Essay --

The Fifth Amendment of the U.S. Constitution provides, "No person shall be held to answer for a capital, or otherwise infamous crime, unless on a presentment or indictment of a grand jury†¦nor shall be compelled in any criminal case to be a witness against himself, nor be deprived of life, liberty, or property†¦ nor shall private property be taken for public use, without just compensation"(Cornell). The clauses within the Fifth Amendment outline constitutional limits on police procedure. Within them there is protection against self-incrimination, it protects defendants from having to testify if they may incriminate themselves through the testimony. A witness may plead the fifth and not answer to any questioning if they believe it can hurt them (Cornell). The Bill of Rights, which consists of the first ten amendments to the U.S. Constitution, enumerates certain basic personal liberties. Laws passed by elected officials that infringe on these liberties are invalidated by the judiciary as unconstitutional. The Fifth Amendment was ratified in 1791; the Framers of the Fifth Amendment intended that its revisions would apply only to the actions of the federal government. After the Fourteenth was ratified, most of the Fifth Amendment's protections were made applicable to the states. Under the Incorporation Doctrine, most of the liberties set forth in the Bill of Rights were made applicable to state governments through the U.S. Supreme Court's interpretation of the Due Process and Equal Protection Clauses of the Fourteenth Amendment (Burton, 2007). The one exception to asking questions without warning is if there is some type of danger to the public, which allows officers to engage in questioning. The government cannot force citizens to tes... ...ained in their questioning. Officers commonly have small cards with the Miranda warnings on them so they don’t forget or skip over a part of ones right, if this does occur evidence still cannot be properly obtained because the person was not fully warned of all their rights. Currently, the only unwarned questioning that can occur is if the officer believes the public is in some type of danger. For example, if police come across a man standing in a convenience store that fits the description of recent thefts in a nearby neighborhood and the man runs once police confront him and is later caught and searched, when upon the search they realize he has an empty shoulder holster. In this scenario the public is in potential danger, the police can ask him where the gun is hidden without reading the man his rights and it would not be violating his Fifth Amendment rights.

The Joint Commission

The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) is a non-profit organization based in the United States that offers accreditation to health care facilities as well as various health programs. The goal of the organization is to â€Å"continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value. † (http://www. jointcommission.org)As a non-profit organization, the Joint Commission continues to set forth standards by which the quality of patient care is measured. In addition to providing official accreditation, after thoroughly evaluating a health care facility or program, the Joint Commission also sets safety goals for the health care industry in order to improve overall quality of care. The Joint Commission has put forth safety goals purposed to decrease the frequency of human error and p romote a more secure environment for patients.Safety goals include ensuring proper patient identification, appropriate use of medicine, enhanced communication, infection prevention and risk identification. The Joint Commission hopes to encourage the prevention of surgical mistakes and patient falls. With concern to the geriatric population, most, if not all of the safety goals may need to be integrated into health care routine. The Joint Commission’s safety goal regarding fall prevention is especially pertinent to the geriatric population.The geriatric patient is susceptible to falls in general due to decreased vision, coordination, strength, flexibility, increase in cardiovascular disease, vertigo or cognitive impairment. Injury to a geriatric patient resulting from a fall often causes greater complications than would typically occur in a younger patient. Elderly patients are more prone to fracture due to bone density loss and extensive bruising from certain medications or l oss of protective adipose tissue. Geriatric patients are also likely to obtain serious skin injuries resulting from falls because of thinning skin.Fractures could result in a patient losing mobility which could potentially lead to more serious complications such as pressure sores, urinary tract infections, thrombi or loss of joint function due to lack of movement. Injuries to the skin obtained from a fall could become infected. A simple fall to an elderly patient could result in a dramatic turn for the worse regarding overall health. â€Å"Among people 65 years and older, falls are the leading cause of injury deaths and the most common cause of nonfatal injuries and hospital admissions for trauma. † (http://www. CDC.org)The Joint Commission addresses this concern with its goal to reduce the risk of falls. This particular goal is broken down into five elements of performance intended to predict risk for fall, intervene to reduce risk, educate and evaluate. The first of the ele ments of performance is an assessment of the patient’s risk for fall. This includes assessing patient’s mental status, sleep patterns, medications, blood pressure, voiding frequency, vision, gait, strength, balance and history of falls. After evaluation of a patient’s risk of falling, an interventional plan should be formulated to prevent such an incident.The Morse Fall Scale, or MSF, is a tool that is used to assess the likelihood of a patient falling. It takes into consideration a specific patient’s history of falling, secondary diagnosis, ambulatory aid, IV/Heparin lock, gait and mental status. â€Å"The MFS requires systematic, reliable assessment of a patient's fall risk factors upon admission, fall, change in status, and discharge or transfer to a new setting. † (http://www. patientsafety. gov) Equipment can be utilized to prevent falls and environmental hazards can be cleared. Referrals could be made, as needed, to ophthalmology, cardiology or physical rehabilitation.Medications can be considered and altered if they cause orthostatic hypotension, a condition in which a patient becomes dizzy upon standing due to quick drop in blood pressure. Bowel and bladder assistance programs can be implemented to reduce frequency and incontinence issues that may lead the patient to leave the bed unassisted. Educating the patient, as well as their families is critical in fall prevention. Involvement of all who care for the geriatric patient can lessen the likelihood of a fall occurring in the absence of a health care provider.Falls can occur while attempting to help a geriatric patient bathe, while assisting in transportation, or maneuvering through their home. This is especially important to the geriatric patient who has returned home resume acts of daily living without constant supervision. There may be environmental hazards within the home that pose risk to the patient. It is also possible that the patient may not administer medic ations properly, or cannot safely perform hygiene, feeding, cooking or cleaning. Such acts of daily living are essential remain or become healthy.A vast array of variables exists with regards to fall prevention. Hence, the Joint Commission recommends that the overall success of the interventional measures be evaluated and altered as needed. Follow up evaluation allows for further adjustments, if needed. The Joint Commission is a non-profit organization serving to promote health care organizations to be their best in all aspects of patient care. Their mark of accreditation has become a respected seal of approval, indicating that a particular facility or program meets a particular set of high standards.They have put forth safety goals intended to encourage nurses and other health care providers to approach potential dangers with a multifaceted plan for intervention and prevention of errors, accidents and injury. Preventing falls will be an ongoing, evolving and improving process with regard to future nursing practice. Nurses will always need to think critically and utilize the knowledge, tools and equipment available to keep patients from falling and injuring themselves. Futuristic equipment may provide a more convenient, safer, faster way to assist patient mobility.Computer health care networking may make complete health history more readily available for review and consideration. Nothing, however, can replace the critically thinking nurse. â€Å"Nurses are leading practice innovations to systematically assess patients’ risk for falls and implement population based prevention interventions. † (http://www. nursingworld. org) For this reason, The Joint Commission sets standards and safety goals to encourage those within the field of nursing to actively assess, prevent, educate and evaluate. With due diligence, such standards and safety regulations can greatly increase overall patient care.

So Far International Monetary Fund (Imf) Has Been Failed...

â€Å"So Far International Monetary Fund (IMF) Has Been Failed to Curve Corruption, Reduce Public Spending and Develop Macroeconomic Policies.† What is IMF? The International Monetary Fund and the World Bank were created in 1944 at a conference in Bretton Woods, New Hampshire, and are now based in Washington, DC. Now it is an organization of 188 countries, working to foster global monetary cooperation, secure financial stability, facilitate international trade, promote high employment and sustainable economic growth, and reduce poverty around the world. Nearly all members of the United Nations are members of the IMF with a few exceptions such as Cuba, Lichtenstein and Andorra. (About the IMF:IMF Website) The IMF was originally designed to†¦show more content†¦Ã¢Å"“ Lack of Transparency in Operation: The undemocratic make-up of the IMF s boards is compounded by a lack of transparency in their operations. Still beyond the reach of the public is any knowledge of how decisions have been reached and what the process and reasoning was behind the decisions. For example, at the IMF, executive board documents are published after five years, executive board minutes are released after 10 years, and other archived material is available after 20 years. The time lag means no decisions can be scrutinized until well after they have been implemented. Even when documents are released, they are only available at the IMF s offices in Washington DC. This effectively makes even the archives inaccessible to most politicians, groups and individuals outside the US, an appalling situation tor a global institution. âÅ"“ No Voting System for Taking Any Decision and Electing Managing Director: Normally, there is no formal vote on decisions taken by executive directors. The UK Treasury states that instead they are taken on the basis of consensus. In practice this does not mean that all executive directors agree on the decisions to be taken. In reality, once the chair of the board meeting informally senses a majority to votes has been found on an issue, executive directors in oppositionShow MoreRelatedCameroon Between Cameroon And South Africa Essay10529 Words   |  43 Pagescountries have remained poor, but could become develop because Development economic and Solow`s growth theory have proven that all countries can become develop. Developed countries were also poor some years ago but have become developed over time. The wide gap between developed and underdeveloped countries shows that, underdeveloped countries are not making enough efforts to become develop. Therefore, this paper seeks to analyze the reasons why Cameroon has remained underdeveloped. An analysis on howRe ad MoreTrade Openness and Economic Growth in Nigeria23422 Words   |  94 Pages CHAPTER ONE INTROUDCTION 1.1 BACKGROUND OF STUDY The current period in the world economy is regarded as period of globalization and trade liberalization. In this period, one the crucial issues in development and international economics is to know whether trade openness indeed promotes growth. With globalization, two major trends are noticeable: first is the emergence of multinational firms with strong presence in different, strategically located markets; and secondly, convergence of consumer tastesRead MoreProject on Risk Management46558 Words   |  187 Pages Management of Business Finance INDIAN INSTITUE OF FINANCE CORPORATE GUIDE: MR. ASHOK SHARMA ASST. MANAGER AGRA BRANCH, AGRA UTTAR PRADESH. ACKNOWLEDGEMENT Expressing gratitude is not just an exercise of formality rather doing so evokes the memories of my association with my mentors and mates. I thank Chairman Prof. J. D. Agarwal and Director Aman Agarwal for allowing me to carry out this project. I wish to express my sincere gratitude to my corporate guide, Mr. Ashok SharmaRead MoreInternational Management67196 Words   |  269 PagesThis page intentionally left blank International Management Culture, Strategy, and Behavior Eighth Edition Fred Luthans University of Nebraska–Lincoln Jonathan P. Doh Villanova University INTERNATIONAL MANAGEMENT: CULTURE, STRATEGY, AND BEHAVIOR, EIGHTH EDITION Published by McGraw-Hill, a business unit of The McGraw-Hill Companies, Inc., 1221 Avenue of the Americas, New York, NY 10020. Copyright  © 2012 by The McGraw-Hill Companies, Inc. All rights reserved. Previous editions  © 2009