Should Nurses Be Allowed to Diagnose Patients?

Should Nurses Be Allowed to Diagnose Patients? Nowadays, the more controversial is the question as whether nurses should be allowed to diagnose patients? This issue is highly significant because nurses are equally responsible for patient care as do doctors and their knowledge can contribute towards appropriate diagnosis. However, Croasdale (2008) claimed that nurses have limited diagnosing skills. Here the essential point on which I differ is that, today nurses are more knowledgeable and competent health care professionals. Thats why they have potentials to diagnose patients. Thus, I propose that as nurses possess great potentials so they should be allowed to diagnose patients. Opponents of my view argued that nurses are considered subordinate to doctors. Sullivan Decker (2008) stated that Relationship of physician and nurse has been that of superior and subordinate. This in turn means that, nurses are supposed to adhere to doctors order. This prestige comes from the point that only doctors are allowed to diagnose. Godlee (2008) contends that, diagnosis is almost the only skill that defines doctor. Additionally, history taking and assessment in logical fashion is the key principle to make pertinent diagnosis. For which doctors are trained and knowledgeable. Furthermore, their education is more advanced than nurses, which help them to achieve this task. Thus, it can be affirm that nurses are responsible for caring patients while doctors cure them. Whereas, I strongly believe that, nurses are not subordinate to doctor. In fact, both are independent professionals who collaborate to achieve similar goals. As Murphy (2004) clearly pointed out that nursing is an independent profession with a unique body of knowledge and not simply a subcategory of medicine. In reality, nurses in their everyday practice also implement a logical process for history taking and assessment which ultimately guides diagnosis. For example, since the day nurses step in this profession, they are practicing history taking, interviewing and assessment skills. Moreover, nursing education has also expanded now and advance concepts are part of their curriculum. Today, nurses are also actively participating in researches to make their practice evidence based. Furthermore, the circle of nursing education does not complete at diploma or baccalaureate level while, career in nursing is flourishing day by day and nurses are moving ahead towards specialization. Therefore, on one hand, care is the core component of nursing. While on the other hand, it provides them the means to cure as well. Fox (2010) is the supporter of my opinion who asserted that Nurses can handle much of th e strain that healthcare reform will place on doctors and should be given the authority to take on more medical duties It is generally accepted that, people are more satisfied with doctors. This is because of the worldwide recognition associated with this profession. Doctors are the fundamental provider of health care. Moreover, it has been observed that in our society people consider doctors as superior to them. And in case of illness they immediately rush to doctor. Likewise, during my experience at emergency department, I have seen that as soon as patients reach, they want doctor to see them first. And many of them seemed satisfied after that. This was the reason, allowing nurses to triage patients was questionable. Hence, it is true to say that patients trust doctors and reveal more history to them comparatively to nurses. However, relating to these arguments is the critique that patients are more satisfied with nurses. Yet, there is no denying that doctors are recognized worldwide but, the point that profession of nursing is also globally renowned cannot be overlooked. People consider nurses as core member of health care team. As Laurence (2004) supported that Nurses are more popular than doctors as frontline providers of medical care. Besides that, nurses stay with patients for a longer period of time. Hence, patients trust and build rapport with them. Payne (2009) explains that Nursing was one of the few professions to gain an increase in public trustà ¢Ã¢â€š ¬Ã‚ ¦ Doctors saw a drop of 4% in public confidence in the last two years. This clearly shows that, patients trust nurses more than doctors. This allows patients to disclose even those details to nurses which they hesitate to communicate to doctors in short meeting. Thus, it provides nurses an opportunity to identify patients concerns and make appropriate diagnosis. As far as triage nursing is concerned, initially it was questionable but once implemented, it became successful than the former. This example clearly illustrates that nurses with their capabilities can satisfy patients. Hence, nurses can become successf ul if they are allowed to diagnose. Cernik Ferns (2006) claimed that doctors are the ultimate decision makers and patients are their legal responsibility. According to this argument, the responsibility to diagnose comes under doctors mandate because they are licensure for that. Therefore, they are held legally responsible as any error or an act of negligence can lead to legal implications for them. Nurses, so this argument goes, are also legally responsible and answerable for their actions in court of law. For instance, if the patient dies due to wrong diagnose, so it is not only a doctor but the organization is sued and in such circumstances, doctors and nurses both are liable. Moreover, doctors are licensure to diagnose but the same is true for nurses in particular that, in UK and USA, there are nurse practitioners who are allowed to diagnose independently and treat patients. Considering the above arguments, is the point that competent nurses by virtue of an essential member of health care team should be allowed to diagnose patients. As, they are regarded as the backbone of health care industry their knowledge can benefit patient to a greater extent. Nurses, being good decision maker based on their knowledge and experience as well as legally responsible health care professionals can bring positive outcome in health care. In my opinion, if nurses are prohibited to diagnose, then their capabilities would get suppressed. As well as, this can predispose to increase chances of misdiagnoses and eventually errors will arise. Hence, society at large can benefit if the nurses are empowered for that. Word count: 1005

The Role of Women (Duddy Kravitz)

1) What is the role of women in the novel? Make specific references to female characters. What does this tell us about the Kravitz world? In Mordecai Richler’s novel, The Apprenticeship of Duddy Kravitz, women are represented to have a lower class than men. The women who are present in the novel include Yvette Durelle, Ida Kravitz, Minnie Kravitz, Linda Rubin and Sandra Calder. Each of these female characters are seen as helpless individuals unable to bear for themselves and left unsuccessful without men. Through Duddy’s never ending quest to own land to ultimately be successful, Richler depicts women in a negative way.They are seen as instruments to help men succeed and every so often used as traps for others. Therefore the women in this novel do not have lives of their own as they are portrayed solely as part of other men’s lives. Such exists because the lives of the women were not once explored throughout the novel, it was always through the eyes of a man and since the women are not explored, therefore this results in a male dominated novel. Women are portrayed to be items of sexual desires; worthless and unworthy of a man’s second thoughts. As was the case with Max, his wife and Josette.Josette is one of the whores whom Max is pimping for and is described as being a â€Å"handsome whore with splendid black hair and enormous breast. †(22) Such indicates that she is revered only for looks and her sexual abilities. Another such instance is when a women was being described by Max only for her features while they were at the bar â€Å"†¦sitting beside him is the greatest little piece you ever saw. Knockers? You’ve never seen such a pair. I mean just look at that girl†¦Ã¢â‚¬  (20) Furthermore, Josette’s feelings are disregarded and ignored even though she is human and has every right to be treated fairly and humanely.Max grabs her forcefully and practically drags her. â€Å"You’re hurting me â⠂¬ ¦Ã¢â‚¬  (24) She is thought to be someone who can only perform sexual tasks and the readers read that she has no place in society outside or other than that. Max’s poor treatment of his whores, Josette included, likely influenced Duddy’s poor opinion of women. The way he regards women and the way he is with them is reminiscent of his father being a pimp and man-handling Josette at the beginning of the novel, as such treatment has likely been occurring since the death Max’s wife and Duddy’s mother Minnie Kravitz, if not starting with his treatment of her.In sense, it could be argued that Max disrespects his deceased wife by resorting to pimping, using Josette as an instrument to pay for the bills and having a successful family. This revels that Max does not possess the feelings a man should have for his wife. There were types of woman seen in the novel which were those who could not be trusted because they were only out for themselves. Such women were not treated well and are to be hated and laughed at for their stupidity. One of such women, Linda is featured very briefly during Duddy’s time at Hotel Lac des Sables, who Irwin Shubert convinced to go out with him.She is described in great detail; with more attention on her appearance and no mention whatsoever of her having a personality or feelings at all. â€Å"Soft, curvy, and nifty enough for one of those fashion magazines†¦Ã¢â‚¬  (78). She uses him and is still thought to be more worthwhile than the caring Yvette, and is thrown around later on. Sandra is the girl Lennie attempts to perform an abortion for, and consequently nearly loses his place at school. Her father is on the board for the university and he can convince the board to allow Lennie to stay.She is only depicted as being weak and whore-ish, being impregnated by her boyfriend, Andy Simpson. Not much is known about her, but she is seen as being emotional, desperate and hysterical. Riva Kaplan is Lennie ’s girlfriend and though much is not known about her either she is said, by him to be quite the terrible person. â€Å"She’s not better than a whore† (186). He fights with her and she is not mentioned again, indicating that a woman who fights and stands up for herself against a man is to be left and disposed of, not reasoned with or listened to. Furthermore, Duddy was never fully loved by his family.There is no concrete evidence that shows any of them ever cared for him or wanted to take part in his life. Though Lennie seems to somewhat appreciate Duddy, he is still somewhat distant to him and he focuses on his own studies and life. The first person to truly love him, for who he was, unconditionally, was his â€Å"Girl Friday†, Yvette Durelle. She is treated and shown to be beneath the men she is around, and is to be dominated and ordered around without defiance. Duddy’s girlfriend, Yvette, was the first person, male or female, to ever truly love D uddy for who he was, faults and all.Yvette gave Duddy many chances to be with her, but he consistently turned to his desire for land and money in place of her. â€Å"Three weeks. Duddy, if you start running again, I’ll leave you† (291). The last chance she gave him he ignored, and he preferred to stay alone and unhappy (whether conscience of it or not) with his precious land than the woman who loved him. The only time Duddy seems to show any feelings of affection towards Yvette was shorty after they had relations, just before he was shown the land by her.Her purpose to him then was clear; she would be used for sex and for the acquisition he his precious land. The fact that she stayed with him through his emotional abuse towards her indicated that she was weak and subservient, as all women are to be. His inability to appreciate women can be traced to his opinion of himself, his family, or both simultaneously. Specifically concerning Duddy Kravitz, many women were portra yed as traps, nags and instruments helping him succeed. There was woman in particular who helped Duddy to exponential levels and who ultimately led him to be ‘successful’.Yvette never lived in her own right or more than the foil for Duddy’s ambition, which in the end, consumes everything else in the novel. Therefore Yvette’s portrayal is entirely dependent on Duddy. (Richler never explores her family in Montreal) Yvette is seen as a trap to Duddy, despite wanting to pursue his land, he does not want to commit to Yvette and be trapped by her. She does not want Duddy to fulfill his dreams because she would rather settle down and start a family. Consequently Duddy’s lack of interest in Yvette is shown when â€Å"I feel so good, she said.Do you feel good? He could watch the lake over her shoulder and in his mind’s eye it was not only already his but the children’s camp and the hotel were already going up† (Richler, 100) As a nag, Yv ette constantly suggest her opinion to Duddy; as a result this frustrates him and her â€Å"I’ve seen you do lots of dishonest thing, Duddy, but never in my life did I expect you to cheat a boy like Virgil† (216) Duddy’s French Canadian girlfriend, Yvette functioned not as a person in her own right but simply as a moral conscious for Duddy.This shows that Yvette acts as authority figure in Duddy’s life, something he lacks. Yvette also acts as a mother figure in Duddy’s life. Duddy does not show an interest in Yvette; although she harasses him constantly and keeps showing her affection, it irritates Duddy because he is just using her. Yvette is used as an instrument as although she shows genuine love for Duddy, he never seems to have feelings for her.Since Duddy is a minor he employed Yvette as tool in acquiring his land, and manipulates her to his liking. She is an instrument used to get Duddy his land so he can fulfill his dream. Such goes to say that women during the 1950s were to be disregarded and called upon only for tasks, relations and served only as indicators of a man’s wealth and worth by her attractiveness.

The Ideal Man Essay

Ideal Man Essay: Rewrite Alicia Luttrell AP English October 11, 2012 From ancient times to present day, authors from around the world have tried to pursue the ideal man. After reading some of their stories, it is easy to see that each story depends on the type of culture the author was raised in. Throughout this pursuit, the ideal man has taken on many different forms. The ideal man may be thought of as someone who is perfect, but some may see him as someone who overcomes faults or doubts. He could also be seen as someone tries to become the ideal man or is well-known and liked throughout the land.In Flight, the young man Pepe has to learn to become a man after his father dies. His mother tells him almost daily that he is lazy and needs to get to work. As Pepe’s mother starts to rely more on him, she sends him into town to pick up some medicine and supplies. This is the start of Pepe forming into a man. His mother is instilling responsibility in him to help out the family. He goes on a journey and ends up proving that his mother should have never sent him because he kills someone. He runs from his crime and tries to get away from facing the consequences.Although he wanted to be like his father, the ideal man in Pepe’s eyes, he was young and foolish. The doubt of his mother didn’t help though. John Steinbeck wrote this story to show the reader that just because there is a void to fill does not mean that the person filling that void is ready for the task. Pepe tried to be like his father and fill his shoes. Some readers might view trying as a characteristic of an ideal man. Although Pepe tried he still lacked strength and courage to face his mistakes.The strange story of The Handsomest Drowned Man In The World is an example of creating an ideal man. The town’s people created a life that they thought this handsome man, they found on the beach, should have lived. Instead of just burying and being done with him, they chose to give him a l ife story so that he would not be forgotten. They gave him the name of Esteban, which means great and beautiful. The women compared him to their husbands, even though they knew nothing of him. The town’s people went out of their way to give him a lavish funeral, one that everyone would remember.These people were using Esteban for their own self-improvement. They saw how this man was forgotten and did not want the same thing to happen to them. This thinking caused them to change their life styles and better themselves. In the short story, A Good Man Is Hard to Find, there are many characteristics that could be put together to make up one ideal man, but separately everyone has flaws. The main character of the story, the grandmother, is in search of a good man. She is always quick to say someone is a â€Å"good man† before she knows anything about them.For example, when she meets Red Sam he mentions to the family that he let some â€Å"fellers† charge their gas las t week; she instantly decides that he is a good man. Red Sam was caring, generous, and thoughtful, things that an ideal man should be. On the other hand, Red Sam was lazy and rude towards his wife, not a characteristic of an ideal man. When the grandmother meets the Misfit, even though she knows he is a criminal, she still calls him a â€Å"good man. † He is kind to her, but in the end he kills her because she knows too much.Flannery O’Conner wrote this short story to let the reader know that just because someone may seem like â€Å"good man†, it does not always mean that they are. Red Sam seemed kind and caring, but he was really just lazy and rude. The Misfit turned out to be a cold-hearted killer after seeming like he cared to stop and help the family on the side of the road. There are people that are in the world today who seem good, but are nowhere close to it. They can say whatever they want but their actions will speak for themselves. As all of these stor ies show, being an ideal man is near impossible.Many people possess qualities that would make up an ideal man, but never all the qualities needed. They can never possess all the qualities because every perspective of an ideal man is based on what the reader believes in. Pepe was not mature enough, Esteban was not remembered for what he actually did, and Red Sam and the Misfit appeared like good men, but were not even close. There will never be an ideal man living in society. The ideal man will only live on through the stories, movies, and imagination people create. The ideal man is all based around culture and belief.

Run Forest Marketing Plan - 1463 Words

Run Forest Marketing Plan MKTG 2000, Julia Cooper Gabby Angelico, Maggie McMahan, John Haselden, Jacob DeVore 16 October 2012 Executive Summary Run Forest is an eco-friendly athletic footwear company that strives to be the first in quality innovations in sustainable athletic shoes. The company’s strategy focuses on total quality management through all aspects of production in order to create a successful brand image and word-of-mouth advertising campaign. In order to offer the product at a reasonable price, Run Forest will be effective in managing costs down and allocating resources efficiently and effectively. Table of Contents Situation Analysis†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..3 Marketing Objectives and Goals†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...3†¦show more content†¦Run Forest has up to three markets that may be available as possible areas where we can sell our athletic shoes. The first market is the home region. We will focus our marketing on the basis that our shoe is of high quality for a low price, and that it is made of recycled material. The second market is the domestic region, where we will sell to a national market such, ideally the entire United States. The third market is the foreign region, which includes the entire international market, excluding the home and domestic regions. When we expand to the domestic market we plan to offer our product at a slightly higher price point than our home market to boost sales revenue. Finally, when we indulge in the foreign market we will position ourselves on the basis of offering a previously tested pr oduct at a lower price than in the home market. When looking at these three regions the home tends be a smaller percentage than the domestic, and the foreign tends to be the smallest of all three. We plan to attack the home market right out of the gate, and then as we become more stable we will focus our resources to the domestic and foreign markets. Marketing Strategy Run Forest will use its competitive advantage as a best-cost provider to capture the middle market range of athletes while focusing on providing the highest quality product. 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