One Flesh Notes Essay - 852 Words

One Flesh by Elizabeth Jennings Lying apart now, each in a separate bed, He with a book, keeping the light on late, She like a girl dreaming of childhood, All men elsewhere - it is as if they wait Some new event: the book he holds unread, Her eyes fixed on the shadows overhead. Tossed up like flotsam from a former passion, How cool they lie. They hardly ever touch, Or if they do, it is like a confession Of having little feeling - or too much. Chastity faces them, a destination For which their whole lives were a preparation. Strangely apart, yet strangely close together, Silence between them like a thread to hold And not wind in. And time itselfs a feather Touching them gently. Do they know theyre old,†¦show more content†¦Physically not wanting a physical relationship * â€Å"Lying apart now, each in a separate bed† the comma in between the two statement used to emphasize the â€Å"each in a separate bed† to show that they find it uncomfortable to sleep together to share the more physical side of love. â€Å"Now† meaning they once did. * He with a book, keeping the light on late amp; â€Å"she like a girl dreaming of childhood, All men elsewhere† I. Shows that they are trying to show each other how they are preoccupied so that they will not have a reason to talk to each other. II. The comma after â€Å"book† adds emphasis to keeping the light on late which shows his ignorance of her need to sleep, showing his lack of consideration for her physical comfort. Mentally not needing a physical relationship * â€Å"She like a girl dreaming of childhood, all men elsewhere† the woman dreams of her child hood all men elsewhere showing that even in her thoughts the physical side of a relationship isn’t present. * â€Å"Like a confession of how little feeling† they have lost the mental drive for a physical relationship and when they touch it is as to say sorry, â€Å"confession† giving the impression of anShow MoreRelated Conflict between Good and Evil in Bradstreet’s The Flesh and the Spirit1355 Words   |  6 PagesConflict between Good and Evil in Bradstreet’s The Flesh and the Spirit  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚      A colonial Puritan minister, Thomas Shepard, nicely summarized the paradox of the Puritan religion when he noted that â€Å"The greatest part of Christian grace lies in mourning the want of it.†Ã‚   Shepard suggests, in this passage, that good Christians should spend their days, indeed their entire lives, exploring and proclaiming their own depravity and sinfulness, their â€Å"want† of Christian grace.   Paradoxically, onlyRead MoreMagical Thinking Case Study1469 Words   |  6 Pagesmagical contagion. Two things are essential to the idea of magical contagion: that some sort of physical contact occurs, and that there is an â€Å"essence† transmitted . The â€Å"essence† that gets transmitted via physical contact is what makes an object of note pure or impure. Essence is the idea that an object has properties that are not immediately visible . For example: if a sandwich were to be dropped on the floor, and someone were to pick it up and continue to eat it, not only would the sandwich be seenRead MoreJoseph Of The Holy Ghost1229 Words   |  5 Pageshusband of Mary, which makes Joseph legally the father of Jesus. It is not the flesh, nor the blood that makes Jesus legally heir and gives Him the right to the throne of David, but being a son through Joseph s marriage does. That is why we find in Luke 2:41,48 where Joseph is called one of Christ s parents and also the father. Mary was a virgin to whom was born Christ. Nowhere do we read that Christ received blood or flesh from Mary, but we do read that Mary gave Christ a physical birth. We areRead MoreRelationship Between Incarnation And Atonement Essay1671 Words   |  7 Pagesdoctrine of incarnation simply means the second person of the trinity becoming flesh; whereby God the son incarnated to human nature (Erickson 102). God the son laid aside His divine attributes and took on a human nature in order to redeem humanity. According to the Christian doctrine, the word of God became flesh, and after becoming flesh, he saved us from the snares of the world. Jesus who is the son of God became flesh and he died to save the world from sin as well as reconciled all people withRead MoreHow Can We Pray For Our Enemies?949 Words   |   4 Pagesso it is a hard pill for us to swallow when they do. Flesh versus spirit By nature we are sinful creatures and have to battle against the flesh. Our flesh is naturally selfish. Even the most giving people battle with selfishness. According to Matthew Henry’s Commentary, â€Å"Note, If we should approve ourselves to be Christ’s, such as are united to him and interested in him, we must make it our constant care and business to crucify the flesh with its corrupt affections and lusts. Christ will neverRead MoreLife of Pi Essay759 Words   |  4 Pagesuses the protagonist Pi to demonstrate how faith, ritual and one’s will to live save one from the barbaric and carnivorous reality. Pi Patel, lover of faith and various gods and their beliefs loses his family after a shipwreck and drifts on the Pacific Ocean with a zebra, hyena, orangutan and a tiger, Richard Parker each struggling in their own way to survive. Yann Martel uses the protagonist Pi to claim that one retains his or her survival will through writing. Martel includes the fact that PiRead MorePuritanism And Its Negative Portrayal Of The Body1641 Words   |  7 PagesAmerican Literature and it still is to this day. Puritans have shaped our culture immensely with their art that represents their beliefs so clearly. One of the most fascinating things we have come to learn about the Puritans is the constant battle they faced each day. Puritans struggled to stay true to their religion due to everyday temptations. One of the biggest temptations would be The Body. We can identify this by analyzing Puritanism philosophies, their biblical view of the Body, how they wereRead MoreThe way to Rainy Mountain Essay610 Words   |  3 PagesMountain by N. Scott Momaday: Great green and yellow grasshoppers are everywhere in the tall grass, popping up like corn to sting the flesh, and tortoises crawl about on the red earth, going nowhere in plenty of time. Loneliness is an aspect of the land. All things in the plain are isolated; there is no confusion of objects in the eye, but one hill or one tree or one man. To look upon that landscape in the early morning, with the sun at your back, is to lose the sense of proportion. Your imaginationRead MoreThe Incarnation Of God By John Clark And Marcus Johnson Essay723 Words   |  3 PagesBook Review- The Incarnation of God God become man, one of the profound mysteries of the Gospel and the Christian faith, is evidenced and affirmed throughout Scripture, yet it all too often is neglected in modern Christian thought and practice. In the work, The Incarnation of God, John Clark and Marcus Johnson do just the opposite. They bring the truth from scripture to robustly discuss a theology of the incarnation of God. Throughout their discussion, it becomes evident that the book strives toRead MoreBreaking Toxic Relational Ties At The Years1228 Words   |  5 Pagesare keeping them tied to specific areas of bondage. NOTE: make sure nothing copied from online articles and/or Ransomed Heart In order for freedom to . . . This is necessary for those where certain key areas of bondage have a connection to a significant relationship in the person’s life. The Scriptures do not use the term relational tie (often called a soul tie), but the principles of people being ‘knit together’ and ‘two becoming one flesh’ is taught in the Word. These relational ties are intended

Medical Marijuana Should Be Legalized For Pure Medical...

Kari Knutson Kristen Jacobus English 102 21 April 2015 When Holly was less than a year old she was diagnosed with pediatric convulsions, which progressed into a severe form of epilepsy. She is now 14-years-old, and needs supervision constantly due to the severity of her seizures. Because of her seizures she is not able to walk, talk, or feed herself. Holly’s family has exhausted every option medically when it comes to controlling seizures. The one treatment that they have not tried is medical cannabis. I am an in home caretaker for Holly, and after interviewing her mother I feel that everyone should understand why medical cannabis should be legalized for pure medical purposes. Unfortunately the drug has been abused by recreational users, and now has a bad reputation of being a gateway drug. Some Doctor’s also believe that medical cannabis has no medicinal value. Holly’s mother is a Registered Nurse, and feels that Holly would benefit from medical cannabis; unfortunately it is illegal in Wisconsin. With the recent in crease in funding and research on all medical cannabis products, research is proving that cannabis does not only help symptoms of epilepsy, but with most neurological disorders, including multiple sclerosis. Every seizure that a person goes through that lasts more than three minutes causes brain damage. You can imagine how dangerous it is to be having dozens of seizures daily, and having no way to control or stop them. If Holly were to have had access toShow MoreRelatedEssay on Should Marijuana Be Made Legal?1208 Words   |  5 PagesShould Marijuana Be Made Legal? In 1620, the Pilgrims landed on Plymouth Rock bringing with them thousands of gallons of beer and other types of liquor. This was believed to be enough for them to sell or trade with the natives in return for products like a body soother. The Native Americans introduced the Pilgrims to tobacco and other forms of drugs such as Marijuana. By the 1900s, the country noticed marijuana, a psychoactive drug, was dangerous and needed to be controlled. Later, betweenRead MoreArgumentative Essay On Medical Marijuana1167 Words   |  5 PagesWhen people hear the word marijuana, they often think of a gateway drug. Marijuana has been one of the top misunderstood â€Å"drug† there have been and will probably remain on being a misunderstood â€Å"drug†. Should marijuana be legalized? This has been a controversial question for a long time now. Marijuana should be legalized. Not only is marijuana beneficial to many people but it can even have an impact in our future. Marijuana shou ld be legalized because it can help bring more money to the country,Read MoreMedical Marijuana Should Be Legal1651 Words   |  7 Pagesmost commonly referred to as marijuana. Medical marijuana refers to the use of cannabis and its cannabinoids to treat disease or improve symptoms (Wikipedia.com). Cannabis contains two active ingredients inside called cannabinoids (CBD) along with the delta-g-tetrahydrocannabinol (THC). The medicinal and psychoactive effects that personally associate with marijuana are caused by unique structures of cannabinoids. In addition, the major psychoactive ingredient in marijuana is THC, which additionallyRead MoreShould the United States Legalize Marijuana? Essay1339 Words   |  6 Pagesoffers no alternate purposes but creating troublesome addicts hazardous to society; however, they are rather misinformed about marijuana’s abilities. While marijuana has a small amount of negligible effects to its users, the herbal drug more importantly has remar kable health benefits, and legalizing one of the oldest and most commonly known drugs would redirect America’s future with the advantages outweighing the disadvantages. Before Americans can make accusations that marijuana can only be usedRead MoreShould Marijuana Be Legalized?1957 Words   |  8 Pagesover whether marijuana should be legalized has long troubled many American citizens. There are many political aspects that have to be taken into account when making a big federal decision such as this. However, long before America was even an idea, many cultures had harnessed the plant, and used it for many primitive medical procedures. Within certain states it is legal to use marijuana for medical treatments, but this is a relatively new idea in the United States. However, marijuana was not alwaysRead MoreLegalization Of Marijuan The Economic Case2418 Words   |  10 Pages LEGALIZATION OF MARIJUANA IN THE US: THE ECONOMIC CASE. BIE COOKEY-GAM ECONOMICS 280 DECEMBER 4TH 2014 JOHN WRIGHT ABSTRACT This paper intends to outline the benefits of legalization of marijuana, show the possible negative externalities from making a once illegal drug, fully legal and regulated. ItRead MoreThe Myths And Beliefs Of Marijuana Essay1819 Words   |  8 Pagesrevise and rewrite laws. In this article I will talk about the myths and beliefs of marijuana and compare them to reliable sources to form an opinion on whether or not marijuana is a relatively safe drug for medical and recreational use along with the physical and social effects to the user and their environment. Regard, this paper will not focus on any other associated topics such as the price of prisons, annual marijuana dispensary revenue, drug trafficking or law policy’s. However many of the usedRead MoreShould Marijuana Be Legal?2391 Words   |  10 PagesMarijuana has been used as medicine since ancient times. There have been evidences that are found in different locations of ancient human civilizations. For example, there are numerous evidences founded in Assyria, China, India, Greece Egypt, Persia, and in other ancient civilizations marijuana used for ritualistic purposes, pain relief, an d the treatment of various ailments. Marijuana could also be cultivated to produce hemp, a type of fiber used for textile such as paper, fabric, and rope. ScottRead MoreThe Legalization Of Marijuana For Marijuana2792 Words   |  12 PagesThe legalization of marijuana in America Overview Issue The new events of legalizing marijuana for recreational use has increased controversy in the United States, those against it say it was bad enough before when it was merely allowed for medicinal use and now that these new laws and rules are really infuriating those who are against it. However on the flip side people are also arguing that now that it is allowed for recreational use people it will lessen crime rates, related to selling and buyingRead MoreEssay about Should Marijuana Be Legalized in the United States?1569 Words   |  7 PagesThe topic of legalizing recreational marijuana in the United States has been a very controversial one. States such as Colorado and Washington have gone on the offensive and have legalized recreational marijuana and have enjoyed the high revenues brought in from cannabis sale. On the other hand other states have kept low profiles because they are wary of the possible negative outcomes of legalizing recreational marijuana and are using the states of Colorado and Washington as guinea pigs to see what

Operations Management in Insurance Sector Free Essays

Operations Management in INSURANCE SECTOR Q. How to measure operational efficiency in service industry? Ans-Insurance companies use KPI indicators to measure operational efficiency and ensure optimum standards. The secret to success for an insurance company is providing the right product, having the right people selling and managing risks associated with it. We will write a custom essay sample on Operations Management in Insurance Sector or any similar topic only for you Order Now Insurance organizations use and act on metrics to avoid unnecessary risks. Following are the Key Performance Indicators (KPI) that insurance companies use to measure operational efficiency. Policy Sales Growth Ratio It measures policy sales growth over a set period of time. It is increase in the number of clients over a specified period. It is helpful to gain insights into policy sales trend. The higher this percentage, the better it is. Policy Sales Growth = (Current period sales revenue – previous period sales revenue)/previous period sales revenue Claims Ratio It is defined by claims in a period divided by earned premium in the period. It helps to know the risk of claims and effectiveness of the policy. The ratio needs to be analyzed carefully to understand the risk associated. A higher ratio indicates too many claims compared to premiums and it isn’t good for the company. A lower ratio may indicate difficulty claiming which would lead to customer dissatisfaction. Claims Ratio = Total claims per period/Total earned premiums per period Percentage of Total Lapses It measures the total number of missed payments in a period compared with the policies sold. It helps in understanding why lapses are occurring and stop them from occurring at a high frequency. Read also Exam Operations Management A high percentage might be because of inefficient operations such as problems in the payment process. A company constantly improves its operations to decrease the percentage of lapses in each period. Percentage of Total Lapses = Lapses/Policies Sold Average Time to Settle a Claim It measures the time it takes settle claims. A decreasing trend is favorable. Lower time to settle the claim defines higher operational efficiency of the company. Average Time to Settle a Claim = Total no. of days taken to settle all claims/ Total claims Quotas vs. Production It measures the effectiveness of sellers and agents at meeting their targets. It helps in identifying when target sales are below and taking corrective action. A ratio below 1 means targets is not being met. A higher than 1 ratio means brokers are exceeding the target and it is favorable for the organization. Quotas vs. Production = Total Rs. Quoted Business/Total Revenue Top Brokers in Sales Revenue It ranks brokers based on sales revenue and no. of policies sold. It helps to identify top performers for each category of policies. It also helps to improve the performance of brokers who are lacking behind. Top Brokers in Sales Revenue = Rank top 3 or 10 brokers based on sales revenue Total Benefits as a percentage of premium It is an indicator of financial performance. This measure helps in pricing of insurance policies. It helps to know the risk factors associated with each policy and set fair premiums. Total paid benefits as a percentage of premium = Total paid benefits/Total premium earned Q. How to ensure quality in service business and how to enhance quality in service sector? Ans-There are several ways to ensure and enhance the quality of an insurance company. These are listed below. †¢Six Sigma concepts can be implemented to ensure quality and conform to consumer needs. Six Sigma concepts make use of statistical tools which makes measurement of results easier. †¢Dividing the company into departments based on different categories of insurance such as separate departments for car insurance and health insurance. This would provide better understanding of which categories of insurance should be improved by the company. Deciding on the maximum time to settle an insurance claim. This would allow to improve service and quality of claim processes as claims would be settled more quickly. †¢Online information should be used to provide policy holders with accounts that provide updated information regarding their claims and premium payments. †¢Insurance companies can get into an strategic partnership with mobile banking providers so that customer s can pay their premiums through mobile banking †¢A chart showing the updated rankings of brokers should be available to all brokers. This would increase competition and let the brokers know how much they are lacking behind others. †¢Incentives for top performing brokers should also be announced in advance to keep the motivation level high throughout and improve services. †¢Regular training programs should be conducted for brokers in order to increase their marketing and selling skills †¢A complaint center should be established in the premises to deal with the complaints received from customers. The complaints should be discussed and a corrective action plan should be develop to deal with problem. The action plan should be implemented and results must be analyzed †¢A maximum time to act on a complaint should be decided within that time the department has to act on the complaint. The corrective action taken should be documented and implemented within the specified time †¢External benchmarking with other insurance companies might also be helpful in identifying short comings and improving services †¢Define to brokers the criteria of quality customer interaction and to led them act on it How to cite Operations Management in Insurance Sector, Papers

Should voluntary euthanasia be allowed in Hong Kong free essay sample

The issue of euthanasia has been discussed for decades. Euthanasia is a medical practice to end one’s life with the purpose to alleviate pain or suffering while voluntary euthanasia is one of its categories that carried out at the request of the patient. A few years ago, a paralyzed patient had requested for euthanasia to end his life painlessly. This attracted wide attention among the general public in Hong Kong. People started to discuss whether euthanasia should be allowed. This essay argues the possibility to allow voluntary euthanasia in Hong Kong. It will begin with the debate on euthanasia with different perspectives. It will conclude that voluntary euthanasia should be allowed for the benefits of the suffered patient. One of the main pro-euthanasia arguments is that the patient should have her own right to choose between life and death. Brock (1992) points out that respect for self-determination of the patient is important because self-determination allows people to make decision about their lives with respect to their own values and conceptions of a good life. We will write a custom essay sample on Should voluntary euthanasia be allowed in Hong Kong? or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page If the patient got a terminal disease and suffered a lot, euthanasia can give her a chance to die in a more comfortable way. Everyone wants to die in a peaceful way without pain. What is more, the interests of the patient should be considered as the most preference when discussing euthanasia because it is the most affected and the most suffered party. The patient who wants to terminate her life when they feel unable to sustain living should be free to do so because suicide is not a criminal offence (Pauline, 1999). If suicide is not a criminal offense in Hong Kong, why voluntary euthanasia cannot be allowed as it is one form of suicide? Healthy people are able to promote better lives for themselves but the patient with terminal/incurable disease has no choice for a better living. As a result, the possible way that the patient can do is to ask for euthanasia. In conclusion, the patient has the autonomy to choose the best way for his life therefore voluntary euthanasia should be allowed for the sake of the patient. However, the opponents of euthanasia are worried about the slippery slope effect. The slippery slope argument on euthanasia claims that any practice to allow voluntary euthanasia may easily lead to involuntary euthanasia (Pappas, 1996). If voluntary euthanasia is allowed, there will be more chance to misuse or abuse euthanasia. Chambaere et al. (2010) find that over a quarter of life-ending cases is done without explicit requests from the patients in Belgium which is one of the countries that allow voluntary euthanasia. Along with, Thomson (1994) realizes that the interval between the request for euthanasia and its implementation is actually short. That means the patient may not have enough buffering time to rethink the decision. However, the patient may be influenced by depression or pain when at the time of making decision for euthanasia. The poor decision of the patient may cause misuse of euthanasia that lead to unexpected loss of lives. Moreover, the historical example from the Nazi euthanasia programme in 1930s caused the fear of abuse of euthanasia. Pappas (1996) worried that allowing voluntary euthanasia can lead to horrified abuse of euthanasia which has no difference with murdering. The original purpose of euthanasia will then be blurred. In brief, to allow voluntary euthanasia may cause uncontrolled situation of the slippery slope effect. To avoid this, it should not take the first step to have any legislative action on euthanasia.

Transcultural Nursing in relation to Holistic Nursing Practice The WritePass Journal

Transcultural Nursing in relation to Holistic Nursing Practice Introduction Transcultural Nursing in relation to Holistic Nursing Practice IntroductionTranscultural NursingThe Culture Care Diversity and Universality Theory by Madeleine LeiningerThe Sunrise EnablerThe Ethno-nursing MethodHolistic Nursing PracticeThe Theory of Environmental Adaptation by Florence NightingaleTranscultural Nursing vs. Holistic Nursing PracticeConclusionReferencesRelated Introduction Diversity of the world’s population has reached a point where it is vital to address and more importantly to understand, the ever growing challenge that transcultural nursing poses to the nursing profession. Addressing this issue avoids discrimination and promotes equality within holistic nursing practice in order to meet patients’ needs. Health care professionals should be qualified to deliver, on a daily basis, proficient care and sensitive skilled communication to culturally different individuals (Maier-Lorentz, 2008). To exercise professional nursing in a conceptual way holistic nursing care focuses on physical, emotional, social, environmental and spiritual aspects as well as on the idea that any individual involved in treatment care should be treated as a whole and with dignity (Dossey Guzzetta, 2005). One of the areas to be discussed is Transcultural Nursing and Leininger’s Transcultural Theory of Culture Care Diversity and Universality and its research enablers: the Sunrise Enabler and the Ethnonursing Method. Another area will be Holistic Nursing Practice and Nightingale’s Nursing Theory of Environmental Adaptation as well as the liaison between Transcultural Nursing and Holistic Nursing Practice. Nightingale’s theory has been chosen over others because she was the first to acknowledge nurses’ work in a theoretical framework and also because she was considered to be the mother of nursing practices (Ellis, 2008). The development of culture care theory introduced health care professionals into a new nursing dimension formed by issues such as culture background, spirituality, environment and others that demonstrated how culture and health care are linked (Leininger, 2002a). Holistic Nursing Practice encourages active communication and reciprocal understanding, underlines the exercise of physiological and psychosocial awareness, it is based on logical thinking and supports values such as autonomy and patient wishes and tendencies (MacKinnon, 2010). Transcultural Nursing Transcultural nursing may be defined as a method to contrast and observe how individuals view health care, biased by their culture background. The principles of practising transcultural nursing are to provide complete nursing care to individuals or groups by treating them with respect and taking into account their cultural factors. It is all about nursing practice applied to cultural values and limitations (Leininger, 1991). Definitions of transcultural nursing incorporate many factors that shape the individual’s cultural orientation. These include are age, sexual orientation and financial aspects. It has been suggested that by ignoring these culture background factors, health care professionals do not achieve enough cultural experience to be incorporated in holistic nursing practice (Barnes et al. 2000). This absence might lead to unsafe nursing care and both dissatisfied patients and professionals (Curren, 2006 cited in Leininger McFarland, 2006, pp.159-160). To promote transcultural nursing care, Narayan (2001) felt that there are four crucial attitudes to assume caring, empathy, openness and flexibility. This shows the patients a cultural understanding, appreciation, consideration and willingness from health care professionals that are based on individual care. Cultural education and the creation of culturally competent care professionals are one of the biggest challenges yet to tackle worldwide. For instance, in America, as the migrant population increases notably so it does the need for reducing inequalities and barriers such as language. Maier-Lorentz (2008) firmly understood that such a need could be met by the targeting of bilingual health care professionals coming from different backgrounds. Moreover, she suggested that in order to provide culturally competent nursing care, some knowledge of non-vocal communication signs could be of great value, as it is in eye contact, touch, silence, space and distance, and health care habits. Green-Hernandez (2004) recommended that as a step towards multicultural competency, professionals that need to deal with farmers should familiarize themselves with their specific customs such as using animal medication for their own conditions as a consequence of living far away from the care institutions. With the purpose of understanding culture, Andrews Boyle (1997) gave out diverse illustrations. For example, they suggested that by understanding a people’s proverbs, professionals may grasp knowledge of the cultural values shared by that population. The authors also stressed the importance of culture knowledge when coming across two different ways to view stealing. For one culture it may not be acceptable whereas for another one, e.g. gipsy people, it may be ok, as long as it is coming from a better-off person. Furthermore, they also found, through researchers, that different cultures may think that by being a demanding patient, the treatment they receive may improve. Riley (2004) reported that a foremost test for nurses in an ethnically different society is communication. Not just words but also tone and volume form spoken communication which in diverse cultures differs greatly. For example, Thai people are regarded as not talking too much as they believe it is a sign of idiocy whereas Cuban people are happy with talking vociferously. He also pointed out that Europeans are not afraid of talking about emotions whereas Asians are hesitant to do so. With regards to communication without words Riley (2004) explained that eye contact is not always expected. For instances, in Native America and Asian cultures it is offensive and among Muslim Arab women it is allowed only to their husbands. Therefore, he identified the importance for healthcare professionals to be culturally aware. Phillimore (2011) explored the challenge of provision of diversity needs in the UK based on studies done on health care service provision to new migrants, during 2007/08 in Birmingham. She stated that with political forces wanting to reduce welfare support for new migrants, such provision becomes quite a challenge. She also believed that, in the long run, this disregarding of health care needs will lead to further issues for the health care system that otherwise could be avoided by just providing what is needed now: cultural and language services and health support. It was also suggested that in today’s political climate offering of ethnically specific provision by the community and for the community, results in the local needs not being met, as the existing GP systems are already overstretched. She concluded that a number of migrants are condemned to an unwelcoming future since UK seems to embrace a tendency of anti-migrant sentiment and a move to community institution instead of multicultural provision (Phillimore, 2011). The Culture Care Diversity and Universality Theory by Madeleine Leininger In the 1950’s Madeleine Leininger, a nurse-anthropologist, realised that nursing practice was requiring a theory to allow people to transform nursing into a more advanced and beneficial discipline that challenges nurses to open up to cultural variety and universality (Leininger, 2006). This was developed as a response to the demand for multicultural care which was immense and yet incomplete as many healthcare systems did not consider the need for bringing together culture and nursing care (Giger Davidhizar, 2008). The culture care diversity and universality theory developed by Leininger in 1991 (Leininger, 2002a) is unique in that it focuses on competent care, can be used upon any culture and is based not only on individuals but groups and families too. The theory addresses the importance of a consistent cultural competence instrument to acquire cultural awareness through a constant learning attitude and approval towards human differences and rights by health care professionals (Burford, 2001, cited in Baxter, 2001, pp. 202-203). Leininger (2002a) insisted on the importance of transcultural knowledge as a tool to avoid human acts such as the event of September 11, 2001. She then proposed the culture care theory as the most holistic approach to gradually transform the health system. This much needed transformation requires understanding of individuals in ways that identify and respect their cultural background and will lead us to understand such transcultural dismay. The theory was used in a study among Hispanic home care patients in the US, 2007, in order to identify cultural needs. As a result, care delivery improved in some areas and there was a suggestion describing the use of the model as a tool to reduce costs in the health care system (Woerner et al. 2009). Leininger’s theory applies not only to races from different backgrounds but also to today’s controversial groups such as transgendered people, disabled people , the youth, poverty and the homeless that may pose a certain degree of difficulty of understanding to healthcare professionals. There is also an agreement that, thanks to Leininger’s culture care theory, the nursing profession today knows how to allow for culture when looking after individuals and has a widely spread   caring philosophy in hospitals (Clarke et al. 2009). For this model to assist the health care professional to understand factors as important as management and policies, as well as being able to reflect on their decisions and actions, Leininger designed two tool assessments, The Sunrise Enabler and the Ethno Nursing research method, which are based on monitoring treatment care on a daily basis (Hubbert, 2006, cited in Leininger McFarland, 2006, pp. 354-356). The sunrise enabler focuses mainly on total life ways and caring factors influencing health and well-being, disabilities and death. It also identifies features influenced by the patient’s cultural background whereas ethnonursing finds ways in which multicultural care could be better. In doing so, the reflected culture becomes part of the holistic nursing practice (Leininger, 2006). The Sunrise Enabler The Sunrise Enabler is used as an assessment tool to enable multidisciplinary teams to deliver suitable and competent cultural assessments that impede intolerance and stereotype behaviour. This is to supply the healthcare system with a guide to cultural vicinities ranging from religious beliefs to economic factors (Giger Davidhizar, 2008). Wherever a healthcare professional starts the model either from the top or from the bottom, the most important feature is to listen to the individuals, trying to grasp ideas and concepts rather than enforcing them (Leininger, 2002a). Healthcare professionals struggled to understand the meaning of factors influencing the care practice so crucial when applying the culture care theory. Such factors as culture beliefs, environment and religion were to be included in the nursing care, therefore Leininger (1997) built the Sunrise Enabler to illustrate such aspects. The Ethno-nursing Method This method was developed to fit the purposes of qualitative research methods. It is a systematic method for studying multiple cultures and care factors within a familiar environment of people and to focus on the interrelationships of care and culture to arrive at the goal of culturally congruent care. Ethnonursing is a particular research method developed by Leininger to inspect the theory. It was developed to allow health care professionals to discover new ways of helping different cultural groups distinguish features of nursing care (Leininger, 2006). Leininger (2006, p.6) stated that the ethnonursing method â€Å"†¦was new and unknown in nursing and was different from other qualitative methods including ethnography†. Holistic Nursing Practice The exercise of modern nursing is based on the view of holism that underlines the individual’s wholeness. Healing viewed as an indication of nursing practice that treats people as whole, developed in the late 20th and early 21st century into a popular subject in nursing in order to clarify the meaning of wholeness and holism. As a result, alternative therapies surfaced as approaches of practice in holistic nursing (Locsin, 2002). The definition of holistic came into effect in the 20th century. Then the word holism included the physical, emotional, mental, social, cultural, and spiritual view. This view of holism was envisioned by Florence Nightingale who is seen today as an example to follow, although many of her studies are not used in today’s nursing practice (Beck, 2010). â€Å"Holistic nursing care embraces the mind, body and spirit of the patient, in a culture that supports a therapeutic nurse/patient relationship, resulting in wholeness, harmony and healing. Holistic care is patient led and patient focused in order to provide individualised care, thereby, caring for the patient as a whole person rather than in fragmented parts† (McEvoy Duffy, 2008, Vol.8, p. 418). Furthermore, it addressed the expansion of multidisciplinary and collaborative teams as a way to applying holistic care into practice and asserted that the practice of holistic care by health professionals should avoid intrusion and, when really needed, as it is the case of unconscious patients, should use skills that include aspects such as consideration, disciplined criticism and liability in order to exercise nursing in a holistic approach (McEvoy Duffy, 2008). Since individuals from different culture backgrounds may appreciate holistic nursing practice and care choices in different ways so is the healthcare provided in different ways (Locsin, 2001). It may also be the case that some individuals may feel embarrassed to mention alternative remedies used in the past, therefore the assessment should be supportive rather than disapproving (Maddalena, 2009). Pearcey (2007) ran a study on clinical practices amongst student nurses to draw on a few key points related to holistic nursing practice. It was found that the notion of holistic care was not clear within nursing practice. Some students claimed not to know the right meaning of holistic nursing practice and also claimed that tasks and routines are what nursing is all about. The study showed an evident lack of professionalism and knowledge amongst care professionals as well as a huge gap between what is taught and what is really applied at work. The author concluded that there is a real risk of inconsistency within the profession. Within the practice of holistic care there has been lately a huge influence of alternative or complementary medicine which care experts have tried to professionalise by setting certain values to be met. A study amongst nurses and midwives accomplished in England, 2008, revealed this but also the lack of initiative from the NHS to incorporate such practices, even though it was demonstrated that a huge variety of them were successfully applied on patients where biomedicine seemed not to work. Such practices included reflexology, aromatherapy, acupuncture and massage that actually underlined biomedicine rather than substituted (Cant et al. 2011). Whilst carrying out an interview on medical students in the UK, a student suggested that it is actually a catch-22-situation when looking after patients from diverse races as they have diverse predominance of whatever conditions that eventually will require different treatment, a world apart from what is being taught in medical schools with regards to treating everyone in the same way (Roberts et al. 2008). A quick look to Harrison (2008) for a concluding comment on multicultural nursing in relation to holistic care, offers us this brief view: a Western health care organism that has not managed to treat minority communities in a holistic manner is a system that claims to care for one and all identically. The Theory of Environmental Adaptation by Florence Nightingale According to Nightingale’s Theory of Environmental Adaptation, an individual’s health is improved by looking after the surrounding environment. It goes further than this and asks for the environment to be operated by the health care professionals as an approach to healing (Howett et al.   2010). Florence Nightingale defined nursing as â€Å"†¦the act of utilising the environment of the patient to assist him in his recovery† (Funnell et al. 2009). She determined that the deficiency of factors such as uncontaminated air, clean water, sanitation, hygiene and sunlight is unhealthy to the human being. Furthermore, she reasoned that temperature, environment and nutrition affect the patient (Kozier, et al. 2008). This theory of nursing includes inspection, recognition of environment changes and their execution and supporting the patient health care by allowing the environment to benefit the patient (Neils, 2010). Selanders (2010) reviewed and compared this theory’s aspects with modern day practice and reported that Nightingale’s concept, such as air, light, noise and cleanliness is equal to today’s concept of physical environment; health recommendations to psychological environment; food to nutritional status and observation to nursing management. The author also estimated that the theory has been used in several qualitative works and some studies on the childbirth process. Transcultural Nursing vs. Holistic Nursing Practice According to Leininger (2002b) patients are not provided full holistic care by health professionals. Factors such as kinship, religion, environment and culture are largely missing. For that reason, care professionals should avoid being judgmental when delivering holistic care and rather provide an all-inclusive care that respects the individual’s cultural background (Maddalena, 2009). As a student nurse, it is vital to value the development of cultural awareness and competency within the profession in order to encourage and address all stages of holistic nursing practice as it is meaningful to today’s multicultural society. Leininger (1997) also claimed that essential practice is needed to create a regulation of multicultural nursing that could be of use to much ignored cultures. For example, acute medical treatment, medication, and patient fulfilment can be improved by understanding care beliefs when bringing in nursing care which, in turn, could save the health care system financially and also have a desired positive outcome on patients (Woerner et al. 2009). Individuals or groups may clash with health professionals if they are not showing respect for each other’s cultural beliefs resulting in poor treatment and patients losing hope in the health care system. Hogg (2010a) also underpinned this understanding as crucial to delivering accurate holistic nursing practice. However, not only patients may lose faith in the system. Hogg (2010b) also affirmed that nurses from black and minority ethnic have suffered, at some point, racial harassment as well as lack of opportunities according to their numbers in the nursing profession. As holistic nursing practice centres on recognition of patients’ rights and choices (Potter, 2005 cited in Dossey et al. 2005, p.347), it is subsequently supporting the meaning behind multicultural care. The association of both precepts confirms an ongoing engagement to pursue equality and diversity as promoted by the Nursing Midwifery Council (2008). â€Å"Inherent in nursing is respect for human rights, including cultural rights, the right to life and choice, to dignity and to be treated with respect. Nursing care is respectful of and unrestricted by considerations of age, colour, creed, culture, disability or illness, gender, sexual orientation, nationality, politics, race or social status† (The International Council for Nurses, 2005). When assessing, planning, implementing and evaluating a patient’s needs as to medication, health professionals should take into account culture’s physiologic traits, as it can seriously impact the treatment. For instances, due to genetics, for one patient a normal given dose may develop a reaction whereas for another it may not work at all (Anon, 2005). Conclusion It is obvious that cultural competency is a must when performing holistic nursing practice, in order to deliver a responsive and high quality care system. It is therefore recommended that specific cultural training should be given to all health care professionals so as to not overlook the great multi-cultural society we all are in. As society becomes more diverse, health care professionals should expand guiding principles that sponsor cultural skills as a way to deliver enhanced holistic healthcare. By carrying out this essay, the author realises the significance of treating people in a holistic way and not making assumptions just because they are from different cultures. This is something that seems yet not to be well implemented in my workplace (NHS since 2007). The author will, from now on, be more aware of his practice when caring for individuals from different culture backgrounds. It can be considered that nursing as a profession is also an example of human culture so indispensable for a in peak condition community, as seen looking through the theories of nursing and its tools presented in this paper, which if not recognized may affect the execution of holistic practice and its results, i.e. it is a profession whose culture needs to be elastic if it is to fulfil its function. 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Marriage Words

Marriage Words Marriage Words Marriage Words By Maeve Maddox In my reading last night, I discovered a new marriage word: hypergamy [hye-PER-guh-mee]: marriage with a partner of higher social standing. Cinderella’s marriage to the prince is an example of hypergamy. Hypergamy belongs to a group of English words formed with -gamy, a suffix derived from Greek words for husband, wife, and marry. The presence of this suffix indicates that a word has something to do with marriage or reproduction. Most of these words relate to botany or biology, but several apply to people. bigamy: marriage with a second wife or husband when already married. Bigamy became a criminal offense in England and Wales in 1640, and a federal offense in the United States in 1862. deuterogamy: marriage a second time; marriage after the death of a first husband or wife. digamy: another word for deuterogamy. endogamy: (anthropology) The custom of marrying only within the limits of a clan or tribe. exogamy: (anthropology) The custom by which a man is bound to take a wife outside his own clan or group. hypergamy: marriage with a partner of higher social standing. homogamy: marriage between partners of equal social status. hypogamy: marriage of a woman into a lower caste or into a tribe of lower standing than her own. misogamy: hatred of or opposition to marriage. monogamy: The condition, rule, or custom of being married to only one person at a time. Once it meant not remarrying after the death of a first spouse. pantagamy: A communal system of marriage in which all the men and women of a household or community are regarded as married to each other polygamy: The practice or custom of having more than one spouse at the same time. octogamy: Marriage with eight spouses (successively or at the same time). Even the much-married Wife of Bath had only five husbands, but several modern celebrities have achieved the status of octogamist. Note on pantagamy: In 1848, an American preacher, John Humphrey Noyes, founded a communal religious settlement at Oneida, New York. Noyes is credited with having coined the term â€Å"free love.† The community supported itself by manufacturing silverware, leather bags, woven hats, and garden furniture. Possessiveness and exclusive sexual relationships were frowned upon, with the result that members recognized something called â€Å"complex marriage†: any member was free to have sex with any other consenting member. The community was dissolved in 1881 and the practice of pantagamy ended. Its silver manufacturing operation went on to become Oneida Limited, a company still headquartered near the site of the defunct community, although the manufacturing has been outsourced abroad. Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Vocabulary category, check our popular posts, or choose a related post below:20 Computer Terms You Should KnowEmpathy "With" or Empathy "For"?10 Terms for the Common People

Executive Briefing Paper Essay Example | Topics and Well Written Essays - 1000 words - 1

Executive Briefing Paper - Essay Example A mentor can be one of employees with vast experience (in-house) or might hire a professional hired from outside the company (external) to provide guidance to employees of an organization (Lord, Atkinson, and Mitchell 2008, 16-17). Regardless of the type of mentor used, both act as role models to the employees of an organization by providing them with professional advice and guidance through which they can improve in their line of work. Research indicates that the mentorship in an organization has many benefits attached to it, which is why many organizations are eager at developing the culture. Costa Coffee is one of the U.K. companies that may benefit greatly by adopting such a culture following its number of employees who require more training for the ever-expanding business outlets that offer more challenging environment which require a high level of professionalism. This paper is an executive briefing to the management of Costa Coffee on the benefits likely to accrue to the company by adopting a mentoring culture. As earlier stated, many companies are making moves towards developing a mentoring culture within the organization. This company does so because they have realized the numerous benefits that are attached to mentoring culture according to Spencer (1999, p.8-10). Firstly, mentoring is beneficial since it is a cost effective means of training many employees so as to improve their experience. This is particularly beneficial for Costa Coffee, which has many employees spread from different stores that may require more training so as to improve them professionally (Dana 2010, p.8). The method is cost effective in the Costa Coffee will not have to send its employees for a seminar or training workshop to get training. Instead, the company can have the option of choosing a mentor from within who may be an employee with a wealth of experience in line with the area that requires more training (Lord, Atkinson, and Mitchell 2008, 16-17). Alternatively, Costa