Knowing Your Audience and Communication Release Essay

On August 5, 2010, The Chilean Copper mine collapse with 33 workers confined in a 2,257 feet hole, which was the size of a mini studio apartment (msnbc.com news services, 2010). Their families, friends, and co-workers were worried frantically about their safety, and not being able to reach the miners left everyone at unease. The Rescuers and the Chilean Copper president’s came together to find a resolution as to the cause of this situation and how to rescue their employees. Families and co-workers of these miners have questions that wanted immediate answers, and it is the companies responsibly to provide answers. The company should have a plan of emergency action for these types of incident and be implemented in training programs when hired or promoted. There should be reputable spokesperson on hand to communicate with families, co-workers, and the media. The first action to take place is to immediately control the situation, and prevent any rumors from uprising through the wo rkplace or the media. Have somebody Reputable from the company to hold a face to face verbal meeting explaining what emergency incident just occurred and what the companies’ plan of action is going to be. It is important to present only facts to this meeting so that there are no assumptions as to what is really taking place. Be honest, open, clear and concise in these meeting so the audience can listen and decode the message the spokesperson is conveying. The spokesperson should be able to answer all questions presented to the room, as long as the spokesperson has evidence to back it up. Otherwise, being honest and saying, â€Å"we are looking into that,† is the best option for this type of situation. If the company has a morning and evening shift, then having the meeting write when both shifts are about to cross would be an effective way to control any rumors, explain the situation, and answer any questions. This will save time so the company can delegate the situation currently on hand. The second action is to have another reputable spokesperson to notify the minors’ families of the incident. The first step to communicating to the miners loved ones is by phone and then a face-to-face verbal communication should take place. It is important to be sympathetic and compassionate when relaying this type of information to the families. Calling each miners emergency contact would be the start but should not provide too much information over the phone, but just ask the family or friend to come down to the job site immediately. Providing information over the phone can create media attention rapidly and cause panic to the person. Hold a meeting as soon as the miner’s family and friends have arrived and provide information that the company has facts on. Do not delude the people in thinking, the situation is worse or better than what the facts actually say, but be honest and clear about the situation. It is a good idea to have a mediator around if the company decides to have a verbally conversation that is one on one with a family member, and this will prevent any rumors as well. Inform the employees and families that it is in the best interest for the company and the families of the miners to avoid answering questions to the media. When speaking to the media without knowing all the facts or going based on what you heard without fully researching the situation can lead to panic and discomfort for the families and loved ones. For instance, in the situation the media publicly announced on August 26, 2010 that it would take the rescuer’s four months to rescue the miners. However, According to msnbc.com news services (2010), Health Minister Jaime Manalich said, â€Å"they would not be rescued before the Fiestas Patrai’s,† and Fiestas Patrai’s is Chile’s Independence Day celebration, held on September 18. That is only forty-four days, and a big differ ence from 120 days. Preventing the media from misleading reports can be achieved by avoiding the media. The company should offer counseling to the families and co-workers to help deal with this situation, and provide any assistance to make this incident go smoother for them. After the company has all the facts and knows what they are facing then have a reputable spokesperson address the media, family, friends, and co-workers with all the facts at hand. This will help all parties understand what they are in for and to start dealing with the situation at hand. Keeping the all parties informed throughout the rescue process though meetings or the media is important. Having somebody from the company to go to the miners loved ones face to face or calling them to ensure that they are well, is a great way to provide answer to the individual parties. This situation affects everyone, families, friends, co-workers, and global. It is never easy to try to control and sustain a crisis like this but avoiding rumors, which are usually just opinions from others around, can help everybody. The miners loved ones just have one care in the world, that is getting them out safe and healthy, and that is all that should matter, but sometimes the media likes to turn embellish the truth. The important thing in this type of situation is too continual to provide information to all parties so they are properly informed. It is better to hear from the people who are actually in the rescue process rather than an outside source. This will provide all parties some ease to their pain even if it is not good information; at least they understand the situation. Reference msnbc.com news services. (2010). Drill breaks through to trapped Chilean miners. Retrieved from http://www.msnbc.msn.com/id/39558833/ns/world_news-americas/t/drill-breaks-through-trapped-chilean-miners/

Mental Health the Medical Perspective: a Case Study

The aim of this assignment is to citically examine the medical model in relation to a client that I am working with, for reasons of confidentiality I have used a pseudo name: The medical perspectives in Mental Health. Background Alan is a 42 yr old white british male, he was diagnosed with schitzophrenia at the age of 21yrs. He is the eldest of two children, his sister resides with her husband and children nearby. Alan resides at home with his parents, who are in their early seventies. Alan has always complied with medication, and agreed to hospitalization when necessary, compulsory admission has not been required. Scitzophrenia is a devastating mental illneess, and probably the most distressing and disabling of the severe mental disorders. The first signs of schizophrenia typically emerge in adolescence or young adult. The effects of the illness are confusing and often shocking to families and friends. † http://www. psychiatry24x7. com. schizophrenia retreived 19/01/06. Alan i s seen by his psychiatrist, every six months, unless he is unwell, when he will be seen more frequently. He is reviewed through the Care program approach at hospital out-patients. His key worker is a community psychiatric nurse, (CPN). The psychiatrist plays a central role in the diagnosis of a mental disorder. Diagnosis is made after a mental health examination. The role of the psychiatrist in the mental state examination serves two purposes: â€Å"A detailed history is taken to identify change and characteristic clusters indicative of a specific psychiatric disorder. Secondly the psychiatrist has to make a comparison of change against a diagnostic criteria to establish presence or not of a specific psychiatric disorder. † (Holland, 2003, p. 938) After illiminating organic cause, by physical examination, the psychiatrist makes a diagnosis by classification of the symptoms. In todays psychiatry there are two systems used to more reliably identify a mental disorder. The International Classification of Disease, 10th revision, (ICD10), and the American Classification Diagnostic and Statistical Manual, 4th revision, (DSMIV). European psychiatry are guided b y the former. The ICD10 catogarises schizophrenia under, F. 20. using the description of Kurt Schieder’s first rank symptoms, (1959). These are ranked as A – D, other symptoms E-I have also been added. (p. 49, ICD10, WHO 1992,). For a diagnosis of Schitzophrenia the person must show at least one of the first rank symptoms A- D and at least two of the symptoms, E- I. Alan experiences; – Thought withdrawal, insertion and broadcasting, he beleives that someone or something is responsible for this. (First Rank symptom A). – Auditory Hallucinations, he hears a running commentary about him. (First Rank symptom C). These are also known as the positive symptoms of schitzophrenia. Alan also experiences more than two of the symptoms E –I, he has thought disorder, anxiety,depression and poor motivation, referred to as negative symptoms. (Kingdom, cited Bailey, 2000) The ICD10, goes on to provide subsections for types of schizophrena, and notes; not everyone agrees with the sub-sections, due to the overlapping symptoms that can be present from one type to another. According to Alan’s medical notes and on asking him, he does not appear to have been diagnosed with a specific type of schizophrenia. Given the clusters of symptoms that e has experienced, at various times, it would be difficult to place Alan into one of the sub- sections. The medical model excepts that the schizoprenic brain has increased ventricles, (spaces in the brain), which leads to an imbalance of chemicals in the brain. Using their main tool pshycopharmoglogy, they prescribe drugs to correct this imbalance. (Leonard,2003). The pathology of the illness considers that the chemical wh ich is imbalanced is dopamine. Drugs used to treat mental disorders are known as; neoroleptics or psychotropics, they target the chemical dopamine by blocking the neuroreceptors. The drugs effect behaviour, psychological cognitive function and/or the sensory experience. They also effect other neurotransmitters in the brain, such as serotonan, a chemical associated with affective disorders, therefore, the same drugs are used to treat different diagnosises. (Barry,2002). Alan has been prescribed various psychotropic drugs to try and control the positive and negative symptoms of schizophrenia. His medical notes demonstrate that drugs have been introduced, decreased and increased on a number of occassions, with little effect of relieving the symptoms substancially over a long period of time. Over the years in psychiatry drugs have evolved, Alan has been prescribed some of the older drugs, Chlorpromazine and Haloperidol, these are referred to as ‘typical’drugs. These drugs cause side-effects such as; pseudoparkinsonism, (uncontrolable shaking of limbs), and Akathisia, (an uncomfortable internal restlessness and anxiety). (Barry 2002). Further medication was prescribed to combat these side- effects. Following this Alan’s psychiatrist changed his medication to the newer ‘atypical’drugs olanzipane and risperidone. Alan did not respond to this medication and after a deteration in his mental health he was admitted to hospital and agreed to try another ‘atypical drug’clozaril thearapy. Given the toxicity of clozaril it is not used as freely as other psychtropic medication. A complication of clozaril is the effect that it has on the white blood cells, if the deficiency becomes to great the drug can kill. (Barry 2002). To reduce the possibility of this the white cells are monitered through regular blood testing. The outcome of the long term effect of these drugs is not yet fully known. (Barry, 2002). Psychiatry does not go without critisim, Szass, (1997), best known as an anti – psychiatrist, challenges the concept of mental health as an illness. For an illness to be an illness it has to be classified as having three commonalities, cause – progression – and outcome. He argues that schizophrenia does not share any commonality, and that the reason a scitzophrenic patient becomes a patient is because those around him refuses to except a behaviour beyond the norm. Laing, (1985), also supports this theory and informs the reader that psychiatry is the only medical model that does not have an exact pathology that is proven by labortory testing. Another school of thought suggests; individuals are treated for the side-effects of medication moreso than the original illness, (Illich, cited in Laing 1985). â€Å"They can end up fighting side effects †¦One drug to combat another†¦. Prehaps it is the medication that ends up disturbing mental behaviour, warping personalities or or conditions in to bigger problems. ( Hewitt, 2001, p. 72) Alan prosponed the decision to take clorazil due to the risk of toxicity. Since commencing treatment, the symptoms have reduced but not deminished, he still takes medication for side-effects, anxiety and depression. He continues to struggle with daily living. His anxiety levels are so intense, that this condition has preceeded the effects of schizophrenia, which has led to further isolation from society, he wou ld like to engage in employment, paid or unpaid, however in his current frame of mind this is not a possibility. Labour force 1995, reported that employment figures in mental health patients are much lower than any other disabled group. Only 21% of people with mental health problems are working or actively seeking work. (Webb&Tossell, 1999). Warnings on some medication advise that machinery must not be used, vechiles must not be driven, due to side-effects of drowsiness, alcohol should not be taken with a lot of psyhcotropic medication. All of these restrictions impact upon Alan’s ability to function in society. Secondry to this, Alan has to cope with the stigma attached to mental health disorders. There is a stereo typical societal perception that individuals with mental health issues are more dangerous than others, regardless of research suggesting the opposite; Philo et al, (1993), published research to demonstrate that there is no evidence to suggest that a person with mental health issues is any more likely to harm than anyone else. Figures over the last 20 yrs demonstrate that there has been no increase in murder caused by someone with mental health problems,whilst the increase amongt the general polulation has more than doubled. Research shows that this discrimination within mental health does not stop with the lay person. White, western people have better experience of the service than other ethnic groups. (Haddad & knapp, 2000). The Sainsbury Cenre for Mental Health, (SCMH), (2002), in it’s aim to influence national policy high lighted the inequalities experinced by Black and African Carribean communities. SCMH’s findings suggest that professional have a fear of some ethnic minority groups, due to individual size or skin colour. It is these stereotypical beliefs, cultural ignorance and racist views, that prejudice assessments and influences treatment, reponses therefore rely on heavy medication and restriction. The consequences of which can be dentrimental, and have resulted in death, for people like David Bennett. In response to high profile cases, the Governement have produced various documentation to address issues of inequality. Delivering Race and Equality, (2003), set out to provide an action plan over 7yrs to improve mental health services for ethnic minority groups. The focus is on raising professional awarness around culture, ethnicity and racism. As the western world progresses towards a multi-cultural society, it is inevitable that more people from ethinic minorities will come in contact with mental health services. Fernando, (1991), considers this to be of a special concern and warns that; â€Å"The white domination of black people promotes, and often imposes a cultural domination so that ways of thinking, family life patterns of mental health and mental health care that are identified as ‘European’in tradition ‘white’by racial origin, are seen as superior to others. †(p. 198) Fernando, goes on to highlight the fact that many forms of human distress medicalised by western society are not medicalised by other societies, and notes that political forces dominates what is an illness and gives ultimate power to the psychiatry to treat. Therefore suggesting that individual diagnosis can depend upon where you reside in the world. Rack, (1982), notes that western psychiatry has an important role in social control, whilst Asian psychiatry is largely concerned with spiritual development. Fenando states; â€Å"†¦medicine too is part of a culture and not a system with a life of its own outside the culture in which it lives. † (P. 197) He advises that a reliable diagnosis is unlikely, unless the individual is interwiewed in their own language, as only a person with the same language knows what to look for. If Racks theory is correct then services have a lot to achieve to gain full equality. According to research it is not only the diagnosis in mental health that globally differs, it is also the recovery rate. Research under taken by WHO, (1938, 1958, 1988, 1998), ## evidenced that only 33% of individuals diagnosed with schizoprenia in western soceity were successfully treated by drugs. A further pilot study by the same organisation, in the recovery of schizophrenia demonstrated that recovery rates in London and Washington, (33%, 34%), were immensly lower than in IBADIAN AND MAGA PERDESH, (86%,87%). The variable out come appeared to be talking methods and a positve out look from the onset. People were advised that they would get better rather than being told there future would depend upon medication. Colman, (2004), suggests; â€Å"Most psychiatic doctors appear to be wedded to the idea that they must treat everyone with medication and that it is only through the use of medication that people recover. The evidence for ths view appears to be based on research carried out using moneys supplied by pharmacutical industry. †(p. 4). Colman’s view does not stand alone, Klass, (1975), advises that drug treatment is encouraged by the profit they make for their producers, who also provide the drugs to treat the side-effects. Large profits from the industry is used to provide research and advertise what they view as successful intervention for mental disorders. (cited Pilgrim&Rogers, 1987). In relation to Alan’s drug therapy and the side-effects of anxiety, I have spok en to his treatment team regarding alternative therapy such as; Anxiety Management. The response was that he had this previously and is unable to sustain self help techniques. My view was that this was a funding issue, psychosocial therapy costs more than drug therapy. (Pilgrim&Rogers, 1987). It appears to come secondary to drug therapy in the view of the medical model. â€Å" Whilst it is generally conceded by most commenters on psychiatry that it is now electic†¦ The bias towards physical treatment is still strong. † (p. 121. Baruch&treacher,1978, Roman,1985, Bushfield 1986, cited Pilgrim&Rogers, 1987). Alan has spoke with me regarding the conscequences of stopping treatment to combat the side-effects. Pilgrim & Rogers, (1987), amongst others acknowledge that individuals may stop complying with medication if the side effects from the drugs become intolerable and they are not listened to. â€Å" treating psychiatrists do not take their complaints about ‘side-effects’, or their concerns about the debilitating effects of the drugs, seriously. Instead, doctors tend to be concerned only with the effectiveness of the drugs in symptom reduction (assessed by them, not the patients themselves)’. p. 125 ) If Alan chose not to comply to medication, experienced a deteriation in his mental health and refused voluntary admission to hospital he could be detained under the Mental Health Act 1983. (MHA). The mental state examination would be under took by a doctor who was not exculded under s12 of the act (MHA1983,cited Jones, 2004). In good practise Alan should be assessed by h is psychiatrist and his own general Practitioner. Thus meeting the requirements of s 12 [2], (MHA1983). Both doctors must examine the patient within five days of each other (s12,[1],MHA1983). As Alan is known to the clinical team, and has a specific diagnosis, admission for traetment (s3 MHA, 1983, cited Jones 2004), would possibly be the proposed section. (Code of Practise, 1999, ch5). Laing, (1985), Szass, (1997), claims that psychiatry is used to police society and not to treat the individual. Psychiatrists have been given the power to lock people up and treat them against their will, they have more power than a judge, and hospital wards provide a prison for the unconvicted individuals who do not meet societal norms. The approved social worker,(ASW), also has a powerful role under the 1983 Act and does make the ultimate decision as to whether treatment in hospital is the most appropriate form of treatment. (s13[2],MHA1983). As a social worker under taking the duty of an ASW, (albiet as a shadow), I have been faced with dilema’s whereby the role and duty of an ASW conflict with my social work values, instead of promoting rights and autonomy I am restricting them. I am managing this by addressing the issues in debriefing following the ssessments, in supervision, and by challenging other professional’s practise when necessary. For example, on one assessment, nursing staff had observed a patient as being withdrawn because he chose not to watch television in the communial lounge. During interview, the patient advised that he was a Johava witness and was oppossed to violence which was all that was on the particular channel viewed in the lounge. On addressing this with staff, it was clear that cultural or religous needs this had not been taken in to consideration. If Alan was formally admitted to hospital his psychiatrist does have the power to treat him against his wish. (part IV, MHA1983). This could include invasive treatment such as ECT, which Alan is oppossed to. I am therefore proposing Alan prepares an advanced directive, which will be incorporated in his careplan. Although, this does not over ride the clinical desicion his treatment team will need to take his views and wishes in to consideraton. MHA —————– Alan is supported by his family they have a good insight in to his illness, his father has recently been diagnosed with Alziemen’s disease. My current concern is that his mother is a carer for two family members. The largest proportion of community care is carried out by unpaid family members, who often miss out on employment and become isloated. (Webb&Tossell, 1999). To ensure that Mrs A, is able to continue in her role, her needs also must be met. I have therefore requested an updated assessment under The Carer’s (recognition and service) Act 1995. Mrs. A’s wellbeing is paramount in preventing deteriation of the home situation which would inevitabley impact upon Alan’s mental health. Mrs. A recognises the signs and symptoms when Alans mental health starts to deteriate, which in turn has historially prevented admission to hospital. Research from All Saints Hospital Birmingham evidenced that 59% of relatives recognise early warning signs one month before relapse and 75% two weeks before relapse. (cited Howe, 1998). Mrs. A feels that she is coping at present with the assistance of her support worker she is able to off load. She accesses carer’s groups which she finds helpful. If the situation becomes to much the family have agreed to access further support for Mr. A. nder The Community Care and National Health Service Act 1990. Alan receives support from the day centre where he is involved with Art therapy and other activities. He attends the Fountain club, (a mind project), where he has access to support through group therapy, and attends respite two days a month. Alan finds these resourses useful in helping him to live with not only schizophrena but also the sid e-effects of his medication. He is offered support and advise that is not from a medical perspective. The family also consider that alternative therapy is as important to them, as to Alan. Mrs. A considers that Alan and the family’s needs have been better met since a holistic approach has been under taken, as social and pshcological factors are adressed, aswell as the pathology of the illness. Howe, ( 1998), acknowleges that this has been a general failure in the medical model. I have not progressed with my original task regarding accomodation because I feel that Alan has enough going on in his life at present, in coming to terms with his father’s illness. Although his CPN, considers that this would be in his best interest, the family do not want it and I am not convinced it is what Alan wants either. Szass, (1997), refers to how the mentally ill pateint is considered to be incompetant where as the medically ill pateint is considered to be competant. If Alan did not have a mental disorder, residing at home would not be an issue for anyone, other than the family. I will continue to project my view wtih the CPN and in supervision. In conclusion to this assignment I would agree that all those who work with in this area have far to go in developing services. My role amongst this will be to challenge oppression, by raising awarness as I have done in practise, and to promote an holistic approach towards assessment. I am of the view that medication does help certian individuals, and their life has improved with medication. However in my view this should be minimal to releive distress and enhanced with other socialogical and pyshcological intervention. Although relapse cannot be illiminated, research and literature referenced throughout this assignment suggests that there is a high colleration between staying well and receiving a combination of services. Drawing from my previous managerial experience I have know doubt that the constraints on budgets will effect resources, which will inevitable effect the services individauls receive. Pilgrim&Rogers, (1987), acknowledge that the limitation of resourses and the cost to them, which is not measurable in comparison to physical treatment has been a factor that has prevented psychological and social models from competeing against the medical model. Undoubtabley this will need to change to allow individuals a successful chance of recovery. Authors referred to who opposs psychiatry and its role do have a fair arguement, in that drug treatment and legislation polices society, however no realistic alternative is provided. In my view the way forward is through raising public and professional awareness and de-stigmatising mental disorder. Word count 3297 References Barry, P. (2003). Mental Health and Mental Illness. (7th ed). Philidelphia.. Lippincott. Colman, R. (2004). Recovery an Alien Concept. (2nd Ed). Fife. P. P press. Delivering Race and Equality, (2003) The Sainsbury Centre for Mental Health, breaking the Circles of Fear, breifing 17. A review of the relationship between mental health services and African Caribbean communities. London. Fernando, S. (1991). Menatal Health Race and Culture. London. Mind publications in association with Macmillon. Hewitt, P. (2001). So You Think Your Mad, 7 Practical Steps to Mental Health. Ppppppppppp Handsell Publishing. Howe, G. (1998). Getting in to the System, Living with Severe Mental Illness. London. Jessica Kingsley publishers Ltd. Jones, R. (2004). Mental Health Act Mannual. (9th Ed). London. Sweet &Maxwell Ltd. Laing, R. D. , (1985). Wisdom, Madness and Folly. Making sense of psychiatry. Basingstoke. Paper Mac. Leonard, B. E. (2003). Fundementals of Psychopharmocology. (3rd ed). Wiley. Pilgrim, D. ,and Rogers, A. (1987). A sociology of Mental Health and Illness. (2nd Ed). Pppppppppppp. Open University Press. Professor, Kingdom, (2000). D. Edited by Bailey D. 2000, At the Core of Mnetal Health. Key issuese for practitioners managers and mental heealth managers, Rack, P. (1982). Race Culture and Mental Disorder. forwarded by G. Morris. London. Routledge. Szass, T. (1997). Insanity. The Idea and it’s Consequenses. Syrcuse. University Press. WHO, (1992). The ICD10, Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidlines. Geneva. World Health Organisation. Webb. R. , & Tossell, D. , (1999). Social Issues for Carers Towards Posive Practice. (2nd ed) London. Arnold. Haddad, P. , & Knapp, M. , (2000). Health Professional’s views of services for schizophrenia – fragmentation and Inequality. Psychiatric Bulletin (24), p 47 – 50. http://www. psychiatry24x7. com. schizophrenia retreived 19/01/06. NICE, (2003). Recommends newer antipsychotic drugs as one of the first line options for schizophenia. Press release. retrieved 19/01/06. Webb site: http://www. nice. org. uk/page. aspx? 0=32928

Ethical Legal Dilemma Advanced Practice Nursing Case Study II Essay

Ethical Legal Dilemma Advanced Practice Nursing Case Study II Health insurance policies have set limits on what services will be paid for with a terminally ill person in the home and these limitations may conflict with the nurse’s obligation to provide care for the terminally ill patient (Fry, Veatch & Taylor, 2011). Speaking with the family of a 59 year old male with his only history being terminal lung cancer that has metastasized to the brain, they express concern that they are beginning to have increase difficulty managing this condition. The patient is receiving hospice currently in the home, but the insurance company will not cover both hospice and respite services to assist the family. Community nurses working in the homes of dying patients often encounter many forms of ethical dilemma and they need support in this demanding situation that arises during the end of a patient’s life in the home (Karlsson et al. , 2010). The community nurse is a professional to whom the patient and family turn when they have questions or want to discuss plan of care and treatment options at a critical time in the patient’s life when personal assistance is required (Erlen, 2005). Speaking with the family (son and daughter), it is now found that the patient is now incontinent of both stool and urine and they are now limiting his intake of food and fluid in the afternoon and evening, so that their father doesn’t â€Å"lay in his own wastes throughout the night†. The patient has now developed an excoriated perineum and it appears that further skin breakdown is imminent. The patient has become increasingly weak, and has fallen several times over the last few days. He requires total care with all ADL’s and IADL’s and the family verbalizes being overwhelmed with what their father requires. The patient is receiving hospice for medication administration for agitation and pain as well. Both son and daughter are at risk of losing their jobs related to missing work in order to take care of their father. The son works day shift and the sister works afternoon shift. They have each decided to return to work and this will cause their father to be left alone for almost two hours each day. This could be a case of negligence, where there is a failure to exercise a standard of care and it can be alleged when a person fails to act when a duty exists. There are five elements required to establish a case of negligence: the existence of a legal duty to exercise reasonable care; a failure to exercise reasonable care; cause in fact of physical harm by the negligent conduct; physical harm in the form of actual damages; and proximate cause, a showing that the harm is within the scope of liability (Cornell University Law School, n. d). Negligence falls under tort law and could be criminal. According to Collins English Dictionary (2009) negligence or mal-practice is defined as any immoral, unethical misconduct or neglect of a health care professional. The patient is receiving care at home from Hospice for pain and agitation medication management, which is not sufficient. There is no absolute method to avoid lawsuits; however, prevention of this case could have occurred prior to discharge with proper education of the family of their options for care regarding their father. Detailed explanation of what care their father may need as the end of life is near, may have steered the family to make alternative arrangements for their father. Hospice will have a duty to educate the family of the possible act of negligence and it will be the duty of the hospice workers to report this act made by the family, by following their policies and procedures, which will be their best defense (Grant & Ballard, 2011). Further discussion has shed light on the possibility of Human Rights being violated, under the Affordable Car Act. This is due to the patient’s insurance declining to pay for needs at home. This law alleviates according to Gable (2011) some of the hardships forced on the public’s health for those with insufficient availability of health insurance or access to health care. The Affordable Care Act bans insurance companies from placing lifetime dollar limits on health benefits, which will prevent individuals suffering from chronic diseases from having to worry about going without treatment because of their lifetime limits and it restricts the use of annual limits and bans them completely in 2014 (U. S. Department of Health and Human Services, n. d. ). The ethical principle that will be violated here is the respect for person and the concept of deontology. Deontology means that some behaviors are our duty, whether there is benefit or not (Fry, Veatch & Taylor, 2011). The Stanford Encyclopedia of Philosophy (2012), says that deontology is within the moral theories that guide and assess our choices of what we ought to do and what type of person we should be. Again, proper education to the family, prior to discharge of this patient and by the nurses within the hospice agency could have avoided this occurring. Respect for person involves autonomy, but not all individuals are able to acting autonomously. This requires the ability to set goals and make choices, and this may be compromised at times in a person’s life. Defined by the Belmont Report, respect for persons requires that these vulnerable individuals be offered special protections during periods when they cannot act autonomously. This is also a major emphasis of the principle of justice which requires that the vulnerable be extended special protections with regard to the distribution of the benefits and burdens of research (Yale Human Subject Research Resource & Education Program, 2006). Legal reasoning is evident in two forms, legislative drafting and application of rules to cases and it involves an acceptance and spirit of working within law, which gives it some bias towards maintaining existing rules (Peterson, n. d. ). This does not always mean that law is always just and practical, and judges avoid applying rules that would result in less than desired outcomes. According to Peterson (n. d. ), legal reasoning contains many examples of efforts to changing the legal system and returning to the law making process. Coherence in legal reasoning is where law makes sense as a whole, and is a form of supportive rationality (Bertea, 2009). The coherence part of legal reasoning may be weaker than the logical part. Coherence of a set of legal norms is made by there being a realization of some common value or some common principle (Dickson, 2010). Logic in legal reasoning is the reasoning involved in interpreting constitutions, statutes, regulations, balancing fundamental principles, adopting and modifying legal rules, while applying those rules to cases and evaluating evidence, prior to making decisions (Walker, 2007). Case law is the legal principles embodied in judicial decisions that are derived from applying areas of law to the facts of individual cases. Case law is a dynamic and constantly developing body of law, where each case contains part of the facts of the controversy and an explanation of how the judge arrived at a conclusion (The Free Dictionary by Farlex). Lastly is legal analysis, which requires proving each element of a rule to be true or false and it refers to a statement by a court, judicial officer, or legal expert as to the legality or illegality of an action, condition, or intent (Connelly, n. d. ). The function of ethical reasoning revolved around the fact that much of human behavior has consequences for the welfare of others. People can act toward others in such a way as to increase or decrease the quality of their lives and we are capable of helping or harming. We are empathetic and therefore can recognize when we are doing one or the other. The role of ethical reasoning is to decipher acts that either enhances the well-being of others and those that harm or diminish the well-being of others. Developing one’s ethical reasoning abilities is crucial because there is in human nature a strong tendency toward egotism, prejudice, self-justification, and self-deception which has sociocentric influences (Elder & Paul, 2011). The problem of pseudo-ethics is that one cannot develop as ethical persons if we cannot face the fact that everyone is prone to egotism and prejudice. Flaws in human thinking are the cause of much human suffering and only developing fair-mindedness, honesty, integrity, self-knowledge, and deep concern for the welfare of others can provide foundations for sound ethical reasoning (Paul & Elder, 2009). According to Paul and Elder (2009), ethical reasoning involves doing what is right while avoiding selfish desires and to live an ethical life, is to develop command over our native egocentric tendencies. The elements of ethical reasoning include awareness, independent problem solving, supported problem solving, and decision and outcome evaluation, while effective ethical reasoning requires sensitivity, problem solving skills, and the motivation and determination to act on decisions (Kenny et al. , 2007). The logic of ethical reasoning involves moral theory derived from meta-ethics and evolutionary ethics. The fundamental problem is that evolutionary ethics is a scientifically based theory while meta-ethics is a philosophically based and logic related to human behavior is cannot convey the complexity of human experience, so moral terminology such as good and moral have evolved from billions of social issues over centuries of time that are related to human behavior (Bromberg, 2011). The advantages and disadvantages of ethical reasoning start with the fact that ethical reasoning assumes that everyone will make choices that will cause no harm. This would mean that an ethical society will prohibit unethical actions, but ethical reasoning excludes actions that are based on spiritual or social customs and does not persecute any specific group for their beliefs. Ethical reasoning is meant to determine actions that are in the best interest of everyone, but the course of action is not always clear-cut. Ethical reasoning is simple, all things are not equal, and determining the true ethical route can be difficult and subjective (Mayers, n. d. ). Summary Some cultures continue to practice rituals that are illegal in other counties. Those things that are ethically acceptable in one culture, many times aren’t with other cultures. Laws are based on rules within cultures. Rules are things that citizens must obey in order to prevent persecution by governing authority. Ethical reasoning is based on what people believe is morally right or wrong, whereas legal reasoning is based rules made within cultures. Many times things that are illegal coincide with things that are believed to be unethical within a culture; however, an illegal act by a health care practitioner is always unethical, but an unethical act is not necessarily illegal. Ethics involves standards of behavior and the concept of right and wrong, over that which is legal in a given situation. Moral values are formed through the influence of the family, culture, and society and form one’s ethical reasoning basis (Judson & Harrison, 2012). I feel any ethical decision model must involve individual employees, as well as their supervisors in order to be effective. Shared decision making, between health care professionals, is vital to arrive at what best meets the employee’s needs. I think an ethical reasoning tool needs to involve the employee and the supervisor so the problem can be addressed. The use of an integrative model can develop confidence and justification in making ethical decisions. Preferences and values come into effect during the process of an integrated ethical decision making model and principles of patient-centeredness and shared-decision making must be integrated (Sestini, 2010). An integrated model of ethical reasoning highlights the integration between ethics and decision making, where ethics is a tool that brings positive aspects of the reasoning process. The model is composed of three major elements: the ethical component; the decision making component; and the contextual component (Grundstein-Amado, 1991). Park (2012), reviewed available structured ethical reasoning and decision-making models and developed an integrated model consisting of six steps: 1. the identification of an ethical problem 2. the collection of additional information to identify the problem and develop solutions 3. the development of alternatives for analysis and comparison 4. the selection of the best alternatives and justification 5. the development of diverse, practical ways to implement ethical decisions and actions 6. the evaluation of effects and development of strategies to prevent a similar occurrence. The best ethical reasoning should be determined by putting efforts from all health care professionals involved and although it will not guarantee ethically right or good decisions, it will likely improve a process and outcomes of clinical ethical decisions (Park, 2012). Applying this model to the situation of 59 year old male with his only history being terminal lung cancer that has metastasized to the brain. Applying the chosen model: 1. the identification of an ethical problem: They have each decided to return to work and this will cause their father to be left alone for almost two hours each day. 2. the collection of additional information to identify the problem and develop solutions: families concerns: Increased difficulty managing this condition Patient is receiving hospice but the insurance company will not cover both hospice and respite services to assist the family. patient is now incontinent of both stool and urine and they are now limiting his intake of food and fluid in the afternoon and evening patient has now developed an excoriated perineum The patient has become increasingly weak, and has fallen several times over the last few days. requires total care with all ADL’s and IADL’s and the family verbalizes being overwhelmed 7. Both son and daughter are at risk of losing their jobs related to missing work in order to take care of their father. 3. the development of alternatives for analysis and comparison: this would involve the family’s input into the situation. Possible another family member could be available for the two hours. There could be a possibility to withdrawal from hospice and pursuing home health care to be used for respite services. 4. the selection of the best alternatives and justification: Again this would have to involve the family’s input to see what best meets their needs, as well as their father’s needs. Justification to the family regarding their father being left alone for two hours at a time, as well as withholding fluids and food from him can be done through education. 5. the development of diverse, practical ways to implement ethical decisions and actions: Deontology means that some behaviors are our duty, whether there is benefit or not (Fry, Veatch & Taylor, 2011). This is also a major emphasis of the principle of justice which requires that the vulnerable be extended special protections with regard to the distribution of the benefits and burdens of research (Yale Human Subject Research Resource & Education Program, 2006). As a case manager, I need to work with family on awareness, independent problem solving, supported problem solving, and decision and outcome evaluation. 6. the evaluation of effects and development of strategies to prevent a similar occurrence: this would be done post intervention, and then determination could be made of whether the end result was effective. Evaluating the effects of the interventions will allow the health care professional to adapt future encounters with similar situations. Recommendations Further research revealed the U. S. Department of Health & Human Services said federal hospice investigations have increased drastically over the last few years. A Medicare oversight report in 2009, found nearly a third of hospice patients were not getting services of treatment in care plans, nor were they getting visits providers had promised to provide (Bloomberg News, 2011). This would lead to the first recommendation to the family. It can be recommended that they ask the visiting hospice to review the overall care plan with them. The case manager needs to ask for a copy of the care plan, so it can be reviewed with the family. Once the care plan is reviewed, services being received can be reviewed to match what is promised to take place. A second recommendation to the given situation includes involvement of the case manager. The case manager needs to ask the family to discuss options with the patient and consider his preferences as well as special physical, emotional and psychosocial needs. A final recommendation is that the case manager assist the family to evaluate how much support can be provided by other family members and friends. For help determining the best option, they may need to talk with the health care team. Caring for their father, according to research, may have left them no time for self-care; drained them of energy and enthusiasm; and affected interactions with other family and friends (Joad et. al, 2011). References Bertea, S. (2009). The argument from coherence. Available at http://ivr-enc. info/index. php? title=The_Argument_from_Coherence Bloomberg News. (2011). Hospice care grows as do patient negligence concerns. Retrieved from http://www. ltlmagazine. com/news-item/hospice-care-grows-do-patient-negligence-concerns Bromberg, S. E. (2011). The evolution of ethics: An introduction to cybernetic ethics. Retrieved from http://www. evolutionaryethics. com Collins English Dictionary (2009). Negligence. Retrieved from http://dictionary. reference. com/browse/malpractice. Connelly, A. (n. d. ). Legal analysis and reasoning from precedent. Retrieved from http://www. law. uky. edu/files/docs/clinic/legal_analysis. pdf Cornell University Law School. (n. d. ). Negligence. Retrieved from http://www. law. cornell. edu/wex/negligence Dickson, J. (2010). Interpretation and coherence in legal reasoning. In The Stanford Encyclopedia of Philosophy online. Retrieved from http://plato. stanford. edu/archives/spr2010/entries/legal-reas-interpret/>. Elder, L. & Paul, R. (2011). Ethical reasoning essential to education. Retrieved from www. criticalthinking. org Erlen, J. (2005). When patients and families disagree. Orthopedic Nursing, 24(4), 279–282. Fry, S. , Veatch, R. , & Taylor, C. (2011). Case studies in nursing ethics (4th ed. ). Sudbury, MA: Jones & Barlett Learning. Gable, L. (2011). The Patient Protection and Affordable Care Act, Public Health, and the Elusive Target of Human Rights. Journal of Law, Medicine & Ethics. 39(3), 340-354. doi:10. 1111/j. 1748-720X. 2011. 00604 Grant, P. D. , & Ballard, D. C. (2011). Law for nurse leaders: A comprehensive reference. New York, NY: Springer Publishing Company. Grundstein-Amado, R. (1991). An integrative model of clinical-ethical decision making. Theoretical Medicine, 12(2), 157-170. Retrieved from http://link. springer. com/article/10. 1007%2FBF00489796 Joad, K, Mayamol, T. C. & Chaturvedi, M. (2011). What does the informal caregiver

Erich von Daniken claims that Egyptians did not have the technology or Term Paper

Erich von Daniken claims that Egyptians did not have the technology or manpower to build the great pyramids of Egypt. Is this an - Term Paper Example 1) Arguments in Support Erich von Daniken hypothesized that the monuments left behind by ancient civilizations show a level of technology and cultural and political organization of which those cultures were not by themselves capable of. He concluded that in these monuments, we can see the signs of extraterrestrial influence, with ancient astronauts making contact with these people, and being welcomed by them as divinities. He sees the physical presence of such unique artifacts as the pyramids of Egypt, the major stone circles of northern Europe, and the Maoi of Easter Island, as firm evidence for such theories. He even sees some patterns and signs on the world’s surface as evidence of runways and landing strips. Furthermore, von Daniken claims that we can see the enduring influence of these other worldly visitors in the artwork and customs of these peoples. For example, he suggested in more than one book that the practice of mummification in Egypt was developed so that the bod ies of notables could be preserved, awaiting resurrection by the extraterrestrial visitors when they next came to call. Likewise, he saw in ancient Egyptian visual representations some sign of these visitors being immortalized in the local pantheon. Von Daniken, on looking over the immense achievement represented by the Great Pyramid of Khufu at Giza, could not believe that the Egyptians, with the primitive technologies of the time, would have been capable of moving the huge blocks of stone into place. He wrote of the ‘heave-ho’ proposed by ‘people with lively imaginations’ (1971: 114) and stated his belief that some technology not indigenous to Egypt must have been used, choosing to entitle his chapter on the subject, ‘Ancient Marvels or Space Travel Centres?’. Furthermore, given that von Daniken believed that each of the large blocks of masonry weighed a staggering 12 tons, he could not conceive that any method known to the Egyptians of the t ime would have been sufficient to move them up into the air and then place them atop each other (1971: 101). As he looked around the local environment, with the desert on one side and the alluvial flood plain of the Nile on the other, von Daniken was struck by the scarce presence of wood in the region, and the large quantities of wood that would have been needed in building the pyramids. He stated that the palms that did exist in the area were much too valuable to fell because of their importance in providing shade, and dates for nutrition. Therefore, having established that large quantities of wood would have needed to be imported from abroad in order to build these structures, von Daniken believed that Egypt at the time of the pyramids had not sufficient tonnage of shipping to bring in the required quantities. He therefore saw the hand of an external power with more advanced technologies in completing the pyramids. Von Daniken also found what he considered to be some intriguing ma thematical aspects to the construction of the Great Pyramid. He asked, for example, ‘Is it really a coincidence that the height of the Pyramid of Cheops [Khufu] multiplied by 1,000 million corresponds approximately to the distance between the earth and the sun? That is to say, 93 million miles’ (1971: 99). Such arguments are interesting, but we will consider below the arbitrary nature of such arguments, which make it

The benefits of starting a greenfield investment for pharmaceutical Essay

The benefits of starting a greenfield investment for pharmaceutical packaging firms undertaking foreign direct investments - Essay Example and the market, which was worth $ 219.9 billion in 2012 is forecast to reach $ 374.8 billion by 2018, indicating a compounded annual growth rate of 9.1 percent (Freedonia 32-303; Markets And Markets 21-78; TLL Media) Local pharmaceutical manufacturers supply 50 percent of the requirement, and imports meet the other demand. The per capita expenditure on drugs is 130 Euros, in comparison of 300 Euros for western European regions Segmentation is also seen in the types of containers such as vials, ampoules, inhalers, powders, tubes, special closers and dispensers, caps, tamper proof caps, etc., and in the packaging process, types of drugs packed, and other factors. Pharmaceutical firms give importance to the quality and integrity of the packaging firm, dispensing errors and dosing, and the industry is very price sensitive. Hence, the packaging firms need to control cost, and maintain very strict control over the dosing and dispensing in each pack. The PESTLE analysis is used to analyse the external environmental forces that impact an industry. The forces analysed are political, economic, social, technology, legal, and environmental (Williamson, et al, 3-4). In this section, the PESTLE analysis is applied for the pharmaceutical packaging industry in Serbia. Since the past five years, Serbia has received more than $ 16 billion FDI. Various taxes such as Salary tax at 12%; corporate income tax rate at 10%, Property tax 0.4%, VAT 18% is the lowest in the region. Many foreign firms such as Fiat, US Steel, Lafarge, Coca Cola, Microsoft, Siemens, Nestle, and others have set up manufacturing plants and FDI inflows in 2013 stood at $ 3.01 billion. About 97 percent of western investors look at Serbia as the favoured destination for FDI. People are well educated, with a large number of schools and colleges offering high quality education. The brain drain, when thousands of talented Serbian graduates migrated to other European countries has reduced This section provides a

Industrialization Movement Essay Example | Topics and Well Written Essays - 1750 words

Industrialization Movement - Essay Example The US adopted the free market policy and private enterprise flourished. Fordism and post-Fordism assisted in the industrialization of the high order. However, banks operated with great conservatism and companies were forced to make quick profits and improve their value if they had to obtain financial support (Hutton, W 1995)Companies could downsize at will as per market requirements and as a consequence labour fetched high wages. It achieved economies of scale, had an active and vibrant financial market, a vast pool of skilled labour force, institutions of the state supporting labour welfare and the capitalist system was established as the dominant force of Industrialization (Hutton, W 1995). Post-1945, for its own sake to avoid recession, the US supported the industrialization movement in war-wrecked Europe which also adopted the free market policies of competition for rebuilding its industry, but due to its cultural and political makeup of consensus building, they adopted a more socialistic outlook. Lead by Germany and closely followed by Austria, Holland and Switzerland they industrialized with cooperation between all stakeholders, the financial institutions, the entrepreneurs and the labour, who had power-sharing representation on company boards (Hutton, W 1995). The respective governments also looked at this arrangement benignly as they themselves were products of national coalitions and consensus was of paramount importance. They invested heavily in social welfare. The result was that profit was not the prime motive but sharing of profits was more important. Labour was therefore content with less, and so was the banks that held large shares in the companies and ens ured their survival as vital stakeholders. Japan was a unique model of late industrialization.

Qustions Essay Example | Topics and Well Written Essays - 3000 words

Qustions - Essay Example Therefore, it can be said that managers assume the key responsibility of the successful implementation of corporate GIS in an organization. In order to accomplish that, managers need to overcome the barriers and address the implications that result from the implementation. The following text discusses some of the implications of introducing the corporate GIS to an organization from a managers’ perspective. Many companies have conventionally invested quite a lot in different GIS resources that include but are not limited to software, hardware, and human resources. As a result of that, management has demanded tangible outcomes on the sum invested. Management in any organization expects to receive tangible outcomes from the implementation of corporate GIS. If the management does not acquire tangible outcomes soon, there is little likelihood for management of continuing its support for the corporate GIS. Many case studies have traditionally shown that many information systems expe rience such hurdles (Otawa, n.d.). Researchers like (Saarinen, 1987) have devised organization-wide solutions in order to meet the challenges associated with implementation of corporate GIS in the organization. ... In order to make the system effective with the corporate GIS, employees need to be trained on the use of GIS. To achieve that, it is required of the managers to arrange training programs for the employees in which they may be offered education about the use of GIS. In addition to that, managers need to work out the best time that is suitable for the on-job training from the duty hours available to them. Not just that, managers need to convince the top management and / or the owners to bear the expenses thus incurred. Education of the organizational staff is compulsory, though it consumes additional cost. With that, management who is already skeptical about the idea of implementation of corporate GIS in the organization becomes even more repulsive towards it. In addition to the lack of employees education as discussed above, Management also has to suffer from a lack of GIS data of sufficiently high quality. Although in recent years, there has been improvement in the availability of th e required GIS data for organizational use, though this does not essentially mean that the improved availability has also improved the accuracy of the data. Many of the GIS databases are outdated because they have not been updated on a regular basis. Other implications for implementing corporate GIS in organization for managers include but are not limited toâ€Å"(1) data inaccuracies – both spatial and attribute, (2) data conversion issues, e.g., digitizing and format translations, and simply (3) the lack of data necessary to perform routine job duties† (Otawa, n.d.). GIS can not be implemented on a higher level unless these concerns are addressed. All of these factors need to be taken into consideration and taken adequate measures for in order to gain maximum benefit from the systems

The Reading Fluency Strategies Essay Example | Topics and Well Written Essays - 2500 words

The Reading Fluency Strategies - Essay Example There are many ways to help improve reading fluency for students. According to researchers Wolf& Katzir-Cohen, (2001) there are 25 words used daily by the student which make up about 33 percent of what students read at school. The reading strategies for teachers to use with struggling readers are very broad. There are several studies which involve demonstrating reading techniques to increase fluency, including having the books the students read in class also taken home and read again with family members. Author Darling (2005) implied that â€Å"Engaging parents in their children's reading acquisition, particularly by focusing their attention on the skill areas outlined in this column, can help children find greater success in school.† The author further explains that children can learn more with teacher and parent collaboration. This suggests that the onus of learning is not placed solely upon the teacher, but is also a responsibility the parent must undertake. The reasons for this are clear: 1) to reinforce the strategies learned in school, 2) to allow the child to read in a non-judgmental environment, away from peers and 3) to involve the parent in the child’s learning process. ... Prosody refers to expressive interpretation, which speaks to the student’s comprehension of the reading material. These three components allow the teacher (and the parent) to accurately assess each student’s reading and comprehension. According to authors Morrow, Kuhn, & Schwanenflugel (2006) their Family Fluency Program shows that children who read automatically become fluent readers and are able to decode words more freely. The authors also stated that prosody is used by fluent readers who use â€Å"appropriate pitch, pace, and phrasing† for better comprehension (p. 1). The program by Morrow, Kuhn, & Schwanenflugel (2006) shows the importance of parental involvement at the school and home, which also improves the student’s fluency. Students who are behind in reading may have a hard time adapting to new reading strategies. This is why it is particularly important that the strategies being used in school are reinforced at home. According to the National In stitute of Child Health and Human Development (2000) there are five key components to watch for in assessing reading ability in students aged 3-9. These components are phonemic awareness, phonics, fluency, vocabulary, and text comprehension. Watching for these key skills at home during parent-child reading sessions can assist a student with early development, particularly if the process starts before the student reaches kindergarten. There are reports on early literacy skills by Chard,Simmons, & Kameenui (1995) Snowv, Bums, &Griffin (1998) showing rates for early increase and indicating the importance of reading as a life skill. Useful Approaches for Struggling Readers There are three main approaches used for struggling readers: whole class reading and partnership reading,

Physical environment of East and South Asia Essay

Physical environment of East and South Asia - Essay Example South and East Asia has undergone a number of environmental changes as a result of human activities in the region. A number of environmental challenges have been witnessed as in the region as activities such as deforestation, destruction of natural settings and human settlement. The region was originally covered by dense jungles, gorgeous beaches and incredible wildlife. Some of these regions have transformed into spectacular urban centers as a result of massive economic growth that countries in the region have experienced. There is increased number of endangered species of wild animals due to increased cases of poaching and deforestation. The Asian elephant that is well known in the region has increasingly been under threat of being faced put from the face of the earth. Their total number that was initially 300,000 at the beginning of 20th century has now gone down to 100, 000 in the country of Thailand alone. The increasing destruction of the natural habitats of the elephants has m ake it harder for them to find food and increasing their contact with human being which puts them in more danger of being targeted by the people. The ever increasing demand for ivory has made the elephants to be the target of poachers despite that fact that poaching is illegal in most of these countries (Ooi, 2004). Air pollution has been another problem that has been affecting the environment of the region and it is worse in South and East Asia despite being a global challenge. The hazes experienced in the region have the ability to spread.

Consent searches in the Fourth Amendment Essay Example for Free

Consent searches in the Fourth Amendment Essay The Fourth Amendment provides provisions that protect citizens from searches and seizures that are unreasonable. However, the individuals may waive their rights by consenting to searches. This essay is aimed at listing (Zalman, 2010), describing and explaining the rules regarding consent searches and providing a case study to illustrate the rules. When the court is called up on to determine whether consent was given for a search, it puts into consideration several issues. The first is that it considers the age, background and mental capacity of the subject. When the officer is seeking consent from the subject, he or she should not show weapons as that is considered to be coercive. In short, the officer should not use aggression to get the consent (Stephens Glenn, 2006). The other rule is founded in the case Monroe v. Pape (1961) and which is based on the time the consent is sought. The rule requires officers to desist from seeking consents at night. Attempting to conduct a search at night is seen as evil and in a most obnoxious form (Zalman, 2010). Conclusion In conclusion, the law provides a waiver for the rights of protection from searches and seizures and the Fourth Amendment. However, the rules that govern such a waiver are so strict such that, an officer may find himself in breach easily if care is not exercised. These rules cover issues such as the mental capacity, age, time of getting the consent and the manner of soliciting such consent. As mentioned, care has to be exercised or otherwise the search constitutes a breach. References Zalman, M. (2010). Criminal Procedure : Constitution and Society, Sixth Edition. Prentice Hall.Hess, K. Orthman, C. H., Cho, H. (2014). Introduction to Law Enforcement and Criminal Justice. Cengage Learning. Top of Form Stephens, O. H., Glenn, R. A. (2006). Unreasonable searches and seizures: Rights and liberties under the law. Santa Barbara, Calif. [u.a.: ABC-Clio. Bottom of Form Source document

Mission Command Military Utility Leadership Management Essay

Mission Command Military Utility Leadership Management Essay When organizations are experiencing rapid change and economic pressure, leadership plays an essential role in helping to survive economic and operational hard times. Contemporary definitions of leaderships involve effective leaders, good communication skills, managers able to inspire their employees, making possible a vision where other people can identify. According to Ussem (2001), leadership is at its best when the vision is strategic, the voice persuasive and results tangible. In the study of leadership an exact definition is not essential but guiding concepts are needed. The concepts should be general enough to apply to many situations, but specific enough to have tangible implications for what we do. Visionary leadership, managers able to provide trust, empower employees and create a will to succeed are the key factors in order to survive such a challenging business environment. Mission command is a leadership methodology originally created for military organisations, Yardley and Kakabase ( 2007) state that Mission command, has the power to transform a traditional employer employee relationship into a responsibility based system which previously required orders being given, now progresses to just the information being passed down, employees will then be responsible for deciding themselves what actions need to be carried out allowing to them contribute and bring forward their innovative ideas. This system allows employees to develop an interest in what they do as they feel responsibility for the outcomes. In this essay I intend to explain how this leadership methodology works, characteristics and benefits followed by the possibility of implementation within commercial organizations What is Mission Command? Mission Command is the leadership philosophy used by the British Army it has been proven to be effective in difficult and high pressure environments over several years. It is also a management methodology and a system to deal with environmental volatility, by allowing individuals to make quick decisions in uncertain and continuing changing environment. It provides a frame work in which the individual can make decisions and translate them, without delay as the situation progresses. As a philosophy tries to maximise vision, initiative and diligence. Yardley and Kakabase state the four key elements of this leadership Philosophy are. a. A commander gives his orders in a manner that ensures that his subordinates understand his intentions, their own missions and the context of those missions. b. Subordinates are told what effect they are to achieve and the reason why it needs to be achieved. c. Subordinates are allocated the appropriate resources to carry out their missions. d. A commander uses a minimum of control measures so as not to limit unnecessarily the freedom of action of his subordinates. e. Subordinates then decide within their delegated freedom of action how best to achieve their missions. These principles can be translated into a four steps system to be used by organisations: A ) The leader promotes understanding of the tasks, the level of importance, a framework of action, as subordinates feel involved at the same time as understanding expectations of their superiors. B ) Subordinates know what they are expected to achieve by understanding reasons of the task and the outcome needed, they will be in line with their objective. C ) Individuals will be provide with the assets they need in order to perform their task effectively. D) Once the task is been understood, subordinates know what to achieve and the resources to do so the manager can take a passive position, providing guidance when it is needed. E) Employees will have the autonomy to decide how to use the resources and when is this appropriate in order to be successful. This will increase their initiative and commitment towards what is required to do. Mission command states by performing these elements organisations will experience fluid communication between managers and subordinates, clear goals, knowing what is require from them, the tools and resources to achieve it. Subordinates are able to use their free will to determinate how to perform effectively their tasks, understanding what they have to achieve and also have knowledge of what resources are available. All this will be achieved by having a supportive and informative leader. Employees will be empower by taking a very active role, this is an extremely essential characteristic in a continuing changing environment. Managers will then simply supervise, giving assistance only when it needed. Positive effects: Fluent communication, promoting understanding based on comprehension and discernment of the task, Individual must understand the purpose, the process and how to perform in order to achieve it.   Clinton O. and Sonny S (2009) explains that, the interaction can enhance an employees understanding of the situation, can calm their fears, reduce their stress levels and can let the employee know that they are an integral and valued part of the turnaround process. Trust communication will be clear only when there is a high level of trust, mutual understanding between managers and employees. The leader must build trust in order to practice Mission command. Yardley (2010),Trust is built by behaving with integrity, consistency, and by setting and maintaining high standards of behaviour and having to follow through on the difficult decisions where you know you have a choice between the right and the expedient. Its probably one of those truisms that it takes a long, long time to build up trust and you can quite quickly throw it away if you take the wrong action. In order to build trust managers have to be aware of their behaviours and attitudes, basically because they need to be the example to follow in terms of showing values, becoming a model and guide for subordinates to imitate. Empowering : enable employees to make decisions without having to consult the leader, involving employees in the process , how things are getting done. Managers have to encourage employees to play a more active role. Decentralisation: establishing a less centralized, task oriented approach to operational leadership and decision making. Taking initiative promoting freedom of speed and action. Giving clear direction that explains the why and the what but letting employees to decide how. Timely Effective Decision Making: employees having the power to adapt to a constantly changing environment are crucial to answer the challenges organizations face experiencing rapid change and economic pressure. Can Mission Command work in any type of organization? Difficulties to implement Mission Command. Within a military structure mutual trust is much easier to develop than in a commercial organisation. This is because commanders and soldiers are experiencing a life threatening experience. Under this circumstances trust is a need in order to communicate clearly and coordinate effort to succeed. In relation with critical circumstances, organisation had experience in the past year the effects of an economy crisis. Many companies were not clear regarding how they will manage this situation, causing lack of trust from employees towards their organisation. Individuals felt insecure on their jobs, less motivated as a result of the redundancies, feeling under stress and pressure to prove they were worth in order to secure their job. This experience confirms how difficult is for managers to promote trust under stressing circumstances, without trust, communication between managers and employees will not be effective, consequently it will be very difficult to empower employees. Mission command promotes employee empowerment; this is a strategy and philosophy that enables employees to make decisions about their jobs, giving the opportunity to decide how they will perform a task. The problem is not every employee is ready to take responsibility for making decisions, employees might not be interest to gain more responsibilities, if this is the case they will experience a feeling of stress and discontent when performing the task. Also there are jobs where is specially needed to attach to the pre establish rules, like workers in a factory performing operational activities, there is no opportunity to decide how to achieve the task in the best possible way, if an employee does not follow the procedures to manipulate a machine his / her health and safety will be compromised. This leadership methodology does not consider the multiple roles of an individual in a society. Misti Stoddard Susan R. Madsen (2007) In order for employers to attract and retain the most capable human resources, attention must focus on the relationships among the interdependencies of the work-family interface and a variety of constructs, including individual health. Understanding the benefits of combining work and family will assist men and women in their quests for greater satisfaction in life. It will also help employers understand how to cultivate greater job satisfaction among their employees and improve individual and organizational performance. Individuals within a company are also parents, students, professionals, athletes. They do have others interest outside the organisation. In contrast, armies operates in a different context, when in a mission individuals are normally travelling to distant destination, they live within military bases. It can be said while working in the army individuals are able to interact merely with other soldiers, they are limited to act only with other in the army forces, under this circumstances there is no possibility to play any other role individuals take part in a society with like enjoy social activities or been able to spend time with their families. While in a mission they just play their actions as soldiers. Mission command propose decentralisation as part of the leadership style, this characteristic refers to the ability to delegate. Some organizations managers often feel the need to retain control simply because they are uncomfortable with delegating power, by doing that they feel as if control is being lost and that unnecessary risk is being introduced to the job. This type of managers might be very good in terms of creating budget, reducing costs but does not necessary mean they are good as leaders. Furthermore organisation working with line production, this is a fabrication design for the creation of large amounts of standardized products, will not find necessary to delegate as they had a system based in simple and repetitive task design to maximise production. Conclusions To facilitate the implementation of Mission Command it is necessary to create trust within individuals. Without it individuals will not experience fluid communication. A combat is a life threatening scene, under this experience trust between soldiers and commanders will not be difficult to achieve. Organisation experience a different context, further research has to be done in order to discuss the characteristics of trust in commercial organisations. The diversity of roles individuals can play in society, has to be taking into account, their interest and reason to work can differ from an individual to another. Understanding the benefits of combining these roles will bring positive outcomes for organisations. Mission command leadership style, requires managers ready to provide guidance towards employees if autonomy is expected. In reality not every manager is a good leader, additionally not every job requires individuals able to discern methodologies, in this cases organisations will not find suitable to empower employees as they might require people to carry operational activities, a good example can be mass production, organisations will define the best ways to use all the resources. To conclude further investigation has to be done in other to find a solution to issues such as the difficulty to build trust, how to promote leaders able to provide guidance and the multiplicity of roles individuals plays in todays society.

Data Gathering And Dissemination In Wireless

Data Gathering And Dissemination In Wireless A wireless sensor network is special kind of ad hoc networks that consists of a number of low-cost, low-power, and multi-functional wireless sensor nodes, with sensing, wireless communications and computation capabilities [1,2,3]. These sensor nodes communicate over a short range via a wireless medium and collaborate to accomplish a common task, like environmental monitoring, military surveillance, and industrial process control [3]. Wireless sensor networks have open up for new opportunities to observe and interact with the physical environment around us. They enable us now to collect and gather data that was difficult or impossible before [4]. Although Wireless Sensor Networks have given new ways to provide information from variety of applications, irrespective of the nature of physical environment, it is seen as a challenging task to extract data from sensor network. Data dissemination and gathering are two terms used in sensor networks to describe two categories of data handling methods. Data dissemination is a process by which data and queries for data are routed in the sensor networks where as data gathering is to transmit data that has been collected by the sensor nodes to the base stations. Data gathering protocols aim to minimize the energy consumption and delay of data gathering process [5]. Although there are differences between these two but almost all the literature called together as routing protocols. Unlike traditional wireless communications networks such as mobile ad hoc and cellular systems, wireless sensor networks have the following unique characteristics and constraints [3]: high density sensor node deployment, battery or no power sensor nodes, low memory and processor capacity, self-configurable, unreliable sensor nodes, data redundancy, application specific and dynamic topology. Due to above characteristics and constraints of wireless sensor networks, the extraction of data from the network is always a challenge. Therefore, it is importa nt that the design of protocols for data gathering and dissemination takes care about these challenges. The main design challenges of routing protocols for wireless sensor network are: Energy, Processing power and Memory. Some of the design challenges as reflected in [3, 6] are highlighted below: Large number of sensor nodes: Since most of the wireless sensor networks composed of large sensor nodes, it is very difficult to have an addressing scheme like other wireless networks. The traditional IP scheme is not feasible to apply for wireless sensor networks. Moreover, the sensor nodes are deployed at random in hostile environment. Limited energy capacity: The sensor nodes are battery powered, so they have limited energy. This is the main challenges in designing wireless sensor networks. In practice, sensor network deployment makes sense only if they can run unattended for months and years without running short of energy [4]. Flow of Data: Almost all the applications of sensor network require the sensory data from multiple sources to flow towards a single destination node called sink in contrast to the traditional networks. Sensor node locations: Most of the proposed routing protocols assumed that the sensor nodes are equipped with global positioning system (GPS), but in practice it is very difficult to manage the locations of sensor nodes. It has become more challenging as sensor networks topology changes frequently due to node failures, moving from the coverage area. Data redundancy: Data collected by various sensor nodes are typically based on common phenomenon; hence the probability of data redundancy is very high. The routing protocol needs to incorporate data aggregation techniques to decrease the number of transmission. Application Specific: The sensor networks are application specific. The requirement of routing protocol changes as per the specific application. It is very challenging to design routing protocols which can meet the requirements of all applications. Scalability: The size of the network grows, so the routing protocols need to be scalable to support the addition of sensor nodes. All sensors may not necessarily have same capabilities of energy, processing, sensing and communications. These should be taken care while designing the routing protocols. Addition to the above parameters the designing of routing protocols for wireless sensor networks also need to look into following points [6]: Node deployment Related work: Since wireless sensor networks gain its usage in various application areas, there is a growing interest in this field leading towards continual emergence of new architectural techniques. Wireless sensor network is widely considered as one of the most important technologies of the 21st century [8]. In this section we bring out and highlight how our survey differs from the similar surveys done previously in this area. We also highlight the scope and target group who will benefit from our work. In [2], similar survey was carried out on routing protocols for wireless networks. The information in [2] was published some five years back and many new protocols have not covered. In [3], although it has covered almost all the routing protocols for wireless sensor networks but it does not provide insight knowledge about the protocols. The survey is good for readers interested in broad area. The goal of [8] is to give a comprehensive survey on routing techniques focusing on mobility issues in sensor networks and does not cover all the routing protocols in wireless sensor networks. In this survey, we bring out the comparative study among wireless sensor network routing protocols bringing their differences and similarities. We also bring out the advantages and disadvantages of different protocols to use in different applications of wireless sensor networks. This survey would be useful for both introductory readers as well as for aspirant researchers who would like to get the comprehen sive idea about the current-state-of-art regarding the techniques of data gathering and dissemination in wireless sensor networks. However, we follow [3] in classifying the routing protocols into different categories although we put some additional protocols which are not covered by [3]. We also excluded multipath-based protocol category since it falls under data-centric category. Table 1 shows the different categories of wireless sensor network routing protocols inspired by [3]. The representative protocols with (*) marks are our additions. Table 1: Routing Protocols for WSNs Category of Protocols Representative Protocol Location-based Protocols MECN, SMECN,GAF, GEAR, Span, TBF, BVGF, GeRaF Data-centric Protocols SPIN, Directed Diffusion, Rumor Routing, COUGAR, EAD, ACQUIRE, Information-Directed Routing, Gradient-based Routing, Energy-aware routing, Information Directed Routing, Quorum-based Information dissemination, Home Agent-based Information Dissemination, *Flooding, *Gossiping. Hierarchical-based Protocols LEACH, PEGASIS, HEED, TEEN, APTEEN Mobility-based Protocols SEAD, TTDD, Joint mobility and routing, Data MULES, Dynamic Proxy Tree-based Data Dissemination, *MDC Heterogeneity-based Protocols IDSQ,CADR,CHR QoS-based Protocols SAR, SPEED, Energy-Aware Routing. Data-Centric Protocols The protocols are differentiated into two categories called data-centric and address-centric. The address-centric routing protocols find the shortest path between source and the destination with addressing scheme like IP whereas in data-centric routing protocols focus is made to search routes from multiple source nodes to a single destination node. In the sensor networks, data-centric routing is preferred where data consolidation and aggregation is done by the intermediate nodes on the data coming from multiple sources before sending to the sink node. This way, it saves some energy preventing redundant data transmissions. In this section, we highlight some of the samples of data-centric routing protocols proposed for wireless sensor networks. Flooding: Flooding [5] is a data dissemination method where each sensor node that receives a packet broadcasts it to its neighboring nodes assuming that node itself is not the destination of the packet. This process continues until the packet arrives the destination or the maximum hop counts for that packet is reached. Flooding though is a simple and easy to implement, but it has problem like implosion (duplicate message sent to the same node) and overlap (duplicate message receive by the same node) [2]. Figure 1 and 2 reproduced from [2] shows the implosion and overlap problems in flooding. Gossiping: Gossiping [5] is based on flooding, but nodes that receives the packet forwards it only to a single randomly selected neighbor. It avoids implosion problem of flooding and it does not waste as much network resources as flooding. However, gossiping is not a reliable data dissemination method since the neighbor node is selected at random, some nodes may not receive that message at all. Moreover, it introduces a delay in propagation of data through the nodes [2] since all the nodes which forwards or sends data need to select a node. SPIN: Sensor Protocols for Information via Negotiation (SPIN) [9, 10] aims to improve the implosion and overlapping problems of classic flooding protocol. The SPIN protocols are based on two key mechanisms namely negotiation and resource adaptation [3]. It uses three types of messages [5]: ADV, REQ, and DATA. The sensor node which has collected data sends an ADV message using high-level descriptors or meta-data regarding the actual data. The actual data is transmitted only when the REQ message is received from the interested nodes. This negotiation mechanism avoids the overlapping and implosion problems of classic flooding because the REQ message is sent from the interested node only when it does not have that data. Fig. 3, redrawn from [5] shows how these three messages are exchanged and fig. 4 inspired by [9] and reproduced from [11] shows more detail process who SPIN works. There are about four versions of SPIN protocols [6, 9, 10]. They are SPIN-PP, SPIN-BC, SPIN-EC and SPIN-RL. Both SIPN-PP and SPIN-BC works under ideal condition when energy is not constraint and packet are never lost. SPIN-PP tackles the data dissemination problem by using point to point media where as SPIN-BC uses broadcast media. There other two protocols are the modified versions of SPIN-PP and SPIN-BC in order to network which are not ideal. SPIN-EC is actually SPIN-PP with additional energy conservation capability. Under SPIN-EC, the nodes participate in data dissemination only when it computes that it has enough energy. If the node has plentiful energy, it works as same as SPIN-PP with 3-stage handshake. SPIN-RL is a version of SPIN-BC which tries to recover from the losses in the network by selectively retransmitting the messages. In SPIN topological changes are localized as each node needs to have information of their next immediate one-hop neighbor only. But this type of protocol cannot be used in applications where reliability is of greater concern like forest fire and intrusion detection since it does not guarantee the data delivery [2]. If the nodes that are interested in data are located far way and the intermediate nodes are not interested then the ADV message will not received which in turn will not able to get data. Directed Diffusion: Directed Diffusion [12] consists of elements like interests, data, messages, gradients and reinforcements. The main objective of the protocol is to use naming scheme to reduce the energy usage by avoiding unnecessary routing operations. Interest is a query or interrogation on what user wants and it contains descriptions of a sensing task. Data is the collected or processed information of a physical phenomenon which is named using attribute-value pair. Gradient is a link a neighbor from which interest was received, and it is characterized by data rate, duration, and expiration time which has derived from the received interest filed [2]. A node, usually sink will be broadcasting interest to request data by diffusing interest through its neighbors. The interests are periodically refreshed by the sink. When this interest is received by the intermediate nodes, they cache for future use, or do in-network data aggregation or direct interest based on previous cached data. The source node sen ds the data back through the reverse path of the interest. When data is received by the nodes, they try to compare with the interest cache before. The data which matches the interest is drawn and then sent via the same path where the interest has received. Out of several paths between sink and the source, one path is selected by network by reinforcement. Once this path is selected, the sink sends the original interest again with smaller time interval so as to make the source node on the selected path to send data more frequently. Although directed diffusion has advantages that the protocol can in-network data aggregation and caching which saves energy but this protocol cannot not be applicable to all the applications of wireless sensor networks. The protocol can only be applied to such application which is query driven. It is not suitable for the applications such as forest fire detection or intrusion detection. Fig. 4, copied from [12] shows the working of the protocol. Rumor Routing Rumor routing [13] another variation of Directed Diffusion aims to direct the query to the nodes which have observed event rather than flooding the entire network [2]. It is a logical compromise between query flooding and event flooding [3]. This protocol is only useful if the number of queries compared to number of events is between the two interaction points. See fig. 5, redrawn from [13]. Rumor routing algorithms introduces an agent, a long live packet. An agent, which also contains an event table like nodes, travels the network propagating information about local event to the distant nodes. The agent informs the nodes it encounters of any events it has observed on its way and at the same time it will synchronize its event table with the event table of encountered node. An agent will travel the network for certain number of hops and then die. All the nodes including an agent maintains an event table list that has event-distance pairs, as shown in fig. 6, copied from [13]. So when a node generates a query for an event, the nodes that knows the route, can respond to the query by referring its event table [2]. In this way, flooding the whole network is avoided. Directional rumor routing is proposed in [14], which try to improve latency and energy consumption by considering query and event propagation in straight line instead of random walk in normal rumor routing. Cougar Cougar [15, 16] is a database approach for tasking sensor networks through declarative queries. Since in-network computation is much cheaper than transmission and communication between nodes, cougar approach proposes a loosely-coupled distributed architecture to support both aggregation and in-network computation. This helps in reducing energy consumption thereby increasing lifetime. The architecture introduces a query proxy layer in each sensor node which interacts both with network layer and application layers. The gateway node (where query optimizer is located) generates a query processing plan after receiving queries from the sensor nodes. This query plan specifies both data flow between sensor nodes and in-network computation plan at each individual sensor node. The query plan also contains how to select a leader for the query. The query plan can be viewed at non-leader node and at the leader node. Fig. 7 and fig. 8, redrawn from [15], show query plan at non-leader node (source sensor) and leader node respectively. Although, cougar provides solution to interact with the sensor nodes independent from the network layer, but the insertion of proxy layer at each sensor node introduce extra overhead for sensor node in terms of memory and energy consumption [2]. Additional delay may be incurred with the relay trying to wait for the packets from other nodes for aggregation before sending to the leader node. ACQUIRE ACQUIRE [16] is a data-centric routing protocol aiming at large distributed databases. It aims at complex queries which comprise of several sub-queries that are combined by conjunctions or disjunctions in an arbitrary manner. The protocol sends an active query packet into the network. This active query packet is sent by the sink, which takes random path or path predefined or guided. The node which receives this active query packet uses information stored within them to partially resolve the query. If the nodes do not have updated information, they gather the information from their neighboring nodes with the distance of d (look-ahead parameter) hops. When the active query is resolved completely, the response is sent back to the node which has issued the query. Some of the assumptions made in this protocol are [17]: the sensors, with same transmission range are laid out uniformly in a region and they are stationary and do not fail. EAD: Energy-Aware Data-Centric Routing Energy-Aware Data-Centric (EAD) [18] aims to construct a virtual backbone containing all active sensors, which is responsible for in-network data processing and relaying traffic. The radios of other nodes which are not in the virtual backbone are put off to conserve the energy. The sensor network is represented by a broadcast tree rooted at the gateway and spanning all the sensors with large leaf nodes. In order to conserve power, the radios of these leaf nodes are put off while the nodes which are in virtual backbone are active for traffic relaying. The protocol tries to construct broadcast spanning tree network with maximum leaf nodes so that maximum energy can be conserved. The concept of EAD is to include the neighboring broadcast scheduling and the distributed competition among neighbors, based on residual energy [18]. The efficiency of the protocol would be more when the size of the network is small. When the size of the network is large, execution time will be more since the e xecution process propagates from the sink to the whole network. Other protocol like the one proposed by Shah and Rabaey in [19] also aims at increasing network life time. They use network survivability as the main metric and propose to choose one of the multiple paths with a certain probability so that the whole network life time increases. But the protocol assumes that each node is addressable with some addressing schemes. Information-Directed Routing Location-based Protocols Since sensor nodes have limited energy capacity, most of the routing protocols aim to reduce the consumption of energy in routing processes. In most of the protocols location of the sensor nodes are used to find the distance between two communicating pairs in order to find the best possible path with low energy usage. If location of a particular sensor node is known, query can be sent to that particular location only without sending to other regions which will reduce the number of transmission significantly [2]. Location-based protocol makes use of the position information to relay data to the network rather than the whole network. In this section, we describe some of the location-based routing protocols proposed for wireless sensor networks. Minimum Energy Communication Network (MECN): Hierarchical-based Protocols

Ethics Essay -- Papers Morals Behavior Essays Papers

Ethics Ethics can be defined broadly as a set of moral principles or values. Each of us has such a set of values, although we may or may not have clearly expressed them. It is common for people to differ in their moral principles and values and the relative importance they attach to them. These differences reflect life experiences, successes and failures, as well as the influences of parents, teachers, and friends. Ethical behavior is necessary for a society to function in an orderly manner. It can be argued that ethics is the glue that holds a society together. Philosophers, religious organizations, and other groups have defined in various ways ideal sets of moral principles and values. The following are different approaches, from ancient and modern traditions and philosophers, depicting their meaning and understanding of ethics and how it can be applied in ethical decision-making. Utilitarianism was founded by the British philosopher Jeremy Bentham toward the end of the 18th century. He believed that all human actions are motivated by a desire to obtain pleasure and avoid pain. The principle of utility expresses that actions were right if they tended to produce the greatest happiness for the greatest number of people. When faced with a moral dilemma, utilitarianism identifies right and wrong and also considers the consequences that may result. This can be regarded as an appropriate action, but offers no realistic way to gather necessary information to make the required decision. Confronting certain situations in life, there is no time to weigh all possible outcomes and decide the one that provides the greatest benefit to all; majority of predicaments allow just enough time for a person to act on impu... ...when it comes to rape or incest, I don't feel a woman should have to go through the pregnancy in this specific situation. So this approach, having to rely on principles all the time and follow them accordingly to every situation does not agree with me. It is helpful to read about these different theories but I do not think it is necessary in decision-making. Reading about these approaches does make you think about how you as person handles certain situations and whether you can improve your process. However, this only happens when you are required to read and study about these theories. If I never took this class, I would never have known the difference between utilitarianism and moral law and which one applies to me and my decision making process. Therefore, it is not required to read and learn about different approaches in order to handle situations.