Medical Ethics Essay

Living in the land of opportunity and freedom has its limits. There is an expectation that every time we visit our doctor’s office that we all will get the highest amount of respect and help that can be given. Growing up, throughout my whole life I have been in and out of the emergency room more times than any normal person probably should have. Just only eleven months ago, I severely fractured my calcaneus (heel bone) into three separate pieces and had to stay in the hospital for four days due to surgery. Throughout my countless surgeries and visits to the hospital, I cannot imagine myself in a situation where the a doctor would refuse to give treatment or perform any type of procedure to anyone due to his or her personal belief whether it be based on race, sexual preference, political beliefs, or frankly any other reason. Today there are many Doctors who are refusing medical assistance to patients because of their own personal religious and even political beliefs and values. It turns out that a doctor’s ability to refuse any kind of service is legal. Randi Kaye, a CNN Correspondent interviewed Dr. Edward Langston at The American Medical Association. The AMA along with the many Doctors agree â€Å"Any physician as the opportunity that if because of personal beliefs religious or moral beliefs that they can refuse to provide services, but we also believe that physician has an obligation to provide an avenue where the patient can get the care that they’re seeking,†. One particular case dealing with a man in New Jersey, written by Rmuse, an advocate for freedom of religion and particularly, freedom of no religion. Joao Simoes, a gay, and HIV positive patient at a Catholic Hospital. Dr. Susan V. Borga, came into his room while looking at the medical file. She looked at Joao Simoes and a sked him how he contracted HIV. Simoes confirmed that he contracted the virus through unprotected sex. Dr. Borga then asked if it was due to unprotected sex with another man. As soon as he confirmed that yes, it was with another man, Borga closed his file walked out of his room. Simoes was not allowed to contact his personal physician for three day to help get medication. When he was finally allowed to contact his physician, he was told that he had already spoken to Dr. Borga informing her that Simoes needed his medication. Her response to the physician was that he must also  be gay being that he was his doctor. This was followed by â€Å"This is what he gets for going against God’s will.† Simone was finally able to get his medication after the hospital allowed his sister to visit and saw that she gave his medication to the nurses. Another case dealt with a Wal-Mart pharmacy in Wisconsin. Due to this pharmacy being a very busy pharmacy, they contacted a temporary agency because they need temporary assistant. This temporary employee informed Wal-Mart through a written statement that due to his religious beliefs, he would not be able to handle any clients that had any issues with or relating any form of contraception. Wal-Mart decided to compromise with the new employee to where he passes on the client to another pharmacist. When calls were made dealing with contraception, he would place them on hold and not inform anyone. When patients would pick up a birth control prescription, he would walk away and not tell anyone there was a patient waiting. Wal-Mart then tried again to compromise, but when realizing there would be no resolution, he was fired. A last case explained by Jessica Dweck occurred in Florida. â€Å"Florida physician Jack Cassell taped a sign to his office door advising Obama supporters to â€Å"s eek urologic care elsewhere.† The only way that this doctor could be sued successfully is if the patient is currently being treated and was in need of care, that the doctor ceased care without a proper notice or referral for another doctor. A doctor’s visit in not based on political views. The relationship between a doctor and a patient should be based on the physical and emotional wellbeing of the patient. The main question and concern should be why in the year 2014, when the United States is dealing with terrorism, and teenagers going on a shooting spree at their high schools, is there such a clause that allows Doctors to refuse medical attention towards friendly, innocent Americans based on hatred? Why is it that after so many years of war and innocent blood shed is there still a clause that allows Doctors to refuse medical assistance on the base of religious or personal beliefs? In an online article† Pharmacist Conscience Clause: Laws and Information† explains the reason why it was enacted. The conscience clause was first executed in response to the Supreme Court decision in 1973 in the Roe v. Wade case during the woman’s rights movement. Roe v. Wade ruled unconstitutional a state law that banned abortion except  to save the life of the mother. This response caused major uproar to the point where some states proposed legislation and passed laws allowing them to refuse abortions in their establishment. It went as far as pharmacist refusing in supplying refills and prescriptions of contraceptives. These actions resulted in the enactment of the conscience clause. The conscience clause was enacted in order to protect medical professionals from legal action for refusing to assist with contraception and abortion. In fact, many states began to follow with their own conscience clause which also allowed them to refuse medical service and prescription refills according to their idealistic beliefs. Unfortunately, there are also laws that that allows doctors to refuse medical attention to patients due to racism, sexism, or any type of hatred. â€Å"Since 2005, twenty-seven states introduced bills to widen refusal clauses. Four states are considering granting carte blanche refusal rights-much like the law adopted by Mississippi in 2004, which allows any health care provider to refuse practically anything on moral grounds. â€Å"It’s written so badly there is no protection for patients,† (Erdely). It is mind boggling to see that this is allowed in the† land of the free†, the State where the people are allowed to be who they want to be, and the possibilities of living a successful and happy life are endless. What seems to be going on, and what we probably should be concerned about is that doctors are taking advantage of the clause and finding loopholes to be able to act upon their bigotry. The system seems to be seriously broken. If something is wrong than it is up to us to make them right. The main concern then should be getting the Obama administration to revoke the conscience clause that was put in place by President Bush right before he left office. If people began signing petitions, and calling the news stations to publicly get the word of the unfair treatment of patients needing medical attention. This method surely would be a great starts in fighting against these unfair acts. Once the word is out on the streets, multiple legal actions should start to be put into place towards those doctors that placed many lives at risk or altered their lives to a point where they did not want to be. Such examples would be women who were brutally raped and were forced to have the babe due to doctors refusing to help. Or women losing their lives because of  internal infections caused by pregnancy. It is a safe bet that what people want is a life where there is no judgment. A life where the color of skin, political party we, sexual interest, and lastly choices in life that are made good or bad, should not be the determinant nor reason to be handed down a death sentence (Rmuse). Our country should not be stepping back into a life of hate, disregard, and prejudice towards one another. It should be taking a step forward to a place where we all get properly treated and be refused a health service because of hatred. Works Cited Dweck, Jessica. â€Å"Can Doctors Refuse to Treat Patients Based on Their Political Beliefs?† Slate Magazine. N.p., 6 Apr. 2010. Web. 08 July 2014. Erdely, Sabrina Rubin. â€Å"Doctors’ Beliefs Can Hinder Patient Care.† Msnbc.com. N.p., 22 June 2007. Web. 08 July 2014. Kaye, Randi. â€Å"When Doctors Play Judge.† CNN. Cable News Network, 12 Nov. 2012. Web. 09 July 2014. â€Å"Pharmacist Conscience Clauses: Laws and Information.† Pharmacist Conscience Clauses Laws and Information. National Conference of State Legislatures, May 2012. Web. 06 July 2014. Rmuse. â€Å"Conservative Doctors, Nurses, Pharmacists Create Death Panels By Abusing Conscience Clause.† PoliticusUSA. N.p., 4 June 2012. Web. 09 July 2014.

Seeing Things from Someone Else’s Perspective

In your everyday life, you are placed in situations that allow you to encounter the value of carefully considering someone else’s perspective. The reason why it is so eulogized to see someone else’s view is because it could alter how things would eventually turn out to be for you and that person(s). Peace, equality, and justice are some of the values you come across when you approach with empathy. Comprehending where someone is coming from and feelings they convey correlates with the outcome of peace.In 1993, the ongoing conflict between Israel and Palestine had temporarily halted with a solution called the Oslo peace process, which main point consisted that Israel gradually give up possession of Palestinian territories to the Palestinians with the exchange of peace. This represents the value of perspective, because the Palestinians had finally reached the conclusion that coming at the Israelis with violence and weaponry would not allow the Palestinians to ever gain wha t they really want, and it caused the Palestinians to comprehend what the Israelis were feeling; harassed.They had learned that if peace were used as a substitution to attack, then the people of Israel would be sure to ably, which they transitorily did. Another value would be justice. When an attorney is defending their client, they tend to use the skill of switching to the defendant’s perspective when trying to prove to the jury that they are not guilty. For example, if someone was falsely accused of murder, the attorney could use empowering words and point things out like â€Å"Just think if you were in his/her place† or â€Å"How do you think you would’ve felt if you were him/her? to give the jury that connection that â€Å"Would you want to be proven guilty if you were to fall under a situation similar to this one? † Using this technique shows how perspective comes in handy as well as how justice is served. Equality is a reiterating value that is dis covered when considering someone else’s perspective. In Remember the Titans, a film about how an African American named Herman Boone who is newly appointed head high school football coach in the position of a successful white coach, Bill Yoast, during the time of segregation, there is a scene where Coach Yoasts’ daughter, Sheryl s over at the Boones’ house when an anonymous student from the school drives by and yells â€Å"Hey, Coach Boone! † in a tormenting manner and throws something at their window near to where Sheryl had been sitting, shattering it to pieces. Later that night Yoast tells Coach Boone that he is not in any position to put his daughter’s safety on the line just because people don’t like him coaching the team, to which Boone replies â€Å"Well what about my girls’ safety?You just got a taste of what I deal with everyday, Yoast† leaving Coach Yoast thoughtful and silent. This also shows perspective because Coac h Yoast had understood that the worry and the vexation, that had aroused from the danger of his daughter is a mental weight and distress that Boone has to deal with for his family all the time, all because of the color of his skin. By stepping into Boone’s shoes, Yoast had now truly known the importance of equity and fairness to Boone, and the rest of the African American society.These are just a few ethics you can obtain from point-of-view. Agreement between even two nations can come about when using perspective. Authority can be placed with shifting someone’s point-of-view through sympathy. And adequation will make its way through when you are physically put forth into the same situation that someone who isn’t treated fairly is. All of these are real and pure values that form when your mindset is reversed, and truly leave you thinking.

Mlk Rhetorical Analysis

Rhetorical Analysis of Martin Luther King’s â€Å"I Have a Dream†? The â€Å"I Have a Dream† speech has very simple diction and context. The author of the â€Å"I Have A Dream† speech is Dr. Martin Luther King, Jr. King and is known for his work in Civil Rights during the late 1950s and mid1960s. The purpose of this speech is to inspire change in both white and black citizens of the United States during the Civil Rights era. The main idea of the speech is to convince both sides of the discussion that they must accept change in a non-violent yet effective way.Finally, the audience of the speech is very broad as it spans across all colors and ages however, one should note that since the speech is given in Washington, it can be assumed that the speech attempts to engage lawmaker’s and policy maker’s ears. The tone of Dr. King’s speech is somewhat narrative yet argumentative. The speech conveys many of his personal thoughts and experiences . However, there is a strong position taken against the crimes of â€Å"white† citizens and the nation as a whole, and also the victimization of African Americans as a whole.The style of the speech is very formal with some hints of informality to help gain appeal to the largely uneducated black population. The diction or word choice is comparable to other political speeches due to the fact that Dr. King must still be very persuasive with is ideas and thoughts. Yet, throughout the â€Å"I Have a Dream† speech, one may find a bit of black gospel within it. The images and the allusions are heavily religious, reminiscent of a Sunday church service. The tone is both informative and argumentative.The claims he makes are very clear: 1) American has defaulted on its promise in that all men are created equal 2) The black people of the U. S. are still not â€Å"free. † 3) Now is the time to make changes. 4) As, King suggests, â€Å"Let us not seek to satisfy our thirst f or freedom by drinking from the cup of bitterness and hatred† (p. 2) People should move forward to spread the message that freedom is a part of every U. S. citizen’s life, even blacks. In terms of support, King uses biblical references along with his very overt in using his own testimony of what is happening in the United States. That one day every valley shall be exalted, every hill and mountain shall be made low†¦ the glory of the Lord shall be revealed, and all flesh shall see it together† (p. 1). In terms of â€Å"artificial† support, King uses many different kinds of pathos. Beginning with a long allegory about Negro freedom and banking, King uses the imagery of being behind a great leader, Abraham Lincoln. One could easily make a case that the imagery is also linked to ethos, since Lincoln was the father of the Emancipation Proclamation and freed all slaves.Towards the end of the speech, there is a surge of pathos, as King discusses the brutality that the Negros have experience and the basic everyday life of the Negros who are unable to find jobs, stay in hotels, etc. Towards the absolute close of the speech, King launches into a long discussion of a possible and decent future, using images of children playing together. While the introduction of the speech comes from Lincoln, the conclusion uses lyrics from the song â€Å"America†. Additionally, he gives a sort of shout out to the people of the United States, saying: â€Å"Let freedom ring from the mighty mountains of New York†¦Pennsylvania†¦ Colorado†¦ California† (p. 2). In the end, King closes with words from an old Negro spiritual: â€Å"Freed at last! Free at last! Thank God almighty, we are free at last† (p. 1). King’s style is unique but very easy to discuss. King’s use of ornamentation is made possible through heavy uses of the anaphora. An example of this includes his long series of â€Å"I have a dream†¦ â₠¬  statements, where he states: â€Å"I have a dream that one day this nation will rise up and live out the true meaning of its creed†¦I have a dream that my four little children will one day live in a nation where they will not be judge by the color of their skin but by the content of their character† (p. 2). Further, King makes heavy use of listing. In one passage, he states: â€Å"Go back to Mississippi, go back to Alabama, go back to South Carolina†¦ † (p. 2), which he mixes with a sort of anaphora. King uses a large allegory in the beginning of the speech, again comparing banking to the rights of black U. S. citizens. Overall, the speech is very much loaded with rhetorical techniques.King as an accomplished civil rights leader is a very talented and persuasive writer. His words are very optimistic and deliberate. He is very conscious of his audience, and he is very commanding of his wording to avoid hurting his credibility with this audience. The image I have chosen shows a group of men at a civil rights rally. All eyes, including a white man’s, are focused on Dr. King as he gives a speech promoting a higher equality for black citizens of America. There are signs in the background that say â€Å"full employment†, but the most powerful aspect f the picture is that there is a white man and a black man holding hands. The symbolism in which they are holding hands is incredibly powerful. At first thought people believe that all white men are against the idea of blacks having an equal opportunity, and for the most part that is true, but the fact that they are holding hands at a public speech is very powerful. I have a dream speech text I am happy to join with you today in what will go down in history as the greatest demonstration for freedom in the history of our nation.Five score years ago, a great American, in whose symbolic shadow we stand today, signed the Emancipation Proclamation. This momentous decree came as a grea t beacon light of hope to millions of Negro slaves who had been seared in the flames of withering injustice. It came as a joyous daybreak to end the long night of their captivity. But one hundred years later, the Negro still is not free. One hundred years later, the life of the Negro is still sadly crippled by the manacles of segregation and the chains of discrimination.One hundred years later, the Negro lives on a lonely island of poverty in the midst of a vast ocean of material prosperity. One hundred years later, the Negro is still languishing in the corners of American society and finds himself an exile in his own land. So we have come here today to dramatize a shameful condition. In a sense we have come to our nation's capital to cash a check. When the architects of our republic wrote the magnificent words of the Constitution and the Declaration of Independence, they were signing a promissory note to which every American was to fall heir.This note was a promise that all men, ye s, black men as well as white men, would be guaranteed the unalienable rights of life, liberty, and the pursuit of happiness. It is obvious today that America has defaulted on this promissory note insofar as her citizens of color are concerned. Instead of honoring this sacred obligation, America has given the Negro people a bad check, a check which has come back marked â€Å"insufficient funds. † But we refuse to believe that the bank of justice is bankrupt. We refuse to believe that there are insufficient funds in the great vaults of opportunity of this nation.So we have come to cash this check — a check that will give us upon demand the riches of freedom and the security of justice. We have also come to this hallowed spot to remind America of the fierce urgency of now. This is no time to engage in the luxury of cooling off or to take the tranquilizing drug of gradualism. Now is the time to make real the promises of democracy. Now is the time to rise from the dark and desolate valley of segregation to the sunlit path of racial justice. Now is the time to lift our nation from the quick sands of racial injustice to the solid rock of brotherhood.Now is the time to make justice a reality for all of God's children. It would be fatal for the nation to overlook the urgency of the moment. This sweltering summer of the Negro's legitimate discontent will not pass until there is an invigorating autumn of freedom and equality. Nineteen sixty-three is not an end, but a beginning. Those who hope that the Negro needed to blow off steam and will now be content will have a rude awakening if the nation returns to business as usual. There will be neither rest nor tranquility in America until the Negro is granted his citizenship rights.The whirlwinds of revolt will continue to shake the foundations of our nation until the bright day of justice emerges. But there is something that I must say to my people who stand on the warm threshold which leads into the palace of justice. In the process of gaining our rightful place we must not be guilty of wrongful deeds. Let us not seek to satisfy our thirst for freedom by drinking from the cup of bitterness and hatred. We must forever conduct our struggle on the high plane of dignity and discipline.We must not allow our creative protest to degenerate into physical violence. Again and again we must rise to the majestic heights of meeting physical force with soul force. The marvelous new militancy which has engulfed the Negro community must not lead us to a distrust of all white people, for many of our white brothers, as evidenced by their presence here today, have come to realize that their destiny is tied up with our destiny. They have come to realize that their freedom is inextricably bound to our freedom. We cannot walk alone.As we walk, we must make the pledge that we shall always march ahead. We cannot turn back. There are those who are asking the devotees of civil rights, â€Å"When will you be sat isfied? † We can never be satisfied as long as the Negro is the victim of the unspeakable horrors of police brutality. We can never be satisfied, as long as our bodies, heavy with the fatigue of travel, cannot gain lodging in the motels of the highways and the hotels of the cities. We cannot be satisfied as long as the Negro's basic mobility is from a smaller ghetto to a larger one.We can never be satisfied as long as our children are stripped of their selfhood and robbed of their dignity by signs stating â€Å"For Whites Only†. We cannot be satisfied as long as a Negro in Mississippi cannot vote and a Negro in New York believes he has nothing for which to vote. No, no, we are not satisfied, and we will not be satisfied until justice rolls down like waters and righteousness like a mighty stream. I am not unmindful that some of you have come here out of great trials and tribulations. Some of you have come fresh from narrow jail cells.Some of you have come from areas wher e your quest for freedom left you battered by the storms of persecution and staggered by the winds of police brutality. You have been the veterans of creative suffering. Continue to work with the faith that unearned suffering is redemptive. Go back to Mississippi, go back to Alabama, go back to South Carolina, go back to Georgia, go back to Louisiana, go back to the slums and ghettos of our northern cities, knowing that somehow this situation can and will be changed. Let us not wallow in the valley of despair.I say to you today, my friends, so even though we face the difficulties of today and tomorrow, I still have a dream. It is a dream deeply rooted in the American dream. I have a dream that one day this nation will rise up and live out the true meaning of its creed: â€Å"We hold these truths to be self-evident: that all men are created equal. † I have a dream that one day on the red hills of Georgia the sons of former slaves and the sons of former slave owners will be abl e to sit down together at the table of brotherhood.I have a dream that one day even the state of Mississippi, a state sweltering with the heat of injustice, sweltering with the heat of oppression, will be transformed into an oasis of freedom and justice. I have a dream that my four little children will one day live in a nation where they will not be judged by the color of their skin but by the content of their character. I have a dream today. I have a dream that one day, down in Alabama, with its vicious racists, with its governor having his lips dripping with the words of interposition and nullification; one day right there in Alabama, little black boys and black irls will be able to join hands with little white boys and white girls as sisters and brothers. I have a dream today. I have a dream that one day every valley shall be exalted, every hill and mountain shall be made low, the rough places will be made plain, and the crooked places will be made straight, and the glory of the Lord shall be revealed, and all flesh shall see it together. This is our hope. This is the faith that I go back to the South with. With this faith we will be able to hew out of the mountain of despair a stone of hope.With this faith we will be able to transform the jangling discords of our nation into a beautiful symphony of brotherhood. With this faith we will be able to work together, to pray together, to struggle together, to go to jail together, to stand up for freedom together, knowing that we will be free one day. This will be the day when all of God's children will be able to sing with a new meaning, â€Å"My country, 'tis of thee, sweet land of liberty, of thee I sing.Land where my fathers died, land of the pilgrim's pride, from every mountainside, let freedom ring. † And if America is to be a great nation this must become true. So let freedom ring from the prodigious hilltops of New Hampshire. Let freedom ring from the mighty mountains of New York. Let freedom ring f rom the heightening Alleghenies of Pennsylvania! Let freedom ring from the snowcapped Rockies of Colorado! Let freedom ring from the curvaceous slopes of California! But not only that; let freedom ring from Stone Mountain of Georgia!Let freedom ring from Lookout Mountain of Tennessee! Let freedom ring from every hill and molehill of Mississippi. From every mountainside, let freedom ring. And when this happens, when we allow freedom to ring, when we let it ring from every village and every hamlet, from every state and every city, we will be able to speed up that day when all of God's children, black men and white men, Jews and Gentiles, Protestants and Catholics, will be able to join hands and sing in the words of the old Negro spiritual, â€Å"Free at last! ree at last! thank God Almighty, we are free at last! † Work Cited Harrison, James H. â€Å"Ten Martin Luther King Jr. Quotes. † The Christian Science Monitor. The Christian Science Monitor, 18 Jan. 2010. Web. 20 Fe b. 2013. Kanalley, Craig. â€Å"I Have A Dream Speech (TEXT). † The Huffington Post. TheHuffingtonPost. com, 17 Jan. 2011. Web. 20 Feb. 2013. Mlk Rhetorical Analysis Rhetorical Analysis of Martin Luther King’s â€Å"I Have a Dream†? The â€Å"I Have a Dream† speech has very simple diction and context. The author of the â€Å"I Have A Dream† speech is Dr. Martin Luther King, Jr. King and is known for his work in Civil Rights during the late 1950s and mid1960s. The purpose of this speech is to inspire change in both white and black citizens of the United States during the Civil Rights era. The main idea of the speech is to convince both sides of the discussion that they must accept change in a non-violent yet effective way.Finally, the audience of the speech is very broad as it spans across all colors and ages however, one should note that since the speech is given in Washington, it can be assumed that the speech attempts to engage lawmaker’s and policy maker’s ears. The tone of Dr. King’s speech is somewhat narrative yet argumentative. The speech conveys many of his personal thoughts and experiences . However, there is a strong position taken against the crimes of â€Å"white† citizens and the nation as a whole, and also the victimization of African Americans as a whole.The style of the speech is very formal with some hints of informality to help gain appeal to the largely uneducated black population. The diction or word choice is comparable to other political speeches due to the fact that Dr. King must still be very persuasive with is ideas and thoughts. Yet, throughout the â€Å"I Have a Dream† speech, one may find a bit of black gospel within it. The images and the allusions are heavily religious, reminiscent of a Sunday church service. The tone is both informative and argumentative.The claims he makes are very clear: 1) American has defaulted on its promise in that all men are created equal 2) The black people of the U. S. are still not â€Å"free. † 3) Now is the time to make changes. 4) As, King suggests, â€Å"Let us not seek to satisfy our thirst f or freedom by drinking from the cup of bitterness and hatred† (p. 2) People should move forward to spread the message that freedom is a part of every U. S. citizen’s life, even blacks. In terms of support, King uses biblical references along with his very overt in using his own testimony of what is happening in the United States. That one day every valley shall be exalted, every hill and mountain shall be made low†¦ the glory of the Lord shall be revealed, and all flesh shall see it together† (p. 1). In terms of â€Å"artificial† support, King uses many different kinds of pathos. Beginning with a long allegory about Negro freedom and banking, King uses the imagery of being behind a great leader, Abraham Lincoln. One could easily make a case that the imagery is also linked to ethos, since Lincoln was the father of the Emancipation Proclamation and freed all slaves.Towards the end of the speech, there is a surge of pathos, as King discusses the brutality that the Negros have experience and the basic everyday life of the Negros who are unable to find jobs, stay in hotels, etc. Towards the absolute close of the speech, King launches into a long discussion of a possible and decent future, using images of children playing together. While the introduction of the speech comes from Lincoln, the conclusion uses lyrics from the song â€Å"America†. Additionally, he gives a sort of shout out to the people of the United States, saying: â€Å"Let freedom ring from the mighty mountains of New York†¦Pennsylvania†¦ Colorado†¦ California† (p. 2). In the end, King closes with words from an old Negro spiritual: â€Å"Freed at last! Free at last! Thank God almighty, we are free at last† (p. 1). King’s style is unique but very easy to discuss. King’s use of ornamentation is made possible through heavy uses of the anaphora. An example of this includes his long series of â€Å"I have a dream†¦ â₠¬  statements, where he states: â€Å"I have a dream that one day this nation will rise up and live out the true meaning of its creed†¦I have a dream that my four little children will one day live in a nation where they will not be judge by the color of their skin but by the content of their character† (p. 2). Further, King makes heavy use of listing. In one passage, he states: â€Å"Go back to Mississippi, go back to Alabama, go back to South Carolina†¦ † (p. 2), which he mixes with a sort of anaphora. King uses a large allegory in the beginning of the speech, again comparing banking to the rights of black U. S. citizens. Overall, the speech is very much loaded with rhetorical techniques.King as an accomplished civil rights leader is a very talented and persuasive writer. His words are very optimistic and deliberate. He is very conscious of his audience, and he is very commanding of his wording to avoid hurting his credibility with this audience. The image I have chosen shows a group of men at a civil rights rally. All eyes, including a white man’s, are focused on Dr. King as he gives a speech promoting a higher equality for black citizens of America. There are signs in the background that say â€Å"full employment†, but the most powerful aspect f the picture is that there is a white man and a black man holding hands. The symbolism in which they are holding hands is incredibly powerful. At first thought people believe that all white men are against the idea of blacks having an equal opportunity, and for the most part that is true, but the fact that they are holding hands at a public speech is very powerful. I have a dream speech text I am happy to join with you today in what will go down in history as the greatest demonstration for freedom in the history of our nation.Five score years ago, a great American, in whose symbolic shadow we stand today, signed the Emancipation Proclamation. This momentous decree came as a grea t beacon light of hope to millions of Negro slaves who had been seared in the flames of withering injustice. It came as a joyous daybreak to end the long night of their captivity. But one hundred years later, the Negro still is not free. One hundred years later, the life of the Negro is still sadly crippled by the manacles of segregation and the chains of discrimination.One hundred years later, the Negro lives on a lonely island of poverty in the midst of a vast ocean of material prosperity. One hundred years later, the Negro is still languishing in the corners of American society and finds himself an exile in his own land. So we have come here today to dramatize a shameful condition. In a sense we have come to our nation's capital to cash a check. When the architects of our republic wrote the magnificent words of the Constitution and the Declaration of Independence, they were signing a promissory note to which every American was to fall heir.This note was a promise that all men, ye s, black men as well as white men, would be guaranteed the unalienable rights of life, liberty, and the pursuit of happiness. It is obvious today that America has defaulted on this promissory note insofar as her citizens of color are concerned. Instead of honoring this sacred obligation, America has given the Negro people a bad check, a check which has come back marked â€Å"insufficient funds. † But we refuse to believe that the bank of justice is bankrupt. We refuse to believe that there are insufficient funds in the great vaults of opportunity of this nation.So we have come to cash this check — a check that will give us upon demand the riches of freedom and the security of justice. We have also come to this hallowed spot to remind America of the fierce urgency of now. This is no time to engage in the luxury of cooling off or to take the tranquilizing drug of gradualism. Now is the time to make real the promises of democracy. Now is the time to rise from the dark and desolate valley of segregation to the sunlit path of racial justice. Now is the time to lift our nation from the quick sands of racial injustice to the solid rock of brotherhood.Now is the time to make justice a reality for all of God's children. It would be fatal for the nation to overlook the urgency of the moment. This sweltering summer of the Negro's legitimate discontent will not pass until there is an invigorating autumn of freedom and equality. Nineteen sixty-three is not an end, but a beginning. Those who hope that the Negro needed to blow off steam and will now be content will have a rude awakening if the nation returns to business as usual. There will be neither rest nor tranquility in America until the Negro is granted his citizenship rights.The whirlwinds of revolt will continue to shake the foundations of our nation until the bright day of justice emerges. But there is something that I must say to my people who stand on the warm threshold which leads into the palace of justice. In the process of gaining our rightful place we must not be guilty of wrongful deeds. Let us not seek to satisfy our thirst for freedom by drinking from the cup of bitterness and hatred. We must forever conduct our struggle on the high plane of dignity and discipline.We must not allow our creative protest to degenerate into physical violence. Again and again we must rise to the majestic heights of meeting physical force with soul force. The marvelous new militancy which has engulfed the Negro community must not lead us to a distrust of all white people, for many of our white brothers, as evidenced by their presence here today, have come to realize that their destiny is tied up with our destiny. They have come to realize that their freedom is inextricably bound to our freedom. We cannot walk alone.As we walk, we must make the pledge that we shall always march ahead. We cannot turn back. There are those who are asking the devotees of civil rights, â€Å"When will you be sat isfied? † We can never be satisfied as long as the Negro is the victim of the unspeakable horrors of police brutality. We can never be satisfied, as long as our bodies, heavy with the fatigue of travel, cannot gain lodging in the motels of the highways and the hotels of the cities. We cannot be satisfied as long as the Negro's basic mobility is from a smaller ghetto to a larger one.We can never be satisfied as long as our children are stripped of their selfhood and robbed of their dignity by signs stating â€Å"For Whites Only†. We cannot be satisfied as long as a Negro in Mississippi cannot vote and a Negro in New York believes he has nothing for which to vote. No, no, we are not satisfied, and we will not be satisfied until justice rolls down like waters and righteousness like a mighty stream. I am not unmindful that some of you have come here out of great trials and tribulations. Some of you have come fresh from narrow jail cells.Some of you have come from areas wher e your quest for freedom left you battered by the storms of persecution and staggered by the winds of police brutality. You have been the veterans of creative suffering. Continue to work with the faith that unearned suffering is redemptive. Go back to Mississippi, go back to Alabama, go back to South Carolina, go back to Georgia, go back to Louisiana, go back to the slums and ghettos of our northern cities, knowing that somehow this situation can and will be changed. Let us not wallow in the valley of despair.I say to you today, my friends, so even though we face the difficulties of today and tomorrow, I still have a dream. It is a dream deeply rooted in the American dream. I have a dream that one day this nation will rise up and live out the true meaning of its creed: â€Å"We hold these truths to be self-evident: that all men are created equal. † I have a dream that one day on the red hills of Georgia the sons of former slaves and the sons of former slave owners will be abl e to sit down together at the table of brotherhood.I have a dream that one day even the state of Mississippi, a state sweltering with the heat of injustice, sweltering with the heat of oppression, will be transformed into an oasis of freedom and justice. I have a dream that my four little children will one day live in a nation where they will not be judged by the color of their skin but by the content of their character. I have a dream today. I have a dream that one day, down in Alabama, with its vicious racists, with its governor having his lips dripping with the words of interposition and nullification; one day right there in Alabama, little black boys and black irls will be able to join hands with little white boys and white girls as sisters and brothers. I have a dream today. I have a dream that one day every valley shall be exalted, every hill and mountain shall be made low, the rough places will be made plain, and the crooked places will be made straight, and the glory of the Lord shall be revealed, and all flesh shall see it together. This is our hope. This is the faith that I go back to the South with. With this faith we will be able to hew out of the mountain of despair a stone of hope.With this faith we will be able to transform the jangling discords of our nation into a beautiful symphony of brotherhood. With this faith we will be able to work together, to pray together, to struggle together, to go to jail together, to stand up for freedom together, knowing that we will be free one day. This will be the day when all of God's children will be able to sing with a new meaning, â€Å"My country, 'tis of thee, sweet land of liberty, of thee I sing.Land where my fathers died, land of the pilgrim's pride, from every mountainside, let freedom ring. † And if America is to be a great nation this must become true. So let freedom ring from the prodigious hilltops of New Hampshire. Let freedom ring from the mighty mountains of New York. Let freedom ring f rom the heightening Alleghenies of Pennsylvania! Let freedom ring from the snowcapped Rockies of Colorado! Let freedom ring from the curvaceous slopes of California! But not only that; let freedom ring from Stone Mountain of Georgia!Let freedom ring from Lookout Mountain of Tennessee! Let freedom ring from every hill and molehill of Mississippi. From every mountainside, let freedom ring. And when this happens, when we allow freedom to ring, when we let it ring from every village and every hamlet, from every state and every city, we will be able to speed up that day when all of God's children, black men and white men, Jews and Gentiles, Protestants and Catholics, will be able to join hands and sing in the words of the old Negro spiritual, â€Å"Free at last! ree at last! thank God Almighty, we are free at last! † Work Cited Harrison, James H. â€Å"Ten Martin Luther King Jr. Quotes. † The Christian Science Monitor. The Christian Science Monitor, 18 Jan. 2010. Web. 20 Fe b. 2013. Kanalley, Craig. â€Å"I Have A Dream Speech (TEXT). † The Huffington Post. TheHuffingtonPost. com, 17 Jan. 2011. Web. 20 Feb. 2013.

Heat Exchangers Research Paper Example | Topics and Well Written Essays - 1000 words

Heat Exchangers - Research Paper Example   At the center of the heat exchanger lies two plates that are pinned together by pressing them and welding them together. There is a module whose function is to carry fluids in and out of the whole system. This combination is very efficient in offering high operating temperatures, and high pressure a factor that is vital in the heat exchange process.   The heat exchanger is able to function well without any gaskets. This means that it is able to work under these extreme conditions without any risk of leaking the fluid during the heat exchange process. Normally different types of heat exchangers are combined to come up with a more effective, cost friendly and efficient unit of the heat exchanger and the plate and shell heat exchanger is just but one example. This means that the fluids enter at the opposite ends of the unit enabling them to flow into the center of the exchanger. As the fluids come close to each other, there is an exchange of heat between the fluids.   As the flu id passes through the exchanger it either lose or absorb heat due to latent heat.  According to the nature of the heat exchange process, plates and shell heat exchangers are classified as indirect contact heat exchangers. The exchange of heat takes place by direct mixing of hot and cold fluids allowing transfer of heat and mass to take place simultaneously in a direct contact heat exchanger and such a unit is applicable only where the two fluids are either harmless when in contact or are desirable.

Write paper on gender in History of california Essay

Write paper on gender in History of california - Essay Example In the 1920s, the women workers enjoyed improved working conditions, protection by the state, limitations on the hours of work, and higher wages. However, the enforcement was irregular, the commission permitted many exclusions and modifications, and the interpretation of the regulations regularly favored the employers (Cherny, Irwin, and Wilson 272). The current laws are very clear on issues such as gender discrimination in the workplace. In 2011, the California State Assembly passes the Gender Nondiscrimination Act, which bans discrimination based on gender expression and identity. There are laws in place that protect against gender discrimination but the aim of this law is to broaden the definitions of gender discrimination and gender in the state laws (Grady & Associates 1). In conclusion, discrimination against a particular gender (mostly women) is something that has been happening for many years. Despite the fact that laws have been enacted to protect them, the same laws have favored the employers and commissions. Women have enjoyed almost all the workers’ rights and privileges but they are still viewed as inferior and unwanted workers. However, the trend has changed in the past years with the passing of several laws meant to broaden the definitions of gender discrimination and

Immigration Research Paper Example | Topics and Well Written Essays - 1000 words

Immigration - Research Paper Example Sacco and Vanzetti moved from Italy to the United States at different times, but later united through anarchy related revolutionary activities (Carnevale 213). Immigration practices at the time are noteworthy different from today’s handling of the same issue. Immigration of persons at the time was not as strict as today’s. On the same token, there are some immigration practices that were then highly observed, but have turned out to be invalid or irrelevant in the contemporary society. Prior to addressing this issue, it is important to consider that Sacco and Vanzetti were convicted and later executed following murder charges for which they were found guilty. Prosecution undertakings were at the time influenced by more than justice pursuit. For this reason, the conviction and execution of Sacco and Vanzetti remains controversial to date. There are massive immigrant concerns that remain persistent in today’s society, just as they were during the Sacco and Vanzetti time. The interest here is to highlight immigrant concerns that have turned to be irrelevant or invalid in current times. The world society has evolved and revolutionized throughout the years. During this time, there have been a series of changes that immigrant practices have experienced. In the Sacco and Vanzetti story, there is a persistent concern of injustices against immigrants. Sacco and Vanzetti trial, conviction, and execution were marred by prejudice against their background and country of origin. As earlier mentioned, Sacco and Vanzetti had emigrated from Italy to the United States (Carnevale 213). In the light of the crime they were charged with, the fact that they were immigrants had to count in their trial. In other words, their innocence or guilt was informed by their race. The jury that tried them felt compelled and pressured by the Red Scare, and went ahead to convict them without substantial evidence that they had actually committed the cited murders. Their involvem ent in revolutionary pursuits that were informed by anarchism further made their case even worse. Immigrants engage in numerous activities in the host country, some of which are legal and others illegal. According to immigration laws, immigrants are expected to adhere to the laws and regulations of the host country, failure to which they are prosecuted within the existing legal system in the host country (Carnevale 229). Today, when immigrants engage in criminal activities, they are charged just like any other person in the country they reside, and in pursuit of justice. The practice that immigrant’s nationality influences evidence to committing or not committing a crime no longer holds to be valid today. It is an irrelevant practice that has faded away with time due to diversity, interaction, and interdependence of countries around the world. Immigration in the 1900s was associated with economic benefits to the host country. In other words, inward migration of persons to new territories was informed an added advantage to the country that hosted the immigrants. This was actually the case in the United States relative to the Sacco and Vanzetti case. Immigrants that were thought to be of no economic benefits to the host countries were turned away. They were only accepted in the event that they would benefit the host country. Today, this aspect has changed. In most cases, it does not even count as the reason for accepting inward immigrants in

Criminal Court Visit Essay Example | Topics and Well Written Essays - 1750 words

Criminal Court Visit - Essay Example The general majority believe that crime is on a constant rise, although statistics show offenses are at their lowest since the early 1990s. Criminologists blame news coverage for the unwarranted increase f the public's awareness f crime versus actual crime. Politicians exploit the sensationalized crime as a way to relate to the public's perception that the increased crime needs special attention, so they manipulate the reports by the media. Although the television has been harmful in it's' distortion f reality, it is useful in keeping people informed on criminal information and warnings when there is a real concern. Criminal procedure is generally based on the idea f obtaining balance in the system. Criminal procedure is composed f the rules governing the series f proceedings through which the substantive criminal law is enforced. (Law about Criminal Procedures) The public perceives that there are not enough rules regulating police and that police have too much discretion in obtaining information and evidence in charging and individual with a crime. Unfortunately, when you make it easier to prove guilt, then it becomes harder to establish innocence. (Overview f Criminal Procedure) The public may perceive that the ends justify the means and that the criminal procedure as it is written today may violate or deprive an individual f the constitutional rights. An example f one court case; U.S. vs. Dunnock, 295 f.3d 431 (4th Cir. 2002) Defendant, "by virtue f the fact he was standing outside his home in the presence f police as they were about to execute a valid search warrant, had all the benefits f the protections afforded by the knock and announce. There are basic guidelines governing criminal procedures, such as; reasonable suspicion is used in stopping or frisking an individual, and probable cause is used to arrest, sear, or detain a suspect. Criminal procedure must balance the defendant's right and the state's interest in a speedy and efficient trial with the desire for justice Court Procedures The public perception f the courts is either the jurors are not fully informed as to the ramifications or what their specific duties are pertaining to the case at hand. Many time juries will not be informed that their decision will pass down an extremely harsh sentence for fear that they will not find guilt because they do not like the sentencing guidelines for the criminal activity. For example; the jury foreperson in the Waco massacre case wept openly when she discovered how much prison time the federal government gave those defendants. She further stated, if the jury had known the accused were going to receive such severe sentences, that even though they were guilty f the crimes, they would have never been convicted (Jury Nullification). The statement that was made by the foreperson f that jury would have nullified the jury. If a juror disagrees with the law and court instructions a judge can remove the juror. The perception from the public on this matter is if the juror disagrees with the majority f the jurors the judge can remove that particular one. The judges and prosecutors not only blame the mishandling f many criminal court cases and appeals on the increased case loads, but they fault political agendas and the pendulum swing f what the public perceives as criminal

Identify the role of State Legislators Essay Example | Topics and Well Written Essays - 250 words

Identify the role of State Legislators - Essay Example Under current law if a vehicle or vessel is driven recklessly and causes a serious bodily injury it is a fourth degree crime. Serious bodily injury creates a large or substantial risk of death or causes disfigurement, protracted loss or impairment of any bodily member or organ (http://www.njleg.state.nj.us/2010/Bills/A1000/676_S1.PDF). That action causing physical pain, illness or impairment is ‘bodily injury.’ Bill A676 would upgrade this crime of assault to a crime of the third degree which in turn would qualify it for further and more severe prosecution. This would bring about an increase from imprisonment of up to 18 month and a possible fine of up to 10,000 to a three to five year term of imprisonment with a possible fine of up to 15,000. As a Police Officer it is possible to be influential in the passing of bills and creation of new laws by acting as advocates and supporting lobbyist who represent the criminal justice sector and its promotion. Criminal justice agencies are extremely important in getting bills through the Legislature with the use of media contacts and public appeal. This involves getting the general public on board and in agreement with criminal justice agencies and proposed changes or recommendations in laws. Frequently and unfortunately it takes a tragic act to attract attention to areas of the law which need improvement and a better balance. Criminal justice agencies should definitely have a say and opinion in which laws are passed and how and what resources are located to which departments, in order of importance and interest of the public. Agencies usually are on the front line when dealing with the issues that Legislators are merely discussing and reviewing. They are not such as the Officer who constantly sees faulty policy or complete lack of policy in some cases and are best able to recognize the difference and improvements possible through the use of the agencies

Nursing Pain Management in hospitalized patients with Cancer Dissertation

Nursing Pain Management in hospitalized patients with Cancer - Dissertation Example According to Wood & Kerr (2011:67), the focus of the research is essential considering that management of pain in hospitalized patients with cancer, is critical in ensuring patient’s comfort and quick recovery. Abstract The abstract in this research article is concise and clear with well-summarized features of the main report. The research by has outlined the strengths of research in a manner by showing the used methods of pain management and the factors that contribute to pain in cancer patients. Presentation in the abstract is excellent. However, there is a weakness in the abstract in that it does not show clearly some of the expected experiences of patients in pain. It focuses only on strategies for pain management, but does not outline whether there is pain related to cancer treatment. An abstract should provide a brief description of the whole study without leaving out essential details (Polit and Beck 2010, p.54). This makes this research less favourable for use by nurse s in such a scenario. Introduction The introduction for this research is quite elaborate and clear. It has a clear purpose statement, and it is logical and straightforward. However, there are some weaknesses in that there is a lengthy citation at the opening, which seems too broad for the research purpose. The statistics used to give details about cancer are too many and are striking and conflicting at times. The literature review that is significant to this study forms only a small portion of the introduction. The introduction has mentioned that there are many factors, which contribute to pain in cancer patients, but it is not specific which factors it will cover or explore for better management pain in hospitalized patients with cancer. The citations used are also too old dating back to the year 1994. These might not give up to date information required for pain management in cancer, in the 21st century. The more recent citation used in the introductory part is 2000, which is quit e far considering that new methods of pain management have come up in the last one decade. The use of old research studies in this study shows that there has been no significant change in techniques for pain management, which is not true. The weak support provided by old studies makes this research study unfavourable in a nursing practice. Statement of the problem The problem statement in this study is clear and unambiguous, and this makes the reader identify it easily. The researcher clearly explains the purpose of the study, the reason of carrying out such a study, the target group, and interest in helping in management of pain in hospitalized patients with cancer (Holland & Rees, 2010:45). The strength in this problem statement is that it shows how the study is significant to nursing practice. It elaborates the best methods in earlier studies, to help the present nurses in managing pain in such patients. It also shows that apart from pain, other factors that contribute to such pa in needs intervention to prevent the occurrence of pain. In general, it gives information about a holistic approach to pain management in such patients. This helps the nurses to provide adequate management to such patients. The statement of the problem also matches the methodology used in this study. This is essential as it helps the reader or the nurses to identify the

The Lewis And Clark Expedition Term Paper Example | Topics and Well Written Essays - 1250 words

The Lewis And Clark Expedition - Term Paper Example The task for President Jefferson was now to get familiarized with the territory itself, especially the western front. To accomplish this task, President Jefferson chose his personal secretary Meriwether Lewis who was not only a reliable and intelligent man, but also possessed skills of a frontiersman. Meriwether Lewisin in turn selected one of his most reliable friends and an exceptional frontiersman and draftsman, William Clark, and made him the co-commanding captain of the expedition. The trust that Lewis had in Clark’s abilities was remarkable given the fact that Clark was not highly ranked by the government itself for such expeditions1. There were two reasons why President Jefferson wanted this expedition to take place. The first obvious reason was that he wanted to discover the actual territory itself so that the boundaries could be established. The second reason was that he wanted Lewis to discover the water link between the Missouri and Columbia rivers. This water netwo rk would link the Pacific Ocean with the Mississippi system of rivers which in turn would open new access routes for trade and commerce. EXPEDITION The expedition officially started from the summer of 1804 from Camp Wood in St. Louis. Until then, the members were developing the strategies for the expedition. That summertime and during the fall the group of voyagers propelled and dragged themselves towards the north and more precisely, to the northwest on the Missouri River. The post which they reached before the advent of winter was the Fort Mandan post, a trading post, where they set up their camps and waited till the winter had passed away. During this time they prepared for the journey ahead. When the winter had finally passed and as spring of 1805 was approaching, the journey began once again. They moved on further up towards the Missouri to Montana, to what is presently called Three-Forks. The path which they chose was the boundary of the western front along the Jefferson River . This helped to serve the purpose of discovering the new terrain. The new route brought the explorers to the threshold of Shoshone Indians who were very well acquainted with the terrain and specialized in crossing the mountains with their horses. The significant people whom they met were a French fur trader and his Shoshone Indian wife named Sacagawea which means ‘bird woman’. Both these people agreed to guide them through and Sacagawea was especially helpful in establishing contact with the Indians through acting as a translator. At first, the Indians were frightened to see the explorers, but because of Sacagawea, the connection was made rather easily and the Indians agreed to help them. The Indians provided them with supplies and other essential stuff. The other benefit of Sacagawea was that because she was a woman it signified the fact that the explorers were not there for war. Generally, women were not taken alongside in the situation of war. Thus, the presence of Sacagawea meant that the explorers did not mean war. With the help of the Indians, the explorers made their way up to the Bitterroot Mountains. Without the horses it would have been difficult to pass through the mountains. There, the difficulty they had to face was that they had to now travel downriver from the Bitterroot

Healthcare Management Essay Example | Topics and Well Written Essays - 750 words

Healthcare Management - Essay Example Our promise when we found this organization was to care for every child, regardless of their family’s ability to afford the cost of treatment. We may not have a crystal ball but our vision for the future is so clear: To be the best children’s hospital. Our vision in the next five years is to: Our new strategic plan honors our promise to achieve our mission while navigating a future filled with rapid change. We will continue to recruit and retain the best faculty and staff to accomplish these objectives. Children’s new strategic plan will guide the growth of our clinical, research and educational programs for the next five years. Reduce cost of delivering healthcare. We will collaborate with healthcare partners to come up with new payment models; coordination of all the aspects of care for children; and continue to use the Continuous Performance Improvement (CPI) to become as efficient as possible in all our processes. Continuous find cures and educate clinicians and researchers. This will entail us coming up with innovative research to develop new cures; enhancement of training for residents and the medical education program; and making sure that all patients benefit from our research. Be more responsive and provide access of treatment to every child. Orchids Children’s will have a bed available for any child who needs one; reduction of waiting time for specialty care and expansion of our services locally and regionally; and collaboration with other healthcare providers to share our clinical expertise. Give the safest and most effective care possible. We will do this by standardizing our care processes and strengthening our system to avoid and respond promptly to medical errors. We also aim to complete the transition to an electronic medical record system. At Orchids Children’s we have embrace our unwavering commitment to prevent,

Individual and society Essay Example for Free

Individual and society Essay Many of Millers plays are based on real life experiences. In A View form the Bridge many stories and experiences were put together to create this piece. The main story is of an Italian-American called Eddie Carbone who works on the waterfront as a longshoreman to support his wife, Beatrice, and their niece, Catherine. When Beatrices cousins from Italy, Rodolpho and Marco, illegally migrate from Italy to America Eddie welcomes them with open arms. Catherine soon falls in love with Rodolpho but Eddie has feelings for his niece that he finds hard to admit to. Eddie subsequently creates the idea that Rodolpho is homosexual and, in his eyes, not right for Catherine. Red Hook, a slum area of Brooklyn, New York, at this time was a very close-knit community and often the Sicilian family ethics would still permeate through the generations of the new Americans. Eddie tells the story of the boy who was thrown out of his home and never seen again, regarding it as a moral story with a suitable ending because he had told the immigration officers about his immigrant Uncle. Eddies decline and fall is due to his own actions, and so the consequences are his responsibility. Even worse Eddie knows the dangers when he says you can quicker get back a million dollars that was stole than a word that you gave away. Laws enforced by the people also uphold this Sicilian society; it is not the law of the establishment but the law of Sicilian values upheld by its citizens. Alfieri is aware and is part of both types of law, he is aware of the limitations to both laws and the consequences of someone going outside either law. We settle for half is a key quotation from Alfieri in this play. It shows a way to avoid a conflict between society and the individual. Eddie has relied his whole life on his moral code which he breaks when he realises he can no longer have Catherine and the code. Eddie is, however, to proud to compromise although he has an abundance of chances to do so. Eddie has relied his whole life on his moral code which he breaks when he realises he can no longer have Catherine and the code.  Eddie is punished for his individuality by society, the fight at the end is much like a pagan ritual devised to discern truth by divine intervention, the crowd circles the two opponents as the accuser and defender fight, the winner will either reclaim his honour or destroy his opponents. Such rituals are have said to take place in ancient Briton and Greece. Eddie lives in a society where there is a strange type of feudal system; there are mafia dons on top mafia underlings in the middle and longshoremen at the very bottom. It immediately suggests to me that the kiss bestowed upon Rodolpho may have connections with the Mafia as a kiss of death. By reporting Rodolpho to the immigration authorities Eddie has effectively signed his own and Rodolphos death warrants. We can relate Eddie to the conventions of the Mafia because of his background as he himself is an Italian-American and by reporting Rodolpho he is effectively denying another what was given to his parents. This play is set in the nineteen-fifties when Gang warfare was rife in which the Mafia played a large part, shown in the very beginning of the play where Eddie explains that Rodolpho and Marco will be given jobs everyday until they pay them off. Eddie is a longshoreman, he is worthless to his society because there are hundreds like him, and he works in a place where you work when you are lucky enough to be picked for work. Miller experienced this corruption of the American dream first hand. It is the Sicilian society that allows the lowest man to survive because of the camaraderie between neighbours. Millers use of an unusual stage direction is important [They are like animals that have torn at one another and broken up without decision, each waiting for the others mood.]. The animalistic language is important in that it keeps referring to beasts and to primitive and animal behaviour shown near the end of the play: Rodolphos metaphor of the bird; the simile in the stage directions of the two beasts; and Eddie By rights they oughta to throw you back into the water. It shows the animalistic nature of the society both characters are a part of. When Marco kills Eddie it as if he has won the battle and much like in a pack of lions the dominant male now owns the females. This simile helps us to imagine this scene, highlighting it as the characters turn from men to beasts. This story was built upon a tale Miller heard while working as a longshoreman in Red Hook (where the play is actually set), some say that Elia Kazan is represented in the play by Eddie, the character that we can understand but still reject. Miller criticised Elia Kazan for naming names during the McCarthy trials (or as they were nicknamed the McCarthy Witch hunts) but at the same time understood his dilemma. Elia Kazan was given an option and if he didnt name names then he would never direct films again. Kazan was not only criticised by Miller but by many people who branded him a coward and scoundrel although he claimed he was doing it out of his own true self. Like Kazan, Eddie does what he believes is right creating a conflict between society and himself.

Causes of Road Traffic Accidents (RTA)

Causes of Road Traffic Accidents (RTA) Road accident fatalities are one of the major causes of death and injuries in Malaysia. Believed it or not, every years more people died because of road accident compare to diseases. Human factors, including their attitudes, carelessness and health contributed to almost all road accidents in this country and number keep on increasing every year and last year alone it shown increases of 397,194 cases in which fatal death accident note down 6,218 cases sources from Road Safety Department Malaysia (RSDM). In Asia, it estimated 400,000 people are killed because of road accident and about 4 million suffered injuries. Apart from that, about 15 million more suffered disability for life sources from Transport Research Laboratory, United Kingdom. The increasing number of road accident fatalities is contributed from the fast growing of economic, population, motorisation and the improvement development of the industrial sector in this country on wide scale. Each year, Malaysian has a new car o n the road due to most of Malaysian, affords to buy a new car each year. Last year alone, car sales peak up 2 percent nearly 536,905 vehicles said Aishah Ahmad (2010). The aim of this paper is to provide critical knowledge and understanding the causes and nature of accidents, statistical data regarding road accidents, social-economical context and impact towards my practise environment especially nursing profession. Hopefully, I critically enable too highlight the reflected issue. Nurse is a noble career. This career suit appropriate for a particular person with warm hearted, caring, concern and patience in accept challenges. A nurse has a great deal of responsibility in saving people lives like a doctor who are skillful medical expert and healer. Nurse as a healthcare provider, working shoulder to shoulder with doctors. In fact, the nurses presence indeed can make a difference between life and death. Im a nurse, working in Emergency and Trauma Department (ED), ED provides twenty four hours emergency care for the population of Putrajaya and Cyberjaya district and its surrounding area and responsible for the immediate recognition, evaluation, treatment, stabilisation and disposition of medical and surgical emergencies. Other emergency care services provided include Definitive Care Management, Pre Hospital Care, Call Centre and Disaster Management. As an ED nurse working at twenty four hours emergency care unit facing up with the increasing fatalities of road accident injury had burden up the workload towards nurses job itself. Delivering effective, accurate and carried out appropriate triaging system can be at stack. Why? Because of the stress amount had to carried out due to interpersonal attitudes, physical ability, shortage of working personal like doctor, nurses or assistant medical assistant (AMO), lack of appropriate equipment, working staff poor of knowledge and skill in dealing with patient with unstable conditions, that need to be treated quickly. Because time is such an essential factor in emergency treatment and proper triaging of patient in ED allows life-saving and first aid measures. In fact, triaging reducing patient waiting times that are in need of urgent attention and assessment on arrival. This will determine their priority of care, this was adapted from military medical practice as describe by Crouch R (199 2). The goals and the potential benefits of triage especially at ED is in assessing patient priority of care upon arrival, provision of life-saving and first aid interventions, reducing the anxiety frustration by quick assessment, provide information to patients and relatives, more efficient use of resources by early and appropriate directing of patient, it is according to the my department Patients Charter. The benefit of this assessment, able to direct patient to the most appropriate care area. Bailey. A (1997). Because of patient care increasingly needed on treating the sickest, the need for advanced practice nurse to provide and coordinate care in emergency rooms or trauma care has never been greater. In response to the increasing demand and changes within the scope of professional practice as a qualified nurse. There are few essential responsibilities carried out by nurses at ED. For instance, identifies Substantial psycho-emotion need by evaluate and assessing patient before distribute them for appropriate care area, age-specific plans for patient accordance to the standard nursing guidelines for proper care and treatment, perform constant observation of vital sign. Perform duties as a mentor and key player particularily in advanced area for other nurses and health care professional. In providing good quality nursing care as outlined by Nurses Act 1950 (Revised-1969). Currently and in future ahead nurses role will increase along side with the rising health consciousness and in need of good quality health care worldwide. In reality, nurses are one of a crucial component in patients recovery stated by Richardson LD (2001). As defined by Dictionary.com, nurse in ED is who has a nursing practice with formal post-basic education in holistic assessment, physical diagnosis, treatment and promotion of health. Similarly, Tritsch (1998), has observed that the transition into excited environments has highlighted the need for theory-based practice to new level. Nurse in ED performs all responsibilities or duties meets Nursing and Midwifery Board, Malaysia standard of service. There are still some debate about nursing roles in the ED, suggesting that there have been some erosion of conventional nursing value such as care, compassion and loyalty. The responsibility of nurses in ED needs to be clarified; as we know, nurses not practically care for non-critical patients as review by Watkinson S, (2006). The nurses role in ED is high recognisable and which is also allow the development of the nursing knowledge and skill. This includes triage, trauma care for patient in the entire areas of the ED as required. Jones (1990); found that normal practice in these departments was impossible to establish, such was the variety of skills of a medical practitioner being undertaken. In making these potential roles in patient care are to be realised, the ED nurse should not be viewed as a replacement to the junior doctor or AMO, but view as a professional with high qualities and skills said Hooker R (2006). In addition, there should be determine some appropriate scope of practice for ED nurse to established a position within the multidisciplinary team in enhance ED care. Theres should be inter-professional discussion to clarify the manpower, educational and professional/political implication of the ED nurse role. The implication of the ED nurse role system can provides towards the development of nursing practice in each trust on a multidisciplinary basis, providing of vicarious liability by the employing right for each ED nurse, providing appropriate education programmes i.e. ED nurse should retain a generic education programme such as Post-Basic in Advanced Emergency Medical Trauma Care (AEMTC) or separate module of high tertiary level of education in Degree or Master and also provide with short time programme development like MTLS(Malaysia Trauma Life Support), ACLS(Advanced Cardiac Life Support), BLS(Basic Life Support) and in PALS(Paediatric Advanced Life Support), but this unique opportunity not an effective resource whereby, possible de-skilling of the emergency nurse practice in other aspects of nursing care. There are many causes of accident on the road. Driving recklessly examples awful personal habits, speeding, lack of awareness, in proper or unacceptable behaviour and not wearing proper safety gear or attire especially for motorcyclist and other road user are some of the problems that contribute factor for accidents. According to a study by Universiti Sains Malaysia (USM, 2009), it shown nearly 500 drivers involved in road accident, it found out that some of car driver driving when sleepy, driving late night and driving for six to eight hours non-stop or lack of sleep, this linked up with a significant raise and risk of a car crash and would resulting in severe injury or death. Human error is a central element in accidents. Peter (1998) defined an error is a set of human series of action that exceeds level of tolerability. Usually, the normal judgment in behavior and human error is a departure from a normal human being. Reason (1990), reflect unsafe acts is an errors, mistake and violation. Errors can happen with or without conscious thought. It like an action that result from misinterpretation of the actual situation. In other words, mistakes are accidental behaviors that involve incorrect choice of inappropriate action for that particular situation. Routine violations come from the rules which involve behaviors, such as driving faster than the speed limit i.e.120 km/h. According to the Royal Malaysia Police (RMP) Malaysia, the road accident fatality in Malaysia for year 2008 are 373,407 compared with years 2009 which is estimated 397,330 road accident. The difference is about 24,283 or 6.5 percent cases of road accident throughout the whole state of Malay sia. In the meantime, if comparing with other developed countries like Switzerland, Germany and the United States they have managed to reduce the percentage of road accident percentage from 1.9 percent to 1.4 percent said Road Safety Department, Malaysia. See appendix. The number of casualties due to motor vehicle accident (MVA) in the year 2009 for my ED alone stated up to 854 cases. Accident was the first main cause of hospitalization and cause of death for my hospitals. From recent analysis shown that, accidents are more commonly involved motor vehicles and non-motorized vehicles. For 2009, the majority of emergency call for ambulance service which is my ED had this specialized mobilised team in attend patient involved in MVA for early stabilisation and treatment, followed by attending patient who had injuries at workplace and domestic accidents. The increasing of trauma cases were related to the coverage area involving the opening of Maju expressway and the increased of population of office area, commercial centre and housing area. See Appendix. Statistical analysis shown most of the admitted or received patient at my ED for 2005-2009 reported the significant case of head injury was due to MVA. It can be sub-divide into different type of category range from severe to minor head injury. See appendix. The most common cases involved in road accident fatalities caused by severe head injury with 86 patients out of 269 of total head injury suffered from MVA. About 90 percent of the total patient was in coma or with low GCS (Glasgow Coma Scale), the level of consciousness in most of the patient were 3/15 in scale. Enlighten with the government policies and needs on extended the roles of nurses at ED, provided with the underline guidelines and together with the ethical framework of professional practice. As highlighted the requirement for a safe standard of care, nurses have a responsibility to act accordance with rules and guidance which adopted the ethical theories of Deontology; where it is a special duty and obligation to specific people or community. Ethically it is a good practice for examples a healthcare worker have an obligation to protect and safe people who had an injury or in need of help. Here, I have identified six principles for professional practice can be widen; recognition that the nursing practice carried out meet the needs of patient, continually striving for skills and knowledge that provide safe and competent care delivery, recognize the personal limitation of skill and knowledge and effort to ensure meet of patients needs, identify the expansion role must maintain continu ously for safety of the patient care, recognition of the effort of other healthcare workers involved in patient care and provide treatment and lastly the ability to delegate task appropriately. These projections are affected to some and this in fact extent to our context where; in our modern society road accident constitute a major problem thus imposing a significant burden on the workload and financial resources to the government. Malaysia is one of the countries, who have the highest road accident fatality in comparing with among other Southeast Asia country. Road accident fatality causes this country losses man power or working power professional or non professional workers, causes property and infrastructure damage, medical billing burst up sky high, create poor productivity due to disability suffered from injury and lack of professional workers and other revenue maintenance management costly increased and this effect the country economic growth edited by Radin Umar (1998). An average compensation of insurance in the event of damage to or loss of property, life or a person has peak up tremendously. The increasing number of road accident fatalities could push the insurer to press on the insurance premium and the money paid up in the event of damage was a terrible lost of economic profit to the country. According to from Transport Research Laboratory, United Kingdom reported, during 2005-2009 between 750.000 and 880.000 people died in road accidents worldwide. Most of them from the developing and mid-develop countries. Globally, most of the productive age group was involved in the road accident fatalities and loss of disability. The General Insurance Association of Malaysia (PIAM) is concerned over the recent rise in accidents involving commercial vehicles definitely will definitely increased insurance compensation because generally, the whole nation not just Malaysia suffered the effect and economic burden of road accident fatality and its estimated about 500 billion dollar. This event causing the held back of social and economic development at large. It involved million of money compensation due to raise of death toll and injuries, costly medical bill, rigorous demand on resources in providing welfare service and contribution, economic growth below per-average, the state become p oorer due to loss of productivity. Conclusion I found out the current situation of healthcare in ED, nurses need to adapt to the constantly changing healthcare procedure, skilled and technique in treating a patient and find new ways to deliver good care-specifically in terms of make it more practical and effective nursing practice to a utmost level ED standard. Having seeing the increasing number of patients involved in road fatality and in-accomplished the goal for urgent-care centers and integrated standard of care of a patient in ED. Nurse are excellent in communicating with patients and in collaborate with other colleague of the para-professional team. Nurses can deliver an exceptional role in terms of reorganizing the ED standard of practice with the current emergency crisis. While road safety has long been consider one of the social responsibilities to the government of Malaysia. I believe this responsibility should not solely rest on the government because there are many ways that the private sector can support government road safety campaigns and initiatives. I hoped members of the private sector would participate and contribute to the effort of increasing road awareness. The government will carry on investing seriously on road safety campaigns in bringing down the fatality rate to below two for every 10,000 registered vehicles by 2020, on par with other developed countries. With the governments spending on multimedia awareness campaigns for road users and upgrading accident-prone roads for safer use is hopefully will further reduce road deaths. Of all road accidents in Malaysia, fatal accident justified a higher degree of concern. However, road authorities feel contend with the figures of 6,218 cases death for last year alone. Although studies shown that causes to most of the accident is because of the drivers themselves. The need for providing a safe and efficient road system has been a main concern to the Malaysian government. Extra measures have to be taken up such as aggressive road safety campaign awareness in civilizing and educate road user to abide by the law and road regulation. Other relevant agencies such as Ministry of Works, Malaysia (MOW) in providing a better and safer road and Ministry of Transport, Malaysia (MOT) constantly make an positive effort in order to improve traffic accident in Malaysia, alongside with the Ministry of Health, Malaysia (MOH) in providing better emergency aid management in attending and treating MVA cases and other government authority efforts to reduce traffic accident and to achiev e its targets, because prevention is better than cure as point up by Answer.com. Furthermore, positive steps have taken into respond by encourage people especially road user to shared care when go for work, encourage to use and support public transport, promote walking as part of health exercise and use of bicycle as an option to traffic congestion and for better and cleaner air for environment and to people to breath. As whole year, most Malaysian will witnessing and exposed with sizzling catchphrase advertisement throughout the radio, television, internet, poster, newspaper and giant electronic screen placed in most major city throughout Malaysia. Some of the phrase held like Stop on Red Light, Ware your seat belt, Celebration, Drive safely, Driving in patient and other sought kind of positive catchphrase. The campaign brought by Road Safety Council Malaysia (2010) and they will highlight on four main issue such as; road safety is a together and community effort and not a sole effort of a government, road regulation and rules is a mandatory ruling to be follow by all road user or bear-up will the summon and severe penalty, follow the law will reducing and avoid fatality and lastly if every citizen support this campaign with uncompromisingly. Hopefully, in future; collaboration between intra and inter government agency will improve more on road safety and nevertheless, the government could achieve road accident death toll to below par level. As it will also could, save million of Ringgit in term of property damage, working force and productivity loss and also medical cost.

New Zealands Disability and Aging Policies and Practices

New Zealands Disability and Aging Policies and Practices Task four: Comparing international developments to New Zealand’s policies and practices in relation to disability and aging. 4.1. Policies on disability and aging 4.1.1. International policies on disability Canada Council for Canadians with disability has provide support for disabled and assist them as they find difficulties when living in society or finding the job or any educational. As follow several committee : Transportation committee International development committee Human rights committee Social policy committee The sociopolitical model concerned with human rights in the 1970s as they focus to reduce the barrier of environment, any other negative thought toward people with disability from social community. The Canadian government promote the policies and support independent living for people with disability such as services, transportation and housing and make more flexible for these people. According to the International model of Human Rights , people with disability also have all the normal rights as a citizen and it is existing under the law for the disabled people. Australia In Australia, the two Commonwealth policies and important that related to disability are Disability Services Act 1986 and the Disability Discrimination Act 1992, they all provide the rights for the disability. The Disability Services Act(DSA) 1986: The act based on the handicapped program review that the commonwealth initiated 1983. There are some action of the legislation provide the services for people with disability into the society( Baume Kay 1995): Providing more flexible and more responsive to the needs for disabled people. Assist disabled people gets services and they can work in the community with full participation. Provide service to people with disability that they can achieve the positive outcomes such as become more independent, more opportunity for employment in the community. Considering the outcome achieved of the disabled people as they are taken into account of financial for these services. Innovation in the provision of service for people with disability should be encouraged. The disability discrimination act 1992: the act related to social justice for disabled in Australia. The act is aim to protect the interest of people with disability who has experience of discrimination in public and private service. There are some action of the act: The disabled people has the same rights when they are in the community Within the community principle that people with disability have the same fundamental rights. Providing the law by commonwealth program as the discrimination against the person on the ground of the disability in the education , work, accommodation. New Zealand The New Zealand strategy for people with disability introduced to the New Zealand government to promote a more inclusive society for people with disability as they can get respect in social community. In addition, guideline the government implement about provide support service for people with disability and some others attitude and behaviour from society toward them. The government department and others government agencies need to consider to people with disability before making decision. The strategy and policies Non-disabling society should be encouraged and educate as they need to respect and highly values the lives to disable people. People in society should perceived the rights for people with disability as they can implement their rights fully. Considering education for disable people, as they can develop their skills and educational centre which can help them participate in society. Giving and providing opportunities economic and employment for disable people in accordance with human rights and maintain adequate income. In the case, disable Maori and pacific people should be considered as promote participation. Providing support the lifestyle choice and culture for people with disability. Also support for quality living in the community for disable people as they can feel comfortable while living in that community. Foster leadership by disable people as encourage them to making decision, acknowledge and strengthen of the leadership for them on this issue. Long-term support system centred need to create on individual: making sure the quality assessment and service deliver is centred for disable people . Foster an aware and responsive public service: make sure that government agencies, public service are aware the responsive for people with disability. Comparison Similarities : In all three countries, the policies focus on how to delivery good support toward to the disabled people in any angle such as environment, educational, employment and social community. Differences Canada: Policy concern about system support for the disabled people as encourage them participate in social’s life. Australia : The government involved the aspect and concentrated to the educational discrimination for people with disability. New Zealand: The government à ­ not only focus on the European in New Zealand, they also concern toward to Maori and Pacific people who are living with disability 4.1.2. International policies on aging Canada There are several programmes focus on provide the financial of healthcare for the elderly as well as concentrate to support service policies for the older people. Canada pension plan provide the security –income program such as old age security, guaranteed income supplement(1967) to support for elderly about the financial and low-income for seniors by federal government general revenue. Providing advices and support of ageing under the population health fund and also the national health research and development program. Canada government also create and understand the knowledge to support the elderly on the way effectively. The national framework on aging are providing the policies effective to seniors as well as consulting this issue for older people in Canada. Making sure the manual safety for the elderly as their health or traveling or health insurance plan. Increasing government income security programmes Australia The Australia government created the policies to support older people who are living in retirement become more active and financially secure. The older people can continue to work if they wish in the communities Provide the program such as lifelong learning and active ageing so the older people in Australia can be more active and can increase number of wellbeing in the elderly. Also good health can reduce the isolation and maintain the independence on the older people. New Zealand . The New Zealand positive aging strategy provides a framework for understanding and improving policies for older people. The positive aging takes account of health, financial security, personal safety and environment living for older people in New Zealand. Health: Promote and support the development of the health centre community for older people. Considering the multi-disciplinary availability need assessment throughout new Zealand. Income: the policies has introduced to ensure that the elderly gets adequate income and appropriate standard of living. Following legislation that the security of publicly should be increased provide retirement income into the future. Housing: providing support from government as the elderly gets appropriate housing option. In addition, organize the survey option to enable low-income families to purchase home. Transport: public transport should be reviewed as they are friendly in terms of route, timetables and safe for all ages. Ensuring that lack of transport is not the barrier for health services. Ageing in place: developing the policy and the range of service that can support ageing in place. implement and promote service programmes of safety awareness for older people. Culture diversity: number of quality services for maori and pacific people should be increased and improved. Also , older people from ethnic community should be identified the issue in specific and develop those option according to the cultural. Rural: developing and providing policies and support service delivery for older people who is living in the rural community. Attitudes: all the people has the different positive attitudes to the older people as making sure that government agency and publicity campaign portray positive images for the elderly. Developing intergenerational progammes in school and communities. Employment : support employment of older people worker according to the government policies sector. Promote the mentoring programmes of the skills and experiences for older people. Opportunities: improving the opportunity and increasing the educational and retraining for adult people Comparison Similarities: Supporting policies are providing properly toward to the older people in all three countries as they can live in the community with good health and comfortable with retirement. Differences : Canada and Australia: They all two countries are still focus on the financial support for older people. Also, these two countries has increased the number of the elderly and giving solutions how to deal with it and protect a good life for them. New Zealand: In the case, New Zealand separate in different type on these policies which is very clearly to support for older people. 4.2.1. International delivery policies on disability Canada According to accessible transportation in Canada , the program were establish to provide the transport system and safety environment to help people with disability as they can found it easier when they are traveling. Health Canada Community living Support funding for disable people in the labour market also help for employment as they are having disability. Australia Disability services Australia 1986 provided the quality of services delivered to disabled people as the quality for health care for the disability . In addition, the younger people with disability in residential aged care was set by the Australia government for five year which helping reduce the number of younger people having disability and support those people as they are living in the residential aged care. The disability standard provide achieving equal access for people with disability. Home and community care provide support the care and increasing the independent for people with disability in the residential care. New Zealand In the community, health care services from practice nurse may be related to primary health care centre. According to the Public Health and Disability act, the Primary Heath Organization were founded and that provide the health education and also others services of health were delivered. Public Health service also support service disabled people under the New Zealand Health and Disability Act 2000. Comparison Similarities : All three countries are focus on providing the support for disable people with higher quality and progammes in different terms such as health care provide. Differences: Canada : These policy concentrate on planning safety for people with disability on the angle as transportation or employment, also meet on development educational for them to get more experiences and skills that can help them living in society. Australia : Organizing the services and delivery carer in effectively to the younger with disability on the both side financially and mentally illness help these people more confident with their ability while they are living in the residential community. New Zealand : Provide on the basic need on health care under the New Zealand Health and Disability Act 2000 for the people with disability. 4.2.2. International delivery policies on aging Canada Proving the financial support for older people when they retire at the age of 60 The policies providing the services and also development the program liaising with different levels for the senior in the community. Focusing on long-term system support care for the elderly as the social support or any other physically or mentally support for them. Australia Australia government concern to provide services and community of care effectively for older people according to their religious, culture and charities. Under the aged care assessment program, the government budget to support the elderly and contribute funds to support these program. Caring the elderly also get the support services from the government. Delivering the support needs in individual for elderly under the National continence management. New Zealand There are several support service organizations were founded to develop and help the elderly with higher quality and effectively to them. Age concern Diabetes new Zealand National health foundation Career force Public health association As these organizations can provide a good qualification to help the older people in the retirement and get benefit in term of the needs that the elderly want. Comparison Similarities: These countries are delivering the good quality and effectively support for the older people as well as they consider to develop to make sure the elderly can live in their community comfortable and happy. Differences Canada: Government in Canada may need to provide the higher support of finance and services to care the elderly. Australia: The health care system in Australia is quite effectively toward the older people. New Zealand : Under each organization, they are giving the best support and access for the elderly as older people can live in the best way in the retirement home or facility. Referencing Government of Saskatchewan Retrieved from: http://www.socialservices.gov.sk.ca/office-disability Disability policy in Canada Retrieved from: http://video.med.ubc.ca/videos/osot/faculty/lj/Disability_Policy_in_Canada.pdf Office for disability issue Retrieved from: http://www.odi.govt.nz/resources/publications/new-zealand-disability-strategy.html Ministry of social development Retrieved from: http://www.msd.govt.nz/what-we-can-do/seniorcitizens/positive-ageing/goals/index.html Disability policies and program in Australia Retrieved from: http://www.academia.edu/1079853/Disability_Policies_and_Programs_in_Australia Government of south Australia Retrieved from: http://www.sa.gov.au/upload/entity/1856/dac-documents/policy-guideline/ Parliament of Canada Retrieved from: http://www.parl.gc.ca/content/lop/researchpublications/cei-07-e.htm Women with disability in Australia Retrieved from: http://wwda.org.au/govtdis/govtdisoverview/ Australia government- department of health Retrieved from: http://www.health.gov.au/internet/publications/publishing.nsf/Content/ageing-aged-care