Sunday, August 23, 2020

Nursing Theorist Grid Essay

Madeleine Leininger’s hypothesis is call The Theory of Culture Care Diversity and Universality. Since Leininger had degrees in nursing and human sciences, her hypothesis had a blend of subsidiaries of the two controls (Bibb, 2006). While filling in as an attendant during the 1950s, Leininger got upset by medical attendants who couldn't comprehend nor regard the way of life varieties. She at that point set out to connect the information hole among nursing and societies. Leininger turned into the expert on social assorted variety in human services. The key purposes of her hypothesis incorporate respecting a condition of all encompassing prosperity that is socially characterized, esteemed, and commonsense. Societies incorporate innovation, religion, theory, family relationships, economics, legislative issues, and instruction. Term Definition Applied to Nursing Practice Applied to Nursing Education Applied to Nursing Research Individual Culture-reliant and all encompassing and some of the time incorporates families, gatherings, and networks Nurses can build up individualized consideration plans and care by regarding and respecting the assorted variety of the patients. Medical attendants are consistently taught on transcultural nursing. In nursing school and in the working environment, social assorted variety is educated. Proceeded with research to expand the information on the medical attendants to evaluate the â€Å"person† in various societies. Wellbeing A condition of prosperity that is socially characterized, esteemed, and rehearsed After fitting nursing instruction has been done, medical attendants need to evaluate and regard the individual’s choices on wellbeing. Everybody won't acknowledge smoke discontinuance and weight reduction as a piece of wellbeing. As we learn social healthâ preferences, it is basic that medical caretakers give this data to different attendants. Worker in-administrations are imperative to pass on these decent varieties. Proceeded with research to expand the information on the medical attendants to evaluate the possibility of wellbeing in various societies. Nursing A transcultural, humanistic, and logical consideration control and calling with the focal reason to serve people overall Care is as yet basic in the nursing procedure. Care is presently individualized and socially consistent by regarding inclinations of assorted societies. We keep on learning through conventional training and staff improvement how to think about people of various societies. We respect the exploration on various gatherings. This is additionally used to teach nurture on social decent variety. Condition A blend of physical, environmental, socioeconomical, and social settings. We figure out how to regard a person’s space regardless of whether it is altogether different from what we are acquainted with. Particularly significant in home wellbeing settings. Be cautious about facial frowns and nonverbal activities. Critical to learn and instruct others that our impression of a bearable and not too bad condition are not equivalent to other people. Research enables and shows nurture how to regard and communicate in the patients’ individual condition. From the familiar saying, â€Å"When in Rome, do what the Romans do†. Research assists with dismembering what the Romans really do. Bibb, S. C. G. (2006). Leininger’s hypothesis of culture care decent variety and comprehensiveness. New York: Springer Publishing Company.

Friday, August 21, 2020

In the lake of the woods Essay

In his novel In the Lake of the Woods Tim O’Brien paints a distinctive picture of the repulsions of the Vietnam War, specific the viciousness of the Thuan Yen slaughter. While preceding perusing the novel perusers intuitively accuse the fighters themselves for their indecent activities, as the novel advances, O’Brien shows that while the officers may have truly dedicated the merciless demonstrations of homicide, fault can't exclusively be set on them. O’Brien delineates the Vietnam scene as one that, due its tricky and disorganized nature, was mostly answerable for the detestations that the men submitted. Besides, the very idea of man and our intrinsic limit with respect to underhanded proposes that while the fighters themselves carried out the physical demonstrations of dread, our ability to perpetrate such abominations when set inside the situation of war implies that any individual would have been taken over by the madness of the contention. At last, O’Brien exhibits that while the abhorrences of My Lai are reprehensible, there are special conditions which recommend that fault can't exclusively be put on the warriors what themselves' identity was now and again casualties to the idea of war. While O’Brien delineates the idea of war as riotous, he never denies the individual dependably that every warrior had for the shades of malice they submitted while at war. Alchemist remarks that â€Å"this was not frenzy, this was sin. † By separating among â€Å"sin† and â€Å"madness† O’Brien shows the indecency of the soldier’s activities, as opposed to just accusing the shades of malice they submitted for the Vietnam scene. While â€Å"madness† recommends an absence of control and that the warriors couldn't settle on moral choices, â€Å"sin† is related with a cognizant choice to submit wrongs and along these lines a comprehension of one’s shameless activities. The way that in the middle of the savage murdering and sexual corruption of the Thuan Yen slaughter fastens had the option to take smoke breaks recommends that the officers knew about the â€Å"pure wrongness† of their activities but then never settled on the ethical choice to stop the killings. On the off chance that warriors did in truth comprehend their activities, O’Brien asks whether they can ever be pardoned. â€Å"Justifications are futile† states O’Brien †the all out dismissal for the mores of our general public implies that we can't legitimize nor pardon a definitive demonstrations of brutality that were displayed in Thuan Yen. Such shades of malice submitted by men are inexcusable and in this manner, the troopers who participated in the slaughter must acknowledge duty regarding their activities, at any rate somewhat. Nonetheless, inside a scene as turbulent as that of the Vietnam War, O’Brien asks whether any people could have held his mental soundness. If not, O’Brien proposes that some fault can be set on the craziness of nature of war that twisted the ethical codes of the individuals who battled in there. Vietnam is delineated as a â€Å"the soul world†¦ dull and unyielding†; a loathsome situation where the line among great and insidious, good and corrupt and good and bad had been obscured to such a degree, that troopers who needed to persevere through the war scene were sucked in by the tumult and the irreverence. The topic of whether any individual, not to mention any warrior, would have had the option to settle on moral choices during war is one that is ever-present in O’Brien’s content. As perusers witness the all out dismissal for human life that was the Thuan Yen slaughter, it is difficult to accept that any individual, regardless of how normal and ethically upstanding one may have been before the war, could have held their rational soundness inside a domain that seems to venture into the spirit of each trooper and remove the part that empowers us to settle on moral choices. Varnado Simpson, an individual from the Charlie Company expresses that â€Å"we just lost control†¦ we murdered all that we could execute. † In his court preliminary, Simpson characterizes the very idea of war, with its capricious shooting, subtle foe and consistent distrustfulness, as a situation wherein any individual would have been taken over by the insanity that war made. At last, O’Brien realistic delineations of the war scene permit perusers to feel for the officers and along these lines permit the fault to moved, anyway not pardoned, from the warriors themselves. Considering the very idea of war, O’Brien recommends that notwithstanding the barbarities of their activities, the powerlessness to settle on good and moral choices inside the universe of â€Å"ghosts and graveyards† implies that the shades of malice submitted by the officers must be, on occasion, saw with compassion just as the contempt that perusers normally push onto them. Besides, O’Brien exhibits that it is the very idea of man and our inborn limit with regards to both undying adoration and extraordinary annihilation that guarantees that, while their activities are indefensible, troopers can be seen with compassion. The â€Å"impossible combinations† of the war portrayed by O’Brien mirror the capacity of man to communicate both the polarities of adoration and obliteration similarly and simultaneously †an apparently â€Å"impossible combination† of its own. Notwithstanding, the very truth that these two characteristics are not fundamentally unrelated proposes that it is in our very nature to submit demonstrations of malice when set inside a scene, for example, that of war. John Wade didn't do battle to slaughter or brutalize or even to â€Å"be a productive member of society. † O’Brien guarantees through redundancy of the explanation that â€Å"it was in the idea of love† that Wade did battle. How at that point, O’Brien asks, can Wade be exclusively accused for his activities when his goals in doing battle were unadulterated? While we can't just pardon Wade for the slaughter in which he shared, O’Brien drives perusers to see Wade not â€Å"as a beast, yet a man. † Despite the detestations that he submitted while at war, it shows up as though John Wade was a casualty of the war scene, yet of at last of human instinct. In the finishing up pages of the novel, as Wade gradually loses himself inside the knot of his own double dealing, O’Brien inquires as to whether Wade was â€Å"innocent of everything except for his own life. † The more impactful inquiry, in any case, is whether Wade and the remainder of the Vietnam veterans are honest of everything except for human instinct and our natural capacity to submit demonstrations of underhandedness. It is in this way that O’Brien recommends that while the activities of the troopers at Thuan Yen can't be pardoned totally, the warriors themselves can't exclusively be accused. â€Å"Can we accept that he was not a beast, yet a man? † It is with this open finished inquiry that Tim O’Brien makes to an inference the mysterious story of Vietnam veteran John Wade. Notwithstanding the repulsions that he submitted for an incredible duration, most remarkably the Thuan Yen slaughter, O’Brien asks whether humankind can see Wade as a man who was a casualty to the disorder of war, to the limit of human instinct to submit abhorrent and at last, to his own world. The activities of warriors at war can't be legitimized †it is with this opinion that O’Brien composes this antiwar fights †anyway there are obviously uncontrollable issues at hand which lead troopers to submit demonstrations of malice. While culpability ought not be lifted from the troopers totally and their activities ought not be pardoned, O’Brien guarantees that we identify with the warriors the same number of them were essentially cleared away in the flippancy of the scene. At last, O’Brien investigates human instinct and the limit that man had for pulverization. It is this shortcoming, instead of that of any individual officers, that is at last answerable for the indecencies of war.

Sunday, July 5, 2020

Gothic Features in Walpole’s The Castle of Otranto - Literature Essay Samples

Walpole’s The Castle of Otranto was the first gothic novel, and thus was the originator of many of the distinctive features that have pertained throughout the history of the genre. Early gothic was characterized by the rejection of enlightenment thinking in favor of the intense emotion and the supernatural, expressed in this extract particularly through the drama of a chase sequence. While the passage mainly uses third person narration, Walpole utilizes free indirect discourse to provide an insight into the princess’s consciousness. This is shown through the multiple rhetorical questions such as â€Å"Yet where conceal herself?†. Providing a voice for the consciousness of the princess helps to articulate a sense of intense anxiety, fitting the character neatly into the gothic trope of the damsel in distress. Indeed, the thoughts that passed â€Å"rapidly through her mind†, reflect the urgency of the ‘chase’ sequence, a characteristic of the go thic – reflected even today in modern slasher movies where the persecuted female flees the persecutor. Indeed, these roles also reflect the established social order, as the aristocratic â€Å"princess† is the heroine, whereas Manfred and his â€Å"domestics† – likened almost to property – are demonized. This reflects context of early gothic literature and the strict societal hierarchies that were in place. Religious symbolism is also used within the extract, as the princess seeks respite with the â€Å"holy virgins† who will supposedly protect her. Walpole is reflecting the idea of virginity equating to purity, which is juxtaposed to the predatory and sexually charged nature of the chase. By sanctifying the princess, he presents her as a morally pure victim in need of rescue from the deviant Manfred. Religion is also addressed through the alliterated ‘c’s in the line â€Å"whose convent was contiguous to the cathedral†, which induces an almost rhythmic quality. Arguably this emphasizes the connotations to Catholicism; indeed, an obsession with Catholic practices is characteristic of many early English gothic novels, for example, The Monk, which follows a murderous catholic monk who preys on young women, or Ann Radcliffe’s â€Å"The Mysteries of Udulpho†. Walpole is no exception to this trend, and the extract makes use of these contemporary fears. Perhaps the most characteristically gothic feature is the setting, including the eponymous castle itself, which dominates almost every line in the passage. The majority of the passage takes place in the â€Å"subterraneous regions† of the castle, built up of â€Å"intricate cloisters†, typical of gothic architecture. Indeed, the early gothic coincided with a revival of such architecture, and indeed The Castle of Otranto was inspired by a nightmare in Walpole’s own faux-gothic house (Strawberry Hill House). Within the narr ative of the gothic novel, these structures often are externalizations of the owners themselves, thus Manfred’s almost anthropomorphized castle takes on a predatory nature. In the extract this is reflected in the â€Å"grating† of the â€Å"rusty† hinges, emphasizing the imagery of decay and the archaic. Moreover, the fluctuations in sound from â€Å"awful silence† to the pathetic fallacy of the â€Å"blasts of wind†, suggest that nature itself has taken an antagonistic role. One could also interpret the exploration of the â€Å"long labyrinth of darkness† from a psychological perspective, as the external setting becomes a way of exploring the dark recesses of the mind. The final line â€Å"she was ready to sink under her apprehensions† certainly lends itself to this interpretation, as the princess’s interior mind is almost externalized within the claustrophobic and labyrinthine setting. Thus the first gothic novel begins a lo ng trend of seeing gothic settings as a reflection for the psychological, where characters have to go deep into the recesses of the castle to explore their own deep rooted fears, captured perhaps most famously in the exploration of the Counts castle in Dracula. Indeed, in this passage the deep rooted fears bordering on melodrama – are succinctly expressed in the sentence â€Å"words cannot paint the horror of the princess’s situation†. As mid-18th literature was characterized by long sentences, Warpole use this short simple sentence to add dramatic effect. Not even the narrator is capable of articulating the fear of the situation. To conclude, this passage has a great deal of familiar tropes that are quintessential of early gothic, from the distinct presence of Catholicism and societal hierarchy. It also maintains tropes that remain in later gothic literature, such as the damsel in distress (seen in the 21st century via contemporary horror movies) and the gothi c castle setting. However, the passage is unique in that it is arguably the originator of these very tropes that eventually became staples of the genre, and is thus crucial to the history of the genre as a whole.

Tuesday, May 19, 2020

The State Should Enforce Voluntary Slavery Essay - 1999 Words

This essay will examine the question of whether the state should enforce voluntary slavery contracts. I will first explain why Nozick thinks that it’s permissible for the state to allow voluntary slavery. Then, I will discuss Satz’s strongest objection against Nozick’s argument and argue why Satz’s response is ineffective. Finally, I will argue that the state should allow one to voluntarily sell himself into a permanent condition of slavery as the state should respect the slave’s freedom to choose how to live his life. I will also consider one response an egalitarian might pose to my objection and ultimately dismiss that response. Part 1: A libertarianist’s response for why the state should allow voluntary slavery: In Anarchy, State, and Utopia, Nozick argues that the state should allow one to voluntarily sell himself into slavery on the basis that the individual voluntarily makes the choice himself, and no one has made the choice for another person (Nozick 331). In a free system, each person has inviolable right towards self-ownership. The state shouldn’t violate people’s rights by inhibiting exchanges voluntarily carried out between consenting adults (Nozick 163). Nozick’s notion of voluntary slavery refers to a contract formed between two consenting adults in which a slave has rescinded his self-ownership: the slave has given consent to the owner to use the slave as a means to an end, and the slave has become part of the owner’s property. According to Nozick’sShow MoreRelatedThe Ideals and Philosophies of William Edward Burghardt Du Bois1487 Words   |  6 Pagesth e country to study exactly what the United States are even writing that he â€Å"touched the very shadow of slavery† (Monteiro 2010). He gained invaluable knowledge and with this he began to teach what he had learned. Immediately he began attacking the very concepts that had founded the United States. He found his biggest issues with the current paradigms in education and capitalism. For these he gave his sharpest critiques and even advocated voluntary segregation by African Americans. Du Bois sawRead MoreHistory And History : History1540 Words   |  7 Pagesand whole mankind have deep connections to history. Humans learn every day and every step taken has some connection to the history. People learn to improve socially according to what was learned from history. Global history and history of United States is full of incidences and events which cannot be ignored. All legislations for example in US are made in accordance to previous legislations, which happened previously in particular circumstances of those days. New legislations have to be in accordanceRead More Herbert Spencer Essay example1597 Words   |  7 Pagesdiscussing the functions of the state, Spencer is concerned with what the state should not do, rather than what it should do. Maintenance of order and administration of justice are the only two proper realms of government activity, and their purpose is amp;quot;simply to defend the natural rights of man to protect person and property.amp;quot; The state has no business to promote religion, regulate trade and commerce, encourage colonization, aid the poor, or enforce sanitary laws. Spencer went evenRead MoreThe Between Humans And Animals1225 Words   |  5 Pagesand Locke differ from one another. Humanity, according to Hobbes, naturally is in a state of war due to the fact that men are generally equal in ability to one another. In this state of nature, there are no laws other than the laws of nature, which state that humans will naturally seek security. In order to achieve this security of property and themselves, men will give up their rights to an authority that can enforce the laws of nature through punishment and fear. This is then called the CommonwealthRead MoreChild Labor was a Ghastly Result of the Industrial Revolution1185 Words   |  5 Pageseducation and thus to a healthy, bright future. The statistics from the government say that there are 2 crore (20 million) child workers in India, a country that has ambitions of becoming a global superpower in a few years. Few non-governmental agencies state that the count is close to 6 crore (60 million) including the rural agricultural workers; others claim that the number could be 100 million, if one were to define all children out of school as child laborers. The report from International Labor OrganizationRead MoreWhat Is Economic Freedom?1509 Words   |  7 PagesWhat is economic freedom? In fact, what freedom really means, at its core? In words of Wayne Dyer, â€Å"Freedom means you are unobstructed in living your life as you choose. Anything less is a form of slavery† and according to Franklin Delano Roosevelt â€Å"True individual freedom cannot exist without economic security and independence†¦Ã¢â‚¬ . Combine the sayings of these two great men and we get the true essence of what it really means to have economic freedom. In more technical terms, for an individual to haveRead MoreThe Issue Of Undocumented Immigrants1394 Words   |  6 Pagesstruggle to survive in a nation that is aware of their existence yet chooses to do nothing about it. To address the illegal immigration epidemic in the United States, its leaders must hold all lawbreakers accountable while compassionately and ethically addressing the issue through a balanced approach of amnesty and deportation. The United States of America as a republic is defined to have a government of laws, and not of men as stated by John Adams during its founding (5). Therefore no man or groupRead MoreZachary Taylor s Decision For Abolition Of The Slave Trade1897 Words   |  8 PagesZachary Taylor’s decision to slice out two huge territories in the Far West and to admit them in the union as Free states caused The Compromise of 1850 to be written. Henry Clay drafted the compromise, which included eight parts. The first pair would admit California as a State and organize the remainder of the Mexican cession without any restriction or condition on the subject of slavery. The second pair of resolutions settled the boundary dispute between Texas and New Mexico in favor of the lastRead MoreThe Compromise Of A Southern Convention1941 Words   |  8 PagesConvention, because of Zachary Taylors decision to carve out two huge territories in the Far West and to admit them in the union as free states. Henry Clay drafted the compromise, which includes eight parts. The first pair would admit California as a State and organize the remainder of the Mexican cession without any restriction or condition on the subject of slavery. The second pair of resolutions settled the boundary dispute between Texas and New Mexico in favor of the latter and compensated TexasRead More Trafficking and Prostitution in Thailand Essay2651 Words   |  11 Pagesunsafe conditions. Often victims see themselves as being no worse off than if they had stayed home† (Arnold 31). Despite the horrible conditions most victims don’t even realize the gravity of their situation and fall into a sense of appeasement. The state of social and economic disarray that plagues villages surrounding Thailand makes them easy prey for trafficking. According to Toward Freedom, and organization dedicated to advancement of human rights, peace, justice, enlightenment, and freedom from

Wednesday, May 6, 2020

How Shakespeare Portrays the Character of the King in...

How Shakespeare Portrays the Character of the King in William Shakespeares Henry V By writing this play, Shakespeare was hoping to inspire the people of England because at that time there was a possible threat of war from Spain or Ireland. He was trying to create the feeling of patriotism so writing about Henry was a good idea because he was the epitome of a brave, courageous king. He was able to inspire his men to great victories such as the Battle of Agincourt, where the English won against the odds. Many of the English were tired, fatigued before the battle and they were up against the best French knights. This play was made into a film during the Second World War to inspire the British†¦show more content†¦He says that Henry controls them like a man controlling his hound. Shakespeare continues this further by saying that they crouch at his side waiting for his command. Henry knows what his actions will bring. It suggests that Henry has the power to control the effects of war. At this time the Church was in some of trouble. Canterbury tells Ely about a bill, which could take land away from the church. Henry is now a true man of the Church and is likely to support the Church. But even so the cunning Bishop of Canterbury has a plan that will divert his mind from the bill, and that is Henrys possible claims to land in France. He says to Ely For I have made an offer to his majesty. If there is a war to get the land the Church will pay some money for the campaign. Also in the conversation between the bishops, it brings you up to date with what is currently happening. Henry had spent his youth (known as Prince Hal) mixing with bad company, filling up his time with riots, banquets, sports and did not behave like a prince or a possible future king. He was sociable who loved to go to public places, in particular taverns. Canterbury talks about Henry as if he were a strawberry that grows underneath the nettle. By this he means that under the influence of his one-time friends Henry was behaving like a common person. But now under eye of the lords he wasShow MoreRelatedEssay on William Shakespeares Henry V1606 Words   |  7 PagesWilliam Shakespeares Henry V William Shakespeare is one of the most famous and influential writers of all time. His plays not only portray the past, but also aspects of love and hate, humour and tragedy. Henry V, written by Shakespeare, using Raphael Holinsheds historical chronicles, appealed to many of the citizens of that time, as it presented an insight into their countrys past, as well as feel-good nationalism. It would have been performed on stage at a timeRead MoreReligious Leadership In William Shakespeares King Henry V1450 Words   |  6 PagesName: Instructor’s name: Date: Subject: William Shakespeare: â€Å"King Henry V† Though William Shakespeare: â€Å"King Henry V† may not be one of the best of his plays, through the protagonist King Henry V he depicts an ideal image that leaders should seek religious guidance from religious leaders in the quest to rule. This is to provide guidance in their leadership and rule. Various scenes in the play are constructed to illustrate King Henry V Christian character like mercy, caring for the poor and his senseRead MoreEssay on The Flawed King in Shakespeares Henry V1572 Words   |  7 PagesThe Flawed King in Shakespeares Henry V To turn Henry V into a play glorifying war or a play condemning war would be to presume Shakespeares intentions too much. He does both of these and more in his recount of the historical battle of Agincourt. Although Shakespeare devotes the play to the events leading to war, he simultaneously gives us insight into the political and private life of a king. It is this unity of two distinct areas that has turned the play into a critical no mans landRead More Glorifying the Tudor Dynasty: Shakespeares Richard III and the Perfect Villain 998 Words   |  4 Pagestexts in the English language, rather than in Latin. Additionally, the Queen supported playwrights such as William Shakespeare, which lead to depictions of Elizabethan society in his plays. Consequently, influences from London and the royal family influenced plays such as Richard III. Specifically, the play affected the glorification of the Tudors, leading to the villanization of former king Richard III. This paper discusses an d argues the effects of Elizabethan England on the plot, villain, and genderRead MoreAnalysis Of Richard III : In Defense Of A Villain1677 Words   |  7 Pagesis just that, a story. Shakespeare wrote to entertain, and sometimes in order to captivate an audience, history must be embellished. For example, the events the play is based on spans 14 years, although the runtime of the play seems to suggest that it all took place within a few months. Even though this play is classified as historical, it fits more in the historical fiction genre as Shakespeare bases it on actual events but takes an artistic liberty with his characters. In Richard III, due toRead MoreThe Historical Accuracy of Henry V by William Shakespeare Essay2120 Words   |  9 PagesHistorical Accuracy of Henry V  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Henry V, written by William Shakespeare, is by far one of his more historically accurate plays. This play is the life of young King Henry V, who ascended to the throne after his father, Henry IVs death. These times were much different for England, as Henry V was a noble lord whom everyone loved, whereas angry factions haunted his fathers reign. Shakespeare portrays a fairly accurate account of the historical Henry V, but certain parts areRead MoreKing Henry V As The Mirror Of All Christian Kings2043 Words   |  9 PagesIn this week’s first lecture we opened by watching the prologue from a production of Henry V. We discussed how this plays setting is that of some years after Henry IV. The present king Henry is the matured prince Hal from the last story. Shakespeare referred to King Henry V as â€Å"the mirror of all Christian kings, as he is a reflection of what Christian kings should be. We then talked about the essence of how this grand type of story could be effectively performed in a small wooden theater. We talkedRead MoreHamlet by William Shakespeare: The Three Weird Sisters1189 Words   |  5 Pagesthe loss of innocence. 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The result is an amalgam of scenes, lines, and characters which brings about a telling expose of Henry V, and the man he was before becoming king of England.Read More William Shakespeares Use of Song in the Early Comedies3188 Words   |  13 PagesShakespeares Use of Song in the Early Comedies Undertaken to determine what features make a song germane to the story in successful musical theater, this study outlines some characteristics of Shakespeares use of song. Chosen from the plays with which the present author is most familiar-the early comedies-are three substantial pieces (each headed in the play by either Song or sing, and each with at least two stanzas and refrain): You Spotted Snakes, Sigh No More, and Under the Greenwood

Chronic Obstructive Pulmonary Disease Patients

Question: Discuss about the Chronic Obstructive Pulmonary Disease Patients. Answer: Outline services for implementation COPD patients need to breath in fresh air. The elderly people who have COPD needs more care, as their mobility reduces. According to Voelker (2015), COPD is increasing lung disease of refractory asthma, chronic bronchitis and breathlessness. COPD develops when the patient avoid the symptoms of such diseases. An elderly person of 89 years old age with COPD may use the following services: The service user needs to use inhaler. Inhaler helps a patient to provide medication directly to the breathing system. The health and social care provider needs to teach the family members of the patient about the use of inhaler if the patient is unable to use it (Saxena and Khan, 2016). There are various kinds of inhalers. Short-acting bronchodilator inhaler- most of the service users recommends to use this type of inhaler for primary treatment. Long-acting bronchodilator inhalers- this inhaler is used when a patient suffers from long term COPD. Elderly people with COPD may use this inhaler to get relief. Steroid inhalers: the service user can use steroid inhaler to decrease the inflammation of airways. Medication Service providers can suggest medication to the elderly people if they have problem in using inhalers. However, medication may have some side effects like headache, insomnia, palpitation and fever. As per Henry, Man and Fung, (2013), Service provider can suggest theophylline tablet to relax and open the airways. The patient needs regular blood test for checking the blood medication level. Beneficiary of the outline services Use of inhalers helps to widen the airways system and provide air directly into the lung. Inhaled steroid reduces the oscillation of asthma attacks. Inhaler helps to decrease the beta-agonist bronchodilator uses. Moreover, inhalers improve the function of lungs. It helps to decrease the risk of life threats and visit of hospitals. Systemic steroids help in the treatment of episodic COPD (Rinne et al. 2015). Medication can decrease the problem. It will not only open the airways but also helps to relax the airways and lungs. Medication may be effective e for the allergic asthma also. Medication can be given by injection also. The steroid is injected directly into the blood to control and prevent the allergic agent causing COPD. However, medication can increase the heart rate slightly and rashes may appear on skin surface. The care provider should be careful during injecting the steroid to an elderly patient (Ajmera, Shen, and Sambamoorthi, 2016). Care plan outline for Mrs. Liptons problems As Mrs. Lipton is 90 years old independent lady. She has many health issues like hypertension, myocardial infarction, type 2 diabetes mellitus and pmh. The service user should be more careful during her medication planning. According to Martin et al. (2016), before making a care plan, the service provider needs to inspect the reason of falling and the type of falling. The care provider must examine Mrs. Lipton as she may get serious injuries like break of bones or muscle injury (Potter et al. 2016). The service provider needs to know her medical history and medication process. The provided should contain less amount of calorie, fat and salt. The service provider should check the blood pressure and blood sugar of Mrs. Lipton on daily basis. As she has fallen in garden, she must be injured. The care provider must be careful during her medication as she may develop some serious health issues due to the medication. All the medication, she has to take due to her previous health issues sho uld be provided to her time to time. Care provider should help Mrs. Lipton to use bathroom, dress up and other necessary works. Mrs. Lipton should be observed closely. Care provider needs to be polite and understand her emotional and mental condition. Care provider may consult to a dietitian and psychologist to plan a safe diet for her. The diet chart provided by the dietitian must be followed quickly. In view of Martin et al. (2016), the diet chart must avoid the foods with much calorie, fat and salt. The diet also should avoid allergic substance; otherwise the injury would take time to get hilled. The diet may contain good quantity and quality of protein and complex carbohydrate. With the treatment of injury, her other health issues also should get same priority. The increase of body tissue sensitivity may help her to recover soon. However, medication of type 2 diabetes mellitus helps to develop the body tissue sensitivity (Fox et al. 2013). Importance of early discharge planning and the consideration of issues Mrs. Lipton needs to be discharged early. She is 90 years old and lives independently. She may feel uneasy in the ward as she is habituated to live alone. She may be anxious and the result may be harmful. It can increase her blood glucose and blood pressure level. She may refuse to take medication from the service provider. Delay of taking medication has can be dreadful. The chance of mortality rate increases and morbidity rate decrease (Voelker, 2015). The early discharge planning can improve the outcomes of system level. It can be done after inspecting the index hospital or nursing home discharge. As stated by (Saxena and Khan, 2016), the care provider can apply the findings for the better treatment and plan an early discharge planning. However, the early discharge planning may create problems. The patient may have to get admitted again in the hospital. Early discharge planning may goal to promote care transition back to the society. The care giver should make an early discharge planning after his satisfaction. The care giver must help the patient to return to her normal independent life (Fox et al. 2013). The care giver must assure Mrs. Lipton that she may not have to admit again in the hospital for her injury. Early discharge planning may change the mortality and morbidity rate of patient. The early discharge plan generally depends on two factors, Medicare prospective payment system and increase of managed care (Henry, Man and F ung, 2013). However, the post injury care is also necessary for a patient. If the care giver plans an early discharge plan without satisfaction, it may harm the patient in future. References Ajmera, M., Shen, C. and Sambamoorthi, U., (2016). Concomitant Medication Use and New-Onset Diabetes Among Medicaid Beneficiaries with Chronic Obstructive Pulmonary Disease.Population Health Management. Link https://online.liebertpub.com/doi/pdf/10.1089/pop.2016.0047 Fox, M.T., Persaud, M., Maimets, I., Brooks, D., OBrien, K. and Tregunno, D., (2013). Effectiveness of early discharge planning in acutely ill or injured hospitalized older adults: a systematic review and meta-analysis.BMC geriatrics,13(1), p.1. Link https://download.springer.com/static/pdf/776/art%253A10.1186%252F1471-2318-13-70.pdf?originUrl=http%3A%2F%2Fbmcgeriatr.biomedcentral.com%2Farticle%2F10.1186%2F1471-2318-13-70token2=exp=1480679726~acl=%2Fstatic%2Fpdf%2F776%2Fart%25253A10.1186%25252F1471-2318-13-70.pdf*~hmac=212f6232073c11b7802ee13529b4020e8c9ac6670634a0c3edc440cb398dafea Henry, P.C.L., Man, C.S. and Fung, Y.S., (2013). Effectiveness of nurse?led disease management programs on health outcomes and health service utilization in adult patients with chronic obstructive pulmonary disease: A systematic review protocol.JBI Database of Systematic Reviews and Implementation Reports,11(1), pp.307-328. Link file:///C:/Users/user/Downloads/Effectiveness_of_nurse_led_disease_management.8.pdf Martin, R.S., Hayes, B., Gregorevic, K. and Lim, W.K., (2016). The effects of advance care planning interventions on nursing home residents: A systematic review.Journal of the American Medical Directors Association,17(4), pp.284-293. Link https://www.jamda.com/article/S1525-8610(15)00776-8/fulltext Potter, P.A., Perry, A.G., Stockert, P. and Hall, A., (2016).Fundamentals of nursing. London: Elsevier Health Sciences. Link https://content.iospress.com/articles/technology-and-health-care/thc1060 Rinne, S.T., Wong, E.S., Hebert, P.L., Au, D.H., Lindenauer, P.K., Neely, E.L., Sulc, C.A. and Liu, C.F., (2015). Weekend Discharges and Length of Stay Among Veterans Admitted for Chronic Obstructive Pulmonary Disease.Medical care,53(9), pp.753-757. Link https://journals.lww.com/lww medicalcare/Abstract/2015/09000/Weekend_Discharges_and_Length_of_Stay_Among.3.aspx Saxena, M. and Khan, M.S., (2016). A Comparative Study On Inhaler Use Among Bronchial Asthma And COPD Patients.National Journal of Integrated Research in Medicine,7(2), pp.37-40. Link https://www.scopemed.org/fulltextpdf.php?mno=227366 Voelker, H., Albert, R.K., Bailey, W.C., Casaburi, R., Cooper, J.A.D., Curtis, J.L., Dransfield, M.T., Han, M.K., Criner, G.J., Washko, P.G. and McEvoy, C.E., (2015). Cardiac Events And Relationship To Rates Of Acute Exacerbation In COPD.Am J Respir Crit Care Med,191, p.A6368. Link https://www.atsjournals.org/doi/pdf/10.1164/ajrccm-conference.2015.191.1_MeetingAbstracts.A6368

Tuesday, April 21, 2020

Narrative Paper on Just off Main Street by Elmaz Abinader Essay Example

Narrative Paper on Just off Main Street by Elmaz Abinader Paper Breaking Barriers: Acceptance of Exoticization In her essay Just off Main Street, published by the United States Department of State, Elmaz Abinader stresses the importance of embracing cultural differences. Abinader precisely describes her struggles as an Arab-American attempting to stay true to her two worlds: the American society and her Lebanese culture. As an Armenian I can directly relate to almost every instance Abinader depicts throughout her essay. Abinaders words and descriptions clearly outline the context of her two worlds. For example, a key symbol Abinader consistently mentions is the magic door r portal that separates the outside and inside world (par 1). Through her descriptions, comparisons, and cultural concepts, Adinader creates worlds of meaning between her former portal and the outside world by eliminating the ignorance and sparking a domino effect of acceptance to all Middle Eastern cultures. In her first paragraph, Abinader sets up the norms in todays society. She uses the word standard which immediately causes the reader to picture the typical American community. The first paragraph signaled for a comparison between Abinaders community and her home life. When she states, From the face of it, our businesses looked like any others, I understand that her family is attempting to put up a front in order to blend in (par 2). When Abinader states, my father and my uncle stood in the doorways of their establishments, her use of the word establishments has meaning to me. Most individuals of Middle Eastern, European decent are very hardworking and take their possessions and accomplishments seriously. We will write a custom essay sample on Narrative Paper on Just off Main Street by Elmaz Abinader specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Narrative Paper on Just off Main Street by Elmaz Abinader specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Narrative Paper on Just off Main Street by Elmaz Abinader specifically for you FOR ONLY $16.38 $13.9/page Hire Writer These cultures have an ideology encompassing strong pride, because in historical situations they have been criticized and undermined. On April 24, 191 5 the Ottoman Turks killed over 1. 5 million Armenians. This tragedy is referred to as the Armenian genocide. However, till this day the Turks and several uninformed individuals deny that it occurred. This denial serves as a perfect example as to why Middle Eastern, Europeans stay close to their culture and have pride. They yearn for a sense of belonging (par 12). Abinader speaks of the belonging and Joy her family scenes brought her, yet she could not share this Joy with those on the other side of the door because of their lack of acceptance (par 12). The description of Abinaders peers, Jeannie and Renee, precisely contrast the two lives on either side of the magic door. Abinader describes her fascination of the shiny bikes with streamers and the collection of Barbie doll paraphernalia. Her fascination and her description of the after-school duties she would partake in created a stark contrast between her and her classmates. Why is different looked upon negatively? The reason Abinader was ridiculed on the playground was not specifically because of her dark hair or her ape like arms (par 4). The ridicule occurred due to her differences; she was exotic. Just off Main Street, incorporated an abundance of cultural elements. Abinaders parents may seem strict to the average American due to their after-school duties or round puffy disks she had Just baked (par 6). However, if one understands the Middle Eastern, European culture, they would know that Abinaders parents are structured and focused people. They dont give their children responsibilities at an early age to punish them; instead, they do this to introduce the cultures morals and alues. Other cultural aspects included in Abinaders essay were her descriptions of the Arabic dishes, the music and dancing in circles, and the stories told from the old days (par 10). All of these elements play a part in creating that home or feeling of belonging which I sense during my own family gatherings (par 21). Yet, Abinader could not mesh her two worlds due to the ridicule she already went through before cracking open her magical door. Similar to Abinader, I found it extremely difficult going through elementary and iddle school known as that foreign girl with a big nose and parents with strong accents. My magic door was always shut until the last couple years of high school. In high school and college, we try to find ourselves, or something that we can distinguish ourselves with. During these years, both, Abinader and I realized that being Middle Eastern is something to embrace and to share with others. It was not until Abinader studied at the University of Pittsburgh that she could finally open the threshold between her two worlds (par 13). The Syria-Lebanese room housed in the English Department revealed all of the beautiful things about Abinaders culture such as the Persian rug designs and the glass multi-colored lights (par 14). As soon as she recognized the appreciation and fascination her peers had of this room that she was associated with, Abinader felt a sense of pride, which inspired her to embrace her culture through literature (par 14). Adinader not only inspires young Arabic writers, but she also inspires young writers of any Middle Eastern, European decent to continue spreading the knowledge to those who are unfamiliar with the Middle Eastern culture. It is through the acceptance from others that we will truly be able to express ourselves and let down our guards. Its difficult to imagine any Middle Eastern individual to not want to inform the public of their cultures rich history. It saddens me that at times these individuals are forced to put up that magic door due to negative thoughts of these cultures or political controversies. However, through more education, we will finally be able to understand and accept one another opening all barriers that prevent worlds of meaning.