Thursday, October 31, 2019

Three Important Lessons by Kurlansky Assignment Example | Topics and Well Written Essays - 750 words

Three Important Lessons by Kurlansky - Assignment Example It is hard to understand what Kurlansky was driving to when he stated: â€Å"the state imagines it is impotent without a military because it cannot conceive of power without power† (Kurlansky 2006). This is evidenced by the fact that one can come up with many questions about this lesson. For instance, is it possible that Kurlansky implied that absence of power results to no state? Or is it possible that he thought that the state was the structural significance of power? Answering these questions enables one to understand the current power tussles in many states. Some Presidents of states have been overthrown because of lack of amicable cohesion between the government and their respective military. A good support of this claim is what took place in Egypt two years ago. The Egyptian army overthrew President Mohamed Morsi and held him together with his entire presidential term under house arrest. If President Morsi could have had a military, I mean him having a close relationship with the military; he could have secured his power as a president. In connection with the happenings in Egypt, many states are justified to consider themselves impotent if their relationship with their military is poor. As argued by Kurlansky, it is true â€Å"violence does not resolve. It always leads to more violence† (Kurlansky 2006). In relation to this claim, I came across a paper narrating what took place in Kenya as a result of election violence in 2007. The loss of the presidential results to one of the aspirants who was believed to have won through rigging the elections triggered violence between his supporters and those of his opponent. The majority of the people who participated in that election violence thought violence was the only way to solve their problem. Some politicians also fueled the hatred between people through financing their violence against each other. Unfortunately, the violence escalated beyond the control of the state leading to the loss of many innocent lives.

Tuesday, October 29, 2019

Partnership - Assignment Paper Essay Example | Topics and Well Written Essays - 750 words

Partnership - Assignment Paper - Essay Example A partnership is different from a company on the grounds that it is not incorporated and thus cannot be called a separate legal entity. However, a firm may be sued, or sue other partners if it is registered. Every partner is an agent representing the partnership firm and this function begins as soon as the partners agree to form a partnership with each other, irrespective of the fact that they began trading or not. Thus, each partner will be liable to his full extent for the debts of the firm. A partnership agreement arises out of a contract among the various partners which may be either expressed or implied in nature. There are various kinds of partners, dormant and active, in some cases, an individual might hold himself a partner only to the outside world and thus becomes liable for any debts that the firm must manage in due course. Various articles of partnership including a Memorandum of Association, Articles of Association etc must be laid down as part of the contractual agreeme nts which contain relevant information including the names of the partners, extent of capital provided, nature of the firm’s business, the ratio of sharing profits and losses, as well as the regulations for admission and retirement of partners. The main difference between a partnership and a company is that a company is a type of a corporation and is a separate legal entity except for cases where the company has been proved to be illegal in which case the corporate veil may be lifted. However, Limited Liability Partnerships are corporate bodies having a separate legal personality from their members. A partnership is a mere unity of ownership and control and may be dissolved however a company goes on even after the death of the directors. Each partner in a partnership firms has a certain liability to pay the debts because of his position within the firm if he retires, dies, or is a new partner altogether, just as he is equipped to receive the profits too. In a company however, each director or member who has subscribed is entitled to a small dividend as per the subscription. The audits of a partnership are not available for the scrutiny of the rest of the society whereas a company’s audits and shares are part of the public proceedings as well and thus open to all. When a company is formed as a subsidiary of another company, then the questions are raised whether the company which is the subsidiary of the other company works as an individual entity or on the basis of its parent’s company. In the case of Solomon vs Solomon the question raised was whether a company is an original entity in itself, and the decision mentioned that the company is indeed an individual entity in itself and operates on its own accord. Any company which is formed has the power and the ability to work on its feasibility without the interference from another company. However, nowadays the concept of veil has overshadowed the Solomon case where there is a common understa nding that a subsidiary often is run by its parent company. A partnership can be terminated in many ways. One of the most common ways of terminating the partnership is when the partnership goes bankrupt and

Sunday, October 27, 2019

Visiting Madrid †The City That Never Sleeps!

Visiting Madrid – The City That Never Sleeps! Madrid – The City That Never Sleeps! Hola! (Hello in Spanish) Madrid, a city located in the middle of the Castilian plateau is the capital city of Spain. Madrid is called the London of Spain and is known for its 18th century architectural monuments and palaces and also for its home football team. At Madrid, you can stroll around its streets, visit its palaces during the day, watch a flamenco show, drink sangria and make it your perfect holiday. Madrid holidays can go on till sunrise with nightlife going on till almost 6am. Best Season to Visit Madrid Weather in Madrid can be unpredictable with extreme temperatures but Madrid has dry weather for the majority of the year. The best months to visit Madrid are the summer months from April to June and the autumn months from September to October. During winter, Madrid gets snow for only a few days. Highlights (Special things to do in Madrid) Visit the amazing Plaza Mayor Square, the main landmark of Madrid for the actual Madrid experience. Enjoy the city’s aerial view of the massive palaces and gardens on a cable car ride. Try the Chocolate Con Churros (Spanish donuts) which is a specialty in Madrid given with a cup of chocolate sauce. Indulge yourself with a carafe of Sangria and enjoy a romantic dinner with your loved one at Las Tablas at the Plaza Espana. Try the delicious traditional Spanish tapas, spicy beef tripe and chickpea stew with meat and vegetables. Watch a Flamenco show and learn a few dance steps. This is one of the top things to do in Madrid. Visit a nightclub to feel the music and experience the nightlife energy of Madrid. Do not miss the bull fight at Las Ventas Bullring if you visit Madrid during May. This is the season for bull fighting festival called San Isidro. Enjoy the Spanish culture watching films, dance, music and theatre performances at the Circulo de Bellas Artes. Enjoy the streets of Madrid filled with music and festivities during the La Paloma festival. Visit Madrid’s art museum Museo El Prado (Prado Museum) which is the home of the best European painters including the famous Velazquez. Walk into the football field and dressing room of Real Madrid’s stadium Santiago Bernabeu. Hotspots of Madrid Plaza Mayor Square (originally called Plaza del Arrabal): This is a huge traditional Spanish architectural square located at the center of Madrid. It has cafes and traditional Spanish restaurants and stores. It is the location for bullfights, celebrations, soccer games and markets. Royal Palace: This is the official residence of the Spanish Royal family. The entrance to the palace is through the vast beautiful Plaza de la Armeria. Buen Retiro Park (Park of the Pleasant Retreat and also known as Retiro Park): This is a must visit park with beautiful landscapes and lots of activities round the year. The park has puppet shows and other performances and free concerts. You can also enjoy a boat ride or a ride on the horse drawn carriage for a fairy tale holiday. Golden Triangle: This consists of the Prado, Thyssen-Bornemisza and Museo Nacional Centro de Arte Reina Sofia museums; the three art galleries are located within a short distance from each other and hence the name. Royal Theatre: Known as Teatro Real, this is Madrid’s Opera House. It has rich interiors that adds effect to the performances. Plaza de Cibeles: Cibeles Palace (Palace of Communication) has a stunning look and cannot be missed from anywhere in the city. The surroundings of the palace take you back to the 18th century. Templo de Debod: Originally built on the Nile Valley in Egypt, it was brought to Spain via ship and then train and then reconstructed in Madrid. There is a museum inside which displays paintings and pictures telling the story of the temple. Nightlife in Madrid: Break a leg to Spanish music after midnight at the various nightclubs like Ole Lola, Joy Madrid, Marula Cafà ©, Liquid or Soul Station. The clubs have traditional tasty Spanish tapas and other traditional Spanish snacks and music from evening till the next early morning. Shopping in Madrid Visit the Sunday flea market at El Rastro with street music and performances, a must visit place in Madrid. Be careful in this area as it is known for pickpockets. Fuencarral Market (Mercado de Fuencarral) that is open till midnight has lots of shopping and loads of cafes, exhibitions and cinemas. Retail shopping with international brands is found in Salamanca and Goya Street. Plaza Mayor has Calle Toledo and El Mercado de San Miguel (San Miguel Plaza) if you want to shop for traditional Spanish products like leather and jute goods. Calle Ortega y Gasset and Jorge Juan St are the places for high end shopping and designer products. If you want to shop designer products at almost half the price then visit Las Rozas Village Chic Outlet at Las Rozas. Plaza de Espana in Madrid’s city center and Salamanca have huge shopping malls with a wide range of retail outlets and eateries. How to reach Madrid By Air – Adolfo Suarez Madrid-Barajas Airport or the Barajas Airport is the home of Iberia Airlines and is one of the largest airports in Europe. The airport has direct flights to all major cities in the world. The local transportation modes are available throughout the day and night with buses, trains, metros, taxis and 24 hours shuttles making it easy for tourists to arrive into the city at any time. By Train – Chamartin and Atocha are the two train stations on Madrid that are well connected with the other areas in the city as well as cities outside Spain. By Road – You can rent a car from the several car rental companies including Hertz, Europcar, Avis, Budget and others which have their offices at the airport, bus and train stations. Ensure to check the route much prior to any turns as GPS signal may not be available if you drive through the underground tunnels. By Bus – There are 8 bus stations connecting cities within Spain and outside. The main bus station is the Estacion Sur de Autobuses where you can purchase tickets for all bus services even if they depart from a different bus station. Avenida de America bus terminal would be the place if you are travelling to/from Barcelona. How to get around in Madrid Madrid’s Metro network system is the second best in Europe after London. Metro is the most efficient way to move around the city. A single ticket will cost you between 1.5 and 2 Euros for 5 stations and the travel pass for unlimited travel within a day will cost you 8 Euros. The sign boards are in English and Spanish but the announcements are only in Spanish. By Tram – Madrid has the Metro Ligero de Madrid network which connects 38 stations with 3 lines which makes it convenient to travel to any area within the city. Cycles are recommended only to explore the narrow streets of Madrid or to cycle on the cycle paths available near the river side and parks. You can rent the regular cycle or an electric cycle from the cycle renting places which also offer guided tours. Buses in Madrid cover the areas which are not covered by the metro. They offer free Wi-Fi facilities on their buses. There are night buses that are available almost every 20 minutes. The local train called Cercanies has good connectivity between the city center and suburban areas and also some local villages. You will not have to take the train for most Madrid attractions. Taxis are easily available anywhere within the city. Watch out for the taxi drivers driving through a longer route and crowded areas to increase the fare. Driving a car within the city can be cumbersome with traffic jams, narrow streets and limited parking space. Renting a car is not a good idea to travel within Madrid; it would be a good idea if you are traveling outside the city. Top areas in Madrid Madrid Centre – Located at the center of Madrid, this is the area to stay in if you are a tourist as it has the maximum number of hotels and most landmarks and monuments are located close by. The Hop-On Hop- Off buses also pass through this area making it a convenient location for a Madrid tour. Barrio de las Letras (District of Letters) – You can see the Spanish culture in this area with squares, museums (few minutes to Prado Museum) and sidewalk cafes. The streets of Barrio de las Letras have inscriptions from famous Spanish writers. Salamanca – This is considered as the area for the elite with high end houses and highly valued real estate. You can shop for high end designer products at Goya Street in Salamanca. The area has a lot of fine dining restaurants and classy pubs. Malasana – This area is popular for its shopping and eateries and is an upcoming area. Malasana is similar to the Camden area in London where you can walk around on a Sunday afternoon visiting unique shops and sidewalk cafes with the local traditional Spanish snacks and coffee. Chueca – Located very close to the city center, it is known for its Europride procession (march for the gay community) and lively and colorful neighborhood with unique stores, outdoor cafes and pubs. The most known Fuencarral market is at Cheuca. Moncloa-Aravaca – Also known as Moncloa, it is located close to the city center and is popular for its residential properties. Bajaras – The area with Madrid’s airport has a lot of budget hotels for tourists just outside the city. Fortress Castillo San Felipe de Bajaras (World Heritage Site), located on Hill San Lazaro is located in the vicinity. Lavapies – This is one of the areas in Madrid where you will find restaurants and stores which are not traditional Spanish due to the large immigrant population living in this area. San Blas – This is the old town of Madrid with narrow streets and old buildings. Tetuan – This is not an area to stay at unless you want a long holiday with budget accommodation. Gracias! (Thank You in Spanish)

Friday, October 25, 2019

Obesity In the U.S. Essay -- essays research papers

Obesity in the U.S. Subject Sentence: Obesity in general has become a major concern in the U.S. Mainly because of three major factors dealing with obesity how quickly it became a problem, the U.S. being the most overweight nation, and the increased health risks. Introduction: Are you overweight? Do have a little junk in the trunk? To answer these questions either you or someone you know has a problem with obesity. This has come to be a problem of epidemic proportions in the U.S. Body: I) To begin how is that obesity has become such a major problem in our country. A) One being the fact that we are the most agriculturally advanced nation. And unhealthy foods are so easily accessible with drive thrus and promotions of products in grocery stores. B) Unhealthy foods such as fast food have become easy, cheap, accessible, and convenient and that is what everyone wants convenience. C) And in response some fast food chains have now come up with ideas to keep their customers and have them eat healthier. Now fast food restaurants now serve personal size salads and other healthier alternatives and carbohydrate counting menus. II) Another reason for the U.S. obesity problem is that we are the most overweight nation in the world. A) People have been sacrificing healthy food for fast food and microwaveable meals. We and people in general do all if this is for the sake of less hassle and more convenience to parents for themselves and children this world is now becoming more and m...

Thursday, October 24, 2019

’’A Simple Exchange of Niceties’’ by Joanne Fedler Essay

’’A Simple Exchange of Niceties’’, a short story by Joanne Fedler, 2007. In the text ’’A Simple Exchange of Niceties’’ the narrator lives in what could be a big town. In this town there is a park which she often visits, in this park there is a certain bench that she likes better than the others, and she calls it her own bench. The theme is teenage problems and about teenagers developing into the adulthood. The narrator’s language is very normal and is what every other American citizen could be speaking. The language contains a few curse words and slang words too. Example given: ‘’ She seemed so bloody keen on kids ‘’ (Page 11 line 133). The narrator does not have much self confidence; she had a one night stand with a Damien from the bar, which resulted in her getting pregnant. Damien told her that he never wanted to have kids with a ‘’trashy whore’’ like her after he ha d fertilized her, which made her feel like a trashy whore too. She has lost the sympathy of her mother too; the narrator is a very troubled person who is shop-lifting and has been impregnated at a very young age; this shows that she is not very sure of herself, and has not grown up yet. Her mother does not even want to bail her out from the prison after she had been caught shop-lifting. The narrator is a bit arrogant against people she does not know. Example given when the old lady has issues untwisting her bag, and the narrator just ignores it; which shows that she does not like to communicate with strangers, which she also mentions – ‘’When I’m sitting on my bench, I’m generally not in the mood for small-talk and chit-chat.’’ – (Page 9, line 43). She complains about when she is sitting on her bench and people come and sit down without asking if she is okay with it; this is a very two-faced action, would she herself even ‘’exchange niceties’’ if she was the one approaching a stranger on a bench? Her arrogance is also shown when a lady with a book and a bottle of water comes along; the lady says that she should not smoke. Her attitude is very typical for the society of youth, and the fact that she smokes while having a growing fetus in her stomach and not even caring about it truly enlightens that she has not grown up yet. From her oasis which is the bench, the narrator seems to be developing from being a late teenager who is acting very cool and not really caring about other than herself, to realizing the qualities of life, and understanding other people. As she speaks with the lady with the book ‘’When Fertility Fails’’, she seems to develop a kind of sympathy for the lady as she speaks of her and her husband’s problem. The fact that the lady cannot be fertilized by her husband makes the narrator act different than she is used to. Example given when the lady says that she would sells everything that she possesses if she could be a mother, and the narrator replies by – ‘’ ‘’It wasn’t meant to be,’’ I found myself saying, which really wasn’t me speaking. ‘’(Page 10 line 115-116) and she refers to as if it was her Nan speaking. As this is not how she normally would react, it is an obvious sign that she is developing into a young woman, particularly when she decides to give away her coming baby to the unhappy lady. When the narrator tells her mother that she is pregnant, the mother seems to state that she actually cares for her – ‘’ don’t you DARE give my granddaughter away, ‘’ (Page 12 156) which made the narrator believe that she is actually worth something. And when the narrator gives birth to the baby and the mother tells her that she remembers when she was an infant lying on her chest. This truly shows that the mother is happy and has realized that her daughter has grown into a young woman.

Wednesday, October 23, 2019

HIPAA And How It Effects Nursing Care Essay

In order to explain how the Health Insurance Portability and Accountability Act are affecting nursing care today, the act itself must be defined. HIPAA is one of the most important acts that have been passed to protect patients’ privacy and give them security. HIPAA privacy standards include some of the most restrictive guidelines in regards to accessing identifiable health information and disclosures. The guidelines were set into place to protect the patient from having their information disclosed verbally, written or by electronic transfer (Pozgar, 2012). The Privacy rule is clearly defined as â€Å"HIPAA†, which ensures the privacy and protection of all health information. Before HIPAA many states had their own standards and guidelines for healthcare privacy and practice (ANA, 2014). HIPAA has given us unison and uniformity as a healthcare nation, not just a state. The standards and guidelines protecting the privacy of an individual’s health information were issued by the United States Department of Health and Human Services (HIPAA 101, 2014). The privacy rule, does allow the use of healthcare information to promote the best quality of health care. The rule also protects the confidentiality of the patient. HIPAA also affects the patient’s own access to their medical records. The individual is often asked to sign an authorization request form upon admission. The form consists or should include a description of the information that is going to be used or disclosed to other authorized individuals in a detailed manner. The client should also be given the names of the individual that will have access to their identifiable information. The patient must also be made aware of the fact that he or she has the right to revoke the authorization request at any  time. HIPAA regulations also require that codes be set into place for encoding vital records such as, medical terms and procedure codes (HIPAA 101, 2014). As a nurse working in a hospital setting, I am aware of the requirements to give patients clear, insightful, written information concerning their Patient Rights and the disclosures of their personal information. Patients are asked to sign a permission form giving us permission to share their information with other healthcare workers. The patient’s information is only allowed to be shared with the healthcare providers that have an active role in the client’s care. For example, if a healthcare provider discloses any information about a patient with another person or coworker that has not been authorized by the patient, it is a violation of HIPAA. The Patient’s Bill of Rights was created by the American Hospital Association in 1973. It was developed to ensure that good viable communication occurs between the patient and the healthcare provider. The Bill of Rights entitles the patient to the right to be involved in every decision about his or her plan of care prior to any treatments and throughout the treatment process. If the patient is competent and has no mental incapacities at their own accord they can refuse treatment at any time. All patients are to be informed of all of their diagnoses, treatments, and the consequences of those treatments. The Patient’s Bill of Rights also gives patients the right to be informed about advance directives. (Pozgar, 2012). There are two common types of advance directives, a living will or a dual power of attorney. A living will provides outlines about medical treatments. It will have details about the patient’s wishes or their refusal of a treatment if they become incapacitated. A dual power of attorney for healthcare designates a person or persons appointed by the client to make healthcare decisions if and when the client is unable to. Advance directives are used to provide guidance to nurses and other members of the healthcare team. A copy of the advance directive must be placed in the client’s medical chart. The physician is notified of the advance directive so that his or her written orders do not coincide with the client’s wishes. When disclosing patient information it should be done in a private location away from other staff members and patients. The only time that information about a patient may not be kept confidential. Is when the cases involve abuse or a public health hazard (Hogan, 2012). Violating the HIPAA guidelines and rules  can Intel extensive consequen ces, for the healthcare provider, nurse, and the healthcare facility. The consequences may include termination, suspension, law suits, and huge fines for hospital and employee (ANA, 2014). The most resourceful and reliable information can be given by the client or a family member. In order for the most accurate information to be retrieved there must be trust and respect between the healthcare provider and the patient. Violating HIPAA and its codes could damage or destroy the trust between physicians or nurses and the client. If the patient does not provide the physician or nurse with the concise and accurate information about their past and present health, the outcome could be detrimental for the hospital and the patient. For example, if a patient has to have surgery and the anesthesiologist is using demoral to sedate the client. The client fails to tell the doctor that he or she is allergic to demoral. The patient experiences anaphylactic shock which is a severe allergic reaction that can cut off the airway completely. Recovery for the patient may or may not be feasible. Good communication between the client and the healthcare providers is needed to sustain life and to save lives. Clients need the security that goes along with HIPAA. They need to feel secure in the fact that whatever they tell their healthcare provider is secure and confidential. An incident occurred one day as I was working in the emergency room area. A patient came in suffering from severe chest pains and I was designated to interview the client and retrieve vital information. All of the routine questions were asked and answered. The last and final question that I approached the client with was his current intake of medication preferably Viagra. I remember him giving me this look as if he did not understand the words that had just escaped my mouth. Taking into consideration that his spouse was present and that she may not be aware of his enhancement drug, she was directed to the lounge for coffee. I asked the client once again â€Å"Mr. J have you or are you currently taking Viagra†. He answered â€Å"No I am only 45 I have no need for Viagra†. My nursing instincts kicked in and his aggressive answers and body language made me feel as if he was not being completely honest with me. At that moment I decided to explain my reasoning for this line of questioning and the importance of the situation. I informed Mr. J that he was being administered Nitroglycerin to help with his angina. Angina is chest pain. Nitroglycerin and Viagra when  given together can be a deadly combination because they both contain Nitro which dilates your blood vessels. When combined together these two medications can lower your blood pressure to the point that death may occur. I know what you are thinking what an awful thing to say, but for some patients the truth in a upfront and nondisclosure way works best. Mr. J admitted to using Viagra and precautions were taking to sustain his life. Within 48 hours he was released from the hospital. This scenario was meant to show the importance of patient and healthcare provider information. It is very important that a rapport is made between the client and you. I think that violating HIPAA cripples our chance of building and maintaining a bond with the patients. Another example of a way that HIPAA can be violated is disclosing information to neighbors and friend that have not been authorized. Home Healthcare workers are faced with this dilemma frequently. This scenario refers to a nurse that visits her client twice a week. The client has taken ill and is unable to venture out into her yard to work in her garden. The neighbors become worried because Mrs. X is known for being in her garden daily. One day as the nurse was leaving Mrs. X house she is approached by her neighbor Mrs. B. Mrs. B asked â€Å"how is Mrs. X doing these days?’ The best response by the nurse would be not to disclose any of Mrs. X information although Mrs. B is just being a concerned neighbor. The n urse replied â€Å"disclosing any information about Mrs. X is a violation of HIPAA and for that reason I am not inclined to answer your question†. HIPAA has strict guidelines that we are to follow even when we are out of the hospital setting. .Healthcare workers have always had some sort of privacy guidelines in place to protect the patient’s privacy. Nurses have always and still are front runners when it comes to maintaining HIPAA and its guidelines. The American Nursing Association has a Code of Ethics that contain statements and requirements that instruct nurses to keep patients information private. Hospitals have implemented different strategies and techniques to ensure that HIPAA is not being violated. In the facility where I work there are strict rules and regulations about disclosing patient information over the phone. The Golden Rule is do not do it. The reason behind this rule is because you never really know who is on the other end of the line. Disclosing health information in this manner can certainly be in violation of HIPAA. Almost all of the charting that nurses do is done on a  computerized system. We must sign in and out each time with our assigned user ID and passcode. It is recommended that the password that we choose is difficult to figure out and to change the passcode often. Nurses should never give or share their passcodes with other coworkers. Hospitals are constantly developing ways to increase their security to ensure that a patient’s medical record is deemed private and remain private. Encryption technology and software is a great place to start. Computers and laptops, over the years have disappeared from different hospitals. These computers often contain vital patient records. Encryption will allow the hospitals IT management team to ease the minds of concerned individuals by acknowledging that their information is encrypted and not easily accessible. Some hospitals purchase self-encrypted hard drives because they have been known to provide stronger protection (Fields, 2012). The patient’s chart and any other paperwork that contain their personal infor mation is always place faced down so that it is not viewable by individuals passing by. Another security measure to protect patient privacy is the names on the room door that is no longer permissible. Nurses are required to use two patient identifiers to ensure that the right patient is given the correct medication and before any procedures are done (Hogan, 2012). If a family member or an unknown individual calls the front desk and asks â€Å"is Jim Jones in the hospital and what room is he in†. Nurses are inclined to respond by saying â€Å"we do not have a Jim Jones. I know it sounds like a little white lie to most, but our first priority is always to our patients. Later, that same individual can call back and say can you connect me to Mr. Jim Jones in room 204 and they will be connected. HIPAA has strict guidelines and as healthcare providers we are required to follow at all times. Nurses are on the frontline when it comes to patient care and privacy. Nurses are advocates for their patients and act and speak for them when they are unable to (Pozgar, 2012). Nurses work with patients and their families every hour of every day. Nurses knowledge and understanding of HIPAA is important not only for the patient, but for the facilities that we are working in. To violate HIPAA and its guidelines is to violate our ethics and our patient’s moral beliefs and trust that they have bestowed upon us. HIPAA is more about nurses and other healthcare providers changing the way they think and act in reference to patients’ privacy and security. Some may think that improving  technology and upgrading their computer software is the ultimate game changer. I believe as nurses, we have a duty to self, job, and patient. Nurses must become innovative when it comes to discussing a patient’s personal health information. The facility that you currently work in are probably not willing or able to sound proof every room. Therefore, maybe changing the way we speak or the tone of our voice when discussing sensitive identifiable patient information. It is important to never discuss a client’s health information in a hallway, stairwell, elevator, or outside the facility. When possible try to find a secluded area or room and close the door. These are small and simple adjustments that can make a big impact. Being mindful of the environment that you work in is necessary in order to plan and establish privacy measures for the clients. HIPAA is not in place to define nursing care, but to enhance patient care and trust, to encourage nurses and other healthcare workers to make an effort, to take the initiative, to preserve privacy and integrity of the patients that we serve. Work Cited Fields, Rachel. (2012, November, 9) â€Å"Protecting Patient Data to Protect Your Hospital retrieved February 12, 2014 from http://www.beckershospitalreview.com â€Å"HIPAA: Health Insurance Portability and Accountability Act† (2014) AMA.assn.org. Retrieved February 22, 2014 from http://www.ama.assn.org â€Å"HIPAA: Privacy Rule and Compliance (2014, February, 26) hipaa101.com Retrieved February 12, 2014 from http://www.hipaa101.com Hogan, Maryann. (2012) Comprehensive Review for the NCLEX- RN (2nd Edition pp, 25 & 272-274) Pearson Education Inc. Pozgar, D. George. (2012) Legal Aspects of Healthcare Administration (11th edition pp,282-284 and 336-343) Jones & Bartlett Learning