Chinese Education System free essay sample

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Essay Sample: Writing a White Collar Crime Essay Sample

Essay Sample: Writing a White Collar Crime Essay SampleWriting a white collar crime essay sample is definitely not as easy as it sounds. You will have to do a good job in order to impress your interviewer. An essay sample should reflect your personality and good writing skills. It will also help you demonstrate that you are capable of handling any kind of paper you will be dealing with in the future.If you are looking for a job as a white collar criminal, then it is important to know which type of crime you are and how you got to the present employment you have. Your essay sample will help you clarify all the issues relating to your criminal activities. The essence of your paper should include:White collar crime is a term that encompasses a large number of crimes related to the organization and management of the organization. Such crimes can be committed by an employee, a consultant, a contractor, an executive, or a person who works in a job related to the organization. White collar crimes can also include fraud, embezzlement, insider trading, and procurement forgery.As stated above, white collar crime is one of the most widespread types of crime. The main intention of white collar crime is to make a quick buck. The participants in such crimes commit their offenses to make the organization more efficient. You need to focus on the reasons why the white collar crime occurred, as well as how you were able to save the organization from its liabilities. Usually, white collar crime cases will be based on negligence, bad practices, and financial problems.You will have to carefully decide on the exact details of your case. Usually, an employer will want to know how you were able to be let off, if you were able to handle the situation, and the consequences of the case. If you have been hired by an organization, then you will have to explain the previous employment experience you had, as well as all the responsibilities you will have in this organization. An employer wil l only want to hire the most competent person they can find for the job. Most employers will also want to know how you will handle all the tasks you will be given.Once you have decided on the topic for your essay sample, then you will have to put your knowledge into practice. You will need to have an efficient way of presenting your case, making it interesting for the reader. Write as well as research your case and prepare all the details.Keep in mind that white collar crime is one of the most prevalent types of crimes. Employers will only hire the most qualified person for the job.

Policy Profile Of Senator Richard Lugar The Following Report Will Atte

Policy Profile of Senator Richard Lugar The following report will attempt to provide a brief, yet concise policy profile of Indiana Republican Senator Richard Lugar. Beginning with a short biographical review, the profile will proceed and concentrate on Senator Lugar's major areas of public policy concern; Foreign Affairs, Agriculture, and in part, his 1996 Presidential Campaign which encompasses a myriad of issues, both foreign and domestic. It would be impossible to include every aspect of Senator Lugar's political career and personal life within the scope of this paper. Instead, emphasis will be placed on the most important and critical points of his tenure in American politics, at the federal level. However, in the conclusion of this text a rational explanation will be offered to give insight concerning Senator Lugar's motivations and tendencies to act in the way he does. Biographical Background Richard Green Lugar was born in Indianapolis, Indiana, on April 4, 1932. Attending Sh ortridge High School he excelled academically and was the class Valedictorian. After graduation, Dick Lugar (as he is commonly known) attended Denison University, in Ohio, and met his future wife Charlene Smeltzer. In 1954 Lugar received his degree from Denison and went on to be a Rhodes Scholar at Pembroke College on the campus of Oxford University, in England. Richard and Charlene were married in September, 1956, and now have four sons and six grandchildren. After completing studies at Oxford, Dick Lugar went to the American Embassy in London, England and promptly enlisted in the Navy as an intelligence briefer and was responsible for giving intelligence reports to 'high brass', including the President of the United States, Dwight D. Eisenhower. Along with Senator Lugar's political achievements, he has occupied positions in the private sector, as well as a stint in the United States Navy. As a young man Richard Lugar worked at, and managed the family businesses, a farm, and a food machinery firm started by his Grandfather over 100 years ago, Thomas L. Green Both are located in the Indianapolis area. In 1964, Lugar obtained his first political office with the Indianapolis School Board. He then went on to win the Mayoral bid in 1968, and served two terms at the head of city government in Indianapolis. Senator Lugar's next stepping stone in politics would be a failed attempt for the office of United States Senator in 1974, losing to incumbent Birch Bayh, father of the current Indiana Governor, Evan Bayh. Suprisingly, Lugar lost the election by only 75,000 votes, quite an accomplishment considering the incumbency factor. Lugar ran for the Senate again in 1976 and captured the seat from Democratic incumbent Vance Hartke. Senator Lugar has since been reelected two times (in 1988, he won by an overwhelming 68% percent of the total vote) and is currently in the midst of a campaign for President of the United States where he faces eight other challengers for the Repu blican nomination. Other achievements by Lugar that are worth mentioning are: His selection to the vice-presidency of the National League of Cities in 1970. He was appointed chairman, of the Republican Senatorial Campaign Committee for the 98th Congress. Served as chairman for the Senate Committee on Foreign Relations from 1985 to 1987. He is currently the chairman of the Senate Committee on Agriculture, Nutrition, and Forestry. Senator Lugar also serves on the Senate Select Intelligence Committee, and Foreign Affairs sub-committees; Western Hemisphere and Peace Corps Affairs, International Economic Policy, East Asian and Pacific Affairs, Trade, Oceans and Environment. (101st, 486-489; 102nd,485-488; Directory,1399; Miller, 95') Foreign Affairs Senator Richard Lugar is acknowledged to be one of the pre-eminent national leaders in the realm of foreign policy. Some have even claimed that he is in reality a "shadow Secretary of State", being recognized around the globe for his involvem ent with international politics. Lugar's involvement and membership to key Senate Foreign Affairs sub-committees, and being the chair of the full committee for one session of Congress shows his willingness and diligence to be involved in this policy area. Note, however, Senator Lugar was forced out of the chairmanship and did not voluntarily leave. (101st Congress, 486) Lugar has four principle premises for good foreign policy. They are as follows:

Office administration SBA Essay Essay Example

Office administration SBA Essay Essay Example Office administration SBA Essay Essay Office administration SBA Essay Essay Statement of TopicTo find the responsibilities and duties of the Administrative Assistant at The Cable Department. AimThe aims of this undertaking are:To look into the responsibilities and duties of the administrative helper To find the importance of the Administrative Assistant to the organisation. Functions of the Cable DepartmentAt The Cable Department. the maps of an Administrative Assistant areto brand and natural assignments on behalf of an executive and to recognize the client or possible concern individual in the most polite manner. Abbott Village.West Farm.St Kitts. 17 October. 2012 Ms Judith HewletThe Administrative Assistant.The Cable Department.Church Street.Basseterre. Dear Ms Hewlet.I am a 5th signifier pupil of the Verchilds High school. In an attempt to finish my School Based Assessment. I am composing this missive seeking permission to carry on an interview with you and besides to make some observations of the Administrative Assistant. I would wish to happen out the responsibilities of the secretary and how his or her work benefits the concern. I hope that you would allow me permission to hold this interview. I would be highly thankful as this would do it easier for me to finish my Office Administration School Based Assessment Project. Thankss in progress for your cooperation. Yours unfeignedly. †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Tashaun Greene MethodologyThe instrument that the research worker used to garner the informationwas an interview. The research worker interviewed the Administrative Assistant on the 21st of October. 2013 and recorded responses during the treatment. This instrument is used by inquiring an Ms. Hewlet in that particular concern topographic point inquiries whether face to face or over the telephonewhich is relevant to the concern to garner information. This instrument was chosen over others because more inquiries can be asked and the research worker may acquire a better apprehension of the information. In add-on. the interviewer can reply inquiries that were non clearly understood by the respondent. this manner is much more effectual and faster in footings of acquiring the information. Five of import inquiries1. What equipment do you utilize to finish your work?2. What are the responsibilities in the concern?3. What are the paperss used in the concern?4. What are the statute laws that govern the concern?5. Are at that place any wellness and safety regulations? Agenda of Activity DateActivityRemarks13/9/12The guidelines for the SBA was handed to the research worker from the instructor The instructor explained everything that should or should non be done in the SBA14/9/12The research worker started research on the first six undertakings of the undertaking A past pupil corrected the undertaking and set a few alterations19/9/12I spoke with the secretary to seek her permission about the interview The secretary was pleased to reply and said yes23/9/12The SBA was sent back to the research worker in an electronic mailThe instructor corrected the undertaking14/12/12The research worker was on occupation fond regard to acquire farther information about the undertaking It was a success and all the information required was cod 21/12/12The interview was conductedIt was successful8/1/13The instructor gathered with pupils to inquire about the occupation experience The pupils responded good. it benefited most of them 21/1/13The SBA was sent to the instructorTeacher made some accommodations to the SBA22/2/13The SBA was sent back to the research worker to be correctedThe research worker sent back the rectification to the instructor Rules and Regulations Legislation One statute law that governs the work topographic point that the research worker had to be cognizant of is confidentiality. this merely means that whatever information is in the concern topographic point it should remain at that place and shouldn’t be discuss among your equals. relations or friends etc. The information should remain private. However. the research worker became cognizant of this statute law by the members on staff. Health AND SAFETY One wellness and safety pattern while transporting out this research undertaking based on the workplace is the mark which reads â€Å"wet floor† . This mark prevents people from acquiring hurt by allowing them know that danger can be in front of them. STAFF RULE One staff regulation which the research worker had to follow with while transporting out the undertaking is that there should be no usage of cell phones while working. This is so because it may be a distraction or it may develop struggle between the clients and the staff member. Report The aims of the undertaking are to look into the responsibilities and duties of the secretary and to find the importance of the Administrative Assistant are to keep good working conditions and to utilize the basic package applications. Business Form DateName OF DOCUMENTPURPOSE OF DOCUMENT19/12/12Internet User AgreementThe intent of this papers is to guarantee that the clients agree to acquire the cyberspace service and they will make whatever is required to acquire the service. 21/12/12The Cable FormThe intent of this signifier is for the clients to make full out to clear up whether they want to reconnect. gulf. ascent or downgrade their service. Cancelation FormThe intent of this signifier to call off the full overseas telegram service. OFFICE EQUIPMENT DateEquipmentPurpose OF EQUIPMENTSUITABILITY FOR TASKS27/12/12Photograph Copying MachineThe intent of this equipment is to copy the customer’s ID and any other papers that is at that place for cogent evidence It is suited to clear up whether the individual is who they say they are 28/12/12 Cash RegisterThe intent of this equipment is for the clients to pay their measure in which they owe or to do certain minutess It is suited because this is the chief thing that the clients come into the concern to make and it will be profiting the concern because they will be acquiring money 30/12/12 PrinterThe intent of this equipment is to maintain a difficult transcript of the of import information or information relevant to the concern It is suited to publish material so there would be a difficult transcript so they will be sent out to consumers. for illustration letters Bibliography Person listed:21 December 2012. Basseterre. Labour Secretariat Administrative Assistant Publication ListS Finisterre. L Payne A ; J Reid ( 2004 ) Longman Office Administration for CXC Appendix Five of import inquiries 1. What is the equipment used in the concern?2. What are the responsibilities of the concern?3. What are the paperss used in the concern?4. What are the paperss used for in the concern?5. What are the statute laws that govern the concern?6. Are at that place healthy and safety regulations?7. Is the concern a successful one?8. What are the benefits of the concern?9. Are at that place any staff regulations?

Under the background of globalization, the impact of financial policy Essay

Under the background of globalization, the impact of financial policy on urbanization process - Essay Example ination of how much interest rates can be charged, and the budget that the government operates with as well as the labour market, the national ownership and more other sectors that the government provides intervention in the economy of that particular company. These policies are normally subjective of international institutions such as the International Monetary Fund or The World bank and also the political beliefs that are harboured as well as the policies that the parties that are affected have. Globalisation has many scopes and it brings out different meanings to different people who are In different academic disciplines where others look at it as economic capitalism while there is a group that perceives it as a way of coming up with a culture that has high breed characteristics. Generally, globalisation can be seen as the increase in the amount of interconnectedness that exists in the world and is escalated by the blitz of market capitalism that has taken place all over the world and the improvements in electronic communication and the technologies that are related to transport. The forms of urbanisation that exist in the post-globalisation era exhibit an increased growth and concentration of population in the cities that are larger and urban economic growth has progressively contributed by services sectors, deteriorating share of industrial sector and greater labour output. Largely, the growth consequences of these relative analyses suggest a need for going on with econo mic globalisation and for a national methodology for the improvement of large cities (Narayana, 2010, p. 91-116). Agglomerations in the services which is normally measured by the specialisation index of the region multiplied by the size in the financial intermediation has normally been seen as having a positive impact on the growth and this kind of results can have implications that are particular for urban regions since financial intermediation mainly exists in the areas that are

Interview Questions - The influence of a parent or other family Essay

Interview Questions - The influence of a parent or other family memebers on participation in Sport - Essay Example ho encouraged students to engage in sports, who discouraged them from engaging in sports, whether parents participate in physical activities, and the role of health in promoting the participation of a child in physical activity. On this note, the minor themes that relate to the major theme of this report are; family, health condition and childhood. The research conducted manages to highlight these themes through fifteen questions, which focus on the role of parents in promoting physical activities amongst their children, their role in hindering physical activities amongst their children, the role of health care in sports, and the manner in which an individual engaged in physical activities. By looking at how the fifteen questions are structured, though they depict a minor theme, an answer to them contributes in answering the major theme of the research. This major theme is the role of parents or family in influencing their children to engage in sports/ physical activity. In this report, the four individuals interviewed highlighted the importance of family members in their socialization process, and this process led them to engage in physical activities. Family socialization process refers to the methodologies that people learn, and thereafter develop into adulthood possessing the characteristics that they have. For instance, there are high chances that an adult person who is a fan of football engaged in the sport during his or her childhood (Sansone and Harackiewicks, 430). Chances are likely that this engagement was motivated by their parents or family members. This is because as a child, a person requires guidance in all the affairs of their lives; from education, to the sports and recreational life they engage in (Sansone and Harackiewicks, 417). From the findings of the interview, this report proves that parents, through their guidance, play a role in influencing their children on the kind of physical activity they engage in. This report analyzes the

Vulnerable Body Critical Discourse Of Code Blue Nursing Essay

Vulnerable Body Critical Discourse Of Code Blue Nursing Essay When words of Code Blue are announced through overhead speakers, my heart always skips a beat, and I will start my personal struggle again among professional, legal and ethic obligation: did I take the right action on a right patient and did I do a right thing? Code blue means a patient, who is in Full Code status, is suffering a event of cardio-respiratory arrest, and immediately needs a starting of full advanced cardiac life support protocol, including cardiopulmonary resuscitation (CPR), medication, and mechanical ventilation (Lewis, Heitkemper Dirksen, 2006, p.166). I have been working in an adult inpatient medicine unit for six years. I can not exactly remember how many times I initiated a code blue call and have participated with the resuscitation team. Most of the patients that I have involved in code blue have died during the resuscitation process with a huge mess of blood, airway secretion, urine, bowel movement and medication on his or her body or survived less than 24 hours. After each resuscitation action, I felt emotionally drained, depressed, guilty, helpless and frustrated with the code status decision Full Code. In this paper, by presenting a resuscitation scenario, I will conduct a discourse analysis about this clinical d ilemma from both liberal-humanist and scientific-medical perspectives. Through analysis, I understood that clinical dilemma happens all the times, and it also will happen in the future. Nurses need to seek how to explore the contradictions or tensions from different discourses and understand them to grieve over. At the end of the paper, I discuss the implication of the future nursing practice based on the knowledge acquired from this discourse analysis. Personal Story It was my first year in an adult inpatient medicine unit after my graduation from a nursing school. Mr. D was a 97 years old widower. He was admitted to the hospital for congested heart failure, shortness of breath and also found to have pneumonia. He was intubated for respiratory difficulty in the intensive care unit then eventually developed multisystem organ failure, sepsis, and meningitis. Also, he was at the end stage of liver disease, and illustrated by brain damage signs from circulating toxins, hepatic encephalopathy. Arriving at my unit, he complained of shortness of breath and dizziness. His jaundiced skin glowed bright yellow. He showed delirium, repeated the same questions in slurred voice incoherently. He presented a marginal blood pressure, lungs were full of fluid, and oozed blood from his gums and injection sites was hardly to clot. All his limbs were extremely swollen. Nasogastric feeding tube was in situ. Oxygen was supplied at 4-liter by nasal prongs with saturatio n of 88 92%. While checking orders to create a Kardex, I realized his code status was Full Code, and physicians progress notes indicated that decision of code status was discussed between health care team and family three times. Two days later, I found Mr. D was not responding to my greeting and touch during my hourly round checking at 10:00 in the morning; no breathing sound heard, and no palpable pulse. I hit the code blue button on the wall at beside and started CPR. A code blue announcement automatically was delivered through overhead speaking system. Code team arrived in one minute. Night gown was stripped off; an aged body was totally naked. Deep suction via yankauer was made in rush, a tube was inserted down his throat, and then into his lungs in a harsh manner, and a ventilator took over his breathing, blood noted in his mouth; a cardiac monitor was hooked up to his chest; chest compression was made in a powerful manner to reach the depth of 5cm, rib and sternum bones broken noise was heard; a big needle-like catheter for getting artery blood gas by a respiratory therapist was poked into to several locations, blood contaminated his right upper arm and inner thigh; venopuncturing for intravenous cannu la insertion by a nurse was re-poked four times on both extremely swollen arms and blood messed on forearms; isosource of nasogastric feeding came from his nose and mouth, foul odour smelled; epinephrine was injected two times; defibrillator was applied three times with strong electric shock. Twenty minutes later, the physician ordered to stop the resuscitation effort and give up. Mr. D was left naked in the bed, lying without moving, deadly pale on his face. Everybody was exhausted, leaving the room with disappoint on face, and huge mess on the bed and floor. Tears were running down in familys cheek, too sad to say a word. Analyzing Personal Struggle Full code is permission for a code team to insert a ventilation tube into failing lungs, apply electric shock to a fibrillating heart, and unleash a extra blood of punctures, dissections, and exsanguinations on the human body. A resuscitation based on Full Code is supposed to be performed aiming in offering the patient a benefit. However, these interventions are marginally effective (Hiberman, Kutner, Parsons Murphy, 1997; Perers, Abrahamsson, Bang, Engdahl, Lindqvist Karlson, et al, 1999), lives saved and functioning restored only for a small number (15% worldwide average) of people (McGrath, 1987; Saklayen, Liss Markert, 1995; Schneider, Nelson Brown,, 1993). Subjecting a dying person to CPR who is believed there is virtually no hope of survival is a terrible way to practise health care; it is inhumane; and it is an assault. Despite significant improvements made in training, equipment, and drugs, the overall CPR survival rate has remained almost the same over the past 30 years (Beall, 2001). Findings from 33 studies showed that about 16% of patients under age 70 and 12% of patients aged 70 and older survived CPR only (Kaye Mancini, 1996). After participating in the resuscitation for Mr. D, I have been struggling over this real scenario at: (1) what is the quality of death; (2) who can decide the code status; and (3) what can I do for advocating my patient? As a nurse, I have to deal with life-and-death decisions with each of my patients. With the participating in the resuscitation for Mr. D and witnessed his death, I am wondering: what is a quality death? What a kind of process is a quality death? Who defines it? What is the resuscitation doing? How much do patients in terminal life stage have to understand about what dying is like? How well patients dignity could be preserved and integrated into the resuscitation process? How well patients wish could be respected in the decision of code status? How does a patient want everything to be done to extend his life Full Code in hospital parlance, or a patient wants to let his/her death happen naturally without interference a Do Not Resuscitate order? Does the Full Code status really benefit the patients interest or just benefit a substitute decision makers/familys interest? As for Mr. Ds scenario, is the Full Code status his real wish? Is the dying process his real belief about dying? Is t he dying process his real value about the death? Did he image his death with broken sternum and ribs, massive blood mess and contamination? Did he image that, at the end of life, he was surrounded by the code team rather than by his family members? Unfortunately, I have no solution to seek the true answers yet; I felt the contradiction and tension between the resuscitation on behalf of a Full Code status and quality death: professionally, I have duty of care to participate in the resuscitation action and do whatever required for such a purpose, but ethically and morally, I do not want to do any harm on my patients during the resuscitation. It has become my clinical dilemma of struggle for many years. The decision of code status is a complex and controversial topic. Theoretically, it seems simple and easy to declare either patient or patients substitute decision maker will be the subject to make decision about code status. However, in the real working environment, I noted that many patients indications on code status are blank, not checked yet; and sometimes they are left as blank for a long period; also, some patients code status has been changed reversely from Do Not Resuscitate to Full Code by their family; Mr. D was one of such examples. It tells me that the decision process in not a straight-forward linear procedure; it is organic or dynamic. The confusion for me is who is the real decision maker during this organic process, the patient own, patients family/substitute decision maker or a health care provider? As a regulated professional, a health care provider is rarely taking action as such decision maker; usually, either patients or their family will be. While the patient i s capable, it is clear that the patient decides it for himself or herself. However, my wondering is that there are so many factors that will impact patients capacity when decision needed to be made on the code status, such as age, medical condition, the quality of life, religious views and overall wishes. Further more, like the perception on pain, capacity is really subjective; a sound judgement on patients capacity also is difficulty. Who can decide a patients capacity is either intact or impaired without any interest conflict? Like Mr. Ds scenario, due to his senior age and confused medical condition, his daughter was his decision maker from the admission; the reality of his condition was recorded as deteriorated daily, and he had been incapable to provide any input about his code status; the progress notes show us that his code status has been changed from Full Code to Do Not Resuscitate, and then back to Full Code again during a five-week period of hospitalization. Is there any interest conflict in the process while his daughter made decision of turning over on his code status for him, and does such change will really benefit him in relieving suffering, restoring functioning and improving his quality of life? As a member of heath care team, what I can do to advocate my patients decision is really limited so that I am feeling helpless. Being a sick people in a hospital might be very stressful; in additional to physical symptoms, people may feel anxious, depressed and helpless. Also, family members might be place under a difficult time and position during a medical crisis; family members may disagree, emotions might be high and medical information can become confusing agent. In such a stressful circumstance, any possible irrational decision could be made without considering the reality and possibility. Perhaps, we can say nurses are knowledgeable to provide information, as well as nurses know more about the patients daily condition than a physician so that a nurse really can make some good input for health care team and family in decision-making to advocate patients benefit; however, the final decision is totally depending on patients or their substitute decision-makers understanding about the context of code status; they are legally granted the power. Like Mr. Ds case, his decision-maker alternatively requested change of his code status from Do Not Resuscitate to Full Code on his behalf that resulted in futile and miserable resuscitation, even if his most responsible physician could not apply any influence on it. Health care providers are not legally granted such a power, and ethically, we also can not apply our opinions, judgement or choice on patients or their decision-makers decision. So, I have been struggling over the relationship between power and knowledge; under such circumstance, knowledge is not and does not have the power at all. What we can do is through information providing to empower our patients or their decision-maker to use their power to make a right choice on code status to avoid such futile and miserable resuscitation happened on Mr. D without any benefit, but harm. Exploring Discourse Analysis The clinical dilemma as identified in the above scenario, the contradiction and tension are mainly triaged from respecting the patients own or their decision-makers choice on code status while providing our resuscitating intervention. In order to understand the issue, I did literature review on decision making on code status choice. I chose the patients or their decision-makers decision of choice on their code status and how to empower them in making a right decision by information providing to advocate for patients benefit in quality of life at the end of life as my focus. In the following sections, I will use Mr. Ds case to analyze this clinical dilemma from both liberal-humanist discourse and scientific-medical discourse perspectives. Scientific-medical discourse: empower patients to make right choice on code status According to Grant, Giddings Beale (2005), the scientific-medical discourse is based on the biomedical mode of medical science. Its core concept is that a human body is a collection of different parts that are organically organized and form different systems that manifest as a set of symptoms (Brown Seddon, 1996, a, b). It constitutes the scientific fundamentals and becomes the root of nursing science (Grant, Giddings Beale, 2005, p.499). That is the reason I chose it as one of my discourse. Medical knowledge explicitly tells me that life maintenance must be under the control of homeostatic balance, which is maintained by normal functions of all organs; and homeostatic control mechanism can maintain only in a relative narrow constancy (Thibodeau Patton, 2005, p.16). CPR is a desperate technique that is used on the people who are might be suffering cardiac arrest in order to deliver oxygen to blood stream and maintain a cardiac circulation to keep vital organs, such as such as the brain, be oxygenized to be alive, to delay brain death, and maintain the heart to remain responsive to defibrillation; in many type of patients, it virtually never works; for a patient with an advanced age and life-threatening illness who is dying of the underlying disease, there is very limited benefit because survival is rare ( As articulated by Grant, Giddings and Beale (2005), nurses had sound technical knowledge of bodily diseases, the associated symptoms, predisposing causes, and appropriate treatment (p.499) from medical science. Under the influence of biomedical model ideology, the interventions of nursing care have been constructed as a set of tangible, specifically operate-able and measurable procedures that are implemented in a methodical manner step by step, for example, nursing process. Reflecting on Mr. Ds case, by informing them the updated condition and possible prognosis through my careful and objective assessment, I can support my patient or their decision-maker to choose a right code status to avoid a violent death that occurs during an advanced cardiac life support and artificially prolonged life maintenance. It is not to apply my opinion or choice on them. It is to empower them to make right choice in a supportive manner to preserve patients dignity and quality of life, as well as death. In such a way, my professional integrity also will be benefited in maintaining, professional contradiction and personal tension will be avoided. Liberal-humanist Discourse: Advocating Patient According Grant, Giddings Beale (2005), the liberal-humanist discourse of nursing care is a holistic approach; the patient is viewed as a whole person and a unique individual, not the collection of different parts only. Empathic nursing care does not only deal with patients biomedical issues, but also emphasize patients autonomy, rationality, emotions, understandings and dignity; it is characterized by respecting patients self-determination, free choice, and self-representation (Praeger, 2002). The ethic ideology of liberal-humanist discourse of nursing care is underpinned by two assumptions: nurses commitment to a trust therapeutic interpersonal relationship of care and having moral obligation to act (Dyson, 1997, p. 200) on behalf of patients (Grant, Giddings Beale, 2005). Such a sound holistic approach becomes the grand rationale I choose it as one of my discourses. Also, it casts and shapes my best nursing practice by providing my patients and their family holistic caring. However, it must be understand that such an universal or global ideology itself has an underlying contradiction and tension that I experienced in my patient Mr. Ds scenario, that is, under some circumstance or specific context, it is difficulty that empathetic nursing care must have commitment to trust interpersonal relationship by respecting the patients autonomy and at the same time, nurses also have moral obligation to act on behalf of the patient. As for Mr. Ds case, health care team discussed the code status choice in multiple family meetings based on informed decision principle. The whole caring process demonstrated the empathetic caring by respecting familys decision on the code status choice, taking appropriate and timely resuscitation action morally on behalf of the decision maker. However, the misery result was the violation of patients dignity and quality of death in the dying process, which is actually avoidable and it morally generates the ethic guilty and tension in health carers emotion, because health carer eventually does not have the legal authority to take action to morally prevent such an avoidable misery event to be happened. Such contradiction and tension in professional, legal and ethic principles basically contribute to my distress and confusion. Implications for Nursing Practice The discourse from either scientific-medical approach or the liberal-humanist approach, while peoples life reaches the end stage life-span, not only does the physical body, but also the person as a whole, become a vulnerable object. Being a ill person in a hospital can be terribly overwhelming with physical symptoms, anxiety, depressed and helpless, as well as invasive treatment, diagnostic interventions and a variety of information that is related to each procedure. A treatment is supposed to be of benefit if it relieves suffering, restores functioning and improves quality of life; it will become a burden if it causes pain, prolongs dying without offering a benefit or increases distress. When we emphasize that patients do have some control over what kind of treatments they do and do not want, but in how many cases patients really implement their control over the treatments? Taking Mr. Ds scenario as an example, being in his senior age and impaired cognitive status, it is impossible for him to be a host to get his treatment and care plan under the control of his wishes; his decision maker on his behalf, driven and masked by a general graceful desire that is often seen in the most of people, just wants everything has to be done to remain alive to save and prolong his physical life, even if a few more minutes, legally places not only his physical body, but also a person as a whole at the risk of vulnerable position unconsciously while choosing a Full Code status. As a nursing member of the code team, I have professional obligation to do some inhumane resuscitation actions on his vulnerable body and impair his dignity of death. So, putting myself into Mr. Ds shoes, if either my parents or I were in his age and health condition, I really need the preservation of self-determination, free choices and self-representation in decision making on code status choice choose DNR, let me go naturally without pain, suffering and inhumane resuscitating effort. Our patient-center nursing care philosophy always makes us be aware of that patients need to be supported, not blamed (Kammerer, Garry, Hartigan, Carter Erlich, 2007). From the liberal-humanist discourse of nursing care views, committed to trust interpersonal relationship with patients, empathy and communication are two core concepts. When a persons life is at the brink of death, a clear mind is a rarely existed. Often, it will be more difficulty to accept and respect a frail mind than a frail body. Terminally ill people may look differently, feel even worse and terrible, and think in another way. They need advocacy, protection and caring in humane, patient, and professional ways. Supporting their ability to get their lives under control is no less important than keeping their blood pressure under control. Communication in an empathetic passion is more conducive to doing the right thing than rigid legal documents. Nursing has moral, as well as professional, obligation to communicate our scientific-medical knowledge to support patients in determining what kind of code status they want to be and make their wishes known to their loved ones. Family is an integrated part of our clients, which are facing a difficult position during a medical crisis. Identically, we have above obligation to support patients family members in knowing what a loved one wanted that will help them get peace of mind that they are honouring the wishes of their loved one. In such a way, our professional development will be in growth, and our personal distress that is involved in the discourse tension will be released. Summary According to the learning goals of this course, discourse from scientific-medical approach and liberal-humanist approach on a real clinical situation is presented in this paper. Personal distress, frustration and confusion arisen from the clinical dilemma have been analyzed. Nursing care can be explored from different kinds of contradictory discourses. All these contradictory discourses might contribute to nurses feeling of distress, frustration or confusion when encountering different clinical situations. The liberal-humanist ideal of ethic of care focus on viewing a person as a whole and respecting patients self-determination, free choice, and self-representation, bur patients need advocates and support from scientific-medical approach in decision-making. Furthermore, for professional and personal development, nurses should learn to understand these different discourses in one situation and take effective strategies to solve the clinical dilemma. Committing to a trust therapeutic i nterpersonal relationship with patients will help nurses understand patients better, and it also helps nurses to find the meaning of the event so that effective solutions could be figured out to solve clinical dilemma.