Sunday, January 26, 2020

Human Rights and Mental Health

Human Rights and Mental Health Ethical Communication Human Rights and Mental Health Ethics is concerned with what is good for individuals and society and is also describe as moral philosophy .It covers a lot of dilemma such as how to live a good life, individual rights and responsibilities and the language of right and wrong(BBC 2014). Ethics defines the elements essential to human well-being. In addition it also refers to the specific values, standard and agreements people adept for conducting their lives. In other words ethics is the study of human behaviour and it is consequences in the tight of what is possible also is define as the social condition necessary for human beings to thrive. Furthermore ethics wisdom is the product of long history and it comes from the reality producing function of the mind (ETHICAL SOCIETY 2012). Ethics provide good tool for individual and ethical thrives are useful in practice and they need effect the way human beings behave. Sometime if two people are disagree or argument, ethics does not provide with the sort of help that they really want (BBC 2014). Moreover (SCU 2010) tested that ethics has to do with what your feelings tells you what is right or wrong, your religious belief and the law require. Furthermore ethics refers to well-founded standard of right or wrong that helps human ought to do and especially in terms of rights, obligations, benefits to society, fairness and specific virtues. Human rights (OHCHR 2014) state that human rights is rights for all human beings, whatever our nationality, place of residence, sex, national, ethnic origin, colour, religion, language or any other status. Human rights based on principles like dignity, fairness, equality, respect and autonomy (EHR 2014) Human Rights Act protects all of us rich, poor, old and young. Furthermore human rights may be used with anyone in the country citizens or foreigners a child and adult. (LIBERTY 2012). The human rights cover many of everyday life ranging from the righto food, shelter, education, health, freedom of thought, religious and expression. Individual who receive care they have right which will help them not to be treated inhuman. They have the right to be treated equally not to be tortured (YHR) for example for the staff to locked an individual with mental health problem in his/her bedroom without any food and drink because he refused personal care. They have got the right not to be treated deliberate (YHR) such as for the staff to leave an individual covered with faeces and urine for long-time and not giving him pressure relief because he have mental illness. Also they have the right to be treated as individual not objects (TELEGRAPH 2010). All patients with mental illness are individual and they are still the same despite their illness (TELEGRAPH 2010).They have the right to be treated with dignity and respect as a human being (MHDH). Dignity is good all the time to the individual whom I take care of because it helps staff to be close with individuals, however, and the individual they will be free to communicate their needs. Patients have the rights to accept or to refuse of treatments. To refuse other treatments like electroshock treatments and insulin shock can causes side effects (MHDH 2014). The Code of practice (1983) describes good practice that all mental health professionals should follow when treating people under Mental Health Act. The patient who is treated against this must be as fully involved in planning treatenents as possible and his wish should be taken into account by the team of mental health professionals responsible for their care in the hospital(MHA 2005) and also he have the rights to involve family members and other carer. In UK care practitioner and other professionals such as nurse they have duty to restrain an individual to protect from harming other individual, staff, visitors and him/herself. Restrain is to stop an individual or to restricting his movements and his liberty. (LTAR 2012). In other words restrain is to stopping a person during something he want to do that may harm them (BBC). I work with individual with dementia and I see many types of restrain from staff. Also all staff are trained to MAPA, DMI, Personal Safety and Restraint for them to manage to restrain patients. The type of restrain which I see are as follows, physical restrain and this involve two to five member of staff holding individual for personal care, transferred him from lounge to quite room and blocking his movement. Table, chair or bed restraining this involve equipment or any furniture to stop an individual to getting out from the chair or his bed, however, this will stop an individual freedom. Medication restrain when the individual is in bad mood, putting others on risk and banging the doors. The staff will tell anyone who is qualified to administrate medication to give him his medication which keep him to be calm. In other places they use verbal restrain this to telling an individual not to do what he want to do nor he is equipment such as hoist, stand aid , elevator and sharp objects disposal bin which is dangerous for him. Covert administration of medicines is a complex issues and involves the administration of a medicine disguised in food or drink to a patient without their knowledge or consent (Haw and Stubbs 2010). Nurses are especially hit hard in this predicaments because they are the ones in direct contact with the patients, and they are the one who administer the medicines. It should be considered, within the appropriate legal frameworks, for patients who lack capacity and should not be undertaken without being discussed between various healthcare professionals and the family or carer of the patients (RCP 2004). Individual are being admitted to the hospital without his will. In other words being sectioned or detained is the authority for admission to the hospital comes from the Mental Health Act not from him. When the individual is detained he forced to take his medication if it is necessary, also when detained you will be in the hospital until you are discharged. (RETHINK) Furthermore individual sectioned if he is unwell and the Mental Health Act will never take this light. The individual has to be suffering from a mental health disorder of a nature or degree which warrants his detention in a hospital for assessment or treatment. (RETHINK) state that the Mental Health Act give the hospital power to treat the individual against their will. As care practitioner it is part of my job role to be able to make individual happy through communication. For what I mention above about restrain it is not for the individual and for human right because staff must find what cause the individual change to his mood. They are lot of things which can make mental health patients to be aggressive, shouting and agitated such as weather, noise environment, staff and depression. (Joseph Fletcher) states that ethics is love and you should always thinking about yourself and you should do the loving thing. It is good to use good communication not physical restrain because physical restrain causes bruises and skin tear to the patient or even death and it is against his will. Communication make good relationship between staff and patients. At my work place I make sure an individual have his hearing aid and glasses before I communicate with him/her. This will help him to understand what I am saying and he give me his answer. I sit the same level with him and this helps eyes contact. I take time to listen to them even he or she is in bad mood and I give them time to explain then after I explain and tell them to calm down in love ways. When I am communicating with them I communicate clear and not length and when he is calm then I take him to a quiet place without restraining nor force. Other staff they do not even tell what they want to do but they just restrain a patient and this will cause him to be in bad mood all the time. They was a patient who died during restraint and he was classed as a high risk patient because he was prone to aggressive towards, other patient ,staff and him. One staff was grabbed him and pulled him down on top of him, however, the staff remained on top of him waiting for the other staff to come .When he came and hold the other arm the patient was not breathing. Communication is a basic human rights .The individual rights are particular important because it is their major way of communicating their needs and preference. If I did not communicate with them they are unable to realise or exercise their rights because they have the right to freedom of expression. According to United Kingdom Law, patients have the right to refuse medication and it is a general legal ,ethical, and professional principle that valid consent must be obtained before any treatments or physical investigation ,or providing personal care for patients(Department of Health 2009). The principle reflect the right of patients to determine what transpires to their own bodies and is an ultimate part of good professional practice and for consent to be valid , it must be given voluntarily by appropriately knowledgeable patients who has the capacity to consent to the intervention in question (DOH 2009). Furthermore Diamond (2011) states that it is important for nurses to act within the law with respect to respect the refusal of treatment and prevent legal action being taken contrary to them. Smith and Roberts (2011) states that, it is important for healthcare professionals to understand the ethical perceptions, legal implications and professional values in order for them to acco untable for their practice (NMC 2010). The use of covert medication should be the last resort, not to be a routine measure, or and unforeseen event should the person not agree to take their medication (MCA 2005). Covert administration of medicine should only be carried out within appropriate legal and best practice frameworks for example ;Mental Health Act, MCA 2005 ,Deprivation of Liberty ,Safeguarding and Human Rights Act. The decision to administer medication covertly must only arise through conclusive evidence of the patient’s inability to comprehend the significance of refusal and in addition it must only be considered in order to save life or to prevent deterioration of health and 0t must be in the patient’s best interest (NMC 2008). However there are certain circumstances in which covert medication could be both legally and ethical justified, providing certain requirements have been encounters .This should be done by first initiating the patient’s lack of consent (MCA 2005), refusal of medication by people with capacity should be respected, failure to do so may amount not only to criminal battery or civil trespass, but also a breach of their human rights. Furthermore (MCA 2005) state that every adults has the capacity and right to make their decisions. According to what (Joseph Fletcher) state that ethics it is love. In addition forcing of medication to the individual with mental health problem without their consent it is love because individual need to be treated their illness to relieve their pain not to deteriorate which lead them to die. Furthermore it is not be love to leave an individual with mental illness untreated. Moreover the individual have mental problem so his brain are not working properly no matter he have capacity or not but he need help. Because medication control their diseases so that he can do his daily activities in placid way. (MHCC 2013) state that people in mental health care should feel confident that physical restraint should be used competently, safely and only as a last resort with minimum force for example a patient cannot leave the hospital because he do not want to stay there for treatment. In addition (MHCC 2013) state that force may be used to achieve this if it necessary and it must be reasonable and proportionate. Furthermore it is ethical to do good to keep someone to survive that is love. References BBC- Introduction to ethics (2014). Ethics: a general introduction. [Online]. Available at: www.bbc.co.uk/ethics//intro_shtml Washington Ethical Society (2012): What does ‘’ethics’’ mean? [Online]. Available at :> www.ethicalsociety.org/article/19/about-wes/ethical-culture-our-religious-heritage/faqs-about-ethics-culture/what-does-ethics-mean Merriam Webster, Ethics definition (2014). [Online]. Available at: http://i.word.com/idictionary//ethics Santa Clara University (2010). [Online]. Available at: http://www.scu.edu/ethics/practicing/decision/whatisethics.html The Human Right Act | Liberty (2012). [Online]. Available at: www.liberty-human-rights.arg.uk/human-rights/what-are-human-rights-acts What are Human Rights (2014).[Online]. Available at: http://www.ohchr.org/en/issues/pages/whatarehumanrights.aspx Your Human Rights A guide for people living with mental health problem. [Online]. Available at: www.bihr.org.uk//bihr_mental-health_problem Equality Human Rights (2014). [Online]. Available at: http://www.equalityhumanrights.com/your-rights/human-rights/what-are-human-rights Rights for NHS patients (2010) now law. [Online]. Available at: www.telegraph.co.uk>..HealthNews Lets talk about restrain- Royal College Nursing (2002). [Online]. Available at: www.rcn.org.uk/_data//003208.pdf The Royal College of Psychiatrists (2014) Statement on being sectioned. Available at :> www.rcpsych.ac.uk/healthadvice/problemdisorders/beingsectionedengland. Nursing and Midwifery Council (2010) Fitness ton practice annual report. [Online]Accessed on 09 April 2014] Available at: http://www.nmc-uk.org/Documents/Annual reports and accounts/ FTPannualReports /NMC FTPANNUALReport2009 2010pfd The Royal College of Psychiatrists (2004) Statement on covert administration of medicines. Psychiatric Bulletin. [Online]. Available at :> http://pbrcpsch.org/cgi/content/full/20/10/385 Nursing and Midwives Council (2008): Covert administration of medicines. Modified June (2012). [Online] Available at: http://www.nmc-uk.org/Nurses-and-midwives/Regulation-in-practice/Medicines-management-and-prescribing/Covert-administration-of -medicines/ Dimond, B., (2011) Legal Aspects of Nursing. London: Longman. Department of Health (2009) Reference guide to consent for Examination or Treatment. 2ND [online]. London. [Accessed on 30 March 2014]. Available at :> http://www.dh.gov.uk/en/PublicationsandStatistics/Publications/PublicationsPolicyAndGuidance/DH-103643 Mental Capacity Act (2005) Code of Practice. The stationery Office. [online] [Accessed on 10 April 2014]. Available at: http://webarchive.nationalrchives.gov.uk/+/http://www.dca.gov.uk/legal-policy/mental-capacity/mca.pdf. Haw, C. and Stubbs, J. (2010) Covert administration of medicine ton older adult: Journal of Psychiatric and Mental Health Nursing; 17: 761-768 Mental health crisis care: physical restraint in crisis – Mind (2013). [Online]. Available at: www.mind.org.uk//physical_restraint_formentalhealth

Friday, January 17, 2020

Pygmalion. The identity of Eliza how does it change and is it for the better?

Pygmalion was written by Bernard Shaw in 1914. The play tells the story of a man called Henry Higgins; a professor of phonetics who makes a bet with a friend Colonel Pickering that he can successfully pass of a low-common cockney flower girl, Eliza Doolittle as a sophisticated lady by teaching her how to speak with an upper class accent and an improvement in etiquette. Eliza Doolittle by chance meets Higgins and grabs the opportunity to better herself. Eliza wants to improve herself so she can be a flower-seller in a shop instead of on the streets. Eliza manages this after a lot of hard work and she changes in a number of ways. The changes Eliza makes include: learning to speak correctly by Higgins tuition, she learns about personal hygiene, she learns manners from Mrs Higgins; she learns how to dress properly by Mr Higgins, her confidence and self-esteem increases with Mr Higgins behaviour towards her. The ending of the play is ambiguous because although Eliza has changed her identity, she is so unrecognizable to the other street flower sellers that she no longer fits into her old class and society anymore; she is no longer sure of who she actually is. The first time we meet Eliza is when she is trying to sell flowers to people who are running for shelter from the rain into the porch of St. Paul's church. It becomes apparent that Liza is a low-common flower girl with her gutter speech. There is a note taker who is taking down what the flower girl is saying, which then leads her to think he is a police officer. At this time the flower girl is the only person who doesn't have a name. The significance of this is that, it's as if she doesn't have an identity, however she does have some sort of identity with her personality. â€Å"Thank you kindly, lady. â€Å"I'm a good girl, I am. † This evidence shows how she is has a general sense of manners, she treats people well and with consideration, which as the play continues is something that Higgins doesn't have. Higgins was treating her like she was nothing and he and her father look on her as commodity as Doolittle offers Higgins to pay for her. A change that Liza encounters is her hygiene, in order for Liza to be treated like a lady and receive her lessons; she must wash and dress properly. It soon becomes apparent that Liza is apprehensive about having a bath, one thing Liza rarely does. You expect me to get into that and wet myself all over! Not me I should catch my death†. This evidence clearly shows Liza's working class stigma – a disgrace to others around her after finding out she's never had a proper wash before. Liza's appearance also causes a controversy in the way she wears ‘rags' all the time, as appearance is an important factor when a change of identity occurs. This is a very positive change in Liza because now she has changed to be a hygienic person and looks like a lady. Throughout, the play when Liza is growing and learning every day, she gets respected mo re from other people. (Very courteous) won't you sit down? † This suggests the great respect Pickering pays Liza from the beginning. As a result of Liza's improved treatment from others, it make her self esteem increase, she gets more confident. The audience will notice Pickering acting like a true gentleman. Liza needs respect during her change in identity, so this is a positive change. After a period of time, Higgins decides to test Liza to see if she has learnt anything of what he has taught her. He takes Liza to his mother's at-home day. However, after a while Liza suddenly starts to relapse back into her old gutter speech and mind. They done the old woman in† â€Å"Gin was mother's milk to her. † This evidence suggests that Liza hasn't actually changed at all. The language she used reminds us of her old cockney flower girl image and that she still reflects on her now. There is still more work that Liza needs to do in order to be a lady, this reflects badly on her after her hard work to achieve where she was. Throughout the play, it has been seen that the way Liza is treated by Higgins is rather unpleasant, he puts her under a lot of pressure. He treats her with disrespect and with a certain dislike. Put her in the dustbin† this evidence shows how Higgins doesn't have any respect for the girl, this treatment continues throughout the play. The language used would create the effect that he doesn't like her cares what happens to Liza, it looks like they have a bad relationship, but he's teaching her to stand up to him which could be the greatest of all her identity changes, so this is a positive change to her because he is forcing her to stand up to him but it could also be a unhappy encounter because of the lack of respect at the time. Liza only originally planned to have the lessons to make her speech better, so she could achieve her dreams of becoming a flower-seller in a shop; however more fundamental changes have taken place. â€Å"she must be a princess at least† this evidence shows that she has achieve her original goals, but she has also gained some which include confidence from her new voice and appearance; her appearance has changed quite a lot, her posture changes, her manners and respect change and also her hygiene along the way. So this is a very positive change however, Liza may feel as if she has become two separated from her original plans. After Liza's hard work and determination she feels she cannot go back to the gutter. â€Å"I have forgotten my own language, and I can speak nothing but yours† this evidence suggests how she has lost her old life behind and doesn't want to be part of her old life again. Liza has grown as an independent lady and doesn't want her past to reflect her new life- but this doesn't fit into her new life because she has become so far away, she doesn't know who she really is anymore. This creates an effect on the audience because she is showing she has changed and is not the same person, she used to be. Liza has shown an external change rather than on the inside because she still reverts back to her gutter speech at certain times. Overall, Liza has changed. She has changed in many different ways which include her new identity which has come along with her improved hygiene, self-esteem/confidence, etiquette, views, goals/ambitions and her relationships such as one which formed with Freddy. Liza has found her self-importance and independence which she can now leave Higgins, without his need all the time, as she leaves with Freddy, which doesn't entirely make her happy. Liza would have liked to stay with Higgins but he didn't want her. She can't return to her previous life because Higgins has left her unfit for it, example is Liza's father Doolittle, who hates being rich. If anything Liza's transformation has taken away her identity because she no longer knows who she is; she isn't Doolittle's daughter anymore, no longer a street flower seller and no longer Higgins experiment. She doesn't know what her future holds and doesn't know what she is going to do.

Thursday, January 9, 2020

Teen Pregnancy Essay - 1364 Words

What is teen pregnancy? Teenage pregnancy, also known as adolescent pregnancy, is pregnancy in females under the age of 20. A female can become pregnant from sexual intercourse after she has begun to ovulate, which can be before her first menstrual period but usually occurs after the onset of her periods. There are many reasons why teens end up pregnant at such a young age. These reasons consist of family related problems, the lack of being taught about safe sex in school and by parents at home. Not being taught about condoms and birth control. Also lack of parental guidance and peer pressure from others mainly their peers. Schools should be teaching kids in a class about safe sex (health class). There are also many risks of teen†¦show more content†¦Schools could most definitely be more serious and more concerned about these teens and them learning about safe sex. Them learning all these things then could allow these teens to have more awareness of the importance of safe sex. Which equals out to more teens being protected and less cases of teen pregnancy. They could start programs of classes for teens to learn these things. They could learn it once when they enter high school Then just reminded from health class teachers and important people around them in the school. Some of the risk of being a pregnant teen can be very horrifying and horrendous for a woman of that age to be going through. Grown woman have serious complications during pregnancy, just imagine being a teen going through these things when your body is not developed or ready to be giving birth to a child. There could be many serious problems that would have to be faced during a teens pregnancy. Inadequate prenatal care is one of the risks of getting pregnant as a teen can cause. Inadequate prenatal care causes a low birth weight in most children shown in research. Some prenatal care is better than none and early prenatal Is better than late prenatal care. Also in research its shown that it’s more likely for doctors or Obstetricians to give prenatal to care toShow MoreRelatedTeen Pregnancy Essay2181 Words   |  9 PagesPregnancies are a wonderful thing. Just imagine being able to create another human being and bringing it into the world. Although this may be what the majority of mothers think, teen moms may have a different perspective. They might have been forced into pregnancy and the child may be a reoccurring thought of what happened to her. Chances are the teen will love her baby in the long run, but in the beginning the teen most likely had different views. Teen pregnan cy is a worldwide problem that needsRead MoreTeen Pregnancy Essay1019 Words   |  5 PagesTeen Pregnancy Nearly thirteen percent of all births in the United States were teenage girls from the ages fifteen to nineteen. Almost one million teenagers become pregnant each year and about 485,00 give birth. 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There are many reasons for this and the best way to help limit teen pregnancy would be to require parents to attend teen pregnancy prevention meetings held by schools. One of the many problems is that most teens are not well informed about the troubles of being a teen parent. They don’t understand how it willRead MoreEssay On Teen Pregnancy1590 Words   |  7 PagesTeen Pregnancy Task 1 Teenage pregnancy has been around for thousands of years, and in the past was in fact an ideal among societies of past times, such as the Ancient Greeks, the Medieval Era, and even as late as the 20th century. Teenage women were thought to be at the prime age for baring children, and often as soon as they were married, fell pregnant. However, in this era, women have more opportunities to go further and reach higher in life, they have the chance to be successful, and to rivalRead More Teen Pregnancy Essay710 Words   |  3 PagesPrevent Teen Pregnancy nbsp;nbsp;nbsp;nbsp;nbsp; After reading Martha Balash’s article, Schools Can Help to Prevent Teen Pregnancy. Balash has put time and effort into this proposal on stopping Teen Pregnancy. I think Balash’s introduction is very effective because she goes straight to the facts. She doesn’t try to mislead you with any false facts. She goes straight to the point and the point is to prevent teen pregnancy. Balash tells that schools has more influence over teen pregnancy than whatRead MoreEssay Teen Pregnancy1403 Words   |  6 PagesThere is a lot of teen mothers growing up in this world wondering, what if I would have stayed in school? W hat could I have become? Would it have made my life easier if I had thought first? There is many causes for teen pregnancy. They lead to the need for the desire of love by another person. One might have a poor home life and would want something like their peers have. A teen may have a low self-esteem and simply be looking for acceptance. However, many teens that have a wonderful

Wednesday, January 1, 2020

Franklin Electric Supply And Risk Management - 1635 Words

Co-op Company Background Founded in 1944, Franklin Electric has grown from a small motor manufacturing company into a leading global provider of complete water systems and fueling systems. Franklin Electric’s principal markets include clean water systems, water transfer and grey water systems, and fueling systems. Franklin Electrics headquarters started in Bluffton Indiana but has since moved to Fort Wayne Indiana. Franklin Electric serves all over the world with more than 14 manufacturing and distribution facilities. Throughout the interview process I met with Ben Johnson and Jeff Frappier. Ben Johnson is the credit and risk management Manager. Jeff Frappier is the Treasurer Assistant Secretary. Besides interviewing these managers,†¦show more content†¦This saves them from having to pay off a loan that could cost them thousands in interest alone. The second objective for Franklin Electric is to maintain profitability while penetrating competitive markets. Franklin Electrics goal is maintain as much profit as they can in order to expand their business into other fields of service and manufacturing. ERM Framework Franklin Electric uses COSO framework to assess and mitigate risk. COSO stands for the Committee of Sponsoring Organizations and was established in the mid-1980s. The model gets broken into 8 different sections, internal environment, event identification, risk assessment, risk response, control activities, information communication, and monitoring. COSO contains eight different sections. †¢ Internal Environment †¢ Event Identification †¢ Risk Assessment †¢ Risk Response †¢ Control Activities †¢ Information Communication †¢ Monitoring Internal Environment includes establishing the tone of the organization, how much risk the company is willing to take on, attitudes towards risk management and the ethical/unethical values. The people on the board set the company’s tone. If the individuals on the board are lacking knowledge and experience it is very unlikely that the board is setting the right tone. Objective setting allows the board to set objectives that support the organizations mission and views toward risk. In order to set objectives correctly the individuals on the board need to be aware of risk