Hospice Care: Death With Dignity Essay -- Dying with Dignity

The beginning of life is celebrated. Books and resources are shared among friends and family in preparation for becoming a new parent. So, what happens as one approaches the end of life? Unfortunately, the same care and sharing rarely occurs in those circumstances and many face the prospect of dying unprepared. Though most people state they would prefer to die at home, this is often not where death occurs. Many Americans spend their last days attached to medical apparatus that keeps the body alive, but it does not allow for communication with family and often requires heavy sedation. Additionally, this level of treatment comes at a high price. As a society, we must become as comfortable in addressing the end of life process as we are with the beginning of life. One way that this can be done more effectively is through increased knowledge and use of hospice care. Hospice care is a viable option that provides health care cost savings, comfort to the patient, and support to the caregivers, however as hospice systems become more commercialized, care must be taken to avoid the pitfalls that are inherent in larger organizations. Hospice care is a relatively young option in the United States, with the first hospice organization founded in 1971 after gaining acceptance in England in the 1950s (Jensen, 2012). Hospice care is provided to those who are diagnosed with a terminal condition that is expected to culminate in death within six months. Unlike regular health care which focuses on curative procedures, hospice services focus on the comfort of the patient in order to ease the process of dying. These services provide benefits to the patient and the caregivers, as well as showing cost savings. It is no secret that healt... ...NHPCO facts and figures: Hopice care in America. Alexandria, VA. Perry, J. E., & Stone, R. C. (2011). In the business of dying: Questioning the commercialization of hospice. Journal of Law, Medicine & Ethics, 39(2), 224-234. doi:1111/j.1748-720X.2011.0059.x Robinson, L., & Segal, J. (2012). Quality of life at the end of life: A guide to hospice and palliative care at home or in a hospice facility. Retrieved from Helpguide.org: www.helpguide.org/elder/hospice_care.htm Seeger, P. (2012). Turn, turn, turn lyrics. Retrieved from metrolyrics.com: http://www.metrolyrics.com/turn-turn-turn-to-everything-there-is-a-season-lyrics-the-byrds.html Taylor, D., Ostermann, J., Houtven, C. V., Tulsky, J., & Steinhauser, K. (2007). What length of hospice use maximizes reduction in medical expenditures near death in the US Medicare program? Social Science & Medicine, 1466-1478.

Provided for Me and My Family Essay

Unions have proven to be quite an essential addition to the labor force as it helps fight for the members’ rights. It simply creates a better working chemistry between the employees and the employers; both of which equally important to each other. A better mutual relationship between the employees and the employers would provide a better work output for the company. Hence, the existence of the Union is quite vital in maintaining this relationship. There have already been some rights breaches in the past. However, there has not been any major conflict between the two so far. The Local 743 is a union wherein my dad is a member of. As far as I can recall, they have continued to provide security for me and my family which has been always good for us. The benefits that we have garnered from my dad’s membership to Local 743 have been always great. The Local 743 has existed for the sole purpose of providing and supporting for the rights of its members in the working force, as well as their families. Its main objective as a union, as any union would have, is to uphold the rights of its members. If the union finds something that breaches the labor rights of the workforce, then it formulates strategies to improve the treatment of employers towards their employees. This would create the most desirable atmosphere for the two classes to coexist minus the conflict. My family has received a lot of benefits from Local 743 as it assured my father a sense of security; financially and in other forms that could help benefit us, especially my father. My father’s membership to Local 743 has been quite a blessing for us as a family since it supported us for what we truly needed. Of course, it is not just us that the union gazes upon but for the other members and their families as well; it does not provide special attention to selfish needs. Only the most essential needs of the members and their families are attended by the union; like education for children, financial security for troubled households, and upholding the rights of the labor force. Last year, I was awarded the Local 743 Presidents Scholarship which helped pay for my schooling. My family and I were very grateful for such an honor that was provided by Local 743 because it took off the financial woes of my parents with regard to my education. It definitely cut the some of the education costs that my parents have provided for my siblings. Cutting such costs can help my parents provide me and my siblings a better life and hopefully, a better future. I am very grateful for being given the scholarship. In showing my gratefulness to what was given to me, I strived to work harder and promised my parents that I will do my best in my school. I know that it was not my own money that provided for my education. So it is just most courteous to show the Local 743 that I truly appreciated what they have given me to help my parents with my education, by showing them a great result in my schooling. Again, I am very delighted and grateful. As a member, my father was ensured better job security by the union Local 743. It helped him and his co-workers uphold their rights, making sure that there is no maltreatment done to them while in the workplace or outside of work. It is the Local 743’s objective, after all which my family and I are grateful for. The benefits that we have garnered throughout my father’s membership have been great so far, which we truly appreciate and feel truly blessed with. With the presence of Local 743, my father felt secured in his job and in providing me and my family what he feels which we need the most. My father is grateful for being accepted as a member of Local 743 and for the benefits we have garnered from them. I believe that every member and their families would also say the same thing about Local 743. The rights of the employees are most important for labor unions like Local 743. They would help employees fight for their rights and correct the wrong that has been done to them by employers, or at least what they felt was wrong. They advocate for the workers’ rights which they think are being breached by their employers. The great thing about having labor unions is the fact that they can help equalize the imbalance that is occurring inside the company. Most victims of oppression in the workplace are the ones belonging to the blue-collar group. The presence of the unions makes certain that balance is kept and that employee oppression is minimized. My father’s membership to Local 743 has been nothing less than beneficial for me and my family. Being able to experience the benefits that were given to me (the scholarship) and my family (financial security), I could say that Local 743 has provided so much for upholding the rights of its members and for aiding their families with what they truly needed most. I would like to thank Local 743 for their continuous support for their numerous members in the workforce, as well as their families.

Audience Analysis Essay Essay

Audience Analysis The target audience for this rhetorical analysis is my classmates. The audience can not be grouped by age, as there are those who just finished high school as well as people in their forties. The gender of the audience is composed of both men and women of all ages according to the information I found in our introduction to the class. To prepare this rhetoric analysis we will have to read the story and do some research about the author. This information will be presented in our analysis and it will be interesting to see what others have found and how they presented in their analysis. What the audience has in common is that we are all studying the same class, and therefore, we have all read, â€Å"I’m O.K., but You’re Not† by Robert Zoellner. Although the audience is diverse in age, gender, and background, we can all have an opinion of the reading material. Some of my classmates will be able to agree with my analysis/opinions and others will disagree. But that is the beauty of having an audience so different. Not only I will be able to express freely what I think, but I can also hear the point of view and opinions of my classmates. Two Sets of Rules Robert Zoellner is an American writer born in 1926 in Denver, Colorado. Among Zoellner’s interests we found that he likes hiking, backpacking, skiing, ecology, and preservation of environment. He was also a member of the Modern Language Association in America. He is the author of â€Å"I’m O.K., but You’re Not† where he talks about â€Å"The Floating Opera† by John Barth. In this novel Barth tells us how ordinary things that happen to people on a daily basis. Which was Zoellner’s inspiration to write â€Å"I’m O.K., and You’re Not.† This is short and personal story about Zoellner’s experience with an elderly snobbish couple in the restaurant. This story begins with the author is trying to have a happy and normal breakfast in a restaurant. He is a heavy-smoker so he requests the hostess to be seated in the smoker’s section of the restaurant, in order to be polite with other customers. The hostess gave him a t able â€Å"on the dividing line between the smoking and nonsmoking sections† (28). The author uses a very descriptive way to refer to an elderly couple, well dressed and kind of snobbish, who sat down five feet away from the author’s table, in the non-smoking area. The author was smoking and the gentleman with his magisterial white hair, as Zoellner described the old men, asked him to please stop smoking. The problem here was the way and the tone of how this old man asked Zoellner to stop smoking, it was â€Å"self-righteous and peremptory† (28). The old man requested him to stop smoking in a very imperative way that is why Zoellner’s response was that he was not going to stop smoking because he was in the non-smoking area of the restaurant. The author is aware that cigarette smoke is annoying for people who do not smoke, and even more if they are in a restaurant. In other circumstances he would have stop smoking out of simple courtesy. Robert Zoellner has a very exquisite selection of words that makes easy to the reader to see a perfect picture of what is happening in the story. The author uses just a few words to describe in details a scene like: â€Å"having breakfast in a lawn-bordered restaurant on College avenue† (Zoellner 28) or â€Å"at a little two-person table on the dividing line between the smoking and non-smoking section†(28). The author gives a specific geographic idea of where he is at. So far, the author has described how he started his day at the restaurant in time for breakfast. Briefly described where he was sitting, and also described the old couple sitting next to him.. After Zoellner’s negative response, the old couple â€Å"ate their eggs-over easy in hurried and sullen silence†Ã¢â‚¬ ¦Ã¢â‚¬ they got up, paid their bill, and stalked out in an ambiance of affronted righteousness and affluent propriety† (29). At the time that the old couple came out of the restaurant, they went to their automobile, a white Mercedes Benz, where two â€Å"splendid matched pair of pedigreed poodles† (29) were waiting for them. When they opened the door of the car, the dogs went directly to the restaurant’s lawn to make their needs. After this scene, â€Å"the four of them marshalled their collective dignity and drove off in a dense cloud of blue smoke- that lovely white Mercedes was urgently in need of a valve-and-ring job† (29). The author, once again, described in detail what is happening at the moment. The authors’ intention is to take the reader to the scene of the incident to be part of the story and be able to make an opinion about what have just happened. So far, everything the author has narrated, makes the reader feel sympathy for him. The author achieves this reaction in the readers by using a sarcastic tone to avoid showing frustration or anger. The old man requested the author, in a very authoritarian way, to put out his cigarette, which was reason enough for Zoellner to deny his request. And after the old couple finished their breakfast in a rush, they went to their car, took the dogs out and allowed them to do their business right in lawn of the restaurant. So, for the old couple it is terrible to smoke in the restaurant’s smoking section, but it is not terrible at all not to clean after your dogs poop. Which is a clear example of double standards. Robert Zoellner, also goes further and lets his imagination fly. Wondering if the old man polluting the atmosphere by setting his fireplace with moss rock and also fertilizing his impeccable garden, but as the author stated this â€Å"is pure and unkindly speculation† (29). And not only that, Zoellner also described the way their old white Mercedes Benz polluted the air. The author also stated â€Å"as a chronic smokestack. I normally comply, out of simple courtesy, with such a request† (29), but in this case the old man manners made his request be rejected. The way the author give a lot of simple details, helps the reader to make a visual idea, giving the reader the sensation of watching a movie instead of reading a book. The author’s intention was not to judge the old couple he just gave us the facts of what happened that day at the restaurant. He uses a sarcastic tone and humor to gain the readers understanding and empathy. And in this ordinary day, with this not out of the ordinary story, he makes the reader think about double standards that everybody face in a daily basis. Works Cited â€Å"Robert Zoellner.† Contemporary Authors Online. Detroit: Gale, 2002. Gale Biography In Context. Web. 12 Feb. 2012. Robert Zoellner. â€Å"I’m O.K., You’re Not.† The Prentice Hall Guide for College Writers. Ed. Stephen Reid. 9th ed. Upper Saddle River, N.J.: Pearson, 2011: 28-29. Print.

How to Write Narrative Paragraphs in English

How to Write Narrative Paragraphs in English Narrative paragraphs are often used to describe what a person does over a period of time. Read this example narrative paragraph, notice how words like later are used to connect what happens. Yesterday evening I got home from work at 6 oclock. My wife had painstakingly prepared a delicious  dinner which we ate immediately. After I had cleaned up the kitchen, we watched TV show which had been recommended by my friend. Then, we got dolled up for a night on the town. Our friends arrived at about 9 oclock and we chatted for a while. Later, we decided to visit a local jazz club and listen to some bebop for a while. The mad musicians really blew their horns. We really enjoyed ourselves and stayed late only leaving after the band had played their final audacious set.   Tips on Tenses Use the  simple past for succession of events: Narrate with the simple past tense when events follow each other. here are some examples. Notice that each event occurs in succession. I got up and went to the kitchen. I opened the door and looked into the fridge.She arrived in Dallas, took a cab, and checked in to her hotel. Next, she had some dinner in a restaurant. Finally, she visited a colleague before she went to bed. Use the  past continuous for interrupted actions: To express that an action is interrupted, use the past continuous to describe what was happening when there was an interruption. Use the past simple with the action that interrupts what was happening. Finally, as we were discussing the issue, the teacher walked into the classroom. Obviously, we stopped talking immediately.Sharon was working in the garden when the telephone rang. Use the  past perfect for previous actions: To express something that was finished before another event in the past, use the past perfect. This is especially useful when providing an explanation for what happened. We decided to go out and celebrate because we had just finished remodeling our home.Janet didnt join us for dinner as she had already eaten. Use the  past perfect continuous for the length of actions: The past perfect continuous is used to express how long something had been happening up to a point in time in the past. We had been hiking for more than ten hours and it was time to call it a day.She had been nagging him for months to get a better job when he finally was hired. Linking Language Starting sentences with a time expression: Start sentences with linking phrases such as Then, Next, Finally, Before that, etc. to connect sentences and show time relationships in your narrative writing.   First, we flew to New York on our great adventure. After New York, we moved on to Philadelphia. Then, it was on to Florida for some scuba diving.After breakfast, I spent a few hours reading the newspaper. Next, I played softball with my son.   Use time clauses to show relationships in time: Use before, after, as soon as, etc. to introduce a time clause. Pay special attention to the use of tenses with time clauses. Begin a sentence with a time clause, but use a comma before the main clause. OR Begin with the main clause and end with the time clause using no comma. After we had finished our homework, we watched a funny movie.They attended a meeting as soon as they arrived in Chicago.   Descriptive Language   When writing a narration, its a good idea to include descriptive language to help readers get a feeling for what happened. Here are some suggestions on how to make your writing more descriptive. Use adjectives to modify nouns. Nothing is more boring than a sentence such as  We went to the store.  Its easy to modify  store  to be more precise as well as descriptive.  We went to a big box electronics store  is much more interesting.   They bought a car. - They bought a used red Italian car.She planted a tree. - She planted a young oak tree. Use prepositional phrases such as in the corner  and  across from the bank  to give an idea of where something happens, as well as the relationships between objects. After we arrived, we were shown to our table at the back of the restaurant.The car was parked around the corner on the other side of the street.   Use relative clauses to further describe and provide information about important details in your narration. After that, we enjoyed a tasty glass of wine which was grown locally.Next, we took the car which we had rented in Los Angeles and drove to San Francisco.   Written Exercise - Using Past Verbs and Prepositions Write out the following sentences on to a piece of paper to form a paragraph based on the narrative paragraph above. Conjugate each verb in the past and provide the correct prepositions. Yesterday evening Jack _____ (get) home _____ (preposition) half past five.He immediately _____ (make) himself a cup _____ (preposition) coffee and _____ (sit down) to read a book.He _____ (read) the book _____ (preposition) half past seven.Then, he _____ (make) dinner and _____ (get ready) to go out with his friends.When his friends _____ (arrive), they _____ (decide) to go out to see a film.He _____ (stay out) until midnight with his friends.Finally, he _____ (fall) asleep _____ (preposition) about one oclock. Written Exercise - Making Your Writing More Interesting Rewrite the following sentences using descriptive language to spice up your writing.   After that, the man went home.  Later, we drove to a restaurant.  He had finished the report before I gave the presentation.  The children attended the class.My friends asked for help.   Adding Linking Language Exercise Now that you have a good feeling for the form of a narrative paragraph. Fill in the gaps in this paragraph providing appropriate linking language to complete the paragraph. _________ I drove my rusty old car to visit my best friend. _______ I arrived, he had done his best to prepare a tasty meal. ________, we took a long walk through the park next to his home. __________ we had been out for more than an hour, my friend asked me if I could keep a secret. _________, I swore not to tell anyone anything. _________ he recounted a wild tale of a crazy night out on the town __________. ________, he told me he had met the woman of his dreams and that they were to get married ___________. Imagine my surprise!

Understanding Convenience Samples

Understanding Convenience Samples The process of statistical sampling involves selecting a collection of individuals from a population. The way that we do this selection is very important. The manner in which we select our sample determines the type of sample that we have. Among the wide variety of  types of statistical samples, the easiest type of sample to form is called a convenience sample. Definition of Convenience Samples A convenience sample is formed when we select elements from a population on the basis of what elements are easy to obtain. Sometimes a convenience sample is called a grab sample as we essentially grab members from the population for our sample. This is a type of sampling technique that does not rely upon a random process, such as we see in a simple random sample, to generate a sample. Examples of Convenience Samples To illustrate the idea of a convenience sample, we will think of several examples. It is really not very hard to do this. Just think of the easiest way to find representatives for a particular population. There is a high likelihood that we have formed a convenience sample. To determine the proportion of green MMs produced by a factory, we count the number of green MMs in our hands that we took out of the package.To find the mean height of all third-grade students in a school district, we measure the first five students who are dropped off in the morning by their parents.In order to know the mean value of homes in our town, we average the value of our home with our neighbors homes.Someone wants to determine which candidate is likely to win an upcoming election, and so she asks everyone in her circle of friends who they intend to vote for.  A student is working on a survey of students attitudes toward college administrators, and so he talks to his roommate and other people on the floor of his residence hall. Problems with Convenience Samples As indicated by their name, convenience samples are definitely easy to obtain. There is virtually no difficulty in selecting members of the population for a convenience sample. However, there is a price to pay for this lack of effort: convenience samples are virtually worthless in statistics. The reason that a convenience sample cannot be used for applications in statistics is that we are not assured that it is representative of the population that it was selected from. If all of our friends share the same political leanings, then asking them who they intend to vote for in an election tells us nothing about how people across the country would vote. Furthermore, if we think about the reason for random sampling, we should see another reason why convenience samples are not as good as other sampling designs. Since we do not have a random procedure to select the individuals in our sample, although our sample is likely to be biased. A randomly selected sample will do a better job of limiting bias.

Assignment 4 Essay Example | Topics and Well Written Essays - 1750 words

Assignment 4 - Essay Example Turkle used the Rorschach metaphor to show the relationship between people and machines, he asserted that computers are just projective screen for other actions such as a mirror of mind as well as self (Tapscott, Don, Alex and David, 167-175). Over the recent times Rorschach metaphor has turn out to be less popular due to its limited applications (Tapscott, Don, Alex and David, 167-175).Recently a lot of creativity and innovations have been ongoing making the digital technology more dynamic. Just like human beings, some objects such as computer robots have been put in place, those objects tend to work just like human being with minimum human supervision (Tapscott, Don, Alex, and David, 167-175). Researchers predict that, the future technological innovation will encompass computation technology that will not only have a feelings love but also humor (Tapscott, Don, Alex and David, 167-175). Therefore, the most important thing is to understand the relationship between people and Artifac ts during this digital period. This is because the emergence of new objects will have a significant impact to human life. Therefore, it is important to understand how people are going to relate with new computational technology objects (Tapscott, Don, Alex, and David, 167-175). The study has further explored Staves Jobs contribution in the digital world. In above connection, the study has provided a sharp insight of how life was before and after face book. Sherry Turkle describes an encounter with Chatroulette.What do you think? Is this typical today’s digitech culture and how do you see the development in the near future? The dynamism in digital culture has been

Joy Essay Example | Topics and Well Written Essays - 500 words

Joy - Essay Example The translation also took some improvement as other authors also tackled the complicity of its meaning. As one author puts it, â€Å"joy is a trickier thing to talk about . . . because it is a responsive state or disposition often defined by category of stimulus - there is for example, spiritual joy, erotic joy, leaving for London joy (Potkay, 2010). â€Å"Joys are modifiable in a way that "happiness," a noun without plural, is not (Potkay, 2010). But regardless of how others define joy, their description can only account so much of that state or feeling of delightful bliss. The description of that agreeable emotion or that delight of the mind can only say so much of that state when I want to open up to the world out of joy; when everything feels so good that the heavens seem to be bluer and the grass seems to be greener. Joy is a feeling that is very personal to me. Such that it would be very difficult for me to rationalize it for it defeats the very purpose and intent of the word. Because joy appeals to my emotion; of how I feel, not to what I think. I experience joy, not think about it. Joy is not only the opposite of grief or dejection. Nor a transient state of mind that ratifies and approve something amiable. Joy is what life is; of how should I live my life. Joy is an expression of that appreciation of the chance that I exist and â€Å"enjoy† my existence. Above all, it is joy that makes me a complete human being. It is that experience of joy in my everyday life that affirms my humanity. Perhaps, there are no other creatures that can experience that same bliss and rapture than I do. The beast may satisfy its hunger and be moved by its instinct to procreate, but there is no joy in that. It was moved by the instinct to survive. It is just nature taking its natural course. But I am moved by motives that go far beyond the instinct. I do things because I â€Å"enjoy† doing it. I, as a human being, experience joy whether