Total Information Network Essay Example for Free

Total Information Network Essay Total information is a paradox; no one library or resource can serve the need for scholarly pursuits though a network of such is gradually moving toward satisfying particular informational needs. The recent times are a witness to increased cataloging and documentation- which in time will be part of historical documents and databases. There is a particular inclination toward the use of the internet for informational necessities that, though not an all-inclusive resort, accords one the flexibility the modern world demands. Students and academicians benefit from the online resources at their disposal. Online libraries such as questia.com and bibliomania.com are gaining popularity from a scholarly clientele because of the flexibility it can accord one from using those online resources. Questia.com boasts of over a million journals and tens of thousands of books in fields from architecture to law, economics to psychology etc. Tools such as the encyclopedia and thesaurus, along with newspapers and magazines in their reading room, are extra amenities. Bibliomania.com has a voluminous collection of fiction, drama, poetry, and short stories, and non-fiction, biographies and religious texts in its domain. In addition, study tools such as study guides and references are part of the package.   Ã‚  Ã‚  Ã‚   On a more complex note, the online library libraryspot.com is connected to an even wider array of libraries- online, academic, government, public, state, law and medical libraries for one’s research needs. The online government libraries give one access to the National Archives, the Library of Congress, the Internet Law Library, the White House Press Room, National Library of Education, National Library of Medicine, National Agricultural Library and the Air Force Library. As an example, the National Archives (archives.gov) allows for an exploration of federal research documents (legislative, executive and judicial), research and order, America’s Historical Documents and presidential files. The Library of Congress (loc.gov for the online counterpart), being Congress’ research arm and â€Å"the oldest federal cultural institution† is the largest library in the world and has for its collection millions of books, manuscripts, maps, photographs and recordings. The online academic libraries give one access to select university libraries per state (e.g. Indiana University in Indiana and Columbia University in New York) that have their own collection of books, journals, dissertations and other documents along with regular library materials. The public libraries portal is connected to PublicLibraries.com, Libweb, UK Public Libraries and the Public Libraries of Europe- all of which are online. The state libraries section channels you to state-specific libraries with public records on population censuses, marriage indexes, family and local histories, military and pension information, and cemetery location files. The National Library of Medicine online and Medical Libraries online, and the Law Library Catalogs online, the Law Library of Congress online and the American Association of Law Libraries online, are cached under the medical and law libraries, respectively. Access to these online libraries is usually free, although some require a login ID and password.   Ã‚  Ã‚  Ã‚   For a model, the Walden Library is an excellent resource. It has a wide array of articles, books, dissertations, government resources and textbooks which one could get from Walden databases, local libraries, commercial sources and by document delivery. Walden University’s Document Delivery Service is a unique feature that allows researchers to borrow books and obtain materials’ photocopies owned by the IU-Bloomington Libraries. Registration is a requirement, and an email with a username/password will be forwarded to the subscriber. Materials requests can then be submitted (e.g. books, photocopies) after checking on an IU-Bloomington ownership from the online catalog. The service is free but typical delivery time is 7-10 days or longer and there is an assumption of responsibility for the book’s return amidst any circumstance. The Walden Library even has a portal connected to other local libraries, online bookstores and commercial sources, should the requested material prove to be inaccessible. A portal linking one to the librarian, should one have particular queries, is also an amenity.   Ã‚  Ã‚  Ã‚   Building a total information network need not be an impossibility!

The Prince by Niccolo Machiavelli Essay examples -- Papers Leader Lead

The Prince by Niccolo Machiavelli The Prince by Niccolà ² Machiavelli was written in the year 1513 A.C.E. in Italy during a time in which his views were greatly detested by others. They were so hated that he was exiled from his own country for writing them. When hearing this, one must ask oneself, what kinds of views did Machiavelli have so that his own country would cast him out? His ideas, though written very complexly, were very simple. One must gain success and to do so, any means were justifiable. He wrote his ideas in a lengthy letter to prince of Italy, Lorenzo de’ Medici. He gave him advice that was supported by history and what he thought were the precise makings of an excellent leader. That advice was both excellent and awful. In the document, The Prince, Machiavelli writes about many characteristics that a good prince should have. The five main characteristics are as followed: (1) A price must have no other thought in mind than war and how to pursue it (Machiavelli, 279), (2) a price must be liberal, rather than generous (Machiavelli, 282), (3) a good prince should be ...

Essay about Madagascar Essay

Madagascar is the worlds fourth largest island located 20 ° N and 47 ° E, just off the shore of Mozambique (Southern Africa). The area of the island is 587,040 kilometers â€Å", with 4,828 kilometers of coastline, and it is slightly larger than twice the size of Arizona. Madagascar is a high plateau with a narrow coastal plain and mountains on the top. Their main natural resources consist of graphite, chromite, coal, bauxite, salt, quartz, tar sands, semiprecious stones, mica, fish, and hydropower. The land is 4.41% arable land, .093% is permanent crops, and 94.66% other. Madagascar has a population of 16,979,744 people, which means there is 30 people per square kilometer. Of the population 45% of people are between 0-14 years, 51.9% of people are between 15-64 years, and 3.1% of people are 64 and over. The population growth rate is 3.03% per year, the birth rate is 42.16 births per 1000 population per year, and the death rate is 11.88 deaths per 1000 population per year. The life expectancy for people of Madagascar is 53.86 for males and 58.53 for females. The rate for the number of people over 15 who can read and right is 68.9% The official name of Madagascar is the Republic of Madagascar. The official languages are French and Malagasy (Native). The main religions are 52% Local-Traditional Beliefs, 41% are Christian, and 7% are Islamic. Their type of government is a republic, in which their capital is located in Antananarivo. Madagascar divides the country into 6 provinces they are, Antananarivo, Antsiranana, Fianarantsoa, Mahajanga, Toamasina, and Tolaira. Madagascar was formerly an independent kingdom before the 1880s. Madagascar became a French colony in 1886, but regained its independence in 1960. During 1992-93, free Presidential and National Assembly elections were held, ending 17 years of single-party rule. In 1997, in the second presidential race, Didier Ratsiraka, the leader during the 1970s and 1980s, was returned to the presidency. The 2001 presidential election was contested between the followers of Didier Ratsiraka and Marc Ravalomanana, nearly causing secession of half of the country. In April 2002, the High Constitutional Court announced Ravalomanana the winner. Their constitution was approved August 19, 1992 by national referendum. The Madagascar constitution establishes separation of powers among executive, legislative, and judicial branches with a multi-party political system. The president is elected by universal suffrage (anyone 18 or over) for a five year term with a two-term limit. Prime minister is nominated by bicameral parliament composed of Senate and National Assembly, and approved by the president. Supreme Court has eleven members and forms apex of other judicial bodies. Local government consists of twenty-eight regions with decentralized powers in economic field. In the first legislative elections of Third Republic in 1993 more than 120 political parties entered 4,000 candidates for 138 seats. Proportional representation list system encourages candidacies. Madagascar is a member of Agency for the French-Speaking Community (ACCT), African, Caribbean, and Pacific Group of States (ACP), African Development Bank (AfDB), Economic Commission for Africa (ECA), Food and Agriculture organization (FAO), Group of 77 (G-77), International Atomic Energy Agency (IAEA), International Bank for Reconstruction and Development (World Bank) (IBRD), International Civil Aviation Organization (ICAO), International Criminal Court (ICFTU)(Signatory), International Red Cross and Red Crescent Movement (ICRM), International Development Association (IDA), International Fund for Agricultural Development (IFAD), International Finance Corporation (IFC), International Federation of Red Cross and Red Crescent Societies (IFRCS), International Labor Organization (ILO), International Monetary Fund (IMF), International Maritime Organization (IMO), Indian Ocean Commission (InOC), International Criminal Police Organization (Interpol), International Olympic Committee (IOC); International Organization for Migration (IOM), Nonaligned Movement (NAM), Organization of African Unity (OAU), United Nations (UN), United Nations Conference on Trade and Development (UNCTAD), United Nations Educational, Scientific, and Cultural Organization (UNESCO), United Nations High Commissioner for Refugees (UNHCR), United Nations Industrial Development Organization (UNIDO), Universal Postal Union (UPU), World Confederation of Labor (WCL), World Federation of Trade Unions (WFTU), World Intellectual Property Organization (WIPO), World Meteorological Organization (WMO), World Tourism Organization (WToO), and World Trade  Organization (WTrO). Having discarded past socialist economic policies, Madagascar has since the mid 1990s followed a World Bank and IMF led policy of privatization and liberalization, which has placed the country on a slow and steady growth path. Agriculture, including fishing and forestry, is a mainstay of the economy, accounting for one-fourth of GDP and employing four-fifths of the population. Export earnings primarily are earned in the small industrial sector, which features textile manufacturing and agriculture processing. Deforestation and erosion, aggravated by the use of firewood as the primary source of fuel are serious concerns. The separatist political crisis of 2002 undermined macroeconomic stability, with the estimated drop in output being subject to a wide margin of error. Poverty reduction will be the centerpiece of economic policy for the next few years, seines how the 71% of the population are below the poverty line. Of all final goods and services produced within a nation in a given year, the value comes from 63% services, 25% agriculture, and 12% industry. Services consist of the telephone system, air and rail transportation, tourism, and retail sale. Industry consists of meat processing, soap, breweries, tanneries, sugar, textiles, glassware, cement, automobile assembly, paper, petroleum. Agricultural produces mostly coffee, vanilla, shellfish, sugar, cotton, mining, and petroleum products. A unique blend of African and Asian landscapes and cultures is usually one of the first things recognized by first-time travelers to Madagascar. In the zebu cattle-raising regions of the south and west, for example, the savannas resemble those of East Africa. In the central highlands, however, irrigated and terraced rice fields evoke images of Southeast Asia. These contrasting images lie at the heart of an ongoing debate over the origins of the Malagasy people. According to one theory, peoples from the Indonesian archipelago migrated along the coast of south Asia, across the Arabian Peninsula into the east coast of Africa and, finally, across the Mozambique Channel into present-day Madagascar. This movement occurred over several generations and, because of the gradual interaction between Asian and African populations, led to the  arrival and eventual implantation of a distinct Malagasy people and culture. A second theory emphasizes the diversity of the peoples inhabiting Madagascar. Simply put, proponents argue that the Malagasy resulted from a series of migrations by different peoples over time. According to this theory, migrants from the Indonesian archipelago arrived first and eventually settled in the central highlands, followed by the arrival of African peoples as a result of normal migrational trends and the rise of the slave trade. Recent scholarship has suggested that perhaps the theories are complementary, with greater emphasis b eing placed on the first. Scholars traditionally have described Madagascar as being divided into eighteen or twenty ethnic groups, each with its own distinct territory; political developments in the contemporary period are often described in terms of ethnic conflict. Yet ethnicity is potentially misleading in the Malagasy context because it connotes a more or less self-sufficient and unique cultural, socioeconomic, and historically united group that perceives itself as being different from other groups. Another potentially valuable method of analyzing Malagasy society is to differentiate between the so-called cotiers, or peoples living in coastal areas, and those who live in the central highlands. Indeed, scholars have noted in recent years that the salience of ethnic group identity has declined, while the division between the central highlands peoples and the cotiers continues to be of great importance in understanding social and political competition. Although many observers equate the term central highlander with the Merina ethnic group (once again suggesting the importance of ethnicity), it is important to note that the Betsileo people also live within this region, and the Merina themselves have settled in other regions of the country. Equally important, many cotiers do not live anywhere near the coast. In this sense, the central highlands/cotier split is best understood as the historical outcome of the domination of the Merina empire, the original center of which was Imerina (a round the city of Antananarivo) and was located in the central highlands.

The Ethical And Legal Situations Of Mental Health

The changing way of societal requests and data advances have driven many to express worries about the conventional importance of secrecy in the practice of mental health. Supervisors must balance duties of responsibility of the client, the organization and supervisee at the same time. This paper incorporates 2 case vignettes that deal with recognizing lawful and moral issues that supervisors must manage when working with another trainee or different supervisees. An endeavor to depict the basic leadership process and choices that maintain the moral guidelines of the calling is attempted in this paper. Case Vignette 1 Understanding the ethical and legal situations that are involved in the position of supervisor is important†¦show more content†¦It is sound practice to keep personal information private (for example, utilize just first names and uncover only a few demographics). The American Counseling Association (2005) states that the obligation to warn is as pertinent for the supervisor as it is for the supervisee. The supervisor must remember that she has an obligation to inform the supervisee with respect to conditions under which it is suitable to caution a proposed victim. Separating the roles of supervisor and supervisee can increase transparency of performance evaluation and feedback. Supervisors must understand that strains can be take place by the difficulties inborn in clinical practice/clinical preparing, conflicts in the objectives as well as assignments, insufficient regard for the superordinate qualities, deficiencies in specialized competence , and especiall y, in crossing boundaries; furthermore, infringement, in risky supervisee conduct, and through negative responses and the order of transference, counter-transference and parallel process phenomena (Falender and Shaffanske, 2004). This case vignette does not state if the new supervisee is male or female. Nevertheless, such relations can conceivably touch off sexual harassment claims if the manager or representative takes part in unseemly or biased work practices. The supervisor for this situation, can create issues associated with inadequate preparing and supervision or troubles with moral character or confusionShow MoreRelatedEthical Issues Regarding The Interview Session Was The Client s Mental Health Issues1186 Words   |  5 Pages1. Kingsford Legal Centre sees a range of clients, many of whom are disadvantaged in some way. What were some of the ethical and/or professional issues and considerations that arose during your interviewing sessions? How were these issues addressed or resolved? How might they be different from working with other types of clients? (350 words) One ethical issue that arose during the interview session was the client’s mental health issues. I decided not to delve into these mental health issues furtherRead MoreDeveloping An Alternative Punishment For Adolescents1345 Words   |  6 Pagesadolescent’s with mental health then the importance of applied ethics will be intertwined and considered. Providing education and knowledge to all staff within the organization helps staff with moral decision making choices when confusion arise from staff. Political parties have the ability to exercise their power or authorities over adolescent inmates in many judicial systems. Force and physical coercion can be easily be used against many whether they are adolescent or adults. Ethical standards andRead MoreThe Ethics Of An Ethical Dilemma1201 Words   |  5 PagesIntroduction An ethical dilemma by definition is a situation that requires an individual to make a choice between two equally unfavorable alternatives (Castalano, 2009-outsourced from book, pg 87). An ethical dilemma only occurs when there is no clear correct answer to choose one action over another. Ethical Ideas Ethical principles are defined as being set guidelines that influence decision making. Autonomy, beneficence, non-maleficence, veracity, and justice are used frequently to assist health care workersRead MoreProfessional, Legal and Ethical Issues in Person-Centred Care1357 Words   |  6 PagesProfessional, Legal and Ethical issues in person-centred care For the purpose of this assignment the student will be discussing and analysing the professional, legal and ethical issues that influenced how person-centred care was delivered to a patient in an acute psychiatric hospital where the student was working. In accordance with the Nursing and Midwifery Council (NMC) (2010) the patient will be referred to as Sarah to uphold confidentiality. During a shift at the hospital the student attendedRead MoreMental Health Care : Intentional Misdiagnosis Of Mental Disorders770 Words   |  4 PagesOverview of the Article Many mental health counselors work with managed care organizations (MCOs) to provide services to clients. While managed care guidelines determine how counselors deliver services and what they will be reimbursed for, many counselors are upset with how limiting the guidelines are. It is a challenge for counselors when insurance reimbursement is denied because the MCOs are not honoring DSM codes (Braun Cox, 2005). Therefore, counselors tend to submit inaccurate diagnoses thatRead MoreConfidentiality Is A Common Pledge When Disclosing Sensitive Personal Information1364 Words   |  6 Pagessensitive personal information to a mental health professional. In fact, Remley Herlihy (2014) believe that, â€Å"Confidentiality is one of the most fundamental of all professional obligations in counseling† (p. 106). A breach of confidentiality could damage the trust that took years to build between the professional and their client; however, there are certain times when the professional has limited options. Providers are placed in a very difficult situation when faced with deciding whether orRead MoreEthics And Ethics Of The Supervisory Meeting1538 Words   |  7 PagesRelationship: In the supervisory meeting, the supervisors and supervisees will discuss the ethical codes and legal responsibility in psychotherapy. Discuss dual relationship, which affects the relationship between client and therapist or supervisor and trainee. Discuss Confidentiality. The therapist must keep all the information confidential. violation of confidentiality is one of the most important legal responsibility in counseling and cods of ethics. The therapist is subject to the law suitRead MoreCode Of Conduct For A Behavioral Health Center1586 Words   |  7 PagesConduct for a Behavioral Health Center Shaquita Jefferson MHA622: Health Care Ethics Law Judy Roberts Ethical Code of Conduct for a Behavioral Health Center Clear Mind behavioral health center provides a wide range of excellent counseling and mental health services by well trained, qualified and licensed professionals. Clear Mind has been in operation since 1988. We serve over 20,000 children, adolescents, adults, seniors and their families annually. Ethical issues are prevalent in thisRead MoreThe Experience Of A Professional Mental Health Counselor1356 Words   |  6 Pagesto a Professional Mental Health Counselor was very informative on October 19, 2015, I had a chance to meet K.W. she is a License Professional Counselor in Mental Health that holds her (LCPC) for the last ten (10) years. Ms. K.W. also holds her Therapist license in the arena of counseling for the last past six (6) years were her services of care is Mental Health, and Addiction Counseling were her population is men and women that struggles with addiction problems and mental health that is called co-occurringRead MoreIs Patient Abuse Or Neglect Of Individuals Who A re Under The Care Of A Health Care Organization?1601 Words   |  7 PagesThe definition of patient abuse is the mistreatment or neglect of individuals who are under the care of a health care organization (Pozgar, 2013). In the United States, the vulnerable populations for this abuse are the elderly and children. Patient abuse is not only in an institutional setting, but also at home. The rise of elderly patients has increased in recent years due to the aging of the baby boomers. Currently, 13% of the population is over the age of 65 (NCEA, 2014). Many cases of elder

Love and Lust Essay - 678 Words

Love and Lust Love and lust are two very strong words with very strong meanings. In this class we discussed whether or not the two are related. Love and lust are two words that go hand and hand in relationships. They are emotions that are interlocked with one another. Without one it is hard to have the other and it also seems that in order to be in and stay in love, one must desire or lust after their partner. Without that desire, love and the wanting to be with ones partner can fade away. In relationships both must be present, but it is important to understand these emotions and keep them in balance. It is also important to understand their similarities and their differences. Although they can both be defined using the word longing,†¦show more content†¦He said that this made him feel closer to her and realize that sex wasnt everything. I think that more college students need to understand that all relationships should not be based on sexual desires alone. In order to keep that relation ship going it takes a lot more, love must be present. Love involves caring deeply about someone. It means putting them first in your life. One of my classmates mentioned lust for someone other than ones partner. They wanted to know what happens when you are already in a relationship and you find yourself lusting after someone new. I think that this kind of lust is a bad thing to get started in. I also believe, with another classmate, that there will come a point if it hasnt already, that you will be so involved with your partner that you will not want to be with anyone else. I believe that it is okay to look but never touch. I also think that it is only natural to look at someone attractive when they pass by you, but that your love for your partner and the lust you have for them will surpass any feelings of wandering for the moment. It seems that lust is a sudden emotion whereas love comes at a much slower pace. Lust can be a fairly shallow emotion that can easily be controlled or i f not, it can ruin relationships. Infidelity and divorce are some of the consequences of not controlling the emotion of lust. Lusting can also cause people to do thingsShow MoreRelatedThe Difference Between Love And Lust1237 Words   |  5 Pagesdifference between love and lust? According to the dictionary, love is a feeling of strong and constant affection for a person. On the other hand, lust is a strong sexual desire for another (â€Å"Merriam-Webster†). The definitions of love and lust are complete opposites. Love is a constant feeling, while lust is impermanent. Yet, the two are always confused between people. This is because of the word â€Å"strong† in both of the definitions. When a person is deeply in love or is consumed by lust, the feelingsRead MoreHow Does Lust Grow? Lust Vs. Love Blueprint1926 Words   |  8 PagesHow Does Lust Grow? Lust vs. Love BLUEPRINT All human beings have emotional and physical needs. All human beings long to feel spiritually and emotionally fulfilled, and this happens by receiving attention from other people. Human beings also have physical and sexual cravings. This is a need – it is something that humans will search for, either consciously or subconsciously. All human beings want a home – a place to stay, and support in the form of money, because money fulfills a person’s basic needsRead MoreLove and Lust in Loves Labours Lost1292 Words   |  6 Pagesâ€Å"Love is a familiar. Love is a devil. There is no evil angel but Love. (Love’s Labours Lost. 1.2.)† This Shakespearean quote relies on the fact that love can lead to many misfortunes, presented as one of the aspects of love in both William Shakespeare’s â€Å"A Midsummer Night’s Dream†, and Wole Soyinka’s â€Å"The Lion and the Jewel†. One aspect of love demonstrates its brilliant sides, a nd with it, brings affection, faith, and intimacy. However, it is also noted that an equal aspect of love conveys the consequencesRead MoreLove and Lust in the Lyrics (Shakespeares Sonnets)1514 Words   |  7 Pagessonnets and the â€Å"dark lady sonnets†, it is clear that the poet, Shakespeare, has a great love for the young man and only lusts after his mistress. In order to fully understand the depth of emotion that Shakespeare (hereafter the poet) felt for the young man of his sonnets, one must be familiar with the story line of the first sub-sequence of the sonnets. When analyzing the content and depth of the poet’s love, the ambiguous nature of the poet’s relationship with the young man should also be consideredRead MoreLove and Lust in Indian Literature Essay1297 Words   |  6 PagesThe pursuit of love and pleasure is well documented in Indian literature and theoretical texts, its sensual and powerful nature weaving its way into the history of Indian culture. Kama, as this pursuit is so called, is all encompassing of pleasures of both carnal and more educated stature, such as the pursuit of enjoyment in drama and musical endeavors. In the literature based on the more literal sense of â€Å"love between two people† there are two distinct types of this affection: that of the carnalRead MoreRomeo and Juliet: Love vs . Lust Essay1185 Words   |  5 PagesTrue Love Mistaken for True Lust â€Å"An intense feeling of deep attraction.† That is the definition of love. Love between a man and a dog, a kid and ice-cream, a mother and her family, and love between two selfless people. This is true love. In the play, Romeo and Juliet, written by William Shakespeare, the feeling of attraction between the two main characters is not true love. The setting of this play is the streets of Verona, Italy, during a time when arranged marriages at the age of 14 wereRead MoreLove, Lust and Obsession in the Great Gatsby Essay1304 Words   |  6 Pagesbetween love and lust. If love is only a will to possess, it is not love. To love someone is to hold them dear to ones heart. In The Great Gatsby, the characters, Jay Gatsby and Daisy Buchanan are said to be in love, but in reality, this seems to be a misconception. In The Great Gatsby, Fitzgerald portrays the themes of love, lust and obsession, through the character of Jay Gatsby, who confuses lust and obsession with love. By the end of the novel however, Jay Gatsby is denied his love and suffersRead MoreLust and Love: A Fathers Role Essay1116 Words   |  5 PagesLorraine who miss their father and want to live a life where their whole family is together which is shown when Lorraine asks her father over the phone â€Å"If we have enough money, why do you have to live there?† (Thien 106). While Lorraine and Kathleen love their father and want him to be with them Paula feels quite differently about hers showing the difference living at home and away can make. Another major difference between the two fathers is the amount of time the narrator spoke of them and the amountRead MoreLove, Lust and Infatuation in Midsummer Night’s Dream Essay1450 Words   |  6 PagesFairies, mortals, magic, love, and hate all intertwine to make A Midsummer Night’s Dream by William Shakespeare a very enchanting tale, that takes the reader on a truly dream-like adventure. The action takes place in Athens, Greece in ancient times, but has the atmosphere of a land of fantasy and illusion which could be anywhere. The mischievousness and the emotions exhibited by characters in the play, along with their attempts to double-cross destiny, not only make the tale entertaining, but alsoRead More Love and Lust in Play-By-Play, Sex without Love, and Junior Year Abroad867 Words   |  4 PagesLove and Lust in Play-By-Play, Sex without Love, and Junior Year Abroad      Ã‚  Ã‚  Lust is an incredibly strong feeling that can prove to be almost uncontrollable, leading it to commonly be mistaken for love. Due to the relative closeness of these emotions, both are often confused, and even when one is in love he or she does not recognize it. Many think that love just comes knocking on ones door and one will know when it does, but they dont realize that for love to occur a relationship has

Mr. Big, The Whore Of Mensa, And The Kuglemass Episode

A Discussion of Satire, Humor, and Absurdity in Woody Allen’s â€Å"Mr. Big,† â€Å"The Whore of Mensa,† and â€Å"The Kuglemass Episode† â€Å"It is my only regret in life that I am not someone else† (Good Reads, 2017). This famous Woody Allen quote reflects a reason why he may love to write: so he can be someone else for a short while. To top it off Allen is an expert at using satire, humor and absurdity to entertain his audience. As one best storytellers of the twenty first century, he has a way of reaching his audience by taking a worn-out archetype and by applying an absurdity filter, he allows the audience to see a difficult idea in a whole new light. In his short stories, â€Å"Mr. Big,† â€Å"The Whore of Mensa,† and â€Å"The Kuglemass Episode,† he imparts†¦show more content†¦In each story the author uses satire, humor, or absurdity to introduce the audience to a subject that is seemingly taboo or unrealistic. Doing this allows the reader to explore a concept they may be uncomfortable exploring any other way. Now, consider what Allen might have been saying in â€Å"Mr. Big.† The story begins with Heather Butkiss seeking a private investigator to help her find God. She is smart and sexy, and Kaiser Lupowitz is a lump of clay in her hands. Kaiser is amused, bored, and attracted; nevertheless, he is led by Ms. Butkiss through a maze of lies. Turns out, her name is Ellen Shepard. She is a professor who is simply a scorned lover. After finding out the truth of her quest, to prove the existence of God, Lupowitz quickly dismisses her, shoots her and before she dies, explains the true manifestation of the universe, as if he had the answer all along: â€Å"The manifestation of the universe as a complex idea unto itself as opposed to being in or outside the true Being of itself is inherently a conceptual nothingness or Nothingness in relation to any abstract form of existing or to exist or having existed in perpetuity and not subject to laws of physicality or motion or ideas relating to non -matter or the lack of objective Being or subjective otherness (Allen, http://www.wepsite.de/Mr._Big,Woody_Allen.htm, n.d.). The scene is vivid and hilarious. Allen takes a decisive topic, like faith in God and by using satire,

Electronic Health Record Essay Free Essays

In the proposed scenario. a Clinical Nurse Specialist ( CNS ) with a Post-Masters Nursing Informatics Certificate has decided that the 100 bed infirmary that she works in would profit from transitioning from paper charting to utilizing an electronic wellness record ( EHR ) system. She has done initial clinical research and has a solid foundation of best-patient-practice grounds that support this alteration. We will write a custom essay sample on Electronic Health Record Essay or any similar topic only for you Order Now She has besides researched and studied the information on the government’s websites HealthIT. gov. and CMS. gov refering to the American Recovery and Reinvestment Act and the Health Information Technology for Economic and Clinical Health ( HITECH ) Act of 2009. HITECH is a stimulus bundle approved by the US authorities leting $ 19 billion dollars to be divided between infirmaries and physicians â€Å" who demonstrate â€Å"meaningful use† of electronic medical records† ( ARRA HITECH Solutions. 2015 ) . She knows that the best manner to choose and establish an EHR is to piece a squad of members with assorted fortes refering to the ends outlined in the phases of HITECH. Stage 1- Data gaining control and sharing. Stage 2- Advance clinical procedures and Stage 3- Improved results. Each of these phases has it’s ain meaningful usage standards. As seen in the diagram to the left. The CNS Begins by taking the members of her squad from assorted subjects in the infirmary. Because this will intend corporate broad alterations and acceptance. Her list includes the following. from the IT section. a Clinical Nursing Informatacist- chosen for a forte in how nurses interact with package and what is required for nurses to efficaciously care for patients. and the Director of Clinical Informatics- chosen for an overall cognition base of the infirmaries information sciences resources and demands including what package and hardware is presently available. what has worked or failed in the yesteryear and what alterations will necessitate to go on to maintain the infirmary compliant with patient privateness and safety ordinances. She will besides necessitate a Corporate Project Manager to form and circulate information to the assorted off-site entities related to the installations that will necessitate to be on board with this alteration across the corporation. A Chief Medical Information Officer will be cardinal in supplying the position of the doctors and their peculiar demands and ends. and to be a affair for the staff physicians when the EHR rollout occurs. A Chief Information Officer will convey cognition about the hospital’s twenty-four hours to twenty-four hours maps that will necessitate to incorporate into the new EHR along with how those systems presently function. A Chief Nursing Information Officer will hold their finger on the pulsation of each nursing unit and be cognizant of the different user interface demands that will be needed by different sections for the the specific type of flow and care given. Last. a Chief Financial Officer will be able to steer the squad on subjects refering governmental support and current assets along with assisting to make and keep a budget as required with the acquisition of new package and hardware. he will besides be able to work with each department’s budget shapers when the clip comes for apportioning preparation hours and equipment purchases. Along the manner the squad will necessitate to convey in sub-specialists to give information and feedback as they hone the new system. but for now the assembled squad will be responsible for researching. choosing and implementing the best EHR for their infirmary. A. 2 a-e ) Choose 2 real-life computerized direction systems and analyse them by comparing their advantages and disadvantages. urge the best pick to run into the ‘MU’ demands. depict how the characteristics of the recommended system meet the guidelines outlined in the three phases of meaningful usage. depict the impact on quality of patient attention. certification and results. The squad is cognizant that presently they have a computerized system that they use for coverage and tracking labs. radiology and programming. but all certification is paper based. They consider the monetary value point involved with adding faculties to the bing McKesson package V buying and implementing an wholly new EHR called EPIC. EPIC appears to be user friendly and able to seamlessly connect all of the installations under the umbrella of their corporation. They make a list of some of the pros and cons associated with each system. McKesson has the top of being a system they have already worked with and it has different plans that can be pieced together to run into some of the meaningful usage ( MU ) standard for conformity. They already have a working relationship with this seller and some experience with the merchandise. Once the treatment gets traveling. the squad realizes that there are many more bad points than good with McKesson. In their experience. the package faculties are connected in a bit-by-bit manner that makes it hard for plans to interface. Quite often data is merely lost and non retrievable. There are different informations entry systems for the different types of sections i. e. OR. ER. labour A ; bringing. Med/Surge. radiology. and pharmaceutics. The different systems do non let for across the board data harvest home and that makes it hard and clip devouring to track reportable nursing and CMS indexs. The aesthetics of McKesson are something that is often complained about by the staff. due to miss of typical colour passage and oculus weariness. Last. the group is really loath to go on on constructing their EHR base with McKesson because the PCPs in the country will non be able to entree infirmary records. and office visit information will non be available to the infirmary based staff. Due to the demand for increased adult male hours in serving McKesson. deficiency of distinct informations sampling. and the hapless continuity of attention related to PCPs non holding entree to hospital informations and frailty versa. the squad decides to take Epic alternatively. Epic has the down side of being a system that will necessitate a big initial spending of financess. The infirmary will hold to buy package. and related hardware. They will hold to spread out the IT and biomedical technology sections to back up and keep the new system and equipment ( something that would hold been necessary to a smaller grade with McKesson ) . They will hold to turn to some retrofitting demands related to wiring and computing machine instillment and in conclusion preparation will be a really large issue. Despite the possible down sides. the squad comes up with a long list of grounds that EPIC is the right system to take. To get down with EPIC is all one system. It allows for seamless interdepartmental interfacing. The PCPs in the country already utilize a version of EPIC and this will let for easy data exchange and a patient’s information will follow them easy. The EPIC system has a medicine rapprochement signifier that is easy viewable to all attention givers and pharmaceuticss in the country. maintaining path of each patients reported medicine dosage and frequence. EPIC has a ‘my chart’ characteristic that allows patients see labs. after visit sum-ups. and to interact with doctors about scheduling. medicines and lab consequences. EPIC has many built in safe guards. including watchword protection. unin terrupted backup and recovery plans so no information is lost. and the seller provides go oning support as needed. EPIC comes in 3 pre-bundled. customizable templets. each already set up to run into the Meaningful Use ( MU ) standard without holding to change the plan. The squad can look at the three available options and find if one fits them absolutely. or happen the closest one and change it to suit their specific demands. Some illustrations of how EPIC will run into the Stage 1 MU standards are computerized physician order entry. look intoing for drug interactions and allergic reactions automatically. tracking demographics. maintaining current diagnosing. medicine and allergy lists. leting patients to hold electronic entree to dispatch sum-ups. and it gives patients electronic entree to doctors. Once the infirmary has used EPIC for at least two old ages. some illustrations of how EPIC will assist run into the Stage 2 MU standards are ongoing patient informations entry and discreet sampling for study coevals. The squad will go on to develop the package that demonstrates interoperability in sharing of lab consequences with other suppliers and systems. Security hazard appraisal will be on-going and built into the system. Smoking position will be tracked on all patients 13 and older and the EPIC package is designed to steer the installation from run intoing the Phase 1 standards to run intoing the Phase 2 standards. Phase 3 MU aims are projected to better results. The squad is waiting on the concluding opinion for what the Phase 3 guidelines will be and in the average clip they have a jutting end of concentrating on primary bar steps and bettering overall population wellness. This will include recommended inoculation reminders. smoking surcease aid. healthy life style and repast planning recommendations. and annually medical examination reminders generated by primary doctors that will crossover to hospital patient charts. Some of the better benefits of EPIC include point and click check in the appraisal Fieldss. this allows for distinct sampling of information. EPIC utilizes a coverage work bench that will reap requested. reportable informations and assemble it into a user friendly templet. This will profit the infirmary by cut downing former man-hours required to happen and roll up informations for clinical quality steps. public wellness coverage. and CMS indexs. Discrete informations trying from EPIC will do the infirmary a benefit to the community every bit good by leting it to track tendencies and supply information to community wellness nurses. EPIC comes with the ability to set up difficult Michigans and reminders that allow real-time users to be cognizant of demands for attention coordination and patient specific followups or recommended proving related to handling chronic conditions. It will besides let for symptom goaded order entry Fieldss to be instantly available in emergent state of affairss where clip taken to look for those things could intend a worse result. This is particularly of import when people present with symptoms of shot or bosom onslaught. Another EPIC benefit is the different degrees of bedside specific PHI protection related to sensitive attention. EPIC has a ‘break the glass’ functionality refering to all sexual assault and psychiatric admits. This map merely allows relevant staff to open and see these patients charts. any others are shown a pop-up warning and a notice is sent to get down an probe of any other individual who logs in to theses charts. The squad is impressed with the information provided by EPIC refering scanning patients and medicines at the bedside and the decrease in medicine mistakes this causes. The scanners will incorporate with the medicine distributing machines already in usage at the infirmary. One of the major benefits of EPIC is the order entry physique. Each doctor. with a minimum sum of preparation. can custom-make the order entry procedure to reflect their demands. Medicine orders are immediately linked to a druggist to duplicate cheque for allergic reactions. and right dosing information. and so the medicine becomes available. via PYXIS machines on the unit for the RN to administrate at the bedside. The bedside dosing requires the patient and medicine to be scanned. further extinguishing possi ble mistakes. and provides a pop-up warning if an exigency override is required during any of these stairss. While the squad acknowledges that developing and clip to go familiar with the new charting and bedside everyday alterations will ab initio impact patient attention in a negative manner. they have a program in head to maintain the patients educated on the new system alterations and the awaited better attention available to the patients across the board from establishing an EHR system. Having the patients ask inquiries and give existent clip feedback will assist the squad tweek their preparation and bedside modus operandis to give better. more organized attention that consequences in traceable results. This is merely an overview of some of the many maps EPIC has that persuaded the squad to take it as the new EHR system for the infirmary. ( EPIC and McKesson related information was culled from the writers ain experience with the systems and personal interviews with multiple members of the information sciences section at St Francis Hospital. Indianapolis campus ) . A. 3 a ) Use of Quality Improvement Data EPIC has point and click appraisal check and a standardised certification format that links related informations. This allows for distinct informations trying related to things like CMS indexs. The infirmary will be able to track conformity with things like ‘door to EKG’ times in the exigency section. Foley catheter usage and attendant CAUTIs. and the clip from when a patient presents with shot symptoms until a cat scan is done and/or whether the patient receives antithrombolytics as a consequence. The infirmary will besides be able to bring forth studies on mistakes that occur the via the Risk Monitor Pro incident tracking package. This will let them to go on researching and bettering procedures. A. 3 B ) Security Standards and Methods EPIC has 24 hr monitoring of staff usage while logged in. and the records they entree. This is of import because 100s of staff members will be utilizing the system and at that place has to be answerability if employees were to look up their ain records. or the records of friends or household. This information can be tracked and the employee interviewed and disciplined if needed. EPIC besides comes equipped with incident coverage package called Risk Monitor Pro. All staff members are encouraged to utilize this format to describe any incident that might justify farther probe. It covers every location. type of employee. type of equipment. patient. visitant or seller. Risk Monitor Pro signifiers are used to describe possible or sensed hurts. faulty equipment. lookout events and things that have the possible to do injury or harm. This information can be followed up on by the hazard direction squad. so that procedure betterment is an on-going procedure. The squad works with members from the IT section and programs for primary informations storage with a redundant back up storage unit that at the same time updates so if the primary waiter fails there is no loss of information. They have besides planned for a 2nd. off site informations storage centre that can be used in instance of exigency to guarantee continuity of services. and maintain things up and running while the primary system is off line for ascents. Last back up tapes will be kept at a 3rd site in instance both of these countries are compromised. and the system can be rebooted and running once more within 72 hours. A. 3 degree Celsius ) Explain how the system will protect patient privateness and meet HIPAA demands EPIC will protect patient privateness in a figure of ways. End User entree is limited to merely being able to entree the information needed to make their occupations. Making the accessible information different for nurses. doctors. enrollment clerks. radiology technicians. commission members etc. Forces will merely be granted entree once they have completed security preparation and have signed certification saying that they understand the legal hazards and duties when accessing protected wellness information ( PHI ) . Persons outside the infirmary will hold entree to EPIC every bit good. for illustration nursing place doctors. They will hold a read merely entree granted. but will necessitate multiple patient identifiers to entree the information. Besides. as mentioned earlier. EPIC will use security related chart difficult Michigans like ‘Break the Glass’ . A. 3 vitamin D ) Explain how the recommended system meets HIPAA demands EPIC helps to run into HIPAA demands with machine-controlled enforcing of entree policies. and pro-active alertness that links straight to the hazard direction section. necessitating strong watchword policies. and automatic logout at terminal user work Stationss. EPIC allows suppliers to protect the unity of informations and retrieve original informations in the instance of it being altered or damaged. EPIC users are required to hold appropriate preparation to be able to entree the system. and can be locked out in the instance of expiration. Portable devices carry encoding package that does non let for 3rd party informations extraction or entree. EPIC can besides rapidly bring forth studies with distinct trying related to assorted signifiers of entree. The bulk of conformity will be the duty of the staff with written policies. documented countenance plans and probe that is ongoing. consistent and documented. A. 3 vitamin E ) Describe how following the system will cut down costs to the organisation Establishing this new system will ab initio bring forth more costs. but in the long tally will salvage the infirmary money in many ways. Meeting the ARRA/HITECH Act demands will assist to countervail those cost with fiscal inducements and avoiding mulcts and punishments. Having readily available trial consequences will diminish the costs and labour associated with reiterating lost or illegible consequences. With superior organisation and informations drumhead tools. the cost for labour associated with analyzing charts separately and bring forthing studies will be exponentially lower. The demand for transcriptionists will be greatly reduced by using command package. Facilities for storage of paper charting cost money for upkeep and staffing. An electronic database should do charge and insurance claims easier to treat and thereby generate gross faster. The clip it takes for doctors to pass traveling over complicated medical histories with patients is greatly reduced by holding that information readily available in a database. â€Å"According to a recent survey. when infirmaries rely on advanced electronic wellness records they can salvage up to 10 per centum per patient admission† ( â€Å"Advanced EHR Cuts Hospital Costss By 10 % Per Admission. † 2014 ) . 4. A ) Explain why active nursing engagement in the planning. choice. and execution of the systems is of import to the success of the execution procedure and meeting meaningful usage demands Active nursing engagement is of import to the success of implementing any procedure that affects care given at the bedside. For the system to be optimized for usage. nursing suggestions and feedback are critical. EPIC knows this and has a squad of nurses on staff to work with the installation in developing end-user interface. ‘Nurses’ from the infirmary include the advocators. CNS’s. NP’s. LPN’s. directors. and bedside attention givers. each with a specific focal point and experiences that are valuable when assisting to make up one’s mind how charting should work. Any thing that pulls a nurses attending off from the patient. or is deflecting or hard to work with lessenings the sensed degree of attention and increases the potency for mistakes. The wellness attention ends of meaningful usage include bettering efficiency. safety and quality while diminishing disagreements. affecting patients and their households in their attention. bettering public wellness results. bettering attention coordination. and progressing security and privateness of PHI ( Gregory A ; Klepfer. 2010 ) . All of these things are the foundation of every interaction a nurse has with a patient. This is why nursing is one of the most sure professions. harmonizing to the Gallup pole web site. nurses come out on top at 80 % when people were asked to rate â€Å"the honestness and ethical criterions of people† in different given Fieldss ( â€Å"Honesty/Ethics in Professions | Gallup Historical Trends. † n. d. ) . Because standard nursing attention already meets the ends outlined for meaningful usage. the most of import thing the mean nurse can make is to work hard to be competent using the selected EHR package. Advanced users and nurse leaders are of import to assist steer the EHR choice procedure in the way that will better the bedside interactions and user interface. Clinical nurse specializers have advanced instructions and convey the nursing doctrine to the choice and execution procedure. All of these functions are critical to the success of any EHR execution. 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