Wednesday, November 27, 2019
Courtney Alsbrook Essays (593 words) - American Women In Business
Courtney Alsbrook Dr. Alexander AWS 2500 December 18th 2017 Historical Analysis: Madame CJ Walker In the history of Black women, many have been came, and many have triumphed. Of those many, only few are held in the highest regard. These few are seen in documentaries, movies, and the occasional textbook. The rest, are often undervalued, less touted, or simply forgotten. Among these unsung heroes are some of the women that contributed the most to the black community as well as the World. Some of the most powerful Black women laid a blueprint for those of the future that was left unfollowed. In the early 1900s, a Louisiana woman born Sarah Breedlove, lived as the sole owner of several businesses valued at over one million dollars. Although she was the first Black female to become a self-made millionaire, she is not as admired as she should be. While her name may be mentioned sporadically, it is a form of ignorance to have nearly completely avoid the trail she blazed. To understand what makes Madame CJ Walker an unsung hero, you first have to understand her accomplishments and successes. During the 1890s, Walker developed a severe scalp disorder that led to a massive loss of hair. From that point, she discovered something that would lead her to millions. After experimenting with several hair care products and remedies, she began to perfect her own masterpiece. Once finalized, Walker, along with her husband, Charles Joseph Walker, went on a tour of several states. Along the tour, Walker would promote her products and give live demonstrations of how to use them. She would continue to build her brand and business into an empire. According to the Organization of American Historians, the Walker Manufacturing Company "employed some 3,000 African American women and men to manufacture and sell hair products and cosmetics" at its peak. In addition to raising a personal fortune upwards of $600,000, Walker was a major philanthropist. With donations toward ed ucational funds and even the opening of the YMCA, she proved to be a woman of great integrity. Most importantly, she mothered a movement which stood as a booster for Black status in America. With the philosophy of cleanliness and lovliness, she influenced a mass of Black women to appreciate themselves and improved community morale. All that said, it is easy to wonder how a woman of Walker's stature can be ignored. With a buying power that is projected to reach $1.7 trillion this year according to Nielsen, it is unfortunate that a majority Black women are purchasing and using non-Black owned products. According to Nielsen statistics, despite spending nine times more on beauty products than other races, Blacks only own a fraction of 1% of the beauty supply market share. After the vast amount of effort Walker placed into the Black economy and Black confidence, today Black women as a whole are failing to live up to the standard she set. While there are a great number of leaders making strides to shift the tide, the majority of Black spenders are failing to keep these dollars in the Black community, and many Black women are failing to sprout these Black owned beauty brands. While Madam CJ Walker's legacy is mentioned enough to deem her "unignored", the fact that Black communities have been overrun with beauty busine ss that aren't black owned, is ignorance in itself. References Koman, Rita G., and TwHP Staff. Two American Entrepreneurs: Madam CJ Walker and JC Penney. OAH Magazine of History 20.1 (2006): 26-36.
Saturday, November 23, 2019
Lord of the Flies by William Golding - Book Review
'Lord of the Flies' by William Golding - Book Review Lord of the Flies, a 1954 story of savagery and survival byà William Golding, is considered a classic. Modern Library rates it the 41st best novel of all time. The story, which takes place during an undefined war, begins when a group of English schoolboys survive a plane crash and find themselves stranded on a desert island without any adults. This might seem like an enticing opportunity for any teen seeking freedom, but the group soon degenerates into a mob, terrorizing and even killing each other. The Plot Without the usual authority figures to direct the boys, they must fend for themselves. Ralph, one of the boys, takes on a leadership position. He knows little more than any of the others, but he manages to gather them in one place and is voted leader. At his side is the compassionate, clever, but fatally clumsy Piggy, a nicely rendered character who serves as Ralphs conscience.Ralphs election is contested by Jack, a cool customer with his own squadron of followers, a former choir under his leadership. Jack is a force of nature with intentions of leading hunting parties deep into the primordial jungle. With Piggys planning, Ralphs reluctant leadership and Jacks energy, the castaways establish a successful, thriving village, at least for a day or two. Soon, the few sensible efforts such as keeping a fire burning at all times fall by the wayside.Jack grows bored, restless and resentful of Ralphs leadership position. With his hunters in tow, Jack splits off from the main group. From there, the rest of the book consists of the descent of Jacks tribe into base brutality. As Jack successfully recruits more boys, Ralph becomes more isolated. Then, Jacks tribe kills Piggy his glasses smashed in a moment of symbolism, signaling the end of rational thought and civilized behavior. Pig Worship Jacks tribe hunts and kills a real pig, and sticks the head of the animal on a spear. Group members paint their faces and begin a frenzied worship of the pigs head, including sacrifices to the beast. Golding later explained that the pigs head the lord of the flies is literally translated from the biblical Hebrew, Beelzababug, which is another name for Satan. During this satanic worship, the boys kill one another of their own, Simon. The Rescue Jacks troop having honed their hunting skills move in on Ralph. There is no use appealing to their better nature now. They have abandoned all compassion. Ralph is cornered and seems a goner when suddenly an adult a naval officer arrives on the beach, with his uniform gleaming. His appearance puts everyone in a state of shock. The officer is disgusted with the savagery of the boys, but then he eyes his cruiser in the distance. He has saved the children from their violent world, but hes about to pile them onto a military vessel, where savagery and violence will ostensibly continue. Goldings description on the final page of the novel clarifies the symbolic overtones: The officer ... prepares to take the children off the island in a cruiser which will presently be hunting its enemy in the same implacable way. And who will rescue the adult and his cruiser?
Thursday, November 21, 2019
Ethics in Digital Content Sharing Research Paper
Ethics in Digital Content Sharing - Research Paper Example The PIPA works the same as the SOPA; with its main function also being the blocking, the sites that sell copyright materials. The stop online piracy act and the Protect IP Act have however not been amended yet. The two bills gave rise to a new procedure to take down the sites; the site is only those that violate the laws The creative commons, on the other hand, is a nonprofit organization whose main aim is to enable the use and the sharing of knowledge and creativity through free legal tools. The creative commons offer copyright licenses that are easy to use; these licenses provide a standardized and a simple way to give the public the permission to share and use creative works. The licenses let one to change the default copyright terms easily to some rights reserved, this license enables one to modify the copyrights terms to the best desired terms. The creative terms aimed at realizing the potential of the internet fully giving a new era of growth development and productivity The SOPA and the PIPA faces many critiques with many opponents proposing the stoppage of the two, the main question to ask however before criticizing the bills is "is copyright infringement right? Doesnt it violate the ethics, the privacy, and the security of the digital content?" Looking at the aims of the bills, the two of them are important as they protect copyright infringement. The SOPA is more functional as it goes, as it requires the operators to show the sites that steal the U.S media properties (Schmitz, p.220) Since the infringement of copyrights is illegal in many of the states, then the bill are important. It is, however, beneficial to understand that piracy and the copyright infringement leads to job losses; this is because it deprives content creators of profits. The legislation of the two bills will revamp a broken system that does not prevent criminal behavior. The bills face, however, face a lot of critics
Wednesday, November 20, 2019
NURSING ASSIGNMENT Continuing care - Incontinence Essay
NURSING ASSIGNMENT Continuing care - Incontinence - Essay Example It shall analyse how care was planned and delivered in order to meet the identified continuing needs in relation to evidence gathered from literature. It shall then reflect on the outcomes of care delivery for the continuing care needs identified. The patient, for this paper, shall be referred to with the pseudonym John Wilson. He is 82 years and was admitted into the Accidents and Emergency Unit after suffering a fall. He was later transferred to the medical ward to help him recover from his fall. He had a previous history of prostatectomy and was having problems with incontinence. He showed early signs of dementia, which however did not interfere with the nurseââ¬â¢s communication with the patient. The patientââ¬â¢s wife Barbara also assisted in answering questions about the patient. He lives with his wife and is often visited by his daughter and son-in-law. He needs continuing care because his mobility is compromised and cannot easily make it to and from the bathroom to relieve himself during urinary urgencies. He needs continuing care in order to help manage his urination, in order to prevent him from withdrawing from society, and eventually to keep him from being depressed. The continuing needs of the patient were assessed by the nurse and the other members of the multidisciplinary team (MDT). The nurse and the members of the multidisciplinary team (physiotherapist, occupational therapist, and the attending physician) assessed his risk for experiencing another fall. His previous fall broke his right hip; and he underwent hip replacement surgery soon after. He is now undergoing physical and rehabilitative therapy in order to gradually regain his mobility. He could get himself independently out of bed, but he has to use a walker in order to move about. He also needs assistance with his activities of daily living, but he is slowly gaining independence in carrying out these activities. With therapy and rehabilitation, he is slowly
Sunday, November 17, 2019
Opression and Inequality Essay Example for Free
Opression and Inequality Essay ââ¬Å"Racism, Oppression, and Inequality within The Welcome Table and Country Loversâ⬠In this paper I will analyze the similarities and differences between Country Lovers written in 1975 by Nadine Gordimer, and The Welcome Table written in 1970 by Alice Walker. The overall theme and concept between The Welcome Table and Country Lovers are racism, oppression, and inequality which I analyze with critical thought and precision. Before I can begin to draw any conclusion as to comparing and contrasting the two stories Country Lovers and The Welcome Table, I must first familiarize myself to several important concepts of each story. These important concepts consist of the plot, theme, list of characters involved, the setting, the style, and the tone of the narrator. Also, what method does the narrator utilize to gain and keep the attention of the reader at a maximum level? The Welcome Table, written by Alice Walker, is one of the most enjoyable and inspiring pieces of literature I have ever read. The Welcome Tableââ¬â¢s style is formatted in the third person point of view, but frequently shifts throughout the story. The beginning or the first part of the story is told strictly from the white peopleââ¬â¢s perspective as they witness an elderly black woman nearly blind, with a lean build and grayish tone to her skin enters their church. The historical development of the African-American woman can be traced within the African-American literary tradition while locating religion as a central influence of her strength character, and dedication (LaGrone, 2009). The author does a superlative job enhancing the story by incorporating such a descriptive nature to the characters. Particularly the main character which was described by her attire as being an old mildewed black dress with missing buttons and a greased stained head rag covering her pigtails. The elderly black woman was further described as having blue-brown eyes with very wrinkled skin. It was also mentioned of how profusely perspiring the elderly black woman was 2 1 2 1. plot, theme, list of characters This sentence is not balanced or parallel. For example, incorrect: The child spent the day singing, dancing, and played in the sandbox. Notice that played is not parallel with singing and dancing. Correct: The child spent the day singing, dancing, and playing in the sandbox. Example: Plot, theme, characters, etc. [Monique Sheffield] 2. The historical development of the If this is a direct quote it should be in quotation marks. However, the quote doesnt support wat you are saying. Consider either using another quote that support what you stated or adding more information that leads up to your quote. [Monique Sheffield] RACISM, OPPRESSION AND INEQUAL 3 when she arrived at the church, which in my opinion illustrates the fatigue and the struggle in which she endured. By incorporating vivid elements of descriptive images, the author made it rather easy to unite with this amazing journey. The race problem is not really an issue of cultural deficiency, racial bias, or structural dislocation. The race problem is an issue of power (Kuykendall, 2005). The story continued in the white peopleââ¬â¢s perspective after she took her seat, more directly pertaining to the usher who was informed to tell the elderly black woman to leave. The point of view switches to the white women inside the church, due to the fact the white women took it as a personal insult. The constant back and forth changing of the narrator in my opinion, heightens the intensity and emotional depth to this literary work. The narration of the story changed once again to the spouses of the white women who felt as though they were insulted by the mere presence of the elderly black lady. The white men followed the instructions that were given and aggressive with force threw the elderly black woman out of the church. After the elderly woman is thrown out of the church the narration switches back to the main character of the story. The truth is that until we can understand the pain we inflict on each other because of hatred and exclusion, we will never fully understand why racial reconciliation is so essential to the future of American (Waller, 2000). The next episode or set of events introduces the climax in the story. According to Clugston (2010) the climax of a story is the high point of tension that becomes the turning point in which the outcome is determined. We must strive to reinterpret the sociopolitical dynamics of race, to free the mind and heart as much as possible from the mistakes of the past (Winant, 1994). In my opinion the elderly womanââ¬â¢s turning point was the arrival of Jesus. To those of us who believe in 3 1 2 1. which in my opinion illustrates In a comparison/contrast paper keep your opinion out. You are not writing an opnion paper. [Monique Sheffield] 2. The race problem is not really Again, your quotes are not fitting the paper. If you need assistance incorporating sources into your research paper, select the ââ¬Å"Libraryâ⬠tab on the left side of your online classroom. Next, go to Tutorials Sources Incorporating Sources into Your Research Paper. This video focuses on how to effectively incorporate sources into your research assignment. [Monique Sheffield] RACISM, OPPRESSION AND INEQUAL 4 Jesus Christ just as the elderly woman it was truly an epiphany. An epiphany is defined as a profound and sudden personal discovery (Clugston, 2010). After her visual image became clear, and she realized who it was, she started jumping about and slapping her hands on her knees. This is an example of the overwhelming joy and excitement she was experiencing. Jesus was described as wearing an immaculate white, long dress trimmed in gold around his neck and hem, and a red, bright red cape. He was also wearing sandals and had a beard which was centered upon his long brown hair. This statement once again illustrates the profound descriptive nature of the story which contributes to the storyââ¬â¢s appearance. According to Clugston (2010), simile is defined as a direct comparison of two objects that are similar in at least one aspect, using like or as to link the similarities. In this particular event the author referenced the face of Jesus Christ to that of a glowing candle. His steps were mentioned to be ââ¬Å"sureâ⬠and ââ¬Å"perfectâ⬠as if He was walking on the sea. As the elderly woman and Jesus began to walk together she started to tell Him about the many years she took care of them, cooking, cleaning and nursing. We have pursued the shadow, they have obtained the substance; we have performed the labor, they have received the profits; we have planted the vines, they have eaten the fruits (1,200). This excerpt of oppression and injustice was felt by the elderly woman. After releasing all of her frustrations, cares, and problems Jesus smiled at her and instantly she felt as though a burden had been removed. The burden of the elderly woman reflects the theme of the story which is a combination of racism, oppression, and inequality. Another descriptive comparison was related to the ground Jesus and the elderly lady walked on, it was compared to walking on the clouds. A very interesting ending occurred in this story; no one actually knew what happened to the elderly woman. There came about many speculations. The white members of the town never talked about her. Many of the black families along the road stated ââ¬Å"they saw the old 4 1 1. Good job on describing the plot of this story. [Monique Sheffield] RACISM, OPPRESSION AND INEQUAL 5 lady high stepping down the highway; sometimes jabbering in a low insistent voice, sometimes singing, sometimes merely gesturing excitedly with her hands. â⬠Country Lovers written by 1975 by Nadine Gordimer was narrated using the third person point of view. The main characters involved in this particular story were Thebedi, Paulus Eysendyck, and Njabulo. Thebedi, a poor black girl, who was 18 years of age, grew up in the Kraal of South Africa working as a farm hand with her father on the property of her childhood friend Paulus Eysendyck. Paulus was a young, white, 19 year old whose father owned the land. Over the years Paulus grew fond of Thebedi. Paulusââ¬â¢ endearment towards Thebedi was illustrated by bringing Thebedi a painted box from when he attended boarding school. Thebedi also showed her affection toward Paulus by giving him a bracelet she had made out of brass wire. The theme of this story is based around the perils of apartheid, segregation and racism. Their actions (Paulus and Thebedi) exemplified the policies of the South African because they carefully, strategically plan their encounters. Njabulo, a bright young black boy who lives in the Kraal also worked on the farm. Njabulo had a secret crush on Thebedi for years, but did not act on it until Paulus entered Veterinary College. It was at this time that Njabulo asked Thebediââ¬â¢s father for her hand in marriage. It is customary to distribute brides-wealth to the parents of the bride. Two months into their marriage Thebedi gave birth to a baby girl. At this point in the story the narrator uses descriptive literary terms to entice the reader to become fully engaged. The characteristics of the baby girl were design to initiate the climax of the story. It was mention that the infantââ¬â¢s features were as follows. Her complexion was very light with straight fine hair and her eyes were grey flecked with yellow. These features were very inconsistent with those of both parents being Afro-American. Nevertheless, Njabulo made no 5 1 1. You have summarized some of the story, but have not stated anything that supports the theme. [Monique Sheffield] RACISM, OPPRESSION AND INEQUAL 6 complaints. After Paulus returns home for the holidays, the plot thickens or shall I say takes a turn for the worst. To Paulusââ¬â¢ amazement he overheard the house-servants acquiring about getting a reliable substitute to help out now that Thebedi had a baby. At first glance of the infant Paulus struggled with a grimace of tears, anger, and self- pity. After Paulus asked Thebedi if she had been near the main house with the baby; the way she answered him somewhat confused me. The tone of her voice reflected she cared more about him (Paulus) than the baby. Paulus returned a couple days later to revisit Thebedi and the baby. After remaining in the hut for an extended time, Paulus finally left. The next morning Njabulo found the baby to be dead and buried her. After pathological tests were completed, evidence showed intestinal damage not consistent with death by natural causes. This is another point in the story that thickens the plot, and decreases the credibility of both Paulus and Thebedi. Thebedi rendered a statement at the preliminary examination, ââ¬Å"I saw Paulus pouring liquid into the babyââ¬â¢s mouth. â⬠This statement is a blatant paradox. According to Clugston (2010), a paradox is defined as a contradiction. The comparison and contrast aspect of The Welcome Table and Country Lovers falls into the category of racism, segregation, inequality. In order to give proper respect and credit to the author, I will analyze in depth the tools that were used to portray a perfectly painted picture, starting with The Welcome Table. The setting, the style, the vast proportions of literary terms all combined, paints a vivid reenactment of struggles that Afro-Americans have endured for so many years. For many years Alice Walker has played an integral role contributing to the cause of equal rights for minorities, particularly Afro-Americans. Through the use of her expertise, she has instilled in so many that we must never forget the many years of oppression, filled with endless 6 1 2 3 1. or shall I say takes a turn for Some of the language you are using is informal or conversational in style. Academic writing is structured and formal. What may seem appropriate in everyday conversation is not necessarily appropriate for your essay. [Monique Sheffield] 2. me. Unless you are writing a personal opinion or biographical paper, avoid the use of the personal pronouns I, me, and you. They are considered informal in academic writing. For additional information, visit the Ashford Writing Center located in Constellation. Click on Ch 2. 2. [Monique Sheffield] 3. Thebedi rendered a statement at Explain this more. [Monique Sheffield] RACISM, OPPRESSION AND INEQUAL 7 sacrifices and never ending desire to overcome. Furthermore it is of the uttermost importance to continually strive for advancement. Even though the literary work of Country Lovers deals with racism and segregation, it was based on a romantic and intimate encounter of childhood sweethearts. The Welcome Table portrayed, in my opinion, the true struggles which transpired in the days before the abolishment of slavery. I think the tone portrayed in The Welcome Table showed evidence that when read could very well captivate your entire train of thought. The tone that was used in The Welcome Table increased in strength as the story migrated. All the way to the end of the story, I wanted to continue reading, unlike Country Lovers. In my opinion Country Loversââ¬â¢ tone was not as strong. The settings of both were written in a time where even though laws were passed to ban or revoke discrimination, it was still apparent and practice regularly. One major difference in my opinion was the style of The Welcome Table compared to that of Country Lovers. Even though both literary works are categorized as being told in the third person, The Welcome Table actually changed narrators several times which in my opinion added life and charisma to the story. For example, The Welcome Table narration went from the reverend to the old lady, back to the usher, then to the white woman of the church, to their husbands, and finally back to the elderly woman. Enclosed in my comparison and contrast essay of The Welcome Table and Country Lovers, you will find a descriptive analysis of the similarities and differences between each piece of literature. I also included the theme, plot, style and list of characters that were involved in each piece. I incorporated several literary terms which aided in the development of each story. Throughout my paper, I also described the difference between the tone of the two authors, and how 7
Friday, November 15, 2019
Case Study of Diagnosis of Neutropenia Patient
Case Study of Diagnosis of Neutropenia Patient A 45 year old physically fit patient was admitted to hospital following several visits to his General Practitioner (GP) where is was complaining of decreased appetite, constipation, fever, chills, headaches, cramping, vertigo and respiratory problems after experiencing some hay fever like symptoms one week ago. He was commenced on Roxithromycin 150mg b.d and his GP ordered blood tests that showed his had neutropenia (low white cell count) (Harris et al 2006, p 1185) and thrombocytopenia (low platelet count) (Harris et al 2006, p. 1704). Two days later he was not feeling any better and the GP ordered a chest x-ray (CXR) which the patient to have bilateral pneumonia he was than admitted to the hospital. This essay will identify important events that took place during the patients admission to hospital and discuss three of these events in detail with contemporary evidence to support the writers discussion. The essay will than look what has been learnt through this case study in relation to future professional practice as a new graduate registered nurse in accordance with the Australian Nursing Midwifery Council (ANMC) competency standards. Day 2 Why did the patient not received oxygen until his saturation got to 70% there is no mention of the treatment plan to or from nursing staff. Later that day the patient was transferred to main ward, the nursing staff raised the issue that the patient needed to be in the intensive care unit (ICU), the patient was reviewed by Respiratory Physician and was decided to not to transfer patient to ICU. This patient required close monitoring due to saturation decrease and as a newly registered nurse we do not have the experience or the time to monitor this patient in a ward environment (ANMC 2006) competency Professional Practice. Patient safety, patient advocacy. Day 5 The patient was noted to be still febrile and was ordered another CXR as the Computed Tomography Scan (CT scan) was not preformed, why had this patient not had the CT scan that was ordered (ANMC 2006) competency Professional Practice. Team communication strategies, chain of command. Later that day it was also noted that the patient had a PR Bleed and a referral was made to the gastroenterologist. No mention of cause or any investigation taken place to assess the PR bleed no blood tests were ordered to determine patients status. Patient advocacy, patient safety. Day 6 Respiratory Physician saw the patient and noted he had severe bilateral pneumonia, possible bone marrow suppression and anaemia of an unknown cause, no communication between medical officers as the patient had a PR bleed the day before and is neutropenic and thrombocytopenic. The Respiratory Physician requested an infectious diseases review. Patient advocacy, conflict management, documentation. Day 7 It was documented again that the patient had low saturations and was febrile. He was seen by the Infectious Diseases Specialist and was ordered more tests and a lung biopsy. The lung biopsy was considered to be of high risk due to the patients condition by a Thoracic Surgeon. If this patient was a high risk why was he not in ICU as requested by the nursing staff? Conflict management, chain of command, patient advocacy. Day 8 The nursing documentation states patient remains very breathless and low saturation is on 12L oxygen via a non-rebreather mask and is still febrile. A BiPAP (bilevel positive airway pressure) was requested to be used the next day but patient was not alive the next day, why was it not used immediately he is on high level oxygen and should have CO2 levels checked by having blood gases taken, a CT scan was ordered of the abdomen as a splenic infarction was suspected. Later that evening the patient was found out of bed with his oxygen mask still insitu but disconnected from the oxygen outlet, why was he trying to get out of bed?, Why was the tubing disconnected was he disoriented due to high oxygen saturations, did he fall out of bed ?, did the tubing need replacing ? This was not documented in the patients notes just handed over to night staff verbally. Patient safety, documentation, team communication strategies. Early Day 9 The night duty staff stated they did not monitor oxygen saturation due to patients request, staff should have explained how important it is for the nursing staff to monitor his oxygen levels, the patient was buzzing several times during night for a urine bottle and to check his oxygen levels, staff gave the patient a urine bottle but left the curtain open, did the patient get up to close the curtains for privacy?. The patient was found on the floor ten minutes later in cardiac arrest, Cardiopulmonary Resuscitation (CPR) was commenced, the arrest team was called and resuscitation continues for 20 and ceased with authority from the respiratory physician. Policy and procedures, Patient safety. First event was that the patient was not placed in ICU as requested by nursing staff. (Patient advocacy) ANMC Competency Standards (2006) Professional practice 1.2 clarifies responsibility for aspects of care with other members of the health care team, recognizes the responsibility to prevent harm. 2.4 Identifies when resources are insufficient to meet care needs of individuals/groups. 2.5 raises concerns about inappropriate delegation with the appropriate registered nurse. The patient has been transferred to the ward after arrangements were made by his GP for admission to hospital following an illness of unknown origin. Tests reveal that the patient has. Bilateral pneumonia. Neutropenia. Thrombocytopenia. Upon presentation it was noted that the patients saturations where low and required 6L oxygen via a Hudson mask and the new graduate registered nurse felt this patient needed to be placed in ICU to receive appropriate care. The newly graduate nurse should have consulted with the with the unit manger about her concerns when the Respiratory Physician refused to place the patient in the ICU this is related to 1.2 of the competency standards by clarifying her concerns and recognizing to preventing of harm to the patient. Patient advocacy is not new to nurses, nurses assume they have an ethical obligation to advocate for their patients (Negarandeh et al 2006). Advocacy can be defined as the act of arguing in favor of something. In terms of nursing, advocacy can be seen as the process we engage in when we speak on behalf of our patients when they are incapable of doing so themselves (Spenceley et al 2006). Advocacy has been described in ethical and legal frameworks and, more recently, as a philosophical foundation for practice (Negarandeh et al 2006). It has also been described in terms of specific actions such as helping the patient to obtain needed healthcare, defending the patients rights, assuring quality of care, and serving as a liaison between the patient and medical officer (ANMC 2005,Code of Ethics), (Spenceley et al 2006). When nurses and new graduate nurses advocate for patients, they face certain risks and barriers associated with the settings within which they work (Negarandeh et al 2006). Therefore, there is always the possibility that attempts to advocate for a patient can fail, and that nurses can experience many barriers when addressing choices, the rights, or welfare of their patients (Negarandeh et al 2006). As a new graduate nurse this was an important event to advocate for their patient as it was quite evident that this patient needed extensive nursing care that is not available in the ward situation, the nurse needed to gather evidence to suppor t their concerns and present it to the Physician and nurse unit manager (Spenceley et al 2006). The second event was why did the patient not attend the requested CT scan (negligence, communication). ANMC Competency Standards (2006) Provision and Coordination of Care 7.1 Effectively manages the nursing care of individuals/groups. It is the registered nurses responsibility to make sure that all tests and orders by the medical officer are carried out. The registered nurse could be seen to be negligent of her duty by not making sure the patient had received his CT scan according to the treatment plan. The legal definition of negligence means breach of duty. Standards of care in nursing generally mean those practices that a reasonably average nurse would use. So a good nurse knows and understands ethics in the medical field and strives to provide excellent quality of care in order to avoid negligence. However, mistakes, which will happen, do not necessarily mean negligence has occurred (Staunton Chiarella 2008). Examples of breach of duty, which may be considered negligent under certain circumstances may include doing something which a reasonably average person would not do, or the failure to do something which a reasonably average person would do, under circumstances similar to those shown by the evidence. It is the failure to use ordinary or reasonable care, (Staunton Chiarella 2008). Inadequate nursing skills or attention to tasks may result in a suit of negligence against a nurse who habitually fails to provide approved standards of care. Such incidents include, but are not l imited to, constant medication errors, failure to follow policy or orders and improper use of equipment (Hughes 2008). The legal review of a nursing negligence requires proof that injury was done, and that it was the result of the nurses care or lack of. Negligence refers to the act of doing something or refraining from doing something that any other reasonable medical professional would do or refrain from doing in a similar situation (Staunton Chiarella 2008). It goes without saying that every situation is different, and that is where the law becomes somewhat cloudy. However, when reviewing a nursing negligence case, assumptions and circumstantial evidence are taken into account to determine if there was negligence (Staunton Chiarella 2008). There are five main elements in a nursing negligence, and all elements must be proven in order for a case to be valid. If one or more of the elements is not present, the case may be hard to prove, (1) the nurse had a duty to perform, (2) the appropriate care was apparent in the situation, (3) there was a breach or violation of care, (4) there was an injury proven to result from the nurses negligence, and (5) there is proof that damages occurred as a direct result of the situation (Staunton Chiarella 2008). New graduate nurse should know and practice the professional code of conduct for nurses in Australia, this standard cover all standards by the ANMC (ANMC 2005, Code of Professional Conduct for Nurses in Australia). The third event was why was there no documentation on the patients incident on the 13th February day 8. (Legal documentation, communication) ANMC Competency Standards. Collaborative and Therapeutic Practice 10.1 Recognizes that the membership and roles of health care teams and service providers will vary depending on an individual/group needs and health care setting, 10.2 Communicates nursing assessments and decisions to the interdisciplinary health care team and other relevant service providers. Professional Practice 1.1 Complies with relevant legislation affecting nursing practice and health care. In todays health care system, delivery processes involve numerous patient handovers among multidisciplinary team members with varying levels of educational and training (Hughes 2008). Changes to the nursing models of care have resulted in alteration to communications between health professionals for example patient allocation, all patient care remains the nurses responsibility, in team nursing the responsibility is shifted to the team manager (Fernandez et al 2010). During the course of a 3-day hospital stay, a patient may interact with 30 different employees, including physicians, nurses, technicians, and others (Hughes 2008). Effective clinical practice involves many instances where critical information must be accurately communicated, patient handovers, medication orders, follow up tests are some exapmles (Hughes 2008). When health care professionals are not communicating effectively, patient safety is at risk for several reasons: lack of critical information, misinterpretation of information, unclear orders over the telephone, and overlooked changes in status (Hughes 2008). The transfer of essential information and the responsibility for care of the patient from one health care professional to another is an important component of communication in health care (Hughes 2008). Introduction, Situation, Background, Assessment, Recommend (ISBAR) is good effective communication tool for handovers (Jacques et al 2009).An effective handover supports the transition of critical information and continuity of care and treatment (Hughes 2008). Ineffective communication is a leading cause of preventable patient injuries, wrong medication events and patient death (Fernandez et al 2010). Documentation is a legal requirement to nursing, it must show the patients condition, decisions made about nursing care, objective observation of patient and any events that have taken place during that nurses shift and documented as events occur (Jefferies et al 2009). Nursing documentation must comply with the legal requirements such as it must be legibly written, identify the patient, 24hr clock used to identify when the report was written, signed with name and designation, incorrect entries must have a single line through them and initialed next to entry with written in error, do no t make entries for other nurses, use only approved abbreviations and leave no blank lines between entries (Jefferies et al 2009, p. 121). As a new graduate nurse it is extremely important to document all events that occur during your shift, it is also important as an experienced nurse. New graduates should always back up their decisions and document why they managed the patient care that way using evidence base practice and policy and procedures of the facility. What the writer has learnt for their future practice is always document everything that is factual and relevant information as soon as possible, this is a legal requirement of nursing and if you need to go to court you will be able to defend yourself with full comprehensive nursing documentation. Documentation is a hard copy of the patients events and the whole multidisciplinary team can read them and there will be no confusion, misinterpretation. Advocating for patients is important as with this case if the nurse had advocated for the patient he may have had a better chance at survival and received the extensive nursing care he needed. If you are not happy with a result go further to resolve the situation to ensure a safe outcome for your patient. Do not operate outside your scope of practice this could lead to breach of duty of care and negligence, nursing today is considered to be a professional occupation and knowing the competency standards and follow policy and procedure is an expectation. Becoming a registered nurse is a huge responsibility, it is one that the writer will embrace and except whole heartedly. This is just the beginning and the writer is looking forward to the very exciting future and helping people thought difficult and challenging times of their lives. Conclusion There were many important events and communication errors thought out the patients care. The three main issues identified by the writer where patient advocacy, negligence of care, communication/documentation. Patient advocacy is an important role for nurses. New graduate nurses need to develop these skills and seek out assistance from more experienced nurses to help advocate with them. There are many issue with negligence and sometime hard to prove, but if the new graduate nurse follows policy and producers and the ANMC competency standards they should have confidence in their practice as a newly qualified registered nurse. Documentation is a requirement both legal and professional in nursing, accurate, comprehensive nursing documentation has the relevant information for all multidisciplinary members to comprehend. Communication with all members of staff can be difficult as there as many health care professional with varying levels of educational and training. Ineffective communicati on is a leading cause of preventable patient injuries, wrong medication events and patient death. This case study has displayed the importance of these events and has assisted the writer for future practice.
Tuesday, November 12, 2019
ICT Hardware/Software report Essay
A Diagram to show the Structure of A Computer System A Diagram to show the System for Completing My Logo A Diagram to show the System for Completing My Spreadsheet A Diagram to show the System for Completing My Wage Slip A Diagram to show the System for Completing Mail Merge Storage Device Description Advantages Disadvantages Where did I use this device? How could I have used this device? Hard Disk Primary storage device of a computer. It has a large capacity of up to 1024 GB (160 GB on PC). Large capacity Reliable Durable Fragile Not infallible Not portable I used this device each time I needed to save my work. N/A Floppy Disk A 3. 5 inch disk quadrangular in shape. Obsolete form of data storage. Simple to use Compact Portable Small memory Easily damaged Unreliable N/A To take my data home Flash Drive (USB) A modern form of data storage. It connects via USB. Compact Portable Large memory (up to 2GB) Small-easily lost Not compatible with all computers Fragile To take work home N/A Output Device Description Advantages Disadvantages Where did I use this device? How could I have used this device? Ink Jet Printer These printers use cartridges which contain ink. Produce good quality printouts Fast Cheap to buy Laserjet Printer They print in the same way as photocopiers. Powdered ink, called ââ¬ËTonerââ¬â¢, is fused onto paper by heat and pressure. High quality printouts Cost per page low (cheaper than ink-jet or dot matrix printers) Most expensive printer to buy Large Expensive to repair Dot Matrix Printer First printer to be used in homes and schools. Cheap Low operating costs Can create carbon copies Noisy Cannot produce colour documents Very slow N/A I could have printed some of my work off with it. LCD Monitor Liquid crystal displays. Passes light through tiny crystals. Portable. High quality display More expensive than CRT monitors Screen is fragile To view my work N/A CRT Monitor Cathode ray tube. Coating of small phosphor dots glow when hit by electrons i. e. light. Cheap Simple Heavy (not portable therefore) Lower quality display N/A I could have used this to view my work rather than an LCD monitor Graphics Plotter Can produce large printouts e. g. 3â⬠³x10â⬠³ and of a high quality. The images are created by a pen controlled by the computer. High quality printouts Large printouts can be produced Slower than printers More expensive than printers Bad for printing text N/A. To print off large copies of my work. Will have improved quality of logo Input Device Description Advantages Disadvantages Where did I use this device? How could I have used this device? Keyboard It is the commonest and most widely used input device. The keys (buttons) are arranged alphabetically, numerically and there are computer specific keys (function-F1, F2 etc and: delete, page up home etc). Most computers have a keyboard packaged with them Simple to use Special keyboards available Mistakes are easy to make Keyboards are unsuitable for making graphs Handicapped people find them hard to use. All the way through the course every time I needed to enter data N/A Mouse Most common input device alongside the keyboard. Has 2-5 buttons. There are two types available: optical and roller; optical has a motion sensor under the mouse, and the roller operates with a ball. Perfect for desktop computers Simple to use Supplied with PC Need an even surface near the PC Overuse can lead to RSI (repetitive strain injury) Any time I needed to select a file, used for navigating the internet and programs Scanner Scanners convert physical data (text, image etc) into digital data. This allows the image to be edited. The most used scanner is the flatbed scanner which is used at home school etc. Higher quality than handheld scanners. Images can be edited/enhanced once digitised Very accurate and high quality Images can take up large amounts of memory The digital image loses some quality in the scanning process N/A I could have made my wage slip by hand and scanned it in Magnetic Stripe Reader A device which reads magnetic tape. Commonly used by bank machines and for security in buildings (acts as a key) Simple to operate Quick and easy to use Smudges on the magnetic stripe make it unable for the card to be read N/A N/A. Software Description Advantages Disadvantages Where did I use this program? How could I have used this program? Word Processing The method of creating documents on a computer. Also used to describe advanced shorthand techniques. Easy to edit Simple to correct mistakes Not all word processors allow the same formatting e. g. notepad doesnââ¬â¢t allow you to add images but Word does When I was mail merging, entering employee data and creating my wage slip N/A Spreadsheet Data is entered in rows and columns like a table. This is ideal for numerical data/registers etc, calculations can be carried out with ease. Formulae are easy to enter Cleary presented data Can use up a lot of memory Can be complicated at times When I entered the data for the employees N/A Database A collection of data. Files are fixed or variable length. Requires little memory Easy to get the hang of For it to work correctly youââ¬â¢ll need to design the files yourself. When mail merging. N/A Graphics There are programs used to create digital images e. g. Bryce 2 Dimensions of image can be altered (2D/3D) Many editing tools Takes time to create high quality graphics Can get complicated N/A To create my logo Internet Software Software on the internet e.g. search engines Simple to use Access to vast amounts of data Free to use Can be slow Filtering through the data can be very time consuming When I needed some help with the task To create my logo N/A Publishing General purpose software. Ideal for producing menus. Leaflets etc. Simple to operate Many tools Mistakes are hard to correct at times Files can take up a lot of memory N/A To design my logo Bespoke Software Programs that are tailor made to fit the customerââ¬â¢s needs. Customer gets exactly what they want More expensive to create Self maintained N/A Could have designed my own program to create a database.
Sunday, November 10, 2019
Redi: Scientific Method and Heather Ramirez Page
1. State a possible hypothesis for Rediââ¬â¢s experiment. -Hypothesis for Rediââ¬â¢s experiment is that maggots come from larva of flies and that the meats only serve as food for the developing insects. 2. Which of the three jars in Rediââ¬â¢s experiment would be considered the control and why? -The jar that was left uncovered in the experiment would be considered the control because this jar represented the meat as it would normally be found with the maggots attached. 3. Give a brief explanation of Rediââ¬â¢s experimental procedure. Redi preformed an experiment to prove where maggots came from. He took three jars and put a piece of meat in each jar. Jar 1 was left uncovered, jar 2 was covered with netting (gauze), and jar 3 was sealed from the outside. In jar 1, maggots were found on the meat and there were flies flying around that had laid eggs on the meat. Jar 2 was found to have maggots on the netting of the jar, because the flies had begun to lay their eggs. Jar 3 ha d not developed any maggots on the meat, which proved that living things are not spontaneously generated. Heather Ramirez Page 2 4. Why would the experiments run by Redi, Spallanzani, and Pasteur be considered as a possible basis for a theory? -Redi, Spallanzani, and Pasteur all used similar experiments to prove that living things are not spontaneously generated and through their experiments they were able to support their hypothesis with scientific reasoning. The experiments preformed were considered valid because of the reproducible outcome in each study. 5-6. What were the possible conclusions reached from Spallanzaniââ¬â¢s experiment? Why were his conclusions not accepted? -After boiling the broths no bacteria was present. Although his experiment was successful, his conclusions were not accepted because he had deprived the sealed flasks of air by melting their glass necks and it was thought that air was necessary for spontaneous generation to occur. The experiment was also contradicting because, if the flasks neck became cracked the broth would then obtain a rapid growth of microorganisms. 7. Why would Aristotleââ¬â¢s thoughts on spontaneous generation be considered nonscientific reasoning? -Aristotle believed that living things arose and always had arisen from lifeless matter. This would be considered nonscientific reasoning because these were just his thoughts and beliefs, not something that was scientifically tested. For something to be classified as scientific reasoning it would require an actual scientific research method, such as an Heather Ramirez Page 3 xperiment to first predict and then test the hypothesis to ultimately come to a conclusion based on the results from the experiment. 8. How did Pasteur modify Spallanzaniââ¬â¢s experiment in order to provide further experimentation on spontaneous generation? -Pasteur used swan-necked flasks which allowed air into the flasks but the route was so convoluted that any particles drifting in from the air would settle out in the folds of the glass before reaching the broth. His flasks were open to the air but did no t support bacterial growth like Spallanzaniââ¬â¢s flasks did. This method had rejected the possibility of spontaneous generation because the broth in the swan-necked flasks remained clear which concluded the previous tests done by Spallazani and Needham were not accurate. The normal flasks allowed bacteria to drift into the broth causing cloudy bacterial soups and had thickened the rich nutrients due to the bacteria multiplying. 9-10. In Order for experimental results to be accepted, the results must be reproducible. Why did Tyndall have problems reproducing Pasteurââ¬â¢s work and how did he solve the problem? Pasteur and others scientist were using different types of broths. (Pasteur only used broths made with sugar or yeast extract, and the other scientist were using broths made from hay) As a result, Tyndall found that these different types of broths required different boiling times to be sterilized. He found that certain microorganisms can exist in heat- Heather Ramirez Page 4 resistant forms, which are called endospores. Once this confl icting data was brought to light Tyndall was able to reproduce Pasteurââ¬â¢s experiment and prove him to be correct.
Friday, November 8, 2019
Super Words
Super Words Super Words Super Words By Sharon As a prefix, super- originates from the Latin super, an adverb and preposition meaning above, on top of, beyond, beside. Thats the original meaning of the English prefix, too, though according to the Oxford Dictionary of English Etymology, it has taken on other senses over the centuries. These include: Higher in rank, quality or degree (example: superstructure) In the highest, or to a high degree, in excess ( example: superabundance) Expressing addition (example: supertax) Here are some super words which have the same root: Superb ââ¬â excellent Supercilious ââ¬â proud, arrogant (from the Latin for above the eyelid) Supercomputer ââ¬â extra powerful and quick computer Superfine ââ¬â extremely refined, over refined Superhuman Superintendent ââ¬â director or manager of an organisation Superior ââ¬â greater in number or quality Superlative ââ¬â of outstanding quality Superman (originating with Nietzsche rather than Clark Kents alter ego) Supermodel ââ¬â an exceptionally successful catwalk model Supernatural ââ¬â inexplicable through natural laws; miraculous Superscribe ââ¬â to write above Supersede ââ¬â to supplant or replace Supervise ââ¬â to direct or oversee There are dozens of others. Why not add yours in the comments or in the forum? Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Vocabulary category, check our popular posts, or choose a related post below:Using "a" and "an" Before WordsOne Fell SwoopComment, Suggestion, and Feedback
Wednesday, November 6, 2019
Process Essay for English 101. Teacher wanted lots of descriptive words and clear thesis and restatement
Process Essay for English 101. Teacher wanted lots of descriptive words and clear thesis and restatement The first Wednesday of the month has abruptly come again. This is the day that I do all of the maintenance on my fish aquariums. There are 5 in all, and most people believe that it is a large chore to take care of that many. I honestly believe that it's not all that bad, and with a properly planned schedule, anyone can easily care for an aquarium; fresh or saltwater.I start out directly after school by changing into some jeans or shorts so that I don't get my nice clothes all wet. I then head to the closet to get my supplies which are: four buckets, two different sized hoses, a water pump, my water testing kit, and a box of different chemicals. After I have everything set out in the dining room, I walk around to each of the aquariums and lift off the wooden canopies and glass coverings so that I can access the water easier.A shot of our 10 Gallon tank. Hopefully being used...It is now time to take out the water from the first tank.I always begin with the largest of my tanks, which is a 100 gallon show tank. Making sure not to disturb the fish too much, I slide the siphon hose into the water to fill it up. I plug the other end with my thumb to make sure I stop the water from spilling out. I then lift the hose that is in the water back into the air making sure I captured a large amount of water. I lower the unfilled part of the tube down and raise the filled part up, making the water travel from one end to the other. I then set the newly emptied end of the hose back down into the water, the suction is made and the water begins...
Sunday, November 3, 2019
Feasibility Report Research Paper Example | Topics and Well Written Essays - 1250 words
Feasibility Report - Research Paper Example The university offers various facilities to facilitate the learning process that the students partake, hence, making it the fourth largest University in the state of Texas. The campus has a retention rate of approximately 63% of first-time freshmen; however, the number of students anticipated to increase with the execution of the admission principles. The new buildings, the renovation and the proposed housing solutions will indeed help in achieving the rise in retention rate. This will increase the Universityââ¬â¢s growth in the number of student receiving its full potential. Studentsââ¬â¢ retention at the University of Houston Downtown has proven to be a challenge. Over the years, the University has found it hard to preserve the large numbers of student intake. This paper is a feasibility report on a research that was initiated to find possible solutions to the addressed challenge. This report will scrutinize the possible solutions and offer recommendations and a conclusion. P roposed solutions The university of Houston downtown is the fourth largest university in the state of Texas. This shows the stretch of the high number of students using the universityââ¬â¢s facilities. However, most of the students who join the University of Houston Downtown have trouble finding hostels or apartments within the school. The pressure of the growing population means that the administration has to find solutions in order to accommodate increasing numbers of student (Geiger Mass & College Prowler Firm, 2011). This has led to the three possible solutions that include; the leasing of off-campus apartments that are owned by the university; retaining first years by means of on campus housing program, renovating of the old buildings around the school for spacing and accommodation purposes (Geiger Mass & College Prowler Firm, 2011). Research Methods The following are the strengths, weaknesses, opportunity and threats (SWOT) analysis of these proposed solutions. Leasing of o ff-campus housing for students. According to my investigations, the university has considerable support from the neighboring properties owner but at a rate agreeable to both parties. The properties have the capacity to house approximately 12% of the students in the campus. The properties are in decent shape and are secure. The owners are interested in making a deal with the university; hence, the university has a chance to make the leasing agreement possible. The cost of the leasing can range from a minimum of 9% to 14% of the universityââ¬â¢s income. The effectiveness of leasing oof-campus houses will be determined by terms of agreement by the University and the property owners. The implementation of this program is both time and money efficient. The deals also provide a threat to the successful implementation of this program. The parties involve may have disagreements over the rent rates (Simha & Massachusetts Institute of Technology, 2003). Either, charging some of the lease r ent to the student or focusing on the properties owners prepared to cooperate
Friday, November 1, 2019
Alchol and beverages Essay Example | Topics and Well Written Essays - 500 words
Alchol and beverages - Essay Example As far as it is within the limit, it is permitted. MADD is on the side of moderate alcohol consumption and does not insist on a ââ¬Ënoââ¬â¢ to alcohol according to their philosophy. The organization bases its philosophy on statistical data in Traffic Safety Annual Assessment of alcohol impaired driving fatalities. Based on the fatality rates, it is clear that the philosophy of the organization as revealed in its mission statement is valid and inevitable. The organization highlights on the innocent victims of the crime, especially school children and attempts to support them. For instance, a statistical data highlighted to support their philosophy is ââ¬Å"In 2007, an estimated 12,998 people died in alcohol-impaired traffic crashesâ⬠¦Three in every 10 Americans will be involved in an alcohol-related crash in their livesâ⬠as put on their web site. I cannot neglect the fact that the organizationââ¬â¢s philosophy on drunk driving has made me rethink my business philosophy. As an individual I sympathise with their philosophy and agree that things are to be put in their place when it comes to drunk driving. However, as a professional, I have a challenge to find a balance between doing justice to my business ethics and playing responsible to the
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