Free Essay

Ethical Complications Breach in Confidentiality

In:

Submitted By adanna13
Words 2080
Pages 9
The essay will define confidentiality its importance to nurses as a profession and the Nursing and Midwifery Code of Professional Conduct. It will further look at possible dilemmas that could arise in course of practice between the nurse colleagues and the clients. Examples will be based on my clinical placement 1 at Blackfriars Work Centre.

Confidentiality is keeping secret, the shared information depending on the situation arising. Dimond (2002) define confidentiality as one of the values of good practise that is concerned with protecting the private information obtained about the patient and client during the period of professional practice.

Importantly all nurses including midwives have legal and professional responsibilities to respect the rights of patients and clients and treat them equally. NMC (2002) states that as a registered nurse, midwife or health visitor, you must protect confidential information. Clause 10 UKCC (1992) further states that health professionals should avoid from divulging such information without the client’s consent or a nominated person advocating on his behalf unless the disclosure is required by court order, in the public health interest and in the best interest of the patient.

In addition, confidentiality as part of the social, ethical and moral basis of working in care setting is further explained in the NMC (2002) clause 5.1-5.4. In clinical setting, preserving confidentiality is view as the key to establish trust, promote good relationship and interaction. In the absence of this, nurses might not be able to offer the client the required quality care as expected Hogston and Simpson (1999).

Arnold and Boggs (1999) argued that if client feel confident to communicate their information to the nurse, made aware that their information is secure with assurance that it will be passed on with their consent and use on a need to know basis. This will give them willingness to disclose sensitive and relevant information more freely. Although, the information might have nothing to do with their present health, but it might be found later on to be a contributory factor to the client’s condition. Incorporating this information into the care plan might help contribute towards the best holistic care within the multidisciplinary team

It is worth remembering that disclosure of client information to wrong party might be detrimental to the client. For example divulging information about mentally ill client to another person not directly involved in his care might expose them to discrimination and labelling. In this case, the client might not open up and refuse to give full details about himself, unless the client-nurse trust has been built and it has been stressed that the disclosure is in the interest of the client

In the course of duty such as during hand over, record keeping and relative discussion during visiting hours. Nurses will come across and hear many things about the client. The nurse has a duty of care and responsibility to keep the information secret in situation where the clients have right to privacy and his action do not cause anybody harm or break the law Fletcher et al (1995).

Duty of care is an obligation of nurses to the client, the employer and the society in general. Patient generally expects that nurses will respect their rights and interests despite the nurse’s privileged access to information about their health status. Similarly it is only the patient who has power to access and control how their information should be shared with nominated person. But there may be occasions when other agencies will require client information to be revealed. It is important to let the client be aware at first contact about how information will be shared. For example, disclosure of client information can in some cases be made within care team to make decisions about the client and their care. But the nurse must gain the client’s explicit consent. It must be stressed that the consent policy must be follow to avoid legal actions be taken for breach of confidentiality.

However exceptions to such permission from the client as described by Dimond (1992): a court order might request for a report, when there is statutory duty to disclose such as in suspicion of child abuse of any kind. This type of disclosure is necessary to protect the children at risk The Children Act (1989). Furthermore information from client about their intention to harm others or endanger themselves require disclosure. Clause 5.3 NMC (2002) supports the practising and registered nurses and argues that confidentiality can be overridden if it is in the public interest.

Despite the fact that confidentiality is not absolute, but it can be seen as a key ethical issue and good guideline to practice. All nursing codes of ethics have a clause regarding confidentiality Rumbold (1999).

Ethical issues often arise to question the principle of confidentiality and create conflicts. The examples will be from my placement experience where I worked with clients experiencing mental health illness. I will look into the client’s right to confidentiality. The first case is about a patient of mental health condition who has epilepsy and on daily medication to manage her condition. She attends the IT session at the work centre and being in change of her has been talking to me in confidence about problems with studying. She concluded that the after taste of the medicine prevent her from taken it as required.

Due to my concern, I confirmed her awareness of the implication of missing the RDA of the medicine. On clarification of this, I further reinforce this and explain that other clients could be upset if she had a fit in the workshop. But having stated clearly that she is not going to talk about the side effects to her doctor and said she is better off to have relapse, rather than the nasty taste of the medication.

The client believes that I would not reveal her information, although I have no opportunity to inform her of my intention not to comply with her confidence; as she phoned in from lunch break of not coming back till the next day. Despite her right to privacy and decision for herself; I am still under the responsibility to act always in a manner to promote and safeguard the interests and well being of patients especially if client’s decision might be harmful to her and others. While I tried to relate my feelings to hers and try to be empathetic; I decided to tell the centre manager on her behalf. This might be difficult as I have to balance conflicting demands to respect client’s wishes and rights. Since breaking the trust could affect the client-nurse relationship. At the same time protecting safety and interest of others who may be affected by the decisions. I believe that the best course of action after considering the pros and cons is to put the client life as priority rather than her right to confidentiality. Chilver (2002).

Another case is about client’s right to information held about them. The client has learning disability and had been in care since age 3 when his mother died. Now age 19, he plans to go leave the work centre to go College but wants to see his records so that he can have a clear picture of his past. His social worker has talked to him about this and supports him through the process and is certain that he understands that he might be unsettled by some of the things in his file. The client was invited 25 days after his letter was received. The client was already informed that he would not see everything in his file because material by third party can be withheld where that person has not given their consent. In addition, we have decided as a care team involving in her care plan that some of the material would seriously damage his mental health.

At appointment the client asked questions and answers were given to his satisfaction, but clarification was made that he would not be able to take anything out of the file but could have the extracts. At the end, the client read and signed of having access the file. This is an example of a legal aspect of confidentiality, regarding patient’s note. Client can be denied an access to information on their files; so as to protect sources of information, the rights and confidentiality of others or if it might hinder the achievement of good care plan. Access can also be denied if the information held can have bad effects on the client. The Data Protection Act (1998) Clients have unqualified right of access to information in manually held health records since 1st November 1990 Access to Health Records Act (1990).

In my placement, telephone investigation, record keeping, and periodical assessment of clients are all potential nursing procedure where patients’ confidential information can either be maintained or breached. But being aware of importance of good interpersonal skills and effective communication as essential to nursing skills, I ensure that client information are not discussed on the phone, information conveyed to others during practice are made clear and appropriate to the situation. Any concerns are refer to my practice mentor for clarification. Although the placement is for short period, but my communication skills has improved with time as I am given the opportunity to work and plan activities with clients thereby shaping myself for future practice. According to Arnold and Boggs (1999) effective communication is basis of therapeutic relationship and must reflect the trust, respect, empathy and confidentiality.

Blackfriars Work Centre Annual Report states that confidentiality been a concept of advocacy require nurses to be aware of their own feelings, acting with compassion, respect, confidence and competence so as to help the clients find meaning to their living or dying. I was involved in implementing confidential matters when my mentor sought Mr K’s consent prior to review meeting with client. This is to give me the opportunity to experience how reviews are done and incorporated to client’s assessment. At this meeting client’s information are discussed within the multidisciplinary team and the outcome is use to review the co-ordinated care plan and make adjustment to client’s need as necessary. Carson and Montgomery (!989). Clients explicit consent is necessary to establish trust relationship, but overall the client decision is final as to who is allowed in the meeting. But my placement has a policy that forbid note taking during the assessment meeting. Documentation has to be done after the client might have left the meeting. Clients are given the opportunity to read, amend and sign all their review reports. This may indicate respect to the client, promote good relationship and enhance a flow of communication. This reflects the settlement’s adhere to Data Protection Act (1998) apart from been known that many of the clients have by tradition been disadvantaged and to encourage their representation is vital.www.blackfriars.co.uk (online) 2003

After a brief introduction on my first day at placement, a copy of Equal Opportunity Policy was given to me for guidance, with ‘confidentiality’ aspect clearly highlighted as on need to know basis. Client’s permission is mandatory prior to using of client information by the staff and student for article journals, public format and assignments. In my assignment, name and address are altered to protect the client’s identity. It is interesting to note that placement system have restrictions on the categories of information that I may accessed. But this is less surprising, a trainee is responsible for her practice but my mentor is accountable for my action. Burnard and Chapman (1991).

Certainly the knowledge and compliance with the legislative requirements and the settlement’s privacy policies about the collection, use, and access to information are the best defence in any situation which I will always abide with in the entire time of my practice. Although confidentiality is a complex issue which is easily overlooked, but the key point for nurses is to know the boundary to maintain confidentiality. Nurses must not to take client’s right for granted; our interest should be towards the general public, the clients and our colleagues and must strife to improve on the good image of nursing organisation at all time. In dilemma, clients’ interest should be the priority. Careful consideration is also necessary prior to divulging confidential information so that the client’s right to confidentiality does not conflict with the public interest or to the practice guidelines.

Read more: http://www.essay.uk.com/coursework/confidentiality.php#ixzz3CYqaqelh

Similar Documents

Free Essay

Ethics

...Ethical Framework in Practice Nursing is an admirable, dignified career. Nurses respect the self-sufficiency and self-esteem of all their patients in every matter. Patients share their confidential information to the nurses, because they trust the nurse. Nurses care for the sick and needy population. Nurses take care of the patient’s deepest and painful needs in an intimate way compared to other disciplines in the health care team (Nazarko, 2009). Nurses frequently encounter ethical dilemmas and issues related to providing confidential information. This paper analysis is about the ethical recommendations on breach of privacy act between the nurses and the patient. Hippocratic Oath evidently explains about the importance of confidentiality in medical ethics. The oath is like this," That whatsoever I shall see or hear of the lives of my patients that are not fitting to be spoken, I will keep in confidence" (Hippocratic Oath, 2010). In Nightingale’s pledge for nursing, says that ‘‘I will hold in confidence of all personal matters in the practice of nursing” (Gretter, 1893). All nurses take Nightingale’s pledge at their graduation oath. Nurses are dedicated to provide better care for their patient based on their patient’s values and beliefs to maintain confidentiality. The provision of health care is comprehensive and people’s needs are often complex. Modern technology has made advanced changes in healthcare. With the many advances changes in health care a equivalent...

Words: 978 - Pages: 4

Free Essay

Ethical Issue

...Applying Ethical Framework in Practice Rodd Tooke Grand Canyon University: NRSv437 September 2, 2013 Applying Ethical Framework in Practice Reading the “Bioethics of NBC’s ER” this writer feels the ethical implication of breaching the confidentiality of not only Andrea but everyone in the school who participated in the sex group. Ethical Implication Of A Breach Of Confidentiality A breach of confidentiality is a disclosure to a third party, without patient consent or court order, of private patient information ("Patient confidentiality," 2010). Before Nurse Hathaway can disclose any information about Andrea health to anyone including her parents, Andrea must sign a release of information which can be verbal or written. This writer feels that when a minor informs an adult or someone they feel they can trust in a situation that can be harmful to the minor child it’s important to explain to the child how important the situation can be to his or her health and inform the child at that time of a consent being need to obtain the necessary medical attention that may be needed. During the disclosure of information the adult must inform the child that under certain situation the parent may or may not be notified depending of the severity of the problem. If Nurse Hathaway breaches the confidence of Andrea she may no longer trust someone she beliefs and could confine in to keeping a secret. She may also be afraid to seek help in the future for thinking a breach of confidentiality...

Words: 1145 - Pages: 5

Premium Essay

Reamer Reading: Ethical Analysis

...working relationship with personal from other areas of the facility. With regards to patients, Marty admits, “We don’t really need to do much for clients, we accept people from the surrounding neighborhoods, and they are already diverse.” With these diverse peoples, the facility Ethical Analysis based on Reamer Reading Client Rights During the initial assessment interview, clients are provided with a resident’s rights packet. This three page document, outlines information about money management rights, right to request contract services statements (outlines all services and their cost), the right to apply for Medicaid,/Medicare, the right to stay in the facility (regardless of ability to pay), and reviews the rights as a citizen of the United...

Words: 1610 - Pages: 7

Premium Essay

Confidentiality, Privileges, Mandated Reporting and Duty to Warn

...CONFIDENTIALITY, PRIVILEGES, MANDATED REPORTING AND DUTY TO WARN Name of Student Institutional affiliation Abstract In this paper, I will be focusing on a brief summary of a therapy video that delves into counseling. Actors in this video are looking at real life cases involving high court ruling on issues such as confidentiality, privilege, reporting and the duty to warn. I will also look at my own findings in statures and laws as far as North Carolina is concerned. Additionally, I will give a summary of each. Finally, I will discuss my reflection and how I can put these into action in my counseling career. The presentation of this video is quite interesting. It gives room for actors to look deeper into real cases and get a deeper grasp in the areas of confidentiality, privilege, reporting and duty to warn. It also gives a more vivid picture of how the above mentioned things, though looking similar, are quite different in a myriad of ways. The very first case to be looked into was of a young boy who was taken to hospital by his foster parents. His conditions were not good at all for he had bruises on his spine and another bruise slightly below his eye. The nurse happened to questioned her about the same. She said it was as a result of being jostled in seat in the car. The nurse kind of didn’t make any note of this observation. Moreover, she happened to fail to call CPS to report the possible...

Words: 1443 - Pages: 6

Free Essay

Tube Feeding Prolonging Life

...Abstract This paper is written to discuss the ethical dilemma we come across when asking our self whether or not we should place a tube feeding in a patient with a history Alzheimer’s or Dementia. Will this prolong the patients’ life or just the inevitable death? Most often a decision needs to be made regarding the placement of a tube feeding. The question is not initiated by the patient themselves. This is the reason why educating our patients are so important. In this paper I will discuss how important the role of the healthcare professional plays in advocating for a patient. To help answer this ethical dilemma several issues will be explored. I will focus on the seven principles of ethics, education, utilitarianism, top-down theory alternate treatment options. Will Tube Feedings Prolong Life? While working with the majority of geriatric population, we frequently come across patients with Dementia and Alzheimer’s disease. The most common problem in these patients is the inability to swallow as well as the patients are failure to thrive. Many healthcare workers and family members become upset when the patient does not have proper nutritional intake. As human beings it is our nature to take care of our loved ones when they are ill, this is our ways of showing love and affection tore’s each other. We often question the situation regarding the need for artificial feeding. Care givers have misconceptions if we provide artificial nutrition it will help prolong...

Words: 2291 - Pages: 10

Free Essay

Counselor Confidentiality

...to be answered is, "If a counselor is an associate Pastor on staff or even just solely a counselor should the Senior/Sole Pastor be made aware of details on every client, since it is important for the Pastors to know their flock in order to best know how to lead and tend them, or does confidentiality apply always strictly between counselor and counselee". It is important to start off understanding what Counselor confidentiality is at its most fundamental nature. It is the responsibility of a therapist or counselor to hold any proprietary or personal information supplied by a patient in the strictest of confidence. It is a generally accepted ethic that breaking counselor confidentiality by revealing the type of information stated above, without the expressed permission of the patient, is considered highly unethical. Keep in mind, however, that in Standards B.1.d, the ACA Code of Ethics requires counselors to fully inform their clients of the limits of confidentiality (ACA, 2005). Also, HIPPA- Health Insurance Portability and Accountability Act-actually gives a list of nearly two pages of things where confidentiality may be breached legally (hhs.gov). Counselor confidentiality in a "classical" setting, which is the viewpoint we have been speaking from thus far, is designed to allow patients the freedom to share information about themselves that is private in nature, but is important to the process of helping the individual overcome whatever emotional or other...

Words: 2412 - Pages: 10

Free Essay

Chapter 3

...ram4577X_ch03.qxd 4/16/04 11:50 Page 37 Legal and Ethical Issues in Medical Practice, Including HIPAA AREAS OF COMPETENCE 2003 Role Delineation Study CLINICAL Fundamental Principles ɀ Apply principles of aseptic technique and infection control ɀ Comply with quality assurance practices Patient Care ɀ Coordinate patient care information with other health-care providers GENERAL Legal Concepts ɀ Perform within legal and ethical boundaries ɀ Prepare and maintain medical records ɀ Document accurately ɀ Follow employer’s established policies dealing with the health-care contract ɀ Implement and maintain federal and state health-care legislation and regulations ɀ Comply with established risk management and safety procedures ɀ Recognize professional credentialing criteria CHAPTER OUTLINE ɀ ɀ ɀ ɀ Medical Law and Ethics OSHA Regulations Quality Control and Assurance Code of Ethics ɀ HIPAA ɀ Confidentiality Issues and Mandatory Disclosure OBJECTIVES After completing Chapter 3, you will be able to: 3.1 Define ethics, bioethics, and law. 3.2 Discuss the measures a medical practice must take to avoid malpractice claims. 3.3 Describe OSHA requirements for a medical office. KEY TERMS abandonment agent arbitration assault authorization battery bioethics breach of contract civil law contract crime criminal law defamation disclosure durable power of attorney electronic transaction record ethics expressed contract felony fraud ...

Words: 15296 - Pages: 62

Premium Essay

Consensual Relationship Agreements

...Consensual Relationship Agreements Case Study Week 3 Assignment 1 BUS 520 Leadership And Organizational Behavior Dr. Trista Avent Summer 2012 Submitted By: Traci Hill Roberts As companies begin to acknowledge the existence of work place romances, the use of consensual relationship agreements (CRAs) has become an area of discussion. While many of today’s organizations prohibit the romantic involvement of its employees with one another, there are other companies that have remained silent on the issue. And still others have adopted the use of consensual relationship agreements. According to an article written in the May 2010 issue of Ceridian Connection “Any work environment presents the opportunity for individuals with similar interest to develop a relationship that is more than friendly.” The article goes on to say that according to a 2009 survey conducted by CareerBuilder.com, 40 percent of respondents indicated that they have dated coworkers; and 18 percent said they have been involved in two or more workplace romances. Lynn D. Lieber, an employment law attorney and founder and chief executive officer of Workplace Answers, a San Francisco-based provider of legal compliance education via the Internet feels that “workplace romances can lead to accusations of poor judgment, breaches of ethics, favoritism, lost productivity, poor employee morale, sexual harassment claims and even workplace violence. It's no wonder, then, that HR professionals...

Words: 2278 - Pages: 10

Premium Essay

Ethics

... 3) ETHICAL THEORY 4) ETHICAL DECISION MAKING 5) NEGLIGENCE 6) CONSENT IN COMPETENT ADULTS 7) CONSENT IN CHILDREN 8) CONSENT IN INCOMPETENT ADULTS 9) CONSENT CONCERNING UNUSUAL IDEAS 10) ADVANCE DIRECTIVES 11) CONFIDENTIALITY 12) CONFIDENTIALITY AUDIT 13) EUTHANASIA 14) ABORTION 15) BIOTECHNOLOGY 16) SUGGESTED READING ONE – INTRODUCTION (Registrar) The importance of Ethical thinking in General Practice is becoming more and more apparent. It should not be thought that Ethics merely relates to the “Life and Death” issues in our Professional life – Abortion, Contraception, Euthanasia and the like. Ethical issues affect some part of almost every consultation, even if the ethical issue is something more mundane like obtaining adequate consent for an examination or respecting a patient’s dignity. Indeed, it could be argued that the Consultation skills that we foster so assiduously are actually Ethical skills – and that we need to know the patient’s “Ideas, Concerns and Expectations” in order to respect his Autonomy as well as in order to improve the outcome of the Consultation. In the 1998/99 academic year, I was appointed the deanery’s Medical Ethics fellow with a bursary from the MDU. I developed an approach to the teaching of GP ethics based on two half day sessions, which I presented in each VTS scheme in the deanery. The first session involved a consideration of Ethical theory....

Words: 23465 - Pages: 94

Premium Essay

Effective Communication Nvq 3

...The service user must be informed of the disclosure of the information shared only on a need-to-know basis. There is a guiding policy on disclosure in my organization, which I follow in these instances. 6.3 6.4 Describe the potential tension between maintaining an individual's confidentiality and disclosing concerns As a care worker, I am aware of the tension that results when the need to reveal information to avert harm interferes with the obligation to maintain an individual's...

Words: 3671 - Pages: 15

Premium Essay

What?!?

...Code of Professional Conduct for Nurses in Australia Introduction Professional conduct refers to the manner in which a person behaves while acting in a professional capacity. It is generally accepted that when performing their duties and conducting their affairs professionals will uphold exemplary standards of conduct, commonly taken to mean standards not generally expected of lay people or the 1 ‘ordinary person in the street’. The Code of Professional Conduct for Nurses in Australia is supported by the Code of Ethics for Nurses in Australia. This Code of Professional Conduct for Nurses sets the minimum standards for practice a professional person is expected to uphold both within and outside of professional domains in order to ensure the ‘good standing’ of the nursing profession. These two companion Codes, together with other published practice standards (e.g. competency standards, decisionmaking frameworks, guidelines and position statements), provide a framework for legally and professionally accountable and responsible nursing practice in all clinical, 2 management, education and research domains. The support and assistance of Royal College of Nursing (unified with The College of Nursing on 1 July 2012 to become Australian College of Nursing) and the Australian Nursing Federation in developing this edition of the Code of Professional Conduct for Nurses in Australia is acknowledged. In considering this Code and the Code of Ethics for Nurses in Australia, it should be borne...

Words: 5066 - Pages: 21

Premium Essay

Benefits of Immunotherapy from Advances in Immunology and Recombinant Dna Technology

...Benefits of Immunotherapy from advances in immunology and recombinant DNA technology. Immunotherapy is a form of medical treatment intended to stimulate or restore the ability of the immune system to fight infection and disease. This can be by inducing, enhancing, or suppressing an immune response. Immunotherapies designed to elicit or amplify an immune response are classified as activation immunotherapies, while those that reduce or suppress immune response are suppression immunotherapies. Active immunotherapy has been effective against agents that normally cause acute self-limiting infectious disease. However, a more effective immunotherapy for chronic infectious diseases or cancer requires the use of appropriate target antigens; the optimization of the interaction between the antigenic peptide, the antigen-presenting cells (APC) and the T cell; and the simultaneous blockage of the negative regulatory mechanisms that impede immunotherapeutic effect. Furthermore, passive immunotherapy using monoclonal antibodies and receptor FC-fusion proteins has come of age and has shown great clinical success. Several monoclonal antibodies, including unmodified antibodies and antibodies armed with toxins or radionuclides, have been approved to prevent allograft rejection or to treat autoimmune diseases and cancer. Several others are in clinical trials. Preventive vaccines have been successful against infectious agents such as viruses, which cause self-limiting diseases that are normally...

Words: 3205 - Pages: 13

Premium Essay

Cima 05

...H8032-Prelims.QXD 7/1/06 11:08 AM Page i CIMA’S Official Learning System CIMA Certificate in Business Accounting, 2006 Syllabus Certificate Level Fundamentals of Ethics, Corporate Governance and Business law David Sagar Larry Mead Philippa Foster Back H8032-Prelims.QXD 7/1/06 11:08 AM Page ii CIMA Publishing is an imprint of Elsevier Linacre House, Jordan Hill, Oxford OX2 8DP, UK 30 Corporate Drive, Suite 400, Burlington, MA 01803, USA First edition 2006 Copyright © 2006 Elsevier Ltd. All rights reserved No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means electronic, mechanical, photocopying, recording or otherwise without the prior written permission of the publisher Permissions may be sought directly from Elsevier’s Science & Technology Rights Department in Oxford, UK: phone (ϩ44) (0) 1865 843830; fax (ϩ44) (0) 1865 853333; e-mail: permissions@elsevier.com. Alternatively you can submit your request online by visiting the Elsevier web site at http://elsevier.com/locate/permissions, and selecting Obtaining Permission to use Elsevier material Notice No responsibility is assumed by the publisher for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions or ideas contained in the material herein. British Library Cataloguing in Publication...

Words: 249182 - Pages: 997

Premium Essay

Professional Accounting in the Public Interest

...International Federation of Accountants (IFAC) will be as important as that of SOX in the long run. This chapter examines each of these developments and provides insights into important areas of current and future practice. Building upon the understanding of the new stakeholder accountability framework facing clients and employers developed in earlier chapters, this chapter explores public expectations for the role of the professional accountant and the principles that should be observed in discharging that role. This leads to consideration of the implications for services to be offered, and of the key “value added” or competitive edge that accountants should focus their attention on to maintain their reputation and vitality. Sources of ethical governance and guidance are also introduced. Prior reading of Chapter 2 is essential to understanding Chapter 4. Stakeholder Expectations Accountability and Governance Framework Both the increase in importance of...

Words: 62999 - Pages: 252

Premium Essay

Ethics

...ETHICS IN INFORMATION TECHNOLOGY Third Edition This page intentionally left blank ETHICS IN INFORMATION TECHNOLOGY Third Edition George W. Reynolds Australia • Brazil • Japan • Korea • Mexico • Singapore • Spain • United Kingdom • United States Ethics in Information Technology, Third Edition by George W. Reynolds VP/Editorial Director: Jack Calhoun Publisher: Joe Sabatino Senior Acquisitions Editor: Charles McCormick Jr. Senior Product Manager: Kate Hennessy Mason Development Editor: Mary Pat Shaffer Editorial Assistant: Nora Heink Marketing Manager: Bryant Chrzan Marketing Coordinator: Suellen Ruttkay Content Product Manager: Jennifer Feltri Senior Art Director: Stacy Jenkins Shirley Cover Designer: Itzhack Shelomi Cover Image: iStock Images Technology Project Manager: Chris Valentine Manufacturing Coordinator: Julio Esperas Copyeditor: Green Pen Quality Assurance Proofreader: Suzanne Huizenga Indexer: Alexandra Nickerson Composition: Pre-Press PMG © 2010 Course Technology, Cengage Learning ALL RIGHTS RESERVED. No part of this work covered by the copyright herein may be reproduced, transmitted, stored or used in any form or by any means graphic, electronic, or mechanical, including but not limited to photocopying, recording, scanning, digitizing, taping, Web distribution, information networks, or information storage and retrieval systems, except as permitted under Section 107 or 108 of the 1976 United States Copyright Act, without the prior written permission...

Words: 204343 - Pages: 818