Wednesday, August 26, 2020
Order Term Papers
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Order Term Papers
Order Term Papers Every single one of our shoppers is protected by our policies that guarantee high quality, reliability and absolute safety of our premium writing services. Worried that you have to ship your essay inside six hours? After his ultimate examination, a perfect copy is lastly uploaded to your profile. You will have two weeks to assess the acquired essay writerâs assist and get free limitless amendments of the doc. Should you be dissatisfied with the product totally, we will return your payment with out hesitation. Whether you have a fast turnaround of 24 hours or a deadline of 5 days, we're always ready to give you the consequence depending on your timeframe. Our writers are fast and steady in well timed research and writing. It is better to debate all the main points with the author beforehand. If you need your paper sooner than the deadline you've specified, there isn't a assure that it's possible. The author will then focus on the possible options with you. If you see that there's not sufficient data for writing a proper paper, it's not the reason for giving up but. Our writers can find the necessary data using experiments and questionnaires. Our writers are used to stress, and that is why they'd nonetheless deliver your work even on a good deadline. Also, the truth that we are able to handle fast turnarounds does not, in any way, compensate for the standard. We honor deadlines, and that is the reason why we at all times deliver on time. It is clear that the key to creating a fantastic essay lies inside outstanding communication between the writer and the shopper. Providing complete assignment specifications and additional materials just isn't sufficient; questions can always arise, and we want every essay to be good. This is why we put every customer in direct contact with the author and editor assigned to their paper. You will know when your paper is ready and the fact that it won't have any typos and grammar errors in it. Nothing can stand in our way of getting the job carried out for you. Not a problem for our experienced essay author with impressive research skills. We love challenges and except them with out hesitation! Youâll always receive unique, plagiarism-free content. Thereâs all the time a risk when shopping for anything on-line, so you should ensure you make purchases from reputable sources. If you select a trustworthy essay writing service like Just Buy Essay, you may make sure your every transaction is completely secure and secure. If you purchase an essay from a credible source that provides a hundred% genuine content, you simply canât get caught. At Just Buy Essay, our professionals write each single paper from scratch, and we ensure every of them is unique using a plagiarism checker. There is a thesis assertion that displays the primary thought of the paper and that is something they concentrate on. As the subject of any term paper can be fairly broad, it's straightforward to change the eye from the central message to a secondary one. We make the process of shopping for a school term paper clear by giving you the liberty to manage every thing. Who says that you need to only depend on the existing sources? There is a secret weapon of writing a good paper - to become your individual source of knowledge and go that extra mile that your trainer will respect. When you select to pay to write a research paper, you can be sure that our gurus will do an excellent job. Our gurus do not make the mistake of leaping from one topic to another while writing. We are the masters of academic writing and might manage any requirement offered by your prof. Once the editorâs job is finished, knowledgeable proofreader verifies your paper.
Tuesday, July 7, 2020
Moral Dilemmas and Ethical Decisions in the Emergency Room - 275 Words
Moral Dilemmas and Ethical Decisions in the Emergency Room (Essay Sample) Content: Moral Dilemmas and Ethical Decisions in the Emergency Room(Unit Title and Code)(Date)Moral Dilemmas and Ethical Decisions in the Emergency roomIntroductionTriage care is one of the most delicate areas of the nursing practice. This is because of factors such as urgency and overcrowding that are associated with it. Since most emergency situations are sudden and unexpected, the experience is typically agonizing and life threatening for most patientsCITATION Car121 \l 1033 (Carrus, 2012). In such cases, nurses are faced with ethical dilemmas such as deciding on which patients to be attended to first. During such instances, the nurses are expected to apply the health care policies that morally direct them when providing healthcare and treatment for patients in emergency situations.The emergency department is known to be crowded. This can be attributed to elements such as inadequate staff, insufficient equipment and deficient space. For these reasons, patients are sometime s forced to wait for longer periods than expected before being attended to by a caregiver. Without doubt, this degrades the whole health care provision process. This also compromises the patients health and diminishes the nurses morale. And so, in the triage system, nurses are expected to manage such situations and ensure that the patients lives are no longer endangered CITATION Kim14 \l 1033 (Enard, 2014). Emergency cases should therefore be prioritized according to their urgency while following hospital policies and protocol.Health Care Policies and Protocols in the Emergency RoomThe emergency department is typically a 24/7 working area. It receives patients and victims in need of urgent medical treatment. The aim of this department is to restore the patients lives by preventing further harm to their health. It also ensures that their conditions are managed as successfully. Nurses in this department have an 8hr duty shift in which they are banned from leaving until other shift mem bers are availableCITATION Kim14 \l 1033 (Enard, 2014). In charge of the nurses is an emergency department doctor. The doctor attends to all patients despite of their health disparities.Protocol suggests that soon after the arrival of a prospective patient, the triage nurse takes him or her to the CPR room where vital signs are noted. A form is then issued and the patient advised to wait outside until he or she is called. While waiting, the doctor evaluates the patient. It is at this point that a decision is made on whether he can go home or not. The triage conditions of severity include anomalous physiological signs, devices of injury and concurrent diseasesCITATION Gor14 \l 1033 (Ehnfors, 2014). Priority cases take account of those of involved in mass accidents and the severely injured individuals.With the exception of pregnant women, patients cannot be taken out of the emergency department. Stretchers and wheelchairs are used to transport the pregnant women from the ER departme nt to the KP2 department. For the not so seriously injured patients who are not directed to the emergency department, they are advised to acquire some definite documents in the record keeping departmentCITATION Car121 \l 1033 (Carrus, 2012). From there on, they are re-evaluated after a few hours to establish the intensity of their conditions. The final disposition can consequently be recorded. If the patients urgency level is undeterminable, the more his or her case should be prioritized. Nurses are therefore expected to re-examine the patients after every few hours to ascertain those in need of re-triage.A patients urgent need for treatment is not the only determinant of emergency care. There exist health care policies that affect emergency care as well. The 2010 Patient Protection Affordable Care Act and the American College of Emergency Physicians Code of Ethics are just a few to mentionCITATION Car121 \l 1033 (Carrus, 2012). The PPACA aims at shaping the American triage healt hcare system. It promotes the provision of quality healthcare with the purpose of endorsing best patient outcomes. It also promotes the freedom of choice such that patients can decide on where and when to receive treatment. It also promotes affordability of emergency room treatment. Last but not least, it shares the benefits of triage healthcare with other citizens. This is especially through establishment of insurance programs for the poverty-stricken and the elderly.Other healthcare policies are contained in the American College of Emergency Physicians Code of Ethics document. It promotes and guides the provision of quality healthcare in the ER. Basically, it summarizes the responsibilities of ER physicians to their patients. It promotes ethicality and a sense of obligation towards the emergency patients. It contains principles such as the respecting the patients best interests, promoting patients welfare, responding quickly and expertly to emergency healthcare, communicating hone stly with ones patients, respecting patient privacy while keeping confidential information undisclosed, fair treatment for all patients and working cooperatively for the patients best interests among othersCITATION Kim14 \l 1033 (Enard, 2014).These triage policies prioritize the patients health care on their assessments as carried out by the doctors. The cases are also prioritized based on their complaints and vital signs. The process of checking and determining their vital signs ensures that the ER patients are immediately and appropriately attended to. It also ensures that the emergency department resources are properly utilized and that patient safety and best patient outcomes are upheld CITATION Jos14 \l 1033 (Ransom, 2014). The information obtained is then keyed into the triage navigator for further treatment and evaluation. All these policies aid in the decision making process during the provision triage treatment.Impacts of Healthcare Disparities on Treatment DecisionsPatie nts arriving in the emergency room have different conditions in terms of urgency and severity. This impacts the decisions made by the care givers in regards to which cases to prioritize and attend to first. Factors that influence the prioritization process include age, severity of ones complaints, vital signs and concurrent conditions. Patients with gunshot wounds, stab wounds or those having suffered from cardiac arrests are taken to the trauma room where they are resuscitatedCITATION Gor14 \l 1033 (Ehnfors, 2014).Health care disparities affect treatment decisions in many and different ways. For example, patients involved in accidents and those who are severely injured are immediately taken in for treatment. In such a case, the urgency of medical healthcare is considered. In other cases, age is well-thought-out. Infants and the elderly are prioritized when making treatment decisions. A patients insurance cover also determines the treatment and decision making process. An insured patient is most likely to be attended first unlike an uninsured patient CITATION Jos14 \l 1033 (Ransom, 2014). These factors not only determine how fast the patient is attended to but also the treatment process and medications to be used. A patient may negatively react to certain medications hence the need to evade such.Because of these disparities, some hospitals and health organizations have defined their triage systems through color coding. These color codes include: * Red where patients need urgent medical attention. These patients have life threatening diseases or injuries. * Yellow where patients need urgent attention but not as much as the red patients. * Green where patients have minor injuries and non-life threatening conditions. * Black where patients are deceased * White where patients have no injuries.The nurses can also apply evidence based decision making strategies such as the EBP decision making and use of the emergency severity index. This tool stratifies patients into five groups depending on their treatment urgency. Conceptually, the emergency severity index deduces the caregivers decision making process to four important questions. These are the following: * Is the patient in need of urgent life-saving intercession? * Should the patient wait? * How many resources will this patient require? * Which are the patients vital signs?Answering these questions will therefore guide the nurse on determining how urgent it is for that particular patient to be treated.Health care policies for uninsured individualsThe emergency health care system cares for all persons regardless of their abilities to pay for insurance. However, the insufficient insurance coverage leads to declining health plans and medical crises which intimidate doctors and nurses when providing quality healthcareCITATION Kim14 \l 1033 (Enard, 2014). Enard advocates for the expansion of health coverage for the uninsured...
Tuesday, May 19, 2020
The Conflict of Chaos Theory with the Theological Beliefs Free Essay Example, 1500 words
The scriptures of Christian doctrine have provided mankind with the knowledge that scripture plays a pivotal role in the origins and warrants of Christian Doctrines (Heck, 2007). The canons of scriptures lay the foundation of the Christian preaching that has established God as the creator of all things and which work under the divine orders, following a definite pattern, irrespective of external factors or conditions. The Christian doctrine was basically promoted to inculcate a life of faith where people could find solace in sorrow. The doctrine also helped to inculcate a sense of fear in the event of wrong doing thus facilitating the formation of societies and evolving traditions that provided the guideline for co-existing in peace and harmony. The dogmatic approach to old Christian doctrine is not very popular in the fast advancing scientific era. The scientists and philosophers have debated that despite the knowledge of the intricate working of DNA and gnomes etc. , the evolutio nary theory exhibits phenomena of the unpredictability of the outcome. A new approach towards theological beliefs has incorporated the paradigm shift that the new scientific knowledge has made available. We will write a custom essay sample on The Conflict of Chaos Theory with the Theological Beliefs or any topic specifically for you Only $17.96 $11.86/page Gray, 1997). John Jefferson Davis has interpreted this by saying that From a Christian perspective, such an encounter with the limits inherent in the nature of the physical realm should remind man of the fundamental distinction between an infinite Creator and a finite and limited creation, including man.
Wednesday, May 6, 2020
Analysis of Acroos Five Aprils Essay - 591 Words
TITLE: ACROSS FIVE APRILS ENGLISH 1 SUMMARY The name of my book is across five aprils.The main character across five aprils are Jethro, Ellen, Matthew, Jenny, Bill, John, Tom, Ed turner, and Shad.In the being of the story the Confederates have fire on fort sumter. John, tom, ed turner, and bill went to war. Bill was the only person out of the creighton boys (john tom) to go to fight for the confederacy army. The union army was losing the civil war at first because of Confederates general Robert E. Lee. But union general Ulysses S. Grant started to win key battles for the union army. One day tom wrote a letter to the family to tell them about the war. The letter was heartbreaking because ed turner couldnââ¬â¢t handle the war. Ed wasâ⬠¦show more contentâ⬠¦Ed turner went back to the army. A few months later around march or april general grant army clash with robert e. lee army. General grant army won the battle and the union won the civil war.The civil war was won in apr il.A few days later president lincoln was killed.After that jenny and shad come home on a sunny warm day in april. Across five aprils is symbolic because the civil war started in april of 1861 and ended in april of 1865. Also it is symbolic because it was the story of the creighton family struggles and hardships thought out the civil war time.It is also symbolic because it also stand for the sacfiaces of all the people who died in the bloodest battle in america.The title is also is symbolic because she is telling her grandfatherââ¬â¢s story of this family in the civil war time.It is also symbolic because every april the family is either happy or sad.The title is also symbolic because the author grandfather is expressing this feeling and thought of growing in the civil wartime.Also the grandfather is telling what he remember what happen in family not just during the civil war time.The title is also symbolic because it get the readers to see how people live and feel in a hard time in Americaââ¬â¢s history.The title is symbolic beacuse the author feel close to the tilte and the book.The title is symbolic because the author is close to her grandfather and she love the story he tell her about him grow up in the civil war. The
Metropolitan Governance and Strategic Planning â⬠MyAssignmenthelp
Question: Discuss about the Metropolitan Governance and Strategic Planning. Answer: Introduction The paper discussed about the governance and management for principal urban regions of Australia. Here, argument includes major reforms of metropolitan governance where the governance is among the scholars, policy makers, professionals of the urban areas and the general republic (Ahrend et al., 2014). The premises include the urban governance failures which manifest threats to the sustainability, and the security with global economic instability and the climatic changes. The shift is stronger with explicit metropolitan governance. Our focus is to evaluate the case of decision making in Australia where the emphasis is terms as government deficit with effective institutional arrangements for planning of urban development and coordinating the services like infrastructure. For the cities to work on different types of production, servicing, marketing and innovation, it becomes important for them to shift form manufacturing to service-based economy. This will increase the rate of flux with capital movement in the states. It also helps in governing cities to be entrepreneurial and concerned with attracting and retaining investments which include the globalised translation companies and their employees. As per the history of Melbourne, it is indicated that there is a need to evaluate the case for re-instating the integrated land use planning which is important for distinctive social, environmental and the economic challenges (Buxton et al., 2016). Considering the issues related to strategy planning, there is a disjuncture between the planning goals and the realities. It includes the codified system for regulating and then approving the use of land for better development. the planning can be either regulatory or facilitative which has been designed for public interest or for transferring the power to the individuals. The frameworks are defined for land use planning system (Flyvbery, 2002). Here, the planning strategy looks for achieving the desirable future outcomes which can create path dependencies to determine the ways of living. The example is the priority given to the infrastructure of road over the investments mainly where public transport infrastructure abides reliance on the cars with expanding investments in roadways. The planning decisions can help in creating path dependencies which could be for determining the living for decades to come and focus on continuing priority for the road infrastructure over investment (UN Sustainable Development Goals Victorian State Government, 2017) Strategic urban planning The strategic planning is a continuous process set through time which includes the shaping of cities, towns and the proper management development, infrastructure and the services. A proper balance is set with environment and natural standards to meet the needs of community with cultural significance (Gupta et al., 2015). The planning is depending upon providing opportunities for better structure with guiding development investments and protecting the values related to urban characteristics. The issues in the planning comes with the sustainable, growth and development, diversified population and better infrastructure and transportation. The major purpose of the planning is to involve the contexts and histories, with government functions, role of planners and their perception. For urban planning, the theories are defined to inform practice which could be accumulated through the practice knowledge which comes from practitioners (Thampson Maginn, 2012). The theories are depending upon conflicting pressures which include place of work, location, profession body and education. Apart from this: The economic planning is the technocratic exercise for economic management. The physical development planning which includes the building of land regulations like the property rights, zoning and the other master plans (Trundle, 2016). The policy analysis and the planning are effective with efficient public administration. This is based on the scientific analysis with de-politics planning. The Planning and Environment Act 1987 is to enable the range of strategic and statutory documents with focus on planning the use, development and land protection. Prevailing justifications The justifications are based on system approaches to plan about system thinking, complexity and connectivity. The planning is based on handling the normative approaches which includes the social principles and the target goals. The collaborative and the consultative approach to planning is based on comprehensive planning (Henderson, 2016). The challenges are based on understanding the strength, application, limitations and the complexities (Lowei, 2018). Hence, the challenge to integrate is important for community engagement and handle the stronger principles with rigorous evidence bases and analysis. The planning is about creating a better and a sustainable world with political agendas and the stakeholder engagement. The metropolitan regions are mainly to handle the infrastructure provision, service delivery and the local or regional governance (Harrison Hoyler, 2014). Here, the local government is relatively working on the leading policy roles across the different cross-functional areas which are considered under the province of state like education or the health and development. The roles and responsibility are to work on detachment which is important to safeguard against the egregious governance failures which includes ad-hoc and reactive decision making which comprise of policy objectives (UN Habitat, 2007). The strategic planning is based on predicting and providing manner with making decisions depending upon path dependency. Here, strategic spatial planning implies different public benefits that only government can deliver along with requiring a proper coordination, integration and intervention from the government. For the federal Government: The roles and responsibilities include contribution to infrastructure funding like roads. The policy statements include National Urban Policy Framework (2011) and the Smart Cities Plan (2016). For the State Government: The responsibilities for the planning system includes the strategic and the statutory part with focus on land, water and planning the energy with environment (Healey, 2009). The local government needs to focus on the decision making with the public health, management of the council property and the environment changes. The assets and the infrastructure management also need to be checked like the roads, public lighting etc (Buxton et al., 2016). The issues are related to frequent changes in weather events like the cyclones, floods etc. The increased temperature and the sea level could be the major issues. Address key urban issues and challenges There are major implications on the biodiversity, use of water, energy, food, pollution and the change in climate. The water impacts could be the access to the water demands is subjected to increase by 55% from demands which are related to urbanisation (Searle Bunker, 2010). There is a need of land and water area for maintaining the sustainability to provide energy, water, food and other materials. The planning is important for the government with auditing and regulating the actions related to governance. The changes are recognized with enabling the rapid spread of things with neo-liberalism that it entails. The changes to western government is associated to government who should intervene a little in the operations of free market. There are other implications of neo-liberalism with public sector expenditure, taxation or the indebtedness (Stilwell Troy, 2000). The competitiveness tenders for different government tasks, with removal of constraints on market, which is done through the deregulation process of labour market and financial systems. References Ahrend, R., Gamper, C. and Schumann, A., 2014. The OECD Metropolitan Governance Survey: A quantitative description of governance structures in large urban agglomerations.OECD Regional Development Working Papers,2014(4), p.0_1. Daley, J., Coates, B. and Wiltshire, T., 2017. Submission to the NSW Legislative Assembly Committee on Environment and Planning Inquiry into Land Release and Housing Supply in NSW. Flyvbjerg, B., 2002. Bringing power to planning research: one researchers praxis story.Journal of planning education and research,21(4), pp.353-366 Goodman, R., Buxton, M. and Moloney, S., 2016.Planning Melbourne: lessons for a sustainable city. CSIRO PUBLISHING. Gupta, J., Verrest, H. and Jaffe, R., 2015. Theorizing governance. InGeographies of Urban Governance(pp. 27-43). Springer, Cham. Harrison, J. Hoyler, M. 2014. Governing the new metropolis,Urban Studies, 51(11), pp. 2249-2266 https://www.un.org/sustainabledevelopment/sustainable-development-goals Henderson H., 2016. Habitat III: the biggest conference youve probably never heardof https://theconversation.com/habitat-iii-the-biggest-conference-youve-probably-never-heard-of-63499 Lowei M., 2018. This is why health has to be at the heart of the New UrbanAgendahttps://theconversation.com/this-is-why-health-has-to-be-at-the-heart-of-the-new-urban-agenda-91009?utm_content=bufferaa52eutm_medium=socialutm_source=facebook.comutm_campaign=buffer Searle, G. and Bunker, R., 2010. Metropolitan strategic planning: An Australian paradigm?.Planning Theory,9(3), pp.163-180. Shen, L.Y., Ochoa, J.J., Shah, M.N. and Zhang, X., 2011. The application of urban sustainability indicatorsA comparison between various practices.Habitat International,35(1), pp.17-29. Stilwell, F. and Troy, P., 2000. Multilevel governance and urban development in Australia.Urban Studies,37(5-6), pp.909-930. Thompson, S. and Maginn, P., 2012.Planning Australia: An overview of urban and regional planning. Cambridge University Press. Trundle, A., 2016. Habitat III is over, but will its New Urban Agenda transform the worldscities? https://theconversation.com/habitat-iii-is-over-but-will-its-new-urban-agenda-transform-the-worlds-cities-67432
Wednesday, April 22, 2020
Paulo Freire, Pedagogy of the Oppressed Essay Example
Paulo Freire, Pedagogy of the Oppressed Paper Everyone has a different way of learning. Some enjoy listening to lectures and taking notes, others enjoy having a hands-on learning experience, and there are other people that enjoy doing both.I will be discussing two learning techniques that Paulo Freire discussed in his analysis of a teacher-student relationship entitled, Pedagogy of the Oppressed. One of the techniques discussed is called the banking concept, and the other is called the problem-posing method. I willfirst discuss the concept of banking, where you have the students as depositories and the teacher is the depositor.With the teacher, or educator, as the narrator in the classroom, the students are lead to memorize what is said.For example, the educator may say, The square root of 100 is 10.Later, when asked what the square root of 100 is, the students will respond with the answer 10, without knowing how they got the response.To the teacher, the more information that is fed to the students, the better he or she is as a teacher. In education, there must be a solution of the teacher-student contradiction, but this solution cannot be found in the banking concept.In contrast, this banking system maintains the contradiction through the following practices: (1) the teacher teaches and the students are taught, (2) the teacher knows everything and the students know nothing, (3) the teacher thinks and the students are thought about, (4) the teacher talks and the students listen, (5) the teacher disciplines and the students are disciplined, (6) the teacher chooses and enforces his choice, and the students comply, (7) the teacher acts and the students have the illusion of acting through the action of the teacher, (8) the teacher chooses the program content, and the students adapt to it, (9) the teacher confuses the authority of knowledge with his or her own professional authority. We will write a custom essay sample on Paulo Freire, Pedagogy of the Oppressed specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Paulo Freire, Pedagogy of the Oppressed specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Paulo Freire, Pedagogy of the Oppressed specifically for you FOR ONLY $16.38 $13.9/page Hire Writer
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