Tuesday, August 6, 2019

The Primary Care Clinic Essay Example for Free

The Primary Care Clinic Essay A small primary care clinic has 69 employees, representing 9 different clinical professions and 12 other skills. It operates two (2) sites, one (1) of which is bigger and has the departments for medical specialists, diagnostic labs, and patient services. The clinic also contracts for a variety of services, such as repair and maintenance, referral specialists, and advanced diagnostic services. You are the manager. You report to the owners who are four (4) of the family practitioners and their wives. Two of the wives still work at the clinic as registered nurses. Write a five to seven (5-7) page paper in which you: 1.Discuss the key political, economic, and social forces that may have influenced the development of the clinic. 2.Create a comprehensive mission statement and explain what makes it a comprehensive mission statement. 3.Identify three (3) performance measures you would use to measure the clinic’s effectiveness and provide the rationale for each performance measure. 4.Describe how you would approach decisions regarding clinic expansion and annual plan approval. 5.Describe the role of the clinic as a component of the healthcare delivery system in your community. 6.Examine how public healthcare policy has influenced the formation of outpatient clinics in the healthcare system. 7.Use at least three (3) quality resources in this assignment. Note: Wikipedia and similar Websites do not qualify as quality resources. Your assignment must follow these formatting requirements: †¢Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions. †¢Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length. The specific course learning outcomes associated with this assignment are: †¢Examine the political, economic, and social forces that have influenced the organizational foundations of the United States healthcare system †¢Explain how public policy has shaped the development of the U.S. healthcare system. †¢Analyze the critical management issues, purpose, functions, and performance measures of different departments within healthcare organizations. †¢Use technology and information resources to research issues in health services organization management. †¢Write clearly and concisely about health services organization management using proper writing mechanics. Grading for this assignment will be based on answer quality, logic / organization of the paper, and language and writing skills, using the following rubric.

Monday, August 5, 2019

Torture is Ethically Wrong: Analysis

Torture is Ethically Wrong: Analysis Stephen D. Dillehayes Serving in a combat centered career in the military for almost two decades I have many experiences with the topic of torture. I have attended classes on how to apply and resist, both with varying results. But one of the topics that always come up is Is torture ethically right. I believe argument can be broken down into categories, how it affects the person and how it affects the states, which will reveal how it is fundamentally wrong. Lets look at two sides of the debate. Argument: Premise 1: Provides information in time sensitive situations. Premise 2: The ends justify the means. Premise 3: The enemy uses it, so there isnt a reason we shouldnt. Conclusion: Torture is legally and morally right. Counterargument: Premise 1: By dehumanizing someone you can collect information easier, but this also dehumanizes you. Premise 2: Human rights are suspended by the torturer to get what he wants. Premise 3: Information received validity cant be trusted. Conclusion: Torture is legally and morally wrong. The first premise of the counterargument is centered on the acts of violence inflicted by the torturer. To be affective as a torturer you have to think of your victim as less than human, in order to justify the human rights violations you have to commit to get any useful information. This process have been seen throughout history, the most notable is the Nazis treatment of the Jews in World War II. These actions can led to not only war crimes, human rights violations but also legal ramifications which will have long term effects on the person i.e. criminal charges and psychological damage. For the second premise you have to look at human rights on a global scale. The United Nations, in 1948, wrote the Universal Declaration of Human Rights. One of the Articles contained in it is Article 5, which states No one shall be subjected to torture or to cruel, inhuman or degrading treatment or punishment. In particular, no one shall be subjected without his free consent to medical or scientific experimentation. (UDHR, 1948). The United States of America was one of the members who helped draft and signed this collections of rights. By denying to fall it and allowing personnel within its government or military to use torture as a mean to get information the United States government as a whole is guilty of human rights violations. The last premise can be summed up from the Army Field Manual 34-52 Chapter 1, Experience indicates that the use of force is not necessary to gain the cooperation of sources for interrogation. Therefore, the use of force is a poor technique, as it yields unreliable results, may damage subsequent collection efforts, and can induce the source to say whatever he thinks the interrogator wants to hear. (AFM 34-52, 1992) This statement comes from an organization, the U.S. Army, which has been at war no stop with terrorism for over a decade and they dont even believe torture is an effective way to get information. It is hard to get a better first hand source then that. All of these lead to the conclusion that the argument is fundalmentally flawed. If you look at the main points you can see how they dont support the conclusion, whereas the counter argument not only supports but validates its conclusion. One, provides time sensitive information, which cant be trusted. Two, the ends justify the means, the same argument the Nazis use, which didnt make it right. Finally, our enemy use it so we should. This mindset was ban by the UN, which the US is part of, which makes the premise invalid. By looking at the evidence provided, which shows that torture dehumanized a person, but is globally wrong based off of articles of the UN, there is no other conclusion then torture is wrong. Not only on a personal standard, from what it does to someone. But since the USA has already signed an agreement banning it, it is legally wrong at the state level as well. References Universal Declaration of Human Rights (10 December 1948) retrieved from http://www.claiminghumanrights.org/udhr_article_5.html FM 34-52 (1992, September 28) retrieved from https://fas.org/irp/doddir/army/fm34-52.pdf

Sunday, August 4, 2019

Importance of Faith in Young Goodman Brown by Nathaniel Hawthorne Essay

Importance of Faith in Young Goodman Brown by Nathaniel Hawthorne In Young Goodman Brown, the main character, Goodman Brown has a bout with his own faith. He ends up losing this battle because of the wickedness in everyone else’s hearts. He begins by wanting to be the evil one, then progresses to be the faithful one as the night in the woods goes on. His name has a lot to do with the character in the story. The â€Å"Young† in his name is to symbolize innocence, and â€Å"GOODMAN† is pretty self-explanatory. He goes off in to the woods and comes with a lost faith in everyone else in the town. Goodman Brown decides he wants to go off into the woods for one last night of evilness before married life really kicked in. He says, †What a wretch am I, to leave her on such an errand!†¦Well; she’s a ...

Saturday, August 3, 2019

Shakespeares Macbeth - Renaissance Humanism Essay -- GCSE English Lit

  Ã‚  Ã‚  Ã‚  Ã‚   While the witches present in Shakespeare’s tragedy Macbeth assume the role of supernatural beings, it was not Shakespeare’s intent to portray a classic case of fatalism. On the contrary, Shakespeare used Macbeth as a way to display the idea of Renaissance humanism. Although the witches did in fact possess uncanny powers, they were in reality not controlling Macbeth, but rather they were tempting Macbeth to act in particular ways. The witches, as well as other significant characters, may have encouraged Macbeth to act in a certain way, yet they did not by any means determine Macbeth’s actions. By comparing the humanist movement and its values to the tragedy Macbeth, it becomes blatantly obvious that Macbeth was intended to demonstrate the basic humanistic qualities. Under the premise of humanism it is required that there be a centralization and focus upon humans, a balance in which elements within reflect without, and all reason must be used to become more angelic than bestial. Although the witches’ predictions display supernatural properties, their philosophies center around the dealings of mere mortal humans. This gives humans a sense of importance in the workings of the world. Even nature is disturbed as part of fulfilling one of the philosophies (the displacing of Birnam Wood to Dunsinane). Moreover, one of the main themes of the play, the effects of evil in the life of one man- Macbeth, stresses a centralization on the individual being. Through the usage of masks in Macbeth, the balance is achieved by blocking off elements within from being focused without. This is shown in Act I, scene V, as Lady Macbeth talks to Macbeth, she gives him specific instructions: "Look like the time; bear welcome in your eye, Your han... ...he appearance of the Weird Sisters in Macbeth, as well as the encouragement of a few influential characters, Macbeth is clearly defined as a portrayal of the true spirit of Renaissance humanism. Macbeth may have attempted to place the blame away from himself, but the fact that he no longer accepted the responsibility for his actions does not mean that the responsibility is removed, and therefore Macbeth’s downfall can be traced back to the actions of one man, Macbeth.    Works Cited Page Cooper, The Mystery of Witchcraft, London, 1617. Epstein, Norrie, The Friendly Shakepeare, New York, Viking Publishing, 1993. Harbage, Alfred, Macbeth, Middlesex England, Penguin Publishing, 1956. Magill, Masterplots- Volume 6, New Jersey, Salem Press, 1949. Staunten, Howard, The Complet Illustrated Shakespeare, New York, Park Lane Publishing, 1979.   

Hermes :: essays research papers fc

The fleet-footed messenger with wings on his heels and cap symbolizes fast delivery. However, Hermes was neither originally winged nor a messenger - that role was reserved for the rainbow goddess Iris (Medusa's cousin and the daughter of Thaumys and Elektra). Hermes was, instead, clever, tricky, a thief, and, with his awakening or sleep conferring wand (rhabdos), the original sandman whose descendants include a major Greek hero and a noisy, fun-loving god. Before Zeus married Hera, Maia (a daughter of the second generation Titan Atlas, who was a son of the Titan Iapetos and Okeanos' daughter Klymene) bore him a son, Hermes. Like Heracels, Hermes showed amazing skill in early years. He escaped his cradle, wandered outside, and walked from Mt. Cyllene to Pieria where he found Apollo's cattle. His natural character was to steal them. He even had a smart plan. First, he padded their feet to soften the sound, and then he drove fifty of them backwards in order to confuse search. He stopped at the Alpheios River to make the first sacrifice to the gods. To do so, he had to invent fire, or at least how to fire up it. Then he selected two of Apollo's herd, and after killing them, divided each into six parts to keep in touch with the twelve Olympians. There were, at the time, only eleven. The remaining part was for him. After completing his new ceremony, Hermes went back home. On his way, he found a tortoise that he took inside his house. Using leather strips from Apollo's herd as string, he created the first lyre. He was playing the new musical instrument when Apollo found him. Noticing the material of the string, Apollo was angry with Hermes for stealing his cattle and smart enough not to believe Hermes when he protested his innocence. Bringing together seemed impossible until the father of both gods stepped in. To make amends, Hermes gave his half-brother the tortoise shell lyre. Later, Hermes and Apollo made another exchange. Apollo gave his half-brother the Caduceus in exchange for a flute Hermes invented. Zeus realized he had to keep his smart, cattle-rustling son out of mischief, so he put him to work as god of trade and business. He gave him power over birds of sign, dogs, boars, flocks of sheep, and lions. He provided him with golden sandals, and made him messenger (angelos) to Hades.

Friday, August 2, 2019

Vivid Atmosphere

Vivid Atmosphere: Tennis Slowly, I kneel down to tie my shoe for the fourth time this match. The sweat creeps down my face as if mocking me in saying that I should have taken the cardio sessions more seriously. At this point I was doing everything I could just to keep my body from collapsing to the ground. The feel of the sun beating down makes me wonder if it is purposely driving all of its energy to sap mine. Glancing up across the court I see my water bottle filled with mountain dew.At that very moment the sugary, citrusy scent flows through my nose increasing my thirst even more. I could care less if everyone knows that my shoe really wasn’t untied, and they did. This was too much, the constant sprinting back and forth while trying to place the ball in that perfect spot. Why would anyone participate in something like this willingly? Somehow I always pick the best hobbies. It’s been about a minute now and my hand tightens around the sticky tape of my racket as I use every ounce of energy I have left to stand to my feet.Standing there my weight now shifts back and forth between my tired and blistered feet. She serves. My fast reflexes allow me to throw my racket to where the ball is going and my jaw tenses as I brace myself for impact. The vibrations tingle up my arm as I strategically swing through the ball at the perfect speed and angle. Well, almost perfect. The disappointment of another return into the net. A smirk on my opponent’s face shows her attempt at hiding the satisfaction she has in winning†¦. again.

Thursday, August 1, 2019

Critical Analysis of Kubla Khan by S.T. Coleridge Essay

In the poem Kubla Khan by Samuel Coleridge, language is used to convey images from Coleridge’s imagination. This is done with the use of vocabulary, imagery, structure, use of contrasts, rhythm and sound devices such as alliteration and assonance. By conveying his imagination by using language, the vocabulary used by Coleridge is of great importance. The five lines of the poem Kubla Khan sound like a chant or incantation, and help suggest mystery and supernatural themes of the poem. Another important theme of the poem is that of good versus evil. The vocabulary used throughout the poem helps convey these themes in images to the reader. In the first two lines, Coleridge describes the ‘pleasure dome’ in Xanadu. In Xanadu did Kubla Khan a stately pleasure dome decree Kubla Khan did not merely order, but decree that a ‘stately pleasure dome’ be built. This dome is evidence of how unnatural the place of Xanadu is, it has a ruler who ignores the unpleasantness that can be found in life. The use of vocabulary challenges and teases the imagination into seeing what he, Coleridge saw in his dream. In Xanadu, there are not small streams, but ‘sinuous rills’ and wall and towers do not enclose the gardens but are ‘girdled round’. Coleridge’s use of language and vocabulary helps to convey the extent of his imagination. Read Also:  What is a Critical Analysis Essay In the poem Kubla Khan, imagery is also important for Coleridge to convey his imagination to the reader. There are images of paradise throughout the poem that are combined with references to darker, more evil places. On example of this is the ‘demon lover’ that has bewitched the woman. Coleridge’s image of the ‘dome of pleasure’ is mystical, contradicting the restrictions of realism. Xanadu is also a savage and ancient place where pure good and pure evil are much more apparent than in the monotony of everyday living. By using images, Coleridge conveys the extent of his imagination to readers. The structure of Kubla Khan is really in two parts. The first, which contains three stanzas, describes Xanadu as if Coleridge is actually there, experiencing the place first hand. The second part of the poem is filled  with longing to be in Xanadu, but Coleridge is unable to capture the experience again. The first stanza has a definite rhythm and beat and describes the beauty and sacredness of Xanadu with rich, sensual and exotic images. The second stanza depicts the savage and untamed violence of life outside of the pleasure dome. The disorder and primitive cycles of nature are mixed with images of evil and the threat of war is also introduced in the second stanza. In the third stanza, the life forces are entwined together to prove that beauty and danger cannot be separated from each other, despite what the ruler Kubla Khan wants. Kubla Khan is a self-portrayal by Coleridge who believes that it is he who controls the land of Xanadu. A sunny pleasure dome with caves of ice. The dome itself is a contrast with sun and ice, the sun symbolising all things good and the ice symbolising death and destruction. There is a definite change of tone between the third and fourth stanzas. The fourth stanza no longer describes Xanadu, but Coleridge’s desire for control over his imagination, to be able to re-conjure the feelings and ideas of Xanadu. The two parts may initially seem unconnected, but the ideas in both parts of the poem link these sections together by showing that even the ruler cannot have control over the forces of nature, and the writer over his imagination. Both parts of the poem deal with the attempt to create: Kubla Khan has built a pleasure dome and Coleridge is trying to use language to recreate the perfection of his dream with words. The poem is conveyed to the reader with the use of language and the structuring of the poem plays an important part in this. In the poem Kubla Khan, Coleridge uses contrasts in the images he presents to his audience. Xanadu is idyllic, but also ‘savage’. This â€Å"savage place† refers to the creative state of mind, or even the sub-conscious state, which helps the writer become inspired. Coleridge mentions that it is a â€Å"holy and  enchanted† spot where everything seems to fall into place for the author. However, in this poem, the inspiration hasn’t quite hit Coleridge yet, that is until the images of the moon and the women come into his mind. Soon after they are mentioned, â€Å"a mighty fountain† emerges and Coleridge’s imagination process seems to have been triggered. These images in the second stanza speak high volumes in the creative process. By just panning his own made-up land, Coleridge had a vision of something that automatically set off his mind to help it write that much easier. Now the imagination can flow endlessly to wherever the writer wants to go. And it is now clear that art is made up of several fragments that are expressed easier by having numerous visions described through out the poem. Coleridge uses images such as a waning moon was haunted by a woman wailing for her demon lover This image of a woman bound to evil brings the dark side of the supposed utopia to light. The peace and serenity is contrasted by the violent disorder of the river and the threat of war. The use of language in the contrasting images helps convey to the reader the extent of Coleridge’s imagination. There are images of two women in the poem and they are a direct contrast to each other, one representing evil, and the Abyssinian maid exotic and beautiful. Yet the poem is a good example of appearances being deceptive. The ‘pleasure dome’ may be beautiful with its bright ‘sunny’ gardens and ‘blossoming incense trees’, but it is an enchanted eye of the storm. The garden is surrounded by savage destruction caused by the ‘ceaseless turmoil seething’. Xanadu is not ruled by what Coleridge wants, but by the raw, ancient corners of his mind, which are continuously struggling in their search for utopia. The ideal paradise is threatened by the darkness and disorder caused by the river Alpha. All these images are examples of the extent that Coleridge conveys his imagination to the reader. Coleridge was a deeply religious man and the poem is filled with references to god and related ideas. Xanadu symbolises the fabled Garden of Eden, it is lovely and innocent, surrounded by evil and the constant threat of destruction. ‘Ancestral voices prophesying war’ could be likened to God’s  warning to go near the tree, as Eve fell for the snake’s treacherous charm. Through out this first stanza, Coleridge uses several apparent biblical references in â€Å"Alph,† â€Å"gardens,† â€Å"tree,† and even â€Å"river.† The word Alph refers to Alpha, or the beginning. The garden can be related to the Garden of Eden, and the tree could be the apple tree from Genesis, the first book of the Bible. He writes about a â€Å"sacred river† which could also be tied to several stories throughout the Bible including various events with water. The true reasons he used these words might go unknown, however I believe Coleridge included them in his work to enhance the significance of using one’s imagination. For example, by noting that these words have to do with the creation of man, one could assume that this poem’s paradise is in fact a more important place than it really is. He is adding his own power by making it whatever he wants, and he does it very cleverly with his own imagination and common Bible knowledge. By describing these caverns shaped like domes with plenty of greenery to brighten up on one’s day, Coleridge sort of scans the area and gives us his train of thought. Coleridge describes the river as ‘sacred’ on numerous occasions throughout the poem, and to Xanadu as ‘holy and enchanted’. This is yet another contrast, how can something holy be enchanted at the same time? Coleridge talks too of ‘miracles’ but mingled with the holiness, Coleridge refers to hell with his choice of language to depict what is outside the pleasure dome. The demons described are closely related to witchcraft and the closing lines of Kubla Khan describe pagan rituals that attempt to protect not only the reader, but also Coleridge himself from the forces of evil and the extent of his imagination. Coleridge, having ‘drunk the milk of paradise’ desired and sought after the beautiful image of Xanadu and Utopia and his final stanza is his way to describe to the reader how badly he wants to go back there. By using his wide vocabulary to depict images and contrasts with the help of some literary techniques such as imagery and contrasts, Coleridge easily conveys to the reader the extent of his imagination. Even though this dome is Coleridge’s dreaming interpretation of paradise, the poem is visionary as it taps into the power of creativity and imagination. The fact that this poem was inspired by a drug-induced dream is one thing, but the dream aspect is more important. Coleridge is relentless in his attempt to recreate his hallucination in order to produce his form of art for others to enjoy. If you actually think about living in the world today without imagination or art, one would have to be a machine due to not be affected by all of the depressing events that go on in the world. This poem goes to show that true artists crave for readers to open up their minds a little more, even if it’s for only a couple of minutes. Coleridge also proves that by adding a little imagination, you are not only able to recreate anything, but you can fine tune things to however you want them.