = 500.00 mL4. Include your dilut ion calculations in your lab book.

History of Media Effects

1. Consider the history of media effects presented in Chapter 3. Choose unity historical media event that has occurred in the country of your choice. How has your chosen historical media event opened up a larger discourse near a social issue? Did the issue create conversion or reinforcement of public opinion about the social issue represented in the media event? agree your answer with reference from the text. With reference to the case of Mas Selamat Kastari who was believed to be involved in the Jemaah Islamiah (JI) group in plotting terrorist act activities in Singapore such as crashing a plane into Changi Airport .He was Singapores most(prenominal) wanted fugitive for more than a year after escaping from detention on 27 February 2008. Since then, it was thelargest manhunt ever carried out in Singapore, furthermore daily local newspapers, TV news report, posters also tried to shape up public awareness about Mas Selamat through repeated news coverage. Hence, with the aid of m ass media, Mas Selamat was certainly the hottest question everywhere and eventually became the historical media event that opened up a larger discourse about act of terrorism which was a social issue ever since 1963.In the early 80s, the government had implemented a series of measures to reproduction terrorism in Singapore and after 1991 Singapore has not experience any terrorism therefore resulting in the citizens letting down their guard and eventually the issue on terrorism was taken lightly. With reference to agenda setting theory which explains the powerful influence mass media strike in intercourse us what issues are important, the case of Mas Selamat involving the massive usage of mass media had successfully trigger the fear in the minds of the citizens and the issue on terrorism(security matters) became increasingly important during that period of time.Many citizens wrote in to Straits propagation claiming that the government merit to be blamed for the escape of Mas Selamat and if terrorism will to happen in Singapore. Minister Mentor lee(prenominal) Kuan Yew responded to the Straits Times Mas Selamat Kastari was an escape artist who had evaded arrest many times, and Singapores security officers knew this, when you are complacent in use a wily detainee, then you have been negligent. He also added that, complacency sets in when people have not suffered any shock or setback for a long time and Singaporeans are cosmos complacent when they believe that the Government will take care of all security matters. PAP MP Lim Wee Kiak referred complacency as a side-effect of an overly successful Government and civil service. (Straits Times, 2008). From this historical media event, we can see the impact of media in creating conversion of the public opinion. The publics spatial relation towards terrorism (security matters) changed from a dependent on the government to a self-dependent one after the escape of Mas Selamat .Furthermore, correspond to the public opinions on Singapore forum after the capture of Mas Selamat in 2009, although some were still debating on whether is the Government of Singapore doing enough to protect us from terrorism, but majority strongly believed that Singaporeans should not cozen ourselves into thinking that our government is infallible as our government can only do so much-implementing counter terrorism measures, awareness posters and videos in train stations and public transports .Hence, the more relevant questions to ask ourselves be we Singaporeans doing enough to protect ourselves from terrorism? Are we coming together as one nation to do our national service in learning and protecting our country, life and property? The citizens of Singapore should not but solely rely on the government but also play our part in preventing the little terror of terrorism.

Ethics

morals 101 1. 1 background and victimization of theoretical erect plan of attackes Deontological Theory The deontological hypothesis enounce that the consequences or outcomes of actions atomic number 18 non important, what actu whollyy social function is that the actions argon virtuously Justified. For example drunken thrust is wrong, now if a person argues that he safely navigated his counsel back home and for that reason he/she should non be held greenbackable by jurisprudence, they ar wrong beca white plague their action was wrong in the firstborn place and was secedeing the basic formula for m vivaly remunerate divvy up that a person should non drive while being drunk.The contri saveion of Immanuel Kant towards phylogeny of Deontological surmise Immanuel Kant proposes that in taking a stopping point Duty carries the foremost richness. Kant is of the view that a persons actions go out merely be regarded as morally and estimablely correct when they ar get hold ofn keeping in headland the sense of duty and responsibility in mind. teleological honourable Theory The teleological honest theory put the primary focus on the Consequences i. e. What atomic number 18 those actions that produce the crush possible results?Along with attaching importance to the consequences the teleological theory too suggests that the ecisions cloth that is un confutative for achieving the desired consequences should also be managed with sympathize with. Consequentialist Theory gibe to the Consequentiality Theory, the basis for determining how moral a persons actions are the consequences. The consequences of actions disregard be profound or bad, and they behind be damaging or favourable. The contribution of Jeremy Bentham towards ontogeny of a persons actions john be a categorize as good or bad dep poleing on what consequences the action has produced.According to Benthams opinion the good things are class as pleasure and the bad ones a s pain in the ass. (http//www. report cardmode. com/) 1. 2 Absolute estimable motive has exclusively ii sides almostthing is good or bad, b wish or white. Some examples in police morality would be un good behaviours much(prenominal) as bribery, extortion, excessive force, and perjury, which scraggyly everyone would prevail are unsatisfactory behaviours by the police. Relative moral philosophy is much entangled and finish nave a clique ot sides witn varying shades ot gray . What is considered respectable behaviour by one person whitethorn be deemed highly unhonorable by virtuallyone else.The absolutistic theory is the theory that certain things are just or wrong from an bjective point of view and cannot limiting according to culture. Certain actions are intrinsically duty or wrong, which means they are estimable or wrong in themselves. This is also kn admit as deontological. The relativist theory is the theory that in that location are no universally valid mora l principles. All principles and appraise are relative toa particular culture or age. respectable relativism means that there is no such(prenominal) thing as good in itself, but if and action seems good to you and bad to me, that is it, and there is no objective basis for us to discover the truth.This theory is also known as teleological. An example of an absolutist ethical system would be if a virtuoso m more or less other with a very young fry had no money and therefore no solid food to feed the child, and she stole more or less food from the grass and the mother was caught and had a trial, an absolutist would argue that its morally wrong to steal and should suffer the consequences of the crime. They dont take into account the power the person might be in and use an absolute integrity. However, this is in contrast to the selection ethical system, called relativist, because this system is really the complete opposite.Again Ill use the same example s I did for absolutist. If a relativist was looking at this they would take into conside limit the situation the woman might be in and empathise with her and try to find an outcome that is the most fair. matchless reason to support the absolutist approach as the only defensible approach is that it results Justification for performing which means that morality seems to demand whatever dissever of obligation. If theres a fixed moral code whence there is no obligation to act in a way. Another strength is that it gives clear guidelines, which fundamentally means the rules are fixed and clear to apply. () 1. 3 morals refers to a prescribed or true code of conduct. Ethical issues are a association of moral values that need to be turn to while carrying out business. Businesses operate in a ball club that is structured around moral values. Therefore, when conducting its operations, a business has certain responsibilities which are to forget the purchase order with quality goods and services that exi t improve the confederations sustenance standardiseds. In coiffure to survive, a business of necessity to maintain its customers. Product packaging is one way of ensuring a business maintains its existing customers and also win ew customers.Some companies are known to allow lean packaging of products which are then highly priced and this is a rude way of increasing profits. However this disconfirming trend will affect the business in the long run as customers will last come to learn that they are being swindled. In an attempt to boost sales, some businessmen fit promotional method mislead customers as the gist conveyed may not give the exact exposit of the product. Businesses should desist from increasing prices without valid reasons. In doing so, they will be taking advantage of the customer and this is unethical.Businessmen should also desist from taking part in debauch practices such as selling low standard goods while bribing government officials in order to repor t operating. Entrepreneurs should consider the effects of their activities on the society they serve. In the long run, wrong dealings and corruption will tarnish the image of the business and have a negative effect on sales. Business people ought to comply with the law takements and observe laid rout principles of morality in their dealings. They should seriously consider expectations of the community they serve. (EthicsTable of Contents Therapeutic diligent Relationships Overview Since the sass, ethics has been incorporated into virtually every opinion of the wellness accusation system. Because of such a subaltern time window, the study of ethics in a aesculapian perspective tracks to tilt and improve for the good of the patient. Studies of define-patient kinships Indicate the need of greater ethical study and intervention.Studies base that although m either medicos are aware that a amatory r sexual relationship Is unethical, as mevery as nine percent reckon that the ethics depends on the situation (Reese, 2012). Often, an abuse in the doctor-patient relationship does not occur because of a lack in educational skills. Rather, abuse in the doctor/patient is attributed to flaws, or loopholes, in the rules of ethics and law (Subplots et al, 2010). Continued look of the most recent ethical simulation can begin lowering any chance of unprofessional.In order to have a successful patient relationship, a physician must picture and gaze the barriers in place. This session will take a look at ethics. Participants will judge their own ethical principles and apply the concepts theyve learned to problems in ethical chat and/or conduct in the deformplace. Behavioral Objectives Intended to inform the physician on the definition of ethics Clarify the nature of the ethical responsibilities held in park by current and prospective physicians. Identifies ethical considerations relevant to physicians Recognize different situations containing unethical conduct.Gain the knowledge on how to respond to in situations that require ethical decision- do. Apply the incept of good ethical bearing in their current practice. Outline of raising posing I. IntroductionWhat is ethics? Ethics refers to a framework of discipline from a branch of philosophy, in which judgements of powerful and wrong, virtue and vice, and good and evil, are all examined systematically (salvoes & Meyer, 1990). II. Components of Ethics Participants will know basic history, definition, and examples of ethics. A.Ethical good example earlier we can manage ethical dilemmas in the health attention setting, we must understand examples of ethical principle, as well as our own, to avoid any conflict of interest. . Self- sagacity Culture Values Beliefs Ideas 2. Continuous regulation Self- sway Trustworthiness Professionalism Education Intervention B. pull in the Significance of Ethics 1. Factors That Improve Ethical do a. Public view c. School curriculum d. jud icature regulations 2. Factors That Require Ethical Behavior a. Provide gild guideline for ethical behavior b.Teach the companys guidelines importance c. account punishments for unethical conduct C. suss out Examples of Unethical/Ethical Conduct IV. Class Activity Ethics Assessment V. Effectively practice effective ethical communication A. Understand the needs of the recipient D. Ensuring the message considers the common good E. Continue to interpret for conflicts of interest F. fence the consequences of each message 1. Is this message mutually worthful? 2. Is this message violating confidentiality of another person? Is this message questionable to your professionalism? . VI. Class Discussion VII Summary of Training Session VIII Conclusion Literature Review Where the Patient Relationship Ends ironic A, a 49 year-old gynecologist, was treating a 36 year-old female patient, Ms B, for chronic vaginal yeast infections. He described her as being seductive during the husband. teet otal A run aground himself feeling very sympathetic towards her and began scheduling hourlong patient appointments so he could provide some therapy for her as well as assessing and treating the vaginal complaints for which she seemingly saw him.He would hold her baseball glove while she talked round her difficult situation at home. This decent slew the slippery slope progressed into hugging, and then kissing at the end of the session. He recognized that he was feeling sole(a) and not having regular sexual relations with his wife. dry A even noted that his wife was inorganic as though her condition was in some way an excuse to progress to a sexual relation with the patient) (Gabbed & Hobby, 2012). The first time that dry out A and Ms B had sexual relations was after(prenominal) hours in his office.This sexual encounter consisted of mutual oral sex. The meetings were set up during appointments in the office, usually at the end of the day. He finally ended these contacts when he felt the encounters were no longer gratifying to him. In addition, he was worried about being caught and that others would not understand his reasons for departing from the usual procedures (Gabbed & Hobby, 2012). Following the filing of a complaint by the patient, prohibitionist A was direct for evaluation.When asked directly he thought he had harmed the patient, ironic A responded that he felt he had actually helped her by his sexual involvement with her (Gabbed & Hobby, 2012). Introduction This physician, Dry A, failed to recognize the unethical conduct he was committing in the obvious power differential with the patient, Ms B. Dry A failed to recognize that a patient is pay for his expertise for the treatment of a disease or ailment, and not a relationship of conscious feelings.If Dry A had greater understanding regarding the ethical principle of the doctor/patient relationship, Dry A may have been able to make a more rational decision so this situation neer occurred li kewise, if Ms B had more understanding of the ethical principle prior to her first appointment, Ms B may have had the knowledge to evade Dry Ass advances. In summary, the doctor and the patient should be educated on ethical conduct before the doctor-patient relationship is formed to avoid situations, like the example.Studies show that although many a(prenominal) physicians are aware that a romantic or sexual relationship is unethical, as many as nine percent believe that the ethics depends on he situation (Reese, 2012). The American aesculapian exam Association (AMA) states that prior doctor/patient relationships can regularize the patients treatment and that such a relationship is unethical if the doctor uses or exploits trust, knowledge, emotions or influence derived from the previous professional relationship (American Code of aesculapian Ethics, 2012).The Mamas use of prior relationship ensues wiggle path for the its complicated answer, which over one third of the physici ans had answered to the question, Is it acceptable to become involved romantic or sexual relationship with a patient? In Medi upkeeps 2012 ethics survey (Reese, 2012). Could it be that the and Ms B are aware of the rules but chose in proceeding to break the barriers of the doctor/patient relationship because its complicated? The its complicated answer may originate from feelings from the physician to do anything possible to treat the patient.One study on therapists, relieves that the therapists would desex sexually involved relationships with suicidal borderline patients in order to save the patient from self-annihilation (Gabbed & Hobby, 2012). This ration is flawed, however, because the physician, like Dry A, should have continued to worked to strain the nature of the intended relationship as distinctly therapeutic with any potential unexpected circumstances, which is the idea behind the entire therapeutic process (Crower, venter & Subplots, 2010).A professional needs to se lf-regulate their internal drives and thoughts in the absence of clear standards or unexpected circumstances, such as that of a suicidal patient whom is not responding to evidence- base treatment (Crower, Belly & Subplots, 2010). This is critical because usually a patient will give up his or her own autonomy to respect the decision of a paternalistic physician (Shari, Samara, Arachnids, 2013). non to say this approach to a doctor/ patient is unethical, but it can leave room for unethical conduct if the physician cannot control his or her internal drives or thoughts. Patients, like miss B, need doctors that are competent in all areas of their profession. The study of ethics in undergraduate line of productss and aesculapian school curriculum is still improving consequently, it should constantly be assessed in terms of content, educational methods, and commute in behavior, and be revised accordingly (Shari, Samara, Arachnids, 2013).Within only the past 20 years or so, aesculap ian schools have gun incorporating ethics as its own respective subject (Houghton, Sparks & Chadwick, 2010). The introduction of ethics in to medical undergraduate curriculum has met resistance, however, because it is evolving constantly and some believe ethical topics are redundant or impossible to be taught (Houghton, Sparks & Chadwick, 2010).Once a few generations of physicians are educated, they can begin program line newer generations from first hand experience to ensure they are fully competent, preferably than trainers teaching the instructors (Shari, Samara, Arachnids, 2013). Ethics, according to James S. Recourse (2003), refers to a field of inquiry, or discipline, in which matters of right and wrong, good and evil, virtue and vice, are systemically examined (p. 49).Professional ethics is described by Craven & Hiring (2009) as involving principles and values universal operation and standards of conduct to be upheld in all situations (p. 76). The tralatitious principles that provided the moral grounding for the protection on man subjects in the United States began forming in the sass (Faded, Sass, ethical concern has been to protect patients from injury, risk, abuse, and unjust orders of medical research (Faded, Sass, Goodman, Provosts, Tunis & Bchamel, 2013).There has been an importance in our society of forming a Just health care system, which is head by principles of healthcare ethics that take on benefice, non- maleficent, respect for autonomy, and Justice (Craven & Hiring, 2008). Physicians, nurses, and other members of the health care police squad have been developing codes of ethics in order to sustain a Just health care system.Faded, Sass, Goodman, Provosts, Tunis & Bchamel (2013) propose a framework that consists of seven ethical obligations, they include ) to respect the rights and gravitas of patients 2) to respect the clinical Judgment of clinicians 3) to provide optimum care to each patient 4) to avoid high-minded monomaniacal ri sks and burdens on patients 5) to reduce health inequalities among populations 6) to conduct responsible activities that foster learning from clinical care and clinical information and 7) to contribute to the common designing of improving and quality and value of clinical care and health systems (p. ). Most frameworks regarding medical ethics in the main follow these seven steps. Frameworks in ethics provide a systematic way to decide whats right from wrong in a rarity of designate priorities that are goal emphasized (Craven & Hiring, 2008). All members of the health care team up have a framework, and they can find it resembles this model. Several issues of unethical conduct in the health care setting can rescind if ethical principle is ignored.The following are a few debated matters of medical ethical principle that occurs in the health care setting physician-assisted suicide (Glover, 2010), clinical trials (Barton & Ugly, 2009), bribes/gifts from patients (Sash & Fug- Barman, 2013), patient abuse, sexual comments/actions toward patient (Crower, Belly & Subplots, 2010), confidentiality (Craven & Hiring), and monetary interests (Reed, Mueller, & Brenna, 2013). While some subjects such as euthanasia (physician- assisted suicide) may have different labels of good or bad from different people, other subjects such as sexual patient abuse is mostly discovered by most of society.While ethical principle of that society on certain principles might change at the about the same rate medical technology changes, it is still important for any health care worker to keep these principles in mind. Since the death penalty of medical ethics is relatively new, changes are cursorily occurring in medical education curriculum as well as the workforce. Evidence shows, the effects of the teaching of medical ethics causes greater ethical sensitivity in the clinical setting (Crower, Belly & Subplots, 2010). However, there are still many cases in which medical ethics education d oes not have an impact.As the advance of ethics continues in the health care setting, evaluation of medical ethics teaching is vital. Research by Shari, Samara, and Arachnids (2013) finds that matching education is successful, and not a desert of serviceman or financial resources. The Institute of medical checkup Ethics recommends a pyramid of increasing levels of education, they include knowledge, habituation, and action (Crower, Belly & Subplots, 2010). The idea is to have medical students think critically about historical precedents and in store(predicate) situations involving ethical dilemmas, then put into practice the lift out consideration.The most important thing teaching ethics gives to medical students is awareness (Crower, Belly & Subplots). With practicing physicians, it is important to continue education on professionalism because doing so shows its significance as a competency (Reed, Mueller, & Brenna, 2013). As introductory and keep teaching methods are evaluat ed and improved, future medical students can become more ethically sensitive in their communication and actions. References AMA Code of Medical Ethics. Opinion 8. 14 sexual misconduct in the practice of medicine. Http//www. AMA-assn. Org/AMA/ barroom/physician-resources/medical-ethics/ code-medical-ethics/opinion. Page Accessed November 3, 2012. Shari, F. , Samara A. & Arachnids, A. (2013). Medical ethics course for undergraduate medical students A needs sound judgement study. Journal Of Medical Ethics & History Of Medicine, 6(1) Barton, E. , & Ugly, S. 2009) Ethical or unethical persuasion? The rhetoric of offers to record in clinical trials. Written Communication, 26(3), 295-310 Craven, R. F. & Hiring C. J. (2008). Fundamentals of nurse Human health and function, 6th. Liposuction Williams & Wilkins Inc.Philadelphia, PA. 76-77. Crower, M. , Belly, S. , & Subplots F. (2010) Abuse of the doctor-patient relationship. London princely College of Psychiatrists. Faded, R. , Sass, N. , Goodman, S. , Provosts, P. , Tunis, S. , & Beach, T. (2013). An ethics framework for a learning health care system A departure from traditional research ethics and clinical ethics. The Hastings boil down Report, Spec Noses-ASS Gabbed, G. 0. , & Hobby, G. S. (2012). A psychoanalytic perspective on ethics, self- deception and the corrupt physician. British Journal Of Psychotherapy, 28(2), 235-248. Glover, P.C. (2010) Physician-assisted suicide is unethical. Greengages Press. Recourse, J. S. (2003). Communication ethics. Management Communication A Case- analysis Approach. 2nd. New Jersey Pearson Education. Professionalism challenges and opportunities. Minnesota Medicine, 96(1 1), 44-47 Reese, S. (2012). When is it okay to sequence a patient? Netscape ethics report 2012. Netscape, http//www. Educate. Com/vertically/774295. Sash, S. & Fug-Barman, A (2013 Physicians under the influence Social psychological science and industry marketing strategies. Journal Of Law, Medicine & Ethics. 4 1 (3), 665-672.Attachment Principles of Medical Ethics Revised and adopted by the AMA House of Delegates (June 17, 2001) l. A physician shall be utilize to providing competent medical care, with compassion and respect for human dignity and rights. II. A physician shall uphold the standards of professionalism, be honest in all professional interactions, and strive to report physicians deficient in character or impotence, or engaging in fraud or deception, to appropriate entities. Ill. A physician shall respect the law and also recognize a responsibility to try changes in those requirements, which are contrary to the best interests of the patient. IV.A physician shall respect the rights of patients, colleagues, and other health professionals, and shall safeguard at bottom the constraints of the law. V. A physician shall continue to study, apply, and advance scientific knowledge maintain a commitment to medical education make relevant information functional to tenets, colleagues, and the public obtain consultation and use the talents of other health professionals when indicated. VI. A physician shall, in the readiness of appropriate patient care, except in emergencies, be free to choose whom to serve, with whom to associate, and the environment in which to provide medical care VI.A physician shall recognize a responsibility to participate in activities contributing to the advantage of the community and the betterment of public health. As paramount. X. A physician shall support access to medical care for all people. Source Code of Medical Ethics In-Hand Activity Ethics Self-Assessment The American College of Healthcare Executives (ACHE) do this survey so you can identify areas of ethical practice in which you are weak or strong. For each question, identify one of the five answers that is best suited to you.The ACHE does not believe in a numbered final score, because it is not a peckerwood for evaluating ethical behavior of others. The number that correspo nds with each result simply helps you uncover any areas of concern that may require the need for enhancement in some of your current ethical practice. Almost Never on occasion Usually 4 5 Always Not Applicable 2 I. Leadership 3 I take courageous, lucid and appropriate management actions to outdo barriers to achieving my organizations mission. I place community/patient do good over my personal gain.I strive to be a role model for ethical behavior. I work to ensure that decisions about access to care are based primarily on medical necessity, not only on the ability to pay. My statements and actions are consistent with professional ethical standards, including the ACHE Code of Ethics. constituent would allow me to confuse the issues I advocate ethical decision making by the board, management team and medical staff. I use an ethical approach to conflict resolution. I initiate and gain discussion of the ethical aspects of management/financial issues.I initiate and nurture discus sion of controversial issues affecting community/patient health (e. G. , domestic and community violence and decisions near the end of life). I promptly and candidly explain to internal and external stakeholders negative economic trends and encourage appropriate action. I use my authority just to fulfill my responsibilities and not for self-interest or to come on the interests of family, friends or associates. When an ethical conflict confronts my organization r me, I am successful in decision an effective resolution process and ensure it is followed.I rise respect for my colleagues, superiors and staff. I demonstrate my organizations vision, mission and value statements in my actions. I make timely decisions quite an than delaying them to avoid difficult or politically forged choices. I seek the advice of the ethics committee when making ethically challenging decisions. My personal expense reports are accurate and are only billed to a single organization. I openly support esta blishing and observe internal mechanisms (e. G. , an ethics committee or program) toEthicsEthics 101 1. 1 background and development of theoretical ethical approaches Deontological Theory The deontological theory state that the consequences or outcomes of actions are not important, what actually matter is that the actions are morally Justified. For example drunken driving is wrong, now if a person argues that he safely navigated his way back home and for that reason he/she should not be held accountable by law, they are wrong because their action was wrong in the first place and was breaking the basic principle for morally correct behaviour that a person should not drive while being drunk.The contribution of Immanuel Kant towards development of Deontological theory Immanuel Kant proposes that in taking a decision Duty carries the foremost importance. Kant is of the view that a persons actions will only be regarded as morally and ethically correct when they are taken keeping in mind the sense of duty and responsibility in mind. Teleological Ethical Theory The teleological ethical theory put the primary focus on the Consequences i. e. What are those actions that produce the best possible results?Along with attaching importance to the consequences the teleological theory also suggests that the ecisions framework that is developed for achieving the desired consequences should also be managed with care. Consequentialist Theory According to the Consequentiality Theory, the basis for determining how moral a persons actions are the consequences. The consequences of actions can be good or bad, and they can be damaging or favourable. The contribution of Jeremy Bentham towards development of a persons actions can be a classified as good or bad depending on what consequences the action has produced.According to Benthams opinion the good things are classified as pleasure and the bad ones as pain. (http//www. studymode. com/) 1. 2 Absolute ethics has only two sides Somethi ng is good or bad, black or white. Some examples in police ethics would be unethical behaviours such as bribery, extortion, excessive force, and perjury, which nearly everyone would agree are unacceptable behaviours by the police. Relative ethics is more complicated and can nave a multitude ot sides witn varying shades ot gray . What is considered ethical behaviour by one person may be deemed highly unethical by someone else.The Absolutist theory is the theory that certain things are right or wrong from an bjective point of view and cannot change according to culture. Certain actions are intrinsically right or wrong, which means they are right or wrong in themselves. This is also known as deontological. The relativist theory is the theory that there are no universally valid moral principles. All principles and values are relative toa particular culture or age. Ethical relativism means that there is no such thing as good in itself, but if and action seems good to you and bad to me, t hat is it, and there is no objective basis for us to discover the truth.This theory is also known as teleological. An example of an absolutist ethical system would be if a single mother with a very young child had no money and therefore no food to feed the child, and she stole some food from the shop and the mother was caught and had a trial, an absolutist would argue that its morally wrong to steal and should suffer the consequences of the crime. They dont take into account the situation the person might be in and use an absolute law. However, this is in contrast to the alternative ethical system, called relativist, because this system is really the complete opposite.Again Ill use the same example s I did for absolutist. If a relativist was looking at this they would take into consideration the situation the woman might be in and empathize with her and try to find an outcome that is the most fair. One reason to support the absolutist approach as the only defensible approach is that it provides Justification for acting which means that morality seems to demand some sort of obligation. If theres a fixed moral code then there is no obligation to act in a way. Another strength is that it gives clear guidelines, which basically means the rules are fixed and clear to apply. () 1. 3 Ethics refers to a prescribed or accepted code of conduct. Ethical issues are a set of moral values that need to be addressed while carrying out business. Businesses operate in a society that is structured around moral values. Therefore, when conducting its operations, a business has certain responsibilities which are to provide the society with quality goods and services that will improve the peoples living standards. In order to survive, a business needs to maintain its customers. Product packaging is one way of ensuring a business maintains its existing customers and also acquire ew customers.Some companies are known to allow underweight packaging of products which are then highly pri ced and this is a rude way of increasing profits. However this negative trend will affect the business in the long run as customers will eventually come to learn that they are being swindled. In an attempt to boost sales, some businessmen adapt promotional method mislead customers as the message conveyed may not give the exact details of the product. Businesses should desist from increasing prices without valid reasons. In doing so, they will be taking advantage of the customer and this is unethical.Businessmen should also desist from taking part in corrupt practices such as selling low standard goods while bribing government officials in order to continue operating. Entrepreneurs should consider the effects of their activities on the society they serve. In the long run, wrong dealings and corruption will tarnish the image of the business and have a negative effect on sales. Business people ought to comply with the law requirements and observe laid down principles of morality in the ir dealings. They should seriously consider expectations of the community they serve. (EthicsTable of Contents Therapeutic Patient Relationships Overview Since the sass, ethics has been incorporated into virtually every aspect of the health care system. Because of such a small time window, the study of ethics in a medical perspective continues to change and improve for the benefit of the patient. Studies of doctor-patient relationships Indicate the need of greater ethical study and intervention.Studies show that although many physicians are aware that a romantic r sexual relationship Is unethical, as many as nine percent believe that the ethics depends on the situation (Reese, 2012). Often, an abuse in the doctor-patient relationship does not occur because of a lack in educational skills. Rather, abuse in the doctor/patient is attributed to flaws, or loopholes, in the rules of ethics and law (Subplots et al, 2010). Continued research of the most recent ethical framework can begin lo wering any chance of unprofessional.In order to have a successful patient relationship, a physician must understand and respect the barriers in place. This session will take a look at ethics. Participants will assess their own ethical principles and apply the concepts theyve learned to problems in ethical communication and/or conduct in the workplace. Behavioral Objectives Intended to inform the physician on the definition of ethics Clarify the nature of the ethical responsibilities held in common by current and prospective physicians. Identifies ethical considerations relevant to physicians Recognize different situations containing unethical conduct.Gain the knowledge on how to respond to in situations that require ethical decision-making. Apply the incept of good ethical behavior in their current practice. Outline of Training Session I. IntroductionWhat is ethics? Ethics refers to a framework of discipline from a branch of philosophy, in which ideas of right and wrong, virtue and vice, and good and evil, are all examined systematically (salvoes & Meyer, 1990). II. Components of Ethics Participants will know basic history, definition, and examples of ethics. A.Ethical Framework before we can manage ethical dilemmas in the health care setting, we must understand examples of ethical principle, as well as our own, to avoid any conflict of interest. . Self-Assessment Culture Values Beliefs Ideas 2. Continuous Regulation Self-control Trustworthiness Professionalism Education Intervention B. Understand the Significance of Ethics 1. Factors That Improve Ethical Conduct a. Public view c. School curriculum d. Government regulations 2. Factors That Require Ethical Behavior a. Provide company guideline for ethical behavior b.Teach the companys guidelines importance c. Describe punishments for unethical conduct C. Review Examples of Unethical/Ethical Conduct IV. Class Activity Ethics Assessment V. Effectively practice effective ethical communication A. Understand the n eeds of the recipient D. Ensuring the message considers the common good E. Continue to interpret for conflicts of interest F. Consider the consequences of each message 1. Is this message mutually valuable? 2. Is this message violating confidentiality of another person? Is this message questionable to your professionalism? . VI. Class Discussion VII Summary of Training Session VIII Conclusion Literature Review Where the Patient Relationship Ends Dry A, a 49 year-old gynecologist, was treating a 36 year-old female patient, Ms B, for chronic vaginal yeast infections. He described her as being seductive during the husband. Dry A found himself feeling very sympathetic towards her and began scheduling longer patient appointments so he could provide some therapy for her as well as assessing and treating the vaginal complaints for which she ostensibly saw him.He would hold her hand while she talked about her difficult situation at home. This decent down the slippery slope progressed into hu gging, and then kissing at the end of the session. He recognized that he was feeling lonely and not having regular sexual relations with his wife. Dry A even noted that his wife was inorganic as though her condition was in some way an excuse to progress to a sexual relation with the patient) (Gabbed & Hobby, 2012). The first time that Dry A and Ms B had sexual relations was after hours in his office.This sexual encounter consisted of mutual oral sex. The meetings were set up during appointments in the office, usually at the end of the day. He finally ended these contacts when he felt the encounters were no longer gratifying to him. In addition, he was worried about being caught and that others would not understand his reasons for departing from the usual procedures (Gabbed & Hobby, 2012). Following the filing of a complaint by the patient, Dry A was sent for evaluation.When asked directly he thought he had harmed the patient, Dry A responded that he felt he had actually helped her b y his sexual involvement with her (Gabbed & Hobby, 2012). Introduction This physician, Dry A, failed to recognize the unethical conduct he was committing in the obvious power differential with the patient, Ms B. Dry A failed to recognize that a patient is paying for his expertise for the treatment of a disease or ailment, and not a relationship of conscious feelings.If Dry A had greater understanding regarding the ethical principle of the doctor/patient relationship, Dry A may have been able to make a more rational decision so this situation never occurred likewise, if Ms B had more understanding of the ethical principle prior to her first appointment, Ms B may have had the knowledge to evade Dry Ass advances. In summary, the doctor and the patient should be educated on ethical conduct before the doctor-patient relationship is formed to avoid situations, like the example.Studies show that although many physicians are aware that a romantic or sexual relationship is unethical, as many as nine percent believe that the ethics depends on he situation (Reese, 2012). The American Medical Association (AMA) states that prior doctor/patient relationships can influence the patients treatment and that such a relationship is unethical if the doctor uses or exploits trust, knowledge, emotions or influence derived from the previous professional relationship (American Code of Medical Ethics, 2012).The Mamas use of prior relationship leaves wiggle room for the its complicated answer, which over one third of the physicians had answered to the question, Is it acceptable to become involved romantic or sexual relationship with a patient? In Medicares 2012 ethics survey (Reese, 2012). Could it be that the and Ms B are aware of the rules but chose in proceeding to break the barriers of the doctor/patient relationship because its complicated? The its complicated answer may originate from feelings from the physician to do anything possible to treat the patient.One study on therapists , explains that the therapists would get sexually involved relationships with suicidal borderline patients in order to save the patient from suicide (Gabbed & Hobby, 2012). This ration is flawed, however, because the physician, like Dry A, should have continued to worked to attain the nature of the intended relationship as clearly therapeutic with any potential unexpected circumstances, which is the idea behind the entire therapeutic process (Crower, Belly & Subplots, 2010).A professional needs to self-regulate their internal drives and thoughts in the absence of clear standards or unexpected circumstances, such as that of a suicidal patient whom is not responding to evidence- based treatment (Crower, Belly & Subplots, 2010). This is critical because usually a patient will give up his or her own autonomy to respect the decision of a paternalistic physician (Shari, Samara, Arachnids, 2013).Not to say this approach to a doctor/ patient is unethical, but it can leave room for unethical conduct if the physician cannot control his or her internal drives or thoughts. Patients, like Miss B, need doctors that are competent in all areas of their profession. The study of ethics in undergraduate courses and medical school curriculum is still improving consequently, it should continuously be assessed in terms of content, educational methods, and change in behavior, and be revised accordingly (Shari, Samara, Arachnids, 2013).Within only the past 20 years or so, medical schools have gun incorporating ethics as its own respective subject (Houghton, Sparks & Chadwick, 2010). The introduction of ethics in to medical undergraduate curriculum has met resistance, however, because it is evolving constantly and some believe ethical topics are redundant or impossible to be taught (Houghton, Sparks & Chadwick, 2010).Once a few generations of physicians are educated, they can begin teaching newer generations from first hand experience to ensure they are fully competent, rather than tr ainers teaching the instructors (Shari, Samara, Arachnids, 2013). Ethics, according to James S. Recourse (2003), refers to a field of inquiry, or discipline, in which matters of right and wrong, good and evil, virtue and vice, are systemically examined (p. 49).Professional ethics is described by Craven & Hiring (2009) as involving principles and values universal application and standards of conduct to be upheld in all situations (p. 76). The traditional principles that provided the moral grounding for the protection on human subjects in the United States began forming in the sass (Faded, Sass, ethical concern has been to protect patients from injury, risk, abuse, and unjust orders of medical research (Faded, Sass, Goodman, Provosts, Tunis & Bchamel, 2013).There has been an importance in our society of forming a Just health care system, which is guided by principles of healthcare ethics that include benefice, non- maleficent, respect for autonomy, and Justice (Craven & Hiring, 2008). Physicians, nurses, and other members of the health care team have been developing codes of ethics in order to sustain a Just health care system.Faded, Sass, Goodman, Provosts, Tunis & Bchamel (2013) propose a framework that consists of seven ethical obligations, they include ) to respect the rights and dignity of patients 2) to respect the clinical Judgment of clinicians 3) to provide optimal care to each patient 4) to avoid imposing monomaniacal risks and burdens on patients 5) to reduce health inequalities among populations 6) to conduct responsible activities that foster learning from clinical care and clinical information and 7) to contribute to the common purpose of improving and quality and value of clinical care and health systems (p. ). Most frameworks regarding medical ethics loosely follow these seven steps. Frameworks in ethics provide a systematic way to decide whats right from wrong in a rarity of assigned priorities that are goal emphasized (Craven & Hiring, 2008). A ll members of the health care team have a framework, and they can find it resembles this model. Several issues of unethical conduct in the health care setting can arise if ethical principle is ignored.The following are a few debated matters of medical ethical principle that occurs in the health care setting physician-assisted suicide (Glover, 2010), clinical trials (Barton & Ugly, 2009), bribes/gifts from patients (Sash & Fug- Barman, 2013), patient abuse, sexual comments/actions toward patient (Crower, Belly & Subplots, 2010), confidentiality (Craven & Hiring), and financial interests (Reed, Mueller, & Brenna, 2013). While some subjects such as euthanasia (physician- assisted suicide) may have different labels of good or bad from different people, other subjects such as sexual patient abuse is generally discovered by most of society.While ethical principle of that society on certain principles might change at the about the same rate medical technology changes, it is still important for any health care worker to keep these principles in mind. Since the implementation of medical ethics is relatively new, changes are rapidly occurring in medical education curriculum as well as the workforce. Evidence shows, the effects of the teaching of medical ethics causes greater ethical sensitivity in the clinical setting (Crower, Belly & Subplots, 2010). However, there are still many cases in which medical ethics education does not have an impact.As the progression of ethics continues in the health care setting, evaluation of medical ethics teaching is vital. Research by Shari, Samara, and Arachnids (2013) finds that matching education is successful, and not a waste of human or financial resources. The Institute of Medical Ethics recommends a pyramid of increasing levels of education, they include knowledge, habituation, and action (Crower, Belly & Subplots, 2010). The idea is to have medical students think critically about historical precedents and future situations invol ving ethical dilemmas, then put into practice the best consideration.The most important thing teaching ethics gives to medical students is awareness (Crower, Belly & Subplots). With practicing physicians, it is important to continue education on professionalism because doing so shows its significance as a competency (Reed, Mueller, & Brenna, 2013). As introductory and continuing teaching methods are evaluated and improved, future medical students can become more ethically sensitive in their communication and actions. References AMA Code of Medical Ethics. Opinion 8. 14 sexual misconduct in the practice of medicine. Http//www. AMA-assn. Org/AMA/pub/physician-resources/medical-ethics/ code-medical-ethics/opinion. Page Accessed November 3, 2012. Shari, F. , Samara A. & Arachnids, A. (2013). Medical ethics course for undergraduate medical students A needs assessment study. Journal Of Medical Ethics & History Of Medicine, 6(1) Barton, E. , & Ugly, S. 2009) Ethical or unethical persuasion ? The rhetoric of offers to participate in clinical trials. Written Communication, 26(3), 295-310 Craven, R. F. & Hiring C. J. (2008). Fundamentals of nursing Human health and function, 6th. Liposuction Williams & Wilkins Inc.Philadelphia, PA. 76-77. Crower, M. , Belly, S. , & Subplots F. (2010) Abuse of the doctor-patient relationship. London Royal College of Psychiatrists. Faded, R. , Sass, N. , Goodman, S. , Provosts, P. , Tunis, S. , & Beach, T. (2013). An ethics framework for a learning health care system A departure from traditional research ethics and clinical ethics. The Hastings Center Report, Spec Noses-ASS Gabbed, G. 0. , & Hobby, G. S. (2012). A psychoanalytic perspective on ethics, self- deception and the corrupt physician. British Journal Of Psychotherapy, 28(2), 235-248. Glover, P.C. (2010) Physician-assisted suicide is unethical. Greengages Press. Recourse, J. S. (2003). Communication ethics. Management Communication A Case- Analysis Approach. 2nd. New Jersey Pearson Education. Professionalism challenges and opportunities. Minnesota Medicine, 96(1 1), 44-47 Reese, S. (2012). When is it okay to date a patient? Netscape ethics report 2012. Netscape, http//www. Educate. Com/vertically/774295. Sash, S. & Fug-Barman, A (2013 Physicians under the influence Social psychology and industry marketing strategies. Journal Of Law, Medicine & Ethics. 41 (3), 665-672.Attachment Principles of Medical Ethics Revised and adopted by the AMA House of Delegates (June 17, 2001) l. A physician shall be dedicated to providing competent medical care, with compassion and respect for human dignity and rights. II. A physician shall uphold the standards of professionalism, be honest in all professional interactions, and strive to report physicians deficient in character or impotence, or engaging in fraud or deception, to appropriate entities. Ill. A physician shall respect the law and also recognize a responsibility to seek changes in those requirements, which are contrary to the best interests of the patient. IV.A physician shall respect the rights of patients, colleagues, and other health professionals, and shall safeguard within the constraints of the law. V. A physician shall continue to study, apply, and advance scientific knowledge maintain a commitment to medical education make relevant information available to tenets, colleagues, and the public obtain consultation and use the talents of other health professionals when indicated. VI. A physician shall, in the provision of appropriate patient care, except in emergencies, be free to choose whom to serve, with whom to associate, and the environment in which to provide medical care VI.A physician shall recognize a responsibility to participate in activities contributing to the improvement of the community and the betterment of public health. As paramount. X. A physician shall support access to medical care for all people. Source Code of Medical Ethics In-Hand Activity Ethics Self-Assessment The A merican College of Healthcare Executives (ACHE) made this survey so you can identify areas of ethical practice in which you are weak or strong. For each question, identify one of the five answers that is best suited to you.The ACHE does not believe in a numbered final score, because it is not a tool for evaluating ethical behavior of others. The number that corresponds with each response simply helps you uncover any areas of concern that may require the need for enhancement in some of your current ethical practice. Almost Never Occasionally Usually 4 5 Always Not Applicable 2 I. Leadership 3 I take courageous, consistent and appropriate management actions to overcome barriers to achieving my organizations mission. I place community/patient benefit over my personal gain.I strive to be a role model for ethical behavior. I work to ensure that decisions about access to care are based primarily on medical necessity, not only on the ability to pay. My statements and actions are consistent with professional ethical standards, including the ACHE Code of Ethics. Circumstances would allow me to confuse the issues I advocate ethical decision making by the board, management team and medical staff. I use an ethical approach to conflict resolution. I initiate and encourage discussion of the ethical aspects of management/financial issues.I initiate and promote discussion of controversial issues affecting community/patient health (e. G. , domestic and community violence and decisions near the end of life). I promptly and candidly explain to internal and external stakeholders negative economic trends and encourage appropriate action. I use my authority solely to fulfill my responsibilities and not for self-interest or to further the interests of family, friends or associates. When an ethical conflict confronts my organization r me, I am successful in finding an effective resolution process and ensure it is followed.I demonstrate respect for my colleagues, superiors and staff. I demonstrate my organizations vision, mission and value statements in my actions. I make timely decisions rather than delaying them to avoid difficult or politically risky choices. I seek the advice of the ethics committee when making ethically challenging decisions. My personal expense reports are accurate and are only billed to a single organization. I openly support establishing and monitoring internal mechanisms (e. G. , an ethics committee or program) to