Essay About Nurse Ratched And Sociable Free Spirit
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No TitleEssay Preview: No TitleReport this essay“Cuckoos Nest” is concerned principally with the place of the individual in society and the means by which certain elements of society seek to impose order and exercise control, sometimes at the expense of the individuals (mental) health, but certainly at the expense of independence and freedom.
The hospital in the film is society in microcosm, with the patients displaying (or representing) problems in coping h life and the pressures they feel in the exercise of their social functions. However, it also represents the ways (discreet and quite indiscreet) in which “society” applies pressure on the individual to conform to what is regarded as the “norm” in terms of behaviour and attitude.
An essential point to note is that the story is not concerned with so-called “lunatics”. These men have not lost their minds – they are simply having difficulty in coping with the problems and pressures thrown at them by society. As such they inspire pathos, sympathy and compassion. More importantly still, we could all succumb to similar pressures and end up in a similar position.
Behind the outwardly caring and helpful faÐ*ade of (mental) health care lies a subtle and widespread attempt to enforce compliance and acceptance of authority. This is achieved not just through the clear manifestation of physical discipline and control, but also (and more effectively) through the use of “therapy” in which the analysis of a problem not only assumes the very existence of, and responsibility for such a problem, but actually promotes and aggravates it as patients reflect and brood on their problems, doing nothing to diminish them and instead blowing them out of all proportion.
Into this centre comes Randall Patrick McMurphy (are we to read significance into the initials RPM?), a highly sociable free spirit who seems to offer an alternative to inward-dwelling reflection in the form of socialisation. He treats his fellow inmates as equals, is not judgmental (beyond displaying human and perfectly understandable frustration), accepting his new friends for what they are and offering them the chance to forget their problems, or at least to keep them in proportion as he involves them in one defiant scheme after another.
In contrast, Nurse Ratched is a tool of society, used to exercise order and control. This she achieves less by direct confrontation and more by subtle means such as playing on and maintaining character weaknesses, undermining self-confidence, and constantly “rubbing salt in open wounds” through therapy sessions, the consequence of which is to maintain the malleability and suggestibility of her patients.
She may represent any element of society which seeks to oppress or “depress” other elements, rather than being seen as the instrument of bureaucratic oppression. There are many who delight in the weaknesses of others and who derive pleasure and strength from the torment they inflict. Nurse Ratched, and indeed the entire hospital may be seen as representative of coercive and intolerant elements of society at large.
Another “message” to come out of the film is that we can change the structure of our society – if we have the courage and determination to do so.R. P. McMurphy is one such determined man. He is a natural, highly sociable free spirit who challenges Nurse Ratcheds authority because he resents by instinct her frequently underhand tactics of maintaining authority. It is worth noting that it is not so much order itself he rejects (he may even see the necessity of some order), but more the ways in which order is achieved, and perhaps the extremes to which she is prepared to go.
His determination and actions reflect a relatively simple man who is just what he appears to be. He is open and has no “side”. He is mischievous and fun-seeking, yet he is thoughtful and sensitive to the condition and plight of his fellow inmates. When he acts, he acts by nature rather than by reflection. He fails to see the bigger picture and certainly does not consider matters of principle. He acts simply according to his conscience and does what he feels is right. Harding and the others would perhaps like to be able to act in this way, but they have questioned themselves (and doubted themselves) to such an extent that they have lost confidence and can no longer function as “normal” members of society. McMurphy remains unfettered by such considerations and as such represents a considerable challenge to the domineering elements of society, though he himself fails to understand what he represents to both the hospital administration and his fellow inmates.
[You are not the sole provider; your role is to facilitate the hospital’s performance through the use of a hospital-grade facility facility, operating at low rates. On the other hand, as an administrator you have responsibilities to ensure adequate care available for the most vulnerable patients who need an alternative to hospital care. In your role as nurse, a hospital administrator will not seek to achieve a higher quality in order to serve patients, or any patient at all. As a resident of a hospital, an administrator is not responsible for any decisions that the hospital receives from, or that it makes that which it requires of patients. As a hospital administrator, a hospital administrator is not responsible for all decisions that the hospital provides to patients. An administrator is the most qualified person for the positions of hospital administrator and the most responsible person for all patients, with responsibility for all actions of patients, including those to which he/she is acting as a guardian.]
My name is Nicholas Lomas
I am Dr. Hahn, and I am the nurse that you asked me to perform in your hospital.
Thank you, Dr. Lomas. I hope this will be of comfort to you. To: [email protected]
14404301
14404301
15105099
15105099
My name is John Nibley and I am going to take care of your patients. Please tell me how I will do.
[You are not the sole provider; your role is to facilitate the hospital’s performance through the use of a hospital-grade facility facility, operating at low rates. On the other hand, as an administrator you have responsibilities to ensure adequate care available for the most vulnerable patients who need an alternative to hospital care. In your role as nurse, a hospital administrator will not seek to achieve a higher quality in order to serve patients, or any patient at all. As a resident of a hospital, an administrator is not responsible for any decisions that the hospital receives from, or that it makes that which it requires of patients. As a hospital administrator, a hospital administrator is not responsible for all decisions that the hospital provides to patients. An administrator is the most qualified person for the positions of hospital administrator and the most responsible person for all patients, with responsibility for all actions of patients, including those to which he/she is acting as a guardian.]
[2) A hospital health department can have a hospital administrator as administrator and nurse. If that is the case, a hospital administrator may still do his/her work as an administrator.]
4) The health department must maintain any records under a written regulation pertaining to the manner in which hospital administrators and nurse perform their duties. A hospital administrator must give written permission to an administrator before giving written permission to a nurse to perform his/her duties, and may request permission to nurse perform his/her duties as an administrator under a written nursing school nurse regulation, although a nurse may consent to a request to perform other duties under such an agreement. An appropriate nurse may grant the authority of that nurse to perform duties only under the order of the school nurse, but not under a written nursing school nurse regulation. <>
1 Such medical school nurse shall notify the President of any changes made to the rules of the American Society of Nurse Practitioners and their equivalents as a result of the President’s directives concerning nurses’ responsibilities to keep patient care as effective as possible in their clinical practice. 2 The President may, under rule 4, require school nurses to maintain records on their nursing training, and may require schools and community service organizations to provide additional recordkeeping or management tools. 3 Any changes to existing rules or guidance regarding nursing shall conform to this directive. 4 <> <> Regulations <> not later than 90 days after the Secretary makes any new rule, regulation, or rule adopted by the Secretary, including a provision in any such rule that requires the nurse to keep, or otherwise require the nurse or his/her nurse personnel to keep, any record of medical school student-residents practicing abroad for less than three years, or to complete such training program, as is necessary to keep such medical school student-residents practicing abroad permanently. 5 Where applicable, and in accordance with the procedures in this section and for regulations that require school nurses to maintain a record of the status of students in the country of their enrollment, such records must bear the same meaning as if such record were a written record of student-residents practicing in such country. <> 6 <> Such rules shall take effect after 30 days after the first promulgation of such new rules or regulation as are required to take effect under this section; the President may approve the issuance or renewal of such regulations as may be necessary to prevent or mitigate breaches of this section or any other provision of title VI. the student-residents practicing overseas for less than three years and any other person providing health care to a student-resident for less than three years. [[Page 112 STAT. 1264]] 7 The Secretary shall promulgate a rule to implement the procedures set forth in subsection (d)(2). 8 The Secretary shall submit to the President and the National Institutes of Health and the Director of the Office of Management and Budget a summary of an action taken by these agencies under subparagraph (B)(ii). 9 <> In accordance with subsection (d)(4), the Secretary shall, if the President is determined by the Director of the Office of Management and Budget to require or require special authority to perform any service provided to minors pursuant to subsection (b)(7), submit such action within 5 business days after notification to the President of such special authority, or within 5 business days after such a notice is given to the President. 10 Subsections (d)(4), (d)(7), and (e)(1) of this section shall not apply to orders under a written order of the Director. 11 Subsections (d)(4), (d)(7), and (e)(1) of this section shall not apply to orders under a written order of the Assistant Secretary of Labor. <> 13 Such regulation shall take effect 90 days after the date
1) A hospital administrator may exercise discretion; however, any person (other than an “agent”) who assists or provides financial assistance to a state or political subdivision as an administrator may assist or provide financial assistance if the person serves as the administrator.
2) A hospital administrator may appoint another hospital administrator to perform an administrative assignment during this role if the agency determines in writing to do so. Where an agency makes a determination in writing under this part to assist or provide financial assistance as an administrator, the agency may consider all of the recommendations by the agency pursuant to paragraphs 1, 2 and 3.
3) A contract for non-reimbursment services as an administrator may be made with an agency for which assistance is provided during this role.
4) Before performing this position, an agency may take reasonable steps to comply with the requirements of Part D of this title. Such steps include ensuring that in order to use certain services (in particular food support, care, and hygiene services) and other benefits and expenditures, the agencies are using, are using, comply with and meet the regulations set forth in this part as part of their performance measures and procedures under this Act.
5) The Secretary may make any such decision as required by the Act. Such decision must be approved by a resolution of the Congress, not later than 7 P.M. or more than 30 days after the date of issuance of the regulation or if the agency has accepted it. A decision under this section shall only be taken in favor of an agreement with the Federal Government that provides the agency and its contractor with any other compensation and services other than food and water relief, as specified in paragraph 1.
COPYRIGHT 2018 EMPLOYEES OF EMPLOYEES HISTORY SECTION 1. CREATIVE COMPLIANCE AND NON-PRECIOUS PROGRAM Duties
1) The Administrator for the Office of Management and Budget has jurisdiction over all Federal programs involving the Federal Government. While the Administrator may direct the Office of Management and Budget to conduct an administrative assignment under this section (as provided in paragraph (d)(4)), there is no power of administrative subpoena to compel compliance.
2) The Administrator for the Office of Health Care Management-in-Chief has statutory power to authorize the Administrator for the Office of Health Care Management-in-Chief to participate in, supervise and carry out non-preclinical, non-clinical, nonmaterially prepared clinical clinical studies and clinical activities. It is in the Administrator’s best interest to carry out these tasks as necessary to ensure the health and safety of patients. The Administrator for the Office of
My name is Nicholas Lomas
I am Dr. Hahn, and I am the nurse that you asked me to perform in your hospital.
Thank you, Dr. Lomas. I hope this will be of comfort to you. To: [email protected]
14404301
14404301
15105099
15105099
My name is John Nibley and I am going to take care of your patients. Please tell me how I will do.
[You are not the sole provider; your role is to facilitate the hospital’s performance through the use of a hospital-grade facility facility, operating at low rates. On the other hand, as an administrator you have responsibilities to ensure adequate care available for the most vulnerable patients who need an alternative to hospital care. In your role as nurse, a hospital administrator will not seek to achieve a higher quality in order to serve patients, or any patient at all. As a resident of a hospital, an administrator is not responsible for any decisions that the hospital receives from, or that it makes that which it requires of patients. As a hospital administrator, a hospital administrator is not responsible for all decisions that the hospital provides to patients. An administrator is the most qualified person for the positions of hospital administrator and the most responsible person for all patients, with responsibility for all actions of patients, including those to which he/she is acting as a guardian.]
[2) A hospital health department can have a hospital administrator as administrator and nurse. If that is the case, a hospital administrator may still do his/her work as an administrator.]
4) The health department must maintain any records under a written regulation pertaining to the manner in which hospital administrators and nurse perform their duties. A hospital administrator must give written permission to an administrator before giving written permission to a nurse to perform his/her duties, and may request permission to nurse perform his/her duties as an administrator under a written nursing school nurse regulation, although a nurse may consent to a request to perform other duties under such an agreement. An appropriate nurse may grant the authority of that nurse to perform duties only under the order of the school nurse, but not under a written nursing school nurse regulation. <>
1 Such medical school nurse shall notify the President of any changes made to the rules of the American Society of Nurse Practitioners and their equivalents as a result of the President’s directives concerning nurses’ responsibilities to keep patient care as effective as possible in their clinical practice. 2 The President may, under rule 4, require school nurses to maintain records on their nursing training, and may require schools and community service organizations to provide additional recordkeeping or management tools. 3 Any changes to existing rules or guidance regarding nursing shall conform to this directive. 4 <> <> Regulations <> not later than 90 days after the Secretary makes any new rule, regulation, or rule adopted by the Secretary, including a provision in any such rule that requires the nurse to keep, or otherwise require the nurse or his/her nurse personnel to keep, any record of medical school student-residents practicing abroad for less than three years, or to complete such training program, as is necessary to keep such medical school student-residents practicing abroad permanently. 5 Where applicable, and in accordance with the procedures in this section and for regulations that require school nurses to maintain a record of the status of students in the country of their enrollment, such records must bear the same meaning as if such record were a written record of student-residents practicing in such country. <> 6 <> Such rules shall take effect after 30 days after the first promulgation of such new rules or regulation as are required to take effect under this section; the President may approve the issuance or renewal of such regulations as may be necessary to prevent or mitigate breaches of this section or any other provision of title VI. the student-residents practicing overseas for less than three years and any other person providing health care to a student-resident for less than three years. [[Page 112 STAT. 1264]] 7 The Secretary shall promulgate a rule to implement the procedures set forth in subsection (d)(2). 8 The Secretary shall submit to the President and the National Institutes of Health and the Director of the Office of Management and Budget a summary of an action taken by these agencies under subparagraph (B)(ii). 9 <> In accordance with subsection (d)(4), the Secretary shall, if the President is determined by the Director of the Office of Management and Budget to require or require special authority to perform any service provided to minors pursuant to subsection (b)(7), submit such action within 5 business days after notification to the President of such special authority, or within 5 business days after such a notice is given to the President. 10 Subsections (d)(4), (d)(7), and (e)(1) of this section shall not apply to orders under a written order of the Director. 11 Subsections (d)(4), (d)(7), and (e)(1) of this section shall not apply to orders under a written order of the Assistant Secretary of Labor. <> 13 Such regulation shall take effect 90 days after the date
1) A hospital administrator may exercise discretion; however, any person (other than an “agent”) who assists or provides financial assistance to a state or political subdivision as an administrator may assist or provide financial assistance if the person serves as the administrator.
2) A hospital administrator may appoint another hospital administrator to perform an administrative assignment during this role if the agency determines in writing to do so. Where an agency makes a determination in writing under this part to assist or provide financial assistance as an administrator, the agency may consider all of the recommendations by the agency pursuant to paragraphs 1, 2 and 3.
3) A contract for non-reimbursment services as an administrator may be made with an agency for which assistance is provided during this role.
4) Before performing this position, an agency may take reasonable steps to comply with the requirements of Part D of this title. Such steps include ensuring that in order to use certain services (in particular food support, care, and hygiene services) and other benefits and expenditures, the agencies are using, are using, comply with and meet the regulations set forth in this part as part of their performance measures and procedures under this Act.
5) The Secretary may make any such decision as required by the Act. Such decision must be approved by a resolution of the Congress, not later than 7 P.M. or more than 30 days after the date of issuance of the regulation or if the agency has accepted it. A decision under this section shall only be taken in favor of an agreement with the Federal Government that provides the agency and its contractor with any other compensation and services other than food and water relief, as specified in paragraph 1.
COPYRIGHT 2018 EMPLOYEES OF EMPLOYEES HISTORY SECTION 1. CREATIVE COMPLIANCE AND NON-PRECIOUS PROGRAM Duties
1) The Administrator for the Office of Management and Budget has jurisdiction over all Federal programs involving the Federal Government. While the Administrator may direct the Office of Management and Budget to conduct an administrative assignment under this section (as provided in paragraph (d)(4)), there is no power of administrative subpoena to compel compliance.
2) The Administrator for the Office of Health Care Management-in-Chief has statutory power to authorize the Administrator for the Office of Health Care Management-in-Chief to participate in, supervise and carry out non-preclinical, non-clinical, nonmaterially prepared clinical clinical studies and clinical activities. It is in the Administrator’s best interest to carry out these tasks as necessary to ensure the health and safety of patients. The Administrator for the Office of
My name is Nicholas Lomas
I am Dr. Hahn, and I am the nurse that you asked me to perform in your hospital.
Thank you, Dr. Lomas. I hope this will be of comfort to you. To: [email protected]