Thursday, October 31, 2019

Contract law Essay Example | Topics and Well Written Essays - 2000 words - 5

Contract law - Essay Example â€Å"When at the desire of the promisor, the promise or any other person has done or abstained from doing, or does or abstains from doing, or promises to do or abstain from doing something, such an act or abstinence or promise is called a consideration for the promise.† â€Å"A contract is an agreement enforceable at law made between two or more persons, by which rights are acquired by one or more to acts or forbearance on the part of the other or others.† (Quoted in ReportBD.com) In the case under study, the contract between Helena and the London Theatre is unilateral one in nature, where though there is a consensus ad idem i.e. both the offerer i.e. London Theatre agrees to sell its product, and the offeree i.e. Helena agrees to pay  £500 as a consideration against the tickets offered by the theatre, yet as the theatre has offered its product to a large number of people, the contract between Helena and the theatre is unilateral one in nature. Unilateral Contract: â€Å"Unilateral contract† according to legal-dictionary, â€Å"is a contract in which only one party makes an express promise, or undertakes a performance without first securing a reciprocal agreement from the other party.† (Quoted in http://legal-dictionary.thefreedictionary.com/unilateral+contract) The same is applied in the case under study, where the London Theatre has made an express promise without first securing a reciprocal agreement from the public and masses. Helena has tried to enter into the contract with the theatre according to the terms and conditions described in the advertisement made by the theatre. In addition, Helena has made her performance in a prescribed mode as well as within the time period determined by the theatre. Moreover, the offer has been made to the world at large; so it is a general offer. Hence, in the case above-mentioned, both the parties to the contract observe the situation as the court verdict announced by the court of law in the

Monday, October 28, 2019

On Morality Essay Example for Free

On Morality Essay What is Morality? The inevitable fore comings of being a child literally flash right before your eyes. One minute you are learning how to walk and talk and in the next you are graduating high school. We find ourselves constantly wondering where the hell all that time went. And in between all this growing up it seems we acquire a set of â€Å"morals† and â€Å"values†; merely things we tend to blame our actions and thoughts on. It’s like this illusory line comes into play where we place the good and the bad. Perhaps once you have a belief about something it becomes permanent and forever engraved in your head but I don’t think I have the particular values or perspectives on life as I once did. To think that one of a parent’s main ambitions is to produce a child and raise it to have said good morals and values. It is only slightly disturbing to think of Hitler or Stalin’s parents and wonder what happened? As an adolescent we are taught an abundance of things, but if asked to come up with pertinent examples, I think a lot of us would stutter to come up with a few. The problem is that these lessons and ideals become instilled in us therefore becoming second nature – no thought process needed. A moral is something so excruciating and hard to be defined. Everyone seems to have their own set, but how is it that the majority sees the differences between okay and not in agreement? The absence of an explanation leads me to conclude that your own values and morals are dependent upon the circumstances you are subjected to. The point that I am so desperately trying to convey is that certain situations I had to deal with as a child and a young adult have led to my morals and values consequently changing. Joan Didion once said, â€Å"I followed my own conscience. I did what I thought was right. How many mad men have said and meant it? † (On morality, 1965) A statement that is so relevant to my own thinking due to the fact that I have felt myself questioning where and how the â€Å"good and bad† contour was formed. If a mad man truly felt that a mass murder was right, and cohesive with his conscience, then who are any of us to circumscribe his well -being? When you think of this mad man in a different context, you resolve that maybe rather than being â€Å"mad† possibly, he has converted his pragmatic necessities into moral imperatives without second thought. â€Å"You see I want to be quite obstinate about insisting that we have no way of knowing – beyond that fundamental loyalty to the social code- what is â€Å"right† what is â€Å"wrong† what is â€Å"good† what is â€Å"evil†. I dwell upon this because the most disturbing aspect of morality seem to me to be the frequency with which the word now appears; in the press, on television, in the most perfunctionary kinds of conversation. † (Joan Didion, on morality) What Joan Didion and presumably I keep diverging back to is the improper use of the word. What truly matters is exactly that- the way in which you toss these words around. Words like morals and values are merely titles. The manuscript of my childhood may or may not have stayed but there are still reminiscent little bits that remind me of who I am and where I came from. So what is morality? I have no idea.

Saturday, October 26, 2019

Reflection on the understanding of Wound Aetiology

Reflection on the understanding of Wound Aetiology Whilst on Community placement, an event occurred which enabled me to reflect on how important it is to understand the aetiology of wound care in order to practice holistically when delivering care to patients. In order to assist the reflection process the Gibbs (1988) Reflective Cycle will be used which encompasses 6 stages; description, thoughts and feelings, evaluation, analysis, conclusion and action plan which will help me to continually develop and improve my nursing skills and knowledge through evidence based learning whilst developing my self confidence in relation to caring for others (Siviter 2008). To maintain confidentiality and comply with the NMC Code of Conduct (2008) all names have been changed. Description My mentor and I had visited a patient, who will be known as Mary (NMC 2008) in her own home. Mary is an elderly lady, who lives alone and had been suffering with chronic leg ulcers for a number of months which had not shown any signs of improvements for a number of months. The purpose of the visit was to take down the existing dressings, assess any improvement or deterioration in the wounds and to treat and redress the wounds in accordance with the current care plan. As predicted there was no significant improvement in the wound. Therefore I debrided the wounds, applied an emolument and redressed with NA dressings, gauze and applied a 4 layer bandage which is recommended in the study by ( ) under the supervision of my mentor. After leaving a patients house my mentor and I discussed the visit and talked about the importance of not just treating the obvious problems but taking an holistic approach. During this discussion my mentor asked me to assess Marys nutritional status and if required talk to her about the importance of healthy eating and the positive implication it may have on wound healing during our next visit. Thoughts and feelings I have always been interested in the importance of nutrition in respect of health and was had a vague aware that it had an effect on wound healing. (DH 2010). As we visit a number of patients with chronic leg ulcers I thought it would be a great advantage if I understood the aetiology of wound healing and what effect nutrition had on the process, I also felt that if people could be empowered to improve their nutritional status and maximise to maximise their healthy outcomes then this would be a very powerful tool. Although there are many factors wound fail to heal and a holistic approach should be taken. This assignment will focus on wound healing and nutrition. Evaluation I felt empowered that I could affect peoples health in providing quite simplistic knowledge in terms of health promotion to people and was able to deliver holistic care to mary in accordance with the NMC code of professional conduct (2008). If Mary had been given information sooner on the effect good nutrition may have on her would healing then she may be in a position where her legs would have been improved sooner. Analysis There are many definitions of a chronic would with one of the simplest perhaps being described by as a skin defect persisting longer than 6 weeks or frequent recurrence of the defect. Wounds, especially chronic wounds are amongst the major unresolved medical problems which can affect quality of life and are a significant burden on health care costs (Thomas 2006). In the UK, there are around two hundred thousand suffering from chronic wounds at any one time. The healthcare cost for these patients is estimated to be  £2.3- £3.1 billion per year (Posnett and Franks 2008). Infection, poor nutrition and impaired organ function are the main reasons many wounds fail to heal (Johnson et al 2005). However to optimise effective wound healing a holistic approach should be taken and therefore these reasons should not be reviewed in isolation. The process of wound healing is a series of cellular and biochemical events which can be categorised into three stages of inflammatory, proliferative and maturation. The healing process is complex; these stages can often overlap and result in the healing process moving forwards and backwards in response to various factors (1). Whilst a wound is healing there is a significant increase in cell proliferation, protein synthesis and enzyme activity which demands energy which would normally be released from protein reserves and energy stores (1). The body mainly uses glucose to provide this energy during cellular activity such as protein synthesis, cell division and secretion (Bray et al 1999). When body tissue is damaged the hypothalamous responds by releasing the stresss hormone catecholamines which in turn increases the bodies glucose levels (Morrison et al 1999).   Evidence suggest that wounds can increase the bodys metabolism which, if not addressed will result in weight loss, a particular problem with elderly people (Lal et al 200- and DeSanti 2000). Clark 2002 also states that a lack of sufficient energy sources can inhibit wound healing resulting in body fat being broken down and used as a substitute for glucose to assist the healing process. Morrison et al (1999) also confirms that inadequate nutrition can reduce the effect of the systemic response and consequently delay the wound healing process. (1). Landsdown (2004) says that although wound healing is an individual process which varies from patient to patient due to factors such as age, sex, health status, socioeconomic, racial and geographical influences, correct identification and treatment of chronic wounds is paramount to successful would healing. What is agreed is by many that to promote the best possible wound healing opportunities the body will demand energy and requires nutrients for proliferation and maintenance (sev references). Nutrition is recognised as the cornerstone of good health by the World Health Organization (WHO) and The National Service Framework for Older People highlight nutrition as an important area for nurses to assess properly, observe for malnutrition and taking action, such as advice and support if nutritional requirements are inadequate ( DH 2001). There are many studies which have concluded that nutrition plays an important part in the process of wound healing. In particular many acknowledge the link between the inflammatory stage and nutrition (Sobotka and Meguid 2010). Many chronic wounds remain in the inflammatory stage. Casey (2003), states that the healing process can be prevented or significantly delayed when patients diet does not contain essential nutrients. Brown et al (2010) agrees with this and suggests that whilst nutritional requirements vary between patients a lack of adequate nutrients cause delayed wound healing. However, there is much research to show that nutrition is crucial in a holistic approach to wound healing(Todorovic 2002).  According to Bryant (2000) the importance of adequate nutrition for good wound healing should not be  underestimated. Williams and Leaper (2000) concur stating that whereas good nutrition facilitates healing, malnutrition delays, inhibits and complicates the process. If a patients nutritional status is compromised, and they are unlikely to meet their requirements for recovery (Collier, J., 2006) However Sobotka and Meguid (2010) point out there is still a lack of sound wound healing studies due to a number of reasons such as design and execution, and lack of full understanding of the pathphysiology of wound aetiology and understanding of the more complex wound healing issues. They also suggest there are many rituals and myths surrounding wound healing which delays the process and affects the advances and progress of wound healing therapies. Nutrition deficiencies have been found in some patients with wounds. However, evidence suggests nutrition is not an exact science in relation to wound healing and is relatively unexplored Protein, vitamins and some amino acids are all important factors in the effectiveness of wound healing. Proteins are the mainstay for tissue growth, cell renewal and repair. They have a significant impact many stages of the wound healing process. Continuous protein malnutrition compromises the immunity system and has a detrimental effect on the skin which becomes thinner and wrinkled (Brown et al 2010). In particular Vitamin B is found in meat, dairy, vegetables and fish and cereals. Vitamin b helps to promote cell proliferation, maintain health skin and muscle tone, support and increase metabolic rate and enhance immune and nervous system functions and therefore deficiencies in this vitamin can hinder wound healing (Landsdown 2004). Studies have shown that elderly patients with chronic wounds have consumed less than two-thirds of the recommended daily allowance for vitamin B. Paragraph on amino acids The elderly in particularly can become nutritionally vulnerable. 30% are at a high risk of being malnourished in the UK and a further 70% at moderate risk. Malnutrition is a major cause for concern in elderly people, whether they are hospitalised or live in the community. It is important for nurses to be aware that sub-optimal nutrition has a detrimental effect on the bodys ability to heal wounds. Nutritional deficiency also impacts on a persons well being such as muscle function, immune response, respiratory function, rehabilitation and mental status (Kirshbaum 2009). There are many reasons older people suffer with malnutrition which include decreases appetite, psychosocial factors such as isolation and depression, impaired cognition, teeth and chewing problems, help with eating, poor positioning and acute illnesses which effect gastrointestinal absorption and requires higher nutritional input (Harris 2004). During short periods of starvation the body can lose 60-70 grams of protein. However severe trauma or sepsis can increase this loss to 150-250 grams per day (Wild et al 2010). To compensate for this loss, in addition to regular food intake, nutritional supplements containing protein and energy are often prescribed which would seem a logical way to replenish nutrients and supply additional nutrients to aid wound repair(Wild et al 2010) (Schols J et al 2009). However Brown et al (2010) states nutritional supplements in the context of wound healing is a relatively unexplored area suggesting this may be because nutrition is not an exact science. To further add to this argument Krishbaum (2009) says that detailed information on supplements and their ability to help with wound healing is not available. Williams and Barbul (2003) confirms that controversy surrounds the area of wound care and nutritional supplements. A patients nutritional requirements are a fundamental aspect in the provision of holistic care and it is important for nurses to consider this when carrying out a nursing assessment to formulate a wound management plan. Together with other health professionals it is the nurses responsibility to gain knowledge in nutritional support to be able to offer help and advice and if necessary counsel undernourished patients in ways to improve their diet (Johnstone et al, 2005).. According to  (Hopkins, 2001)  nursing assessments, particularly of wounds, can be inclined to concentrate on physical aspects of wound management, for example the use of appropriate dressing and infection control. This was also evident from  observation and participation of practice nursing work experience. There is evidence that poor nutritional status adversely effects wound healing (Haydock and Hill, 1986), delays healing and increases the risk of wound dehiscence (Ruberg, 1984), and that dietary intervention can improve or accelerate wound healing. Conclusion Nutrition is important in wound healing although it is impractical to consider nutrients in isolation, several nutrients appear particularly important for wound healing. Proteins and amino acids are vital for tissue growth, renewal and repair after injury. Several studies have found deficiencies in various wound patients. Most studies have been small in size and of short duration. From the research many of the info has come from America and not so much been done in the UK. However, I still think that the importance of nutrition is still a vastly underestimated and ignored issue in primary care, not just my general practice. I at the beginning of this module knew little about nutrition and healing and feel that perhaps other health professionals could become better informed. On reflection incorporating teaching sessions for other healthcare staff may have addressed this concern. I intend to now keep myself informed of advances in nutrition and healing and continue to assist patients and colleagues understanding. From the perspective of a General Practice Nurse (GPN) it was considered that they may be ideally suited to act as facilitator to aid nutritional assessment and education of those in the practice population with wounds. Assessment Action Plan I am still going to visit this lady twice a week and am going to ask at each visit if she is still eating healthily and what she has had to eat and offer simple suggestions in ways to eat food which will promote her wound healing, which in turn should improve her lifestyle. And I am going to look for other opportunities to teach and promote health whilst clinically treating patients.

Thursday, October 24, 2019

What We Talk About When We Talk About Love by Raymond Carver Essay

What We Talk About When We Talk About Love by Raymond Carver The short story What We Talk About When We Talk About Love, by Raymond Carver, is about two married couples drinking gin and having a talk about the nature of love. The conversation is a little sloppy, and the characters make some comments which could either be meaningless because of excessive alcohol in the bloodstream, or could be the characters' true feelings because of excessive alcohol in the bloodstream. Overall, the author uses this conversation to show that when a relationship first begins, the people involved may have misconceptions about their love, but this love will eventually die off or develop into something much more meaningful.   Ã‚  Ã‚  Ã‚  Ã‚  The author sets the scene with the two couples sitting around a table drinking gin and making small talk. The real story begins when the topic of love comes up. Terri, Mel's wife, was once married to an abusive man, who '...went on dragging me (Terri) around the living room. My head kept knocking on things.... What do you do with love like that?.... People are different, Mel. Sure, sometimes he may have acted crazy. Okay. But he loved me. In his own way maybe, but he loved me.'; (pp 110-111) To the reader, it seems hard to believe that there could be love in a relationship where one partner physically abuses the other. However, in Terri's case, both Terri and her ex-husband felt that they were in love. This coincides with the author's theme that early on in a r... What We Talk About When We Talk About Love by Raymond Carver Essay What We Talk About When We Talk About Love by Raymond Carver The short story What We Talk About When We Talk About Love, by Raymond Carver, is about two married couples drinking gin and having a talk about the nature of love. The conversation is a little sloppy, and the characters make some comments which could either be meaningless because of excessive alcohol in the bloodstream, or could be the characters' true feelings because of excessive alcohol in the bloodstream. Overall, the author uses this conversation to show that when a relationship first begins, the people involved may have misconceptions about their love, but this love will eventually die off or develop into something much more meaningful.   Ã‚  Ã‚  Ã‚  Ã‚  The author sets the scene with the two couples sitting around a table drinking gin and making small talk. The real story begins when the topic of love comes up. Terri, Mel's wife, was once married to an abusive man, who '...went on dragging me (Terri) around the living room. My head kept knocking on things.... What do you do with love like that?.... People are different, Mel. Sure, sometimes he may have acted crazy. Okay. But he loved me. In his own way maybe, but he loved me.'; (pp 110-111) To the reader, it seems hard to believe that there could be love in a relationship where one partner physically abuses the other. However, in Terri's case, both Terri and her ex-husband felt that they were in love. This coincides with the author's theme that early on in a r...

Wednesday, October 23, 2019

Miss Havisham & Lady Macbeth similarities/differences Essay

En gà ©nà ©ral, je dois admettre que j’aime le sport. Je pense cette parce que je le trouve particulià ¨rement intà ©ressant et trà ¨s agrà ©able. À mon avis, un sport d’à ©quipe est infiniment mieux qu’un sport individuel. Cependant, il faut jouer au football individuellement puis que quand vous avez la balle, vous jouez par vous-mà ªme. Le sport est bien pour tu comme c’est exercices votre les muscles. J’adore le sport à   l’à ©cole car il aide tu faire copains et aussi c’est amonceler de amusant. À jouer le football, il faut faire du l’exercice souvent et rà ©gulià ¨rement manger là ©gume, des fruits et boire d’eau beaucoup. Fondamentalement tu dois manger la nourriture saine. Je vous conseille il ne faut pas manger des bonbons ou tout nourriture sucrà ©e parce que c’est trà ¨s mauvais pour les dents et spà ©cialement le cÅ“ur. Pendant le football vous devez porter les jambià ¨res sous vos chaussettes parce que ce sera de protà ©ger votre jambe de se blesser. Prochaine semaine j’ai un match de football avec l’à ©cole des mon amis. Antibiotics are chemicals that we use to treat infection, often bacterial infections. They work by either killing the bacteria or by stopping them dividing and growing. Some work by interfering with enzymes that are essential in the replication of genetic material (either DNA or RNA) in the bacterial cells or in protein synthesis. Some work just by blocking the sites where enzymes usually join to the substrate, so they can’t join on and catalyse the reaction. The parent DNA molecule unravels itself and becomes 2 individual strands that stand on either end. The two strands exposed. Free nucleotides are floating in the nucleoplasm and they attach to the exposed bases. A pairs with T, whilst C pairs with G. This process makes sure that the replication procedure is happening exact. The nucleotide joining together is caused by DNA polymerase. DNA polymerase splits the DNA into two separate stran ds and the mRNA (procedures regarding transcription and translation) makes a copy of the split DNA. The mRNA then breaks off from the DNA and finds itself a ribosome to attach to which then allows the ribosome to absorb the mRNA and tRNA details and by doing this, the correct code for the amino acid has been found. Enzymes are very important in the process of DNA replication because if there weren’t any enzymes then the  whole process wouldn’t have been even able to be carried out. DNA polymerases have responsibility to create the bonding of nucleotides and for replacing primers. These things have to happen in order for DNA replication to take place. Protein synthesis is a major part in the body’s growth and changes. It helps with the production of amino acid chains which are there for protein. However, the main importance of protein synthesis is the production of endless varieties of enzymes that are there for different reactions and movements made by the body. A body cannot function without enzymes and protein synthesis is needed for our existence.

Tuesday, October 22, 2019

Essay on Annotated Bibliography Form

Essay on Annotated Bibliography Form Essay on Annotated Bibliography Form Annotated Bibliography Form Your Name: Jeremy Marshall Your Class: (circle 1) 8:00 // 9:30 // 11:00 Article Citation #1: MLA Citation: "Claudius And Macbeth: A Comparison Between A Villain And A Tragic-Hero." (2011): OAIster. Web. 26 Apr. 2015. Summary Macbeth and Claudius have a lot of similarities have a lot of similarities, for an example both are murders and are tyrants. They share one particular characteristic there both hero-villains. They even display some characteristics of a tragic hero. They both became villains by circumstances that were not really there faults in a sense. Aside from the few tragic hero characteristics they do share they are still treacherous and evil man that both were on power trips. They even had wives that stood by their side with there no good deeds. Analysis: The article talks about the characteristics of Macbeth and Claudius. In my opinion this is a good comparison because the characters aren’t exactly alike but they are very similar in many ways. They both could be heroes in sense but are way too treacherous and conniving. They both were villains by force and not by choice because they made some questionable mistakes in their respective plays. Article Citation #2: MLA Citation: Serdar, Ãâ€"ZTÃÅ"RK. "Two Notorious Villains In Two Famous Literary Works: Satan In Paradise Lost And Macbeth In Macbeth." Journal Of International Social Research 2.9 (2009): 333-339. Humanities International Complete. Web. 27 Apr. 2015. Summary Satan in Paradise Lost and Macbeth have similarities and differences. They both had ambition in trying to succeed in a particular thing. Macbeth being hero turned evil with his self-mindedness and his ambition to be king of Scotland. With Satan in this particular play he tried to take over paradise and be next to the father. Obviously neither one of the characters succeeded in there plans. They are both exiled in way, Macbeth is exiled psychology from his friend and Satan is exiled from the Garden of Eden. The main difference between them though Macbeth was not coward like Satan was. Analysis: This article talks about the similarities and differences of Macbeth and Satan. They were both villains and hurt innocent people to get where they thought they needed to be. The article showed me that these characters are very similar in many ways. Helping me to draw the conclusion that maybe