Ethical Principles in Healthcare

Ethical Principles in Healthcare Introduction The Department of Health (DoH) (2003) highlighted the importance for all professions currently regulated by the Health Professions Council to demonstrate competence through continuing professional development (CPD). CPD is a systematic, ongoing, structured process that encourages the development and maintenance of knowledge, skills and competency that assists us in becoming better practitioners (Chartered Society of Physiotherapy (CSP), 2003). As a result of the Health Act (1999) and for registration with the Health Professions Council (HPC), CPD is a legal requirement (HPC Standards of Proficiency, 2007) that must be completed in accordance with the (HPC) Standards of Continuing Professional Development (HPC, 2006). This essay allows for demonstration of life-long learning using evidence from clinical practice and critical evaluation to contribute to my CPD. Learning outcome 5 will be demonstrated throughout this essay. Throughout this essay the reader is directed to the appendices to support theory with evidence of practice. I considered my motivations for undertaking CPD before writing this essay and reflected upon them again on completion (Appendix 1). Demonstrate professional behaviour with an understanding of the fundamental, legal and ethical boundaries of professional practice. Beauchamp and Childress (2001) identify four ethical principles; Autonomy, Beneficence, Non-maleficence and Justice. These ethical principles can be used to morally reason whether an action or decision is right or wrong when used in conjunction with a set of guidelines (Kohlberg et al, 1983). Professional codes of conduct are developed within moral, ethical and legal frameworks to help guide and regulate practice (Hope et al, 2008). Every practitioner has clinical autonomy, therefore they are professionally and legally accountable for their actions. The following will discuss the importance of consent and duty of care for both legal and ethical reasons with regards to case 1 (Appendix 2), encounterd on practice placement 6 (PP6). Rule 9 of the HPC standards of conduct, performance and ethics (2008) states you must gain valid consent from a patient for any treatment you may perform or else you could face trial for assault, battery or negligence under civil or criminal law (Hendrick, 2002). It is a fundamental ethical priniciple that every person has a right to exercise autonomy (Article 9; Human Rights Act, 1998) and is reflected in the Core Standards of Physiotherapy Practice (CSP, 2005). Performing a procedure without gaining consent, undermines the moral priniciple of respect for patients autonomy and human dignity (Sim, 1986). However, inability for Patient X to conform to the Mental Capacity Act (2005) meant he was treated in his best intrest in adherance to section 1.5 of this act and Rule 1 of the HPC (2008) standards of conduct, performance and ethics. Assuming the medical management of Patient X, a legal and professional duty of care was established (Rule 6; HPC, 2008). As part of this duty and in accordance with standard 2 of the CSP Core Standards of Physiotherapy, all interventions were explained to patient X despite his inability to consent. Had I not treated Patient X on the basis he had swine flu, this would have been failing to do justice to him, acting outside of the Disability Discrimination Act (2005) which states everyone should have equitable access to and utilisation of services regardless of disability and also Article 14 of the Human Rights Act (1998) in that no one should be discriminated against based on their health status. The Bolam Test (1957, cited in Dimond, 1999) states if duty of care to a client is breached and subsequent harm to the patient occurs, professional standards have not been kept and therefore negligence can be assumed. Although not legally binding, the CSP rules of professional conduct effectiv ely have the same status as law and failure to comply with them means they may not only be used in disciplinary hearings but also in legal proceeding as a civil case under the tort law of negligence (Dimond, 1999; Hendrick, 2002). In summary, a sound understanding of the legal implications surrounding consent and duty of care can help avoid unwanted litigation, however they should not undermine the ethical implications. Appendix 3 demonstrates how I have learnt from this experience. Assess the needs of a range of service users and, with reference to current professional knowledge and relevant research, apply, evaluate and modified physiotherapeutic intervention A service users is anyone who utilises or is affected by a registrants service (HPC, 2008). The complex needs of a service user encompass a range of issues including social, environmental, emotional and health related, the extent of which varies from person to person. For the purpose of this essay, the physiotherapeutic management of two patients treated whilst on PP6 with differing severities of chronic obstructive pulmonary disease (COPD) exacerbations (Appendix 4) will be discussed. The National Institue for Health and Clinical Excellence (NICE) guidelines (NICE, 2004) in conjuntion with the guidelines for physiotherapy in respiratory care (British Thoracic Society (BST), 2008) advocates the use of active cycle of breathing technique (ACBT) with expiratory vibrations on the chest wall for the treatment of COPD to help aid airway clearance. Inability for patient A to comply with ACBT indicated the use of manual hyperinflation (MHI) to passively inflate the lungs and aid mucocillary transport (Ntoumenopoulos, 2005). As identified by Finer et al (1979), atelectasis is a common problem observed in mechanically ventilated patients for which MHI has been found to be beneficial in reducing it in a well controlled clinical trial by Stiller et al (1996), scoring a PEDro rating of 6/10. Absence of a cough reflex in patient A, resulted in sputum retention and the increased risk of infection indicating the use of suctioning (Pryor and Prasad, 2002) by which, copious amounts of viscous secretions were cleared. Shorten et al (1991) supports the use of saline instilation to loosen secretions prior to suctioining however, conflicting arguments by Blackwood (1999) and Kinloch (1999) question its effectiveness. Patient Bs compliance with ACBT replaced the need for MHI and suctioning. Patient A developed bilateral shoulder subluxations due to his lengthy intubation for which subluxation cuffs were applied, as suggest by Zorowitz et al (1995) with positive effect. Despite this study being on stroke patients, the results can be generalised to other patient groups as proved. The importance of mobilising patients with regards to respiratory function is highlighted by Ciesla (1996), however mobilisation of critically ill patients is restricted as they are often non-ambulatory. A high quality, randomised control trial using fifty-six participants by Mackay et al (2005), identified mobilisation as superior to other respiratory techniques, therefore Patient B was encouraged to sit out and treated using a graduated walking program. In the case of Patient B, mobilisation constitutes any change in position therefore the use of postural drainage positions and positioning into the cardiac chair setting on the bed were used (BTS, 2008). The range of problems service users present with means practitioners need to be adaptable, drawing on current evidence, professional knowledge from different fields of physiotherpy practice and experiences through CPD to deliever indiviualised patient-centred care. Appraise self management of a caseload and modify practice accordingly, demonstarating effective teamwork and communication skills Caseload management typically refers to the number of cases handled in a certain timeframe by an individual for which they have a duty of care towards (Scottish Executive, 2006). It is the management of time effectively through appropriate priority-setting, delegation, and allocation of resources to meet the service demand of its users (Curtis, 2002). Self-management of a caseload and adaptability to changing circumstances is expected of a registrant (HPC, 2008). Well developed time management skills can make a workload more manageable and improve the effectiveness of treatments and quality of time with patients. Prioritising patients to the order in which they will be seen based on their needs is encouraged by SARRAH (2010), however Nord (2002) argues whether it can be justified to prioritise those in most need if their potential benefit may not be as great as those in less need. In my experience prioritisation is dependant on a variety of factors for example, the trust where PP6 was completed, enforced protected meal times which did not run alongside staff meal times. Therefore, to prevent there being a void in the day, patients were still prioritised according to need but considertation had to be given to see patients that would be eating first and treat those that would not be during protected meal times. It is essential to consider that a therapists workload includes not only patient care, but also admistrative and research tasks in which delegation to others can be a valuable stratergy to assist with workload mangement. Curtis, (1999), identifies the need for practioners to show greater awareness of other disciplines competancies so delegation can be more effective. Feedback systems should be enforced to ensure task completion and objectives are being met (Curtis, 2002). Inter-professional collaboration refers to the process by which different disciplines work together to improve healthcare (Zwarenstein et al, 2009). Poor collaboration amongst healthcare professionals contributes to problems in quality of patient care and consequently poorer outcomes (Zwarenstein and Byrant, 1997). Liaison with members of the multi-disciplinary team (MDT) is encouraged by Shortell and Singer (2008) as practitioners are less likely to work off their own autonomy, ensuring patient safety, as demonstrated during handover in (Appendix 5). The learning objectives on PP6 to develop MDT collaboration and caseload management have been achieved as demonstrated in the feedback from my educator (Appendix 6) which identifies that improvement in self confidence will allow further development of the skills discussed. Demonstrate partnership with more junior students and/or appropriate others through the development of mentoring skills Mentoring is a process aimed at transfering knowledge, skills and psycological support from a more experienced person to a less experienced person, where the desired outcome is for both persons to achieve personal and professional growth (Anderson, 1987). An effective mentor facilitates, guides and empowers the mentee in becoming an independent learner (Coles, 1996) in which the relationships developed are based upon mutal respect, trust, confidentiality and shared beliefs and values (Lyons et al, 1990). The CSP (2005) acknowledges the importance of intergrating mentorship into CPD, in which the mentor develops a range of skills transferable to other CPD activities. This section focuses on peer mentoring as a concept, its practice and clinical application on an informal basis. Having identified the characteristics of a mentor (CSP, 2005), a SWOT analysis (Appendix 7) was completed to assist recognition of my personal learning needs. There are four stages to the mentoring life cycle (Appendix 8), in which the mentor needs to adopt and develop new skills to accommodate the mentee and guide them through the process. A qualitative study using a moderate sample size by Chan and Wai-Tong (2000) encourages the use of learning contracts (Appendix 9) to help establish rapports and facilitate autonomous learning which aids progression to stage two of the cycle. This is further supported in a recent review of the literature by Sambunjak et al (2009). Gopee (2008) recognises the importance of analysing the mentees needs. Foster-Turner (2006) states that different people approach the learning process in different ways therefore, matching the learning styles of the mentor and mentee will produce a more productive and successful relationship (Mumford, 1995; Hale, 2000). Honey and Mumford (1992) suggested people tend to have a predominant learning style and can be classified as activists, reflectors, theorists or pragmatists (Appendix 10). Boud (1999) identifies raising self-awareness as an essential tool used in lifelong leaning and through analysis of learning styles using Honey and Mumfords (1992) questionnaire, this allowed for reflection on the style of learning that would best suit the mentee to help meet their learning needs (Foster-Turner, 2006) (Appendix 11). As identified by the learning style inventory, the mentee and myself were both reflective learners, therefore we arranged sessions where we could dreflect on a clinical experience and discuss how new learning could be applied to future events. A feedback form from the mentee (Appendix 12) an a SWOT analysis (Appendix 13) demonstrates how through increased self-awareness and review of the literature, I have developed a better understanding of the mentoring process, the skills required and its application in into clinical practice. Developing others is central to current and desired practice (DoH, 2000a, 2000b, 2001, 2002) in which mentorship offers all the key attributes to the process. Preparation of an individual for this role, through self assessment, is central to its success, in which the skills developed are lifelong and can enable development into management and leadership roles later on in life. Demonstrate skills of career-long learning Lifelong learning is used synonymously with CPD and is concerned with practitioners critically reviewing their skills and knowledgebase with the ultimate goal of providing a better standard of care to all service users (French and Dowds, 2008). A recent inquest into a practitioner who did not maintain his competencies, demonstrates the possible consequences of poor CPD (Appendix 14). Appendix 15 details a range of formal and informal activities that can be undertaken to contribute towards CPD, evidence of which can be documented in a portfolio. The importance of staff development is recognised by the DoH documents (2000a, 2000b, 2001, 2002) which sets out the Governments vision of an NHS that prepares allied health professionals with the skills to take advantage of wider career opportunities and realise their potential. 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Nonviolent Offenders Essay -- essays research papers

Nonviolent Offenders – Is Incarceration the Answer?   Ã‚  Ã‚  Ã‚  Ã‚   â€Å"It’s really clear that the most effective way to turn a nonviolent person into a violent one is to send them to prison,† says Harvard University criminologist James Gilligan. The American prison system takes nonviolent offenders and makes them live side-by-side with hardened killers. The very nature of prison, no matter people view it, produces an environment that is inevitably harmful to its residents. America locks up five times more of its' population than any other nation in the world. Due to prison overcrowding, prisoners are currently sleeping on floors, in tents, in converted broom closets and gymnasiums, or even in double or triple bunks in cells, which were designed for one inmate. Why is this happening? The U.S. Judicial System has become so succumbed to the ideal that Imprisonment is the most visibly form of punishment. The current structure of this system is failing terribly. To take people, strip them of their possessions and privacy, expose them to violence on a daily basis, restrict their quality of life to a 5x7ft cell, and deprive them of any meaning to live. This scenario is a standard form of punishment for violent offenders, although not suitable for nonviolent offenders. Today, almost 70% of all prisoners are serving time for nonviolent offenses. U.S. States are spending an average of $100 million per year on new prisons and all U.S. taxpayers front the bill for a system that is not working (Carson). Why should we force taxpayers to pay to keep nonviolent criminals sitting in prison cells where they become bitter, aggressive, and more likely to repeat their offenses when released? The answer is we shouldn’t, there are more reliable forms of punishment available, and rehabilitation and restitution are two alternatives I firmly believe are most effective than incarceration. Nonviolent criminals should be punished differently. This is because nonviolent criminals do not learn from the misery of being in cells with violent inmates. Drug offenders for example are a public health problem, not public safety problem, and nonviolent offenders can be properly educated. We offer convicts no opportunities to learn compassion or take responsibility for what they have done, nor make restitution or offer atonement to their victims in any practical ways. ... ...he certainty of restitution, by requiring monetary payment, takes the profit out of crime (Carson).   Ã‚  Ã‚  Ã‚  Ã‚   Most people have the common view that the criminal justice system’s increasing arrests and imprisonment is an effective strategy for reducing crime. If the judicial system makes greater distinction among violent and nonviolent crimes, the prisons will have the vacancies to incarcerate the Jeffery Dahmers of the world in prison for life. By providing alternatives to imprisonment for nonviolent offenders will reduce the burden of taxpayer’s dollars for added funding for construction of new prisons. I know as a College Student I would like to see increased State funding for education system rather than the millions allocated to the prison system of Pennsylvania. Prisons are not places where nonviolent offenders can serve time and then be released a better person, more fit for society. The prison environment is wrong, and as a result a nonviolent offender will leave unimproved. It is my belief that the alternatives of community control programs, rehabilitation programs, and restitution programs are the answers to the sentencing of nonviolent offenders.

Coca Cola Essay

Historically, many companies and corporations have received recognition for their growth and success over time. However, although praised, discoveries of controversial issues lead consumers to question various companies’ ethics and operations. Coca-Cola, or simple coke, has existed for over a century, originating in Atlanta, Georgia in 1892, and eventually expanding and providing drinks internationally. Today, the company produces concentrate, which then sells to Coke licensed bottlers internationally; and ultimately ending up sold to retail stores and vending machines for consumers to purchase. Along with the regular â€Å"coke†, the company has also been able to produce other cola branded drinks including water, energy drinks and coffee. The most common of all, Diet Coke; others include Caffeine-Free Cola, Diet Coke Caffeine-Free, Coke Cherry, Coke Zero and Coke Vanilla. All of which could be found in over 200 countries within the year 2013, with consumers drinking at the least 1.8 million servings each day, according to the book, Citizen Coke: An Environmental and Political History of the Coke Company (Elmore p. 717). However, while extremely popular and high in demand, the Coke Company has faced much controversial issues from the public in India throughout its years of growth. Out of every country that Coke operates in, India has the fastest growing market (KillerCoke). From the start of production in 1999 to present day, Coke has spent $2 billion and will continue to spend an addition $5 billion in India. According to the article Coke rejigs bottling arm management, Coke has a plan to pursue expansion for the following few years (until 2020) in India with the plan to double their revenues to $200 billion (TOI). India is among the top seven markets globally for Coke, the CEO of Hindustan Coke stated â€Å"we have made significant investments in the marketplace and as we get ready to further accelerate growth, it is very important to develop a high quality talent pipelines. This team will work closely with Coke India to achieve our 2020 vision.† Part of their expansion was focused on a plan t in Mehdiganj, India. The emerging markets with Coke like India and China will result in about 60% of the incremental sales volume growth (TOI). According to the book Business and its Environment, 80 percent of the world’s population lives in emerging markets countries, and 90 percent of the world’s population growth will be in these countries over the next 30 years (Baron p.477) The start of production for a few of their bottlers in India has raised issues because of  Coke’s use of the water supply of nearby villages. Amit Srivastaba, of the India Resource Center, a center that works to support movements against corporate globalization in India said, â€Å"Three communities in India — Plachimada in Kerala, Wada in Maharashtra and Mehdiganj in Uttar Pradesh — are experiencing severe water shortages as a result of Coke’s mining of the majority of the common groundwater resources around its facilities (KillerCoke).† One of their issues comes from its production in Mehdiganj, near Varanasi, India, that has been in operation since 1999, and has been the center of attention in many surrounding villages since 2003 and especially after Coke announced that they are planning to expand by $25 million. In August of 2012, according to the article Coke Abandons Expansion Plans in India Because of Water, the company halted their plans to expand in Mehdiganj because of a delay in a no-objection certificate and locals becoming concerned about environmental dangers (The Wire). Organizations such as the India Resource Center and others who organize protests increase the awareness of issues, and therefore private regulation have been made an alternative to government regulations. As a result, the strategy Coke had all along failed to see through when the locals did not approve of their actions. If Coke does not have an affective nonmarket strategy in place for their activities in other countries, major opportunities can close when issues of any kind arise. A nonmarket strategy is important to avoid government regulations and to keeping the company’s opportunities open. Aside from the government, the company’s opportunities can also be controlled by private politics such as protests, public criticism, interest groups as well as public sentiment towards the company. (Baron p.31). The other factor that can affect opportunities is moral concerns, which Coke seems to be going through this issue right now. Coke should formulate a policy that oversees the use of water in India, which is the major concern of groups in private politics. Interest groups that are in play from the surrounding villages in India include: anti-coke nongovernmental activist groups, Varanasi-based activist, environmentalist, politicians, farmers and the villagers that have created lives in sur rounding areas. Leading from within these interest groups is The Uttar Pradesh Pollution Control Board; a statutory organization entrusted to implement Environmental Laws and rules within the jurisdiction of the state  of Uttar Pradesh, India (UPPCB). The Control Board had found that Coke violated a number of conditions of its license that had to do with the use of water. The company had not yet obtained clearance for the extraction of groundwater from the Central Ground Water Authority (CGWA), a government agency that monitors and regulates the process in water-stressed areas (The economic Times). But Coke had some objections to these accusations. According to Coke, a Central Ground Water Authority report from 2012 stated that the reduction of groundwater in the area was not due to their company. According to the article UP pollution board shuts down Coke’s Varanasi unit, the maker of sprite said in a statement that the plant in Mehdiganj has complied with regulatory approvals and applicable laws in India (The Economic Times). Despite these statements, according to the Central Ground Water Authority, the groundwater in Mehdiganj has gone from â€Å"safe† back in 1999 when Coke got back into operating in India to â€Å"critical† in 2009. The closure order by the Central Ground Water Authority stated that Coke increased its production capacity from 20,000 cases to 36,000 cases a day without the board’s permission. Similar to this problem was one in 2004, when one of the 68 Coke plant in Plachimada, Kerala was shut down over accusations that the operation led to the reduction of groundwater (see Exhibit #1). The company faces legislation holding it liable for $47 million in damages (The Economic Times). Initially, Coke had looked beneficial for the local economy, but then the regulations and protesters hit the company as a result from the critically low levels of water. Although this may have halted the company’s expansion plan of $25 million into Varanasi, Coke is seeking permission from the Uttar Pradesh Pollution Control Board to expand into Mehdiganj. With authorization, they will increase productivity by opening a second bottling line. However, the struggle continues as the recent closure has already inspired other protest to start, starting problems down the company’s future operations in their bottling factories. Over 10 years ago, a protest by farmers and anti-globalization activist successfully launched a â€Å"Quit India† campaign in order to stop Coke’s expansion into Varanasi. Many villages are saying big companies like Coke are coming into India and using their drinking water, even when levels are critically low for basic living consumption (see Exhibit #2). According to  the article Coke has a bottler of a headache in India; the level of water for the villagers became even lower as Coke proceeds to operate in India. Amar Signh Rathor, a farmer in the village Mehdiganj, has noticed the continuous decline of water levels by simply observing his own well. Within three years, the water level below his water table has fallen by over 18 meters. Most of the population of Mehdiganj (approximately 10,000 people) blamed Coke for the shocking decrease in their water supply (Sydney Morning Herald P.13). The plant that is to blame is at the edge of the village. A villager named Shakuntala Devi said, â€Å"If the Coke plant isn’t closed it will be impossible to live here (Sydney Morning Herald P.13).† Coke violates human rights for the people of India by taking their water and in the process they damage the environment. According to the article Coke’s Crimes in India, they are draining a vast majority of groundwater from farms and turning farming communities into virtual desserts. These farmers livelihood that have been destroyed have resulted in a increase of suicide, and everyday for many years now, there are protests of some sort, big or small, against Coke’s abuse in India (KillerCoke). On November 24, 2004, a protest outside of the Mehdiganj plant broke out and quickly turned violent. Multiple villagers had attempted to break the barrier of the police in order to reach Coke property, resulting in a defensive attack in return from the police. Organizers stated that there were approximately 2,000 people – mainly woman and youth – who took part in the protest, although Coke reported a much smaller number. This was the first of many protests to start, even though they were at a smaller scale. In this protest alone, two hundred villagers were reportedly arrested during the brawl (Sydney Morning Herald P.13). According to the article Indian villagers want Coke plant shut amid water fears, later in June of 2007, four hundred people marched and rallied at the Varanasi district magistrate’s (DM) office, demanding that the Coke bottling plant in Mehdiganj be shut down effective immediately. Within the four hundred, included people from twenty different villages, all of who submitted a letter to the district magistrate, Vina Kumari Meena, drawing attention to the water shortage and pollution of groundwater and land caused  by Coke’s operation. The letter demanded that the operation be shut down (Monitoring South Asia). Due to the severity of the situation, the director of The District Rural Development Agency (DRDA) declared the water issues in India as â€Å"dark zoned†. A â€Å"dark zone† category infers that ground water resources are over-exploited, and more than 85 percent of the total recharging of ground water resources is being extracted, which resulted in all new underground installations being approved by the government (BBC Monitoring South Asia). Accusations of unethical acts against the environment can lead to nongovernmental organizations forming, which affect the organization in question by mobilizing people to work for causes. â€Å"These groups have been instrumental in advancing the causes of environmental protection, health and safety protection for consumers, and civil and human rights (Baron p.75).† The lead of the campaign Lok Semiti (People’s Committee), a nongovernmental organization that is against Coke, Nandlal Master, said â€Å"When people themselves do not have enough water to meet their basic water needs, why should Coke be allowed to siphon hundreds of thousands of liters of water every day (BBC Monitoring South Asia)?† But the issues with Coke go beyond the use of water and its reduction impacting a majority of the villages. Coke provides waste product from their operation to farmers as fertilizers for their crops. A BBC study found that the fertilizer contains toxic chemicals, stating, â€Å"Dangerous levels of the known carcinogen cadmium have been found in the sludge produced from the plant in the southern state of Kerala (BBC news).† Face the Facts, an investigative journalism for BBC, sent presenter, John Waite, to further investigate the allegations. Part of the investigation consisted of sending a sludge sample to the University of Exeter in the UK, and the results were very alarming. The test revealed that the sludge was a useless fertilizer that contained the toxic metals cadmium and lead. David Santillo, a senior scientist at the university’s lab, affirmed that the levels of cadmium and lead have not only contaminated that sludge provided to the farmers, but the entire water supply as well. The levels are  way above those approved by the World Health Organization. Britain’s leading poison expert, professor John Henry, said, â€Å"The results have devastating consequences for those living near the areas where this waste has been dumped and for the thousands who depend on crops produced in these fields (BBC News).† The professor is correct to assume these consequences because cadmium is a poison that can accumulate in the kidneys and with repeat exposure it can cause kidney failure. Lead is also dangerous, and more to children than to anyone else. Even at low levels, lead can cause mental retardation and even anemia, a blood deficiency (BBC News). The professor also explains that with the levels of chemicals in the water, pregnant women in the villages in India consuming from the farm’s goods can fall vulnerable to miscarriages, stillbirths and premature births. After these alarming results, more test where conducted on the soft drinks. In the year 2003, the Centre of Science and Environment (CSE), a non-for-profit and nongovernmental organization based in New Delhi, India, tested 12 cold soft drinks (Pepsi, Mountain Dew, Diet Pepsi, Mirinda Orang, Mirinda Lemon, Blue Pepsi, 7-Up, Fanta, Limca, Sprite, Thumbs Up and of course Coke). The article, Pepsi, Coke contain pesticides: CSE, based in India was the one to write about the cold drinks, which included 2 big companies, Pepsi and Coke. Both companies failed health standards when both drinks tested positive for pesticides. The tests from three samples of each of these Pepsi and Coke brand drinks that was conducted by the Pollution Monitoring Laboratory (PML) of the Centre of Science and Environment showed that the samples contained residues of four very toxic pesticides and insecticides: lindane, DDT, malathion and chlorpyrifos. These four pesticides are known to cause cancer, damage the nervous and reproductive system, and severely damage the immune system (Rediff) . These tests were conducted in the year 2003 from April to August with samples from across the city. The samples from Coke were found to contain pesticides that exceeded global standards by 30 times the limit at 0.0150 mg/l, with the EEC limit of total pesticides being at 0.0005 mg/l. Coke defended its position by saying their plants use a multiple barrier system to remove potential contaminants and unwanted natural substances including  iron, sulfur, heavy metals as well as pesticides, â€Å"Our products in India are safe and are tested regularly to ensure that they meet the same rigorous standards we maintain across the world (Rediff).† But despite these statements the citizens of India seem to believe the Centre of Science and Environment, as sales have been impacted in the so-called safe and high-quality drink and investors from the company in India have lost confidence (Coke India). Looking at the nonmarket issue cycle, Coke is way past the issue identification, interest group formation, legislation, and has now reached the Administration phase in India (see Exhibit #3). The issues were identified soon after they got back into India in 1999. Villagers, farmers and environmentalist noticed the problem, starting many groups interested in the closure of these factories, sparking the many protests stated above. Legislations already started within the Indian Parliament banning Coke drinks from its cafeterias. Amit Srivastaba, of the India Resource Center, stated that the ban came as a result of tests by the Indian government and private laboratories, which found high concentrations of pesticides and insecticides in the cola drinks (Indian Resource Center). If Coke wants to prevent their company from becoming the next Enron in the ethical sense, they need to take the right action now before they sink too low in unethical actions and laws of the government that are way out of their control start to enforce legislations. Enron was a energy company that was found out to be engaging in unethical marketing malpractices including; misrepresentation of reports regarding the financial position of the organization in order to continue from benefiting from the investments provided by the stakeholders, a false energy crisis to gain more money from investors and finally, executives of the company embezzled money from unsuspecting investors which led to the bankruptcy of the company. Coke’s name is a global brand that can definitely work its way out of the unethical characteristics in the communities of the countries it operates in by simply providing the same quality of goods around the world. So far, Coke’s way of handling the issues in India has been very questionable. Their strategy thus far is to globalize their company no  matter the cost, ethically and environmentally. Protesters from many interest groups have eliminated many opportunities for Coke and have been attacking the company for over exploitation and pollution of water that is already dangerously low. Interestingly, Coke responds with public relations scams, deceptive statements and points out awards of how they are corporate socially responsible (KillerCoke). The article Coke’s crimes in India further expands by saying that Coke stated, â€Å"For four consecutive years, Coke plants in India have won the prestigious Golden Peacock Environment Management Award for environmental practices from the Institute of Directors, which grants the award in association with the World Environment Foundation.† Similar remarks were made in late 2005 when the company claimed to be recognized for being a ‘Water Efficient Unit’ by the Confederation of Indian Industry (CII) (KillerCoke). Coke continued on with their misleading information in 2007 at two Canadian college campuses about their activities in India and Colombia. Coke bragged that The Energy and Resource Institute (TERI), described as â€Å"an Indian-based nonprofit research organization,† had â€Å"begun an assessment of our company’s water resource management practices in India (KillerCoke).† TERI is a respected Dehli-based nongovernmental organization with deep experience in sustainability issues, and Coke falsely stated they were working closely with them on their water management. However, Coke already began to make social responsibility a top priority by investing in new innovations and plant processes to help make more improvement moving forward. The Coke webpage of the UK indicates that outside of their plants they attempt to replenish more than 100 percent of the water that they use by creating rainwater harvesting structures, restoring ponds, and leading interventions that fo cus on improving water efficiency, among other things. And by 2012 they met their goal and exceeded it to 110 percent of water replenished throughout India (Coke UK). From the article Villagers to Coke: ‘Go away’; In India, foes claim company is depleting water supply, a Coke spokesman stated the shortage of monsoons in India from June to October is to blame for water depletion affecting India’s agriculture. Harry Ott, the director of Coke’s Global Center for Water Excellence said, â€Å"If the monsoons are good, these problems don’t come up.† Today in mehdiganj â€Å"the land around  Coke’s plant looks lush. Fields brim with mustard plants, potatoes, peppers, wheat and rice (The Atlanta Journal-Constitution).† But the struggle continues as people focus more on the bad rather than the good. Coke like many other businesses focuses on the profitable side of their operation, without realizing the environmental damages it can cause to surrounding communities. When Coke is looking into the future of the company, it is looking to double their revenues more than working on a nonmarket strategy that will prevent interest groups from the communities they operate in to question the company’s morals. Doubling their revenues further proves that Coke, being the number one beverage company in the world, has some money to play with. In Kala Dera, protests are starting because of the lack in Coke’s corporate social responsibility, leading back to the use of water and the damage being done to the communities around it. In 2010, shareholders at a meeting taking place in Duluth, Georgia, were told by Amit Srivastaba of the India Resource center, â€Å"It is only a matter of time before the Coke company will be held financially and criminally liable for their operations in water-stressed areas in India.† He continued by stating â€Å"The company management is being seriously derelict in its duties by not acknowledging the real exten t of the liabilities Coke has incurred and continues to incur in India (KillerCoke).† By investing a few million dollars a year of the billions of earnings they have reached ever since the late nineteenth century when the company first got started, they will be showing the shareholders that Coke is doing something to get on the right track. Coke could start with compensation of the crops that farmers lost when they initially started to operate in India, and also assure the farmers that Coke is investing in new innovations to solve the water issue so it will not be a problem in the long-run. Also, Coke could invest into the education in India by opening new schools; increase awareness of diseases through nongovernmental programs, as well as investing in the communities in which their bottling factories reside. With the issues out for the public to read about, it should be an incentive for the company to not continue down this horrific path in developing countries. Other things Coke should considering doing for the sake of their image is stepping up in community service, donations focused to help clean up the streets that their distributors travel in, donations to nongovernment organization, show the public that  they are actually working to stop the shortage and contamination of water without spreading lies of what they are actually doing. One way to do is by continuing their activities so far to stop the shortage of water and further help the environment by planting trees. The article Trees Reduce Air Pollution mentions that trees can help with the gas pollutants from the factories by absorbing them through the pours in the leaf surface (DNR). Furthermore, the company can look to work with the nongovernmental organization TERI in efforts to better sustainability of water resources, instead of just talking about doing it because in the end actions speak louder than words. Bibliography â€Å"Coke rejigs bottling arm management.† The Times of India (TOI). (September 24, 2013 Tuesday ): 425 words. LexisNexis Academic. Web. Date Accessed: 2014/12/15.Uttar Pradesh Pollution Control Board. June 5, 2014 â€Å"UP pollution board shuts down Coke’s Varanasi unit.† The Economic Times. (June 19, 2014 Thursday ): 430 words. LexisNexis Academic. Web. Date Accessed: 2014/12/15. â€Å"Coke has a bottler of a headache in India.† Sydney Morning Herald (Australia). (February 17, 2005 Thursday ): 1181 words. LexisNexis Academic. Web. Date Accessed: 2014/12/15. â€Å"Indian villagers want Coke plant shut amid water fears.† BBC Monitoring South Asia – Political Supplied by BBC Worldwide Monitoring. (June 7, 2007 Thursday ): 622 words. LexisNexis Academic. Web. Date Accessed: 2014/12/15. June 7, 2007 Thursday â€Å"Villagers to Coke: ‘Go away’; In India, foes claim company is depleting water supply .† The Atlanta Journal-Cons titution. (May 29, 2005 Sunday ): 1908 words. LexisNexis Academic. Web. Date Accessed: 2014/12/15. UP Pollution Control Board, Lucknow (UP Pollution Control Board, Lucknow). Was Accessed http://www.uppcb.com/ â€Å"Indian Resource Center. PRESS: Groundwater Levels Continue Downward Spiral Around Coke Plant.† March 11, 2010. Was Accessed http://www.indiaresource.org/news/2010/1001.html India Resource Center. Coke – Mehdiganj – The Issues. March 7, 2013. http://www.indiaresource.org/campaigns/coke/2013/mehdiganjfact.html Ray Rogers. â€Å"Coke’s Crimes in India.† Campaign to Stop Killer Coke | Coke’s Crimes in India. Killer Coke. Was Accessed http://killercoke.org/crimes_india.php Was Accessed http://www.cseindia.org/ â€Å"Pepsi, Coke contain pesticides: CSE.† Was Accessed. http://www.rediff.com/money/2003/aug/05pepsicoke.htm Coke India. Was Accessed http://www.Cokeindia.com/facts&myths/varanasi.html Coke India. Was Accessed http://www.Cokeindia.com â€Å"Easy Guide to Understanding ENRON Scandal Summary.† (Enron Scandal Summary). 2013 Was Accessed http://finance.laws.com/enron-scandal-summary â€Å"Coca‑Cola’s water is used responsibly in its operations in India : FAQ (Coke GB).† 2010. Was Accessed http://www.Coke.co.uk/faq/community/responsible-Coke-water-use-in-operations-in-india.html â€Å"Trees Reduce Air Pollution.† Was Accessed http://www.dnr.state.md.us/forests/publications/urban2.html Mosendz, Polly. â€Å"Coke Abandons Expansion Plans in India Because of Water.† August 26, 2014. Was Accessed http://www.thewire.com/business/2014/08/Coke-abandons-india-production-expansion/379128/ Elmore, J Bartow. 2013, Citizen Coke: An Environmental and Political History of the Coke Company. P. 717 Baron, David P. Business and Its Environment. 7th ed. Upper Saddle River, N.J.: Pearson Education, 2012. 784. Print.

Battles that Divided the United States in the Civil War

Oftentimes, when thinking of important battles of the infamous civil war your mind will automatically go to the well-known Battle Of Gettysburg. While that was an extremely important battle that played a significant part in the Civil war, there are lesser know battle that are equally, if not more, important to the war that divided the United States of America. One of these battles was the first Battle at Bull Run. In this paper I will explain when and why it happened. And also, how this battle influenced and shaped the outcome of the Civil War. Three months into the Civil War things were starting off pretty slow. There had only been small battle and not much effort put in from either side. Neither the Confederate Army nor the Union Army had put much training into their troops. And with significant pressure from the North about lack of effort, Abraham Lincoln decided that he had to do something to stay in the favor of the North, and to quickly bring this war to a stop. The pressure was on for him, it was not in the plan for this war to last long and many of the Union soldiers had 90-day contracts that were set to expire soon. It very well may have been is last chance to strike before he lost his great Army force. Lincoln’s strategy was to stop Confederate forces near Manassas, Virginia, deal a devastating blow, and quickly march on Richmond, the Confederate capital and take over from there. With this plan came great risk, General Irvin McDowell was worried that the unionShow MoreRelatedSlavery And The Civil War1706 Wo rds   |  7 PagesAbraham Lincoln once said, â€Å"A house divided against itself cannot stand.† In the 1800s, the American nation was slowly becoming a house divided against itself. The United States were no longer united, mainly over the issue of slavery. In fact, many historians believe that, â€Å"From the nation’s founding, the issue of slavery threatened to tear the United States apart.† (â€Å"The Civil War† 1). The issue of slavery was always kept at bay through the utilization of various compromises; however a permanentRead MoreThe Civil War Was A Devastating Time For The United States Of America883 Words   |  4 PagesThe Civil War was a devastating time for the United States of America. During this time the United States was divided. The Civil War was a four year long battle. It is known as one of the bloodiest battles ever fought. Consequently it was fought between people of the same country. We were divided between the North and the South . The cause of the Civil War was slavery. The North was against it and wanted slavery abolished. On the other hand the South did not want to part with slavery. Both the NorthRead MoreThe War Between The North And The South993 Words   |  4 Pagesinto why the United States had a war between the North and the South. The United States was divided depending on location and personal sentiments. 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It and other symbols of the Confederacy are parts of many state flags in the South and it is even flown at several state buildings throughout the South. To some the Confederate flag is a historical symbol and is believed to be a way of remembering the Civil War that almost tore the nation in two, but to others it represents fear and hatred due to its use by racialRead MoreThe Debate Of The Missouri Compromise1613 Words   |  7 Pagesmarked the beginning of the long battle against slavery. In the years leading up to the Missouri compromise tensions were rising between the North and the South. The states were all being divided into slave states and free states. Free states were states that were anti-slavery and were made up of mainly Northern states while slave states were states that supported slavery and were all mostly Southern states. Before the Missouri compromise the amounts of slave and f ree states were kept balanced. When MissouriRead MoreThe Missouri Compromise And Events Leading Up Of The Civil War Essay1646 Words   |  7 Pagesleading up to the Civil War were based mainly on slavery and the two conflicting viewpoints of the American people. The compromises involving slavery were only short-term solutions for a very long-term problem. The Civil War changed the foundation of America forever. The war was inevitable, and thus, the contrasting views between the North and the South were bound to break out into warfare at some point. In February of 1819, Missouri applied for statehood in the United States. Because of the North’sRead MoreSouthern Slavery and the American Civil War Essay1667 Words   |  7 PagesCourt decision, and expansion, severed the country in two when each side could no longer compromise, causing the Civil War. In the pre-Civil War era, political parties became identifying characteristics of Americans, and each party’s opposing viewpoint on slavery and a state’s rights to it divided the country into two perpetually arguing sections and laid groundwork for the Civil War. Before slavery had even emerged as a political issue, a Massachusetts Whig commented that if slavery was introducedRead MoreThe Causes And Effects Of The Civil War1564 Words   |  7 PagesThe causes and effects of the Civil War will be defined through the institution of slavery, the Kansas-Nebraska Act, and the military leadership of President Lincoln to resolve the uncompromising political position of the South/Confederacy. Lincoln’s â€Å"House Divided† speech will be an important primary source that defines the underlying resistance to the expansion of the slave states into new territories taken by the U.S. government in the 1850s. More so, the uncompromising and an increasingly militaristic