Elementary Reaction Definition

Rudimentary Reaction Definition Rudimentary Reaction Definition A rudimentary response is a substance response where reactants structure items in a solitary advance with a solitary change state. Basic responses may consolidate to frame complex or nonelementary responses. Rudimentary Reaction Examples Kinds of basic responses include: Unimolecular Reaction - an atom improves itself, shaping at least one items A â†' items models: radioactive rot, cis-trans isomerization, racemization, ring opening, warm deterioration Bimolecular Reaction - two particles crash to frame at least one items. Bimolecular responses are second-request responses, where the pace of the compound response relies upon the convergence of the two synthetic species that are the reactants. This sort of response is regular in natural science. An A â†' items A B â†' items models: nucleophilic replacement Termolecular Reaction - three particles crash without a moment's delay and respond with one another. Termolecular responses are extraordinary in light of the fact that its impossible three reactants will at the same time crash, under the correct condition, to bring about a synthetic response. This sort of response is described by: An A â†' items An A B â†' items A B C â†' items Sources Gillespie, D.T. (2009). A diffusional bimolecular inclination work. The Journal of Chemical Physicsâ 131, 164109.IUPAC. (1997). Abstract of Chemical Terminology, second ed. (the Gold Book).

Merger and Acquisition a Survival Strategy in Business Free Essays

Plaiting is in excess of a hairdo †it’s a social custom that trims across racial, social, monetary, and geographic lines. Hair Braiding in Africa Ancient African hair plaiting designs uncover an assortment of complex geometrical structures, which frequently highlighted qualities of the wearer. Personality Status Religion Age Ethnicity family relationship Hair Braiding in Egypt In old Egypt, meshing was held for eminence and for stately customs like weddings. We will compose a custom paper test on Merger and Acquisition a Survival Strategy in Business or on the other hand any comparable subject just for you Request Now Hair Braiding in America Historically, most Native American ladies and youngsters wore plaits to imply things: Whether a lady was hitched or unmarried ladies depended on the twists she wore. Plaiting was likewise performed for strict customs. Local American men wore twists with plumes, hide, cowhide, or dabs to get ready for war. Hair Braiding in Europe According to Medieval and Renaissance work of art, high society ladies were uncovered by expound twists and styles. More straightforward interlaces were frequently picked by basic ladies for practical purposes †to keep hair cleaner among showers and to keep hair off the beaten path while cooking, cleaning, and performing other every day errands. The Braid Breakdown There are several distinct sorts of twists, including French plaits, English meshes, Dutch interlaces, Swiss twists, multi-strand twists, crown twists, and so forth †every one of them â€Å"twists† on the conventional style. Presently, 11 states have forced a particular permit for hair braiders, and seven states expect braiders to acquire a full cosmetology permit. Ten states explicitly excluded hair braiders from cosmetology permitting laws, and in the other 22 expresses, the law stays quiet on the issue. We adored when Dorothy carried her interlace to Oz, however no film has made plaits more celebrated than â€Å"Return of the Jedi† did. Who could oppose Princess Leia’s many meshed do’s? At the point when your hair is separated into even rectangular or triangular areas all over your head, with the hair in each segment bent together and twisted into a projecting bunch, the style is known as African bunches or Zulu ties in the U. S. In Africa, nonetheless, the style is called â€Å"chicken crap. † In the 2005 end of the season games, NBA forward Vladimir Radmanovic stood out as truly newsworthy for his hair than for his exhibition on the court. His explanation behind going plaited? He simply needed to get the hair out of his eyes. As per South African research distributed in the British Journal of Dermatology in 2007, tight hair twisting, particularly when joined with hair-fixing synthetic compounds, can prompt changeless uncovered patches and extreme skin break out on the scalp. Yowser! In 2010, a 4-year-old was suspended from pre-K in his rural Dallas school area since his hair was excessively long. The school board’s bargain that he could interlace his hair and pin it up? Dismissed. |Hair plaiting is an antiquated craftsmanship, rehearsed by the Ancient Egyptians as quite a while in the past as 4000 BC. |[pic] | |Today it has become a â€Å"hot â€Å" design pattern with numerous styles, weaves and brilliant decorative | |beads. Women as well as men have grasped this wonderful craftsmanship, making shading and style | |beyond our precursors most out of this world fantasies. | |How and where did plaiting start? Hair twisting, as we probably am aware it today has its birthplaces in West | |Africa. The extraordinary and regularly complex structures mean the economic wellbeing, age gathering and village| | |a young lady has originated from. The mesh designs are comprised of various geometrical examples and can | |become very perplexing for extraordinary events, for example, relationships. | |Braiding is generally a social craftsmanship. As a result of the time it takes to plait hair the ladies | |took time to mingle while interlacing and having their hair done. It starts with the seniors | |making straightforward bunches and meshes for more youthful youngsters. More seasoned kids watch and gain from them, | |start rehearsing on more youthful young ladies and inevitably get familiar with the customary plans. Here in America | |you see moms and grandmas interlacing and placing brilliant dabs in little children’s hair. | |This carries on a the custom of holding among seniors and the new age. | |The distinction among old and present day meshing: Nowadays, just as the bright globules and | |intricate structures of our progenitors, hair weaving has become some portion of the customary interlacing | |technique. This makes the way for an entirely different variety of styles and looks. The Hip Hop | |industry has taken hair plaiting and weaving to an unheard of level of prevalence and style, | |allowing individuals from varying backgrounds to appreciate making a design proclamation with hair interlaces | |and weaves. Hair weaves extend from genuine hair to a huge swath of various hues and surfaces | |made from engineered hair. The conventional dabs are likewise being formed into a wide range of | |shapes and sizes. | |Hair Care for Braiding and Hair Weaving | |When you choose to twist your hair or use hair weaves, your hair should be in acceptable condition, | |or you will encounter breakage and harm. Your hair ought to have flexibility. This is a characteristic | |condition of hair strands and will be available in all hair that has not been artificially treated. | |If you have utilized relaxers, blanching, or perms, | |these synthetics make your hair dry and fragile, it is essential to utilize great conditioners on| | |a customary premise to reestablish your hair’s normal versatility. Make certain to talk about this with your | |stylist, so you can appreciate interlacing styles without harming your hair. | |Hair plaiting and weaving can be very expensive, so it is basic to go to beauticians who are | |experienced and learned. Make a meeting with your beautician for a conference, before | |you have your hair done. | |Discuss what style is best for you, the expense and how to keep up your hair twists or weave. | |Proper care of your hair when twisting and utilizing hair weaves will forestall harm to your hair | |and scalp. Hair plaiting is one of the most flexible approaches to style your hair and really make | |yourself special, with this wonderful and old work of art. | [pic][pic] [pic] Instructions to refer to Merger and Acquisition a Survival Strategy in Business, Essay models

Columbia University unveils new campus sustainability plan COLUMBIA UNIVERSITY - SIPA Admissions Blog

Columbia University unveils new campus sustainability plan COLUMBIA UNIVERSITY - SIPA Admissions Blog Just in time for Earth Day last week, Columbia University pledged to cut greenhouse gas emissions by 35 percent in the next three years through a mix of energy conservation and efficiency measures under its first campus sustainability plan. The three-year plan, released a day before Earth Day, represents a practical fulfillment of the sustainability principles that university President Lee C. Bollinger announced at the beginning of the academic year. It sets clear targets for shrinking Columbia’s carbon footprint and reducing waste by improving efficiencies in campus operations, boosting composting, recycling and public transit-use, and investing in energy-saving technology. “At Columbia, we have long understood the profound threat climate change poses to the future of our planet and the role our community should play in confronting it,” Bollinger said. “Through our actions, policies, and behavior, we provide a model for the kind of global response we seek. Most significant in this effort is the basic research conducted by Columbia’s faculty and actively engaged student body working in schools and departments across the University.” More than a year in the making, the plan was produced with extensive input from students, administrators and faculty scientistsâ€"many of them world leaders in the sustainability field. The plan’s overarching goal is to reduce greenhouse gas emissions by zeroing in on energy use and conservation, transportation and waste management. “Columbia has led pioneering research on the environment, and how our actions will affect future generations,” said Executive Vice President for University Facilities and Operations David Greenberg. “With this plan, Columbia is taking concrete steps to limit our own contribution to climate change. Setting measurable goals and actionable strategies will allow us to track our progress.” Read more about Columbias sustainability goals and stakeholder involvement here.

The Conflict Of The American Civil Rights Movement Essay

In particular, Lewis’s book discussed â€Å"The Crisis† newspaper that DuBois in which he used as a vehicle to discuss his views. Throughout his book, Lewis describes DuBois Christian beliefs as an influence on his perspectives. That is what makes his account of him different from other historians that written about him. While, they focused heavily on the man, the intellectual in his activism, they do not examine his background much. Lewis writes of DuBois, â€Å"he catechized readers with the pursuit of Democracy, Justice, and Progress†¦ achievable only by following a straight path.† In other words, by connecting his vision with religion, DuBois can draw Christians to advocate for African-American rights because it is morally right to do so. What is interesting about Lewis account is that he highlighted a key point in the American Civil Rights movement: the connection to religion. By doing so, he contrasted himself from other historians who shied from maki ng that declaration. Lewis was able to reach that conclusion, only after, an extensive look into DuBois personal life. The evidence he uses to support his position takes cues from â€Å"The Crisis† pages. Again, Lewis uses DuBois own words in his editorials as he tried to educate his readers on issues that may have been previously unaware of. Lewis interpretation of the paper leads readers to believe that he shared that similar sentiment with other historians in the significance of an African-American man having a voice during thisShow MoreRelatedExploring Racial Conflict Of America Essay1535 Words   |  7 PagesExploring Racial Conflict in America The United States of America is comprised of citizens who have rights afforded to them that are explicitly written in the United States Constitution and Bill of Rights. All of these individuals exhibit diversity. Some came by choice, others by slavery. They have different religious and political beliefs, different sexual orientations, and different nationalities. 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Consent Treatment Patients - Health Dissertations - Free Essay Example

Sample details Pages: 24 Words: 7096 Downloads: 6 Date added: 2017/06/26 Category Health Essay Type Analytical essay Did you like this example? Chapter 1-Introduction 1.1 In modern society, everyone has the basic right to consent to medical treatment. However, this is a recent development as consent was not always considered a critical issue in medical treatment. Hippocrates himself, advised doctors that they should conceal the effects of medical treatment from their patients, his reasoning being he believed that when patients were given relevant information they would take a turn for the worse. Don’t waste time! Our writers will create an original "Consent Treatment Patients Health Dissertations" essay for you Create order It was not standard practice for patients to question a doctors decision or authority. Recent changes have contributed to this change in attitude and as such altered the method of practice of a doctors obligation. The final years of the twentieth century as witnessed the most dramatic shift in the reputation of the medical profession within the United Kingdom, due to scandal after scandal plaguing doctors. Major news headlines left the doctor-patient relationship in a state of concern, for example, Doctors who steal organs face jail.This headline refers to the Bristol and Liverpool Hospital where it was discovered that they were retaining childrens organs, without consent or knowledge of the parents. It became apparent in the Bristol and Liverpool reports that organ retention, of both children and adults was widespread practice. Another significant humiliation for the medical profession was the case of Harold Shipman, a general practitioner who was convicted of murdering fiftee n of his patients. Whether these circumstances are due to the actions of individualist or media influence makes little difference to the effect they had on societys viewpoint. There was need for change and this brought about the introduction of regulations and guidelines that protected both the patient and the doctor. 1.2 Informed consent was seen to break the doctor knows best concept and established a liberated choice for the patient. The locus classicus for informed consent is contained within the case Schloendroff v Society of New York Hospital, where it was held, â€Å"Every person being of adult years and sound mind has a right to determine what shall be done with his own body.† There are many examples within the UK system which confirms this principle of law, one being the case Re A (Minors) in which Robert Walker L.J stated, â€Å"Every human beings right to life carries with it, as an intrinsic part of it, rights of bodily integrity and autonomy The principle und erpins the common law concerning consent to treatment within the UK. The consent that a patient has the right to choose is a fundamental part of receiving medical treatment. No considerations need to be examined whether the choice is rational or irrational, as the patient has an absolute right. 1.3 The Department of Health 1993 stated, â€Å"Consent is the voluntary and continuing permission of the patient to receive a particular treatment based on an adequate knowledge of the purpose, nature and likely risks of the treatment including the likelihood of its success and any alternatives to it.† Meaning any permission given under any unfair or undue pressure is not consent. Consent may be expressed or implied, however the validity of informed consent does not depend upon the form in which it is given 1.4 This dissertation will firstly consider the development of informed consent, as the English courts initially had reservations of its establishment and for this reason was gradually introduced in stages, until the case of Chester v Afshar which saw the full acceptance of the doctrine. It needs to be considered how the medical profession dealt with this change and in addition how patients themselves are exercising such powers. The effect in which the Human Acts 1998 has had on the courts decision making process will also be analysed to observe the relevance this may have had on informed consent. Another factor of informed consent includes giving sufficient information and the patients understanding of this. For informed consent to exist, the patient must have all the relevant information and capability to make an informed choice as to the treatment they decide to receive. This was made apparent in the case Reibiu v Hughes, where Laskin J stated, â€Å"the genuineness of consent to medical treatment depends on proper disclosure of the risks it entails† For informed consent to exist within the UK; provisions need to be made for those who are s imply unable to give an informed choice. The capacity of a patient needs to be considered and if they lack this then a doctor must make a decision as to what is in the patients best interest. This can be seen to restrict informed consent as it goes against its true principle, however if a patient can not make an informed choice for themselves then it is only passable that someone has to act on their behalf. This dissertation will examine the procedure for this and how the law enables decisions to be made fairly and respectably. Chapter 2-The Development of Informed Consent 2.1 The area of law that needs to be established is the nature and scope of the duty to inform and the extent to which this has been incorporated into the English legal system. The existence of a duty to warn came about when the relationship between a doctor and the patient, which was based solely on trust, began to erode. There was a need for scrutiny and examination within the medical profession and thi s was achieved through the development of the law. The scope of the doctors duty of care is determined by a reference to the Bolam case. Mr Bolam agreed to electroconvulsive therapy to help improve his depression. He suffered fractures in the course of the treatment. The risk was known to his doctor, but he had not informed Mr Bolam of such. Mr Bolam alleged that the failure to warn him of the risk was negligent. The judge found that the amount of information harmonized with accepted medical practice and dismissed his claim. The judge, McNair J, directed the jury to the principle that, â€Å"A doctor is not guilty of negligence if he has acted in accordance with the practice accepted as proper by a responsible body of medical men skilled in that particular art† Therefore, the defendant doctor had conformed with a practice which was approved by a responsible body of medical opinion. This test was known as the Bolam test and it determines whether the doctor fell below  "the standard of the ordinary skilled man exercising and professing to have that special skill† 2.2 Where there is a difference of judgment between two differing medical opinions, the defendant will be given the benefit of the doubt. As a result a doctor would not be found negligent if the court is satisfied that there is a responsible body of medical opinion that considers the doctor had acted appropriately. This responsible body need not be the majority of the profession. It appears that the courts allowed the medical profession to set their own standard. A doctor simply needed to provide an expert testimony and the courts assumed that it must be responsible. In exceptional cases, the courts perceived some established practice to be substandard, however it appears that only one reported case has materialized where such a judgement has occurred. The case, Hucks v Cole, where a woman contracted puerperal fever due to her doctor failing to treat her with penicillin for he r septic toe and finger. Although a number of distinguished doctors gave evidence that they would not have administrated penicillin, the Court of Appeal found the defendant to have been negligent. The Judge, Sachs LJ, commented that the courts have to be in a position to verify that the medical opinion stood up to logical analysis and that they are not merely tailored to fit the requirements of the respective parties cases. This judgement was one of rarity, as Judges would not ordinarily cross examine a doctors opinion on a logical basis. 2.3 Often cases were even more favourable to the doctor, as is witnessed in the case Hatcher v Black. In this case Lord Denning stated, â€Å"As a matter of law it might be justifiable for a doctor to tell a lie, when he only does that which many a wise and good doctor would do.† It can be concluded from this that it is entirely for the individual doctor to determine what to inform his patient, even if the doctor went so far as to opt for what his lordship termed a therapeutic lie. Professor Michael Jones expressed the state of play as a football score, â€Å"In six medical negligence claims before the House of Lords between 1980-1999 the score stood at Plaintiffs 0, Defendants 6†. 2.4 The Bolam test which was adopted by English law focused on accepted practice and responsible profession opinion. The story was very different in America, as the American Courts rejected the professional medical standard and instead emphasised the patients right to know what the risks are inherent in the treatment. In Canterbury v. Spence a US Court stated that the prudent patient should prevail and its the doctors duty to disclose to their patient any material risk in a proposed line of treatment. The prudent patient principle emphasises what the doctor needs to inform the patient, according to what the average reasonable patient would want to know about potential risks and treatment options. This is made evident when the Judge commented, â€Å"A risk is material when a reasonable person†¦.is likely to attach significance to the risk† Contrary to the English Courts, the USA placed more importance on the patients rights and exigencies than those of the doctors. However, soon after the Bolam decision the English law was making changes towards incorporating this American style of law, to incorporating the doctrine of informed consent. 2.5 The question that needs to be examined is to what extent the Bolam test does or should apply to the duty to inform. Sidaway v Board of Governors of the Bethlem Royal Hospital was the subsequent, leading case to appear before the House of Lords that approached such a matter. While the majority of Lordships legitimatised the traditional test expressed in the case of Mr Bolam, the individual judgements were small steps towards informed consent. Four out of the five Law Lords rejected the transatlantic test that a duty to inform a patient should be based on the reasonable or prudent patient and Lord Scarman alone favoured this manner of law. 2.6 Lord Scarman made it apparent that he considered the patient to have the right to choose what happens to his body, which signified the patient needs to know the risks so can exercise an informed choice. He went on to express what he held to be the suitable relationship between a doctor and his patient, â€Å"There is room in our law for a legal duty to warn a patient of the risk inherent in the treatment proposed†. He went on to consider the doctrine of informed consent and its relevance in the Canterbury case, â€Å"I think the Canterbury propositions reflect a legal truth which too much judicial reliance on medical judgment tends to obscure† Lord Scarman acknowledged the patients rights and that the prudent patient principle made the doctors much more accountable for their actions. As such he rejected the current medical practice that a patient will be informed if he need s to be, as opposed to if he wants to be. Doctors, in Lord Scarmans view, should be liable where the risk is such that in the courts view a prudent person in the patients situation would have regarded it significant. He appears to suggest that the onus proof rests on the doctor to satisfy the court as to the reasonableness of any non-disclosure and therefore suggesting a support for informed consent. However, it must be noted that he did not find in favour of Miss Sidaway, on the basis that she failed to establish that the less than one per cent risk was such that a reasonable patient would consider significant. 2.7 In spite of this the speech of Lord Scarman has stood as a symbol of hope to those who argue for informed consent to be introduced into English law. Lord Diplock rejects Lord Scarmans scrutiny, as he maintains that the Bolam test covers all aspects of the doctors duty to care to his patient. However, he distinguished from the position where a patient asks a question a bout treatment, by stating â€Å"if the patient in fact manifested this attitude by means of questions the doctor would tell him whatever it was the patient wanted to know.† This illustrates that while Lord Diplock believed doctors were not be required to inform the patient of risks, he does not fully discount the patients rights. Lord Bridge also rejected the notion that a patient should be warned of all risks, yet â€Å"when questioned specially by a patient of apparently sound mind about risks involved in a particular treatment proposed, the doctors duty must, in my opinion, be to answer both truthfully and as fully as the question requires.† This gives the patient the option of asking for information from the doctor and if the doctor failed to do so then his duty of care could be in breach. However, Lord Templeman, expressed that this is not clear cut, as â€Å"the court will be slow to conclude that the doctor has been guilty of a breach of duty owed to the pa tient merely because the doctor omits some specific item of information.† It was important that Lord Scarman recognised the doctrine of informed consent and that the remaining four judges recognised the meaning of a patients ability to enquire and the doctor responsibility to notify. 2.8 It seemed that English legal system was initially hesitant to adopt informed consent into medical law. However, the approach taken in the case Gold v Haringey Health Authority contradicts that expressed by their Lordships in Sidaway. The claimant, in this case, indicated that she did not wish to have any more children and was advised to undergo a sterilisation operation after the birth of her third child. The operation was carried out but the claimant later became pregnant and gave birth to her fourth child. The Judge at first instances applied his own analysis as to what information the doctor should have given and found the defendant negligent. Upon appeal, Lloyd L.J held that the Bola m test should be strictly applied and he dismissed the view of the judge prior to him. He asserted that for the purposes of establishing the test as to the duty of care owed by a doctor to a patient no distinction needed to be made between advice given in a therapeutic and non-therapeutic context. In reference to Sidaway he stated, â€Å"the House of Lords could have adopted the doctrine of informed consent favoured in United States of America and Canada, but the House of Lords decided not to follow that path.† It seems clear from the Sidaway judgement that the nature to inform is more extensive than that of the Bolam test where no information is required. The decision in Gold repealed any progress been made towards informed consent and the judgement seemed to convey patient autonomy to be rather trivial 2.9 The view of Diplock in Sidaway has been regarded as the authoritative statement regarding the extent of the doctors duty. There has been a move away from the Diploc k approach as seen in the case Pearce v. United Bristol Health Care NHS Trust which altered the analysis of a doctors obligation. Mrs Pearce, who was expecting her sixth child, was two weeks past her due date of delivery. She discussed the possibility of induction with her obstetrician who warned her of the risks of induction and caesarean surgery, but did not tell her that there was a 0.1 to 0.2 per cent risk of stillbirth associated with non-intervention. Mrs Pearces child was stillborn and she alleged that failure to warn her of the full risks was negligent. Lord Woolf, in this case, held that the patient had the right to know and stated the doctor should normally inform a patient of â€Å"a significant risk which would affect the judgment of a reasonable patient.† It was decided, however, that while a doctor is under an obligation to warn, the 0.1 to 0.2 per cent risk of stillbirth was not classed a significant risk. While the Pearce judgment did not go so far as to fu lly accept the doctrine of informed consent, it adopted elements of the reasonable test. The judgement goes a certain distance to reconcile the approaches of Lord Scarman, Lord Bridge and Lord Templeman in Sidaway. It isolated Bolam, which by Professor Margaret Brazier,who has wrote many publications on issues of medical law, was considered good as Bolam was â€Å"out of control and out of context, it came close to acquiring democratic status in some quarters.† The test for duty to warn was now suggested to be that the reasonable doctor must tell the patient what a reasonable patient wanted to know. The judgement signified a more patient-friendly approach and made greater demands on the level of disclosure. Chapter 3: Further development towards the doctrine of informed consent 3.1 The medical professional has taken steps to further achieve the full introduction of informed consent into the medical world. The General Medical Council (GMC) produced comprehensive guidance to, doctors on seeking the patients consent in Seeking Patient Consent: The Ethical Considerations February 1999 (appendix I). These guidelines make particular reference to the requirement on doctors to attain informed consent, a doctrine which a few years earlier was alien to English law. Since 1992 Professor Sir Ian Kennedy LLD, a former member of the GMC, has been arguing that doctors need specific guidelines on what constitutes good practice. At that time he was the voice of the minority, however due to dramatic change in the doctor-patient relationship the GMC recognised guidelines needed to be established. The standard adopted in these guidelines resembles elements of the prudent patient test specifically that of the judgment made by Lord Scarman in Sidaway. Guidance from the GMC directs doctors to†¦take appropriate steps to find what patients want to know and ought to know about their condition and its treatment. Andrew Hockton believed that the guidelines,  "should now be considered to amount to more an ethical obligation: they provide at least, a starting-point for measuring the extent of a doctors duty of care to patients† It appears that the guidelines are considered to be a benchmark for doctors to monitor their legal duty of care, to which the Bolam test fails to create. This dissertation professes that perhaps this is the responsible body of medical opinion and it seems the medical profession are setting a higher standard for both themselves and the patient. 3.2 It must be noted the development of the Human Rights Act 1998, has extended the doctrine of informed consent in medical treatment. Incorporation of the European Convention of Human Rights under the Human Rights Act encourages the courts to focus more on the patients rights. This area of law includes Article 2 (the right to life), Article 3 (prohibition on inhuman or degrading treatment) and Article 8 (the right to respect for private and family life which include s the right to bodily integrity). The case R(on the application of Wilkinson) v Broadmoor Hospital illustrates how the introduction of the rights affected certain aspects of medical law. A mental patient appealed concerning a decision to administer treatment without his consent and under restraint. He claimed it infringed his rights under the European Convention of Human Rights 1950, Art.2, Art.3 and Art.8. The judge allowed the appeal stating that under the 1998 Act, it was no longer appropriate to forcible treat detained patients without a court judgement granting so. While the decision in this case would not have been so without the introduction of the Human Rights Act, it had little effect on the majority of medical consent cases. The Act was expected to have a great impact upon issues of medical consent, however it does not seem to have made a dramatic difference on the Courts decision making. 3.3 The most recent case that has dealt with the issue of informed consent is C hester v Afshar, where the claimant underwent surgery and suffered nerve damage leading to paralysis. The surgeon failed to warn Miss Chester of the inherent risk in surgery and the House of Lords decided that the risk was of sufficient quantity to determine the defendant had inadequately warned. The case is considered to show the importance the courts attached to the principle of autonomy, as Lord Hope reiterates when he states, â€Å"the duty to warn has at its heart the right of the patient to make an informed choice as to whether and if so when and by whom to be operated on.† The claimants evidence verified had she been warned of the risk she would not have agreed to surgery without at least seeking a second opinion on the necessity and risks of surgery. Therefore, a causation link was adopted by the courts to further prove negligence by the doctor. 3.4 In this case it was sufficient for her to prove that, if properly warned, she would not have consented to the oper ation. Dr Afshar was found to violate her right to choose, which meant she was unable to seek further advice or alternatives. Therefore, a claimant pursuing a claim in this area must prove if the information had been given, their decision as to the treatment would have caused extra consideration. Lord Steyn asserted that individuals have a right to make important decisions affecting their lives for themselves†¦in modern law paternalism no longer rules. This case was a ground breaking decision by the House of Lords, as it introduced fully informed consent and it addressed the purpose and rationale behind a doctors duty to warn. 3.5 Historically the law as taken the view that doctors are honourable and true, essentially allowing the medical profession themselves to dictate the duty to disclose. As a result of the decision made in Chester v Afshar this outlook has changed somewhat and it appears to provide a new dawn for patients rights. It has created a remedy for patients who have received insufficient information, where previously the majority of case had failed to provide such a remedy. The days of Lord Denning are long gone, meaning the doctor-friendly Bolam principle has practically been condemned worthless. While the judgement can be seen to address the reality of responsible expectations of society, it seems the judgment leaves the court with a difficult job determining who, between the patient and the doctor, is effectively legitimate when it comes to what information is disclosed. More specifically the outcome is likely to be met with distaste from doctors and there is already evidence of growing concern from within the profession. Despite the doctors concern the law of informed consent has moved on considerably from the reality where the majority of cases would fail to offer a remedy for those who had not been completely informed. As was stated by Sarah Devaney in a Medical Law Review, that back then, â€Å"It did not matter whether or n ot doctors were wearing the flak jackets of consent, as patients wishing to make claims about lack of information were in any event carrying unloaded guns. However, after cases, time and the materialization of certain events the doctrine of informed consent began to take effect in English law. Chapter 4: The Degree of Sufficient Information 4.1 Informed consent is based on the requirements of appropriate information to allow patients to make an informed choice. The law fails to formulate a standardize figure which can be consider significant and therefore it can only be gauged on previous cases and what the accepted amount has or has not been within these circumstances. More specifically, as no clear indication has been articulated, the judgement will be dependant on the individual facts of the case, as long as this coincides with the authoritative case law. What is clear is that failure to advise sufficiently as to the nature and purpose of the procedure may give rise to a n action against the doctor. If the patient is given inadequate information, then how they able to make an informed decision and therefore be said to have given real consent? 4.2 The leading case Chester v Afshar (as discussed above) contradicted any previous beliefs of the court and that of the medical profession. The case prior to Chester was Pearce v United Bristol Health Care (as discussed above) where Lord Woolf stated that the doctor should normally inform a patient of a significant risk which would affect the judgement of a reasonable patient. It considered the balance of percentages and whether this balance would have effected the patients decision to have the treatment. The risk of 1-2 per cent in this case was not considered to be sufficient to represent a significant risk. The decision in Chester made it clear that a 1-2 per cent risk was an adequate percentage for the doctor to warn the patient. Even though, the doctor appropriately informed according to the Pearce decision and the GMC standards, Chester v Afshar brought a new way of thinking to the table. 4.3 Chester disregarded the concept of what a reasonable patient would want to know and instead looked at what each individual patient wanted to know for themselves. This meant it was more plausible for the doctor to consider the patients personality, concerns and wants and information given must be relevant to the patients decision. The involvement of the causation link enabled patients to assert their rights over decision not only on the surgery itself, but in addition on the circumstances in which it was under, for example the time, place and in whose hands the operation should be performed. The causation link made it easier for patients to receive a remedy at law, as long as they could prove that had they been sufficiently warned of the risks they wouldnt have undergone the treatment. This does not mean they need to prove that they would not have had the operation at any time, jus t not at that moment in time in which they did. The doctor needs to make acknowledgment to both warn of a significant risk and risks which a patient would consider relevant, even if not below significance. It left the doctors with the delicate job of determining what information individual patients wanted to know. This contemporary approach sent shock waves through the medical profession and the GMC had to amend their guidelines, as they now failed to reach a high enough standard. The new guidelines can be found In Good Medical Practice 2006. (see Appendix II) 4.4 Professional guidelines now go further and state the doctor must do his best to discover the patients individual needs and priorities to analysis what information that individual may require. When consenting to treatment patients should be aware of certain factors such as, diagnosis, prognosis, various treatment options, probabilities of success and possible side effects. This was the situation in the case Smith v Tunbridge Wells Health Authority, where a claim was brought against a 28 year old man who was not warned of the risk of impotence inherent in rectal surgery. His claim succeeded despite the risk being considered significantly low, as the judge found failure to warn such a patient of a risk of such importance to him was neither reasonable nor responsible. The doctor needed to have balanced the small risk of importance against the importance it possessed on his life. 4.5 The most effective way of obtaining consent that is currently in the English medical system is consent forms. Consent forms place emphasis on the patients rights; it gives them a sense of control and perhaps recaptures some of the faith that is said to have disappeared between doctors and patients. There is no requirement in English law that consent forms should be in writing, however the Department of Health have recommended the use model consent forms (see appendix III). The most prominent aspect is the fact it does not shy away from informed consent and instead seems to embrace it. It attempts to ensure that patients are aware that they are entitled to ask questions and expect explanations do with the medical treatment they receive. Unfortunately this way of operating is time consuming and is limited to operations and major procedures. It would not be viable for such things as checking a patients throat or examining a patients stomach, as these everyday occurrences are too frequent and considered to be too minor. Some see the consent form as purely evidential yet other believes them to signify fairness to both the patient and the doctor. It creates patient awareness of the fact that they have the right to know and for this right to be attained the patient needs to make it aware what they specifically want to know. This does not extinguish the doctors duties, he must still follow the guidelines set out in obtaining informed consent, for example, explaining the treatment and its implicat ions. In the case Abbas v Kenny the judge stated the obligation is not placed upon the patient and it simply reaffirms their rights, yet it is still the doctors responsibility to â€Å"take into account the personality of the patient and the likelihood of misfortune.† 4.6 Even if a warning is given, it can not be consider a suitable warning if it is insufficiently clear to the patient and affects their ability to make a decision on information they fail to comprehend. The doctor must take responsible steps to ensure that advice is understood by the patient. To what extent is it the doctors duty to make sure the patient understands? Chapter 5: A Patients Capability to Understand 5.1 There is a rebuttable presumption that adults have capacity to consent to or refuse treatment. Therefore to make consent valid they must possess the capacity to understanding the method, consequences and benefits. If one fails to understand the information given and the inherent risks of t reatment then it can not be regarded as informed consent. Care must be taken to not automatically presume those with learning difficulties are incapable; it is important for doctors to not underestimate a person from their faà §ade. Capacity is not a question of decree of intelligence or maturity of the person concerned, it incorporates elements of ability and belief. 5.2 There are different functions of what must be understood. The must frequently cited case in this context is Re C (Adult: Refusal of Medical Treatment) in which, Thorpe J, held that the person must understand the nature, purpose and effect of the procedure. In other words, sufficient knowledge constitutes the general functions of treatment. Another function that capacity can occupy is that held in Re T (Adult: Refusal of Traetment) where Lord Donaldson referred to knowledge in broad terms of the nature and effect of the procedure to which consent was given. The level of understanding was made important in thi s case and that this will differ according to the gravity of the decision. More specifically, the more serious a decision the greater capacity required and accordingly patients may have capacity to make some decisions but not others. 5.3 Assessment of a patients capacity is determined by reference to the Thorpe. Js three stage test in Re C it states the courts will assess the patients ability: to take in and retain treatment information; to believe it; to weigh that information, balancing risks and needs. In this case, a sixty-eight-year old patient was being detained in a special hospital, as he survived from schizophrenia. Despite this, the Judge ruled that the patient remained capable of understanding what he was told about the proposed treatment and the proposed risks involved. By satisfying the three points, a patient can verify that information can be given by the doctor, thought through and decided on and therefore the doctrine of informed consent is followed through. Others that would normally have capacity may be deprived of it by temporary factors such as unconsciousness, confusion, pain or drugs used in treatment. Even a persons phobia can effect they ability, as seen in the case Re MB (Medical Treatment) The patient, MB, suffered acute needle phobia and refused to agree to any form of anaesthetic during a necessary Caesarian section. The Court of Appeal held that she lacked the required capacity to refuse treatment, as her phobia disabled her from making an informed decision. Although she suffered from no mental illness or impairment, temporary factors erode the patients capability. The judge stated that hercapacity was inadequate, â€Å"at the moment the needle or mask dominated her thinking and made her quite unable to consider anything else.† Her fear masked her ability to fully understand the risks of the treatment and as such the decision had to be made for her. 5.5 Similar decisions are made when dealing with patients in emergency situations as they too can often lack the ability to give informed consent. When a patient is unconscious, appropriate treatment must be given in an emergency where consent cannot be obtained. As long as there is no available evidence of a patients own wishes, then under these circumstances the law authorises doctor to perform treatment that is necessary to perceive the patients life. Examining the case Murray v McMurchy explains the courts perception of necessity. Whilst the doctor was performing an agreed caesarean section, he sterilised the patient without prior agreement. The courts held that the sterilisation was not necessity and could have been postponed. More specifically as Lord Goff stated in Re F, treatment is to be confined to â€Å"action taken to preserve the life, health or well-being of another who is unable to consent. Such treatment is justified under the doctrine of necessity. The case Re F made it clear that the basic requirement for necessity, was that a doctors duty at that hospital was to utilise their best endeavours, by way of operation or other treatment, that which is in the best interest of such patients. The principle of best interest will be covered more extensively in the next chapter. 5.6 It is important to look at the effect religion may have on ones understanding to consent fully to treatment. Article 9 of the Human Rights Act provides that everyone has the right to freedom of thought, conscience and religion. In the context of treatment, Article 9 reinforces the approach already adopted by the English Courts. Under the principle of autonomy the religious beliefs and values of a competent patient must be upheld, however illogical from the perspective of the observer. An adult can make a decision which others would regard as being wholly irrational or against his or her best interest so long as he has the requisite capacity to understand the na ture, purpose and effect of treatment. A good example of this situation arising within the law is cases involving Jehovah Witnesses. The wishes of competent Jehovah Witness must be respected, irrespective of a reasonable patients rationale or beliefs. The case Malette v Shulman illustrates such an issue, where a blood transfusion was given to an unconscious card-carrying Jehovah Witness. The judge, Robins J.A. stated, â€Å"Competent adults†¦are generally at liberty to refuse medical treatment even at the risk of death. The right to determine what shall be done with ones own body is a fundamental right in our society.† 5.7 Ian Kennedy and Andrew Grubb, two of Englands most influential experts, declare the three stage test makes capacity dependent on the information the patient receives. The doctor must take this factor into consideration and it is their duty to make the information as comprehension and uncomplicated according to patients ability. Most patients w ould not readily understand a complex explanation whereas the same information delivered in a more basic manner may be followed more simply. So the doctor must take into account the patient in which he is informing and the level of understanding they might have. So what is the procedure for incompetent adults and how can treatment be lawfully authorized on their behalf? Chapter 6: Incompetent Adults Under English law, no one is able to make an informed choice for treatment on behalf of an incompetent adult. However, this poses a problem as the patient himself may not be capable of authorizing his own treatment, and no one has the legal authority to act for him. Before 1983, section 34(1) of the Mental Health Act 1959 allowed a guardian, appointed to care for a mentally disabled adult, to consent to treatment on behalf of that patient. This was replaced by section 8 of the Mental Health Act 1983, which restricted the powers of the guardian and placed ownership of power onto the courts. The law in this area has long been unsatisfactory and has since been subjected to extensive review. The most recent amendment is the Mental Health Act 2007, which sets out the procedures that must adhere to the safeguards for patients. The Mental Health Acts, however are subject to persons detained under the Act and is not applicable to the majority of mentally disabled or ill patients living in the community. For them there are no treatment guidelines or legislation set out in UK on how to appropriately acquire consent or to act on their behalf. The clarity on this issue came in a series of cases, which set out the legality of treatment. The Department of Health advised that, It should never be assumed that people can take no decisions for themselves,† and that the doctor â€Å"must never coerce the person into changing their decision. Seeking consent is about helping the person to make their own informed choice† Care must be taken not to make presump tions that individuals with mental disabilities are incapable of consenting, they are too subjected to the competence test set out by Re C, which was looked at in the above chapter. If they possess the ability to retain information, believe it and make an informed choice then they can make an informed decision. However, if they fail to satisfy the criteria then doctors are under the legal duty to treat incompetent patients in accordance with the best interest principle. This principle can be found within the application of the Bolam test, which asserts that a professional person will not be found negligent if he can demonstrate that he acted in accordance with practices accepted by a senior body of people skilled in his field. This objective test is employed to determine the suitability of treatment for that individual patient. As in the case T v T where the Courts authorized an abortion and sterilisation on a mental disabled woman, as the parents and doctors agreed it was in her best interest. The decision empowered the doctors to decided what treatment the patient should receive as long as taken â€Å"such steps as good medical practice demands.† This has changed slightly and it can now be seen that Bolam is simply just a starting point for the best interest principle. The best interest test does not fully coincide with the Bolam test; it encompasses the broad concept yet makes its own assessment of the patients welfare. As Dame Elizabeth Bulter-Sloss P, stated in the case Re S, â€Å"the principle of best interest, as applied by the courts extends beyond the considerations set out in Bolam.† The Bolam test needs the recognition of a responsible body of professional medical opinion which supports the proposed decision to be in the patients best interest. However it fails to take into account ethical, social, moral and welfare issues. Therefore while it is important to consider the objective element, a subjective viewpoint needs to b e included in the decision. The subjective approach is based on the presumed wishes of the patient and the courts consider what the incompetent would do if she or he could make the choice. This subjective element is patient specific and focuses on what is thought to be the patients wishes and beliefs, but of course this is mostly a matter of speculation. The combination of these two fundamental features acts as a balanced approach to the best interest principle, with the medical profession deciding what is the best treatment for the patient, and the courts making the patients welfare the paramount consideration. It is important to note that the thoughts of immediate relatives or carer will be taken into account, as Lord Donaldson ascertained his view when he stated, â€Å"consultation with the next of kin has a further advantage in that it may reveal information as to the personal circumstances of the patient and as to the choice the patient might have made.† The closet to the incompetent adult can give light on the personality and nature of that person which may assist the courts come to a decision that may reflect the patients wishes. Standard practice is that doctors will decide what the best treatment is for the patient and unless the immediate family or carer disagrees, this treatment will be performed. The guidance of the court must be sought where there is doubt about a patients best interest and special category cases; these include non-therapeutic sterilisation and Persistent Vegetative State In Re S, Thorpe L.J made it clear that â€Å"if a particular case lies anywhere near to the boundary line it should be referred to the courts.† Much improvement has been made on the position of consent for incompetent adults, more regulations and guidance are in place to assure the best possible outcome. Chapter Seven-Conclusion This dissertation analyses the aspects of informed consent within the United Kingdom. When looking at the d evelopment of the doctrine of informed consent it seems that initially the courts were reluctant to incorporate it into the legal system. At first the courts left the power in the hand of to the doctor, much to the dissatisfaction of the patients. It seemed to leave them struggling to assert their right of an informed choice and perhaps confused on exactly what this right actually entailed. When informed consent was fully accepted through he case Chester v Afshar it seemed to clear these clouds of confusion and hand the reigns over to the patient. It enabled the patient to exercise a choice and placed regulations on the doctors to make sure patients had all the tools to do so. This is where perhaps doctors became discontented, as it now seemed there job to provide the patient with sufficient information and make sure they understood it. It was a dramatic transition for health professionals as it required more time, which was already considered to lack.

Realism, the Portray of Women Mistreatment Free Essays

Realism, the Portray of Women Mistreatment In the 19th century a new trend of writing appeared in the American literature called, realism and it is defined as the â€Å"faithful representation of reality’. Writers attempt to document life as it â€Å"without romantic idealization or dramatization† and â€Å"character is more important than action and plot†. Two short stories are representative of realism â€Å"The Yellow Wallpaper† and â€Å"The Story of An Hour. We will write a custom essay sample on Realism, the Portray of Women Mistreatment or any similar topic only for you Order Now † In these stories Charlotte Gilman and Kate Chopin characterize women who are being dominated by a manly society nd who do not see women more than a simply spouses or mothers. However, they are faithful believers that women in reality are beings that should be allowed to express themselves because they are strong enough to stand for themselves; and should not be subordinate in any marriage. Likewise, in these two stories the realism portrays the maltreatment of women in their marriage, which clearly can be seen develop in the plot, characterization, setting, and theme of the stories. The works of realism are present in the plot of both stories. Throughout the story of â€Å"The Yellow Wallpaper† her husband John treats the protagonist with a lot of authority and demand. â€Å"John says if I don’t pick up faster he shall send me to Weir Mitchell in the fall†¦ But John says the very worst thing I can do is to think about my condition, and I confess it always makes me feel bad. (Gilman, 86-90. ). And this overwhelming treatment carried the poor woman to a deep insanity, making her hallucinate about the paper design of her room. â€Å"It is the strangest yellow, that wall-paper! It makes me think of all the yellow things I ever saw†not beautiful ones like buttercups, but old oul, bad yellow things†¦ Through watching so much at night, when it changes so, I have finally found out. The front pattern does move†and no wonder! The woman behind shakes it! Sometimes I think there are a great many women behind, and sometimes only one, and she crawls around fast, and her crawling shakes it all over. † (Gilman, 95, 96. ). The husband’s controlling attitude and low ignorance against her destroyed this woman mental stability. At the same time in â€Å"The Story of An Hour,† Mrs. Mallard thought that the death of Mr. Mallard would be the opportunity or her to get out from an oppressed marriage that didn’t let her live the life that she ever dreamed. For the first time in her life, she could visualize herself without the control and pressure that her marriage gave her. â€Å"There was something coming to her and she was waiting for it, fearfully†¦ But she saw beyond that bitter moment a long procession of years to come that would belong to her absolutely. And she opened and spread her arms out to them in welcome. † (Chopin, 66-67. ). In these two stories we can see the great desire of these women to be treated with respect; a ense of dignity for what they are, something that would make them feel like their voice counted rather than having a meaning to their life because of who theyre married to. Moreover, the women of these stories are truthful realistic characters. The narrator of â€Å"The Yellow Wallpaper† it is a docile, â€Å"ordinary’ (Gilman, 85. middle class woman who suffered from a â€Å"temporary nervous depression† (Gilman, 85). She is forbidden to work and writes in her Journal, which she enjoys very much. She is also torbi dden to take care ot ner newborn baby and visit any triends, making ner eel like no control over her life. â€Å"Am absolutely forbidden to â€Å"work† until I am well again†¦ â€Å"There comes John, and I must put this away, †he hates to have me write a word†¦ And yet I cannot be with him (baby), it makes me so nervous†Ã¢â‚¬ ¦ (Gilman, 85-87-88. ). The main character of this story is an oppressed woman, who could not escape from her reality and in real life a vast of women around the world go through this kind of situation. For instance, my mother is one of them, for many years she undergoes from a temporary nervous depression, caused by my little brother’s birth. My father labeled himself a very wise man, but never looked for the help she needed to. As well, he prohibited her to work and the only thing that she could do was to take care of house’s chores. Couple times in my life I saw my own mother in the edge of the madness that her monotony life and my father little comprehension about her illness carried her. I remembered, myself scare at her and crying because I did not understand why she behaved in those manner and why my father was so authoritarian with all of us; and with so low emotion about my mother situation. One day my mother woke up from her dream and decides that she had to take control of her life and run away from him, leaving my little brother and me in his cares. I strongly believed that many women around the world, most of the time married the wrong man, because they cannot understand them and do not make them feel valuable as their marital partner. On the other hand, in â€Å"The Story of An Hour,† Mrs. Mallard is another typical middle class woman that has â€Å"loved her husband sometimes† (Chopin, 67. ), but with a â€Å"certain strength†(Chopin, 67. ) that all she anted is to â€Å"drink a very elixir of life†, (Chopin, 68. ). And who suffers from heart problem, that probably her outrage marriage had left her with â€Å"Knowing that Mrs. Mallard was afflicted with a heart trouble†¦ † (Chopin, 66. ). In fact, Mrs. Mallard is an intelligence woman with a great desire of living her life without any attachments and a visionary woman that proved that she did not need any man to stand up for her. As an illustration, Mrs. Mallard story is similar to my cousin Birmania’s story. She is also a very intelligent woman, who married her boyfriend whom she was for a long time. After the wedding, they got a beautiful house, equipped with a lot nice furniture. Her boyfriend (now her husband), as soon they got married prohibited her to work. At first, she was happy with the idea because she used to love him and she wanted to play a wife’s roles. Times passed and her monotonic life started hit her and her husband’s behavior was not what she dreamed about, she felt she wanted to escape from him and divorced him. He, otherwise did not accept her idea, he thought that could not be possible because he had always give her all the material thing that she ad wanted; house, money and car. But, in reality she needed more than that. Birmania needed more emotional attention; she wanted to work, to be herself, once for all. Eventually, how many women nowadays are yet bowed in the oppression of their marriages? As well as the plot and characterization, these two stories share realistic settings. Both take place in the United States during the 19th century and fully described the surrounding of their main characters. For example, in the â€Å"The Yellow Wallpaper† the story take place in a summer’s house, specifically in the narrator’s room. She does not have lot furniture on it, except for a bed, the barred around the window and the â€Å"queer† (Gilman, 85. ) yellow wallpaper. I’m really getting quite tond ot the big room, all but that horrid paper†¦ It is a big, airy room, the whole floor nearly, with windows that look all ways, and air and sunshine galore. It was nursery first and then playroom and gymnasium, I should Judge; for the windows are barred for little children, and there are rings and things in the walls. â€Å"(Gilman, 87-88. ). Consequently,  "The Story of An Hour† happened in the Mrs. Mallard’s house mostly in er room, where she sat in a chair to contemplate the outside windows landscape and dreamed about her future. She sat with her head thrown back upon the cushion of the chair†¦ A dull stare in her eyes, whose gaze was fixed away off yonder on one of those patches of blue sky. It was not a glance of reflection. â€Å"(Chopin, 66-67. ). The ironic reality in the settings of theses stories is that even though the environment illustrated for these women were a comfortable life, nice houses and neighborhood, deep inside of themselves, their hearts were screaming to be understood as well as heir need of a sense of freedom. Above all, the themes in these stories are the reflection of real struggle of women in their marriage. Even though it is not explain in the story, Mrs. Mallard perhaps had to encounter a lot discouragement and affliction in her marriage in order to feel that only with Mr. Mallard death, she would be free. A sense of freedom that was stronger than the sadness she felt from this news. â€Å"Free! Body and soul free! † She kept whispering† (Chopin, 68. ). Today, despite of a lot of women, they don’t feel treated, as they wanted by their spouses; they continue in ilence, struggling in their marriage enduring maltreatment and restrained themselves from the pleasure of doing what they dreamed one day for their life. However, in â€Å"The Yellow Wallpaper† the woman did not have a voice, she loved her husband too and appreciated all what he did for her, she suffered to know that whatever she said or did was never enough for him. â€Å"John does not know how much I really suffer. He knows there is no reason to suffer, and that satisfies him†¦ I don’t like our room a bit. I wanted one downstairs that opened on the piazza and had roses all ver the window, and such pretty old-fashioned chintz hangings! But John would not hear of it. (Gilman, 86- 87. ). For this woman to feel underappreciated by her husband, may have been more depressing than her own nervous condition. It is fair to say that the themes of this story it is also relate to the fact that many women in all cultures of our society, become victims of their circumstance, and they lose the control of their life when their husbands do not look at them as human beings that are capable of going beyond of their genders’ identity. For the most part, the characters in both of tories go along in the theme of discouragement in their marriage. To conclude, â€Å"The Yellow Wallpaper and The Story of an Hour† we now agree that the realism is shown in the plot, characterization, setting, and the theme of both stories. Also, we can see that both characters share the same concerned to their reader, they want women around the world to have self-expression, freedom to be themselves. They believed that women, not only deserve a good house and furniture, but they do also deserve respects. Gilman and Chopin with these work portray themselves as faithful believer n women ‘capacities and do not support any physical or mental mistreatment to them. How to cite Realism, the Portray of Women Mistreatment, Papers

Business Communication for Audit Process -myassignmenthelp.com

Question: Discuss about theBusiness Communication for Audit Process. Answer: Objectives and background Description of the audit process An audit was conducted in the data management company named Data Solutions that is located in Brisbane. The company has many other branches in other parts of the country like Melbourne and Sydney. The company laid the focus on the communication process. The company had poor system of external as well as internal communication. The company focused on the significance of the communication in terms of cost effectiveness and efficiency of the employees. The internal communication includes the training of the employees, the designing of the programs that can improve the communication of the management with their employees. This further includes the feedback session of the employees and valuing the feedbacks of the employees. The specific purpose The purpose of the audit process is making a better system of communication between the management and the employees. This would build a strong infrastructure within the organization. The aspects that were included in the external communication were the marketing, promotion of the software products. Both the internal and the external process of communication have been focused on the process of audit. General purpose The general purpose of the audit process is to achieve the goals of the organization as well as the goals of the individuals. Problems Before conducting the audit it was noticed that there were several issues: Problem one The method of communication was not well defined and the employees found difficulty in selecting an appropriate forum to convey their issues to the management. The problem was witnessed not while communicating with the management but also with the target audience. The employees had confusion between the traditional form of communication and the digital form of communication. They wanted a platform to communicate with their audience. Problem two The other issue that was serious was the poor system of internal communication. The network was poor and it was a serious problem. The employees ignored some groups and some important audiences and all this happened because of the poor system of network. They were not able to concentrate on some serious issue and deal with the issues of the audiences. The poor communication system was due to the poor system of network. Problem three There were many meetings that were held in the organizations and those were useless. The meetings turned out to be absolute waste of time and they had no significance in the organization. The meetings failed to reach out to the audiences and to the employees of the organizations. There was no effort on the part of the organization to make it reach to the employees and the audiences who are attached to the organization. The problem analysed the difficulties that were faced on the importance of holding an effective form of communication within the organization. The audit has been conducted for this particular reason. The communication is aimed towards making the employees realize about their goals and their actions that would make them achieve their personal as well as the goal of the organization. The improvement of the employees has a direct influence on the development of the organization. This is the reason the individual goal should be high. A good and well structured communication process would make the individuals achieve their goal and would lead the organization towards a better position. Three major problems have been highlighted in the communication audit process. The primary problem faced by the employees is the problem of selection of a proper form of communication. This includes the confusion between the digital form of communication and traditional form of communication. The qualitative significance of the problem would include making the communication effective by using a different means of communication. The company can head towards the increase of 10 percent sell of the data management software per month. This would lead to the positive impact of the company in terms of both quantity and quality. The second issue was the poor network. The poor network made dir difficult for the employees to reach the audience and communicate with the audience. The company faced negative impact for the poor internal communication system. The failure in the management of the internal communication within the system makes the company experience a setback. The qualitative significance of the issue would include making the system of communication effective by using the different medium of communication. In terms of the quantity issue it can be solved by increasing the sale 30 percent more. The third problem includes the meetings that have no worth. The company was not a huge-sized company and this is the reason the communication between the employees and the dignitaries could be in a closed circle. In order to make it huge the company should improve their communication system. The communication system should be a two-way communication system, this is the qualitative significance. The quantitative significance would include the growth of 100 percent within a year. Actions steps to solve the problem a) In order to overcome the problems the company is required to circulate the google forms that would included the feedback from the employees that should be taken into consideration by the management. The identity of the employees should be kept a secret and it should not be revealed in front of all. b) They should be trained to use all methods of interaction, the traditional method as well as the digital method. The training that will be delivered to the employees must include the practical understanding of the methods of communication. finally the employees should be encouraged to do their job and they should be motivated by the management. They should indulge in direct conversation with the authority and any issue should be directly communicated to them. This would make the employees feel comfortable. A proper agenda of work should be created before performing these actions. Closing The memo was intended to plan an effective process of internal as well as external communication that can be helpful for the employees. This would benefit the employees as well as the organization. This would create a good reputation of the company and they would be able to experience a huge amount of revenue. This would also make the working environment better. It is extremely important to have a good working environment as it beneficial for the organization as well as for the employees. We will be happy to address any of your queries. For further assistance, the details are provided below. Call-9038008023 Mail- def.897@gmail.com