Tuesday, September 10, 2019
Organism Physiology Essay Example | Topics and Well Written Essays - 1250 words
Organism Physiology - Essay Example Frog and Its Environment Researchers have done a lot of research on the physiology of frog. Some of the main organs of a frog studied extensively by the researchers include head, trunk, belly, webbed foot, hind leg, front leg, tongue, eye, nostril, and tympanum. Let us get an overview of some of the main organs of a frog in order to get an understanding of the roles that these organs play in making a frog adapted to its environment. Retrieved from http://www.infovisual.info/02/026_en.html Physiology of Frog Retrieved from http://www.biology-online.org/biology-forum/about14315.html Head Head is the uppermost part of a frog. The organs present in this portion include nostrils, mouth, eye, and tympanum. The internal structure of this portion includes vomerine teeth, maxillary teeth, internal nostrils, Eustachian tube, glottis, esophagus, and tongue. Trunk The trunk is the central part of a frog. Some organs attached with this part include head and limbs. Rear leg Rear legs of a frog hel p it take short and long jumps. Each of the rear legs has five toes. Rear legs are made in such a way that they act like springs for a frog and help it jump. Frogs have webbed feet, which help them swim in water (Drummond & Tom, 2011). Front leg Front legs of a frog are shorter in length. They help a frog leap forward and save the body from touching earth after jumping. Tongue ââ¬Å"A frog's tongue is fastened in the front, not the back and is folded backward to the throatâ⬠(Thomas, 2007). The length of the tongue is nearly one-third of the frogââ¬â¢s overall length. There is a sticky material present on the tongue of a frog which attached the food to the tongue which is eventually swallowed by the frog. ââ¬Å"It takes less than a second for a frog's tongue to roll out, adhere to prey, and roll back into the frog's mouthâ⬠(Anonymous, 1999). Frog lives in water as well outside. The amount of time that frogs spend in the water varies a great deal from frog to frog. So me frogs live in water most of the time whereas some live outside. They are carnivores and eat worms, spiders, fish, snails, and other small insects. They live in such environments where they can easily get their prey. They have good eyesight and a sticky tongue which help them get their prey easily. Frogââ¬â¢s eyes also help it take its prey into its belly. ââ¬Å"Frogs' eyes have a surprising auxiliary function: they help in swallowingâ⬠(Anonymous, 1999). If we talk about the skin of a frog, we can say that the skin plays a vital role in the survival of a frog. The skin helps a frog breathe and drink. It is a fact that frogs cannot drink water. Therefore, their skin helps the take required moisture inside. The skin also helps frogs take oxygen in the body. Frogs need extra oxygen which their lungs are not able to take. Therefore, the skin of a frog helps it take required amount of extra oxygen that is needed for respiration. A frog also eats its skin once a week. It is a fact that frogs shed their skin once a week while blending, twisting, and stretching. They eat their old skin once they pull it off. Frogs need both soil and water for survival. They do not lay their eggs in soil. The reason is that their eggs do not have any kind of protective shell which can save them properly. Therefore, they lay their eggs in water because water protects their eggs from drying up. Frogs need a pollution free environment to survive. Although they can live in mud but the condition is that the mud should be free of harmful contaminants. Pollutants, such as, pesticides and insect killer sprays are very harmful for their survival because they contaminate the water in which frogs live. ââ¬Å"Declines in amphibian numbers and increases in deformed bodies
Monday, September 9, 2019
Research paper Example | Topics and Well Written Essays - 750 words
Research Paper Example The main objective of the research was to find ways in which disability could be prevented among the older people suffering from a disease with long-term effects such as asthma and arthritis. This research enabled for the development of a program in which people suffering from chronic diseases could manage their disease with the help of the community. The research found that patients could be educated on how to cope with the disease symptoms while adhering to their medication, but most importantly keeping up with their physical mobility. It was found that exercise was fundamental in delaying the effects of disability caused by chronic diseases. The research also discovered that patients who enrolled for the ââ¬Å"Chronic Disease Self-Management Programâ⬠(CDSMP) showed a positive progress in fighting their diseases and, in turn, reduced the level upon which they relied on health care services. As a result, each individual has a reduced financial burden and an increase in their self-reliance. This was a relief for most chronic disease patients because they cited the cost of managing these diseases as too high which led majority to fail in checking the effects. With the program developed under this research, the patients could save on cost in a healthy and effective self-assessment program. The research found that patients even changed their living habits; for example, some quit smoking because it was in line with the program. With the education given to the patients while in the program, they even reduced their alcohol consumption levels because it was interfering with their capacity toà cope with the chronic diseases. The research also found that patients adhered to a strict nutritional and health diet program, which was designed to improve their disease fighting immunity; hence, making them delays the effects of disability. The research also found that administering an exercise and fitness program to the patients led to controlled weight loss and manag ement. This exercise was also vital in regulating heart function, which was especially important in those suffering from heart failure. The research findings included a six month evaluation program among patients and several observations were made: the patients who enrolled for CDSMP showed increased levels of exercise and maintained fitness, as well as an improved capacity to handle the symptoms of chronic diseases. Another observation with the patients after six months was that the patients could communicate to their health care personnel better than before, which in turn helped the physicians to give them the right medication and in accordance with the needs of each patient. The research found that, after six months, the patients showed progress in their social activities and were able to participate more. The patients were able to control the effects of disability citing the self-assessmentà as a major help in the process. The patients did not show physical or emotional stress because they seemed fit and relaxed. The program also gave the patients more energy as nutrition was administered at appropriate levels while the exercise ensured their bodies were strong. This increased energy enabled the patients to participate more in social activities and still not show signs of fatigue and stress. The research
Sunday, September 8, 2019
Amiri Baraka (LeRoi Jones) Essay Example | Topics and Well Written Essays - 500 words
Amiri Baraka (LeRoi Jones) - Essay Example Even after retirement, he remained active and productive. The assassination of Malcolm X became the turning point of his life where he changed his name to Amiri Baraka and dissolved his marriage to Hettie Cohen. He became a leader of Newarkââ¬â¢s African-American community. Amiri Baraka was well known for his writing. He used his popularity as a way of defending the weak from social injustices (Koolish, 2001). Through poems, plays, fiction, and essays, he showed his leadership by condemning oppression and racial injustice of the African American community in the United States (Epstein, 2006). Through his works and words, Baraka was able to he was able to promote drama created by African American playwrights and performed for the African American audience that showed African American issues (Baraka, 1995). For example, his two plays The Toilet and The Slave which were both written in the year 1962 showed his mistrust and hostility towards the white society. His award winning production, Dutchman, showed the damage that America inflicts on African men (Baraka, 2000). In 1960s racial discrimination against African Americans was still high. Many black leaders started to rethink their goals, while dome embraced more militant ideologies of self-defense and separatism (Lie, 2006). The struggle for civil rights was high aimed at drawing the attention of the nation to the brutality and injustice that African Americans faced. Even though the economic situation was good in the country, many blacks lived under poverty which was evident in many black urban neighborhoods. Leadership is the ability of a person to lead a group of people or a team to achieve specific task (Northouse, 2012). After studying Amiri Baraka, it is clear that leadership is an in built quality. It can also be attained through an individualââ¬â¢s experience which inspires the leader (OSullivan, 2009). Leadership cannot be learnt by simply reading about it but it is something that someone gets
Statistics and quality control in business Research Paper
Statistics and quality control in business - Research Paper Example The quality control process is used to improve the effectiveness of the producing system, therefore, reducing the number of defective products in the system. However, it is not possible to produce perfect products, so organizations resort to statistical methods to determine the number of defective products in the manufacturing process. One of the ways of ensuring the quality of a product is by introducing quality into the product that is presented to the customer (Reid and Sanders 172). The efficiency of the quality control process is determined by the perceived quality of the product to the final consumer. Therefore, organizations introduce statistical quality control process to improve the detection and reduction of defects in manufactured products. The statistical tools used by quality professionals are divided into four parts; statistical process control, designed experiments, descriptive statistics, and acceptance sampling. Statistical process control is used to determine whether the products from a production line meet the required standards of production (Grant and Leavenworth 521). The use of this statistical tool includes random selection of a product in a production line and measuring its characteristics to determine whether it meets current standards. This process is effective because it helps to determine the effectiveness of a process in a manufacturing line, therefore, if a process does not meet required standards, it can be reviewed and improved. This is the most effective statistical quality control process because it determines the effectiveness of a manufacturing process in the production center; therefore, the process can be improved. The second statistical tool used in quality control is designed experiments, which are also used in the production process to determine the effectiveness of the production process (Brue 59). This tool is useful in discovering the factors that influence process performance, after which process optimization is
Saturday, September 7, 2019
Corporal Punishment Essay Example for Free
Corporal Punishment Essay For hundreds of years, it has been customary for a child to receive a spank or slap as a form of discipline, one that parents of all cultures have used. Corporal punishment of a child by a parent or teacher has been legal in Canada since 1892, though 51% of Canadians believe that the use of corporal punishment does not reflect the attitude of Canadaââ¬â¢s majority (Barnett). In recent years, corporal punishment has had more investigation, showing that, ââ¬Å"corporal punishment by itââ¬â¢s nature can escalate into physical maltreatmentâ⬠(Gershoff and Larzelere). Child abuse can be defined as ââ¬Å"Physical, sexual, or emotional ill treatment or neglect of a child especially by those responsible for its welfareâ⬠(dictionary.com). Child abuse researchers suggest that physical punishment increases a childââ¬â¢s chance of developing a mental illness, incites antisocial behaviour, and stunts intellectual growth. The psychological effects of corporal punishment directly influence to a childââ¬â¢s mental and emotional stability. Corporal punishment is permanently damaging to a childââ¬â¢s development, and should be considered child abuse. Corporal punishment increases a childââ¬â¢s chance of developing a debilitating mental illness, specifically those caused by internalising problems, such as depression and anxiety (Smith). By using Ivan Pavlovââ¬â¢s theory of Learned Reflexology, it can be deduced that the high anxiety levels of children who have been routinely punished by a physical means is caused by the expectation of being stricken. It was ââ¬Å"found that the stress of corporal punishment shows up as an increase in post-traumatic stress symptoms such as being fearful that terrible things are about to happen and being easily startledâ⬠(ScienceDaily). Physical punishment produces a large amount of stress and feelings of hopelessness in a child, leading many adults who were corporally punished in childhood to develop anxiety-related mental illnesses. ââ¬Å"According to Strauss (1999), mental health problems are associated with physical punishment due to their being an outcome of the suppression of childhood anger associated with being hit by adults who children depend on for love and nurturanceâ⬠(Smith). The main role of a guardian in a young childââ¬â¢s life is to protect and provide for the youth and, through corporal punishment, the child-parent relationship is damaged, producing children with antisocial tendencies. By using corporal punishment as a means of discipline, a child learns to distrust parents or other guardians, resulting in antisocial behaviour. When an adult the child trusts implements corporal punishment as a means of discipline, feelings of hostility and betrayal develop. This hostility is a result of the duplicity of a parentââ¬â¢s role to protect the child, causing many children to feel as though their parents and others dislike them. Said an adult who had been physically punished for delinquent behaviour as a child, ââ¬Å"My parents were very strictâ⬠¦I was basically very good and I was hit frequentlyâ⬠¦It made me go out and do the same thing again, what Iââ¬â¢d been smacked for. The message I got from them when they hit me was not ââ¬Ëwhat youââ¬â¢re doing is bad, donââ¬â¢t do it againââ¬â¢. The message I got was ââ¬Ëwe donââ¬â¢t love youââ¬â¢.â⬠(Smith). When rule-enforcing figures disappear, delinquent behaviour emerges, suggesting, ââ¬Å"that parental corporal punishment erodes the parentââ¬âchild relationship and in turn decreases childrenââ¬â¢s motivation to internalize parentsââ¬â¢ values and those of the society, which in turn results in low self-control (Hirschi, 1969)â⬠(Gershoff). Corporal punishment does not stimulate reasoning skills in a child, resulting in low-self control, as mentioned, and thus a shorter span of cognitive ability. Intellectual development begins when children are very young, and by using corporal punishment as a means of instruction, a childââ¬â¢s intellectual development is permanently damaged. A child that is spanked in the first grade is proven to score 5 IQ points lower than a child that was not spanked at all (Talawar, Carlson, and et al). Studies show that ââ¬Å"[c]hildren in a school that uses corporal punishment performed significantly worse in tasks involving ââ¬Å"executive functioningâ⬠ââ¬â psychological processes such as planning, abstract thinking, and delaying gratification ââ¬â than those in a school relying on milder disciplinary measures [â⬠¦]â⬠(Talawar, Carlson, and et al ). Executive functioning tasks require self-control, a skill that children who have been disciplined physically, as opposed to with reasoning and explanation, do not have. ââ¬Å"Thus, poorer cognitive outcomes may result if parents who physically punish their children make less use of inductive methods of discipline, such as explanation and reasoning- procedures that are likely to enhance cognitive growthâ⬠(Smith). By contemplating the effect of an action and the whether or not the action is appropriate, children exercise executive functioning processes, which will give a child the skills to contemplate problems of academic or real-world nature. Corporal punishment has a permanent, negative effect on a childââ¬â¢s future mental stability, sociability, and intellectual potential. The Canadian Human Rights Act says that, ââ¬Å"the prohibited grounds of discrimination are race, national or ethnic origin, colour, religion, age, sex, sexual orientation, marital status, family status, disability and conviction for which a pardon has been grantedâ⬠( RSC 1985, c H-6). The continuation of corporal punishment in modern society, ââ¬Å"encourages a view of children as less worthy of protection and respect for their bodily integrity based on outdated notions of their inferior personhoodâ⬠(Barnett). 51% of Canadians do not feel that the physical punishment of a child is right or just (Barnett), and believe that it should not be used as a parenting technique. Corporal punishmentââ¬â¢s damaging effect on a childââ¬â¢s psychological well-being, both in child and adulthood, proves that it is a form of abuse. There are alternative parenting techniques that are proven to produce better results, and encourage the progress of a childââ¬â¢s development. ââ¬Å"Children are one third of our population and all of our future,â⬠(quotegarden.com). Should the future not have the right to the same amount of protection as their predecessors? Works Cited: Barnett, Laura. Parlaiment of Canada. Law and Government Division. The Spanking Law: Section 43 of the Criminal Code. Ottawa: , 2008. Web. . ââ¬Å"Children who are Spanked Have Lower IQs, New Research Finds. ScienceDaily. 24 Sep 2009: n. page. Web. 23 Jan. 2012. . Gershoff, Elizabeth. Corporal Punishment by Parents and Associated Child Behaviors and Experiences: A Meta-Analytic and Theoretical Review. endcorporalpunishment.org. American Psychological Association, 2002. Web. 21 Jan 2012. . Gershoff, Elizabeth, and Robert Larzelere. Is Corporal Punishment an Effective Means of Discipline?. American Psychological Association 26 06 2002. n.pag. American Psychological Association. Web. 23 Jan 2012.
Friday, September 6, 2019
College Degree Necessary Essay Example for Free
College Degree Necessary Essay In Barbara Ehrenreichââ¬â¢s article, ââ¬Å"The Higher Education Scamâ⬠she expresses her feelings about employers looking specifically for college grads to fill their positions. Ehrenreich seems to be voicing her feelings to employers because they are beginning to look specifically for college grads, instead of people who may have more experience and knowledge, or even currently work for the organization. She claims that employers seek college grads merely because they have a college degree and it shows they have the ability to listen and obey. Deep within Ehrenreich seems to be attacking the college grads by saying that once they have finished school and earned their degree, they are now slaves to the employers. Her claim is quite logical and the examples she gives validate what she is saying. Conversely, she seems to be going on a theory with her argument and her attacks on the college grads for going to school and earning a degree detracts from the value she has built up. Finally, Ehrenreichââ¬â¢s argument is effective to some degree, but lack of personal experience leave the article with a flaw. Ehrenreich uses value and emotion within her article to get the attention of her audience. We all need jobs in order to get through life and if you want to have a good job, you need to get a degree. This puts a lot of value in what you need to accomplish because the final product is suppose to be worth it, and employers will only hire you if you are a college grad. Ehrenreich uses this example to connect with her audience and adds to the credibility of her argument. Throughout the article Ehrenreich adds humor to help make an emotional connection with her audience. She says that whatever you learn in college doesnââ¬â¢t seem to matter. All that employers are looking at is that you were able to sit still for long periods of time, be told what to do, and appear awake. Ehrenreich is saying that no matter what degree youââ¬â¢ve just earned, all employers are looking at is that you devoted 4 years doing what your told. She adds, ââ¬Å"no college has yet been honest enough to offer a degree in seat-warmingâ⬠(696). This is most likely what you will end up doing when you begin working at a white-collar job anyways, so by hiring you they know you are able to do what they ask. She also goes on to imply that you will be desperate for work because of the debt you have just accrued and you wonââ¬â¢t become a troublemaker, or whistle blower. Youââ¬â¢ll basically grovel at their every need and do exactly what your told. Ehrenreich adds to the credibility of her article by giving examples of people who have been able to do something and do it well, but didnââ¬â¢t have a degree to back it up. They were either dismissed from their job, or called out on it once they became popular. She gives the example about Marilee Jones who worked for MIT as the dean of admissions for twenty-eight years. Marilee claimed she had three degrees and yet she really didnââ¬â¢t have any. Now if Marilee had done a poor job as the dean of admission it would be easy to forgive and remove her from her position, yet she was very successful and it was threatening to an institution of higher learning. This gives us an emotional appeal because itââ¬â¢s a personal story of sadness for Marilee and it causes the audience to wonder if a college degree is really worth it. She did a good job for the institution and just because she didnââ¬â¢t have a degree, they were willing to dismiss her. Is that really all the companies want is a degree; or do they want someone who is going to do a great job for their organization? Throughout Ehrenreichââ¬â¢s article she stays pretty true to her argument, employers seek out college grads. Although she puts in the example of ââ¬Å"Dr. Dennis Waitley Ph. Dâ⬠who is known for writing a best selling self-help book The Secret. He confessed to not having a masterââ¬â¢s degree and the marketing firm he worked for admitted that they couldnââ¬â¢t confirm he ever received his Ph. D. This example adds to Ehrenreichââ¬â¢s credibility, but it seems to go off what she talks about in the majority of her article, which seems to be more along the lines of employers. It does however stay true to her title, ââ¬Å"The Higher Education Scamâ⬠. For her article to be spot on with her argument, she should have stuck more with education and touched on different subjects like employers, writers, and other people in general who have not had college degrees, but were still successful in their fields. In Ehrenreichââ¬â¢s article she doesnââ¬â¢t attack anyone in particular with what she is saying, but she keeps her comments vague so it is up to the reader to interpret the hidden meaning. In the beginning she talks about the amount of lies being put into resumes in order for people to get certain positions they are applying for. She says, ââ¬Å"that 10-30 percent of resumes include distortions if not outright liesâ⬠(696). She adds to this with some more humor in saying, ââ¬Å"lying is a grievous sin, as everyone outside of 1600 Pennsylvania Avenue knowsâ⬠(696). This comment adds humor to the article as well as a little ad hominem because of the hidden attack. Ultimately, the article by Barbara Ehrenriech is effective. She shows credibility with the examples she uses and the only flaw seen is that she doesnââ¬â¢t have a personal example herself. She keeps humor going in the article, which keeps the audience drawn in and is very logical in her viewpoints. Ehrenreich really makes you think after reading her article. Should we go to college in order to get a degree and work for a good company? Should employers really just look for candidates that have earned that college degree hoping they will obey their every need? Should employers give there currently employees a chance to earn a college degree instead of being dismissed from their position? Is it worth over looking other candidates for positions strictly because they donââ¬â¢t have a degree when they will be able to do the same job and possibly do it better? To sum it all up, why do employers really need to be looking for a college degree? Is the time and money really worth it to earn that degree for a position that you are going to learn on the spot anyways? Employers really need to think about what they are doing and not just jump on the bandwagon and make hasty generalizations. Works Cited Ehrenreich, Barbara. ââ¬Å"The Higher Education Scam. â⬠Inventing Arguments, 2nd ed. Eds. John Mauk and John Metz. Boston: Wadsworth, 2009. Print. 69-697.
Thursday, September 5, 2019
Explaining the Nursing NMC Code of Conduct
Explaining the Nursing NMC Code of Conduct (A.) A code of conduct is a set of customary principles and expectancy that are considered binding on anybody who is member of a certain group. Nursing and midwifery practice in the United Kingdom are bound by a set of precepts and standard that set the least requirements for anyone wishing to practice nursing or midwifery within England, Scotland, Wales, Northern Ireland and Island. There is a more advance set of ethical and behavioural pattern that all nurse and midwife working in the United Kingdom must follow (NMC 2008).This is maybe the most important of the pattern set by the regulatory body for nurses and midwives as it comprises the ethical and moral codes that they are expected to obey. The code applies to anyone in the register; nevertheless the importance and need for codes of practice and conduct goes beyond nurses and midwives and their everyday contact with patients. Even when not on duty, they must still stick to the principles and values comprising the code, especially as they directly connected to the women and people that they have been in their care. An example of this is respecting your client confidentiality. There are no much difference in the NMC code of conduct United Kingdom and that of Nigeria. In the aspect of treating people equally without prejudice and discrimination, all humans are equal and must be treated kindly and with respect. Confidentiality is another important part of the code of conduct which states that sharing of information is not right except in the case where the person is at risk of harm or in compliance with a court case. In writing of inform consent one must ensure that the client is of legal age which is 18years in Nigeria. In a situation where the client is under aged, the parent or next of kin signs the informed consent on his or her behalf. A nurse should maintain boundaries in a professional by not accepting gift, favours because it might be interpreted as an attempt to gain special preference. A nurse should avoid careless, malpractice and abuse while providing care to client. Clients do have a right to know about their conditions. A nurse should be accountable to the public at all time by helping to protect the public against harmful dangers and agents. As a nurse one must be ready to implement global health initiatives and participate in national and international conferences. (B.) Be aware that the rules of obtaining consent apply equally to those who have mental illness. Under mental health act it is very important that clients are checked under statutory powers, knowing the conditions and safeguards needed for giving care and treatment without consent. (C.) An area of the code that I am interested in is the area of informed consent. In Nigeria a clients legal age that allows him or her to sign informed consent is 18 years and above but in a situation where the client is under aged, the guardian or next of kin can sign the informed consent on his or her behalf. While in the United Kingdom, if the client is (a minor) under the age of 16,it becomes a complex case because it is believed that they are not matured enough to have a superior power of discernment and reasoning to make decision. This is a more similar case with that of Nigeria. Buts the difference is that, in Nigeria even if the client is 16 or 17 years and with parental responsibility the client will still not be given the opportunity to sign an inform consent. However the explicit wish of a minor should be thought about by an investigator, there are gillick competent minors that are able of consenting in their own right to treatment procedures, given that, in the view of t he professional concerned, they had gotten the nature of the treatment she is going to have and its potential advantage and disadvantage and were adequately mature intellectually and emotionally to make a judgement. In high schools in the United Kingdom, consent is important to the appropriateness of treatment and school nurses must have a sound consent before he or she can lawfully go on with treatment for a child. For children who are very young who do not have the power to make consent for treatment, the school nurse will depend confidently on the consent of someone acting on the power of a person with parental responsibility. As a child rows with age the law permits them to make consent to treatment decisions where they have the power to do so. School nurses can go on with treatment plan and advice if the child is seen or considered to be gillick competent. Right to consent is not subject to individual will or judgement without restriction set at puberty: it is a must by the school nurse who must be comfortable that the child is old enough to fully understand the consequences of the particular decision they are making. The more complicated the decision, the greater the maturity and intelligence needed to reach ability, as there will be a lot for the child to understand. School nurses will need to be comfortable with the child to fully estimate the difficult issues that needs to be considered before they can safely go on that the child has power to consent to treatment. In a case were the child is asking for treatment and counselling in relation to sexual activity such as contraceptive, then the nurse must also be sure that they are acting to protect the child and they meet the need of the sexual offences Act 2003.This is best achieved by recording the treatment and counselling given in line with Lord Frasers guidance in Gillick V West Norfolk and Wisbech AHA (1986) School nurses must keep their patients medical needs confidentially. This duty is draw from their legal, pertaining to and professional sense of duty and requires that as a rule they will not open patient information.However, the need to share information with others is vital to help deliver necessary care and protection of patients. While not proper disclosure is never welcomed, always using the duty of confidence as an excuse never to share information can lead in poor care and even bad report. School nurses must look at each case on its merits. Whenever needed the consent of the patient should be gotten before disclosure. Disclosure of patient information without consent is allowed in the public interest or where regarded by law and it is important that school nurses carefully balance the overall need for confidentiality against the needs and welfare of the patient that might need the information to be shared with necessary source. (D.) The sufficiency of informed consent is a vital part to consider when caring for patients.Weisz Melton (1995) describes informed consent as one of the most debateable issue in health care. This debate becomes even more important in adolescents health care. Informed consent is a technical issue and often does build legal and ethical concerns for the adolescent, parents or legal guardian(s) of the adolescents (Sturman, 2005) The legal and ethical connections associated with informed consent are very complicated and present challenges for those finding treatment and those delivering care (Anderson, 2005) an example was when a 16 year old girl walked into the hospital where I worked as a registered nurse in Nigeria and said she was pregnant and wanted to terminate the pregnancy. She was asked to go and call her parents or guardian to come and sign an informed consent for her before any form of pregnancy termination will be done. She walked up to me thinking probably I could help her out as a young nurse but rather I recognised my responsibility and up held the code of conduct which states that clients who are under aged; not above 18 years should be with a next of kin or parents to sign an informed consent. (E.) If it was in the United Kingdom, I would have acted differently because once a child gets to the age of 16; he or she is believed in law to be capable to give consent for themselves for their own medical, dental or surgical procedures. Meaning the young girl would be treated as an adult. Although it is still best practice to advice capable children to involve their parents in decision making. Where confidentiality is involved i must keep her privacy, unless I can justify disclosure on the grounds that I suspect she would likely suffer consequential harm. I would however ask her to involve her parents, unless I see it was not in her best interest to do so. (F.) The four Nursing and midwifery council domains are: Competent midwifery practice, Professional and ethical practice, developing others and self and realizing quality care through appraisal and research. As a registered nurse I took personal responsibility for my actions, those I forgot to do and been accountable for any action I take. I could make sound decision while handling the case of my young client in respect of my personal professional development; practice within the range of view of my personal professional capability and extended this scope as needed. Working with minors, a registered nurse should have capability and confident in giving the basic aspect of care. This gives the client and parents more confidence. This confidence and capability strengthens the foundation by ability and practical skills in the area of child growth, communicating with minors and their family members. This self awareness for nurses working with minors needs to be able to give support, educate them and help them understand what they should do and why, to make decisions about treatment choice and to be able to assist themselves meaningfully to their own care. A registered nurse must recognize their emotions, quality of feeling at a particular time and drives. They need to understand how these emotions produce effect on others and their performance. This self awareness requires strict inquiry into their personal thoughts and experiences. It required carefully weighed analysis of their feelings and how these emotions drive ideas and behaviours. We humans always have automatic reactions to certain interpersonal stimuli. This reverse movement may result from deep-seated suppositions that have taken root over time. Best example of an automatic reaction can be seen when watching group of cows going out to pasture. For unknown reasons, the cows always follow the same path. Humans also create symbolic cow paths in their rejoinder to certain situations, thoughts and emotions. The registered nurse needs to know his or her cow paths in other to raise their self-ability and have self-reliance in situations fraught with the various emotional responses found in health care. REFERENCE LIST Christina, M. (2009). Midwifery regulations in the United Kingdom. In: Diane, F and Margaret, C Myles textbook for Midwives. 15th ed. London: Churchill Livingstone Elsevier. P83. DOH. (2010). Seeking consent; working with children. Available: http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4067204.pdf. Last accessed 16th May 2011. Janet, F. (2010). Evolution of clinical nurse specialist role and practice in the United State. In: Janet, F and Brenda, L Foundations of clinical nurse specialist practice. New York: Springers publishing company. P18 NMC, UK. (2008). The code; Standards of conduct, performance and ethics for nurses and midwives. Available: http://www.nmc-uk.org/Documents/Standards/The-code-A4-20100406.pdf. Last accessed 10th May 2011. NMC, Nigeria. (2005). Code of professional conduct. Available: http://www.nmcnigeria.org/standards.php. Last accessed 10th May 2011. Nick.B (2009). Legal and ethical issues relating to medicinal products. In: John, G and PFDArcy The textbook of Pharmaceutical Medicine. 6th ed. London: BMJ Publishing Group Limited. P354. NMC, UK. (2004). Standards of proficiency for pre-registration nursing education. Available: http://www.nmc-uk.org/Documents/Standards/nmcStandardsofProficiencyForPre_RegistrationNursingEducation.pdf. Last accessed 16th May 2011. NMC, UK. (2006). Allegations; Warwick, Diana 78A3956E. Available: http://www.nmc-uk.org/Hearings/Hearings-and-outcomes/May-2011/Charges-WarwickDiana/. Last accessed 14th May 2011. NMC, UK. (2010). Feedback about the guardians. Available: http://www.nmc-uk.org/General-public/Older-people-and-their-carers/Feedback-about-the-guidance-/. Last accessed 12th May 2011. NMC, UK. (2008). Advice for nurses working with children and young people. Available: http://www.nmc-uk.org/Nurses-and-midwives/Advice-by-topic/A/Advice/Advice-on-working-with-children-and-young-people/. Last accessed 16th May 2011. Roberson, AJ. (2007). Adolescent informed consent: ethics, law and theory to guide policy and nursing research. Journal of Nursing Law. 11 (4), P191-P192. (Accessed 14th May 2011) Griffith, R. (2008). Consent and children:the law for children. British journal of school nursing. 3 (6), p284. Mark ,A. (2008). School nurses and consent:duty of confidence. British journal of school nursing. 3 (8), 380.
Subscribe to:
Posts (Atom)