87 results for “Pico”.
PICO
Nursing theory informs nursing practice, and especially evidence-based practice. Theory offers a framework for decision-making and policy. Neuman's systems model provides the perfect theoretical framework with which to conduct my research and inform best practices. My PICO question is as follows: "For hospitalized patients who are susceptible to catheter associated Urinary Tract infection (CAUTI), if nurses and other assistive personnel develop an action plan with a systematic team approach of evidence-based infection control practices, compared to current practices, could it reduce or eliminate incidences of CAUTI?"
Developed by Betty Neuman, Neuman's systems model has a variety of applications in the workplace. Although it is a broad mid-range theory, Neuman's systems model also has specific applications for daily nursing practice. According to Neuman (2011), the systems model "provides a unifying focus for approaching a wide range of international health concerns." One of these concerns regards the correct use of catheters in hospitalized…
References
Lowry, L.W. & Anderson, B. (1993). Neuman's framework and ventilator dependency: A pilot study. Nursing Science Quarterly 6(4): 195-200.
Neuman, B. (1990). Health as a continuum based on the Neuman systems model. Nursing Science Quarterly 3(3): 129-135.
Neuman, B. (2011). Neuman systems model. Retrieved online: http://www.neumansystemsmodel.org/
intervention for my PICO problem is changing the policies and procedures in hospital with the goal of reducing instances and severity of catheter-related urinary tract infections among affected patients. Although it is an administrative intervention, the outcomes are related to patient data.
The independent variables in the research include structure of nursing staff teams; the specific policies that are implemented including catheter insertion and removal procedures and regulations; and finally, the materials that are used in catheterization. Specific independent variables are listed in Appendix A.
Dependent variables include overall number of instances of CAUTI, tracked according to patient population and why the patient was catheterized. In addition to rate of CAUTI infections, the costs associated with the infection can also be a dependent variable. The material used to measure dependent variables is listed in Appendix B of this report.
Materials: Summary
Written guide related to catheter removal, with express role delegation
2. Data from…
Summations by Supreme Court Justices Brennan and Blackmun clearly express why the court voted in favor of the plaintiffs in this important case. First of all, Justice Brennan maintains that the case "does not involve textbooks, or indeed any books that... students would be required to read. The only books at issue are library books (which) are optional rather than required reading." What Brennan is attempting to say is that the students at Island Trees were not being forced to read the so-called "filth," but if they chose to read these books, their rights as protected under the First Amendment allowed them to read as much or as little as they pleased.
Similarly, Justice Blackmun asserts that the books in question may not be removed from library shelves "for the purpose of restricting access to the political ideas or social perspectives" of the authors. Also, these books cannot be removed if…
References
Crutcher, Chris (2007). "Board of Ed. v. Pico." Internet. Retrieved at http://www.chriscrutcher.com/content/blogcategory/60/49.
Patient Falls and Nursing
PICO Question -- Among acute care patients on a Medical-Surgical Unit, does hourly rounding, as opposed to only setting the bed alarm, significantly reduce patient falls (at least by 50%)?
Modern healthcare and nursing are more complex than ever before. The nurse's role is far more than simply an assistant, and requires the understanding and application of a large toolbox to deal with many different situations within the course of any given time period. (Borkowski, 2011). More often than not, nurses tend to act as the "moral agents" within the system because they are the locus of communication between the physician, the patient, and the family. The modern nurse leader must act with moral courage and conviction since "nursing leaders are responsible for creating cultures that support acts of courage in nursing… [because] these acts have the potential to increase nurse retention, promote patient comfort, relieve patient suffering,…
REFERENCES
Hourly Rounding & Fall Prevention: A Winning Strategy. (2012). RN.com. Retrieved from: http://www.rn.com/getpdf.php/1820.pdf
Berg, K., Sailors, C., Reimer, R., O'Brien, Y., & Ward-Smith, P. (2011). Hourly rounding with a purpose. Iowa Nurse Reporter, 24(3), 12-14.
Borkowski, N. (2011). Organizational Behavior in Health Care. Sudbury, MA: Jones and Bartlett.
Davis, S., Hubbart, B., & Kautz, D. (2011). Nurses' experiences with bed exit alarms may lead to ambivalence about their effectiveness. Rehabilitation Nursing, 36(5), 196-199
Man?
Giovanni Pico della Mirandola asks the question as to what is man's highest calling. He finds it in the deepest of religious beliefs and offers rational spirituality as the way to perfection. He believed that man was the greatest of God's creations, the highest form of life, even rivaling the angels. His reason was based on his firm belief in God and man's relationship with God as the creator and father of all men. He pointed out that man was the intermediary between God and the lower animals. He based this on the fact that Man has reason and intelligence. He is the one to interpret nature, and use nature. Giovanni writes from the premise that man is created by God, and that there is a Divine order to the Universe. His belief is agreement with other religious leaders including the writings of Teresa of Avila, and Saint Augustine.…
Evidence-Based Practice using PICO
The question posed for this search activity will be, "Does early referral of terminally ill patients into a hospice program results in better patient outcomes, in particular, with regard to pain management?" The patient group in this question is terminally ill patients. The intervention is terminally ill disease. The comparison is time entered into hospice care. The outcome is reduced pain. The primary search terms for this search are hospice and pain management. ynonyms for the search are in-home care, bereavement care, critical condition, deathbed, palliative, and anesthesia. The Meh terms are Hospices, Terminal Care, Pain management and Chronic Disease.
Based on the located synonyms, the better phrasing of the question may be, "Do early admitted hospice patience have a better outcome regarding pain management?" The reason for shaving the question slightly is that only terminally ill patients can be admitted into hospices. o, the term does not…
Shepperd, Wee; et al. (2012). Home-based end of life care.
This search engine did not seem very helpful at all. Perhaps it is meant more for basic definitions as opposed to research-based questions.
The most helpful article that I found during my searching was the Miller article "Does receipt of hospice care in nursing homes improve the management of pain at end of life." I think this article will be helpful as it implies using hospice care sooner and integrating it with the care of physicians and nurses at nursing homes.
In the study, patients attending an asthma clinic were instructed during a two-hour educational session on asthma, its potential triggers, the appropriate use of medications, proper inhaler techniques, and the self-management of their disease. This study was more dramatic in its findings regarding the improving benefits of education. 230 patients were recruited for the study, and 83% completed the study. The group demonstrated significant improvements in lung function. There were also significant improvements in inhaler technique, asthma knowledge and patient's self-rating of the severity of their asthma symptoms. There were also reductions in the numbers of hospitalizations, visits to family physicians and accident and emergency room attendance during the study period. Patients with moderate to severe asthma were most likely to benefit from the program, thus the study concluded that patient education was beneficial.
Defense of Choices
These studies are useful, because while both examine educational initiatives targeting adult asthmatic populations, they…
Works Cited
Choy D.K., M. Tong, F. Ko, S.T. Li, a. Ho, J. Chan, R. Leung, & C.K. Lai. (1999, Jan).
Evaluation of the efficacy of a hospital-based asthma education program in patients of low socioeconomic status in Hong Kong." Clin Exp. Allergy.
29(1):84-90. Retrieved from PubMed on 22 Sept 2007 at http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=ShowDetailView&TermToSearch=10051706&ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstractPlus
Cote, J., a. Cartier, P. Robichaud, H. Boutin, J.L. Malo, M. Rouleau, a. Fillion,
Philosophy
Both Luther and Pico believe that human nature is duplicitous and binary, and that human beings have the ability to choose between the two poles. Those two poles are also framed similarly by Pico and Luther, who claim that a human being is both body or animal as well as spirit or soul. In "Concerning Christian Liberty," Luther claims that human beings have a dual nature, comprised by the body and the soul. In "Oration," Pico states that human beings exist between two worlds, the divine world and the mundane one. The goal of human life is to reach the highest potential of human nature, which is to aspire toward God. Luther and Pico differ regarding their suggested methods by which a human being aspires toward God, but not in a significant way. For Luther, a human being need only have faith in Jesus. Pico believes a human being does…
Works Cited
Luther, M. Concerning Christian Liberty. Retrieved online: http://www.bartleby.com/36/6/2.html
Pico "Oration." Retrieved online: http://www.panarchy.org/pico/oration.html
2010). While there is of course a mandate for emergency departments to provide necessary care to any individual that requires it, more efficient and effective care can be proved when crowding in the department is kept to a minimum and releases of boarded patients are made as soon as possible (McCarthy et al. 2009; Bair et al. 2010). Crowding itself was seen to have an effect on waiting room and boarding times, and though treatment was not typically delayed due to crowding -- at least not nearly to the same levels as boarding times -- but the efficacy of treatment and the overall efficiency of a given emergency department's operations were greatly enhanced by a lack of patient crowding, which can be conversely affected by decreasing boarding times (McCarthy et al. 2009).
The desired outcomes as stated is the improvement of safety and health outcomes for boarded emergency department patients,…
References
Bair, a., Song, W., Chen, Y. & Morris, B. (2010). The Impact of Inpatient Boarding on ED Efficiency: A Discrete-Event Simulation Study. Journal of Medical Systems 34: 919-29.
McCarthy, M., Zeger, S., Ding, R., Levin, S., Desmond, J., Lee, J. & Aronsky, D. (2009). Crowding Delays Treatment and Lengthens Emergency Department Length of Stay, Even Among High-Acuity Patients. Annals of Emergency Medicine 54(4): 492-503.
It is also quite possible that there is a significant "placebo effect" when dealing with GI (or other) treatments. The patients may be truly relaxing, but may also believe that they are managing their pain through breathing and imagery, meaning they are, in fact doing just that (resler; Menzies).
Evidence-ased Practice Analysis -- Clearly, the use of GI techniques to supplement and help wean patients off pharmaceutical pain management solutions is not only positive, but cost-effective and more efficient. The research shows that not only is GI helpful for pain management, it can also be an effective technique to lower blood pressure, reduce anxiety, work in a pre- and post-op setting, to help prevent patients from "test or exam" panic, and to increase pain tolerance. Physicians could help disseminate this technique by supplying their patients with a disk or zip-drive with several different (length, style, etc.) GI scenarios. Giving the…
Bibliography
Bresler, D. (2010, July 1). Raising Pain Tolerance Using Guided Imagery. Pratical Pain Management, 1-5. Retrieved May 2013, from http://www.practicalpainmanagement.com/treatments/psychological/raising-pain-tolerance-using-guided-imagery
Ferrell, B., et al. (1994). Pain Management for Elderly Patients with Cancer at Home. Cancer, 74(1), 2139-46. Retrieved May 2013, from http://prc.coh.org/pdf/Pain%20mgt%20elderly.pdf
Menzies, V., et al. (2006). Effects of Guided Imagery on Outcomes of Pain, Functional Status, and Self-Efficacy in Persons Diagnosed with Fibromyalgia. The Journal of Alternative and Complimentary Medicine, 12(1), 23-30. Retrieved May 2013, from http://www.encognitive.com/files/Effects%20of%20Guided%20Imagery%20on%20Outcomes%20of%20Pain,%20Functional%20Status,%20and%20Self-Efficacy%20in%20Persons%20Diagnosed%20with%20Fibromyalgia.pdf
Weydert, J., et al. (2006). Evaluation of guided imagery as a treatment for recurrent abdonimal pain in children. British Medical Journal of Pediatrics, 6(18), 29-37. Retrieved May 2013, from http://www.ncbi.nlm.nih.gov/pubmed/17090333
This ahs some relevance to the PICO question in the ability of individuals to provide proper self-care, but it does not address the issues of diet or exercise at all.
The Two Best
The two most relevant articles that were uncovered during this research process in regards to the specific PICO question identified above were Gulve's 2008 article concerning the effects of different exercise types on glucose levels, and the Mayo Clinic's 2009 general information article on developing a healthy eating plan. These two articles have very different approaches both in collecting their information and in presenting it to the reader, but both also came the clsoest to directly answering the PICO question, or at least specific portions of the PICO question, and had highly reliable information.
In the case of the Mayo Clinic's article, the dietary plan was directly and explicitly linked to changes in glucose levels, aiding the patient (and…
PICOT
Population/Patient
Adults with congestive heart failure requiring hospitalization
Intervention
Heart Failure education (signs, symptoms, pathophysiology), self-care interventions (diet, fluid restrictions, sodium dietary restrictions, review of medications, exercise recommendations, weight monitoring), patient support (telephone support, increased clinic visits, home visits, social support, psychological support, multidisciplinary care).
Comparison
Usual care vs. intervention, one intervention vs. another intervention
eadmission rates (all causes), length of hospital stay, health care utilization, mortality rates (all causes), quality of life.
Timeframe
One Month follow up
Question
In congestive heart failure patients 50 years and older, what is the effectiveness of interventions to support post-discharge care compared with the usual care to prevent readmission?
How can we prevent readmissions for patients with congestive heart failure?
Introduction
Congestive Heart Failure (CHF) occurs when the heart is unable to pump enough blood flow to meet the needs of the body. It can cause a number of symptoms, including shortness of breath, exercise intolerance, swelling in the extremities, numbness, and even mimic the symptoms…
REFERENCES
Andrietta, M., et al. (2011). Hospital discharge plan for patients with congestive heart failure. Latino-American Enfermagem, 19(6), 1445-52.
Bradke, P., & Brinker, E. (2011). To reduce heart failure readmissions use the teach-back mehtod. Patient Education Management, 18(10), 109-20.
Crowther, M. (2012). Heart failure readmissions: Can hospital care make a difference? Nursing Made Incredibly Easy, 10(2), 1-3. Retrieved from http://journals.lww.com/nursingmadeincrediblyeasy/Fulltext/2012/03000/Heart_failure_readmissions____Can_hospital_care.1.aspx
Hines, P., Yu, K., & Randall, M. (2010). Preventing Heart Failure Readmissions: Is Your Organization Prepared?, 28(2), 74-86.
PICO Question: Bariatric Surgery
As the obesity rate continues to be an issue of great concern in America, the question arises as to the best ways to reduce the BMIs of individuals already suffering from the condition, as well as how to enact preventative means. Although the ideal is for people to never become obese at all, the fact remains that there is a need to develop proactive measures to facilitate weight reduction. For most patients, modifications in diet and exercise is recommended but, as even people who have attempted casual weight loss know, deploying such techniques in an effective and consistent fashion is far easier said than done.
PICO Question
The PICO question for the purpose of this study is, from the perspective of a family nurse practitioner, when treating patients with type 2 diabetes and obesity, can bariatric surgery be more effective than standard medical therapy at increasing the probability of…
Treatment to Patients
The main objective of providing treatment to patients is to relieve symptoms along with decreasing the progression of the disease as well as the mortality or morbidity. However, in some cases, this objective is not fully achieved, especially in the case of the patients who are admitted to the ICU with some serious and almost always a terminal stage of the disease. For example, when old patients are admitted in the ICU, their immunity is extremely low and this is the perfect time for the opportunistic infections to make matters worse for these patients. There are many infections that are specifically associated with patients admitted in the hospitals. Pseudomonas Aurigeonosa is a micro-organism that is well documented to cause bacterial pneumonia and bacteremia in the patients who are terminally ill and are receiving treatment in the hospital setting. Since most of the patients in the ICU are…
Bibliography:
Beekmann, SE;Diekema, DJ; Chapin, KC;Doern, GV (2003) Effects of rapid detection of bloodstream infections on length of hospitalization and hospital charges.J ClinMicrobiol, 41:3119-3125.
Boussekey, N, Leroy, O, Georges, H, Devos, P, d'Escrivan, T, Guery, B (2005).Diagnostic and prognostic values of admission procalcitonin levels in community-acquired pneumonia in an intensive care unit.Infection, 33:257-263.
Charles, PE, Dalle, F, Aho, S, Quenot, JP, Doise, JM, Aube, H, Olsson, NO, Blettery, B: Serum procalcitonin measurement contribution to the early diagnosis of candidemia in critically ill patients. Intensive Care Med, 32:1577-1583.
Digiovine, B; Chenoweth, C; Watts, C; Higgins, M (1999)The attributable mortality and costs of primary nosocomial bloodstream infections in the intensive care unit. Am J. RespirCrit Care Med, 160:976-981.
The findings yielded a direct correlation between poor inhaler use and poor literacy: Poor inhaler technique was found in 89% of patients reading at less than the third-grade level compared with 48% of patients reading at the high-school level (Nowlan, illiams, Baker, Honig, Lee 1991).
This study's result would have a direct impact upon traditional patient educational efforts, as health education still tends to rely heavily on printed materials. These materials might also be written at too high a level. Making use of pictorial materials and personal demonstrations, the authors concluded, might be more effective than using traditional verbally-based media. The study suggests that different approaches are needed, and more personalized intervention may be required for asthmatics, at least during early stages of treatment. However, there is an issue of correlation vs. causation -- individuals with low levels of literacy may have difficulty learning in general, regardless of the medium,…
Works Cited
Huss K., M. Salerno, & R.W. Huss. (1991, August). Computer-assisted reinforcement of instruction: Effects on adherence in adult atopic asthmatics. Research in Nursing & Health, 14 (4): 259-67. ISSN: 0160-6891 PMID: 1891611 CINAHL an: 1991128860.
Database: CINAHL Plus
Meer, V. van der, M.J. Bakker, W.B. van den Hout, K.F. Rabe, P.J. Sterk, J. Kievit, W.J.J.
Assendelft, & J.K. Sont. (2009, July 21). Internet-based self-management plus education compared with usual care in asthma. A randomized trial. Annals of Internal Medicine. 151 (2): 110-120.
Mobility
Evidence-based Practice
Progressive Mobility Protocol
This paper is a project based on PICO. The clinical question that serves as the foundation for this data-based design is; for immobile critical care patients, does the use of a nurse driven progressive mobility protocol reduce ICU LOS compared to every hour of repositioning? In this paper, the adult patients admitted to an ICU represent the population (P) of interest. The nurse driven progressive mobility represents the intervention (I), the comparison (C) is the critical care patients repositioned every two hours, and the reduction in LOS represents the result.
Most hospitals place critically ill patients on bed rest and reposition them every two hours in the intensive care unit. Some literature reviews provide evidence in favor of progressive mobility protocols. In addition, the paper also reviews the safety of mobilization of the critical patients and the negative effects bed rest may have on the patient's outcome…
References
Plis, L. (2009). The Effectiveness of A Nurse-Driven Progressive Mobility Protocol on Reducing
Length of Stay in the Adult Intensive Care Unit. Retrieved from https://www.chatham.edu/ccps/pdf/Plis.L.Final_Capstone.pdf
Melnyk, B.M. & Fineout-Overholt, E. (2005). Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice.Philadelphia, PA: Lippincott Williams & Wilkins
Goldhill, D., Imhoff, M., McLean, B., & Waldmann, C. (2007). Rotational Bed Therapy to Prevent and Treat Respiratory Complications: A Review and Meta-analysis. American Journal of Critical Care, 16(1), 50-61.
Ethical Aspects in esearch Studies
The essential aspects of research are the concern and respect that the researchers offer to the participants. esearch is aimed at producing insights that are beneficial to the society. However, the research should be conducted ethically. The ethical concern in research adduces that it should not advance a society at the detriment of others especially the participants in the research. Ethics in research is vital because it guides the working principles of the researcher for the research to conform to the required standards. This is the case especially when research subjects in health or medical research are often human beings. Therefore, it is vital to respect these individuals. The guiding principles in research ethics focus on preserving the rights and dignity of the research participants. In this regard, ethics focus on ensuring consent is obtained, no harm is done, the participant's privacy is respected, and the…
References
Austin, W. (2007). The Ethics of Everyday Practice: Healthcare Environments as Moral Communities. Advances in Nursing Science, Volume 30 - Issue 1 - p 81-88.
Bernadette M.M. & Ellen F.O. (2011). Evidence-based practice in nursing and health care: a guide to best practice. Lippincott Williams & Wilkins.
Carol J.H. (2013). Professional Issues in Nursing: Challenges and Opportunities. Lippincott Williams & Wilkins.
Corey-L., Patricia M., Anita J., Marlene Z., & Alison M. (1999). Healthcare Reform: Its Effects on Nurses. Journal of Nursing Administration, Volume 29 - Issue 3 - pp 30-37.
search I intended to use various keyword searches in order to find the relevant literature regarding how lifestyle modification compared to no modification in liver transplant patients, with a view to the impact on quality of life over 4 months post-operation. I was utilizing an intervention PICO and the reviews that I deemed relevant were systematic, reviews with meta-analysis of randomized control trials, case control studies, qualitative studies, and articles in which expert opinion was pronounced. Thus the purpose of these searches was to find literature which represented the extent of academic work on the subject in recent years.
Purpose Statement
The purpose of this review was to discover primary sources in various databases such as Medline, Cinahl, Embase, PsychINFO, and PubMed. Secondary sources were also targeted using Cochrane Database of Systematic Reviews and Cochrane Central Register of Controlled Trials.
Strengths and Weaknesses
Medline was utilized primarily because it is a well-known database,…
Key word searches included various phrases such as "post liver transplant patient," "post-operative liver transplant patient," "change in diet," "nutrient levels," "quality of life," and any combination of the aforementioned among other similarly worded combinations of key words. Key words were culled from various commonalities among primary reading at the beginning of this research.
PICO
The PICO searches were generated using combinations of "post liver transplant patient" and "life style modification" and "quality of life" and various combinations with results being works such as Masala et al. (2012) study entitled "Quality of life and physical activity in liver transplantation patients: results of a case-control study in Italy." This article was helpful in pointing the way to other articles as it also contained key words that would later be used to generate further results in the search engines and databases mentioned above.
interest, an identification of the problem that you have selected, and an explanation of the significance of this problem for nursing practice
My research question: Among acute patients on medical surgical units does hourly rounding as opposed to only setting the bed alarm help decrease patients falls by 75%.
Falls are a major problem amongst acute patients, particularly amongst the 65+ population and can lead to so many related problems, occasionally to fatal results, that this essay considers it a crucial topic for nurses and caregivers to look into and investigate.
The fall is traumatic aside from which consequences of falling can also include post-fall anxiety, fractures, head injuries and loss of independence through falling, each of which has far wider ramifications impacting physical, social, mental, emotional, and behavioral spheres of the patient's life. The ramification of falling, therefore, for the patient has a wider and far-reaching impact that touches virtually very…
Sources
Broe, K et al. (2007) A Higher Dose of Vitamin D Reduces the Risk of Falls in Nursing
Home Residents: A Randomized, Multiple-Dose Study JAGS 55:234 -- 239
Oliver D. et al. (2004) Risk factors and risk assessment tools for falls in hospital in-patients: a systematic review Age and Ageing 33:122 -- 130
Davies, K.S. (2011). Formulating the evidence-based practice question: A review of the frameworks. Evidence-Based Library and Information Practice, 6(2), 75a€"80. Retrieved from https://ejournals.library.ualberta.ca/index.php/EBLIP/article/viewFile/9741/8144
Diabetes
According to Waryasz & McDermott (2009), the global prevalence of diabetes among people aged between 20 and 79 rose to 6.4% affecting 285 million people in 2010 and the rate will rise to 7.7% affecting 439 million people by 2030. Amid 2010 and 2030, the rate of individuals with diabetes will increase by 69% in developing nations, and a twenty percent rate in developed nations. In 2011, the number rose to 366 and it is expected to rise to 552 by 2030. The pervasiveness of diabetes is advanced in males compared to females, yet the number of women with diabetes is more compared to that of men.
Diabetes affects any part of the human body and people with diabetes are likely to die of heart-related problems or stroke. Seventy-percent of individuals with diabetes show signs of high blood pressure which a risk factor for heart-related diseases. The majority of people with…
References
Boussageon R, Supper I, Bejan-Angoulvant T, Kellou N, Cucherat M, et al. (2012).Reappraisal of metformin efficacy in the treatment of type 2 diabetes: A meta-analysis of randomized controlled trials. PLoS Med, 9(4): e1001204. doi:10.1371/journal.pmed.1001204.
Karin et al.(2002). Diet and exercise among adults with type 2 diabetes: Findings from the Third National Health and Nutrition Examination Survey (NHANES III) . Diabetes Care, 25 (10), 1722-1728
Wang, H., & Yeh, M.(2012). Systematic to insulin therapy in adults with type 2 diabetes. Mixed- method systematic review. Journal of Advanced Nursing, 68(4), 743 -- 757. doi: 10.1111/j.1365-2648.2011.05853.x.
Waryasz, G., & McDermott, A. (2009). Exercise prescription and the patient with type 2 diabetes: A clinical approach to optimizing patient outcomes. Journal of the American Academy of Nurse Practitioners, 22, 217-227.
Suicide rates are remarkably high worldwide and nationally, making suicide one of the leading causes of death (Schwartz-Lifshitz, Zalsman, Giner et al, 2012; Tillman, 2014). Although most suicides do not occur in the hospital setting, psychiatric disorders—especially mood disorders and psychotic disorders—are risk factors that increase the likelihood of a suicidal event (Appleby, 1992; Sarzetto, Delmonte, Seghi, et al, 2017). Suicide not only affects the patient, but reverberates throughout the patient’s family and social circle, also causing distress and potential performance issues among clinical staff (Tillman, 2014).
Therefore, it is important that psychiatric nurses understand how to recognize risk factors, and establish a clinical practice environment that prevents suicide. Minimizing suicidal tendencies requires different types of treatment interventions individually tailored for at-risk patients, as well as implementing best practices for creating a clinical environment that reduces risk. Best practices may also include preparing, teaching, and training nursing staff, especially when working…
These individuals promoted the belief that it was in people's best interest to concentrate on putting across thinking that reflected positively on the world and that moral thinking played an essential role in changing the way that the social order functioned. Humanist writers wanted people to learn to enjoy life's pleasures without focusing on material values.
Even with the fact that Castiglione partly agree to Pico by stating that reason and knowledge were essential factors in this process, the former actually seems to focus on a more profit-motivated attitude while the latter is apparently interested in having people acknowledge the need for more moral values.
Castiglione, Machiavelli, and Pico all had different perspectives concerning the attitudes that the Renaissance man needed to employ in order to experience positive results as he was trying to discover his personal identity. In contrast to both of them, Machiavelli did not hesitate to emphasize the…
Bibliography:
Sherman, Dennis, "Western Civilizations: Sources, Images, and Interpretations, from the Renaissance to the Present,"
Introduction
Despite major medical advancements over several decades, nearly 10 percent of births in the US continue to occur prematurely each year (Martin, Hamilton, Osterman, Driscoll, & Matthews, 2017). Creating a significant socioeconomic burden, preterm birth is one of the leading causes of infant morbidity and mortality in the United States resulting in approximately $16.9 billion in medical care costs annually (Institute of Medicine [IOM], 2007). After days, weeks, or even months of intensive care, weight gain becomes a major criterion for hospital discharge. Feeding intolerance (FI) is a common complication among these preterm infants, which disrupts enteral feeding, resulting in feeding advancement delays, prolonging adequate weight gain and growth, and increasing hospital stays (Carter, 2012). Additionally, FI is associated with necrotizing enterocolitis (NEC), a gastrointestinal emergency and a leading cause of morbidity and mortality in this group of patients (Moore & Wilson, 2011). The underlying cause for these problems is…
Post Traumatic Stress Disorder and isk of Dementia among U.S. Veterans
According to Yaffe et al. (2010), Post Traumatic Stress Disorder is a prevalent psychiatric syndrome linked to increased mortality and morbidity rates. This condition is among the most prevalent amid veterans returning from combat. Among veterans returning from Afghanistan and Iraq, the prevalence of post traumatic stress disorder is estimated to be about 17% (Seal et al., 2009). Veterans returning from Vietnam have a twenty to thirty percent rate. Past studies have confirmed that PTSD is linked to increased health care consumption and an augmented danger of developing a variety of other medical conditions among veterans such as dementia. The risk factors that link PTSD to increased rates of dementia include head injuries, depression or medical comorbidities.
This work highlights the findings of the study carried out by Yaffe et al. (2010). The project specifically focuses on the conclusions made by…
References
Bernadette M.M. & Ellen F.O. (2011). Evidence-based practice in nursing and health care: a guide to best practice. Lippincott Williams & Wilkins.
Deurenberg, R. (2009). A practical guide to Pubmed/Druk 1/ING. London: Bohn Stafleu van Loghum.
Gerrish, K., & Lacy, A. (2013). The research process in nursing. New York: John Wiley & Sons.
Glasziou, P.G., Mar, C.D. & Salisbury, J. (2009). Evidence-Based Practice Workbook. John Wiley & Sons.
Confessions of Augustine, The Life of Saint Teresa of Avila by Herself, "On the Oration and Dignity of Man," Petrarch's poetry, and Shakespeare's drama "King Lear" are both products of societies in which the dominant religious ethos was Christian rather than pagan. However, although all texts share this similar historical feature, fundamentally opposing views of the self are articulated through the theological texts in contrast with the works of lyric and dramatic poetry.
This may seem counter-intuitive to a casual reader, as both Augustine's Confessions and "King Lear" makes use of pagan and Christian modalities of selfhood. A closer reading suggests that while the former does so to validate the Christian concept of the supreme value of the inner life of the self as illuminated by God, the latter does so in a way that ultimately expresses a view of human inner life that is nihilistic, confusing, and cannot necessarily…
Foreign key fields (i.e. The key that represents the value of a primary key in a related table) may exist in the case of CLEBSI speciment: date of diagnosis, date and time of specimen (where latter may replicate). Under 'Patient', CLEBSI line is a foreign key, too.
V. Atomic-level data
Atomic data would be the most reducible element of information (without elaboration). So for instance for hand hygiene it would be Chlorhexidine Skin Antisepsis Antimicrobial Dressing Placement
VI. Schemas of the database will be:
Patient with the attributes of name, age, medical record number (MN), diagnosis, central line; Central line with the attributes of medical record number, date of insertion, insertion site, date of removal, line days, inserting provider, the components Central Line Bundle compliance, antimicrobial dressing placement; and CLABSI infections with attributes of MN, date of diagnosis, date and time of specimen, organism detected. Central Line Bundle compliance will be measured by the…
Reference
CDC (2010) Central Line-Associated Bloodstream Infection (CLABSI) Event. Retrieved April 1, 2011 from www.cdc.gov/nhsn/PDFs/pscManual/4PSC_CLABScurrent.pdf
Databasics: A Database Dictionary. Retrieved April 1, 2011 from: http://www.geekgirls.com/database_dictionary.htm
Institute for Healthcare Improvement. (n.d.). Implement the central line bundle. Retrieved March 21, 2011, from http://www.ihi.org/IHI/Topics/CriticalCare/IntensiveCare/Changes/ImplementtheCentralLineBundle.htm
Moodle. Database Fields. Retrieved April 1, 2011 from http://docs.moodle.org/en/Database_fields#Field_name_and_description
I completely understand the agency's chain of command, rules, and protocols. Frankly, I also appreciated the camaraderie that I enjoyed at the LCSD because it made it an absolute pleasure to come to work everyday and I look forward greatly to the opportunity to rejoin the team. Naturally, I missed the annual picnic provided by Director Strout, as well.
It would be my most sincere pleasure to have another opportunity to work for Director Dean Strout, Lou Mackoler, John Carillo, Tray Strout, and Ruben Verillo again and I am confident that they will be able to confirm my suitability for the advertised position. I look forward tremendously for the opportunity of an interview and genuinely appreciate the chance to return to the Los ngeles County Sheriff's Department as an electrician because my previous employment in that same capacity has been my career highlight to date.
As a former (laid off temporary) employee of the Los Angles Sheriff's Department in the same capacity as this job opening from 2006-2010, I am already thoroughly familiar with the requirements and responsibilities of the Electrician position. During my previous tenure in this same position, I became familiar with and knowledgeable about all of the agency's facilities, including Twin Towers, Men's Central Jail, Pitches, CRDF, Mira Loma. FSB Headquarters, and Crime Lab. Additionally, I have already worked at the Lancaster, Palmdale, East Los Angeles, Lennox, Pico Rivera, San Dimas, Temple, Walnut/Diamond Bar, and West Hollywood stations.
Most importantly, I learned how to perform all of the positional responsibilities and tasks described in the job announcement in my previous LACSD position under the tutelage of my supervisors and Lou Mackoler and John Carillo. Also, I have already received the necessary training and have considerable experience interacting with and working safely around inmates and sworn personnel alike. I completely understand the agency's chain of command, rules, and protocols. Frankly, I also appreciated the camaraderie that I enjoyed at the LACSD because it made it an absolute pleasure to come to work everyday and I look forward greatly to the opportunity to rejoin the team. Naturally, I missed the annual picnic provided by Director Strout, as well.
It would be my most sincere pleasure to have another opportunity to work for Director Dean Strout, Lou Mackoler, John Carillo, Tray Strout, and Ruben Verillo again and I am confident that they will be able to confirm my suitability for the advertised position. I look forward tremendously for the opportunity of an interview and genuinely appreciate the chance to return to the Los Angeles County Sheriff's Department as an electrician because my previous employment in that same capacity has been my career highlight to date.
Q2. From an American perspective, it is tempting to look out at the world and to assume that American culture now dominates and reigns over all, given the seeming ubiquity of American movies, television, and music. However, a cultural analysis of many regions of the world yields the finding that culture is far more regional and pluralistic in nature.
For example, in Mexico, soap operas known as telenovelas captivate almost the entire population. They often give voice to Mexican fantasies about transgressing economic borders. One such soap opera, Ugly Betty, has actually been appropriated by U.S. culture. Mexican culture has changed the U.S., as well as vice versa, despite the U.S.'s greater economic power in the region. And within India, Bollywood films are far more popular than Hollywood films because of the way they speak to unique Indian culture needs. Within this densely-populated and fantastically diverse nation, the fascination with Bollywood…
On the other hand, a motive of debate was whether or not the Court should be intervening on issues that, ultimately, belong to daily operations in schools. The Court judged, however, that this was a breech to "basic constitutional values" (as in Epperson vs. Arkansas) and, in this sense, the judicial system's intervention becomes a necessity.
Additionally, the Court decided that the school board's decision could not be justified by the sole means of "educational suitability," which would have made it permissible, but that it was based on a purely partisan, political approach (some of the 9 titles clearly suggest this).
Petitioners rightly possess significant discretion to determine the content of school libraries. But that discretion may not be exercised in a narrowly partisan or political manner."
ANALYSIS
In Board of Education vs. Pico, the Supreme Court affirmed, with a 5-4 vote an order from the Second Circuit Court of Appeals of a trial…
Nurses are well positioned to identify clinical problems and use existing evidence to improve practice and make care more effective (eyea, 2006). Evidence-based practices enables nurses to provide high quality care based on current evidence. The potential impact includes better patient outcomes, contributions to the science of nursing, keeps practice current and relevant, increases confidence in decision making, and keeps policies and procedures current, supporting JACHO readiness.
Some common practices in disseminating to a broader audience includes poster presentations, presentations, such as paper presentation, speaking, and presenting to the organization (Mauk). Other ways can include presenting to nursing journals for publication. Still another way is to implement a nursing research council that shares in the processes of researching current research studies, collecting evidence, and sharing at their individual organizations.
To implement a strategy for developing a collegiate EP network, goals and mission first need to be defined. Processes, then, need to be…
Bibliography
Beyea, S. & . (2006). Evidence-Based Practice in Nursing. Retrieved from hcmarketplace.com: http://www.hcmarketplace.com/supplemental/3737_browse.pdf
Mauk, K. (n.d.). Essentials of Evidence-Based Practice Disseminating Findings Program.
Worral, P.L. (Fall/Winter 2009-2010). Documenting and EBP Project: Guidelines for What to Include and Why. Jouranl of the New York State Nurses Association.
American Culture
riters such as Pico Iyer, Richard Pells, and Joseph Nye are in fact correct that the world culture has not and will not be Americanized. These writers are correct in asserting that American culture is ever forceful, but still America remains just one influence in a multicultural world: a manifestation of globalization. ith such a supreme focus on America, it can seem like America is the dominant force; however, this is just a result of a skewed perspective. It is true that other cultures have also spread outwards and that local cultures cannot and will not be destroyed.
The phenomenon of culture shock is direct evidence of the fact that American culture is not as pervasive as many people would like to assert that it is. As centers for study abroad programs in various universities explain, culture shock is a logical reaction to the body and mind in response to…
Works Cited
Balko, R. (2014). Globalization & Culture. Retrieved from globalpolicy.org: http://www.globalpolicy.org/component/content/article/162/27607.html
Chapman.edu. (2013). Culture Shock. Retrieved from Chapman.edu: http://www.chapman.edu/international-studies/center-for-global-education/study-abroad-programs/accepted-students/culture-shock.aspx
Kitamura, H. (2010). Screening Enlightenment. NewYork: Cornell University Press.
Qu'an simila to and diffeent fom the Holy Bible? Give examples fom each wok to illustate thei similaities and diffeences
The Qu'an is the holy book of Islam, the eligion established by Muhammad while the Holy Bible is the saced book of Chistianity. Thee ae a numbe of ways in which the Qu'an is simila as well as dissimila to the Holy Bible. Fo states, both of them consist of chonicles, teachings, poety, and epimanding. Seveal chonicles encompass the simila basic occasions and individuals. The Qu'an and the Bible both teach the ceation of the wold by a distinct almighty, all-knowing God who commands human beings to follow the moality set out fo them. Fist of foemost, one of the key simila doctine is that God, efeed to as Allah in the Qu'an, and Yahweh in the Bible, is the only ceato of all things in the univese and whose…
references to elements in the sacred books as he points out the time of Adam's creation. In particular, Pico mirrors upon the fact that God, being the creator and artist of the universe, made the decision to make this being that is dissimilar to the other beasts, and who, as they emanate from the womb of their mother, have only one distinctive role to fulfill in this world. Man, on the other hand, has been bequeathed grace, personality, and the ingenuity that comes straight out of his own Creator. This, in particular, is the free will to act in keeping with the directives of the heart, mind, and soul. Taking this into consideration, freedom is intrinsic and blessed by the Higher Power and it is an indication of God's distinctive love for humankind.
However, Pico is keen to point out that freedom is not an assurance of happiness. Free will implies setting one's own objectives and thereby acting and operating in their own accord. For this reason, with freedom comes about a great deal of far-reaching and significant responsibilities for the reason that at the end of the day, human beings set up their own destiny. The most significant thing is that all human beings have the similar right and freedom to be completely happy and have the sense of feeling blessed by their Maker. More so, with the understanding that there is good will and a comprehensive way to nurture the "being," self-determination and freedom will instigate miracles in every Tom, Dick, and Harry. For that reason, the free will bequeathed to us by God as a gift to all humankind can impel us to utilize our freedom for whatsoever we wish and desire. Nonetheless, it is most beneficial and fruitful to make the most of the gift of free will for our own benefit, to grow into better persons and to at no given point, be unable to summon up our inimitable status as children of the "great Artisan," which is God.
In accordance to Pico, a man is duty-bound to imitate the dignity and splendor of the angels by undertaking philosophy. More so, he asserts that a man, if he develops what is coherent and sensible, will disclose himself as a heavenly being. Furthermore, if he is intelligent, he will be an angel and the son of God. Pico proclaims that a philosopher is a living being of heaven and not of the earth. At the time when man exercises philosophy or moralizes, he climbs up the chain of being in the direction of the angels and close association with God. However, on the other hand, if he fails to exercise philosophy and use his intellect, he starts to vegetate. The foundation and basis of this dignity lay in Pico's proclamation that only human beings were capable of changing themselves by means of their own free will, while all other alternation in nature were resultant of some external force operating on whatever it is that is cause to experience change. Pico made the observation that from the past account, philosophies and bodies were constantly in change, which made the capacity of man for self-transformation as the sole constant.
Rudolfo Anaya grew up in the New Mexico and much of his work reflects this upbringing. A popular theme in his fiction is the background of the state and the introduction of factors that can lead to human destruction: greed, lust, self-righteousness, deception, and connivance (Garcia 2000, p. 11). His short story "The Apple Orchard" is not exception to this. This is the story about a young boy named Isador who is in seventh grade as he struggles to come of age in his community. The first-person narrator has a father who values education. The themes of education and its importance is integral in Chicano literature. According to Hector Colderon (1999), it is extremely difficult to finish education in the Hispanic community, particularly if English is not your first language. He says, "Out of some thirty-plus students, three of us graduated from high school on time, a few others had…
Works Cited
Anaya, Rudolfo. (2006). The Apple Orchard. The Man Who Could Fly and Other Stories. 74-86.
Calderon, Hector and Jose David Saldivar. (1991). Criticism in the Borderlands: Studies in Chicano Literature.
Garcia, Nasario. (2000). Rudolfo Anaya. Platicas: Conversations with Hispanic Authors. 5-34.
In Italy, the Counter-eformation had a great deal of effect on enaissance works. As an example, Michelangelo's Cristo della Minerva in the church of Santa Maria sopra Minerva, in ome, fell victim to these actions. Just as the bonfires of the vanities saw artwork in various forms destroyed by fire, Michelangelo's sculpture was not safe from harm. The nakedness of Christ was seen as obscene, and as such, a girdle was added to the sculpture to cover his genitals ("Cristo della Minerva"). This is in contrast to enaissance works in Northern Europe that although they experienced the troubles of religious division with the eformation, Counter-eformation and events such as the formation of the Church of England..
German enaissance artist, Albrecht Durer, also is instrumental in illustrating the differences between the Southern and Northern enaissances. Durer captures his views of the 'condition of man' eloquently in his print Melencolia I.
Many believe it…
References
Cristo della Minerva. 15 Jan. 2007. Wikipedia.com. January 24, 2007 http://en.wikipedia.org/wiki/Cristo_della_Minerva .
Melencolia I. 23 Jan. 2007. Wikipedia.com. January 24, 2007 http://en.wikipedia.org/wiki/Melencolia_I .
Pico della Mirandola, Giovanni. Oration on the Dignity of Man. 21 Nov. 1994. University of Michigan. January 24, 2007 http://www.cscs.umich.edu/~crshalizi/Mirandola/ .
(Busch, Barber, Overend, Peloso, and Schachter, 2007, p. 8)
esults from this study relate a moderate quality evidence that aerobic-only exercise training at recommended intensity levels produces positive effects "global well-being (SMD 0.44, 95% confidence interval (CI 0.13 to 0.75) and physical function (SMD 0.68, 95% CI 0.41 to 0.95) and possibly on pain (SMD 0.94, 95% CI -0.15 to 2.03) and tender points (SMD 0.26, 95% CI -0.28 to 0.79)." esults noted that flexibility and strength and flexibility remain under assessed. (Busch, Barber, Overend, Peloso, and Schachter, 2007, pp. 11-13)
According to criteria Melnyk Fineout-Overholt (2005) present, this study is a Level II study. From the Cochrane review, the following relates what research notes regarding the effect of exercise for FMS:
moderate intensity aerobic training for 12 weeks may improve overall well-being slightly and physical function.; moderate intensity aerobic exercise probably leads to little or no difference in pain or tender…
References
Antai-Otong, Deborah, MS, APRN, BC, FAAN. (2005). "Depression and Fibromyalgia Syndrome (FMS): Pharmacologic Considerations." Perspectives in Psychiatric Care. Volume: 4, Issue 3, 146+. Retrieved April 29, 2008, at http://www.questia.com/read/5011211783?title=Depression%20and%20Fibromyalgia% Syndrome%20(FMS)%3a%20Pharmacologic%20Considerations
Busch AJ, Barber KAR, Overend TJ, Peloso PMJ, Schachter CL. Exercise for treating fibromyalgia syndrome. Cochrane Database of Systematic Reviews 2007, Issue 4. Art. No.: CD003786. DOI: 10.1002/14651858.CD003786.pub2.
Burckhardt, Carol S. Mannerkorpi, Hedenberg, Kaisa, Lars and Bjelle, Anders. (1994). A Randomized, Controlled Clinical Trial of Education and Physical Training for Women with Fibromyalgia. The Journal of Rheumatology; 11:4, 714-719
Costa1, D. Da., Abrahamowicz, M., Lowensteyn, I., Bernatsky, S., Dritsa1, M., Fitzcharles, a., and Dobki, P.L.. Advance Access Rheumatology; 19 July 2005, 44:1422
" (Hooker)
The Pope's purpose, of course, was to emphasize the concept of original sin and the importance of the Church's priests in reconciling sinful man with God's mercy. In order to do this, he downgraded the condition of man in his writings, emphasizing how demeaned, pitiful and degraded is the state of the human soul, which could only be saved from eternal damnation by the pardon obtained by prayers and petitions offered through the Catholic Church. Mirandola's viewpoint, synthesizing the Platonist view with Aristotelianism, Averroism (a form of Aristoteleanism) and mysticism (the Kabbalah and the Hermetica), which elevated the concept of humankind, in religion, as well as in other ways, believing that religious truth was freely available and "in part revealed to all, both Christian and non-Christian." (Hooker 1)
Hooker, Robert. (6 Jun 1999) Pico Della Mirandola. orld Civilizations. Retrieved January 15, 2007 at http://www.wsu.edu/~dee/REN/PICO.HTM
Whereas the Pope wrote that the destiny of damned humankind is dire, whose every idle word renders an "account... that will be exacted to the last penny," facing in the end all sorts of unutterable torture and calamities, Mirandola wrote that each human being becomes a "small universe" or parvus mundus with the potential to become any aspect of the universe, that human beings could occupy any position whatsoever in the "chain of being," including becoming the "equivalent of God, at least in understanding." (Hooker)
The Pope's purpose, of course, was to emphasize the concept of original sin and the importance of the Church's priests in reconciling sinful man with God's mercy. In order to do this, he downgraded the condition of man in his writings, emphasizing how demeaned, pitiful and degraded is the state of the human soul, which could only be saved from eternal damnation by the pardon obtained by prayers and petitions offered through the Catholic Church. Mirandola's viewpoint, synthesizing the Platonist view with Aristotelianism, Averroism (a form of Aristoteleanism) and mysticism (the Kabbalah and the Hermetica), which elevated the concept of humankind, in religion, as well as in other ways, believing that religious truth was freely available and "in part revealed to all, both Christian and non-Christian." (Hooker 1)
Hooker, Robert. (6 Jun 1999) Pico Della Mirandola. World Civilizations. Retrieved January 15, 2007 at http://www.wsu.edu/~dee/REN/PICO.HTM
PICO/PIO development
Key term
Child
Salbutamol
Alternatives
Paediatric, pediatric, infant
Albuterol, ventolin
How would you describe your Participant, Patient, or Population group?
Female hospital worker age 20 to 45
What characteristics of your Patient/s are important? Age, gender, condition, etc. can all be significant.
What Intervention are you interested in?
Intervention
8-hour shift
Work shift 8 hours long
Defining the Intervention is often the central part of PICO.
What alternative or different option do you want to Compare your intervention to?
Comparison
12-hour shift
Work shift 12 hours long
You might want to Compare the chosen intervention to usual care, to another intervention or to no intervention.
What measurable Outcome/s are you interested in?
Outcomes
burnout
Nurse fatigue
Outcome is the final aspect of PICO. Some examples include: symptoms of asthma, accuracy of diagnosis or mortality.
2. eformatted (PICO) Clinical Question
In healthcare providers working in a hospital (nurses) (P component) how does an 8-hour shift (I component) compared with a 12-hour shift (C component) effect burnout (O component).
3. Systematic Search Strategy for literature to…
References
Classen, J., Davis, S., Sutter, E. (2016). The impact of an 8-hour versus 12-hour shift for registered nurses: An integrative review. Cedarville University Symposium. Retrieved from http://digitalcommons.cedarville.edu/research_scholarship_symposium/2016/poster_presentations/12/
Dall'Ora, C., Griffiths, P., Ball, J. (2016). 12-hour shifts: burnout or job satisfaction? Nursing Times, 112(12/13): 1-2.
Dall'Ora, C., Griffiths, P., Ball, J., Simon, M., Aiken, L. (2015). Association of 12 h shifts and nurses' job satisfaction, burnout and intention to leave: findings from a cross-sectional study of 12 European countries. BMJ Open, 5(9): e008331 doi:10.1136/bmjopen-2015-008331.
Han, K., Trinkoff, A., Geiger-Brown, J. (2014). Factors associated with work-related fatigue and recovery in hospital nurses working 12-hour shifts. Workplace Health & Safety, 62(10): 409-414.
Renaissance humanism refers to a period of history where there was a move away from the ideas of State and religion as the basis of society and a move towards human experience and interaction. It was a rebirth in that it rejected the ideas of the Middle Ages and reinvented the ideas of the ancient philosophers. The basis of it was a return to the study of the humanities which included music, art, poetry, science, and virtue. The one thing that underlined both the ideas of the ancient philosophers and the ideas of the Renaissance humanists was that the importance of humans lay in their ability to interact as individuals with the world around them and extract meaning from it. Man himself became the measure of all things.
It is first worth noting that the humanist ideas were the ideas of scholars. For this reason, much emphasis was put on what…
Disseminating Evidence
Strategies for Dissemination
The key stakeholders in the implementation of the PICO project include patients, their families, health care team members including physicians, hospital administrators, insurers, suppliers, and investors ("Who are the Stakeholders in Health Care"). A broad and diverse group of stakeholders like this one requires a complex and multifaceted approach to project dissemination.
Different dissemination strategies will be used for different stakeholders. For patients and their families, the dissemination strategy will consist of the distribution of educational materials and access to educational resources. The educational resources will help patients to be empowered, so that they can ask questions related to their catheterization. Knowing what questions to ask, and what the answers mean, will help patients and their loved ones make responsible health care choices. For example, the study will show patients that they do not have to keep the catheter in, just because the nurse has not removed it.…
References
"Who are the Stakeholders in Healthcare" (2005). Retrieved online: http://patientsafetyed.duhs.duke.edu/module_a/introduction/stakeholders.html
In fact, when it comes to terrorism, strangers are, generally, the ambit of their activities.
There have been some activities, however, that have targeted innocent civilians and the motives and actions, in these cases, have ominously paralleled terrorist stratagems and motivations. A case in kind occurred in December, 2004, when an intercity bus in Honduras, Central America was intercepted and sprayed with machine gunfire and 28 passengers, mainly women and children, were killed first by the gunfire then by the assailants climbing abroad the bus and methodically executing the passengers17. The objective was a protest against the Honduran government who had recently reinstated the death penalty.
Another similarity is in their pattern of operation where, like al-Quida, they operate in a form of loose, unstructured cells that form a global dispersed network. Similarly, too, their individual ceils are devoted to similar activities and some are quite sophisticated. These include activities such…
Reference
Bunker, R. J. 'Epochal Change: War over Social and Political Organization', Parameters, vol. 27, no. 2, Summe, 1997
Derbeken, Jaxon Van."Widow pleads for death penalty." San Francisco Chronicle. June 27, 2008.
Del Barco, M. "The International Reach of the Mara Salvatrucha." NPR.org (May 2, 2011). http://www.npr.org/templates/story/story.php?storyId=4539688
Elkus, a. Foreign Policy in Focus "Gangs, terrorists, and trade" (April 12, 2007)
Indeed the Germans, the French, and the rest looked back to an antiquity in which their ancestors had been subjugated by the legions. Nothing is more remarkable therefore than the rapid and irrevocable penetration of Italian ideas and practices among the "barbarians," as the Italian writers referred to them, some of whom were currently invading the peninsula." (Wiener, 124) it's also important to note that influence of antique classicism typical for Italian architecture of the 14-16th centuries is not observed in the north. Classical style of Italian cathedrals and churches, typical for Ancient Greek and oman pagan temples is usually not observed in buildings of enaissance epoch in Germany, Britain or France, where architecture was influenced by Gothic style, which got earlier spread in Europe.
eformation and Counter eformation
The spread of Protestantism over Europe, which is considered to be one of the most historically significant achievements of enaissance and Humanism…
References
Hileman, Tony Living on the Creative Edge of Our Culture available at www.americanhumanist.org/about/messageED1.php
Wiener, Philip P. The Dictionary of the History of Ideas: Studies of Selected Pivotal Ideas available at http://etext.virginia.edu/DicHist/dict.html
Kohl, Benjamin G., and Witt, Ronald G., eds., the Earthly Republic: Italian Humanists on Government and Society (1978)
After the completion of the design and development of satellites, the systems are normally subjected to waiting periods that span for several years before the identification of an appropriate launch opportunity.
Design and Implementation Cost:
The third major problem in the development and implementation of satellite communication is the software development costs. This includes money spent on all bus systems, ground support equipment, systems engineering, communication payloads, program management, and integration and test. In most cases, the development and implementation costs are difficult to estimate since there are recurring and non-recurring cost drivers in the process. The non-recurring cost drivers include heritage, number of prototypes and engineering models, and technology readiness while the recurring cost-drivers are complexity, project scope, and quantity of production.
The production quantity refers to the number of flight units developed, combined, and tested on similar contract to the development initiatives. hile the development and production initiatives tend to…
Works Cited:
Burgess, Erik, and Nathan Menton. "Satellite-Subsystem Development Costs." The Office of the Director of National Intelligence. Cost Analysis Improvement Group, Feb. 2008. Web. 29 Apr. 2012. .
Dawoud, M.M. "Communications Satellite Sub-systems." KFUPM Open Courseware. KFUPM. Web. 29 Apr. 2012. .
Lappas, V., G. Prassinos, a. Baker, and R. Magnuss. "Wireless Sensor Motes for Small Satellite Applications." IEEE Antennas and Propagation Magazine 48.5 (2006): 175-79. Web. 29 Apr. 2012. .
Marz, Justin D. "The Design and Implementation of Various Subsystems for Pico-Satellites." University of Kansas. University of Kansas, 12 Dec. 2004. Web. 29 Apr. 2012. .
Government
Since gang-related crimes fall within the jurisdiction of state, this research will give an insight on the need to find solutions that increasingly include all levels of government. Congress needs to pass legislation that will change immigration enforcement laws and make more aliens deportable. In addition, the federal government should take a more active participation in helping local and state jurisdictions develop anti-gang responses. The local, state and federal governments must take a stand, and combine forces to combat the immigration problem that continue to plague this country into the next generation.
Importance of the Study
The die has been cast, there is no turning the clock back now and the Mara Salvatrucha and 18th Street Gang have established themselves in the United States and far beyond. The origins of the current situation with MS-13 and the 18th Street Gang date back to the late 1980s and early 1990s when the Salvadoran…
References
Armstrong, W. (2009, February 16). 'Sanctuary cities' protect murderous illegal aliens. Human Events, 64(37), 8.
Bansal, M. (2006) Chertoff: Street Gangs a Threat to National. Retrieved November 12,
2006 from http://www.CNSNews.com .
Barber, B. (1996). Jihad vs. McWorld: How Globalism and Tribalism are Reshaping the World. New York: Ballantine Book.
Intervention Effectiveness
esponse to instruction and intervention TI2 is reported as a general approach in education to closing the gap in achievement. TI2 methods are constructed upon the esponse to Intervention (TI) model that was an option for schools under the 'Building the Legacy, Idea 2004 reauthorization of the individuals with Disabilities Education Act IDEA. (California Department of Education, 2011) TI and the expanded TI2 are reported as being based upon "17 years of practice that has refined continuous progress monitoring as a strategy for keeping students on a path toward success." (California Department of Education, 2011) TI is reported as a strategy that moves all students through the steps set out in the learning standards and is further more stated to be an approach that views both academic and behavioral achievement of students.
Tier 1-3
Tier 1 included the 'Universal Interventions' which include "preventive, proactive, universal intervention in all subjects and…
References
Benchmark interventions -- reinforcement (2011) Department of Education. Retrieved from: http://pubs.cde.ca.gov/tcsii/ch2/bnchmrkrnfrcmnt.aspx
Case Study: El Rancho Unified School District in Pico Rivera, California (2011) International Reading Program. Retrieved from: http://www.reading.org/downloads/resources/rti0707_implications.pdf
Case Study: Pella Community School District, Iowa (2011) International Reading Program. Retrieved from:
Down These Mean Streets believe that every child is born a poet, and every poet is a child. Poetry to me was always a very sacred form of expression. (qtd. In Fisher 2003)
Introduction / Background History
Born Juan Pedro Tomas, of Puerto Rican and Cuban parents in New York City's Spanish Harlem in 1928, Piri Thomas began his struggle for survival, identity, and recognition at an early age. The vicious street environment of poverty, racism, and street crime took its toll and he served seven years of nightmarish incarceration at hard labor. But, with the knowledge that he had not been born a criminal, he rose above his violent background of drugs and gang warfare, and he vowed to use his street and prison know-how to reach hard-core youth and turn them away from a life of crime.
Thirty years ago Piri Thomas made literary history with this lacerating, lyrical memoir of…
Works Cited
Anonymous. "Piri Thomas" (2000). 09 December 2003. http://www.peacehost.com
Coeyman, M. "In a Largely Minority School, Literature Helps Students Confront Complex
Issues of Race and Culture" (2002). The Christian Science Monitor. 10 December 2003. http://www.csmonitor.com
Fisher, S. "Mean Streets Author Launches Latino Month" (2003). 10 December 2003. http://www.advance.uconn.edu/htm
treatment using the drug, tamoxifen, and higher mortality rates in females aged over forty years. The peer-reviewed papers employed for this study reveal a dynamic scrutiny of the aforementioned link. Quantitative as well as qualitative research works have been utilized, with a comparison and contrast made of the most apt methodology employed by the researchers. The end goal is ascertaining whether or not it is a risky decision to not adhere to tamoxifen treatment and how much information patients possess with regard to the drug and its effects.
The esearch Question and its Importance
After the diagnosis of her health condition, Ms. Jones is prescribed tamoxifen as medication. For an entire year, Ms. Jones fails to consume this prescribed drug. Upon revisiting the hospital after a year of not complying with this recommended treatment plan, she is told that her cancer has reappeared and is much more lethal than before. She…
References
ANS (2010) Cancer Facts And Figures 2010. American Cancer Society. https://old.cancer.org/acs/groups/content/@nho/documents/document/acspc-024113.pdf
Banerjee, S., Saxena, N., Sengupta, K. and Banerjee, S. K. (2003) 17 alpha-estradiol-induced VEGF-A expression in rat pituitary tumor cells is mediated through ER independent but PI3K-Akt dependent signaling pathway. Biochem. Biophys. Res. Commun.300, 209-215.
Banning M (2012). Adherence to adjuvant therapy in post-menopausal breast cancer patients: a review cc_1295 1.10
https://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0052637/
Autism is a problem with significant negative impacts on affected children and their parents/families who require wide-ranging support services for their children. For family members, the condition generates distress when raising the affected child due to the psychological and social problems it creates. Therefore, the consideration of parental mental health is an important aspect for social workers and mental healthcare providers when attending to these special needs' kids and creating interventions for children diagnosed with autism. In this regard, the research problem to be examined in this study is the link between hopefulness, quality of life (QOF) and internalized stigma for parents with autistic children.
Plan for Identifying Research Question and Sub-questions
The plan for identifying the research question and relevant sub-questions in this study involves utilizing the PICO format. First, the researcher identified the population or problem of interest i.e. parents with children suffering from autism. This was followed by determining…
Bell (2011) reported on work at the University of Illinois School of Dentistry which led researchers to conclude that raisins, consumed either alone or added to sugared bran flakes, lowered the pH in the mouth, thus making that environment less hospitable for bacteria-causing caries. aisins thus may be an alternative hygienists can recommend to patients and parents as a food that satisfies the craving for sweetness but is a healthier choice for teeth.
There are no "wykked worms." Tooth decay is not something that just happens. Caries are both preventable and treatable. Dental hygienists have an important mission to not only provide oral care but to educate patients about nutrition and decisions under personal control that support good oral health.
eferences
Arola, L, Bonet, M.L., Delzenne, N., Duggal, M.S., Gomez-Candela, C., Huyghebaert, a., Laville, M., Lingstrom, P., Livingstone, B., Palou, a., Pico, C., Sanders, T., Schaafsma, G., van Baak, M., van Loveren,…
References
Arola, L, Bonet, M.L., Delzenne, N., Duggal, M.S., Gomez-Candela, C., Huyghebaert, a., Laville, M., Lingstrom, P., Livingstone, B., Palou, a., Pico, C., Sanders, T., Schaafsma, G., van Baak, M., van Loveren, C., and van Schothorst (2009. Summary and general conclusions/outcomes on the role and fate of sugars in human nutrition and health. Obesity Reviews 10, 55-58.
Anderson, C.A., Curzon, M.E.J., Van Loveren, C., Tatsi, C. And Duggai, M.S. (2009). Sucrose and dental caries: A review of the evidence. Obesity Reviews 10, 41-54.
Bell, S. (2011). Here come the raisins. RDH Magazine 3. [Online] Available: http://www.rdhmag.com/index/display/article-display/3826569535/articles/rdh/volume-31/issue-3/features/here-come-the-raisins.html [March 11, 2011]
Associated Press. (2009). Cut back, way back, on sugar, says heart group. MSNBC Online. [Online] Available: http://www.msnbc.msn.com/id/32543288/ns/health-diet_and_nutrition / [March 12, 2011]
This created problems in the care of patients that should have been admitted to other units, as well as for all patients receiving care in the emergency department on an inpatient or an outpatient basis.
In addition, research was undertaken that examined alternatives to simply increasing the efficiency with which ED patients are either treated and released or admitted on an inpatient basis, and it was found that increasing staffing level and other practices were still insufficient. The research all quite clearly suggested that the practice of inpatient boarding in emergency departments was detrimental to patients as well as to medical, nursing, and support staff, and was also not cost effective for hospitals. It was recognized that a huge benefit could be derived from a comprehensive and conclusive survey of the issue, which would lead to clearer recommendations for nursing and medical staff as well as hospital administrators than have…
In his attempt to paint the goddess, the Renaissance painter inspired from the mythological legend of Venus's birth. The Roman Goddess of love apparently emerged out of the sea as a result of a foam formed around Uranus's genitals that had just been cut by his son, Cronus. Cronus apparently did so in order to get revenge, since his father treated him very cruelly (Deimling 52).
otticelli focused on emphasizing the painting's contours with a black stripe, making them contrast the rest of the picture. This concomitantly makes the painting clearer and gives it a detached character. The flowers falling from the sky were also taken from the legend, since flowers and spring are associated to Venus's birth (Deimling 52).
Whereas the painting's title refers to the actual birth of the goddess, the painting itself seems to represent something else. Instead of showing Venus as she comes into this world, the…
Bibliography:
Argan, Giulio Carlo, Botticelli: Biographical and Critical Study, trans. James Emmons (New York: Skira, 1957).
Bowman, David. "Birth of Venus and La Primavera Conjoined." Retrieved November 18, 2010, from the Aiwaz Website: http://www.aiwaz.net/article/Birth-of-Venus-and-La-Primavera-Conjoined/a115
Deimling, Barbara. Sandro Botticelli, 1444/45-1510, (Taschen, 2000).
Singleton, Esther, Great Pictures as Seen and Described by Famous Writers, (BiblioBazaar, LLC, 2008).
His firms' methodology concentrates on tracking shoppers throughout stores and videotaping their behavior, then analyzing it in the context of displays, traffic routing strategies and the use of signage in the stores. As a result of this methodology, the company Envirosell captures 50,000 hours of video each year. His firms' analysis shows that the front of stores is often used as a decompression zone, and that Americans tend to turn right when they walk into a store. As is the case with auto dealerships' service centers, the most crucial time to meet a customer is when they first enter the dealership or store. Mr. Underhill's analysis supports this fact with his firm stating that the first minute a customer enters the store is the most important in getting them to purchase. he challenges that Mr. Underhill highlights for retailers are to control the flow of traffic through their stores…
Throughout the article there are specific strategies defined for increasing the sales effectiveness of retailers, illustrating the unique methodology that Mr. Underhill's firm Envirosell utilizes to increase the effectiveness of retailing strategies. His firms' methodology concentrates on tracking shoppers throughout stores and videotaping their behavior, then analyzing it in the context of displays, traffic routing strategies and the use of signage in the stores. As a result of this methodology, the company Envirosell captures 50,000 hours of video each year. His firms' analysis shows that the front of stores is often used as a decompression zone, and that Americans tend to turn right when they walk into a store. As is the case with auto dealerships' service centers, the most crucial time to meet a customer is when they first enter the dealership or store. Mr. Underhill's analysis supports this fact with his firm stating that the first minute a customer enters the store is the most important in getting them to purchase. The challenges that Mr. Underhill highlights for retailers are to control the flow of traffic through their stores and also specifically control the eye movement of shoppers. Each of these techniques is briefly analyzed below.
Increasing Same-Store Sales by Incenting Customer Loyalty
Mr. Underhill highlights the use of signage and shows the significant differences in how it is used at meat counters in grocery stores where 61% of the time spent waiting is after an order is placed (Berfield, 2009) in addition to how Williams-Sonoma uses signage to underscore the uniqueness and value of their products to customers. Mr. Underhill makes the point that the signage must have immediacy to them, as shown in the meat counter example, yet also be rich enough with content to provide sufficient differentiation for the products being sold. The example of this connection of incenting loyalty of customers through signage is also shown for
In North America the system progression will start from Time division multiple access (TDMA), change to Enhanced Data Rates for GSM Evolution (EDGE) and then to UMTS.
Evolution from 2G to 3G
2G networks were built for the most part for voice data and slow communication. Due to rapid changes in user anticipation, they do not meet today's wireless requirements. Cellular mobile telecommunications networks are being improved to use 3G technologies from 1999 to 2010. Japan was the first country to introduce 3G nationally, and in Japan the transition to 3G was largely completed in 2006. Korea then adopted 3G Networks soon after and the transition was made as early as 2004.
From 2G to 2.5G (GPRS)
2.5G and even 2.75G are technologies such as i-mode data services, camera phones, high-speed circuit-switched data (HSCSD) and General Packet Radio Service (GPRS) that present some functionality domains like 3G networks, but not including the full…
Works Cited
Attewell, Jim and Smith, Carol Savill. Learning with Mobile Device. London: Learning and Skills Development Agency, 2004.
Hellberg, Chris, Greene, Dylan, and Boyes, Truman. Broadband Network Architecture. Boston: Pearson Education Inc., 2007.
Miceli, Andrew. Wireless Technician's handbook. Norwood: Artech House Inc., 2003.
Muller, Nathan J. Wireless a to Z. New York: McGraw Hill Companies Inc., 2003.
The Renaissance gave them the opportunity to explore and create without restraint. As a result of this, learning took on an entirely different meaning in that it included the human experience as a significant aspect of knowledge, increasing the desire to know more.
A result of a desire to learn resulted in an invigorated self-confidence that only reinforced the belief that mankind had the power within him to understand all things, including nature. This new outlook on life and mankind resulted in an expansion of knowledge, especially in literature and science. Renaissance artists broadened their skills by using oil paints and incorporating realism to their work. Leonardo di Vinci is perhaps one of the most prominent artists of this time. His work illustrates the new trains of thought that mankind was taking. Another artist that cannot be ignored when mentioning the Renaissance is Michelangelo; a man whose art speaks volumes…
Works Cited
Barzun, Jacques. From Dawn to Decadence. New York: Harper Collins Publications. 2000.
Breisach, Earnst. Renaissance Europe. New York: The Macmillan Company. 1973.
Craig, Albert M., et al. The Heritage of World Civilizations. Fifth Edition. New Jersey: Prentice Hall. 2000.
Lucas, Henry. The Renaissance and the Reformation. New York: Harper and Brothers. 1934.
In Hamlet's case, the dark Ages conquer the light and the last scene displays before Fortinbras'(the Prince of Norway, whose father was killed by Hamlet's father) eyes. Fortinbras seems to be the symbol for the rebirth of Denmark, in the light of a young king that lacks the putrid inheritance of an alienated royal family, like Hamlet's. The Renaissance man, Prince Hamlet, seems aware of the inutility of trying to restore the reign of his royal family in Denmark, since its members are proved to be corrupt and not suitable any more to lead a country in the spirit a new born world. His acts could also be in the spirit of sacrifice, suitable for a Renaissance man, in the name of restoring the dignity of his subjects and the glory of his country. People like Galileo and Savonarola were ready to give up their most precious possession, life,…
Bibliography
1. Shakespeare, Hamlet, the Literature Network, retrieved Jan., 22nd, 2007, Jalic Inc. 2000-2007
http://www.online-literature.com/shakespeare/hamlet/
2. Hamlet, Study Guide, SparkNotes, retrieved Jan, 22nd, 2007, 2006 SparkNotes LLC, http://www.sparknotes.com/shakespeare/hamlet/section15.rhtml
" Initially, the painters were given the assignment to create sample frescoes which were to be evaluated. On the basis of the evaluation, they were to be employed or not. However, their talent was rapidly acknowledged and they were commissioned to continue the work without any other testing. The individual scenes constitute a whole because they comprise typological references to one another. They present Moses as prefiguring Christ. We must mention, however, that, only after Michelangelo's later work (1508-1512) did the Chapel become famous.
After the Medici's expulsion from Florence, otticelli felt the influence of a Dominican monk called Girolamo Savonarola. In Savonarola's point-of-view, everything that wasn't useful in the life of humans didn't deserve any attention. Therefore, he destroyed many works of art, in his "bonfire of vanities." ecause of this man, Sandro was deeply affected and his interior feelings were also reflected in his work.
As a review, we can…
Bibliography
Botticelli- Renaissance Master Artist, http://www.myrrhine.net/botticelli/biography.html
Sandro Botticelli, http://www.artchive.com/artchive/B/botticelli.html
Wikipedia Encyclopedia, http://en.wikipedia.org/wiki/Renaissance
This research needs to be more widely published and disseminated through the media and in healthcare venues because there is still a great deal of reticence in the general public about having needles inserted into the body to reduce headaches -- or to mitigate any bodily pain. The reluctance to using acupuncture may be due simply to ignorance of the subject, or a bias against any medical technique that is used in China. Meantime, when high-visibility people use acupuncture to relieve the pain from migraines, if their stories could be told in the mass media, it might help reduce fears among citizens as to the safety and value of this technique.
orks Cited
Berenson, R., Vasconellos, E. Pakalnis, A. Mao, L., Biondi, D.M., and Armstrong, R.B.
(2010). Long-Term, Open-Label Safety Study of Oral Almotriptan 12.5 mg for the Acute
Treatment of Migraine in Adolescents. Headache: The Journal of Head & Face Pain 50(5),
795-807.
Elorriaga Claraco,…
Works Cited
Berenson, R., Vasconellos, E. Pakalnis, A. Mao, L., Biondi, D.M., and Armstrong, R.B.
(2010). Long-Term, Open-Label Safety Study of Oral Almotriptan 12.5 mg for the Acute
Treatment of Migraine in Adolescents. Headache: The Journal of Head & Face Pain 50(5),
795-807.
Law of Attraction
Metaphysical Law of Attraction
Need for consideration of Metaphysical Law of Attraction
Attitude and their Effects
Superordinate Identities
Positive Effect in everyday interactions
In conflict management
Negative Affect As an indicator of an unhappy relationship
Paving the road to D-I-V-O--C-E
Positive Affect Paves the oad to espect and Admiration
Use of Law of Attraction and Intercultural Communication
Metaphysical Law of Attraction
"Thou, constrained by no limits, in accordance with thine own free will, in whose hand we have placed thee, shalt ordain for thyself the limits of thy nature"..Giovanni Pico della Mirranda, Oranto "De hominis dignitatis, " or "God's Address to Adam."
"If you're not an infinite being, what would be the purpose of your life?"..Wyne Dyer, The Power of Intention
What are your beliefs about the nature of the universe? Do you have believed in order, universal natural laws, cosmic intelligence, or chaos? Do you believe in the presence of God? What is the importance of attitudes? What is a…
References
Bassili, J.N. Attitude strength. In W.D. Crano & R. Prislin, (Eds.), Attitudes and attitude change, Frontiers of social psychology. New York, NY; Psychology Press, pp. 2008. 261-286.
Baxter, L.A. & Braithwaite, D.O. Introduction: Meta-theory and theory in interpersonal communication research. In L.A. Baxter & D.O. Braithwaite (Eds.), Engaging theories in interpersonal communication: multiple perspectives (pp. 1-18). 2008b Thousand Oaks, California: Sage Publications, Inc.
Bochner, S.. Cultures in contrast: Studies in cross cultural interaction. New York, NY: Pergamon, 2007. Print 220-2509
Cialdini, R.B. Influence: Science and Practice. Needham Heights, MA: Allyn and Bacon. 2001. Print
BluetoothTM is a low cost, low power, short-range radio technology- originally perceived as cable replacement alternative for the cable / wire connected devices such as mobile phone hand, headsets, and portable computers. The BluetoothTM's goals expanded to include standardized wireless communications between any electrical devices and created a notion of Personal Area Network. The write-up traces history of BluetoothTM starting with its unusual name to formation of Special Interest Group, SIG's formation, its growth culminating into implementation of version 1.0b.
Version 1.0 of the Bluetooth came out in 1999-starting as early as 1994 by engineers from Ericsson. The specification is named after Harald Blatand- a tenth century Viking. Ericsson Corp. founded the Bluetooth SIG in February 1998, Intel Corp., IBM Corp., Toshiba Corp., and Nokia Mobile Phones. In December 1999, core promoters group enlarged to include four major players, namely, Micorsoft, Lucent, 3 Com and Motorola.
Then, the components of BluetoothTM: the…
References
Books
Bluetooth Revealed, Brent, Miller. September 2000, Prentice Hall PTR
Bluetooth Demystified, Nathan Muller, J.J. September 2000, Prentice Hall PTR
Web Addresses
Roxana as Tragedy
"Roxana" stands unique among Daniel Defoe's work in that it ends a tragedy. The work is a lot more than that, however. "Roxana" dispenses with the formalities associated with many texts and paints sex as a commodity from the very get-go. Roxana ends up a tragedy not so much because of what transpires at the end of the novel, but because Roxana herself cannot deal with her decision to prostitute herself: Roxana is a tragic figure because at the end she cannot reconcile her morals, her guilt and the fact that although she has been able to achieve wealth through her actions, through social upward mobility has eluded her, partly through her own eyes. In fact, her reliance on her beauty and body compound this desire for social upward mobility, and eventually result in a sort of manic race to delude not only her daughter, newest Dutch husband…
Difficult Patients
Mitigating isks from Dementia
Providing adequate care for an individual suffering from dementia presents many difficulties for nurses. Patients with dementia often have debilitating conditions such as Alzheimer's or similar neurologic diseases which are progressive, thereby making it challenging for them to remember, think lucidly, communicate effectively or complete activities of daily living. Furthermore, dementia can cause rapid variations in mood or even modify personality and behavior. With the tremendous number of elderly in society more and more nurses are required to care for patients with progressive dementias. It is imperative that a diagnosis be reached early in the course of the cognitive impairment and that the patient is closely monitored for coexisting morbidities. Nurses have a central role in assessment and management of individuals with progressive dementia. This essay provides some evidence-based practical strategies for managing the behavioral problems and communication difficulties often encountered in this population.
I currently…
Reference List
Aud, M.A., Oliver, D., Bostick, J. And Schwarz, B. 2011. Effectiveness of Social Model Care Units for Dementia. International Nursing Research Congress 2005.
Care, N.D. 2010. Teaching and Learning. Pulse. Winter Edition.
Fletcher, S. And Zimmerman, S. 2010. Trainee and trainer reactions to a scripted dementia care training program in residential care/assisted living settings and nursing homes. Alzheimer's Care. 11(1): 61-70.
Goodman, C. 2011. The organizational culture of nursing staff providing long-term dementia care is related to quality of care. Evidence-Based Nursing. 47:1274-1282.
Health - Nursing
PICO Nursing theory informs nursing practice, and especially evidence-based practice. Theory offers a framework for decision-making and policy. Neuman's systems model provides the perfect theoretical framework with which to conduct…
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intervention for my PICO problem is changing the policies and procedures in hospital with the goal of reducing instances and severity of catheter-related urinary tract infections among affected…
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In the study, patients attending an asthma clinic were instructed during a two-hour educational session on asthma, its potential triggers, the appropriate use of medications, proper inhaler techniques, and…
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The findings yielded a direct correlation between poor inhaler use and poor literacy: Poor inhaler technique was found in 89% of patients reading at less than the third-grade…
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search I intended to use various keyword searches in order to find the relevant literature regarding how lifestyle modification compared to no modification in liver transplant patients, with…
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interest, an identification of the problem that you have selected, and an explanation of the significance of this problem for nursing practice My research question: Among acute patients on…
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These individuals promoted the belief that it was in people's best interest to concentrate on putting across thinking that reflected positively on the world and that moral thinking…
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Introduction Despite major medical advancements over several decades, nearly 10 percent of births in the US continue to occur prematurely each year (Martin, Hamilton, Osterman, Driscoll, & Matthews, 2017). Creating…
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Post Traumatic Stress Disorder and isk of Dementia among U.S. Veterans According to Yaffe et al. (2010), Post Traumatic Stress Disorder is a prevalent psychiatric syndrome linked to increased mortality…
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Confessions of Augustine, The Life of Saint Teresa of Avila by Herself, "On the Oration and Dignity of Man," Petrarch's poetry, and Shakespeare's drama "King Lear" are both…
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Foreign key fields (i.e. The key that represents the value of a primary key in a related table) may exist in the case of CLEBSI speciment: date of diagnosis,…
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I completely understand the agency's chain of command, rules, and protocols. Frankly, I also appreciated the camaraderie that I enjoyed at the LCSD because it made it an…
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Q2. From an American perspective, it is tempting to look out at the world and to assume that American culture now dominates and reigns over all, given the seeming…
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On the other hand, a motive of debate was whether or not the Court should be intervening on issues that, ultimately, belong to daily operations in schools. The Court…
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Nurses are well positioned to identify clinical problems and use existing evidence to improve practice and make care more effective (eyea, 2006). Evidence-based practices enables nurses to provide high…
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American Culture riters such as Pico Iyer, Richard Pells, and Joseph Nye are in fact correct that the world culture has not and will not be Americanized. These writers are…
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Qu'an simila to and diffeent fom the Holy Bible? Give examples fom each wok to illustate thei similaities and diffeences The Qu'an is the holy book of Islam, the…
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Rudolfo Anaya grew up in the New Mexico and much of his work reflects this upbringing. A popular theme in his fiction is the background of the state and…
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In Italy, the Counter-eformation had a great deal of effect on enaissance works. As an example, Michelangelo's Cristo della Minerva in the church of Santa Maria sopra Minerva, in…
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(Busch, Barber, Overend, Peloso, and Schachter, 2007, p. 8) esults from this study relate a moderate quality evidence that aerobic-only exercise training at recommended intensity levels produces positive effects…
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" (Hooker) The Pope's purpose, of course, was to emphasize the concept of original sin and the importance of the Church's priests in reconciling sinful man with God's mercy. In…
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PICO/PIO development Key term Child Salbutamol Alternatives Paediatric, pediatric, infant Albuterol, ventolin How would you describe your Participant, Patient, or Population group? Female hospital worker age 20 to 45 What characteristics of your Patient/s are important? Age,…
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Renaissance humanism refers to a period of history where there was a move away from the ideas of State and religion as the basis of society and a move…
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Disseminating Evidence Strategies for Dissemination The key stakeholders in the implementation of the PICO project include patients, their families, health care team members including physicians, hospital administrators, insurers, suppliers, and investors…
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In fact, when it comes to terrorism, strangers are, generally, the ambit of their activities. There have been some activities, however, that have targeted innocent civilians and the motives…
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Indeed the Germans, the French, and the rest looked back to an antiquity in which their ancestors had been subjugated by the legions. Nothing is more remarkable therefore…
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After the completion of the design and development of satellites, the systems are normally subjected to waiting periods that span for several years before the identification of an…
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Government Since gang-related crimes fall within the jurisdiction of state, this research will give an insight on the need to find solutions that increasingly include all levels of government. Congress…
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Intervention Effectiveness esponse to instruction and intervention TI2 is reported as a general approach in education to closing the gap in achievement. TI2 methods are constructed upon the esponse…
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Down These Mean Streets believe that every child is born a poet, and every poet is a child. Poetry to me was always a very sacred form of expression.…
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treatment using the drug, tamoxifen, and higher mortality rates in females aged over forty years. The peer-reviewed papers employed for this study reveal a dynamic scrutiny of the…
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Autism is a problem with significant negative impacts on affected children and their parents/families who require wide-ranging support services for their children. For family members, the condition generates distress…
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Bell (2011) reported on work at the University of Illinois School of Dentistry which led researchers to conclude that raisins, consumed either alone or added to sugared bran…
Read Full Paper ❯Healthcare
This created problems in the care of patients that should have been admitted to other units, as well as for all patients receiving care in the emergency department…
Read Full Paper ❯Art (general)
In his attempt to paint the goddess, the Renaissance painter inspired from the mythological legend of Venus's birth. The Roman Goddess of love apparently emerged out of the…
Read Full Paper ❯Business
His firms' methodology concentrates on tracking shoppers throughout stores and videotaping their behavior, then analyzing it in the context of displays, traffic routing strategies and the use of…
Read Full Paper ❯Education - Computers
In North America the system progression will start from Time division multiple access (TDMA), change to Enhanced Data Rates for GSM Evolution (EDGE) and then to UMTS. Evolution from…
Read Full Paper ❯Drama - World
The Renaissance gave them the opportunity to explore and create without restraint. As a result of this, learning took on an entirely different meaning in that it included…
Read Full Paper ❯Drama - World
In Hamlet's case, the dark Ages conquer the light and the last scene displays before Fortinbras'(the Prince of Norway, whose father was killed by Hamlet's father) eyes. Fortinbras…
Read Full Paper ❯Art (general)
" Initially, the painters were given the assignment to create sample frescoes which were to be evaluated. On the basis of the evaluation, they were to be employed or…
Read Full Paper ❯Medicine
This research needs to be more widely published and disseminated through the media and in healthcare venues because there is still a great deal of reticence in the general…
Read Full Paper ❯Mythology - Religion
Law of Attraction Metaphysical Law of Attraction Need for consideration of Metaphysical Law of Attraction Attitude and their Effects Superordinate Identities Positive Effect in everyday interactions In conflict management Negative Affect As an indicator of an…
Read Full Paper ❯Education - Computers
BluetoothTM is a low cost, low power, short-range radio technology- originally perceived as cable replacement alternative for the cable / wire connected devices such as mobile phone hand, headsets,…
Read Full Paper ❯Urban Studies
Roxana as Tragedy "Roxana" stands unique among Daniel Defoe's work in that it ends a tragedy. The work is a lot more than that, however. "Roxana" dispenses with the formalities…
Read Full Paper ❯Death and Dying (general)
Difficult Patients Mitigating isks from Dementia Providing adequate care for an individual suffering from dementia presents many difficulties for nurses. Patients with dementia often have debilitating conditions such as Alzheimer's…
Read Full Paper ❯