Tag: Nursing

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    In preparation for your assignment this week, brainstorm two to three clinical practice problems or issues you can develop into a nursing practice change. What indicates these as clinical issues in nursing practice? Support your discussion with two peer-reviewed journal articles. Initial discussion …

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    In preparation for your assignment this week, brainstorm two to three clinical practice problems or issues you can develop into a nursing practice change. What indicates these as clinical issues in nursing practice? Support your discussion with two peer-reviewed journal articles.
    Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format.

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    – ## Option3.docx – ## george-fitzhugh_slavery-justified.pdf **## Option3.docx** Option 3: Fitzhugh Journal Assignment Part 1: Write 100 words on places where you agree with Fitzhugh. Part 2: Write 100 words on places where you disagree with Fitzhugh. Part 3: Write 100 words about how this essay ma…

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    – ## Option3.docx

    – ## george-fitzhugh_slavery-justified.pdf

    **## Option3.docx**

    Option 3: Fitzhugh Journal Assignment
    Part 1: Write 100 words on places where you agree with Fitzhugh.

    Part 2: Write 100 words on places where you disagree with Fitzhugh.
    Part 3: Write 100 words about how this essay made you feel.

    **## george-fitzhugh_slavery-justified.pdf**

    George Fitzhugh, Slavery Justified (1854)

    Fitzhugh was the descendant of an old southern family that had fallen on hard times. He
    practiced law and struggled as a small planter, but he ultimately made a reputation
    through his writings, which roused southerners to take a new and higher ground in
    defense of slavery. Fitzhugh insisted that all labor, not merely black, had to be enslaved,
    and that the world must become either all slave or all free. These views had become
    commonplace in the South by the 1850s, but his originality lay in the insight that slavery
    could survive only if the capitalist world markets were destroyed. Such views greatly
    alarmed northerners like Abraham Lincoln. Significantly, Fitzhugh opposed secession,
    arguing that a slaveholding Confederacy could not survive until the advanced capitalist
    countries (Europe) had themselves converted to a slave system. Economically, according
    to Fitzhugh, slave labor could not compete with wage labor.

    Liberty and equality are new things under the sun. The free states of antiquity abounded
    with slaves. The feudal system that supplanted Roman institutions changed the form of
    slavery, but brought with it neither liberty nor equality. France and the Northern States of
    our Union have alone fully and fairly tried the experiment of a social organization
    founded upon universal liberty and equality of rights. England has only approximated to
    this condition in her commercial and manufacturing cities. The examples of small
    communities in Europe are not fit exponents of the working of the system. In France and
    in our Northern States the experiment has already failed, if we are to form our opinions
    from the discontent of the masses, or to believe the evidence of the Socialists,
    Communists, Anti-Renters, and a thousand other agrarian sects that have arisen in these
    countries, and threaten to subvert the whole social fabric. The leaders of these sects, at
    least in France, comprise within their ranks the greater number of the most cultivated and
    profound minds in the nation, who have made government their study. Add to the
    evidence of these social philosophers, who, watching closely the working of the system,
    have proclaimed to the world its total failure, the condition of the working classes, and
    we have conclusive proof that liberty and equality have not conduced to enhance the
    comfort or the happiness of the people. Crime and pauperism have increased. Riots,
    trades unions, strikes for higher wages, discontent breaking out into revolution, are things
    of daily occurrence, and show that the poor see and feel quite as clearly as the
    philosophers, that their condition is far worse under the new than under the old order of
    things. Radicalism and Chartism in England owe their birth to the free and equal
    institutions of her commercial and manufacturing districts, and are little heard of in the
    quiet farming districts, where remnants of feudalism sill exist in the relation of landlord
    and tenant, and in the laws of entail and primogeniture.

    So much for experiment. We will now endeavor to treat the subject theoretically, and to
    show that the system is on its face self-destructive and impracticable. When we look at
    the vegetable, animal and human kingdoms, we discover in them all a constant conflict,
    war, or race of competition, the result of which is, that the weaker or less healthy genera,
    species and individuals are continually displaced and exterminated by the stronger and

    more hardy. It is a means by which some contend Nature is perfecting her own work. We,
    however, witness the war, but do not see the improvement. Although from the earliest
    date of recorded history, one race of plants has been eating out and taking the place of
    another, the stronger or more cunning animals been destroying the feebler, and man
    exterminating and supplanting his fellow, still the plants, the animals and the men of to-
    day seem not at all superior, even in those qualities of strength and hardihood to which
    they owe their continued existence, to those of thousands of years ago. To this propensity
    of the strong to oppress and destroy the weak, government owes its existence. So strong
    is this propensity, and so destructive to human existence, that man has never yet been
    found so savage as to be without government. Forgetful of this important fact, which is
    the origin of all governments, the political economists and the advocates of liberty and
    equality propose to enhance the well being of man by trammeling his conduct as little as
    possible, and encouraging what they call FREE COMPETITION. Now, free competition
    is but another name for liberty and equality, and we must acquire precise and accurate
    notions about it in order to ascertain how free institutions will work. It is, then, the war or
    conflict to which Nature impels her creatures, and which government was intended to
    restrict. It is true, it is that war somewhat modified and restricted, for the warmest friends
    of freedom would have some government. The question is, whether the proposed
    restrictions are sufficient to neutralize the self-destructive tendencies which nature
    impresses on society. We proceed to show that the war of the wits, of mind with mind,
    which free competition or liberty and equality beget and encourage, is quite as
    oppressive, cruel and exterminating, as the war of the sword, of theft, robbery, and
    murder, which it forbids. It is only substituting strength of mind for strength of body.
    Men are told it is their duty to compete, to endeavor to get ahead of and supplant their
    fellow men, by the exercise of all the intellectual and moral strength with which nature
    and education have endowed them. “Might makes right,” is the order of creation, and this
    law of nature, so far as mental might is concerned, is restored by liberty to man. The
    struggle to better one’s condition, to pull others down or supplant them, is the great
    organic law of free society. All men being equal, all aspire to the highest honors and the
    largest possessions. Good men and bad men teach their children one and the same lesson
    – “Go ahead, push your way in the world.” In such society, virtue, if virtue there be, loses
    all her loveliness because of her selfish aims. None but the selfish virtues are encouraged,
    because none other aid a man in the race of free competition. Good men and bad men
    have the same end in view, are in pursuit of the same object – self-promotion, self-
    elevation. The good man is prudent, cautious, and cunning of fence; he knows well the
    arts (the virtues, if you please,) which will advance his fortunes and enable him to press
    and supplant others; he bides his time, takes advantage of the follies, the improvidence,
    and vices of others, and makes his fortune out of the misfortunes of his fellow men. The
    bad man is rash, hasty, and unskillful. He is equally selfish, but not half so cunning.
    Selfishness is almost the only motive of human conduct with good and bad in free
    society, where every man is taught that he may change and better his condition. A vulgar
    adage, “Every man for himself, and devil take the hindmost,” is the moral which liberty
    and free competition inculcate. Now, there are no more honors and wealth in proportion
    to numbers, in this generation, than in the one which preceded it; population fully keeps
    pace with the means of subsistence; hence, those who better their condition or rise to
    higher places in society, do so generally by pulling down others or pushing them from

    their places. Where men of strong minds, of strong wills, and of great self-control, come
    into free competition with the weak and improvident, the latter soon become the inmates
    of jails and penitentiaries.

    The statistics of France, England and America show that pauperism and crime advance
    pari passu with liberty and equality. How can it be otherwise, when all society is
    combined to oppress the poor and weak minded? The rich man, however good he may be,
    employs the laborer who will work for the least wages. If he be a good man, his
    punctuality enables him to cheapen the wages of the poor man. The poor war with one
    another in the race of competition, in order to get employment, by underbidding; for
    laborers are more abundant than employers. Population increases faster than capital.
    Look to the situation of woman when she is thrown into this war of competition, and has
    to support herself by her daily wages. For the same or equally valuable services she gets
    not half the pay that man does, simply because the modesty of her sex prevents her from
    resorting to all the arts and means of competition which men employ. He who would
    emancipate woman, unless he could make her as coarse and strong in mind and body as
    man, would be her worst enemy; her subservience to and dependence on man, is
    necessary to her very existence. She is not a soldier fitted to enlist in the war of free
    competition. We do not set children and women free because they are not capable of
    taking care of themselves, not equal to the constant struggle of society. To set them free
    would be to give the lamb to the wolf to take care of. Society would quickly devour them.
    If the children of ten years of age were remitted to all the rights of person and property
    which men enjoy, all can perceive how soon ruin and penury would overtake them. But
    half of mankind are but grown-up children, and liberty is as fatal to them as it would be
    to children.

    We will cite another familiar instance to prove and illustrate the destructive effects of
    liberty or free competition. It is that where two races of men of different capacity are
    brought into juxtaposition. It is the boast of the Anglo-Saxon, that by the arts of peace
    under the influence of free trade he can march to universal conquest. However true this
    may be, all know that if Englishmen or Americans settle among inferior races, they soon
    become the owners of the soil, and gradually extirpate or reduce to poverty the original
    owners. They are the wire-grass of nations. The same law of nature which enables and
    impels the stronger race to oppress and exterminate the weaker, is constantly at work in
    the bosom of every society, between its stronger and weaker members. Liberty and
    equality rather encourage than restrict this law in its deadly operation. A Northern
    gentleman, who was both statesman and philosopher, once told us, that his only objection
    to domestic slavery was, that it would perpetuate an inferior race, who, under the
    influence of free trade and free competition would otherwise disappear from the earth.

    Domestic slavery in the Southern States has produced the same results in elevating the
    character of the master that it did in Greece and Rome. He is lofty and independent in his
    sentiments, generous, affectionate, brave and eloquent; he is superior to the Northerner,
    in every thing but the arts of thrift. …

    But the chief and far most important enquiry is, how does slavery affect the condition of
    the slave? One of the wildest sects of Communists in France proposes not only to hold all
    property in common, but to divide the profits not according to each man’s in-put and
    labor but according to each man’s wants. Now this is precisely the system of domestic
    slavery with us. We provide for each slave, in old age and in infancy, in sickness and in
    health, not according to his labor, but according to his wants. The master’s wants are
    most costly and refined, and he therefore gets a larger share of the profits. A Southern
    farm is the beau ideal of Communism; it is a joint concern, in which the slave consumes
    more than the master, of the coarse products, and is far happier, because although the
    concern may fail, he is always sure of a support; he is only transferred to another master
    to participate in the profits of another concern; he marries when he pleases, because he
    knows he will have to work no more with a family than without one, and whether he live
    or die, that family will be taken care of; he exhibits all the pride of ownership, despises a
    partner in a smaller concern, “a poor man’s negro,” boasts of “our crops, horses, fields
    and cattle;” and is as happy as a human being can be. And why should he not? – he
    enjoys as much of the fruits of the farm as he is capable of doing, and the wealthiest can
    do no more. Great wealth brings many additional cares, but few additional enjoyments.
    Our stomachs do not increase in capacity with our fortunes. We want no more clothing to
    keep us warm. We may create new wants, but we cannot create new pleasures. The
    intellectual enjoyments which wealth affords are probably balanced by the new cares it
    brings along with it.

    There is no rivalry, no competition to get employment among slaves, as among free
    laborers. Nor is there a war between master and slave. The master’s interest prevents his
    reducing the slave’s allowance or wages in infancy or sickness, for he might lose the
    slave by so doing. His feeling for his slave never permits him to stint him in old age. The
    slaves are all well fed, well clad, have plenty of fuel, and are happy. They have no dread
    of the future – no fear of want. A state of dependence is the only condition in which
    reciprocal affection can exist among human beings – the only situation in which the war
    of competition ceases, and peace, amity and good will arise. A state of independence
    always begets more or less of jealous rivalry and hostility. A man loves his children
    because they are weak, helpless and dependent; he loves his wife for similar reasons.
    When his children grow up and assert their independence, he is apt to transfer his
    affection to his grand-children. He ceases to love his wife when she becomes masculine
    or rebellious; but slaves are always dependent, never the rivals of their master. Hence,
    though men are often found at variance with wife or children, we never saw one who did
    not like his slaves, and rarely a slave who was not devoted to his master. “I am thy
    servant!” disarms me of the power of master. Every man feels the beauty, force and truth
    of this sentiment of Sterne. But he who acknowledges its truth, tacitly admits that
    dependence is a tie of affection, that the relation of master and slave is one of mutual
    good will. Volumes written on the subject would not prove as much as this single
    sentiment. It has found its way to the heart of every reader, and carried conviction along
    with it. The slave-holder is like other men; he will not tread on the worm nor break the
    bruised reed. The ready submission of the slave, nine times out of ten, disarms his wrath
    even when the slave has offended. The habit of command may make him imperious and
    fit him for rule; but he is only imperious when thwarted or crossed by his equals; he

    would scorn to put on airs of command among blacks, whether slaves or free; he always
    speaks to them in a kind and subdued tone. We go farther, and say the slave-holder is
    better than others – because he has greater occasion for the exercise of the affections. His
    whole life is spent in providing for the minutest wants of others, in taking care of them in
    sickness and in health. Hence he is the least selfish of men. Is not the old bachelor who
    retires to seclusion, always selfish? Is not the head of a large family almost always kind
    and benevolent? And is not the slave-holder the head of the largest family? Nature
    compels master and slave to be friends; nature makes employers and free laborers
    enemies.”

    **## george-fitzhugh_slavery-justified.pdf**

    George Fitzhugh, Slavery Justified (1854)

    Fitzhugh was the descendant of an old southern family that had fallen on hard times. He
    practiced law and struggled as a small planter, but he ultimately made a reputation
    through his writings, which roused southerners to take a new and higher ground in
    defense of slavery. Fitzhugh insisted that all labor, not merely black, had to be enslaved,
    and that the world must become either all slave or all free. These views had become
    commonplace in the South by the 1850s, but his originality lay in the insight that slavery
    could survive only if the capitalist world markets were destroyed. Such views greatly
    alarmed northerners like Abraham Lincoln. Significantly, Fitzhugh opposed secession,
    arguing that a slaveholding Confederacy could not survive until the advanced capitalist
    countries (Europe) had themselves converted to a slave system. Economically, according
    to Fitzhugh, slave labor could not compete with wage labor.

    Liberty and equality are new things under the sun. The free states of antiquity abounded
    with slaves. The feudal system that supplanted Roman institutions changed the form of
    slavery, but brought with it neither liberty nor equality. France and the Northern States of
    our Union have alone fully and fairly tried the experiment of a social organization
    founded upon universal liberty and equality of rights. England has only approximated to
    this condition in her commercial and manufacturing cities. The examples of small
    communities in Europe are not fit exponents of the working of the system. In France and
    in our Northern States the experiment has already failed, if we are to form our opinions
    from the discontent of the masses, or to believe the evidence of the Socialists,
    Communists, Anti-Renters, and a thousand other agrarian sects that have arisen in these
    countries, and threaten to subvert the whole social fabric. The leaders of these sects, at
    least in France, comprise within their ranks the greater number of the most cultivated and
    profound minds in the nation, who have made government their study. Add to the
    evidence of these social philosophers, who, watching closely the working of the system,
    have proclaimed to the world its total failure, the condition of the working classes, and
    we have conclusive proof that liberty and equality have not conduced to enhance the
    comfort or the happiness of the people. Crime and pauperism have increased. Riots,
    trades unions, strikes for higher wages, discontent breaking out into revolution, are things
    of daily occurrence, and show that the poor see and feel quite as clearly as the
    philosophers, that their condition is far worse under the new than under the old order of
    things. Radicalism and Chartism in England owe their birth to the free and equal
    institutions of her commercial and manufacturing districts, and are little heard of in the
    quiet farming districts, where remnants of feudalism sill exist in the relation of landlord
    and tenant, and in the laws of entail and primogeniture.

    So much for experiment. We will now endeavor to treat the subject theoretically, and to
    show that the system is on its face self-destructive and impracticable. When we look at
    the vegetable, animal and human kingdoms, we discover in them all a constant conflict,
    war, or race of competition, the result of which is, that the weaker or less healthy genera,
    species and individuals are continually displaced and exterminated by the stronger and

    more hardy. It is a means by which some contend Nature is perfecting her own work. We,
    however, witness the war, but do not see the improvement. Although from the earliest
    date of recorded history, one race of plants has been eating out and taking the place of
    another, the stronger or more cunning animals been destroying the feebler, and man
    exterminating and supplanting his fellow, still the plants, the animals and the men of to-
    day seem not at all superior, even in those qualities of strength and hardihood to which
    they owe their continued existence, to those of thousands of years ago. To this propensity
    of the strong to oppress and destroy the weak, government owes its existence. So strong
    is this propensity, and so destructive to human existence, that man has never yet been
    found so savage as to be without government. Forgetful of this important fact, which is
    the origin of all governments, the political economists and the advocates of liberty and
    equality propose to enhance the well being of man by trammeling his conduct as little as
    possible, and encouraging what they call FREE COMPETITION. Now, free competition
    is but another name for liberty and equality, and we must acquire precise and accurate
    notions about it in order to ascertain how free institutions will work. It is, then, the war or
    conflict to which Nature impels her creatures, and which government was intended to
    restrict. It is true, it is that war somewhat modified and restricted, for the warmest friends
    of freedom would have some government. The question is, whether the proposed
    restrictions are sufficient to neutralize the self-destructive tendencies which nature
    impresses on society. We proceed to show that the war of the wits, of mind with mind,
    which free competition or liberty and equality beget and encourage, is quite as
    oppressive, cruel and exterminating, as the war of the sword, of theft, robbery, and
    murder, which it forbids. It is only substituting strength of mind for strength of body.
    Men are told it is their duty to compete, to endeavor to get ahead of and supplant their
    fellow men, by the exercise of all the intellectual and moral strength with which nature
    and education have endowed them. “Might makes right,” is the order of creation, and this
    law of nature, so far as mental might is concerned, is restored by liberty to man. The
    struggle to better one’s condition, to pull others down or supplant them, is the great
    organic law of free society. All men being equal, all aspire to the highest honors and the
    largest possessions. Good men and bad men teach their children one and the same lesson
    – “Go ahead, push your way in the world.” In such society, virtue, if virtue there be, loses
    all her loveliness because of her selfish aims. None but the selfish virtues are encouraged,
    because none other aid a man in the race of free competition. Good men and bad men
    have the same end in view, are in pursuit of the same object – self-promotion, self-
    elevation. The good man is prudent, cautious, and cunning of fence; he knows well the
    arts (the virtues, if you please,) which will advance his fortunes and enable him to press
    and supplant others; he bides his time, takes advantage of the follies, the improvidence,
    and vices of others, and makes his fortune out of the misfortunes of his fellow men. The
    bad man is rash, hasty, and unskillful. He is equally selfish, but not half so cunning.
    Selfishness is almost the only motive of human conduct with good and bad in free
    society, where every man is taught that he may change and better his condition. A vulgar
    adage, “Every man for himself, and devil take the hindmost,” is the moral which liberty
    and free competition inculcate. Now, there are no more honors and wealth in proportion
    to numbers, in this generation, than in the one which preceded it; population fully keeps
    pace with the means of subsistence; hence, those who better their condition or rise to
    higher places in society, do so generally by pulling down others or pushing them from

    their places. Where men of strong minds, of strong wills, and of great self-control, come
    into free competition with the weak and improvident, the latter soon become the inmates
    of jails and penitentiaries.

    The statistics of France, England and America show that pauperism and crime advance
    pari passu with liberty and equality. How can it be otherwise, when all society is
    combined to oppress the poor and weak minded? The rich man, however good he may be,
    employs the laborer who will work for the least wages. If he be a good man, his
    punctuality enables him to cheapen the wages of the poor man. The poor war with one
    another in the race of competition, in order to get employment, by underbidding; for
    laborers are more abundant than employers. Population increases faster than capital.
    Look to the situation of woman when she is thrown into this war of competition, and has
    to support herself by her daily wages. For the same or equally valuable services she gets
    not half the pay that man does, simply because the modesty of her sex prevents her from
    resorting to all the arts and means of competition which men employ. He who would
    emancipate woman, unless he could make her as coarse and strong in mind and body as
    man, would be her worst enemy; her subservience to and dependence on man, is
    necessary to her very existence. She is not a soldier fitted to enlist in the war of free
    competition. We do not set children and women free because they are not capable of
    taking care of themselves, not equal to the constant struggle of society. To set them free
    would be to give the lamb to the wolf to take care of. Society would quickly devour them.
    If the children of ten years of age were remitted to all the rights of person and property
    which men enjoy, all can perceive how soon ruin and penury would overtake them. But
    half of mankind are but grown-up children, and liberty is as fatal to them as it would be
    to children.

    We will cite another familiar instance to prove and illustrate the destructive effects of
    liberty or free competition. It is that where two races of men of different capacity are
    brought into juxtaposition. It is the boast of the Anglo-Saxon, that by the arts of peace
    under the influence of free trade he can march to universal conquest. However true this
    may be, all know that if Englishmen or Americans settle among inferior races, they soon
    become the owners of the soil, and gradually extirpate or reduce to poverty the original
    owners. They are the wire-grass of nations. The same law of nature which enables and
    impels the stronger race to oppress and exterminate the weaker, is constantly at work in
    the bosom of every society, between its stronger and weaker members. Liberty and
    equality rather encourage than restrict this law in its deadly operation. A Northern
    gentleman, who was both statesman and philosopher, once told us, that his only objection
    to domestic slavery was, that it would perpetuate an inferior race, who, under the
    influence of free trade and free competition would otherwise disappear from the earth.

    Domestic slavery in the Southern States has produced the same results in elevating the
    character of the master that it did in Greece and Rome. He is lofty and independent in his
    sentiments, generous, affectionate, brave and eloquent; he is superior to the Northerner,
    in every thing but the arts of thrift. …

    But the chief and far most important enquiry is, how does slavery affect the condition of
    the slave? One of the wildest sects of Communists in France proposes not only to hold all
    property in common, but to divide the profits not according to each man’s in-put and
    labor but according to each man’s wants. Now this is precisely the system of domestic
    slavery with us. We provide for each slave, in old age and in infancy, in sickness and in
    health, not according to his labor, but according to his wants. The master’s wants are
    most costly and refined, and he therefore gets a larger share of the profits. A Southern
    farm is the beau ideal of Communism; it is a joint concern, in which the slave consumes
    more than the master, of the coarse products, and is far happier, because although the
    concern may fail, he is always sure of a support; he is only transferred to another master
    to participate in the profits of another concern; he marries when he pleases, because he
    knows he will have to work no more with a family than without one, and whether he live
    or die, that family will be taken care of; he exhibits all the pride of ownership, despises a
    partner in a smaller concern, “a poor man’s negro,” boasts of “our crops, horses, fields
    and cattle;” and is as happy as a human being can be. And why should he not? – he
    enjoys as much of the fruits of the farm as he is capable of doing, and the wealthiest can
    do no more. Great wealth brings many additional cares, but few additional enjoyments.
    Our stomachs do not increase in capacity with our fortunes. We want no more clothing to
    keep us warm. We may create new wants, but we cannot create new pleasures. The
    intellectual enjoyments which wealth affords are probably balanced by the new cares it
    brings along with it.

    There is no rivalry, no competition to get employment among slaves, as among free
    laborers. Nor is there a war between master and slave. The master’s interest prevents his
    reducing the slave’s allowance or wages in infancy or sickness, for he might lose the
    slave by so doing. His feeling for his slave never permits him to stint him in old age. The
    slaves are all well fed, well clad, have plenty of fuel, and are happy. They have no dread
    of the future – no fear of want. A state of dependence is the only condition in which
    reciprocal affection can exist among human beings – the only situation in which the war
    of competition ceases, and peace, amity and good will arise. A state of independence
    always begets more or less of jealous rivalry and hostility. A man loves his children
    because they are weak, helpless and dependent; he loves his wife for similar reasons.
    When his children grow up and assert their independence, he is apt to transfer his
    affection to his grand-children. He ceases to love his wife when she becomes masculine
    or rebellious; but slaves are always dependent, never the rivals of their master. Hence,
    though men are often found at variance with wife or children, we never saw one who did
    not like his slaves, and rarely a slave who was not devoted to his master. “I am thy
    servant!” disarms me of the power of master. Every man feels the beauty, force and truth
    of this sentiment of Sterne. But he who acknowledges its truth, tacitly admits that
    dependence is a tie of affection, that the relation of master and slave is one of mutual
    good will. Volumes written on the subject would not prove as much as this single
    sentiment. It has found its way to the heart of every reader, and carried conviction along
    with it. The slave-holder is like other men; he will not tread on the worm nor break the
    bruised reed. The ready submission of the slave, nine times out of ten, disarms his wrath
    even when the slave has offended. The habit of command may make him imperious and
    fit him for rule; but he is only imperious when thwarted or crossed by his equals; he

    would scorn to put on airs of command among blacks, whether slaves or free; he always
    speaks to them in a kind and subdued tone. We go farther, and say the slave-holder is
    better than others – because he has greater occasion for the exercise of the affections. His
    whole life is spent in providing for the minutest wants of others, in taking care of them in
    sickness and in health. Hence he is the least selfish of men. Is not the old bachelor who
    retires to seclusion, always selfish? Is not the head of a large family almost always kind
    and benevolent? And is not the slave-holder the head of the largest family? Nature
    compels master and slave to be friends; nature makes employers and free laborers
    enemies.”

    **## Option3.docx**

    Option 3: Fitzhugh Journal Assignment
    Part 1: Write 100 words on places where you agree with Fitzhugh.

    Part 2: Write 100 words on places where you disagree with Fitzhugh.
    Part 3: Write 100 words about how this essay made you feel.

    **## george-fitzhugh_slavery-justified.pdf**

    George Fitzhugh, Slavery Justified (1854)

    Fitzhugh was the descendant of an old southern family that had fallen on hard times. He
    practiced law and struggled as a small planter, but he ultimately made a reputation
    through his writings, which roused southerners to take a new and higher ground in
    defense of slavery. Fitzhugh insisted that all labor, not merely black, had to be enslaved,
    and that the world must become either all slave or all free. These views had become
    commonplace in the South by the 1850s, but his originality lay in the insight that slavery
    could survive only if the capitalist world markets were destroyed. Such views greatly
    alarmed northerners like Abraham Lincoln. Significantly, Fitzhugh opposed secession,
    arguing that a slaveholding Confederacy could not survive until the advanced capitalist
    countries (Europe) had themselves converted to a slave system. Economically, according
    to Fitzhugh, slave labor could not compete with wage labor.

    Liberty and equality are new things under the sun. The free states of antiquity abounded
    with slaves. The feudal system that supplanted Roman institutions changed the form of
    slavery, but brought with it neither liberty nor equality. France and the Northern States of
    our Union have alone fully and fairly tried the experiment of a social organization
    founded upon universal liberty and equality of rights. England has only approximated to
    this condition in her commercial and manufacturing cities. The examples of small
    communities in Europe are not fit exponents of the working of the system. In France and
    in our Northern States the experiment has already failed, if we are to form our opinions
    from the discontent of the masses, or to believe the evidence of the Socialists,
    Communists, Anti-Renters, and a thousand other agrarian sects that have arisen in these
    countries, and threaten to subvert the whole social fabric. The leaders of these sects, at
    least in France, comprise within their ranks the greater number of the most cultivated and
    profound minds in the nation, who have made government their study. Add to the
    evidence of these social philosophers, who, watching closely the working of the system,
    have proclaimed to the world its total failure, the condition of the working classes, and
    we have conclusive proof that liberty and equality have not conduced to enhance the
    comfort or the happiness of the people. Crime and pauperism have increased. Riots,
    trades unions, strikes for higher wages, discontent breaking out into revolution, are things
    of daily occurrence, and show that the poor see and feel quite as clearly as the
    philosophers, that their condition is far worse under the new than under the old order of
    things. Radicalism and Chartism in England owe their birth to the free and equal
    institutions of her commercial and manufacturing districts, and are little heard of in the
    quiet farming districts, where remnants of feudalism sill exist in the relation of landlord
    and tenant, and in the laws of entail and primogeniture.

    So much for experiment. We will now endeavor to treat the subject theoretically, and to
    show that the system is on its face self-destructive and impracticable. When we look at
    the vegetable, animal and human kingdoms, we discover in them all a constant conflict,
    war, or race of competition, the result of which is, that the weaker or less healthy genera,
    species and individuals are continually displaced and exterminated by the stronger and

    more hardy. It is a means by which some contend Nature is perfecting her own work. We,
    however, witness the war, but do not see the improvement. Although from the earliest
    date of recorded history, one race of plants has been eating out and taking the place of
    another, the stronger or more cunning animals been destroying the feebler, and man
    exterminating and supplanting his fellow, still the plants, the animals and the men of to-
    day seem not at all superior, even in those qualities of strength and hardihood to which
    they owe their continued existence, to those of thousands of years ago. To this propensity
    of the strong to oppress and destroy the weak, government owes its existence. So strong
    is this propensity, and so destructive to human existence, that man has never yet been
    found so savage as to be without government. Forgetful of this important fact, which is
    the origin of all governments, the political economists and the advocates of liberty and
    equality propose to enhance the well being of man by trammeling his conduct as little as
    possible, and encouraging what they call FREE COMPETITION. Now, free competition
    is but another name for liberty and equality, and we must acquire precise and accurate
    notions about it in order to ascertain how free institutions will work. It is, then, the war or
    conflict to which Nature impels her creatures, and which government was intended to
    restrict. It is true, it is that war somewhat modified and restricted, for the warmest friends
    of freedom would have some government. The question is, whether the proposed
    restrictions are sufficient to neutralize the self-destructive tendencies which nature
    impresses on society. We proceed to show that the war of the wits, of mind with mind,
    which free competition or liberty and equality beget and encourage, is quite as
    oppressive, cruel and exterminating, as the war of the sword, of theft, robbery, and
    murder, which it forbids. It is only substituting strength of mind for strength of body.
    Men are told it is their duty to compete, to endeavor to get ahead of and supplant their
    fellow men, by the exercise of all the intellectual and moral strength with which nature
    and education have endowed them. “Might makes right,” is the order of creation, and this
    law of nature, so far as mental might is concerned, is restored by liberty to man. The
    struggle to better one’s condition, to pull others down or supplant them, is the great
    organic law of free society. All men being equal, all aspire to the highest honors and the
    largest possessions. Good men and bad men teach their children one and the same lesson
    – “Go ahead, push your way in the world.” In such society, virtue, if virtue there be, loses
    all her loveliness because of her selfish aims. None but the selfish virtues are encouraged,
    because none other aid a man in the race of free competition. Good men and bad men
    have the same end in view, are in pursuit of the same object – self-promotion, self-
    elevation. The good man is prudent, cautious, and cunning of fence; he knows well the
    arts (the virtues, if you please,) which will advance his fortunes and enable him to press
    and supplant others; he bides his time, takes advantage of the follies, the improvidence,
    and vices of others, and makes his fortune out of the misfortunes of his fellow men. The
    bad man is rash, hasty, and unskillful. He is equally selfish, but not half so cunning.
    Selfishness is almost the only motive of human conduct with good and bad in free
    society, where every man is taught that he may change and better his condition. A vulgar
    adage, “Every man for himself, and devil take the hindmost,” is the moral which liberty
    and free competition inculcate. Now, there are no more honors and wealth in proportion
    to numbers, in this generation, than in the one which preceded it; population fully keeps
    pace with the means of subsistence; hence, those who better their condition or rise to
    higher places in society, do so generally by pulling down others or pushing them from

    their places. Where men of strong minds, of strong wills, and of great self-control, come
    into free competition with the weak and improvident, the latter soon become the inmates
    of jails and penitentiaries.

    The statistics of France, England and America show that pauperism and crime advance
    pari passu with liberty and equality. How can it be otherwise, when all society is
    combined to oppress the poor and weak minded? The rich man, however good he may be,
    employs the laborer who will work for the least wages. If he be a good man, his
    punctuality enables him to cheapen the wages of the poor man. The poor war with one
    another in the race of competition, in order to get employment, by underbidding; for
    laborers are more abundant than employers. Population increases faster than capital.
    Look to the situation of woman when she is thrown into this war of competition, and has
    to support herself by her daily wages. For the same or equally valuable services she gets
    not half the pay that man does, simply because the modesty of her sex prevents her from
    resorting to all the arts and means of competition which men employ. He who would
    emancipate woman, unless he could make her as coarse and strong in mind and body as
    man, would be her worst enemy; her subservience to and dependence on man, is
    necessary to her very existence. She is not a soldier fitted to enlist in the war of free
    competition. We do not set children and women free because they are not capable of
    taking care of themselves, not equal to the constant struggle of society. To set them free
    would be to give the lamb to the wolf to take care of. Society would quickly devour them.
    If the children of ten years of age were remitted to all the rights of person and property
    which men enjoy, all can perceive how soon ruin and penury would overtake them. But
    half of mankind are but grown-up children, and liberty is as fatal to them as it would be
    to children.

    We will cite another familiar instance to prove and illustrate the destructive effects of
    liberty or free competition. It is that where two races of men of different capacity are
    brought into juxtaposition. It is the boast of the Anglo-Saxon, that by the arts of peace
    under the influence of free trade he can march to universal conquest. However true this
    may be, all know that if Englishmen or Americans settle among inferior races, they soon
    become the owners of the soil, and gradually extirpate or reduce to poverty the original
    owners. They are the wire-grass of nations. The same law of nature which enables and
    impels the stronger race to oppress and exterminate the weaker, is constantly at work in
    the bosom of every society, between its stronger and weaker members. Liberty and
    equality rather encourage than restrict this law in its deadly operation. A Northern
    gentleman, who was both statesman and philosopher, once told us, that his only objection
    to domestic slavery was, that it would perpetuate an inferior race, who, under the
    influence of free trade and free competition would otherwise disappear from the earth.

    Domestic slavery in the Southern States has produced the same results in elevating the
    character of the master that it did in Greece and Rome. He is lofty and independent in his
    sentiments, generous, affectionate, brave and eloquent; he is superior to the Northerner,
    in every thing but the arts of thrift. …

    But the chief and far most important enquiry is, how does slavery affect the condition of
    the slave? One of the wildest sects of Communists in France proposes not only to hold all
    property in common, but to divide the profits not according to each man’s in-put and
    labor but according to each man’s wants. Now this is precisely the system of domestic
    slavery with us. We provide for each slave, in old age and in infancy, in sickness and in
    health, not according to his labor, but according to his wants. The master’s wants are
    most costly and refined, and he therefore gets a larger share of the profits. A Southern
    farm is the beau ideal of Communism; it is a joint concern, in which the slave consumes
    more than the master, of the coarse products, and is far happier, because although the
    concern may fail, he is always sure of a support; he is only transferred to another master
    to participate in the profits of another concern; he marries when he pleases, because he
    knows he will have to work no more with a family than without one, and whether he live
    or die, that family will be taken care of; he exhibits all the pride of ownership, despises a
    partner in a smaller concern, “a poor man’s negro,” boasts of “our crops, horses, fields
    and cattle;” and is as happy as a human being can be. And why should he not? – he
    enjoys as much of the fruits of the farm as he is capable of doing, and the wealthiest can
    do no more. Great wealth brings many additional cares, but few additional enjoyments.
    Our stomachs do not increase in capacity with our fortunes. We want no more clothing to
    keep us warm. We may create new wants, but we cannot create new pleasures. The
    intellectual enjoyments which wealth affords are probably balanced by the new cares it
    brings along with it.

    There is no rivalry, no competition to get employment among slaves, as among free
    laborers. Nor is there a war between master and slave. The master’s interest prevents his
    reducing the slave’s allowance or wages in infancy or sickness, for he might lose the
    slave by so doing. His feeling for his slave never permits him to stint him in old age. The
    slaves are all well fed, well clad, have plenty of fuel, and are happy. They have no dread
    of the future – no fear of want. A state of dependence is the only condition in which
    reciprocal affection can exist among human beings – the only situation in which the war
    of competition ceases, and peace, amity and good will arise. A state of independence
    always begets more or less of jealous rivalry and hostility. A man loves his children
    because they are weak, helpless and dependent; he loves his wife for similar reasons.
    When his children grow up and assert their independence, he is apt to transfer his
    affection to his grand-children. He ceases to love his wife when she becomes masculine
    or rebellious; but slaves are always dependent, never the rivals of their master. Hence,
    though men are often found at variance with wife or children, we never saw one who did
    not like his slaves, and rarely a slave who was not devoted to his master. “I am thy
    servant!” disarms me of the power of master. Every man feels the beauty, force and truth
    of this sentiment of Sterne. But he who acknowledges its truth, tacitly admits that
    dependence is a tie of affection, that the relation of master and slave is one of mutual
    good will. Volumes written on the subject would not prove as much as this single
    sentiment. It has found its way to the heart of every reader, and carried conviction along
    with it. The slave-holder is like other men; he will not tread on the worm nor break the
    bruised reed. The ready submission of the slave, nine times out of ten, disarms his wrath
    even when the slave has offended. The habit of command may make him imperious and
    fit him for rule; but he is only imperious when thwarted or crossed by his equals; he

    would scorn to put on airs of command among blacks, whether slaves or free; he always
    speaks to them in a kind and subdued tone. We go farther, and say the slave-holder is
    better than others – because he has greater occasion for the exercise of the affections. His
    whole life is spent in providing for the minutest wants of others, in taking care of them in
    sickness and in health. Hence he is the least selfish of men. Is not the old bachelor who
    retires to seclusion, always selfish? Is not the head of a large family almost always kind
    and benevolent? And is not the slave-holder the head of the largest family? Nature
    compels master and slave to be friends; nature makes employers and free laborers
    enemies.”

    **## Option3.docx**

    Option 3: Fitzhugh Journal Assignment
    Part 1: Write 100 words on places where you agree with Fitzhugh.

    Part 2: Write 100 words on places where you disagree with Fitzhugh.
    Part 3: Write 100 words about how this essay made you feel.

    **## george-fitzhugh_slavery-justified.pdf**

    George Fitzhugh, Slavery Justified (1854)

    Fitzhugh was the descendant of an old southern family that had fallen on hard times. He
    practiced law and struggled as a small planter, but he ultimately made a reputation
    through his writings, which roused southerners to take a new and higher ground in
    defense of slavery. Fitzhugh insisted that all labor, not merely black, had to be enslaved,
    and that the world must become either all slave or all free. These views had become
    commonplace in the South by the 1850s, but his originality lay in the insight that slavery
    could survive only if the capitalist world markets were destroyed. Such views greatly
    alarmed northerners like Abraham Lincoln. Significantly, Fitzhugh opposed secession,
    arguing that a slaveholding Confederacy could not survive until the advanced capitalist
    countries (Europe) had themselves converted to a slave system. Economically, according
    to Fitzhugh, slave labor could not compete with wage labor.

    Liberty and equality are new things under the sun. The free states of antiquity abounded
    with slaves. The feudal system that supplanted Roman institutions changed the form of
    slavery, but brought with it neither liberty nor equality. France and the Northern States of
    our Union have alone fully and fairly tried the experiment of a social organization
    founded upon universal liberty and equality of rights. England has only approximated to
    this condition in her commercial and manufacturing cities. The examples of small
    communities in Europe are not fit exponents of the working of the system. In France and
    in our Northern States the experiment has already failed, if we are to form our opinions
    from the discontent of the masses, or to believe the evidence of the Socialists,
    Communists, Anti-Renters, and a thousand other agrarian sects that have arisen in these
    countries, and threaten to subvert the whole social fabric. The leaders of these sects, at
    least in France, comprise within their ranks the greater number of the most cultivated and
    profound minds in the nation, who have made government their study. Add to the
    evidence of these social philosophers, who, watching closely the working of the system,
    have proclaimed to the world its total failure, the condition of the working classes, and
    we have conclusive proof that liberty and equality have not conduced to enhance the
    comfort or the happiness of the people. Crime and pauperism have increased. Riots,
    trades unions, strikes for higher wages, discontent breaking out into revolution, are things
    of daily occurrence, and show that the poor see and feel quite as clearly as the
    philosophers, that their condition is far worse under the new than under the old order of
    things. Radicalism and Chartism in England owe their birth to the free and equal
    institutions of her commercial and manufacturing districts, and are little heard of in the
    quiet farming districts, where remnants of feudalism sill exist in the relation of landlord
    and tenant, and in the laws of entail and primogeniture.

    So much for experiment. We will now endeavor to treat the subject theoretically, and to
    show that the system is on its face self-destructive and impracticable. When we look at
    the vegetable, animal and human kingdoms, we discover in them all a constant conflict,
    war, or race of competition, the result of which is, that the weaker or less healthy genera,
    species and individuals are continually displaced and exterminated by the stronger and

    more hardy. It is a means by which some contend Nature is perfecting her own work. We,
    however, witness the war, but do not see the improvement. Although from the earliest
    date of recorded history, one race of plants has been eating out and taking the place of
    another, the stronger or more cunning animals been destroying the feebler, and man
    exterminating and supplanting his fellow, still the plants, the animals and the men of to-
    day seem not at all superior, even in those qualities of strength and hardihood to which
    they owe their continued existence, to those of thousands of years ago. To this propensity
    of the strong to oppress and destroy the weak, government owes its existence. So strong
    is this propensity, and so destructive to human existence, that man has never yet been
    found so savage as to be without government. Forgetful of this important fact, which is
    the origin of all governments, the political economists and the advocates of liberty and
    equality propose to enhance the well being of man by trammeling his conduct as little as
    possible, and encouraging what they call FREE COMPETITION. Now, free competition
    is but another name for liberty and equality, and we must acquire precise and accurate
    notions about it in order to ascertain how free institutions will work. It is, then, the war or
    conflict to which Nature impels her creatures, and which government was intended to
    restrict. It is true, it is that war somewhat modified and restricted, for the warmest friends
    of freedom would have some government. The question is, whether the proposed
    restrictions are sufficient to neutralize the self-destructive tendencies which nature
    impresses on society. We proceed to show that the war of the wits, of mind with mind,
    which free competition or liberty and equality beget and encourage, is quite as
    oppressive, cruel and exterminating, as the war of the sword, of theft, robbery, and
    murder, which it forbids. It is only substituting strength of mind for strength of body.
    Men are told it is their duty to compete, to endeavor to get ahead of and supplant their
    fellow men, by the exercise of all the intellectual and moral strength with which nature
    and education have endowed them. “Might makes right,” is the order of creation, and this
    law of nature, so far as mental might is concerned, is restored by liberty to man. The
    struggle to better one’s condition, to pull others down or supplant them, is the great
    organic law of free society. All men being equal, all aspire to the highest honors and the
    largest possessions. Good men and bad men teach their children one and the same lesson
    – “Go ahead, push your way in the world.” In such society, virtue, if virtue there be, loses
    all her loveliness because of her selfish aims. None but the selfish virtues are encouraged,
    because none other aid a man in the race of free competition. Good men and bad men
    have the same end in view, are in pursuit of the same object – self-promotion, self-
    elevation. The good man is prudent, cautious, and cunning of fence; he knows well the
    arts (the virtues, if you please,) which will advance his fortunes and enable him to press
    and supplant others; he bides his time, takes advantage of the follies, the improvidence,
    and vices of others, and makes his fortune out of the misfortunes of his fellow men. The
    bad man is rash, hasty, and unskillful. He is equally selfish, but not half so cunning.
    Selfishness is almost the only motive of human conduct with good and bad in free
    society, where every man is taught that he may change and better his condition. A vulgar
    adage, “Every man for himself, and devil take the hindmost,” is the moral which liberty
    and free competition inculcate. Now, there are no more honors and wealth in proportion
    to numbers, in this generation, than in the one which preceded it; population fully keeps
    pace with the means of subsistence; hence, those who better their condition or rise to
    higher places in society, do so generally by pulling down others or pushing them from

    their places. Where men of strong minds, of strong wills, and of great self-control, come
    into free competition with the weak and improvident, the latter soon become the inmates
    of jails and penitentiaries.

    The statistics of France, England and America show that pauperism and crime advance
    pari passu with liberty and equality. How can it be otherwise, when all society is
    combined to oppress the poor and weak minded? The rich man, however good he may be,
    employs the laborer who will work for the least wages. If he be a good man, his
    punctuality enables him to cheapen the wages of the poor man. The poor war with one
    another in the race of competition, in order to get employment, by underbidding; for
    laborers are more abundant than employers. Population increases faster than capital.
    Look to the situation of woman when she is thrown into this war of competition, and has
    to support herself by her daily wages. For the same or equally valuable services she gets
    not half the pay that man does, simply because the modesty of her sex prevents her from
    resorting to all the arts and means of competition which men employ. He who would
    emancipate woman, unless he could make her as coarse and strong in mind and body as
    man, would be her worst enemy; her subservience to and dependence on man, is
    necessary to her very existence. She is not a soldier fitted to enlist in the war of free
    competition. We do not set children and women free because they are not capable of
    taking care of themselves, not equal to the constant struggle of society. To set them free
    would be to give the lamb to the wolf to take care of. Society would quickly devour them.
    If the children of ten years of age were remitted to all the rights of person and property
    which men enjoy, all can perceive how soon ruin and penury would overtake them. But
    half of mankind are but grown-up children, and liberty is as fatal to them as it would be
    to children.

    We will cite another familiar instance to prove and illustrate the destructive effects of
    liberty or free competition. It is that where two races of men of different capacity are
    brought into juxtaposition. It is the boast of the Anglo-Saxon, that by the arts of peace
    under the influence of free trade he can march to universal conquest. However true this
    may be, all know that if Englishmen or Americans settle among inferior races, they soon
    become the owners of the soil, and gradually extirpate or reduce to poverty the original
    owners. They are the wire-grass of nations. The same law of nature which enables and
    impels the stronger race to oppress and exterminate the weaker, is constantly at work in
    the bosom of every society, between its stronger and weaker members. Liberty and
    equality rather encourage than restrict this law in its deadly operation. A Northern
    gentleman, who was both statesman and philosopher, once told us, that his only objection
    to domestic slavery was, that it would perpetuate an inferior race, who, under the
    influence of free trade and free competition would otherwise disappear from the earth.

    Domestic slavery in the Southern States has produced the same results in elevating the
    character of the master that it did in Greece and Rome. He is lofty and independent in his
    sentiments, generous, affectionate, brave and eloquent; he is superior to the Northerner,
    in every thing but the arts of thrift. …

    But the chief and far most important enquiry is, how does slavery affect the condition of
    the slave? One of the wildest sects of Communists in France proposes not only to hold all
    property in common, but to divide the profits not according to each man’s in-put and
    labor but according to each man’s wants. Now this is precisely the system of domestic
    slavery with us. We provide for each slave, in old age and in infancy, in sickness and in
    health, not according to his labor, but according to his wants. The master’s wants are
    most costly and refined, and he therefore gets a larger share of the profits. A Southern
    farm is the beau ideal of Communism; it is a joint concern, in which the slave consumes
    more than the master, of the coarse products, and is far happier, because although the
    concern may fail, he is always sure of a support; he is only transferred to another master
    to participate in the profits of another concern; he marries when he pleases, because he
    knows he will have to work no more with a family than without one, and whether he live
    or die, that family will be taken care of; he exhibits all the pride of ownership, despises a
    partner in a smaller concern, “a poor man’s negro,” boasts of “our crops, horses, fields
    and cattle;” and is as happy as a human being can be. And why should he not? – he
    enjoys as much of the fruits of the farm as he is capable of doing, and the wealthiest can
    do no more. Great wealth brings many additional cares, but few additional enjoyments.
    Our stomachs do not increase in capacity with our fortunes. We want no more clothing to
    keep us warm. We may create new wants, but we cannot create new pleasures. The
    intellectual enjoyments which wealth affords are probably balanced by the new cares it
    brings along with it.

    There is no rivalry, no competition to get employment among slaves, as among free
    laborers. Nor is there a war between master and slave. The master’s interest prevents his
    reducing the slave’s allowance or wages in infancy or sickness, for he might lose the
    slave by so doing. His feeling for his slave never permits him to stint him in old age. The
    slaves are all well fed, well clad, have plenty of fuel, and are happy. They have no dread
    of the future – no fear of want. A state of dependence is the only condition in which
    reciprocal affection can exist among human beings – the only situation in which the war
    of competition ceases, and peace, amity and good will arise. A state of independence
    always begets more or less of jealous rivalry and hostility. A man loves his children
    because they are weak, helpless and dependent; he loves his wife for similar reasons.
    When his children grow up and assert their independence, he is apt to transfer his
    affection to his grand-children. He ceases to love his wife when she becomes masculine
    or rebellious; but slaves are always dependent, never the rivals of their master. Hence,
    though men are often found at variance with wife or children, we never saw one who did
    not like his slaves, and rarely a slave who was not devoted to his master. “I am thy
    servant!” disarms me of the power of master. Every man feels the beauty, force and truth
    of this sentiment of Sterne. But he who acknowledges its truth, tacitly admits that
    dependence is a tie of affection, that the relation of master and slave is one of mutual
    good will. Volumes written on the subject would not prove as much as this single
    sentiment. It has found its way to the heart of every reader, and carried conviction along
    with it. The slave-holder is like other men; he will not tread on the worm nor break the
    bruised reed. The ready submission of the slave, nine times out of ten, disarms his wrath
    even when the slave has offended. The habit of command may make him imperious and
    fit him for rule; but he is only imperious when thwarted or crossed by his equals; he

    would scorn to put on airs of command among blacks, whether slaves or free; he always
    speaks to them in a kind and subdued tone. We go farther, and say the slave-holder is
    better than others – because he has greater occasion for the exercise of the affections. His
    whole life is spent in providing for the minutest wants of others, in taking care of them in
    sickness and in health. Hence he is the least selfish of men. Is not the old bachelor who
    retires to seclusion, always selfish? Is not the head of a large family almost always kind
    and benevolent? And is not the slave-holder the head of the largest family? Nature
    compels master and slave to be friends; nature makes employers and free laborers
    enemies.”

    – 1
    – 2

  • [Solved] question

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    – ## AAAssn4.pdf **## AAAssn4.pdf** 2 Pages 1)How has art been viewed in Western culture? *Western Culture refers to The United States 2)How is art viewed in African culture? 3)What does the term “Aesthetics” mean and how do we apply it when looking at 4)African Art? Is there an African “aesthetic?…

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    – ## AAAssn4.pdf

    **## AAAssn4.pdf**

    2 Pages

    1)How has art been viewed in Western culture?

    *Western Culture refers to The United States

    2)How is art viewed in African culture?

    3)What does the term “Aesthetics” mean and how do we apply it when looking at 4)African
    Art? Is there an African “aesthetic?”

    5)Why is it important to study African Art?

    6)Why do you think traditional art history is only now beginning to consider African Art part
    of the art historical canon?

    *Western Culture refers to The United States

    Additionally – do not make the mistake of writing about Western Art as it relates to the old
    West of the United States –

    **## AAAssn4.pdf**

    2 Pages

    1)How has art been viewed in Western culture?

    *Western Culture refers to The United States

    2)How is art viewed in African culture?

    3)What does the term “Aesthetics” mean and how do we apply it when looking at 4)African
    Art? Is there an African “aesthetic?”

    5)Why is it important to study African Art?

    6)Why do you think traditional art history is only now beginning to consider African Art part
    of the art historical canon?

    *Western Culture refers to The United States

    Additionally – do not make the mistake of writing about Western Art as it relates to the old
    West of the United States –

  • [Solved] WHY DO GOOD BUDGETS GO BAD?

    ✓ Verified Academic Solution Available

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    – ## wk5fincVarianceDiscussionCase.pdf – ## wk5financeWHYDOGOODBUDGETSGOBAD.docx – ## wk5financerubric.docx – ## wk5financWhatIsBudgetVarianceAnalysis.docx – wk5financeEBSCO-FullText-09_20_2025.pdf – wk5financeNursingMadeIncrediblyEasy.docx **## wk5fincVarianceDiscussionCase.pdf** NURS 6211: Finan…

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    – ## wk5fincVarianceDiscussionCase.pdf

    – ## wk5financeWHYDOGOODBUDGETSGOBAD.docx

    – ## wk5financerubric.docx

    – ## wk5financWhatIsBudgetVarianceAnalysis.docx

    – wk5financeEBSCO-FullText-09_20_2025.pdf
    – wk5financeNursingMadeIncrediblyEasy.docx

    **## wk5fincVarianceDiscussionCase.pdf**

    NURS 6211: Finance and Economics in Healthcare Delivery

    Discussion: Why Do Good Budgets Go Bad?

    Budgeting and Variance Analysis

    Instructions:

    The following are budgeted and actual revenues and expenses for a hospital:

    Budgeted Actual

    Revenues

    Surgical Volume

    2,300 2,600

    Gift Shop Revenues

    $18,000 $19,000

    Surgery Revenues

    $589,500 $852,750

    Parking Revenues $17,000 $19,000

    Expenses

    Patients Days 26,000 25,000

    Pharmacy

    $119,000 $158,000

    Misc. Supplies

    $68,000 $795,600

    Fixed Overhead Costs $832,000 $890,000

    In preparation of your Discussion post submission, complete the following:

    1. Determine the total variance between the planned and actual budgets for

    Surgical Volume. Is the variance favorable or unfavorable?

    2. Determine the total variance between the planned and actual budgets for

    Patient Days. Is the variance favorable or unfavorable?

    3. Consider which variances are potentially due to change in volume and which

    variances are potentially due to change in rates or other factors.

    **## wk5financeWHYDOGOODBUDGETSGOBAD.docx**

    WHY DO GOOD BUDGETS GO BAD?

    ![A person sitting at a desk with a computer and papers AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/why-do-good-budgets-go-bad)

    In 1948, Harry Truman became President of the United States of America, winning an election against Thomas Dewey. The result of the election was a major surprise. It was considered such a forgone conclusion that Dewey would win that a Chicago newspaper printed the headline “DEWEY DEFEATS TRUMAN” before the election was over.

    The newspaper that printed this headline pursued a plan based on projected data. Once that plan was set into motion, there was no turning back. By the time it became obvious that the election would go differently than anticipated, it was too late to take corrective action.

    Organizations put a great deal of effort into their budget plans. Since budgets are based on projected data, sometimes the results go differently than anticipated. The result can be budget variances.

    For this Discussion, you consider what causes budget results that are different than planned results, and you explore approaches healthcare organizations use to take corrective action to ensure resources are available to maintain performance.

    RESOURCES

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/190151/modules/items/7927247)

    TO PREPARE

    · Review the information in this week’s Resources dealing with variance analysis, how it is calculated, and how it can be used in decision making, including the video Variance Analysis.

    · Use the Variance Discussion Case document, provided in the Resources, to calculate budget variances for the case presented.

    BY DAY 3 OF WEEK 5

    **Post** a description of your insight into the budget variances in the scenario. In your opinion, what can be done, in general, to manage budget variances? Propose some best practices and/or strategies for budget control, both in general and as to how it relates to your proposed healthcare product or service solution.

    ## image1.jpeg

    **## wk5financerubric.docx**

    **NURS_6211_Week5_Discussion_Rubric**

    | | | |
    | — | — | — |
    | NURS_6211_Week5_Discussion_Rubric |
    | **Criteria** | **Ratings** | **Pts** |
    | This criterion is linked to a Learning OutcomeMain Posting | **50 to >44.0 ptsExcellent** Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources. …Supported by at least three current, credible sources….Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.<br> <br>**44 to >39.0 ptsGood** Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module. …At least 75% of post has exceptional depth and breadth. …Supported by at least three credible sources….Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.<br> <br>**39 to >34.0 ptsFair** Responds to some of the discussion question(s). …One or two criteria are not addressed or are superficially addressed. …Is somewhat lacking reflection and critical analysis and synthesis. …Somewhat represents knowledge gained from the course readings for the module. …Post is cited with two credible sources….Written somewhat concisely; may contain more than two spelling or grammatical errors. …Contains some APA formatting errors.<br> <br>**34 to >0 ptsPoor** Does not respond to the discussion question(s) adequately….Lacks depth or superficially addresses criteria. …Lacks reflection and critical analysis and synthesis. …Does not represent knowledge gained from the course readings for the module. …Contains only one or no credible sources….Not written clearly or concisely. …Contains more than two spelling or grammatical errors. …Does not adhere to current APA manual writing rules and style. | 50 pts |
    | This criterion is linked to a Learning OutcomeMain Post: Timeliness | **10 to >0.0 ptsExcellent** Posts main post by day 3<br> <br>**0 ptsFair**<br>**0 ptsGood**<br>**0 ptsPoor** Does not post by day 3 | 10 pts |
    | This criterion is linked to a Learning OutcomeFirst Response | **18 to >16.0 ptsExcellent** Response exhibits synthesis, critical thinking, and application to practice settings. …Responds fully to questions posed by faculty. …Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. …Demonstrates synthesis and understanding of learning objectives….Communication is professional and respectful to colleagues. ….Responses to faculty questions are fully answered, if posed. …Response is effectively written in standard, edited English.<br> <br>**16 to >14.0 ptsGood** Response exhibits synthesis, critical thinking, and application to practice settings. …Responds fully to questions posed by faculty. …Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. …Demonstrates synthesis and understanding of learning objectives….Communication is professional and respectful to colleagues. ….Responses to faculty questions are fully answered, if posed. …Response is effectively written in standard, edited English.<br> <br>**14 to >12.0 ptsFair** Response is on topic and may have some depth….Responses posted in the discussion may lack effective professional communication. …Responses to faculty questions are somewhat answered, if posed. …Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.<br> <br>**12 to >0 ptsPoor** Response may not be on topic and lacks depth….Responses posted in the discussion lack effective professional communication. …Responses to faculty questions are missing. …No credible sources are cited. | 18 pts |
    | This criterion is linked to a Learning OutcomeSecond Response | **17 to >15.0 ptsExcellent** Response exhibits synthesis, critical thinking, and application to practice settings….Responds fully to questions posed by faculty. …Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. …Demonstrates synthesis and understanding of learning objectives….Communication is professional and respectful to colleagues. ….Responses to faculty questions are fully answered, if posed. …Response is effectively written in standard, edited English.<br> <br>**15 to >13.0 ptsGood** Response exhibits critical thinking and application to practice settings….Communication is professional and respectful to colleagues. …Responses to faculty questions are answered, if posed. …Provides clear, concise opinions and ideas that are supported by two or more credible sources. …Response is effectively written in standard, edited English.<br> <br>**13 to >11.0 ptsFair** Response is on topic and may have some depth….Responses posted in the discussion may lack effective professional communication. …Responses to faculty questions are somewhat answered, if posed. …. Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.<br> <br>**11 to >0 ptsPoor** Response may not be on topic and lacks depth….Responses posted in the discussion lack effective professional communication. …Responses to faculty questions are missing. …No credible sources are cited. | 17 pts |
    | This criterion is linked to a Learning OutcomeParticipation | **5 to >0.0 ptsExcellent** Meets requirements for participation by posting on three different days.<br> <br>**0 ptsFair**<br>**0 ptsGood**<br>**0 ptsPoor** Does not meet requirements for participation by posting on 3 different days | 5 pts |

    Total Points: 100

    **## wk5financWhatIsBudgetVarianceAnalysis.docx**

    **What Is Budget Variance Analysis?**

    By
    [Jim Woodruff](https://smallbusiness.chron.com/author/jim-woodruff/), Contributor

    **Error! Filename not specified.**

    Getty

    Every small business owner should have a budget that lays out the future course of the company's activities. A budget shows where the sales will come from and how the money will be spent, with the ultimate goal to produce a profit. While budgets are great for planning, they are also a valuable management tool to keep the business on track to meet its objective. The way to accomplish this goal is known as budget variance analysis.

    0:07

    /

    0:15

    Putting together a budget at the start of the year is a valuable exercise for any business. It gathers input from all the departments and gets everyone on the same page. A budget is an excellent form of communication that tells everyone where the company is going and how it intends to get there. As time passes and you start comparing actual results to the budgeted numbers, things get really interesting. This is where deviations, or variances, from the budget are identified, and you have to dig into the problem to find out why this happened.

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    **Calculation of Variances**

    Variances are like alarm bells, and they come in two types: favorable and unfavorable.

    For example, let's say the original budget for Hasty Rabbit Corporation's projected sales of blue sneakers would be $100,000 per month. After a few months into the year, the owner finds that blue sneaker sales are averaging $115,000 per month. That positive difference in sales of $15,000 per month and is a favorable variance. That's a good omen for the year.

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    Article continues below this ad

    Unfortunately, the owner also received a disturbing report about the material costs to make each pair of blue sneakers. The budget assumed that the materials cost per pair would be $8.25. However, the most recent report from manufacturing showed that material costs were actually $9.10 per pair, a difference of $0.85. That's an unfavorable variance, and definitely not a good sign.

    **Types of Variances**

    The cause of a variance can generally be traced to either of two types: changes in prices or quantities.

    The sales department of Hasty Rabbit reported that they had kept the prices the same but were able to sell more sneakers. In this case, the favorable variance of improved sales was due to an increase in the quantity sold.

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    Article continues below this ad

    However, manufacturing might be having a problem. The owner wanted to know why the material costs had gone up by $0.85. His production supervisor told him that an increase in the price of rubber was responsible. So, in this case, the unfavorable variance was supposedly due to an increase in the cost of materials. But the owner wasn't sure this was the complete source of the problem.

    **Cause of a Variance**

    The real value of a budget variance analysis is the investigation and determination of the cause of a variance. Digging into the "why" may reveal important opportunities or flaws in a company's operations. Here are several scenarios to consider:

    · Is the variance a long-term or short-term problem? If it's a problem expected to continue, then a more permanent solution may be needed.

    · Is it possible to increase prices to make up for an unfavorable cost variance?

    · Is the problem due to inefficiencies in the company's processes? In the case of the increase in manufacturing costs of blue sneakers for Hasty Rabbit, this could be the result of inefficiencies in production because of increased sales volume.

    · Have conditions changed? Economic conditions can affect consumer demand, and costs of operations can increase. For example, a jump in oil prices can increase delivery costs, which cannot be passed on to the customer.

    ADVERTISEMENT

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    **Taking Corrective Action**

    Once the owner has identified the type of variance and its cause, he can start to take corrective actions. If sales of blue sneakers are increasing, he might want to spend more on advertising to seize on this unexpected popularity.

    Unfavorable variances require more serious solutions. If a process has become inefficient, managers have to find ways to improve. It might be necessary to find substitute materials that are cheaper. New machines might be needed to replace obsolete equipment. The exercise of analyzing budget variances is an ongoing management function. Over time, identifying variances, determining the causes and taking corrective actions will lead to a healthier and more profitable business.

    **References**

    ·
    [Sacramento State: Flexible Budgets and Standard Costing Variance Analysis](https://www.csus.edu/indiv/p/pforsichh/documents/flexbudgetingvmohstandardcostingvideoslides_000.pdf)

    ·
    [Palm Beach State: Flexible Budgets and Performance Analysis](https://www.palmbeachstate.edu/forms/accounting/managerial/chapter_9.pdf)

    ·
    [University of North Florida: Budgetary Control](https://www.unf.edu/~dtanner/dtch/dt_ch42.htm)

    ·
    [Washington State University: Budget Analysis](https://apps.aoi.wsu.edu/onlineMedia/transcripts/acctg533_14_v(c122).pdf)

    [Jim Woodruff](https://smallbusiness.chron.com/author/jim-woodruff/)

    CONTRIBUTOR

    James Woodruff has been a management consultant to more than 1,000 small businesses. As a senior management consultant and owner, he used his technical expertise to conduct an analysis of a company's operational, financial and business management issues. James has been writing business and finance related topics for work.chron, bizfluent.com, smallbusiness.chron.com and e-commerce websites since 2007. He graduated from Georgia Tech with a Bachelor of Mechanical Engineering and received an MBA from Columbia University.

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    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/wk5financeebsco-fulltext-09-20-2025-pdf)

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    **## wk5fincVarianceDiscussionCase.pdf**

    NURS 6211: Finance and Economics in Healthcare Delivery

    Discussion: Why Do Good Budgets Go Bad?

    Budgeting and Variance Analysis

    Instructions:

    The following are budgeted and actual revenues and expenses for a hospital:

    Budgeted Actual

    Revenues

    Surgical Volume

    2,300 2,600

    Gift Shop Revenues

    $18,000 $19,000

    Surgery Revenues

    $589,500 $852,750

    Parking Revenues $17,000 $19,000

    Expenses

    Patients Days 26,000 25,000

    Pharmacy

    $119,000 $158,000

    Misc. Supplies

    $68,000 $795,600

    Fixed Overhead Costs $832,000 $890,000

    In preparation of your Discussion post submission, complete the following:

    1. Determine the total variance between the planned and actual budgets for

    Surgical Volume. Is the variance favorable or unfavorable?

    2. Determine the total variance between the planned and actual budgets for

    Patient Days. Is the variance favorable or unfavorable?

    3. Consider which variances are potentially due to change in volume and which

    variances are potentially due to change in rates or other factors.

    **## wk5financeWHYDOGOODBUDGETSGOBAD.docx**

    WHY DO GOOD BUDGETS GO BAD?

    ![A person sitting at a desk with a computer and papers AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/why-do-good-budgets-go-bad)

    In 1948, Harry Truman became President of the United States of America, winning an election against Thomas Dewey. The result of the election was a major surprise. It was considered such a forgone conclusion that Dewey would win that a Chicago newspaper printed the headline “DEWEY DEFEATS TRUMAN” before the election was over.

    The newspaper that printed this headline pursued a plan based on projected data. Once that plan was set into motion, there was no turning back. By the time it became obvious that the election would go differently than anticipated, it was too late to take corrective action.

    Organizations put a great deal of effort into their budget plans. Since budgets are based on projected data, sometimes the results go differently than anticipated. The result can be budget variances.

    For this Discussion, you consider what causes budget results that are different than planned results, and you explore approaches healthcare organizations use to take corrective action to ensure resources are available to maintain performance.

    RESOURCES

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/190151/modules/items/7927247)

    TO PREPARE

    · Review the information in this week’s Resources dealing with variance analysis, how it is calculated, and how it can be used in decision making, including the video Variance Analysis.

    · Use the Variance Discussion Case document, provided in the Resources, to calculate budget variances for the case presented.

    BY DAY 3 OF WEEK 5

    **Post** a description of your insight into the budget variances in the scenario. In your opinion, what can be done, in general, to manage budget variances? Propose some best practices and/or strategies for budget control, both in general and as to how it relates to your proposed healthcare product or service solution.

    ## image1.jpeg

    **## wk5financerubric.docx**

    **NURS_6211_Week5_Discussion_Rubric**

    | | | |
    | — | — | — |
    | NURS_6211_Week5_Discussion_Rubric |
    | **Criteria** | **Ratings** | **Pts** |
    | This criterion is linked to a Learning OutcomeMain Posting | **50 to >44.0 ptsExcellent** Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources. …Supported by at least three current, credible sources….Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.<br> <br>**44 to >39.0 ptsGood** Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module. …At least 75% of post has exceptional depth and breadth. …Supported by at least three credible sources….Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.<br> <br>**39 to >34.0 ptsFair** Responds to some of the discussion question(s). …One or two criteria are not addressed or are superficially addressed. …Is somewhat lacking reflection and critical analysis and synthesis. …Somewhat represents knowledge gained from the course readings for the module. …Post is cited with two credible sources….Written somewhat concisely; may contain more than two spelling or grammatical errors. …Contains some APA formatting errors.<br> <br>**34 to >0 ptsPoor** Does not respond to the discussion question(s) adequately….Lacks depth or superficially addresses criteria. …Lacks reflection and critical analysis and synthesis. …Does not represent knowledge gained from the course readings for the module. …Contains only one or no credible sources….Not written clearly or concisely. …Contains more than two spelling or grammatical errors. …Does not adhere to current APA manual writing rules and style. | 50 pts |
    | This criterion is linked to a Learning OutcomeMain Post: Timeliness | **10 to >0.0 ptsExcellent** Posts main post by day 3<br> <br>**0 ptsFair**<br>**0 ptsGood**<br>**0 ptsPoor** Does not post by day 3 | 10 pts |
    | This criterion is linked to a Learning OutcomeFirst Response | **18 to >16.0 ptsExcellent** Response exhibits synthesis, critical thinking, and application to practice settings. …Responds fully to questions posed by faculty. …Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. …Demonstrates synthesis and understanding of learning objectives….Communication is professional and respectful to colleagues. ….Responses to faculty questions are fully answered, if posed. …Response is effectively written in standard, edited English.<br> <br>**16 to >14.0 ptsGood** Response exhibits synthesis, critical thinking, and application to practice settings. …Responds fully to questions posed by faculty. …Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. …Demonstrates synthesis and understanding of learning objectives….Communication is professional and respectful to colleagues. ….Responses to faculty questions are fully answered, if posed. …Response is effectively written in standard, edited English.<br> <br>**14 to >12.0 ptsFair** Response is on topic and may have some depth….Responses posted in the discussion may lack effective professional communication. …Responses to faculty questions are somewhat answered, if posed. …Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.<br> <br>**12 to >0 ptsPoor** Response may not be on topic and lacks depth….Responses posted in the discussion lack effective professional communication. …Responses to faculty questions are missing. …No credible sources are cited. | 18 pts |
    | This criterion is linked to a Learning OutcomeSecond Response | **17 to >15.0 ptsExcellent** Response exhibits synthesis, critical thinking, and application to practice settings….Responds fully to questions posed by faculty. …Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. …Demonstrates synthesis and understanding of learning objectives….Communication is professional and respectful to colleagues. ….Responses to faculty questions are fully answered, if posed. …Response is effectively written in standard, edited English.<br> <br>**15 to >13.0 ptsGood** Response exhibits critical thinking and application to practice settings….Communication is professional and respectful to colleagues. …Responses to faculty questions are answered, if posed. …Provides clear, concise opinions and ideas that are supported by two or more credible sources. …Response is effectively written in standard, edited English.<br> <br>**13 to >11.0 ptsFair** Response is on topic and may have some depth….Responses posted in the discussion may lack effective professional communication. …Responses to faculty questions are somewhat answered, if posed. …. Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.<br> <br>**11 to >0 ptsPoor** Response may not be on topic and lacks depth….Responses posted in the discussion lack effective professional communication. …Responses to faculty questions are missing. …No credible sources are cited. | 17 pts |
    | This criterion is linked to a Learning OutcomeParticipation | **5 to >0.0 ptsExcellent** Meets requirements for participation by posting on three different days.<br> <br>**0 ptsFair**<br>**0 ptsGood**<br>**0 ptsPoor** Does not meet requirements for participation by posting on 3 different days | 5 pts |

    Total Points: 100

    **## wk5financWhatIsBudgetVarianceAnalysis.docx**

    **What Is Budget Variance Analysis?**

    By
    [Jim Woodruff](https://smallbusiness.chron.com/author/jim-woodruff/), Contributor

    **Error! Filename not specified.**

    Getty

    Every small business owner should have a budget that lays out the future course of the company's activities. A budget shows where the sales will come from and how the money will be spent, with the ultimate goal to produce a profit. While budgets are great for planning, they are also a valuable management tool to keep the business on track to meet its objective. The way to accomplish this goal is known as budget variance analysis.

    0:07

    /

    0:15

    Putting together a budget at the start of the year is a valuable exercise for any business. It gathers input from all the departments and gets everyone on the same page. A budget is an excellent form of communication that tells everyone where the company is going and how it intends to get there. As time passes and you start comparing actual results to the budgeted numbers, things get really interesting. This is where deviations, or variances, from the budget are identified, and you have to dig into the problem to find out why this happened.

    ADVERTISEMENT

    Article continues below this ad

    More For You

    [How to Calculate the Total Operating Costs & Breakeven Volume](https://smallbusiness.chron.com/calculate-total-operating-costs-breakeven-volume-63129.html)

    **Error! Filename not specified.**

    [How to Explain Variances in Monthly Financial Statements](https://smallbusiness.chron.com/explain-variances-monthly-financial-statements-31931.html)

    **Error! Filename not specified.**

    [How to Calculate the Cost of Sales](https://smallbusiness.chron.com/calculate-cost-sales-39871.html)

    **Error! Filename not specified.**

    [What Is an Operating Budget?](https://smallbusiness.chron.com/operating-budget-61475.html)

    **Error! Filename not specified.**

    [Price of Galvanized Steel vs. Stainless Steel](https://smallbusiness.chron.com/price-galvanized-steel-vs-stainless-steel-15433.html)

    **Error! Filename not specified.**

    **Calculation of Variances**

    Variances are like alarm bells, and they come in two types: favorable and unfavorable.

    For example, let's say the original budget for Hasty Rabbit Corporation's projected sales of blue sneakers would be $100,000 per month. After a few months into the year, the owner finds that blue sneaker sales are averaging $115,000 per month. That positive difference in sales of $15,000 per month and is a favorable variance. That's a good omen for the year.

    ADVERTISEMENT

    Article continues below this ad

    Unfortunately, the owner also received a disturbing report about the material costs to make each pair of blue sneakers. The budget assumed that the materials cost per pair would be $8.25. However, the most recent report from manufacturing showed that material costs were actually $9.10 per pair, a difference of $0.85. That's an unfavorable variance, and definitely not a good sign.

    **Types of Variances**

    The cause of a variance can generally be traced to either of two types: changes in prices or quantities.

    The sales department of Hasty Rabbit reported that they had kept the prices the same but were able to sell more sneakers. In this case, the favorable variance of improved sales was due to an increase in the quantity sold.

    ADVERTISEMENT

    Article continues below this ad

    However, manufacturing might be having a problem. The owner wanted to know why the material costs had gone up by $0.85. His production supervisor told him that an increase in the price of rubber was responsible. So, in this case, the unfavorable variance was supposedly due to an increase in the cost of materials. But the owner wasn't sure this was the complete source of the problem.

    **Cause of a Variance**

    The real value of a budget variance analysis is the investigation and determination of the cause of a variance. Digging into the "why" may reveal important opportunities or flaws in a company's operations. Here are several scenarios to consider:

    · Is the variance a long-term or short-term problem? If it's a problem expected to continue, then a more permanent solution may be needed.

    · Is it possible to increase prices to make up for an unfavorable cost variance?

    · Is the problem due to inefficiencies in the company's processes? In the case of the increase in manufacturing costs of blue sneakers for Hasty Rabbit, this could be the result of inefficiencies in production because of increased sales volume.

    · Have conditions changed? Economic conditions can affect consumer demand, and costs of operations can increase. For example, a jump in oil prices can increase delivery costs, which cannot be passed on to the customer.

    ADVERTISEMENT

    Article continues below this ad

    **Taking Corrective Action**

    Once the owner has identified the type of variance and its cause, he can start to take corrective actions. If sales of blue sneakers are increasing, he might want to spend more on advertising to seize on this unexpected popularity.

    Unfavorable variances require more serious solutions. If a process has become inefficient, managers have to find ways to improve. It might be necessary to find substitute materials that are cheaper. New machines might be needed to replace obsolete equipment. The exercise of analyzing budget variances is an ongoing management function. Over time, identifying variances, determining the causes and taking corrective actions will lead to a healthier and more profitable business.

    **References**

    ·
    [Sacramento State: Flexible Budgets and Standard Costing Variance Analysis](https://www.csus.edu/indiv/p/pforsichh/documents/flexbudgetingvmohstandardcostingvideoslides_000.pdf)

    ·
    [Palm Beach State: Flexible Budgets and Performance Analysis](https://www.palmbeachstate.edu/forms/accounting/managerial/chapter_9.pdf)

    ·
    [University of North Florida: Budgetary Control](https://www.unf.edu/~dtanner/dtch/dt_ch42.htm)

    ·
    [Washington State University: Budget Analysis](https://apps.aoi.wsu.edu/onlineMedia/transcripts/acctg533_14_v(c122).pdf)

    [Jim Woodruff](https://smallbusiness.chron.com/author/jim-woodruff/)

    CONTRIBUTOR

    James Woodruff has been a management consultant to more than 1,000 small businesses. As a senior management consultant and owner, he used his technical expertise to conduct an analysis of a company's operational, financial and business management issues. James has been writing business and finance related topics for work.chron, bizfluent.com, smallbusiness.chron.com and e-commerce websites since 2007. He graduated from Georgia Tech with a Bachelor of Mechanical Engineering and received an MBA from Columbia University.

    **Around The Web**

    ![Revcontent](https://www.sweetstudy.com/questions/why-do-good-budgets-go-bad)

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    **Amazon's Hottest Selling Hearing Aid is Back on Sale for $99**

    **Oricle Hearing**

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    **## wk5fincVarianceDiscussionCase.pdf**

    NURS 6211: Finance and Economics in Healthcare Delivery

    Discussion: Why Do Good Budgets Go Bad?

    Budgeting and Variance Analysis

    Instructions:

    The following are budgeted and actual revenues and expenses for a hospital:

    Budgeted Actual

    Revenues

    Surgical Volume

    2,300 2,600

    Gift Shop Revenues

    $18,000 $19,000

    Surgery Revenues

    $589,500 $852,750

    Parking Revenues $17,000 $19,000

    Expenses

    Patients Days 26,000 25,000

    Pharmacy

    $119,000 $158,000

    Misc. Supplies

    $68,000 $795,600

    Fixed Overhead Costs $832,000 $890,000

    In preparation of your Discussion post submission, complete the following:

    1. Determine the total variance between the planned and actual budgets for

    Surgical Volume. Is the variance favorable or unfavorable?

    2. Determine the total variance between the planned and actual budgets for

    Patient Days. Is the variance favorable or unfavorable?

    3. Consider which variances are potentially due to change in volume and which

    variances are potentially due to change in rates or other factors.

    **## wk5financeWHYDOGOODBUDGETSGOBAD.docx**

    WHY DO GOOD BUDGETS GO BAD?

    ![A person sitting at a desk with a computer and papers AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/why-do-good-budgets-go-bad)

    In 1948, Harry Truman became President of the United States of America, winning an election against Thomas Dewey. The result of the election was a major surprise. It was considered such a forgone conclusion that Dewey would win that a Chicago newspaper printed the headline “DEWEY DEFEATS TRUMAN” before the election was over.

    The newspaper that printed this headline pursued a plan based on projected data. Once that plan was set into motion, there was no turning back. By the time it became obvious that the election would go differently than anticipated, it was too late to take corrective action.

    Organizations put a great deal of effort into their budget plans. Since budgets are based on projected data, sometimes the results go differently than anticipated. The result can be budget variances.

    For this Discussion, you consider what causes budget results that are different than planned results, and you explore approaches healthcare organizations use to take corrective action to ensure resources are available to maintain performance.

    RESOURCES

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/190151/modules/items/7927247)

    TO PREPARE

    · Review the information in this week’s Resources dealing with variance analysis, how it is calculated, and how it can be used in decision making, including the video Variance Analysis.

    · Use the Variance Discussion Case document, provided in the Resources, to calculate budget variances for the case presented.

    BY DAY 3 OF WEEK 5

    **Post** a description of your insight into the budget variances in the scenario. In your opinion, what can be done, in general, to manage budget variances? Propose some best practices and/or strategies for budget control, both in general and as to how it relates to your proposed healthcare product or service solution.

    ## image1.jpeg

    **## wk5financerubric.docx**

    **NURS_6211_Week5_Discussion_Rubric**

    | | | |
    | — | — | — |
    | NURS_6211_Week5_Discussion_Rubric |
    | **Criteria** | **Ratings** | **Pts** |
    | This criterion is linked to a Learning OutcomeMain Posting | **50 to >44.0 ptsExcellent** Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources. …Supported by at least three current, credible sources….Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.<br> <br>**44 to >39.0 ptsGood** Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module. …At least 75% of post has exceptional depth and breadth. …Supported by at least three credible sources….Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.<br> <br>**39 to >34.0 ptsFair** Responds to some of the discussion question(s). …One or two criteria are not addressed or are superficially addressed. …Is somewhat lacking reflection and critical analysis and synthesis. …Somewhat represents knowledge gained from the course readings for the module. …Post is cited with two credible sources….Written somewhat concisely; may contain more than two spelling or grammatical errors. …Contains some APA formatting errors.<br> <br>**34 to >0 ptsPoor** Does not respond to the discussion question(s) adequately….Lacks depth or superficially addresses criteria. …Lacks reflection and critical analysis and synthesis. …Does not represent knowledge gained from the course readings for the module. …Contains only one or no credible sources….Not written clearly or concisely. …Contains more than two spelling or grammatical errors. …Does not adhere to current APA manual writing rules and style. | 50 pts |
    | This criterion is linked to a Learning OutcomeMain Post: Timeliness | **10 to >0.0 ptsExcellent** Posts main post by day 3<br> <br>**0 ptsFair**<br>**0 ptsGood**<br>**0 ptsPoor** Does not post by day 3 | 10 pts |
    | This criterion is linked to a Learning OutcomeFirst Response | **18 to >16.0 ptsExcellent** Response exhibits synthesis, critical thinking, and application to practice settings. …Responds fully to questions posed by faculty. …Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. …Demonstrates synthesis and understanding of learning objectives….Communication is professional and respectful to colleagues. ….Responses to faculty questions are fully answered, if posed. …Response is effectively written in standard, edited English.<br> <br>**16 to >14.0 ptsGood** Response exhibits synthesis, critical thinking, and application to practice settings. …Responds fully to questions posed by faculty. …Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. …Demonstrates synthesis and understanding of learning objectives….Communication is professional and respectful to colleagues. ….Responses to faculty questions are fully answered, if posed. …Response is effectively written in standard, edited English.<br> <br>**14 to >12.0 ptsFair** Response is on topic and may have some depth….Responses posted in the discussion may lack effective professional communication. …Responses to faculty questions are somewhat answered, if posed. …Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.<br> <br>**12 to >0 ptsPoor** Response may not be on topic and lacks depth….Responses posted in the discussion lack effective professional communication. …Responses to faculty questions are missing. …No credible sources are cited. | 18 pts |
    | This criterion is linked to a Learning OutcomeSecond Response | **17 to >15.0 ptsExcellent** Response exhibits synthesis, critical thinking, and application to practice settings….Responds fully to questions posed by faculty. …Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. …Demonstrates synthesis and understanding of learning objectives….Communication is professional and respectful to colleagues. ….Responses to faculty questions are fully answered, if posed. …Response is effectively written in standard, edited English.<br> <br>**15 to >13.0 ptsGood** Response exhibits critical thinking and application to practice settings….Communication is professional and respectful to colleagues. …Responses to faculty questions are answered, if posed. …Provides clear, concise opinions and ideas that are supported by two or more credible sources. …Response is effectively written in standard, edited English.<br> <br>**13 to >11.0 ptsFair** Response is on topic and may have some depth….Responses posted in the discussion may lack effective professional communication. …Responses to faculty questions are somewhat answered, if posed. …. Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.<br> <br>**11 to >0 ptsPoor** Response may not be on topic and lacks depth….Responses posted in the discussion lack effective professional communication. …Responses to faculty questions are missing. …No credible sources are cited. | 17 pts |
    | This criterion is linked to a Learning OutcomeParticipation | **5 to >0.0 ptsExcellent** Meets requirements for participation by posting on three different days.<br> <br>**0 ptsFair**<br>**0 ptsGood**<br>**0 ptsPoor** Does not meet requirements for participation by posting on 3 different days | 5 pts |

    Total Points: 100

    **## wk5financWhatIsBudgetVarianceAnalysis.docx**

    **What Is Budget Variance Analysis?**

    By
    [Jim Woodruff](https://smallbusiness.chron.com/author/jim-woodruff/), Contributor

    **Error! Filename not specified.**

    Getty

    Every small business owner should have a budget that lays out the future course of the company's activities. A budget shows where the sales will come from and how the money will be spent, with the ultimate goal to produce a profit. While budgets are great for planning, they are also a valuable management tool to keep the business on track to meet its objective. The way to accomplish this goal is known as budget variance analysis.

    0:07

    /

    0:15

    Putting together a budget at the start of the year is a valuable exercise for any business. It gathers input from all the departments and gets everyone on the same page. A budget is an excellent form of communication that tells everyone where the company is going and how it intends to get there. As time passes and you start comparing actual results to the budgeted numbers, things get really interesting. This is where deviations, or variances, from the budget are identified, and you have to dig into the problem to find out why this happened.

    ADVERTISEMENT

    Article continues below this ad

    More For You

    [How to Calculate the Total Operating Costs & Breakeven Volume](https://smallbusiness.chron.com/calculate-total-operating-costs-breakeven-volume-63129.html)

    **Error! Filename not specified.**

    [How to Explain Variances in Monthly Financial Statements](https://smallbusiness.chron.com/explain-variances-monthly-financial-statements-31931.html)

    **Error! Filename not specified.**

    [How to Calculate the Cost of Sales](https://smallbusiness.chron.com/calculate-cost-sales-39871.html)

    **Error! Filename not specified.**

    [What Is an Operating Budget?](https://smallbusiness.chron.com/operating-budget-61475.html)

    **Error! Filename not specified.**

    [Price of Galvanized Steel vs. Stainless Steel](https://smallbusiness.chron.com/price-galvanized-steel-vs-stainless-steel-15433.html)

    **Error! Filename not specified.**

    **Calculation of Variances**

    Variances are like alarm bells, and they come in two types: favorable and unfavorable.

    For example, let's say the original budget for Hasty Rabbit Corporation's projected sales of blue sneakers would be $100,000 per month. After a few months into the year, the owner finds that blue sneaker sales are averaging $115,000 per month. That positive difference in sales of $15,000 per month and is a favorable variance. That's a good omen for the year.

    ADVERTISEMENT

    Article continues below this ad

    Unfortunately, the owner also received a disturbing report about the material costs to make each pair of blue sneakers. The budget assumed that the materials cost per pair would be $8.25. However, the most recent report from manufacturing showed that material costs were actually $9.10 per pair, a difference of $0.85. That's an unfavorable variance, and definitely not a good sign.

    **Types of Variances**

    The cause of a variance can generally be traced to either of two types: changes in prices or quantities.

    The sales department of Hasty Rabbit reported that they had kept the prices the same but were able to sell more sneakers. In this case, the favorable variance of improved sales was due to an increase in the quantity sold.

    ADVERTISEMENT

    Article continues below this ad

    However, manufacturing might be having a problem. The owner wanted to know why the material costs had gone up by $0.85. His production supervisor told him that an increase in the price of rubber was responsible. So, in this case, the unfavorable variance was supposedly due to an increase in the cost of materials. But the owner wasn't sure this was the complete source of the problem.

    **Cause of a Variance**

    The real value of a budget variance analysis is the investigation and determination of the cause of a variance. Digging into the "why" may reveal important opportunities or flaws in a company's operations. Here are several scenarios to consider:

    · Is the variance a long-term or short-term problem? If it's a problem expected to continue, then a more permanent solution may be needed.

    · Is it possible to increase prices to make up for an unfavorable cost variance?

    · Is the problem due to inefficiencies in the company's processes? In the case of the increase in manufacturing costs of blue sneakers for Hasty Rabbit, this could be the result of inefficiencies in production because of increased sales volume.

    · Have conditions changed? Economic conditions can affect consumer demand, and costs of operations can increase. For example, a jump in oil prices can increase delivery costs, which cannot be passed on to the customer.

    ADVERTISEMENT

    Article continues below this ad

    **Taking Corrective Action**

    Once the owner has identified the type of variance and its cause, he can start to take corrective actions. If sales of blue sneakers are increasing, he might want to spend more on advertising to seize on this unexpected popularity.

    Unfavorable variances require more serious solutions. If a process has become inefficient, managers have to find ways to improve. It might be necessary to find substitute materials that are cheaper. New machines might be needed to replace obsolete equipment. The exercise of analyzing budget variances is an ongoing management function. Over time, identifying variances, determining the causes and taking corrective actions will lead to a healthier and more profitable business.

    **References**

    ·
    [Sacramento State: Flexible Budgets and Standard Costing Variance Analysis](https://www.csus.edu/indiv/p/pforsichh/documents/flexbudgetingvmohstandardcostingvideoslides_000.pdf)

    ·
    [Palm Beach State: Flexible Budgets and Performance Analysis](https://www.palmbeachstate.edu/forms/accounting/managerial/chapter_9.pdf)

    ·
    [University of North Florida: Budgetary Control](https://www.unf.edu/~dtanner/dtch/dt_ch42.htm)

    ·
    [Washington State University: Budget Analysis](https://apps.aoi.wsu.edu/onlineMedia/transcripts/acctg533_14_v(c122).pdf)

    [Jim Woodruff](https://smallbusiness.chron.com/author/jim-woodruff/)

    CONTRIBUTOR

    James Woodruff has been a management consultant to more than 1,000 small businesses. As a senior management consultant and owner, he used his technical expertise to conduct an analysis of a company's operational, financial and business management issues. James has been writing business and finance related topics for work.chron, bizfluent.com, smallbusiness.chron.com and e-commerce websites since 2007. He graduated from Georgia Tech with a Bachelor of Mechanical Engineering and received an MBA from Columbia University.

    **Around The Web**

    ![Revcontent](https://www.sweetstudy.com/questions/why-do-good-budgets-go-bad)

    **Hidden Cause Behind Early Dementia Finally Revealed**

    **Neurocept**

    **If You're Over 65, Try This Instead of Gutter Cleaning (It's Genius)**

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    **FootRenew**

    **Here's What New Gutter Guards Should Cost You in 2025**

    **LeafFilter Partner**

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    **BrainDefender**

    **You Can See People Wearing This 250th Anniversary Hat Everywhere**

    **Glosritystore**

    **Amazon's Hottest Selling Hearing Aid is Back on Sale for $99**

    **Oricle Hearing**

    **Brain Switch That Ends Tinnitus Naturally-Ignored by Medicine**

    **Brain Defender**

    **Anyone Considering Investing in Gold Should See This**

    **Protect My Savings**

    Return To Top

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    ## image1.png

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    – 1
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    1. Culture of Excellence 1. Explain the concept of a culture of excellence in healthcare. 2. Identify three specific organizational characteristics or practices that reflect a culture of excellence and briefly describe each characteristic or practice. 3. Discuss how a culture of excellence is signif…

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    1. Explain the concept of a culture of excellence in healthcare.
    2. Identify three specific organizational characteristics or practices that reflect a culture of excellence and briefly describe each characteristic or practice.
    3. Discuss how a culture of excellence is significant to your selected advanced nursing role in one or two sentences.
    4. Provide support from at least one scholarly source.
    2. Mission, Vision, and Values
    1. Describe the mission, vision, and values of a selected healthcare organization (note: the organization you choose must have all three elements: mission, vision, and values statements).
    2. Explain the interrelationships of the mission, vision, and values in one or two sentences.
    3. Describe how an organization’s mission, vision, values, and organizational structure contribute to organizational culture in one or sentences.
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    1. Describe how the advanced nurse leader can leverage the mission, vision, values, and organizational structure to create positive change in the organizational culture in one or two sentences.
    2. Identify two leadership strategies the advanced nurse leader can use to support a culture of excellence and briefly describe each strategy.
    3. Provide support from at least one scholarly source.

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    – ## templateRUAFUNDAMENTAL.pdf – ## RUASBARCOPD.docx **## templateRUAFUNDAMENTAL.pdf** NR226 Fundamentals – Patient Care RUA Template NR226_RUA _Template_Jul25 © 2024 Chamberlain University. All Rights Reserved. 1 Success note: Follow APA guidelines and include intext citations, a title page and…

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    – ## RUASBARCOPD.docx

    **## templateRUAFUNDAMENTAL.pdf**

    NR226 Fundamentals – Patient Care
    RUA Template

    NR226_RUA _Template_Jul25 © 2024 Chamberlain University. All Rights Reserved. 1

    Success note: Follow APA guidelines and include intext citations, a title page and a reference page. In the title page, include the title of the
    RUA, student name, name of school, number/name of course, instructor name and assignment due date. Please delete this success
    note when submitting.

    Introduction of Disease

    Age and reason for hospitalization (medical diagnosis):
    Nursing concept that is connected to reason for hospitalization:
    Brief review of underlying pathophysiology:

    Functional changes that can happen as part of the disorder.
    Complications that can happen as part of the disorder.
    Scholarly in text citation(s) to support information.

    Safety-Communication-Infection
    Control

    Communication elements:
    Safety concerns:
    Infection control practices:

    Assessment: Recognize/Identify
    cues

    Identified cues:

    • Cue 1

    • Cue 2
    • Cue 3
    • Cue 4

    • Psychosocial Cue

    NR226_RUA_Clinical_Judgment _Template_Jul25 © 2024 Chamberlain University. All Rights Reserve 2

    Nursing Diagnosis: Analyze Cues/
    Prioritize Hypothesis

    Cue/ area of concern that is high priority:
    Cue/ area of concern that is medium priority:
    Cue/ area of concern that focuses on psychosocial problem/need:
    Rationale for why these areas of concern/cues were chosen and prioritized as high, medium
    or psychosocial and how they connect to the client:

    Planning: Generating Solutions
    and

    Implementation: Taking Action

    Cue/area of concern that is high priority:
    S.M.A.R.T. goal:

    Rationale for goal:
    Client specific intervention:

    Cue/area of concern that is medium priority:

    S.M.A.R.T. goal:
    Rationale for goal:
    Client specific intervention:

    Cue/area of concern that is psychosocial:

    S.M.A.R.T. goal:
    Rationale for goal:
    Client specific intervention:

    Evaluation: Evaluating Outcomes

    Explain if goals were met or not:
    Supportive evidence:
    Changes needed to achieve goals in the future:

    NR226_RUA_Clinical_Judgment _Template_Jul25 © 2024 Chamberlain University. All Rights Reserve 3

    References

    **## RUASBARCOPD.docx**

    | | | | | | | |
    | — | — | — | — | — | — | — |
    | **I-SBAR** |
    | **I – Introduce Yourself** | **Your Name:** |
    | | **D#:** |
    | | **Your Title:** Nursing Student |
    | | **Reason for being there:** Clinical rotation, patient assessment |
    | **S – Situation** | **Patient:** M. R. | **Attending Physician:** Dr. Johnson, Pulmonology |
    | | **Age:** 67 years old | **Patient Chief Complaint/Primary Medical Diagnosis**<br>**and Clinical Significance:**<br>Admitted for acute exacerbation of COPD with increased dyspnea, productive cough with purulent sputum, and decreased exercise tolerance. Risk for respiratory failure, pneumonia and potential right heart failure (cor pulmonale). |
    | | **Gender/Identity**: Female | |
    | | **Height/Weight:** 5’4” (163cm) / 156 lbs. (70.8 kg) | |
    | | **Allergies :** Penicillin (rash), Codeine (nausea) | |
    | | **Code Status:** Full | |
    | | **Advance Directive (durable power of attorney,**<br>**living will, other) and Clinical Significance:**<br>DNR discussed but not implemented | **Pathophysiology of Primary Medical Diagnosis:**<br>COPD is a progressive, irreversible airway disease characterized by chronic inflammation, airway obstruction, and alveolar destruction. Leads to impaired gas exchange, increased work of breathing, ventilation-perfusion mismatch, and potential right heart failure (cor pulmonale). |
    | | **Privacy Code:** 7892 | |
    | | **Date of Care/Time:** 9/01/2025 – 0800 | |
    | **B – Background** | **Include clinical significance with each:** |
    | **A – Assessment** | **Vital Signs:** |
    | | **B/P** | **HR** | **RR** | **TEMP** | **SP02** | **PAIN** |
    | | 148/92 mmHg | 98 bpm | 28/min | 100.2°F (37.9°C) | 88% on 2L O2 | 3/10 chest tightness |
    | | | | | | | |
    | | **Fall Risk:** High (weakness, orthostatic hypotension, steroid-Induced muscle weakness) | **Accu-check:** 156 mg/dL |
    | | **IV Site:** 22g R forearm, patent, site clean/dry | **IV Fluids:** NS @ 75 mL/hr | **Lab/Test Results:**<br>**ABG:** pH 7.32, PCO₂ 58 mmHg (↑), PO₂ 62 mmHg (↓), HCO₃ 28 mEq/L (compensated respiratory acidosis)<br> <br>**CBC:** WBC 11.8 (↑), Hgb 16.2 g/dL (↑ secondary polycythemia), Hct 48% (↑)<br> <br>**BNP:** 450 pg/mL (↑, suggesting right heart strain)<br> <br>**Theophylline level:** 12 mcg/mL (therapeutic)<br> <br>**Sputum culture:** Pending |
    | **I and O** | **Intake** 1.2 L IV + 800 mL PO; Output 1400 mL urine in past 24 hr |
    | **Isolation** | **Isolation Precautions: Y** ☐<br>**N** ☒ | **Contact Air** ☐<br>**Droplet** ☐ |
    | **RESPIRATORY** | Diminished breath sounds bilaterally, expiratory wheeze throughout, use of accessory muscles, barrel chest, pursed-lip breathing, productive cough with thick yellow-green sputum |
    | **CARDIOVASCULAR** | Regular rhythm, distant heart sounds, peripheral edema 1+ bilateral ankles. JVD at 30 degrees, possible S3 gallop |
    | **NEUROLOGICAL** | Alert but anxious, oriented x3, reports feeling "air hungry," mild confusion episodes during night (CO₂ retention) |
    | **GI/GU** | Decreased appetite, reports early satiety, bowel sounds present, voiding without difficulty, concerned about weight loss over past months |
    | **INTEGUMENTARY** | Pale with slight cyanosis around lips and fingernails, skin intact, poor skin turgor suggesting mild dehydration, digital clubbing noted |
    | **PSYCHOLOGICAL FAMILY – SUPPORT** | Husband at bedside frequently, daughter visits daily. Patient expresses frustration with declining functional status and fear of "suffocating." Reports depression related to lifestyle limitations |
    | **SAFETY** | **Teaching needed:** Proper inhaler technique, energy conservation techniques, smoking cessation support (for husband who still smokes), oxygen safety, recognition of exacerbation symptoms, importance of medication compliance.<br> <br>Oxygen in use – fire safety precautions, call light within reach, bed low, non-slip socks, fall precautions in place |
    | **R – REQUEST/ RECOMMENDATION** | **Hand off report to:** Nursing Student | **From:** RN |

    **## RUASBARCOPD.docx**

    | | | | | | | |
    | — | — | — | — | — | — | — |
    | **I-SBAR** |
    | **I – Introduce Yourself** | **Your Name:** |
    | | **D#:** |
    | | **Your Title:** Nursing Student |
    | | **Reason for being there:** Clinical rotation, patient assessment |
    | **S – Situation** | **Patient:** M. R. | **Attending Physician:** Dr. Johnson, Pulmonology |
    | | **Age:** 67 years old | **Patient Chief Complaint/Primary Medical Diagnosis**<br>**and Clinical Significance:**<br>Admitted for acute exacerbation of COPD with increased dyspnea, productive cough with purulent sputum, and decreased exercise tolerance. Risk for respiratory failure, pneumonia and potential right heart failure (cor pulmonale). |
    | | **Gender/Identity**: Female | |
    | | **Height/Weight:** 5’4” (163cm) / 156 lbs. (70.8 kg) | |
    | | **Allergies :** Penicillin (rash), Codeine (nausea) | |
    | | **Code Status:** Full | |
    | | **Advance Directive (durable power of attorney,**<br>**living will, other) and Clinical Significance:**<br>DNR discussed but not implemented | **Pathophysiology of Primary Medical Diagnosis:**<br>COPD is a progressive, irreversible airway disease characterized by chronic inflammation, airway obstruction, and alveolar destruction. Leads to impaired gas exchange, increased work of breathing, ventilation-perfusion mismatch, and potential right heart failure (cor pulmonale). |
    | | **Privacy Code:** 7892 | |
    | | **Date of Care/Time:** 9/01/2025 – 0800 | |
    | **B – Background** | **Include clinical significance with each:** |
    | **A – Assessment** | **Vital Signs:** |
    | | **B/P** | **HR** | **RR** | **TEMP** | **SP02** | **PAIN** |
    | | 148/92 mmHg | 98 bpm | 28/min | 100.2°F (37.9°C) | 88% on 2L O2 | 3/10 chest tightness |
    | | | | | | | |
    | | **Fall Risk:** High (weakness, orthostatic hypotension, steroid-Induced muscle weakness) | **Accu-check:** 156 mg/dL |
    | | **IV Site:** 22g R forearm, patent, site clean/dry | **IV Fluids:** NS @ 75 mL/hr | **Lab/Test Results:**<br>**ABG:** pH 7.32, PCO₂ 58 mmHg (↑), PO₂ 62 mmHg (↓), HCO₃ 28 mEq/L (compensated respiratory acidosis)<br> <br>**CBC:** WBC 11.8 (↑), Hgb 16.2 g/dL (↑ secondary polycythemia), Hct 48% (↑)<br> <br>**BNP:** 450 pg/mL (↑, suggesting right heart strain)<br> <br>**Theophylline level:** 12 mcg/mL (therapeutic)<br> <br>**Sputum culture:** Pending |
    | **I and O** | **Intake** 1.2 L IV + 800 mL PO; Output 1400 mL urine in past 24 hr |
    | **Isolation** | **Isolation Precautions: Y** ☐<br>**N** ☒ | **Contact Air** ☐<br>**Droplet** ☐ |
    | **RESPIRATORY** | Diminished breath sounds bilaterally, expiratory wheeze throughout, use of accessory muscles, barrel chest, pursed-lip breathing, productive cough with thick yellow-green sputum |
    | **CARDIOVASCULAR** | Regular rhythm, distant heart sounds, peripheral edema 1+ bilateral ankles. JVD at 30 degrees, possible S3 gallop |
    | **NEUROLOGICAL** | Alert but anxious, oriented x3, reports feeling "air hungry," mild confusion episodes during night (CO₂ retention) |
    | **GI/GU** | Decreased appetite, reports early satiety, bowel sounds present, voiding without difficulty, concerned about weight loss over past months |
    | **INTEGUMENTARY** | Pale with slight cyanosis around lips and fingernails, skin intact, poor skin turgor suggesting mild dehydration, digital clubbing noted |
    | **PSYCHOLOGICAL FAMILY – SUPPORT** | Husband at bedside frequently, daughter visits daily. Patient expresses frustration with declining functional status and fear of "suffocating." Reports depression related to lifestyle limitations |
    | **SAFETY** | **Teaching needed:** Proper inhaler technique, energy conservation techniques, smoking cessation support (for husband who still smokes), oxygen safety, recognition of exacerbation symptoms, importance of medication compliance.<br> <br>Oxygen in use – fire safety precautions, call light within reach, bed low, non-slip socks, fall precautions in place |
    | **R – REQUEST/ RECOMMENDATION** | **Hand off report to:** Nursing Student | **From:** RN |

    **## templateRUAFUNDAMENTAL.pdf**

    NR226 Fundamentals – Patient Care
    RUA Template

    NR226_RUA _Template_Jul25 © 2024 Chamberlain University. All Rights Reserved. 1

    Success note: Follow APA guidelines and include intext citations, a title page and a reference page. In the title page, include the title of the
    RUA, student name, name of school, number/name of course, instructor name and assignment due date. Please delete this success
    note when submitting.

    Introduction of Disease

    Age and reason for hospitalization (medical diagnosis):
    Nursing concept that is connected to reason for hospitalization:
    Brief review of underlying pathophysiology:

    Functional changes that can happen as part of the disorder.
    Complications that can happen as part of the disorder.
    Scholarly in text citation(s) to support information.

    Safety-Communication-Infection
    Control

    Communication elements:
    Safety concerns:
    Infection control practices:

    Assessment: Recognize/Identify
    cues

    Identified cues:

    • Cue 1

    • Cue 2
    • Cue 3
    • Cue 4

    • Psychosocial Cue

    NR226_RUA_Clinical_Judgment _Template_Jul25 © 2024 Chamberlain University. All Rights Reserve 2

    Nursing Diagnosis: Analyze Cues/
    Prioritize Hypothesis

    Cue/ area of concern that is high priority:
    Cue/ area of concern that is medium priority:
    Cue/ area of concern that focuses on psychosocial problem/need:
    Rationale for why these areas of concern/cues were chosen and prioritized as high, medium
    or psychosocial and how they connect to the client:

    Planning: Generating Solutions
    and

    Implementation: Taking Action

    Cue/area of concern that is high priority:
    S.M.A.R.T. goal:

    Rationale for goal:
    Client specific intervention:

    Cue/area of concern that is medium priority:

    S.M.A.R.T. goal:
    Rationale for goal:
    Client specific intervention:

    Cue/area of concern that is psychosocial:

    S.M.A.R.T. goal:
    Rationale for goal:
    Client specific intervention:

    Evaluation: Evaluating Outcomes

    Explain if goals were met or not:
    Supportive evidence:
    Changes needed to achieve goals in the future:

    NR226_RUA_Clinical_Judgment _Template_Jul25 © 2024 Chamberlain University. All Rights Reserve 3

    References

    **## RUASBARCOPD.docx**

    | | | | | | | |
    | — | — | — | — | — | — | — |
    | **I-SBAR** |
    | **I – Introduce Yourself** | **Your Name:** |
    | | **D#:** |
    | | **Your Title:** Nursing Student |
    | | **Reason for being there:** Clinical rotation, patient assessment |
    | **S – Situation** | **Patient:** M. R. | **Attending Physician:** Dr. Johnson, Pulmonology |
    | | **Age:** 67 years old | **Patient Chief Complaint/Primary Medical Diagnosis**<br>**and Clinical Significance:**<br>Admitted for acute exacerbation of COPD with increased dyspnea, productive cough with purulent sputum, and decreased exercise tolerance. Risk for respiratory failure, pneumonia and potential right heart failure (cor pulmonale). |
    | | **Gender/Identity**: Female | |
    | | **Height/Weight:** 5’4” (163cm) / 156 lbs. (70.8 kg) | |
    | | **Allergies :** Penicillin (rash), Codeine (nausea) | |
    | | **Code Status:** Full | |
    | | **Advance Directive (durable power of attorney,**<br>**living will, other) and Clinical Significance:**<br>DNR discussed but not implemented | **Pathophysiology of Primary Medical Diagnosis:**<br>COPD is a progressive, irreversible airway disease characterized by chronic inflammation, airway obstruction, and alveolar destruction. Leads to impaired gas exchange, increased work of breathing, ventilation-perfusion mismatch, and potential right heart failure (cor pulmonale). |
    | | **Privacy Code:** 7892 | |
    | | **Date of Care/Time:** 9/01/2025 – 0800 | |
    | **B – Background** | **Include clinical significance with each:** |
    | **A – Assessment** | **Vital Signs:** |
    | | **B/P** | **HR** | **RR** | **TEMP** | **SP02** | **PAIN** |
    | | 148/92 mmHg | 98 bpm | 28/min | 100.2°F (37.9°C) | 88% on 2L O2 | 3/10 chest tightness |
    | | | | | | | |
    | | **Fall Risk:** High (weakness, orthostatic hypotension, steroid-Induced muscle weakness) | **Accu-check:** 156 mg/dL |
    | | **IV Site:** 22g R forearm, patent, site clean/dry | **IV Fluids:** NS @ 75 mL/hr | **Lab/Test Results:**<br>**ABG:** pH 7.32, PCO₂ 58 mmHg (↑), PO₂ 62 mmHg (↓), HCO₃ 28 mEq/L (compensated respiratory acidosis)<br> <br>**CBC:** WBC 11.8 (↑), Hgb 16.2 g/dL (↑ secondary polycythemia), Hct 48% (↑)<br> <br>**BNP:** 450 pg/mL (↑, suggesting right heart strain)<br> <br>**Theophylline level:** 12 mcg/mL (therapeutic)<br> <br>**Sputum culture:** Pending |
    | **I and O** | **Intake** 1.2 L IV + 800 mL PO; Output 1400 mL urine in past 24 hr |
    | **Isolation** | **Isolation Precautions: Y** ☐<br>**N** ☒ | **Contact Air** ☐<br>**Droplet** ☐ |
    | **RESPIRATORY** | Diminished breath sounds bilaterally, expiratory wheeze throughout, use of accessory muscles, barrel chest, pursed-lip breathing, productive cough with thick yellow-green sputum |
    | **CARDIOVASCULAR** | Regular rhythm, distant heart sounds, peripheral edema 1+ bilateral ankles. JVD at 30 degrees, possible S3 gallop |
    | **NEUROLOGICAL** | Alert but anxious, oriented x3, reports feeling "air hungry," mild confusion episodes during night (CO₂ retention) |
    | **GI/GU** | Decreased appetite, reports early satiety, bowel sounds present, voiding without difficulty, concerned about weight loss over past months |
    | **INTEGUMENTARY** | Pale with slight cyanosis around lips and fingernails, skin intact, poor skin turgor suggesting mild dehydration, digital clubbing noted |
    | **PSYCHOLOGICAL FAMILY – SUPPORT** | Husband at bedside frequently, daughter visits daily. Patient expresses frustration with declining functional status and fear of "suffocating." Reports depression related to lifestyle limitations |
    | **SAFETY** | **Teaching needed:** Proper inhaler technique, energy conservation techniques, smoking cessation support (for husband who still smokes), oxygen safety, recognition of exacerbation symptoms, importance of medication compliance.<br> <br>Oxygen in use – fire safety precautions, call light within reach, bed low, non-slip socks, fall precautions in place |
    | **R – REQUEST/ RECOMMENDATION** | **Hand off report to:** Nursing Student | **From:** RN |

    **## templateRUAFUNDAMENTAL.pdf**

    NR226 Fundamentals – Patient Care
    RUA Template

    NR226_RUA _Template_Jul25 © 2024 Chamberlain University. All Rights Reserved. 1

    Success note: Follow APA guidelines and include intext citations, a title page and a reference page. In the title page, include the title of the
    RUA, student name, name of school, number/name of course, instructor name and assignment due date. Please delete this success
    note when submitting.

    Introduction of Disease

    Age and reason for hospitalization (medical diagnosis):
    Nursing concept that is connected to reason for hospitalization:
    Brief review of underlying pathophysiology:

    Functional changes that can happen as part of the disorder.
    Complications that can happen as part of the disorder.
    Scholarly in text citation(s) to support information.

    Safety-Communication-Infection
    Control

    Communication elements:
    Safety concerns:
    Infection control practices:

    Assessment: Recognize/Identify
    cues

    Identified cues:

    • Cue 1

    • Cue 2
    • Cue 3
    • Cue 4

    • Psychosocial Cue

    NR226_RUA_Clinical_Judgment _Template_Jul25 © 2024 Chamberlain University. All Rights Reserve 2

    Nursing Diagnosis: Analyze Cues/
    Prioritize Hypothesis

    Cue/ area of concern that is high priority:
    Cue/ area of concern that is medium priority:
    Cue/ area of concern that focuses on psychosocial problem/need:
    Rationale for why these areas of concern/cues were chosen and prioritized as high, medium
    or psychosocial and how they connect to the client:

    Planning: Generating Solutions
    and

    Implementation: Taking Action

    Cue/area of concern that is high priority:
    S.M.A.R.T. goal:

    Rationale for goal:
    Client specific intervention:

    Cue/area of concern that is medium priority:

    S.M.A.R.T. goal:
    Rationale for goal:
    Client specific intervention:

    Cue/area of concern that is psychosocial:

    S.M.A.R.T. goal:
    Rationale for goal:
    Client specific intervention:

    Evaluation: Evaluating Outcomes

    Explain if goals were met or not:
    Supportive evidence:
    Changes needed to achieve goals in the future:

    NR226_RUA_Clinical_Judgment _Template_Jul25 © 2024 Chamberlain University. All Rights Reserve 3

    References

    **## RUASBARCOPD.docx**

    | | | | | | | |
    | — | — | — | — | — | — | — |
    | **I-SBAR** |
    | **I – Introduce Yourself** | **Your Name:** |
    | | **D#:** |
    | | **Your Title:** Nursing Student |
    | | **Reason for being there:** Clinical rotation, patient assessment |
    | **S – Situation** | **Patient:** M. R. | **Attending Physician:** Dr. Johnson, Pulmonology |
    | | **Age:** 67 years old | **Patient Chief Complaint/Primary Medical Diagnosis**<br>**and Clinical Significance:**<br>Admitted for acute exacerbation of COPD with increased dyspnea, productive cough with purulent sputum, and decreased exercise tolerance. Risk for respiratory failure, pneumonia and potential right heart failure (cor pulmonale). |
    | | **Gender/Identity**: Female | |
    | | **Height/Weight:** 5’4” (163cm) / 156 lbs. (70.8 kg) | |
    | | **Allergies :** Penicillin (rash), Codeine (nausea) | |
    | | **Code Status:** Full | |
    | | **Advance Directive (durable power of attorney,**<br>**living will, other) and Clinical Significance:**<br>DNR discussed but not implemented | **Pathophysiology of Primary Medical Diagnosis:**<br>COPD is a progressive, irreversible airway disease characterized by chronic inflammation, airway obstruction, and alveolar destruction. Leads to impaired gas exchange, increased work of breathing, ventilation-perfusion mismatch, and potential right heart failure (cor pulmonale). |
    | | **Privacy Code:** 7892 | |
    | | **Date of Care/Time:** 9/01/2025 – 0800 | |
    | **B – Background** | **Include clinical significance with each:** |
    | **A – Assessment** | **Vital Signs:** |
    | | **B/P** | **HR** | **RR** | **TEMP** | **SP02** | **PAIN** |
    | | 148/92 mmHg | 98 bpm | 28/min | 100.2°F (37.9°C) | 88% on 2L O2 | 3/10 chest tightness |
    | | | | | | | |
    | | **Fall Risk:** High (weakness, orthostatic hypotension, steroid-Induced muscle weakness) | **Accu-check:** 156 mg/dL |
    | | **IV Site:** 22g R forearm, patent, site clean/dry | **IV Fluids:** NS @ 75 mL/hr | **Lab/Test Results:**<br>**ABG:** pH 7.32, PCO₂ 58 mmHg (↑), PO₂ 62 mmHg (↓), HCO₃ 28 mEq/L (compensated respiratory acidosis)<br> <br>**CBC:** WBC 11.8 (↑), Hgb 16.2 g/dL (↑ secondary polycythemia), Hct 48% (↑)<br> <br>**BNP:** 450 pg/mL (↑, suggesting right heart strain)<br> <br>**Theophylline level:** 12 mcg/mL (therapeutic)<br> <br>**Sputum culture:** Pending |
    | **I and O** | **Intake** 1.2 L IV + 800 mL PO; Output 1400 mL urine in past 24 hr |
    | **Isolation** | **Isolation Precautions: Y** ☐<br>**N** ☒ | **Contact Air** ☐<br>**Droplet** ☐ |
    | **RESPIRATORY** | Diminished breath sounds bilaterally, expiratory wheeze throughout, use of accessory muscles, barrel chest, pursed-lip breathing, productive cough with thick yellow-green sputum |
    | **CARDIOVASCULAR** | Regular rhythm, distant heart sounds, peripheral edema 1+ bilateral ankles. JVD at 30 degrees, possible S3 gallop |
    | **NEUROLOGICAL** | Alert but anxious, oriented x3, reports feeling "air hungry," mild confusion episodes during night (CO₂ retention) |
    | **GI/GU** | Decreased appetite, reports early satiety, bowel sounds present, voiding without difficulty, concerned about weight loss over past months |
    | **INTEGUMENTARY** | Pale with slight cyanosis around lips and fingernails, skin intact, poor skin turgor suggesting mild dehydration, digital clubbing noted |
    | **PSYCHOLOGICAL FAMILY – SUPPORT** | Husband at bedside frequently, daughter visits daily. Patient expresses frustration with declining functional status and fear of "suffocating." Reports depression related to lifestyle limitations |
    | **SAFETY** | **Teaching needed:** Proper inhaler technique, energy conservation techniques, smoking cessation support (for husband who still smokes), oxygen safety, recognition of exacerbation symptoms, importance of medication compliance.<br> <br>Oxygen in use – fire safety precautions, call light within reach, bed low, non-slip socks, fall precautions in place |
    | **R – REQUEST/ RECOMMENDATION** | **Hand off report to:** Nursing Student | **From:** RN |

    – 1
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