The psychology behind child abuse and neglect

The psychology behind child abuse and neglect The Psychology of the Child deals with mental growth or, what amounts to the same thing, the development of behavior patterns (including consciousness) up to adolescence, the transitional phase marking the entrance of the individual into adult society. Mental growth is in- separable from physical growth: the maturation of the nervous and endocrine systems, in particular, continues until the age of sixteen. The psychology of a child must be regarded as the study of one aspect of embryogenesis, the embryogenesis of organic as well as mental growth, up to the beginning of the state of relative equilibrium which is the adult level. Child abuse is the physical and/or psychological/emotional mistreatment of children. In the United States, the Centers for Disease Control and Prevention (CDC) define child maltreatment as any act or series of acts or commission or omission by a parent or other caregiver that results in harm, potential for harm, or threat of harm to a child. Most child abuse occurs in a childs home, with a smaller amount occurring in the organizations, schools or communities the child interacts with. The mental health journal, states that child abuse is defined as any recent act or failure to act on the part of a parent or caretaker which results in death, serious physical or emotional harm, sexual abuse or exploitation, an act or failure to act which presents an imminent risk of serious harm. There are four major categories of child abuse: neglect, physical abuse, psychological/emotional abuse, and sexual abuse. NEGLECT: Neglect is the instance in which the responsible adult fails to adequately provide for various needs, including physical (failure to provide adequate food, clothing, or hygiene), emotional (failure to provide nurturing or affection) or educational (failure to enroll a child in school). PHYSICAL ABUSE is physical aggression directed at a child by an adult. It can involve striking, burning, choking or shaking a child. The transmission of toxins to a child through its mother (such as with fetal alcohol syndrome) can also be considered physical abuse in some jurisdictions .The distinction between child discipline and abuse is often poorly defined. Cultural norms about what constitutes abuse vary widely: among professionals as well as the wider public, people do not agree on what behaviors constitute abuse. Some human service professionals claim that cultural norms that sanction/ support physical punishment are one of the causes of child abuse, and have undertaken campaigns to redefine such norms. In the United States, the National Association of Social Workers has issued statements that even the mildest forms of physical punishment, such as moderate spanking, can lower childrens self-esteem, constitute acts of violence, and teach children that physical force is an acce ptable way to resolve conflicts. Against this latter argument, the philosopher Prof. David Benatar points out that one might as well say that fining people teaches that forcing others to give up some of their property is an acceptable way to respond to those who act in a way that one does not like. If beatings send a message, why dont detentions, imprisonments, fines, and a multitude of other punishments convey equally undesirable messages? He adds. 3 PSYCHOLOGICAL ABUSE also known as emotional abuse, which can involve belittling or shaming a child, inappropriate or extreme punishment and the withholding of affection. CHILD SEXUAL ABUSE is any sexual act between an adult and a child, including penetration, oral sex and forced nudity in front of the adult. According to the (American) National Committee to Prevent Child Abuse, in 1997 neglect represented 54% of confirmed cases of child abuse, physical abuse 22%, sexual abuse 8%, emotional maltreatment 4%, and other forms of maltreatment 12%. A UNICEF report on child well-being stated that the United States and the United Kingdom ranked lowest among industrial nations with respect to the wellbeing of children. This study also found that child neglect and child abuse are far more common in single-parent families than in families where both parents are present. CAUSES OF CHILD ABUSE Child abuse is a complex problem which has multiple causes. Understanding the causes of abuse is crucial to addressing the problem of child abuse. Parents who physically abuse their spouses are more likely to physically abuse their children However, it is difficult to know whether marital strife is a cause of child abuse, or if both the marital strife and abuse are caused by tendencies in the abuser. Substance abuse is a major contributing factor to child abuse. One study found that parents with documented substance abuse, most commonly alcohol, cocaine, and heroin, were much more likely to mistreat their children, and were also much more likely to reject court-ordered services and treatments. Another study found that over two thirds of 4 cases of child maltreatment involved parents with substance abuse problems. This study specifically found relationships between alcohol and physical abuse, and between cocaine and sexual abuse. In 2009 CBS News reported that child abuse in the United States had increased during the economic recession. It gave the example of a father who had never been the primary care-taker of the children. Now that the father was in that role, the children began to come in with injuries. CAUSES OF CHILD ABUSE Children have that right to be loved. But there are those who suffer child abuse in the very sense of the word. Child abuse could either be physical, mental or sexual abuse to children. This might have certain adverse effects on the child so they must be given extra support and attention physical abuse concerns maltreatments of children in a physical way. This means hurting the children physically, or not giving them proper nutrition. Emotional abuse or mental abuse, on the other hand, is about abuse in children which affects primarily their emotions. This includes saying hurtful words to children, as well as scolding them often that lower their self esteem. Sexual abuse, however, is abuse that concerns the sexual attributes of a child. This is one of the worst cases of child abuse. Like any other abuse, child abuse also has a cause. There are many causes of child abuse. The most prominent one among the causes is mental illness, as well as psychological problems. The tendency is that people who are not in their right minds, could easily do harm to children, whether intentional or not. Also, family problems are major causes of child abuse. Parents under the power of drugs could easily hurt their children. Plus, financial problems could invoke parents or other 5 members of the family to abuse children as an outlet of their emotions. Stress could also be a root cause of child abuse. It is good to know the cause of abuse on a certain child so that the treatment and the actions could be well defined. EFFECTS OF CHILD ABUSE (SHORT TERM) Studies indicate that every day a significant number of children are exposed to serious maltreatment and neglect leading to physical and psychological injury and serious long-term consequences. Researchers are continuously examining the wide range of potential consequences of child abuse and neglect. Mounting evidence suggests that, in addition to the immediate negative effects on children, maltreatment is associated with a host of problems manifested in adolescence and adulthood. Child abuse is not, however, a short-term crisis in a childs life. Although children are removed from violent homes or leave home to live on their own, the effects of experiencing abuse in their childhood follow them through life. Child abuse can affect all aspects of a childs life and can spill over in there adult life as well. Effects of child abuse include the following: PSYCOLOGICAL EFFECTS Child abuse may permanently alter the psychological well being of a child. Following maltreatment, children are known to display the following problems: Extreme and repetitive nightmares, Anxiety. Unusually high levels of anger and aggression. Feelings of guilt and shame for sexually abused victims this can be quite severe, especially if the victim experienced some degree of pleasure during part of the abuse. Sudden phobias, such as a fear of darkness or water. 6 Psychosomatic complaints, including stomachaches, headaches, hypochondrias is, fecal soiling, bed wetting and excessive blinking. General fearfulness and a specific fear of others of the same gender as the abuser. Depressive symptoms, long bouts of sadness, social withdrawal. Self-reported social isolation and feelings of stigmatization.. After continued exposure to maltreatment, children may develop further psychological complications: Significant increase in rates of psychiatric disorders, Dissociation, intrusive thoughts suicidal ideation and more acute phobias, More serious levels of anxiety fear depression, loneliness, anger, hostility and guilt, Distorted cognition, such as chronic perceptions of danger and confusion, illogical thinking, inaccurate images of the world, shattered assumptions about the world and difficulty determining what is real, decreased effectiveness in comprehending complex roles. PHYSICAL EFFECTS In addition to the obvious physical injuries, such as broken bones, bruises and scarring, abuse is also related to several additional physical complications for children, including the following: Children who have suffered serious and chronic neglect are more likely to be smaller and lighter than non-maltreated children, which has been shown to affect long-term health. Children who are physically abused (or shaken in the case of very young children) may suffer permanent neurological damage, dramatically affecting their future development. Weight problems often emerging as eating disorders. Serious sleeps disturbances and bouts of dizziness when awake. 7 Other stress-related symptoms, such as gastrointestinal problems, migraine headaches, difficulty breathing, hypertension, aches, pains and rashes which defy diagnosis and/or treatment, Poor overall health. BEHAVIORAL CONSEQUENCES Abused children are known to display the following behavioral problems: Developmental delays, Clinging behavior, extreme shyness and fear of strangers, Troubled socialization with peers constant fighting or socially undesirable behaviors, such as bullying, teasing or not sharing, Poor school adjustment and disruptive classroom behavior,there is a growing understanding among researchers that child maltreatment is associated with a host of behavioral problems that manifest themselves in adolescence: School-age pregnancy, Self-destructive behaviors such as self-mutilation or burning, Truancy and running away behavior, Delinquency and prostitution. Early use of drugs/alcohol and substance abuse/dependence, Eating disorders, such as anorexia, bulimia or obesity primarily among female victims,Suicide and suicide attempts. Evidence suggests that many of these problems continue into adulthood and become ingrained patterns of behavior. It is believed that in order to deal with the trauma of being abused and neglected, children and youth develop such behaviors as coping strategies. And although these behaviors eventually become self-destructive, they are often extremely difficult to abandon. EFFECT ON ACADEMIC PERFORMANCE One of the most destructive consequences of child abuse may be the detrimental effect on 8 a childs school performance. Over and over again, research indicates that abused children demonstrate reduced intellectual functioning and perform very poorly in school. And poor school performance can have serious long-term consequences. Academic failure has been associated with antisocial behavior and quitting school. These behaviors in turn increase the risk of long-term decreased productivity, long-term economic dependence and generally lower levels of satisfaction with life as adults.58 Maltreated children may display the following: Lower overall schools performance test scores and lower language, reading and math scores. Grade repetitions, disciplinary referrals and a high number of suspensions. Working and learning at below average levels (as reported by teachers). Weaker orientation to future vocational and educational goals compared to non-maltreated children. It is understandable that maltreated children will perform poorly in school. Not only do they face the obvious complications associated with a violent home life, but neglectful and abusive parents are less likely to provide an intellectually stimulating environment for the child, read to the child, supervise homework and generally become involved in their childs academic life. EFFECT ON SEXUALITY In general, abuse adversely affects a childs concept of sexuality reduces his or her ability to set appropriate boundaries and often instills a fear or negative perception of sex. While the majority of sexual consequences are the result of sexual abuse, other forms of maltreatment can also be sexually destructive. For example, a neglected child may seek 9 sexual intimacy very early in life in order to fulfil an unmet need for parental intimacy. This creates a risk for teenage pregnancy or sexually transmitted diseases. The following are the major sexual consequences of maltreatment reported in the literature: Engaging in open or excessive masturbation, excessive sexual curiosity and frequent exposure of the genitals. Simulated sexual acts with siblings and friends, inappropriate sexual behavior such as breast or genital grabbing. Premature sexual knowledge sexualized kissing in friendships and with parents. In adolescence and adulthood, maltreated children continue to display sexually maladaptive behavior: Orgasmic disorders and painful intercourse, Promiscuity, Dissatisfaction with sex and negative attitudes about sex. These problems are often the result of introducing a sexual component into a parent-child relationship, which affected the childs sense of sexuality and intimacy. In essence, a child who has suffered sexual abuse can, as a result, have difficulty distinguishing between a sexual and a non-sexual relationship and therefore introduce a sexual element into all relationships. INTERPERSONAL CONSEQUENCES Child abuse can interfere with a persons ability to develop meaningful and appropriate relationships from childhood through to adulthood. Abused and neglected children are consistently rated by their peers as demonstrating socially undesirable behavior. Children displaying multiple psychological and behavioral problems often have a difficult time 10 both developing and maintaining healthy relationships. Victimization reduces social competence and limits empathic ability, both of which are necessary to establish satisfying relationships with others. Maltreated children have been known to display the following interpersonal problems: Insecure attachments to parents and caregivers,loss of close friends, difficulty in trusting others. Relationship problems, such as overly sexualized or overly conflicted relationships. Chronic dissatisfaction with adult relationships and fear of intimacy. EFFECTS ON SELF PERCEPTION Parental abuse undoubtedly affects the self-esteem of a child. A lack of interest in a child or a violent attack on a child, for example, will likely lead the child to develop a sense of unworthiness. Maltreatment has been associated with distorted or extremely negative self-images starting in childhood and continuing throughout ones life. Maltreated children typically view themselves as bad, worthless or unlovable and may develop the following problems: Extremely low levels of self-esteem, Feelings of being out of control, Inaccurate body images which often lead to eating disorders, Overwhelming sense of guilt or self-blame for the abuse, Impairment of a cohesive sense of identity, Self-disgust, self-denigration, self-hatred.   SPIRITUAL CONSEQUENCES Often, children who have been abused and neglected report having lost their sense of faith, not just a religious belief in a divine being, but also their faith in themselves, other people and the world around them. It is common for maltreated children to display what 11 some authors have called a shattered soul or soul pain. Moreover, adults who have experienced maltreatment display less interest and participation in organized religion. Systematic battering, sexual abuse, emotional attacks or the long-term neglect of a child is likely to destroy his or her spirit or enthusiasm for life. While often overlooked in the literature, the shattered soul may prove to be an extremely significant long-term consequence of child maltreatment. SUBSEQUENT VIOLENCE Victims of child abuse often become further victimized as adolescents and adults and/or become violent themselves toward their own children and in intimate relationships. According to studies on the intergenerational transmission of child maltreatment, one third of all victims grow up to continue a pattern of seriously inept, neglectful or abusive child rearing as parents; one third do not; and one-third remain vulnerable to the effects of child maltreatment depending upon social stressors in their life. Adults and adolescents who report a history of child maltreatment may demonstrate the following: Maltreatment of their own children. A history of being a victim of a violent assault by a non-family member during adolescence. Perpetrating dating violence in adolescence and/or spousal violence in adulthood. Becoming a victim of an assaultive partner (most often a male abuser) and/or the victim of additional sexual assaults. CHILD ABUSE A PERMANENT AND LIFELONG TRAUMA When an orphan or adolescent experience trauma such as family violence, child abuse, or witnesses prolonged violence, several problems arise. These children might experience 12 anger, distrust, and fear commitment. Children who live through such childhood trauma often suffer permanently. Extensive studies about adults abused as children investigate the relationships between childhood trauma and problems including uncontrollable anger and a negative attitude. Miller, Villani and Sharfstein all discuss numerous factors that influence violence, including alcohol, violent threats, and a violent past (Miller, p. 61-62; and Sharfstein, p. 2). Miller (1998) presents several abuse and mistreatment studies concerning children who experience family violence at an early age and how this violence leads them to have behavioral problems as adults (p. 62). Child abuse, whether inflicted on orphans or children who live with biological parents, causes distrust, another problem and long lasting effect. Distrust can result with abused children. These children begin to distrust the people closest to them, their family, and this lack of trust carries over into adulthood. 13

Hunger Games Character Paper

The Hunger Games- Character Paper I read the book The Hunger Games by Suzanne Collins. The book is about the future and how the central government overrules all of districts, Panem. The main character of the book is Katniss Everdeen. She is a teenage girl who lives in â€Å"District 12†. Her district is known for all the coal mining; she had lost her father when she was younger in mine explosion.After this she had to step up and be the adult. She is very brave and she is very smart. Katniss, the story's narrator and heroine, is 16 years old and has straight black hair, gray eyes, and olive skin. Her father died in a mine explosion when she is 11. Since then, to keep her family from starving in the Seam, she has had to provide for her mother and sister, using the hunting and gathering knowledge that her father taught her.Her best friend and hunting partner is Gale, and, while they spend a great deal of time together, Katniss is sure that she doesn't see him in a romantic light, something that comes into deep question when she is District 12's Hunger Games tribute and must work hard to maintain a star-crossed-lovers facade with Peeta Mellark. Throughout the novel, she remains a hunter and a survivor, â€Å"the girl on fire,† but she is also a girl who is very confused about her emotions concerning Peeta and Gale.Katniss must also remember to hide her true emotions about the Capitol: She loathes the Capitol and its tyrannical rule, but to rebel openly is to ask for punishment, oftentimes death. She is brave and daring and returns home from the Games a beloved star to her district but a menace to the Capitol dictators in charge of Panem. Katniss is very relatable to young girls because of her confusion with boys. This makes Katniss a great main character for the book because who doesn’t love a science fiction book with a relatable main character?

Running Quotes About Life

Runners often take lessons they learn in running and apply them to their life, and vice versa. Get inspired with these thought-provoking running quotes: Dean Karnazes Struggling and suffering are the essence of a life worth living. If youre not pushing yourself beyond the comfort zone, if youre not demanding more from yourself—expanding and learning as you go—youre choosing a numb existence. Youre denying yourself an extraordinary trip. Jen Rhines Life (and running) is not all about time but about our experiences along the way. Joan Benoit Samuelson As every runner knows, running is about more than just putting one foot in front of the other; it is about our lifestyle and who we are. Meb Keflezighi, U.S. Olympic marathoner Like the marathon, life can sometimes be difficult, challenging and present obstacles, however if you believe in your dreams and never ever give up, things will turn out for the best. Kara Goucher Thats the thing about running: your greatest runs are rarely measured by racing success. They are moments in time when running allows you to see how wonderful your life is. Marc Bloom In short, running can change your outlook on life and make a new person out of you. Nina Kuscik Running gives freedom. When you run you can determine your own tempo. You can choose your own course and think whatever you want. Nobody tells you what to do. Unknown Life is like a marathon. Its full of ups and down that take your breath away. Amby Burfoot Running has taught me, perhaps more than anything else, that theres no reason to fear starting lines...or other new beginnings. David Bedford Running is a lot like life. Only 10 percent of it is exciting. 90 percent of it is slog and drudge. Nancy Anderson So much in life seems inflexible and unchangeable, and part of the joy of running and especially racing is the realization that improvement and progress can be achieved. Michael Johnson Life is often compared to a marathon, but I think it is more like being a sprinter; long stretches of hard work punctuated by brief moments in which we are given the opportunity to perform at our best. Arthur Blank I run because its so symbolic of life. You have to drive yourself to overcome the obstacles. You might feel that you cant. But then you find your inner strength, and realize youre capable of so much more than you thought. Oprah Winfrey Running is the greatest metaphor for life, because you get out of it what you put into it. Dean Karnazes Running is about finding your inner peace, and so is a life well lived. George Sheehan Life is a positive-sum game. Everyone from the gold medalist to the last finisher can rejoice in a personal victory. Unknown The answer to the big questions in running is the same as the answer to the big questions in life: do the best with what youve got. George Sheehan The obsession with running is really an obsession with the potential for more and more life. Chris Lear, in Running with the Buffaloes In many ways, a race is analogous to life itself. Once it is over, it cannot be re-created. All that is left are impressions in the heart, and in the mind. Michael Sargent Running should be a lifelong activity. Approach it patiently and intelligently, and it will reward you for a long, long time. Jenny Hadfield Life can pull you down, but running always lifts you up. Unknown A marathon is like life with its ups and downs, but once you have done it, you feel that you can do anything. Nelson Mandela Running taught me valuable lessons. In cross-country competition, training counted more than intrinsic ability, and I could compensate for a lack of natural aptitude with diligence and discipline. I applied this in everything I did. Amby Burfoot I have learned that there is no failure in running, or in life, as long as you keep moving. Lorraine Moller, Four-Time Olympic Marathoner For me, running is a lifestyle and an art. Im far more interested in the magic of it than the mechanics. Its that interest and exploration that make running fun for me. Its easy to become outcome-focused; for me the unfoldment of self is what is meaningful in running and outlasts any medals. Molly Barker, founder of Girls on the Run Running is like celebrating your soul. Theres so much it can teach us in life. Hal Higdon I run, therefore I am. And given the years improved fitness adds to our lives, if I did not run, maybe I would no longer be. Ron Daws, The Self-Made Olympian There is more to failing than picking yourself up out of the dust, brushing off the grime and trudging onward. For every defeat, there is a victory inside waiting to be let out if the runner can get past feeling sorry for himself. Max Popper in The Essential Runner When you have the running spirit, you look forward to life. I firmly believe that I wouldnt have lived as long or as happily as I have without running. Adam Goucher One of the first lessons running teaches us about success in athletics and in life is that there is no one else. No one else can do your workouts for you. You alone must do the drills... You cannot hire someone else to do your cross-training when you are battling injury, or pay someone to run a race and get you a new PR. You are truly your own hero in running. It is up to you to have the responsibility and self-discipline to get the job done.

Measuring and Controling Value Created in Endesa - 604 Words

1. Refer to ENDESA ¡Ã‚ ¦s current business strategy. In what primary economic activity is ENDESA engaged? (HINT: the primary economic activity is not the generation and sale of electricity or related activities). Why is it necessary to understand the strategy and primary economic activity in order to manage ENDESA ¡Ã‚ ¦s financial activities? Managers should ensure that selected performance measurement system fits the unique requirements and business strategy of the firm. In general, primary economic activity of the company and its performance focus should dictate the selection of performance measurement model. ENDESA strategy is  ¡Ã‚ §one of acquiring business units, using its expertise to develop as much value in the unit as possible and then†¦show more content†¦After subtracting all economic costs from operating profits after taxes EVA reveals the true economic surplus available for further investment. Traditional cash flow analysis can easily disregard companies with negative cash flows because main purpose of traditional cash value metric is to control cash generation. In contrast, the main purpose of EVA is to optimize resource allocation. At difference to accounting measures, EVA highlights the gap in performance, and hence, aligns the interests of managers and shareholders. The link between shareholders value and economic profit of the company becomes more transparent. At difference to traditional accounting measures of corporate profit, EVA fully accounts for the company ¡Ã‚ ¦s overall capital costs. It includes both, the direct cost of debt capital and the indirect c ost of equity capital. The cost of capital is the minimum return required to pay shareholder ¡Ã‚ ¦s equity . EVA can therefore determine whether or not the business is creating value but it can also indicate how much value is created at different business levels. In contrast, by employing accounting perspective, in terms of traditional metrics for performance measurement, managers cannot fully consider the required shareholder ¡Ã‚ ¦s return on invested capital. In addition, accounting principles are often easy to manipulate and can vary from one countryShow MoreRelatedCase Study for Management Accounting36912 Words   |  148 PagesPRACTICES Table of Contents Case 1: Case 2: Bal Seal Engineering Robin Cooper Bill’s Custom Planters William Stammerjohan Deborah Seifert Dublin Shirt Company Peter Clarke in assoc. with in assoc. with Paul Juras Wayne Bremser ECN.W William Lawler Endesa Gary M. Cunningham Scott Ericksen Francisco J. Lopez Lubian Antonio Pareja Kincaid Manufacturing Jon Yarusso Ram Ramanan Osram.NA John Shank Lawrence Carr William Lawler Pleasant Run Children’s Home Brooke E. Smith Mark A. McFatridge Susan B. HughesRead MoreCase Study for Management Accounting36918 Words   |  148 PagesPRACTICES Table of Contents Case 1: Case 2: Bal Seal Engineering Robin Cooper Bill’s Custom Planters William Stammerjohan Deborah Seifert Dublin Shirt Company Peter Clarke in assoc. with in assoc. with Paul Juras Wayne Bremser ECN.W William Lawler Endesa Gary M. Cunningham Scott Ericksen Francisco J. Lopez Lubian Antonio Pareja Kincaid Manufacturing Jon Yarusso Ram Ramanan Osram.NA John Shank Lawrence Carr William Lawler Pleasant Run Children’s Home Brooke E. Smith Mark A. McFatridge Susan B. Hughes

The Quality Of Health Care - 1239 Words

Good is the Quality of Health Care in the United States We hear a lot about the quality of Healthcare within the United States in today’s day in age. Health care quality is pretty much getting the right care to the right patient on time at the right time every time the quality of health care affects everyone in the United States and determines what kind of care is given. In this article the role attachment is how to get good quality of healthcare and where it already stands. There are tons of people out there with health care who can afford and there are those out there that can’t afford it. Although those things are important what kinds of care are they offering out there and if the quality there offering is right? More people today are receiving healthcare as some are not receiving healthcare and some due to experiences some are receiving more than they need. With that being said the United States has not met the standards that they should have in order to have quality healthcare. What particularly is the quality of good h ealthcare? To me in order to get good quality health care it should be available and affordable also care choices and costs and benefits that will allow patients to make decisions about the level of care that is best fit for them also respectful such as privacy, comfort, convenience of care, and security and not discriminating because most of times people get discriminated against whether they have Medicaid, Medicare, orShow MoreRelatedQuality And Quality Of Health Care1097 Words   |  5 PagesQuality in health care is making sure that the patient that is being attended to, is receiving the right care at the right time. Quality means different thing to different people. Some weigh quality on the amount of time it takes for them to be seen. Some say it is the way that they are treated and spoken too. Quality can also be measured by some by the amount of time that they spend with the physician. Quality plays a major role in every occupation. 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In the present essay I compare the healthcare system in France with the U.S. system in regard to the Triple Aim framework (improving quality of care, improving the health of populations, and reducingRead MoreQuality Measures For Health Care1338 Words   |  6 PagesQuality measures are strategies that gaug e, evaluate or compute health care processes, results, discernments, patient insight, and administrative structure. In addition, quality measures are frameworks that are connected with the capacity to deliver first-class health care and/or that are able to identify with one or more quality objectives for medicinal services. These objectives include: compelling, protected, effective, quiet focused, impartial, and opportune consideration. Quality measures canRead MoreQuality Improvement For Health Care1600 Words   |  7 PagesQuality improvement in health care has been and will continue to be a beneficial process in helping with many problems faced in healthcare. According to U.S Department of Health and Human Services (2011) â€Å"quality improvement consists of systematic and continuous actions that lead to measurable improvement in health care services and the health status of targeted patient groups† (p.1). These systematic and continuous actions have indeed led to many h ealth care improvements throughout the years includingRead MoreImproving Quality Of Health Care1769 Words   |  8 PagesImproving Quality of Care The continuing growth of technology in health care is ground breaking at this time. With the advancements in technology and health care there has become a rift between providers and patients. Patients want the best quality care from the health care system. Despite this justifiably positive view that, overall, quality of care is high in this country, many factors point to the fact that the quality of care is declining. It is believed that patient-physician relationships areRead MoreDefinition Of Health Care Quality1657 Words   |  7 PagesThe definition of health care quality has changed significantly over the years. Depending on who is asked (doctor, patient, nurse etc.), the definition can vary; however there are always some similarities. There are two definitions expressed by the National Committee for Quality Assurance (NCQA) that I believe adequately express my view on health care quality. One definition is from the Institute of Medicine that states health care quality is †Å"safe, effective, patient-centered, timely, efficient

Pas vs Euthanasia Free Essays

string(170) " in the context of clinical complications, errors, negligence, or deliberate killing have been demonstrated by the legal and professional acceptance of particular cases\." Every human being has the power to make decisions throughout the course of his or her life. People make choices every day, and it is the control that people have over their own lives that allows them to do so. This ability to have options and be able to make decisions should not cease to exist as a patient approaches the end of life. We will write a custom essay sample on Pas vs Euthanasia or any similar topic only for you Order Now People have the right to believe strongly in personal autonomy and have the determination to control the end of their lives as wished (DeSpelder 238). Toward the end of life, people should still be given the chance to make decisions, in order to allow them some form of control in a life. The option for Physician Assisted Suicide allows for those, who are approaching death, to end their lives without losing any dignity. Physician Assisted Suicide is when a physician intentionally assists a person in committing his or her own suicide by providing drugs for self administration at a voluntary and competent request (Oliver 2006). With Physician Assisted Suicide, the physician provides the patient with a prescription for a lethal dose of medication, and counseling on the doses and the methods the patient must follow through with to complete the act (Sanders 2007). The physician may be present while the patient self-administers the medication, although this is not legally required. Also, the physician, or any other person, cannot assist the patient in administering the medication (Darr 2007). Physician Assisted Suicide should not be confused with Euthanasia. In the practice of Physician Assisted Suicide, it is the patient who makes the final administration of the lethal medication. As far as Euthanasia is concerned, it is a deliberate action done with the intention to hasten or cause the death of an individual (Sanders 2007). Physician Assisted Suicide is only legal in the state of Oregon, while Euthanasia is illegal across the United States. Even though Euthanasia is illegal, it was performed casually by a physician by the name of Dr. Jack Kevorkian. Dr. Kevorkian would typically start an IV running saline, and allow the patient to then initiate the flow of barbituates and potassium chloride which would result in death (Darr 2007). After having assisted in the deaths of nearly 130 people over the course of ten years, Dr. Kevorkian was found guilty of having given a man a lethal injection which caused the man’s death, and Dr. Kevorkian was sentenced to prison. Although some may see Dr. Kevorkian’s work as wrong and immoral, others support him and his symbol as the public debate on ethical and legal issues surrounding Physician Assisted Suicide (DeSpelder 238). There are many different types or forms of Euthanasia. These types of Euthanasia are: passive euthanasia, active euthanasia, active voluntary euthanasia, and active involuntary euthanasia. Passive euthanasia is the occurrence of a natural death through the discontinuation of life-support equipment or the cessation of life-sustaining medical procedures. Active euthanasia is a deliberate action to end the life of an individual. Voluntary active euthanasia is the intervention of lethal injection to end the life of a mentally competent, suffering individual who has requested to have his or her life put to an end. The last form of Euthanasia is active voluntary euthanasia in which a physician has intervened in such a way to cause the patient’s death, but without the consent from the patient (Scherer 13). One may wish to experience Euthanasia to end his or her life for many reasons. Many patients wish for control and influence over the manner and timing of his or her own death. He or she may also wish to maintain his or her dignity and wish to have relief of severe pain that may be caused by a terminal illness. Other thoughts that may affect the choice for Euthanasia involve wanting to avoid the potential for abuse from his or her doctor, family, health care insurance, and society (Scherer vii). On the other hand, a patient may wish to pursue Physician Assisted Suicide, or a hastened death, because of an illness related experience such as agonizing symptoms, functional losses, and the effects of pain medications on his or her body. The patient may also feel that the mystery of death is a threat to his or her sense of self, and wish for some sort of control over the matter. Also, patients may fear for the future as far as the quality of life is concerned. A negative past experience with death, and the fear of becoming a burden on amily and friends, can greatly influence a person’s choice to seek Physician Assisted Suicide. As the end of life is approached, care can become much more involved, placing strain on those who are responsible for caring for the dying (Quill 93). In caring for the terminally ill and those near death, certain medications may be prescribed to reduce pain and a patient’s experience with suffering. When administering such medications in an a ttempt to control symptoms, a physician or nurse may inadvertently cause a person’s death. This occurrence is known as ‘double effect’ (Oliver 2006). The doctrine of double effect states that ‘a harmful effect of treatment, even if it results in death, is permissible if the harm is not intended and occurs as a side effect of a beneficial action’ (DeSpelder 238). Because the dosage of medications may need to be adjusted to relieve pain at specific periods of end-of-life, it is likely that respiratory distress may occur soon afterward, leading to death. This has become known as ‘terminal sedation’, yet the Supreme Court has ruled that such instances do not account for Euthanasia or Physician Assisted Suicide because the main intent was to relieve pain (DeSpelder 239). It may appear at times as though the law and medical profession hold strong views that oppose assisting death, but in many ways, they have also shown that under certain circumstances, hastening death can be justified. Hastening death through interventions which do not take place in the context of clinical complications, errors, negligence, or deliberate killing have been demonstrated by the legal and professional acceptance of particular cases. You read "Pas vs Euthanasia" in category "Papers" Both the law and medical profession allow for the right of a competent adult to refuse any type of treatment, including one which may save his or her life. Doctors are given the right to withdraw or withhold any treatments that he or she sees as futile or not in the patient’s best interest; this includes life saving and life prolonging treatments. As mentioned previously, Doctors are legally also given the right to use their discretion in administering high-dose opiates in the context of palliative care (Sanders 2007). In looking at such scenarios, it is difficult to understand why Physician Assisted Suicide is illegal in all states aside from Oregon, yet similar procedures and actions, that end in the same outcome, are legal in all states. The only state in which Physician Assisted Suicide is legal is the state of Oregon. Oregon passed the Death with Dignity Act in 1997 which allowed the terminally ill to end their lives voluntarily through the self administration of lethal medications, prescribed by a physician, for this exact purpose (Death). Any physicians, who are against aiding someone in ending his or her life, may refuse to prescribe the lethal medications, but each is given the ability and choice to participate (DeSpelder 237). Although Oregon is the only state in which Physician Assisted Suicide is legal, California, Vermont and Washington all hope to follow in Oregon’s footsteps in legalizing this practice (Ball 2006). Since Physician Assisted Suicide is legal in the state of Oregon, it may be feared that too many people will take advantage of such a utility and that it has potential for abuse (Quill 6). This is not necessarily true. In Oregon, an average of 50 people take full advantage of Physician Assisted Suicide each year; yet many more than this actually receive the lethal medications and choose not to use them (Oliver 2006). Perhaps it is the feeling of having these medications to fall back on that gives people comfort. People who receive a prescription from their physicians for these lethal medications know that if they ever get to the point where they feel as if they cannot live any longer, they do not have to. Some other facts about patients who choose to follow through with Physician Assisted Suicide are that the majority of those who took the lethal medications were more likely to be divorced or never married rather than married or widowed, had levels of education higher than general education, and had either HIV and AIDS or malignant neoplasms (Darr 2007). Although Physician Assisted Suicide was made legal in Oregon, there have been many instances where the United States Supreme Court has attempted to give Physician Assisted Suicide a bad image. In 1997, the Supreme Court compared two cases related to Physician Assisted Suicide. The cases were Washington vs. Glucksberg, and Vacco vs. Quill. In the comparison of these two cases, the Supreme Court looked at withholding and withdrawing treatments against Physician Assisted Suicide. The Court concluded that ‘the right to refuse treatment was based on the right to maintain one’s bodily integrity, not on a right to hasten death’ but when treatments are withdrawn or withheld, ‘the intent is to honor the patient’s wishes, not cause death, unlike PAS where the patient is â€Å"killed† by the lethal medication’ (DeSpelder 237). After examination of such cases, the Supreme Court confirmed that states had the right to prohibit Physician Assisted Suicide, or allow it under some regulatory system. In order to be eligible for Physician Assisted Suicide, there are certain criteria that need to be met. First, the patient must be at least eighteen years old and a legal resident in the state of Oregon. The patient must be diagnosed with a terminal illness which is determined to provide the patient with less than six months to live. This terminal diagnosis must be confirmed again by a consulting physician. The patient must also be able to communicate his or her health care decisions. A patient is determined to be mentally incompetent in making such decisions, as stated by the Mental Capacity Act of 2005, if he or she is unable to understand information that is relevant to the situation or decision, is unable to retain this information being provided, cannot use or weigh information as part of the natural decision making process, and cannot communicate his or her decision in any manner (Dimond 2006). The request for Physician Assisted Suicide must be a voluntary request, with at least one written request, signed in the presence of at least two witnesses, and two verbal request, both of which must be at least fifteen days apart. If either the attending or consulting physician feels as though the patient may be depressed, a complete psychiatric examination is done. In addition to these criteria, the physician must also provide information to the patient about hospice care and other comfort measures that may serve as alternatives to Physician Assisted Suicide (Ball 2006). It is important to explore all possibilities for pain management and palliative care to the fullest extent in order to set aside Physician Assisted Suicide as the final resort to ending pain and suffering (Scherer 118). The request for Physician Assisted Suicide is also a prime opportunity for health care providers to examine, explore and address a patient’s fears for the end-of-life (Darr 2007). It is important to hear the request and the feelings behind it, because this could also be a patient’s means for expressing a fear of being kept alive by technological treatments, or even a way of expressing depression. A patient may feel as though it would be easier to put an end to his or her life rather than to deteriorate (Oliver 2006). Because these possibilities may be so, it is important to analyze a patient’s behavior and requests for death carefully. These requests may not be a true wish to die, but rather what is thought to be an easy way out, or a deep lying psychological issue. It is also recommended that the physician and patient have formed a previous relationship so that there is a clear understanding of the patient’s history and future medical treatment wishes. There must be a discussion between the physician and patient. This discussion facilitates the physician’s understanding of the meaning of the request which will then allow him or her to respond to the patient’s request with both concern and compassion. If both concern and compassion can be developed within the physician-patient relationship, then it is more likely that the physician can accept the patient’s request without encouraging the patient’s decision to pursue Physician Assisted Suicide (Scherer 118). There are many arguments both for and against the use of Physician Assisted Suicide. The argument for Physician Assisted Suicide is focused primarily on the support of a person’s autonomous decision to end his or her life. It is believed that any person who at the end of his or her life is experiencing unbearable symptoms or distress and feels as though he or she has a poor quality of life, should be able to request assistance in ending his of her life (Oliver 2006). If we are to respect a patient’s wishes, then it is thought that we too should respect a patient’s choice of when and how to die. If a patient has the right to make informed decisions about medical treatment, then this right should naturally extend into his or her informed choice to choose a medically assisted death (Sanders 2007). Those who are against Physician Assisted Suicide believe that a patient’s autonomy should be limited when its exercise has a negative effect on others, and that it undermines a patient’s ability to trust a doctor as a healer (Sanders 2007). Many people also believe that ‘life is a gift from God and no human being has the right to take that gift away’ (Heintz 2007). Fears or worries may arise with the legalization of Physician Assisted Suicide. As health care workers and providers, the job at hand is viewed as maintaining life and improving a patient’s physical condition while performing Physician Assisted Suicide may remove this image. If legalized, the public may find it fearsome that the health care system has become somewhat inconsistent. This is demonstrated when a patient is asked to trust a health care provider in maintaining or improving his or her health while that same provider may be assisting other patients in committing their own suicides (Darr 2007). I chose the topic of Physician Assisted Suicide and Euthanasia because it is something that I find interesting. There is a constant struggle going on as to whether or not these procedures and actions are ethical, and I thought that it would be interesting to learn more about the topics in order to better develop my own view on the matter. Through my research, my opinion of Physician Assisted Suicide did not change. I had originally viewed Physician Assisted Suicide as a person’s choice and right. Now, I still have the same input on the topic, but I feel as though I could better argue my decision of being for Physician Assisted Suicide rather than against it. I have learned a lot about Physician Assisted Suicide. I find it most important that my sources of information were from both sides of the discussion. This made it helpful for me to understand both views on Physician Assisted Suicide and Euthanasia. Upon completing my research, I developed stronger feelings for the case of Physician Assisted Suicide as being a patient’s choice. This is an individual’s choice, and for anyone to vote against such a procedure does not seem OK. Nobody has a say in what goes on in another person’s life. If this really is the case, then why should anyone be able to say that people who are suffering and nearing death cannot take a lethal dose of medication to kill themselves. It all comes down to Physician Assisted Suicide being a patient’s choice and right to have the opportunity in front of him or her if he or she deems it necessary. In conclusion, the ending of one’s life should be left in the hands of that one individual and nobody else. It will always be said to people that â€Å"it is your life, do with it as you will†, but why should this phrase change when it is applied to someone’s death? People should be free to determine their own fates by their own autonomous choices, especially when it comes to private matters such as health (Quill 39). No one person’s life should be at the mercy of what other people believe would be best. Life or death and the way they will be carried out or ended, should be nobodies choice but the individual. Resources Ball, S. (2006). Nurse-patient advocacy and the right to die. Journal of Psychosocial Nursing, 44, 36-42. Retrieved February 28, 2008, from the MEDLINE (through EBSCOhost) database. Darr, K. (2007). Assistance in dying: part II. Assisted suicide in the united states. Nexus. Ethics, Law, and Management, 85, 31-36. Retrieved February 28, 2008, from the MEDLINE (through EBSCOhost) database. Death with dignity act. OREGON. gov. Retrieved February 15, 2008 from http://oregon. gov/DHS/ph/pas . DeSpelder, L. , Strickland, A. (2005). The last dance: Encountering death and dying. New York: McGraw-Hill. Dimond, B. (2006). Mental capacity requirements and a patient’s right to die. British Journal of Nursing, 15, 1130-1131. Retrieved February 28, 2008, from the MEDLINE (through EBSCOhost) database. Heintz, A. (2007). Quality of dying. Journal of Psychosomatic Obstetrics and Gynecology, 28, 1-2. Retrieved February 28, 2008, from the MEDLINE (through EBSCOhost) database. Oliver, D. (2006). A perspective on euthanasia. British Journal of Cancer, 95, 953-954. Retrieved February 28, 2008, from the MEDLINE (through EBSCOhost) database. Quill, T. , Battin, M. (2004). Physician assisted dying: The case for palliative care and patient choice. Baltimore: The John Hopkins University Press. Sanders, K. , Chaloner, C. (2007). Voluntary euthanasia: Ethical concepts and definitions. Art and Science Ethical Decision-Making, 21, 41-44. Retrieved February 28, 2008, from the MEDLINE (through EBSCOhost) database. Scherer, J. , Simon, R. (1999). Euthanasia and the right to die: A comparative view. United States of America: Rowman and Littlefield Publishers, Inc. How to cite Pas vs Euthanasia, Papers

Administrative structure in Malaysia Essay Example For Students

Administrative structure in Malaysia Essay Introduction Malaysia, Malaysia ( Malaysia ) for short, is one of the Southeast Asia by 13 provinces and three federal systems composed of territory federal states. Kuala Lumpur, the federal authorities is located in the metropolis. August 31, 1957 ( Dinging You old ages ) independency. Western half is located in the Malay Peninsula, frequently referred to as the west , the north Thailand, and south across the Johor sound, as opposed to a Singapore and Indonesia s Riau islands ; The eastern half is frequently referred to as the east Equus caballus , south Kalimantan, Indonesia. Equally early as the sixth century BC, and now the Malayan part to set up a Kedah land. 14 existent Malacca land centered in Malacca, the fusion of most of the Malay Peninsula. 1511 Portugal conquered the Malacca. World War II , the United Kingdom, such as the Penang Malay maharaja 9 merges it to federal, Singapore as an independent British settlement. Federated Malay States in 1957 independency, the Federated Malay States in 1963 with Singapore, Sarawak, and Sabah merged to organize Malaysia. 1965 Singapore quit organizing the current Malaysia. The members of the British Commonwealth, the non-aligned motion and members of the organisation of the Islamic conference, is besides one of the initiation of the association of Southeast Asiatic states states. Chiefly involved in military action defence confederation with the five states and the United Nations peacekeeping operations. Administrative construction in Malaysia 2.1 The legislative subdivision 2.1.1 at the federal degree YDPA Malayan Supreme Head of State as caput of province, commanding officer in head of the armed forces and Islamic leaders from the nine familial swayers of the meeting in conformity with the campaigning of Sudan Sudan Aging’s age and became drawn up the list, the highest elected a senior status Sudanese caput of province, a term of five old ages. Supreme Head of State is the caput of province has the legal position of the Federal Constitution and the Act of Parliament expressly bar out of his state representative for Malaysia, the highest legislative and executive decision-makers. Senate A sum of 69 members of the Malayan Senate, where 26 is indirectly elected by the province legislative assembly elections in 13 provinces, in add-on to the 44 caputs of province from the federal authorities to the highest recommended for assignment. Senators must be over 30 old ages of the Federation of Malaysia citizen, a entire term of three old ages, irrespective of whether the uninterrupted mean term renewable merely one time. House of representative A sum of 193 members must be at least 21 old ages of age and shall non function on the Members. Under the five-year term of office of members must be regular and comprehensive re-election, Mr. Election, when electors in the constituency Members vote seats, mining comparative bulk determination made it past the station vote. Known as â€Å"YANG BERHORMAT† . Responsible by Congress in Malaysia, the undertaking of amending the jurisprudence and abrogation, straight under the Aging of Malaysia. 2.1.2 at the province degree Rules Heads of province leaders is highest, harmonizing to the state s fundamental law, the caput of province has the right to urge the rules of action, every bit good as the regulations and the powers to name and YDB YDN, for the assignment of the Minister of State has certain rights. You can decline the petition and agreed to fade out the legislative assembly of each province, but for the demands of the swayers of the Council, to be met, the caput of the Malayan Islamic faith spring regard and satisfaction. State legislative assembly 13 provinces, each province has its ain legislative assembly, every member is elected by the people themselves, this tradition has been maintained for five old ages, the election over the age of 21 people, they were known as YANG BERHORMAT Council is responsible for the drafting of the statute law, and argument on them, but a individual can non be at the same clip a representative figure of constituency, stand foring a territory merely. 2.2 The Executive subdivision 2.2.1 at the federal degree YDPA YDPA 2.1.1 has been discussed in the above Council of the regulations Hamlet8 Essay3.0 Explain your state system China The judicial variety meats of China including the tribunal, proxy Ate, public security variety meats ( including the province security variety meats ) and judicial administrative variety meats and their prima attorney organisation, notary organ, re-education through labour governments, etc. The people s tribunal is an organ of the province test ; the people s proxy Ate is the national legal supervising variety meats ; the public security organ is the public security organ, is responsible for the probe of condemnable instances, detainment or pre-qualification and apprehensions. Has the nature of the public security organ of a province security organ ; Main duty is to direction of the judicial administrative variety meats of the prisons and labour cantonments, attorneies, notarization, people s mediation and legal promotion and instruction, etc. Judicial organisation refers to the attorneies, notarization, and the arbitration organisation. The latter is non the judicial variety meats, are indispensable in the judicial system and links. 4.0 Comparison with Malaysia Malaysia authorities and society: Constitutional monarchy ( a constitutional monarchy is divided into double monarchy and a parliamentary monarchy, Malaysia belong to parliament monarchy ) . Rulers meeting by the Johor, Pahang, Selangor, Mei LAN, knight, Deng gaol floor, Kelantan, Kedah, glass metropolis nine provinces of familial Sudan and Malacca, Penang, sand, the more, the Shaba of four provinces of caputs of province. Its map is highest in nine familial Sudan in bend elected caput of province and deputy supreme caput of province ; Review and promulgated by the national Torahs and ordinances ; Has the concluding determinations on Islam job on a countrywide graduated table ; Review involved cultural Malayans and Sabah, sand the privileged position of autochthonal peoples and other major jobs. Without the consent of the meeting, and shall non by any jurisprudence swayers of privileged position. China authorities and society: National nature: the people s democratic absolutism of socialist states. The socialist system is the basic system of the People s Republic of China. The socialist system by any organisation or person is prohibited devastation. â€Å"After Hong Kong and Macao return, because of historical grounds, the execution of one state, two systems , viz. in mainland China patterns the socialist system and capitalist system in Hong Kong and Macao shall, because civil war failed to unite Taiwan, soon for the system of capitalist economy, return besides suited for the one state, two systems , still pattern the system of capitalist economy. Government: the people s Congress system. PRC in article 2 of ordinance: all power in the People s Republic of China belongs to the people. The people exercise province power of authorization is the National People s Congress and local people s Congresss at assorted degrees. The people in conformity with the jurisprudence, through assorted channels and signifiers, direction of province personal businesss, pull off economic and cultural projects and societal personal businesss direction. 5.0 Decision Malaysia particular political economic and cultural background every bit good as for its alone geographical place, one of the universe celebrated. Malaysia pursues an independent foreign policy, impersonal and nonaligned. Precedence to the development of foreign policy basis for the association of south-east Asiatic nationsASEAN ) , dealingss with ASEAN states. Great importance to developing dealingss with power. Is a member of the commonwealth, and its member provinces more exchanges? With the constitution of diplomatic ties in 131 states. 6.0 Reference list Web sites Malaysia History and society, available at: mailto: hypertext transfer protocol: //www.cicir.ac.cn/chinese/newsView.aspx? nid=2946, Accessed on 25ThursdayNovember 2014 China History and society, , available at: mailto: hypertext transfer protocol: //www.npc.gov.cn/pc/11_4/2007-12/05/content_1620424.htm, Accessed on 6ThursdayDecember 2014 Word count: 2037