Perestroika Essay Example | Topics and Well Written Essays - 1500 words

Perestroika - Essay Example The improvement of vital plans overall depends on explicit rules. Most ordinarily, the objectives set must be possible †as far as the assets and the time required †while the potential disappointments should be recognized ahead of time so as to guarantee the constraint of disappointments. Then again, not every single authoritative activity have similar qualities; when the accomplishment of explicit targets is endeavored then the strategies utilized must be deliberately picked †a harmony between the expense of a particular vital undertaking and the normal advantages of this task must be sought after by directors in present day associations. Current paper centers around the assessment of the key plans required for the expansion of the piece of the pie of the firm LG in a specific part: the TVs and audiovideo hardware. The firm’s current valuing technique is surveyed and assessed so as to settle on the fitting of the promoting plans utilized in connection with the p articular advertising plan. It appears that the accomplishment of the particular objective is doable yet explicit estimates will be required particularly if considering the situation of the firm’s contenders yet in addition the difficulties of the particular business in all business sectors globally.

Is the death penalty effective Essay Example | Topics and Well Written Essays - 500 words

Is capital punishment successful - Essay Example The general public is one which requires profoundly and frantically consistently, a death penalty. Notwithstanding the discipline, there would have been an a lot more elevated level of murders over the world. Without the death penalty, the populace would will in general use, ‘mob mentality’ in circumstances where the feelings turn crazy. There are various cases, both basic just as increasingly exceptional where individuals have lost their lives and it is essential to take note of that without the predominance of a capital punishment, there would not be any impediment to kill. In the event that an individual was basically to be secured prison with complete access to food, garments, and sanctuary without winning it, at that point individuals would take this alternative and could never stress over killing anybody (Davis, 1998). In basic terms, our general public is documented with various lawbreakers and isn't sufficiently cultivated to oversee without a reasonable set down hindrance for the wrongdoing. Thus, it is fundamental for capital punishment to be applied to guarantee a more secure society. Various specialists have additionally directed their perspectives toward the ineffectualness of the capital punishments and have likewise drawn out the way that regardless of the death sentences that are being utilized inside the nations, there are as yet various individuals who will in general do the wrongdoing. The way toward giving capital punishment is a long one with the hoodlums living serenely in jail and this, all things considered, will in general diminish the adequacy of a capital punishment. As an obstacle, it is significant that the crooks are not given an opportunity and are executed immediately to make the discipline a fruitful one (Dieter, 1998). Anyway this unmistakably is unimaginable considering the quantity of laws and guidelines that should be considered before giving an individual a capital punishment, in this way making this strategy insufficient and wasteful. I for one accept that the capital punishments are an exceptionally successful strategy for leading the general public and crooks that have submitted murder. This is for the most part in light of the fact that, the

Read Harder A Book By or About Someone That Identifies as Neurodiverse

Read Harder A Book By or About Someone That Identifies as Neurodiverse The 2019 Read Harder Challenge is sponsored by the Read Harder Journal. Created by Book Riot, this smartly designed reading log consists of entry pages to record stats, impressions, and reviews of each book you read. Evenly interspersed among these entry pages are 12 challenges inspired by Book Riot’s annual Read Harder initiative, which began in 2015 to encourage readers to pick up passed-over books, try out new genres, and choose titles from a wider range of voices and perspectives. Indulge your inner book nerd and read a book about books, get a new perspective on current events by reading a book written by an immigrant, find a hidden gem by reading a book published by an independent press, and so much more. Each challenge includes an inspiring quotation, an explanation of why the challenge will prove to be rewarding, and five book recommendations that fulfill the challenge. Neurodiversity is an emerging concept, one which posits neurological differences are the result of normal, natural variation in the human genome. The need for recognizing neurodiversity arises from the often-stigmatized nature of conditions like autism, ADHD, dyslexia, and others. In other words, said differences are simply another piece of what makes humans diverse, interesting creatures. Neurodiverse representation in books is also rising, as authors continue to investigate the lives of characters who identify as such. Excitingly, there is also a great wealth of #ownvoices authors whose work is screaming to be read. What are some of your favorite books featuring or written by neurodiverse individuals? Let us know in the comments! TherE is a Case That I Am by torrin a. Greathouse This slim, punchy volume of poems explores gender identity, existential angst, and every conceivable thing in between. The author, torrin a. greathouse, self-identifies as autistic. Insignificant Events in the Life of a Cactus by Dusti Bowling Aven Green was born without arms, a fact she makes light of by coming up with outrageous backstories for her missing limbs. After moving across the country with her family, Aven befriends a classmate, Connor, with tourette syndrome. As their friendship grows, the pair find comfort in their similarities, even in the face of an unraveling mystery. If I Loved You, I Would Tell You This by Robin Black In this short story collection, the fraught nature of human relationships is laid bare. We meet characters on the verge of great changes: failing marriages; becoming an empty nester; watching someone slowly die. Throughout, the prose is crisp, direct, and breathtaking. In a wonderful essay, Robin Black self-identifies as living with ADHD. Shine Shine Shine by Lydia Netzer Sunny and Maxon are a married couple who have bonded over their eccentricities since childhood. While Maxon is in space on a lunar mission, Sunny is back on Earth to care for their neurodivergent son, as well as take care of her own illness. After a series of accidents leaves Maxon potentially stranded in space, Sunny must contend with the uncertainty of the future, as well as that of the immediate present. Thank You, Mr. Falker by Patricia Polacco This is the illustrated retelling of the authors experience as a child with dyslexia. Other students often teased Patricia Polacco for her struggles with reading, until a teacher recognized there might be something more to the problem than just not trying hard enough. Thank You, Mr. Falker is both a tribute to an extraordinary teacher, as well as a testament to the positive role educators and parents must play in neurodivergent childrens lives. Me, Who Dove into the Heart of the World by Sabina Berman Karen is an autistic, feral child who wanders the beach near the decrepit tuna cannery her family has neglected. When her aunt arrives to take over the facility, she looks after Karen and offers the girl a sense of belonging that she had only previously felt among sea creatures. Karens love of ocean dwellers inspires her to reinvent the family tuna cannerys practices to be more humane, which leads her to unexpected success. The Reason I Jump: The Inner Voice of a Thirteen-Year-Old Boy with Autism by Naoki Higashida Naoki Higashida has autism and communicates via an alphabet grid. In this memoir, he provides insights into the working of his mind: the particular way he lines up his toys; his discomfort making eye contact; why he jumps to collect his feelings. This memoir provides an honest, unfiltered depiction of living with autism, and provides insight into the great mysteries of the human mind. I Tic by Abby Hargrove, Illustrations by Rhema Coleman I Tic is the story of a nine-year-old girl living with tourette syndrome, told in her own words. The young authors charming illustrated tale encourages readers to celebrate their differences. Marcelo in the Real World by Francisco X. Stork Marcelos conditionâ€"described as autism-likeâ€"has never given him any trouble. He attends a special school with other students like him. However, after his father forces Marcelo to take a job working at his law firm, the boy begins to experience the full gamut of human emotions for the first time: anger, desire, tragedy, and hope. All the Weight of Our Dreams: On Living Racialized Autism, Edited by Lydia X.Z. Brown, E. Ashkenazy, Morénike Giwa Onaiwu In this multi-genre, intersectional collection, 61 writers and artists detail their experiences as autistic people of color. Often critical of the systems that fail them, these authors offer insights that are nothing short of revelatory. The Cider House Rules by John Irving Irving is one of the most prolific American novelists of the twentieth century, despite pulling poor grades in English throughout his prep school days. Teachers considered him lazy and stupid for his poor performances. He did not know until adulthood that he was dyslexic. The Cider House Rules finds the writer in top form, telling the coming-of-age of orphan Homer Wells. The Kiss Quotient by Helen Hoang Helen Hoang describes herself as being addicted to romance novels. In adulthood, she was diagnosed with autism spectrum disorder. These two experiences directly inspired her to write The Kiss Quotient, which features a protagonist with Aspergers syndrome diving headfirst into the romantic travails that have eluded her by hiring a male escort to teach her what she has been missing. Subscribe to Events to receive news and announcements about sitewide events, including daylong and weeklong bookish celebrations, as well as announcements of our Best Of and Anticipated  books. Thank you for signing up! Keep an eye on your inbox.

Top 8 Roman Military Defeats

The Physics Of Video Games - 2519 Words

People often question when they would ever use the mathematics they are taught in school during the course of their lives. Unbeknownst to them however, is that many of their greatest joys in life are made possible because of mathematics. Anyone who plays video games or any games may not realize just how large a role mathematics plays in their lives. Without math, video games wouldn t be possible, and board games would be less meaningful. Everything that happens in a videogame is occurring due to mathematical inputs inside the game. Some of these inputs are able to be changed of influenced by the user, others are not and form a pseudo-random number generator, which influences the seemingly random events that occur while playing. Board games often have mathematical solutions to them that guarantee a certain result, or strategies that are more likely to result in a victory. Even if it isn t noticeable at first, mathematics in games is very present for those who care enough to look for i t, and those who find it can use their newly found knowledge to their advantage. One of the largest gaming communities in the world is the Pokemon community. Pokemon, a video game series created by Nintendo, has grown in popularity with all ages since its original release in 1996. Since then, 26 main series games have been released, including two new ones just released on November 18th. The basic premise of the game is that a player travels a world, capturing Pokemon to use in battlesShow MoreRelatedEssay On Applying Physics To Gaming797 Words   |  4 PagesApplying Physics to Gaming Germain Mendoza The article â€Å"Teaching introductory undergraduate physics using commercial video games† talks about a course that was offered to college students at the University of Texas at Brownsville that would last from December 2010-January 2011. Many games were used to demonstrate how developers of the video games used real world physics laws and applied them to the basis of the game. In the article only four were mentioned these were: â€Å"Little Big Planet†, â€Å"ShaunRead MoreFlight Simulators Should Be Made ( 13 )792 Words   |  4 Pagesone individual part of it moves(13). However, the physics system is independent of the plane model representation. So the model doesn’t contain any actual physics logic(13). Simulation-subsystem contains the physics model The result of the model logic is a series of physical effects on the components, such as forces, torques, heating, deformation, and so on(13). These are applied on a per component basis determined by the pane model. The physics engine takes the disparate effects and integratesRead MoreUsing Video Games in the Classroom1407 Words   |  6 PagesVideo Games could be used in the classroom for a wide variety of different subjects, ranging from math, to science, to english and even in foreign language classes as many games that are made in different countries are in that countrys own language. Of Course games are almost always translated into different languages so that people worldwide could play them but a foreign language teacher wouldn’t find it too difficult to get ahold of a copy of a game in a foreign language. Music classes such asRead MoreComputer Science And Medicine Or Art Science1225 Words   |  5 Pagesshe an engineer but she’s one of the best in her field, whether it be through gaming, physics, or mechanics. It’s refreshing to hear about a woman changing the standards so drastically in a male-oriented industry like that of gaming because from my experiences girls who play video games are considered doing it for attention or the male approval rather than the idea that we generally enjoy just playing the game. Knowing that some of the designs that transformed the way gaming is now ran was due toRead MoreThe Physics of Tennis Essay561 Words   |  3 PagesThe Physics of Tennis I. Introduction Background: A friendly game of tennis is being played. Camera: pans away from the game and zooms to Sunne. Sunne: Hello, my name is Sunne. Today, my group, which consists of Ravi, Gramh, Whitney and myself, will portray how physics plays an essential role in one specific aspect of tennis. This aspect is the tennis racquet itself, which can only be mastered when the physics of it is completely understood. In this videoRead MoreEssay On Youtube766 Words   |  4 PagesIf someone had told me five years ago that I would be a YouTube junkie and Facebook addict, I would have told them they were insane! I mean, YouTube used to be mostly used only by people posting embarrassing family videos, as well as by wannabe singers and musicians, posting their latest accomplishments in the far-fetched hope of being discovered. There was absolutely nothing about it that interested me. Similarly, while originally created as a study tool for college students, Facebook has morphedRead MoreMultiple Functions Of Utah Valley University991 Words   |  4 Pagesthe game, not because they were good, but because they had fun playing. Before seeing the world of UCAS, I assumed all the students would be geeky boys who were whizzes at math and played video games late into the night. Of course my picture was skewed, I knew only what my cousin Tanner had told me about when he went years prior. He described a common occurrence during lunch, of students playing videogames hooked onto their computer. He’d created an image in my mind of boys who played video gamesRead MoreDungeon And Dragons, Rock N Roll, And Video Games919 Words   |  4 PagesDungeon and Dragons, Rock N’ Roll, and video games, these are three separate activities that when looked at from afar do not seem to have anything to do with each other. However, they in fact do have something fairly big in common. They each have been blamed with being either bad for you or a negative influence. Whether it be Dungeon and Dragons being satanic and making people lose touch with reality, Rock N’ Roll’s cause of juvenile delinquency, or v ideo games leading to violent and antisocial behaviorRead MoreCase Analysis : Deflategate Scandal1458 Words   |  6 Pageswith the game footballs used in the AFC Championship Game against the Indianapolis Colts in the 2015 season. In this game, the Patriots defeated the Colts 45-7 and went on to to defeat the Seattle Seahawks 28-24 in the 2015 Superbowl. Many people, right away, are probably thinking – â€Å"What is the big advantage of an under inflated football?† A deflated football gives the team using it a huge advantage. A physics professor, Mike Eads, from Northern Illinois University explain in terms of physics why aRead MoreThe Haunting Of Hill House1249 Words   |  5 PagesVery few other animals do this, and only ones with a complex neural network have the desire to complete puzzles for enjoyment. Over 40% of Americans play video games at least three hours a week; 1.2 billion people play video games worldwide. Games have always been a form of entertainment, chess is a melena and a half years old, but video games only arose in the last 60 years. Making their mark on history and are slowly taking over the world, the electronic world is becoming more seductive than the

The Nurse Managers Role Free Essays

The nurse manager is vital in creating an environment where nurse-physician collaboration can occur and is the expected norm. It is she, who clarifies the vision of collaboration, sets an example of and practices as a role model for collaboration. The nurse manager also supports and makes necessary changes in the environment to bring together all the elements that are necessary to facilitating effective nurse-physician collaboration. We will write a custom essay sample on The Nurse Managers Role or any similar topic only for you Order Now Many authors (Alpert, Goldman, Kilroy, Pike, 1992; Baggs Schmitt, 1997; Betts, 1994; Evans, 1994; Evans Carlson, 1993; Keeman, Cooke, Hillis, 1998; Jones, 1994) have indicated that nurse-physician collaboration is not widespread and a number of barriers exist. The following will discuss the necessary ingredients for creating a nursing unit that is conducive to nurse-physician collaboration and supported through transformational leadership. The first important barrier according to (Keenan et al. (1998) is concerned with how nurses and physicians have not been socialized to collaborate with each other and do not believe they are expected to do so. Nurse and physicians have traditionally operated under the paradigm of physician dominance and the physician†s viewpoint prevails on patient care issues. Collaboration, on the other hand, involves mutual respect for each other†s opinions as well as possible contributions by the other party in optimizing patient care. Collaboration (Gray, 1989) requires that parties, who see different aspects of a problem, communicate together and constructively explore their differences in search of solutions that go beyond their own limited vision of what is possible. Many researchers have argued (Betts 1994; Evans Carlson, 1993; Hansen et al. , 1999; Watts et al. , 1995) that nurses and physicians should collaborate to address patient care issues, because consideration of both the professions concerns is important to the development of high quality patient care. Additionally, effective nurse-physician collaboration has been linked to many positive outcomes over the years, all of which are necessary in today†s rapidly changing health care environment. One study by (Baggs Schmitt, 1997) found several major positive outcomes form nurses and physicians working together, they were described as improving patient care, feeling better in the job, and controlling costs. In another study (Alpert et al. , 1992) also found that collaboration among physicians and nurses led to increased functional status for patients and a decreased time from admission to discharge. Along with improved patient outcomes, nurse-physician collaboration has several other reasons why it has become significant in today†s health care environment. Several examples of which are, as identified by (Jones, 1994) the cost containment effort, changing roles for nurses and physicians, the Joint Commission on Accreditation of Health Care Organizations focus on total quality management, and emphasis by professional organizations and investigators have focused attention on this area. The challenge of creating an environment for patient care in which collaboration is the norm can be difficult and belongs to the domain of the nurse manager. In order to create a collaborative work environment several conditions must be achieved and several natural barriers to nurse-physician collaboration must be overcome. In creating this environment for collaborative practice, (Evans, 1994) identified several more barriers to overcome. She expresses that the most difficult to overcome is the time-honored tradition of the nurse-physician hierarchy of relationships, which encourages a tendency oward superior-subordinate mentality. Keenan et al. (1998) found that nurses expect the physicians to manage conflict with a dominant/superior attitude. They also found that nurses are oriented towards being passive in conflict situations with physicians. A second barrier to collaboration is a lack of understanding of the scope of each other†s practice, roles, and responsibilities. Evans (1994) feels that one cannot appreciate the contribution of another individual if one has only limited understanding of the dimensions of that individual†s practice. It is equally true that appreciation of one†s own contribution is blurred if the understanding of one†s own role is limited. A third constraint to collaborative practice might be related to this perceived constraint on effective communication. Although there might be individual differences causing restraint in communication, the organizational and bureaucratic hierarchies of most hospitals hinders lines of communication. Several final factors cited by (Evans, 1994) as barriers to collaborative practice include immaturity of both physician and nurse groups, coupled with unassertive nurse behavior and aggressive physician behaviors. Factors that promoted collaboration between nurse and physicians were identified by (Keenan et al, 1998). She explained that nurse education was sighted as one of the most outstanding variables that promoted collaboration. The more educated a nurse was the more likely they were to take action in disagreements with physicians. Additionally, when nurses expected physicians to collaborate and to not exhibit strong aggressive behaviors or controversial styles, they were more likely to approach and discuss patient conditions with them. Researchers also found that male nurse were more likely than female nurses to confront physicians and not avoid dominant or aggressive behavior. Expectations for physicians to collaborate and to not handle situations aggressively appeared to be a stronger predictor of nurse-physician collaboration than any expected normative beliefs. The first step a nurse manager should take in the process of achieving a practice environment that facilitates collaboration is to conduct an assessment of the presence or absence of barriers leading to collaborative practice. According to (Evans, 1994), the environmental and role variables to assess include role identification and the professional maturity of both the nurses and physicians, communication patterns, and the flexibility of the organizational structure. By assessing the work environment for barriers and facilitators to collaborative practice, the nurse manager can achieve a general idea of how ready the unit is to begin a collaborative practice. The next step would be to plan an effective way to initiate a collaborative practice model of delivering health care on the unit. This can be done by establishing what is called a Joint Practice Committee, and including nurses and physicians to be a part of this work group. Its purpose would be to examine the needs assessment results of the unit†s readiness for collaborative practice, designing, implementing, and evaluating the process of transforming the unit. This step is an integral part of the process of establishing a collaborative practice and was identified by the National Joint Practice Commission (NJPC) as a necessary element in the process. The NJPC began in 1971 and the commission was dissolved in 1981. The commission†s work resulted in the publication of guidelines for collaborative practice in hospitals. The NJPC defines a joint-practice committee with a composition of equal number of nurses and physicians who monitor the inter-professional relationships and recommend appropriate strategies to support and maintain those relationships. The NJPC identifies four other structural elements necessary for a collaborative practice as primary nursing, integrated patient care records, joint patient care reviews, and emphasis on and support of nurse independent clinical decision making. These elements are an important cornerstone for creating a successful collaborative practice unit. In addition, several other factors have been identified by the NJPC as beneficial to maintaining an effective support systems when developing a collaborative practice such as appropriate staffing, committed medical leadership, standardized clinical protocols, and most importantly communication. Although a successful collaborative practice model has is a planned event. According to (Evans, 1994), it is important to realize that a collaborative relationship cannot be legislated, dictated, or mandated by anyone. It must be agreed upon and accepted by individuals who share responsibility for patient care outcomes. The third step in the process would be to empower the nursing staff with beliefs that fulfill their higher order of needs such as achievement, self-actualization, concern for others, and affiliation. Because of nursings normative behavior as passive, caring, and subservient the staff must learn to overcome expectations to identify with this role expectation. The nurse manager must support, coach, and instill a sense of empowerment into her staff in order for them to depart from those stereotypes. The idea is to fill the nursing staff with a sense of self-confidence and to lose thoughts of self-doubt, inequality, and subservience. To implement this new paradigm of nurse empowerment can be a challenge for the nurse manager within any typical hospital beaurocracy. That is why it is important to choose the correct style of leadership to guide the staff through this process of empowering or transforming. The leadership model best suited for this type of task and the most congruent with empowerment is the transformational model. Transformational leadership is a process in which leaders seek to shape and alter the goals of followers. Cassidy Koroll (1994) describe the process as incorporating the dimensions of leader, follower, and situation. The leader motivates followers by identifying and clarifying motives, values, and goals that contribute to enhancing shared leadership and autonomy. Transformational leaders are usually charismatic so they enhance energy and drive people towards a common vision and shifting the focus of control from leaders to followers. It is the transformational nurse manager that will be able to empower her workers to facilitate nurse-physician collaboration, for the common good of the patient. The nurse manager using transformational leadership would set the direction for the rest of the unit to follow. She would be able to charismatically appeal to the medical staff as well as the nursing staff and create collaboration beyond the daily frustrations of arguing about to which domain a certain patient care issues belong. Further more the nurse manager would have to work hard at decreasing the seeds of distrust and disrespect that have been planted between our colleagues in medicine, and vice versa with nursing. Corley (1998) described several behaviors that the transformation nurse manager would need to exhibit in supporting her staff in such a role transition. The behaviors are as follows: stimulate creativity, establish an environment that facilitates team work and learning, implement change, motivate staff to assume increased responsibility, help develop employees† awareness of organizational goals, delegate responsibility appropriately, communicate openly and directly with staff, and collaborate with peers. The significance of these behaviors in facilitating empowerment is seen as fundamental to creating collaborative practice environment. The final step in the process is to evaluate its effectiveness. In order to provide a clear and concise evaluation of the collaborative process one must look at all structural elements and all indicators of collaboration as previously discussed. Once accurate measures are identified and assessed the collaborative practice committee can discuss their outcomes and effectiveness. Over time, nurses and physicians may be able to articulate more clearly the changes in their practice and beliefs that have been affected by collaborating on patient care. Several of these key areas to examine would be: length of stay, patient and provider satisfaction, number of return visits, and changes in supply costs. Improvements in any of these areas could be due to favorable results from collaborative practice between nurses and physicians. In conclusion, many problems related to nurse physician collaboration are typically blamed on physicians. However the reality is that many of the barriers can be traced back to nursing as well. Collaboration is a process by which members of various disciplines share their expertise. Accomplishing this requires that these individuals understand and appreciate what it is that each professional domain contributes to the â€Å"whole†. The nurse manger plays a pivotal role in establishing an environment that is conducive to collaboration among the disciplines. Although it is a difficult road to follow the benefits of an effective collaborative unit out-weigh the difficulties of establishing such a practice. However, the nurse manager has an excellent vehicle for which to begin her journey and that is the use of transformation leadership, an empowering tool for change. How to cite The Nurse Managers Role, Essay examples

The Nurse Managers Role Free Essays

The nurse manager is vital in creating an environment where nurse-physician collaboration can occur and is the expected norm. It is she, who clarifies the vision of collaboration, sets an example of and practices as a role model for collaboration. The nurse manager also supports and makes necessary changes in the environment to bring together all the elements that are necessary to facilitating effective nurse-physician collaboration. We will write a custom essay sample on The Nurse Managers Role or any similar topic only for you Order Now Many authors (Alpert, Goldman, Kilroy, Pike, 1992; Baggs Schmitt, 1997; Betts, 1994; Evans, 1994; Evans Carlson, 1993; Keeman, Cooke, Hillis, 1998; Jones, 1994) have indicated that nurse-physician collaboration is not widespread and a number of barriers exist. The following will discuss the necessary ingredients for creating a nursing unit that is conducive to nurse-physician collaboration and supported through transformational leadership. The first important barrier according to (Keenan et al. (1998) is concerned with how nurses and physicians have not been socialized to collaborate with each other and do not believe they are expected to do so. Nurse and physicians have traditionally operated under the paradigm of physician dominance and the physician†s viewpoint prevails on patient care issues. Collaboration, on the other hand, involves mutual respect for each other†s opinions as well as possible contributions by the other party in optimizing patient care. Collaboration (Gray, 1989) requires that parties, who see different aspects of a problem, communicate together and constructively explore their differences in search of solutions that go beyond their own limited vision of what is possible. Many researchers have argued (Betts 1994; Evans Carlson, 1993; Hansen et al. , 1999; Watts et al. , 1995) that nurses and physicians should collaborate to address patient care issues, because consideration of both the professions concerns is important to the development of high quality patient care. Additionally, effective nurse-physician collaboration has been linked to many positive outcomes over the years, all of which are necessary in today†s rapidly changing health care environment. One study by (Baggs Schmitt, 1997) found several major positive outcomes form nurses and physicians working together, they were described as improving patient care, feeling better in the job, and controlling costs. In another study (Alpert et al. , 1992) also found that collaboration among physicians and nurses led to increased functional status for patients and a decreased time from admission to discharge. Along with improved patient outcomes, nurse-physician collaboration has several other reasons why it has become significant in today†s health care environment. Several examples of which are, as identified by (Jones, 1994) the cost containment effort, changing roles for nurses and physicians, the Joint Commission on Accreditation of Health Care Organizations focus on total quality management, and emphasis by professional organizations and investigators have focused attention on this area. The challenge of creating an environment for patient care in which collaboration is the norm can be difficult and belongs to the domain of the nurse manager. In order to create a collaborative work environment several conditions must be achieved and several natural barriers to nurse-physician collaboration must be overcome. In creating this environment for collaborative practice, (Evans, 1994) identified several more barriers to overcome. She expresses that the most difficult to overcome is the time-honored tradition of the nurse-physician hierarchy of relationships, which encourages a tendency oward superior-subordinate mentality. Keenan et al. (1998) found that nurses expect the physicians to manage conflict with a dominant/superior attitude. They also found that nurses are oriented towards being passive in conflict situations with physicians. A second barrier to collaboration is a lack of understanding of the scope of each other†s practice, roles, and responsibilities. Evans (1994) feels that one cannot appreciate the contribution of another individual if one has only limited understanding of the dimensions of that individual†s practice. It is equally true that appreciation of one†s own contribution is blurred if the understanding of one†s own role is limited. A third constraint to collaborative practice might be related to this perceived constraint on effective communication. Although there might be individual differences causing restraint in communication, the organizational and bureaucratic hierarchies of most hospitals hinders lines of communication. Several final factors cited by (Evans, 1994) as barriers to collaborative practice include immaturity of both physician and nurse groups, coupled with unassertive nurse behavior and aggressive physician behaviors. Factors that promoted collaboration between nurse and physicians were identified by (Keenan et al, 1998). She explained that nurse education was sighted as one of the most outstanding variables that promoted collaboration. The more educated a nurse was the more likely they were to take action in disagreements with physicians. Additionally, when nurses expected physicians to collaborate and to not exhibit strong aggressive behaviors or controversial styles, they were more likely to approach and discuss patient conditions with them. Researchers also found that male nurse were more likely than female nurses to confront physicians and not avoid dominant or aggressive behavior. Expectations for physicians to collaborate and to not handle situations aggressively appeared to be a stronger predictor of nurse-physician collaboration than any expected normative beliefs. The first step a nurse manager should take in the process of achieving a practice environment that facilitates collaboration is to conduct an assessment of the presence or absence of barriers leading to collaborative practice. According to (Evans, 1994), the environmental and role variables to assess include role identification and the professional maturity of both the nurses and physicians, communication patterns, and the flexibility of the organizational structure. By assessing the work environment for barriers and facilitators to collaborative practice, the nurse manager can achieve a general idea of how ready the unit is to begin a collaborative practice. The next step would be to plan an effective way to initiate a collaborative practice model of delivering health care on the unit. This can be done by establishing what is called a Joint Practice Committee, and including nurses and physicians to be a part of this work group. Its purpose would be to examine the needs assessment results of the unit†s readiness for collaborative practice, designing, implementing, and evaluating the process of transforming the unit. This step is an integral part of the process of establishing a collaborative practice and was identified by the National Joint Practice Commission (NJPC) as a necessary element in the process. The NJPC began in 1971 and the commission was dissolved in 1981. The commission†s work resulted in the publication of guidelines for collaborative practice in hospitals. The NJPC defines a joint-practice committee with a composition of equal number of nurses and physicians who monitor the inter-professional relationships and recommend appropriate strategies to support and maintain those relationships. The NJPC identifies four other structural elements necessary for a collaborative practice as primary nursing, integrated patient care records, joint patient care reviews, and emphasis on and support of nurse independent clinical decision making. These elements are an important cornerstone for creating a successful collaborative practice unit. In addition, several other factors have been identified by the NJPC as beneficial to maintaining an effective support systems when developing a collaborative practice such as appropriate staffing, committed medical leadership, standardized clinical protocols, and most importantly communication. Although a successful collaborative practice model has is a planned event. According to (Evans, 1994), it is important to realize that a collaborative relationship cannot be legislated, dictated, or mandated by anyone. It must be agreed upon and accepted by individuals who share responsibility for patient care outcomes. The third step in the process would be to empower the nursing staff with beliefs that fulfill their higher order of needs such as achievement, self-actualization, concern for others, and affiliation. Because of nursings normative behavior as passive, caring, and subservient the staff must learn to overcome expectations to identify with this role expectation. The nurse manager must support, coach, and instill a sense of empowerment into her staff in order for them to depart from those stereotypes. The idea is to fill the nursing staff with a sense of self-confidence and to lose thoughts of self-doubt, inequality, and subservience. To implement this new paradigm of nurse empowerment can be a challenge for the nurse manager within any typical hospital beaurocracy. That is why it is important to choose the correct style of leadership to guide the staff through this process of empowering or transforming. The leadership model best suited for this type of task and the most congruent with empowerment is the transformational model. Transformational leadership is a process in which leaders seek to shape and alter the goals of followers. Cassidy Koroll (1994) describe the process as incorporating the dimensions of leader, follower, and situation. The leader motivates followers by identifying and clarifying motives, values, and goals that contribute to enhancing shared leadership and autonomy. Transformational leaders are usually charismatic so they enhance energy and drive people towards a common vision and shifting the focus of control from leaders to followers. It is the transformational nurse manager that will be able to empower her workers to facilitate nurse-physician collaboration, for the common good of the patient. The nurse manager using transformational leadership would set the direction for the rest of the unit to follow. She would be able to charismatically appeal to the medical staff as well as the nursing staff and create collaboration beyond the daily frustrations of arguing about to which domain a certain patient care issues belong. Further more the nurse manager would have to work hard at decreasing the seeds of distrust and disrespect that have been planted between our colleagues in medicine, and vice versa with nursing. Corley (1998) described several behaviors that the transformation nurse manager would need to exhibit in supporting her staff in such a role transition. The behaviors are as follows: stimulate creativity, establish an environment that facilitates team work and learning, implement change, motivate staff to assume increased responsibility, help develop employees† awareness of organizational goals, delegate responsibility appropriately, communicate openly and directly with staff, and collaborate with peers. The significance of these behaviors in facilitating empowerment is seen as fundamental to creating collaborative practice environment. The final step in the process is to evaluate its effectiveness. In order to provide a clear and concise evaluation of the collaborative process one must look at all structural elements and all indicators of collaboration as previously discussed. Once accurate measures are identified and assessed the collaborative practice committee can discuss their outcomes and effectiveness. Over time, nurses and physicians may be able to articulate more clearly the changes in their practice and beliefs that have been affected by collaborating on patient care. Several of these key areas to examine would be: length of stay, patient and provider satisfaction, number of return visits, and changes in supply costs. Improvements in any of these areas could be due to favorable results from collaborative practice between nurses and physicians. In conclusion, many problems related to nurse physician collaboration are typically blamed on physicians. However the reality is that many of the barriers can be traced back to nursing as well. Collaboration is a process by which members of various disciplines share their expertise. Accomplishing this requires that these individuals understand and appreciate what it is that each professional domain contributes to the â€Å"whole†. The nurse manger plays a pivotal role in establishing an environment that is conducive to collaboration among the disciplines. Although it is a difficult road to follow the benefits of an effective collaborative unit out-weigh the difficulties of establishing such a practice. However, the nurse manager has an excellent vehicle for which to begin her journey and that is the use of transformation leadership, an empowering tool for change. How to cite The Nurse Managers Role, Essay examples

Outsourcing Employee Efficiency and Organizational Productivity

Question: Discuss about theOutsourcing for Employee Efficiency and Organizational Productivity. Answer: Introduction: In a business world characterized by the idea of globalization, the importance of outsourcing cannot be overemphasized. Outsourcing is one of the few cost-saving management strategies adopted by an organization, whereby an organization gets its task performed, with the help of external support from a foreign nation. Outsourcing as a recently emerging management trend has captured the attention of a huge number of entrepreneurs, simply because it offers the opportunity of reducing labor and operational cost, while at the same time helping the organization improve employee efficiency and organizational productivity, thereby leading to the organizational success (Oshri et al. 2015). Discussion: According to the Harvard Business Review, outsourcing is one of the most effective business ideas that has taken the world of business by storm over the last 75 years. The process of offshore outsourcing has been largely benefitting the organizations, by helping them focus on the core products and major functions of the company. It is being employed as one of the important strategies of a organization, and it is worth-mentioning that the organizations, working in dynamic markets, such as telecommunications, or professional services, source more than 40% of their operations outside their own country. Some of the greatest benefits of outsourcing as a management technique adopted by an organization, include improvement in the quality of the consumer service, an increase in the shareholder value and increase in the efficiency of the workforce without the need of investing in people or technology (Hirschheim et al. 2013). General Framework: As far as the Australian industry is concerned, the nation has experienced a steady business growth in the field of Business Process Outsourcing. The very reason as to why outsourcing has revolutionized the system of business operation in Australia, is that it offers the benefit of flexibility of business operation, low entry cost, and greater market opportunities to the organizations. Besides, the small Australian organizations, as a result of outsourcing, are capable of getting the ticket of gaining access to IT infrastructure, and other advanced technology that are too expensive for the Australian firms to adopt (Relph and Parker 2014). Australian organizations, such as IBM, Zeidan, Tradesafe Australia Pvt Limited, Active Occupational Health Services, are some of the most recognized organizations of Australia that engage in the process of outsourcing. However, despite the innumerable advantages that outsourcing offers, it also may pose serious threat to an organization, because of the risk of the loss of sensitive data, or even loss of management control over the important functions of the organization (Susomrith and Brown 2013). Individual Components: Among some of the most recognized organizations that have successfully employed the strategy of outsourcing is Telstra. It is important to mention here that the outsourcing method is not only being utilized by the organization for reducing its operational cost, but it also largely benefits the organization in improving the use of its internal resources as well as consumer satisfaction (Bursell et al. 2016). The organization has emerged to be a successful organization, increasing its profitability and revenue-earning capacity by outsourcing its service to countries such as Philippines and India. The organization has succeeded in creating a back office hub, in Manila that has largely helped the organization reduce its labor cost, thereby increasing its annual profit. The organization, in fact has launched the Project New in the year of 2010, that has been largely helpful in eliminating operational cost, by outsourcing a variety of jobs. Outsourcing their call centers as well as consume r service providers has been largely beneficial in this regard. In fact, Telstra as a part of its next move of the outsourcing strategy, has shut down the centre in Perth, to move to Bathurst and the Philippines, as it is likely to offer them greater competitive advantage (Cardona et al. 2014). It should be remembered that Telstra, as one of the premier telecommunication industries of Australia is largely benefitting by outsourcing their service. As a result of the emergence of new players every day in the industry, Telstra has been finding it tough in keeping up with the consumer acquisition as well as retention cost. Hence, Telstra has formed alliance with IBM Global for getting help and support from the latter in streamlining and simplifying its internal procedures and systems, As Richard Allem, the Chief procurement Officer of Telstra claims, the organization has to handle multiple people buying a variety of contracts from the organization, and hence it is highly important for the organization to deliver its functions in a cost effective way, and this is the reason why Telstra employs outsourcing. The organization engages in outsourcing its business activities, such as financial accounting or implementation of IT infrastructure, so that it can focus solely on its busine ss growth. Conclusion: Outsourcing has become the latest and one of the most effective trends in the business world. However, before taking the decision of outsourcing the service, an organization must consider certain important factors. The question as to what service an organization requires, or which service provider is best positioned for serving the purpose are some of the important factors that need to be considered. Reduction in cost, availability of specialized skills, and economies of scale and scope largely benefit organizations like Telstra. However, outsourcing may have adverse impact on the labor force of the home country, and as was the case with Telstra, many organizations often indulge in axing of jobs. Hence, such factors should also be considered while adopting it as an organizational strategy. Reference List: Bursell, S.E., Zang, S., Keech, A.C. and Jenkins, A.J., 2016. Evolving telehealth reimbursement in Australia.Internal Medicine Journal,46(8), pp.977-981. Cardona, J.C., Stanojevic, R. and Laoutaris, N., 2014, December. Collaborative consumption for mobile broadband: A quantitative study. InProceedings of the 10th ACM International on Conference on emerging Networking Experiments and Technologies(pp. 307-318). ACM. Hirschheim, R., Heinzl, A. and Dibbern, J. eds., 2013.Information Systems Outsourcing: enduring themes, emergent patterns and future directions. Springer Science Business Media. Oshri, I., Kotlarsky, J. and Willcocks, L.P., 2015.The Handbook of Global Outsourcing and Offshoring 3rd Edition. Palgrave Macmillan. Relph, A. and Parker, D., 2014. Outsourcing: a strategic risk.Management Services,58(3), pp.20-24. Susomrith, P. and Brown, A., 2013. Motivations for HR outsourcing in Australia.The International Journal of Human Resource Management,24(4), pp.704-720.

New School Essay Example Essay Example

New School Essay Example Paper New School Essay Introduction I didn’t think I would ever fall in love, come to think of it I never thought I would fall for Romeo, my best friend. Let’s just say that love gets people in ways which you wouldn’t expect.It was a Tuesday morning. It had finally come; the day when I was moving schools. I can still remember what was going through my head that morning. ‘Thank god I’m out of that shit hole’ I sighed, I was so nervous, ‘what if I don’t make any friends’ ‘what if everyone hates me’ I sighed again. All those negative thoughts where rushing through my head, I was very sure I was gonna punk out but I kept my cool. I had just finished having a bath and I was going to find something to wear.Don’t get me wrong I have so many clothes, but trust me its all about the mood the weather’s in and the mood I’m in. As soon as I opened my wardrobe, clothes came piling out ‘DAMN!’ I thought ‘I need to do some spring cleaning!’ I usually take a long time to get ready but seeing as this was my first day at a new school I HAD to take my time. The sun was hitting in through my window so I decided to go ghetto and wear my denim dungarees, white tank top with ‘top gurl’ written on it, and my dark blue converses.I put on some lip gloss, popped sum chewing gum in my mouth, grabbed my dark blue and light blue Nike ‘Just do it’ bag and then I ran down the stairs to the kitchen, to find a note on the counter, it was from mum; Honey I have gone to work. ‘Well duh’ I thought. Ten pounds is in the draw. P.s/make sure you’re not late.I scrunched up the note and threw it in the bin. I then headed to the draw, pulled it open and took out the ten pounds that my mum had left for me.Mum works at a bank, I am considering studying law when I go to university. I know it seems like a long time away but you’ve got to be prepared. I love History and it just seems like a well paying job.My dad died of a liver cancer when I was two. So I guess it wasn’t really painful for me at that time seeing as I was still very young and I didn’t understand what was happening. When I was in primary school nearly everyone had a dad I was really confused, it must have been hard for my mum because I kept on asking her where my dad was and she’d always tell me that he was in a lovely place. Well I’m hurt now because I didn’t get to know him, and all I have is a picture of me in his arms when I was a newborn. Mum does date but they just come and go.I took my keys, my ipod, and my phone from the counter, and opened my front door. I realised that I had forgotten something and descended back to my kitchen counter to get my sunglasses. I got out of my house then I locked the door. I then unlocked my garage, and then I unlocked the chains from my electric scooter.The only reason I use an electric scooter is to get around because I’m too young to drive a car and I’m too young to ride a moped, its all good though. I had to save up and buy it with my own money (no fair) because my mum said ‘she wasn’t going to waste good money on an electric scooter when she could spend it on something else’ and I said ‘well then what I’m I going to do?’, she was like ‘take public transport’, I was like ‘the bus?’ ‘OH HELL NAH!!’I walked my scooter out of the garage then I locked the garage door. Then I was finally off, I knew the location of the school because I had been there twice to take tests, and might I add that all of the tests I had taken I had passed. It took about fifteen minutes to get there on the scooter.It was the beginning of July, summer; my favourite part of the year, the sun was shining directly into my eyes so I put on my sunglasses. I also turned my ipod on, and it started playing ‘so what’ by Field Mob ft. Ciara, that was the jam back then, and everyone was playing it.I’m 5ft5 1/2; I like to think that that’s an average height but people say I’m short. I have shoulder length hair. I’m a black girl with green eyes, I’m 15 years old and I’m a Scorpio, I think that zodiac is sick. I might get a tattoo of a Scorpion on my lower back when I’m a bit older, my mum would kill me I ever got a tattoo done while living under her roof.2Different SceneryWhen I finally got to my new school my nerves returned. WELCOME TO ST. JOHN’S where written in big bold black letters on the gate. I turned my ipod off and got off my scooter to chain it, I learnt that nearly half of the school owned electric scooters. Students were entering the school gates. I was told to go to the reception when I arrived. I walked on a long path to get to actual building. Once I got into the building I turned to my first right. There it was the reception just how it was the previous time I had been there to visit. I took off my sunglasses. Students were making their way to their form rooms.†May I help you?† asked the lady behind the deskShe was a stubby lady, probably over 40 and she looked like she had been working at St. John’s for a long time.†Erm.. Hi I’m Khia Williams† I replied in a low voice†Nice to meet you Khia, you are the new student starting 10a, right?† she asked†Erm.. Yea† I answered†Well do not be nervous you will be just fine. You walk through the door just there† she said pointing to a green door, she handed me a key with 301 on it â€Å"that is for your locker, your class is on the second door to the right and you will see 10a written on the door.† She explained†Ok.. thanks† I said walking off.All those negative thoughts that were rushing through my head earlier that morning were rushing through my head at that precise moment.I finally got to the door which had 10a written on it, it wasn’t hard to find, and next to the classrooms were the lockers that the receptionist had given me a key for. I took a deep breath in and a deep breath out. I turned the knob of the door.†Ah Khia Williams..,† I remembered the guy, Mr. Ross; I met him at the meeting with the head teacher the other time. He was so tall and he wore round glasses and his trousers were pulled up so they looked like ankle swingers, I tried not to laugh. â€Å"..Nice to see you again, as you know I will be your teacher for the rest of the year and this will be your form for the rest of the year†Everybody was staring at me, some smiling and some looking at me blankly until I heard a voice say:†Girl even in dungarees you look sexy†By now all the boys were laughing. I looked to the back of the classroom, where I thought I had heard the voice come from. A boy was rocking on his chair smirking at me, I was sure it was him. He was a black boy with coolly hair; he had it tied up in a pony tail. He was wearing a white t-shirt, denim jeans and white air forces.†Ok that’s enough† said Mr. Ross â€Å"Khia take a seat†Ã¢â‚¬ Baby you can come and sit on daddy’s lap if you want†Ã¢â‚¬ Aaaaaaaaahhhhhhhhhhhh!!!!!† all the boys started laughing again.I took no notice of them; I thought to myself he must have been the stupidest boy in the class’.†I SAID THAT’S ENOUGH!† Said Mr. RossEvery teacher has a strict side, everyone got quite.I started looking around for a seat then I saw him, Romeo, dark brown eyes with tight cornrows all back but complicated and he had on a white head band, wore baggy denim jeans, white air force ones with a green tick and a white t-shirt, on top of that he had on a green and white ‘Magic’ jersey. He wore diamond studded earrings on each ear and a sliver chain with a capital ‘R’ on it. It was right then that I knew his name had to start with the letter ‘R’, I can still remember how he looked at me; he just smiled acknowledging me. I smiled back at him.†You can sit here if you want† he offered, his voice was so deep.†For sure† I said, eyes still on him†Sorry on behalf of my boy T he’s crazy, don’t mind him† he apologisedHow sweet I thought, he apologised on behalf of his friend, who mind you was being incredibly obnoxious.I assured him â€Å"It’s all right†I sat next to him and might I add how he smelled mmmmmm cologne I thought he was the cutest boy in the class, and I also thought that we would set it off.†Can everyone turn their text books to page 62 now† said Mr. RossEveryone did as they were told; I and Romeo were sharing a text book. Even though we were told to settle down the room was still noisy, I thought to myself I am gonna fit in this class. I put my head down, and sat in silence.At the end of the math lesson, Mr. Ross handed me a diary and showed me the page were my schedule was. I checked for my next lesson and was disappointed to see that it was German. I had been learning German at my old school and I hated it. It was so boring but it wasn’t optional. I put my diary into my bag, got up from my seat and was heading out of the door when I heard Romeo say; â€Å"So what lesson you got now?†I signed â€Å"I got German† from that sigh he could tell that I wasn’t happy about it.†Don’t worry, I got German too and I hate it, but it aint optional, if it was up to me nobody would learning languages trust me†I smiled at him. Those words made me feel a little bit better.†Do you mind if I walk with you?† he askedI answered â€Å"Sure†Ã¢â‚¬ I’m Romeo† he told me.I liked that name, the letter ‘R’ I smiled to myself†I’m Khia† I told him forgetti ng that he already knew my name†I know† he said, I blushed and with that he smiled. I smiled back at him but that was a smile of embarrassment. â€Å"So what school did you go to before coming here?† he asked†Douglas High† I answered†Cool cool I know people from there, from what I’ve heard that schools alright†Ã¢â‚¬ Yea that’s what I thought when I first started the school†Ã¢â‚¬ So why did you leave?† he askedI thought to myself, isn’t this boy nosy. I didn’t reply. â€Å"Sorry for being so inner. We are here now† he told me†Oh don’t worry about it† I saidHe smiled at that, I didn’t really wanna tell anyone why I changed schools and I had my reasons. We were standing outside the class, Romeo decided to change the subject.†I like your style† he said smiling†I like yours too,† I said back, I really did like his style, in fact I loved his style.à ¢â‚¬ Thanks†Ã¢â‚¬ Your welcome†We went into the classroom and sat down. We were sat next to each other. We were in complete silence simply because we had nothing to talk about, until he asked me a question about German because he needed help.†B-a-c-k-e-r-e-i† I answeredFinally the bell went. In Douglas High we had six lessons but in St. Johns we have five lessons so I was quite happy about that. I started packing my books away into my bag.†I’m gonna meet up with my boys, I’ll see you in the cafeteria soon.† He said to me†All right see you later† I answered back†Later† he saidThen he winked at me. He was off like a shot.3New FriendsI didn’t know where the cafeteria was so I just followed the crowd. When I entered the cafeteria I went to get my food then started to look around for a table.I heard a female voice say; ‘Khia! Right?’I turned around to the direction of where the voice had come from. When I saw who it was I answered. The table was half full and everyone was munching.†Yea, that’s me† I said politely†I’m Chenelle, and this is Kerisha, Kelly, Shandrea and Chantay† She said pointing to each girl â€Å"We are the girls from 10a, you can jam with us if you want?† she asked giving me a friendly smile. New School Essay Thank you for reading this Sample!

Reforma migratoria de Trump y a quiénes afectaría

Reforma migratoria de Trump y a quià ©nes afectarà ­a De aprobarse la reforma migratoria que propone el Presidente Donald Trump, se modificarà ­a radicalmente la situacià ³n legal de un grupo de migrantes indocumentados, se eliminarà ­an y alterarà ­an algunos de los caminos ms comunes para sacar la tarjeta de residencia, y se reducirà ­a drsticamente el nà ºmero total de migrantes legales que se admiten anualmente en Estados Unidos. En este artà ­culo se explican cules son esas  propuestas, a quià ©nes afectarà ­a y cà ³mo es el proceso legislativo estadounidense necesario para que se aprueben y se conviertan en ley. Propuesta de reforma migratoria para los "Dreamers" Los Dreamers son los inmigrantes indocumentados que llegaron a los Estados Unidos siendo nià ±os. Cualquier tipo de reforma migratoria que se intente llevar a cabo, pasa por la necesidad de encontrar una salida legal a la situacià ³n de estos muchachos. Barack Obama, el anterior presidente, protegià ³ a 700.000 de ellos de la deportacià ³n y les permitià ³ obtener un permiso de trabajo cuando, mediante una accià ³n ejecutiva en 2012, creà ³ el programa de Accià ³n Diferida, conocido en inglà ©s por las siglas de DACA.   Sin embargo, en septiembre de 2017 y mediante otra  orden ejecutiva, el Presidente Trump puso fin a ese programa de forma escalonada y prohibià ³ presentar nuevas solicitudes. En  la actualidad, por decisià ³n judicial el gobierno est obligado a seguir procesando solicitudes de renovaciones, a la espera de que una corte dicte sobre la legalidad de la accià ³n ejecutiva que puso fin a DACA. De aprobarse la propuesta de reforma migratoria, se abrirà ­a un camino para estos muchachos hacia la ciudadanà ­a estadounidense, previa obtencià ³n de la residencia permanente, tambià ©n conocida como green card, en un proceso que podrà ­a demorarse entre 10 y 12 aà ±os. Se estima que esta propuesta beneficiarà ­a a un total de 1,8 millones de jà ³venes, es decir, los 700,000 de DACA y 1,1 millà ³n ms de personas que podrà ­an calificar. Para ellos supondrà ­a pasar de un estatus migratorio de indocumentado a uno legal. Reforma migratoria eliminarà ­agreen card por reunificacià ³n familiar Una de las iniciativas ms polà ©micas de  Trump  es la de poner fin a ciertas categorà ­as de peticià ³n de la tarjeta de residencia permanente para familiares.   Se eliminarà ­an, en primer lugar, las peticiones que, segà ºn la ley actual, pueden realizar los ciudadanos americanos en favor de sus padres, hermanos, hijos casados de cualquier edad e hijos solteros mayores de 21 aà ±os. Es decir, los ciudadanos solo podrà ­an pedir la green card para sus cà ³nyuges y para sus hijos solteros considerados como nià ±os (child, en inglà ©s segà ºn la terminologà ­a de las leyes migratorias).   En la actualidad, para la ley migratoria que rige este tipo de solicitudes, es considerado como nià ±o toda persona soltera menor de 21 aà ±os de edad. Algunas propuestas de reforma migratoria consideran rebajar a 18 aà ±os la consideracià ³n de nià ±o. En segundo lugar, segà ºn esta propuesta de reforma migratoria, tambià ©n se eliminarà ­an las peticiones de papeles efectuadas por residentes permanentes en favor de sus hijos solteros mayores de 21 aà ±os, de tal manera que los residentes permanentes solo podrà ­an pedir la green card para sus cà ³nyuges y para sus hijos solteros menores de 21 aà ±os. Tambià ©n en estos casos se considera rebajar la edad a los 18 aà ±os, en vez de los 21, que es la edad que aplica en la actualidad. Para justificar  esta medida de poner fin a ciertas categorà ­as de inmigracià ³n por reunificacià ³n familiar, Trump argumenta que, en realidad, es una forma de inmigracià ³n en cadena. Por ejemplo, un ciudadano puede pedir a un hermano y puede incluir en la misma solicitud a la esposa de este y a los hijos solteros menores de 21 aà ±os. Con el paso del tiempo, esas personas podrà ­an obtener la green card y, posteriormente, la ciudadanà ­a americana por naturalizacià ³n. A partir de ese momento, podrà ­an realizar sus propias peticiones. Por ejemplo, la cuà ±ada del ciudadano que realizà ³ la primera peticià ³n podrà ­a pedir a sus padres, hijos mayores de 21 aà ±os o hermanos. Asà ­, esas personas  emigrarà ­an a Estados Unidos meramente por razà ³n de sus lazos familiares, pero sin tener en consideracià ³n quà © le pueden aportar al paà ­s.   Si se aprobara una reforma migratoria eliminando las categorà ­as de peticiones de familia  mencionadas, se reducirà ­a automticamente en 400.000 personas el nà ºmero de inmigrantes que legalmente obtienen la green card en Estados Unidos por aà ±o fiscal. En este caso, los perjudicados serà ­an los 3,9 millones de personas que llevan aà ±os, y en algunos casos dà ©cadas, esperando  una visa de inmigrante disponible en su categorà ­a, como se puede verificar en el boletà ­n de visas que publica y actualiza cada mes el Departamento de Estado. Entre las personas que ms tiempo llevan esperando estn los hermanos y los hijos casados de ciudadanos americanos de Mà ©xico. Entre los perjudicados tambià ©n estarà ­an los ciudadanos y los residentes que presentaron la peticià ³n de papeles en favor de un familiar en una categorà ­a que se eliminarà ­a. Eliminacià ³n de la loterà ­a de visas de la diversidad Todos los aà ±os fiscales, se celebra un sorteo gratuito de tarjetas de residencia permanente que se conoce como loterà ­a de visas de la diversidad y que tiene por objeto facilitar la inmigracià ³n procedente de paà ­ses con niveles no altos de migracià ³n actual hacia Estados Unidos. Por esta razà ³n, estn excluidos de participar los nacidos en paà ­ses con altas tasas de migracià ³n, como Mà ©xico, Repà ºblica Dominicana o Colombia, por ejemplo.   En la actualidad, la loterà ­a de visas favorece principalmente a los africanos. Entre los paà ­ses de habla espaà ±ola, los venezolanos son los que estn ganando por este sistema ms tarjetas de residencia. De eliminarse este programa de la loterà ­a de visas, los perjudicados serà ­an las 50.000 personas que anualmente obtienen la tarjeta de residencia por medio de este sorteo. Construccià ³n de muro enla frontera entre Estados Unidos y Mà ©xico La construccià ³n del muro, una de las promesas electorales de Trump, tendrà ­a un costo de 25 mil millones de dà ³lares. La Casa Blanca pone como requisito para apoyar cualquier medida de regularizacià ³n migratoria para los Dreamers que el Senado y la Cmara de Representantes aprueben el presupuesto para la construccià ³n del muro y que se incremente la partida de dinero destinada a las labores de control en las zonas fronterizas que llevan acabo la Patrulla Fronteriza (CBP, por sus siglas en inglà ©s) y el ICE, la agencia encargada de ejecutar las leyes migratorias. La construccià ³n del muro tiene una fuerte oposicià ³n en Estados Unidos, ya que un buen nà ºmero de legisladores opinan que es muy caro, que la frontera entre los dos paà ­ses ya est casi en su totalidad separada por una valla y, finalmente, que no servirà ­a realmente para detener completamente la inmigracià ³n indocumentada. Esto porque se estima que ms de la mitad de todos los migrantes indocumentados presentes en Estados Unidos ingresaron legalmente con una visa y, simplemente, perdieron su estatus al no salir del paà ­s dentro de plazo. En este caso, se argumenta que la à ºnica solucià ³n para acabar con la migracià ³n indocumentada serà ­a imposibilitar que pudiese  trabajar mediante la imposicià ³n obligatoria en todas las empresas del sistema e-verify para verificar el estatus migratorio de todos los empleados y acompaà ±arla de altas multas a las empresas que den trabajo a inmigrantes sin los documentos en regla. De construirse el muro, los grandes perjudicados serà ­an los contribuyentes estadounidenses, ya que el dinero no lo pondrà ­a Mà ©xico, como se habà ­a anunciado en el fragor de la  campaà ±a presidencial del 2016. Creacià ³n de sistema de inmigracià ³n por puntos En el caso de una eventual nueva ley migratoria, el Presidente Trump favorece modificar  las categorà ­as que regulan la inmigracià ³n por trabajo estableciendo un sistema de puntos, similar al que existe en  Australia y en Canad. De crearse ese sistema, cada candidato a emigrar recibirà ­a una serie de puntos en funcià ³n de sus caracterà ­sticas personales  como, por ejemplo, educacià ³n, edad, experiencia laboral y conocimientos de inglà ©s. Cuanto mayor fuera su puntaje, mayores serà ­an las posibilidades de obtener una green card. Reforma migratoria para indocumentados que no son Dreamers Se calcula que en Estados Unidos hay unos 11 millones de inmigrantes sin papeles. Las propuestas de reforma solamente  contemplan la regularizacià ³n de los jà ³venes conocidos como Dreamers, lo cual dejarà ­a sin legalizacià ³n a aproximadamente nueve millones de migrantes. Todavà ­a no se ha articulado una propuesta sobre quà © pasarà ­a con ellos, aunque se estima que no resultarà ­a factible deportarlos a pesar de las amenazas que frecuentemente se dicen. Quà © es necesario para que se apruebe una ley de reformamigratoria La reforma migratoria es competencia federal y para que se apruebe una ley es necesario la mayorà ­a simple en la Cmara de Representantes (218 de 435)  y la mayorà ­a simple en el Senado (51 de 100). Una vez que una ley es aprobada por ambas cmaras es necesario que la firme el presidente. Sin embargo,  en el Senado hay un recurso de obstruccià ³n legislativa, que se conoce en inglà ©s como filibuster y  que permite que uno o varios senadores impidan que una propuesta de ley se vote mediante el uso continuo  de la palabra. El filibuster solo puede detenerse cuando no hay  ms senadores dispuestos a hablar o cuando asà ­ lo decidan 3/5 del total de senadores (60 senadores). Esto tiene importantes consecuencias prcticas dada la  actual composicià ³n del Senado, donde 52 senadores son republicanos, es decir, del mismo partido que el presidente. Para levantar un posible el filibuster  que impida votar en la Cmara Alta una propuesta de ley de reforma migratoria del Presidente Trump, los republicanos necesitan al menos ocho votos de senadores demà ³cratas, lo que significa en la prctica que para aprobar esa ley es imprescindible un acuerdo entre los partidos republicano y demà ³crata. Mientras Trump  intenta aprobar una reforma migratoria, es recomendable que los migrantes indocumentados en Estados Unidos se asesoren con abogados u organizaciones con excelente reputacià ³n sobre las posibilidades reales para regularizar su situacià ³n, si es que existe alguna. Este es un artà ­culo informativo informativo. No es asesorà ­a legal.

M13 Comparative Law in a Global development Context Essay

M13 Comparative Law in a Global development Context - Essay Example Legal systems within the national levels and the lawyers as well as the judges administering such legal systems seem to be destined to interact with unfamiliar legal systems within national, regional, and super-national levels/nature in various ways that are typically multi-faceted. The associated trends and the resulting developments are therefore found to exert a significant effect on the legal environments in any region. There is thus the need for traditional doctrinal curriculum to create a balance through offerings, which would enhance young lawyers’ perspectives by instilling the practical appreciation of the prevailing comparative issues in them. This paper specifically identifies the various issues within the context of comparative methods of dispute settlement in a Global Development Context. Usually, any parties to a given dispute are under the duty of settling the dispute peacefully according to Article 2 of the UN Charter. The parties are expected to remain in principle for the dispute settlement. The parties are also free to make decisions on particular dispute settlement means that they prefer, especially in the absence of a specific treaty obligation according to Article 33 of the UN Charter. All settlements in this category depends inevitably on the parties’ agreement. In this regard, international dispute settlements are accompanied by inherent tensions between the legal duties to peaceful dispute settlements and the absence of real and compulsory mechanism for rendering such obligate effective. According to Menski, in Ãâ€"rà ¼cà ¼ and Nelken (2007:213), â€Å"Non-European informal methods of dispute settlement might resemble healing rituals rather than legal processes, but they are just as powerful as formal legal mechanisms.† This assertion is certainly true to a great extent since the settlement of disputes covers a wide range of settlement devices. Typically, there is a complex relationship between law and religion and that is why the

Budget for Foster Adoption Center Assignment Example | Topics and Well Written Essays - 750 words

Budget for Foster Adoption Center - Assignment Example The assignment "Budget for Foster Adoption Center" is based on the tabulated budget. Justification of the funds allocated in each budget section can be summarized as follows; direct costs, which represent, costs incurred in the performance of the project and for this intention be granted reasonable and allowable amount. With the sole responsibility of ensuring the smooth daily running of the program, direct cost is justified to attract an allocation of 144,300$ of the total monthly allocation of 209,600$. Direct costs comprise of expenditure groups such as salaries, consultants’ fees, and employees’ benefits. For example, under salaries, the executive had the biggest share of 25,000$ because of the nature of the job in terms of responsibilities to be undertaken. For the case of social workers, their salaries amount to 50,000$ with an explanation based on the calculation rate of 5 workers with a salary of 5,000$ each. Based on this, they are justified to attractive packa ges or salaries to boost their morale and make them reach the set target as per the program objectives and aims of the organization. Consultation fees attracted 8,000$. This is paid to individuals not employed by the organization and therefore the number days will be put in consideration. This amount supported by the fact that, there are always additional costs such as travel and per diem included. According to Nice (2002), indirect cost or administrative costs are not usually specific but will still be considered as costs in the long run.

Complaint of Chest Pain Case Study

Complaint of Chest Pain Case Study Jon Teegardin When assessing the patient with chest pain, it is important to pay attention to all of the information available from the patient. Not all chest pain is related to cardiac issues, and not all incidents of myocardial infarction present with classic chest pain symptoms. There are many possible causes of chest pain. The source of chest pain can be cardiac, respiratory, muscular, gastro-intestinal, or even psychological. This paper will discuss several causes of chest pain, and then address cardiac, circulatory, and respiratory assessments of a patient with a chief complaint of chest pain. Causes of chest pain Myocardial infarction or heart attack results when a blood clot disrupts the flow of blood to the heart muscle itself (Jarvis, 2012). Patients often describe a crushing, heavy feeling in the chest. Sometimes the pain radiates to the jaw or left arm. The pain can hit suddenly or build gradually. This type of pain is not reproducible and isn’t relieved by nitroglycerine. Angina is chest pain caused by a buildup of plaque in the arteries that supply the heart with blood. It is described as a tightness, squeezing, or burning in the chest. It can last anywhere from five to thirty minutes and can occur when the heart is working harder or when it is at rest (Jarvis, 2012). Angina is typically relieved with rest and medication. Aortic dissection occurs when the inner layers of the aorta separate. The pain occurs suddenly and is described as sharp, stabbing, or tearing in nature in the chest or back. The pain is not relieved by rest or medication and is a medical emergency that requires surgical intervention. Digestive causes of chest pain include heartburn, gallbladder, and pancreas issues. This type of pain is described as pain or burning in the epigastric area and is relieved by antacids, dietary changes, or pain medication. Chest pain can be associated with injury to the muscles and cartilage in the chest. An inflammation of the cartilage of the rib cage, known as costochondritis can cause pain. Sore muscles from overexertion or bruised and broken ribs can cause chest pain as well. These types of pain are reproducible and are not relieved by nitroglycerine. Chest pain related to respiratory problems include blood clots in the lung called pulmonary embolism that cause shortness of breath and chest pain. Pleurisy, which is an inflammation of the membrane covering the lung causes chest pain that is worse when coughing or inhaling. Pulmonary hypertension can also cause chest pain. Patient 1 The patient is a 56 year old male that arrives at the emergency room by EMS transport with a complaint of chest pain that began one hour ago. The patient also complains of shortness of breath, and is sweating profusely. EMS has initiated IV access, placed the patient on 2 liters per minute of oxygen, given 325 milligrams of aspirin, and given one sublingual 0.4 milligram nitro. A focused assessment is started. The patient is asked to describe his chest pain and what he was doing when the pain started. The patient reports that he was doing yard work when he became short of breath and started sweating profusely. He felt a crushing pain in his chest and the pain went up the left side of his neck into his jaw. The patient coughs several times while giving this information. He describes the pain as a crushing feeling in his chest. He also states that his left calf has been hurting for several days, but thinks it’s just muscle cramps. Vital signs are obtains and are as follows: Blood pressure is 189/98, pulse is 140 beats per minute. Respirations are labored at 24 per minute. O2 saturation is 95% with two liters per minute of oxygen applied by nasal cannula. The patient’s heart sounds are auscultated and normal S1 and S2 are noted. The apical pulse is bounding and tachycardic at 140 beats per minute. The lungs are auscultated and decreased breath sounds are noted in the right lower lobe. Crackles are noted bilaterally in the lower lobes as well. The brachial pulses are palpated bilaterally by pressing the artery against the bone on the anterior medial aspect of the right and left elbow (Jarvis, 2012). The pulses are strong and equal. The radial pulses are palpated bilaterally by again pressing the artery on the posterior medial aspect of each wrist. These pulses are also strong and equal. Turgor is assessed on each upper extremity by pinching a small fold of skin on the back of the hand. No tenting is observed. The color of the extremity is pink and feels warm to the touch. Capillary refill is assessed by pressing down on the fingernails of each hand and observing the blanching. The capillaries refill in less than 2 seconds. Next the lower extremity pulses are assessed. The femoral pulses are palpated by pressing deeply into the medial aspect of the upper thigh, below the inguinal ligament and about midway between symphysis pubis and anterior superior iliac spine (Jarvis, 2012). Two hands are used, one on top of the other to feel the femoral pulse on each leg. The pulses are even and regular. Moving down the lower extremities, the popliteal pulses are palpated by pressing down on the posterior medial aspect of the knee. The left pulse is slightly diminished compared to the right pulse. Next the posterior tibial pulses are palpated. The posterior tibial pulses are located on the posterior aspect of the ankle. Again, the left pulse is diminished significantly compared to the right pulse. Finally, the dorsalis pedis pulses are palpated on the top of each foot. The left pulses amplitude is low, the right pulse is normal. The left calf is warm and swollen compared to the right calf. The patient complains of pain when the left calf is palpated. Turgor is assessed on the top of each foot and no tenting is observed. Capillary refill is brisk and less than two seconds on the right foot, but is sluggish in the left foot. Decreased pulses in the lower left extremity, swelling and pain are indicative of a blood cl ot known as a deep vein thrombosis (National Institute of Health, 2011). SOAP S: The patient complains of shortness of breath and chest pain that began one hour ago. The patient also complains of left calf pain. O: The patient is hypertensive, tachycardic, is breathing rapidly, and is sweating profusely. Breath sounds are diminished in the right lower lobe. The pulses in the left lower extremity are diminished, the left calf warm, swollen, and tender. A: The patient appears to be suffering from a pulmonary embolism secondary to a deep vein thrombosis in the left lower extremity (Mayo Clinic, 2014). Blood and diagnostic tests are ordered as follows: complete blood count, complete metabolic panel, cardiac enzymes, d-dimer, PT/INR, PTT, ECG, ultrasound of left lower extremity, and CT of the chest with contrast. The results are listed below. Complete blood count is within normal limits. The metabolic panel is within normal limits. The cardiac enzymes are within normal limits, the most important being the troponin level which is less than 0.01, the d-dimer is elevated at 900 ng/ml (normal is P: Anticipate admission of this patient to the ICU. The patient will need to be accurately weighed in anticipation of administration of a heparin drip to prevent further clots and dissolve the clot in the lung and the clot in the left lower extremity. Pulmonary embolism is just one of many causes of chest pain. Although some causes are not medical emergencies it is important to seek medical attention. Early intervention and treatment, especially of cardiac related chest pain is essential in preventing continued or lasting damage to heart muscle. References Jarvis, C. (2012). Physical Examination and Health Assessment [VitalSouce bookshelf version].  Retrieved from http://digitalbookshelf.southuniversity.edu/books/978-1-4377-0151-7/outline/24 Mayo clinic. (2014). Pulmonary embolism. Retrieved November 4, 2014, from http://www.mayoclinic.org/diseases-conditions/pulmonary-embolism/basics/definition/con-20022849 Mayo Medical Laboratories. (2014). D-Dimer. Retrieved November 4, 2014, from http://www.mayomedicallaboratories.com/test-catalog/Clinical and Interpretive/9290 National Institute of Health. (2011). Deep Vein Thrombosis: Symptoms, Diagnosis, Treatment and Latest NIH Research | NIH MedlinePlus the Magazine. Retrieved November 4, 2014, from http://www.nlm.nih.gov/medlineplus/magazine/issues/spring11/articles/spring11pg20-21.html

In Cold Blood Dialectical Journal Essay

Entry 1, page 5 â€Å"But afterward the townspeople, theretofore sufficiently unfearful of each other to seldom trouble to lock their doors, found fantasy re-creating them over and over again—those somber explosions that stimulated fires of mistrust in the glare of which many old neighbors viewed each other strangely, and as strangers.† I found this quote to be a sad truth. It is disappointing to know that in this small town wherein everyone was on a friendly basis with one another, they would all turn their backs on neighbors they’ve known forever, due to the dangers of their own imagination. Once someone has my trust, I don’t think twice about helping them or confiding in them. And in return, anyone who puts their trust in me should feel safe telling me their deepest, darkest secrets. However, when that trust is broken, so is the image of that person. Then I wonder: if they would lie about something that meant a great deal to our friendship, who knows what other lies they must’ve spread? I begin to question who they are, and if they were ever my friend in the first place. It’s as if I am seeing them in a whole new light. The worst part is, no matter how hard I may try, I just can’t bring myself to talk to that person as comfortably as I had before. Now I have to think: do they have an ulterior motive, or are they honestly trying to regain the lost closeness of our friendship? I am also reminded of the power our imagination has. Giving our minds the ability roam free can plant unnecessary fear in our hearts, which, in turn, makes it harder to trust one another. Just because a friend made an honest mistake, doesn’t mean they’re going to do it again. But, in my mind I see him/her telling everybody personal aspects of my life. It can be rather hard to regain our friendship with such a terrifying image in the back of my mind. I imagine that must be how the citizens of Holcomb, Kansas must have felt. They must have been questioning the integrity of each of their friends, wondering, who could’ve killed a well-respected family? Entry 2, page 29-30 â€Å"Mrs. Kidwell sat down on the bed; she wanted to hold Bonnie in her arms, and eventually Bonnie let herself be held. ‘Wilma,’ she said, ‘I’ve been listening to you, Wilma. All of you. Laughing. Having a good time. I’m missing out on everything. The best years, the children—everything. A little while, and even Kenyon will be grown up—a man. And how will he remember me? As a kind of ghost, Wilma.’† After reading this passage, I could not help but feel so incredibly sorry for Bonnie Clutter. Bonnie did want to be a part of her children’s lives, but due to her illness, she spent the majority of their lives in her bedroom or in a treatment facility. I think Capote included this scene with Bonnie in the novel because as a child, his parents neglected him. They often traveled for lengths of time, leaving Capote in the care of his mother’s relatives. Perhaps Capote related to the Clutter children (mostly Kenyon, seeing as how Bonnie spent the least amount of time with him) due to a feeling of abandonment caused by their absent mothers. I couldn’t imagine the guilt poor Bonnie must’ve felt for not playing an active role in the lives of her children. I know for a fact that my mother plays an important part in my life. She has taught me right from wrong, how to take care of myself, and that I should always treat people with respect. No matter what, I know my mother is always here for me, ready to take me in with open arms. Sadly, Capote never learned such things from either of his parents, which may explain why he was so intent on gaining fame and recognition, so that he may finally be praised and have a feeling of accomplishment. The Clutter kids were luckier than Capote because they had a father, Herb, who instilled wonderful morals into his four children and taught them the things Bonnie could not. Entry 3, page 57 â€Å"But as in every manifestation, she continued to tinker with her handwriting, slanting it to the right or to the left, shaping it roundly or steeply, loosely or stingily—as though she were asking, ‘Is this Nancy? Or that? Or that? Which is me?’ (Once Mrs. Riggs, her English teacher, had returned a theme with a scribbled comment: ‘Good. But why written in three styles of script?’ To which Nancy had replied: ‘Because I’m not grown-up enough to be one person with one kind of signature.’)† Nancy, I believe, perfectly represents teenagers, past and present. Nancy shows that we don’t have the slightest clue who we truly are. That is why our teenage years are so important. These are the years in which we begin to find ourselves, beginning with our signatures (heart or no heart?). There are so many people who expect us to know what we will do with our future when, in actuality, we are only beginning to discover our likes and dislikes, nowhere near deciding what we will be doing for the rest of our lives. So many of us teenagers (and some adults) are trying out different handwritings, or ideas of what we want to do with our lives, before we settle on the one type of calligraphy that we will carry with us forever. Throughout my life, my handwriting has changed drastically, as have my aspirations. As a child, I would write in big loopy letters, which perhaps represented the loopiness of who I wanted to be at the time (a princess). Over the years, as my letters became m ore refined and smaller, so did my aspirations. It’s almost as if my handwriting shows how much reality had sunk in. I went from wanting to become a princess, to President, to a spy, to a marine biologist, to a wildlife photographer, to a business executive, and now to a doctor. Nancy is just using her handwriting as another step in finding who she is. Entry 4, page 109 â€Å"‘Deep down,’ Perry continued, ‘way, way rock-bottom, I never thought I could do it. A thing like that.’† This quote expresses my fear of our humanity. We are not perfect beings. We make mistakes. We have limits. But how do you know how far you can go before you spread yourself too thin? That is why we must push ourselves to find our limits. Sometimes it’s good to push ourselves, like in athletics and academics. But, Perry pushed himself to the breaking point. Perry thought he knew his limits. He never intended to murder a family in cold blood; he just needed money. If anything, he was trying to help them in any way he could,  including making them as comfortable as he possibly could. But he got caught up in the moment, and he murdered the Clutter family point-blank. And what’s even scarier is that so many people could have buckled under the same circumstances, just as Perry did. We would all like to believe we will always stand by our morals and always do the right thing, but when push comes to shove, will you? Our natural instinct is to say â€Å"Of course I will.† However, imagine you’re poor, you have no family (that would help you), and you are desperate for a way to change your life for the better. Now, would you commit a robbery? My job as a big sister is to protect my younger siblings, no matter what. Late one night, I was struggling to finish my homework, I was tired, and I had a major headache. As I was rushing to finish up and go to bed, my little brother, the baby of the family, would not leave me alone. I reached a point where I couldn’t handle it anymore, and I tried to push him away from me, but instead he fell on the ground and began to cry. I immediately felt terrible. I tried to help him up, but he ran away to our mother. I imagined he thought of me as some kind of a monster. My reasons for agitation in no way justified my actions. But the worst part was, I never thought I could ever hurt my baby brother. It made me sick to know that I did. Entry 5, page 191 â€Å"‘You live until you die, and it doesn’t matter how you go; dead’s dead. So why carry on like a sackful of sick cats just because Herb Clutter got his throat cut?’† It’s important that we don’t let anything stop us in life, including death. Yes, death does change things, but it isn’t meant to be the end of the world. The world will continue to spin on, and people will continue their daily basis. While it is vital that we deal with a death through mourning, there is no point in worrying ourselves sick over the death of a loved one. If all we ever did was sit around and worry whenever someone died, we would never have the chance to actually live. Our deceased loved ones would actually want us to live our lives to the fullest, so when our time ultimately comes, we’ll know we made the most of our time here on Earth. We can die in the most heroic way possible, or in the most tragic way. That  doesn’t mean our deaths should be held in a higher regard than someone who had died a â€Å"normal† death. No one’s death is more important than another’s. It doesn’t matter who we were when we wer e alive. Your accomplishments over others, the amount of money you had, how big your house was, the car you drove†¦. You won’t keep those material things once you die. They couldn’t mean less because in the end, we all end up the same way: dead. Entry 6, page 202 â€Å"Perry O’Parsons had died without having ever lived. What was there to look forward to?† Perry O’Parsons was Perry’s alter ego. He had planned to use the name as his stage name for when his music career kicked off. Unfortunately for Perry, he never got the chance to perform his music on a stage, so he never got the chance to reveal Perry O’Parsons. Maybe if Perry’s music career had launched, then maybe he wouldn’t have murdered the Clutter family. What upsets me the most about Perry’s alter ego is when he asks, â€Å"What was there to look forward to?† When he realizes he will never be able to start his life all over as Perry O’Parsons, I feel as if he truly gives up on his dreams. Perhaps this is Capote’s way of saying that we don’t always get what we want, but that doesn’t mean we should give up like Perry did. Not everything is easily attainable. For example, I have the hopes of becoming a doctor, but the work and training is very rigorous. But I can’t just give up. Even if I find I do n’t have the work ethic to become a doctor, life still goes on. I can’t throw a little fit because something didn’t work out in my favor. No matter what, I will have to work hard to do well in whatever it is I choose. If I decide that I actually don’t want to be a doctor, then it just means that I’ve narrowed down my career choices by one. It may not sound like much, but that means I have more time to figure out what career does interest me and I am one step further from ending up like Perry. Entry 7, page 240 â€Å"‘Dick stood guard outside the bathroom door while I reconnoitered. I frisked the girl’s room, and I found a little purse—like a doll’s purse. Inside it was a silver dollar. I dropped it somehow, and it rolled across  the floor. Rolled under a chair. I had to get down on my knees. And just then it was like I was outside myself. Watching myself in some nutty movie. It made me sick. I was just disgusted. Dick, and all his talk about a rich man’s safe, and here I am crawling on my belly to steal a child’s silver dollar. One dollar. And I’m crawling on my belly to get it.’† I think this revelation of Perry’s is a crucial part of the book. This is where Perry looks at who he’s become, and he’s not happy about it. Perry not only knows he’s trying to steal money from a family that has never done one single thing to bring that upon themselves, but now he sees just how desperate he is as he searches for a dollar coin that belongs to Herb’s daughter. He realizes that he has turned into a repulsive and pitiful man. I began to pity Perry, mostly because he had hopes and dreams, unlike Dick, yet there he was, scrounging for a measly dollar. I felt sorry for him because he really did reach â€Å"rock-bottom† (page 109). There he was, ready to rob the Clutters, possibly getting ready to kill them, and he was only in this situation because he chose to follow Dick in the pursuit of some money. Even though Perry is committing a senseless, violent act and I should despise him for doing these savage acts to such a kind family, I can’t help but feel sorry for him. No matter what happens to me in life, I would never want to end up in Perry’s position where I’m questioning how I got to be at such a low point in my life. This quote actually reminds me of Capote as he turned to alcoholism and he began to alienate his friends because he couldn’t give up the drug that is fame. Entry 8, page 255 â€Å"‘And I was right!—that’s just what he wanted to do: admit that Hickock had been telling the truth, and that it was he, Perry Smith, who had shot and killed the whole family. He said he’d lied about it because, in his words, ‘I wanted to fix Dick for being such a coward. Dropping his guts all over the goddam floor.’ And the reason he’d decided to set the record straight wasn’t that he suddenly felt any kinder toward Hickock. According to him he was doing it out of consideration for Hickock’s parents—said he was sorry for Dick’s mother. Said, ‘She’s a real sweet person. It might be some comfort to her to know Dick never pulled the trigger. None of it would have  happened without him, in a way it was mostly his fault, but the fact remains I’m the one who killed them.’† After reading this passage, I was in shock. I honestly believed that Dick was the true murderer of the Clutter family. Well, it turns out that Dick is a chicken who can only talk up a big game, but he can’t do much else. I am just even further confused by Perry’s actions. It is hard to believe that he did in fact kill the Clutters. Perry doesn’t seem like he could be such a cold-hearted killer. After all he did to try to get Dick to turn around and ditch their plan, when he stopped Dick from attempting to rape Nancy, all he did to make the Clutters more comfortable, how nice he was to them†¦. And he was the one who ended up killing them all. Not only that, he only decided to tell the truth about Dick killing no one because he was thinking of Dick’s mother. Even though it was because of Dick that he was even in Kansas, he still tries to look out for his mother by taking the full credit for the murders. It’s almost as if Perry is actually two dif ferent people. I don’t know how I should feel toward Perry anymore. My immediate feelings toward him are pity, fear, and compassion. I can see why Capote was so interested in their case. It’s because nothing is as you would have believed they were. Entry 9, page 339 â€Å"As is customary, the warden, having finished his recitation, asked the condemned man whether he had any last statement to make. Hickock nodded. ‘I just want to say I hold no hard feelings. You people are sending me to a better world than this ever was’; then, as if to emphasize the point, he shook hands with the four men mainly responsible for his capture and conviction, all of whom had requested permission to attend the executions: K.B.I. Agents Roy Church, Clarence Duntz, Harold Nye, and Dewey himself. ‘Nice to see you,’ Hickock said with his most charming smile; it was as if he were greeting guests at his own funeral.† I did not expect Dick to be so polite in his last moments. Throughout the book, majority of what he has said was crude, sarcastic, or humorous. Not only was Dick polite, he even thanked Church, Duntz, Nye, and Dewey for capturing him and, ultimately, sending him to his death. It’s interesting  that Dick says he is going to a â€Å"better world,† but earlier in the book, he mentioned to one of the prison inmates, Andy, who was also on Death Row, to find them a shady spot in Hell. So he either believes Hell is better than Earth, or he thinks he is going to Heaven. Or maybe, he believes in the vast darkness of death, and he can’t wait for the void of nothing. I also thought it was interesting that he smiled until the very end. I don’t know if he smiles because he’s come to terms with his debt, or if he just wants to unnerve the group attending his execution. I personally think that he is accepting his fate, and he’s somewhat at peace with it. However, him being Dick, he wants to go out with a fanfare, give the audience a show, so he makes sure he seems as effervescent as ever. Entry 10, page 340-341 â€Å"But Smith, though he was the true murderer, aroused another response, for Perry possessed a quality, the aura of an exiled animal, a creature walking wounded, that the detective could not disregard.† I can understand why no one ever felt any sympathy for Dick as he was walking up to die because Dick was a rough and tough guy who never let anyone see his true emotions. However, with Perry, I believe that most of the audience has begun to feel sorry for him. Unlike Dick, he doesn’t hide his feelings. He is afraid of what will come next, and that has evoked a response from Detective Dewey. But, how do we know his feelings are real? Earlier in the book when Detective Nye goes to San Francisco to visit Perry’s only living sibling, Barbara, she mentions that Perry can easily fake his emotions to make people feel sorry for him. Maybe he was trying to get everyone there to pity him so much that they would stop his hanging and give him a life sentence. Well the crowd did pity him, but they wanted him to hang for his atrocities. Right before he was hung, Perry apologized for his actions, even though he could never make up for murdering the Clutters. I think the reason why Dew ey refused to see Perry hanging is because he did feel sorry for him.