Wednesday, November 27, 2019

True Reasons We Love Super Bowl

True Reasons We Love Super Bowl Super Bowl is the most popular show among Americans. In a bit more than a week the whole nation will be glued to the screen to see the game. And there is a number of reasons for that! Loving NFL is a long lasting tradition, so nobody actually asks questions like Why watch Super Bowl? or Why do you like Super Bowl? or (God forbid) What is Super Bowl? However, we decided to bring these wonderful Super Bowl things together to make your week of game anticipation even more exciting. This post is also for Super Bowl haters. You still time to change your mind start loving Super Bowl (because in week its going to be too late!) Bringing Folks Together Okay, maybe there’s a fair amount of other things going on in this world that need more attention. And yes, it would be nice if we saw the same passion and fervor for civil rights and personal liberties these days. But at least this magical game, when the best of the best go head to head and the commenters are flipping out, brings people together in sports bars and living rooms across the land. Chanting, cheering, stumbling around, and pretty much going quasi-insane for a few hours. It’s good fun. And listen, Super Bowl parties run the whole gauntlet from two dudes in their boxers in their dorm room eating Cheetos from the vending machine on the first floor†¦to blockbuster block parties and after-parties that literally anger the gods. It proves that whether you want it or not football is a part of our national heritage†¦a part of the DNA, to be more precise. Special Food Chips and dips, wings and BBQ feasts, casseroles galore Super Bowl food comes in many different nuances of class and sophistication. There’s your cheap and dirty munchies finished off with piss beer and then all the more â€Å"adult† parties where they take some time to make decent grub: gourmet sandwiches, tiny sirloin burgers, high-brow quesadillas, etc. If you get invited to one of these parties start counting your blessings! The food rocks no matter what though. And, while the game’s going it doesn’t matter if it’s the most fattening food in the known galaxy. Halftime Commercials Rule Corporations pull out all the stops, it’s madness! Throughout the rest of the year most commercials are like Super Villain fingernails carving words into chalk boards. Then suddenly, this one spellbinding game comes around and almost all the commercials are either super-deep thinker-pieces, or funny as hell. According to superbowl-commercials.org (yep, there’s a website for everything), here are a couple big hits from 2014: NSA – Smile, We Know When You’re Not (youtube.com/watch?v=NcAEjvT-Ri8#t=97) A commercial like this can only happen during a Super Bowl. AXE – Make Love, Not War (youtube.com/watch?v=UIecNEIaPao) It makes sense during the Super Bowl, everything does. Oh man, then you’ve got the halftime show, which, let’s be honest, is pretty hit or miss. Some years it’s dull or you’re laughing all over the place. But some years, wow, the show knocks your socks off and typically delivers some controversy to boot! In case you’re wondering, the Billboard list of the Best Half-Time shows claims these are the top 3 so far: Prince, in 2007: â€Å"But the explosive coda was Purple Rain, which had the stadium full of testosterone-pumped football fanatics waving their arms and howling in falsetto.† U2, in 2002: This was the mega-heart-wrenching tribute to 9/11 set when the wound was still very deep and fresh for the nation. Madonna, 2012: This got some pretty mixed reviews. But that’s the beauty of it, there are winners and losers in every aspect of the game, even in terms of entertainment. Rivalries Are Fun True, it’s not so cool when these rivalries get out of hand and people riot after football games. But to be honest, sports rivalries are much safer than wars, battles, revolutions, civil upheaval, geopolitical struggles, and all the other sorts of violent ways people create to release some steam. The Super Bowl let’s people who love the game really beat up a few pillows, scream at TVs, throw controllers, pull out a little hair, tear a jersey or two, and stomp around like they’ve got the last of their savings account riding on the game. Great Success Stories We follow NFL for the whole year. We know the players and all about them what coffee they drink, how their girlfriends look like and their football career, of course. We know the strengths and weaknesses of each team. And one day here they are on the field. The struggle begins. Each move counts. Each moment can be decisive. One big winning or a big failure. Fans rage. Thats the atmosphere where the legends are born. These stories are remembered and passed from generation to generation. These stories inspire. So, each Super Bowl is legendary and cant be missed for anything on earth. And that’s why we love the Super Bowl! Are there any reasons you like Super Bowl that we didnt mention! Agree or disagree with us in the comments!

Saturday, November 23, 2019

Why Take the ACT 9 Important Reasons

Why Take the ACT 9 Important Reasons SAT / ACT Prep Online Guides and Tips Standardized testingis not most people's idea of fun- quite the opposite actually. Why take the ACT, then?There are quite a few reasons, actually, and they range from the essentially necessary to the more elective. In this guide, we'll discuss what those reasons are, from college applications to job searching, as well as why the ACT may fit you better than the SAT. #1: Most Colleges Will Require Your Scores There are, indeed, some colleges that don't require scores- schools that are test-optional or even completely test-blind. That being said, most colleges want to see how you did on the SAT and/or ACT. Colleges will accept either one- you don't need to submit both unless you want to, and no college will dictate which you should send. Not taking the test, then, severely limits your options regarding the schools you can hope to attend. #2: There Are Score-Based Scholarships for the Winning Many colleges reward students with loads of tuition money, provided they can supply the appropriate test scores. Taking the ACT (and doing well on it) could actually lead to a full ride at some schools and generous scholarships at many other. Hopefully your scholarship money won't be meted out in single-dollar bills, either. #3: Some Jobs Require Your Test Scores This may seem odd, and it's certainly a newer trend. Still, some potential bosses want to see data from the SAT or ACT before they hire you. This doesn't just apply to test prep jobs, either; it applies to jobs in consulting and the financial sector, too. According to the Wall Street Journal, it's getting more common. How much better, then, to get it taken care of now, rather than scrambling to take the test when an employerasks for scores unexpectedly? (Answer: A lot better.) #4: The ACT Has a Science Section The SAT incorporates some scientific passages into the test, but there's no all-out science section. If science is your thing, then- if you're a total science whiz- use the ACT as an opportunity to shine! #5: The ACT Is Lighteron Algebra Than the SAT The ACT makes up for its relative lack of algebraic heft by shining the light on geometry and trigonometry more so than the SAT. This, then, is largely a matter of taste and your sense of preparedness. If you're not a fan of algebra, but you do really with geometry and trigonometry, opt for the ACT. #6: The ACT Permits Calculators Throughout the Math Test The SAT has a calculator portion and a no-calculator portion of the Math test. The no-calculator questions on the SAT are generally the kind a calculator wouldn't help much on anyway, but, still, if you really rely on having those buttons to push, the ACT is your test. This also applies if you simply dislike the kinds of calculations that you can do by hand. If you like crunching unwieldy numbers better than manipulating expressions by hand, go for the ACT! Make sure you're comfortable with that calculator, though! #7: The ACT Does Not Have Any Grid-Ins Student-produced response questions, or grid-ins, are the ones where you supply your own answer, as featured on the SAT. These questions don't exist on the ACT, meaning you always have answer choices handed to you to work with. #8: The Essay on the ACT Wants Your Opinion Well, technically, it doesn't care whose opinion you give, but you do need to argue a case by evaluating and analyzing complex issues of relevance to humanity and life as a whole. The SAT's essay, on the other hand, is all about reading comprehension and literary analysis. If you're a better debater than you are a literary detective, the ACT may be your test. #9: The ACT Is Required by Some States Any high schooler going to school in certain states will be required to take some form of the ACT, either with or without writing. There's not much choice to be had if you live in one of the states in question. Conclusion: Why Take the ACT? In this article, we've seen a number of reasons to take standardized tests, including keeping college options open, winning scholarships, and even appealing to potential employers. We've also looked at some reasons that the ACT may fit students better than the SAT, like the inclusion of a science section and the relative lack of emphasis on algebra. If you're going to take the ACT for any of these reasons, make sure you spend some time preparing. Your level of comfort will be much higher if you prepare ahead of time- and, most likely, your results will be better, too. What's Next? If you've decided that standardized testing is for you but aren't quite sold on the ACT, read a more dedicated discussion on which test might be right for you. Maybe youare sold on the ACT, though.Are you wondering what kind of score is going to get you where you want to go? Take a look at our guide to what qualifies as a good score- and why it's so subjective. You can also take a moment, if you're aiming for a perfect score, to read about how to get there. Want to improve your ACT score by 4+ points? Download our free guide to the top 5 strategies you need in your prep to improve your ACT score dramatically.

Thursday, November 21, 2019

Information Sensitivity and Protection of Data (CASE) module 5 Essay

Information Sensitivity and Protection of Data (CASE) module 5 - Essay Example For instance, employers and organizations are putting more limitation on the accessibility of their information. In the long run, these organizations are suffering time management issues. In this cases, organizations have limited the access of information to physicians and nurses likewise. This limitation requires organizations to only authorize a few entities to information databases. For the physicians and nurses, flow of information changes from prompt and detailed to delayed and censored. The article defines the cost of unintended consequences from policies and other strategies (Jarrell et al. 2012). An interdisciplinary health care delivery can be defined through the consideration of the term interdisciplinary meaning integration of multiple disciplines or fields of expertise. Within the health care sector interdisciplinary health care delivery means the delivery of services by collaboration of multiple health care professionals. Normally health care professionals use interdisciplinary health care delivery when they are faced by multi-step medical intervention. This medical intervention plan may involve diagnosis by a doctor, tests by a lab technician, prescriptions by a physician, and administration of care by nurses. In this case, the flow of information starts from the first professional to see the patient down to the one offering care. The advantages of using interdisciplinary health care delivery include professional intervention by experts on specific areas of the intervention. This ensures accuracy and best practice ensuring that all parties provide timely and relevant i ntervention input coinciding with their qualifications (Hinegardner, 2003). The law of unintended consequences is an idiomatic warming that informs administrative bodies that their strategies and policies have the potential of leading to undesired or unintended results. With application to the health care sector, the law of unintended

Wednesday, November 20, 2019

Criminology Essay Example | Topics and Well Written Essays - 1500 words

Criminology - Essay Example However, more recent theories seek to front crime as caused by a multiplicity of causes, most of them inherent in the larger society. As per Croall (9), there is no one way of looking at crime in society that can fully explain why crime usually takes place. More so, Croall asserts that â€Å"there is no clear cut history of which have predominated in distinct periods although some have more resonance at particular historical moment† Sociological theories explain crime as caused by disconnect within society and/or lack of core tenets of moral living. The major sub-theories within sociological explanation of crime include strain theory, labeling theory, control theory, social theory, and critical theories. All these sociological theories tend to explain crime in the context of the social environment that essentially includes the family, work places, the school, and other areas of the community that people tend to live in and interact. The only way that these theories seem to dif fer is in the way they focus on different aspects of the social environment occupied. While some focus on individual differences in crime, others tend to look at crime as a larger end-product of group differences in society. They later try to look at distinction in criminal activities in distinct communities so as to explain the causes inherent in the neighborhood with a higher crime rate that are absent or minimal in the areas with lower crime rates. A new frontier in crime causation, however, seeks to combine a number of the above theories, thus creating integrated theories. According to Arrigo (17), this theory, in essence, shows a link between several of the sociological causes giving rise to crime causation. Sociological theorists, however, portray crime as result of the social environment within which individuals correlate with others. This is shown clearly in the sub-theories of sociological theory as evident below. Strain Theory Strain theory as sociological theory of crime causation explains crime as a product of the pressure imposed on individuals or groups in order to achieve certain goals. When people become upset, they might take part in criminal activities to offload their stress. In addition, they might take such step in order to try to free themselves from the strain they are going through. For instance, if other people constantly bully someone, he/she might take it off on a weaker target, or one might resort to theft to reduce financial pressures (Goode & Yehuda, 1994 p 97). An earlier proponent of the strain theory was Robert K. Merton who came up with a paradigm where crime causation is explained as occurring or taking place due to a blockade between institutional means of achieving cultural goals. Merton further elaborates the institutionalized means as education leading to a good job while the cultural goals are money, family, and a status in society. Robert K. Merton deviance typology Merton came up with the typology to show the various r elationships between institutionalized means and culturally accepted goals. The first group, according to Merton (1968), is that of those who accept both the institutionalized means and the culturally accepted goals. They are the conformists who struggle to attain the goals by following the means prescribed by society. The second group is that of the innovators.

Sunday, November 17, 2019

The Second Amendment Essay Example for Free

The Second Amendment Essay America has given many rights and has offered protection to US citizens. Like the second amendment states, â€Å"The right of people to keep and bear arms shall not be infringed. † However many riots and shootings have recently broke out in the last couple of years. So therefore the right to bear arms has been taken advantage of and as lead to many malicious events like The Columbine Shootings, Virginia Tech, Aurora Shooting, and New Town Shootings. In 1999, a failed bombing which turned into a shooting occurred at Columbine High School. This event is known as the Columbine Shootings in which two high school seniors, by the name of Eric Harris and Dylan Klebold, were involved. According to an article â€Å"7 Myths about the Columbine Shooting† by Trevin Wax, both convicts seemed like regular teenagers that, â€Å"attended football games, dances, and school plays†¦ [they were not] part of a street gang or known to dress in gothic style,† but they had been arrested a couple of months before for stealing. They also seemed to be part of the Trench Coat Mafia, which were a group of students dressed in black coats that were against school bullies. Since Eric and Dylan were targets of bullying, they both decided on a plan to get revenge on the people who were mean to them last year. So for that whole year, both teenagers gathered up materials to carry out their plan. They had been researching, building pipe bombs, and purchasing guns from their older friends who were unaware of what the consequences could lead to. Their plan for revenge was to blow up Columbine’s cafeteria by placing â€Å"explosives to kill about 100 people. † However that was not enough for their plan. They decided that once the explosives go off inside the school, they would be waiting outside and shoot the remaining students and teachers that would come out of the school, trying to escape. However, everything didn’t go as they expected. The bombs that they had placed inside school never went off, so therefore Eric and Dylan just decided to go in and shoot whoever they could. They had no specific range; everyone was a target to them. After killing twelve students, one teacher, and injuring 24 others, Eric and Dylan pointed their weapons towards hemselves and committed suicide. They were both found dead on the floor, fully armed, and with their explosives around them. According to Eric and Dylan’s journals, they didn’t expect to come out of there alive. They knew they would end up dead from either police bullets or by their own hand. So committing suicide or ending up dead was part of their risky plan. The Columbine Shooting in April of 1999 is one of the most violent and memorable shootings to occur in American’s high school. It is heart-breaking to see how far bullying can reach to. Because Eric and Dylan had such high temper, they felt as if they needed to get revenge on everybody who ever brought their confidence down by killing them, and illegal weapons were their first reaction. Even though teenagers aren’t allowed to purchase guns, Eric and Dylan had access to them due to irresponsible private gun sellers. Now a day, people are trying to argue that placing restrictions on the 2nd amendment is against the US Constitution and that it’s violating their rights. However risky behaviors and actions, like the Columbine Shootings have shown that restrictions over gun control are needed for safety reasons due to the fact that it has gotten out of control. Society, in the few previous years, has shown how they cannot be trusted with illegal weapons. If every single person owned a gun in the US, then this country would not be a safe place to live in. When an individual is mad, they usually react in a violent way and can make irresponsible decisions, like pull out a gun on somebody. So placing restrictions on the right to bear arms is necessary. The government should make it clear that the second amendment was written for self-defense and not to motivate society to kill each other. Another event that will forever be etched in the memory of all Americans is the day of April 16th, 2007. On April 16th, 2007 32 people lost their life’s and 17 others were left severely injured in the hands of the gunmen Seung-Hui Cho. Today this incident is known as the Virginia Tech Shootings. The Virginia Tech shooting is known as the deadliest mass murder by single gunmen. The event happened as follows: The first killings began at 7: 15 a. . in West Ambler Johnston Residence Hall, two people in the same dorm as Cho, were the victims. At 9:26, more than two hours after the first killings began did the school decide to notify the students via email that the shootings had occurred. By that time it was too late for the students and teachers having class to escape the fury of Cho. Cho chained the doors shut in the building known as Norris Hall; he also decided to leave a bomb threat if anyone decides to come in. The shootings took place on the second floor of the building. The second shooting left 30 people left and over fifteen injured. The victims were caught off guard and killed by a senseless act of evil. After the damage had been done the police break into Norris Hall, police officers not only find the bodies of the victims but they also find the body of the perpetrator. Cho had taken his own life after noticing that the officers were coming into the building. With the killer dead many questions of why the massacre took place were left unanswered. As it turns out Cho mailed a package to the NBC network between the first and the second shooting. The package contained many irrelevant towards the massacre that is except one letter. That letter basically said that he was tired of the rich kids around him; he blames them for what took place. Cho also compares himself as being like Eric and Dylan from the Columbine Shootings. Ironically like Eric and Dylan Cho also went through bullying as a teen himself. In fact Cho was considered mentally ill, but when applying to Virginia Tech he did not inform the school about his special needs. Virginia Tech is a perfect of how The Second Amendment has failed to do what it was intended to do. As stated before The Second Amendment clearly states as follows: A well-regulated militia being necessary to the security of a free state, the right of the people to keep and bear arms, shall not be infringed. † Most people will interpret The Second Amendment differently than what it truly was meant to mean. A lot of people are very protective of their right to bear arms but the truth of the matter is that the second amendment was meant to prevent the government from becoming a threat to society. The Second Amendment has allowed almost anyone to be in possession of a gun and in return has caused deadly massacres to ccur. It is obvious that Cho was mentally ill yet he was not denied the right to have a gun. The second Amendment was made to fit the time period of 1791 and it should respectively be altered to today’s day and time. It is not fair to the public to be on guard all of the time in case of another mass shooting. There should be extensive background checks in order for a person to come in contact with a gun. No mentally ill person or any criminal should be allowed to be in possession of any firearms for the safety of everyone around them. The Second Amendment should not be omitted but it definitely needs to be altered in order to prevent any extensive damage than what has already been done. Gun Control laws are desperately needed to stop these crimes from taking over. In 2012 the Aurora and Newtown Shootings, to name a few, have taken the life of innocent people. The Second Amendment has done the opposite of what it was originally meant to do, which was just for defense. How many more Newtown’s and Columbines need to happen in order to see the reality. The NRA (National Rifle Association) needs to be aware of the intensity of the situations that are taking place. Omitting the Second Amendment would be against the Constitution yet altering it for the safety of the public is not. Gun Control is a crucial thing and not unconstitutional! Another example of why The Second Amendment has failed to do what it was intended to do is the incident now known as the Aurora shooting. On July 20, 2012, a mass shooting occurred at a movie theater during a midnight screening of the dark knight rise, in Aurora, Colorado. Killed 12 people and leaving 58 injured. The police identified him James Eagan Holmes, as the shooter. It is said that he bought a ticket and entered the theater. He sat in the front row and after 20 min into the film he exited the building through an emergency exit door and kept it slightly open with a rock. Then to return 30 min later into the film around 12:38, the police say, from his car that was parked near the exit door, he changed into protective gear wearing a gas mask. The audience didn’t at first considered him a threat because they assumed he was wearing a costume also like the others that dress up for the screening. Some also thought that he was playing a prank or he was part of a special effects installation set up for the films premiere as a publicity stunt. The gunman then threw a canister releasing a gas obscuring the audiences’ vision. He then started to fire a shot gun, semi-automatic rifle and finally a Glock 22 handgun at the audience, first at the back, then toward the people in the aisles. Around 12:45 am, police detained Holmes behind the cinema next to his car. He even told the police that his apartment was booby-trapped with explosive devices, so if anyone tried to open his door, the entire apartment would explode. James Holmes was described by those that knew him as a doctoral student, who was quiet and responsible; an image that confuses us with the man that opened fire at the movie theater. Holmes was a scholarship student who attended the University of California, Riverside, in 2006 and graduated with highest honors with a bachelor’s degree in 2010, later enrolling at University of Colorado School of medicine, as a doctoral candidate. The university police state that they have no record of having contact with him but only for a speedy summons. The biggest mystery around the 24-year-old doctoral student was why he did it, as a police allege. Holmes didn’t appear to have any social media contact. A along time neighbor told the authorities that he was to believe that he were just a â€Å"normal kid†. â€Å"You would never guess he was a violent guy,† Mitchell said describing Holmes as a â€Å"nerdish† and â€Å"a book-smart type guy. † Lynne Fenton, a psychiatrist who treated accused Colorado theater gunman James Holmes, stated that Holmes made a remark on June 11, about fantasizing about killing â€Å"a lot of people,† six weeks before the shooting. He rejected the offer to be confined for 72 hours. No one knew that he was actually mentally ill other than the psychiatrist that treated him. After the shooting the Colorado gun sales spiked, with number of background checks for those who seek to purchase a firearm, the increased also occurred in Washington, Florida, California and Georgia. The shooting reignited the political debate on gun control with one of the issues being â€Å"easy Access. † â€Å"There is a common thread that we see in these massacres,† said State Representative Rhonda Fields, a Democrat from Aurora who sponsored both pieces of legislation and whose son was shot to death in 2005. They’re using high-capacity magazines so they can unleash as many bullets as they can, to kill as many people as they can, in our schools, our theaters and our churches. † It is sad that as a country we have come to the point of self destruction. We have seen over the years the violence getting worse there need to be some kind of stop to it all, somekind of control taken by the government. The right to bear arms has now effected the new generation. About three months ago there was a shooting in Newtown Connecticut at Sandy Hook Elementary school . A act done in revenge to Adam Lanza mother, ended up killing twenty children and six adults. On December 14, 2012 a gun man named Adam Lanza came into sandy hook elementary and began to open fire towards the classrooms . The principle ran out once she heard gunshots once Lanza spotted them he then approached them and killed them. He then made his way into the office while an office administration was on the intercom telling the kids and faculty to take cover. He makes his way in and shoots them and all the kids hear it. He then makes his way into a first grade class where there was a sub and although she attempted to hide the children he killed all of the students besides a six year old girl. It has been told that the only way the little girl made it thru the shooting was playing died and stayed still till she heard no nose. The gunman then went into another first grade class with a teacher by the name of Victoria told the gun man that her kid where in the auditorium. Many of the kids ran out of the hiding place trying to escape the room and Lanza the shot them dead. Out of that class only six children were able to escape. Many of the teachers and faculty along with kids had a near death experience. One of the teachers saw two kids in the hallway on their way to the office and pulled those kids to safety. Along with the Liberian helping saved fourteen kids life by putting them in a lock that had a door that no one could get in without the lock. Although most of the kids and faculty was in first grades this sad day took a toll on not only the school, city but the whole nation. After this many students did not feel safe going back to school as parents were scared to send them back. The debate over whether to enhance restrictions on firearms has become a contentious focal point of state legislative sessions around the country this year. The Aurora shooting is a perfect example on how restrictions on gun control would have helped prevent anything related to that matter from ever happening. Yes although the second amendment states we have the right to bear there should be gun control laws that prevent any mentally ill person from purchasing any fire arms. If that had taken place Virginia Tech, Newtown and the Aurora Theater shooting would have been prevented.

Friday, November 15, 2019

Alcatraz: The Legendary Prison :: Descriptive Essay About A Place

Alcatraz: The Legendary Prison We stepped off the large tour boat with a look of fright in both our eyes. Some joy was there, but knowing what went on in this place made us feel the way we did. To me, Alcatraz didn't really look like a shut down prison at that moment. It looked more like an old worn down cemetery. The paint on most of the buildings was chipped off all the way down to the wood. Most of the buildings had collapsed down to some cement foundations and old rusted poles hanging every other way. As we walked to the building where you start your tour, that was probably the only building at this place with cleanliness to it. They gave us our tour headphones, which take you through the whole prison with a audio guide telling you how it was in the prison. Not just how it was for the prisoners, but how it was for the guards too. The first place our sound guide took us to was the guard towers. They were about fifty feet tall and held enough room for maybe two guards. The towers looked too old for anybody to get into these days, but they had a view of a good portion of that side of the prison and a good section of the ocean. There were towers stationed the entire way around the prison with maybe 100 yards in between them. The towers were protected with bulletproof glass 360 degrees round. After viewing the towers Sean and I wanted to go see the prison cells. So we turned off our guide tapes for awhile and started heading up to the prison house. Everywhere Sean and I looked, it seemed like the entire place was just eroded. Some places were fenced off because they were not safe enough for spectators like ourselves to get close enough to look at. We finally got to the prison cells after following a long cement path that would take you anywhere at Alcatraz. The path nearly looked like a road, or some type of path they used for some type of transportation. Anyways, we went inside to explore how creepy the prison cells were really going to be. Well yep, they were just as we thought. Just glancing at them gave me weird feelings in my stomach. The first thing I did was got in a cell and told Sean to take a picture.

Tuesday, November 12, 2019

Cultural Competence Essay

Cultural and linguistic competence in nursing can be defined as a set of related behaviors and attitudes that integrate together within a healthcare system or institution and among the professionals that work within the system or institution with the purpose of enabling effective and efficient delivery of health services in cross-cultural scenario (Jeffreys, 2006). Below is a brief description of the eight principles of cultural competence: †¢ Broadly defining culture This involves identifying the other factors besides race, language and ethnicity that determine an individual’s sense of awareness in relation to other people (HRSA, 2001). This is because health services are delivered to an individual, and group characteristics may not be a reflection of a person’s attitudes and life experiences (Lundy & Janes, 2003). †¢ Valuing Clients’ Cultural beliefs This involves caregivers or professionals in healthcare sufficiently learning the attitudes, knowledge and belief of their target population regarding healthcare and applying what is learned for the delivery of culturally competent care (HRSA, 2001). †¢ Recognizing complexity in Language interpretation This is identifying any hindrances to effective communication and targeted group due to language differences; and laying down strategies to address the same (HRSA, 2001). †¢ Facilitating learning between caregivers and communities This is the creation of environments under which caregivers can learn about the beliefs and attitudes of the targeted cultural group and their impact on healthcare; while the targeted community learns more about how healthcare works (HRSA, 2001). †¢ Involving the community in the defining and addressing healthcare needs This is getting the community to fully participate in the formulation of health policies in the system that serves them so that managed care can be fully culturally competent (HRSA, 2001). †¢ Collaborating with other agencies This is forging working alliances with groups that are familiar with the needs of the targeted community to boost the chances of delivering culturally competent services (HRSA, 2001). †¢ Professionalizing staff hiring and training This is setting cultural competence standards for new caregivers getting into the system; and continually training serving staff in emerging standards of cultural competence (HRSA, 2001). †¢ Institutionalizing cultural competence This is making cultural competence standards an integral part of healthcare planning and optimizing hiring, training and funding to meet these standards (HRSA, 2001). In conclusion, the above principles are very vital to the delivery of holistic healthcare services for healthcare professionals working in cultures different from them (Lundy & Janes, 2003). ? References Health Resources and Services Administration, HRSA (2001). Cultural Competence Works. Retrieved on 14/5/2010from ftp://ftp. hrsa. gov/financeMC/cultural-competence. pdf Jeffreys, M. R. (2006). Teaching Cultural Competence in Nursing and Health Care: Inquiry, Action and Innovation. Springer. Lundy, K. S. & Janes, S. (2003). Essentials of Community-based Nursing. Jones & Bartlett.

Sunday, November 10, 2019

The Art of Washing Dishes

Process Analysis: The Art of Washing Dishes Eibby Porras Hodges University ENG-0992 Professor Greg Durrschmidt July 9, 2012 Process Analysis: The Art of Washing Dishes My Aunt Grace taught me a very important lesson: the art of washing dishes. When I was eight years old, she invited me to her home for dinner. Afterwards, taking me to her modest kitchen, she asked me to help her wash dishes. She started by telling me the story of how she learned with my great grandmother and today was my opportunity to learn this splendid lesson.This method starts before getting to the sink at the dinning table, by dividing all dishes. At the sink, they are carefully washed with soap and water in a specific order. The process comes to an end by drying and putting everything away. Her rule was never leave dirty dishes over hour in the sink and even worst never leave them for the next day, because it was unhygienic. This of course was many years ago.This process starts at the dinning table; once everyon e has finished eating, they are excuse to leave the table. The first step is to clean all the dishes from leftovers; then the plates are arranged by dimension and they are piled up carefully without making a lot of noise, then all silverware is put together and finally glasses are picked up. Next, all dishes are taken to the sink; the amazing part is that no soaking is required because as soon as everyone is finished, dishes are washed.The next step is to put soap on a sponge and start washing first all glasses as a result; glasses will be free from stains and grease. Consequently, plates are washed with soap and water. Finally, all silverware is washed. All dishes are then rinsed off following the same order glasses, plates and silverware placing them on dish rack. Glasses need to be facing down, so that water runs down from the inside faster, plates are put vertically and silverware can be put vertically or horizontally.Back in the day there was not optional to leave dishes out to dry by them selves, dishes had to be dried with a towel and then placed back in the cabinet. In conclusion, I have to admit that being a housewife is not a easy job, personally I dislike doing dishes not matter which way they are done; oftentimes when I leave dishes overnight I wake up saying to myself Aunt Grace said do dishes within an hour. I reminisce and cherish that moment. It was a very special day.

Friday, November 8, 2019

Jane Addams essays

Jane Addams essays Jane Addams was born on September 6, 1860 in Ceadarville, Illinois. She entered the Womans Medical College of Philadelphia after receiving her A.B. degree from Rockford College in 1882. Addams is remembered as a feminist icon, a social activist, and a reformer. She is one of many female social reformers that was active in the early twentieth century. Her most popular creation was the Hull House in Chicago in 1889. Jane witnessed the heartaches of life, the loss of loved ones, postwar depression, and how people were not able to escape it. Her father, John Addams, whom she admired, encouraged her not to pretend to understand what you didnt understand and to always be honest with yourself inside and out. It was said that women should prove themselves in what was still a mans world. Her travels encouraged her to do something about her concern for the welfare of the other half in other words known as the poor. Jane had inspired other women to work for sanitation and housing laws, to improve school systems, to join the Womens Suffrage, to support the legal protection of immigrants, and anything that would improve the way of life. After seeing Toynbee Hall in London, she realized the need for something similar in her country. It was Toynbee Hall, which inspired the Hull House. On September 18, 1889 the Hull House opened its doors to people in need of relief. Addams and her colleague, Ellen Starr, took care of children who had working mothers, arranged for medical care for the sick, and fought against the diseased streets which spread sickness and disease through the neighborhood. It was the beginning of one of the great social movements in America and was an action that allowed Jane to break away from the roles women were being portrayed by. The Hull House became the community center all throughout Chicago. It was a boys club, an art museum, a theater, a music school, ...

Tuesday, November 5, 2019

Joshua L. Chamberlain in the American Civil War

Joshua L. Chamberlain in the American Civil War Birth Early Life: Born in Brewer, ME on September 8, 1828, Joshua Lawrence Chamberlain was the son of Joshua Chamberlain and Sarah Dupee Brastow. The oldest of five children, his father desired that he pursue a career in the military while his mother encouraged him to become a preacher. A gifted student, he taught himself Greek and Latin in order to attend Bowdoin College in 1848. While at Bowdoin he met Harriet Beecher Stowe, the wife of Professor Calvin Ellis Stowe, and listened to readings of what would become Uncle Toms Cabin. After graduating in 1852, Chamberlain studied for three years at the Bangor Theological Seminary before returning to Bowdoin to teach. Serving as a professor of rhetoric, Chamberlain taught every subject with the exception of science and math. Personal Life: In 1855, Chamberlain married Frances (Fanny) Caroline Adams (1825-1905). The daughter of local clergyman, Fanny had five children with Chamberlain three of which died in infancy and two, Grace and Harold, which survived to adulthood. Following the end of the Civil War, the Chamberlains relationship became increasingly strained as Joshua had difficulty readjusting to civilian life. This was exacerbated by his election as Governor of Maine in 1866 which necessitated him being away from home for long periods.   Despite these problems, the two reconciled and remained together until her death in 1905. As Fanny aged, her sight deteriorated, leading Chamberlain to become a founding member of the Maine Institution of the Blind in 1905. Entering the Army: With the beginning of the Civil War, Chamberlain, whose forefathers had served in the American Revolution and War of 1812, sought to enlist. He was prevented from doing so by the administration at Bowdoin who stated he was too valuable to lose. In 1862, Chamberlain requested and was granted a leave of absence to study languages in Europe. Departing Bowdoin, he quickly volunteered his services to the governor of Maine, Israel Washburn, Jr. Offered command of the 20th Maine Infantry, Chamberlain declined stating he wished to learn the trade first and instead became the regiments lieutenant colonel on August 8, 1862. He was joined in the 20th Maine by his younger brother, Thomas D. Chamberlain. Serving under Colonel Adelbert Ames, Chamberlain and the 20th Maine mustered in on August 20, 1862. Assigned to the 1st Division (Major General George W. Morell), V Corps (Major General Fitz John Porter) of Major General George B. McClellans Army of the Potomac, the 20th Maine served at the Antietam, but was held in reserve and did not see action. Later that fall, the regiment was part of the attack on Maryes Heights during the Battle of Fredericksburg. Though the regiment suffered relatively light casualties, Chamberlain was forced to spend the night on the cold battlefield using corpses for protection against Confederate fire. Escaping, the regiment missed the fight at Chancellorsville the following May due to a smallpox outbreak. As a result, they were posted to guard duty in the rear. Gettysburg: Shortly after Chancellorsville, Ames was promoted brigade command in Major General Oliver O. Howards XI Corps, and Chamberlain ascended to command of the 20th Maine. On July 2, 1863, the regiment entered action at Gettysburg. Assigned to hold Little Round Top on the extreme left of the Union line, the 20th Maine was tasked with ensuring the Army of the Potomacs position was not flanked. Late in the afternoon, Chamberlains men came under attack from Colonel William C. Oates 15th Alabama. Repelling multiple Confederate assaults, he continued to extend and refuse (bend back) his line to prevent the Alabamans from turning his flank.   With his line nearly bent back upon itself and his men running low on ammunition, Chamberlain boldly ordered a bayonet charge which routed and captured many of the Confederates. Chamberlains heroic defense of the hill earned him the Congressional Medal of Honor and the regiment everlasting fame. Overland Campaign Petersburg: Following Gettysburg, Chamberlain assumed command of the 20th Maines brigade and led this force during the Bristoe Campaign that fall.   Falling ill with malaria, he was suspended from duty in November and sent home to recover. Returning to the Army of the Potomac in April 1864, Chamberlain was promoted to back brigade command in June after the Battles of the Wilderness, Spotsylvania Court House, and Cold Harbor. On June 18, while leading his men during an attack on Petersburg, he was shot through the right hip and groin. Supporting himself on his sword, he encouraged his men on before collapsing. Believing the wound to be fatal, Lt. Gen. Ulysses S. Grant promoted Chamberlain to brigadier general as a final act. Over the following weeks, Chamberlain clung to life and managed to recover from his wounds after undergoing an operation by the 20th Maines surgeon, Dr. Abner Shaw, and Dr. Morris W. Townsend of the 44th New York. Returning to duty in November 1864, Chamberlain served for the remainder of the war. On March 29, 1865, his brigade led the Union attack at the Battle of Lewis Farm outside Petersburg. Wounded again, Chamberlain was brevetted to major general for his gallantry. On April 9, Chamberlain was alerted to the Confederates desire to surrender. The next day he was told by V Corps commander Major General Charles Griffin that of all the officers in the Union army, he had been selected to receive the Confederate surrender. On April 12, Chamberlain presided over the ceremony and ordered his men to attention and carry arms as a sign of respect for their vanquished foe. Postwar Career: Leaving the army, Chamberlain returned home to Maine and served as the states governor for four years. Stepping down in 1871, he was appointed to the presidency of Bowdoin. Over the next twelve years he revolutionized the schools curriculum and updated its facilities. Forced to retire in 1883, due to aggravation of his war wounds, Chamberlain remained active in public life, the Grand Army of the Republic, and in planning events for veterans. In 1898, he volunteered for service in the Spanish-American War and was bitterly disappointed when his request was turned down. On February 24, 1914, the Lion of Little Round Top died at the age of 85 in Portland, ME. His death was largely the result of complications of his wounds, making him the last Civil War veteran to die from wounds received in battle.

Sunday, November 3, 2019

Chronic Kidney disease with Hemodialyis Case Study

Chronic Kidney disease with Hemodialyis - Case Study Example The primary reason for her renal failure is obstructive uropathy which has been further complicated by hypertension and diabetes. Hydronephrosis is a condition that is caused by urine filled dilation of the renal pelvis which is then associated with progressive atrophy of the kidneys due to an obstruction of the urine outflow. The kidney eventually becomes a thin walled cystic structure with parenchymal atrophy, complete obliteration of the pyramids and cortex thinning. Bilateral obstruction will lead to renal failure. Hypertension is one of the major diseases that cause CKD. That is often related to poor control caused because of poor education of the patient and their family. One in three adults in the US and one billion people worldwide have hypertension and 26 million adults in the US have chronic kidney disease (Eskridge, 2010)." The National Committee on Prevention Detection, Evaluation, and Treatment of High Blood Pressure describes the relationship between blood pressure and DVD as continuous, consistent, and independent of other risk factors" (Eskridge, 2010. pg. 55). Hypertension damages the kidneys in a couple of ways. Renal damage causes the activation of the renin-angiotensin system. This can happen from the beginning and then the sympathetic nervous system is activated. As this system continues to be damaged, the damage is measured by the change in the GFR or the serum creatinine. As capillary pressure increases, the endothelial cells are damaged which then activates platelets and in terglomerular coagulation (Eskridge, 2010). All of this chronically leads to neprosclerosis. It also accelerates kidney disease caused by other chronic problems such as diabetes. People with diabetes are recommended to keep their blood pressure at 130/80 or below (Porth & Matfin, 2007). In the case of diabetes, diabetic nephropathy is the leading cause of chronic kidney disease and probably accounts of 40% of all new cases. Both type 1 and type 2 diabetes cause this type of renal failure. Diabetic neuropathy points to lesions in the kidney that are created in the diabetic kidney. The glomeruli are affected more than any other structure and there are some other problems such as capillary basement membrane thickening, diffuse glomerular sclerosis and nodular glomerulosclerosis (Porth & Marfin, 2007 pg. 1072). Renal enlargement as well as nephron hypertrophy and hyperfiltration occur early in the disease. This occurs because of the increased work that the kidneys must go through to pick up the excessive glucose . One of the firs t things that will be seen in diabetic renal failure is albumin in the urine. Hypertension as noted before push this disease forward and the symptoms manifest faster. Treatment Grace is being treated with Dialyzer-Revaclear with treatment time of 4 hours, a blood flow of 350ml/min, Dialysate K 1.5/Ca 1.25/Na (initial Cond 150-Final Cond 135)/ Bicarb 40, Dialysate flow 500ml/min, Dialysate temp 35.5 C, Heparin bolus 1.5u, heparin rate 0.8u/hr, ideal weight 78.5kg, pre weight 79kg, Target wt. 1.0kg. She is being dialyzed three times per week. Though hemodialysis has its own set of problems peritoneal dialysis would not be a good choice for Grace. Grace has a history of infections, she does not get around well, and lives in a retirement

Friday, November 1, 2019

Increasing Education of ADHD Therapies for Pediatric Nurses Research Paper

Increasing Education of ADHD Therapies for Pediatric Nurses - Research Paper Example The treatment methods largely adopted are based on medication which has been found to have mild to extreme effects on the users. These side effects have endangered the life of the users even though they have had a somewhat commendable effect on the individual in regard to the condition. Personally, I have had a chance of attending to an ADHD patient, a 12 year old child who had been placed with me for adoption. The child was diagnosed with ADHD four years ago and has since been on medication and no other complimentary interventions have been initiated to treat the disorder. Being in this situation has prompted me to delve deeper into finding an alternate solution in the treatment of ADHD. Through sufficient and quality research a workable and efficient means of treating ADHD can be arrived at, one that has minimal effect on the individual. In a bid to accomplish this task, this paper will start with an in depth review of ADHD including existent statistics, medication, effects of medi cation, non-medication therapies and their effectiveness in treating ADHD. This will be followed by a look at a viable solution to the ADHD problem and an evaluation of the present obstacles to implementing this solution. In conclusion, it is expected that this study will have availed a new way through which ADHD can effectively be handled with minimal effects to the individual. Literature review The Centre for Disease Control and Prevention (CDC) estimates that there are 5.2 million children aged 3-17 that have already been diagnosed with ADHD in United States. This means that 8.4% of all children have been diagnosed with ADHD (Centre for Disease Control and Prevention 2012). This points to increased diagnoses as a decade earlier lower rates had been reported with the overall diagnoses at the time being 6.9%. Based on gender, reported diagnoses indicate that boys are much more affected than girls, boys ADHD prevalence increased from 9.9% in 2000 to the current level of 12.3%, for g irls the rate in 2000 was 3.6% and this has also increased, though in a lesser magnitude to 5.5% (Centre for Disease Control and Prevention 2012). Another notable variable in the prevalence of ADHD is income levels, in 2000 the prevalence rates were the same across all income groups, but presently the prevalence has increased among children in low income families (100%-199%) as compared to families with income greater or equal to 200%. Lastly, ethnicity also seems to be a notable variable, in 2000 the prevalence rate among non-Hispanic white children ranged from 8.2%-10.6% while that of non-Hispanic black children ranged from 5.1%-9.5% indicating a higher prevalence among non-Hispanic white children (Centre for Disease Control and Prevention 2012). These variations seem to have presently leveled out within non-Hispanic white, and non-Hispanic black groups. Treatment for ADHD has proceeded on two fronts; biological and psychosocial interventions. Typically, the goal of biological tre atments is to reduce the children’s impulsivity and hyperactivity and to improve their attention skills (Barlow & Durand, 2009). Psychosocial treatments generally focus on broader issues such as improving academic prowess, decreasing troublesome activities, and improving social skills. Although these