The Mentally Ill Essay Example | Topics and Well Written Essays - 1750 words

The Mentally Ill - Essay Example The Mentally Ill A. Journal Writings I am a psychiatric nurse from a local community hospital and was taking care of Patient X (not the real name to protect confidentiality of patient information). Patient X was diagnosed with schizophrenia and was treated with clozapine (Clozaril), an atypical psychotropic drug used to treat psychotic symptoms, hallucinations, and breaks with reality (NIMH, 2012, 6). For a period of four weeks, I usually give Patient X a 200 mg oral preparations of clozapine twice a day as ordered. After series of inpatient medication regimen, Patient X’s symptoms of schizophrenia decreased and the patient is now stabilized. With this, Patient X requested to be discharged and be treated through outpatient commitment. I told Patient X that I will relay his request to the health care team and will inform him of the decision made. Upon discussing it with the health care team, we were put in a dilemma whether to grant Patient X’s request to respect his aut onomy and independence or denied it to uphold the principle of nonmaleficence because the client might not take medications on time or not take medications at all and may result to an imminent threat or danger to self or to others due to relapse of schizophrenic symptoms. In addition, putting Patient X, who is receiving clozapine, on an outpatient commitment may present a serious harm as a WBC check every week or two is necessary to avoid occurrence of agranulocytosis or loss of the white blood cells that help a person fight infection. B. Ethical Dilemma In responding to a psychiatric patient’s request of discharge and treatment on an outpatient commitment, which ethical and legal principle should be considered – the legal right of a patient and the ethical principle of autonomy and independence or the professional responsibility of the nurse to do no harm and practice paternalism? C. Ethics Paper Summaries. Elbogen and Tomkins authored the article entitled â€Å"From the Psychiatric Hospital to the Community: Integrating Conditional Release and Contingency Management† in 2000. The article proposed involuntary outpatient commitment with therapeutic jurisdiction as one possible solution for psychiatric recidivism in the community. The article also emphasized that clinicians find it hard to discharge patients and are often put in a dilemma whether the discharge decision will benefit the patient or will end up in a relapse of chronic mental illness. In addition, discharge from the psychiatric hospitals also corresponds in legal status changes which might predispose the individual to heightened stress and independent living (Elbogen & Tomkins, 2000, 428). Thus, the article had raised a question whether outpatient commitment can provide continuity of care and reduce incidence of rehospitalization. Elbogen & Tomkins (2011) found therapeutic jurisprudence framework as the key to analyze legal and beneficial mental health interventions for the ind ividual, conflicting values, and generated or implemented laws, policies and practice (p. 429). In patients with chronic mental illness, therapeutic jurisprudence preferred a discharge plan that maximizes convergence between self-determination, individual well-being, and public safety through integration of risk assessment technology and effective rehabilitative treatment, particularly contingency management. Absolute discharge might be the best promoter of self-determination as there are no strings attached; however it predisposed the patient for rehospitalization unlike outpatient commitment that discharged patient with therapeutic jurisprudence and reduced incidence of reho

Global project management Essay Example | Topics and Well Written Essays - 2000 words

Global project management - Essay Example The research has been conducted in order to identify and analyse the culture influenced problem in international project management. From the literature section, it was found that, there are large numbers of international projects that fails due to miscommunication and social fragmentation. The main argument is that, language used in social interaction create boundary for social fragmentation and obstacles of managing projects globally. According to Goffee and Jones (1996), cultural diversity brings verities of skills and expertise within project teams and can have a strong impact on the effectiveness of international project management. The diversity of culture and institutional difference between organizational members add extra cost in the large construction and engineering projects (Salomon and Schork, 2003). In the era of globalization, most of the companies are trying to manifests itself in international projects and offshore service delivery. Loosemore and Lee (2002) opined that globalization is the central theme of the today’s business society. However, it has been noticed that, project managers faces additional challenges to manage their project globally due to presence of cultural diversity. Religious beliefs and cultural factors impose external issues in the workplace. Cultural difference hampers the sense of belongingness and reduces cultural identity of the workers. Thus, one of the primary issu es to manage projects globally is the potential inability to communicate with the team members belonging from different cultural background. The literature section of the proposal deals with addressing the previous areas of research, theories, models and concepts in relation to the current topic. Through the study of existing literature, the researcher intended to identify the existing gaps in literature and based on that has tried to carry out a critical evaluation. Globalization has affected the approaches to project management and changed the needs

Goals and Objectives Tied to Mission and Value Statements Essay Example for Free

Goals and Objectives Tied to Mission and Value Statements Essay Apollonia have their goals and objectives tied to their mission and value statements. They ensure goals and objectives are specific, measurable, achievable, realistic and timely. This is crucial in their business because it is a high demand, and with a plan to follow and the ability to recognize the point that they achieve success. They update their goals and objectives when necessary, as business plans always have an ending date. The goals they set for the first year of business varies from the goals and objectives for year three or year 10. The planning stage is important in their business to make a good events location and a good restaurant for people to come to. Although planning is crucial in developing a good service, marketing is probably the most important aspect of their business. Their aims say that it is important to retain their existing customers base while growing the restaurant by attracting new customers. An example of a marketing goal might be to attract new customers from a particular area. Near or far. They include using social media to engage potential customers in conversations about food. They offer deals to come try out their food, sometimes free, sometimes deals that could benefit the potential customer. Aims and Objectives Apollonia have their goals and objectives tied to their mission and value statements. They ensure goals and objectives are specific, measurable, achievable, realistic and timely. This is crucial in their business because it is a high demand, and with a plan to follow and the ability to recognize the point that they achieve success. They update their goals and objectives when necessary, as business plans always have an ending date. The goals they set for the first year of business varies from the goals and objectives for year three or year 10. The planning stage is important in their business to make a good events location and a good restaurant for people to come to. Although planning is crucial in developing a good service, marketing is probably the most important aspect of their business. Their aims say that it is important to retain their existing customers base while growing the restaurant by attracting new customers. An example of a marketing goal might be to attract new customers from a particular area. Near or far. They include using social media to engage potential customers in conversations about food. They offer deals to come try out their food, sometimes free, sometimes deals that could benefit the  potential customer. Aims and Objectives Apollonia have their goals and objectives tied to their mission and value statements. They ensure goals and objectives are specific, measurable, achievable, realistic and timely. This is crucial in their business because it is a high demand, and with a plan to follow and the ability to recognize the point that they achieve success. They update their goals and objectives when necessary, as business plans always have an ending date. The goals they set for the first year of business varies from the goals and objectives for year three or year 10. The planning stage is important in their business to make a good events location and a good restaurant for people to come to. Although planning is crucial in developing a good service, marketing is probably the most important aspect of their business. Their aims say that it is important to retain their existing customers base while growing the restaurant by attracting new customers. An example of a marketing goal might be to attract new customers from a particular area. Near or far. They include using social media to engage potential customers in conversations about food. They offer deals to come try out their food, sometimes free, sometimes deals that could benefit the potential customer.

This Boys Life by Tobias Wolff Essay examples -- Papers

This Boy's Life by Tobias Wolff Mark Twain once said, "We are creatures of outside influences -- we originate nothing within. Whenever we take a new line of thought and drift into a new line of belief and action, the impulse is always suggested from the outside." In the memoir This Boy’s Life, by Tobias Wolff Jack shows that he is a creature of outside influence. Some examples of this are that he copies what his friends do, he doesn't try to shape his own life, and he is heavily influenced by the male figures in his life. Throughout this novel, Jack does whatever his friends do. When he was living in Seattle with his mother, he was influenced by his new friends to do bad things. His friends, Silver and Terry were kids with no one to discipline them. They befriended Jack and together they caused lots of trouble, â€Å"We broke street lights. We opened the doors of parked cars on hills and released the emergency brakes so the smashed into the cars below†¦. And we stole†(61). This shows that although Jack is good on the inside, he does whatever his friends do. Later when he an...

Verbal Abuse

Sabrina Minton Mrs. Laura Ahmed English 3A 10-25-10 Verbal Abuse The reason why I choose this topic is because I have been a victim of verbal abuse. Many people know or have heard of someone that has been verbally abused. Many people including myself be suffer in silence and feel isolated. Many parts of human action, include the mind and heart. â€Å"As he thinks within himself, so he is†. What does a person think in his or her mind, and heart will be reflected and his or her words or actions. In this paper, I want to address this very important issue in an effort to understand this phenomenon and provide answers.Verbal abuse and physical abuse result from a world view that is clearly not biblical. The difficulty of verbal abuse is that there are no visible signs. The majority cases; verbal abusers are often male and the victim is usually female. Kerby Anderson who wrote â€Å"Verbal Abuse† has many degrees. He has a B. S. from Oregon State University, M. F. S from Yale University, and M. A. from Georgetown University. And has authored many books (Anderson). Patricia Evan has written many books and has been seen on KTLA5THECW, FOX11 NEWS, Oprah Winfrey Show, Sonya Live-CNN and NEWS TALK.She has done over two hundred radio programs, and seventeen national television shows (Evans). Kerby Anderson says he writes his paper from an educated point of view but more importantly he is man. Men are most often the abuser in a relationship; with women being the victim. Mr. Anderson has several degrees and advocates that both the victim and abuser seek help and support within their religious faith. He feels that this behavior is often learned at home and that devotion to family and church and help train these abusers.He also suggests that godly men and women gather together to lovingly confront the person who is verbally abusing the victim. He suggests that the abuser confronts their sin and make an attempt to change with the support of the church. Patricia Ev ans does not have an educational degree but has written several books and established a foundation for support and workshops for people who feel that have been abused. Ms. Evans is a woman and has a very therapeutic point of treatment. She feels angry or critical words will destroy your confidence or self-esteem. She views verbal abuse s a boiling cauldron of pain and anguish in possibly millions of homes. She worries that a person who might cross from verbal to physical abuse is likely to show signs of an impending physical assault by launching intense and repeated verbal attacks, by indulging in rages or by becoming abusive in public. She tends to address the needs of the abuser with support groups, workshops and books to help identify behavior and help recognize and deal with abusive people. I wrote my paper with a personal bias, as I have been the victim of verbal abuse. I decided to compare two different authors based on approach, education and gender.Although only Mr. Anderson has degrees, both have written books and have excellent references. I really liked that both people had a written books. Often time’s victims are of low income and self help books can be a great resource. Mr. Anderson suggests the church as s support group and for many people this would probably be a workable option. I personally prefer a more therapeutic approach. I thought the establishment of workshops with people who had experienced similar situations and the added support of therapists and staff; would make for a better option to help stop the pattern of abuse.The workshops would seem to be the best way to educate yourself and learn the behavior skills to help assure you avoid future situations. I felt both authors had excellent information. Mr. Anderson's information was in a book  form with 7 pages that read like a textbook. Ms. Evans information was keyed to specific questions that a person would answer, according to their feeling and situation. Again there are que stions that redirect the reader  to another page with topic specific information with a set of questions to see if you needed more information; or had obtained the information you needed.The pages also linked to workshops, support groups, self help books, and videos. Mr. Anderson's advice and information may suit some people well and they may already attend a church. To be fair Mr. Anderson's information is relevant for anyone, just as Ms Evans would be appropriate for a religious person. If someone was looking for good information and options of the subject, either author would be able to provide that.Works Cited Anderson, Kerby. Probe Ministries Verbal Abuse. 14 July 2002. ;lt;www. leaderu. com;gt;. Patricia, Evans. Verbal Abuse Survivors Speak Out: On Relationship and Recovery . 1993.

Qatar’s Banking System

1. 0 Subject Area Strategic Management 2. 0 Project Proposal The paper will be an investigation of the major challenges that face Qatar’s banking sector. These problems will be analyzed and their possible solutions identified using strategic management theoretical framework. 3. 1 Background of Qatar’s Banking Sector Qatar’s banking sector has had great growth compared to that or the general Middle East region. Its stability guarded it form the global financial crisis that recently occurred. This is because of the close financial tiers that Qatar has with the Gulf region.However, the aftershocks of this phenomenon affected it to some extent (Kamrava, 2009, p. 411). Generally, Qatar’s banking sector was the most impressive Gulf Cooperation Council markets since the last quarter of the year 2008. Issues of declining customer confidence, liquidity and a coerced reluctance to lend have been the major challenges facing this sector (Qatar Development Bank, 2008, p. 12). Lending restrictions by the Qatar Central Bank, such as a loan-to-deposit ratio of 90 percent, contributes to deepening of these challenges.Islamic banking has been continuing to grow in this region in expense of the conventional banks which now view sharia-compliance as vital move to maintain their profitability. The government and Qatar Investment Authority have been trying to mitigate these problems to improve the overall performance (Qatar National Bank, 2009, p. 67). 3. 2 Aims of the study To identify and analyze the major challenges facing the banking sector of Qatar To determine the possible solutions to this problems using strategic management 3. Motivation for this subject area choice This topic is important for my future career prospects since I intend to invest in Qatar emerging market. I highly believe that the Qatar’s economy has unexploited potential in its banking sector. If exploited, this sector is capable of sending positive external benefits to the general economy increasing the viability of my investment prospects, due to financial availability amongst other efficiencies. 4. 0 Research Question 5. 3 What are the major challenges facing the banking sector of Qatar? . 4 Are these problems from within Qatar’s economy or from the regional / global economy? 5. 5 What are the possible solutions to this problems using strategic management? 5. 6 What are the impacts of solutions proposed to Qatar’s economy at large? 5. 0 Title Addressing challenges facing the banking sector in Qatar through strategic management 6. 0 Methodology The methodology employed for this paper will be both empirical and analytical in nature. In the analytical part, existing literature will be thoroughly scrutinized.After this, a comprehensive list of challenges of Qatar’s banking sector and their possible solutions will be compiled. The empirical part will involve collection of statistical data relating to the banking sector. This informat ion will then be analyzed by use of various statistical techniques. Type of data employed will include literature from other scholars, official statistics, industrial data and company data. This will be gathered from credible sources including libraries, databases, official guides, publications, and companies’ annual reports. . 0 Data collection methods They will include compilation of statistics, desk research, interviews, survey questionnaires and literature case studies. Secondary data will be highly employed since it is easily available and more detailed. Reference Kamrava, M. (2009), â€Å"Royal Factionalism and Political Liberalization in Qatar†, The Middle East Journal, Vol. 63, No. 3 pp. 401-420, Print. Qatar Development Bank, (2008), Annual Report, Print. Qatar National Bank, (2009, May), Qatar Economic Review, Print.

Leadership Hall Essay

Leadership Hall Essay Leadership Hall Essay The Issue: Mental Health on campus According to the National Alliance on Mental Illness, - 1 in 3 college students suffers from depression - Over 50% report having below average or poor mental health - 30% point to school stress as the main cause of their mental health issues According to the Center for Disease Control, the principal causes of mental illness in college students are lack of sleep, lack of exercise, an imbalanced diet, and stress. Home-cooked Meals as a Hall The Issue: Cafeterias make it too easy to overindulge, and time constraints make â€Å"on-the-go† meals more appealing, in spite of the fact that these meals aren’t healthy. According to the CDC, working towards a balanced diet is one of the most important steps for a sound mental health. The Plan: - 2 meals as a hall a semester - Cook together in a communal kitchen space - Promotes healthy eating as well as bonding within the hall. The Green Initiative: The Issue: Countless studies have been conducted on the health benefits of plants and green spaces in living, work, and school environments. According to Psychology Today, studies have shown that plants in indoor spaces help lower blood pressure, improve reaction times, increase attentiveness, improve attendance (at work and school), raise productivity, lower anxiety, improve optimism, and improve memory and concentration. According to the University of Agriculture in Norway, indoor plants can reduce fatigue, coughs, sore throats, and other cold-related illnesses by more than 30 percent by increasing humidity levels and decreasing dust. Cornell University was so convinced of the mental benefits of green space that they installed grass into libraries and science buildings around campus to help lower