The Theory Of Self Reflection Essay Example For Students

The Theory Of Self Reflection Essay Introduction Self-reflection is cognitive processes which will helps and contribute to self-awareness. It makes you aware of your strengths and weakness. Consider the process of the knowledge of the Person of true science, practice and persuasions to develop professionalism. I believe that self-reflection is one of more influential ways one can develop. Although it may carry criticism with it, however, reflecting on you’re activity, thinking about the pros and cons, thinking about alternatives. can help broaden one’s thinking and add dimension to the thinking process. As Carl Sandburg puts it, â€Å"It is necessary . We will write a custom essay on The Theory Of Self Reflection specifically for you for only $16.38 $13.9/page Order now .. for a man to go away by himself .. . to sit on a rock and ask, Who am I, where have I been, and where am I going?† It is this exercise that allows humans to introspect and gives them the opportunity to learn about themselves and their nature. Having said that, I do not think it is that easy in real life. Gibbs (1998) says self-reflection has six cycles and they have to be carefully thought about to actually get results. They are, description, feelings, evaluation, analysis, conclusion and action plan. Description is the first stage where you have to explain what you are reflecting, i.e. some background information. Feelings are where you think about what you are feeling and why you are feeling. Evaluation is where you evaluate the situation, for example how you reacted to it. Then comes the analysis where you think about what might have helped the†¦

bullying is a problem Essays

bullying is a problem Essays bullying is a problem Essay bullying is a problem Essay Bullying is a problem I get bullied for stupid things because of my religion and how Im always shy and weak. I find it really stupid to bully someone for their religion its their life not yours u werent born to be a Christian so why bully them for their religion when u are something different. The person being bullied is usually quiet, shy, and insecure or could be an instigator due to needing attention. The bullies may bully a sibling at home and feel the need to continue aggravating or Just may be frustrated and feels a need to vent on someone. Problems at home are a good possibility as to why kids at chool act the way they do. The one being bullied needs to speak up and cut off this unnecessary action towards them. Especially if they dont deserve it! Tell the kid being bullied to tell the bully that he/she could very well be his/her boss one day! Wouldnt that be something to go to an interview and the interviewer was the kid that you beat up on in school? The reason is the bully has insecurities. He has problems. Things you list like, weight, sexual preference, religion etc. , these are Just excuses. The bully uses them in his own mind to Justify what he is doing. What I find amusing not) is that almost all people who bully will do so when the victim is out numbered and yet they will then label him/her as weak and cant defend them self. Rather difficult when you have a person behind you ready to hold you back should you defends your self. The effects can be life long. Or for some short if the victim is driven to kill him/her self. If your getting bullied for no reason then tell them Keep talking your sh*t, cause thats ALL that you guys could do is talk but do nothing! or I really dont care if you believe me or not cause I know I went and it doesnt matter!. You allow yourself to be socially isolated. Being alone makes you look weak and vulnerable. Bullies are cowards at heart, so they will always look for the weakest link to pick on to make they feel better. Thats also why they tend to congregate in groups it makes them feel less weak. They probably resent the fact that you dont n eed them as much as they need you. Youre not the only one this is happening to. Every school has a group of kids who choose not to be in the right clique. Find those kids and hang with them. An Anti-Clique if you will. When it comes to understanding why ullies target specific kids, its important to move past the usual stereotypes. As a society, kids have been taught that weak, overweight or socially challenged individuals are worthy of scorn and disregard. As a result, they feel free to bully anyone who falls into these categories. People also wrongly believe targets of bullying somehow bring bullying on themselves. Their thought is that if the targets were stronger or different in some way then they wouldnt be bullied. They also believe that if targets want to be accepted by society and free from bullying they should change. Meanwhile, other people wrongly assume that targets deserve the bullying. They feel that targets are too sensitive, unstable or whiners and that if they were stronger they wouldnt be bullied. But in reality the problem doesnt lie with the victims of bullying. Anyone can be a target of bullying. In fact, bullying has more to do with the choice of the bully and less to do with some defect in the target. And, the responsibility for bullying always lies with the bully. So, why are individuals bullied? from personality characteristics to being in the wrong place at the wrong time. Here are some common characteristics that can lead to bullying.

15 Idioms for Periods of Time

15 Idioms for Periods of Time 15 Idioms for Periods of Time 15 Idioms for Periods of Time By Mark Nichol A body of idiomatic words and expressions vividly denote brief periods of time or otherwise refer to various durations. Here’s a sampling of such terms. 1. After hours: In the evening or at night, or late in the day (referring to standard daytime hours that most businesses are open) 2. Banker’s hours: A relatively short duration (from the onetime tradition that banks were open for a limited number of hours compared to other businesses; therefore, one who keeps banker’s hours has a light work schedule) 3. Bat/wink/twinkling of an eye: variations of an idiom referring to a period of time so brief that it passes while one’s eyelid moves 4. Eleventh hour: occurring late in a given time frame (from the fact that the eleventh hour is the last in the day before midnight) 5. Flash: an instant (from the fact that a flash of flame is short lived) 6. Heartbeat: an instant (from the duration between one heartbeat and the next); usually seen in the expression â€Å"in a heartbeat†; by contrast, a phrase beginning â€Å"a heartbeat away from† refers to someone being in line for promotion if the heart of that person’s immediate superior stops beating that is, if the other person dies 7. Jiffy: an instant (perhaps from slang for lightning); also shortened to jiff 8. New York minute: a brief time (from the notion that minutes in the hectic milieu of New York City pass more quickly than those in more relaxed locales) 9. On the hour: at the beginning of every hour 19. Shake: a very short period; usually employed in the phrase â€Å"two shakes† (a truncation of the idiom â€Å"two shakes of a lamb’s tail,† alluding to the typically rapid motion of the young animal’s tail) 11. Small hours: the early morning (from the low numbers on the clock that indicate the time during that period) 12. Split second: a fraction of a second (from the notion that a second can be split, or subdivided); a split is also a fraction of the total elapsed time for a race 13. Tick: a moment (from the ticking of a clock); a tick is literally a mark used for measure, as on a clock 14. Trice: a short period of time (from a word meaning â€Å"pull†); often seen in the phrase â€Å"in a trice† 15. Witching hour: midnight or the middle of the night (with the connotation that unsettling or unusual things happen then, from the superstition that witches are about at that time) Note: The DWT Freelance Writing Course will be re-opening next Tuesday, November 6. Make sure to mark it on your calendar if you are planning to join us. The course costs $97 (single payment), and it runs for six weeks. Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Vocabulary category, check our popular posts, or choose a related post below:When to Use â€Å"That,† â€Å"Which,† and â€Å"Who†Comma Before ButEnglish Grammar 101: Sentences, Clauses and Phrases

Environmental Effects of Global Warming in Florida Research Paper

Environmental Effects of Global Warming in Florida - Research Paper Example This paper talks about the phenomenon of the global warming and its effects in Florida. Through undertaking this research the various environmental effects of global warming within the state become clearly understood. The experiences within other are reviewed through the research. The research will become essential in seeking to provide solutions to the adverse effects presented to the environment by global warming, upon the state of Florida. This exploratory research will seek to gather information regarding environmental effects of global warming in Florida. The information is gathered through review of existing environmental publication, exploration of the region and interviews with some interest group members. The average temperatures across the world have been observed to rise over a long period of time. These rising temperatures have continuously presented various effects upon the environment and other social systems across the world. Greenhouse gasses have been identified as presenting the biggest challenge in contributing towards global warming. Physical effects include the increased occurrence of extreme weather cases, which have been observed. These include hurricanes, which have been associated with global warming. Oceans have also been identified as becoming more acidified by the absorption of gases causing global warming. The temperature rise has also been observed within the oceans. The state of Florida has an extensive coastline, and the global warming effects from the oceans could be available.

Criminal justice Essay Example | Topics and Well Written Essays - 500 words - 1

Criminal justice - Essay Example There is also a newer classification which is the National Incident-Based Reporting System or NIBRS which is an upgraded version of the UCR (Samaha, 2006). These systems are all very different. They range from random-sampling based surveys to the more tangible nationwide percentage surveys. The more popular of all of then is the Uniform Crime Reports as conducted by the Federal Bureau of Investigation (FBI). This is the first to be cited in crime reporting statistics because it is based on actual data gathered throughout the country annually. The others, being primarily based on sample populations taken at random reasonably yields a more vague assumption when it comes to results. Statistically, they have a higher rate when it comes to margin of error. We can actually classify crime reporting measuring systems into two logical kinds, the official crime statistics and the unofficial crime statistics. They are also gathered at different stages (Wold & Weis). I find that the official rep orts are more useful because they are based on actual data. Over time this system has transformed and included other types of more specialized data such as the Hate Crime Statistics and the Law Enforcement Officers Killed and Assaulted (Federal Bureau of Investigation). It’s newest addition, the NIBRS is a more fine-tuned version of the older UCR.

The Ruined Maid in the Novel Essay Example for Free

The Ruined Maid in the Novel Essay For dreariness nothing could surpass a prospect in the outskirts of a certain town and military station, many miles north of Weatherbury, at a later hour on this same snowy evening if that may be called a prospect of which the chief constituent was darkness Both appearances of Fanny Robin have been undercover of night and in darkness which suggests that she has such an element of tragedy about her, she cannot be seen in the light which usually signifies positivity and purity; she has been ruined by something unknown to the reader at the present time. The bell was in the open air, and being overlaid with several inches of muffling snow had lost its voice for the time. The bell represents Fanny Robins and it being in the open air illustrates her vulnerability. Hardy then goes on to reveal that it was overlaid with several inches of muffling snow which signifies Fannys increasing insignificance and decreasing strength as a bell is usually something clearly heard but now it almost cannot be heard at all. It shows how her fate is out of her control just as the weather affecting the bell is unpredictable and uncontrollable. In this chapter Fanny Robin is shown not out of place with her destitute surroundings, even trying to become part of it as her stature is stooped as if she is trying to be as unnoticed as possible. Hardy aids this by again not revealing her identity but by referring to her as a mere form and spot that only seemed human. The throw was the idea of a man conjoined with the execution of a woman. No man who had ever seen bird, rabbit, or squirrel in his childhood, could possibly have thrown with such utter imbecility as was shown here. Here hardy makes it clear that Fanny has lost all notion of what a respectable woman would do as her actions of throwing snow at Sergeant Troys window is likened to that of a mans. However, she still conforms to what would be expected if a woman were to do so by Hardys sexist notion that her throw showed such utter imbecility the blurred spot could not possibly be a man, also signifying her physical weakness. Fannys identity is not even recognised by her lover Troy as he asks What girl are you? which backs up the reputation of a soldier in which one is not entirely devoted to only one woman at a time. The dialogue to follow shows their complete opposite affections for one another; Troy shows how undependable he is and that he does not return the same love for Fanny as she does for him, or even treat it seriously at all. Their difference in character and position in the relationship is demonstrated by hardys use of similes likening both to the setting around them; Fanny being so much like a mere shade upon the earth shows how she is part of an unpredictable and vulnerable substance which is at the mercy of Troy being so much a part of the building signifying his strength in the relationship and knowledge that he can take advantage of Fannys vulnerable state. They are likened so much to these inanimate objects that One would have said the wall was holding a conversation with the snow. Due to her naivety towards Troys true nature, Fanny then asks the question of when they shall be married; a preposterous action of a woman of that period. However, their marriage is thwarted by an explainable misunderstanding and it is not surprising that Troy uses this as an excuse to break off all relations with Fanny leaving her alone and deeper in the poverty for which he is responsible for. Fanny is now truly a ruined maid as both pregnant and unmarried she has no place in any respectable society and so we as the reader are made to feel sympathy and pity for her through Hardys description of the pathos of her circumstance. Page 230 marks a change in Troys nature as he imparts that Fanny has long ago left me I have searched for her everywhere almost suggesting that he regrets his previous actions towards her. In chapter 29 Troy, newly married to Bathsheba, comes across a woman of extreme poverty and sadness of face; undeniably Fanny. This section of the novel evidences Troys altered emotions towards Fanny as he offers her money and agrees to meet her in two days time. Troy also protects her identity to Bathsheba though for whose benefit it is unclear. Chapter 40 marks the start of the quick ultimate downfall of Fanny in contrast to before as we noted her slow demise to ruination over a number of chapters whereas now, when she becomes a significant part of the novel, her end is narrated almost consecutively without much interval. Her extraordinarily strenuous walk to Casterbridge marks the last journey she will take. We are still not told directly that it is Fanny Robin as Hardy still masks her identity and describes her only as the woman but it is easy enough to assume. Her undeniable perseverance shows that she is still naively at the mercy of Troy and his actions towards her have made no real emotional impact on her, even after such a long time. Hardy again uses pathetic fallacy much like in chapter 11 by describing the sky to set the tone in which Fanny is then presented. When the woman awoke it was to find herself in the depths of a moonless and starless night. A heavy unbroken crust of cloud stretched across the sky, shutting out every speck of heaven. Fanny again finds herself in darkness, a recurring theme in the novel although the fact that it is moonless and starless and the cloud is shutting out every speck of heaven sets a more formidable mood than ever associated with Fanny as any possible positive aspect is gone; Hardy again prepares the reader for the dire events to come. When Fanny no longer has the strength to carry herself she leans on a dog which proves ironic that she does not receive any human aid. The dog is extremely significant as it illustrates Fannys final fall in both social status and ruination and she now finds comfort and reassurance from an animal; much like when Gabriel likens himself to his sheepdog in the early chapters marking his own drop in social status. It is then revealed that a man has stoned away the dog symbolising mans attitude towards Fanny as it was a man who reduced her to poverty, left her ruined and then chased away the dog; the only thing that has ever shown her true kindness and compassion. Fanny never makes it to Casterbridge but tragically dies whilst having Troys child in the poor house. Her death is extremely significant and marks her complete transformation into a ruined maid; she dies whilst having an illegitimate child unknown to the father who left her poverty stricken in a world where she is insignificant and alone. Her death also has an almost domino effect as Hardys theme of chance and fate spreads Fannys tragic end onto the other characters leading to the ruination of Bathsheba and Troys marriage. The truth is revealed about Fanny and her child and the blame is not placed on her but on Troy, the sole villain that ruined her. Fannys utterly pitiful situation invokes the sympathy of even hard-headed Bathsheba; showing the intensity of her ruination. Throughout Far From the Madding Crowd, the meetings with Fanny Robin illustrate what happens to a person who unnoticeably falls through the crevices in society, who is neglected and transparent to humanity and so lives a brief life of poverty, ending in tragedy. Hardy uses a constant isolated and distant tone, never directly identifying her, when describing Fanny, portraying the scarcity of attention she receives from others. Due to this it is clear that her ultimate ruination was inevitable from the start.

The Truth Of Dreams :: essays research papers

Dreams, what are dreams? For many years I have wondered what dreams are made of. After much thought and deliberation I have stumbled upon three possible answers to this question. First of all, I think it could be a period of total escape from reality and all of the problems that reality brings with it. Second, I believe that dreams provide a time of contemplation of past mistakes and what would have been the outcome if a different choice would have been made. Third, I think dreams may contain the simple answers to difficult problems which the mind overlooked and disregarded as to basic of a solution for such a complex problem.The day is stressful, and through the day one does not always have a time to rest and relax. Dreams provide a way to relive this stress. It does this by allowing the mind to escape to anywhere it desires. Thus allowing eight hours to be anything one’s heart wants and needs. Dreams may be the only way for one to live out their â€Å"dreams.†We all know we make mistakes, we can not help but to make mistakes, it is human nature. Dreams provide us with an open opportunity to look back and analyze the mistake and choice. Looking close at a mistake and its eventual consequences along with the choices one did not make and consciences one did not receive provides us with a golden opportunity to not make the same mistake again.Answers, everyone needs answers to one’s problems to live. Problems from where one will find one’s next meal to what sort of life is in the outer most part of the solar system. All day long the brain thinks of very complex answers to these highly complex problems. Sometimes, and only sometimes the simple answer is better than the complex answer, but if one is looking for the complex answer how can one find the simple answer? Dreams, while asleep one’s brain can not function on the same level as when one is awake. Therefore, when one is asleep and is still looking for the answer one will not have any other except the simple answer to think about. This will show one the correct answer so one will have it when one wakes up the next morning.

Care Of 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

Abolish the Penny essay

Abolishing the Penny: The biggest questions now days are,† Should the penny really be abolished and why is the penny still in route like its ten or five cents? † It's been our smallest-denomination coin for 150 years. But if people are leaving pennies at the cash register, is it time to get rid of them? In this essay I am going to argue why we should keep the penny and why people think the penny should stay in route with the rest of the coins. Also why or why not we should keep the penny and if we didn’t where would the penny go?What made me want to argue my opinion versus the Harvard professor of Economics Gregory Mankiw who believes that the penny should be abolished is because the penny helps a lot of people survive the long way. I felt like this was a much needed topic to talk about because some people who have money no matter if they are in the lower class through higher class living situations are acting like pennies don’t or won’t affect them i f it was to disappear. I still use pennies and collect them until I feel like it’s a lot of money to go cash them in; it’s a good way to save money too.Whether we use the penny on the regular like we use quarters, nickels, and dimes shouldn’t matter because it’s still being circulated in cash flow. . Most cash transactions involve the exchange of pennies, and this increases the time it takes to complete them. Also some people are saying that the penny should be abolished because it’s just taking up space in the currency flow. I don’t believe that the penny is taking up space because it works as if it was a quarter, nickel, or dime in some places. For example when you don’t have the needed change, you would turn to the penny. Some people say minting pennies is a waste of money. They say the penny has out lived its usefulness so we should retire it, but I believe the penny has more life in it still because people is the US still use it unlike Canada and few other states or countries. Gregory Mankiw points out, â€Å"When people start leaving a monetary unit at the cash register for the next customer, the unit is too small to be useful. † But some people just leave the pennies there because they don’t feel like waiting for the cashiers to count it out. Statistics show that the U. S. Mint produces about 7 billion pennies a year at a cost of $100 million dollars.Pennies are made of copper and zinc, two metals that have recently soared in price. Because of the high value of those metals, a penny is worth more melted down than as U. S. currency. â€Å"A simple way to retire the penny would be to round each cash transaction to the nearest nickel†, but why would you want to round to the nearest nickel, that’s spending more money though. I don’t believe that we should abolish the penny because it’s been around for so long, if we were to abolish the penny what would we use to break five, ten , or odd numbers of cents. It’s also illegal to melt pennies. Abolishing the penny would not save the government money.Without the penny, the U. S. Mint would produce more nickels. Due to soaring metal prices, the nickel costs almost 10 cents to produce. Spending more money to produce more nickels is no way to save money. In conclusion to my argument as well as my opinion versus the Harvard professor of Economics Gregory Mankiw who believes that the penny should be abolished, has been clearly stated that the penny should not be abolished for plenty of reasons and the penny should stay in circulation with the rest of the currency. My opinion still stands strong as to why we should keep the penny and what would happen if the penny was to disappear.

Floating Spinach Disks Photosynthesis Demonstration

Floating Spinach Disks Photosynthesis Demonstration Watch spinach leaf disks rise  and fall in a baking soda solution in response to photosynthesis. The leaf disks intake carbon dioxide from a baking soda solution and sink to the bottom of a cup of water. When exposed to light, the disks use carbon dioxide and water to produce oxygen and glucose. Oxygen released from the leaves forms tiny bubbles that cause the leaves to float. Photosynthesis Demonstration Materials You can use other leaves for this project besides spinach. Ivy leaves or pokeweed or any smooth-leaf plant work. Avoid fuzzy leaves or areas of leaves that have large veins. fresh spinach leavessingle hole punch or a hard plastic strawbaking soda (sodium bicarbonate)liquid dishwashing detergentplastic syringe (no needle, 10  ccs or larger)clear cup or glasslight source (bright sunlight works or you can use an artificial light) Procedure Prepare a bicarbonate solution by mixing 6.3 grams (about 1/8 teaspoon) baking soda in 300 milliliters of water. The bicarbonate solution acts as a source of dissolved carbon dioxide for photosynthesis.In a separate container, dilute a detergent solution by stirring a drop of dishwashing liquid in about 200 milliliters of water.Fill a cup partly full with the baking soda solution. Add a drop of the detergent solution to this cup. If the solution forms suds, add more baking soda solution until you stop seeing bubbles.Use the hole punch or straw to punch ten to 20 disks from your leaves. Avoid the edges of the leaves or major veins. You want smooth, flat disks.Remove the plunger from the syringe and add the leaf disks.Replace the plunger and slowly depress it to expel as much air as you can without crushing the leaves.Dip the syringe in the baking soda/detergent solution and draw in about 3 ccs of liquid. Tap the syringe to suspend the leaves in the solution.Push the plunger to expel e xcess air, then place your finger over the end of the syringe and pull back on the plunger to create a vacuum. While maintaining the vacuum, swirl the leaf disks in the syringe. After 10 seconds, remove your finger (release the vacuum).You may wish to repeat the vacuum procedure two to three more times to ensure the leaves take up carbon dioxide from the baking soda solution. The disks should sink to the bottom of the syringe when they are ready for the demonstration. If the disks do not sink, use fresh disks and a solution with a higher concentration of baking soda and a bit more detergent.Pour the spinach leaf discs into the cup of baking soda/detergent solution. Dislodge any disks that stick to the side of the container. Initially, the disks should sink to the bottom of the cup.Expose the cup to light. As the leaves produce oxygen, bubbles forming on the surface of the disks will cause them to rise. If you remove the light source from the cup, the leaves eventually will sink.If you return the disks to the light, what happens? You can experiment with the intensity and duration of the light and its wavelength. If you would like to set up a control cup, for comparison, prepare a cup containing water with diluted detergent and spinach leaf disks that have not been infiltrated with carbon dioxide.

Meaning of Baron Through Medieval Times and After

Meaning of Baron Through Medieval Times and After In the Middle Ages, baron was a title of honor given to any nobleman who pledged his loyalty and service to a superior in return for land that he could pass on to his heirs. The monarch was usually the superior in question, although each baron could parcel out some of his land to subordinate barons. Read on the learn about the etymology of the term and how the title has changed over the centuries. The Origins of Baron The term baron is an Old French, or Old Frankish, a word that means man or servant. This Old French term derives from the Late Latin word, baro. Barons in Medieval Times Baron was a hereditary title that arose in the Middle Ages that was given men who offered his loyalty in exchange for land. Thus, barons usually possessed a fief. During this time period, there was no specific rank associated with the title. Barons existed in Great Britain, France, Germany, Italy and Spain. Decline of the Baron Title In France, King Louis XIV diminished the prestige of the baron title by making numerous men barons, thus cheapening the name.   In Germany, the equivalent of a baron was freiherr, or free lord. Freiherr at first connoted a dynastic status, but eventually, the more influential freiherrs  rebranded themselves as counts. Thus, the freiherr title came to mean a low class of nobility.   The baron title was abolished in Italy in 1945 and in Spain in 1812. Modern Usage Barons are still a term used by certain governments. Today a baron is a title of nobility ranking just below that of a viscount. In countries where there are no viscounts, a baron ranks just below a count.

Global Justice and The Poor Essay Example | Topics and Well Written Essays - 1750 words

Global Justice and The Poor - Essay Example TWO PERSPECTIVES ON POVERTY: There are many different perspectives on poverty. The two that will be discussed in the paper are that of Bill Gates and that of Thomas Pogge. It is very interesting to study the perspective of Bill Gates on poverty. He has emerged as a very successful person in the field of business and technology and now his success as a social responsibility champion has made him a figure to be considered for his views on poverty. His views on poverty are quite different than the usual views that are prevalent in the market today. His ideas to quite an extent are controversial and therefore make a very interesting study. Though he is very new to the field his views are worth considering because he has allocated a sum of 38.7 billion dollars to help the social cause and help make this world a better place to live. Thomas Pogge is considered to be one of the most known figures in the world on the topic of Global Justice and poverty. He has many researches to his name and is also the author of the best known published book World Poverty and Human Rights. The views on poverty and the possible things that hamper reduction of poverty, things that cause poverty and also what are the solutions to eradicate poverty are all very different and contrasting and therefore make an interesting study. Non?Maleficence v. ... In fact, Pogge has very clearly mentioned in his writings that in his opinion World Trade Organization has opened the market too little and this is a contributing factor to poverty. Gates and Pogge both believe that the increasing global wealth inequities help in solving the issue of poverty. They both again agree on the fact that poverty is a very pressing issue and should be dealt with effectively and efficiently. The differences in their perspectives becomes very clear when we see that Gates believes that beneficence is the way we can reduce poverty and Pogge is of the opinion that to reduce poverty we need to be non?maleficence. This is one contrasting feature in their opinion of existence of poverty and therefore it becomes the base of the different ways which they will employee to reduce poverty. Gates has suggested that we can reduce poverty effectively and in a long lasting way, by being more benevolent. This opinion of his clearly suggests that he is not looking to get rid o f poverty completely. His realistic opinion is that poverty can surely be reduced but it cannot be gotten rid of completely. His opinion however, in no way indicates that he wants people to remain poor. In a contrasting opinion Pogge believes the global institutional order should be formed again as it does nothing to reduce poverty but in fact promotes it. In Pogge’s opinion poverty is a problem that has been created because of the issue of global justice and he believes that institutions inflict harm on each other and that this should be stopped. He believes that to reduce poverty global, injustice should be reduced along with socioeconomic poverty. He also believes that the inaccessibility that