The Greatest Effects Of The Enlightenment Era - 2374 Words

The Enlightenment era spanned the late 16th and 17th hundreds and it was a movement in which thinkers such as Thomas Hobbes, John Locke, Thomas Pain, and Adam Smith sought to make advances in a similar manner to the occurrences in this period with scientific achievements/improvements. Two of the greatest effects of the Enlightenment era were the American and French Revolutions, which gained their foundation from the revolutionary ideas brought forward by the Enlightenment thinkers. The leaders of the American and French Revolutions were seeking to create new governments reflecting some of the values and ideas of the Enlightenment thinkers. One of the many influential Enlightenment thinkers was a philosopher by the name of Thomas Hobbes, who also served as a teacher to the first male child of Charles I, the monarch of England. The beheading of the England’s monarch in 1649 for treason had a profound influence on Thomas Hobbes and left him extremely troubled and horrified. The beheading of England’s monarch led Tomas Hobbes to argue for the presence of absolute monarchy in his work The Leviathan in 1651, which effectively kicked off the Enlightenment. In the Leviathan, Hobbes narrated his theory that all human beings are inherently self-driven, evil, and violent at heart thus an all powerful monarch who ruled under an absolute monarchy would serve to be the best form of government to keep order and ensure the welfare of people at heart. Hobbes further informed that if theShow MoreRelated The Romantic Hero in Goethes Faust Essay1550 Words   |  7 Pages hero because the transformation of his attitudes mirrors the larger transformation that was occurring in the society in which Goethe conceived the play. Faust’s odyssey transports him from adherence to the cold rationale of the Enlightenment to a passion for the pleasures that came to define the Romantic spirit. Faust not only expresses the moral contradictions and spiritual yearnings of a man in search of fulfillment, but also portrays the broader mindset of a societyRead MoreThe Founding Fathers The Politicians Who Led Colonial Assemblies And Congresses1522 Words   |  7 Pagesfor his mansion at Monticello.†(Taylor 53) This is one example of the contradicting era of cultural development in 18th century America: the continuation of closeness to England, and the steady distancing of the American colonists from the British. For the majority of the 18th century, colonial America sprouted shocking ideas of the power of the individual through events like the Great Awakening and Enlightenment, and the emergence of parties such as the Whigs. Meanwhile, they continued to hold closeRead MoreThe Enlightenment1278 Words   |  6 Pages World Literature The Enlightenment’s Impact on the Modern World The Enlightenment, Age of Reason, began in the late 17th and 18th century. This was a period in Europe and America when mankind was emerging from centuries of ignorance into a new age enlightened by reason, science, and respect for humanity. This period promoted scientific thought, skeptics, and intellectual interchange: dismissing superstition, intolerance, and for some, religion. Western Europe, Germany, France, and Great BritainRead MoreEssay on Black Death with Wings of Light1479 Words   |  6 Pagescontaminated with Yersinia pestis bacteria. This bacteria has the capability of taking one’s life within 48 hours (MedicineNet). In 1340s, the plague victimized countless numbers of people. Fortunately, the plague temporarily subsided during the Renaissance era in 1450s (Dowling, Mike). But in the spring and summer of 1665, the plague revived in London, in the name of the Great Plague (Historic UK). The Great Plague proved disastrous, killing fifteen percent of the English p opulation (Historic UK). When theRead MoreCharacter Analysis: Voltaires Candide1827 Words   |  8 Pages Enlightenment poem â€Å"Candide† translated into Romanticism Voltaire’s â€Å"Candide or Optimism† was written in the enlightenment era. Voltaire’s story is published in The Norton Anthology of Western Literature. Voltaire’s character Pangloss is a philosophy who taught about the all-powerful God, who created the world. Pangloss indicated the world must belong to God, for he was the only divine creator. Pangolss was also a mentor to Candide, who was the main character in the novelRead MoreUse Of Memory And Dreams During The Romantic Era1248 Words   |  5 PagesDream, Remember, then Write Imagination and creativity is part of the many influences that attribute to the writings in the Romantic Era. It influenced writers and poets to expand their art to a new horizons and veer away from the Enlightenment Era of tradition and logic. The use and significance of memory and dreams in the Romantic Era helped strengthen the inner emotions within writings, present ideas outside of traditional expectancies, and display the authors creativity and individuality throughoutRead MoreEnlightenment Assessment : The Ideal Of Reason1270 Words   |  6 PagesPatricia Totman Instructor: Course: Date: Enlightenment Assessment: the Ideal of Reason The greatest initial collapse of the Enlightenment ideals occurred at the beginning of the 19th century. It was associated with the realization of the limitations of the mechanical-mathematical view of the world and a number of social upheavals, including the bloody French Revolution, which gave birth to dictatorship and terror. These forced to question the possibility of a â€Å"social contract.† MoreoverRead MoreThe French Revolution1575 Words   |  7 Pageshe explains that most historians attribute the French Revolution to two distinct factors: the first major factor was the financial issues had an incredibly negative impact on the lives its poorest citizens. The second major factor was the era of â€Å"Enlightenment,† and the ideologies of people were changing their perspectives, ideals of freedom, and human and individual rights. Although many philosophical voices that stimulated the change of the French Revolution, philosophers did not necessarily agreeRead More The Music That Have Changed The Face Of Music1375 Words   |  6 PagesBeethoven was considered a transitional musician between the Classical and Romantic era. Franz Liszt was in the Romantic era. Beethoven was well known for adding instruments to the orchestra, having longer performances and taking a longer amount of time to write his pieces of music. Beethoven also made massive contributions to orchestration, which is writing for orchestra in a way that achieves the greatest over all effect. Beethoven also used cyclic form, which is repeating a musical idea in each movementRead MoreThe Political Landscape Of France1367 Words   |  6 PagesThe political landscape in France had been shifting for a long time before the Enlightenment. The economic and military gains made by Louis XIV, the Sun King, ultimately crippled the country later when the Estates General failed to overthrow the French government democratically and peacefully. Two great thinkers, Baron de Montesquieu and Jean- Jacques Rousseau, both paved the way for the French and other Enlightenment revolutions during the 18th and 19th centuries. Although neither of the men saw

Electronic Medical Record Essay - 1776 Words

An electronic medical record [EMR] is a â€Å"computerised record that maintains patients’ health-related data, which is available to be used and accessed, only by authorised personnel, in order to deliver healthcare services within the health organisation† (Hasanain, Vallmuur Clark, 2014, p. 1). From patient record keeping to administrative reporting and clinical support tools, the extensive functionality of an EMR solution has the potential to fundamentally transform how healthcare services are provided by the hospital (Goo, Huang Koo, 2015). EMRs have been available worldwide for some time and are implemented into hospitals because of the expected benefits such as increased delivery of patient care, improved access to patient†¦show more content†¦Previous research on EMR implementation has identified that EMR implementation is most likely to fail due to user rejection, so it is important to recognize the thoughts and beliefs that doctors, nurses and other health professionals may have to be able to anticipate whether they will accept or reject the new EMR (Goo et al., 2015). Clearly, EMR technology exists, but even with the best technology success is not guaranteed. The challenge is the implementation, and understanding the reluctance of change amongst users is critical for developing adoption strategies (Khalifa, 2013). The complexity and usability of the system greatly impacts user acceptance. The more accurate and timely that data can be entered into the system, the more beneficial the system will be (Struik et al., 2014). If the system is poorly designed or if there is a lack of technical support and training, clinical workflow may become more time-consuming creating resistance from clinicians (Goo etShow MoreRelatedElectronic Medical Records Essay1856 Words   |  8 PagesElectronic Medical Records or Computerized Medical Record System what is it and what are the advantages along with the disadvantages of using this system? That is what we will discuss in this paper. Electronic Medical Records (EMR) is a computerized database that stores all of the personal and medical information of the patient’s care and billing information by the health care providers. Today, only the providers and medical practices can implement these systems. Also there are neither known nationalRead MoreElectronic Medical Records Systems Essay1270 Words   |  6 PagesElectronic Medical Records systems lie at the center of any computerized health information system, without them other modern technologies, such as decision support systems cannot be effectively integrated into routine clinical workflow. The paperless, inter-operable, multi-provider, multi-specialty, multi-discipline computer medical record, which has been a goal for many researchers, healthcare professionals, administrators, and politicians for the past 20+ years is however about to become a realityRead MoreEssay on Privacy Concerns With Electronic Medical Records1908 Words   |  8 PagesAge, medic al records were all stored in folders in secure filing cabinets at doctor’s offices, hospitals, or health departments. The information within the folders was confidential, and shared solely amongst the patient and physician. 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Building an electronic medical record (EMR)Read MoreElectronic Medical Records (Emr) Project` Essay1615 Words   |  7 PagesRunning Head: ELECTRONIC MEDICAL RECORDS (EMR) PROJECT` Patton-Fuller Community Hospital Electronic Medical Records (EMR) Project CMGT/410 University of Phoenix Table of Contents Electronic Medical Records (EMR) Project 3 Background 3 Statement of Need 3 Objectives 3 Mission and Goals of Project 3 Tasks 4 Work Breakdown Structure (WBS) 5 Critical Path Method (CPM) 6 Performance Measurement 8 Project Plan 8 References 10 Table of Figures Figure 1: Level One 5 FigureRead More Electronic Medical Records and Charting Essay examples2182 Words   |  9 PagesElectronic Medical Records and Charting Today’s healthcare is changing, and more hospitals are commencing to go paperless using computers for both medical records and charting. Computers are widely accepted, in personal and professional settings. It is an essential requirement for computer literacy. 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Becoming a Better Leader Free Essays

â€Å"You can’t polish a sneaker – an ugly sneaker is an ugly sneaker. † When applied to a leader, some people might think that a good leader is born. However, history has shown that leaders are not exactly born. We will write a custom essay sample on Becoming a Better Leader or any similar topic only for you Order Now While observers are inclined to believe that every individual has innate capabilities of becoming a leader, not everybody is able to develop them. Biographies of great leaders show that their willingness and creativity in addressing the demands of their environment helped develop their capabilities. A classic example was Gandhi of India who did nothing grand but was able to move millions of his countrymen to action. By simply staying at home and using his loom to weave his clothing materials, he was able to show that it was possible for India to develop its own industry and become independent of Great Britain (Blagg and Young, 2001). A good leader should not only learn to say no and â€Å"I don’t know. † He or she should have the courage to tell people the hard realities no matter how adverse, but should be able to help them cope with such realities. As John Kotter once said, â€Å"Great leadership does not mean running away from reality†¦Sometimes the hard truths might just demoralize the company, but at other times sharing difficulties can inspire people to take action that will make the situation better† (Blagg and Young, 2001). Leadership, therefore, involves meeting issues head-on and calling a spade a spade. It is true that a good leader attracts criticisms. He who is never criticized is not doing anything substantial or creative. Who was it who said that â€Å"One can’t please everybody? † Since harsh criticisms come from people who were not pleased or were threatened by one’s actions, surely others must have been satisfied or gratified. It might be a cliche but it is true that a coin has two sides. In like manner, an expert at the Harvard Business School was once quoted as saying that â€Å"There are lots of people who look and act like managers, who have excellent managerial skills, and who don’t make a lot of noise. Nobody is writing cover stories about them† (Joseph Badaracco as cited in Blagg and Young, 2001). An individual who is never censured, reproached, or appreciated, even if he or she is a manager is not a leader. He is somebody who is not exceptional – someone who is simply mediocre. Reference Blagg, D. Young, S. (2001). What Makes A Good Leader. Harvard Business School Bulleting. Retrieved February 17, 2008 from http://www. alumni. hbs. edu/bulletin/2001/february/leader. html How to cite Becoming a Better Leader, Papers

Oranges are not the only fruit Essay Example For Students

Oranges are not the only fruit Essay In a story of a young girl coming of age and finding her sexuality in a very religious community, it is key to have a female figure that plays a key role for the character. A mother should play the key role but what happens when this role is confused with a very spiritual role? Where will a young girl turn to when her life goes against the rules society has set for her?Jeanette has lived a sheltered life with no influence on her except for the church. Her mother is a strict Christian with a deep resentment for things and people not within her fold. Being brought up in a society where going against the norm is a sin. A society that shakes its head at acts of individualism and shuns those they can not convert to their way of thinking. In effect, a cult based on a long -standing text, the bible. In this cult though, Jeanette finds a kindred spirit that doesn’t fit the mold set by this religious society. Elsie is an older woman who believes in God and all of his wonders. â€Å"â €™Listen to what the Lord has done for me this week.’ She needed eggs, the Lord sent them. She had a bout of colic, the Lord took it away.† (Winterson, p. 23). Even for her strong belief in God and all of His glories she is considered an eccentric. She practices numerology, creates unusual crafts and is outspoken. This personality is what attracts Jeanette. Elsie is so unlike her mother and the other women of the congregation and this fact pulls Jeanette closer to Elsie.Jeanette looks to Elsie for guidance and an understanding ear that doesn’t judge her harshly. On the other hand Jeanette’s mother is an extreme personality. This personality is not seen as eccentric, it is seen as a trait that she is a true believer and follower of the Lords word. Religion is her way of controlling things in an otherwise confusing world. Within this circle of believers she can control the people around her with out anyone questioning her. Her power is not seen as going beyond the limits. It is seen as a sign that this is her true calling and that she is a messenger of God. Also, Jeanette is not a child she wanted to love and care for. Jeanette was a child she adopted so that she could mold another solider for God. â€Å"†¦She would get a child, train it, build it, dedicate it to the Lord: a missionary child, a servant of God, a blessing.† (Winterson, p. 10). Even though Jeanette’s mother and Elsie come from the same congregation and both believe in God and his wondrous works, they are very different. These differences between these two women are what make Jeanette a rounded person, if not a confused one at first. Jeanette gained a sense a self with her mother. She knew she was to work with the Lord and teach his words to others. Her goal in life was to go and be a missionary, to teach others how to believe in God. Combined with this imbedded sense of self is the confidence Elsie gave her. Elsie not only understood the word of the Lord and came from within the society Jeanette grew up in, she had a sense of the world around her, that the world didn’t start and stop with the preaching of the Lord. Elsie gave Jeanette a feeling of fellowship, a deep friendship that was based on true feelings, not the Lord. In one part of the book Elsie helps Jeanette with the transition of home schooling, which was based on biblical texts, to public schooling. Elsie gave Jeanette a way of incorporating her biblical background into a public school setting, even if it did shock and raise eyebrows. The older woman gave Jeanette a much-needed avenue to express herself. At this time her mother is not too upset with the friendship. She likes the reaction Jeanette is getting from her religious art works and other biblical oddities that seem out of place in public school. Elsie is still seen as

Transcendentalism1 Essay Example For Students

Transcendentalism1 Essay The writings of Ralph Waldo Emerson dealt with three aspects of transcendental thought, which consisted of spiritual, philosophical, and literary content. In his time, Emerson imparted an influence upon his contemporaries and American literature. He explicitly encouraged other writers by his appeal for new American literature and new voices because America had failed to denounce European literature and produce its own literary scholarship. Emerson believed that literature should have a spiritual influence because of personal religious convictions. Also, he thought philosophy could espouse essential forms through which the mind itself quantified. Finally, Emerson believed that literary authenticity played an integral part in the formation of American literature. Because Emerson realized America needed to develop its own literary works, he perpetuated the transcendentalist movement to sculpture American literature through spirituality, philosophy, and literary content. In religion, it was post-Unitarian and freethinking, and he articulated it in his Divinity School Address. In the address, Emerson perceived religion as a tedious pursuit needed to obtain virtue in life. The controversy of Emersons thinking directly addressed the Christian Church. Jesus Christ in Emersons retrospection was a miraculous authority, but he asserted that the Christian Church erred by exaggerating the miracles of Jesus and the confinement of revelation. His resolution was audacious: Let me admonish you, first of all, to go alone;to refuse the good models, even those which are sacred in the imagination of men, and date to To Emerson, the religious aspect of transcendentalism was intended to deny past ways of significance and to discover new, perceptive approaches to God. We will write a custom essay on Transcendentalism1 specifically for you for only $16.38 $13.9/page Order now Nature, Emersons first book, reinforces the philosophical concepts of the movement. The book is an attempt to answer the proactive question on the first page, Let us inquire, to what end is nature? Language, one of Emersons desired chapters, indoctrinates his logical thesis of Nature saying:1. Words are signs of natural facts. 2. ParticularNatural facts are symbols of particular spiritualFacts. 3. Nature is the symbol of spirit. The use of natural history is to give us aid in supernatural history: the use of the outer creation, to give us language for the beings and changes of This indicates that the natural realm exist as a model of the spiritual realm. Emersons essay, The American Scholar, articulates the literary movement of Transcendentalism. He articulates how the United States of America demanded and deserved a new literature, and that this literature would speak about and to the American people. His reasoning for this outcry is the dependency America continued to have on Europ ean literature. Emerson asserted that scholars needed to be self-reliant through the powers of human intuition. Also, he suggested that scholars must be students of nature, because nature is the suitable influence upon the mind of the scholar: 1. The first in time and the first in importance of the influences upon the mind is that of nature.The scholar.must settle its value in his mind. What is nature to him? He is asking the scholar to assume the same survey he attempted in Nature. Emerson used The American Scholar as an address designed at stimulating American men and women of letters as individuals and as a nation:We have listened too long to the courtly muses ofEurope We will walk on our own feet; we will work with our own hands; we will speak with our own minds. The study of letters shall be no longera name for pity, for doubt, and for sensual indulgence. The dread of man and the love of man shall be a wall of defense and a wrath of joy around all. A nation of men will for the first time exist,because each believes himself inspired by the DivineThis was intended as a message for America to develop its own culture. When the American scholar is independent of Europe, he will recognize that the ancient precept Know Thyself, and the modern precept, Study nature, become at last one maxim.Therefore, Emerson uses nature as a catalyst for his transcendentalist movement. The influence of nature must be shaped by the mind of the past. By embracing natural history in terms of literary and spiritual ends, Emersons work suggests that American literature can greatly be inspired by Americas nature. .u3102c69375de774f1f345bd15f6a1e2b , .u3102c69375de774f1f345bd15f6a1e2b .postImageUrl , .u3102c69375de774f1f345bd15f6a1e2b .centered-text-area { min-height: 80px; position: relative; } .u3102c69375de774f1f345bd15f6a1e2b , .u3102c69375de774f1f345bd15f6a1e2b:hover , .u3102c69375de774f1f345bd15f6a1e2b:visited , .u3102c69375de774f1f345bd15f6a1e2b:active { border:0!important; } .u3102c69375de774f1f345bd15f6a1e2b .clearfix:after { content: ""; display: table; clear: both; } .u3102c69375de774f1f345bd15f6a1e2b { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u3102c69375de774f1f345bd15f6a1e2b:active , .u3102c69375de774f1f345bd15f6a1e2b:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u3102c69375de774f1f345bd15f6a1e2b .centered-text-area { width: 100%; position: relative ; } .u3102c69375de774f1f345bd15f6a1e2b .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u3102c69375de774f1f345bd15f6a1e2b .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u3102c69375de774f1f345bd15f6a1e2b .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u3102c69375de774f1f345bd15f6a1e2b:hover .ctaButton { background-color: #34495E!important; } .u3102c69375de774f1f345bd15f6a1e2b .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u3102c69375de774f1f345bd15f6a1e2b .u3102c69375de774f1f345bd15f6a1e2b-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u3102c69375de774f1f345bd15f6a1e2b:after { content: ""; display: block; clear: both; } READ: New deal/progressive era EssayBibliography:

How Can ADHD Effect A Childs Learning Young People Essay Essay Example

How Can ADHD Effect A Childs Learning Young People Essay Essay Example How Can ADHD Effect A Childs Learning Young People Essay Essay How Can ADHD Effect A Childs Learning Young People Essay Essay Attention Deficit Hyperactivity Disorder ( ADHD ) is one of the most communal childhood upsets and can transport on during adolescence and adulthood. The ADHD is one of the mental upsets, normally diagnosed for the first clip in the babys room, in the childhood or adolescence. Peoples with ADHD have adversities in important lifts of their life times, like, at school, work, with their household or with personal relationships. By and large, they can non command their behaviour and hyperactivity, plus, they can non concentrate and pay attending. ADHD is a behavior upset that influences kids about 8 % to 10 % . Harmonizing to statistics, male childs are more likely than misss to be diagnosed with it about 3:1 fig1. The diagnose usually became around the period of seven, but symptoms carry on throughout adolescence and maturity. About 50 % -70 % of kids with ADHD maintain symptoms during maturity, with outstanding characteristics the impulsivity, shortage and hyperactivity ( Barkley, 1998 ) .The most common upsets are attendant breaks linguistic communication, communicating, larning disablements, behavior upsets, and anxiousness upsets. The rating and intervention of the common perturbations are frequently every bit of import as the appraisal and intervention of ADHD. ( Cantwell, 1996 ) One of the etiologist of ADDH is because of the heredity, but besides for neurobiological factors. And therefore several surveies have attempted to associate the upset with characteristics of disposition and personality of persons. ADHD has three constituents: Prolonging attending and concentration Controling urges Controling motor activity. Spohrer, K. E. , ( ) Supporting Children with Attention Deficit hyperactivity Disorder ( 2nd edn ) , Great Britain: The Bath Press, Bath. The ADHD have three symptoms: Impulsiveness, Inattentiveness and Hyperactivity. The undermentioned tableA demonstratesA a figure of communal ADHD symptoms. Impulsiveness Inattentiveness Hyperactivity Making unconcerned mistakes during the school work. Runing or mounting in topographic points that they should non. Can non wait for their bend even though in the ques. Not listening or following counsels appropriately. Can non remain, or play without doing noise. Answering inquiries before inquiring them wholly. Not ending effects being distracted really easy. Talking continuously Talking while others talking. 2 How looks like a kid with ADHD? ( The most common symptons of a kid with ADHD ) The diagnosing and medical sentiment. There are some mistakes when a kid has ADHD and when non. A kid with ADHD normally in the schoolroom gets up from his chair really frequently, is aggressive towards his schoolmates, being unconscious and reverie, losing and besides burying equipments. Sometimes, the kid does non do his prep or even though passing them excessively tardily, passing in unfinished or sloppy work ( Based on Taylor 1994 ) . Besides, the child does non pay attending to the instructor s instructions, for case, for one minute a kid with ADHD could be listening to the instructor and so non. A kid with ADHD, frequently feel confused about what must make. So, the self-pride of the kid could be descended and so the kid may go argumentativeness, non-compliance and deficiency of temper control or the kid may go a defeated stripling with behavior upset. Harmonizing to research, a kid with ADHD holding troubles in linguistic communication development ( Cantwell, 1996, Hill, 2000, Redmond, 2004 ) hearing the instructo r or his parents. Besides, holding jobs in administration and supervising the linguistic communication narrative ( Zentall, 1998 ) , in communicating, particularly when he uses societal the linguistic communication and in written look ( spelling mistakes, punctuation ) ( De La Paz, 2001, Mathers, 2006 ) . The school may be a job for a kid because it is likely the first topographic point that the kid ought to exert his self-denial and to be adapt to a structured environment. Examples of kids s behavior with ADHD The pupil tries to pull attending: Talking all the clip, shouting, whistling, and doing unpointed noises, raising custodies. A roving culls, hitting, verbal and physical onslaught on people and belongings, slacking, A does non accept recommendations, has non developed the self-denial, deficiency of attending and can non sit quiet. The kid could stayA wake up and be like babe. In the interruptions, A these kids areA really lively, they are unsafe to other pupils or threatening, andA they areA frequently aggressive, non portion of the squad andA are notA accepted by squad. To sum up, A we would state that behavioral jobs are divided into three classs. In reactive environmental or behavioral problemsA were responsiblyA is the environment and hence, the kid has jobs in a peculiar country while inA another environment theA behavior of the childA is good. Then we have the behavioral jobs of organic type, which classified the overactive syndrome, the price reduction perceptual, the impulsivity and perturbations in attending, in memory, inA acquisition and inA thought. Finally there is the type of antisocial behavior jobs, which occur with mendacity, larceny, aggression, andA devastation. 3 HOW DOES ADHD AFFECT THE SCHOOL PROCESS? ? ? Behavior jobs, hapless organisation and larning troubles. The symptoms of ADHD kid can non remain calm in the schoolroom, concentrated and listen to his teacher- these can do larning disablements to an ADHD kid. Face jobs in the school due to his hapless organisation, impulsivity / hyperactivity and distraction. As a consequence, kids with ADHD are more likely to halt school and to show low academic public presentation. However, with the appropriate educational patterns and intervention, including medicine and psychotherapeutics, these effects can be avoided. Educational intercessions and the instructor function The place of the kid should be assessed by measuring the educational, societal and psychological demands of the child.The kid needs an extra support and attending from the instructor, and besides the definition of larning aims may be plenty to maintain the kid attends to school severally, the societal activities should besides be monitored. A kid with Attention Deficit Hyperactivity Disorder ( ADHD ) likely, has a assortment of troubles in the schoolroom than in other conditions. A kid may hold a trouble in the schoolroom because of a high frequence of specific larning defects ( Cantwell A ; Satterfield, 1978 ) and besides, half and more of kids with ADHD have eventful jobs of an oppositional nature ( Hinshaw, 1987 ) . However, instructors must go more good in a kid interaction and non a negative 1. A instructor must be lovingness, give excess attending and direction to the kid because in these ways the instructor helps the kid to get the better of it. Unfortunately, the school is really uncomfortable for a kid with ADHD. That is why, an pedagogue ought to cognize and grok the state of affairs. Some experts argue that in order to assist a kid with ADHD must pull off two positive factors: a ) The organisation of the category and B ) the behavior of the instructor. A ) The organisation of the category: For case, the category should be comfy, broad and secure. The kid should be sitting close to the instructor and besides, off from Windowss, doors and sockets. B ) The behavior of the instructor: First, the school instructor should non label the kid, or to hold a critical and negative attitude towards the kid. The instructors have to happen out some precedences of what a kid can make or non, for illustration trade of these cusps . Besides, must honor the attempts of the kid to hold self-esteem and assurance. It invariably must give to the child concise and apprehensible instructions. Equally good as, a instructor has to run into on a regular basis the parents of the kid. Teachers needs to cognize what they are covering with, they have to be instructed about the upset. Teachers ought to keep a positive consideration. Like a smiling, rap on the back so as the kid with ADHD to experience comfy in the schoolroom. Furthermore, instructors have to learn with pleasance, stimulation, inventive, without a label and exciting the kid with ADHD. Teaching is obliged to hold a sense of temper, forbearance, back uping in order the kid to win. So a instr uctor ought to haunt with equilibrating the demands of the kid. Practical counsel to pedagogues to cover with ADHD. Development of an interpersonal relationship: a kid behaves better when feel that the instructor cares personally for him. Contact with clear conditions. The instructions should be clear and simple as possible. Resumption of directives. Particularly at the beginning, whenever the kid appears non to care and make non to the full understand the instructions. Individualized direction. Depending on the fortunes, abilities and demands of the kid. Stability in relation to the kid, but in a manner pleasant. E.g. when we say lt ; lt ; no gt ; gt ; we have to assist quiet the kids so as to understand what we mean. The kid should sit near the instructor and off from riotous beginnings likeA door andA window. Frequent support a childA non onlyA when the childA successes but inA every attempt and inA every minor betterment. However, A beef uping demand and the other kids in theA category, especiallyA when they do non heighten withA the riotous behavior. AwardA to theA kid someA undertaking. Although, A depending on the capablenesss of the kid and non work or tasks that can non run successfully. Allowing of extra single instruction whenever it isA necessary. 10. Populate but non riotous manner of instruction, and alsoA non anA unexpected alteration in the plan, because that would causeA a strong shortage. 11. Interruptions so as the childA to let go of the energy. Frequent and regular chances for releaseA the energyA like to stand up andA to clean theA white bead, H2O the flowers and convey something from another room. Besides a good instructor ought to: To inform the kid about what they would make or when it is his bend: The instructor should utilize simple, clear and consecutive instructions and merely one directive at a clip. The school teacher should avoid long and complex bids, like to inquire the kid to make manyA things at the same time.A And non the childA toA be confused. The instructor should travel to the following activity when the kid has completed the old one. The instructor must do the businesss in the schoolroom interesting: The kid must hold house regulations and aims must non be changed in the procedure. Otherwise it will lose theA interestA about the work thatA will neer be complete. The instructor should honor the kid for good behavior: The wagess should be meaningful to the kid and should be agreed in progress with him. The instructor should honor the kid to experience responsibly. When a instructor wants to pass on with an ADHD kid ought non to utilize critical linguistic communication and on-going observations. Besides, if the instructor wants to step in in it is better to make it with an on-verbal manner. So, if a instructor wants to quiet down an ADHD kid the best manner is to follow the undermentioned stairss: 1 ) Teacher ought to set his manus on pupil shoulders so as the kid to experience comfy with the instructor. 2 ) To develop a codification of communicating through symbols and blink of an eyes, like the symbol of silence or little cards with the symbol STOP. 3 ) Furthermore, the instructor must supply an chance to an ADHD kid to dispatch, otherwise, the kid will interrupt the whole category.

SE Machinery Pty Ltd (SEM) Term Paper Example | Topics and Well Written Essays - 2000 words

SE Machinery Pty Ltd (SEM) - Term Paper Example When the customer contributed $500,000 as capital contribution to SEM in May 2011, it appeared in the books as part of the Equity or Capital Account and reported as part of the gross profit by yearend which ended June 2012.. In such a transaction wherein actual cash was received and SEM chose to recognize the cash inflow as capital, the tax law provides that this be considered as ordinary income. Division 6 – Assessable Income and Exempt Income, Section 6.5, states that Australian residents’ ordinary income are assessed whether derived from within Australia or outside, including those derived indirectly or directly â€Å"from all sources† (Australian Parliament 1997, Section 6.5). As Flynn, M.(2009, p.171) had stated, â€Å"The second test is to ask whether the receipt represents a flow produced by an item of capital. If it does, the receipt is revenue.† B. However, the Arthur Murray principle will apply for the prepayment. According to Kater, E. (2009), u nder that principle, income is generally not derived until after services or products have been delivered, except in a situation wherein there may not be a refund of prepayment according to a contract. There was no contract which specifically stated there can be no refund under certain conditions. Income was recognized in June 2012 even though products were yet to be delivered in August 2012. The prepayments were recognized as revenue so that the gross profit includes the value of that prepaid order. But requirements for such a capital contribution to be considered an Income of SEM were not yet completed although prepaid. The goods (Teftoffelex) were delivered only in August 2012. Since there is no contract stipulating that the prepayment was not refundable, the Arthur Murray principle will allow for the delay in payment of Income Tax corresponding to the $ 1,200,000 worth of orders. SEM has received payment and delivered the orders only in August 2012. Thus, this will result in hav ing unearned income as of yearend, June 2012. The Arthur Murray Principle will be applicable because income should be recognized only after the fulfilment of an order and after payment had been received. But this only means that in the next income declaration, income tax would have to be paid for the $1,200,000. The book entries should have been as follows (Appendix 1) It is only after the delivery of goods that the liability account, Unearned Revenues, amounting to a total of $ 1,200,000 should be reversed to consider the entire $ 1,200,000 as Sales. Thus, the proper advice to SEM is to adjust the Sales by $ 1,200,000 because it is in fact still a liability (as Unearned Income) and will remain that way until the goods are delivered. II A. Explanations for Revenue and Expense Accounts 1. Bad Debt Deduction After Write-Off = $8,000 Section 63 paragraphs 34-39 allows for deductions of bad debts only after they have been written off. (AG/ATO 2012, TR 92/18). The Australian Taxation Law under Act No. 55 as amended, in Division 21-5. 2. Interest Expense on Working Capital = $ 25,000 Borrowed @ 8% Interest From February 1, 2012 to end of June 2012 which is 5 months, SEM should recognize the accrued interest expense. This would amount to 25,000 x 0.08 x 5 mos. / 12 months = $ 833. According to the AASB 123 Core Principle (AG/AASB 2009, p. 7 & 9), â€Å"Borrowing Costs that are directly attributable to the acquisition, construction, or production of a qualifying asset form part of the cost of that asset. All other borrowing costs are recognized as an expense.† This should include interest (Section 6a p. 9). Usually, interest expenses are prepaid upon release of borrowed money. And based on the Principle of Profit Determination of the AASB(AAT & Willis, D. 1997, p.7), the expense should be matched with the revenue given a certain period. Thus, upon receipt of the loan, interest expenses should have been treated as Prepaid Interest. And the Prepaid Interest asset account should be reduced by the accrued expense value which would amount

The Relationship between the State and the Citizen Essay

The Relationship between the State and the Citizen - Essay Example The exact relationship between a state and its citizens is of profound concern since the state seeks to acquire maximum authority while the citizen seeks to acquire maximum liberty, a condition that is impossible in reality. However, to achieve a necessary compromise of both sides, reasonable amount of power and authority is made available to the state to ensure its smooth running and reasonable liberty is made available to the citizens to ensure the best developments of their personalities. A citizen is not necessarily a person who lives within the boundaries of a state but rather an individual who enjoys the rights made available to them and that are recognized by the state and also one who participates in the affairs of the state. The interests of the citizen should not be in conflict with the state since both the state and the individual depend on each other. The citizen depends on the state for safety, law and order as well for facilities that enable them undertake their day-to- day activities with ease. According to Veneklassen and Miller (2002), there are three definitions of citizenship that relate the status of an individual to the relationship with a nation-state (32). These include: Civil citizenship. It emerged in the Western world in the 18th century and it refers to the human rights necessary to ensure freedom of every individual. These rights include free speech, freedom of assembly, equality and property rights. Political citizenship. This definition emerged as a result of the struggles in the 19th century and it accentuates the right to participation in exercising political power. It was characterized by the struggle by women, minorities and poor people to acquire the right to vote which was initially granted only to male individuals who owned property. Social citizenship. It emerged in the 20th century and it emphasises on minimum rights and standards of economic, social and cultural well-being. It is a struggle by the disadvantaged groups to make this view of citizenship legitimate. States today are generally less responsive to the needs of their citizens and the deficit of most democratic states in being adequately democratic is a clear indication of this. The governments in these states are adapting a trend in which they are becoming more responsive to the needs of individuals or groups who are concerned with a particular part of the economy and are less responsive to the needs of the general public. Despite the requirement of a democratic political system where every citizen has equal rights and a say in the governing process, some organizations and individuals have an elevated influence over the governing process by trying to influence legislators or bureaucrats to act in their favour. As a result of this, the few in power satisfy their greed at the expense of the needs of the majority of the citizens. A state that is less responsive to the needs of its people is generally less likely to undertake duties allocated to it in the best interests of the general

It's Beginning to Hurt Essay Example | Topics and Well Written Essays - 250 words

It's Beginning to Hurt - Essay Example He gets astonished to see a young woman that his father was marrying. Although he lacks authority over his father’s choice in marriage, he commands to a great extend through his facial expression that the woman was not the best for his father. The father is the most authoritative person in the setup. He cautions his son not to send a message that can instigate his wife to leave him for his son. The father who is now a widower had earlier been a victim of infidelity in his marriage and were not ready to face the situation again. The newly wedded wife also shows some authority when she offers to embrace her stepson. The son had missed the nuptial, but heads to the reception. He was dressed in a muddy clothes after getting stuck into the mud on his way to the wedding. The mud he got stuck in acted as a cleansing agent for the admiration of his father’s wife. His stepmother embraces him in his muddy clothes as a way of showing him love and as an authority that she will love him just like her son. The three characters best demonstrates the authoritative personality in the

Care Of Suprapubic Catheter Protocol Health And Social Care Essay

Care Of Suprapubic Catheter Protocol Health And Social Care Essay Urinary catheterization is used in approximately 15% to 25% of all hospitalized patients (Griffiths Fernandez, 2007). A physician may decide when it is appropriate for a catheter to be used as part of a patients therapeutic regimen. There are different catheter options for patients depending on each individuals situation. Urethral urinary catheters are traditionally selected and used in short term cases, and require no surgery (Khan Abrams, 2008). A suprapubic catheter, (SPC), requires a surgical procedure and has a longer recovery time. According to one Urologist, the ratio of urethral urinary catheters to suprapubic catheters used specifically in his practice was 300:1 (J. Banno, personal communication, February 13, 2011). This is based on physician preference as well as duration the patient will need to have the catheter in place. In the case where long-term catheterization is indicated, SPC have become the superior option (Khan Abrams, 2008). While the initial insertion of a s uprapubic catheter remains the responsibility of a physician, it is within the scope of practice for a nurse to provide care and exchange the tubing with the proper teaching (Illinois Compiled Statutes, 2008). In response to this change, hospital systems have enacted protocols that allow registered nurses (RNs) to perform the suprapubic catheter exchange. Changes should be performed by staff that have been adequately instructed in regards to the technique for changing the catheter, and are able to identify possible complications of SPC changes. Additionally, offering the option of patients and their caregivers to be trained is also important in adding to the patients independence (Harrison, Lawrence, Morley, Pearce, Taylor, 2011). The procedure of a suprapubic catheter exchange has been performed by RNs in the community setting with an existing protocol, and more recently the idea that this task be carried out within in the hospital has been explored. This procedure is done by the family members, caregivers, and even the patient themselves in a discharge at home setting safely and efficiently for many years (Anderson, 2002). Therefore adding this protocol into an acute care setting for RNs to complete in the hospital setting is a practical implementation. A nurse led, outpatient services in Musgrove Park Hospital, Taunton has been performing the suprapubic catheter insertions since 2004, and the program had an 89% successful rate over a period of a couple years (Khan Abrams, 2008). This study shows evidence that nurses are capable of effectively managing a patients suprapubic catheter Since there is no present protocol for suprapubic catheter exchange or patient care by RNs within the Advocate Christ Hospital system, development of such a protocol has been explicitly requested by stake-holders including physicians and nurse in management within the system. When staff training and education is poor, there is a likelihood of an increase in complications (Harri son et al., 2011). Practice guidelines better enables nurses in providing patients with their specific care needs. The goal for this project was to create a suprapubic catheter care and exchange protocol based on the best evidence available so that these needs can be met. Review of Literature A suprapubic catheter is a urinary drainage system inserted into the bladder via an incision through the anterior abdominal wall, and may be is used when a urethral catheter is contraindicated. A suprapubic catheter is a popular choice for patients having to have long-term catheter placement and replaces the need for an indwelling catheter. Suprapubic catheters consist of 4% of hospitalized patients with urethral catheters in situ (Rigby, 2009). Although a small percentage of suprapubic catheters are used compared to other urinary catheter options, there is little literature of published guidelines related to suprapubic catheter management, and at the same time there is a growing need to increase awareness of both the risks and benefits of using a SPC (Harrison et al., 2011). Making this information accessible may increase the successful use of the device in future patient care. Indications Suprapubic catheters are used for a wide variety of patients, and for a number of reasons. A catheter insertion may be an elective procedure, or happen in an emergency situation depending on each patients circumstances. Neurological disease, urinary incontinence, postoperative care, bladder trauma, and palliative care are all reasons a clinician may consider using a suprapubic catheter in a patients care (Harrison et al., 2011). Many of these conditions require long term catheterization, and each patient and their physician need to discuss if a SPC option is a modality that best fits their specific lifestyle. Presently, SPCs have become more prevalent than indwelling catheters for patients who require long term catheterization (Khan Abrams, 2008). This may be due to the maintenance of these catheters over a longer period of time. Contraindications Under certain circumstances, a SPC should not be used. These include: bladder cancer, if the patient is receiving antiplatelet therapy, presence of abdominal wall sepsis, or if a subcutaneous vascular graft in the abdominal area exists (Harrison et al., 2011). Advantages Advantages for the placement of a suprapubic catheter compared to a urethral urinary catheter are evidenced in the cases of a urethral blockage; there is less incidence of leakage in SPC, and a reduced risk of pressure sore damage in wheelchair users. SPC tends to be more comfortable and sexually non-inhibiting. With the use of SPC there is less chance of catheter migration. Studies suggest a lower incidence of bladder cancer in patients managed with an SPC, less than 0.39% over 5 years, compared to indwelling urethral catheters (Khan, Matheur, Timoney, 2007). Suprapubic catheters have been shown to have a lower infection rates than catheters placed transurethral. A study found that 26% of the transurethral group encountered a urinary tract infection verses only 6% of the patients with the supra pubic catheters (Wells, Steed, Capstick, Schepanksy, Hiltz, Faught, 2008). Disadvantages Although SPC is a good option for many urethral catheter recipients, there are disadvantages nurses and patients need to be aware of when caring for SPC in situ. Some possible disadvantages include: dangerous bowel perforation, urethral leakage and spasm, increased incidence of stone formation, and alteration of body image. One study found that in 185 cases of SPC insertion, 2.7% incidence of bowel perforation occurred with one incidence that had a fatal outcome (Harrison et al., 2011). SPC is also contraindicated in patients with bladder cancer. Technical issues, for example speed of reinsertion, can also result in disadvantages of SPC usage (Rigby, 2009). It is important that if a catheter removed only when a new one can be reinserted immediately to avoid complications. (See complication section) SPC insertion The initial insertion procedure requires surgical skill, special equipment, and additional training; it is therefore considered a surgical procedure conducted by a physician. After the initial insertion, the catheter is usually left in place for 4-6 weeks to allow the cystostomy channel time to form (Rigby, 2009; Robinson, 2008; Wimpenny, 2010). This allows time for the catheter track to mature. Subsequent changes following the first change should be done every 6 to 8 weeks and can be done by a trained RN or caregiver (Robinson, 2008; Wimpenny, 2010). For every day that the catheter stays in place approximately 5% of patients will develop bacteriuria and up to 50% may progress over one week, and virtually all patients requiring indwelling urinary catheters for longer than a month become bacteriuria (Dixon, 2010; Rigby, 2009). Having trained personnel available to exchange the catheter in a timely fashion may help decrease these risks. Protocol Need Within a hospital system, it is important for protocols of specific procedures to be written step by step so that guidelines can be followed by staff members so consistent care is provided. Policies and procedures provide guidance in patient care for nurses and strive to achieve the goal of safe practice (Long, Burkett, McGee, 2009). Having uniformity within a hospital system can help deliver expectations for the patient and health care staff. According to the Guidelines for Use of Medical Protocols (2004), each protocol should be individualized for different types of patients, include a time frame required for patient evaluations, well as be readily available to heath care staff. Many tasks that a nurse uses while providing care for require up to date, evidence based information made into a protocol for the nurse to follow to ensure the most uniform care. According to Balakas, Potter, Pratt, Rae, Williams (2009), agencies including the Magnet Recognition Program have incorporated evidence based practice and research as themes for their organizations to improve the education of the healthcare professionals. Creating a suprapubic catheter exchange protocol is necessary so that nurses can be trained and can execute this task using a step-by-step guideline of care. Nursing Care Proper care for a suprapubic catheter is paramount in preventing future complications such as infection, and ensuring the catheters functionality for as long as possible. It is important to maintain a good standard of cleanliness to reduce the risk of infection (Robinson, 2008). While a patient is hospitalized, it is the responsibility of the health care team to ensure that the insertion site is appropriately maintained. Nursing care for a suprapubic catheter site should be assessed once every shift and actions should be taken depending on the findings. Infection. Nurses have the responsibility to assess the patient daily so that complications are caught as early as possible. Like all other procedures completed in the hospital, proper hand hygiene is crucial in decreasing the chance of infection (Rigby, 2009; Rushing, 2006; Robinson, 2005; Robinson, 2008). Hand washing should be done before entering a room, when leaving a room, and any time the healthcare provider changes gloves. Rushing (2006) states that if there is a dressing present at the cystostomy site, after removing it and disposing of the gloves, hand hygiene should be performed again before cleaning the site. This further decreases the chances of infection by evidence stating that gloves should be changed after every contact with an infective material that may contain a high concentration of microorganisms (Best Practices, 2003). Dressing. A dressing change may not be applicable to certain patients depending on the amount of time the patient has had the catheter, and depending on if the doctor has ordered a dressing to the site or not. Suprapubic catheters are used for long-term bladder management, and can be a permanent part of a patients life (Khan Abraham, 2008). Once the suprapubic catheter has been in place for at least 6 weeks, the site has healed enough to be uncovered from the dressing (Robinson, 2008). If a patient has had the catheter initially inserted within the last 6 weeks, a dressing may be placed in order to aid the site in healing while keeping infection out. If applicable, all used dressings should be carefully removed and disposed of appropriately when cleaning the site. After the first exchange has taken place, the site will remain exposed for everyday life unless otherwise stated by the doctors orders. The nurse can also use his or her own judgment and skills to decide if each specific p atient needs a dressing over the site depending on the initial assessment. Assessment. While the cystostomy site is exposed, it should be carefully inspected for signs of infection, skin integrity and any drainage of urine, blood, purulent matter or any other exudates (Rigby, 2009; Robinson, 2008). These cues can be the first signs of complications and need to be addressed immediately. If the nurse suspects infection or has any doubts, a swab can be obtained and sent for culture per doctors orders (Robinson, 2005). The nurse must also assess the catheter tube for patency. According to the literature, the tube can come occluded with sediments or clots. This could cause the tube to become dislodged requiring reinsertion by a surgeon. The nurse needs to keep in mind that the catheter should never be irrigated unless ordered by the physician. Irrigation when not ordered could cause complications in the drainage system. It is also essential for the nurse and other staff members to keep the collection container below the patients bladder level. When turning the patient or when the patient is ambulating, the healthcare staff must ensure that this is followed. The urine itself can also provide indications as to the status of the patients bladder drainage system. The clarity, color, and odor all need to be assessed as well as measuring the urine at least every 8 hours (Rushing, 2006). The color can detect a possible urinary tract infection, and effective output measurement is important to the patients t herapeutic regimen. (Rushing, 2006) Before the nurse is done with the assessment it is also important to check the placement of the tubing and make sure that it is secured. This should be done by taping the tubing to the patients abdomen making sure to leave enough room for the patient to comfortably move. Since the tape is attached to the skin, this must also be included in the daily assessment so that possible skin breakdown can be avoided. (Rushing, 2006) Exchange Studies have shown that when a suprapubic catheter is changed by the shift nurse for that patient verses the urologic consult physician, the patient complains of less pain and more comfort during the exchange. Patients are given the opportunity to be premeditated with pain medication when the RN is completing the procedure since the RN is better able to plan for the exchange and give the medication accordingly. (Anderson, 2002) Sutured. Suprapubic catheters are often sutured in place during the initial insertions to allow healing time for the cystostomy and ensure the catheter maintains correctly placement. Once the cystostomy channel has formed and healed the sutures are usually removed. This may not be the case in all suprapubic catheter placements, but if sutures are present, the exchange will remain the responsibility of the physician. A urology consult would likely then be made and a physician would be required to complete the procedure. In cases where the sutures are permanent, this usually designates that the suprapubic catheter has been recently placed, or the catheter is at risk of being pulled out or dislodged based on each individual patient/physician basis and preference. In these circumstances the nurses responsibilities will be limited to cleaning and maintenance care of the patients cystostomy site. (See nursing and patient teaching sections for more information regarding care and maintenance .) Unsutured. A properly positioned SPC with adequate cystostomy does not necessitate sutured abdominal placement. Once healing has occurred sutures are not needed to hold the tubing in place. After the first change has been conducted, a registered nurse then has the option to exchange the suprapubic catheter (Rigby, 2009). The best evidence in regards to how often to exchange a suprapubic catheter is found to be every 6 8 weeks (Robinson, 2008; Wimpenny, 2010). The procedure for the exchange of SPC uses an aseptic technique, and the equipment required is similar to that used for urethral catheterization (Robinson, 2008). When changing a suprapubic catheter speed is very important. The new catheter should be inserted within 5-10 minutes of removal of the old catheter. (Rigby, 2009; Wimpenny, 2010). The longer the site is exposed the more chance that bacteria can become a problem. Also, the catheter track will close very rapidly once the catheter has been removed (Harrison et al., 2011) . The catheter should never be removed unless an immediate change will take place. When a patient comes to the hospital with a SPC, the health care team should make sure to always have a spare catheter available at the patients bedside in case of accidental removal (Rigby, 2009). The exchange of a suprapubic catheter follows a very similar procedure to that of insertion of a urinary catheter. The nurse must check the doctors orders to ensure the correct size and type of catheter are being used during an exchange (Robinson, 2005). In completing this task the nurse is ensuring that he or she has all of the supplies necessary to begin and complete the procedure within reach. While providing the patients privacy, the nurse should first explain the procedure and obtain the consent of the patient (Chaikind, 2004). Subsequent to this, the patient should be instructed to lie in the supine position, exposing the suprapubic catheter insertion site. Next, the nurse will wash his or her hands with soap and water or antibacterial solution in an effort to decrease the risk of infection during the exchange procedure. Contact isolation precautions should be taken during this procedure since the cystostomy creates a new route to the bladder that may lead to infection. An asep tic approach should be taken throughout the process. A gown and non-sterile gloves should be worn at all times, unless sterile gloves are order. (Best Practice, 2003) Using aseptic technique, open the sterile packages and prepare a clean, convenient working space that is close to the patient. This will further decrease the risk for infection (Best Practice, 2003). If there is a dressing on the clients cystostomy site it should be removed and cleaned with 0.9% sodium chloride solution to avoid introducing bacteria into the channel during the exchange of the catheter. Remember to clean the site from the inside out and never wipe over a previously cleaned section to decrease the risk of bacteria contaminating the cystostomy channel. The balloon catheter needs to be deflated before the catheter can be removed. Use the empty syringe provided to remove the sterile water from the balloon. With the contaminated gloves still on, remove any tape or straps holding the catheter and catheter bag to the patient. (Rigby, 2009; Robinson, 2005; Wimpenny, 2010) Next, remove the catheter steadily and slowly to avoid balloon cuffing or possible pain to the patient. Grip catheters at the skins surface area and remove the catheter slowly making sure there is no resistance and the patient is not in any pain. Studies have shown that if there is no resistance or pain in the first 1-2 cm of removal it is unlikely there will be any complications during the removal (Robinson, 2005). Rotating the catheter while removing it aids in reducing the risk of channel damage. Measuring the catheter that was inside the patient will ensure correct placement of the new catheter. After removal of the old catheter, quickly clean the surface area of the patients cystostomy site of any urine or exudates that may have come out during the removal process. Next, while holding the new catheter at the distance measured from the old catheter, insert the tubing down the cystostomy channel. The new catheter should be inserted as quickly as possible after the removal of the o ld catheter. The time between removal and insertion of the new catheter should be within 5 to 10 minutes (Rigby, 2009; Wimpenny, 2010). Attach the prefilled syringe containing 10ml of sterile water and inflate the catheter 3-5ml full. It is suggested that this should be done slowly and carefully so that the risk that the catheter tip does not pass into the urethra (Harrison et al., 2011). Pull back slightly until resistance is felt against the bladder wall, then completely inflate the catheter balloon with the remaining sterile water (Rigby, 2009; Robinson, 2005; Robinson, 2008; Xue, 2009). Attach a new drainage bag to the catheter and secure the new bag in place. Make sure the abdomen and cystostomy site are clean and dry before dressing and taping the new catheter to the patient. Cleaning and drying the area will create a better foundation for the new catheter and lessen the chance of accidental removal as well as decrease irritation and infection risk. Also, taping the catheter tubing to the patients abdomen will secure it in place and lessen the chance for the catheter to be accidentally removed. Make sure the patient is comfortable and make efforts to reduce any pain throughout the procedure. Dressing. Generally if a patients cystostomy site is clean and dry, it is not necessary to put a dressing around the tubing and insertion site. Although some patients may prefer for the area to be covered, topical dressing can be used per patient preference and hospital protocol. Refer to the patient teaching section regarding proper care and maintenance of a suprapubic catheter for more information. (Robinson, 2005) Complications. As with any medical device, utilization of a suprapubic catheter presents specific and often predictable problems associated with its use. The patient, their family, and associated healthcare providers must assess for complications and take measures to minimize occurrences. If a complication should occur interventions should be implemented to correct these problems as soon as possible. Common complications include: bladder calculi, balloon cuffing, abdominal wall and urethral infections, bleeding, altered body image, latex allergy, over granulation, bypassing whether by urethral and/or entry site, and obesity (Rigby, 2009; Robinson, 2005; Robinson, 2008; Xue, 2009). Bladder calculi. Occlusion of the catheter causes a variety of problems in addition to compromising the functionality of the device. SPC has a lower incidence of urinary tract infection compared to urethral catheterization although it may increase the incidence of bladder calculi (Wells et al, 2008). One-third of patients with long-term SPC developed bladder stones over a ten-year period (Khan et al., 2007; Sugimura, 2008). Under alkaline conditions minerals precipitate on the outside of the inserted portion of the catheter, especially the tip. This can cause recurrent blockage in around 40% to 50% of long-term catheterized patients. Replacing catheters regularly reduces blockage, and blocked catheters should be replaced promptly (Rigby, 2009). If a patient is having repeated occurrences of this, exchanging the catheter more often may be helpful in preventing such buildups (Harrison et al., 2011). Balloon cuffing. Many patients report pain upon the removal of the suprapubic catheter. This is partially due to the detrusor muscle contracting during stimulation. Additionally, it is estimated that the diameter of the catheter increases in size at the location of the cuff even after deflation. Upon removal this size increase is responsible for causing additional pain. In suprapubic catheterization the catheter passes through the detrusor muscle. As the catheter is being removed, the detrusor muscle is stimulated. Stimulation causes the bladder wall to contract, tightening its hold on the catheter. As more force is used to remove the catheter due to restriction and tightening of the bladder wall an accordion type of effect which causes ridges in the deflated catheter balloon and bunching at the catheter tip (Robinson, 2003). Balloon cuffing causes the silicone to stick, which in turn causes pain to the patient and possible lesions down the cystostomy channel. Hydrogel coated latex c atheters are now increasingly used in suprapubic sites, unless the patient is allergic to latex (Parkin, Scanlan, Woolley, Grover, Evans, Feneley, 2002; Robinson, 2003). Having the patient relaxed and encouraging the patient to deep breathe will lessen the constriction on the detrusor muscle resulting in less pain for the patient. Properly premeditating the patient with pain medications prior to the procedure may also help to reduce the anxiety and pain (Anderson, 2002). This problem has been seen more commonly with silicone catheters due to ridges being formed in the balloon that may hinder the catheter withdrawal (Harrison et al., 2011). Abdominal wall and urethral infections. The patient and/or trained caregiver should inspect the cystostomy site for infection daily and any time the site is exposed. The chance of catheter site infection is always a possibility. Bacteria are inevitably present at some time in a patients usage of a urinary catheter for a long period of time. This should be treated with antibiotics unless cellulitis is present (Harrison et al., 2011). Additionally, the healthcare provider should assess for signs and symptoms of infection. If the patient is presenting with signs of infection (i.e. foul smelling urine, urine has a cloudy appearance, redness or puss around insertion, etc.) inform the patients physician and send a sample of the urine or puss to the lab for a culture (Robinson, 2005). For every day that the catheter stays in place approximately 5% of patients will develop bacteriuria and up to 50% over one week, and virtually all patients requiring indwelling urinary catheters for longer th an a month become bacteriuria (Rigby, 2009). The best practice evidence shows that the catheter should be changed every 6 8 weeks and should be cleaned daily (Robinson, 2008; Wimpenny, 2010). This will further prevent infectious microorganisms from leading to future complications. If an infection is apparent whether at the insertion site or within the patients urine, the patients physician should be contacted immediately in order to avoid further complications (Best Practice, 2003). Risk for bleeding. Hematuria or bleeding of unknown cause can occur at any time. Encrustation and cuffed catheter balloons can cause bleeding along the cystostomy tract. In situations like these, the bleeding should stop fairly quickly (Robinson, 2005). Patients should be aware of the risk for bleeding and contact their healthcare provider in the event of bleeding that continues. During the exchange process bleeding may occur. Nurses need to be aware of possible injuries and evaluate each scenario based on the individual patient. Light bleeding is not a cause for worry, but should be monitored for clotting and infection. Bleeding and failure of the catheter to drain properly may indicate that the tip of the catheter is lodged in the urethra. If this has occurred, the catheter balloon should be deflated so that the catheter can be positioned correctly (Harrison et al., 2011). If the bleeding does not stop or the site becomes painful or inflamed consult a physician. Latex allergy. Latex allergy will present a problem when latex catheters are used. The nurse needs to ask the patient if they have a latex allergy. The nurse must be informed whether the replacement catheter includes latex prior to exchanging it. Silicone catheters are available for patients who have a latex allergy. (Robinson, 2005) Over granulation. The bodys natural healing process may generate over granulation around the cystostomy and is a common occurrence at the suprapubic entry site (Robinson, 2003). Over granulation is described as a buildup of scar tissue inside the cystostomy site and around the stoma. This over production of cellular growth will cause a narrowing at the insertion site making exchange very difficult. Depending on the degree of over granulation no action may need to be taken but this area needs to be observed. However if over granulation is increasing, this problem needs to be treated (Robinson, 2005). Use nursing judgment to decide if and when the physician needs to be notified because over granulation has begun to cause blockage at the insertion site. Harrison et al. (2011) suggests that the use of silver nitrate can be used to help manage the granulation growth, as long as a barrier cream is used on the surrounding skin so that only the desire area is treated. Bypassing whether by urethral or entire catheter. Occasionally urine may travel through the urethra or within the channel created by SPC placement. Bypassing through the urethra or cystostomy channel is a common problem in SPC patients. Unless the bladder neck has been surgically closed, it acts as a safety valve. A nurse should also check the catheter for blockage to make sure the urine is not being sent back into the bladder and out the urethra causing the leakage. Additionally, it is recommended to check for incorrect fitting of the drainage system. If the catheter seems like it does not fit snuggly inside of the channel, consult the physician to make sure the right sized catheter is being used and nothing is wrong with the channel itself. Antispasmodics and anticholinergic medications can be used in the instance of bladder spasms being the cause for leakage. Use nursing judgment and refer the patient to a urology consult if the leakage continues once all other possibilities have been ruled out. (Robinson, 2005) Obesity. If the patient is obese a second person may be used to separate the folds of overlapping skin to aid access to the cystostomy site. In some cases the patient may be able to assist the RN, to hold back the extra skin, creating a comfortable, sterile working field for the RN that is doing the exchange. Obese patients also have trouble maintaining a clean, infection free area for SPC placement. Tailored hygiene instruction and reverse demonstration should be done with obese patients to warrant safe effective home care. (Robinson, 2005) Autonomic dysreflexia. Autonomic dysreflexia is a common complication in spinal cord injury patients and the healthcare provider should be aware of signs and symptoms related to this disorder. Suprapubic catheters are used in many spinal cord injury patients. Therefore, special attention needs to be given to patients with injuries above T6. Complications of autonomic dysreflexia can be life threatening. If there is a kink in the catheter tubing autonomic dysreflexia may occur due to an over reaction of the autonomic nervous system causing excessively and suddenly high blood pressure. The health care professional would need to immediately recognize this condition, set the patient in an upright position and un-kink the tubing or remove the catheter if symptoms do not subside. (Schottler, 2009) Documentation Documentation is an important aspect when giving care. Not only does this show evidence of the patients progress, but also it is helpful when communication among multiple healthcare staff that may be involved with an individuals care. Insertion site, skin integrity, catheter patency, urine appearance and amount, and patients pain all need to be documented in each assessment made (Rushing, 2006). The documentation process may be different depending on what type of patient charting is done, but the content will remain the same. Documentation should be completed every shift and include findings from each assessment care rendered and complications should be thoroughly noted. Document the procedure per the hospital protocol making sure to include the type of catheter, length of the catheter inserted, date and time the change took place, size of the catheter used, how much sterile water was used to secure the catheter in place, and how the patient responded to the procedure (Rigby, 2009; R obinson, 2005; Robinson, 2008; Xue, 2009). Documentation of the insertion site should include the color of the skin, presence of any breakdown, tenderness, and exudates that may be present. Patency of the drainage tube needs to be documented. The urine appearance should be documented based on color, odor, and amount. This is done so that an accurate output can be determined. Depending on a patients specific needs, strict intake and output may affect the p

Ralph is the Best Leader in Lord of the Flies Essay -- essays research

Who is the Better Leader? In a group, there are always people who prove to have better leadership skills then others. The strongest of these people can often influence the weaker people into following them. However, the strongest person is not necessarily the best leader as it is proven in William Golding's book, The Lord of the Flies. Although Ralph is the weaker person, he is still able to show a better understanding of people than Jack who is stronger. Ralph demonstrates his excellent leadership skills throughout the book by keeping the group in line, treating everyone with respect, and staying focused on getting rescued. While the boys are under Jack's control, they quickly went back into how they started when they first got there. However, Ralph was able to keep the boys under control by holding meetings. At the meetings, a sense of order is instilled because the boys are not allowed to speak unless they have the conch shell. "I'll give the conch to the next person to speak. He can hold it when he's speaking." (p. 31) By making this rule, he gains respect from the boys and becomes for confident as a leader. Ralph uses his power to tries to make the boys better people. He shows his by building them shelters. "They talk and scream. The littuns. Even some of the others." (p. 53) Ralph is saying that the boys need the shelters because they are afraid and the shelters will help the boys feel more secure. This shows he has better knowledge of people making him a better leader than Jack who does not understand this. Jack does not realize that the boys need to feel secure and need someone in control. Ralph shows what the boys need by the way he handles the then. Jack considers the boys lower to him, meanwhile, Ralph treats... ... Ralph has proven to have a much better understanding of people and their needs and this makes him a much better leader than Jack. With Ralph's understanding of the need for order and rules, he improves the condition where the boys are living in. Jack's condition was horrible. Also, Jack treated the boys very badly and like he better. Ralph, on the other hand treated the boys all equally and with respect. Ralph's priority to get off the island shows his wisdom and ability to make good decisions. Although Jack was popular on the island for the short amount of time the boys were there, he would not have been popular for much longer. He does not have any of the qualities that a good leader should have and turned himself and the rest of the boys into complete losers. Jack's plan would have soon faded but if Ralph had become leader, his wisdom would last much longer.

Akeelah and the Bee

Akeelah was very successful in her Spelling Bee competitions. How many different learning skills are there in this movie to help all the spellers learn? Akeelah’s learning skills are what help her move further and further into the spelling bee. Basically, everyone in this movie has a different way of studying or learning. Akeelah, is a smart 11 year old girl who attends Crenshaw Middle School. She didn’t need to study for her spelling test, because she didn’t make mistakes on her tests. Akeelah doesn’t really fit in at school, she’s afraid of acting like she’s smarter than her friends or classmates.Before she goes for the Crenshaw School wide Spelling Bee, she studies alone. This makes her a Intrapersonal Learner in the beinging of the story. The principle wanted Dr. Larabee to coach her for the Regional Spelling Bee. Akeelah tells her principle no that does not need to be coached. She wanted to study alone. When Akeelah finally agrees to mee t with Dr. Larabee. She still very standoffish. She acted stubborn and hardheaded that she doesn’t need any help. So she ends up study by herself for the District Spelling Bee. She was very scared and nervous when she goes on the stage to spell because of all the people.She won tenth and made to the Regional Bee. There at the District Spelling Bee she befriends Javier a Mexican boy and fellow speller. He invites her to a spelling club at his school. The spelling club conducts itself outside on a basketball court as they pass the ball to each other to spell words. That makes me think that Javier is a Body/ Kinesthetic learner because he learns through body sensation moves around by playing basketball and spelling words. He also falls into Naturalistic learner because he’s outside while playing basketball and spelling words.Akeelah falls under the same two category but she does it a little different. She bounces the balls as she spells each letter. Another reason why I f eel this way is because she likes to be outside when studies her words. She overcomes her stage fright at the Regional Spelling Bee she’s a lot more confident. This is where I noticed that Akeelah is Verbal/ Linguistic learner. I then noticed another habit that she taps her hand on her leg as she says each letter. Just like when she was bouncing the basketball, again another example of her being a Body/ Kinesthetic learner.Dr. Larabee gives her a jump rope to spell the words as she spells, because she keeps time to spell better. This would make her musical/ rhythm because she’s keeping the rhythm as she jumps even when she taps on the side of her leg. Akeelah finally decides to apologize to Dr. Larabee so he can coach her. He doesn’t only want her to learn the words but life lessons as well. Dr. Larabee seems to be a Verbal/ Linguistic learner because he is a teacher and he communicates well through language and is a good speller. He was a former spelling bee co mpetitor when he was younger.Dr. Larabee also seems to be a Intrapersonal learner like Akeelah towards the end of the movie. The reason why I feel this way is because ,he wants to be alone doesn’t want to teach Akeelah any more. Dr. Larabee feels that teaching her is unpredictable. He gives her 5,000 flashcards to learn on her own. Akeelah gets overwhelmed with all those words, that she loses her motivation. With all the help of the neighborhood she learned all the words. As she was learning all these words she was using her jump rope outside going up and down the street.This is another example of her being a Body/ Kinesthetic and a Naturalistic learner. Because she moving her body and she’s outside while she does it. She makes it to National Spelling bee in Washington, D. C. Everything goes great because of her using a fake jump rope on stage to spell her words. The two finalist were Akeelah and Dylan, a Chinese boy who has won second place in the last two National Sp elling Bee’s. He is very contemptuous of her. Dylan’s father will not settle for second best.Dylan seems to be a Visual/ Spatial learner because he memorizes his words instead of learning them. They both win the National Championship. Mnemonic devices were used by all the spellers in this movie, because they would learn the spelling words. Then they use them when they would need them. For example they would use the word when they were ask to spell it In conclusion, most of the characters’ in this movie all had different learning style’s. But was also about the pursuit to pursuit to excellence the speller’s used. The difference between cramming and learning.

Listen to and Learn Spanish on the Internet

Listen to and Learn Spanish on the Internet Many people want to hear what native-speaker Spanish sounds like, but dont have access to native speakers or even Spanish-language radio or TV. Chances are that if youre reading this article, you have all the tools you need need to start listening. An abundance of Spanish-language webcasts, podcasts, and other programming is available for free on the Internet. The system requirements for listing to Internet audio vary with the site, but chances are that if your computer was built within the past three or four years, you already have the hardware you need. Most sites that provide audio content also have links to the software you need. Most audio content can be played using one of three audio players that are readily available for free: Windows Media Player, RealPlayer, and Apple QuickTime. The three are available for both recent versions of the Windows and Macintosh operating systems; the RealPlayer is also available for Linux. Some sites also have downloadable audio in MP3 or other formats that you can listen to on portable players. A high-speed Internet connection is helpful, although a good dial-up connection will sometimes be sufficient if you arent Web surfing at the same time. Listening Online in Spanish Spanish-language programming can be found for almost any interest, and a complete list would be far too long to list here. Following, however, are some of the sites that have been recommended by readers of this site: Batanga: You wont find any classical music here (unless you count classic rock), but youll find just about every other style of music.BBC Mundo: True, the BBC is well-known British news service. However, youll find quality programming in Spanish here.Deutsche Welle: This German network offers streaming programming in nearly all the European language and then some. At the time of this writing, however, its Spanish-language programming is not available to U.S. listeners.Ke Buena: Popular music from Acapulco, Mexico.La100: Rock from Argentina.Notes in Spanish: Tips about Spain, news, conversation and all the cool words they never teach you in class.M80 Radio: Classic rock from Madrid.Mitre: Variety of programming from Argentina.RAC105: International rock and pop from Spain. The home page is in Catalan, but if youre adept at reading Spanish you can probably comprehend most of it.Metro951: Self-described as the most popular radio, from Argentina.Radio Bilingà ¼e: Public radio-type progra mming from the United States. Radio Isla: Talk shows and more, from Puerto Rico.Radio Jai: Catering to Argentinas Jewish community with a mix of programming.Radio Progreso: Music, news and a bit of propaganda from Cuba.RTVE: This network from Spain provides a choice of six channels streamed over the Internet.Terra Radios: Talk, music and sports are featured on stations from Guatemala.Yahoo Music: About a dozen music stations feature Spanish music of various genres including rock, rap, reggaeton, pop, tejano, and jazz.

Writing a Rhetorical Analysis

Writing a Rhetorical Analysis Writing a Rhetorical Analysis Writing a Rhetorical Analysis and Writing Critical Analysis: How? As a rule, writing a rhetorical analysis is considered to be one of the most challenging tasks a student receives during his or her studying life in college. Writing a rhetorical analysis is considered to be so complicated as in order to write it, the student does not have to criticize, analyze, or describe the images of the piece of writing under analysis, instead of this, he or she has to depict what message each of the writers is trying to deliver to the readers, and how he or she is doing it in the piece of writing under analysis. Detecting tactics are the main task of writing a rhetorical analysis: Apart from detecting the tactics the authors use in their writing, you also have to determine the goal of each of the pieces of writing. You see the theme and idea of any piece of writing are considered to be different things, do not mix them up while writing a rhetorical analysis. The theme of the article tells the readers what is the article about; the idea of the article explains the readers with which aim was this or that article written. Rhetorical Analysis Essay Writing Is A Demanding Task Writing an analysis paper demands from the student a lot of hard working and brainstorming; that is why in order to have enough time for writing a rhetorical analysis completing better start you work at that very day when you have received the task. Writing critical analysis is one more task, which is considered to be a rather difficult as it is really difficult to criticize some others writing. Of course, if you are not going to bring evidence for your words in writing critical analysis, you will not spend much time for such work. However, if you are going to handle writing critical analysis according to all the requirements, you can do nothing but spend your time for finding proofs for your words. If You Need Help With Writing Rhetorical Analysis If you do not want to cope either with writing critical analysis or with writing a rhetorical analysis, you have a marvelous opportunity to escape this dull writing. Our custom essay writing service will handle writing a rhetorical analysis or writing critical analysis with great pleasure for you. We evaluate the comfort and good mood of our customers that is why we never disturb our customers after we have received an order. Entrust your writing critical analysis into our hands and be sure in the success. Read also: Cause and Effect Essay Argumentative Essay Topics English Essay Writing Writing Thesis Papers Writing a Thesis

Cybersecurity Vulnerability Faced by IT Managers Today Essay

Cybersecurity Vulnerability Faced by IT Managers Today - Essay Example Although different forms of weaknesses can result in various vulnerabilities there is one particular threat which can be side lined as the most potent threat, its scope of impact is relatively large and can create havoc and destroy the purpose of I.T firms and managers. The possible vulnerability can be mitigated through safe practices and protective layers of security that ensures authentication. This can be achieved through multi- tier protective layers within the system. This paper looks into the different dimensions of the vulnerabilities and responsibilities on behalf of the respective departments. This paper would help identifying and further creating a mechanism for safe operations and security of the organizations, their clients. Note: the body of this paper should include at a minimum a complete description of the vulnerability, the reasons why it is the most important, the impact of this vulnerability on organizations and how organizations can best address its potential impacts. The single most important cyber security vulnerability faced by IT managers at the present is cyber security governance. There are weaknesses that that exist in cyber security governance to include personnel management, policies, and procedures. The weaknesses of cyber security governance have been noticed at all scales, levels, and sectors such as inadequate procedures, undertrained personnel, and failure of leadership at all levels. These weaknesses of cyber security governance have been identified by the Department of Homeland Security and proposals have been initiated to bring about change. Cyber security consists of three fundamentals such as personnel, operations, and technology. In order for all three fundamentals to be successfully implemented, active involvement is required by personnel who are responsible for the governance of that organization. Vulnerabilities may be created or exist when there is an

Autobiography of Malcolm X Essay Example | Topics and Well Written Essays - 750 words

Autobiography of Malcolm X - Essay Example Malcolm X was born, Malcom Little to Earl Little and Louise Helen Norton. His father was an outspoken Baptist lay preacher and supporter of Marcus Garvey. Malcom described his father as a big black man who had lost one eye. According to Malcom, three of Earl Little’s brothers died violently at the hands of white men, and one of his Uncles had been lynched. Malcom’s life was one of hardships, and disappointments, (Malcom graduated from junior high school at the top of his class, but dropped out soon after an admired teacher told him that his aspirations of being a lawyer was not a realistic goal for a nigger) He had many misadventures and skirmishes with the American legal system. On January 12, 1946 shortly after his return to Boston, he was arrested for burglary after trying to steal back a stolen watch he had left for repairs at a jewelry shop. Two days later, Malcom was indicted once again for carrying firearms. On January 16th, Malcom was charged with Grand Larceny and Breaking and Entering. Malcom was sentenced to eight to ten years in Massachusetts State Prison. It was while he was serving time for Burglary, when Malcom began to study the teachings of the honorable Elijah Mohammed, the leader of the Nation of Islam. The â€Å"Black Muslim† doctrine as espoused by Elijah Mohammed placed a premium on Black unity; Mohammed emphasized how critically important it was for all black people to unite under the nation to improve their position in life. ... from serving his prison term, Malcom joined the nation of Islam and adopted the name Malcolm X. Malcom explained the name by saying the "X" is meant to symbolize the rejection of "slave names" and the absence of an inherited African name to take its place. The "X" is also the brand that many slaves received on their upper arm. This rationale led many members of the Nation of Islam to change their surnames to X. The press treated Malcolm X with disdain and labeled him a troublemaker. Due to the media coverage and his unwitting and tenacious will to call them as he saw them, he became persona non grata to some, hated by others (blacks and whites) and distrusted by those who had no idea of a black man's plight in America. Yet, he was heralded by many as a champion of civil rights which went beyond constructive engagement. In 1953 Malcom went to live with Elijah Mohammed in Chicago. He soon returned to Boston and became the minister of the Nation of Islam Temple number eleven. In 1954, Malcom was selected to lead the Nation of Islam mosque #7 on Lenox Avenue in Harlem, and he rapidly expanded its membership. Malcom was a compelling public speaker, and he became known to a wider audience after a local television broadcast in New York City about the Nation of Islam, which was not very well known at the time. Malcom was aware that his fame was a cause of much envy in the nation, and he became careful in his public appearances not to irritate them. Malcom was soon seen as the second most influential leader after Elijah Mohammed himself. He opened additional Temples, including one in Philadelphia, and was largely credited with increasing the Nation of Islam membership from 500 in

You are called to a small terraced house where a man in his 80s has Essay

You are called to a small terraced house where a man in his 80s has fallen. He is unsure about what happened but his carer indicates that he has a long and complex medical history - Essay Example Older adults are vulnerable to various health issues. Due to their advanced age, they are also likely to suffer from chronic diseases which require full-time care (Poon, et.al., 2003, p. 53). They are also vulnerable to senile dementia which compromises their memory and their normal mental functions. Communicating with these patients can be a major challenge. Moreover, health care interventions cannot be implemented in their behalf without an adequate and accurate assessment carried out on their person (Poon, et.al., 2003, p. 54). However, with limitations in the communication process, the assessment, planning, and treatment of the patient may be compromised. It is possible however to make an accurate review and assessment of the patient based on his current conditions, and based on a review of his history and current health care needs (Poon, et.al., 2003, p. 54). A discussion of these issues can also provide adequate strategies to address the health care needs of the patient. Moreov er, through the application of adequate communication strategies, it is possible to secure a thorough and appropriate plan for the patient’s care. Informed consent and its various applications are part of the core values of health care delivery. There are however specific problems which can be seen when working with vulnerable groups (Milligan, 2011). For those with disabilities or with health issues which limit the application of informed consent, informed consent is still possible and the health care giver still has the obligation to ensure that such consent is gained from the patient. In instances when a patient is unable to make a fully informed decision or does not have the mental capacity to make a decision, the Mental Capacity Act of 2005 must apply. In these instances, the care giver must consult with specific persons, and gain their advice in relation to the patient’s care, as well as what the patient’s