Ethics in Action: Suspected Impairment Essay

Ethics is defined as the discipline dealing with what is good and bad and with moral duty and obligation. For the physical therapy assistant, it means a standardized conduct geared towards proper and successful patient care. The physical therapist assistant follows a certain standard for ethical conduct to effectively aid physical therapists and to be sensitive and efficient health workers. In this situation, we are dealing with the case of a 35 year old stressed-out woman with an odd behavior, who later on presented with slurring of speech. Slurring of speech can be due to many factors but majority of which are associated with cerebrovascular disease or stroke. In this situation, we are going to apply the American Physical Therapy Association Standards of Ethical Conduct for the Physical Therapist Assistant. The seven standards of ethical conduct seem to show us the values of an ideal physical therapy assistant: respect, trustworthiness, competence, compliance to legislations and responsibility. In analyzing this case, we realize various problems. At the start of the session, the patient was behaving oddly. Although she claims to be euphoric, signs of lethargy still seemed apparent. Later on, she succumbs to this lethargy or generalized body malaise by falling asleep on the mat. Later on, she manifests slurring of speech, which may be due to some problems. The most common cause of slurring of speech is stroke. Other factors that may cause this manifestation are electrolyte imbalance caused by strenuous physical activity, side effects of medications or it is simply due to drowsiness. However we see an imminent danger; she lives far from the clinic where you live and wants to drive all by herself—in her condition. We quickly realize a possible outcome—the danger of meeting accidents on the road in her condition. Recognizing our problem, some of our values as physical therapist assistants are challenged. The situation challenges our respect towards our client. Respect is defined as consideration and the avoidance of interfering with or intruding upon. In this case, we are breaching against the right of the patient to make her own decisions. We seem to not respect this right because we want to have things done our own way and not hers. Thus, this situation does not only concern our patient; it also concerns the physical therapy assistant. In this situation, we are having a patient-health care professional relationship. In turn, this situation challenges us to practice the rest of the 7 standards of ethical conduct. This situation motivates us to practice trustworthiness towards our patient. In this sense, we should show our patient how worthy we are of their trust towards us. We should show them that we are concerned about their health and well-being. We should explain to our patient that we think driving in our condition poses a hazard to her and makes her prone to road accidents. By doing this, we should tell her our real intention—that we are just after her health and safety. Standard 6 of American Physical Therapy Association Standards of Ethical Conduct states that a physical therapy assistant shall make judgments that are commensurate with their educational and legal qualifications as a physical therapist assistant. Judgment per se means â€Å"good sense†, discernment, understanding, the act or mental faculty by which man compares ideas and ascertains the relations of terms and propositions. In this situation, we discern that our patient should not continue driving her own car alone. In our understanding, she is not fit to do it and we are subjecting the patient to harm and injury, as she is prone to accidents in her present condition. Also, it is in our discernment that she should go to the nearest hospital to have her neurological status assessed and her health problems addressed properly. By doing these things, we are fulfilling Standard 7, which states that a physical therapist assistant should protect the public and the profession from unethical, incompetent and illegal acts. In addition to the above values, this situation requires moral sensitivity, moral judgment, moral motivation and moral courage. All these individual processes are needed in our situation. Morality means conformation to the principles of good conduct and virtue. By being morally sensitive, we mean that we are easily affected and moved towards betterment and towards good conduct. In our case, we are moved towards helping our patient and towards helping her attain good health and well being. We are moved towards preventing her from being alone, and we are moved towards accompanying her to the nearest medical hospital so that proper medical attention shall be given. Moral judgment means discernment towards the good of the patient. We discern what is best of her. We anticipate the accidents she will be at risk of and the many problems that may be etiologies of her neurological deficit. Motivation is defined as a process which incites to action and the determination of the choice or movement of will. In that case, moral motivation is also applicable in this situation. We are moved towards helping our patient; our action is for her good health and safety. Moral change is also needed in our situation. It is the process of encountering danger and difficulties with firmness and with intrepidity, for a good and noble cause. We have the courage to act for the well-being of our patient and we go beyond our duties to ensure her safety. This situation does not only involve the physical therapy assistant and the patient, it also involves the family members. In this case, it is proper that we talk to the other family members about the patient’s condition. It is essential to differentiate four terms in this context: the terms problem, dilemma, distress and temptation. A problem is defined as a question proposed for solution, decision or determination; a knotty point requiring clarification. A dilemma means a situation requiring a choice between equally objectionable alternatives; a problem that seems incapable of being resolved satisfactorily. Distress means extreme pain, anguish of the body or mind; that which causes suffering, affliction, calamity, adversity, misery and calamity. The term temptation means an enticement to an act which is evil, immoral or unwise. Yes, our situation is a problem by itself; it needed immediate solution and decision. It is also a dilemma because it poses a choice—whether to let the patient do what she wants or to accompany her to the nearest hospital beyond our duty hours. Our situation is not necessarily a distress but is a prelude to suffering, injury and misery. Certainly, this is not a temptation per se but temptation lurks for every health care professional who counts his or her duty days and does not extend his or her duty in terms of danger or calamity. The dictum for every health care professional is: Love your work. Temptation to do things our way and to be selfish and insensitive to the needs of our patients is a barrier to every health care professional. There are some health care professionals who punch in at 8 AM and go home at 5PM, regardless of what happens to their patients. These are the type of health care professionals who think of their jobs as routine and who takes these jobs as just a job for financial security, but is not their career. A career is something a person puts his or her heart into. As health care professionals, we must think of caring for patients as a career, not as a routine job. This problem, obviously, is not treated with silence. It entices action of the health care professional who cares deeply for his or her patients. In this sense, the situation requires a moral action, brought about by moral sensitivity, judgment, motivation and courage.

Native American Culture Essay

Estrangement is the state of being withdrawn or isolated from the objective world, as through indifference or disaffection. Ill-advisedly, the protagonist from â€Å"The Lone Ranger and Tonto Fistfight in Heaven† is forever bound in this state of mind. His internal conflicts enthrall between fighting for his Native American ethnicity, and, finding his purpose to this world. This link between the two becomes a challenge due to his pessimistic, and protective attitude for his race. The narrator’s volatile actions imply his frustration towards the discrimination against his native Spokane reservation heritage. The protagonists’ Native American upbringing intertwined with White culture challenges his Red and White thinking. The protagonists’ family style upbringing has distilled values that are outlived in his Native American identity. Unfortunately, the protagonist is quite protective of his Native American descent. In fact, his view of people is quite pessimistic towards the Native American race. This rigidness to his ethnicity is foretold in two parts. As humans, we are first born with an identity that is kept close to us, such as Native American, African American, or Grecian. Although we are born with uniqueness; the values we instill to our race are brought about through parent’s effort in raising their children. For Sherman Alexie, he’d developed a cynical character who bares strong connections to his Native American race. The protagonist’s existence and demeanor is uncanny because he’d been destined for a life of prosperity through public schooling and a college education. Found here, â€Å"But I was special, a former college student, a smart kid. I was one of those Indians who was supposed to make it. I was a new kind of warrior. † This quote reveals his sense of insecurity concerning his life thus far and how he has not lived up to his expectations. â€Å"The Lone Ranger and Tonto Fistfight in Heaven† exposes a few scenes where the main character is fighting for ethical freedom outside of Spokane. The protagonist’s discriminative experiences begin at a convenience store in Seattle where he feels like a predator lurking amongst his preys. As stated, â€Å"He looked me over so he could describe me to the police later. † The protagonist was familiar with this wicked look; as he’d lost a close relationship to its devilish hands once before. His loss began like this, â€Å"When one person starts to look at another like a criminal, then the love is over. † As Native American, these adverse impressions occur randomly as seen through the Police incident. In this scene, the protagonist had been pulled over in a wealthy neighborhood by the police officer, â€Å"You’re making people nervous. You don’t fit the profile of the neighborhood. † This was a friendly way of saying; you are not wanted in this area, please leave. These occurrences are upsetting to the narrator as they have affected his view of Whites. As the protagonist becomes disgusted with life, he packs his belongings and heads home to Spokane in Washington State. While home, he realizes that connecting to his family and finding peace is not easy. His weak-minded thinking is foreseen here,† They’d been expecting me back the day I left for Seattle. There’s an old Indian poet who said that Indians can reside in the city, but they can never live there. † In fact, while living in Seattle, his dreams became nightmares of a vivid war scene between the Red’s and Whites. The Indians became slaughtered by the Whites and at one point, â€Å"Three mounted soldiers played polo with a dead Indian woman’s head. † This graphic image stays with him as he found accounts of this madness occurred in the old west and in parts of the world today. The protagonist’s dreams and Native American ethnicity have instilled protective beliefs to his ethnicity and real life demeanor towards others. Although he’s strong-willed concerning his background, insecurity remains present. One instance occurs where he starts a job in Spokane at the local high school exchange program. He answers phone calls and asks himself, â€Å"Sometimes I wonder if the people on the other end of the line know that I’m Indian and if their voices would change if they did know. † His insecurity exponentially evolves to every facet in his life and only exacerbates his pessimistic attitude. The cynical behavior by the protagonist has incurred due to several discriminatory experiences. One being, the protagonist’s cup is full; which allows him to believe this Red vs. White rivalry will never change. Because of his ignorance, he leaves no trust to anyone and is forced to run when he encounters discrimination. One situation that symbolizes the protagonist’s doubtful thoughts is encountered at his hometown basketball court. He comes home to find the new BIA chief’s White kid named Jimmy Seyler who can play ball. â€Å"And he could play. He played Indian ball, fast and loose, better than all the Indians there. † That night, Jimmy whooped on every Indian who played Basketball. I recognize this as a change of tone and direction in the protagonist’s life. At this point in time, he realizes that he must submit to his Red vs. White rivalry in order to move forward in his life. Just as Jimmy will advance and become an NBA star, the gap between the two races, White and Indian will only become larger. Indian’s will control the small reservation plains out West while the White culture advances to become a powerhouse figure in the United States of America. Hereafter this epiphany, the protagonist’s life begins to move forward as he starts a new job and connects with his ex-girlfriend once again. .

Advertising & Alcohol Products Essay Example for Free

Advertising & Alcohol Products Essay ? People’s life are built and protected by both us and society. We make our life happiness by enjoy as much as possible qualified products and society which is represented by government ensured the life quality by regulation requesting the obligation from all people towards product’s usage. Nevertheless, in some cases, government has to control and put the enforcement on consumer even if people like to use that product. Alcohol can be seen as a very popular example. People feel excited when use it, but, what will happen if the alcohol consumption increases year by year. As cited by Hall in his research this year, there was 25% increase in liver deaths which is caused by alcohol in last ten years. Not only alcohol beverages but alcohol advertising is interesting as well in attracting people. Therefore, alcohol advertising is now controlled strictly to prevent its bad impact. Government is allowed and able to do this for a better life to UK people. Binge-drinking can be listed as a trouble for middle-aged, middle-class and out-of-control youth in UK. It is worth noting that UK people are one of groups consuming alcohol most in Europe (British Medical Association, 2009). Since, UK government has to consider and find solution for this problem. It can be known that the effect of alcohol is similar to drug as well as tobacco although it depends on the quantities of usage. However, according to BMA board of science, it can be denied that not only drinker but also their relatives are affected by harmful consequences from alcohol such as contributory factor and violence at home. At first, advertising is same as other marketing tools with the aim to persuade people use product as much as possible. In the situation of alcohol, Advertisement increases consumer’s conceptions about alcohol which can promote them buy more. The journal of British Medical Association in 2009 cited the research conducted by Anderson and other researcher s that â€Å"alcohol marketing and promotion relate to the likelihood that adolescents will begin to use alcohol and drink more if they are already using alcohol†. Jernigan (2010) suggested that a mix of unmeasured activities relating to cultural, religious and regulatory context is used by alcohol companies. Advertising approach consumer, especially the Youth in many ways: marketing on Television, newspaper, sponsorship for sports, music, and cinema. The image of alcohol impresses people day by day encouraging them use it naturally. As a result, these activities impacts making decision of the youth in alcohol purchasing because culture, religion and regulation contribute strongly to the growth process of young people. Moreover, The high rate of alcohol beverages advertising’s appearance in public encourage people use it regularly for entertainment and daily usage which will result in bad effect on people life and society. This present can make people see wine, beer as a daily product. The greater availability of alcohol advertising is the reason why people under 23 years old continue to raise their drinking behavior (Jernigan, 2010). The high alcohol consumption of much means their health will have problem as well as the ability of causing violence or crime can be increased in society. Therefore, alcohol advertising should be limited like tobacco so that people will realize that the former also has bad effects as the latter. Although alcohol is still a product and beverage companies have right to advertise, this is sensitive one so that government should control for a safety of people life. The limitation of alcohol advertising will help government protect people’s health and social security. There will be no more crime which is relevant to alcohol. The health of people will be ensured. Let’s take Denmark as an example, this country only accepted broadcast advertising on low alcohol-content products and the rates of alcohol intoxication was reported highest rates at that time among European countries (International Center for Alcohol Policies) Wilby (2008) proposed that people are heavily impacted by advertising due to they are freely to accept information provided by other agents. Therefore, governments should be allowed to control advertising and able to manage the advertising of alcohol beverages companies by using advertising regulation, sign agreement with alcohol beverage companies and advertising agency or control newspaper and broadcasting agencies. He also suggested that governments can put enforcement on the advertising of cars, alcohol, junk food and other potentially dangerous products as the same way they used to work towards tobacco advertising. For example, as established in Advertising Standard Authority, in UK, â€Å"alcohol marketing is required that ads not link alcohol with sex, social success, youth culture or juvenile behavior.† (Hall, 2012) Enjoy the life as well as using entertaining product freely is demand of all most every people. On the other hand, alcohol beverage companies are also absolutely right when they want to provide as much as possible good alcoholic beverages for their consumer. Nevertheless, it is necessary to have a third party which is governments of countries in general and U. K government to put alcohol advertising under the control. They can set regulation and request that alcohol companies follow it strictly. Advertising & Alcohol Products. (2017, Jan 06).

Individual Behavior and Communication Paper Essay - 1

Individual Behavior and Communication Paper - Essay Example Additionally, they also look into aspects such as personality and awareness, mind-set and job satisfaction of individuals, group potential, politics in the organization, influence of leadership, stress, decision-making processes, the communications chain, and company cultures and climates. Scientists have tried to study all these elements and its impact on individuals, groups, and organizational efficiency and effectiveness (Encyclopedia of Small Business, 2007). An organization can succeed if the individuals working in have a good focus and have mutual understanding. However, different individual represent different personalities and individual differences play an important role in behavior. While some of these characteristic may be hereditary such as gender, ethnicity, and the way a person looks, other characters are acquired from the environment like religious affiliation and value or attitude differences. All these factors work in various combinations to have an influence on human behavior. Most of them have suggested that all these difference can be effectively managed through good communication. When we communicate effectively with another person we have an opportunity to move that relationship to the second step, which is real understanding. This can lead to the third step in the relationship of mutual respect. A respecting relationship demands each person to contribute enough respect that it can be reciprocated back from the other person. Unilateral respect in relationships is temporary and superficial. Mutual respect that can lead to trust is much deeper and must come from communicated understanding. Once a relationship has experienced mutual respect it is possible for the participants to experience enduring relational trust. This is a feeling that binds people together over time and through trials. The absence of trust causes confusion, worry, inaction and fear (Buzzle.com, 2006). Management plays an important

Psychoactive Drug (Marijuana) Research Paper Example | Topics and Well Written Essays - 750 words

Psychoactive Drug (Marijuana) - Research Paper Example Marijuana contains various chemicals that only increase in effect, releasing even more chemicals when burned, making the chemicals more stronger and pronounced should a person take advantage of them. Some of the physiological effects that a person will face when using marijuana include problems with memory and grasping something new; distorted perception; trouble with thinking; lack of coordination; increased heart rate; anxiety, paranoia, and panic attacks (Bonsor). In terms of the heart, marijuana can cause an increased heart rate, which can also lead to a higher blood pressure. The effects that a person will feel are similar to those of stress and of being overworked - by smoking marijuana, a person displays these while being stationary. They are making their heart work overtime, which, if experienced too often, the person is risking other heart-related diseases. The most negative effect of marijuana in regards to the brain has to deal with the ability to start an addiction with marijuana. Strong drugs such as marijuana increase the amount of dopamine in the neural systems of the brain. "Dopamine is a neurotransmitter in the brain that is associated with pleasure (Young)." Too much dopamine in the brain will increase that feeling of pleasure, which is one of the methods that causes the start of an addiction. A person who is using marijuana develops an affinity to that feeling, a feeling that tends to deplete them of negative feelings and emotions while under the influence of marijuana. They begin to smoke to get that feeling back, which is why marijuana tends to be a drug used for medical purposes, especially when a persons emotion is being greatly affected. Succumbing to addiction is something that is incredibly common with drugs. The person using the drug likes the effects to the point where they have to

Emerging Market-The Challenges And Opportunities Investing In China Essay

Emerging Market-The Challenges And Opportunities Investing In China - Essay Example It is evident that the emerging markets have flexed their muscles in the global arena, and their effect is expected to increase the more. Companies that have invested in these markets have enjoyed and are continuing to enjoy revenues that emanate from these transactions. China is among the emerging markets that has contributed a great mile to the spending of a huge clientele-base, and that has also attracted numerous multi-national companies (MNCs). With the country expected to dominate the global market by the year 2030, challenges are also not devoid from these transactions. This essay shall attempt to discuss the concept of ‘emerging markets’ using the case study of China. Additionally the essay shall keenly analyze the opportunities and threats facing the investors that are likely to invest in this emerging market. 2.0. Body 2.1. Definition of ‘emerging market’ In the thought of Beridze (2008), emerging markets refer to the nations that have actively bee n involved in business activities that have seen their fast growth as well as a huge development in the industrialization process. Among these countries that are termed to be emerging range from Brazil to China. As seen in the research conducted by Palepu & Khanna (2010), China has retained her position as the third in the list of the emerging markets. ... A good example is China that is export-driven with strong capital inflows and investments from well-capitalized banking institutions. Jain (2006) indicates that the markets are expected to stabilize by the day. Additionally, the growth of the world’s economy is expected to emanate from the emerging markets, and 70% of the growth is anticipated according to the economists (Kvint, 2009). Despite the varying interpretations of the term, the fact about the entire aspect is that emerging markets have been instrumental in recording an increase in the capital share in the world economy, and that their GDP is on the increase. As seen in figure 1, China may be defined as an emerging market as emerging markets are ones that are undergoing transformations from third world countries to developed countries, whilst their markets are now reduced to free markets from the state dominated ones (Enderwick, 2012). On another viewpoint, Mody (2004) says that emerging markets are slowly freeing up both internally and externally, due to the processes of economic reforms, that need to incorporate the rapid economic growth. It is evident that the country has opted to increase their role in the market, and minimize the chances that the government will have avenues to control the planning of the market. Pragmatic ideologies have in this case taken the day in the case of China’s economy. Its emergence cannot be alienated from the fact that the country has shed more energy in perfecting its contribution in the manufacturing industry as opposed to other countries that have opted to focus on the service industry whilst others in the agricultural sector. Figure 1: Real GDP growth (%) in the BRIC and US economies Source: IMF, World Economic Outlook (International Monetary

Gangs of New York Essay Example | Topics and Well Written Essays - 1000 words

Gangs of New York - Essay Example Scorsese makes an interesting story here as he inserts Daniel Day-Lewis who plays the character of a man who has deadly knife skills, William Cutting, a.k.a Bill the Butcher. William is a Native American who leads a gang of fellow natives who begrudge the Irish immigrants in the city. In turn, these immigrants form a gang and clashes with the natives. Scorsese’s portrayal of the gangs during the Civil War is a little too limited since he only focuses of the two gangs – Bill the Butcher and The Dead Rabbits. (Gallman, 2003) Although he makes it seem that there are not only two gangs around during that time, he only makes the two visible to the viewers. Nonetheless, Scorsese does a good job at giving a good background in this portion. The clash of the two gangs leaves Priest Vallon, the one who acts as the leader of The Dead Rabbits, dead. As the movies goes on showing the whereabouts and the happenings of Vallon’s son, Amsterdam, Full Name 3 played by Leonardo DiC aprio, Scorsese creates an atmosphere of vengeance while Amsterdam attends a reform school until the time he goes back to the city. Scorsese’s portrayal of the Five Points is almost excellent until some American-Chinese characters appeared on the screen, showing that Chinatown already existed during that time. It is true that the Five Points - Mulberry; Anthony, Cross, Orange and Little Water are the streets now being occupied by Chinatown, though some streets are named differently today, the Chinese community was not present during the Civil War. (Gallman, 2003) This may not be the director’s intention, since it is possible that they were in New York, shooting groups of people, accidentally passing a group of Chinese and forgetting editing the scene. Whatever the reason is, Scorsese is still not able to perfectly show an accurate picture of New York in the Civil War. The movie moves around the story of Amsterdam’s long-awaited thirst to kill Bill, having the Ci vil War as an aid to give a good story plot. Although it revolves around Amsterdam’s vengeance, Scorsese reconstructs the details of life in that era and the historical change and the reason behind the Americans and New Yorkers disdain the shed of blood and overt display of corruption and how the past laws gave way to the modern ones. (Lightner, 2006) As the story goes on, Amsterdam sets a scheme to avenge his father’s death, which eventually leads to penetrating Bill’s Gang deep, making himself as the gang leader’s trusted assistant. As he continues his act with the gang, he meets Jenny Everdeane, Cameron Diaz, who has a history with Bill and then starts a linchpin of male jealousy. Cameron’s character here is more of a structural necessity than a widely explored one. (Gallman, 2003) Considering the setting of the Full Name 4 movie, women of that era didn’t have much to do with the society due to the social injustices not just to slaves but also to women. Having a lady thief in that era, possessing a beautiful face and an extraordinary skill, it is tantamount to power and such vibrant character should be well- explored. (Sight and Sound, 2003) Scorsese could’ve used Jenny’s character to show the women of that era, unfortunately, she only is a hub for jealousy between Bill and Amsterdam, who happens to be a woman born ahead of her time. The movie shows too little of the characters in the story aside from the big three; Diaz, DiCaprio and