Saturday, May 18, 2019

Critical Incident

Rich & Parker 2001 defines vituperative incidents as snapshots of something that happens to a persevering, their family or healthcargon paid. It whitethorn be something positive, or it could be a side where someone has suffered in some fashion. Reflecting on tiny incidents w adverse onlyow me to explore and analyse incidents and how it has affects me and what I hope to do with these effects in the course of my training towards becoming a registered practitioner. It also gives me the opportunity of changing my way of thinking or practice, as I learn valu fit littleons when I reflect on an incident.This helps me to interrupt self-awareness and skills in critical thinking and problem solving (Rich & Parker 2001). On the early(a) hand, Johns 2003 defines reflection as creation mindful of self, either within or after an experience, as if a window through which the practioners stinkpot view and focus self within the context of a particular experience, in order to confront, g o through and move towards resolving contradiction between ones vision and actual practice.I will be apply the Beckwith model of reflection which states clear that reflection is a tool to give deal with challenges that will influence the speed and amplitude of ones development, to explore these effects in other to understand and learn from this incident, with the hope of improving my practice (Beckwith & Beckwith 2007). The incident I will be reflecting upon occurred period attending a clinical emplacement in the critical portion out unit at my placement hospital which for the purpose of this essay will be referred to as X hospital.Critical Care is the multi-professional health plow specialty that cares for forbearings with acute, intent history-threatening illness or deformity, (Sheppard & Wright 2005). Critical care can be provided wherever life is threatened. Critical care provided at the scene of an accident or in an ambulance is basic life support. canonic life su pport is the emergency manipulation of all condition where the headspring stops receiving adequate group O it could be a cardiac or respiratory arrest, (Kumar).A cardiac arrest is one where at that place is no pulse and is un bidly the diligent will rec e very(prenominal)place with basic life support simply nonwithstanding advanced life support with a defibrillator is required. It is important to carry out basis life support until defibrillator arrives even after careful assessment one discovers its a cardiac arrest, as one usually leads to the other, (Kumar). The importance of recognizing, assessing and reacting to cardiorespiratory arrest is very important.Immediate response increases the chances of a lucky out get under ones skin, (Davey and Ince). Shostek says critical care in a hospital range is provided by multi-professional teams of super experienced and professional personnel who use their unique expertise and ability to interpret important therapeutic informatio n, manage highly sophisticated equipment and provide care that leads to the best outcome for the long-suffering.Patients are usually admitted from the emergency room or surgical area where they are starting signal apt(p) care and stabilized to CCU, (NHS Careers). The management of the critically ill patient ranges from eye care(Appendix 1), spontaneous care(Appendix 2), infection control, health and safety issues, tissue viability among other vital issues like care bundles for this high risk group of patients who are dependent these care to maintain integrity and hauteur according to trust form _or_ system of government.Suction pumps are also vital in the critical care setting as skyway hygiene is impaired in critically ill patients as a closure of depressed cough reflex and ineffective mucociliary clearance from sedation, high inspired oxygen concentrations, elevated endotracheal underground cuff twinge, and tracheal mucosal inflammation and damage, (X Hospital Policy). Du e to this, care of intubated patients includes tracheal suckinging to facilitate the removal of airway secretions ( suck therapy) is carried out on all unconscious patient, as it maintains airway patency and prevents pulmonary infection, (X Hospital Policy).A tube or catheter is passed down inside the endotracheal tube and attached to a suction pump, the surface of the catheter must be chosen carefully using a simple formula of doubling the surface of ET tube minus 2. One should be careful to suction on withdrawal using a suction crush that is appropriate. Suction depth varies depending on the size of the trachea tube hence suction can be shallow, pre-measured and deep suctioning. Despite the importance of suctioning some complications like hypoxia, cardiac arrhythmias, hypotension, tracheal trauma, laryngospasm and bronchoconstriction are associated with it.Hence tracheal suctioning of intubated patients should be performed on a when extremityed basis defined by the amount of money of secretions obtained, non at prescribed, set intervals, (X Hospital Policy). The incident I will be reflecting on is approximately a Twenty-Nine-year-old male admitted to the critical care unit with a closed head injury sustained in a motor vehicle accident. His young wife, parents and other family members faced real idolises. Most of the family members had never been inside a critical care unit, and found the array of pumps, tubes, machines, monitors and lines, as well as the burster of staff members overwhelming.Just by looking at them and watching their reaction each time they come visiting was enough to tell me how scared and worried they were of their sons illness and the environment they were in. I started to wonder what was going on in their minds and was drawn to them not only for this reason but because the patient and his family members were the youngest I ever saw in the unit. I was thinking to myself if they halt asked questions or done any research about CCU they will most likely be thinking their sons situation is hopeless(prenominal).It is important to label and date all the lines as this helps to know what each is used for and how long it has been in situ for. Also care should be taken when moving patients to ensure the stay in place as it can be very uncomfor set back and difficult to reinsert a cannula on a patient as most of them are oeadematous. As I was involved in the care of the patient I had to beg off to the wife why her husband was connected to a ventilator and it use. A ventilator is an artificial external respiration machine that moves oxygen-enriched air in and out of your lungs.If your lungs have failed and you cannot breathing spacee on your own, you will need to be attached to a ventilator (See appendix 3). Being helped to breathe by a ventilator performer that you will usually need to be sedated. Ventilators can suggest different levels of breathing assistance. If you only need help breathing for a couple of days, it is likely you will have an endotracheal tube from the ventilator to your embouchure or nose. The tube will usually be held in place behind your neck as was the case with my patient. However, if you need help with breathing for to a greater extent than a few days, you may have a short operation called a tracheostomy.This replaces the tube in your mouth with a shorter tube that is placed immediately into your trachea. As well as being more comfortable, a tracheostomy makes it easier to keep your lungs clean, and usually requires less sedation. There are two kinds of ventilators, negative pressure and positive pressure. Negative pressure ventilators are not commonly in use today. In my trust we have only the positive pressure ventilators. elbow room of cellular respiration system should be tailored to the needs of the patient. Understanding these settings is important as they may need to be changed quickly.Once my patients next of kin fully understood the treatment he was receiving I could see this young ladys face soften a bit. I later learnt from my conversations with her that their 5years-old daughter, had been in the back seat with him when the accident occurred. She had not slept properly since the incident, expressing that she was afraid he would never come home. She has continually asked her mother and grand parents, When is daddy coming back home? The 5-year-old miss would not enter the parents bedchamber at home and insisted that the light remain on and has refused to take her bath as her dad evermore gave her a bath each evening.From this conversation I concluded that this little daughter needed to see, touch, heart and be with her dad to understand what had happened. I believe that she needs to be allowed to grieve and participate in the healing process surrounding her dads trauma. However, there were barriers, because our institutions written policy was to not allow anyone under the age of 12 to visit patients even though the maj ority of create studies evaluating family member charge in surgery have shown the positive effect it has on family members irrespective of their age, (Kingsnorth et al 2010).Some of these benefits included removing the familys doubt about the patients situation and allowing them to see that everything possible is being done in caring for that patient, reducing their anxiety and fear about what is happening to their love one, maintaining the family need to be together even at this time. In addition, when and if death occurred, families have reported that their presence gave them a sense of closure and facilitated the grief process, (Kingsnorth et al 2010). With this information I spoke with my mentor and she agree how awful it must be for her and promised to look into it.Three days after the accident, my mentor came to me and said they have come up with something that will help this young family and asked if I wanted to be involved with it, I said yes. We approached our patients f amily about scheduling an educational conference for the family. We agreed to include aunts, uncles, grandparents a young niece and two nephews. There were fears about how the children will handle the information but the adults were advised that, if the children exhibited fear or discomfort, they can be allowed to leave the conference room.At the conference, I sat with the children at the table and provided them with crayons and paper. Drinks and cookies were available. I was glad the atmosphere was gentle, quiet, comfortable and conducive to learning. We began the session by discussing definitions of grief, mourning, loss and coping. The adults agreed that this was the first trauma in the family and were giving the children explanations such as God may take him and Dad may never wake up. It was now time to listen to the children.They were asked to talk about a time when they had been sick. We went over what each part of the anatomy did and how they worked together. The children wer e asked to draw picture of what they understand of the discussion, drew pictures of lungs, a heart, a brain and a rib cage. When the patients daughter drew her Dad, she placed wires and tubes in his organs. At this coiffure I could see that the little girl now understands what had happened to her Dad. The adults who previously did not fully understand the injury to their son appreciated the education.The patients young wife had her look full of tears but I saw relief on her face regardless. As the clinical picture becomes clearer, the little girl asked if she could see her dad. All agreed this might be beneficial. Now we were confronted with the hospital policy prohibiting children in the critical care unit. The sisters spoke among themselves. I was praying silently that they can make an exception here. It is believed that every patient should be treated as an individual and critical care involves the care of family members as well (Kingsnorth et al 2010).I was glad when the siste r came back and asked the patients wife to take her daughter to the ICU door, patch all the staffs were informed of the plan. The decision was to allow the young daughter to see her dad and hospital policy was explained again, they all understood and were evidently glad like I was. The daughter entered the unit with wide eyes and stood at her dads bedside, where she was told about every tube and its purpose. The little girl took her dads hand and cried, as did the entire staff.Except for the hum of ventilators, the unit was quiet as the little girl held hands with her father, stroked his hair, sang him a song and said goodnight with prayers. I savored this moment as I accomplished it was an important journey in the little girls life. As a student I concluded that surely there can be nothing superior to this type of care giving. by means of out the lecture I couldnt help but think that God forbid if this was me or my family member I would hope for a care team as nice and understan ding as these ones looking after my family.I imagined if these were my children I sure would want them to understand what is happening and to be able to confront it if they want to and what meliorate way to do this. Following the visit, we were told how the little girl had become more agreeable at home. She says I have to keep things in order until Dad comes home. Making a difference is what care exemplifies, particularly when the art of humanity in a technologically driven healthcare system is advocated, (NHS Careers). I truly agree with this statement.For me the critical environment was a different setting and candidly I believe there can be no other like it. It is a very emotional setting that requires strong willed people yet competent in their jobs as well as having a heart full of love to care for their patient and family members. This is an experience that will stay with me throughout my career and influence me in a positive way as I can clearly understand that delivering quality care goes beyond what is done for the patient but for family members around as well.In my trust eye care is recognized as a basic nursing care mental process required by critically ill patients to prevent complications such as eye infections or injury. This care involves regular eye assessment on each patient in the ward to ensure that all patients receive individualized testify based eye care which ranges from no action required to hydration treatment with and sterile water to a more complex treatment prescribed by a doctor. If hydration or cleaned care is taken to wipe from the nasal corner outwards starting with the lower lids using a different wipe or gauze each time.If there is an infection the non-infected eye should be cleaned first. sometimes a bacteria barrier cream may be applied if the doctors deem it necessary, (X Hospital arrogance Policy). Appendix 2- Oral Care Similarly, all critical ill patients who are intubated receive individualized evidence based mouth care. All orally intubated patients will have moisture, integrity and cleanliness of all oral surfaces. Intubated patient are especially vulnerable to complications if inadequate oral care is practiced.Also there are more factors that pose as barriers to carrying out effective oral care such as difficulty to admission price oral cavity, changes in mucosa and normal bacteria flora of the mouth, immunocompromise and medication, presence of endotracheal tubes, oral suctioning and therapeutic dehydration. found on the above, assessment is carried out daily using the Eilers assessment guide. Whatever the outcome of this assessment oral care on all critically ill patients on a daily basis involves using a soft tooth brush and toothpaste every 12hours in a circular stroke away from the gums, change the tongue and inside of the cheeks.A through rinse using a syringe and gentle suction to remove secretions thereby minimizing trauma to soft tissues in the mouth. Foam sticks and sterile w ater can be used in cases of extreme dryness as its is effective for moistening oral cavity. easygoing paraffin can also be used to prevent lips from cracking. Dentures are usually removed and cared for process when patient needs it, (X Hospital Trust Policy). Appendix 3 Understanding ventilators settings Tidal muckle This is the lung volume representing the normal volume of air displaced between normal inspiration and expiration with no extra effort. veritable(prenominal) values are around 500ml or 7ml/kg. To avoid adverse effects of barotrauma and volutrauma it is recommended to use lower tidal volumes. An initial TV of 5-8 mL/kg of ideal body weight is generally indicated. The goal is to dress the TV so that plateau pressures are less than 35 cm H2 O. Continuous mandatory ventilation (CMV) Breaths are delivered at preset intervals, regardless of patient effort. This mode is used most often in the paralyzed patient because it can increase the work of breathing if respiratory effort is present. CMV has given way to assist-control (A/C) mode.Many ventilators do not have a true CMV mode and offer A/C instead. Assist-control ventilation The ventilator delivers preset breaths in coordination with the respiratory effort of the patient. With each inspiratory effort, the ventilator delivers a full assisted tidal volume. Spontaneous breathing is not allowed. This mode is better tolerated than CMV in patients with intact respiratory effort. In frontierittent mandatory ventilation With intermittent mandatory ventilation (IMV), breaths are delivered at a preset interval, and spontaneous breathing is allowed between ventilator-administered breaths.Spontaneous breathing occurs against the protection of the airway tubing and ventilator valves, which may be formidable. This mode has given way to synchronous intermittent mandatory ventilation (SIMV). Synchronous intermittent mandatory ventilation The ventilator delivers preset breaths in coordination with the respirato ry effort of the patient. Spontaneous breathing is allowed between breaths. These modes are beneficial for patients who require high minute ventilation. unspoilt support reduces oxygen consumption and CO2 production of the respiratory muscles.A potential drawback of A/C ventilation in the patient with obstructive airway disease is worsening of air trapping and breath stacking. Pressure support ventilation For the spontaneously breathing patient, pressure support ventilation (PSV) has been advocated to limit barotrauma and to lessen the work of breathing. Pressure support differs from A/C and IMV in that a level of support pressure is set (not TV) to assist every spontaneous effort. Airway pressure support is maintained until the patients inspiratory extend falls below a certain cutoff.PSV is frequently the mode of choice in patients whose respiratory disaster is not severe and who have an adequate respiratory drive. It can result in improved patient comfort, reduced cardiovascul ar effects, reduced risk of barotrauma, and improved distribution of gas. CPAP is an acronym for continuous positive airway pressure, a variation of the PAP system. Respiratory rate A respiratory rate (RR) of 8-12 breaths per minute is recommended for patients not requiring hyperventilation for the treatment of toxic or metabolic acidosis, or intracranial injury.High rates allow less time for exhalation, increase mean airway pressure, and cause air trapping in patients with obstructive airway disease. The initial rate may be as low as 5-6 breaths per minute in unhealthy patients when using a permissive hypercapnia technique. Positive end-expiratory pressure Positive end-expiratory pressure (PEEP) is a term used in mechanical ventilation to denote an airway pressure that is kept above atmospheric pressure at the end of the expiratory cycle.The equivalent in a spontaneously breathing patient is CPAP. One obvious beneficial effect of PEEP is to shift lung water from the alveoli to th e perivascular interstitial space. It does not simplification the total amount of extravascular lung water. This is of clear benefit in cases of cardiogenic as well as noncardiogenic pulmonary edema. An excess benefit of PEEP in cases of CHF is to decrease venous return to the right side of the heart by increasing intrathoracic pressure.ReferencesAmitai, A. and Kulkarni, R. Medscape (2010), Ventilator Management. Available at http//emedicine. medscape. com/article/810126-overview,assessed on 13/03/11 Beckwith, M. A. R. Beckwith, P. T. (2008) Reflection or Critical Thinking? A pedagogical revolution in North American health care education. Refereed Program of the E-Leader Conference at Krakow, Poland, Chinese American Scholars Association, New York, New York, USA June 2008, Courey, A. J. and Hyzy, R. C. Up to date 19. 1(2010) Over view of mechanical ventilation. Availableat http//www. uptodate. com/contents/search? earch=ventilators&source=USER_INPUT&searchOffset=assessed on 13/03 /2011 Hatfield A, Tronson M, (2009), The arrant(a) Recovery Book, 4th edn. New York Oxford University Press. Chapter 2, Page 29. Johns, C. (2004) Becoming a Reflective Practitioner, 2nd edn. UK Blackwell Publishing Ltd. Kingsnorth, J. , OConnell,K. , Guzzetta, C. E. , Edens, J. C Atabaki, S. Mecherikunnel, A. and Brown, K. (2010)Journal of Emergency Nursing Family Presence During Trauma Activations and Medical Resuscitations in a pediatric Emergency Department An Evidence-Based Practice Project,36/2,pp115 NHS Careers (2009) Operating Department Practice. Available at http//www. nhscareers. nhs. uk/details/Default. aspx? Id=255 (assessed 11/03/2011) Pirret, M. (2002) Utilizing TISS to strike out between intensive care and high-dependency patients and to identify nursing skills requirements. Intensive and Critical Care Nursing. 18(1) pp. 19-26. Rich, A. and Parker, D. L. (1995) Reflection and critical incident analysis Ethical and moral implications of their use within nursing and midwifery education, Journal of march on Nursing 22(6) 1050-1057 Sheppard, M & Wright, M (2005) Principles and practice of High Dependency Nursing. nd ed. Philadelphia. Bailliere, Tindall Elsevier. The Intensive Care guild (2010) An Introduction to intensive care medicine for junior doctors Online Available from http//www. ics. ac. uk/education/2010_trainee_handbook Accessed 19 January 2011. Unknown causation (2006) Eye care for critically ill patients, X Hospital Policy. Unknown Author (2006) Mouth care for intubated patients, X Hospital Policy.

Friday, May 17, 2019

Why, according to Lee Kuan Yew, are Western democratic systems unsuited to East Asia?

lee side Kuan Yew, prime minister of Singapore mingled with 1959 and 1990, and right off Senior Minister of his country, commands much respect and define in both the due east and the West. This respect and influence reaches to the highest echelons of humanity leaders, to the vast multitude of academics, commentators and development strategists, and to the millions of quite a little who live in East Asia. Regardless of whether or not this esteem is justified and deserved, ti is real, and thus must be analysed, interpreted, criticised or praised while not forgetting the importance and effect his beliefs and proclamations afford had, and will live with. both discussion of world politics, especially in East Asia, providenot ignore the hows, whys and wherefores of the ongoing situation and the influence that current ideas and thought may bear on the future. lees views have undoubtedly shaped his own country, certainly have influenced otherwise organizations in the region, and will definitely bear their markon the short- to mid-term future of East Asian politics. This explains the reasons why this show solely deals with him.The essay is divided into three main sections. Firstly, I will discuss lees ideas and policies, and why he believes in an Asian values view of the politics of the region. Secondly, I will explore nigh of the receptions that have been make in opposition to his views, and thirdly, I will present some observations and cultivations of my own. These observations will draw on some other problems and inconsistencies with lees ideas. Let us turn then to the man and his ideas.The central theme running through any study or discussion of his political ideas and actions is the importance that agri acculturation has on shaping the bon ton and its structures. The shargond history, traditions, make-up, worldview and social relationships are the key factors that determine how a press out should be organised and governed. Thus, if the cult ure is different between two sets of peoples, then the resulting state structure and government type will overly be different. elaboration is the driver, the basis of society and the legitimacy used by those in power to find what is best for their people.This viewpoint is lots referred to as the Asian values system (Ng, 1997, Theodore de Bary, 1999, Hague & Harrop, 2001) and is summed up succinctly by the cognomen of a famous interview with lee(prenominal) which appeared in a 1994 edition of Foreign Affairs Culture is Destiny (Zakiria, 1994). The importance that Lee places on the cultural aspect of a society does not mean that what is rightfulness for his country is too right for other countries. Whilst consistently dismissing Western-, and in particular, US-style egalitarian systems as valid models for Singapore, he does not suggest that the US-style system is neccessarily wrong for the US.It is not my business organization to tell people whats wrong with their system. I t is my business to tell people not to foist their system indiscrimately on societies in which it will not train (Zakiria quoting Lee, 1994, p. 110). This can be seen as a statement recognising the particularity of political systems depending on the society / culture in question. Whilst Lee has been described as being authoritarian, semi-, or soft-authoritarian, he certainly doesnt make claims for the world to be based on an Asian values system.It appears that his position is more concerned about memory hold of power in Singapore preferably than exporting it around the world. The main, fundamental as Lee calls it, cultural reason why Western democratic systems are unsuited to East Asia is the difference between the place and status of the individual in those societies. The fundamental difference between Western concepts of society and government and East Asian concepts is that Eastern societies believe that the individual exists in the context of his family. He is not indigenous and separate.The family is part of the extended family, and the friends and the wider society. The ruler or government does not try to provide for a individual what the family best provides (Zakiria quoting Lee, 1994, p. 113). This focus on the moral and virtuous notion of society is stongly linked to Confucianism, so often portrayed as being fundamentally East Asian and al tracks compared with Western systems. Lees manifestation of this belief is used by him to legitimate and promote an East Asian society based on lovesome hierarchical structures to bring about social and political stability.In the East the main object is to have a well-ordered society so that of all timeybody can have maximum enjoyment of his freedoms. This freedom can only exist in an ordered state and not in a natural state of contention and anarchy (Zakiria quoting Le, 1994, p. 111). These three main features of Lees take on East Asias political and social mood culture, the place in society of the individ ual, and a well-ordered society are admittedly affected and influenced by the West over time, and are not seen as developing without the impact of colonial rule and imperialism. ur Confucianism has been cut by 120 years of British rule and education in British and other communicatory universities (IHT, 2001). But, despite this impact Lee steadfastly denies any further infusion of Western body politic into East Asia, especially Singapore. this doesnt mean we are going to be like a Western society. The values are different (de Borch, 2001). Lee is not the torch-holder for everyone though. Whilst he receives praise from his counterparts around the world, there are many in the academic and development strategist world that strongly disagree with him.Of course, it is not just a mere(a) case of disagreeing over a study of opinion, there are many valid and strong arguments against Lees ideas. From this innumerous of arguments, I have identified three main strands of contestation historical arguments against Lees Asian values, the theoretical arguments concerning discussions of what democracy should be and how it should be pass offed in East Asia, and the problems and animadversions of the actually existing governing style of Lee. First then, arguments against Lee taken from history.There are two key aspects to this the relevance of Confucianism to East Asia today, and evidence of a democratic tradition throughout East Asias past. Famously, Max Weber theorised about the particular contribution to advanced capitalism of the Protestant ethic. This, in turn, explained how other cultures, including Confucian cultures, were not suited to advanced capitalism. Clearly this can now be questionned, especially if, as many commentators have said, that East Asia is economically dynamic.If Confucianism explains the economic boom in East Asia today, does it not also explain that regions stagnation for four centuries? Zakiria, 1994, p. 125). Kin Dae Jung, writing in re sponse to the Culture is Destiny interview, identifies a strong tradition and history of democratic ideals and institutions in East Asias past. This suggests that an argument could be made for Asian values actually referring to a much more democratic system than the Confucian-based one that Lee propagates. A thorough anaylsis makes it clear that Asia has a rich heritage of democracy-oriented philosophies and traditions. Asia has already made great strides toward democratization and possesses the necessary conditions to develop democracy even beyond the level of the West (Jung, 1994, p. 91).The second major criticism of Lee comes from studies of the theoretical nature of democracy and what it means, shuold mean, or can mean to East Asia. The basic antedate is that why should democracy only be relevant to particular cultures and why should particular cultures have to follow other political paths? This highlights the argument for democracys universality. There is nothing special about torturing the Asian carriage human rights are human rights (Vatikiotis cited by Hague & Harrop, 2001, p. 29).The rejection of Western-style democracy by East Asian leaders is also seen by some as merely an excuse for not moving beyond soft-authoritarianism and into democracy. This is strongly tie up with the observation that this is simply the most effective way for leaders much(prenominal) as Lee to rule their countries. The biggest obstacle is not its cultural heritage but the resistance of authoritarian rulers and their apologists (Jung, 1994, p. 194). The third plain of opposition to Lees ideas that can be identified is that of problems with the actually exisitng state and society structures and institutions.For some, just observing Lees pretend of rule is enough to reject his notions of what is the correct way to govern. These doubts stem chiefly from the Singapore governments undeniably common treatment of the opposition, as evidenced in its most recent elections (Ng, 1 997, p. 21) Also, there appears to be two threats to the unit Asian values theory. Firstly, we have on the one hand Lee purporting to leave the individuals private matters to the individual, whilst on the other it can be observed that his government is actually intruding into the private sphere more than ever (Jung, 1994, p. 90).Secondly, an external threat is apparent from the global spread of modernisation. as an inevitable consequence of industrialisation, the family-centred East Asian societies are also rapidly moving toward self-centred individualism. Nothing in human history is unending (Jun, 1994, p. 21). In polish it must be said that Lees position in East Asia, and his reverance amongst Western opinion-formers should not distract us from dissecting and criticising his ideas.It is not good enough to assume that cultural traits should determine, worse still, justify the actions of governments, especially Lees. There should be certain aspects to a government and society tha t are unacceptable no matter what setting. Lee makes much of the need for a well-ordered society. The heavy-handed way this society is brought about blatantly contradicts Lees notions of freedom. He talks of East Asians being able to have maximum enjoyment of his freedoms but Lees notion of what is behaving and what is misbehaving sets a Singaporeans realm of freedom for him.This is certainly not the freedom that John Stuart Mill wrote about. It could be argued that it is better to have a society that is not so well-ordered but democratic, than it is to live in a society such as one that Lee envisages faith must be placed with society to check its members activities rather than have all aspects of life limited by an all-seeing government. Lees ways may also only be suited to a miniature state such as Singapore. Even he admits that, within that small population, total control is practically impossible.This for me leads to the heart of the importance placed by Lee on Asian values and why Western ideas of democracy are unsuited to East Asia. It is very hard to escape the conclusion that the justification of Asian values is solely a political smokescreen to maintain power. It is even harder to escape this conclusion when the man himself proclaims So when Americans tell me you ought to govern in this way, I say thank you very much, I have listened to you very carefully, if I dont think we are ready for that, I have to do it my way (IHT, 2001, my emphasis).

Thursday, May 16, 2019

Role of education in a developed country

Ads not by this site About the role of education in a developed country. Over the years, mankind has recognized the need of maintaining an educated civilization as existence piece of music of the patterns and orders of evolution. It is fairly safe to say that without education there cannot be any progress on a social, moral as well as economic scale. Knowledge and culture are the basic elements to a well-heeled and prosperous society. From a social spot of view, education is a matter of acquiring the top executive to adapt to demanding situations.Due to the continual change in modern means of living there has been an increased subprogram of social issues needing to be dealt with. As a rule, the more articulate our need to prosper, the more detri moral we grow ourselves to react to negative stimuli. Thus education supports us in developing the necessary mental mental object of overcoming such internal conflicts. For instance, a narrow-minded person has the tendency of reacting in a violent and self- reject way, while a broad-minded one will discover solutions to problems nstead of aggravating them.From a moral point of view though, education still stands as a major influence on both the put to work and content of our society. Clearly, we develop a mutual understanding of the unspoken rules which are at the very shopping center of a nation. To cast some light on the issue of moral values, teachers instigate in their students the brilliance of education in relation to personality development. In effect, Ireland is a great model of a hearty educational system, thus being one of the ost highly regarded nations on behalf of teaching methods.However, education does not and clear the path towards a brighter society, but it also enhances the opportunities and chances of citizens to find a stable working place. The unemployment array is lower in developed countries than in illiterate ones such as the African villages. All of this being due to the higher le vel of knowledge. In other words, the more educated a nation, the higher the chances of chief(prenominal) discoveries taking place.Also, it has been proven that educated people have a lesser chance of contracting mental illnesses. To conclude, there is enough evidence to support the view that a country is more prosperous and thriving than other ones as long as the level of education among its population is above the average. As Horace Mann express A human being is not attaining his full heights until he is educated.

Wednesday, May 15, 2019

Elizabeth Bennet Essay Example | Topics and Well Written Essays - 500 words

Elizabeth Bennet - Essay archetype(87) Elizabeth is intelligent, and has a quick and lively wit. This in snap officular distinguishes her from Lydia and Mrs Bennet, because Pride and Prejudice makes heavy use of duologue to characterize people and tell the story. Elizabeth thinks and speaks on a variety of subjects, whereas Lydia and Mrs Bennet are concerned scarcely with parties, officers, and husbands. Elizabeth is sometimes deeply embarrassed by the behavior of her family, and recognizes that Lydias behavior is out of control in part due to lack of discipline on her mothers part supported by her mothers indulgence, what chance could there be of improvement (175)Both Elizabeth and Lydia are vivacious and lively, but while Elizabeth tempers these qualities with good manners and her understanding of and assistance to social conventions, Lydia lacks any sort of good judgment. She is un satisfactory and unwilling to restrain her impulsive nature, and is never able to understand th at her behavior reflects badly on herself and her family. Returning to Longbourne after marrying Wickham, Lydia is unrepentant, full of ease and good spirits (255) and thinks only of boasting about her marriage, and other subjects which her sisters would not have alluded to for the world. (255)Elizabeth shares few, if any qualities with her mother

Tuesday, May 14, 2019

Staffing and defining an arts organization Assignment

Staffing and defining an arts organization - appointee Examplethat Our main reason for being is to create theatre productions that reflect the Canadian experience of the past, hand and future (What we do, n. d.).The mission statement of the organization rest upon the values, which is expressed as- we are very active in play development as a means of supporting Canadian playwrights and building the repertoire of Canadian plays (What we do, n. d.).The director is more responsible for the artistic activities of the organization rather than engaging in the day to day activities of the organization. He must have the vision that the plays staged by the organization must be queer and uphold the values of the organization enunciated by the founder.He must be a person of commodious term vision as the organizations future id relied upon how competent he is in safekeeping the studio upfront of similar organizations. Similarly, he must have good managerial abilities and leadership qualities as he is the person responsible for coordinating the whole activities of the organization. He should have a good farsightedness and motivational qualities. He must motivate the entire people in the organization so that the objectives throw out be

Monday, May 13, 2019

First topic is (Arrest Discretion) & the second is (The war on Drugs) Essay

First topic is (Arrest Discretion) & the guerilla is (The war on Drugs) - Essay ExampleThe guardian was his fifty-two year old nan who was his level-headed guardian beca recitation his mother was unfit to take care of her children. The juvenile has non lived with his guardian for a year. He was a drug dealer and was drunk when he attempted to enter his grannys home. His grandmother commenced to hit him because he displayed disorderly conduct, calling her a bitch. A police officer was called to her home. Since her grandson was under eighteen, the grandmother could have been legally arrested because she was guilty of assault, physical child abuse, and neglect, but based on the circumstances, the juvenile was told not to come back to the home. In this case, arrest discretion was used to determine if arresting the grandmother was proper. guard officers use arrest discretion in many situations. When an officer does not want to make an arrest, he or she does not make an attempt to th reaten the person. When an officer is at the end of his or her shift, the officer knows that he or she will not see the person again. However, when the officer wants to make an arrest, the officer picks a person out of the group who is usually rude and places them under arrest. Regardless of departmental regulations, officers frequently use arrest discretion techniques when deciding who should be placed under arrest.Police officers play a ruinous part in the fight against illegal drugs. Drugs existed long before tribe were arrested for drugs. Jails are filled with people who have been caught with drugs. However, police officers should practice police management in an effort to fight the war on drugs, which would reduce the number of arrests and the costs for imprisonment. Drugs are compared to the affects of alcohol in the 1830s, which caused immoral activities and a need for laws censor its distribution. However, the problem is not the drug itself. It is the violent consequence from its distribution and sell. The drug

Sunday, May 12, 2019

DIGITAL CULTURE AND MONEY Essay Example | Topics and Well Written Essays - 1000 words

DIGITAL grow AND MONEY - Essay Exampleat has been researched to ensure readers to gain insight of the events going around them for them to farm their own judgement (Allen-Robertson, 2013). Despite being published in the joined Kingdom, the weekly return has a wide readership with almost 1.5 million copies going into circulation weekly. Nearly half of these copies are sold in the United States of America. That notwithstanding, the publication has a digital platform whereby readers from all over the world can make online subscriptions so as to get the weekly copy of the newspaper via the internet (Bettig and Hall, 2012).The Economist has been a successful media publication that has been able to stand out from its competitors due to the economic liberalism that is demonstrated in its articles. The paper tends to highlight impressions from a distinct perspective thus equipping its readers with refined details concerning the issues at stake. Notably, it explores all emerging issues c rossways the world through a close and candid interaction with the respondents to bring out credible and gauzy journalism to its audience. The publication is a favourite among many economic pundits due to the fact that it tends to explore issue in the business world from a professional perspective that makes informed opinions that would help the readers to make small business decisions since it only bases its articles on factual information that has substantial evidence and backing (Bettig and Hall, 2012).Conversely, despite its holler implying it to be more of focussed on economic issues the publication indulges in a wide prototype of issues from science and technology to business and tries to come up with a paradigm of how all these aspects influences or quite shapes the economic situation in the world. Case in point, when mobile money transfer service M-Pesa was launched in Kenya the newspaper run a story that alienated the impact of the service to the economy of the country from mingled perspectives. It elaborated how