Monday, December 30, 2019

A Democratic Government - 986 Words

â€Å"The strongest democracies flourish from frequent and lively debate, but they endure when people of every background and belief find a way to set aside smaller differences in service of a greater purpose† (Obama, 2009). Fellow survivors, I ask you to imagine a year from now and envisage the society you want to be a part of. It has been three weeks since the disaster. Fear and confusion are rampant within the fragments of our society, productivity is at an all time low and our community lacks structure. We now must decide on a political system to lead us and give our society hope and direction. A deliberative democracy will provide us with the greatest opportunity for a successful future. Before we can wholeheartedly submit to a democratic government, it is important for us to first recognise and consider the central complications, which have arisen from this crisis. Our first priority is to help all those who are traumatised and so are unable to think rationally. Without intervention, the otherwise inevitable repercussions, which follow from a traumatic incident, will no doubt lead to cases of suicide, self-harm and substance abuse. The forthcoming shortage of vital resources within our community centre, and the wasting of such resources by those who are acting irrationally, is another issue of equal importance with which we are going to need to provide guidance if we can hope to live within a sustainable society. At the moment we are divided, alienated and wastingShow MoreRelatedThe Democracy Of A Democratic Government849 Words   |  4 PagesA democratic government is one in which the â€Å"supreme power is vested in the people and exercised by them directly or indirectly through a system of representation† (Merriam-Webster). In theory, a true democracy is one that is governed by the people in the form of â€Å"the rule of the majority†. This is a process that seems to have been naturally embedded in the human mind. In many circumstance, whether it is world leaders deciding on new international policy, or kids choosing what to watch for â€Å"movieRead MoreModern Democratic Governments 920 Words   |  4 Pagesunder democratic governments. Democracy is spreading throughout the world, although growth has slowed, and many nations have drawn their political inspiration from the United States of America, which was one of the first to govern under a constitutional republic in th e modern era. One of the more unique features of our government, which other countries have attempted to adopt, has been that of federalism, which is the political system in which authority is divided among the central government and separateRead MoreHaiti : A Democratic Government970 Words   |  4 Pagescan be implemented, but I chose to go with a country that hits home—that is home. Haiti for many years have been struggling with poverty, political violence, high rate of organized crimes, unstable food resources, epidemics, and an ineffective government. Haiti being the first independent nation of Latin America could’ve been a great start of political success, unfortunately that was not the case. Since gaining independence, Haiti has experienced a pattern of dictatorial rulings and negative forcesRead MoreThe Democratic Government Of Canada1564 Words   |  7 PagesSummary The Liberal Government of Canada has promised the implementation of a new electoral system within the next 18 months according to the second chapter of the document Real Change: A New Plan for a Strong Middle Class. The document seeks to affirm that the 2015 election will be the last federal election held under the first-past-the-post electoral system and that many reform options will be thoroughly explored to replace it. Proportional representation (PR) systems appears to be the most beneficialRead MoreAnalysis Of Platos Democratic Government798 Words   |  4 Pagesof a Democratic government. Plato’s democracy was a governement for the people because all were welcome to participate, if interested. The government’s structure was split into groups including the ekklesia, boule, etc. Today, I am a part of the National Society of Collegiate Scholars (NSCS), and organization here at Temple University. NSCS demonstrates some of the components found in Plato’s democr atic government. This paper will examine the connection between Plato’s Democratic government and theRead MoreDifference Between An Authoritarian Government And Democratic Government1043 Words   |  5 Pagesbetween an Authoritarian government and Democratic government. There are differences between an authoritarian and a democratic government even when the country can maintain a high living standard for the government. A Democratic government is when the system is ruled by the people, the citizen is allowed to form their laws, and the government is serving the people. An Authoritarian government is when the government has complete dictatorship, the laws are set by the government, and the citizen have toRead MoreVoting System Of A Democratic Government1141 Words   |  5 Pagesparts of a democratic government is how the population of the country selects the people that will represent them in the government. The voting system that a country uses has a substantial impact on h ow the government of that country is run, and how well the concerns of the electorate are addressed. There are many important factors to weigh when selecting a voting system, but an efficient voting system needs to consistently address a few key issues. These include producing a government that representsRead MoreThe Difference between Democratic Government and Oligarchy Government833 Words   |  4 PagesDemocratic Government VS Oligarchy Government â€Å"The government is merely a servant -- merely a temporary servant; it cannot be its prerogative to determine what is right and what is wrong, and decide who is a patriot and who isnt. Its function is to obey orders, not originate them.† Mark Twain Democracy and Oligarcy as forms of government have been in existence for a long period of time, both terms first appeared in ancient Greek political and philosophical thought. Both formsRead MoreDemocratic Government: Is It Better? Essay1181 Words   |  5 Pageswhere almost all of the countries, with the exemption of some governments that are still autocratic or socialists comes a common denominator and almost as a measure standard comes democracy. Several authors discuss about whether a democratic government is better than other that is not democratic, or if a country is democratic, functions better than those that are not. Democracy can have a lot of meanings whether a system of government by the whole population or all the eligible members of a stateRead MoreBolivia As A Unitary And A Democratic Government1517 Words   |  7 PagesAmerica. Bolivia is a republic government, and it is comprise of four branches; they are the Executive, Legislative, and Judicial branch which are similar to the United States. Juan Evo Morales is the president and his branch, executive, has majority of the power. Bolivia has a written constitution; its criminal justice system is inspired by civil law tradition, Spanish and Napoleonic code. Bolivia is essentially a unitary system with a highly centralized national government (Central Intelligence Agency

Sunday, December 22, 2019

My Experience Is Like A Lifelong Road - 987 Words

In every person’s lifetime, they endure phases of life in all aspects. Going through phases of life is like opening a door to enter a room. When a person goes through any form of entryway, they are entering another area from the one they were in previously. Entering another phase of life is similar in many ways to going through an entryway, as any person can exit an old phase of life and move on to another one. My adventure to UMass Lowell is like a lifelong road, one that has taken various turns throughout my childhood and teenage years, and has come to many stops along my most memorable moments. Like a long roadway, my childhood and adolescent years prior to college have gone through a long cycle of straightaways and turns. I was diagnosed with autism when I was about a year and a half old. Ever since my diagnosis, every new moment of my life has always been something different than the moments that have happened before. Sometimes the road of my life would always stay straig ht when I would develop into a change that would remain constant for a while, and would frequently make turns for an even better or even worse moment of my life whenever it would happen. The path my life’s road would take is dependent on the temporary or permanent changes that would occur in me, whether physically, mentally or socially, as well as all of the defining moments that I have been through over the years, leading up to attending UMass Lowell for the first time. From making new friends toShow MoreRelatedAnalysis Of Jon Krakauer s Into The Wild1555 Words   |  7 PagesDecember 9, 2014 Life on the Road? In Jon Krakauer’s Into the Wild, A young man named Chris McCandless decides to escape the annoyance of his current life and live on the road, he pursues an incredible journey of adventure, danger and companionship. McCandless is a narcissist and believes that he can overcome any challenges that he faces because he is independent and is smarter than the average person. Krakauer emphasizes that arrogance will lead to failure in life; Just like McCandless believed everythingRead MoreMy Personal And Academic Life904 Words   |  4 PagesFamous professional boxer, Muhammad Ali, once said, â€Å"Float like a butterfly and sting like a bee.† My lifelong ambitions revolve around this central idea of striving and determination. By continuously encountering both positive and negative situations, I have still managed to stay aggressive and strong. This will help me learn that each step I take now and in the future dictates the progress in my life. Society always talks about how one can stay motivated and strive for success throughout life,Read MoreFive -Year Plan Essay1252 Words   |  6 Pages When developing a good five year career plan I had to ask myself where, I wanted to be in five years. This question would be critical for my future. When I was in school in thought, I knew my career path. I was convince I was going to become a nurse. As years past, I found myself moving away from nursing and interested in teaching. However, my transition would not be as smooth as once believed. According to Career vision, (2004), â€Å"for some people, the five year career plan may be a planRead MoreMedical Education : An Ongoing Process With Continuous Professional Development1654 Words   |  7 Pagesa product of schooling but rather of a lifelong attempt to acquire it. Therefore, medical education in the rapidly changing healthcare system is an ongoing process, with continuous professional development. At a given point in a nurse s live, one has to co me face to face with some of challenges that more often help in shaping the way one perceives medicine, thus enhancing our literacy to illnesses, wellness, as well as medicine. I have heard many experiences before that have given me more insightRead MoreMy Teaching Philosophy : My Philosophy Of Education1086 Words   |  5 PagesAs I continue to progress through my teaching journey, I have had the opportunity to do a lot of self-evaluation and dig deeper into what makes a great teacher. Since then there has always been a quote that has stuck with me, stated by Seymour Simon, an award winning children’s science author. â€Å"Im more interested in arousing enthusiasm in kids than in teaching the facts. The facts may change, but that enthusiasm for exploring the world will remain with them the rest of their lives.† I truly believeRead MoreAn Effective Classroom Management Plan Essay1205 Words   |  5 Pagesopportunity to engage in a learning experience which includes both socially acceptable behavior and content core material. The strategies within the proposal allows the teacher to reach the personal, psychological, and learning needs of the student while encouraging positive, productive behavior in order to reach students’ personal goals (Jones Jones, 2013, p. 1). One’s philosophy of classroom management becomes individualized because of the personal experiences and perspective which each instructorRead MoreChildhood Dreams : Why Not?1171 Words   |  5 Pagesinspiration from those innocent memories and mold it into our lifelong ambitions. Therefore, I believe the person who dares to nurture that spirit is the one who will succeed the most. I want to be that person. Inspired by my dream of becoming a culinary fairy since I was a little girl, my professional goal now is to become a general manager of an Asian restaurant when I enter my thirties. My passion for food came from my mother and my grandmother. I loved watching them putting together many amazingRead MoreThe Changes Experienced in Adolescence, Adulthood, and Midlife696 Words   |  3 PagesThere are a number of changes one experiences as one moves from adolescence to adulthood o midlife. For instance, as an adolescent, one behavior that was common to me, as it is to most adolescents, was the desire to test the limits. This is the parental balance that comes with temperament and experience how to set limits and guidelines while, at the same time, allowing the teen to make their own mistakes and constructively learn from those errors in judgement. Then, as we grow into adulthood, thereRead MoreInto The Wild By Jon Krakauer984 Words   |  4 Pageshimself and completing one of his lifelong dreams. The novel begins with the situation in which random bystanders who are hiking or hunting, find Christopher McCandless’s body in an abandoned bus in Fairbanks, Alask a and everything else that follows in the novel is the details about his traveling through multiple states. Even though the novel tells you exactly how Chris’ adventure ends, the reader is still compelled to read all the details about his experience because of how the author tells hisRead MoreGraduation Speech1128 Words   |  5 Pagesguests. I must first and foremost thank God for this blessing and honor to stand before you today as Valedictorian of the Class of 2011. Yet, today is not only my day to shine. Every graduate present here is deserving of high praise and recognition and I would like to congratulate each of you on reaching this milestone in life. I think I speak for my fellow graduates when I say that this is a moment we have always imagined and one we will remember for the rest of our lives. I come from a humble family

Saturday, December 14, 2019

Victims Movement Free Essays

Victimology in its most simple form is the study of the victim or victims of a particular offender (Roberson. Wallace, 2011). I feel that the Victims’ Movement has not yet reached its full potential because just like every form of law, legislature or even government there is always ways to improve and to become stronger. We will write a custom essay sample on Victims Movement or any similar topic only for you Order Now Much like when we started to form our government it had so many flaws and it still today has the ability to improve. The problem is that as society changes and crime changes the laws and the system have to change with it in order for things to improve. When it comes to crimes it isn’t just the victim that is affected, everyone involved is affected including the offender and the society. Starting in the 1960’s victims of crime began to volunteer with many different programs to assist other victims, speaking on their behalf and trying to fight for rights and fighting for a voice. Because of these actions we now have programs like Law Enforcement Assistance Administration (LEAA) which is an agency that provides funds for law enforcement to establish victim-witness programs (Roberson, Wallace, 2011). The downfall in creating programs like this is the funding, having the money to pay for them. That was exactly the problem in in the 70’s and 80’s, not enough funding to keep them going. This is a problem for a lot of law enforcement and criminal programs. Not to be discouraged the movement just started to move into specialized groups such as National Coalition Against Sexual Assault, and POMC; Parents of Murdered Children. Another one that we hear about a great deal still today is MADD which is Mothers Against Drunk Drivers founded in 1980 by Candy Lightner whose daughter was killed by a drunk driver (Roberson,Wallace,2011). Having these programs can be so helpful to so many people that it is important to have the money to fund them; this can be a problem for those who need it. So what is there for us to do to ensure that they remain available? Are there ways to continue to be effective? I feel that there are ways to ensure that the Victims Movement reaches its absolute full potential and to ensure that nobody goes unnoticed that may need such programs. I feel that it is important to have contingency plans and goals to achieve success. First continue to get the word out, be the voice for the people who may not have their own anymore. With the MADD organization there goal is to â€Å"To aid the victims of crimes performed by individuals driving under the influence of alcohol or drugs, to aid the families of such victims and to increase public awareness of the problem of drinking and drugged driving (MADD. org). † With this organization they have saved nearly 300,000 lives by doing the work they do; by having MADD in all 50 states, 1,200 victims’ advocates in 48 states and 20 volunteer hotlines that help people 24/7 ( MADD. rg). These programs don’t always get money from the government, they often have to raise money, and they are often non-profit organizations, but without them victims may have no other resources. Plan for the future. Having goals to help people, to help the victims and even the families of crimes like drunk driving or sexual assault needs follow through. They need someone to sa y â€Å"OK let’s get together and make a plan, let’s get as many drunk drivers off the road as we can†. It takes a leader to get groups going, to make a difference in so many people’s lives, and it shouldn’t take a tragedy to get people to do something about it. Get as much support as you can. Being a victim doesn’t just happen, these organizations don’t just happen and the Victims Movement can’t thrive on its own. These things need support; they need support from communities, the need support from society and they need support from the government. There are times when we need laws, laws to prevent people from being able to commit the same crime unpunished and able to hurt other people. Law enforcement agencies should be involved as much as possible too within their own communities, providing assistance programs and advocates to support victims or all involved that have their lives forever changed. These are things that can help make the changes we need, the changes we need to continue righting the wrongs and to forever make a difference in the lives of so many people. How to cite Victims Movement, Papers

Thursday, December 5, 2019

Nursing Assignment Based on a Case Study

Question: Discuss the Nursing Assignment Based on a Case Study. Answer: Introduction The advancement of the medical science with simultaneous rise in the impacts of globalization in every sphere of life has hugely affected the healthcare service as well. The changes and modifications existing in the healthcare sectors are evident through references available from evidence based practices. The healthcare working community recognizes the importance of a co-operative and well equipped infrastructural setting to impart improved healthcare access to persons in need. Clinicians, medical practitioners, surgeons, specialized physicians, registered and enrolled nurses along with other medical support staff comprise the basic structural organization within a healthcare facility. The role of the nurses are vital in ensuring speedy recovery of the patients through provision of person centered care, suitable therapeutic intervention suited to specific case situations. The duties and responsibilities expected out of practicing nurses are guided by relevant code of ethics, policies and legislations as put forward by the competent authorities. Case study evaluation following definite analytical and reasoning skills might provide an overview into the actual scenario that resulted in repercussions. In view of this fact, a case study as reported in case of a 64 year old male patient named Jon Lee who underwent laparoscopic cholecystectomy surgery in a hospital and the consecutive events and complications that followed post surgery will be discussed in order to assess and review the situational demands and loopholes in the healthcare service that prompted such consequences. The roles performed by the nurses in this specific case are also scrutinized to understand the limitations and fallacies that underpin the healthcare service. Guidelines for nurses employed in the gastroenterological wards may be considered for examining their practice modalities (Nuutinen and Rannos 2013). The discussion carried hereafter will be based upon the legal, ethical and professional practice issues. The vital issues as detected through insightful analysis revealed three key aspects that culminated in negative health outcome in the concerned patient. Negligence of care, faulty hospital operational policy and lack of culturally safe nursing practice were found to be the prime causative factors. Therefore, the assessment referring to the case study will discuss on the ethical, legal and practice methods for the nursing professional so as to get an overview of the working modalities in a healthcare setting. Negligence of care According to the case study observed for Mr. Lee, certain breach of practice was observed on the part of the registered nurse (RN), Ms. Colleen Price who was assigned to look after him in the night shift at the extended day unit (EDU) of the hospital. Mr. Lee was subjected to a laparoscopic cholecystectomy operation on the same day, when the RN took over his case and therefore demanded undivided attention from the nursing professionals ends to cater to his medical demands. Post operation, Mr. Lee reported of experiencing abdominal pain and distension. In response to the patients concern and routine examination by the attending medical officer (MO) at the hospital via consultation with the authoritarian surgeon prescribed analgesia (10 mg Morphine SC) to be administered on a pro re nata basis 6 hourly to ameliorate the reported symptoms. However, the RN having professional experience of five years was found to not document the administration of any such analgesia during her shift hour s. During her shift timing tenure, RN documented the vital signs of the post operative care patient, Mr. Lee comprising of the note of parameters such as body temperature, pulse count and blood pressure at only one instance. No other follow up of the vital sign variables were documented during the entire night by the RN. Moreover, the RN was found faulty of not seeking any sort of assistance from the Post Anesthesia Care Unit (PACU) when required, located adjacent to the EDU, although the hospital decorum and guidelines provided enough scope to do so. Unfortunately, these breach of conduct and failure to apply experienced nursing knowledge into proper practice as evident in case of Ms. Price to address the conditions of Mr. Lee harbored negative implications and the limitations of the nurse may be identified through the following discussions and analysis. Nursing and Midwifery Board of Australia (NMBA) has developed Code of Ethics for Nurses in Australia that provides uniform guidel ines for the nurses to uphold the fundamental human rights standards and ethical values in their professional practice by virtue of ethical decision making ability. The codes outlines the ethical virtues that are expected out of a nurse and primarily emphasis is laid on valuing quality nursing care for everyone alike, respect and kindness for self as well as others, diversity among people, accessibility to proper nursing and healthcare service, concept of informed decision making, culture of safety within healthcare and nursing facility, ethical maintenance of information ensuring privacy and confidentiality of the data procured and finally valuing a socio-economically and ecologically sustainable surrounding to foster well being and healthy life (NMBA 2007). A nurse attaining a level of expert clinical competency through proper training and acquired knowledge base supported by enough experience and critical decision making skills is bound to work in compliance with the context or t he country where she has been appointed (Grace 2013). The four pillars of bioethics consisting of the vital components of justice, autonomy, non-maleficence and beneficence also enlighten the nursing ethical practice (Butts and rich 2012). Another crucial part of the nursing job that is often overlooked or undermined during practice is that of integrated record keeping and documentation of the patient data conforming to confidentiality, authenticity, durability, accessibility, relevance, completeness and comprehensiveness (Staunton and Chiarella 2012). Need for highly sophisticated and round the clock monitoring specifically for post operative patients have been highlighted in studies to aid in risk assessment and plan future intervention accordingly (Rothrock 2014). Reports suggest following of three basic theories of descriptive, predictive and explanatory types in nursing practice to facilitate good understanding of the patients situations (Parahoo 2014). Breach of conduct in sta ndard practice in terms of not abiding by the Standards 1, 4, 6, 7 and 9 as put forward by the NMBA was observed in the particular case with respect to the RNs attitude towards the patient care (NMBA, 2016). Negligence is normally associated with civil law and criminal prosecution follows in cases where indifference, inattention or failure from the nurses ends towards an obvious risk to injury of the patient are established (Griffith and Tengnah, 2014). Further, knowledge in nursing practice has been interrelated to four key sects such as empirical, aesthetic, personal and ethical that paves the way for reflective service outcomes in clinical setting (Heaton 2014). However, in the referred case study all these ethical and legal issues pertinent to nursing was not stringently complied that might have lead to exacerbation of the patient condition. Faulty Hospital Policy Referring to the cases study of Mr. Lee, it was inferred that the EDU on the day of the happening was not sufficiently equipped in terms of engagements of the healthcare staff in the concerned ward of 12 bed capacity. One RN and another enrolled nurse (EN) only were in charge of the ill patients of variable distress levels and complexities. Thus the patient to healthcare provider ratio was insufficient to meet the workload. The condition of two of the patients out of the total number of 12 patients were found to be quite critical as well when one was continuously vomiting post appendectomy and the other was experiencing urinary retention following Transurethral Resection of the Prostate (TURP). Moreover, a sole female patient admitted in the same ward, possessing certain religious notions and prejudices as well as inadequate English language proficiency added to the complexity of the situation in the EDU on that night when Ms. Price and the other EN was on duty. Yet another drawback in the functioning of the hospital policy was noticed as the PACU RN made futile attempt to check and make contact with the ED nurses for any assistance when the EDU nurses themselves were overburdened with severe work pressure thereby unable to communicate effectively with the PACU nurses over telephonic conversations. Thus telephonic mode of communication was found to be inappropriate in demanding situations. Additionally the patient handover technique during the change of shift for the nurses was detected to be erroneous and unsatisfactory as no evidence supported the smooth transfer of duty from Ms. Price to the morning hour nurse due to lack of awareness regarding the deteriorating health status of Mr. Lee during the immediate phase that preceded the later events. Hence these inherent flaws that affected the reputation of the relevant hospital due to defective operational strategy applicable to the hospital failed to fulfill the immediate requirements and assess the futuristic outcomes of patient named Mr. Lee in his post operative sessions. The limitations, thus identified may be re-examined under legal and organizational operational framework contexts. Bettering the Evaluation and Care of Health (BEACH) program conducted in the Australian domicile aimed to provide insight into the various reliable and valid data collection procedures to cater the ever-changing needs of the diverse patients pertinent to their health states through general physician (GP) and patient interactive encounters, evaluate the patient risk factors and health conditions as well as propagate an ongoing database information for GP-patient encounter. An overall well coordinated and equipped infrastructure is imperative to serve quality service to the sick patients (Britt et al. 2013). Education, clinical experience and competence resulting in endorsement and straightforwardness determine the nurses scope of practice within the Australian region. However the situation of clinical prac tice constrained by jurisdictional and regulatory restrictions are found to hinder the scope of nursing practice to its full capacity (Scanlon et al. 2016). Lack of effective communication among the nursing and associated staff within a hospital facility have been found to impair the teamwork output thereby obstructing the holistic mode of care (Masters 2015). The standards of practice for the nurses in Australia have fore grounded the relationship between the ethical and nature of nursing and the importance of translating evidence into actual practice as per the situational necessity (Cashin et al. 2016). Share of duty and excessive workload are found to impact the patient outcomes declining the quality of service offered to them (Chang and Daly 2015). Extensive literature reviews defined the professional nursing accountability in a comprehensive and reliable manner where the nurses are entitled to perform their assigned jobs in a legally and ethically suitable manner (Krautscheid 2014). Inter-professional collaboration and clinical decision making has been found to potentially enhance through adequate teamwork and exchange of views among colleagues in a healthcare facility (Lapkin, Levett-Jones and Gilligan 2013). The national principles for development of decision making tools as put forwarded by NMBA may be helpful in this regard (NMBA 2010). Thus in view of the facts and information acquired through literatures, books and published articles and referring to the mentioned case study a congenial atmosphere with sufficient provision for all facilities are vital to improved healthcare service in a hospital setting. Lack of culturally safe mode of nursing practice In context to Mr. Lees case, the RN Ms. Price failed to consider the clinical consequences of the deteriorating health condition of the patient evident from the observations obtained via the vital signs that belonged to the yellow zone of clinical implications. Case appropriate decisions were not followed subsequently that lead to further decline in the health condition. Lack of analytical reasoning and inability to predict the futuristic mode of treatment to assess Mr. Lees condition harbored negative implications. Further the night on which the RN and EN were engaged in their respective duties in the EDU indicated acute and stressful situations. Ms. Price was reported to be exhausted to address Mr. Lees situation in addition to other patients demanding circumstances. Thus person centered care was compromised due to severe workload and inadequate supporting staff. Moreover, evidences from the following day after the transfer of duty from the night shift nurses to morning shift nursi ng professional revealed that after documentation of the vital parameters of Mr. Lee that belonged to the red zone, the morning shift nurse failed to immediately assess the gravity of the situation. Approximately after a lapse of 45 minutes a PACE phone call was made to report the debilitating health condition of the patient. Thus this delay in making contact with the appropriate authority to seek medical help and guidance breached the safety standard of professional nursing practice that lead to negative outcomes in the patient. Dearth of competency, lack of professionalism and unstable case related evaluation failed to assess the risk pertaining to ensuing bowel obstruction through increased pain levels. Therefore, paucity of culturally congruent safe practices was found to hinder the patients recovery process in the case of Mr. Lee and the effects may be discussed thoroughly with reference to the various codes of conduct and legal frameworks applicable to healthcare setting. Stud ies emphasize on the investment in evidence based and contemporary education by virtue of a competent, capable and resilient workforce deployment. The roles of coaches and educators are found to be pivotal in imparting knowledge to the nursing practitioners in course of their continuous development process in this regard. Absence of competency may lead to serious errors thwarting the patients health status (Duff 2013). Utilization of just culture principles through case based nursing peer review emphasized on medication reconciliation process, identification of deep tissue injury and bowel management regimes as the recognized educational necessities to address the patients health condition. Screening of surgical patients for opioid tolerance that may be corroborated in the given case study has also been emphasized in relevant studies as well (Jochem, Scott and Stuckman 2015). Handoff functions following verbal as well as sophisticated experimental techniques have been recommended in relevant studies to foster quality healthcare service to patients suitable for medical and surgical settings (Staggers and Blaz 2013). NMBA has proposed national competency standards for registered nurses including certain specific domains to ensure safe and culturally congruent integrated nursing care practice. The domains mentioned considers professional practice, critical thinking and analysis, provision to coordination of care and collaborative, therapeutic practice as the key aspects to maintain professional competency and retain the accountability of the nursing professional in the job (NMBA 2015). Literature review regarding patient-centered care revealed three core themes ensuring patient safety which include patient participation and involvement, the association between patient and healthcare provider, and the situation in which the care is delivered (Kitson et al., 2013). Forecasting the patient outcomes beforehand and taking precautionary measures in accordance with the existing guidelines and policies relevant to the specific patient situation within an ethically and legally sound healthcare infrastructure was thus found to generate positive results in the patients and ensure quicker recovery. Conclusion Drawing evidences from the given case study it was revealed that Ms. Price, the RN on duty in charge of Mr. Lee undergoing post operative care in the hospital EDU was guilty of breaching her sense of responsibilities and professional competency standards due to inappropriate and inadequate code of conduct at various instances. Other issues pertinent to hospital operational policies were found to affect the patients declining health status. Hospital staffing ratio again interrupted the normal functioning of the hospital setting. Lack of culturally safe and acceptable working modality was another crucial factor harming the patient and causing severe distress. All these crucial aspects and nagging problems added to worsening of Mr. Lees condition in the given scenario. In the Australian context, specific codes and guidelines associated to legal and ethical grounds have been improvised and implemented by the NMBA to aid in the nursing practice and foster quality healthcare service to the persons in need. Summarizing the information procured from the published articles and books it is opined that the healthcare professionals particularly the nursing staff who remain in active contact with the patients during their care delivery process must maintain optimum level of competence conforming to the prevalent legislations and ethical codes through enough prudence and pragmatism. Awareness regarding the current and existing laws and practices relevant to nursing practice has also been assigned as pivotal prerequisites to continue professional practice. However, competent authorities should also make effort to arrange for programs and training sessions to impart substantiate knowledge and evidences regarding specific case situations for enhancing the nursing skills among the practicing nursing personnel. In fine, it is suggested that a holistic approach through effective collaboration from all ends of working healthcare personnel be upheld to facilitate quality healthcare service for patients in dire crisis and ensure improved state of living. References: Britt, H., Miller, G.C., Henderson, J., Bayram, C., Valenti, L., Harrison, C., Charles, J., Pan, Y., Zhang, C., Pollack, A.J. and O'Halloran, J., 2013.General Practice Activity in Australia 2012-13: BEACH: Bettering the Evaluation and Care of Health(No. 33). Sydney University Press. Butts, J.B. and Rich, K.L., 2012.Nursing ethics. Jones Bartlett Publishers. Cashin, A., Heartfield, M., Bryce, J., Devey, L., Buckley, T., Cox, D., Kerdo, E., Kelly, J., Thoms, D. and Fisher, M., 2016. 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