Thursday, March 19, 2020

Health problems Essays

Health problems Essays Health problems Paper Health problems Paper Largely understood, ethics consist of principles, which guide the behavior of entities, groups or professions (Wilkins 2007). Nurses as professionals make autonomous decisions on how they will care for patients. But they are still held accountable to their profession as a whole as regards these autonomous decisions. A nurse’s deportment has been vastly scrutinized from the start. The famous Florence Nightingale pledge in 1893 included the vow to â€Å"abstain from anything deleterious and mischievous†¦ or harmful drug. † The profession evolved into a very complex arena in the last century. Nurses now must confront life-and-death decisions and in short periods, even on an hourly basis. Medical advancements in new technology have the equal potential of benefit and harm. Today’s nurse makes her own decisions, that is, without the influence of her employer. But how she does is under the control of a Code of Ethics to which she swears (Wilkins). In general, nurses are employed by a hospital, clinic or some private entity (Wilkins 2007). Yet seemingly â€Å"independent† decisions made on patient care not really totally independent. Each decision, especially a critical or end-of-life decision, creates a ripple effect, which extends to At first glance of reading the ANA code of ethics it seemed way beyond my â€Å"scope† of practice. I took a lot of time to read since it was kind of repetitive in a sense. I’m a new graduate to nursing field and without experience I don’t have ample nursing philosophy yet. I have worked as a hospice nurse now for 3 weeks, and have a nursing perspective of 3 weeks. It’s hard to imagine the code of ethics being realistic, 100% of the time. As nurses we are humans and not robots. The ANA Code of Ethics for Nurses serves as a prototype for me just entering the field. It’s what I will attempt to stand by. It serves as the framework to what I will strive for. The first three provisions describe the most fundamental values and commitments of the nurse, the next three address boundaries of duty and loyalty, and the last three address aspects of duties beyond individual patient encounters. The first 3 provisions emphasize the fundamentals, commitment, and advocacy of the nursing profession. Acknowledging a someone’s dignity is an integral component of nursing care. This is Not that I have a whole lot of experience being a nurse but when I’m able to make the patient feel comfortable, I get a lot more accomplished. Getting the patient to feel comfortable with you makes a huge difference. I try and decrease any awkward barriers between the patient and I . In the short time I have been a hospice nurse, it has already humbled me tremendously. When you are present in the aide for the moment in life where people are so vulnerable, it changes you. It adds to the dynamics you carry as a nurse. One of my patients is a 93 year old female who lives with her husband of 75 years in an ALF. Not any physical co morbidities besides her old age. Upon her assessment she began talking in stated that she was tired of living and that her and her husband fall asleep and pray to not wake up. Which about made me want to cry. I immediately asked why she felt that way, she stated that she has no reason to live, and the ALF gets old and boring. I replied stating that there is a reason for her living, and that everything has a purpose. I of course didn’t know exactly why, didn’t have those kind of answers. I was learning from her that I was grateful and appreciative to experience this time with her. As I was leaving she expressed that I gave her some push to smile and that I made her feel so much better. The The ANA code of ethics sounds crazy to me. It makes me feel like a robot nurse, so repetitive. Realize it’s a set of standards that were to work up and be about. So many elements in what makes a good nurse. At times I feel like how is a possible to be a perfect nurse in every situation. Were human too and can from suffer from burnout and may need to be the patient. Helps me to be a better nurse, is what if I was in that situation, how would I want to be treated. Sample Essay Reviews of the outcomes of the nursing trends are a must. This I believe is because it could tell us whether the current trends have positive or negative outcomes and whether the goal of such trends has been achieved or not. In this regard, I believe nurses can play a very major role. This conclusion can be drawn easily if one takes a good look at the responsibilities of nurses. It is my responsibility as a nurse to maintain a professional standard during practice as is obvious from the ANA code of ethics. She should plan, implement, and evaluate researches that are carried out for the betterment of the patients but she is also responsible for safeguarding the privacy of the patient, although this responsibility is not absolute when it comes to the well-being of the patients and society at large. The ANAs Code of Ethics (1-2) consists of several ethical statements called provisions. There are a total of nine provisions. The first three of these provisions describe ethical values and nurse commitments while the second three provisions address the parameters of nursing obligations and duties as well as loyalties. The final three provisions examine nurses duties and obligations beyond the general practices associated with caring for individual patients. 1. The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth, and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems. 2. The nurses primary commitment is to the patient, whether an individual,family, group, or community. 3. The nurse promotes, advocates for, and strives to protect the health,safety, and rights of the patient . 4. The nurse is responsible and accountable for individual nursing practiceand determines the appropriate delegation of tasks consistent with thenurses obligation to provide optimum patient care. 5. The nurse owes the same duties to self as to others, including theresponsibility to preserve integrity and safety, to maintain competence, andto continue personal and professional growth . 6. The nurse participates in establishing, maintaining, and improving healthcare environments and conditions of employment conducive to the provisionof quality health care and consistent with the values of the professionthrough individual and collective action. 7. The nurse participates in the advancement of the profession throughcontributions to practice, education, administration, and knowledgedevelopment. 8. The nurse collaborates with other health professionals and the public inpromoting community, national, and international efforts to meet healthneeds. 9. The profession of nursing, as represented by associations and theirmembers, is responsible for articulating nursing values, for maintaining theintegrity of the profession and its practice, and for shaping social policy Provisions 1-3 The nursing ethics provisions start at the patient level and progress to a wider sphere of influence. Provisions 1-3 deal specifically with the nurses relationship to individual patients, including respecting their dignity and advocating for their care. Provisions 4-7 These provisions deal with nursing education and the nurses right (and responsibility) to improve the nursing profession and patient environments by keeping up with education and training, both for the individual nurse and for facilities, to promote more efficient and compassionate care. This is where I feel the DNR applies. It’s an Provisions 8-9 These provisions deal with nursing from a more global standpoint, urging nurses as a professional group to join with other health professionals to shape public policy and improve worldwide health and wellness. Abstract

Tuesday, March 3, 2020

Profile of Tanystropheus

Profile of Tanystropheus Tanystropheus is one of those marine reptiles (technically an archosaur) that looked like it came straight out of a cartoon: its body was relatively unremarkable and lizard-like, but its long, narrow neck extended out for a disproportionate length of 10 feet, about as long as the rest of its trunk and tail. Even stranger, from a paleontological perspective, the exaggerated neck of Tanystropheus was supported by only a dozen extremely elongated vertebrae, whereas the long necks of the much longer sauropod dinosaurs of the later Jurassic period (to which this reptile was only distantly related) were assembled from a correspondingly larger number of vertebrae. (The neck of Tanystropheus is so strange that one paleontologist interpreted it, over a century ago,  as the tail of a new genus of pterosaur!) Name: Tanystropheus (Greek for long-necked one); pronounced TAN-ee-STROH-fee-us Habitat: Shores of Europe Historical Period: Late Triassic (215 million years ago) Size and Weight: About 20 feet long and 300 pounds Diet: Probably fish Distinguishing Characteristics: Extremely long neck; webbed hind feet; quadrupedal posture Why did Tanystropheus possess such a cartoonishly long neck? This is still a matter of some debate, but most paleontologists believe this reptile perched alongside the shorelines and riverbeds of late Triassic Europe and used its narrow neck as a kind of fishing line, plunging its head into the water whenever a tasty vertebrate or invertebrate swam by. However, its also possible, though comparatively unlikely, that Tanystropheus led a primarily terrestrial lifestyle, and hoisted up its long neck to feed on smaller lizards perched high up in trees. ​A recent analysis of a well-preserved Tanystropheus fossil discovered in Switzerland supports the fisherman reptile hypothesis. Specifically, the tail of this specimen shows an accumulation of calcium carbonate granules, which can be interpreted as meaning that Tanystropheus had especially well-muscled hips and powerful hind legs. This would have provided an essential counterweight to this archosaurs comically long neck and prevented it from tumbling into the water when it snagged and attempted to reel in a big fish. Helping to confirm this interpretation, another recent study shows that the neck of Tanystropheus only accounted for one-fifth of its body mass, the remainder concentrated in the rear portion of  this archosaurs  body.

Saturday, February 15, 2020

Distributed Database Essay Example | Topics and Well Written Essays - 3000 words

Distributed Database - Essay Example Best customers are those who subscribe to 7day, 52week, EZPay {automatic payment from credit card} subscriptions. 2. Existance in the marketplace and we have touched them. By building "complete" universe of households with extended demographics, and by attaching "touch" or contact histories to individuals, can determine what is working on what types of customers (and what isn't working). We need to build touch history over time. Value increase as more history is accumulated. 3. We build a loyalty model based on a subscriber's payment history. Loyalty can be defined as overall duration as subscriber, number of consecutive payments (with unbroken service), etc. We can then create a profile of a "loyal" subscriber and more effectively identify likely churners vs. likely loyal subscribers. This is a very important step in the data warehousing project, as the foundation of the data warehousing system is the data model. A good data model will allow the data warehousing system to grow easily, as well as allowing for good performance. In data warehousing project, the logical data model is built based on user requirements, and then it is translated into the physical data model. This project uses Dimensional modeling, which is the name of the logical design technique often used for data warehouses. It is different from entity-relationship modeling.Entity relationship modeling is a logical design technique that seeks to eliminate data redundancy while Dimensional modeling seeks to present data in a standard framework that is intuitive and allows for high-performance access. Every dimensional model is composed of one table with a multi part key, called the fact table, and a set of smaller tables called dimensional tables. Each dimension table has a single part primary key that corresponds exactly to one of the components of the multi part key in the fact table. This characteristic star like structure is often called a star join. A fact table, because it has a multi part key made up of two or more foreign keys always expresses a many-to-many relationship. The

Sunday, February 2, 2020

Marketing professional practice 300 Essay Example | Topics and Well Written Essays - 1500 words

Marketing professional practice 300 - Essay Example Schools which lack funding or government support usually welcome these marketing efforts (Robert Wood Johnson Foundation 2008). In in-school marketing, a consistent and strong proposition regarding healthy eating can be integrated through informative contests; distribution of educational materials; correspondence with canteens or cafeterias; and feeding programs. While in-school marketing may not need any demand-specific strategy, in marginal sectors, there is an urgency to do so. It is presumed that low income families represent the marginal sectors of the community therefore nutritious food intake appear unreasonably expensive for them (Department of Human Services n.d.). A very important objective in this outreach is to eliminate such mindset. To achieve this, the organization can instead endorse a dietary scheme which involves nutritious but affordable food and beverages for regulated daily food consumption. An example of an exact promotional strategy is the FoodCent$ program sponsored by an Australian nonprofit (Department of Human Services n.d.). The entire program may be implemented for at least three years or more when necessary. There can be no doubt to the efficacy and conventionality of television advertising as a method of promoting a product, service, or image. It sends a message to a massive or target-specific audience within seconds. The same principle is true when promoting the cause of the charity. The television advertisement should contain the advocacy in the most creative but informative structure. With local or international child celebrities and hit characters, the organization could use television endorsers to promote it. Then, the ad should be slated during children-viewing periods, that is, within children programs. Media networks can supply the said information since they develop a programming schedule designed for different

Saturday, January 25, 2020

Michael Polanyi and Lucian Blaga as Philosophers of Knowledge :: Philosophy Philosophical Essays

Michael Polanyi and Lucian Blaga as Philosophers of Knowledge ABSTRACT: Polanyi and Blaga are two centennial philosophers who could be compared. They both are philosophers who have abandoned the attempt to analyze science as the form of culture capable of complete objectivity and the language solely in terms of its referential force, to make representational knowledge impersonal and to split fact from value. 1. Polanyi's epistemology Polanyi and Blaga are two centennial philosophers who could be put into comparison. Both are philosophers who have abandoned the attempt to analyze science as the form of culture capable of complete objectivity, to analyze language solely in terms of its referential force, and to make representational knowledge impersonal and to split fact from value. Michael Polanyi affirms the irreducible involvement of personal commitment in the perception and understanding of transpersonal reality. He is against the representational expressivist theory of language. According to his theory all assertion of fact expresses beliefs, and are essentially accompanied by feelings of satisfaction or of desire. The act of knowing includes an appraisal, a personal coefficient that shapes all factual knowledge. Polanyi emphasizes the role of the activity of the knower in the formation of knowledge and also is aware of their variability while insisting that we aim at truth 'with universal intent' 'although we can never quite get there'. His book Personal Knowledge should help to restore science to its rightful place in an integrated culture as part of the whole person's continuing endeavor to make sense of the totality of his experience. 'True' means something different in different societies. The critical period of Western philosophy, opened by Descartes and brought to its coming to an end, and the post-critical era is emerging. Michael Polanyi, it appears to me, is the most important philosophical figure opening up this new direction and delineating its basic elements. Regarding the critical pretensions to have found a way, either through philosophical rationality or by means of scientific method, to a universal perspective, Polanyi points out that thinkers of the critical period have pursued 'a mistaken ideal of objectivity'. Thus, when we claim greater objectivity for Copernican theory, we do imply that its excellence is, not a matter of personal taste on our part, but an inherent quality deserving universal acceptance by rational creatures. We abandon the cruder anthropocentrism of our senses, but only favor of a more ambitious anthropocentrism of our reason (PK p. Michael Polanyi and Lucian Blaga as Philosophers of Knowledge :: Philosophy Philosophical Essays Michael Polanyi and Lucian Blaga as Philosophers of Knowledge ABSTRACT: Polanyi and Blaga are two centennial philosophers who could be compared. They both are philosophers who have abandoned the attempt to analyze science as the form of culture capable of complete objectivity and the language solely in terms of its referential force, to make representational knowledge impersonal and to split fact from value. 1. Polanyi's epistemology Polanyi and Blaga are two centennial philosophers who could be put into comparison. Both are philosophers who have abandoned the attempt to analyze science as the form of culture capable of complete objectivity, to analyze language solely in terms of its referential force, and to make representational knowledge impersonal and to split fact from value. Michael Polanyi affirms the irreducible involvement of personal commitment in the perception and understanding of transpersonal reality. He is against the representational expressivist theory of language. According to his theory all assertion of fact expresses beliefs, and are essentially accompanied by feelings of satisfaction or of desire. The act of knowing includes an appraisal, a personal coefficient that shapes all factual knowledge. Polanyi emphasizes the role of the activity of the knower in the formation of knowledge and also is aware of their variability while insisting that we aim at truth 'with universal intent' 'although we can never quite get there'. His book Personal Knowledge should help to restore science to its rightful place in an integrated culture as part of the whole person's continuing endeavor to make sense of the totality of his experience. 'True' means something different in different societies. The critical period of Western philosophy, opened by Descartes and brought to its coming to an end, and the post-critical era is emerging. Michael Polanyi, it appears to me, is the most important philosophical figure opening up this new direction and delineating its basic elements. Regarding the critical pretensions to have found a way, either through philosophical rationality or by means of scientific method, to a universal perspective, Polanyi points out that thinkers of the critical period have pursued 'a mistaken ideal of objectivity'. Thus, when we claim greater objectivity for Copernican theory, we do imply that its excellence is, not a matter of personal taste on our part, but an inherent quality deserving universal acceptance by rational creatures. We abandon the cruder anthropocentrism of our senses, but only favor of a more ambitious anthropocentrism of our reason (PK p.

Friday, January 17, 2020

Main Causes of Culture Shock Essay

Stepping out of one’s comfort zone is not an easy step to take, not to mention stepping into a foreign land. Culture shock is one of the very common problems many face, especially when travelling abroad. For the purpose of this essay, the term â€Å"culture shock† refers to the unfamiliar feeling of a new atmosphere when in another country. It also refers to the ability to adapt experience and accept another country’s culture. The main reasons of culture shock are difference in values, loneliness, as well as daily life challenges. To begin with, one of the main causes which contribute to the feeling of culture shock is due to the difference in values. Values may differ in terms of religion, laws, traditions, and customs. Many embarking on a journey to a foreign land have to accept and learn the foreign country’s values in order to be able to enjoy the richness of the local culture. However it may seem to be very difficult to accept the new values as it differs too much from another country’s culture, thus causing culture shock. A good example would be that many international students might have difficulties adopting the new values which the foreign country adopts, and might feel homesick due to the culture shock. Therefore, the difference in values is one of the main causes of culture shock. In addition, another cause of culture shock is due to the feeling of loneliness. The feeling of loneliness can cause many adverse effects, causing depression and anxiety. Many suffer from culture shock due to loneliness because, like a child in school for the first time, there are no familiar faces to be seen anywhere. It is a frightening experience as in a foreign land there might be a language barrier and a difference the lifestyle which may hinder the process of socialising and cause loneliness. A good example would be when international students live in home stays they might feel a sense of loneliness due to the fact that the environment in the home stay as well as the food served differs a lot from the student’s home back in their homeland. Therefore, loneliness is indeed another main cause of culture shock. The last and most important cause of culture shock is the daily life challenges. Like a fish out of the water, it is a very new environment when in a foreign country. The weather, transport, language to speak in becomes a challenge, as each country has its own individuality. It can be a daily struggle for many to adapt to these major differences and would take awhile to get used to the new environment. A good example would be that many migrants would take at least a month to climatise to the new temperatures as unlike Saudi Arabia with extremely hot weathers, countries like New Zealand have very cold temperatures. Thus, daily life challenges are the most important reason for culture shock as it is not easy to adapt to a new environment. To sum it up, culture shock is caused by the contrasts in beliefs and principles, it is also caused by the initial stages of feeling isolated from home and lastly it is also caused by the problems faced on a day to day basis. Perhaps the most important reason is the problems faced on a day to day basis. This is so as it would cause a significant amount of inconvenience and adapting to the individual for a period of time, thus undergoing a transition period to cope with culture shock.

Thursday, January 9, 2020

Henrys Law Example Problem

Henrys law is a gas law  formulated by the British chemist William Henry in 1803. The law states that at a constant temperature, the amount of dissolved gas in a volume of a specified liquid is directly proportional to the partial pressure of the gas in equilibrium with the liquid. In other words, the amount of dissolved gas is directly proportional to the partial pressure of its gas phase. The law contains a proportionality factor that is called Henrys law constant. This example problem demonstrates how to use Henrys law to calculate the concentration of a gas in solution under pressure. Henrys Law Problem How many grams of carbon dioxide gas is dissolved in a 1 L bottle of carbonated water if the manufacturer uses a pressure of 2.4 atm in the bottling process at 25  °C?Given: KH of CO2 in water 29.76 atm/(mol/L) at 25  °CSolutionWhen a gas is dissolved in a liquid, the concentrations will eventually reach equilibrium between the source of the gas and the solution. Henrys law shows that the concentration of a solute gas in a solution is directly proportional to the partial pressure of the gas over the solution.P KHC where:P is the partial pressure of the gas above the solution.KH is the Henrys law constant for the solution.C is the concentration of the dissolved gas in solution.C P/KHC 2.4 atm/29.76 atm/(mol/L)C 0.08 mol/LSince we have only 1 L of water, we have 0.08 mol of CO. Convert moles to grams: mass of 1 mol of CO2 12(16x2) 1232 44 g g of CO2 mol CO2 x (44 g/mol)g of CO2 8.06 x 10-2 mol x 44 g/molg of CO2 3.52 gAnswer There are 3.52 g of CO2 dissolved in a 1 L bottle of carbonated water from the manufacturer. Before a can of soda is opened, nearly all the gas above the liquid is carbon dioxide. When the container is opened, the gas escapes, lowering the partial pressure of carbon dioxide and allowing the dissolved gas to come out of solution. This is why soda is fizzy. Other Forms of Henrys Law The formula for Henrys law may be written other ways to allow for easy calculations using different units, particularly of KH. Here are some common constants for gases in water at 298 K and the applicable forms of Henrys law: Equation KH = P/C KH = C/P KH = P/x KH = Caq / Cgas units [Lsoln  · atm / molgas] [molgas / Lsoln  · atm] [atm  · molsoln / molgas] dimensionless O2 769.23 1.3 E-3 4.259 E4 3.180 E-2 H2 1282.05 7.8 E-4 7.088 E4 1.907 E-2 CO2 29.41 3.4 E-2 0.163 E4 0.8317 N2 1639.34 6.1 E-4 9.077 E4 1.492 E-2 He 2702.7 3.7 E-4 14.97 E4 9.051 E-3 Ne 2222.22 4.5 E-4 12.30 E4 1.101 E-2 Ar 714.28 1.4 E-3 3.9555 E4 3.425 E-2 CO 1052.63 9.5 E-4 5.828 E4 2.324 E-2 Where: Lsoln is liters of solution.caq is moles of gas per liter of solution.P is partial pressure of the gas above the solution, typically in atmosphere absolute pressure.xaq is mole fraction of the gas in solution, which is approximately equal to the moles of gas per moles of water.atm refers to atmospheres of absolute pressure. Applications of Henrys Law Henrys law is only an approximation that is applicable for dilute solutions. The further a system diverges from ideal solutions ( as with any gas law), the less accurate the calculation will be. In general, Henrys law works best when the solute and solvent are chemically similar to each other. Henrys law is used in practical applications. For example, it is used to determine the amount of dissolved oxygen and nitrogen in the blood of divers to help determine the risk of decompression sickness (the bends). Reference for KH Values Francis L. Smith and Allan H. Harvey (Sept. 2007), Avoid Common Pitfalls When Using Henrys Law, Chemical Engineering Progress  (CEP), pp. 33-39