National Health Promotion Policy Impact

National Health Promotion Policy Impact Critically analyse the impact of the National Health Promotion Strategy 2000-2005 in the context of overall health provision and the relevance to Public Health Nursing Introduction The National Health Promotion Strategy addresses a new orientation towards illness prevention and reduction of use of secondary and tertiary care services. Its key focus on aspects of community, health and the individual, and the intersections between these disparate elements, is suggestive of a great capacity for improvement in key areas of health. This essay will look at this in relation to health provision and Public Health Nursing in Ireland. Lifestyle Choices and Health, Population Approach and Major Determinants of Health The strategy considers the particular lifestyle factors and choices which appear to affect health in the Irish population, and examines key sectors and sub-groups of the population in relation to particular health needs. This is nothing new, and nursing in the community setting, in primary care and in longer term tertiary care has long incorporated specialist provision for specific health-needs population groups (Watkins et al, 2003). However, health promotion at local and population levels may be focusing on a means of changing public opinion as well as personal choices, and there may be considerable resistance. Research might be needed into identifying where the greatest resistance is and in developing strategies specifically to overcome this. Determinants of health remain related to issues such as socio-economic status and location, access to health services, level of education, and the like. These are wider public-health related issues, and ones which require longer term strategic changes and longer term investment of resources. However, it might be that targeting the settings described below may contribute to this. The policy/practice interface may change with time, with emergent social forces and changes in the economic climate, and so it may be important to build in a degree of flexibility and scope for growth. Community organisations may play a key role here, but again, the funding of these is still indeterminate and poses questions for longer term sustainability. Settings Bringing health promotion into a range of community settings in a more proactive way seems a very positive step forward. Public health as a concept is very much about every sector of the community (Cowley, 1995), and public health programmes are historically very much concerned with areas of greatest need (Ewles, 2005). However, the strategy would need to overcome the professional/cultural hegemonies of different settings, and set out ways in which inter-professional and inter-agency communications and collaborations can be fostered. Breaking down the barriers between health services, community settings, organisations and agencies may be challenging. An incorporation of primary care principles and models (Starfield, 1995), into other settings might be particularly challenging. There may be a real need to identify expertise in relation to professional knowledge of the identified settings and to use this expertise, as a means of delivering the strategy and as a means of educating a wid er range of professionals to meet identified needs. This could form part of the community health needs assessment, a mapping of existing resources and expertise against needs, and might perhaps form a more realistic component of the implementation of the strategy. However, this would have to be carried out on an individual level as well, which could in itself pose a significant resource question, in relation to who will go and collect the information about individual employee/professional expertise and capability available in each location, setting or district. The coordination of such a comprehensive garnering of existing resources presents yet another challenge. Challenges and Strengths While the strategy has a strong community focus, medical models still dominate much of the rhetoric. Medical models and community-focused health promotion do not necessarily sit well together (Carr, 2007). The issue of resources is also challenging, because while it will contribute to developing a skilled and responsive workforce, this itself must be resourced, as well as changes and expansions in service provision. Topics The topics focused on are unsurprising, and are key areas of health promotion need across the developed world. All of these are public health concerns for the general population, but although there is reference to mental health, there is not enough of a focus here on wellbeing and what constitutes wellbeing for different sectors of the community, social, racial, cultural or other. Similarly, it is important to look at the intersections between the different topics, such as education and eating, socio-economic factors and healthy eating or lifestyles, and the like. This constitutes a major need for investigation and evaluation as an ongoing component of the plan, drawing on academic resources as well as healthcare service resources. Public Health Nursing The role of the public health nurse in Ireland is that which is most suited to deliver on all the above key areas of the strategy (Chavasse, 1995). However, the limitations of current systems might mean that public health nurses are being asked to be jack of all trades, and master of none. There may be a need to specialise in order to meet the needs of specific population sub-groups (Poulton et al, 2006; Barlow et al, 2007; Foxcroft et al, 2004). Public Health Nursing may provide a model of healthcare provision which can be used to develop services in line with the Strategy (Clarke, 2004; Markham and Carney, 2007), and contribute to the development of community health profiles, but extra resources will be required to ensure they can do this as well as carrying out their patient-facing role (Clarke, 2004; Cowley, 1995). Public Health Nurses can also provide a means of disseminating good practice, service innovation, change and innovation. However, the considerable demands would sugges t there is a need to examine the current models of provision and supervision of these key members of staff. Conclusion Acheson (1988) defines public health as a community endeavour, the art and science of preventing disease, promoting health and extending life through the organised efforts of society. This is a very laudable sentiment, but it still remains to be seen if the priorities of those in power, in society, those who define policy, are able to meet the needs of all those who constitute that society, without prejudice, or inequality. The history of health services would suggest otherwise. References Acheson, D. (1988) Committee of Inquiry into the future Development of the Public Health function. HMSO, London. Acheson, D. (1988) Independent Inquiry into Inequalities in health. The Stationery Office, London. Barlow, J., Davis, H., McIntosh, E. et al (2007) Role of home visiting in improving parenting and health in families at risk of abuse and neglect: results of a multicentre randomised controlled trial and economic evaluation Archives of Disease in Childhood 92 229-233. Carr, S.M. (2007) Leading change in public health – factors that inhibit and facilitate energizing the process Primary Health Care Research Development (2007), 8 : 207-215 Cambridge University Press Chavasse, J. (1995) Public Health Nursing in the Republic of Ireland. Nursing Review 14 (1) 4-8. Clarke, J. (2004) Public Health Nursing in Ireland: A Critical Overview *. Public Health Nursing. 21(2):191-198, Cowley, S. (1995) Health-as-process: a health visiting perspective. Journal of Advanced Nursing. 22: 433-441. Department of Health and Children (2001) Primary Care: a New Direction. Available from: http://www.dohc.ie/publications/pdf/primcare.pdf?direct=1 Accessed 10-11-08. Department of Health and Children (2005) National Health Promotion Strategy 2000-2005 Dept. of Health Available from www.dohc.ie Accessed 17-11-08. Ewles, L. (2005). Key Topics in Public Health. London. Churchill Livingstone. Foxcroft, D.R., Ireland, d., Lister-Sharp, D.J. et al (2003) Longer-term primary prevention for alcohol misuse in young people: a systematic review Addiction 98 (4) 397-411. Markham, T. and Carney, M. (2007) Public Health Nurses and the delivery of quality nursing care in the community Journal of Clinical Nursing 17 (10) 1342-1350 Poulton, B., McKenna, H., Keeney, s. et al (2006) The role of the public health nurse in meeting the primary health care needs of single homeless people: a case study report Primary Health Care Research Development 7 (2) : 135-146 Starfield, B. (1994) Is primary care essential The Lancet 344 1129-1133. Watkins, D., Edwards, J. Gastrell, P. eds. (2003). Community Health Nursing: Frameworks for Practice. 2nd ed. p.35. London, Baillià ¨re Tindall.

Comparing Degradation in Crime and Punishment, the Possessed, and the Brothers Karamazov :: comparison compare contrast essays

How much disintegration can a culture endure before it reaches the point of irreversible decay? The degree of disintegration and destruction that our own culture has experienced is probably not yet fully known, but mid-to late-Nineteenth Century Russian culture is another matter. The vicious nature of the attacks upon the "old forms" of Russian culture, especially those waged by the Nihilists of the late 1860s, provides ample material for exploring this important question. Fortunately, for those anxious about the condition of our own culture, Fyodor M. Dostoevsky, "the most sagacious student of political economy in the Russia of the 1840s,"1 kept his hand to the pulse of Russia's intelligentsia. Dostoevsky's preoccupation with that same question is understandable given the exigencies of Russian life in his time. When, in l861, the "Tsar-Emancipator," Alexander II, liberated the serfs, pent-up forces for social change were unleashed. In Dostoevsky: The Stir of Liberation; 1860-65, 2 Joseph Frank notes: All the ideals on which previous Russian life had been founded were called into question; influential voices were heard proclaiming that an entirely new moral basis must be sought on which to construct human society. Russian culture thus entered an acute phase of crisis." According to Professor Frank, the scenario described above is the "indispensable context within which the works of Dostoevsky must be understood." Utopian Socialism, popular among the intelligentsia in the early l840s, was grounded in Christian social-moral ideals. By the mid-40s, however, the Christian elements were discounted and replaced with principles more consistent with Naturalism--science and reason. By the time Tsar Alexander II emancipated the serfs in l861, a new generation of liberals had evolved by following the tenets of scientific materialism. This new generation of Russian intelligentsia were radicals known as the raznochintsy. The raznochintsy differed from the Socialists of the l840s in two ways; they were more frustrated and more activist. The most frustrated and activist elements of theraznochintsy eventually broke with their counterparts--these were the Nihilists. The Nihilists were the focal point of Dostoevsky's later work and, for that matter, much of the social-cultural work of the late 1860s. Dostoevsky's three great novels, Crime and Punishment, the Possessed, and the Brothers Karamazov, represent a continuum. That is, in those works, Dostoevsky traces the degenerative effects on the Russian psyche of the doctrines of radical and Nihilistic idealogues by beginning with a psychoanalytic study of one solitary man and then chronicles the movement of that crisis from the intelligentsia outward to the masses.

The Benefits of Legalizing Marijuana Essay -- argumentative essays

The Topic of Legalizing Marijuana has been a very conversational argumentative issue in the American society; moreover in the American politics today. There are many good arguments on why Marijuana should be Legalize and my argument is based on facts and supporting details to prove why Marijuana should be legalize. The Legalization of Marijuana would be profitable to our government and economy, according to Evan Wood who is the founder of the International Centre for Science in Drug Policy; The U.S taxpayers have spent an estimated $2.5 trillion on the war on drugs. The Legalization of Marijuana would have a medical use, and also useful in some religions; after all Legalizing Marijuana would eliminate the cost of keeping Marijuana illegal which cost the U.S government in excess of billions annually. The Legalization of Marijuana has been an ongoing battle for many years, it’s time to decriminalize Marijuana and Legalize it. Marijuana Composition is very complex and it has numerous Physiological effects and, it also has a potential wealth of health benefits. The Legalization of Marijuana, which is a Schedule I drug. Marijuana is the most illicit drug used in the United States. Doctors and Scientists have confirmed that the effects of Marijuana are short term and it also has been proven that it is less harmful than Alcohol. Marijuana should be legalize because of it Medical use, and Religion use, Legalizing Marijuana would also generate billions of dollars in revenues and taxes for the U.S government; whereas prohibiting Marijuana would cost tax payers billions of dollars every year. Marijuana has a Medical use, which people with certain health problems can benefit from if Marijuana is legalize. Marijuana can be used as a medicin... ...s proven to have medical usage and is far less dangerous than most drugs which are Legal, such as Tobacco and Alcohol. Individually people should have the right to decide whether or not they want to use Marijuana, excluding minors. In conclusion The Legalization of Marijuana would benefit the U.S government and it would be more effective in controlling the drug usage. The prohibition of Marijuana has only been costing taxpayers billions of dollars every year and it hasn’t benefited the Economy. The Education and treatment would be the effective way to address Marijuana problems, whereas The Legalization of Marijuana would benefit and boost our economy especially during this economic recession; therefore the Legalization of Marijuana may be the beginning United States Economy re-form; due to the fact that Marijuana Legalization would help subsidize our Economy.

Murabaha Essay

Bai-Murabaha may be defined as a contract between a Buyer and a Seller under which the Seller sells certain specific goods permissible under Islamic Shariah and the Law of the land to the Buyer at a cost plus agreed profit payable in cash or on any fixed future date in lump sum or by instalments. The profit marked-up may be fixed in lump sum or in percentage of the cost price of the goods. In respect of dealing parties Bai-Murabaha may be of two types. 2. 01Ordinary Bai-Murabaha If there are only two parties, the seller and the buyer, where the seller as an ordinary trader purchases the goods from the market without depending on any order and promise to buy the same from him and sells those to a buyer for cost plus profit, then the sale is called Ordinary Bai-Murabaha. 2. 02Bai-Murabaha on Order and Promise If there are three parties, the buyer, the seller and the Bank as an intermediary trader between the buyer and the seller, where the Bank upon receipt of order from the buyer with specification and a prior outstanding promise to buy the goods from the Bank, purchases the ordered goods and sells those to the ordering buyer at a cost plus agreed profit, the sale is called â€Å"Bai-Murabaha on Order or Promise†, generally known as Murabaha. This Murabaha upon order and promise is generally used by the Islami Banks, which undertake the purchase of commodities according to the specification requested by the Clients and sale on Bai-Murabaha to the one who ordered for the goods and promised to buy those for its cost price plus a marked-up profit agreed upon previously by the two parties, the Bank and the Client. In this Bank, Bai-Murabaha is treated as a contract between the Bank and the Client under which the Bank purchases the specified goods as per order and specification of the Client and sells those to the ordering Client at a cost plus agreed upon profit payable within a fixed future date in lump sum or by fixed instalments. Thus it is a sale of goods on profit by which ownership of the goods is transferred by the Bank to the Client but the payment of the sale price (cost plus profit) by the Client is deferred for a fixed period. It may be noted here that, in case of Bai-Muajjal and Bai-Murabaha, Islamic Bank is a financier to the Client not in the sense that the Bank finances the purchase of goods by the Client, rather it is a financier by deferring the receipt of sale price of the goods sold by the Bank to the Client. If the Bank does not purchase the goods or does not make any purchase agreement with seller, but only makes payment of any goods directly purchased and received by the Client from the seller under Bai-Muajjal/Bai-Murabaha Agreement, that will be a remittance of the amount on behalf of the Client, which shall be nothing but a loan to him and any profit on this amount shall be nothing but Interest (Riba). Therefore, purchase of goods by the Bank should be for and on behalf of the Bank and the payment of price of goods by the Bank must be made for and on behalf of the Bank. If in any way the payment of price of goods is turned into a payment for and on behalf of the Client or it is paid to the Client any profit on it will be Riba. It is permissible for the Client to offer an order to purchase by the Bank particular goods deciding its specification and committing himself to buy the same from the Bank on Murabaha, i. . cost plus agreed upon profit. 3. 02It is permissible to make the promise binding upon the Client to purchase from the Bank, that is, he is to either satisfy the promise or to indemnify the damages caused by breaking the promise without excuse. 3. 03It is permissible to take cash/collateral security to guarantee the implementation of the promise or to indemnify the damages. 3. 04It is also permissible to document the debt resulting from Bai-Murabaha by a Guarantor, or a mortgage, or both like any other debt. Mortgage/ Guarantee/ Cash Security may be obtained prior to the signing of the Agreement or at the time of signing the Agreement. 3. 05Stock and availability of goods is a basic condition for signing a Bai-Murabaha Agreement. Therefore, the Bank must purchase the goods as per specification of the Client to acquire ownership of the same before signing the Bai-Murabaha agreement with the Client. After purchase of goods the Bank must bear the risk of goods until those are actually sold and delivered to the Client, i. e. after purchase of the goods by the Bank and before selling of those on Bai-Murabaha to the Client buyer, the Bank shall bear the consequences of any damages or defects, unless there is an agreement with the Client releasing the Bank of the defects, that means, if the goods are damaged, Bank is liable, if the goods are defective, (a defect that is not included in the release) the Bank bears the responsibility. The Bank must deliver the specified Goods to the Client on specified date and at specified place of delivery as per Contract. 3. 8The Bank shall sell the goods at a higher price (Cost + Profit) to earn profit. The cost of goods sold and profit mark-up therewith shall separately and clearly be mentioned in the Bai-Murabaha Agreement. The profit mark-up may be mentioned in lump sum or in percentage of the purchase/cost price of the goods. But, under no circumstances, the percentage of the profit shall have any relation with time or expressed in relation with time, such as per month, per annum etc. 3. 09The price once fixed as per agreement and deferred cannot be further increased. 3. 0It is permissible for the Bank to authorise any third party to buy and receive the goods on Bank’s behalf. The authorisation must be in a separate contract. Request potential Client to open an Al-Wadia Current Account. Let him maintain the Current Account satisfactorily for a reasonable period. (This will generally mean six months). 4. 02Hold preliminary discussion with the prospective Client regarding his Investment needs and business experience. 4. 03Brief him on the salient features of â€Å"Bai-Murabaha† Mode of Investment. Apprise, in particular, the usual terms and conditions under which the Bank makes such Investment. 4. 04Look to the past performance of the Client. Check-up Head Office Current Investment Policy and Branch’s track record of Bai-Murabaha Investment of the item(s). 4. 05If the Proposal is found suitable, advise the Client to submit formal Application (F-167A -as per specimen at page 34). If not found suitable, regret politely.

Vivian Bearing: a Tragic Heroine That Triumph

Vivian Bearing: A Tragic Heroine that Triumph Margaret Edison’s play Wit is about Vivian Bearing, a professor of seventeenth century poetry, specializing in John Donne. She is a strong willed intellectual being treated for ovarian cancer. Vivian lives a very secluded life and avoids human emotional contact. Just like any tragic hero, Vivian has flaws that prevent her from human kindness, which leads to her downfall. Her treatment of cancer causes her to realize that she needs emotional connection, which she has missed her whole life.Although her flaws are her intellect and wit that cause her an inability to connect emotionally with people around her, she becomes noble because she begins to express her emotions and accept kindness. Vivian Bearing has lived an intellectual rather than emotional life. As a child, education was very important to her family. On her fifth birthday which she recalls as her best birthday she read a book (Edson 41). She would rather read a book than ha ve a party, cake or even having friends over.Reading a book during her birthday is very ironic because she claims this to be her best birthday which is really unique, because this is horrible as any standard for a fifth birthday. Most five year olds want a party and cake. Vivian takes the book and she reads its spine intently. Reading a book attentively on her birthday proves Vivian’s obsession with learning and expanding her horizons. She is only interested in learning, not worried about connecting with people her own age or even her family. While she is reading her book, her father sits on his chair â€Å"disinterested but tolerant† (Edson 41).Since her father does not pay any attention to her, Vivian is emotionally detached from her father. She only knows education and learning. She never mentions receiving any affection as a child. This is the only time she mentions her childhood. One can only assume that because of this the character’s own remote personalit y reflects that of her father’s. It is very likely that she never received the gentle touch of affection from her dad, the way she probably would have from her mother, if the mother had been in the picture.We know that her mother died at the age of forty, but other than that, nothing else is either mentioned or displayed regarding her. Vivian’s intellect and crave for knowledge continues to prevent her from human emotional connections. We meet Vivian as a student in a flashback. Her scholarship was her consuming and unrelenting passion, blinding her to other concerns of life like making friends. Despite being advised by her professor to enjoy life, she resorts to withdrawing into the library instead of going out (Edson 15).Her toughness and strictness towards her education blinds her treatment of humanity. She remains lonely and uses her education to cover her need for showing and needing emotional attachment. She does not enjoy her college life like most students do. Her intellect refuses her to show a need of emotional connection with students her own age. Her emotional detachment is apparent when she is told that she has ovarian cancer. Instead of crying and being afraid of death, she begins to analyze and think. â€Å"Must read something about cancer. Must get some books, articles.Assemble a bibliography,† she explains (Edson 8). The character’s excessive need for knowledge, which can be perceived as her tragic flaw, causes her to be oblivious to the reality of her diagnosis. Vivian is consumed with learning that she is unable to grasp with the reality that she has a disease that is slowly killing her. Her need for knowledge can be seen as a flaw because this prevents her from becoming psychologically attached to anything or anyone. Vivian thrives on knowledge and her ability to learn and understand things and uses her intellect to avoid human contact.The character’s addiction to intellect has shut down her need for any h uman emotions. Vivian’s wit appears as rude and uncaring when she uses her wit to push people away. Vivian’s smart remarks to everything cause people around her and also people that meet her to be unable to create a relationship with Vivian. When Vivian is diagnosed with ovarian cancer, Dr. Kelekian uses the word â€Å"insidious† and defines it as â€Å"undetectable† (Edson 8). Vivian is unable to control her witty comments and could not resist the urge and decides to tell him the correct definition saying â€Å"treacherous†. Dr.Kelekian has a negative attitude towards her because of these corrections. Instead of treating her cancer, he decides to use her as research. Dr. Kelekian is unable to feel any compassion for her because she is rude. Vivian’s wittiness also appears as being uncaring. She is not liked very much by others, due to her unkindness. Previously, when a student asked for an extension on his paper, Professor Bearing rejects h is request with a heartless comment. â€Å"Don’t tell me, your grandmother died† (Edson 63). Then she goes on to say, â€Å"Do what you will, but the paper is due when it is due† (Edson 63).Instead of showing some sentiment for the student, she is inconsiderate and cold-hearted towards him. She is so evil towards the student that no other student is able to feel comfortable around her and even speak to her as a person. She terrorizes her students inconsiderately and dispassionately. Vivian Bearing uses her wittiness to push people away so she does create an emotional attachment. Being put in hospital causes Vivian to reflect on her life and to realize how much she needs kindness. She even admits to craving kindness.She wants Susie to come see her to the point where she creates an emergency (Edson 64). She begins as an intellect, witty professor who is lonely, but now she is thirsty for a drop of kindness. Vivian’s hunger for kindness becomes apparent when she allows her nurse to call her â€Å"sweetheart† (Edson 64) or â€Å"honey†(Edson 65). These are words Vivian has never been referred to in her life and she is comfortable with them. She realizes that it is acceptable to allow people to treat her like a person and be kind to her. Vivian starts to open up and shows her emotions without any problem or hesitation.At the end of the play when Vivian is lying in her deathbed, alone, shivering scared, and in pain, E. M. comes to her side. When her college professor Ashford comes to visit her, she asks Vivian if she wanted her to recite Donne, she replies â€Å"nooooo† (Edson 79). Vivian is finally realizing that her need for intellect and wit is not what she needs because she has received kindness. The emotional part of life is what she needs and not the complicated poems by Donne. As her time draws to a close, a sea change begins to work in the way Vivian thinks about life.As mentioned in the above paragraphs, Vivi an has devoted her life to education and it is only through suffering that she learns that being extremely smart is not enough. It takes our heroine fifty years, and an insidious cancer to realize that it does not matter in the end how much you know since knowledge cannot possibly comfort you in death. Vivian says this line in the play â€Å"And death shall be no more, death thou shalt die â€Å"(Edson 72-73). By these words she learns that â€Å"death is nothing but a breath, a comma that separates life from life everlasting†, Vivian’s last breath was nothing but a comma† and she has now moved on where she will live not by her knowledge, but by her heart. Though her body has died, her soul is awakened. Before Vivian’s final moments of life, she receives the attention and affection that she never had. She dies with a sense of peacefulness. Vivian Bearing is a very intellectual and witty individual who is dedicated to her love for knowledge. But because s he is consumed by her incredible love for knowledge she lives a secluded life. Her downfall is that she is incapable of showing any emotions to another person.The play did not leave the audience with a sense of sadness or remorse, but with hope and respect for Vivian Bearing. She lived the final eight months of her life in extreme pain so doctors could gain more knowledge for future cancer patients. In the process, she learns that life is about humanity. This is what brings the audience to believe that this individual is a tragic hero who triumph and leaves one not with a sense of pity but one of empathy for her suffering. Work Cited Edson, Margaret. Wit. Oxford: Faber & Faber, 1999. Print.

Donald Marshall Jr. (Wrongful Conviction Essay Example | Topics and Well Written Essays - 2000 words

Donald Marshall Jr. (Wrongful Conviction - Essay Example This involves a situation whereby the judge or a group of judges have a mandate to investigate a case, and come up with a conclusion regarding the case under consideration. Botting (2010) explains that the adversarial justice system is characterized by a two sided structure. Under this structure, the criminal trial courts are able to pit the defense against the prosecutors. Justice occurs, when the most effective and efficient adversary manages to convince the judges or the jury that his or her perspective regarding the case, is the right one. The evolution of the modern adversarial justice system can be associated to a variety of historical figures, these includes Donald Marshall in Canada, and Lord Henry Brougham of United Kingdom. The contributions of these two important historical figures are somehow related. This is because Donald Marshall was convicted of a crime that he did not commit, by a jury that was partisan. On the other hand, Lord Henry Brougham played an influential role in advocating for a non-partisan judge, who does not take the side of either the defense or the prosecutor during the process of administration of justice. However, this paper concentrates on the role played by Donald Marshall in promoting equality and fairness in the administration of justice. This paper takes a stand that the wrongful conviction of Donald Marshall led to a reformation of the Canadian Justice System and that of the state of Nova Scotia. R vs. Marshall jr is a 1971 court case that provides an example of a wrongful conviction. Donald Marshall was imprisoned to a life sentence, because he was accused of murdering his friend, Sandy Seale. During this period in time, Sandy Seale and Donald Marshall were both 17 years old. The two were walking around the Wentworth Park, during a late evening, with the intention of going to take a drink. These two young people met Roy

Liberal Democracy Coursework Example | Topics and Well Written Essays - 750 words

Liberal Democracy - Coursework Example Statutory laws and controlled institutions are relied upon to guarantee the liberal and constitutional rights of the citizens (Kukathas 2004, p. 45). According to Held (2006, p.73), liberal democracy is well supported by the political theory of pluralism, which allows individuals and groups reach for their interests in the political process, hence, decisions are arrived at through compromise to accommodate the interests of all stakeholders and interest groups. One of the main elements of a liberal democracy is the constitution. The constitution in liberal democracies starts with the assumption of sovereignty, vesting the ultimate power in the people. The democracy presupposes that people can control their destiny and that they make moral judgments and practical decisions in their daily lives (Wallace 2007 pg. 7). It requires a decision-making system based on majority rule, with the protection of minority rights; seeks to protect in  judgments while controlling the majority (majoritarianism) by trying to face out the practice of majority rule (Dunn 1994, pg 11). The constitutions of liberal democracies mostly uphold the four main concepts of democratic creed namely: individualism, liberty, equality and fraternity. Individualism states that the prime objective of democratic government is to protect citizens so that each individual in the state can achieve the highest level of personal development (Marlman 2009, pg13). Liberty is in essence allowing individuals the highest degree of freedom that is consistent with order and natural justice. Equality states and maintains that all people are equal in creation have equal opportunities and rights (Mueller 2007, p.41).