My Boss, L.J. Watkins, wants to cut cost because of increased competition from another firm and some changes have already been made. Before these change Watkins Co. had a relatively laid back atmosphere in which supervisors did not frequently push or confront employees that often. Wages were considered low for the area and as a result workers would work overtime to make up for their low pay. They were unsupervised during these overtime hours and reportedly were very productive.
The clinical outcome in this situation was clearly that Mr. B was over-sedated leading to a very dangerous situation. Hypoxia during sedation is a common side affect, which is treated by giving the patient O2 or reversing the sedation. However in this situation the staff was not aware that he was hypoxic, and why weren’t they? The answer a nurse had silenced the alarm but had not done an assessment nor alerted anyone else of the situation. Why did the nurse choose to silence the alarm with no further action?
#1 Essay 10 of the book Second Thought tells us that money has important impact on issues of mortality and health. “According to the World Health Organization, 1.2 billion people around the world suffer from serious illnesses attributable to poverty.” (p.104) This is because of the poor health care and the bad life quality that low-wage workers have. The fact has been proved through Ehrenreich’s journey in Minnesota where housing was a serious problem. With only 7$ an hour at Wal-Mart, she could only afford a room in Clearview motel with no bolts on the door and no screen on the window. The author felt exposed and unsafe.
An evaluation of the findings of the Victoria Climbié Inquiry 24.1.08 The Victoria Climbié case served to highlight a number of failures with regard to the duty of care now expected by guardians and agencies alike. The first in a series of neglectful practices is that of the biological parents not making safe provision for their child, Victoria/Anna’s, welfare or education. Given the degree of poverty and political instability in the Sierra Leone/Liberia/Ivory Coast area of West Africa, the opportunity to improve her life chances with a French-resident relative was one that was hurried and not properly researched, nor were the motives of the “aunt”, Marie-Therese Kuoao, discussed thoroughly. Concerns
Working conditions and treatment in the work place at this time were harsh, poor and inadequate. Reforms that had been introduced were frequently ignored by employers. The hours were extensive and they worked for little pay. Yet the workers did not complain in fear of being sacked. Even though unions had moved to improve the rights, justice and conditions of the workplace, it was not surprising that many workers were sacked for simply joining the unions.
Before discipline issues were done in an oral, written fashion. The first offense the employee was given a warning the second offense it was a written statement and put into the employee’s personnel file and remained there until the employee left. Each department also, maintained a communications books where every-day if, any incidents occurred It was written in the communications book and reviewed at monthly meetings. This was not always a Good reliable resource because some supervisors would forget to record in it. Legal issues could be risky as, well.
This had been for Alison’s emotional needs at the time. She never would talk to her parents about what she was really feeling. She would write in her diary, made poetry in parts of the book, Fun Home is a perfect example of her emotional needs as well. Her parents weren’t helping with communicating as well. Ian Sample tells us that psychologists say, “Brain scans on volunteers showed that putting feelings down on paper reduces activity in a part of the brain called the amygdala, which is responsible for controlling the intensity of our emotions”.
Noncompliance is dangerous for the patient and frustrating for the physician. Up to 11% of hospital admissions, 40% of nursing home admissions, and about 125,000 deaths a year are due to noncompliance with prescribed medication regimens, according to the American Pharmacists Association “Drugs don't work in patients who don't take them (APA, 1994)." It should not be different if the patient is indigent and can not pay the bill because as a healthcare professional you should always treat every patient with the same respect disregarding there economic standpoint, race, or color. The way the economy has been the last couple years has had a big impact on why more patients are noncompliant. Patients will not buy or take medications if they can not afford it.
Researches just recorded what they observed in the ill black men but would not do anything about it, they would just watch the participants die slowly. Even after penicillin was discovered to be the cure for syphilis, researchers refused to give it to the infected patients, “subjects were denied antibiotic therapy when it became clear that penicillin was safe and effective treatment for syphilis”. Even after the cure for syphilis was discovered, doctors decided to continue the study for another 25 years without treating those suffering from the disease. Researchers lied to the participants to encourage them to stay and keep being part of the experiment. Failure to inform the participants that treatment for their disease was available lead to the untrust of medicine from may black people.
If they cannot afford the amount for medication copay then they may hold out just to be able to save for another week or so. This brings me to the article mentioned below and an example of that is an episode in Special Victims Unit where there was a patient in a nursing home and he had to take a certain medication to treat his mental illness and the nursing home did not provide to him because they could not afford it. “Some 22 percent of Massachusetts nursing home residents taking antipsychotics in 2009 who did not have conditions called for these sedative like drugs. San Francisco Public Health Director Mitchell Katz said that 60-70 percent of people taking these drugs should not”. Anti-depressants have been helpful to those suffering with major depression to being down in the