What Makes A Person Beautiful - 1714 Words

There are many ways to define beauty, but I feel like society plays a huge role in how beauty is portrayed to women. I believe that society focuses more on what a person looks like than what they actually do for society. What makes someone beautiful is what they have on the inside and who they are. Qualities that beautiful people have are: kindness, honesty, respect, confidence, generosity, positivity, and willingness to help others when they are in need. Society diminishes this ideal by telling people what is and what is not beautiful. What should make a person beautiful is how they treat people, their poise, and how they give back to the community. I feel as though what society puts in the media makes people feel undesirable; as though they are not accepted in society for meeting the expectations society puts in the media. People such as Beyoncà ©, or Michelle Obama are viewed as â€Å"beautiful† in the American society. Society thinks women should be skinny, with a perfect smile, tall, long hair, with large assets. Society shouldn t only focus on how a person looks, but on the character of that person, and how they treat others within their family or community. Beyoncà © stated; â€Å"We all have our imperfections. But I m human, and you know, it s important to concentrate on other qualities besides outer beauty.† I feel as though what Beyoncà © stated here is that there is so much more to a person than what they look like. Their contributions, personality, and how they make peopleShow MoreRelatedDefinition Of Beauty Essay829 Words   |  4 Pageshear the word beauty or beautiful what do you think of? The wa y a person looks the way they are on the inside, or is it not even a human but things in nature. The definition of beauty has a very broad definition everyone has their own meanings their own thoughts on the subject. After a lot of research and interviewing two people getting the perspective of a male who I am very close to and a female who is just a girl in my class I have finally come to some kind of idea of what the word beauty reallyRead MoreBeauty Definition Essay1156 Words   |  5 Pages What is beauty? How do we decide who is attractive and who is not? Society is full of information telling us what is beautiful, but that fact is that information based on? The topic of beauty has been studied, analyzed and controversial for centuries. We all know the feeling you can have when you hear a beautiful song that brings joy to your heart, stands in a field of flowers that excites your eyes, or admires a face that is visually pleasing. As human beings, we are all drawn to beauty, bu t whatRead MoreThe Two Theorists Hume And Kent1718 Words   |  7 PagesThomas Johnson The Meaning of Arts Professor Brennan Beauty The two theorists Hume and Kent are basically talking about beauty and what is commonly done in order to enhance beauty. The argument therefore involves two theories, which are talking about the same thing, which is beauty even though they have different thoughts about beauty. They therefore provide a broad and wide definition and also reasons as to why different things are taking place in order to enhance beauty. The two theories are thereforeRead MoreBeauty Industry Has A Big Impact On Females And Males1416 Words   |  6 PagesBeauty can be conveyed using a multitude of factors. From the color of a person s skin, to their eyes, to even their heart. There are beauty standards, but there are diversities between what s the â€Å"official† standard and what individuals think is beautiful. Everyone see things in a different light and America s beauty standards are no different. The beauty industry has a big impact on females and males. American’s perception of beauty is altered in many different ways based on the culture, skinRead MoreBeauty : When The Other Dance Is The Self1642 Words   |  7 Pageshave not deemed beautiful. Alice Walker describes in â€Å"Beauty: When the Other Dance is the Self† how her experience with her eye being noticeably damaged had caused her to forget the value of her inner beauty. Similarly, Toni Morrison’s explains in â€Å"Strangers† that the media has highlighted the importance of physical appearance instead of a person’s character upon meeting them for the first time. The subject in Johannes Vermeer’s Study of a Young Woman is not conventionally beautiful but Vermeer sawRead MoreBeauty Is in the Eye of the Beholder799 Words   |  4 Pagesplays an important role on human relationships. However, the definition of beauty varies from person to person. In this essay, the definition of beauty, the relativity of the understanding of beauty, and the question of wheter beauty is only s kin deep or not will be argued. Beauty, according to Merriam-Webster dictionary, means â€Å"The quality or aggregate of qualities in a person or thing that gives pleasure to the senses or pleasurably exalts the mind or spirit.† (1)Read MoreDefinition Of Beauty And Beauty884 Words   |  4 Pagesphysical appearance. The word beautiful comes from the word beauty; people use it when they want to describe something that they think is flawless. We all know what beauty is, but we often struggle to find the words to define it. What one person finds beautiful may be different to what another thinks is beautiful. In this day in age, teenage girls are obsessed with being beautiful through others eyes. Beauty is not just defined as the physical appearance of an object or person. â€Å"Everything has beauty,Read MoreWhat Does It Mean For Be A Women?946 Words   |  4 PagesWhat Does It Mean to be a Women in 2015? The idea of beauty has been going on for generations. Every type of person has their own idea of what is considered beautiful. In the 1950s, women were considered beautiful if they had soft curls, rosy cheeks and wore outfits that showed off their curves. Since this time period, beauty has changed drastically. The question people may ask nowadays is, what makes a women beautiful in our generation? Beauty now is defined by tall, petite females. The imagesRead MoreThe Halo Effect On Job Prospects1462 Words   |  6 PagesBeautiful people use their looks to gain better job prospects however the argument is, is it really on their attractiveness, weather it being their looks or how they come across. There is an old saying that no matter what people look like its how a person presents them self’s, this however shows how peoples perception is caused by the Halo effect, this is a cognitive bias of ones impression on that person. This bias can influences the individual’s beha viour and cause judgments taken apron that personRead MoreBeauty Definition Essay858 Words   |  4 PagesWhat is beauty? How do we define who is attractive and who is not? Is it the models posing on the front of magazine, or the confident, bright eyed person sitting across the room? Our society and media is full of advice telling us what beauty is or how to become beautiful. As human beings we are drawn to beauty, but what exactly is beauty? The phrase, â€Å"beauty is in the eyes of the beholder,† is accurate since what one may consider beautiful can vary from what another may consider beautiful. Some

Server-Side Scripting in PHP

Server-side scripting as it relates to web pages usually refers to PHP code that is executed on the web server before the data is passed to the users browser. In the case of PHP, all PHP code is executed server-side and no PHP code ever reaches the user. After the PHP code is executed, the information it outputs is embedded in the HTML, which is sent to the viewers web browser. One way to see this in action is to open one of your PHP pages in a web browser and then choose the View Source option. You see the HTML, but no PHP code. The result of the PHP code is there because it is embedded in the HTML on the server before the web page is delivered to the browser. Example PHP Code and Result While the server-side PHP file may contain all the code above, the source code and your browser only display the following information: My cat Spot and my dog Clif like to play together. Server-Side Scripting vs. Client-Side Scripting PHP isnt the only code that involves server-side scripting, and server-side scripting isnt limited to websites. Other server-side programming languages are Python, Ruby, C#, C, and Java. There are many instances of server-side scripting, which provides a customized experience for users. In comparison, client-side scripting operates with embedded scripts—JavaScript is the most familiar—that are sent from the web server to a users computer. All the client-side script processing takes place in a web browser on the end users computer. Some users disable client-side scripting due to security concerns.

Transforming Nursing And Health Care - 1702 Words

TRANSFORMING NURSING AND HEALTH CARE WEEK 4 ASSIGNMENT: APPLICATION USING THE DATA/INFORMATION/KNOWLEDGE/WISDOM CONTINUUM INTRODUCTION Theory is one of the fundamental blocks of each scientific discipline.It is impossible to imagine biology without the theory of Evolution or physics without the theory of Relativity.Nursing informatics ,a relatively new discipline,is also thirsty for its own theory.However,it is challenging to find literature that provides clear theoretical guidance for nurse informaticians. The Data-Information-Knowledge-Wisdom framework Nursing informatics was created by the merge of three well established scientific fields:Information science,Computer science and Nursing Science.One of the most compelling definitions of the discipline states: ?Nursing informatics science and practice integrates nursing,its information and knowledge and their manaement with information and communication technologies to promote the health of people,families and communities worldwide?(International Medical Informatics Association-Nursing Working Group,2010).Unfortunately,very few attempts were made to generate a broad theoretical framework for nursing informatics.There are several challenges to generate such framework.First,the interdisciplinary nature of nursing informatics demands the use of broad enough theoretical framework to encompass all the disciplines.Also, the required theoretical framework should consider the practice/application domain;the implementationShow MoreRelatedProfessional Development of Nursing Professionals909 W ords   |  4 PagesDevelopment of Nursing Professionals The recommendations presented in the 2010 IOM report entitled Transforming Practice, Transforming Education, and Transforming Leadership depicts how all the diverse groups in the health care arena can work together to help make sure that the health care system offers transparent, affordable, quality care that is available to all and leads to enhanced health. The three areas in which the report paid particular attention were transforming practice, transforming educationRead MoreImpact of Iom Report on Nursing Essay993 Words   |  4 PagesAbstract Nursing career is one of the few fastest growing fields in the health care industry not only in the United States but also in the world. Nurse practice has drastically changed in the last decade and as a result the need for changes in nursing practice is becoming more and more important. The Institute of Medicine report discusses so many aspects in nursing but this paper requires detailing the impacts on Nursing Practice (Transforming Practice), Nursing Education (Transforming Education)Read MoreTerm paper1280 Words   |  6 PagesMedicine (IOM) report: The Future of Nursing: Leading Change, Advancing Health, focusing on the following sections: Transforming Practice, Transforming Education, and Transforming Leadership. Write a paper of 750-1,000 words about the impact on nursing of the 2010 IOM report on the Future of Nursing. In your paper, include: 1.The impact of the IOM report on nursing education. 2.The impact of the IOM report on nursing practice, particularly in primary care, and how you would change your practiceRead MoreThe Institute Of Medicine ( Iom ) Report976 Words   |  4 PagesInstitute of Medicine (IOM) report: The Future of Nursing: Leading Change, Advancing Health, focusing on the following sections: Transforming Practice, Transforming Education, and Transforming Leadership. The Future of Nursing: Leading Change, Advancing Health Nursing profession conveys dedication, obligation and responsibility to patient care in order to increase safety, high quality of care, and to enhance better patients’ outcomes. The multifaceted health issues in which the United States and all otherRead MoreProfessional Dynamics1181 Words   |  5 PagesThe IMPACT of the INSTITUTE of MEDICINE report on the FUTURE of NURSING Lindsey Claire Grand Canyon University Professional Dynamics 1/21/12 The Institute of Medicine report: The Future of Nursing: Leading Change, Advancing Health talks of the vision for future healthcare and changes in the nursing profession that are needed to provide improved health care. The future goal being a system accessible to everyone no matter background where disease is prevented, wellness is encouraged andRead MoreImpact of the 2010 Iom Report1000 Words   |  4 PagesTHE 2010 IOM REPORT Impact of the 2010 IOM report on nursing education, practice, and leadership L.W. 2011 Abstract This paper will be exploring the impact of the Institute of Medicine (IOM) report: The Future of Nursing: Leading Change, Advancing Health released on October 05, 2010. In 2008, The Robert Wood Johnson Foundation (RWJF) and the IOM launched a two-year initiative to respond to the need to assess and transform the nursing profession. The IOM appointed a committee with the purposeRead MoreEssay about The Future of Nursing751 Words   |  4 PagesRunning head: THE FUTURE OF NURSING The Future of Nursing: Leading Change, Advancing Health Victoria G. Tapia Grand Canyon University: NRS 430V March 25, 2012 The Future of Nursing: Leading Change, Advancing Health On October 5, 2010, the Institute of Medicine (IOM) released its recommendations in Nursing in the United States, â€Å"The Future of Nursing: Leading Change, Advancing Health.† For two years a committee named Robert Wood Johnson Foundation (RWJF) worked to study facts, researchRead MoreThe Future of Nursing: Leading Change, Advancing Health958 Words   |  4 PagesThe Future of Nursing: Leading Change, Advancing Health Lisa Greenspon Grand Canyon University Professional Dynamics NRS-430V-0102 Elizabeth Larkins May 5, 2013 The Future of Nursing: Leading Change, Advancing Health â€Å"According to the IOM report, the nursing profession is the largest segment of the nation’s healthcare workforce. Nursing represents the largest sector of the health professions, with more than 3 million registered nurses in the United States.† Transforming Practice Read MoreThe Study and Practice of Nursing1101 Words   |  4 Pages Transforming Practice, Education, and Leadership The field of nursing is one that has profound impact on medicine, health care, and society. There has been increased interest in the study and practice of nursing in the 21st century around the world. It is a growing field with a solid global reputation of necessity and respect. More and more people are interested in becoming nurses and more attention is being paid to the roles of nurses in the overall health care experience. The IOM report wasRead MoreIom Report806 Words   |  4 PagesNursing according to the Institute of Medicine report With over three million nurses in the United States nurses play an important role in healthcare today. As the future of health care changes the nurses’ role will change as well. In 2008, The Institute of Medicine (IOM) and the Robert Wood Johnson Foundation (RWJF) combined partnership and put together a committee to assess nursing practices and make recommendations for the future transformations in the health care system. This report was released

Leadership Styles Of The Nursing Profession - 997 Words

Leadership is multifaceted, encompassing many definitions and qualities. â€Å"Leadership may be viewed as the process of guiding, teaching, motivating, and directing the activities is the ability to influence others† (Ellis Hartley, 2009, p. 5). Leadership in the clinical setting has direct association in clinical care while always influencing others to improve the quality of care they provide. Each leader possesses a different leadership style for their particular department. The ability for an individual to provide leadership to others will have a direct influence on how well the unit functions. Therefore, the three nursing leaders that are most influential follow completely different leadership styles, but all have one common goal, which is to improve the quality of care for patients. Dale Danowski is our first nursing leader. I found her leadership role most interesting because of her MBA degree and how it correlates with the nursing profession. Some people may think bus iness and nursing don’t go together, but in the clinical aspect of nursing, it has a huge impact. Dale’s role as the clinical nurse officer is very significant because she is responsible for nursing practice, practice standards across the system, advisory for other managers and nursing leaders, and she manages the budgeting. When asked what kind of leadership style she follows she answered relational leader. â€Å"Relational leadership is viewed as a relational process designed to accomplish a common goal toShow MoreRelatedLeadership And Its Effects On The Nursing Profession1284 Words   |  6 PagesRunning Head: LEADERSHIP IN NURSING 1 Leadership And It’s Effects in the Nursing Profession Daniel Lamphier Indiana University Northwest LEADERSHIP IN NURSING 2 Leadership And It’s Effects in the Nursing Profession Leadership is one of the most desired traits a modern day worker can possess. It doesRead MoreTransactional Leadership in Nursing1130 Words   |  5 PagesTransformational Vs. Transactional Leadership In Professional Nursing Introduction Leadership development in the nursing profession is important because it directly impacts the care that is delivered to clients. Transactional and Transformational leadership styles are two very different methods of leadership in the nursing profession. This Essay will compare and contrast these two styles and support that transformational leadership style inspires quality care, job satisfaction and improved patientRead MoreLeadership Theory And Philosophy Of Leadership Essay1164 Words   |  5 PagesThe belief of leadership is constantly changing, with many theories and frameworks available. Today’s organizations face ever-increasing change, which includes increased patient demands and work needs, which requires a more adaptive flexible leadership that is becoming increasingly important in the 21st century. Leadership theory and philosophy can be divided into several well-known styles. Within this paper, we will discuss the basis of autocratic, democratic, laissez faire, se rvant, charismaticRead MoreLeadership Styles And Finding The Right One For You1235 Words   |  5 PagesLeadership Styles and Finding the Right One for You There are many forms of leadership styles in the workplace. According to Gardner, â€Å"leadership is how one can persuade another to pursue the leaders or corporations goal or objective (Gardner, 1996). In this paper, I will explore and compare various leadership styles. Furthermore, I will determine what I believe are the most important aspects of the different leadership styles. In addition, I will identify what my leadership styles are alongRead MoreEmotional Intelligence And Nursing Leadership1638 Words   |  7 PagesEmotional Intelligence and Nursing Leadership Today, the emphasis on the word leadership leads us to believe that it is unattainable by the average person. We hear phrases such as leaders are born and not created that make us feel that leadership is only for the few. In some instances, this could be the case, but a form of leadership that can be learned by anyone is known as emotional intelligence. Using leadership of this kind can be used in all sorts of career fields such as corporate, salesRead MoreEssay about Leadership Styles in Nursing1410 Words   |  6 PagesLeadership Styles in Professional Nursing Tami Olson Chamberlain College of Nursing NR351: Transitions in Professional Nursing Summer B Session 2011 Leadership Styles in Professional Nursing Introduction â€Å"Managers with leadership styles that seek and value contributions from staff, promote a climate in which information is shared effectively, promote decision making at the staff nurse level, exert position power, and influence coordination of work to provide a milieu that maintainsRead MoreEffective Leadership and Management in Nursing Essay examples859 Words   |  4 PagesEffective Leadership and Management in Nursing NUR/492: Leadership and Management July 9, 2012 Instructor: Janet Bailie â€Æ' Effective Leadership and Management in Nursing Leadership and management are essential to any health care organization, balancing patient care, employees, physicians, and the organization. Nursing is founded on interpersonal relationships. As a people-oriented profession, nursing leadership styles are influenced by humanism. The mission, attitude, and behaviors ofRead MorePriorities For Transforming Nursing Leadership890 Words   |  4 PagesPriorities for Transforming Nursing Leadership Nurses as Leaders in Healthcare Reform Since 2005, nursing has been ranked the most trustworthy profession. Nursing is more than providing care and comfort. In the 21st century, nurses have added client advocacy, educator and manager to the many faces of our profession. During the advancement of my career, I began to identify with the unique contributions that nurses make to organizational boards and committees. I remember my first Quality CouncilRead MoreProfessional Performance Standards Of Professional Nursing Practice895 Words   |  4 PagesThe Standards of Professional Nursing Practice Professional Performance Standard Leadership in Nursing Practice The American Nurses Association (ANA) established The Standards of Professional Nursing Practice (2010). The Standards of Professional Nursing Practice consist of Standards of Practice and Standards of Professional Performance. The standards serve as guidelines to define the profession of nursing and define the scope of practice for professional nurses. All standards presented in TheRead MoreThe Standards Of Professional Nursing Practice860 Words   |  4 PagesAssociation (ANA) established The Standards of Professional Nursing Practice (2010). The Standards of Professional Nursing Practice consists of Standards of Practice and Standards of Professional Performance. The standards serve as guidelines to define the profession of nursing and define the scope of practice for professional nurses. All standards presented in the The Standards of Professional Nursing Practice (2010) are essential for the nursing professional to function, legally, ethically and professionally

Not-for-Profits and the Integration of Employment Law Policies

Question: Describe about the not-for-Profits and the integration of Employment Law Policies and Practices. Answer: Introduction The not-for-profit organizations, from now on referred to as the NFPs, are regarded as the primary investors in the social welfare of Australia. It has been founded by the Productivity Commission that the NFPs apart from rendering the those required services, they also help in the promotion of the change in the issues of social, cultural and the economic environment. in addition to that the other services of the NFPs include assisting the expansion of the social network between the persons in a community and making the investment in the assets for the benefit of the generations of the future. The NFPs in addition to the contributions to the society, also contribute or comprise towards a larger portion of the economy of Australia. In the year of 2010, it has been seen that the NFPs made a contribution of $43 billion in the economy of Australia, which in approximate terms figured as 4% of the GDP of Australia. The NFPs made the employment of 4.6 billion persons. There is an additional number of five million volunteers that made the contribution of an amount of $14.6 billion that is unpaid[1]. The NFPs are also subject to a regulatory structure that is evident in a structure of business for profit. There is also the requirement of the integration of the practices and policies of the law of employment about the NFPs. It has been seen that the majority of the NFPs are unincorporated and not large associations, but the law relating to them are often seen as unclear and complex. There are also certain specific challenges that are related to the interpretation of the law of the NFPs and the practices of complex ways of fundraising and the requirement of a centrally governed law[2]. This report will make the outline of certain difficulties that are faced by the NFPs in making the interpretation of law. Such law includes the law of the policies of employment. This report also puts forward an argument for making the reform of making the law much more easily accessible to nearly 60,000 evident NFPs that are in operation in the border areas of Australia. Practices and the Policies of the Employment Law The law of employment is regarded as a complex procedure and includes certain jurisdictions that are overlapping and also involves several bodies of regulation. It also includes common law and statute practices of law. For instance, the maximum numbers of the NFPs operating in the territory of Australia are regulated by the Fair Work Act of the year of 2009. The associations that are unincorporated are regulated by the Industrial Relations Act of Act and the Minimum Conditions of Employment Act of 1993 about standard the of employment. The federal awards also govern the NFPs[3]. The next challenge for the NFPs is making the understanding of the laws that governs them are capable of making the determination whether the workers have the qualification as volunteers, contractors or employees. Since this issue is faced by almost all the businesses, the conditions of employment of the workers of the third sector might blur those lines in between the categories. For the purpose of making the appropriate determination, the NFPs perform certain tests that emerged in the case of Zuijs v Wirth Bros Pty Ltd (1995) 93 CLR 561. In case then workers of the NFPs are considered as the employees, then shall be treated by the standards of National Employment that are declared in the Fair Work Act of 2009. The contractors are subject to protection under the Independent Contractor Act of 2006. On the other hand, the volunteers are not subject to be covered by the standards of National Employment but are subject to general protection by the Fair Act of 2009[4]. The statutes that are mentioned above are not the ones that the NFPs are sole subject to. The definition of employee given in the Superannuation Guarantee (Administration) Act 1992, states a broader definition of the term. In accordance with that Act, the term employee can be termed as any person who is given the payment for the number of hours work rather than the performance of work, under the contractual terms. Hence there is a requirement for the payment of superannuation or else they would be considered as the independent contractors. The meaning of the term worker got expansion in the Model Health and Safety (WHS) Act that regarded the inclusion of contractors and volunteers as workers[5]. Requirement for Reform There is a requirement of the reform in the regulation procedure of the NFPs. Myles McGregor, the winner order regarded that there has been the generation of 50,000 pages from the legislation and enquires of the government about the reform of the regulation of the NFPs in the past two decades. The report on the Productivity Commission's Contribution of the Not-for-Profit Sector made the stipulation of the fact that the regulatory framework of this sector lacks transparency and coherence and is also complex[6]. In spite of the above report, the progress of the reform of the regulatory measures of the NFPs is very limited. The reforms got enacted in the Australian Charities and Not-for-profits Commission Act 2012, that made the establishment of the recent framework of regulation. There was the establishment of the definition of charity through the Charities Act 2013 and the Australian Charities and Not-for-Profits Commission (ACNC). There has been a criticism relating the fact that the there has not been the collaboration between the regulatory authorities of the NFPs. But, it has been seen that the ACNC has put its step forward in the right direction[7]. Conclusion From the above discussion, it is evident that there is the requirement of the proper regulation of the NFPs not for the public protection but also for the workers of the NFPs. It is evident that the increases in the costs and the limited support of the Government have lead to the strain and pressure of the NFPs. Hence, there is a large requirement of having clarity in the regulatory process of the NFPs[8]. Reference List Benn, Suzanne, Dexter Dunphy, and Andrew Griffiths.Organizational change for corporate sustainability. Routledge, 2014. Conroy, James W., Steven J. Dale, and Robert P. McCaffrey. "Current and Emerging Trends for Residential Supports for Persons with Intellectual and Developmental Disabilities and the Impact of Managed Care Initiatives." InHealth Care for People with Intellectual and Developmental Disabilities across the Lifespan, pp. 255-263. Springer International Publishing, 2016. Goodwin, Susan, and Ruth Phillips. "The marketisation of human services and the expansion of the not-for-profit sector." (2015). Meese, Alan J., and Nathan B. Oman. "Hobby Lobby, Corporate Law, and the Theory of the Firm: Why For-Profit Corporations Are RFRA Persons." InHarvard Law Review Forum, vol. 127, p. 273. 2014. Murphy, Maria L. "Preventing and Detecting Fraud at Not-for-Profits: Environment, Policies, and Controls Can Help Organizations Steer Clear of Problems."Journal of Accountancy220, no. 6 (2015): 77. Townsend, Keith, Paula McDonald, and Abby Cathcart. "Managing flexible work arrangements in small not-for-profit firms: the influence of organisational size, financial constraints and workforce characteristics."The International Journal of Human Resource Management(2016): 1-23. Weimer, David L., and Aidan Vining.Policy analysis: Concepts and practice. Routledge, 2015. Wenzel, Ramon. "Work learning in the Australian not-for-profit sector: A review, reconceptualization, and research agenda." InAustralian and New Zealand Academy of Management Conference, p. 19. 2014.

End of The Life Care

Question: Discuss about the End of Life Care ? Answer : Introducation: Appropriate palliative care requires effective nursing skills and care management to relief the people from pain and provides the best quality of care in their end of life stage. It is a specialized type of medical care that is provided to the people suffering from serious illness. This kind of end of life care is focused to relief the person from the symptoms as well as from the prevailing stress. The main goal of end of life care is to improve the quality of life and care for the patients and their families (Buck et al., 2015). There are several care requirements needed for the people in palliation like management of pain, the spiritual needs, communication needs and advanced care directive. There is also requirement of skilled nursing care that helps to provide symptom management, spiritual support and psychosocial needs in collaboration with the palliative care team. However, the nurses encounter several issues while delivering the end of life care to the people like patients wis hes, nurses grief, pain management and knowledge treatment. The following essay involves the care requirements during the end of life care and the nursing issues that arises during palliation. In an acute setting, the end of life care for a dying patient requires specific care requirements. The pain management, the patients spiritual and communication needs of the patient and advanced care directives. Advanced care requirements are needed for the dying patients to improve their quality of life and relief pain. The man focus of care involves the relief of the patient from their symptoms and stress that arises due to the serious illness. Care requirements not only involves pain but also takes into account the depression, anxiety, difficulty in sleeping and other factors that causes distress in the dying patient (Lamba et al., 2014). The pain management is an important need in the dying patients during the life of care. They suffer from severe illness that involves pain to a large extent. The patients often express their pain and it is the prime assessor of pain. It is greatly affected by emotional context as it is a complex subjective phenomenon (Kelley Morrison, 2015). The management of pain is necessary as the patients want to live their last few days or months completely pain-free. The nurses have the duty to offer the best quality of care to the dying patients by managing their pain as they suffer from unanticipated illness. As the patient is in their end stage, their spiritual and psychosocial needs should be addressed. Under The Nursing and Midwifery Board of Australia (NMBA), the competency standards states that the nurse should fulfill the spiritual needs of the patients that would help them to gather strength to life the rest of their last days as a normal person (Edmonds, Cashin Heartfield, 2016). The patients religious beliefs, behavior and sentiments needs to be addressed by the nurses as their coping style, behavior and attitude has an association with the reactions during the stressful life events. It also helps to assess ones inner being and meet the needs of the patient differently. Communication needs are also important to address in a dying patient due the end of life care. It is often challenging for the nurses to communicate with the patients who are dying. The nurses need to understand the essential needs of the patients through effective communication. The nurses need to approach the patient with utmost care and sensitivity so that they feel motivated and encouraged to express their needs during the last days of their life (Jacob, McKenna DAmore, 2016). The understanding of the non-verbal communication is also important as a dying patient will not be able to express their needs verbally. The nurses need to understand the gestures and facial expression of the patient in assessing their pain and other essential requirements. It helps to establish the patients priorities and in making informed consents. Moreover, the communication needs are important for the assessment of anxiety or distress in the patients. Advance care directives are also essential care requirements for the dying patients. It is a model that helps to understand the wishes and priorities of a dying patient in an acute setting. It is a legal document that encompasses the principle of autonomy during the palliative care (Best Fredericks, 2014). This legal document is important as it expresses the desire of the patient in accordance to the medical treatments. This is important in instances when the patient is unable to take decisions of their own during palliation. As it has great impact on the patients and their families, the advanced care directives are important care requirements for the dying patients. The nurses play the most crucial role in delivering the end of life care to the dying patients. The end of life nursing care encompasses many important aspects like assisting patients, pain management and the patients families during the dying process, culture sensitive practices and in ethical decision making (Cherry Jacob, 2016). In delivering the end of life care, the nurses face many issues like inability to recognize a dying patient, patient and family wishes being supported and information and support provided to patients and family. It also involves the nurses grief while taking care of the patients, knowledge of treatment, pain management and ethical decision making by the nurses. The inability to recognize a dying patient is an issue faced by the nurses. At times, the nurses are not able to recognize the time of the dying patient as it is inevitable in nature. The nurses might not be able to understand the exact moment of death of the patients. As the patient in palliation is about to die, the nurses need to assess and know the patients wishes and priorities (Urden, Stacy Lough, 2017). The nurses need to be careful in supporting the patient and their family wishes that might interfere with their professional code of conduct. Moreover, information and support should also be given to the patient and the family about the end of life care plan and treatment. As the nurses are dealing with dying patients, they are subjected to grief and distress. In the competency skills under the Nursing and Midwifery Board of Australia (NMBA), it is stated that the nurses have the duty to provide the best quality of care within their professional limits (Malloy et al., 2014). T hey need to control their emotions and perform their end of life care nursing. There are other issues like knowledge of treatment, pain management and in making ethical decisions for the patients. Ethical decision making is the most crucial issue for nurses in delivering end of life care. Nurses need to assess physical, spiritual and psychosocial needs of the patients and also working in accordance with the standards of care and ethical code of conduct. The nurses are restricted to their profession in making ethical decisions for the best of the patients needs and in inhibiting their own style of administration (Lazenby et al., 2016). Palliative care involves crucial end of life nursing in fulfilling the needs of the terminally patients. There many care requirements needed for the patients like pain management, fulfilling of the spiritual, physical and psychosocial needs, advanced directive care and communication needs that involve verbal and non-verbal communication. However, in delivering the best quality of care to improve their lives, the nurses face many issues. The nurses own grief, ethical decision making, inability to recognize a dying patient, proper support to the patients and their families, and knowledge of treatment are some of the issues faced by the nurses in providing the best quality of life to the dying patients. Therefore, delivery of palliative care is crucial for the nurses. References Best, O., Fredericks, B. (2014).Yatdjuligin: Aboriginal and Torres Strait Islander nursing and midwifery care. Cambridge University Press. Buck, H. G., Mogle, J., Riegel, B., McMillan, S., Bakitas, M. (2015). Exploring the relationship of patient and informal caregiver characteristics with heart failure self-care using the Actor-Partner Interdependence Model: Implications for outpatient palliative care.Journal of palliative medicine,18(12), 1026-1032. Cherry, B., Jacob, S. R. (2016).Contemporary nursing: Issues, trends, management. Elsevier Health Sciences. Edmonds, L., Cashin, A., Heartfield, M. (2016). 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