Claim (Who win) Essay Example | Topics and Well Written Essays - 1000 words

Claim (Who win) - Essay Example City and County of Honolulu, 1989). The US District Court of Hawaii, found that the oral ability to communicate effectively and clearly was a legitimate occupational qualification for the job in question (Fragante v. City and County of Honolulu, 1989). The court also found that defendants failure to hire Fragante was explained by his deficiencies in the area of oral communication, not because of his national origin (Fragante v. City and County of Honolulu, 1989). Finding no proof of a discriminatory intent or motive by the defendant, the court dismissed the suit, hence, an appeal by Fragante (Fragante v. City and County of Honolulu, 1989). Title VII enunciates the policy that unlawful discrimination based on national origin shall not be permitted to exist in the workplace and also provides for the ‘preservation of an employers remaining freedom of choice’ (42 U.S.C.  § 2000e-2(a)(1)(1982). The Court stated that Title VII aims to balance employee rights and employer prerogatives (Fragante v. City and County of Honolulu, 1989). The intent of the statute was to drive employers to focus on qualifications rather than on race, religion, sex, or national origin (Fragante v. City and County of Honolulu, 1989). The Court explained that an adverse employment decision may be predicated upon an individuals accent only when it interferes materially with job performance, and that there is nothing improper about an employer making an honest assessment of the oral communications skills of a candidate for a job when such skills are reasonably related to job performance (Fragante v. City and County of Honolulu, 1989). In this case, the defendants advertised for applicants to fill SR-8 vacancies (Fragante v. City and County of Honolulu, 1989). The job announcement required the ability to â€Å"deal tactfully and effectively with the public† and hence, the oral ability to communicate effectively in English, which is reasonably related

Wound care management Essay Example | Topics and Well Written Essays - 3750 words

Wound care management - Essay Example She also has type 2 diabetes, which is controlled with oral hypoglycaemic drugs. She developed pressure ulcer at sacral area over 2 - 3 week period. She was treated by a clinic doctor who instructed the home care nurses to do daily povidine gauze dressing. Mrs. Stanley is a retired school teacher and an extremely proud lady. She insists on maintaining her dignity at all times and she refused to accept that she had a pressure ulcer. She has a married daughter who stays in Singapore with her own family. She flew back from Singapore to accompany Mrs. Stanley on the day of her admission to hospital.√ On testing, she was discovered to have a pressure ulcer at her sacrum. When the wound was examined, she groaned with pain and tried to stop the nurses from touching the wound. The pressure ulcer to her sacral was measured approximately 10cm by 12 cm with a central area of slough which was surrounded by softer yellow tissue and some necrotic tissue. This is under the stage of dying. The surround tissue was erythema and oedematous (Fig 1). The dark staining to the surrounding edge of the wound shows iodine related staining. There is some tenderness and mild oedematous been detected by using gentle touch. Malodour was a concern and Mrs. Stanley was distressed by it. She was prescribed with intravenous antibiotics, subcutaneous hypoglycemic agent, and alternating mattress. v A holistic approach has been performed on Mrs. Stanley to initiate an effective wound healing to occur. Bale (2007) describes if the patient’s psychological needs and comprehensive understand of wound healing are met, the move from sick health to health might move ahead quickly and more proficiently. The two initial areas of concern for Mrs. Stanley were wound pain and exudate. Literature review for these two main areas has been done by using databases such as Medline and CINAHL. The key words which have been used for searching were pressure ulcer, pressure sore, decubitus, wound, ulcer, debridement, exudates, wound fluid, wound drainage, wound pain equipment, alternating mattr