Euthanasia Essay Example

Euthanasia Essay Assisting or aiding another to commit suicide is classified as euthanasia. This topic is an extremely controversial issue, which has caused much legal, social and political debate between opposing stakeholders. Many professional medical practitioners and chief religious groups have been in great conflict with each other regarding this debatable issue. No state or territory in Australia has presently adopted laws permitting euthanasia. The Northern Territorys Rights of the Terminally Ill Act 1996, made euthanasia available to the terminally ill patients of that state, however this act was blocked in 1997. There are many issues revolving around this controversial topic but with the right laws and appropriate guidelines euthanasia could become available to those terminally ill patients who so desperately request it. 1.0 Hypothesis This report will take the view that Euthanasia should be legalised in Queensland under very strict conditions. 2.0 Introduction We will write a custom essay sample on Euthanasia specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Euthanasia specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Euthanasia specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Euthanasia is a highly emotive topic that deals with unsettling issues, which people often choose to disregard. The dispute revolving around this topic has resulted in the development of many general and emotive issues, which have caused both societal and political debate. Many believe that the intentional killing of another person is wrong, despite their unfortunate status of being terminally ill, having endured years of suffering and pain and having completely lost their dignity and pride. Advocates of euthanasia generally insist that this procedure should require informed consent and should only be used in cases of terminal illness that causes unbearable suffering. However, their opposition view voluntary euthanasia as the beginning of compulsory euthanasia or a licence to kill for physicians. Various religious groups, primarily Christians, object to the impassive idea of legalising euthanasia, as they believe life belongs to God. However, 76% of Australians claim that they want the freedom of choice to manage their own deaths and for this reason Bills, regarding euthanasia, have been introduced in the parliaments of various states within Australia. The everlasting legal and social dispute of introducing euthanasia to Australian states has been accompanied by a number of events, which have become landmarks for both the pro euthanasia movement and their opposing parties. 3.0 Euthanasia (general outline) Euthanasia comes from two Greek words meaning pleasant death. It is also commonly referred to as mercy killing and includes accelerating a persons death for some idea of goodness (www.euthanasia.com). This topic includes three different practices, actively causing death, aiding suicide and not interfering with suicide (http://www.fact-index.com). Euthanasia is often divided into two categories, active and passive. Active means taking action that leads to death, such as vigorously causing death, accelerating death or assisting suicide. Passive, however, means not interfering with knowledgeable suicide for example allowing a patient to have the right to die, free of life-extending technology. (Giles, 1989, p.125) Most disagreement between resisting stakeholders involves active euthanasia and the anti-euthanasia belief that when one is experiencing prolonged pain they should reach out and seek the support of a close friend or relative. (Giles.1989, p.130) Those throughout the world who support euthanasia would like people to avoid pointless suffering and give them the right to control their own death. However, Father Anthony Fisher, a Dominican friar and bioethics expert, explains that supporters of pro life believe voluntary euthanasia is not a way of putting granny out of her misery but putting her out of our misery (http://www.ad2000.com.au). 4.0 Legislation Like most countries in the world, euthanasia is not yet legalised in any states in Australia. However, the Northern Territory, South Australia and Western Australia have introduced a number of Bills regarding the controversial topic. The Queensland Criminal Code established in 1899 bans euthanasia in this state. Sections 284, 296 and 311 clearly outline that any act, which aids suicide or leads to the acceleration of death is illegal in Queensland and makes the assistant a criminal. If one is found guilty of this crime they could be liable to imprisonment for life. (Criminal Code Act 1988) Section 284 of the Criminal Code, Consent to death immaterial, explains that even if an individual has give someone consent to hurry or aid their death, the person who acts is criminally responsible (see Appendix 1) (Criminal Code Act 1988). Section 296, Acceleration of death, outlines the serious responsibly one is left with after accelerating anothers death (see Appendix 1) (Criminal Code). Finally Section 311, clarifies that any person who procures, counsels or aids another in killing themselves is guilty of a crime, and is liable to imprisonment for life (see Appendix 1) (Criminal Code). In 1997 the Australian Commonwealth Government stopped the ACT, Northern Territory and Norfolk Island from making laws that permit or have the effect of permitting voluntary euthanasia (http://www.euthanasia.cc/didmsnj5(1)4.html). Introducing the Euthanasia Laws Act stopped these states from making their own laws regarding euthanasia (see Appendix 2). This act was introduced to banish the Rights of the Terminally Ill Act, which was launched in the Northern Territory in 1996. (www.austlii.edu.au) This act allowed the terminally ill to seek voluntary euthanasia by stating, A patient who, in the course of a terminal illness, is experiencing pain, suffering and/or distress to an extent unacceptable to the patient, may request the patients medical practitioner to assist the patient to terminate the patients life (Rights of the Terminally Ill Act 1996). The Rights of the Terminally Ill Act of the Northern Territory also outlined the strict guidelines of categorising a patient (see Appendix 3). This act was withdrawn a year after it was introduced in the Northern Territory and records show it was only useful for three terminally ill citizens. 5.0 Statistics: Over the years both pro euthanasia and pro-life supporters have compiled a number of different surveys to gain support, calculate statistics and try to come to some resolution about the controversial issues revolving around euthanasia. Doctor Phillip Nitchske, an activist in the Voluntary Euthanasia movement, believes that this new radicalism that is belonging within the voluntary euthanasia movement is a direct consequence of the political suppression of the social movement (http://onlineopinion.com.au). For the past thirty years Australian polls have revealed that nearly 80% of Australians want legislation that allows the provision of help to assist a terminally ill person to die. The denial of this large majoritys opinion suggests that most politicians, the major political parties and the organised religious groups are in fear of the inevitable and sit on the fence with their eyes closed (http://onlineopinion.com.au). Many people believe legalising euthanasia will only make what is already going on in hospitals legal. This is shown in a survey conducted in 1988 by the Centre of Human Bioethics at Monash University, which found that 30% of doctors surveyed had previously broken the law by helping terminally ill patients end their life (Giles, 1989, p.125). By analysing this it can be seen that doctors are already playing God and secretly assisting and accelerating the death of terminally ill patients, suffering excruciating pain (McLean, Britton, 1997, 4) Because of this, the relevant authorities should take more of an insight on the situation today and consider legalising voluntary euthanasia under strict conditions in Queensland. 6.0 A Turning Point for Pro Euthanasia: The story of Nancy Crick was a major landmark and a great leap forward for the pro euthanasia movement. Crick was a sixty-nine year old woman, who took her life on Wednesday 22nd May 2002, to escape the pain of bowel cancer. Nancy was surrounded by twenty-one of her closest friends and family when she took a lethal dose of barbiturates with a draught of Baileys, which put her to sleep (http://smh.com.au). The twenty-one spectators who witnessed Nancys death were automatically questioned to determine whether they had made any contribution or were an assistant in any way to her suicidal passing. These witnesses were not notified, until two years after the event, that they were not being charged with assisting suicide (www.exitAustralia.net). This is because it is entirely uncertain whether witnesses of suicide, simply being present and making no contribution at all, are breaking the law (http://www.vesv.org.au). This case caused great social, political and medical dispute as many peopl e had strong opinions both for and against the situation. However, after the autopsy confirmed that Nancy had not sign of cancer, but evidence of an inoperable twisted bowel at the time of her death, the public opinion, which had been solidly behind her, became confused and there was perception of a bad mistake (www.vesv.org.au). Robert Syme 2002 suggested that people felt Nancy had been mislead and manipulated, that she was not terminally ill, and that she should not have taken her life or been encouraged to do so (http://www.vesv.org.au). Syme also reported that all this controversy was misinformed and showed a lack of understanding of all the facts. He made clear that Cricks views, opinions and emotions were available for the public to access via the Internet (www.vesv.org.au). Nancys diary entries were put onto the Internet and the public had the opportunity to write and ask questions about her condition. In her last diary entry (refer to Appendix 4) Nancy said despite the best surgery and palliative care, my life has deteriorated to such an extent that I feel that death would be a blessed relief. But I could not legally get help to do this and the Premier, Mr Beattie says the law will not change (http://www.exitaustralia.net). Nancy sought advice from pro euthanasia supporter Phillip Nitchski when she was unable to obtain any relief of her symptoms that were deteriorating her body, life and dignity. Although Nitchski was not present when Nancy passed away, many blamed him for manipulating and persuading Crick to put an end to her misery by putting an end to her life (www.vesv.org.au). Nancy Crick was terminally ill at the time of her death. Her symptoms included immense weight loss, constant and agonising pain, constant vomiting and major operations. Palliative care was of no benefit and eventually she refused all treatment (www.smh.com.au). For these reasons, Nancy decided her life had come to an end and believed it was her time to go. Her inspiring story was a major turning point for the Voluntary Euthanasia Society of Queensland, and has gained pro euthanasia support from many people. Many people today suffer similar symptoms to Nancys and would benefit from the legalisation of euthanasia being introduc ed into Queensland. If the community accepts this law, it may be a turning point for other pro euthanasia campaigns in Australias states and territories. 7.0 Political Movements: Very few nations around the world have adopted legislation permitting voluntary euthanasia. On April 1, 2002 a bill, allowing terminally ill patients to request assistance regarding suicide, was passed in the Netherlands Upper House. (www.fact-index.com). The Dutch, Termination of Life on Request and Assisted Suicide Act, outlines the strict conditions in which euthanasia may occur and the qualified physicians who are eligible to assist in the process (www.fact-index.com). According to this legislation, euthanasia and assisting with suicide is still a criminal offence however, professional doctors, who have been repeatedly asked to assist a terminally ill patient and have seeked further advice from other general practitioners, will not be prosecuted. Euthanasia was legalised in Australias Northern Territory, by the Rights of the Terminally Ill Act in 1996. However, this law was soon ineffective due to the amendment by the Commonwealth government to the Northern Territory (Self-Government) Act 1978 (http://www.austlii.edu.au). This act explained that the Australian Constitution does not guarantee the powers of the Northern Territory legislature, unlike those of the State legislatures (www.fact-index.com). The Rights of the Terminally Ill Act 1996 clearly outlines, in section 7, the conditions the medical practitioner has to abide by before assisting with a patients death (see Appendix 5) (www.austlii.edu.au). Section 7 basically outlines that the patient must have attained the age of eighteen, the opinion of the medical practitioner is satisfied on reasonable grounds and that the medical practitioner has seeked advice from another medical doctor who holds prescribed qualifications. The medical practitioners must be satisfied that the patient is suffering from an illness that will eventually result in death, no possible medical measures can be taken in the hope of effecting a cure and that the only treatment available to the patient is confined to pain relief (www.austlii.edu.au) (refer to Appendix 5). The Northern Territories, Rights of the Terminally Ill Act 1996, should be considered during the process of legalising euthanasia in Queensland. Adopting a law very similar to the Northern Territories blocked legislation would be a huge benefit to our society. This would give doctors and medical practitioners the ability to assist terminally ill patients under very strict conditions. These conditions should be the same as those outlined in the Northern Territorys act however, more emphasis must be added to the condition of the patients clear consent, through verbal communication or a living will (www.fact-index.com). 8.0 Social and Legal Issues Related to Euthanasia Euthanasia is an extremely controversial issue, which is the reasoning behind the many social, political and legal disputes between opposing stakeholders. These arguments have been existent for many years, however due to the worlds enhancing technology these issues have developed into sensitive and ethical opinions. The two distinct campaigns opposing each other in this controversial topic are pro-euthanasia (pro-choice) and pro-life. Both campaigns have diverse moral views and opinions of the issue and aim to publicise these beliefs in the hope of further public support. 8.1 Professional Opinions Dr Phillip Nitschke is a well-known euthanasia practitioner and campaigner. He believes that doctors are already playing God in hospitals and by legalising voluntary euthanasia the government is only making an issue, which is already occurring legal (www.abc.net.au). During the euthanasia debate in Sydney between Bishop Fisher and Dr Phillip Nitschke, Nitschke opened his case by stating one can provide palliative care by, for example, increasing the drug dosage at the request of the patient to the point where it brings death (www.ad2000.com.au). By putting forth such a crucial issue for pro-choice, Nitschke has outlined that this situation is euthanasia and it has been occurring for many years. In response to Nitschkes opinion Father Fisher claimed that breaking a law does not give total reason to remove it (www.ad2000.com.au). Fisher also argued that life is a gift from God and by assisting another to die you are offending and disrespecting him. In disagreement to this Nitschke ques tioned, what sort of gift is it if God gives us a life we cant escape from? (www.as2000.com.au). Fr Fisher remarked that the agenda of Dr Nitschke and his supporters went far beyond the killing of those in extreme pain. He explained that today pro-euthanasia supporters advocate killing defective infants, the unconscious and the non-competent elderly. (www.ad2000.com.au). In reply to this Dr Nitschke argued that the killing of the unconscious and the non-competent elderly are decided through the family or a living will. The legalisation of voluntary euthanasia must clearly outline conditions, which the medical practitioner must follow in aid of categorising whether euthanasia is the best option. Also this legislation must explain that the patient is required to give clear and identifiable consent to euthanasia, through either verbal communication or a living will (www.abc.net.au). Nitschke believes that terminally ill patients have two options, to acquire to drugs that will provide them with a peaceful death and take them while they still can, or risk becoming trapped in their bo dy enduring a slow and inevitable death. He explains that the only other possibility involves asking a loved one or doctor to break current law and help them to administer a lethal dose, however, the assistant risks a twenty-year imprisonment sentence (www.onlineopinion.com.au). Nitschkes dominant argument is that across Australia suicide is a legal act, but advising, counselling or assisting suicide attracts a life imprisonment penalty. Nitschke questions how can it be that to advise someone on an action that is legal, can be considered so illegal as to attract a penalty of twenty years in prison? (www.onlineopinon.com.au). Nitschke views the Australian laws as unjust and states that unjust laws are meant to be broken, which is the reasoning behind the continuous help he gives to the terminally ill (www.as2000.com.au). 8.2 Social Opinions Many past or present patients have advertised their stories in the aim of supporting either the pro-euthanasia or pro-life movements. Nancy Crick is an ideal example of a terminally ill patient, whos life could have been made a lot easier if she was allowed to seek medical aid with her request to die. Rosemary Dewick is another high-profile campaigner for voluntary euthanasia. The irony of her close brush with death through a massive brain haemorrhage allowed Dewick to realise the need of euthanasia from a terminally ill perspective (My Right to Die). Pro-euthanasia supporter, Dr Gerrit Kimsma, believes that the legalisation of euthanasia will allow the terminally ill to focus on things they really want to do, which lightens the pressure off the patient as they realise and Their suffering will soon come to an end (http://www2.gol.com). Dr Peter Ravenscroft opposes the legalisation of euthanasia. He believes that if a patient is diagnosed with an incurable disease, they should be given palliative care. Ravenscroft agrees, along with a large majority of society, that if euthanasia became legal, it may be easier to choose death over continuing research for better treatment (http://www2.gol.com). It is debatable that legislation of euthanasia should include strict conditions, which determines whether the patient should be allowed to request termination of life. These guidelines will make euthanasia available to the terminally ill but restrict it from those who are not, for example the handicapped, the disabled and the defective (Mike Hume, Times, p.16) Pro-life encourages that there is no good reason to end a life. They support the idea that many good and unfortunate events occur throughout life, but thats what its all about. Pro-euthanasia 10.0 Recommendations Euthanasia should be legalised to the terminally ill citizens of Queensland and under strict conditions this can be made possible. These conditions must be made entirely clear in the legislation and greater emphasis should be put on the patients absolute consent. Legislation should include these five main conditions: * Only registered medical practitioner may carry out active voluntary euthanasia * The patient must explicitly request active euthanasia is such a way that there can be no doubt concerning his or her desire to die * The patients decision must be well-informed, voluntary and enduring * There must be no available way of improving the patients condition which is acceptable to the patient * The medical practitioner must consult at least two other medical practitioners (who also have to confirm the above points) (Giles, 1989, p. 125) If these five conditions are clearly identified, doctors will not be given total control of the situation. This reduces the chance of voluntary euthanasia evolving into compulsory euthanasia. If order of legalising this procedure sections 284, 296 and 311 need to be completely left out of the Criminal Code and the conditions outlined in the Northern Territorys Rights of the Terminally Ill Act 1996(see Appendix 5) need to be considered. Once these amendments are made many terminally ill patients will feel they have control over their lives and will be able to endure a peaceful and lawful death at their own choice. (McLean, Britton, 1997, p. 39) This will reduce the number of unhappy patients and families, as they will not be required to endure or watch a loved one endure such worthless and agonising pain. Euthanasia Essay Example Euthanasia Essay Good afternoon; before we begin, I would like you to imagine a scenario for me. Visualise yourself confined to a bed, unable to lead the active lives you do now, watching the world pass you by, breathing with the aid of a machine. No hopes of a cure, no hope of escape, only able to count the minutes, day, months, waiting for death, now consider living like that for 10 years. Now how would you feel if I told you that this was indeed the reality for Spanish women Immaculade Echevarria after being told she would never recover, being told that the remainder of her life would be spent on her back, under medical supervision, a tube down her throat, she like many decided that this wasnt really living. Thus she made several attempts to request active Euthanasia. After being denied again and again for both moral and religious reasons she was however able to refuse her treatment. Which I must stress is not the same s Euthanasia, which would have been a quick painless death; in the end Mrs Eche varria suffered a slow agonising suffocation. Classmates, I would now like you to consider what you would do in the same situation? Would you wish to take a dignified way out, when no hope remained? So today I will be discussing the morality of Euthanaisa, the benefits and what it really means, for although Im sure many of you will have herd the term, you may just be unaware of its true meaning. Paragraph 2 To fully understand what Euthanasia is, we need to look at the origin of the world; Euthanasia comes from ancient Greece, and means good death. The ancient Greeks and Romans generally did not believe that life needed to be preserved at any cost and were, in any consequence, tolerant of suicide in cases where no relief could be offered to the dying or, in the case of the Stoics and Epicureans, where a person no longer cared for his life. So even in this ancient society, a society which prided itself on its logic, reason and morality, considered the choice of how one dies is just as important as their choice of how to live. We will write a custom essay sample on Euthanasia specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Euthanasia specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Euthanasia specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Indeed we can see in cases as recent as the 20th century; where assisted suicide, is seen as acceptable; Religion Reverend Geoffrey Morris 74 makes the comment that when a soldier in battle confronted with a colleague dying in agony from his wounds is almost morally obliged to shoot him or provide him with a loaded gun to shoot himself. Yet dying patients cant expect of doctors engaged in the same battle for health the same merciful end to their agony. There is something wrong here. Even suffering animals are humanly dispatched I have no doubt that the loving God I worship would understand To most members or the religious community Euthanasia is completely unacceptable as it is against the will of god to murder someone, but it is not unnatural to keep someone alive on 20 30 pills a day what is natural about using medicine to keep a person living longer. in the insect world once a male has mated it is eaten by the female and when the offspring are born the mother is eaten by the children. For mammals to be kept alive for years past their time is just as unnatural. Paragraph 3 Moreover I would argue that if every human being has the right to life, and that this right is perhaps the most basic and fundamental of all our rights. Furthermore that with every right there is choice. For example the right to speech does not remove the option to remain silent; the right to vote brings with it the right to abstain. Therefore in the same way, the right to choose to die is implicit in the right to life. If one can choose how they live, surly they should be able to choose the manner of their death. I think this point is particularly poignant in cases like Miss Immaculade, those who are in the late stages of a terminal disease have a horrific future ahead of them: the gradual decline of their body, the failure of their organs and the need for artificial support. In some cases, the illness will slowly destroy their minds, the essence of themselves; even if this is not the case, the huge amounts of medication required to control their pain will often leave them in a delirious and incapable state. Faced with this, it is surely more humane that those people be allowed to choose the manner of their own end, and die with dignity. Indeed diseases such as AIDS, which has no cure, no relief, where death is inevitable. Alzheimers, a condition that destroys the mind before the body, indeed a good friend of mine has a relative with this condition, and Katherine agrees that if they could see the condition in which they were in they would want for their life to end. For it is mortifying to kn ow your mind is deteriorating to the state of not recognising you family. Paragraph 4 Yet it is not merely the individual who can suffer, because of the current laws on euthanasia; at the moment, doctors are also being put in an impossible position. A good doctor will form close bonds with their patients, and will want to give them the best quality of life they can; however, when a patient has lost or is losing their ability to live with dignity and expresses a strong desire to die, they are legally unable to help. To say that modern medicine can totally eradicate pain is a tragic over-simplification of suffering. While physical pain may be alleviated, the emotional pain of a slow and lingering death, of the loss of the ability to live a meaningful life, can be horrific. A doctors duty is to address his or her patients suffering, be it physical or emotional. As a result, doctors will in fact already help their patients to die although it is not legal, assisted suicide does take place. It would be far better to recognise this, and bring the process into the open, wher e it can be regulated. True abuses of the doctor-patient relationship, and incidents of involuntary euthanasia, would then be far easier to limit. Indeed there are also the families of these people to consider; watching a loved ones suffer and knowing there is no way to help, must surly be both emotionally stressful and painful. Moreover not knowing how a loved one is feeling, for Suicide is a lonely, desperate act, carried out in secrecy and often as a cry for help. The impact on the family who remain can be catastrophic. By legalising assisted suicide, the process can be brought out into the open. In some cases, families might have been unaware of the true feelings of their loved one; being forced to confront the issue of their illness may do great good, perhaps even allowing them to persuade the patient not to end their life. In other cases, it makes them part of the process: they can understand the reasons behind their decision without feelings of guilt and recrimination, and the terminally ill patient can speak openly to them about their feelings before their death. Paragraph 5 Yet what is perhaps more strange is why some countries have legalised assisted Euthanasia and others are still refusing, why is it morally acceptable somewhere, and morally unacceptable somewhere else. In the Netherlands, for example, voluntary euthanasia has been legal since 1983, with some 3,000 people requesting it each year and then In Australia, assisted suicide was legalised in the Northern Territories with the backing of a substantial majority of the local population, but was then overthrown by the Federal Senate before anyone could actually use the new law. The British social attitudes survey published recently on the 25 January this year revealed that 4 out of 5 people in the UK support the suggestion that a doctor should probably or defiantly be allowed by law to end the life, at the patients request, of an individual with an incurable or painful illness from which they will die. In May 2006, the Assisted Dying for the Terminally Ill Bill which would have allowed terminally ill patients to have medical assistance to die if they so choose, which included many medical safeguards, was defeated in the House of Lords at its second reading 148 votes to 100. Yet no where have I been able to find out why, as there are so many reason why the bill would have made a difference. As today in many countries there is a shortage of hospital space. The energy of doctors and hospital beds could be used for people whose lives could be saved instead of continuing the life of those who want to die which increase the quality of care and shortens hospital waiting lists, one of the main reasons for complaints about hospitals is the shortage of space and the waiting lists. Conclusion So classmates, what conclusion have you now come to? Where do you stand in this controversial debate? I fully accept that if Britain were to legalise active and assisted Euthanasia that there would need to be strict guidelines and rules to follow ensuring the right to end ones own life is not abused. But surely this is our right, our right to choose a dignified death, rather than a slow and lingering submission. We should learn from our European neighbours, see how it has benefited countless families and perhaps then we should look to ourselves, it is very hard to try and appreciate how the people who request active Euthanasia are feeling, I hope sincerely that none of you are ever in that position. But just consider for one moment the possibility that you or a loved one close to you was suffering, that they wished to choose a dignified death, but were unable because the law prevented it, just ask yourself how would you feel

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Nursing Power - Assignment Example Mrs. Jacksons’ tendency to favor other staff members is a likely reason for lack of motivation among staff members at the work place. Improper conflict resolution skills by nurse managers can be detrimental to the cooperation of members. Nurse Managers should adopt sound practices aimed at resolving any form of conflict at the workplace. Mrs. Jackson’s public humiliation of junior staff members depicts her poor conflict resolution skills. This is a most likely cause of underperformance of the employees. Junior members in the staff are likely to keep any information that may contribute to conflict resolution for fear of Mrs. Jackson’s demeaning treatments. Optimal team functioning in any nursing environment is achievable when leaders create perfect work environments (Cummings et al., 2009). Staff satisfaction is among the top considerations that nursing managers should ensure in the working environment. Nursing managers should focus on developing proper relationsh ips with staff members. This increases the level of satisfaction of the nursing workforce (Cummings et al., 2009). As Nicol (2012) identifies, collaboration between leaders and members of the nursing staff is necessary in improving service delivery. Education and training of staff members is vital in achieving a working environment that delivers quality services. Developing a definite framework for operation is important in ensuring a coordinated staff. Integration between nursing managers and staff members is critical in any nursing environment (Nicol, 2012). This helps harness leadership skills and promotes harmony and coordination among the members of the staff. This also ensures to the realization of quality service and full utilization of the expertise of the staff members. Strategies that offer platforms of addressing nursing concerns are instrumental in ensuring a good working environment. These include committees set to solve conflicts among members of the staff. Poor leader ship by nursing managers of nursing staff affects the quality of service delivery. Supervisors of nursing managers should ensure set up actions that address any concern of underperformance of nursing managers. The case of Mrs. Jacksons involves underperformance in executing the roles of nursing manager. Her supervisor can explore strategies that promote educational and professional skills development. The supervisor can recommend training sessions for Mrs. Jacksons to enhance her leadership skills. The supervisor can appoint a nursing practice committee to assess the performance of Mrs. Jacksons. The practice committee should make possible recommendations on the best remedy to ensure Mrs. Jacksons performs her duty. Re-establishing the strategies of monitoring the performance of Mrs. Johnsons can help improve her management of the unit. Involving the staff members in monitoring the performance of Mrs. Jacksons can improve her performance level. Staff members’ complaints are c redible avenues of assessing the performance of Mrs. Jacksons. The supervisor, therefore, can address the concerns in a timely manner to avoid the lack of motivation among the staff members. In situations when all options are inapplicable, the supervisor can reinstate Mrs. Johnsons. Observations can be appropriate in monitoring the

Prime Duty of the Government Is to Serve Essay Example for Free

Prime Duty of the Government Is to Serve Essay The dining area is more than just an area to place the  tables and chair. It should be inviting, warm and cozy, a place where the family enjoys sitting together. Think back to your childhood. Chances are, mealtimes stand out in your memory. The family sits together, eats, and talks. If you dont want everyone to just eat and run, strive to make this place as inviting as possible. Here are some tips. Seating All too often we come across sleek  dining room chairs  with little or no padding. Although these may look good depending on the rest of the decor, they are not the most comfortable. If you like to linger over a meal with your loved ones, ensure that the seats are as comfortable as can be, with plenty of padding. If the dining table is placed in the corner of a room, consider placing sofa-bench style seating on the wall-side of the table. You could have comfortable chairs on the other side. Candles Eat by candlelight! You dont need to spend a fortune replenishing candles. Take a tall glass, fill it up with water, and float a tea-light on the top. Light this every night. A single tea-light burns for around four hours, so it should last you three or four nights. You could lower the lights and truly enjoy the experience and reduce electricity costs. Place a  dimmer  switch on the lights. Keep a tall candlestand on the center of the table to hold straight, elegant candles. Light these when entertaining. Flowers A vase of flowers looks charming. Ensure it doesnt occupy too much space, and you dont need to remove it when serving the food or when seated at the table. Also, remember that the flowers should not prevent people on the table from seeing each other. Tablecloth Stay clear from  plastic tablecloths, no matter how practical they are! If your children spill when they eat and want to avoid staining wooden polish, invest in a table with a  glass tabletop. Alternatively, use a regular cloth tablecloth. Anything simple, which you can subject to regular wear and tear, will do. Keep the fancy tablecloths for entertaining. When purchasing tableware, dont pick up anything that catches your fancy. Try to co-ordinate the items. This is easy to ensure when you are decorating your home from scratch. If you already have a crockery set that you use on a daily basis, pick up a couple of tablecloths to match this crockery. Pick up a separate tablecloth to go with your expensive crockery that you plan to use only when entertaining. In any case, whether to use a tablecloth or not is entirely up to you. If you table is very attractive by itself, skip the tablecloth entirely. But if your table is stained or otherwise in poor condition, cover it up. Mats Always use  placemats  though. A table is not completely set without mats. If you are using  cloth napkins, it is a good idea to starch them. Sideboard If you have the space in your dining room, invest in a sideboard. You can store your crockery, cutlery,  placemats, napkins and tablecloths here, so when you are  setting the table, everything will be easily within reach. In addition, you can always keep valuable crockery, like silverware, in your sideboard under  lock and key.

Theme Huckleberry Finn Essay :: essays research papers

The book Huckleberry Finn, by Mark Twain, has many themes that appear throughout the text. One such theme is that people must live outside of society to be truly free. If one lives outside of society, then they do not have to follow all of its laws and try to please everyone. They would not be held back by the fact that if they do something wrong, they would be punished for doing it.   Ã‚  Ã‚  Ã‚  Ã‚  This theme relates to Huck Finn in a major way. When Huck is with the widow and is learning how to be civilized, he is always feeling uncomfortable. He doesn't like it much and wishes to go back to his normal life out in the wilderness. However, when he thinks about not doing something that the widow is trying to make him do, he remembers where he is, in society. If he doesn't do these things he will be an outsider and society will not accept him as much. As he is on the river, he lays back and relaxes all the time. Whenever he goes back into society, he finds that he can not live within its limits so he always denies who he really is and makes up some false identity all the time. When he finally runs from society at the end, one last time, it was clear that he believed that society was too much for him. Also that they would try to make him civilized again, which he didn't want, so he goes off alone to finally be truly free of his troubles and restraints.   Ã‚  Ã‚  Ã‚  Ã‚  This is also seen in the character Jim. While Jim is with Miss Watson, he is a slave. She isn't the one who made him that way, it was society. She was good to him and never did him any harm, but the fact is that no matter how good she was to him, he still was only a slave. When Jim runs away, he finally sees that there was a way to be truly free and that was to not live within society. When Jim is in the woods on the island, he just starts to realize what it is to be free and what it is like to live on his own. After he meets Huck in the woods he also realizes what it is like to have a friend. Society kept him from having both of these, freedom and friends.

Mcculloch V. Maryland Brief

McCulloch v. Maryland Brief Fact Summary. The state of Maryland enacted a tax that would force the United States Bank in Maryland to pay taxes to the state. McCulloch, a cashier for the Baltimore, Maryland Bank, was sued for not complying with the Maryland state tax. Synopsis of Rule of Law. Congress may enact laws that are necessary and proper to carry out their enumerated powers. The United States Constitution (Constitution) is the supreme law of the land and state laws cannot interfere with federal laws enacted within the scope of the Constitution. Facts.Congress chartered the Second Bank of the United States. Branches were established in many states, including one in Baltimore, Maryland. In response, the Maryland legislature adopted an Act imposing a tax on all banks in the state not chartered by the state legislature. James McCulloch, a cashier for the Baltimore branch of the United States Bank, was sued for violating this Act. McCulloch admitted he was not complying with the Ma ryland law. McCulloch lost in the Baltimore County Court and that court’s decision was affirmed by the Maryland Court of Appeals.The case was then taken by writ of error to the United States Supreme Court (Supreme Court). Issue. Does Congress have the authority to establish a Bank of the United States under the Constitution? Held. Yes. Judgment reversed. Counsel for the state of Maryland claimed that because the Constitution was enacted by the independent states, it should be exercised in subordination to the states. However, the states ratified the Constitution by a two-thirds vote of their citizens, not by a decision of the state legislature.Therefore, although limited in its powers, the Constitution is supreme over the laws of the states. There is no enumerated power within the Constitution allowing for the creation of a bank. But, Congress is granted the power of making â€Å"all laws which shall be necessary and proper for carrying into execution the foregoing powers. à ¢â‚¬  The Supreme Court determines through Constitutional construction that â€Å"necessary† is not a limitation, but rather applies to any means with a legitimate end within the scope of the Constitution.Because the Constitution is supreme over state laws, the states cannot apply taxes, which would in effect destroy federal legislative law. Therefore, Maryland’s state tax on the United States Bank is unconstitutional. Discussion. This Supreme Court decision establishes the Constitution as the supreme law of the land, taking precedent over any state law incongruent with it. McCulloch v. Maryland Term: †¢1792-1850 o1819 Location: Maryland State House Facts of the CaseIn 1816, Congress chartered The Second Bank of the United States. In 1818, the state of Maryland passed legislation to impose taxes on the bank. James W. McCulloch, the cashier of the Baltimore branch of the bank, refused to pay the tax. Question The case presented two questions: Did Congress have the authority to establish the bank? Did the Maryland law unconstitutionally interfere with congressional powers? Conclusion Decision: 7 votes for McCulloch, 0 vote(s) against Legal provision: US Const.Art 1, Section 8 Clauses 1 and 18 In a unanimous decision, the Court held that Congress had the power to incorporate the bank and that Maryland could not tax instruments of the national government employed in the execution of constitutional powers. Writing for the Court, Chief Justice Marshall noted that Congress possessed unenumerated powers not explicitly outlined in the Constitution. Marshall also held that while the states retained the power of taxation, â€Å"the constitution and the laws made in pursuance thereof are supreme. . . they control the constitution and laws of the respective states, and cannot be controlled by them. â€Å"