''Storm Center'' by David M. O'Brien Essay Example | Topics and Well Written Essays - 2000 words

''Storm Center'' by David M. O'Brien - Essay Example He illustrates it in a such stoical manner, that the power of America's superior anti-democratic and opposition of majoritarian institution completely depends upon the endorsement or agreement of the country. Even though we think that when it comes to politics, we pay close attention to the elected branches, Alexis de Tocqueville was his common acute as well as observed that hardly any issue which is political take place in the United States that is not determined, ,into a legal question. As Justice Oliver Wendell Holmes stated that the Court turns into what is called a ''storm centre'' when it tackles a passion-stirring concern weather it be assimilation, crime, abortion, affirmative action. ''Storm Center'' by David M. O'Brien gives instance of the above mentioned issues. Given the reality that the Court is an oligarchy and all relies on only 9 lords, each and every one of whom is expected to have strong belief and a powerful persona; it would be astonishing if personal hostility did not take place in the procedures. O'Brien in a brilliant manner presents the example of Justice James C. McReynolds, he considers him as being anti-Semitic, would exit from the conference room every time Justice Louis D. Brandeis started to speak . Nevertheless O'Brien points out realistically that irrelevant frustration that has no big part in the important decisions. The Justices are restricted via the type of courtesy which is incorporated into the Court's cases (for example they all of them shake hands each others hands before starting a conference) by the gracefulness of its political position as well as by institutional and prudential concern; unpredicted coalition are made on sensitive issues. O'Brien does not give in blow-by-blow accounts of fights -although he gives quite a few good accounts of the cases however he pays more attention to analyzing the structure and operations of the Court. He states that it has turned into common knowledge, that Justices are frequently selected for their apparent ideological likeness to whoever the President is at present , just to let down their sponsor once installed. An well liked example of O'Brien is of president Dwight D. Eisenhower's choice of Chief Justice Earl Warren. (President Reagan's consultant clearly knows their record; his most recent recommendation to the Court appears to be diligently proposed in order evade any surprises.) Kind Of Research And Analytic Method O'Brien is clear as well as remarkable in the powerful analytic method he uses to explain how the Justices allocate their work. He has used qualitative research as he has utilized pervious literature for the court cases in order to proof his point . this kind of research has led him to give valid information regarding the fact that law clerks have achieved power in current years, as the load of work has increased, although he thinks that their influence is less than that influence which readers of his last publication ''The Brethren'' had . Although the importance that he has given to collegiality ever since the time of Chief Justice John Marshall as well as the strong wish for consent, particularly on important issues , foremost decisions have occasionally been

Police Application Process Essay Example for Free

Police Application Process Essay The different steps in a typical police application process include the following: A written test. There are two written tests in the selection process: The first test is the Alberta Communication Test (ACT) and The Alberta Physical Readiness Evaluation for Police (A-PREP). There is a Screening Interview were the applicants is contacted by a File Manager to arrange a one-on-one interview. The purpose of this interview is to discuss and outline expectations of the selection process. Following the screening interview there is a panel interview, which involves three members of the Service (Recruiting Unit File Manager and two others selected from other areas) they will ask general questions related to the applicants application. Something that every police service uses is the Polygraph Examination. The polygraph is were many applicants have failed and have been asked to leave. The polygraph exam is a test that examines the applicant’s honesty, integrity and suitability for employment, A Psychological Assessment follows which will assist in determining suitability for employment as a police officer. Look more:Â  google recruitment process essay A Security Background Investigation is completed to examine the applicant’s previous record, This may include: A Employment and character reference check and a Credit check. The Selection Committee consists of Senior Officers (three Inspectors and the Chief Human Resources Officer) . The Applicant files are presented to the committee for review and consideration. The Applicant does not attend this stage of the process. The committee selects the most suitable and best-qualified applicants. Following the selection committees decisions there is a final step, which is the Occupational Medical Exam. This is a medical exam conducted by the occupational health provided for the city that the applicant is applying in. I believe the Physical Readiness Evaluation would be the most difficult because someone who may not be physically fit probably wouldn’t be able to complete the A-PREP. Due to the number of different challenges the individual would have to be physically fit.

Watson’s Caring theory (2008) for Elderly Care

Watson’s Caring theory (2008) for Elderly Care Aging is a natural part of human life. With modern technologies and medical innovations the society has been able to prolong life and thus increase the number of older adults in the society. Normal part of aging are inevitable physiological and psychological changes which need to be understood and addressed by nurses in order to provide appropriate care for older adults. Presenting patient’s description with appropriate data, I will utilize Watson’s Caring theory (2008) to assess the lower order need of activity-inactivity relative to this older adult patient cared for in the hospitalized environment. The integration of theory, research and best practice guidelines will be used to plan nursing interventions and strategies to meet the health needs of older adults in health care. Watson’s (2008) fourth caritas process of developing and sustaining a helping-trusting caring relationship will be used to describe the nursing implementations which were utilized in provi ding safe and competent care for older adult. Mr. X is 84 years old. He was admitted to the hospital on January 4, 2014 due to hematuria in his urine and a suspected Transient Ischemic Attack (TIA). After the admission, he was sent for a CT scan, which confirmed Mr. X’s TIA in his right hemisphere. On January 5, 2014 Mr. X was transferred to CP1, an acute care stroke unit. His first TIA episode had been on August 28, 2012. His comorbidities include hypertension and type II diabetes. His activities are limited to bed rest as he has risk of falls; also he is on input-output with a Foley catheter. He has left side weakness and mild facial drooping on the left side. He is alert and oriented; however, he has trouble focusing on many people at one time. His care plan states bed rest, assist with bath, diabetic diet, on intake and output. The vital signs obtained on the morning of January 28, 2014 were 36.7à ¯Ã¢â‚¬Å¡Ã‚ °, 85, 20, 92% and B/P 136/65. Mr. X’s Foley was taken out on January 24, and he was on intermittent ca theterization every six hours. During catheterization the patient’s urine was dark amber with particles, and totalled 519 ml. The patient is on bed rest and can be lifted to sit using the Hoyer lift. Mr. X’s diet is diabetic with 1600 calories and a regular texture; he eats with 50% assistance, and usually finishes half of his entire meal. Mr. X. is a good candidate for motor recovery; however, his baseline cognitive status may affect his ability to participate in the recovery process. Mr. X scores 13/30 on the Mini-Mental State Examination (MMSE), which indicates moderate cognitive impairment, and 8/30 on Montreal Cognitive Assessment (MoCA) which also signifies cognitive impairment. In order to be able to provide safe and competent care I had to research the diagnosis of my assigned patient. During the research the high correlation between his comorbidities and TIA was found. Transient ischemic attack (TIA) is a transient stroke that lasts only a few minutes, usually when the blood supply to part of the brain is briefly interrupted (Touhy, Freudenberger, Ebersole, Hess, 2012, p. 354). The blood supply interruption is commonly caused by arteriosclerosis, which in Mr. X’s case is potentially caused by his present conditions of type II diabetes and high cholesterol. Type II diabetes is a disease in which the pancreas does not produce enough insulin and the body does not properly use the insulin made (Canadian Diabetes Association, 2012). Mr. X is also a heavy man, which puts him into a high risk category for stroke since the excess weight destabilizes the body’s cardiovascular system. Mr. X’s Foley catheterization was due to stroke and diabete s, since them along or together as comorbidities are associated with urinary incontinence (Touhy et al., 2012, p. 141). In order to provide my patient with safe and competent care I had to maintain the patient in high Fowler’s position during breakfast and lunch to reduces his risk of aspiration and promote effective swallowing (Potter, Perry, Stockert, Hall, 2014, p. 1089). I also had to check for pocketing while I assisted Mr. X with his meal to prevent aspiration. Since Mr. X is assigned on bedrest a head-to-toe skin assessment was carried out with each bed bath to assess for skin break down â€Å"particular attention should be paid to vulnerable areas, especially over bony prominences† (RNAO, 2005, p. 9). In order to prevent the development of ulcers, I repositioned patient every two hours, used pillows to protect bony prominences and heel pressure ulcer guard for extra protection of heels (RNAO, 2005, p.10). Further to ensure the skin integrity, the adult briefs were changed frequently, and the barrier cream was applied to the perennial area. After two weeks the Foley was taken out to see if the patient is able to void by himself and to allow the bladder sphincter to function on its own. The intermittent catheterization to drain residual urine was introduced in order to prevent a UTI, since the â€Å"in-dwelling urinary catheter remains in the bladder for an extended period, making the risk of infection greater than with intermittent catheterization† (Potter et al., 2014, p. 1156). As mentioned previously, on the MoCA Mr. X scored 8/30 which is just above the score of â€Å"0 to 7= severe cognitive impairment† (Touhy et al., 2012, p. 91). Likewise, on the MMSE Mr. X scored 13/30, where the score between 13 and 20 suggests moderate dementia (Touhy et al., 2014, p.92). Consequently, Mr. X is a good candidate for motor recovery; however, his cognitive impairment may affect his ability to participate. One of the lower order needs defined in Watson’s Caring theory (2008) is the activity- inactivity. As Watson’s Caring theory (2008) describes, â€Å"a person’s need for activity-inactivity is fundamental and central to one’s life, as it affects the ability to move about and interact with his or her environment and to control one’s external and internal surrounding† (p. 160). The need for activity-inactivity is strongly connected with the life satisfaction, since the restricted activity puts one into high dependence of the caregiver. While providing care for patients who are limited with ambulation it is necessary for the nurse to remember to preserve patients’ dignity, enabling, and encourage them to perform necessary everyday living activities by themselves. Other psychological factors such as routine repetitiveness while patient is on the bedrest, may result in a functional loss of degree of mental status which may interfere with abi lity to perform and accomplish daily living activities (Gillis MacDonald, 2005, p.17). Mr. X low score on MoCa and MMSE may be a result of prolonged bedrest in which case the mental stimulation is needed to exercise the brain and break through the everyday routine. The possible nursing intervention for mental stimulation would be Snoezelen room, where the patient is exposed to different stimuli such as sounds, lights and colors, music and touch. The Snoezelen room has a potential to improve concentration, attention, mood and provide a necessary stimulation to the central nervous system to preserve balance (Van Weert et al., 2006, p. 658). The other very important factor of activity-inactivity need is the physical factor of muscle atrophy and deconditioning. According to Gillis and MacDonald (2005), â€Å"deconditioning is a complex process of physiological change following a period of inactivity, bedrest or sedentary lifestyle† (p.16). The process of deconditioning affects t he musculoskeletal system, decreasing the muscle strength, leaving the person frail and unable to ambulate on their own. Normal musculoskeletal system changes for older adults include changes such as total muscle mass decrease, increase rigidity of joints, and loss of strength (Touhy et al., 2012, p.76). Even though these changes are not life threatening, they have a potential complication of falls for frail older adults whose health has been compromised to the point where they have to be admitted to the hospital. In order to avoid any further disturbance of the organism and prevent injuries, patients such as Mr. X are placed on the bedrest. According to Kuromoto (1989), â€Å"bedridden or inactive patients require range of motion exercises to maintain joint mobility and muscle flexibility and to minimize contractures that prevent recovery and make care more difficult† (p.283). Therefore, recognizing extensive need of activity-inactivity, I incorporated the range of motion ex ercises into Mr. X’s daily routine. The second nursing intervention for physical activity was the resistance training with elastic band. According to Topp et al. (2003), â€Å"elastic bands exercise [†¦] was designed to improve upper and lower body strength† (p. 155). The third nursing intervention to promote physical activity was the hip-flexion and keen extension exercises while in the wheelchair, both of which are both recommended for older adults in order to increase strength and balance (Topp et al., 2003, p. 157). For additional nursing intervention I encouraged Mr. X to dress by himself, brush his teeth and eat on his own, all these activities helped Mr. X gain confidence in his performance, exercise his muscles on the regular basis. All of the physical exercises where targeted toward muscle strength increase, upon building confidence in strength I would encourage Mr. X to get up of the wheelchair for standing in order to gain balance. If all the interventi ons are successful, further activities would include aerobic walking to improve lower body strength, pedal exercise for muscle strengthening and blood circulation improvement (Grando et al., 2009, p. 13). The advantage of exercise according to Straub, Murphy, and Rosenblum (2008), â€Å"include reduced risk for cardiovascular mortality, improved blood pressure control, better glucose control in those with diabetes, and improved psychological well-being and physical functioning† (p. 470). Body is a multifunctional system where decrease in activity result in multidimensional deteriorations. According to Watson’s Caring theory (2008), â€Å"activity and meaningful work and service through activity bring satisfactory and purposive meaning to life† (p.160). The prolonged bedrest increases the necessity to satisfy the lower order need to activity-inactivity in order to increase patient’s satisfaction with quality of life and potentially reduce the hospital stay . One of Watson’s caritas process (2008) is, â€Å"developing and sustaining a helping-trusting caring relationship† (p.71). Caritas nurse needs to remember that the patient is not just a body that needs to be treated, is it also human-being whose needs go beyond physiological, thus holistic treatment is necessary to addresses physiological as well as psychological needs. Only through this view it is possible to create a â€Å"caring moment†, where nurse and client would develop a meaningful, trusting relationship in order to reach optimal health (Watson, 2008, p. 71). While providing care for the patient I was always engaged into active listening, through which I was able to learn about Mr. X’s past, his favourite activities and the food preference. I learned that Mr. X was active, which helped me understand better the extensive need for activity which Mr. X did not get enough. Using this knowledge I modified and incorporated more physical activities into h is daily routine. I was trying to provide care for the patient at the most comfortable time â€Å"enter into the experience to explore the possibilities in the moment† (Watson, 2008, p.74). One of the Mr. X’s nights was restless and he preferred to rest throughout the morning, I recognized his need and postponed the physical exercise and bed bath until later. I encouraged Mr. X to communicate his expectations of healing process, recognizing client-centered relationship where the patient is actively including into care (CNO, 2009, p.6). Helping-trusting relationship was demonstrated through the non-judgmental attitude, sensitivity and openness. Mr. X disclosed that even though he enjoyed physical activities, his lifestyle was not all healthy; he enjoyed unhealthy foods which contributed to the development of type II diabetes, and after found it hard to follow the diabetic diet. My response to Mr. X was to engage him into teaching of importance to adhere to the diabetic diet, have the consultation with dietician, and referral to the community resources of Canadian Diabetes Association. In order to provide Mr. X with competent care, I needed to gain his trust, which I was able to achieve by preserving Mr. X’s dignity while providing bed bath, allowing him to do as much care as it is possible, exposing only parts of the body that I was working with while washing. In order to be a Caritas nurse, I provided authentic care for Mr. X. by being present in the moment and caring beyond physical needs. Recognizing emotional part of helping-trusting caring relationship, encouraging patient into communication, plan of care development and decision making, I was able to establish and authentic caring relationship, where patient and I where equal participants in establishing healing environment. In order to be able to care for older adult nurses need to understand the special needs associated with aging, the comorbidities of their patient and how they are interrelated. Extensive research of patient’s history will enable the nurse to provide safe and competent care. Utilizing Watson’s Caring Theory (2008) and the lower-order needs into plan of care development will help prioritize care in order to assist individual with maximize life satisfaction. Recognizing oneself as the Caritas nurse and utilizing Watson’s caritas processes will help develop authentic caring relationship with your client to promote holistic healing and overall well-being. References: College of Nurses of Ontario (CNO). (2009). Practice Guideline: Therapeutic Nurse Client Relationship, Revised 2006. Retrieved from http://www.cno.org/Global/docs/prac/41033_Therapeutic.pdf Gillis, A., MacDonald, B. (2005). Deconditioning in the hospitalized elderly. The Canadian Nurse, 101(6), 16-20. Retrieved from http://search.proquest.com.uproxy.library.dc-uoit.ca/docview/232082245?accountid=14694 Grando, V.T., Buckwalter, K.C, Maas, M.L, Brown, M., Rantz, M. J., Conn, V.S. (2009). A trial of a comprehensive nursing rehabilitation program for nursing home residents post-hospitalization. Research in Gerontological Nursing, 2(1), 12-19. Retrieved from http://search.proquest.com.uproxy.library.dc-uoit.ca/docview/194680830?accountid=14694 Kuramoto, A. (1998). Passive range of motion. The Journal of Continuing Education in Nursing, 29(6), 283. Retrieved from http://search.proquest.com.uproxy.library.dc-uoit.ca/docview/223326722?accountid=14694 Potter, P., Perry, A., Stockert, P., Hall, A. (2014). Canadian fundamentals of nursing (J.C. Ross-Kerr M.J. Wood (Eds.) (8th ed.). Toronto: Mosby Inc. Retrieved from http://evolve.elsevier.com/staticPages/i_index.html Registered Nurses Association of Ontario (RNAO). (2005). Best practice guideline (BPG): Nursing Best Practice Guideline Risk Assessment Prevention of Pressure Ulcers. Retrieved from http://rnao.ca/sites/rnao-ca/files/Risk_Assessment_and_Prevention_of_Pressure_Ulcers.pdf Straub, C. K., Murphy, S. O., Rosenblum, R. (2008). Exercise in the management of fatigue in patients on peritoneal dialysis. Nephrology Nursing Journal, 35(5), 469-75. Retrieved from http://search.proquest.com.uproxy.library.dc-uoit.ca/docview/216532425?accountid=14694 Topp, R., Sobolewski, J., Boardley, D., Morgan, A. L., Fahlman, M., McNevin, N. (2003). Rehabilitation of a functionally limited, chronically ill older adult: A case study. Rehabilitation Nursing, 28(5), 154-158. Retrieved from http://search.proquest.com.uproxy.library.dc-uoit.ca/docview/218288022?accountid=14694 Touhy, T.A., Freudenberger J.K., Ebersole, P., Hess, P.A. (2012). Ebersole Hess toward healthy aging: human needs nursing response. Toronto: Mosby Inc. Retrieved from http://evolve.elsevier.com/staticPages/i_index.html Van Weert, J.C., Janssesn, B.M., Van Dulmen, A.M., Spreeuwenberg, P. M., Bensing, J.M., Ribbe, M.W. (2006). Nursing assistants behavior during morning care: Effects of the implementation of Snoezelen, integrated in 24-hour dementia care. Journal of Advanced Nursing, 53(6), 656-668. Retrieved from http://search.proquest.com.uproxy.library.dc-uoit.ca/docview/232496456?accountid=14694 Watson, J. (2008). Nursing. The Philosophy and Science of Caring. Revised Updated Edition. Boulder: University Press of Colorado.

Mothers of the Victorian Period Essay -- literature literary criticism

Mothers of the Victorian Period    There is no doubt in the fact that motherhood has changed throughout history in the way that it is practiced and perceived. Although hard to classify motherhood as an "easy" task in any time period, mothers of the Victorian period were among those who have had it the hardest. For example, Natalie McKnight, author of Suffering Mothers in Mid-Victorian Novels, states: "When I first began studying the lives of Victorian women, I sympathized with the many women who suffered through the agonies of labor only to die shortly after the baby was born. As I continued my research, I began to feel more sympathy with those who survived" (McKnight 1). Victorian mothers were put under tremendous pressures and expectations when it came to mothering their children. Prior to this time, mothers raised their children based on what felt natural and instinctive. Moving into the mid-nineteenth century, however, mothers were expected to follow conduct and medical books for wives, mothers, and newborns, as well as use new products on the market for mother and baby. The duties that were placed upon the woman were "to maintain and develop the child’s complete physical, mental, and spiritual health, pretty much without the help of the father" (McKnight 2). Mothers took care of domestic matters and their children, while men were free to concentrate on work and public affairs (Shiman 35). Motherhood, thereby, had come to be a skill that had to be learned rather than acquired by observing other women who had been mothers. In a broader sense, men, women, and children each had their own "sphere." Within the privacy of their home, members of the household were divided into groups between children and other members of ... ... of failure deemed them as an unfit parent. In addition, the mothers of the nineteenth century were basically trying out a new form of parenting on their own without the aid of any previous mothers to guide them. Although motherhood will never be "easy," Mid-Victorian mothers suffered in their attempts to be what society at the time considered the maternal ideal.    Works Cited Gorham, Deborah. The Victorian Girl and the Feminine Ideal. London: Croom Helm, 1982. Kane, Penny. Victorian Families in Fact and Fiction. London: Macmillan, 1995. McKnight, Natalie. Suffering Mothers in Mid-Victorian Novels. New York: St. Martin’s, 1997. Shiman, Lillian Lewis. Women and Leadership in Nineteenth-Century England. London: Macmillan, 1992. Thaden, Barbara. The Maternal Voice in Victorian Fiction: Rewriting the Patriarchal Family. New York: Garland, 1997.      

Five Forces Analysis In The Pc Industry

Rivalry: (High)There are five biggest PC manufacturers-Hewlett Packard, Dell, Lenovo and Acer and apple. None of them dominates the market. Therefore, the PC industry is not highly concentrated.The PC manufacturers focus on the reduction of cost rather than differentiations of the products. By 2011 PC manufacturers’ net profit margin was 5%(excluding apple). The low profit margin causes the intense competition among the PC manufacturers.The growth of the PC industry grows slowly, because the appearance of the tablets. This limitation of growth will lead to intense competition as well.Barrier to Entry (moderate):The Economies of scale is large. The fix cost spending on R&D, selling and marketing is high. Therefore, increasing the production of PCs will reduce per unit cost of the products. Furthermore, large economies of scale require intensive capital investmentThe PC industry has already entered the stage of maturity, meanwhile, the production differentiation is low and custo mers are more sensitive to the price. However, without minimum effective economies of scale, it is hard to lower cost. Thus, the price will be higher than its competitors.The big PC manufacturers have established strong relationship with it distributors, which make it difficult to access to the distribution channels.Buyer Power (weak to moderate):Home consumers represented the biggest segment of PC industries. They are sensitive to the price, but not highly concentrated.Suppliers Power (Moderate):There are two major suppliers of hardware in PC industry. One is Intel and the other is AMD. Though they are highly concentrated industry, but they compete with each other for the market share. The buyers always choose the cheap ones to lower their cost, which limits the power of suppliers.Microsoft is the dominant supplier of software and its OS, therefore, they will exert some pressure to their buyers.Substitute (High):Smart phones and tablets are the substitute of the PC. They erode the market share of the PC. They are increasingly functioning like computer.Another substitution is advanced game devices, like Play station and X-box. Consumers can watch the TV and surf the web and play games online.

Plesiadapis Facts

Plesiadapis Facts Name: Plesiadapis (Greek for almost Adapis); pronounced PLESS-ee-ah-DAP-iss Habitat: Woodlands of North America and Eurasia Historical Period: Late Paleocene (60-55 million years ago) Size and Weight: About two feet long and 5 pounds Diet: Fruits and seeds Distinguishing Characteristics: Lemur-like body; rodent-like head; gnawing teeth About Plesiadapis One of the earliest prehistoric primates yet discovered, Plesiadapis lived during the Paleocene epoch, a mere five million years or so after the dinosaurs went extinct- which does much to explain its rather small size (Paleocene mammals had yet to attain the large sizes typical of the mammalian megafauna of the later Cenozoic Era). The lemur-like Plesiadapis looked nothing like a modern human, or even the later monkeys from which humans evolved; rather, this small mammal was notable for the shape and arrangement of its teeth, which were already semi-suited to an omnivorous diet. Over tens of millions of years, evolution would send the descendants of Plesiadapis down from the trees and onto the open plains, where they would opportunistically eat anything that crawled, hopped, or slithered their way, at the same time evolving ever-larger brains. It took a surprisingly long time for paleontologists to make sense of Plesiadapis. This mammal was discovered in France in 1877, only 15 years after Charles Darwin published his treatise on evolution, On the Origin of Species, and at a time when the idea of humans evolving from monkeys and apes was extremely controversial. Its name, Greek for almost Adapis, references another fossil primate discovered about 50 years earlier. We can now infer from the fossil evidence that the ancestors of Plesiadapis lived in North America, possibly coexisting with dinosaurs, and then gradually crossed over to western Europe by way of Greenland.