Counseling the Infertile Couple :: essays research papers

â€Å"Counseling the Infertile Couple†   Ã‚  Ã‚  Ã‚  Ã‚  Being a pastor of family ministries with three healthy children, it is hard for me to counsel other couples on infertility. I have also been on the other side of the table facing these infertility choices in my first marriage. There was a choice we faced regarding selective termination if we did conceive after hormone therapy. In a way, I am glad we did not conceive because my ex-wife and I opposed each other on this procedure. I was opposed to the procedure while my wife accepted it. As a pastor having to counsel others with the problem of infertility, there are a lot of choices to be made regarding infertility.   Ã‚  Ã‚  Ã‚  Ã‚  I believe God has given doctors the technology to assist couples in the process of conceiving a child. How far a couple goes to conceive a child is the problem we are facing as Christians in today’s culture. Assisted reproductive technologies allow many couples with infertility problems to bear children. But with the plethora of options come tough decisions. Couples must weigh the financial, emotional and physical costs of each treatment against its chances of success. The ethical ramifications of creating life in a lab is also a consideration Christian couples often look to their faith for guidance. God has given us the job of exercising dominion over all the earth (Gen. 1:26), which includes using medical technologies to assist us in reproduction.   Ã‚  Ã‚  Ã‚  Ã‚  The first step in infertility treatment is diagnostic testing for would-be parents. Treatments may be as simple as drugs to stimulate ovulation or as complicated as in vitro fertilization. Some couples may achieve pregnancy quickly, but others may have to decide to pursue assisted reproductive technologies. Since the first â€Å"test-tube baby† was born, in vitro fertilization has become a common procedure in fertility treatment.   Ã‚  Ã‚  Ã‚  Ã‚  A key issue couples considering in vitro fertilization is the use of their embryos. The woman often produces more eggs than can be used during a single IVF attempt. The extra embryos can be frozen to use in subsequent procedures, or a couple may have them destroyed, kept in storage indefinitely or donated to another infertile couple. Another issue is how many embryos should be placed back in the uterus. The fewer used, the lower chances of multiple pregnancies and a higher risk for complications. The more used, the couple faces the issue of more embryos taking hold in the uterus and having to decide terminating one or more of the fetuses to give the remaining ones a better chance of survival. Counseling the Infertile Couple :: essays research papers â€Å"Counseling the Infertile Couple†   Ã‚  Ã‚  Ã‚  Ã‚  Being a pastor of family ministries with three healthy children, it is hard for me to counsel other couples on infertility. I have also been on the other side of the table facing these infertility choices in my first marriage. There was a choice we faced regarding selective termination if we did conceive after hormone therapy. In a way, I am glad we did not conceive because my ex-wife and I opposed each other on this procedure. I was opposed to the procedure while my wife accepted it. As a pastor having to counsel others with the problem of infertility, there are a lot of choices to be made regarding infertility.   Ã‚  Ã‚  Ã‚  Ã‚  I believe God has given doctors the technology to assist couples in the process of conceiving a child. How far a couple goes to conceive a child is the problem we are facing as Christians in today’s culture. Assisted reproductive technologies allow many couples with infertility problems to bear children. But with the plethora of options come tough decisions. Couples must weigh the financial, emotional and physical costs of each treatment against its chances of success. The ethical ramifications of creating life in a lab is also a consideration Christian couples often look to their faith for guidance. God has given us the job of exercising dominion over all the earth (Gen. 1:26), which includes using medical technologies to assist us in reproduction.   Ã‚  Ã‚  Ã‚  Ã‚  The first step in infertility treatment is diagnostic testing for would-be parents. Treatments may be as simple as drugs to stimulate ovulation or as complicated as in vitro fertilization. Some couples may achieve pregnancy quickly, but others may have to decide to pursue assisted reproductive technologies. Since the first â€Å"test-tube baby† was born, in vitro fertilization has become a common procedure in fertility treatment.   Ã‚  Ã‚  Ã‚  Ã‚  A key issue couples considering in vitro fertilization is the use of their embryos. The woman often produces more eggs than can be used during a single IVF attempt. The extra embryos can be frozen to use in subsequent procedures, or a couple may have them destroyed, kept in storage indefinitely or donated to another infertile couple. Another issue is how many embryos should be placed back in the uterus. The fewer used, the lower chances of multiple pregnancies and a higher risk for complications. The more used, the couple faces the issue of more embryos taking hold in the uterus and having to decide terminating one or more of the fetuses to give the remaining ones a better chance of survival.

Taste the Gustatory System

The Enlightenment is an era where intellectuals movement in culture changed the way people viewed the world around them, during a time when Londoner saw their city become engulf in flames on the morning of 2 September, 1666. Strong winds coming from the east quickly caused the fire to spread, some 300 houses were burning at rapid amount of time†; the event once described as â€Å"London was, but is no more. â€Å"(Assayer 2nd peg. 766) Not only had the flames taken most of what Landowner's had lilt, it also came on the heels of a great plague that claimed thousands of lives earlier.Over the course of the next century, London would raise from its ashes and proper as city its known today, as one writer would be quoted saying: â€Å"London is the Centre to which almost all the individuals who fill the upper and middle ranks of society are successively attracted (Assayer 2nd De. peg. 766). Over the course of time, in what some might say the end of the Civil War, one very importa nt issue still stood: ND that was â€Å"how to best govern the nation. â€Å"(Assayer 2nd peg. 68) Thomas Hobbes work had lead him to voice concern that people worry about two things In particular- the fear that someone could take their lives and the grittiness of individuals and their need of empowerment, for that the government role is to see that no such thing happen. But not all agreed with what Thomas Hobbes was teaching; John Locke argued that people are At birth the human mind Is at a untaught state and that over time our surroundings and

How has John Donne treated the theme of love in his poem ‘Lover’s Infiniteness’? Essay

Through his poem, John Donne, expresses his yearning to possess ‘all’ of his lady-love’s affection. He narrates about the pain and feelings he faces whilst trying to woo her. ‘Lover’s Infiniteness’ is part of Donne’s complex collection of literary work known as ‘Songs and Sonnets’; this particular piece was published in 1601. The poem deals with a question of how ‘vast’ or unconditional someone’s love can be, thus the word ‘Infiniteness’ in the title which expresses the enormity of Donne’s love for her. Being a metaphysical poet, Donne induces the elements of religion, identity, passion and reasoning into his poetry- for instance, in this specific poem, he emphasizes his ‘desire’ for the ownership of his lover’s heart yet, continues to think deeply and question her faithfulness to him. This further leads him into overthinking about the unquestioning love he has for her and how she might never reciprocate that amount of love to him. The tone of the poem suggests insecurity and- subtly- jealousy and possessiveness: this can be evident through lines such as ‘This new love may beget new fears’, ‘New love created be, by other men’, ‘The ground, thy heart is mine†¦have it all’. Using a variety of literary devices, Donne puts across the main idea of the poem vividly. Donne compares love to a ‘transaction’ wherein he expects his lady-love to ‘gift’ her love to him after he has ‘spent’ a lot of his ‘sighs, tears, and oaths, and letters’ to ‘purchase’ her heart- this is one of the many examples of both metaphor and visual imagery he uses(a clear picture of his efforts is being made). Some instances of the usage of paradox can also be seen: ‘If thou canst not give it, then thou never gav’st it’ expresses that if she doesn’t care for him every single day, then it would mean that never ever cared for him. The entire poem has been written in a well-structured manner of 3 paragraphs consisting 11 lines. Each paragraphs portrays a different aspect of Donne’s thoughts regarding his pining for his lover, aiding to a gradual build-up of a climatic ending to the poem. The poem follows a consistent rhyme scheme of ABABCDCD. Donne begins with ‘If yet I have not all thy love, /Dear, I shall never have it all.’ The tone suggests gentleness, but the lover seems to be wanting more from his lady-love – more attention, more love and affection. He is completely awestruck by her and deeply craves for her heart; he ‘cannot breathe one other sigh, to move, /nor can entreat one other tear to fall’ for he has been doing so for a very long time and cannot afford to spend any more of his ‘treasures’ of ‘sighs, tears, and oaths, and letters’. He calls her love for him as a ‘gift’ that is ‘partial’: the irony -usually love towards a lover isn’t supposed to be partial- when he stresses on how her heart might belong to other men as well, not fully his. Donne says ‘Dear, I shall never have thee all’, conveying how he worries about she not being his at all in reality. In the second stanza Donne questions his lady-love. He wonders that even if she did give him her ‘all’, what if it doesn’t last for a long time? The lines convey a sense of insecurity and jealousy the poet feels when he ponders about other men- just like him- who too would go through pain and try to gain her heart by using their share of ‘sighs, oaths and letters’ that would ‘outbid’ him- he fears of losing her. ‘This new love may beget new fears/ for, this love was not vowed by thee’, he sadly states out of fear and addressing the harsh reality. The last three lines of the paragraph show a more optimistic side of his: ‘And yet it was, thy gift being general’, he thinks about the positives of owning her love. He says ‘The ground, thy heart is mine; whatever shall/ Grow there, dear, I should have it all’: he compares her heart to fields where the seed of his love would grow and whatever she feels woul d be his too- an example of metaphor. John Donne wants a totality of love, but he has also reached the limit of his capacity to feel; he wants more to look forward to. The theme of possession and, specifically, commercial transactions underscores the inadequacy the lover feels when he thinks of or discusses the â€Å"all† of love that he requires from the lady. In the third stanza, he imagines their growing love as a kind of deposit with interest- he feels the need for her to pay back every single moment he’s spent putting efforts for their relationship with equal amount of love and attention. He could do no more. ‘He that hath all can have no more.’ After deep thought, Donne comes to a very contrasting conclusion: he suggests that if he has earned ‘all’ of her love and has been granted the ownership of her ‘heart’, he wouldn’t have anything more to look forward to as he feels that her love for him isn’t vast or unconditional- it might eventually stop growing. ‘Thou canst not every day give me thy heart/ If thou canst give it, then thou never gav’st it’: he questions that if she didn’t give him her heart before, then what assures the fact that she will give him her heart later on? Through a painful yet gentle tone he says ‘Love’s riddles are, that though thy heart depart†¦sav’st it’, here Donne expresses that even she might never respond to his feelings or leave him, he would still keep her heart- that he once had for a short while- safe and will always cherish the memories that they had shared before. Towards the end of the poem, Donne requests his lady-love to join hearts with him and be everything for each other: ‘Than changing hearts, to join them, so we shall/ Be one, and one another’s all.’ Through 3 paragraphs, Donne successfully conveys the pain, efforts and time he had spent to gain his lady-love’s heart. He portrays different the consequences faced while craving for one’s love and attention. Subtly expressing his possessiveness and jealousy, he tells of his true, infinite love that he has for her and how he wishes for her to answer him with same infiniteness.

Elimination of Waste in a Lean Manufacturing Environment

Many things can be done in a manufacturing enterprise in order to increase its performance. Special consideration should be given to the activities where the most benefit can be attained. The elimination of waste is the most important contributor to improvement in a lean manufacturing environment. The efforts for the elimination of waste begin on the manufacturing floor and include all areas of the enterprise all the way up to management. The whole organization plays a part in the continuous efforts to eliminate waste. It is the responsibility of management to provide the proper training and tools so that all personnel can properly participate in these activities. Once the personnel is actively searching for and eliminating waste, proper care must be taken in order to not introduce new sources of waste into the system. One important aspect to consider in the elimination of waste is that waste must not be transferred to vendors, customers or another area within the enterprise. Vendors cannot be expected to bear the burden of improper methods of waste elimination without undesirable consequences and likely introduction of new wastes. The transfer of waste to the customer is a dangerous and undesirable proposition since they are the reason the manufacturing enterprise exists in the first place. Working closely with the customer leads to a better understanding of their requirements and improved mutually beneficial processes or methods can be implemented. This allows the elimination of additional waste where the original demands of the customer may have forced areas within the manufacturing enterprise to contain waste. In order to truly remove waste it must be eliminated from the system entirely and not simply transferred within the system (Goldratt, 2004). Waste exists in all areas of an organization. This is an important reason why successful efforts to eliminate it can have such a huge impact on the organization’s performance. Tools such as 5S programs, Standard Operating Procedures, total productive maintenance, or visual management tools and techniques can be implemented to aid in such efforts (NWLEAN, Inc. , 2013). According to Lean principles there are eight major areas of waste. They are referred to as the Eight Deadly Wastes: 1. Overproduction – Making or doing more than is required or earlier than needed. This waste can tie up significant working capital that could be sed for other purposes. 2. Waiting – For information, materials, people, maintenance, etc. An organization must look to eliminate or minimize any wait-times by ensuring that items arrive only when they are truly needed. 3. Transport – Moving people or goods around or between sites. Although some is necessary, this is potentially a huge waste with poorly planned distances or number of moves. 4. Poor process design – Too many/few steps, non-standardization, inspection rather than prevention, etc. An organization should strive to eliminate any non-value adding activities within the process. 5. Inventory – Work-in-progress, papers, electronic files, etc. An understanding is needed of how long it takes to replenish each item in order to truly reflect the real customer demand and not mask waste such as excessive queue times, unbalanced workloads, unreliable suppliers, or misunderstood customer needs. 6. Motion – Inefficient layouts, unplanned downtime, poor ergonomics in offices, etc. If there is any type of unnecessary movement of people or machines then there is motion waste. 7. Defects – Errors, scrap, rework, non-conformance; poor quality controls, process documentation or machine capabilities, etc. Strive to eliminate all causes of defects through mistake proofing and statistical methods of process control. 8. Personnel resources and creativity – This is the waste of not using people’s mental, creative, and physical abilities. Everyone can be a successful contributor toward the organization's goal and elimination of waste. Availability of appropriate resource levels at all times can be achieved through good communications, teamwork, proper training, and by avoiding over-skilled personnel to be used for mundane tasks (Juran Institute, Inc. 2013). In-line with Mr. Pareto’s famous rule, 80% of the benefits during the implementation of lean principles exist in the elimination of waste. Many tools exist in order to achieve and maintain meaningful results. It is with the proper implementation of these tools that successful elimination of waste can be achieved. Some tools will have more impact than others depending on the organization so careful planning and imple mentation is needed in order to achieve real improvements with the best possible benefits.Works CitedGoldratt, E. M. (2004). The Goal: A Process of Ongoing Improvement. GreatBarrington, MA: The North River Press Publishing Corp. Juran Institute, Inc. (2013). Retrieved Jul. 11, 2013, from Juran: http://www.juran.com/ NWLEAN, Inc. (2013). Retrieved Jul. 10, 2013, from The Northwest Lean Networks: http://nwlean.net/

Clinical Nursing Essay

Introduction Nurses utilize multiple theories daily to care for patients and their families, though these theories range from grand, to situation-specific, to mid-range the nurse tends to focuses on which theory will provide the best care to his/her patient. Perhaps in my opinion mid-range theories with their growing frequency of use are best suited for nursing in the 21st century. Mid-range theories are said to be middle rather than ordinary but they are specific enough to evaluate observed situations (McCurry, Revell, &Roy, 2009). There are multiple reasons why mid-range theories offer some of the most up to date information when it comes to the care of our patients and families, but let’s just break it down to three; interpersonal relations, family, and health promotion. The middle range theories of these three examples will provide a set of assumptions and/or predictions from specific situations confirmed by research (Nolan & Grant, 1991). Interpersonal relations First, Hildegard Peplau’s Theory of Interpersonal Relations has influenced patient care in the 21st century worldwide. What is so crucial and probably most significant with this mid-range theory is its focus on human issues and its value of future generations (Barker, 1998). Nurses utilize this theory to treat each patient as an individual realizing that each person and their situation are unique. By applying this knowledge to each patient the nurse is able to develop a therapeutic relationship, which will promote the planning and implementation of nursing care. For nursing care to be successful they must view the nurse/patient relationship as a partnership being aware both are working together for a common goal (Barker, 1998). Also, interpersonal relations are used in all areas of nursing, which is why it is so important for the future of nursing, because without these relationships we would not be effective in our profession. These relationships are needed to expand our know ledge of each patient and their situation. By establishing trust the patients are encouraged to express themselves openly and honestly. Therefore the relationship built bridges barriers that may have hindered the patient outcome. Family Second, Hildegard Peplau’s mid-range theory of family systems has revolutionized the nursing approach in which families are incorporated into decision makers. Currently, families are viewed as the most influenecial person when it comes to the care of their loved one, meaning not only are nurses to build a therapeutic relationship and trust with the patient but with their family as well (Forchuck & Dorsay, 1995). This theory molds nurses into advocates for the family unit, which in turn influences the patient’s quality of life. These relationships with families are crucial when it comes to care, for example, if a patient was unable to provide the nurse with health history or tell them when they are in pain the family is able to be the eyes, ears and speech of their loved one. This action improves the care for the patient and nurses need the families as much as the patient needs the nurse. This is one of the reason’s why this theory works in the 21st century even w ith all the technology in the world, we as nurses still need the human interaction to open our eyes to the patient/family dynamic. Family system nursing is both the individual and the family simultaneously instead of just merely family nursing where the nurse takes care of the patient within the context of the family (Forchuck & Dorsay, 1995). This practice focuses on the interactions and relationships made between the nurse, individual and family. In order for this theory to be successful the nurse must be aware of the range of choices and downfalls associated with family system nursing. Also it is necessary to build on these relationships to provide creative personal choice and consistent flow of care for the patient to enhanced achievable goals. This engagement of nursing with family systems opens the door for problem solving of patient situations, which implements structure in the nurse/individual/family relationship (Forchuck & Dorsay, 1995). Health promotion Third, is the promotion and maintenance of health by utilizing Nola Pender’s Health Promotion Model. Health promoting behavior is enhanced through nursing practice, which enhances the patient’s overall well being. This mid-range theory is important today because it guides a supportive and educative system in health promotion in a patient who needs teaching and  demonstration in performing self-care. By applying this method the nurse is able to identify patient’s health promoting behavior’s such as, health importance, self-efficacy, perceived control of health and perceived health status to find any gaps and/or barriers to their health promoting behavior (Simmons, 1990). By promoting health the nurse seeks to care for the individual by developing these behaviors of healthy living, which sets the stage for the individuals to gain knowledge to care for themselves. This applies to all nurses who actively promote healthy living by becoming an active influence in developing healthy living behaviors through education and guidance. Conclusion These middle range theories set the groundwork for research. Each are utilized daily in clinical practice to provide the best patient care. The rationale for considering the middle range theories is an important factor when considering a care plan, which requires the use of the nursing process. These theories follow the nursing process and help guide our responses to promote, educate, integrate and build relationships with these individuals and their families with the same common goal of promoting health. These authors point out how the nursing profession is influential in the care of other and how their actions influence health beliefs. These middle range theories build on other theories, which is why they are so important in nursing practice today. These theories can be used in different areas of nursing as well as using multiple theories in one area of nursing such as mental health. Also, middle range theories have identified multiple interventions for health related issues throug h simple research (McCurry et al., 2009). Nurses like myself have adopted these theories and incorporate them into daily practice to increase my own understanding of my patient and their situations and this is why I chose middle range theories. References Barker, P. (1998). The future of the Theory of Interpersonal Relations? A personal reflection on Peplau’s legacy. Journal of Psychiatric and Mental Health Nursing, 5, 213-220. doi:10.1046/j.1365-2850.1998.00128.x Forchuk, C. & Dorsay, J. (1995). Hildegard Peplau meets family systems nursing: innovation in theory-based practice. Journal of Advanced Nursing, 21, 110-115. doi:10.1046/j.1365-2648.1995.21010110.x McCurry, M. & Roy, C. (2009). Knowledge for the good of the individual and society: linking philosophy, disciplinary goals, theory, and practice. Nursing Philosophy, 11, 42-52. doi:10.1111/j.1466769X.2009.00423.x Nolan, M. & Grant, G. (1992). Mid-range theory building and the nursing theory-practice gap: a respite care case study. Journal of Advanced Nursing, 17, 217-223. doi:10.1111/j.1365-2648.1992.tb01876.x Simmons, S. (1990). The Health-Promoting Self-Care System Model: directions for nursing research and practice. Journal of Advanced Nursing, 15, 1162-1166. doi:10.1111/j.1365-2646.1990.tb01708.x

Answer some question Research Paper Example | Topics and Well Written Essays - 250 words

Answer some question - Research Paper Example The annual reports provide a detailed account of the operations of the corporations and disclosure of corporation’s financial position (Sherman 64). Basically, the annual reports contain income statement, balance sheet, cash flow statements and statements of shareholders equity. Financial ratio analysis guides the equity investors in assessing the performance of their investments. It helps them to compare the performance of their companies over time and across the industry. In regard to the short term creditors, financial ratio analysis enables the creditors assess the potential of the company to meet its short term credits obligations (Sherman 82). On the other hand, financial ratio analysis will enable long term creditors to assess the company’s ability to repay the borrowed loans and loan interest within the stipulated time. When making an investment by depositing money in the bank that pays compound interests, it is better to choose an option that results to frequent compounding. Therefore, the best option in this case is the one that pays compound interests on a daily basis (Sherman 109). This is because compounding the interests daily results to additional capital from the interest earned for the next

Critically analyses the role of Resources Manager in Our Business Plan Essay

Critically analyses the role of Resources Manager in Our Business Plan - Essay Example nt of the gym and even their staffs is to provide a customer friendly atmosphere so as to retain their customer base as well acquire new ones through reference of these customers. The business plan of this gym takes into consideration the diverse culture base and different opinions and ideas of people. The plan even encompasses promoting more of environmental awareness and offers services such that it can help the community as well as protects the nature. The businesses aims at providing efficient gym services to all community members at a much cheaper rate and even expand its business operations outside the region where it plans to operate currently. The mission of the gym is to provide services as well as products that can improve upon the level of mental relaxation and also physical fitness of their client base so as to promote a positive living in the region which is already facing obesity and various health issues. The plan aims at acquiring various sources of funds and handling all its resources effectively so that it can provide the best quality services as it not only provides gym services but also provides healthy food and yoga classes for its clients. As a resource manager there are several duties that need to be performed effectively so that all of the resources are well aligned with the business operations. There are various categories of duties firstly is to analyze whether the financial resources that are needed for the business is in sufficient capacity and if it is there then to take proactive measures so that there is availability of additional funds whenever there is a turmoil in the business. The second function is of HR planning to ensure that all of the HR activities such recruitment, retention, training programs, performance appraisal etc., are aligned to the goal of the company and the best of staff members are a part of the team so that quality services can be offered to the customers. The next function is that of design and acquisition of