The Chronicles of Professional Research Paper Help

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Current Treatment Practices Of Veterans Affairs - Free Essay Example

Sample details Pages: 6 Words: 1821 Downloads: 7 Date added: 2019/04/15 Category Society Essay Level High school Tags: Veterans Essay Did you like this example? This paper critically examines specific and current treatment practices by Americas Department of Veterans Affairs (VA). It shows the VA relies too heavily on addictive narcotics for pain relief, and on antidepressant medications that are often associated with serious adverse side effects. The VAs penchant for such treatments overlooks the rising efficacy of harm reduction practices in the battle against drug addiction. Don’t waste time! Our writers will create an original "Current Treatment Practices Of Veterans Affairs" essay for you Create order The paper maintains the VA would enhance harm reduction by allowing the therapeutic use of medical marijuana for veterans. Medical marijuana poses a safer and more effective alternative to the dangerous drugs prescribed by the VA. As such, Federal Law should be amended to allow the VA to prescribe medical marijuana for veterans suffering from specific physical and/or mental health conditions. To appreciate the potential roles of medical marijuana in harm reduction, it is necessary to understand some basic facts about the drug and its current applications. Marijuana is a derivative of the Cannabis sativa plant (Turna, Patterson, Van Ameringen, 2017). Despite long-standing prohibitions, it is the most commonly used illicit drug in the U.S., not to mention the world (Turna et al., 2017, pp. 1006-1007). Although cannabis is frequently used primarily for its relaxing and euphoric effects, humans have been harnessing its therapeutic properties for centuries and it is currently used to alleviate many physiological and psychiatric conditions (Turna et al., 2017). Hill (2015) explains that the active chemicals in medical marijuana are cannabinoids, which enhance or mimic the effects chemicals produced by the human body to optimize appetite, movement, pain relief, and other functions. Although there are dozens of cannabinoids, the two most important in health research and practice today are: (1) cannabidiol, which appears to have significant antianxiety and possibly antipsychotic effects; and (2) tetrahydrocannabinol (THC), which is responsible for marijuanas euphoric effects (but might have psychotic effects in some users). Medical marijuana consists of cannabidiol, THC, and other cannabinoids. Due to cannabidiols tendency to moderate THCs psychoactive properties, marijuanas therapeutic effects depend on the ratio of cannabidiol to THC. Therefore, THC-cannabidiol ratios in different strains of marijuana have been engineered to obtain various desired therapeutic effects. Hill (2015) further explains that depending on rapidly evolving state and local laws, Americans may now purchase medical marijuana in a variety of forms via authorized dispensaries, though not from traditional pharmacies because it remains illegal at the federal level. Patients also, legally or illicitly, grow cannabis for the treatment of many health conditions. Two U.S. Food Drug Administration (FDA)-approved cannabinoids are also currently available in pill form: dronabinol and nabilone. Both are FDA-approved for appetite stimulation in wasting disorders and for treatment of nausea and vomiting associated with cancer chemotherapy. Strong evidence currently supports the use of medical marijuana, especially in the treatment of chronic pain, neuropathic pain, and nausea (Turna et al, 2017). In the states permitting its use, medical marijuana is most commonly approved for treatment of conditions such as cancer, epilepsy, glaucoma, HIV/AIDS, multiple sclerosis, nausea, and severe and/or chronic pain (Hill, 2015; Turna et al, 2017). It should be noted that research on marijuana has long been funded and undertaken by groups supporting anti-pot agendas; therefore, it is unsurprising that literature on cannabis efficacy as a medical treatment is somewhat inconsistent (Hill, 2015; Turna et al, 2017). Indeed, some inconsistencies are perhaps to be expected. For example, if a large number of people with anxiety use marijuana illicitly when conventional prescribed treatments fail, one would expect to see higher levels of anxiety among marijuana users due to the potential legal consequences. Seizing on this opportunity, ant i-pot groups have been quick to cite these levels as evidence that marijuana causes anxiety (Hill, 2015; Turna et al, 2017). Despite the political and moral battle, facts show anxiety is a top-five medical symptom driving North Americans cannabis usage (Turna et al, 2017)†even though as of 2015 no state had approved medical marijuana specifically for the treatment of anxiety (see Hill, 2015, pp. 2475-2477). Turning back to the VA, one condition for which medical marijuana should be a major harm reduction force is post-traumatic stress disorder (PTSD). PTSD is as a trauma and stressor-related disorder. The Diagnostic and Statistical Manual of Mental Disorders (5th edition, DSM-5) stipulates its diagnosis is based on exposure to a precipitating traumatic event (criterion A) and then meeting criteria B (intrusive symptoms), C (avoidance), D (negative changes in cognition and/or mood), and E (adverse changes in arousal and reactivity) (Shishko et al., 2018). Shishko et al. (2018) report that, while the incidence of PTSD is alarmingly high within the general U.S. population, with a 12-month prevalence of 3.5 percent†the estimated incidence among veterans is almost seven times as high at 24 percent (pp. 86-87). Beyond the disabling impacts of PTSD itself, 80 percent of individuals also have comorbid psychiatric disorders with emotional, physical, and dissociative symptoms that further u ndermine essential functioning, employment, personal relationships, and even basic self-care. In their analysis of published evidence pertaining to the use of cannabis and cannabis derivatives by veterans with PTSD, Betthauser, Pilz, and Vollmer (2015) explain that, when inhaled, delivered orally or via the skin, cannabinoid receptors activate to modulate the release of neurotransmitters. This release produces many central nervous system effects such as pleasure enhancement and changes to our memory processes. These positive physiological effects support the rationale for using cannabinoids to treat three core PTSD symptoms: re-experiencing, emotional numbing and avoidance, and hyper-arousal. Betthauser et al. (2015) describe studies which reveal direct correlations between severe PTSD symptoms and increased motivation to use cannabis in coping†particularly among patients with poor stress tolerance and/or troubling emotional ranges. High-quality research is limited, but analysts found four studies whose data link veterans cannabinoid use to the reduction of specific PTSD symptoms such as nightmares and insomnia. However, more well-designed controlled trials are clearly needed to further explore cannabinoids as a complementary or alternative option to todays conventional treatment for PTSD in veterans. Betthauser et al. conclude the existing evidence shows that significant numbers of veterans with PTSD currently rely on cannabis and/or cannabis derivatives to control their PTSD symptoms. Also, many of these users report benefits such as reduced anxiety, reduced insomnia, and enhanced coping abilities. Medical marijuana could also help the VA reduce the harm associated with antidepressants. Turna et al. (2017) explain that anxiety-related disorders are the most common mental health conditions observed in veterans and the general U.S. population. In the U.S. the primary pharmacological treatment for anxiety disorders and many of their comorbidities are antidepressants. However, despite massive investments in these drugs, treatment response rates to standard antidepressants remain so poor that between 40 and 60 percent of patients receiving them continue to have residual/impairing symptoms. Worse, the antidepressants are linked to major, often disabling side effects which lead to high levels of noncompliance, discontinuation, and seeking alternative treatments. Furthermore, Burgess et al. (2016) describe troubling complications related to the VAs reliance on opioids in pain treatment. On one hand, there are concerns, despite evidence that African-American veterans and other patients often experience more severe and disabling chronic pain than whites, African-American patients are less likely to be prescribed opioids. These findings have understandably raised concerns about under-treatment of pain in African-Americans. At the same time; however, Americas current and devastating public health crisis of opioid addiction raises alarm bells about the possible effects of efforts to correct racial disparities in pain treatment. If doctors were to continue to choose opioids to address pain under-treatment in blacks, even greater harm may result as more Americans are subjected to addictive and often lethal treatments. Worse still, there are serious reasons to doubt that increased prescriptions of opioids for African-Americans would actually reduce pain under-treatment. In a study involving veterans, Burgess et al. (2016) analyzed whether pain-related outcomes vary by race among veterans with a diagnosis of chronic non-cancer pain and whether opioid use could improve any observed racial disparities. The study showed, regardless of race, receipt of an opioid prescription was not associated with perceived treatment effectiveness for most patients but was associated with greater pain interference. In other words, the opioids failed to improve treatment outcomes and contributed to higher incidences of pain that interferes with or limits ones regular physical, mental, and social activities. Burgess and colleagues conclude that their findings raise questions about the benefits of opioids for musculoskeletal pain and point to the need for alternative treatments for addressing chronic noncancer pain (p. 13 ). By 2015, at least 19 states specifically approved medical marijuana for the treatment of serious pain (Hill, 2015). There are multiple potential applications for medical marijuana in the application of much-needed harm reduction practices at the VA. An important element of such harm reduction would be to minimize the adverse effects of treatment stoppage. Although the research is rather inconsistent, it seems likely that, as with all drugs, long-term use of marijuana even for therapeutic purposes would result in harmful effects at least for some individuals (Irons et al., 2014). Care must be taken to ensure safe and healthy discontinuation once the therapy is no longer needed. Fortunately, evidence indicates that discontinuation of medical marijuana would be decidedly less complicated than is the case with the highly addictive and harmful opiates and other treatments the VA currently prescribes. A study of 84 cannabis dependent veterans by Irons et al. (2104) suggests that even individuals with marijuana use problems could achieve successful cessation through timely quit efforts that include fairl y intense exercise. The subjects were veterans who volunteered to participate in self-guided cessation. The results indicate that participants who engaged in moderate to high levels of physical activity were significantly less likely than those reporting low activity levels to report a cannabis lapse during the week following a quit attempt. By contrast, participants with low levels of physical activity were likely to report greater average use of cannabis in the first four days of the cessation period. Therefore, veterans treated with medical marijuana should be able to stop using more easily than those using many of the VAs current, often highly addictive and dangerous treatments. Americas veterans have put their welfares and lives on the line to defend and promote our freedoms and nations interests. The nation dishonors their valiant and selfless service by failing to address even their most basic needs. The VA currently relies heavily on treatments that are linked to harmful side-effects and are ineffective, addictive, and even life-threatening. Americas veterans clearly deserve better. Fortunately, the steadily evolving research indicates that medical marijuana could be an important step in promoting harm reduction and a long overdue step by the VA. Medical marijuana could be used to safely enhance treatment for various conditions affecting veterans†with lower risks of side effects and cessation problems compared with many current VA treatments. Federal Law must be amended to grant the VA the latitude to prescribe medical marijuana, where appropriate, for veterans with diverse physical and mental health issues. At the very least, this shift in policy would reduce harms resulting from the VAs current treatment practices.

Project Management Project Development Essay - 1766 Words

4. PROJECT MANAGEMENT Project Management is an important part of project development. It deals with all the main areas for project development like Feasibility, Requirement analysis, Project Schedule, Project Plan etc. We have used the Project management approach to deal with all the series. It is achieved by proper selection of Software Life Cycle Model. 4.1 FEASIBILILITY STUDY 4.1.1 Technical Feasibility In current environment people have forget their things more and more in busy and daily scheduling. So they are mainly waste their time to find those lost or misplaced item that’s why people loss their valuable time in finding their important thing. This problem faced by many people. So that’s why solution is the key finder application which I will develop. This product is already not available in market because I add some extra feature to find the things and I add one of the useful feature for take a selfie. In my project requirement is one hardware BLE device and one android phone which operating system has require 4.3 and above and will support the Bluetooth 4.0. In the android smartphone this application is install any place and any time its free of charge. BLE device cost is 350 to 400 rupees. This product is very useful for the finding pets, finding child, finding pen drive and daily useful things. It’s save lots of valuable time and reduce the lose thing. 4.1.2 Time Schedule Feasibility Time Schedule Feasibility is defined as a how long our project is demanded andShow MoreRelatedProject Management Processes On A Development Project Essay1503 Words   |  7 PagesPROJECT MANAGEMENT PROCESSES Project management is a process of leading a team of capable people in planning and implementing a series of related activities that need to be accomplished on a specific date with a limited budget. Because of its nature, coordinating all these activities requires a process approach. For many times development project take on unexplored territory, assumptions about the project must be listed, evaluated, its risks assessed and contingency plans developed. It also requiresRead MoreProject Management Methodologies For The Development Essay981 Words   |  4 PagesCHAPTER TWO LITERATURE REVIEW INTRODUCTION The first chapter introduced the research problem that raised the question of whether adaption project management methodologies can be tailored down to Nigerian SMEs. This chapter presents the academic literature pertinent to the research, and places it in context of the research. The aim of this chapter is to provide the background information of the research topic and to show the gaps in the research literature, so as to identify the areas this researchRead MoreAgile Development And Project Management Essay1528 Words   |  7 Pages2: Agile Agile development and project management has its roots in the Information Technology world. A large portion of the information that follows in the next two chapters refers to IT related development and projects. That being said, Agile is not limited to IT and in fact the model is expanding well beyond strictly IT. Agile is a necessary and effective part of the evolution of project. As stated previously, in today’s environment traditional or plan-driven Project Management typically definesRead MoreThe For Project Management Capabilities Development2929 Words   |  12 Pages2.1 INSTUTIONS FOR PROJECT MANAGEMENT CAPABILITY DEVELOPMENT The evolution in institutes and association in project management had Initial activities concentrated on information exchange and project practices but soon expanded into the area of certification. The requirement for certification standardization by the associations - first PMI in USA, and later APM in UK, developed their own reference documents. The first version of its (Guide to the) Project Management Body of Knowledge in 1976 andRead MoreRole Of Project Management On Restaurant Development981 Words   |  4 PagesThe Role of Project Management in Restaurant Development Opening a restaurant is not a simple process. There are various checklists that needs to be gathered first. Once all the checklists are available, selection process will begin. At that period various options needs to be eliminated and potential options should be kept. Project management plays an important role to ensure the available options are implemented within a budget and estimated timeframe. According to Fabris (2014), space designRead MoreMethods Of Software Development Project Management1807 Words   |  8 PagesThere are several methods of software development, out of these most practically used are agile methodology and the plan driven approach this is a summary of both the approach and their comparison and compatibly with the user requirement for the better results and hybrid technique which resulted in combination of agile methodology and plan driven method with a comprehensive spectrum of tools and options Agile development is a methodology, it’s not a tool, it’s notRead MoreBusiness Analysis Project Management Delivery Development Management1050 Words   |  5 PagesSkilled Senior Business Analyst and Project Manager with outstanding capability in the development and delivery of complex applications and architecture, backed by 15 years experience. Promoted to the Executive Management Committee of MediSwitch and received multiple awards including CEO Award and Leader of the Year Award. Expert in all aspects of business integration management and change management. Able to provide critical support to large multi-million-dollar tenders, ensuring proposals are viableRead MoreSustainable Project Management Methods and Techniques for Sustainable Games Development3934 Words   |  16 Pagesintegrated in projects and project management. The purpose of this paper is to critically reflect on the importance of considering sustainability in projects and evaluate appropriate methods and techniques for embedding sustainability principles in project management. This essay is organized in four main parts. The importance of considering sustainability in project is critically analyzed in the next part. Methods and Techniques for the integration of sustainability in project management are evaluatedRead MoreProject Management: An Initiative Toward Development of Employees and the Company1052 Words   |  5 Pages Project Management Paper University of Phoenix MGT/437 Project Management Paper Rapid growth of technology in the marketplace has companies examining ways in which businesses operate on a normal level. Managers face challenges with the task of adapting to a changing surroundings and a different breed of employees. Managers must implement a different approach that will allow them to become accustomed to situations that develop inside and outside of the company (Kerzner, 2006). ProjectRead MoreHow The Prince2 Methodology Can Be Implemented Into The Management Of Large System Development Project1741 Words   |  7 Pagescarried out to find out how the PRINCE2 methodology can be implemented into the management of large system development project in other to produce the required outcomes from the project so as to reduce the chances of failure in the project. Thorough investigation into all aspects involved in managing projects with PRINCE2 such as: the variables controlled in project, how its principles can be applied in large project, the various process to be applied were carried out as well as the benefits and

Of Mice and Men - Critical Evaluation Essay examples

The main theme of ‘Of Mice and Men by John Steinbeck is fate . The techniques he uses such as the title , repetition , echoes and symbolism are very successful in putting across his very pessimistic views on this theme . br brThe two main characters , George and Lennie , share a dream . George dreams of a piece of land of his own . Independence . A couple of acres , a cow and some pigs . Lennie dreams of tending rabbits . With the title ‘Of Mice and Men , Steinbeck is telling you that this dream whilst on the verge of realization , will be destroyed by fate . br brIt relates to Robert Burns poem ‘To a Mouse . Burns and Steinbeck share the same pessimistic views on fate . In ‘To a Mouse Burns shows that he believes that just as†¦show more content†¦br brThe introduction of Curleys wife adds another piece to the puzzle . Her description when she was standing at the doorway with her ‘rouged lips , ‘ hair hung in little rolled clusters and ‘cotton house clusters shows that she will be the one who destroys George and Lennies dream . This technique is simple but very effective . br brGeorge had told Candy of his dream and Candy wanted in on it . Candy had the money to purchase the land required from compensation received after his arm had been cut off by machinery . This moved them to the verge of achieving their dream . br brIn my view the most successful technique in illustrating John Steinbecks view of fate is the symbolism in the last chapter . ‘A watersnake glided smoothly up the pool , twisting its periscope head from side to side , and it swam the length of the pool and came to the legs of a motionless heron that stood in the shallows . A silent head and beak lanced down and plucked it out by the head , and the beak swallowed the little snake while its tail waved frantically ‘. The heron , motionless and waiting , represents fate while the watersnake , helpless and unaware , is its victim . br brSteinbecks view on fate is illustrated again by the word choice . Words like lanced , plucked and waiting suggest that Steinbeck believes that fate striking is almost medical ; sure and precise . br brThe watersnake could represent almost anyone in the novel although it is most likelyShow MoreRelatedThe Endocrinology Of Male And Female Reproduction1447 Words   |  6 PagesReproductive physiology is comprised of many tightly coordinated functions of the endocrine system including the hypothalamus, pituitary and reproductive organs whose dynamic function plays several critical roles in growth and development as well was reproduction. The hypothalamic-pituitary-gonadal axis plays a critical role in the development and regulation of the reproductive system. These tightly regulated functions within the pituitary must respond to continuously changing signals from the central nervousRead MoreAbnormal Psych and Disorders1460 Words   |  6 Pagesscientists discovered a protein called stathmin that is necessary to create fear memories and a protein called gastrin-releasing peptide that — in mice, at least — helps control the fear response. It was found during experimenta tion that mice that did not produce stathmin were less likely than other mice to freeze up when confronted with a frightening event, as were mice that produced more GRP (NIMH, n.d.). Scientists have also noted that different parts of the brain are involved in the formation and extinctionRead MoreThe Role the Media Played in Helping the United States Join World War II1142 Words   |  5 Pagesculture was seen to be inherently democratic as it was produced ‘by the people for the people’.† (Murray 142) †¢ â€Å"Women were also warned that if they did not work then a soldier would die, people would call them slackers, and they were equivalent to men who avoided the draft. †(Rupp 96) †¢ â€Å"The United States still often referred to the Japanese as â€Å"Japs† or other racially derogatory names. The words and images left to us by propaganda remain in a nations collective memory.† (Navarro) †¢ â€Å"We Can DoRead MoreThe Effects Of Canned Food On People s Health1414 Words   |  6 Pagescancers amongst other chronic illnesses (Breast Cancer Fund, 2015). 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Martha’s evaluation of the market lacked the 5 core conceptsRead MoreThe Yellowing Of Philadelphi Yellow Fever Essay2210 Words   |  9 PagesWalter Reed used human volunteers to show that a mosquito vector Aedes aegypti, was critical in the distribution of the disease. Theiler proved that the cause of Yellow fever was not a bacterium but a filterable virus, by finding the viral origin of the disease thus he was able to identify how the disease was spreading. Theiler s major path of discovery wasn’t till 1930 when he ran a series of test on mice and found that the propagation of the virus florist in the brain. these test led toRead MoreExploring Aspects of the Alzheimer’s Disease Essay2711 Words   |  11 Pageshave a higher risk of developing the disease than men, although nothing has proven in studies yet (6). The symptoms of Alzheimer disease are easy to overlook, since many believe that the symptoms are related to old age. 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Thinking skills are used as criteria in the process of diagnosing a child as developmentally delayed and can help us understand in what aspects a baby is delayed. Child development professionals screen infants during the developmental evaluation by assessing

Master Harold and the boys - Inclusion in the Curriculum...

Master Harold and the boys - Inclusion in the Curriculum Essay In his masterpiece Master Harold and the boys, Athol Fugard has journeyed deep into sensitive issues including racism and growing up, without sacrificing the high technical standard that often distinguishes great theatre. The poignant and enlightening journey that is Fugards piece undoubtedly deserves inclusion in any English curriculum, with the works characterization, themes, conflicts and motifs all earning this distinction. With only three characters sharing dialogue and one of these playing a minor role, detailed characterization is a highlight of Master Harold and the boys. The major protagonist, Hally, is a white seventeen-year-old intended to be an†¦show more content†¦Thematically, Master Harold and the boys covers two sensitive and important issues, which are key to any education program. The first theme, which must be examined, is that of white superiority and racial segregation, instigated by the Apartheid system. Fugard, through the course of the play, makes it clear in subtle references that the white race is considered to be superior to the black in South African society. One such subtle reference is made when Hally says: Dont try to be clever, Sam. It doesnt suit you. (35). As the climax develops, Fugard begins to display this in more blatant dialogue, with lines such as Hes a white man and thats good enough for you (53), reflecting the prejudice and segregation that plagued society at that time. A further example of Fugards references to this issue of white supremacy is depicted when Sam attempts to convey to Hally the simple beauty of ballroom dancing, yet Hally dismisses it as mentally retarded (39) and the culture of a primitive black society (43). It is not until he puts aside this fa-ade provided by white ideology that he can grasp the true worth of Sams comments. The second major theme in the work is that of growing up, and doing this with the traps of society. Hally is a boy at the crossroads of childhood and manhood, and the opinions and ideals he learns at this point will likely shape the rest of his life. The society of white supremacyShow MoreRelatedTexts Fof Written Discourse7878 Words   |  32 Pages | |bring up | | | Try to use the majority of them while speaking of the main character of the essay. 8. Pick out school terms and words having to do with school-life. Comment on them. Education: Doing Bad and Feeling Good by Ch.  Krauthammer 9. A standardized math test was given to 13-year-olds in six countries last year. South KoreansRead MoreTexts Fof Written Discourse7893 Words   |  32 Pages | |bring up | | | Try to use the majority of them while speaking of the main character of the essay. 8. Pick out school terms and words having to do with school-life. Comment on them. Education: Doing Bad and Feeling Good by Ch.  Krauthammer 9. A standardized math test was given to 13-year-olds in six countries last year.Read MoreProject Managment Case Studies214937 Words   |  860 PagesPROJECT MANAGEMENT CASE STUDIES, SECOND EDITION - PROJECT MANAGEMENT CASE STUDIES, SECOND EDITION HAROLD KERZNER, Ph.D. Division of Business Administration Baldwin-Wallace College Berea, Ohio John Wiley Sons, Inc. This book is printed on acid-free paper. @ Copyright O 2006 by John Wiley Sons, Inc. All rights reserved. Published by John Wiley Sons, Inc., Hoboken, New Jersey Published simultaneously in Canada No part of this publication may be reproduced, stored inRead MoreTop 1 Cause for Project Failure65023 Words   |  261 Pageschange requests and a proper change management process goes a long way to ensure that change requests get the proper attention and approvals to be considered of inclusion. The PM needs to be a skilled negotiator to be able to guide the process and to help to push out non essential changes to the next phase. 6. [pic] Harold Kimmey, PMP Systems Development Coordinator at Antares Management Solutions I must be lucky enough to have overcome most of the others becauseRead MoreProject Mgmt296381 Words   |  1186 PagesChulalongkorn University in Bangkok, Thailand. He received a B.A. in psychology from Claremont McKenna College and a Ph.D. in management from State University of New York at Buffalo. He is a certified project management professional (PMP) and Scrum Master. Clifford F. Gray CLIFFORD F. GRAY is professor emeritus of management at the College of Business, Oregon State University. He continues to teach undergraduate and graduate project management courses overseas and in the United States; he has personallyRead MoreLibrary Management204752 Words   |  820 PagesCenter Management Recent Titles in Library and Information Science Text Series Library and Information Center Management, Sixth Edition Robert D. Stueart and Barbara B. Moran United States Government Information: Policies and Sources Peter Hernon, Harold C. Relyea, Robert E. Dugan, and Joan F. Cheverie Library Information Systems: From Library Automation to Distributed Information Access Solutions Thomas R. Kochtanek and Joseph R. Matthews The Complete Guide to Acquisitions Management Frances C. WilkinsonRead MoreOrganisational Theory230255 Words   |  922 Pagestextbook to provide full and informed coverage of a range of contemporary developments in the field. Notably, it includes diverse contributions to organization theory made by critical management studies. It really is pathbreaking in terms of its inclusion of material that does not appear in other texts. Professor Hugh Willmott, Cardiff Business School, UK This is one of the most up-to-date and comprehensive texts in the field of organization studies. It takes the reader through different perspectives

Disbursement Acceleration Program free essay sample

The Disbursement Acceleration Program (DAP) is a stimulus package under the Aquino administration designed to fast? track public spending, and pushes economic growth. If we are to request a DAP audit, will it answer the following questions: How was the new budget items arrived at? Where did all these monies go? Which were the provinces, cities, and towns? Who were the service providers? Were they chosen thru competitive bidding? And who were the real beneficiaries? There is no rationale at all for allowing the legislators to identify projects. What happened here? Why did the executive department allow this to happen? In this sense, the Disbursement Acceleration Program should not be implemented because it does not contribute in the GDP and economic growth of the country, although it may have been partially successful, its rediscovery has drawn reaction as â€Å"Unlawful†, aside from being unconstitutional, it does not serve, neither its spending was translated to over-all increase of jobs, nor trigger a downturn in poverty incidence. Background Two years ago, the government was roundly criticized for causing an economic slowdown. Upon assumption into office in the third quarter of 2010, the Aquino administration applied the brakes on government spending, particularly on infrastructure. At first, it was because it had little choice; the President lamented how his predecessor had already spent most of the budget allotted for the entire year. In the following year, the spending cutback continued, this time because government, in its push for â€Å"matuwid na daan,† worked to improve the quality of public expenditures and stop erstwhile massive corruption leakages. As explained by Budget Secretary Florencio Abad, government decided to cancel projects embarked on by the previous leadership that were found â€Å"wanting in economic viability and credibility. † Meanwhile, Public Works Secretary Rogelio Singson was plugging loopholes in his department’s procurement and bidding systems, slowing implementation of programmed infrastructure projects in the process. For five consecutive quarters, beginning when President Aquino assumed the reins of government, public construction dropped consistently by as much as 58.  6 percent year-on-year in one quarter. The economy grew by only 3. 9 percent in 2011, down from a hefty 7. 3 percent in 2010. The project cancellations earned for government the displeasure of, even legal action from, donor agencies. The resulting growth slowdown drew severe criticism from business and other economy watchers. It was in this context that the Development Budget Coordinating Committee (DBCC), chaired by Abad and composed of government’s key economic managers, saw urgency in accelerating government disbursements to reverse the slowdown. Thus was the DAP born. In October 2011, the DBCC prescribed the following criteria for projects to be supported under DAP: (1) fast-moving or quick-disbursing; (2) urgent or high priority in terms of social and economic development objectives; and (3) well-performing programs or projects that could further expand benefits to the public with additional funds. How were funds sourced? Funds used for programs and projects identified through DAP were sourced from savings generated by the government, the realignment of which is subject to the approval of the President; as well as the Unprogrammed Fund that can be tapped when government has windfall revenue collections, e. g. , unexpected remittance of dividends from the GOCCs and Government Financial Institutions (GFIs), sale of government assets. Body The use of DAP successfully sustained the pace of public spending as well as economic expansion. The Philippine economy grew by 3. 7 percent in the fourth quarter of 2011, from 3.1 percent and 3. 6 percent in the second and third quarters, respectively. On the supply side, real GDP growth in the fourth quarter was mainly propelled by the robust performance of the services sector, as well as the strong performance of the public construction subsector. On the demand side, household and government consumption, and public sector infrastructure investments supported growth. With a 2. 9 percent growth in net primary income, gross national income grew by 3. 5 percent. (Paderanga) The Disbursement Acceleration Plan worked. Not only were we able to push the level of government spending towards the tail-end of 2011, we were also able to achieve a better-than-expected fiscal deficit level equivalent to 2 percent of gross domestic product. (Abad) President Aquino’s recent defense of his DAP (citing its â€Å"Selective Use of Statistics† to hype growth in the country) is an exaggerated interpretation of a misleading World Bank report. The World Bank’s March 2012 Philippines Quarterly Updated said that â€Å"the government’s DAP was partially successful and contributed 1. 3 percentage points to GDP growth in [the fourth quarter of] 2011. In the November 19, 2013 decision of the Supreme Court magistrates, who voted 14-0 in ruling to bar the PDAF or the legislative pork barrel, which, like the DAP, constituted lump sum funds in the national budget, we can say that DAP is unconstitutional. So, since there’s already such a ruling on the legality of lump sum appropriations, then one can clearly see that the DAP violated the Constitution, too. Associate Justice Antonio Carpio, who’s the most senior of the 14-member high tribunal, took the position that all lump sum appropriations in the budget are illegal. † The other budget rule that flows from the above is that savings have to be generated from their respective appropriations and applied only to items of their respective appropriations. General provisions in the GAA 2001, GAA 2002, and GAA 2003 uniformly provide that â€Å"In no case shall a non-existent program activity or project, be funded by augmentation from savings or by the use of appropriations otherwise authorized in the act. † Put simply, if a program, activity or project does not exist in the GAA, then it cannot be augmented from savings. Put differently, what is called â€Å"cross-border† augmentation as called by some associate justices, meaning the use of savings from one office to augment the budget of another office, is illegal. Yet, Secretary Abad admitted that DAP was used to augment the budgets of the House of Representatives and the Commission on Audit, and that savings of the Executive Department were used to augment the budget of the Commission on Elections. Fatal mistake. (Teodoro, 2013) DAP can be considered as part of the President’s vast presidential pork barrel Conclusion As a whole, the defense of DAP still fell short of justifying the organized allocation almost P 1 trillion in open fund including the supposedly abolished PDAF (Priority Development Assistance Fund), regular agency lump sums, unprogrammed funds, other savings and off budget items. That we even find ourselves in this debate is symptomatic of how broken our system of government is. It indicates a complete breakdown of controls, which puts into question our very system of government. The virulence of corruption has seriously tainted vital government institutions — among others, Congress, executive departments, agencies, government and controlled corporations and local government units. It also puts into question the existing auditing, budgeting processes, procedures and control mechanisms. With cases now being filed, our justice system will also be put to the test. The Pandora’s Box has been fully opened. And if the P10-billion Napoles pork barrel and the Malampaya funds scandals are just a tip of the iceberg, chances are, more gargantuan scams involving public funds are waiting to be uncovered. For all the moral anguish and outrage that Filipinos are going through, the silver lining here is that the pain could have a cathartic effect. Had these scandals not been unearthed, the corrupt would continue with their merry ways, wrecking more serious havoc along the way. But now, the guilty must be quaking in their feet. The fuse ignited by Benhur Luy and the other whistleblowers will definitely result in an explosion that will rack the country to its very foundations. But in the end, it will give us an opportunity to rectify our broken system of governance; and, if we learn from all of this, it is a precious opportunity to correct past mistakes to allow for a better society to emerge.

HBO Clinic for Confidentiality Agreements- myassignmenthelp.com

Question: Discuss about the HBO Clinic for Confidentiality Agreements. Answer: Purpose This provides information to patients on how their health information is collected and used within the practice, and the circumstances in which the information may be disclosed to third parties. privacy and confidentiality/Confidentiality agreements A privacy and confidentiality policy ensures that no information of the patients gets into the wrong hands (Ahia, 2003). This policy gives the patient the rights to determine how, when and to what extent their medical information can be shared with other people(Hermann, Remley and Huey, 2010). patients access to their own health information/Request Patients should fill out request for personal health information at the reception if they want to access their own information. Request of PHI by other medical facilities Request should be made by the patient to transfer their information to another medical practice by completing a request for medical request transfer form. security The practice maintains the security of personal health information of the patients(Remley and Herlihy, n.d.). Disclosure to third parties At HBO, we do not allow third parties to get a patients personal health information. However, the patient should fill thid party disclosure form if he is willing to share information to third parties. Informing new patients This should be made on the companys website and notice boards. Patients should be encouraged to read this notices when they visit the health facility. Patients access to the personal health information (PHI) A patient has the right to access his or her medical information as long as he is above 18 years old and can make sound decisions. However, their information should be accessed from their personal doctors or the administrative office on request (Weber, 2001). Alteration of Patients Medical records At HBO, we are aware that alteration of patients medical records can hurt a physician in medical practice. Therefore disciplinary actions will be taken on any one who alters the medical records of a patient(Bonhoeffer et al., n.d.). Patient consent Practice staff will only apply the consent of a patient for he primary purpose for which it was provided. Staff must also seek additional consent from the patient if the information needed is to be used for any other purpose(Bonhoeffer et al., n.d.). Scenarios Legal and ethical issue Confidentiality and right to private information Right to privacy: privacy and confidentiality is enshrined in the constitution. It is also an ethical issue in medical world where a doctor is supposed to take the hypocritical oath to protect private information of a patient. In this case, a receptionist is giving private information in form of a phone number from one patient to another. This is absolutely wrong as it hinders the right to private information and confidentiality (McDaniel, 2004). When hiring, the management of the hospital should make it clear that it is a persons right to privacy and confidential information. In this case the receptionist behaved unethically by giving a private number of patient X to patient supposing patient B contacts patient x, then patient X asks where the patient got the number, X has all the legal right to take the issue to the courts and sue the institution(Dewey, 2016). The management of these ethical issues will be addressed after the receptionist is taken action on. She can be terminated or given a warning in order for her to learn how unethical it is to give private and confidential information. In hiring, all issues legal should be laid bare for them to learn what should be done and what not to be done. You saw a staff member getting agitated and verbally abusing a young client from diverse culture. Legal issue This can be classified as slander or just verbal abuse and use of insultive language. When a client is verbally abused by a staff member and especially when the client is from a diverse culture, it sends a wrong message and may be described as discrimination or prejudice towards a particular culture (Garwood-Gowers, Tingle and Wheat, 2005). This will set a bad precedent especially when the facility is graced by many people from diverse cultural background. The issue can be addressed by firing the staff who is verbally abusing a client from a culturally diverse background. The legal remedy of this is to say no to prejudice by addressing this issue through warnings and cautions. It is also ethical to set rules and guidelines in addressing abusive languages and insults. Two staff members are gossiping about the behaviour of a client. They are laughing about their behaviour and medical problems. One of the staff members involved has no responsibility of the treatment of the client. Legal issues Privacy, confidentiality and prejudice When hiring, the management of the hospital should make it clear that it is a persons right to privacy and confidential information. She can be terminated or given a warning in order for her to learn how unethical it is to give private and confidential information (Steinbock, Arras and London, 2009). In hiring, all issues legal should be laid bare for them to learn what should be done and what not to be done. The legal remedy of this is to say no to prejudice by addressing this issue through warnings and cautions. It is also ethical to set rules and guidelines in addressing abusive languages and insults(HANVEY, 2016). Ethics In The Audit In a report you are required to address the following issues/points List all the key legal and ethical obligations that apply to the organisation and its staff members and briefly describe each which applies. The legal and ethical issues in an organization include; Professionalism Integrity Honesty 2.To meet with the requirements of applied legal and ethical obligations, what specific job roles should be created in compliance department and how the people in those roles can update their knowledge in relating to compliance issues or changing legislations? Internal auditor position- to check internal auditing functions Compliance officer- to ensure that the organization follows all the compliance issues in the organization.Assurance is also a role to be created in the department(Spencer, n.d.). 3.When and why legal advice is needed? Legal advice is needed when an institution is at loggerheads with clients or when it wants consultancy services in regards to law. 4.Should organisation have policies and procedural guidelines on managing ethical issues? if so, what kind of issues should be addressed in that policy An organization should always have policies and procedural guidelines in managing ethical issues. This is because ethical issues are procedural and require to be organized. Ethical issues include things like integrity, professionalism , honesty and privacy. 5.What records is the organisation required to keep? Financial records such as balance sheet, income statement, cash flow statements. 6.What steps can be taken to ensure that staff members are complying to their legal and ethical obligations? Orientation, teaching and training. 7.What are possible breaches related to legal or ethical conduct that organisation can face? Lawsuit against the mandate to buy health insurance. Breaches of electronic data. Recovery of audit contractors. Labour and employment issues. Medical malpractice. 8.What would be the consequences of non- compliance be? The consequences of non-compliance include huge fines for the healthcare facility as well as legal suits for ethical breaches. 9What should the organization do if breaches occur? If breach occurs, the organization should first inform the lawyer representing them for advice and also try to rectify the situation. 10.How staff member can report the issue relating to breach or unethical act? A staff member can report issues related to unethical act or breach by informing the administrators or supervisors of the health facility, and this should be done in accordance to the policy of the organization and the right procedures followed(Moliterno and Paton, n.d.). 11.How organisation can get accreditation, name the bodies through this can be achieved. Accreditation is done by a body known as the Australian Council on Healthcare Standards. If the following key elements have been fulfilled by the healthcare, then it gets accredited; A standard setting process Stewardship or governance function Continuous quality improvement 12.How organisation can maintain the knowledge of compliance requirements? Organizations can maintain the knowledge of compliance requirements by constantly checking the accrediting bodies website for any new information. 13.How the process of continuous improvement can help the organization in keeping up with their compliance requirements? Continuous improvement enables the organization to improve its everyday practice, it also enables the organization to maintain quality care that the patient needs and to seek opportunities to improve the care and its results (Moliterno and Paton, n.d.). References Hermann, M., Remley, T. and Huey, W. (2010). Ethical legal issues in school counseling. Alexandria, VA: American School Counselor Association. Ahia, C. (2003).Legal and ethical dictionary for mental health professionals. Lanham, Mar.: University Press of America. Dewey, J. (2016). Ethics. Read Books Ltd. Garwood-Gowers, A., Tingle, J. and Wheat, K. (2005).Contemporary issues in healthcare law and ethics. Edinburgh: Elsevier Butterworth-Heinemann. HANVEY, C. (2016). Practitioner's guide to legal issues in organizations. [Place of publication not identified]: SPRINGER INTERNATIONAL PU. McDaniel, C. (2004).Organizational ethics. Aldershot (England): Ashgate. Steinbock, B., Arras, J. and London, A. (2009).Ethical issues in modern medicine. Boston: McGraw-Hill. Weber, L. (2001).Business ethics in healthcare. Bloomington: Indiana University Press.