Why should Schotland become independent Essay Example | Topics and Well Written Essays - 1000 words

Why should Schotland become independent - Essay Example ttish voted unanimously for the devolution of powers, which meant that despite Scotland being part of the UK, its government gained new more powers such as control of health care and education and in the first time a Scottish parliament (Pruitt, 2014). The quest for independence continued with the election of Alex Salmond in 2007 and subsequent re-election in 2011, which led to the approval of the 2014 independence referendum to end the 307- year old union with the UK even though the SNP party under the leadership of Alex did not win as anticipated. However, some of the major as to why Scotland should be independent include efforts to stop the mass nuclear weapon building, establish Scotland’s democracy, create opportunities for its citizens, end unfairness, and because it has capacity to support it operation. As with democracy, it means that it will endow Scotland self-determination ability and will possess full power in decision making in terms of political affairs. Such was the strong stand held by Salmond in May 2012, when he often stated; the Scottish people living in Scotland are better positioned to make the choices that affect Scotland (Carrell and team, 2014). The pro-independence campaigns by the proponents of the Scotland self-rule often stated that the union had a democratic deficit because United Kingdom is a unitary state and lacks a codified constitution. This deficit has often been used to refer to a period between the 1979 and 1997 United Kingdom elections, during when even though the Labour party holding majority seats in house, the Conservative Party ruled the entire UK. In reference to the instance, Alex Salmond said that such situations amounted to the lack of democracy and added that the Scottish people need to have the right choice for Scotland (independentscotland. org, 2014). Another reason for the independence quest is that with an independent Scotland, it will be easy to address the removal of the Trident nuclear weapons. The aftermath

Advanced medical-surgical nursing Essay Example | Topics and Well Written Essays - 3000 words

Advanced medical-surgical nursing - Essay Example rocedures and equipment, coping with incomplete and rapidly changing medical knowledge, addressing workforce shortages and ensuring appropriate adherence to correct procedures with right nursing attitude. These finer concepts in nursing when applied lead to the identification and establishment of a patients risk management process within the overall ultimate design of a health care process. Such processes are more required at the Intensive Care Unit (ICU)/facilities of any hospital as ICU is one of the most critical services of any hospital and the quality of such critical patients response is important in determining the success of the entire hospital itself. In the following paragraphs we examine the application of the finer concepts of nursing care in three specific areas of nursing the critically ill patient. Areas discussed, with relative analysis are; airway management, sensory imbalance/overload and family communication within the intensive care unit. The discussions in these areas of nursing care become more pertinent if the patient is mechanically ventilated. Both short and long duration airway management in critically ill patients require substantial caution and skills. Right approach which can be termed a model approach is still being evolved in research algorithms. Difficult ventilation has generally been reckoned as a state in which a trained anesthetist experience inability to maintain the oxygen saturation more than 90% using a face mask for ventilation and 100% inspired oxygen, given that the pre-ventilation oxygen saturation level was within the acceptable range.(American,1993) Difficult intubation ,on the other hand, has been reckoned as the need for more than three intubation attempts or attempts at intubations that last more than 10 minutes.(American,1993) Schwartz et al (1995) furnish data that 3% of critically ill patients hospitalized suffer death within 30 minutes of administering emergency intubation, and another 8% of intubation events