Monday, December 30, 2019

Analysis Of The Poem Albee - 1520 Words

such as â€Å"amazing† and â€Å"extraordinary,†Albee highlights the feelings associated with having sexual relations with a goat and Martin’s satisfaction is clearly conveyed to readers. Also, he suggests that being with Sylvia made him feel a new and unique way, which illustrates that it is the missing component to the happiness in his life. Therefore, the goat symbolizes the missing piece in Martin’s life and the inner desires and fantasies in the American Dream. Albee uses the goat as a symbol to express the American Dream from a unique perspective. The American Dream is often thought to be the â€Å"white picket fence life,† so when Albee uses the goat to symbolize the American Dream, he generates entertainment and interest in readers because of it’s unusual representation. Also, having the goat represent inner desires and fantasies appeals to the audience through pathos because of the humorous idea. Without the use of a goat as symbolis m, Albee’s argument would not be as strong because to readers, his play would only appear to be about having sexual relations with a goat. By using symbols, Albee strengthens his argument because he is able to depict the role of inner desires and fantasies in the American Dream. Although both authors use symbolism, they differ in how they suggest money influences the American Dream. Thompson claims that money solves problems. To support his claim, Thompson uses the strategy of exemplification to express the power of money in Las Vegas. He uses anShow MoreRelatedAn Analysis of the Illusion and the Truth with the Depression of Human Beingthrough on Psychoanalysis Theory onâ€Å"Who’s Afraid of Virginia Woolf?† by Edward Albee2738 Words   |  11 PagesAn Analysis of the Illusion and the Truth WITH THE DEPRESSION OF Human BEINGthrough on Psychoanalysis theory Onâ€Å"WHO’S AFRAID OF VIRGINIA WOOLF?† by edward albee    Chapter I INTRODUCTION    1. A.  Ã‚  Ã‚   Background of the Study Who’s Afraid of Virginia Woolf? was a play work by Edward Albee. It was produced in New York in 1962. Actually, this era is the transition of  modernism into postmodernism that using the absurdist paradigm in order to break the rules of modernism and found a new era.Read MoreAugust Wilson3685 Words   |  15 Pagesin America.2 His list of awards contains tittles such as: the McKnight, Bush, Rockefeller and Guggenheim Fellowships, the Drama Desk Awards, and the Chicago Tribunes Artist of the Year. He has received several New York Circle Awards, the Edward Albee Last Frontier Playwright Award, the Whiting Foundation Award, and the Jerome Fellowship. His play Fences was the first play in 30 years to win all of the major awards. In 1984, Wilson was invited to join the New Dramatists, which, founded in 1949,Read MoreAlice Malsenior6001 Words   |  25 Pages Alice Walker’s writing career would surge in the 1970’s with the publishing of her first novel, The Third L ife of Grange Copeland (Smith, Jessie). The predominant issues and themes of her writings were civil rights based. Many of her stories and poems focus on rape, sexism, racism, violence, segregation and relationship problems. It would later be openly announced that Alice Walker had a bi-sexual orientation (Bates, Alice Walker: A Critical Companion). In 1973, Alice Walker joined Ms. MagazineRead MoreQuestions On Semantics And Pragmatics8833 Words   |  36 Pageswhich usually refers to a type of drama which dominated West-European literature between the years 1940-1960 and is most often associated with the names of famous writers, Samuel Beckett, Eugene Ionesco, Jean Genet, Harold Pinter, Tom Stoppard, Edward Albee, Arthur Adamov, Fernando Arrabal, Friedrich Durrenmatt, Witold Gombrowicz, Slawomir, Mrozak, Vaclav Havel and many other less famous playwrights , however as many chacterization of genre attempts to encompass its abstract relation and phenomena, this

Sunday, December 22, 2019

Lowering the Risk of Spreading HIV - 1269 Words

Feedback: 1) Do I need to add more to my options section? I have thought about adding a needle exchange program but I already know that this paper leads towards controversial and want to stick with more neutral programs/options. 2) I just want to make sure I am laying out the landscape section accurately, and that I am providing the right information. Are some parts too detailed? Executive Summary HIV, also known as the human immunodeficiency virus, can have diminishing effects on the body’s immune system. Unlike other viruses, such as the flu, the body cannot get rid of HIV. This virus attacks T-cells (T-cells play a huge role in cell immunity), and replicates itself among the attacked T-cells. When too many of the cells have been attacked, and the body can longer fight infection, the HIV infection can then transform into AIDS. (Acquired immune deficiency syndrome) Risks that can lead to having HIV include sexual activity, drug use, blood transfusion and pregnancy. Prisons hold a huge risk to inmates, and have many high risk behaviors including unprotected sexual activity, and intravenous drug use. More than 2 million people in the United States are incarcerated in federal prisons and local jails. In 2008, 20,449 state prisoners and 1,538 federal prisoners, a total of 21, 987 male and female prisoners were reported to be living with HIV or AIDS (CDC) In other states, steps have been taken to reduce HIV risks. In 2013, California approved a plan that would allow condomsShow MoreRelatedRecreational Drugs Essay1047 Words   |  5 Pagesaddicted. Addicted would lead to lot other problems and sickness. Using recreational drugs through sharing of needles would spread diseases like HIV/AIDS and hepatitis. Making the recreational drugs legal would do more good to the poplution as a whole. Making it legal would means loss of profit for the drug lord and drug cartel. Which would lead to lowering the crime rate. Making it legal would means the recreational drugs are regulated and the user knows what it contains which would lead to less harmRead MoreHIV and AIDS: The Epidemic Essay example1640 Words   |  7 PagesHIV and AIDS have affected millions of people throughout the world. Since 1981, there have been 25 million deaths due to AIDS involving men, women, and children. Presently there are 40 million people living with HIV and AIDS arou nd the world and two million die each year from AIDS related illnesses. The Center for Disease Control estimates that one-third of the one million Americans living with HIV are not aware that they have it. The earliest known case of HIV was in 1959. It was discovered in aRead MoreDevastation and Disease in Africa1502 Words   |  7 PagesAfrica, overpopulation is such an immense concern because of diseases, like HIV and AIDS, that spread more effortlessly due to the close living environments overpopulation creates. In Sub-Saharan Africa there is a high percentage of people with HIV or AID because the close living quarters cause many diseases like HIV and AIDS to spread more rapidly. In certain areas of Africa â€Å"[more] than two-thirds of all people infected with HIV live [in Sub-Saharan Africa.]† (â€Å"Infectious Diseases†¦Ã¢â‚¬ ). With the populationRead MoreCoconut Oil1612 Words   |  7 Pagesrelevant? It’s important because our bodies respond and meta bolize each fatty acid differently. The MCFA found in coconut oil makes it special because these fatty acids don’t have a negative effect on cholesterol. In fact, they’re known to lower the risk of heart disease and atherosclerosis. There are only few dietary sources of MCFA, and one of the best sources by far is coconut oil. The liver and gall bladder don’t need to digest and emulsify MCFA, resulting in instant energy, increased metabolicRead MoreLimitations Of Acquiring Data On Hiv1783 Words   |  8 PagesLimitations in Acquiring Data The current data surrounding HIV rates in transgender women are inadequate for several reasons. First, due to an unequal number of studies from each country, the international data reports are merely estimates and are most likely not generalizable to all transgender populations across the world. Next, the sampling methods that have been used, may have resulted in an oversampling of transgender women who are sex workers as these specific populations tend to congregateRead MoreHiv / Aids Is The Most Powerful Weapon1824 Words   |  8 Pagesfixing global issues, like HIV/AIDS, then why do many continents, such as Africa, not use education as an ethical way to break the cycle of serious health epidemics? HIV/AIDS is one of the biggest health issues the world faces today, but particularly Africa has the largest epidemic rate. In the article by author Kristien Michielsen, she states that â€Å"in 2010, 70% of the new HIV infections occurred in sub-Saharan Africa. This part of the world host two thirds of all HIV- positive people, while it isRead MoreShingles is a painful disease that is caused by the same virus that causes the chicken pox. The1000 Words   |  4 Pagesfrom medications they take, like steroid medications are also vulnerable because their immune system is weak, letting the shingles virus take over. Many things can weaken your immune system, for example having chronic diseases like diabetes, lupus, or HIV. Having poor nutrition, getting an injury, or having an organ transplant can all increase the chances of letting the shingles virus reactivate. Shingles and chickenpox is caused by a certain form of herpes virus. The virus that causes cold sores andRead MoreThe Problem Of Hiv / Aids1871 Words   |  8 Pagesproject, we wanted to see how much the average high school student knew about HIV/AIDS- ourselves having minimal knowledge of the disease. In order to do so, we created a quiz and charted the results. After reviewing the results of the quiz, we realized that this ISP is giving us the platform to inform and enlighten ourselves and others of this serious global phenomenon. The quiz consisted of basic questions regarding HIV/AIDS and the ratio of correct to incorrect answers was mostly even with a fewRead MoreFemale Genital Mutilation Essay1900 Words   |  8 Pagescrimes committed against women as a part of various coming of age rituals for young girls in certain patriarchal communities in Africa, spreading through migration of a populace through Northeastern and Western Africa and some spread into the Middle Eastern countries. These communities integrated this practice into women through marriage into these cultures, spreading this practice into their daughters and so forth. FGM has been classified by the World Health Organization (WHO) into three basic subtypesRead MoreAids / Hiv : The Time Of The Great Revolution2043 Words   |  9 PagesAIDS/HIV first originated in Kinshasa, Africa during the 1920s: the time of the Great Revolution. Kinshasa had many routes that linked to other parts of the world which may help explain the disease spreading like a wildfire. AIDS/HIV began to spread through Sub-Saharan Africa mostly through heterosexual sex: the diseases main route of transmission. Then it ate up more of Africa until it began reaching other parts of the world. Another are reporting AIDS/HIV was Brazzaville, The Republic of Congo

Saturday, December 14, 2019

Cultivating an Equal Opportunity Society Free Essays

Question: Do you think cultivating an equal opportunity society has helped countries such as South Africa and America to move forward? In a carefully worded essay, show why this is the case or why it is not. The equity act was implemented after apartheid in South Africa and America in order to force businesses to hire disadvantaged groups in order to amend the imbalance apartheid created in the economy. The equity act is very much needed in a country where racism led to a minority group being developed. We will write a custom essay sample on Cultivating an Equal Opportunity Society or any similar topic only for you Order Now In my opinion the equity act has a very important role in reinstating a sense of believe in a better future. There is no point in telling a minority group they are free to do anything but then not force the majority group to allow this. The majority group could go on refusing to hire minority groups, still harbouring a racist view. You cannot expect people to instantly change their long standing views of discrimination and overnight start hiring different races and genders. It is a slow process and education, trust and forgiveness are not easily acquired. Here the equity act aims to force people to accept the change and move forward letting go of discrimination. Now in South Africa I believe the equity act has allowed our country to move away from formal apartheid and into a time where the focus on race and gender has become bigger than ever. Today when you apply for an education, bursary or job your race and gender is a major deciding factor for the recruiter or employer. By law in South Africa if you have a business that employs more than 50 people you have to comply with the regulations and rules set out in Employment Equity act, this is also known as Black Economic Empowerment(BEE) and should you not achieve the desired level of BEE status your business can be fined. The higher your BEE status the more likely you are to win government contracts ensuring higher paid jobs for your business. Because of the need for a BEE status, employers’ criteria for hiring staff have shifted from capabilities and merit to race and gender. An employer will much rather hire a staff member that will ensure the business a hire BEE status than hire a staff member that will not increase his status or even worse lead to him to being fined. Even though the latter staff member may be more qualified than the first staff member the employer will gain more funs with a less capable employee than with a highly skilled employee of the wrong race or gender. Because the employer is now forced to hire less skilled workers his more skilled workers have to work harder to make up for the employees who cannot perform the duties. This leads to feeling of hatred and discrimination among employees. Companies may also struggle to find people of a certain group that is qualified to perform a task and so leave the company under staffed and not capable of providing a service or product. This situation leads to not only a drop in quality of services and products but these businesses also receive more work as winning a contract is purely based on what race and gender works for you. Companies have moved from wanting to provide top quality services and products to wanting the correct race and gender to work for them. Your standard of work is no longer important, just what you look like. How is that a move forward from focusing on skin colour? Disadvantage groups now have more opportunities available to them now but your race, gender, family tradition and religion greatly influence your worldview and interests. For this reason many economic sectors lack the people required to meet BEE status. I interviewed a director of a security company in my home town and he had this to say about the equity act. Mr Smith runs a private security company in Cape Town and employs 150 security guards. He only has a level 2 BEE status. Mr Smith explained to me that due to the nature of the tasks required in his company, male employees are more attracted to the job. In order to comply with the employment equity act he has to hire a certain percentage of people from previously disadvantaged groups. Unfortunately these people lack the funds required to be educated as security guards. Mr Smith has to pay for these people to be educated costing his company a large amount every year and he can also only afford to educate a certain amount of people of the required race, leaving his company understaffed. For example say he has to employ 20 Indians but can only afford to educate 10 Indians. He is not allowed to hire 10 staff members from another group and thus leaving his company understaffed by 10 people. He also has problems finding females to hire as security is not viewed as a job suited for females. For this reason his BEE status is very low and he has almost no chance in acquiring large government contracts needed to grow his business not even mentioning being under staffed. If he doesn’t comply with BEE he will be fined and in order to comply with BEE he has to pay to educate the proper race. It is a vicious cycle and is created from an act looking at empowering our country. In this situation all the act is doing is decreasing job opportunities as implementing this act becomes too costly for small businesses. Trough BEE many disadvantaged groups have been receiving job positions they are not qualified for. Under skilled people are being made directors of companies purely to increase BEE status and thus increase contracts for the company. These directors often still harbour a feeling of oppression and revenge. Many disadvantaged people believe the â€Å"whites† owe them everything after apartheid and when these people are then put in power they ignore the regulation of the equity act. They want revenge for their suffering and will only favour their race or gender. Due to the lack of monitoring the implementation of the equity act, many companies are never fined for not complying with the act. There are companies playing by the rules and suffering and there are companies ignoring the rules, favouring their â€Å"own† in the job market and bribing their way to the top. We are now seeing companies with a majority of one race being born creating more hatred among groups. This goes for previously disadvantaged groups and advantaged groups. When your race and gender becomes a criterion for employment victimization will always be a factor. Before the equity act you where hired based on merit, sure disadvantaged groups didn’t even stand a chance as their access to education where restricted but being hired based on your label is fuelling blame and discrimination now more than ever. Not only is the act exaggerating the very problem it seeks to solve it is now giving people a valid criteria and reason for discrimination. People will always seek to blame and point out differences among themselves, this act just allows the differences among people to be taken more seriously. I have heard many times people say,† he was only hired because they need more black people,† or â€Å"She only won because she is a women and they need to have a female win so they can keep their government sponsorship. It is a really sad situation to be in when you no longer have to do your best to achieve success but can achieve success by purely applying to a company or university that is short on filling their BEE criteria. Not only is this a bad thing for skilled people who are losing jobs based on race but it is detrimental to skilled people being hired in suitable positions all while there, they are being frowned upon. I can definitely see the equity act as necessary in our country. It is vital for educating the majority about the minority and vice versa. It is important for empowering en providing confidence in oppressed groups. It can eliminate the stereotypes of a white man’s job or a black ladies’ job. Society can grow so much from being pushed to integrate our relationships with other groups and us as a country can rectify our differences but unfortunately this act has illuminated our differences and used it as its very criteria for success. We are moving backwards and our standard of service and quality of products are dropping. Businesses are suffering and the people who do strive for excellence are stepping back in order to favour an attitude of â€Å"the world owes me everything†. The people are not ready for such an act. Our focus on difference and our â€Å"revenge† attitudes are over shadowing our goal of working as one. I don’t expect people to forget about apartheid, its effects will still be felt for many years, but I do believe if we can realise that we all do have a chance at an equal opportunity for success, we can create an economy fuelled by one goal, a brighter future for all. Unfortunately right now we are slipping into reverse creating a world worse than before. How to cite Cultivating an Equal Opportunity Society, Papers

Friday, December 6, 2019

Use of Ethical Theories in Nursing for Patients- myassignmenthelp

Question: Discuss about theUse of Ethical Theories in Nursing for Patients. Answer: Professional nursing may be defined as the duty of the nurses to provide protection to patients thereby promoting and optimizing their health and abilities to survive and lead a proper quality life. They have the duty to prevent any kind of illness as well as injury along with correct initiatives to alleviate their sufferings (Wanger Dahnke, 2015). These are mainly conducted through proper diagnosis, different treatment of human response as well as through advocacy in the care of the patients, families and also communities and populations. Therefore nurses of the present generation follow a set of key elements that guide them through their profession to practice not only competently but also with integrity. These set of guidelines which help them to follow rules and responsibilities of their nursing profession is called the ethical guidelines (Felzmann, 2017). Ethics help nurses to provide care irrespective of their ages, economic status, citizenship, disability, sexual orientation and others by following a proper ethical framework that helps nurses to practice their professions with the best outcomes, maintain patient rights, stay away from legal obligations, and overcome ethical dilemma and others (Hamric et al., 2015). Two of the most ethical theories which are often found useful in guiding the decisions of the nurses when they face issues in decision making or when they suffer from ethical dilemma are Utilitarianism/ Consequentialism and principlism. The essay will fist discuss about the two theories which would be followed by a detailed discussion of its weakness and strength. Consequentialism may be defined as the result based ethics theory which states that among all the different actions taken by nurses in different situations during their care for their patients, one those will be considered morally right action which will have the best overall outcomes. Many of the researchers are of the opinion that this theory is based on two important principles (Hewitt, 2017). The first one is that whether an act would be considered right or wrong will entirely depend on the outcome of the act which will in turn describe the status of the action. Secondly, it also incorporated focus of the concept that better the consequences an act produces the better or more appropriate the act would be. This has been incorporated in the theories which nurses follow when they face ethical dilemma. It mainly helps the nurse to pick up these actions which they foresee to bring the most beneficial outcome when a set of actions are available to them as options to be taken for the pa tient (Casali Day, 2015). Thereby this theory ultimately gives a good notion to be adopted by nurses in their practice that individuals should live in such a way so that they can maximize good consequences. Different forms of consequentialism have been stated by researchers over times which are utilitarianism and hedonism (Ivanov Oden, 2013). While hedonism can be described as the guiding principles which state that humans should maximize actions which ensure human pleasure. The other is the utilitarianism which has been widely used by nurses when they face issues in decision making. This states that nurses should perform any activities which would help in maximizing human welfare as well as well being. Many researchers have defined the topic of utilitarianism as the ethical theory which says that a choice is ethically right in a particular given situation only when it produces the most happiness as well as the least unhappiness for a largest number of people. It is one of the mos t accepted ethical theories as it is based on the human behavioral concept that every human beings with stable mental conditions would take up the decisions to carry out activities by trying to far sight the consequences beforehand (Scott, 2017). Those activities they feel to being the best benefit are selected and the rest are rejected. The similar ideas are also adapted by nurses in their practices as they need to only perform those treatments to the patient which bring the best outcome and patient safety. For this they often need to continually upgrade themselves with continuous professional development to be knowledgeable about the current evidence based practices and implement them in their own care. Another ethical theory which needs to be used by the nursing professionals while planning care for the patient is the principlism. This theory mainly comprises of five important principles which each and every nurse should incorporate in their practices to be ethically, morally and legally right in her approaches. The first one is the maintenance of autonomy and dignity (Beauchamp, 2016). It states that every patient has the right to self determinations which means that they have the right to take decisions of their own lives without nurses interfering or pressuring them to change their decisions even though it brings out positive or negative outcomes. The next principle within this theory is the principle of justice. This theory states that every nursing professional should provide care and allocate resources to patients in terms of fairness, need and equality. They should provide care irrespective of the caste, creed, religion and social economic status of the patients so that they all can get equal importance and care from the healthcare centers (McCarthy et al., 2016). The third principle is called the beneficence which guides nurse to pick up those treatment plans which are the safest and would bring the best care for the patients. This principle ensures that the care plan selected would bring good to the patient and would have the least chances of the occurrences of errors (Casali Day, 2015). The fourth principle is the principle of non maleficence which states that the care that is to be provided for the patients should bring no harm to the patients. It should be such that it would bring no suffering to the patient. The last principle would be called the confidentiality and privacy maintenance of the patients (Byrd Winklestein, 2014). Privacy is the maintenance of information which an individuals wants to keep for himself only unless he desires to share this with anyone else. Confidentiality means the sharing of the information within a closed number o f individuals where the information shared should not pass onto others abroad (McCarthy et al., 2016). The nurse should not share any information which is not wanted by the patients to be shared. Breach in these principles may lead the nurses in legal obligation (McCarthy et al., 2016). The main strengths of these ethical theories are that they help the nurses as guidebooks when they face any issues in making decisions while choosing the best care for the patients. While utilitarianism is helpful in making the nurse go for the evidence based practice which she had found to be highly recommended in most numbers by the researchers over the years (reading newly published journal articles to get knowledge about the best care strategy which can be applied for the patient) (Hauck, Winsett Kuric, 2013). By this, she should be assured that she had applied the best intervention which would bring out the best benefits to the patient which would in turn help the patient to lead a much better life by minimizing pain and maximizing the happiness and peace of the patient (Dinc, 2015). Moreover, anther of its strength is its simplicity as it does not require the acceptance of any prior beliefs above the nature of any religion. Rather its moral discussions and explanations are acc epted by people in all nations. An example of a case study can be provided. A patient in a drunken state was taken to the hospital where he was suffering from chest pain. Seeing the necessity of the situation, nurse acted quickly and conducted tests to see whether he had any myocardial infarction since it had the highest chance. This quick action as well as proper critical reasoning of the nurse helped her identify the situation and provide the right interventions which saved his life thereby doing the greatest good to the patient. The main weakness of this utilitarianism theory is that its effectivity depends on the results of the actions rather than providing interest to the real intentions of the professionals. This does not pay importance to the morals and the feelings with which an individual is applying the interventions (Langan et al., 2017). This is said so as it might happen that the nurse had provided the best evidence based care for the patient with the true feeling of saving the patient. However, the action might not have positive impacts on the patient for which an adverse situation occurred. All these would result in being judgmental about the nurses when her morals were true and rights (Silva, Sorell Fletcher, 2014). This results in unethical complain against her which might affect her confidence and career. This theory does not support the integrity and moral responsibility of the moral actions which makes it, its weakness. One case can be depicted. An aggressive patient was admitted with stoma ch pain that was at a greater risk of self harm as stated by the family members. Therefore for his greater good, the nurse applied restraint to protect him from harming himself. However, in attempt to get freed from it, he bruised himself which resulted in negative impact. Although the nurses morale was to save the patient, yet she was criticized. The main strength of the principlism is that it helps the nursing professionals to follow important aspects which they need to combine together to provide a comprehensive care. The first principle of autonomy and dignity helps the nurse to provide utmost freedom to the patients to choose what they want to decide regarding their treatment which help the nurse to keep the patient happy. It also helps the nurse to keep herself free form any legal obligations (Jons, Mitchell Milligan, 2016). The other principles of beneficence and non-maleficence help the nurse in choosing the correct interventions which would reduce pain for the patients and will increase their chances of well being. Moreover providing justice by giving equal care to all helps the low socio-economic people or unprivileged classes of people to get better care thereby reflecting values and feeling of humanity in their approach. All these help the nurses to provide an ethical care that increases the well being of patients and develops their trust on healthcare (Wagner Dahnke, 2015). Moreover maintenance of privacy and confidentiality also helps to prevent the patients from being victimized in adverse crimes by perpetrators and thereby helps them form protecting patients from the hands of criminals or those who want to provide harm to patients. Comprehensive approaches are therefore much helpful for maintaining case with certain rules and ethical guidelines. A case can be depicted here. A patient was admitted who was aged and did not wanted to go for surgery for her arthritis but this surgery was wanted by her family members. However, the professionals did not conduct the surgery due to her request which kept her happy. This principle therefore helps in maintaining human rights. The main weakness observed in the principlism theory is that often the different principle clash among them while providing comprehensive care makes the nurses confused about how to approach for care. Certain explanations can be made to understand with the help of case studies. Often there are cases where conflicts take place between the principles of autonomy and the nurses perceptions of maintaining beneficence. There are often cases where decisions of the patients either does not allow the nurses to provide the ethics of beneficence in the care plans or does not even support her to treat the patients (Monrouxe, shaw Rees, 2017). A case can be depicted here. Here, a patient who loses their will to live requests for withdrawal of medications and treatment to them as they no longer wants to survive. However, in such situation a nurse who is supposed to provide safe practice and care to patients to ensure their well being is torn between two principles of autonomy and beneficence and cannot understand what to choose. Ethical dilemmas make them feel stressed mentally. Moreover nurses also tend to lose confidence on their skills and decisions making ability which impacts their care on patients. They also tend to lose job satisfaction when such issues occur frequently. Moreover, nurses also face issues with justice as they also are not allocated with enough resources of that they can provide Equal care to all who cannot afford to pay for the treatments. Orders for the higher hierarchy to meet profits by restricting resource allocation make it hard to practice justice for all people by the nurses. Another case study can be depicted here. In a case, patient tries to conceal his information from his family members or from his friends due to his own personal reasons or others. In such cases, family members of friends are not known about the patients information which increases their concerns and stresses them. Moreover they also become inquisitive about the patients ( Langan et al., 2017). In, certain cases they lodge legal complaints when the patients expires or faces more adverse situation where they cannot reveal that it was their own decisions to keep the information private. In such condition, nurses have to suffer a lot as legal and ethical obligations entangle her in various adverse outcomes hat affect her career and working morale. In such cases, the principle act as negative aspects and affect smooth healthcare. From the entire discussion above, it is seen that utilitarianism which is a part of the consent is one of the most important theory that guides nurse to select interventions which brings the best outcomes among all available options. This principle has strengths as this makes the patient get the care which is of highest benefit to him. However, this approach does not consider the morale and good feelings and dedication of the nurses if the outcomes are not positive. This affects the nurses feelings and they develop job dissatisfaction as some times their best efforts may not bring positive results. This might act against the nurses career goals and motivation. Another theory is that of principlism which has five important principles of autonomy, beneficence, non maleficence, justice and privacy. However, although they help to provide nurses with effective framework for developing their decisions while providing care, these principles cause ethical dilemmas in many circumstances. Thes e mainly arise when the values of each principle scales with one another. Therefore a nurse has to develop expertise in her fields to help her critically analyze the situations and apply the correct ethical guidelines to provide the best suitable care for patients. References: Beauchamp, T. L. (2016). Principlism in Bioethics. InBioethical Decision Making and Argumentation(pp. 1-16). Springer International Publishing. Byrd, G. D., Winkelstein, P. (2014). A comparative analysis of moral principles and behavioral norms in eight ethical codes relevant to health sciences librarianship, medical informatics, and the health professions.Journal of the Medical Library Association: JMLA,102(4), 247. Casali, G. L., Day, G. E. (2015). A taxonomic approach to understanding managerial ethical decision-making approaches of clinically and non-clinically trained healthcare managers in Australia.Asia Pacific Journal of Health Management,10(3), SI8. Din, L. (2015). Implementation and Evaluation of a Nursing Ethics Course at Turkish Doctoral Nursing Programs.Journal of Academic Ethics,13(4), 375-387. Felzmann, H. (2017). Utilitarianism as an Approach to Ethical Decision Making in Health Care. InKey Concepts and Issues in Nursing Ethics(pp. 29-41). Springer International Publishing. Hamric, A. B., Arras, J. D., Mohrmann, M. E. (2015). Must we be courageous?.Hastings Center Report,45(3), 33-40. Hauck, S., Winsett, R. P., Kuric, J. (2013). Leadership facilitation strategies to establish evidence?based practice in an acute care hospital.Journal of advanced nursing,69(3), 664-674. Hewitt, J. (2017). Just healthcare and human flourishing: Why resource allocation is not just enough.Nursing Ethics, 0969733017707010. Ivanov, L. L., Oden, T. L. (2013). Public health nursing, ethics and human rights.Public Health Nursing,30(3), 231-238. Jones, J., Mitchell, M., Milligan, E. (2016). Caring for one and allExploring ethical challenges in an ICU.Australian Critical Care,29(3), 129-131. Langan, J. C., Lavin, R., Wolgast, K. A., Veenema, T. G. (2017). Education for developing and sustaining a health care workforce for disaster readiness.Nursing administration quarterly,41(2), 118-127. McCarthy, B., McCarthy, J., Trace, A., Grace, P. (2016). Addressing ethical concerns arising in nursing and midwifery students reflective assignments.Nursing ethics, 0969733016674767. McCarthy, B., McCarthy, J., Trace, A., Grace, P. (2016). Addressing ethical concerns arising in nursing and midwifery students reflective assignments.Nursing ethics, 0969733016674767. Monrouxe, L., Shaw, M., Rees, C. (2017). Antecedents and Consequences of Medical Students Moral Decision Making during Professionalism Dilemmas.AMA Journal of Ethics,19(6), 568. Scott, P. A. (Ed.). (2017).Key Concepts and Issues in Nursing Ethics. Springer. Silva, M. C., Sorrell, J. M., Fletcher, J. J. (2014). Influences on Health Care Delivery and Nursing.Foundations of Nursing in the Community-E-Book: Community-Oriented Practice, 51. Wagner, J. M., Dahnke, M. D. (2015). Nursing ethics and disaster triage: Applying utilitarian ethical theory.Journal of Emergency Nursing,41(4), 300-306. Wagner, J. M., Dahnke, M. D. (2015). Nursing ethics and disaster triage: Applying utilitarian ethical theory.Journal of Emergency Nursing,41(4), 300-306.