Community Participation in Building the Science Curriculum for Thesis Proposal

Community Participation in Building the Science Curriculum for Intermediate School - Thesis Proposal Example This essay stresses that intermediate level, also called the middle school level, is where pupils are taught more on what they learnt while in the lower school level. Here, both the teachers and the students communally work together so that the goals and objectives of the level are achieved easily, with all students satisfactorily attaining their desired grades, teachers feeling the positive impact of their contribution. This paper makes a conclusion that different teachers take different units in this level; therefore, the students get the opportunity to be exposed different learning and teaching strategies since each teacher has their own way of doing things. Students are expected to attain higher grades in all subjects: mathematics, languages, social studies, arts, and sciences. Physical education is essential where students are expected to improve their on their flexibility, learn how to coordinated body parts with some activities and the necessity of such activities to the body organs like the heart and lungs as well as its positive impact in reducing the chances of some health implications. Much of these physical activities are related to science courses where students put into practice their theory knowledge. Participation in individual and group projects, active involvement in science clubs and science congress as well as visiting science related stations and demonstration fields are some of the main activities teachers expose their students to at this level.

Nora therapeutic nurse-patient relationship is cultural consideration Essay

Nora therapeutic nurse-patient relationship is cultural consideration - Essay Example In the case of Nora, the most important determinants of the therapeutic nurse-patient relationship would be cultural considerations and the nature of the nurse-patient rapport, which is dependent on effective communication. Communication between the nurse and the patients facilitates the transfer of information, concerns, queries and expectations between the two parties. If knowledge regarding the disease course, the treatment modalities available, and the post-hospitalization course is transferred effectively to the patient, it can result in greater patient satisfaction as the patient is well informed about what to expect (McQueen, 2000). Moreover, it also enables the patients to develop their trust in the nurses and helps in mitigating any existing anxiety or stress on the part of the patient (Kirk, 2007). Such communication can be achieved if the nurses posses effective communication skills, such as displaying empathy, active listening and use of non-verbal gestures in order to ma ke the patient comfortable and to establish a good rapport (Jasmine, 2009; Chant, Jenkinson, Randle, & Russell, 2002).

Digital Camera Technology Advances

Digital Camera Technology Advances Technology surrounds every single individual and is effecting both work and leisure activities of human life. The information which is in Technology educate people and influence their mind in good and bad ways where in it allows to share information which otherwise not be able to attain. Technology is the principle driving force of the future as many numbers of new Technologies have been found and released into the market. Technology has been improving in a very fast and effective way that it has changed the daily lives of the mankind in many aspects like their healthcare, education, jobs, and even in their leisure activities. People have always seen for a better ways to meet their needs and to satisfy their expectations and Technology has made it done for them. One such aspect of these Technologies we are talking about in this part is about the Digital Camera. The first digital camera that has recorded images as a computerized file was Fuji DS-1P in 1988 and the first commercially available digital camera of this generation is Dycam Model1 which was introduced in 1990 this has used the CCD image sensor, connected with the computers and stored the images digitally. In 1991 Kodak DCS-100 was introduced which designed photography in a professional way and was also used in film bodies. The movement of turning into digital happened with the formation of the JPEG, MPEG standards in 1988 which allowed image and video files to be compressed for storage. The first camera which has the ability to record and store video clips was Ricoh RDC-1 in 1995. In 1997 the first megapixel camera has been introduced in the market for consumers. Digital cameras are better than the usual Cameras in many aspects such like digital camera can display image immediately after it is recorded, can store any number of images depending on the memory card in it, we can record sound along with the video and can also delete the images if necessary. Some digital cameras have got better functions like they can crop the picture and can perform reasonable image editing. Basically they operate similar to that of a movie camera where it uses lens with different diaphragm to focus light onto the image pickup device. The shutter mechanism and the right diaphragm are used to capture the right amount of light to the image. The only difference between this is that a digital camera use to pickup device electronically rather than in chemical way. Many digital cameras are comparable to a 35 mm camera in price without the extra added cost of buying or developing film. A digital camera is similar in nature to a Polaroid camera in which the picture is instantly available for viewing and use by the photographer A digital camera helps its users to download the images onto their PC with special software which would be included with the camera where in other normal cameras We need to store the images in a floppy or a disk and then have to insert that into a PC and then store them. The Images can be edited using special software, can be sent to loved ones, can be printed, faxed and etc. It makes the Computer users to make the photographs or the images digitally rather than keeping or storing them on traditional film. Digital Images are far better than that of the Film images. The reason is that the image once captured will by default be in a format which can be shared and used easily. For example we can insert the images into a word processing documents, print them or send them by e-mail or post them on web sites. With most digital cameras we can see our images immediately on the small LCD screen behind the camera or we can also connect the camera to our TV and can make a slide show of it. From a Professional point of view Digital photography is the future of photography. The benefits a digital camera produce are many. This is due to the overwhelming popularity of technology and its advancement as well as the speed of advancement to mention here are a few: By going in a digital way we can save money in terms of long run since we need not buy the rolls of film and need not pay for developing them. Nowadays Time plays a major factor on everyones life. By going digital way we can save a lot of time as we need not go to the lab to drop the films and pick the photographs. We can see our images instantly without much delay and if the images are good its fine or if they are bad we can delete the image and take a new one instead of getting disappointed when we got to know that the photographs taken came bad. Digital cameras do not use toxic chemicals which often end up in flowing down the drains and into lakes from there. There are three steps of Digital Photography: 1) Capturing The first step in digital photography is to get a digital image and there is more than one way to do this. Digital still cameras capture photographs in a digital format. Film cameras capture photographs on slides, negatives, or prints which you can then scan to convert them to digital photographs. Video cameras capture images in a video format. You can then use a frame grabber to isolate out individual frames and save them as still images. Digital video cameras sometimes are able to capture still images just like a digital still camera. You can also use a video-editing program to extract individual frames from the digital video. 2) Editing Crop the photograph to emphasize the key part. Reduce the size of the photograph to make it smaller for posting on the Web or e-mailing. Use filters to sharpen it or even make it look like a watercolor or oil painting. Stitch together multiple frames to create panoramas. Merge two images to create a 3D stereo effect or an animated image for display on the Web. Change brightness and contrast or expand the tonal range to improve the image. Cut and paste parts of one image into another to create a photo montage. Convert the photograph to another format 3) Sharing Print the image on a color printer. Insert the photograph into a word processing or desktop publishing document. Post the photograph on a photo sharing Web site or a blog. E-mail the photograph to friends or family members. Send the photo to a service on the Web for prints, or to have the images printed as a bound book or onto T-shirts, posters, key rings, mouse pads, even cakes and cookies. Store the photograph on your system for later use. Create slide shows that play on a DVD player connected to the TV or a DVD drives in a computer. http://www.shortcourses.com/guide/guide1-2.html Social Applications of using a Digital camera: Digital photography has given a new way of design for shopping that is people can buy their requirements by browsing the web sites and by viewing their desired products which are digitally photographed and loaded into the sites. They can simply browse through hundreds of pictures on the Internet and pick and choose from the ones that really interest them. By this people can save their time instead going through to find the right place and price for their desired products. Create insurance records: Digital cameras are very much useful when it comes to the visual inventory of insurances. using digital cameras enable us to create not only the overall view of the objects but gives a detailed view as well while creating visual references of collections and any important physical assets. Create Graphics for Web sites: Digital cameras capture images electronically which allows us to take our own images and graphics for our web site or blogs if we have one. Create Digital Photographic Art: People can get creative and make their own screen savers, photo montages, wall papers etc when they combine their digital images with a renowned photo editing softwares (like: Adobe Photoshop). Record an Event or Meeting We can record an event or an important meeting using a digital camera. Nowadays most of the Businesses take Photography as their best way to create an Impact on their Customers. Digital Cameras have made Photography easier and are used almost in every Business in todays world to mention a few: Because of their convenience and affordability, digital cameras have a wide range of uses as an instructional tool as it allows teachers to evaluate other teachers in the field through the use of digital cameras and provide relevant lessons to hearing impaired students Realtors: Realtors use digital photography as their major strategy to advertise houses, properties and apartments to attract the Customers. Artists: Professional artists can capture images for their promotional stuff and also for web distribution. Journalists: A Journalists duty is to collect information. Through digital camera a Journalist can not only collect but can also capture information in a more effective way. Tour Guides: Tour guides can attract more customers and can present their place in a better way by taking Images of the locations nearby and pasting them in their broachers or web sites which is a way of effective communication. Interior Designers: Interior designers can reflect their work and attract more customers by capturing good images of their work, and can also provide different other views for their customers. Medical: In the context of the healthcare field you can imagine how a 12 mega pixel Digital Camera can create photos where clarity of x-rays, ultra-sounds and other images are critical. In the context of the military or field engineers, they ability to see clear satellite images of objects on the ground is very important. Lastly Digital cameras are very easy to use without much use of the Computers. These are some of the features and the ability to share the images instantly with anyone, anywhere in this world makes digital photography so attractive.

Personal Narrative: Qualities that make me a Good Husband Essay

I am a married man, and my wonderful wife feels that I am an extremely successful husband. Surprisingly, I have never tried to be an extraordinary husband. All I have done is to maintain a very simple family life, observing some basic principles, which others can learn from. I didn?t think that I was such a good husband, but I always felt that we had a very joyful and happy life. This is such an intense feeling that no words can fully express. I believe this feeling can be called a ?total love?. Perhaps all husbands and wives need to know the nature and level of love they may have. Accordingly, I asked my wife if she loved me and why. She gave me some interesting information about myself which I had never thought of. Not only did I discover myself through her, I also discovered what a critical, sharp-eyed observer, and perceptive lover she is as a good wife. It may be worth citing here the qualities which impressed my pragmatic wife. I may also suggest those qualities to be the 'ten commandments' of a successful husband. One: I am a ?full time husband? when I am with her My wife understands that I am a very busy man, involved in my own work as an accountant, and as a voluntary social activist devoting a substantial amount of time in dealing with social issues in the local area. However, I am very much aware of the fact that I should be a ?full time husband? whenever I am with her either at home or elsewhere. I have a very good time management system in place, everyone involved with me has a certain time, however, I never forget my family (and my wife in particular) when I am away from them. I try not to interrupt our family time with any external issues. For example, I never pick up the phone or mobile when I am at home... ...love is important because it?s a game of 'give and take', not 'take and give'. However, I always demand less from her and I make every effort to give her more. I worry about what I do, and really do not bother about what she is doing for me. It provides evidence of my sincerity, commitment and devotion to her. In return, she keeps me deep in her heart. Very proudly, my wife also tries her best to do everything possible for me. As a result, this reciprocity makes us both enjoy our deepest love and a happy family life. Ten: I am unsatisfied with my job One of the things that my wife likes best about me is that I am always apologising for not doing enough for her. I admit that the love and care I give her is much less than she actually deserves. It makes me polite and humble and further pushes me to do better in my love, affection, approach and treatment of her. Personal Narrative: Qualities that make me a Good Husband Essay I am a married man, and my wonderful wife feels that I am an extremely successful husband. Surprisingly, I have never tried to be an extraordinary husband. All I have done is to maintain a very simple family life, observing some basic principles, which others can learn from. I didn?t think that I was such a good husband, but I always felt that we had a very joyful and happy life. This is such an intense feeling that no words can fully express. I believe this feeling can be called a ?total love?. Perhaps all husbands and wives need to know the nature and level of love they may have. Accordingly, I asked my wife if she loved me and why. She gave me some interesting information about myself which I had never thought of. Not only did I discover myself through her, I also discovered what a critical, sharp-eyed observer, and perceptive lover she is as a good wife. It may be worth citing here the qualities which impressed my pragmatic wife. I may also suggest those qualities to be the 'ten commandments' of a successful husband. One: I am a ?full time husband? when I am with her My wife understands that I am a very busy man, involved in my own work as an accountant, and as a voluntary social activist devoting a substantial amount of time in dealing with social issues in the local area. However, I am very much aware of the fact that I should be a ?full time husband? whenever I am with her either at home or elsewhere. I have a very good time management system in place, everyone involved with me has a certain time, however, I never forget my family (and my wife in particular) when I am away from them. I try not to interrupt our family time with any external issues. For example, I never pick up the phone or mobile when I am at home... ...love is important because it?s a game of 'give and take', not 'take and give'. However, I always demand less from her and I make every effort to give her more. I worry about what I do, and really do not bother about what she is doing for me. It provides evidence of my sincerity, commitment and devotion to her. In return, she keeps me deep in her heart. Very proudly, my wife also tries her best to do everything possible for me. As a result, this reciprocity makes us both enjoy our deepest love and a happy family life. Ten: I am unsatisfied with my job One of the things that my wife likes best about me is that I am always apologising for not doing enough for her. I admit that the love and care I give her is much less than she actually deserves. It makes me polite and humble and further pushes me to do better in my love, affection, approach and treatment of her.

Care Of Ald Patients Health And Social Care Essay

In this assignment, I shall choose a patient from my arrangement, this will be backed with a principle for my chosen patient. This will besides do reference of the importance epidemiological information, within this I will show an apprehension of the aetiology of common long term conditions. I will exemplify the nursing model used and physical, psychological and societal appraisal of my selected patient. In relation to the appraisal this will besides include the needed attention of patient being discussed. I have selected a patient from a South London Healthcare Trust. In order to keep confidentiality anonyms have been used to protect the patient ‘s individuality. The ( NMC ) emphasises that we as nurses, must esteem people ‘s rights to confidentiality CHECK ( 2008 ) . Mr B is 51-year-old adult male. He works as a bricklayer on a edifice site. He has two boies whom are aged 21and 25. He is separated from his married woman who is the biological female parent to his two boies, and now has a new spouse. His avocations are ; reading, socializing, and disbursement clip with his boies. Mr B is a really pleasant gentleman who enjoys his life, and makes the most out of it. Mr B admitted to gorging on intoxicant occasionaly. Mr B became dependent on intoxicant, and was diagnosed with alcoholic liver disease in 2006. After go toing many support groups, which helped him a great trade, he became clean and free of intoxicant dependence. Sadly, his Dendranthema grandifloruom lost her conflict to malignant neoplastic disease his Dendranthema grandifloruom. Intelligibly, Mr B found this difficult to cover with, and accordingly turned to alcohol as a header mechanism.EpidemiologyI feel that alcoholic liver disease ( ALD ) is going progressively common in acute infirmary scenes, this may be due to the immense addition in orgy imbibing. Harmonizing to ( NHS Clinical Knowledge Summaries, intoxicant abuse in England is prevailing, 33 % of which are work forces, and 16 % of adult females, which may hold damaging affects to their wellness. ( EBP ) . I believe my chosen subject will assist both my hereafter practise and my ain apprehension of ( ALD ) . ( ALD ) is highly common in England. Approximately 90-100 % of people who drink the exceeded recommended bound have alcoholic fatty liver disease ( National Health Services Choices 2009 ) . These statistics single-handedly are highly high, which accordingly means that Mr B is immense hazard of roll uping ( ALD ) . It is known that every bit much 1 in 5 people who drink, will develop liver cirrhosis ( NHS Choices 2009 ) . Immediately this places Mr B at an unmeasurable hazard of roll uping liver cirrhosis, as he was chiefly admitted to hospital with inordinate ingestion of intoxicant. It has been found that work forces are more likely dice from liver disease, this may be because their intoxicant consumption is much greater than adult females. However, this demonstrates that Mr B ‘s hazard of mortality is going peculiarly refering. The mortality rate of alcoholic liver disease has risen by over two-thirds ( 69 % ) in the past 30 old ages, which makes intoxicant one of the most common cause of decease, together with high blood force per unit area, and smoke. This is a significantly high addition in the figure of deceases related to alcoholic liver disease. Subsequently, this contributes to many factors associating to Mr B ‘s alcoholic liver disease, it is evident that his mentality is highly hapless harmonizing to these statistics. Evidence has been found that there is a high prevalence in developing liver cirrhosis in people age 40 or over. Furthermore, as Mr B is over the age of 40, which indefinitely shows he is a high hazard of developing liver cirrhosis. As there is a high prevalence of grownups who consume intoxicant in ( U.K ) , every bit much 90 % ( REF ) . This entirely does non stand anybody in good position, allow entirely Mr B as he has a history of intoxicant abuse. There appears to be a immense spread in recognition of the day-to-day benchmark, and if people measure there alcohol units ( National Statistics 2006 ) . Mr B ‘s deficiency of instruction demonstrates that is unable to construe how much he is advised to imbibe, which may hold led to his inordinate imbibing. 1 in 16 people are admitted to hospital with intoxicant related unwellnesss ( ref2 ) It is known that greater intoxicant consumed, the higher hazard of unwellness, such as oesophageal malignant neoplastic disease, which increases significantly one time the intoxicant consumption exceeds more than 3 drinks per twenty-four hours ( NICE/Health Development Agency 2005 ) . Mr B ‘s old consumption of intoxicant indicates that may be a possible hazard to oesophageal malignant neoplastic disease. This presents a secondary hazard to him as he already has ( ALD ) .Q.1 AssessmentAny intervention and care given must be given with the patient ‘s ain demands and penchants should be taken into history. A patient with an acute unwellness should be made cognizant that they have the right to do informed determinations about the attention that receive, together with their health care professionals. However, if a patient does non hold the mental capacity to do determinations themselves ( Dep artment of Health 2001 ) . Nursing is to advance wellness, mending, growing and development, and to forestall disease, unwellness, hurt, and disablement. When a individual becomes sick or handicapped, nursing is guaranting that a individual ‘s hurt and agony is kept to a lower limit, and enable people to grok and to cover with their unwellness or disablement, its intervention and effects. When decease is foreseeable, the rule of nursing is to guarantee that the best quality of life is maintained until its terminal ( 2003 ) . An appraisal is a methodical, purposeful and synergistic procedure that strengthens every characteristic of nursing attention ( Heaven & A ; Maguire 1996 ) . This is where a both nurse and patient indentify the patient ‘s demands and anxiousnesss, whereby individualized attention is given. Roper-Logan-Tierney theoretical account specifically for nursing is widely used in pattern throughout the United Kingdom, it is besides used in many nursing schools, which demonstrates the relation between theory and pattern in nursing ( Roper et al 2000 ) . Although all 12 Activities of day-to-day life ( ADL ) are every bit of import when measuring a patient, I shall merely do reference of a few due to the limited sum of words. Mr B Obs Initially B ‘s external respiration was absolutely within normal scope. However, as his status deteriorated his external respiration was compromised. It was inevitable that he required O therapy, to assist help his external respiration. In order for his lungs to have sufficient sum of O ( o2 ) , it was of import he was sat vertical. His respiratory rate was 35 breaths per minute. The deepness was hapless, which was apparent due the fact of the attempt he used to take a breath in and out. Royal Marsden CHECK It is cardinal that patients observations are obtained on the initial appraisal or at the clip of their admittance, which will assist place any important alterations their observations. ( Nice 2007 ) . Elimination is another activity of day-to-day life, which I felt was compromised. Mr B had a urine catheter, to help him with go throughing piss, and so we could detect his end product closely. Fluid balance is critical when a patient is acutely ailing, it is of import that this is observed ( ref ) . Mr B was able to travel to the lavatory independently on admittance to infirmary. As he became acutely ailing, this became more of a battle, and he was unable to make this himself. I felt his self-respect was compromised due to his illness/condition deterioration. However, I managed to keep this to the best of my ability, esteeming his self-respect throughout my clip caring for him. The Nursing and Midwifery Council ( NMC ) emphasises that we as healthcare professional must handle people who we care for as persons and esteem their self-respect ( 2008 ) . This meant that he was unable to extinguish independently, which accordingly diminished his independency. In order for Mr B to recover his mobility, we had to chiefly handle his ( ALD ) , so he could so reconstruct this. Harmonizing to ( NMC ) It is critical that we support people in our attention, guaranting they care for themselves, in order to heighten and keep their wellness ( 2008 ) . I felt that Mr B ‘s mobility was another ( ADL ) which was doing a immense concern. As Mr B was in the acute stage of his ( ALD ) he became encephalopathy, which caused his mobility to diminish ( ref ) . His reduced mobility was holding a knock on consequence on his independency, doing him to go farther down and withdrawn. Mr B ‘s physical wellbeing was doing a immense concern. His hepatic brain disorder induced by the harm to his liver, which depleted his mobility. Hepatic brain disorder is a neuropsychiatric, whereby the liver has been harm due to inordinate imbibing. In hepatic encephalopathy ammonium hydroxide is non being converted into carbamide, which should usually be excreted by the kidneys, accordingly it so enters the systemic circulation ( Zimmaro & A ; Sawchuk, 2004 ) . Ref med n surg Consequently to Mr B holding alcoholic liver disease, he had oesophageal varices. This is whereby a composite of Byzantine venas at the inferior terminal of the gorge, are enlarged and swollen as a consequence of the portal high blood pressure. If left untreated Mr B may be capable to an oesophageal or stomachic variceal rupture, which may do hypovolemic daze ( ref ) . HB As Mr B has portal high blood pressure, this means he is a high hazard of a Gastrointestinal bleed ( GI Bleed ) . A ( GI ) bleed is where portal high blood pressure occurs when there is an obstructor in the intra- or extrahepatic circulation ( REF ) . Psychologically I feel that Mr B ‘s physical demands were been depleted due to his chronic condition/illness. On admittance to infirmary, Mr B was highly malnourished, dehydrated and presented with self-neglect, which was provoked by his overly imbibing. Harmonizing to Maslow ( 1943 ) , these are all basic physiological demands. Mr B had late lost his Dendranthema grandifloruom to malignant neoplastic disease, which led to imbibing intoxicant overly. He felt he ne'er grieved decently, or spoke to anyone about his loss. I feel that this was a important contributing factor to his backsliding. Ref bereaves ) . Prior to his mourning he had been clean and free of intoxicant. Attending a support groups for alkies, such as alcoholic anon. may hold prevented his backsliding * ( REF ) . Consequently, this may hold helped him to get by with the loss of his Dendranthema grandifloruom, and assist beef up his ability to get the better of his alcoholic dependence. Mr B feels that he is socially excluded from society as he has been unable to work due to his illness/condition. As a nurse, it is cardinal that I help in back uping him, so he feels included in society, which may be done so by reffering him to an occupational healer. ( OT ) consume Whilst measuring Mr B, he disclosed that when he was turning up his pa consumed intoxicant overly. He feels that this had a immense impact on him, act uponing him follow his pa behaviour. It is known that if a people have parents ‘ who misuses intoxicant, so they have greater hazard of following these traits ( ref ) . Preventive steps will assist ease Mr B in act uponing his kids from following his drinking civilization. Socio-economic background may hold immense deduction in the execution of the effects of inordinate ingestion of intoxicant. I feel that this may be a immense barrier for Mr B to hold on the constructs of the damaging effects of intoxicant abuse. As a health care it is critical that I simplify the possible long term wellness effects of inordinate intoxicant comsumption. ( Ref )Q3.Required attentionAt present, there is no national service model ( NSF ) for liver disease patients. The primary attention trusts view in liver patients, is that they are non a immense precedence. Specialists stressed that liver patients are being left out on National Health Service ( NHS ) financess, which means that they will be at greater hazard ( REFFFBBC ) . However, there is National Institute Clinical ( NICE ) Guidelines in topographic point in order to assist supply quality attention to those enduring with ( ALD ) . Shaw et al indentified an assessment tool for patients enduring with intoxicant backdown, which establishes the badness of their backdown, and what appropriate intervention is required ( 1981 ) . The assessment tool used is the Clinical Institute Withdrawal Assessment for Alcohol Withdrawal ( CIWA-A ) , which is scored Mild-20.4, Moderate 24.2, and Severe 29. In regard to the appraisal tool, Mr B had a assortment of the typical backdown symptoms, which were ; shudders, sudating, hallucinating, and agitation, which meant he scored 20 & gt ; .Nonetheless, this presented a important hazard, if left untreated may take to complications. Mr B was treated as per protocol, which is ; Librium is benzodiazepine minor tranquilizers drug, which is used for short-run anxiousness, and should non be used long-run ( bnf 2010 ) . Harmonizing ( NICE ) guidelines the protocol intervention for anxiousness is 10 mgs Three times daily ( TDS ) , and may increased if necessary to 60-100 mgs daily in divided doses. The dosing government is a fixed dosage, get downing on twenty-four hours one at 20-30milligrams ( MGS ) four times daily, twenty-four hours two 20-30mgs three times day-to-day, twenty-four hours two 20-30mgs twice daily, and twenty-four hours four 20-30mgs one at bedtime. There is besides a symptoms triggered dose as required ( PRN ) , this depends on the badness of the symptoms. Benzodiazepine acts on receptors in the cardinal nervous system ( CNS ) to originate the action of gamma-aminobutyric acid ( GABA ) , which is a neurotransmitter. ( GABA ) receptors have at least two benzodiazepine receptors, which are named BZ and BZ2, when stimulated they enhance the repressive action by the ( GABA ) ( Alan et al. 2004 ) As Mr B ‘s brain disorder was impacting his degree of consciousness, it was significantly of import that we carried out his neurological observations. Neurological observations is whereby an appraisal and rating of an person ‘s unity and map of an person ‘s nervous system ( Rowley & A ; Fielding 1991 ) .CHECK WEB His status has meant that he is temporarily paralyzed, doing his musculuss to weaken, decreasing his physical strength. As a consequence he may potentially necessitate physical therapy. ( ref ) Education can be An probe that may be done to discourage if there is any obstructor in the portal venous system is an angiography, which establishes the cause and site of obstructor. It is besides critical that Mr B has an endoscopy, which will uncover gastro-oesophageal varices. It is of import that Mr B ‘s haemoglobin is closely monitored, this will bespeak if there is any signifier of bleed or obstructor ( Miller et al 2006 ) . PHARM Ascitess is another clinical manifestation of hepatic cirrhosis. It is where serous fluid is repeatedly produced in the peritoneal cavity.. This is when an accretion of fluid in the abdominal pit enters quicker than it can be returned to the circulation by the capillaries and lymphatics. If this is left untreated, the accretion of fluid will compromise Mr B ‘s critical variety meats, doing it hard for them to map. One of the mechanisms of ascites is hypoalbuminemia, whereby the liver is unable to synthesise albumen. It is of import this fluid is drained from the abdominal pit. There are two interventions which are used to run out this extra fluid. One is, an anti-diuretic called spriolactone, which is a loop water pill. Ref bnf This is done so by the interpolation of an ascitic drain. ref Anderson et al defines that the disposal of whole blood or any of its constituents into the blood stream, to rectify or handle any clinical abnormalcies ( 1994 ) . Mr B was given Human Albumin Solution ( HAS ) transfusion to modulate is hypoalbuminemia. Harmonizing to the ( BNF ) 20-25 % of concentrated solution of ( HAS ) may be used to obtain a diuresis in hypoalbuminaemic, it is of import whilst a patient receives this plasma replacement, their unstable balance is closely monitored ( 2010 ) . FBC REF Patients with alcohol-related liver disease are frequently malnourished, which accordingly has disadvantageous effects in their endurance ( Mendenhall et al.1984 ) KEISER MODEL As intoxicant abuse is going a immense load on the national wellness service ( 2000 ) . NICE guidelines stated that when such patients present themselves to hospital, it is of import that they are referred to the appropriate health care professional, which will guarantee they receive equal support ( 2010 ) . On admittance Mr B was referred to the intoxicant specializer nurse ( ANS ) , who deal with the intervention, after attention, and followup. Mr become nutritionally depleted as a consequence of his intoxicant liver diease, it was indispensable that was introduced some signifier of nutrition. ( Lechtenberg & A ; Warner ) states that Nutritional support must be offered, and see implementing a nasogastric tubing eating ( NG ) ( 1992 ) . KIASER MODEL The Kaiser theoretical account is to assist guarantee that there is a strategic and systemic attack towards those with ( LTC ‘s ) . It focuses in instance direction on the most vulnerable people with ( LTC ‘s ) . Mr B degree of attention is disease specific direction, which is ( flat 2 ) , this encompasses tracts and protocols. As mentioned earlier in the assignment there is presently no ( NSF ) for people with alcoholic liver disease. However, there are ( NICE ) guidelines to help in supplying attention for people with ( ALD ) . Mr B was populating independently prior to his admittance, with no input from multidisciplinary squad ( MDT ) . Planing the discharge on Mr B meant I had to look at the wider facets of his illness/condition. I feel that the execution of societal services would be highly benifical to Mr B. A referral to a liver nurse specializer I feel that Mr B would profit from a support group such as alkies anon. , which may assist diminish his hereafter admittances to infirmary. The Alcohol Needs Assessment Research Project ( ANARP ; Department of Health, 2005 ) identifies three classs of alcohol-use upsets. The clinical grounds reappraisal showed that benzodiazepines were more effectual than placebo for the bar of craze tremens and intoxicant backdown seizures26. The mean cost for handling patients with AAW across all trusts in England and Wales was estimated to be ?219 per in-patient day181. Acute intoxicant backdown hypertext transfer protocol: //www.patient.co.uk/doctor/Alcohol-Related-Problems.htm barr A. Drink: a societal history London 1998? ? ? ? ? ? ? ? ? ref orford j. inordinate appetencies: psychological position of dependences 2nd edition chichester: wiley 2001 hypertext transfer protocol: //www.nhs.uk/Conditions/Physiotherapy/Pages/How-does-it-work.aspx You must back up people in caring for themselves to better and keep their wellness Shaw JM, Kolesar GS, Sellers EM, Kaplan HL, Sandor P. Development of optimum intervention tactics for intoxicant backdown, I: appraisal and effectivity of supportive attention. J Clin Psychopharmacol. 1981 ; 8:382-389. British Medical Association and Royal Pharmaceutical Society of Great Britain. British National Formulary. 58 erectile dysfunction. London: United kingdom: BMJ Group and RPS Publishing ; 2009. DO NOT REF BELOW hypertext transfer protocol: //books.google.co.uk/books? id=q4qMwXJm4iwC & A ; pg=PR13 & A ; dq=Roper+N+etal+ ( 1996 ) +The+elements+of+nursing+a+model+for & A ; hl=en & A ; ei=BPYDTfPxJoyU4gbfwsWTCg & A ; sa=X & A ; oi=book_result & A ; ct=result & A ; resnum=1 & A ; ved=0CDMQ6AEwAA # v=onepage & A ; q & A ; f=false Fatty liver disease is reversible. If you stop imbibing intoxicant for two hebdomads, your liver should return to normal. Alcoholic liver disease is widespread in England. It is estimated that: 90-100 % of heavy drinkers have alcoholic fatty liver disease oneA in fourA drinkers with fatty liver disease will develop alcoholic hepatitis one in five drinkers with fatty liver disease will develop cirrhosis A heavy drinker is person who on a regular basis exceeds the recommended hebdomadal bound for intoxicant ingestion. This isA 3-4A units of intoxicant a twenty-four hours for work forces, andA 2-3A units for adult females. Womans are more likely to develop alcoholic liver disease, but work forces are more likely to decease from it, perchance because work forces tend to be heavier drinkers. In 2008, there were 4,764 deceases in England and Wales due to alcoholic liver disease. Three-fourthss ofA these were work forces. Death ratesA linked to alcoholic liver disease have risen by over two-thirds ( 69 % ) A in the lastA 30 old ages. This makes alcohol one of the most common causes of decease, along with smoke and high blood force per unit area. Fatty liver disease and hepatitis can develop at any age. Cirrhosis normally develops in people aged 40 or over.A However, instances of cirrhosis have been reported in people of all ages, including adolescents. NHS Clinical Knowledge Summaries, intoxicant abuse. hypertext transfer protocol: //www.cks.nhs.uk/patient_information_leaflet/Alcohol_misuse Aped hypertext transfer protocol: //www.statistics.gov.uk/CCI/nugget.asp? ID=1027 & A ; Pos=1 & A ; ColRank=2 & A ; Rank=1000 Roper N etal ( 1996 ) The elements of nursing a theoretical account for hypertext transfer protocol: //www.nmc-uk.org/Nurses-and-midwives/The-code/The-code-in-full/ hypertext transfer protocol: //www.nice.org.uk/nicemedia/live/12995/48989/48989.pdf hypertext transfer protocol: //www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_103161.pdf hypertext transfer protocol: //news.bbc.co.uk/1/hi/health/2660977.stm Heaven C.M. & A ; Maguire P. ( 1996 ) Training hospice nurses to arouse patient concerns. Journal of Advanced Nursing 23, 280AÂ ±286. International Council of Nursing ( 2007 ) www.ICN.ch/definition. Anderson, K.N. , Anderson, L.E. & A ; Glanze, W.D. ( explosive detection systems ) ( 1994 ) Mosby ‘s medical, Nursing, and Allied Health Dictionary, 4th edition. Mosby, St Louis, MO. Galbraith, A, Bullock, S, Manias, E, Hunt, B & A ; Richards, A92004 ) Fundamentalss of Pharmacology, Second Edition, Essex, Pearson Education Limited hypertext transfer protocol: //www.nice.org.uk/nicemedia/live/11810/35950/35950.pdf hypertext transfer protocol: //www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_103653.pdf hypertext transfer protocol: //www.rcn.org.uk/__data/assets/pdf_file/0008/78569/001998.pdf hypertext transfer protocol: //qjmed.oxfordjournals.org/content/93/5/291.full Mendenhall CL, Anderson S, Garcia PP et Al. Short-run and long-run endurance in patients with alcoholic hepatitis treated with oxandrolone and Pediapred. New England Journal of Medicine. 1984 ; 311 ( 23 ) :1464-1470. Lechtenberg R, Worner TM. Entire ethanol ingestion as a ictus hazard factor in alkies. Acta Neurologica Scandinavica. 1992 ; 85 ( 2 ) :90-94

College Degree Necessary Essay

In Barbara Ehrenreich’s article, â€Å"The Higher Education Scam† she expresses her feelings about employers looking specifically for college grads to fill their positions. Ehrenreich seems to be voicing her feelings to employers because they are beginning to look specifically for college grads, instead of people who may have more experience and knowledge, or even currently work for the organization. She claims that employers seek college grads merely because they have a college degree and it shows they have the ability to listen and obey. Deep within Ehrenreich seems to be attacking the college grads by saying that once they have finished school and earned their degree, they are now slaves to the employers. Her claim is quite logical and the examples she gives validate what she is saying. Conversely, she seems to be going on a theory with her argument and her attacks on the college grads for going to school and earning a degree detracts from the value she has built up. Finally, Ehrenreich’s argument is effective to some degree, but lack of personal experience leave the article with a flaw. Ehrenreich uses value and emotion within her article to get the attention of her audience. We all need jobs in order to get through life and if you want to have a good job, you need to get a degree. This puts a lot of value in what you need to accomplish because the final product is suppose to be worth it, and employers will only hire you if you are a college grad. Ehrenreich uses this example to connect with her audience and adds to the credibility of her argument. Throughout the article Ehrenreich adds humor to help make an emotional connection with her audience. She says that whatever you learn in college doesn’t seem to matter. All that employers are looking at is that you were able to sit still for long periods of time, be told what to do, and appear awake. Ehrenreich is saying that no matter what degree you’ve just earned, all employers are looking at is that you devoted 4 years doing what your told. She adds, â€Å"no college has yet been honest enough to offer a degree in seat-warming† (696). This is most likely what you will end up doing when you begin working at a white-collar job anyways, so by hiring you they know you are able to do what they ask. She also goes on to imply that you will be desperate for work because of the debt you have just accrued and you won’t become a troublemaker, or whistle blower. You’ll basically grovel at their every need and do exactly what your told. Ehrenreich adds to the credibility of her article by giving examples of people who have been able to do something and do it well, but didn’t have a degree to back it up. They were either dismissed from their job, or called out on it once they became popular. She gives the example about Marilee Jones who worked for MIT as the dean of admissions for twenty-eight years. Marilee claimed she had three degrees and yet she really didn’t have any. Now if Marilee had done a poor job as the dean of admission it would be easy to forgive and remove her from her position, yet she was very successful and it was threatening to an institution of higher learning. This gives us an emotional appeal because it’s a personal story of sadness for Marilee and it causes the audience to wonder if a college degree is really worth it. She did a good job for the institution and just because she didn’t have a degree, they were willing to dismiss her. Is that really all the companies want is a degree; or do they want someone who is going to do a great job for their organization? Throughout Ehrenreich’s article she stays pretty true to her argument, employers seek out college grads. Although she puts in the example of â€Å"Dr. Dennis Waitley Ph. D† who is known for writing a best selling self-help book The Secret. He confessed to not having a master’s degree and the marketing firm he worked for admitted that they couldn’t confirm he ever received his Ph. D. This example adds to Ehrenreich’s credibility, but it seems to go off what she talks about in the majority of her article, which seems to be more along the lines of employers. It does however stay true to her title, â€Å"The Higher Education Scam†. For her article to be spot on with her argument, she should have stuck more with education and touched on different subjects like employers, writers, and other people in general who have not had college degrees, but were still successful in their fields. In Ehrenreich’s article she doesn’t attack anyone in particular with what she is saying, but she keeps her comments vague so it is up to the reader to interpret the hidden meaning. In the beginning she talks about the amount of lies being put into resumes in order for people to get certain positions they are applying for. She says, â€Å"that 10-30 percent of resumes include distortions if not outright lies† (696). She adds to this with some more humor in saying, â€Å"lying is a grievous sin, as everyone outside of 1600 Pennsylvania Avenue knows† (696). This comment adds humor to the article as well as a little ad hominem because of the hidden attack. Ultimately, the article by Barbara Ehrenriech is effective. She shows credibility with the examples she uses and the only flaw seen is that she doesn’t have a personal example herself. She keeps humor going in the article, which keeps the audience drawn in and is very logical in her viewpoints. Ehrenreich really makes you think after reading her article. Should we go to college in order to get a degree and work for a good company? Should employers really just look for candidates that have earned that college degree hoping they will obey their every need? Should employers give there currently employees a chance to earn a college degree instead of being dismissed from their position? Is it worth over looking other candidates for positions strictly because they don’t have a degree when they will be able to do the same job and possibly do it better? To sum it all up, why do employers really need to be looking for a college degree? Is the time and money really worth it to earn that degree for a position that you are going to learn on the spot anyways? Employers really need to think about what they are doing and not just jump on the bandwagon and make hasty generalizations. Works Cited Ehrenreich, Barbara. â€Å"The Higher Education Scam. † Inventing Arguments, 2nd ed. Eds. John Mauk and John Metz. Boston: Wadsworth, 2009. Print. 69-697.