Thursday, January 16, 2020
Children walk home from school every day and never realize what lurks beyond their protected space (Miller 105). In todayÃ¢â¬ s world the acceptance of latch key children should not be tolerated. Unfortunately, our society condones such behavior from the adults. As a result, these children wear a chain around their neck with a house key attached, in order to enter into their home. As the youngsters leave school, they enter a silent world (Kay 94). To illustrate, children enter into an empty house which has been abandoned since breakfast that morning. Therefore, television when turned on, replaces the absence of their parents. At this time, children experience serious conditions which they may not be able to handle (Gaines 94). For example, they encounter the introduction of smoking a cigarette, drinking alcohol, and using harmful illegal drugs. Also, children are exposed to more violent crimes which usually happen in the first 60 minutes after school. Consequently, some children walk home, through undesirable areas where they may see someone being killed right in front of them. Therefore, alone and unsupervised, the youngsters make their own food while waiting for their parents to return home from work (Brazelton 44). The art of parenthood has diminished, like an extinct animal which could be reinstated into the family unit; especially when parents need to teach and nurture their offspring, detour their young ones from negative peer pressure, and, work within a financial budget. Parents bring children into the world to educate these individuals on how to care for themselves (Braverman). However, children become influenced by their friends especially when spending money is involved (Krol 16 ). Ultimately, they make decisions on the purchase of their clothing, the music they listen to, and even the movies they watch, all based on their friendsÃ¢â¬ opinion. On the other hand, young people realize how their parents have many years of experience in the area of spending money. Therefore, they listen to the advice from their parents on the dealings of financial matters. However, young people have always faced heavy financial demands as they reach maturity (Blankstein 133). The difference today is the sheer diversity of the choices, few of them inexpensive. Therefore, they should become skilled and well educated in money management (J. L. 48). In addition, parents teach their young to eat the right meals, to absorb enough sleep, and to do their best in school. Also, as children reach the age of eight years old, their strict discipline and respect for elders should have already been implanted by their parents (Ogle). Eventually, these young people acquire jobs to obtain a true sense of responsibility of work ethics and the supreme independence from parents. Ultimately, the sheer existence of children blueprinted by their parents creates vibrant individuals who can master the world. For instance, young people know how to respond in case of fire or electrical emergencies. Also, they understand the techniques of first aid and how to get help fast. Again, young people earn money from part time employment which is combined with the allowance from parents. Therefore, their income per week could be drastically increased by a substantial amount (Fischer 51). Consequently, children can benefit financially by being creative with their free time (Briles 108). For instance, young people project enthusiasm toward part time employment especially when the work creates lively activity. Even though parents try to guide their off spring right, there may be an unplanned development to reroute these individuals in another direction. While on the other hand, young people should be accountable for their misbehavior. Young people strive hard at school to achieve acceptance among their friends (Warburton). To illustrate, students pride themselves on having many friends, even if they introduce harmful habits. In addition, peer pressure explodes dramatically with socializing in school and being accepted in certain groups, especially during their adolescent years (Ignatz). Furthermore, students may experiment with illegal drugs which establish popularity among their friends. Unfortunately, these young people, when exhibiting interest in these deadly drugs, isolate themselves from family members and associates. Ultimately, they feel depressed about school work and their social life takes a leaping plunge. In other words, young people regrettably surrender to the illegal substance which eventually takes control of their life. Also, alcohol flourishes rapidly among young people, particularly between the ages of ten to seventeen (Flohr, P. ). For example, groups of adolescents creatively sneak alcohol to a party which has taken place after school. Secondly, the alcohol is poured into a reservoir of punch which alters the taste. Eventually, when the other children drink the spoiled punch they are introduced indirectly to the alcohol. After a while, the substance slowly flows into the bloodstream, then ultimately overwhelms their body into a habit forming addiction which could last a life time. Furthermore, smoking a cigarette seems to be the easiest and least conspicuous item in which students can gain popularity (Bower 391). As they smoke, destructively the nicotine engulfs their lungs like a virus. For example, Tennessee WilliamsÃ¢â¬ Ã¢â¬Å"The Glass Menagerie,Ã¢â¬ Tom said, Ã¢â¬Å"I am getting a cigaretteÃ¢â¬ then Amanda, his mother replies, Ã¢â¬Å"You smoke too muchÃ¢â¬ (212). Sadly, young people conceal cigarettes from their parents and teachers. Also, they sneak around the school just to get a puff of smoke. In addition, they retire to the school bathrooms or hide behind trash reciprocals. Because many students smoke on high school campuses, the administration decided to designate areas for the smokers. Therefore, these young people smoke across the street from their high school. Finally, the cost of the cigarette bites out a healthy chunk of the studentÃ¢â¬ s income, because their earnings would only be at a minimum wage. Many parents work all day and do not realize the damaging effect created by their absence when the children are home from school (Granfield 46). Unfortunately, money generates a hypnotic trance surrounding the parents, which clouds the use of their brains (Florist 20). In fact, greed consumes the life style of the family. For example, parents, as well as children, needlessly spend money without realizing the price they have to pay. Because both parents work, the children are left home to fend for themselves. Although, money generates many items the family wants, the absence of the parent can never be replaced. Because parents offer moral support when their children need that shoulder to cry on. Therefore, children are subjected to a world which opens difficult situations they must be able to handle (Way 73). After all, money does contribute to food, shelter, and, clothing in order for the human race to survive. But should the consumption of this commodity also sacrifice the unity of the family (Christiansen). In other words, when families curtail their extravagant spending for expensive cars, luxury boats, and, numerous travel expenses, there would be no need for a two-income family. Therefore, children could enter into their home with at least one of the parents waiting patiently for their arrival from school. Reluctantly, manufactures refuse to give up their profits for the sake of a nurturing home life for the children. Assuming, these establishments operate in the world by making money. Ultimately, parents contribute many important characteristics which make up the individuality and personality of their children (Working Mother 88). For instance, they instill mortality which guides their children to decide right from wrong as well as their ability to accept responsibility when a situation occurs. Could they respond quickly enough (Campbell). Finally, parents remind their children to have respect for themselves (Dunhill). They need to understand that their decisions are important; therefore, they are able to regard other peopleÃ¢â¬ s opinion. Granted, single parents work all day, feeling guilty that their youngsters must stay at day care facilities. Eventually, the children adapt to these routine situations of being in a day care and continue with their daily lives. Customarily, children stay in these facilities more often than usual because parents tend to leave them there in order to take care of other business. In any case, children should not be sacrificed for money (Daniels 318). Therefore, parents should learn to live within their financial budget. Parenthood should take precedence in todayÃ¢â¬ s society (Flohr, J. . Ultimately, parents instill the basics of life into their children. Creatively, children draw images from their parents, which determines their unique individual styles and personalities. Finally, these children will address the world with self confidence and security which strengthens the human race. Therefore, parents must take responsibility of the human life which they have brought into the world. Equally important, they ought to focus more on their children, not the money they can make at work (Pardue). After all, children discover the world through their parents (Lentze). For example, children watch their parents take pride in their personal belongings. Then, as the children mature and become young adults they tend to take great pride in their own possessions, especially when the parents take the children on several different excursions (Morin). Ultimately, when youngsters are introduced to new and exciting areas, such as going to the local zoo, being exposed to the public library, and attending a school play, the door to their world opens with imagination, which can be compared to a trip to Disneyland. Furthermore, the prices of these excursions run far less expensive than the purchase of extravagant toys for the family. After a while, the toys lose their novelty, then they are discarded, literally tossed aside for a new toy. If children had the power to decide, which they would prefer would their decision be parents over money rather than money over parents. In conclusion, children need the appropriate guidance from their parents and the day-to-day interaction with at least just one.
Wednesday, January 8, 2020
Air pollution is becoming a major environmental disaster in the state of Virginia. Air pollution problem has been compounded by the fact that west Virginia is the largest producer of natural gas east of the Mississippi river, as well as a major storage and transfer are of the interstate natural gas transmission systems. West Virginia is also a major producer of coalbed methane. There are also many industries in Virginia such as aluminum, steel, glass which in one way or another depends on coal as the main source of energy. These plants release gases like carbon dioxide, methane sulphur dioxide, nitrogen oxide. The effects of these gases include global warming, greenhouse effects and acid rain. Several agencies and conferences are working hard to come up with measures that would not only aim at reduction of environmental pollution, but also ensure that the economy is not compromised. Cost-effective technologies to minimize emission of green house gases, nitrogen dioxide, particulates and other pollutants associated with the use of fossil fuel is now being applied as one of the crucial measure to reduce air pollution. These technologies basically entail capturing, utilizing and sequestering carbon dioxide so as to reduce its emission to the air. Industrial energy efficiency especially from aluminum, steel, glass, chemical and wood products industries is also another important measure of combating environmental pollution. To achieve this, projects that would increase the productivity and reduce costs through improved energy efficiency, reduce waste, use of new technologies and better inventory and management systems are being laid down. These projects involve laying down the strategies like better energy demand systems, new system for improved on-line process monitoring and improved sensors and controls. It also entails development of better waste minimization and recycle strategies e.g. industrial waste water treatment technologies; product designs for recycling materials and wastes; better strategies for cross industry use of waste and by products.Ã It also streamlines environmental permitting processes and evaluation of proposed mining sites in terms of potential acid rain. At least 25% of the West VirginiasÃ¢â¬â¢ fleet and commuter vehicles is now being powered by alternate fuel such as natural gas. Natural gas refueling stations and recharging facilities is now almost conveniently located across the state. High speed transportation system is in process. Alongside these industrial measures, afforestation and reafforestation programmes are underway. References: Lawrence, M, (2005). Encyclopedia of white-collar corporate crime. Virginia: Sage publishers. 1, 21-32 United state of America, (1998). Congressional record, proceedings and debates of the 105thÃ congress second session United States government printing office. Washington 144, 376-378 Otis K. Rice Stephen W. Brown (1993). West Virginia; a History. Kentucky: University press of Kentucky pp. pp. 200-206
Tuesday, December 31, 2019
The acceleration of overall economic growth over the past decade (until the onset of the global economic and financial crisis) has been accompanied by a significant acceleration in the growth of credit in the economy. This broad trend suggests that high economic growth has been accompanied by financial deepening. However, despite such expansion of the financial sector, increasing concern has been expressed on financial inclusion in recent years (Mohan, 2012)1. One of the key feature of financial deepening is that it accelerates economic growth through the expansion of access to those who do not have adequate finance themselves (ibid. 2012)2; and among all those who do not have finance, the farming community in the agricultural sector has been the most prominent one in all the developing countries in general and India in particular. Agriculture is an indispensable reality for promoting livelihood for the majority of the population in developing countries and the fact is that agricultural growth is a fundamental pre-requisite for widespread poverty reduction in developing countries. It plays a crucial and a multidimensional role in the development process. In addition to its role of providing livelihood, agriculture also plays a paramount role in promoting economic growth through production and consumption linkages by generating export earnings, labour, capital and domestic demand to support growth in other sectors (Johnston Show MoreRelatedGlobal Economic And Financial Crisis2519 Words Ã |Ã 11 PagesMany lessons were learned from the aftermath of 2008 global economic and financial crisis. One of them was the effect that foreign direct investments (FDI) had on the global economy, particularly on developing countries. By definition, an FDI is an Ã¢â¬Å"investment that involves some ownership and/or operating control. 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Monday, December 23, 2019
Women and Domestic Violence India Chillious Cleveland State University This paper was prepared or Social Work 622, Section 480, taught by Professor Seck Violence has been an ongoing issue, and has increased over the years. There are many different types of violence that can take place, one being domestic violence. Domestic violence is defined as a pattern of abusive behavior in any relationship that is used by one partner to gain or maintain power and control over another intimate partner. Domestic violence can be physical, sexual, emotional, economic, or psychological actions or threats of actions that influence another person (U.S. Department of Justice, 2014). There is an increase of domestic violence with women being the victims, although men have a high number of being victims of Domestic Violence also. The National Coalition against Domestic Violence states that 85% of domestic violence victims are women (NCADV, 2014). This review explored the different factors that affect women who have been or are currently in domestic violent relationships, with one major issue being substance abuse and the services, if any, that were provid ed to them, and if they were beneficial. Starting from childhood, domestic violence within the home affects children greatly. There is an estimated 3 million children who witness domestic violence within the home on a yearly basis (CNN, 2014). Studies typically show that young adolescent girls may act out inShow MoreRelatedDomestic Violence on Women in India5672 Words Ã |Ã 23 PagesINTRODUCTION : Ã¢â¬Å"Violence against women is a manifestation of historically unequal power relations between men and women, which have led to domination over and discrimination against women by men and to the prevention of the full advancement of women...Ã¢â¬ The United Nations Declaration on the Elimination of Violence against Women, General Assembly Resolution, December 1993 Since the 1990s, there has been increasing concern about violence against women in general, and domestic violence in particularRead MoreDomestic Marital Abuse Against Women1697 Words Ã |Ã 7 PagesSilenced Cry: Domestic Marital Abuse against Women In the United States, there are about ten people who die from domestic violence every single day. The U.N identifies October as National Domestic Violence Awareness Month. 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In Jordan there was a study done that found that nearly 1 out of 3 women were subjected to domestic violence during their marital life, but these rates lowered during pregnanciesRead MoreThe Reasons For Domestic Violence Essay1441 Words Ã |Ã 6 PagesThe Reason Why I Stayed Domestic violence has become a major issue in The United State of America and is commonly associated with the mistreatment of women. There are distinctive types of domestic violence in AmericanÃ¢â¬â¢s homes that affect men, women and mainly the children. This is abuse that happens in different structures, including physical, passionate and mental. There are various instances of domestic violence in the home every year with individuals being abusive toward their significant other
Saturday, December 14, 2019
Atopic dermatitis is a genetically transmitted, chronic inflammatory tegument disease that is characterized by chronic redness of epidermis1. The disease normally presents during early childhood but may get down or prevail in big life 2. 10 % to 20 % of kids and 1 % to 3 % of grownups are affected by this status. We will write a custom essay sample on Chicory Root Extract Atopic Dermatitis Health And Social Care Essay or any similar topic only for you Order Now Adult atopic dermatitis is normally a continuance of the childhood status although in 2 % of the entire instances may get down after 20 old ages of age 3. It is the earliest presentation of atopic characteristics in patients who suffer from allergic coryza and/or asthma in ulterior life 4. The atopic dermatitis may undergo remittal at pubescence and so gets exacerbated in big life particularly in response to environmental exposure to thorns 3. The characteristic characteristics of disease are pruritus, scrape, and chronic and/or get worsing eczematous lesions 5. Presently, there is no unequivocal remedy for this status and direction is aimed at relieving the symptoms of the status hence it presents a clinical challenge 6. The direction includes good tegument attention ( such as usage of moisturizers and creams ) , trigger turning away while pharmacological interventions such as usage of anti-inflammatory drugs ( topical corticoids and unwritten antihistamines ) besides contribute to the curative armamentarium 3. The new calcineurin inhibitors are among the new intervention options which limit the badness and frequence of flare-ups 6. Due to an increased hazard of infection, anti-bacterial, anti-fungal and anti-viral drugs are besides portion of the intervention regimen 6. Different intervention options available are shown in the figure 1: hypertext transfer protocol: //onlinelibrary.wiley.com/store/10.1111/j.1398-9995.2006.01153.x/asset/image_n/ALL_1153_f5.gif? v=1 A ; t=ghv2sj68 A ; s=0e428ba76d59dc1a7fd694a0dcbd25f4c38e76d4 Beginning: Akdis et Al, 2006 The furnace lining or terrible instances present a challenge in their direction and necessitate alternate therapies like the application of wet dressings in combination with topical corticoids, short-run intervention with systemic corticoids, phototherapy with ultraviolet visible radiation 8, immunomodulatory or immunosuppressive agents ( cyclosporins, pimecrolimus and tacrolimus ) 9, Imuran, interferon- IA? , 3. However, bulk of these therapies have been found to be associated with side-effects like nephritic toxicity, hepato-toxicity 3, skin combustion and thinning etc.9 This has resulted in involvement in the alternate traditional therapies. Cichorium is a medicinally of import works that belongs to the household Asteraceae 10. The tuberous root of this works is made up of a figure of medicinally of import compounds such as inulin, acrimonious sesquiterpene lactones, coumarins ( esculin ) , flavonoids and vitamins 10. Hence, the root infusion of the works has been used as an antihepatotoxic, antiulcerogenic, antiinflammatory, appetiser, digestive, gastric, liver tonic, cholagogue, cardiotonic, depurative, diuretic, emmenagogue, antipyretic, alexeteric and besides as tonic 11. Furthermore, it is besides helpful in headache, heapatomegaly, degenerative arthritis 12, anorexia, indigestion, flatulency, gripes, urarthritis, firing esthesis, icterus, splenomegaly, hyperdipsia, HansenÃ¢â¬â¢s disease, , amenorrhea, chronic and biliary febrilities, ophthalmitis, sore throat and emesis, arthralgia, lumbago, asthma and general infirmity 13. Chicory root has been shown to hold anti-inflammatory action by suppression of COX-2 activity 14. Furthermore, the chicory root infusion has been shown to possess antibacterial 10 and clamber protecting belongingss 15. The safety profile chicory root infusion is good 16 and is better tolerated 17. A combination of these belongingss makes it a suited agent to be tested against atopic dermatitis. Although its usage in the intervention of skin allergic conditions has been mentioned in the literature, no surveies could be identified proving the efficaciousness of chicory infusion against atopic dermatitis in grownups or kids. Despite the deficiency of identifiable research into the usage of chicory root infusion in pull offing grownup atopic dermatitis, the grounds available pertaining to its widespread usage and anti-inflammatory and anti-bacterial usage suggests that chicory root infusion could be a good direction option by bettering the disease symptoms and associated conditions. In drumhead, a randomised control test on an equal sample size, focused entirely on the consequence of chicory root infusion on the symptoms of atopic dermatitis should be carried out utilizing blinded research workers. Research Question Does the chicory root infusion better the symptoms in patients enduring from grownup atopic dermatitis? Proposed Probe The probe aims to find whether the root infusion of chicory works decreases the badness and symptoms of grownup atopic dermatitis. A randomized vehicle-control dual blind test will be performed on 100 patients enduring from atopic dermatitis at the Liverpool infirmary. Inclusion and Exclusion Criteria Participants between 20 to 50 old ages of age enduring from or diagnosed with non-exudative atopic dermatitis utilizing the Hanifin and Rajka criteria 18 will be indiscriminately assigned to instance and control groups. Exclusion standards for participants enduring from exudative dermatitis, patients who received UVB phototherapy or photo-chemotherapy in the last 1 month, and patients who received systemic therapies such as steroid or other immunosuppressive drugs in the last 3 months were excluded. Study and vehicle Group Preparations The ethyl ethanoate chicory infusion will be dispensed in an ointment signifier with a standard base pick which contains a mixture of glyceryl mono/distearate and polythene ethanediol stearate, isoparaffin and cyclopentadimethylsiloxane 19. This base will function as vehicle and cream merely with no other actions. The control group will have the base pick merely along with ethyl ethanoate to minimise the consequence of any confounders. Intervention Following blessing from the local moralss commission, informed consent will be taken from all the patients while making the baseline hiting for atopic dermatitis. Subjects will so be indiscriminately allocated into either the intervention group or control group after baseline appraisal and marking. The survey group ( n=50 ) will have ethyl acetate chicory root infusion in ointment signifier whilst the vehicle group ( n=50 ) will have a placebo in ointment signifier with indistinguishable visual aspect and wadding. Treatment will dwell of using a thin bed of unction on the affected country twice daily for a period of eight back-to-back hebdomads. All other signifiers of interventions will be prohibited during the survey period. The marking will be done at 4 hebdomad intervals. Both the clinicians and the patients will be blind to the intervention that they are giving or having as the survey and vehicle unction will be dispensed in indistinguishable wadding. Result Four major parametric quantities of the disease, viz. , extent, strength, waterlessness, and itchiness, will be flatly recorded harmonizing to the eczema country and badness index ( EASI ) 20. The symptoms will besides be estimated by hiting patient reported symptoms utilizing a structured questionnaire with nonsubjective standards. A usage of hiting systems and nonsubjective standards will assist to standardise and compare the results in both groups. The result tonss of the two groups at baseline and at 4 hebdomads interval will be compared utilizing a two-tailed StudentaaÃ¢â¬Å¡Ã ¬aÃ¢â¬Å¾?s t-test with the significance degree set at 5 % . All the analysis will be done utilizing SPSS. Restriction Restrictions of the survey include the fact that the participants may endure from flair ups due to surcease of all other types of interventions. However, if at any point it is felt by the wellness attention squad that the intercession is arousing any unwanted effects and patient demands systematic therapy, the test will be terminated early or that patient will be dropped out. This may increase the bead out rates and compromise the cogency of the survey. Ethical Issues Participants will be informed that non-participation or backdown at any phase wonaaÃ¢â¬Å¡Ã ¬aÃ¢â¬Å¾?t compromise their medical attention. Informed consent will be taken from the patient and his doctor before get downing the intervention and will be discontinue at any clip if the patient or his physician want to make so. How to cite Chicory Root Extract Atopic Dermatitis Health And Social Care Essay, Essay examples
Friday, December 6, 2019
Question: Discuss about theProfessional Nursing for IMG Orientation Program. Answer: I had attended the program called the Centralised IMG Orientation Program - Hitting the Ground Running. This program was conducted for about two days. The first day had two important sessions. The first session was based on the orientation to the Australian Healthcare system. Some of the main components are structure and funding, Medicare Australia, department of veterans affairs as well as many others. The second section mainly composed of the different legal frameworks present in the healthcare sectors of Australia and the different legal obligations that are present in the different domains of healthcare. Responsibilities regarding child care and adolescent autonomy, maintenance of confidentially were discussed in details to nursing students ("HITTING THE GROUND RUNNING (HTGR) CENTRALISED IMG ORIENTATION PROGRAM 2"). The day two mainly comprised of providing live examples as well as detailed discussion on the topics of communication and maintenance of cultural safety. Respect and competence were also explained to be important part of the nursing practice. These came under section 3. The section 4 mainly comprised of nursing practice in relation to Indigenous Australians giving them detailed insights about their culture and their health requirements. HITTING THE GROUND RUNNING (HTGR) CENTRALISED IMG ORIENTATION PROGRAM 2 Day Program had helped me recollect the entire important moral and ethical virtues that a nurse need to follow in my nursing practice within only two days programs. It was a two day program but I got the scope to develop a large amount of knowledge that I can apply in my regular practice which will enhance my reputation as well as my confidence as a skilled caregiver. The communication program helped me develop my listening and feedback giving skills as I always found me poor in these domains in my regular student life and also in my internship sessions. Moreover the program gave us much new information about how to enhance cultural safety. I used to be a culturally bias human being but this program showed me how I could overcome my biasness. Therefore it was really helpful for me. Huge amount of information about aboriginal health and their likes and dislikes also helped me to be prepared when I will attend su ch patients during my employment years. Fat embolism syndrome is a disorder that often occurs in a patient who has experienced fracture. In this type of disorder, it is usually seen that embolic fat micro globules enter into different small blood vessels of the lungs as well as other sites. This results in the occurrence of endothelial damage and causes different types of respiratory failures. These may be acute respiratory distress syndrome called the ARDS or may be cerebral dysfunction or might cause a petechail rash. It becomes difficult to diagnose and therefore the nurses have to be very careful in handling such issues if this arise (Blokhuish, Pape Frolke, 2017). The patient who is present in the healthcare setting has also undergone such symptoms after a shaft and femur fracture. Aetiology of the disorder mainly involves closed fractures which produce more emboli than open fractures. Long bones, pelvis and ribs cause more emboli. Intramedullary nailing of long bones, knee as well as hip replacements also results in embolism due to severe trauma. Therefore, after the nurse diagnoses that the chest pain in the patient is due to the fat embolism syndrome due to the traumatic injury of fracture in thighbone, she must immediately take necessary steps. The main management of Fat embolism syndrome is supportive. The nurse should primarily ensure that she is helping the patients to initiate good arterial oxygenation. The main rationale behind the initiation of arterial oxygenation is that high flow rate of oxygen helps in the maintenance of the arterial oxygen tension in the normal range. The second step that the nurse should initiate is the control as well as the restriction of the fluid intake as well as the use of diuretics (Sengupta et al., 2016). These will in turn help in the minimization of fluid accumulation in the lungs. This should be continued as long as circulation is maintained. The third intervention that the nurse should monitor is the maintenance of intravascular volume. This is important because it can result in the exacerbation of the lung injury that is mainly caused by the disorder. The fourth intervention that the nurse should consider is the recommendation of the use of albumen for volume resuscitation. This wou ld be in addition to the balanced electrolyte solution maintenance in the patient. The main rationale behind this intervention is that it would not only restore the volume of blood but at the same time would help in the binding of the fatty acids (Ahmazdai et al., 2014). This will in turn decrease the extent to which the lung has been injured. The nurse should maintain hemodynamic stability, proper administration of blood products, proper hydration and others. Moreover the nurse should also take necessary steps for prophylaxis of stress related gastrointestinal bleeding as well as deep venous thrombosis. The nurse should also know that mechanical ventilation as well as positive end-expiratory pressure (PEEP) are significant in the maintenance of arterial oxygenation. Often drugs were frequently used by nurses like ethanol to reduce the function of lipolysis, use of dextrose for reduction of fatty acid mobilization and heparin anticoagulation. However recently, drugs are rarely used as the benefits have not yet been proven. All these are preventive in nature. Corticosteroids also reduce the risk of mobilization of fats by 78% but evidences are not strong (Hammer et al., 2015). Often certain situations arise in a practice setting where a nurse needs to attend more than one patient at a time. At such a situation, it becomes extremely important for the nurse to prioritize the tasks according to the threat level of the patients (Kashyap et al., 2013). This requires the nurse in critical analyzing skills as well as expertise and experiences to handle such crucial moments with skill and rapidity (Levy, 2015). While analyzing the patients, the nurse should immediately develop the idea that who was the most vulnerable person within the next few minutes. After critically analyzing the situation, it was found that the patient with asthma is most vulnerable. This is because he was experiencing tightness of muscles mainly due to the response of the cholinergic receptors. This mainly results from limiting of exchange of gases over the lungs (Gullach et al., 2015). As a result blood cannot carry any oxygen to different parts of the body leading to death of the patient. Hence, the nurse should first try to attend this patient and stabilize the condition by proper intervention. The next patient that the nurse should attend is the patient of another nurse who is suffering from acute pain. Often there are many instances of heart attack, stroke and many other threats and disorders that may result from acute pain. As the patients is not getting any relief from any sort of other narcotic analgesics, endone is provided to the patient for getting relief from acute to moderate healthcare (Athanasou, 2016). The nurse has to maintain the principle where she has to provide such a care to a patient who relieves them from pain and provide a better quality life (Charles et al., 2015). Hence to avoid any other side effects, this patient is attended second. The third patent who needs to be attended is the patient who was having IV infusion therapy. The alarm had just started ringing signifying that the electrolyte balance is gradually come to an end. This states that there has been a small amount of time which the nurse could have taken to attend to more severe cases. After attending both the cases, she should immediately refill the IV infusion pump so that before the homeostatic balance as well as the electrolyte balance is maintained (Jones Vaidya, 2014). This needs to be attended before the electrolyte balance falls (Zhou et al., 2014). Although the time required for the balance to be lost from the body is above an hour and hence the nurse could easily attend the other two sever cases. The next patient that should be attend is the patient who had stroke two weeks back and is at high risk of fall due to his left hemoplegia. He has the urgency to attend the ensuite for bowel purposes. Although, it an extremely important physiological process that he needs to conduct, he is not at least at a life threatening process that may claim his life (RFurness Callaghan, 2015). Hence, although it may create huge unpleasure moments, but it can be handled and managed if attained in the fourth position after attending more severe patients. The next patient that the nurse should attend is the patient whose blood glucose level is to be assessed. It is a very important task and the breakfast would be provided within 10 minutes. However in need to attend severe cases, his breakfast can be delayed by 10 more minutes within which the blood glucose assessment would be done after attending the other patients (Chamberlain et al., 2016). Hence, this patients is least vulnerable to harmful risks and therefore can be attended in the last. The colleague who was performing the dressing of the wound was initially following the correct procedure. Melolin is a low adherent absorbent dressing material that is mainly used for the management of different types of light to moderately exuding wound. These mainly involve clean sutured wounds, minor burns, abrasions as well as lacerations. In the case study, it was also seen that the wound of the patient had almost dried up and only a small part was moist. Therefore application of melolin was exactly a right decision for the patient. As it was wound this was almost dry and very lightly-exudating, melolin would have been brought the best effect to the wound. The nurse in this selection of intervention initial seemed to be properly educated and had good skill and knowledge. However the situation turned towards a negative side, when her activity revealed a negative aspect about her sense of maintenance of hygiene. The professional codes of conduct instruct a nurse and midwife to fol low safe practices that will assure the best health to the patients. Moreover, the theory of beneficence for the nurses always state that the nurse should offer practices that will be the best intervention to the patient making the patient come back to normal lives. Another nursing theory that every nurses should follow is the practice of non-maleficence. This theory usually guides the nurse to conduct her practices in a way that prevents any short of negative influences on the patients. In other words, it means that the nurses should never take any steps that would harm the patients (Dougerty Listener. 2015). However, none of the theories were applied by the nurse and she also did not follow the professional codes of conduct. The standard one of the professional codes of conduct states that every nurse should practice in a safe as well as in a competent manner. The standard two of the codes states that the nurses activity should remain in accordance with each and every standard of their nursing profession as well as of the broader healthcare system where they are employed. Both the standards assure that a nurse should develop skills and knowledge which will help them to be responsibly treats the patients in ways which are not only competent but also assures safety of the patient. In the present scenario, the nurse did not follow proper hygienic procedures that ensure safe practice. It was seen that although the dressing material fell on the bed, she did not dispose it (El- Soussi Asfour, 2017). Instead she applied it to the wound, stating that the part would be applied to the dried part. She applied the rationale that as that part of the wound had become dried, it would never create any sort of infection. However, she completely lacked education about proper hygiene that should have been maintained by tem to avoid any sort of hospital acquired infection. Such infections result in increasing the chances of burden of diseases on the patient making his stay lo nger at the hospitals. Out of the two types of wounds like the traumatic wounds and the surgical wounds, surgical wounds are those acute wounds which need to be closed with sutures, adhesives as well as staples. For patient in the case study had wounds from where suture was removed and therefore need to be dressed properly with melolin dressing which is a low adherent dressing material. he main standard principles that she needs to educate about to practice best practices regarding the wound management is that she should maintain proper hospital environment hygiene, hand hygiene, safe use of sharp objects and their proper disposal, proper hygiene maintenance with equipments of wound care, use of personal protective equipment as well as maintenance of set of principles for asespsis (Lewis et al., 2015). With assigning proper strategies for light, moderate or heavily exudating wounds, the nurse can assure fast recovery. However, the nurse in this case has not maintained the hygiene principles by picking up t he dressing form the bed of the patients which might contain microorganisms harmful for his wounds. The causality that the nurse showed in her profession by stating that infected melolin of applied t the dried area stating that it would be safe was totally unethical and harmful for the health of the patient. as a nurse she is assigned with the duty of providing the best care to patients ad her profession does not allow this type of risk taking attitudes. This is totally immoral and the nurse who was asked for help should enlighten the other nurse making her realize the correct procedure and principles of wound management. The other nurse would advice her to follow te professional codes f conduct, and evidence based searches to develop her practices in wound management. She should never compromise with the health of the patient and must be very careful while handling such risky situations of wound management with proper principles and guidelines. Researchers have even stated that the part of the dressings which is cut and kept inside the sterile wrapper may get colonized by bacteria and hence this practice becomes unsuitable for later use (Kashyap et al., 2013). Similarly, the dressing which is not directly applied after opening and has fallen on somewhere may get colonized by bacteria. Application of such dressing is harmful and may affect quality life. References: "HITTING THE GROUND RUNNING (HTGR) CENTRALISED IMG ORIENTATION PROGRAM 2".Pmcv.Com.Au, 2017, https://www.pmcv.com.au/computer-matching-service/resources/1016-htgr-program-sessions/file. Ahmadzai, H., Campbell, S., Archis, C., Clark, W. A. (2014). Fat embolism syndrome following percutaneous vertebroplasty: a case report.The Spine Journal,14(4), e1-e5. Athanasou, J. A. (2016). Chronic Pain. InEncountering Personal Injury(pp. 69-78). SensePublishers. Blokhuis, T. J., Pape, H. C., Frlke, J. P. (2017). Timing of definitive fixation of major long bone fractures: Can fat embolism syndrome be prevented?.Injury. Chamberlain, J. J., Rhinehart, A. S., Shaefer, C. F., Neuman, A. (2016). Diagnosis and Management of Diabetes: Synopsis of the 2016 American Diabetes Association Standards of Medical Care in DiabetesSynopsis of the 2016 ADA Standards of Medical Care in Diabetes.Annals of internal medicine,164(8), 542-552. Charles, B., Hardy, J., Anderson, H., Tapuni, A., George, R., Norris, R. (2014). Should the dosage of controlled-release oxycodone in advanced cancer be modified on the basis of patient characteristics?.Supportive Care in Cancer,22(2), 325-330. Dougherty, L., Lister, S. (2015).The Royal Marsden manual of clinical nursing procedures. John Wiley Sons. El-Soussi, A. H., Asfour, H. I. (2017). A return to the basics; nurses practices and knowledge about interventional patient hygiene in critical care units.Intensive and Critical Care Nursing,40, 11-17. Furness, J. B., Callaghan, B. (2015). Output Report: Bowel Project, Animal proof of principle. Gullach, A. J., Risgaard, B., Lynge, T. H., Jabbari, R., Glinge, C., Hauns, S., ... Tfelt-Hansen, J. (2015). Sudden death in young persons with uncontrolled asthma-a nationwide cohort study in Denmark.BMC pulmonary medicine,15(1), 35. Hammer, S., Kroft, L. J., Hidalgo, A. L., Leta, R., de Roos, A. (2015). Chest CT examinations in patients presenting with acute chest pain: a pictorial review.Insights into imaging,6(6), 719-728. Jones, A. G., Vaidya, B. (2014). Preoperative Endocrine Function and Fluid Electrolyte Balance. Inpituitary apoplexy(pp. 95-105). Springer Berlin Heidelberg. Kashyap, S. R., Bhatt, D. L., Wolski, K., Watanabe, R. M., Abdul-Ghani, M., Abood, B., ... Kirwan, J. P. (2013). Metabolic effects of bariatric surgery in patients with moderate obesity and type 2 diabetes.Diabetes care,36(8), 2175-2182. Levy, M. L. (2015). The national review of asthma deaths: what did we learn and what needs to change?.Breathe,11(1), 14. Lewis, S. L., Maltas, J., Dirksen, S. R., Bucher, L. (2015).Study guide for medical-surgical nursing: Assessment and management of clinical problems. Elsevier Health Sciences. Sengupta, R., Veljanovski, J., Sudasena, D., Michaels, A., Jain, T., Rahman, M., DiGiovine, B. (2016). The Devastating Pulmonary Complications Of Sickle Cell Disease: Fat Emboli Associated Acute Chest Syndrome Mimicking Massive Pulmonary Embolism. InB54. CASE REPORTS IN THE PULMONARY CIRCULATION(pp. A3942-A3942). American Thoracic Society. Zhou, F., Peng, Z. Y., Bishop, J. V., Cove, M. E., Singbartl, K., Kellum, J. A. (2014). Effects of fluid resuscitation with 0.9% saline versus a balanced electrolyte solution on acute kidney injury in a rat model of sepsis.Critical care medicine,42(4), e270.
Friday, November 29, 2019
The short story Ã¢â¬Å"Eveline,Ã¢â¬ by James Joyce is a story of a young girl who must make a decision between an unhappy life that she is familiar and comfortable with and a life of possible happiness, love, and the unknown. If she leaves with the sailor she has become fond of, she would have the chance to run off to unknown fun, unlimited dreams, and the possibility of love, or the possibility of a life of solitude. If she chose to stay with her father who was abusive and unwilling to change his ways, she would most certainly have a life of predictability and unhappiness. This made life with Frank sound more appealing. Also, Eveline had made a promise to her dying mother to take care of the home and her younger siblings for as long as she could. She would have to go back on her promise. Could she break a promise to her dying mother? The neighborhood she lived in was predictable and comfortable. We will write a custom essay sample on Love and Family or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page She knew everything about it. As hard as the decision was, Eveline made the right decision to stay with her family because she is afraid to fail. Although Frank was a sailor that promised fun, dreams, and the ability to be happy, he could never make Eveline completely happy without love. When they would meet in secret she would always have fun with him. He made her happy. They would go to shows and he would sing to her. He made her feel special, which was something Eveline yearned for. Frank was mysterious. He told her stories of the many things he would do on his travels. He told of how he traveled through the Straights of Magellan and of when he had fallen on his feet in Buenos Ayres. His stories were always elaborate and often seemingly unbelievable at times. He told her he would take her to Buenos Ayres; this is where they would live happily ever after. He had a house waiting for her, he told her. She would be his wife. He never actually told her though, what would become of them or how they would survive. She knew Frank could give her life, but only perhaps love too. Eveline was not in love with Frank. At the end of this short story when she tells him good bye her eyes showed him no sign of farewell, or recognition, or love. When she decided to stay, Eveline knew what the rest of her life had in store with her family. Eveline was comfortable with her family and knew what to expect for the rest of her life. She had food and shelter. Her father was abusive and demanding but, he was always there for her and her family. One time when she was sick he read her a story and made her toast by the fire. This shows that even if his actions donÃ¢â¬â¢t always prove it, he cares about her and loves her. She would have to give up her family to stay with Frank because her father did not like him. Once her father had quarreled with Frank, after that she had been forbidden to see him any longer. She loved her family. It would be too difficult to give up on her family to be with a man she did not love. If she failed she would not have her family. Eveline never wanted to disappoint anyone in anything she did. If she left she would even disappoint her dead mother. Eveline had made a promise to her dying mother, on her death bed, the night she died, to keep the house together for as long as she could. This was hard for Eveline, but she knew it must be done. Eveline was the only person who could take on the task of caring for her siblings after her mother had passed away. Her father was often in a bad way, and would become violent with everyone that he came in contact with. Eveline would give all her money to the family for what they needed and wished she could give more. If Eveline stayed she would have to continue to work hard to keep her family together, but it was familiar and did not threaten failure and loneliness. She knew what was expected of her and knew she could do it. She would go to work, come home, and take care of her family that was her routine. Eveline was comfortable. She would work hard to keep her family together. She would not fail and she would forever be able to stay in the house she was familiar with and loved. Eveline was so accustomed to the neighborhood she lived, it had become comfortable. This was where she had grown up. She used to play in the streets and she knew everybody. She even knew the sounds of the people walking down the street, like the familiar footsteps clacking on the pavement of the man in the last house on his way home. She knew the familiar smells of the area. She was fond of the smell of her house. Eveline often mentioned the familiar odor of dusty creatone. Everything in the house was familiar and she had wondered at times if she would ever see them again. She had never dreamed of being divided from them. She was unsure if she could leave and not come back. She would never be able to see these things again. This was something Eveline could never face. Eveline was a weak woman brought down by a man all her life. Eveline made the right decision by staying because she had no idea what was ahead and was too afraid of failure. The risk of failure was too real. There were no promises of success. Eveline realized she only had one family and if you turn on them you have nobody left. If she were to fail with Frank she would have to fail alone, she than would have nobody to be there to help pick up the pieces. She would never again have the familiar sounds in the street, the house she grew up in, or her family. She would have to break a promise she made to her dying mother. Eveline did not believe it was worth the chance of failure. Eveline made the right decision to stay with her family.