Tuesday, January 28, 2020

A chiropractic office Essay Example for Free

A chiropractic office Essay A chiropractic office lost all of its computer data, and I was hired for the amount of time that it would take me to type up all of their hard copies into their new computer system. It took me a total of two weeks to type up a three-foot stack of papers. The skills required were mainly typing and editing skills, and sometimes I had to be able to read the doctor’s handwriting. I felt that no further motivation was necessary regarding skill level, since I am a quick, accurate typist and I enjoyed learning about various alternative health remedies as I went along. I completed the entire stack of papers by myself, and I found the solitary work to be relaxing and enjoyable. I felt that my job was, indeed, meaningful since many of the papers were standard legal forms or alternative health information or recipes for kidney stones or other ailments. At any given point in time, I was either directly assisting the chiropractic office or the patients thereof. Since I was a friend of the chiropractor and a trusted member of the staff, I was given full autonomy to complete my assignment on my time, at my discretion and on my schedule. That motivated me to do a stellar job in a short amount of time. Afterward, everyone was impressed by the quality of work I did, but especially the short amount of time in which I did it. I felt satisfied and like I accomplished something worthwhile and in an efficient manner. Â  I will use this same chiropractic office as my next example. An example of strategic planning is when the chiropractor refers the patient to their next appointment, telling them what needs to be checked up on or corrected next time. In this manner, he is not leaving it up to the patient to decide, but recommending a timeframe for when they should return. In this manner, for as long as the patient needs his help, he is providing himself continuing clientele. An example of functional-level planning is when he hired me to type up his paperwork or hired a receptionist to take care of patient evaluation and scheduling of appointments. In this manner, he is allowing himself to give the patients his full, undivided attention which will heal them faster, and allocating other work responsibilities to other people. In this way, he remains organized and punctual. The differences in decision making between the chiropractor and, say, his receptionist is drastic. If the receptionist were to determine when a patient was finished with treatment, a patient could be over-treated or under-treated and lose a lot of money, which would be spread by word-of-mouth and cost the business lots of money. And if the chiropractor made it his responsibility to take care of the tax reports, he would spend hours away from his treatment table, when he could be taking walk-ins or checking the status of a patient’s healing.

Monday, January 20, 2020

Huck and finn :: essays research papers

Jim’s Perspective   Ã‚  Ã‚  Ã‚  Ã‚  All of a sudden I woke up to someone saying hello and I jumped up and turned around to see who was on the island with me. To my surprise I saw Huckleberry Finn, thinking that he was dead i dropped to my knees and said â€Å"doan’ hurt me dont’t! I hain’t ever done no harm to a ghos’. I alwuz liked dead people, en done all i could for ‘em. You go en git in de river ag’in, whah you b’longs, en doan’ do nuffin to Ole Jim, ‘at ‘uz alwuz yo’ fren’.†   Ã‚  Ã‚  Ã‚  Ã‚  Then Huck explained to me what had happened to him and amde me understand he was alive and not a ghost. After expalining Huck says â€Å"It’s good daylight. Le’s get breakfast. Make up your campfire good.†   Ã‚  Ã‚  Ã‚  Ã‚  Ã¢â‚¬Å"What’s de use er makin up de camp-fire to cook strawbriesen sich truck? but you got a gun, hain’t you? Den we kin git sumfn better then strawbries.† I said.   Ã‚  Ã‚  Ã‚  Ã‚  Ã¢â‚¬Å"Strawberries and such truck,† he said. â€Å"is that what you live on? â€Å"I could’nt get nuffin else,† â€Å"Why how long you been on the island Jim?† â€Å"I came heah de night after you’s killed.† â€Å"What, all that time† â€Å"Yes indeedy† â€Å"And you ain’t had nothing but that kind of rubbage to eat?† â€Å" No sah nuffin else† â€Å"Well you must be starved ain’t you?† â€Å"I reck;n i could eat a hoss. I think I could. How long you ben on de islan’?† â€Å"Since the night I got killed.† â€Å"No W’y, what has you lived on? But you got a gun. Oh, yes. you got a gun. Dat’s good. Now you kill sumfn en I’ll make up de fire.†   Ã‚  Ã‚  Ã‚  Ã‚  So we went over to where the canoe was, and whuile I built the fire in a grassy open place amongst the trees, Huck went off and feched a meal and bacon and coffee, and a coffee-pot and frying pan and sugar and tin cups, and I was set back considerable because I reckoned it was all done with witchcraft. He caught a good big catfish and I cleaned him with my knife and fried him. When breakfast was ready weolled on the grass and eat it smoking hot. I laid it in all my might , because i was most starved. Then we had got pretty well stuffed, we laid off and lazied.   Ã‚  Ã‚  Ã‚  Ã‚  By and by I said: â€Å" But looky here, Huck who wuz it dat ‘us killed in dat shanty ef it warnt you?† Then he explained to me th whole thing and I told him it was smart.

Sunday, January 12, 2020

Iom Report Impact on Nursing

Difference Between Nurses at the Associate vs. Baccalaureate Degree Level To this day there are three types of programs that exist to allow an individual to practice as an RN: the diploma, the Associate degree, and the Baccalaureate degree. The diploma route is a hospital based program that prepares an individual to sit for the NCLEX-RN. It is usually a two to three year program. It prepares the student for nursing jobs for delivering direct patient care in the hospital or other inpatient setting.The associate route RN is typically a two-year program that focuses on teaching the student technical nursing skills with basic education requirements in math, science, and English. It prepares the student for entry-level nursing jobs in hospitals and inpatient facilities. The baccalaureate route RN holds the higher level of education in nursing. It is achieved through a more rigorous educational study through research and evidence-based practices that prepares them for leadership and manage ment positions. In comparing the associate degree nurse vs. he baccalaureate degree nurse, in order to increase patient safety, the associate degree nurse should attain their baccalaureate degree for standardization in with our continually changing health care systems. In looking back in history, the associate degree of nursing (ADN) was designed by Mildred Montag in 1952 to help the nursing shortage as a collegiate alternative (Creasia and Friberg, 2011, p. 27). It started as a pilot project at seven sites that has now grown to be very successful and desirable when compared to the 4-year baccalaureate route.The 2-year associate degree route is sought out more for its cost effectiveness while achieving the same goal of being able to take the NCLEX-RN for licensure. Especially as studies from the Committee of the American Society of Nursing Service Administration noted that they saw no difference among beginning practitioners from BSN, ADN, or diploma programs (Schank and Stollenwerk , 1988, p. 254). The key word here is beginning practitioner, there is no difference between the performances of the two.However, if an individual desires to advance in their nursing career, the associate degree separates the baccalaureate degree holding RN from a higher position and pay for example in a managerial or supervisory role. The baccalaureate degree was intended by the ANA to be the entry point into professional nursing practice (ANA, 1965). Those who choose the BSN route are prepared to practice nursing in beginning leadership positions. In order to take on a leadership role, the baccalaureate holding nurse needs to have a more in depth education with skills in communication, leadership, and critical thinking.The inclusion of public health in the BSN program requires a nurse to be adequately knowledgeable to educate beyond the individual onto the communities and population. Not only is the BSN nurse able to communicate beyond the individual but also better able to collab orate with those holding higher educational degrees as well. Being able to communicate clearly the knowledge learned, through critical thinking based on evidence-based practices is what differentiates an associate degree from a baccalaureate degree nurse. Because of these qualities, it also affords them the ability to take on leadership roles.Higher education enables BSN nurses to go outside the small circle of practice. Studies have shown that patient outcomes can be attributed to higher levels of nursing education. More knowledge enhances the nurses’ concept of nursing as a profession to better adapt to a continually changing health care environment. More knowledge enhances the nurses’ concept of nursing as a profession to better adapt to a continually changing health care environment and by having experience in research of evidence-based practices gives the nurse a firm foundation. Their knowledge is broader to help promote positive patient outcomes (Spencer, 2008, p. 08). In one study they found a â€Å"10% increase in proportion of BSN nurses was associated with a 5% decrease in likelihood of death† (Ridley, 2008, p. 152). One aspect of the BSN student that the ADN student does not acquire is delving into evidence based practices. The BSN nurse, therefore, is transitioned from the basic clinical aspects of nursing from the individual patient onto a broader spectrum. Research enables the RN to become more reflective by evaluating past clinical experiences, honing in on critical thinking skills to help better understand our changing healthcare environment.In evaluating the table from the studies of the Examples of Activities included in the 1999 RN Practice Analysis with Average Frequencies of Performance (Smith, 2002, p. 493), I found that the tasks that required more critical thinking and collaboration with higher disciplinary teams, were slightly higher amongst the BSN group. The average of 3. 73(BSN) vs. 3. 40 (ADN) would consult wi th other health care providers about client care, average 3. 15 (BSN) vs. 2. 92 (ADN) would act as the clients advocate, and 0. 85 (BSN) vs. 0. 5 (ADN) would plan and develop a health promotion program based on a community assessment (Smith, 2002, p. 493). Many of the activities shown on the table reflect that there were not many differences among the ADN and BSN nurse. The BSN nurse has better communication skills would collaborate with other disciplinary teams and act more often as a patient advocate. Because the BSN nurse also has a more rich understanding of evidence based practices and research, he/she would be more likely assist in developing a health promotion program.In conclusion, even though it is more cost efficient in obtaining an associates degree or even diploma to qualify for RN licensure, the baccalaureate degree should be the standard goal. Our health care system is continually changing, it is the responsibility of the nurse to also strive to grow with our environme ntal changes by achieving higher education. Not only does the BSN nurse qualify for higher positions in the health care system, but it also produces better patient outcomes. References American Nurses Association. (1965). A position paper. New York, NY: American Nurses Association; 1965. Creasia, J.L. , & Friberg, E. (2011). Conceptual Foundations: The Bridge to Professional Nursing Practice, 5th Edition. , 2011. Pageburst Online. Web. 21 February 2013 . Ridley, R. T. (2008). The Relationship Between Nurse Education Level and Patient Safety: An Integrative Review. Journal of Nursing Education, 47, 149-156. Retrieved from http://ehis. ebscohost. com. library. gcu. edu:2048/eds/pdfviewer/pdfviewer? sid=e2ae0a10-62a7-418b-ab46-32ad87faa068%40sessionmgr113&vid=4&hid=3 Schank, M. J. , & Stollenwerk, R. (1988, June 1, 1988). The Leadership/Management Role: A Differentiating Factor for ADN/BSN Programs?Journal of Nursing Education, 27, 253-257. Retrieved from http://ehis. ebscohost. com. l ibrary. gcu. edu:2048/eds/detail? sid=f2a65c9b-fb18-4dd4-ba84-717a1f32bb14%40sessionmgr4&vid=5&hid=102&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#db=rzh&AN=1988078948 Smith, J. E. (2002). Analysis of Differences in Entry-Level RN Practice by Educational Preparation. Journal of Nursing Education, 41, 491-494. Retrieved from http://ehis. ebscohost. com. library. gcu. edu:2048/eds/pdfviewer/pdfviewer? sid=a9aecc8d-204c-4c13-b26c-12ce8475eea0%40sessionmgr111&vid=4&hid=4

Saturday, January 4, 2020

Teen Plastic Surgery - 2711 Words

Teen Plastic Surgery Cosmetic plastic surgery has been increasing rapidly in the medical field, and making its way to the top of the beauty spectrum when it comes to what is important. Teenagers, especially adolescent girls, have been exploring the new ways to enhance their external appearance, and not with just lipstick and eye shadow. In the past three decades, surgeons, magazine editors, and book authors have been investigating the consequences, good and bad, of having cosmetic surgery at such a young age and what exactly is influencing this surgical epidemic. The question is this: should teenagers be able to get cosmetic surgery at such an early age? A review of both anecdotal experiences as well as scholarly evidence will prove both†¦show more content†¦Maturity When studying adolescent teens, you must consider the maturity level of understanding the different implications of surgery and all that it entails. Although there is no prohibition against performing surgery on patients younger than 18, some surgeons say they are reluctant to do so in part because they may still be growing (Boodman, 2004). At such a young age, it is hard to imagine deciding on a serious procedure that could affect the patient for many years to come and to understand the risks that are involved. The teens who seem to be getting these procedures do not realize that their bodies are still growing mentally and physically. Even though one might think that getting these procedures will enhance beauty and self-esteem, it will not guarantee happiness. Having cleavage may be the most important thing when youre 18, but its not when your 25, Zuckerman stated (2008). Knowing your priorities and putting what is most important first can save a lot of financial hardships and personal dissatisfaction. So why talk about only girl teenagers; what about boys getting cosmetic surgery? The truth is, that anyone and everyone tends to become more masculine looking with age. For boys, this is a wonderful trait that can increase self-esteem, but for girls, it is their worst nightmare. Studies have shown that society as a whole has a tendency to put more pressure on girls to look good which makes forShow MoreRelatedSocial Media On Teen Plastic Surgery1177 Words   |  5 PagesUnderstanding plastic surgery. b. Knowing the reason why people would most likely operate plastic surgery. c. Knowing whether plastic surgery is a way to promote beauty or destroy it. II) The Main Conflict a. Knowing how plastic surgery destroys beauty rather than promote it. b. Many people go overboard with surgery to look MORE beautiful. c. Lack of self-confidence guides people into fakeness. III) Plastic surgery in a developing teenager a. The influence of social media on teen plasticRead MoreAmerican Teen Cosmetic And Plastic Surgery1432 Words   |  6 Pages American Teen Cosmetic and Plastic Surgery Plastic and cosmetic surgeries have become a persisting issue in The United States, with the steady advancement of social media and technology being exposed to teens, many are falling victims to the country’s perception of standard beauty and resorting towards surgical procedures features that are not considered to be attractive among the general public. The United States makes it very easy for teens to proceed with aesthetic surgicalRead MoreShould Teens Get Forced Into Getting Plastic Surgery?1656 Words   |  7 Pagesmother looks different from her, due to the fact she has gotten a lot of plastic surgery done to herself. Whose little girl wants to grow up and look beautiful, just like her mother, but doesn’t understand the risk of plastic surgery. When the little girl grows into a teen, she thinks she is finally ready to get her first cosmetic surgery done, a nose job. Her mother is all for it, since she has had plenty of cosmetic surgeries before, but is this perfe ctly team getting this for herself, where to makeRead MoreShould Teens Undergo Plastic Surgery?1565 Words   |  7 PagesShould teens undergo cosmetic surgery? In todays society the picture of beauty is a rail thin super model with the body of a goddess posted on billboards all around the world. Children are brought up playing with Barbie dolls with the body measurements of would be 39, 18, 38. Because of these pictures and other figures of beauties projected all over, today teenagers are convinced to believe that to be beautiful and happy they must look like these images. According to a survey by Bliss MagazineRead MorePro Teen Plastic Surgery Debate Information3238 Words   |  13 PagesCurrent event- Historical event- She is just 14, going to undergo plastic surgery. her face bears the painful-looking raised scars and puckered skin of a burn victim. Blikis was burned in an acid attack. Acid eating through the skin on their faces, destroying cartilage and bone in minuetes. As she waits for her first surgery to help restore her face and her future. Driscoll, Amy. World of Hope for Acid Attack Victim. Miami Herald (Miami, FL). 15 Jul 2001: 1B+. SIRS Issues Researcher. Web.Read MoreEssay about American Teenagers and Plastic Surgery1189 Words   |  5 PagesAmerican Teenagers and Plastic Surgery Plastic surgery is not a new field of medicine. Traditionally, plastic surgery dealt with fixing abnormalities of the body, but recently people are enjoying the luxury of plastic surgery simply because they are not happy with their appearance. People make appointments with plastic surgeons for procedures such as rhinoplasty, liposuction, tummy tucks, face lifts, and most commonly breast augmentation. These people look forward to desired results fromRead MoreCosmetic Surgery: A Risky and Costly Procedure1355 Words   |  6 PagesIf one is considering cosmetic surgery I suggest reconsidering. Research shows cosmetic surgery can be a risky and costly procedure. Society is pressuring people to look more attractive. Media shows actors to be flawless and the public feels that one should be compared to these actors. Cosmetic surgery is becoming more popular is today’s culture. People are turning to cosmetic surgery for many reasons, some of them are not healthy. Why do people go to such dangerous measures to look more attractiveRead MoreTeen Cosmetic Surgery is Ugly1059 Words   |  5 Pagestrendiest, expensive clothes, I wanted it all. This was all a part of growing up. However, there are exceptions. When it comes to permanent, life-altering choices at such a young age, conformity is not the right decision. Why is it so hard for teens to accept who they are? Why do the feel the need to look and be something or someone there not? What happens when it gets out of control? Is it more than the desire to follow a trend? Answers to these questions are not easily found due to all ofRead MoreThe Plastic Generation (Persuasive Speech on Child Cosmetic Surgery)960 Words   |  4 PagesThe Plastic Generation Famous actress and model Patricia Heaton once said â€Å"Plastic surgery is like the big elephant in the Hollywood living room,† (Brainy Quotes). For celebrities, a plastic surgery operation is just another trip to the doctor’s office. After all, in this day and age, image is everything. We see this in high profile professions, and in large cities across the country. However, recently in Beverly Hills, California, girls as young as 16 are getting nose-jobs as a â€Å"Right of Passage†Read MoreTeenagers and Cosmetic Surgery1573 Words   |  6 Pagesare more likely to have cosmetic surgery to blend in, to avoid peer harassments, and to stop further inner torments. Keep in mind that plastic surgery and cosmetic surgery are different even though both surgeries are used to fix someone’s physical body. Plastic surgery are used to mend looks that are ruined due to terrible accidents, and is pay by insurance, while cosmetic surgery are used to enhance someoneâ⠂¬â„¢s look which insurance does not cover. Cosmetic surgery has helped many patients fit in with

Friday, December 27, 2019

International Region And Its Impact On Foreign Policy Essay

Regionalization Introduction An international region can be defined as a number of states linked by a geographic relationship and by a degree of interdependence. The activities of the neighboring states have a significant impact on determining foreign policy. Regionalization is helping reshape the world in a profound way since many countries today are seeking stronger economic ties with their regional neighbors. Regional subsystems are characterized by clusters of states coexisting in geographical closeness as interrelated units that sustain significant security, economic, and political relations. Regionalization can be conceived as the growth of societal integration within a given region, including the undirected processes of social and economic interaction among the units. Similarly, the term regionalism refers to the proneness of the governments and peoples of two or more states to establish voluntary associations and to pool together resources in order to create common functional and institutional arrangemen ts. Furthermore, regionalism can be best described as a process occurring in a given geographical region by which different types of actors (states, regional institutions, societal organizations and other nonstate actors) come to share certain fundamental values and norms. Regionalization and regionalism find expression in the economic and security domains, including convergent motivations toward both political/security and economic forms of integration. IndiaShow MoreRelatedThe Association of Southeast Asian Nations1836 Words   |  7 Pagesand Vietnam. ASEAN should promote economic and political interests in the region when dealing with other areas of the world. ASEAN also promotes social and cultural development and regional stability. While ASEAN countries have different styles of government, ASEAN also promotes the ideals of the democratic process. Most ASEAN countries have experienced rapid economic progress and represent a very important role in this region. It was formed in 1967 from the five countries as the successor to the AssociationRead MoreFuture of Arab countries relations after revolutions900 Words   |  4 PagesYemen , as well as in Syria mounts to talk about the impact of these revolutions on the Arab political scene in general and the Arab relations - Arab , Will lead variables internal politics which will be witnessed by those countries to reforms in other states and whether led to change in the structure of th e Arab political scene in general. key words: This study seeks to explore the impact of these revolutions on the directions of its foreign , and the framework of inter-relationships between theRead MoreForeign Direct Investment ( Fdi )890 Words   |  4 Pagesd) Foreign direct investment (FDI) As shown in the Figure 1, the UAE has jumped to the 11th position in 2014 against the 13th in 2013 and the 15th in 2012. The United Arab Emirates reported a $9.6 billion inflow of FDI in 2012, up from $7.7 billion the year before. (A.T. Kearney Foreign Direct Investment Confidence Index, 2014. p. 20). Besides Dubai, the foreign direct investment policies in the UAE have to be applied on the national scale and would be preferably to open more industries to the foreignRead MoreA Different Perspective On Foreign Affairs1259 Words   |  6 PagesTony Abbott, John Howard and Kevin Rudd each have a different perspective on foreign affairs, but there is also a common thread to their approach. In the following paper I compare and contrast a speech made by each of them concerning foreign affairs and note the large similarity of ideology between each of them. All speeches support a strong relationship with the United States of America and active engagement in international affairs. I argue th at they differ only in the nuance of emphasis althoughRead MoreLibya is an Arab nation located in North Africa bordered by the Mediterranean Sea to the north,1700 Words   |  7 PagesMaltese, Indians, Pakistanis, and Tunisians that have various religious and cultural practices (UNESCO, 2014). With Islam as the dominant cultural system in the region, a multitude of cross-cultural communication challenges can present for any public relations (PR) company attempting to conduct or introduce business practices in the region. Established in 1971 with their first office location in Nicosia, Cyprus, The Action Group is a PR firm dedicated to facilitating professional media interactionsRead MoreWoodrow Wilson s Impact On The World And Foreign Relations With Progressive Ideals1109 Words   |  5 PagesWoodrow Wilson saw the end of the Great War as an opportunity to attempt to remake the World and foreign relations with progressive ideals. His ultimate goal was to establish permanent glo bal peace and international cooperation among a concert of democratic nations. Wilsonianism would greatly impact modern era Presidents’ Foreign policy attempts to influence the world in the twentieth and twenty first centuries. Specifically, after World War II during the Cold War the U.S. was instrumental in theRead MoreInfluence Of Iran Relations On Fdi During Saudi Arabia And Gulf Countries1105 Words   |  5 Pagesthat the international high tension between Iran and the Western countries not affect the ability of the oil-rich countries (GCC) to attract foreign investment. As a result of the stability of their economies and the high liquidity that they have. It has been stated in this report that, the Gulf region is in high-quality situation and is unlikely to change this condition. If it is believed that there is any risk because of the war in Iran, the projects will be retreated. Many of the foreign capitalRead MoreConstraints On Nations And Individuals1677 Words    |  7 Pagesweather variation, flooding, poverty, and desertification. While the great debate rages over whether to apply the constraints previously agreed on, climate change continues to have its toll on the environment (Goldenberg 2015). Owing to the devastating impacts of climate change over the years, the world leading environmental bodies need to apply some constraints to corporations, individuals, and nations to curb the menace. Without a concerted effort towards cutting carbon emissions, the planet will getRead MoreEthical and Social Responsibility Issues at Nike1612 Words   |  6 PagesIntroduction Globalization has a profound impact on the ethical and social responsibilities of large organizations. This is primarily true for large organizations with dominant market positions within their respective industries. These companies, due in part to their size and scale, are often garnering a substantial portion of their revenue from countries outside the United States. Growth rates in many emerging countries such as Brazil, Russian, India, and China create large opportunities for theseRead MoreCritical Thinking of Globalization1030 Words   |  5 Pagesscenario. It is defined as a progression of unification of diverse countries across the globe enhanced by foreign trade, international investment, flow of technology and labour. Globalization has diversely affected the political, social, cultural condition of various countries in negative and positive manner. (1) (10) 2)Argument Against Globalization 2.1) Global Economic Recession- International Trade makes all countries dependent for trade on each other which has currently led to financial crises

Thursday, December 19, 2019

Cultural, Economical, Religious, And Political Contributions

Cultural, economical, religious, and political contributions made by both Ancient Greece, 800 B.C - 500 B.C , and Ancient Rome, 31 BCE – 476 CE, assisted in the development of western culture. Albeit Rome embraced and developed some characteristics of Greek culture, they still made prominent contributions of their own. Rome and Greece contributed Christianity, Philosophy, The Republic, and Literature. At the time, Roman religion was centered on gods and the interpretation of why things were the way they were. Each god had its own special day where priest would sacrifice animals and offer it to them. Rome’s religion was challenged when Christianity began to spread because as the number of people that converted increased, so did the number of people that refused to participate in the worship of the Roman gods and make sacrifices at their temples. In turn Christianity was banned and Christians were punished and often put to death. This did not stop them though, seeing as they began to meet in secret and their population continued to grow in number. Then in 3113 AD, the emperor Constantine made Christianity legal. â€Å"Christianity’s influence, however, set into motion the belief that man is accountable to God and that the law is the same regardless of status. More than one thousand years before the birth of Christ the biblical requirement given by Moses comprised an essential component of the principle that ‘no man is above the law.† (Schmidt 249) Over time, all the other godsShow MoreRelatedThe Social, Economic, and Political Implications of the Conquest and Colonization of the Americas1040 Words   |  5 Pagescomplex. The social, economic, and political issues and circumstances that took place many years ago are the foundation of who America is today. Most Americans do not realize how many people were affected by immigration, or understand the real struggles and sacrifices that the indigenous people and the colonists made for the freedoms we have today. During these historical events, many cultural, social, and economical events were impacted. Historical Contributions or Achievements The first AmericanRead MoreThe Iraq And Iran War1499 Words   |  6 PagesIran war strained Iraq’s political, and social life. Also put Iraq’s economy into severe conditions. The 1980, 8 year war between Iraq and Iran was fueled by many factors including border disputes (geographical and economical), and Iraq’s new dictator Saddam Hussein (political). Saddam Hussein feared that the new Iranian leadership would threaten Iraq’s Sunni Shia, and the minimal access to the Persian Gulf. The war was multifaceted and had many religious schisms, political differences, border disputesRead MoreTransnationalism: The Study of Population Moves1737 Words   |  7 Pagesmeans of modern telecommunications have shortened the social distance between sending and receiving countries. An immigrants ability to adapt to a different nation has become an easier task than it was before. Customs, practices, religions, political standings and cultures have blended in many nations to create an almost global civilization where media and communication through the internet are connecting people from across the world. Societies are no longer a closed entity, causing migrantsRead MoreGlobalization And Its Impact On The Global Economy1107 Words   |  5 Pagesnow multinational corporations with subsidiaries in many countries (Bbc.co.uk, 2016). †¢ Globalisation has a greater scale in the international movement of goods and services, economical investment and the people and information. †¢ Results of globalisation indicates that the world development may be more sustainable. †¢ Political relations and the global environmental have become successfully intertwined, an increase in the global economic incorporation (Martens and Raza, 2016). Globalisation has resultedRead MoreEffects of the Poliovirus: Poliomyelitis1504 Words   |  6 PagesPoliovirus is an enterovirus which infects the guts then spreads through blood to infect the central nervous system causing paralysis though infection is over 90% asymptomatic. ïÆ'Ëœ The challenges eradicating polio range from socio-cultural factors to political and economical factors. There are mainly three endemic areas remaining namely: Nigeria, Pakistan and Afghanistan. ïÆ'Ëœ The solution to the challenges would vary from countries and communities with specific issues. But the direct involvement of theRead MoreEssay about The Emergence of Europe1417 Words   |  6 Pagesdevastated the seized Roman territory more than providing any kind of economical, legal, or political stability.2 The Roman legacy struggled to survive even as Germanic Europe attempted to rebuild civilization by merging Roman customs with their own â€Å"incoherent jumble of laws and customs, difficult to adjust to each other and hard to understand.†3 In the midst of this disorganization, the Christian Church made the most helpful contribution to this new medieval empire— the development of a new governmentRead MoreThe Significance for Economic Anthropology of the Work of Marx and Durkheim1557 Words   |  7 Pagesthrough, but as being the advancement of historically dependent communities and their modes of production. The modes of production mould the foundation or structure of a society. This foundation governs the superstructure (governments, laws and other political and legal apparatus), from which both determine the ideology (including religions, philosophies, and the ideals which conquer in a society at any given time). Class struggle is the crucial mover for such a scheme to progress in stages. Change isRead MoreThe benefits of globalization outweigh its cost. How far do you agree with this statement?1477 Words   |  6 Pagesthrough increasing volume and variety of cross-border transactions in goods and services, free international capital flows, and more rapid and widespread diffusion of technology. All definitions appear to agree that globalization has economic, political, cultural, and technological aspects that may be closely intertwined by the International Monetary Fund . Benefits is defined as advantage or profit and cost is defined as the effort or loss necessary to achieve somethi ng by the Oxford dictionaryRead MoreSociology Emile Durkheim and Max Weber1495 Words   |  6 Pagesto social and political liberalism, economical modernization was automatically translated. (Seidman, 1998) Weber believed that without certain psychological attitudes and orientations modern capitalism would not have developed. He looked at the meaning for the individual, how this behaviour was made meaningful and valuable. An example of this would be an entrepreneur starting up an enterprise. Without people taking this risk for their capital investment there would be no contribution to the rise ofRead MoreAddressing Extreme Poverty750 Words   |  3 Pagesappeal to our generations’ consciousness to take actions and stop this drift, which he believes it’s possible in our lifetime, more precisely, by 2025. His statement is sustained by a research he has done along the years looking at humanity’s economical and political progress in the past two hundred years that followed the Industrial Revolution, which started in Great Britain. By looking back in history, he says, we can understand how humanity managed to grow economically and socially. Because they were

Tuesday, December 10, 2019

Spiritual Assessment free essay sample

For this assignment I was ask to develop a spiritual assessment tool, interview a patient using this tool, summarize my findings, analyze my results, identify areas of improvement and describe the spiritual experience that this spiritual assessment offered to better meet the needs of my patient. Research indicates a close connection between spiritual needs and physical needs. Integrating spiritual assessment into patient care has become vital for hospital and other health care settings. Spiritual assessment in the hospital setting is also mandated by joint Commission on accreditation of Healthcare organizations (JCAHO). Spiritual, 2009). I developed this tool using criteria from the HOPE assessment tool. This tool was originally created by Gowri Anadarajah and Ellen Hight from the department of family medicine at Brown University. The HOPE assessment lets nurses or other health care providers collect information in a non-threatening manner, it is brief and goes over critical areas. It also allows patients to tell their own story about important spiritual issues that might affect the patient’s physical health needs. â€Å"H=Sources of hope, meaning, comfort, strength, peace, love and connection. O= Organized religion. Personal spirituality and practices and E= effects on medical care or end-of-life decisions† (Galek, Flannely, Vane, Galek, 2006). When completing a spiritual assessment tool it is important to always respect our patient’s spirituals beliefs and to be open minded. There is a lot we can learn by exploring our patient’s spirituality and a lot of modification we can make in their plan of care to meet their overall needs. Summary of assessment findings Mrs. B. F. is a 52 yr old Hispanic female. Post surgical patient, who states God and the support of her family, gives her hope and strength in difficult times. She labels herself as â€Å"halfway catholic† and does not belong to a particular church. She attends church about once every two months. She feels that when she goes to church she finds peace and is able to communicate with God better. She likes it better when there is not a lot of people in church. Mrs. B. F. believes she has a good relationship with God, but she does regret not dedicating more time to God and also regrets not teaching her children about God. She thinks her children are worried about her now that she is in the hospital and they need God’s support to deal with her illness. She plans to teach her children how to get closer to God when she is discharge from the hospital. She likes to pray to God and the Virgin Mary. Mrs. B. F. believes her deceased grandmother and deceased father are her guardian angels. She also believes in Karma â€Å"if you are a good person, good things will happen to you†. All her spiritual and religious beliefs are important to her. She also indicated her wishes to see a priest and to visit the hospital’s chapel. (F. B. 2011) Significant discoveries When I evaluated Mrs. B. F. I made the following discoveries: At first she gave me the Impression that she did not want to answer my questions, but quickly she became really involved in the conversation. She opened up to me and was willing to discuss her spiritual needs. She sounded honest when answering the questions and pleased that I took the time to hear her concerns. She admitted feeling guilty about not teaching her children her religious beliefs and voiced concern about her children not having God in their lives. She also showed interest in meeting with a priest which I arranged after the Interview. What went well? I am pleased that my interview went well. At first I did not feel confident that I had the skills necessary to lead a spiritual assessment. In the past the only thing I did was to ask my patients if they belonged to a church or religion and asked if they needed to see a chaplain/ priest or spiritual leader. This time I felt that Mrs. B. F. was engaged in the conversation. I was able to ask open ended questions that encouraged the assessment to flow naturally and I was able to meet some of her spiritual needs. What would I do differently in the future? When interviewing Mrs. B. F. I noticed we had a few unnecessary interruptions that disrupted the low of my interview. In the future I will post a sign at the door indicating interview in process and I will notify the patient’s primary nurse and the unit secretary about what I am doing in order to minimize the interruptions. Barriers or Challenges One of the challenges that I encountered was not having enough experience to have the appropriate answers to the patient’s responds without sharing my own religious or personal beliefs. I had a hard time letting the interview continue without me sounding like I was giving advices that reflected my religious beliefs. I can see how it an be challenging to conduct this interview with a patient that has a different faith or different spiritual beliefs than mine. I also had to modify my questions to more open ended questions instead of yes or no questions. Example question #8 and question #9. Description of Spiritual experience Using this spiritual assessment tool helped me developed a special relationship with my patient deeper that when I am just focusing on my patient’s physical needs. I am now more comfortable exploring the spiritual side of my patients without immediately relying on a chaplain or a priest. My patient seemed so grateful with me for taking the time to listen to her that the next day I made sure somebody took her to the hospital’s chapel. I did not personally go with her. Perhaps the next time, I will have the courage to accompany one of my patient’s to the chapel. This tool not only help me better meet the needs of my patient, but also helped me understand my own spiritual beliefs. I learned that I am a very private person when it comes to expressing my religious beliefs. I also learned that I don’t feel comfortable taking a patient to the hospital chapel. It is important for health are providers to understand and be clear about their own spiritual beliefs to be able to remain patient-centered and non-judgmental when addressing patient’s religious and spiritual concerns. (Anandarajah, hight, 2008). Conclusion From this assignment, I have learned how much closer a nurse or other health care provider can get to their patients by evaluating the patient’s spiritual needs. Also how important it is for all nurses to promote spiritual health into their practice in order to develop their patient’s trust and provide quality care in a holistic approach.