Tuesday, May 12, 2020
A Raisin in the Sun vs. Julius Caesar - 2295 Words
Kyla Beecher Ms. Hilliard English 2 Honors 4 January 2013 Traditional vs. Modern Drama In William Shakespeareââ¬â¢s Julius Caesar and Lorraine Hansberryââ¬â¢s A Raisin in the Sun themes, symbols, and characters can be compared. Both A Raisin in the Sun and Julius Caesar were written for the stage; therefore their characters become more obvious and more thoroughly portrayed than in a book, for example. Even though, these works were written by far different authors and in different centuries their similarities and differences are evident. In both A Raisin in the Sun and Julius Caesar themes, symbols, and character development are consistent. Comparing character development in Julius Caesar and A Raisin in the Sun is beneficial in learning moreâ⬠¦show more contentâ⬠¦In Raisin in the Sun, Mamaââ¬â¢s plant represents her dreams and the rest of her familyââ¬â¢s dreams. A result of this would be Mama always making sure to take extra care of her plant and to nourish it well. On the other hand, Mamaââ¬â¢s check represents all of the hard work that her husband achieved and how hard he had to work to actually obtain that amount of money. Beneathaââ¬â¢s hair symbolizes the assimilationist beliefs of the time and how people become inferior to the dominant race. When Beneatha returns her hair to its natural state it symbolizes that she is against common assimilation beliefs. The symbolism of her hair is evident in a conversation between her and Asagai, ââ¬Å"ââ¬â¢(Coming to her at the mirror) I shall have to teach you how to drape it properly. (He flings the material about her for the moment and stands back t o look at her) Ahââ¬âOh-pay-gay-day, oh-gaha-mu-shay. (A Yoruba exclamation for admiration) You wear it wellâ⬠¦very wellâ⬠¦mutilated hair and all.ââ¬â¢ ââ¬Ë(Turning suddenly) My hairââ¬âwhatââ¬â¢s wrong with my hair?ââ¬â¢ ââ¬Ë(Shrugging) Were you born with it like that?ââ¬â¢ ââ¬Ë(Reaching up to touch it) Noâ⬠¦of course not. (She looks back to the mirror, disturbed)ââ¬â¢ ââ¬Ë(Smiling) How then?ââ¬â¢ ââ¬ËYou know perfectly well howâ⬠¦as crinkly as yoursâ⬠¦thatââ¬â¢s howââ¬â¢Ã¢â¬ (Hansberry 61-62). The symbols used in Julius Caesar are omens, pain, and the conspirators bathing in Caesarââ¬â¢s blood. In Julius Caesar, omens symbolize evil and warn people against evil and bad things that could happen,
Wednesday, May 6, 2020
A Critical Regulatory Issue in Health Care Free Essays
HCS/430 13 Case Law A critical regulatory issue in health care Amanda Whitt HCS/430 13 Case Law A critical regulatory issue in health care Amanda Whitt Ethical problems within hospitals and other facilities has been an ongoing issue for around 35 years. With the fast growth of technology and new medicine, the financial structures that could possibly create more financial concerns. The organizational effects of these issues will start looking at the quality of health care. We will write a custom essay sample on A Critical Regulatory Issue in Health Care or any similar topic only for you Order Now In the economy, the demand from consumers and the production costs will help guide and form a firm structure. Many health care organizations need to use good thinking tasks to make proper decisions. More issues include: patient autonomy, termination of patient treatment, advance directives, confidentiality, and informed consent. Back in the day, hospitals received charitable donations from internal sources of the community. Hospitals are thriving in developing new technology and new science. The price of the new technology for the findings that have sky rocketed and can create future financial concern. The development of new technology can broaden the areas for treatment and if they have the correct tools to perform treatment, then they will get to experience the cost of it as well. With having the new technology in most organizations, patientââ¬â¢s will receive less one on one time with the doctors to ask questions. I have noticed this through a personal experience of mine. I remember I would be in the doctors forever when I was a little girl and nowadays, I am usually in there for a quick visit. The patients pay a lot of money to receive less guidance from your doctor or though it may seem. Paying for health insurance s definitely a costly additive for the patient and does not get any cheaper to carry coverage on their family. Issues with the new technology and science will create more training and certification. This will be an additional cost to the health care facility of where they are introducing the new technology equipment. This can also cause staff to be less interacti ve with their patients because they are focusing on the new programs, equipment, ect. Although, the cost will be noticeable now, but once training and the proper use of equipment is learned, the facility will be saving money in the end. New sciences can develop more jobs and may also create the areas to have a more trained professional who has a distinct job description of the study of the issue. Patient autonomy is where the patients have a right to decide for their own medical care. This decision should not include an influential decision made by the patientââ¬â¢s health care provider but the health care provider is allowed to educate their patients about their possible concerns. The termination of a patient could simply be because the provider may be relocating or retiring. There are cases where a managed care plan may no longer be taking the patientââ¬â¢s insurance coverage. The physician needs to follow the correct steps in order to terminate a patient from their facility because if the physician does not follow the proper steps, then they may run into ethical issues if the patient isnââ¬â¢t given a reasonable cause for this action. An advance health care directive is a written statement of how the patient is wanting to receive treatment in case of a severe injury, illness, or incapacitated which will cause the patient not being able to make their own decisions. It is also known as a Living Will which will help the family members know what their loved ones wanted in case this happened. One of the most critical issues is confidentiality. It is the physicianââ¬â¢s role to keep the patientââ¬â¢s medical information kept between the physician and patients. Full disclosure of patient information can help the physician diagnose medical conditions with the proper treatment. The only way the patientââ¬â¢s information may be distributed is by signing a consent form to release their personal information. Informed consent is giving a medical professional consent to perform a procedure or a test that is needed for a health concern. The language on the document of an informed consent must be understood and readable for the patient. Once they have finished reading the document, then a signature from the patient is required because of they perform a procedure that could cause medical harm during it. The patient could go back and sue the facility for not properly following their regulations. In the consent for the patient, there should be statements describing the certain procedure of what the physicians will be performing. The informed consent needs to be given during a specific time frame before the procedure. In conclusion, these ethical issues can be prevented with the proper training of the field. Proper training will lead to better quality of care and safe practices within an organization. The cost of health care will still be an issue down the road because the technology and the new findings of diseases will continue to increase. Following rules and regulations will help organizations grow in a positive setting. It is important for all facilities to become known to a comfortable structure so that they are financially set for any new changes. New changes donââ¬â¢t only benefit the doctors but it also benefits the patient that is receiving the treatment. References 1. Mariner, W. (1995). Journal of Law, Medicine and Ethics. ââ¬Å"Business versus Medical Ethics: Conflicting Standards for Managed Careâ⬠pg. 237. http://www. jblearning. com/samples/076374526X/4526X_CH14_235_250. pdf 2. Allison, David, Arch, D. , Uriel Cohen. (2009). The Center for Health Design. Critical Issues in Healthcare Environments. http://www. healthdesign. org/chd/research/critical-issues-healthcare-environments How to cite A Critical Regulatory Issue in Health Care, Essay examples
Friday, May 1, 2020
Nursing Assignment on Primary Research Evidence - Free Samples
Question: What Analgesic Interventions Are Best For Minimizing Acute Or Traumatic Pain? Answer: Introduction: The research question selected for this assignment is the related to a medical condition that is prevalent in health care industry in a frightening magnitude. The incidence of chronic pain in the health care is sometimes inevitable and millions suffer with consequences of morphine over-dosage to combat the unbearable pain (Baker Tickle-Degnen, 2014). There is need for discovery of an intervention technique that can combat pain without a horde of added side effects. The question designed for this assignment was crafted using the PICO questioning format, the PICO questions are a critically scientific and highly logical keyword researching technique that helps the nursing professionals to at the most appropriate evidence based clinical judgment (Dearholt Dang, 2012). In this research question the population is elderly patients, intervention is for chronic pain, and the comparison is between pharmacological and non-pharmacological interventions and the outcome is to determine the best technique. Moreover in this PICO question the limiters used are what, how, and, or, making it an ideal PICO question. Methodology: The evidence based research technique has had captivated the research scientist all across the globe, specifically the scientists of biomedical field and health care professionals. The evidence based research has changed the health care industry for the better and has made clinical judgment and critical decision making scientific and easier for the health care professionals all around the globe (Greenhalgh, Howick Maskrey, 2014). Moreover the digital databases that have a wealth of valuable and reliable resources accessible from anywhere at any time by the virtue of world wide web, has made a well connected and compact reservoir for health care related resources helping the health care professionals engaging in a evidence based practice at all circumstances. This is the reason behind the selection of evidence based practice in this research study, and the research study will also focus on primary research evidences. Primary research evidences are journal articles that are succinct, reliable and content highly impactful content that are generally peer reviewed articles. The three websites that have been selected for this assignment for evidence based searching has been MEDLINE, CINAHL and PUBMED, out of which the assignment will have search results of the database CINAHL. All three websites chosen for the assignment are rich reservoirs of quality and valid resources encompassing disciplines such as health care, medicine and biomedical sciences. Out of which CINAHL is considered to be the most reliable and genuine along with containing the largest and most diverse group of resources on health care (Hastings Fisher, 2014). Search stages and items found: There are a few prefixed techniques to be used in the evidence based research technique. For example, the keyword searching format used in this research methodology or strategy is the PICO questioning format. In this format the search headings have been articulated and organized. The next stage to this strategy is to generate the bets search results and or that bullion and other delimiting characters are to be used (Hastings Fisher, 2014). The first delimiters used for this study is the peer reviewed articles to ensure that the database search findings are all primary research evidences. The next step is to put the delimiters like publication, year, and language for the preferred study. The bullion factors and characters will be used in the key search headings like and, or and wh-words to ensure compliance with the PICO based evidence searching formats. Lastly the search result was recorded for scientific documentation procedure (Hastings Fisher, 2014). The keywords used in the search heading play a pivotal role in the results generated in evidence based practice, as the articles will be sorted depending on the relevancy and compact organization of the keywords searched, for instance the search heading must follow through the PICO questioning format and must have the delimiters that the mandatory in these research studies (Houser, 2013). The search headlining that I have used are, inserted in the figure below along with the total number of articles generated in research. Out of which % articles have been selected for this study depending on the most relevance and connection with the concept of the study and one article has been discussed in details for being the most accurate result and most appreciable primary research evidence. Discussion: The research has been centred on the figuring out the best mode of analgesia or pain relieving interventions that are practiced in the health care industry. The pain relieving techniques that are in place for the health care industry and their standardization techniques vary radically and these disparities cause a disruptive and confusing treatment and intervention strategies for the pain relief techniques (Jablonski, 2017). There were 5 relevant peer reviewed articles that were relevant for the research studies and were useful resources for this assignment, the article about multimodal analgesia served to be the most relevant and apt primary research evidence for the research study that has been conducted (Polomano et al., 2017). The reason behind deeming it the most favourable and appropriate primary resource in this particular study is that it explains how using a combination of analgesics can target different mechanisms of pain and can be imparting much lesser side effects. The o ther articles that have been provided were focusing on pain management but neither emphasized on post traumatic pain which was the topic of this assignment. For instance, in the article about epidural analgesia there is no detail about the mechanism by which the medication will target chronic or traumatic pain (McCloskey Bulechek, 2008 epi) The contributing factors behind suggesting the article by polo on multimodal analgesia can be defined by the help of some criteria that this primary resource can successfully meet. Firstly the topic for the research study focuses on the evaluation of how chronic mechanism on pain can be managed by the combination of different analgesics used in a standards concentration, as the topic of the research conducted by me has been on the determination of the best and most hassle free technique for managing acute traumatic pain this research study aligns perfectly with the topic of the research (Melnyk, Fineout-Overholt, 2011). Now the second criteria are met perfectly as well by the study having a clear and succinct statement with evidences that are accurate, relatable and transferable. The overall study design of the study has been focussed on exploratory methodologies where the statement hypotheses were justified and validated with viable and genuine data, and the findings were discussed with graphs, tables and detailed descriptions so that anybody can understand it. As the structure for this assignment was to determine the best and most viable technique for chronic pain by the means of exploration and evaluation, the research designs is also in accordance with the need for the assignment. The population of the study however was not very clearly depicted and no detailed information could be drawn that can align to the assignment criterion hence this criterion could not be made (Schneider Whitehead, 2013). The clinical finding of this study is extremely relevant to the current situation and research on health care. It has to be understood that pain continues to be a resident feature in the discipline of health care and medicine and analgesics like morphine come with a horde of other complicated adverse effects. Hence the need for discovery of an analgesic treatment that can target different mechanisms of pain in a traumatized medical scenario can be extremely benef icial for the improvement of medicine and can be helpful for millions (Phillips et al., 2016). The outcome of the study had been the discovery of multimodal analgesia using different analgesics to minimize different pain sources and the study clearly depicted how using a combination of analgesics in low concentration minimized acute pain with overdosing the harmful sedatives. Meeting the last criterion perfectly the study could be stated to be worthy of appreciation if the noncompliance with the criteria of population can be overlooked. Conclusion: On a concluding note it can be said that the evidence based research technique can be very effective and elemental to derive the evidences that are most appropriate and most effective or the type and topic of study conducted. This assignment also demonstrated that using Boolean phrases and delimiters primary research evidences can also be generated that are more accurate, reliable, viable and transferable with the topic of the study conducted. Hence with the help of evidence based research techniques like PICO question, key word search and databases like CINAHL and MEDLINE can improve health care significantly and can make health care scientific, safer and more reliable References: Baker, N., Tickle-Degnen, L. (2014). Evidence-based practice.Willard and Spackmans occupational therapy, 12th edn. Lippincott, Philadelphia, 398-412. Dearholt, S., Dang, D. (2012). Johns Hopkins nursing evidence-based practice: Models and guidelines. Sigma Theta Tau Greenhalgh, T., Howick, J. and Maskrey, N., 2014. Evidence based medicine: a movement in crisis?. Bmj, 348, p.g3725 Hastings, C., Fisher, C. A. (2014). Searching for proof: Creating and using an actionable PICO question.Nursing management,45(8), 9-12 Houser, J. (2013). Nursing research: Reading, using and creating evidence. Jones Bartlett Publishers Jablonski, J. (2017). Pain, Agitation, and Delirium Guidelines. Dimensions Of Critical Care Nursing, 36(3), 164-173. doi:10.1097/DCC.0000000000000239 LoBiondo-Wood, G., Haber, J., Berry, C., Yost, J. (2013). Study Guide for Nursing Research: Methods and Critical Appraisal for Evidence-based Practice. Elsevier Health Sciences McCloskey, J., Bulechek, G. (2008). Epidural Analgesia Administration (Iowa NIC) In: Nursing interventions classification (NIC): Iowa intervention project (2nd ed). Epidural Analgesia Administration (Iowa NIC) In: Nursing Interventions Classification (Nic): Iowa Intervention Project (2Nd Ed), 1 p Melnyk, B. M., Fineout-Overholt, E. (Eds.). (2011). Evidence-based practice in nursing healthcare: A guide to best practice. Lippincott Williams Wilkins. Phillips, K. M., Clark, M. E., Gironda, R. J., McGarity, S., Kerns, R. W., Elnitsky, C. A., ... Collins, R. C. (2016). Pain and psychiatric comorbidities among two groups of Iraq- and Afghanistan-era Veterans. Journal Of Rehabilitation Research Development, 53(4), 413-432. doi:10.1682/JRRD.2014.05.0126 Polomano, R. C., Fillman, M., Giordano, N. A., Vallerand, A. H., Wiltse Nicely, K. L., Jungquist, C. R. (2017). Multimodal Analgesia for Acute Postoperative and Trauma-Related Pain. American Journal Of Nursing, 117S12-S26 Schneider, Z., Whitehead, D. (2013). Nursing and midwifery research: methods and appraisal for evidence-based practice. Elsevier Australia
Saturday, March 21, 2020
Thursday, March 5, 2020
A Lesson Plan for Teaching Rounding
A Lesson Plan for Teaching Rounding In this lesson plan, 3rd-grade students develop an understanding of the rules of rounding to the nearest 10. The lesson requires one 45-minute class period. The supplies include: PaperPencilNotecards The objective of this lesson is for students to understand simple situations in which to round up to the next 10 or down to the previous 10. The key vocabulary words of this lesson are:à estimate, rounding and nearest 10. Common Core Standard Met This lesson plan satisfies the following Common Core standard in the Number and Operations in Base Ten category and the Use Place Value Understanding and Properties of Operations to Perform Multi-Digit Arithmetic sub-category.à 3.NBT.à Use place value understanding to round whole numbers to the nearest 10 or 100. Lesson Introduction Present this question to the class: The gum Sheila wanted to buy costs 26 cents. Should she give the cashier 20 cents or 30 cents? Have students discuss answers to this question in pairs and then as a whole class. After some discussion, introduce 22 34 19 81 to the class. Ask How difficult is this to do in your head? Give them some time and be sure to reward the kids who get the answer or who get close to the right answer. Say If we changed it to be 20 30 20 80, is that easier? Step-by-Step Procedure Introduce the lesson target to students: Today, we are introducing the rules of rounding. Define rounding for the students. Discuss why rounding and estimation are important. Later in the year, the class will go into situations that donââ¬â¢t follow these rules, but they are important to learn in the meantime.Draw a simple hill on the blackboard. Write the numbers 0, 1, 2, 3, 4, 5, 6, 7, 8, 9 and 10 so that the one and 10 are at the bottom of the hill on opposite sides and the five ends up at the very top of the hill. This hill is used to illustrate the two 10s that the students are choosing between when they are rounding.Tell students that today the class will focus on two-digit numbers. They have two choices with a problem like Sheilaââ¬â¢s. She could have given the cashier two dimes (20 cents) or three dimes (30 cents). What she is doing when she figures out the answer is called rounding- finding the closest 10 to the actual number.With a number like 29, this is easy. We can easily see that 29 is very close to 30, but with numbers like 24, 25 and 26, it gets more difficult. Thatââ¬â¢s where the mental hill comes in. Ask students to pretend that they are on a bike. If they ride it up to the 4 (as in 24)à and stop, where is the bike most likely to head? The answer is back down to where they started. So when you have a number like 24, and you are asked to round it to the nearest 10, the nearest 10 is backward, which sends you right back to 20.Continue to do the hill problems with the following numbers. Model for the first three with student input and then continue with guided practiceà or have students do the last three in pairs: 12, 28, 31, 49, 86 and 73.What should we do with a number like 35? Discuss this as a class, and refer to Sheilaââ¬â¢s problem at the beginning. The rule is that we round to the next highest 10, even though the five is exactly in the middle. Extra Work Have students do six problems like the ones in class. Offer an extension for students who are already doing well to round the following numbers to the nearest 10: 151189234185347 Evaluation At the end of the lesson, give each student a card with three rounding problems of your choice. You will want to wait and see how the students are faring with this topic before choosing the complexity of the problems you give them for this assessment. Use the answers on the cards to group the students and provide differentiated instruction during the next rounding class period.
Tuesday, February 18, 2020
Case Study Suicide Among Adolescents Essay Example | Topics and Well Written Essays - 500 words
Case Study Suicide Among Adolescents - Essay Example At first he seemed upset but more or less normal. Nothing in his behaviour was different than any other young man who had had his heart broken. However, over the weeks that then followed he began to act increasingly strange. He began to sing sad songs to himself and began to drink heavily and use drugs. He drew strange pictures on the walls of his house and even on his clothes. When the new school year began, his behaviour worsened. He began to harass Samanthaââ¬â¢s friends, in one case leaving dead flowers on one of their doorsteps, addressed to Samantha. He also began a relationship with a girl he met on the Internet. This girl was effectively a shut-in with no social skills. At times, their relationship gave the appearance of abuse. John began to make threats about killing himself. His friends tried to support him, but increasingly John pushed them away. His behaviour was sporadic. He stopped attending classes and was often drunk in the daytime. He began to steal from his friends. When walking down the street he would sometimes skateboard into traffic. He often described the world as evil and as a joke. Johnââ¬â¢s father, Herman, came to visit John and try to comfort and support him. He told him that he was loved and tried to get him to open up to him. He tried to talk about what was happening, but John was not responsive. Herman had to go back home to go to work. John appeared increasingly agitated and anxious. He withdrew almost entirely from his friends and roommates and no one knew where he was. A few days later he tried to hang himself. What treatment should be used on John? He is living on a knifeââ¬â¢s edge and he needs immediate help. His problems have been unaddressed for too long, in part because he is not being supervised by anyone. Too many of the people who should have a responsibility for him live too far away. That support structure should be addressed. He should be a started on a course of
Monday, February 3, 2020
Financial Performance and risk management analysis of Domino printing Essay
Financial Performance and risk management analysis of Domino printing plc 01302 - Essay Example With 2200 employees, Domino printing plc is operating its business operations in more than 120 countries worldwide (Domino, b). The share of global sales of the company in different regions is illustrated below: In this report, the competition circumstances and international business operation will be discussed with the help of analyzing the Domino printing plc financial performance. Furthermore, the risks management related to exchange rate risk and country and political risk will be evaluated. At this time, Domino printing plc has expanded its business worldwide in which the primary segmentation is being done geographically which include three prime regions such as Europe, America, and Asia with the rest of the world. The sales revenue from these prime regions is presented below: In the region of Europe, Domino printing plc do direct sales in the several countries, rest of the distribution is done by the distributors. Europe was a good market for the company in the year 2014. Company managed to generate 12% higher sales in 2014 as compared to 2013 as a result of growth in Germany (Domino, 2014b). However, in the region of America the growth was not satisfactory especially in Central and South America due to the 7% decline in local currency and the weak and unstable economic performance in Brazil and Argentina (Domino, 2014b). Asia and the other remaining regions has becomes the growing areas for Domino printing plc. In this region the demand of marking and coding has been increases in 2013 because of the increased number in the middle class. China and India were the strong market for the company in 2014 because the sale was high in these countries (Domino, 2014b). In the year 2014, companyââ¬â¢s i-Tech product were launched including A520i continuous ink jet printer and V230i thermal transfer over printer which received a positive response from the customers, moreover, company also remains the member of FTSE4Good index (Domino, 2014b). However the
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