Ms. Whiteford T he Adult Essays - , Term Papers

Ms. Whiteford : T he Adult Charles B. Anderson Galen College of Nursing Brittany is a 29 year old fe male who graduated from the University of Cincinnati with a degree in business management (in 2013 ) . She currently lives in Cincinnati, Ohio working for a chain restaurant as a general manager . Brittany lives with her fiance in a two bedroom apartment building. Brittany doe s not have any pets due to apartment restrictions . Although Brittany is currently living in an apartment, she and her fiance are saving to buy a house within the next five years . Brittany is one of three children in her family. She has one older brother and one younger sister . Brittany's parents divorced when she was 11 and both remarried when she was in her teen years. Her father and step-mother live in Cincinnati , while her mother and stepfather live a few hours from her in Kentucky. Her siblings both live in the tri-state area (OH, KY, IN) . Brittany is in the young adulthood phase of improvement. This stage is portrayed by the improvement and utilization of a higher and more perplexing level of cognitive thinking. This phase of improvement is additionally portrayed by psychosocial occasions, for example, the advancement of genuine and personal connections which may prompt marriage and th e introduction of youngsters, and the begin ning of a family. Normally completed with formal tutoring amid this stage, individuals may likewise start vocations, enabling them to bolster themselves and carry on with a more self-ruling life. This phase in life is set apart by the beginnings of an autonomous life, in which the individual backings their own particular life and choices, while proceeding to take in and develop from those choices, great and bad. With respect to her physical wellbeing, Brittany is in incredible condition. Her general wellbeing and physical wellness is an essential piece of her life. Brittany is a petite lady with a slim form. She doesn't fit into the around 30 percent of 20-to 39-year-old men and ladies who are hefty, nor does she fit into the 66% of U.S. grown-ups who have been told by a wellbeing expert that they are overweight (Papalia,Martorell, pg.387-388). Brittany thinks of her physical wellbeing to be a need, in this way maintaining a strategic distance from these gatherings because of her sense of duty regarding normal exercise and her eating regimen. She remains physically dynamic notwithstanding the requests of her all day work and instructive attempts. Brittany is included in a few wellbeing related exercises, for example, running, weight training, and training the cheer squad at the secondary school she moved on from. Alongside outstanding physically dynamic, Brittany likewise eats a very much adjusted eating routine including a lot of natural products, vegetables, and other plant nourishments. Her adhering to a good diet propensities likewise make her less inclined to create a considerable lot of the infection pitfalls that make up the measurements above, for example, hypertension or diabetes (Papalia, Martorell, pg. 449). Brittany likewise is a non-smoker and does not share of illicit medication utilize. In general, Brittany is fit as a fiddle physically and she doesn't hint at any backing off with her dynamic way of life. Brittany fits the criteria of her cognitive developmental stage. She is canny and is exceptionally fit for basic considering. Brittany is in the later phase of the rise of intelligent considering. Reflective thinking is a developed sort of feeling that depends on subjective experience and instinct and in addition rationale and is valuable in managing vagueness, vulnerability, irregularity, inconsistency, defect, and bargain. Knowing Brittany as well as I do, she is unquestionably able to do and does in reality utilize reflective thinking. I have seen her consider circumstances from each viewpoint and utilize her instinct to enable her make to savvy, sound decisions. One Example of this appears in her present phase of searching for a house. Brittany considers all variables when taking a gander at houses from where the area is and the amount she may spend in gas getting to spots like work and the supermarket. She additionally dissects the past offering and purchasing measure s of

Kafkas Truth essays

Kafkas Truth essays Despite the intentional ambiguity in his work, Franz Kafkas stories do contain a few common thematic threads. Kafkas search for truth, be it about relationships, justice, religion, or human nature is the one interpretation that most critics agree upon. Wilhelm Emrich, a highly acclaimed professor in Berlin, states that Kafkas writings can only be interpreted by accepting the full truth: An assistive and willing readiness for the full truth means the ability to renounce all personal, limited ideas, wishes, and efforts of will and to enter into the fullness of all of that-which-is (50). What he is suggesting is that in order to truly hear what Kafka has to say, one is required to completely disregard the conventional. For example, if one were to read The Metamorphosis, and merely regurgitate the surface details of the story, they would entirely miss the truth behind it. On the level of relationships, the average reader might be touched by the familys tolerance for the creature, noting that they may not have been able to do the same in a similar situation. He or she may overlook the truth of this story as the realization that even the most beautiful, most tender relations among people are founded on illusions (Emrich, 142). Where was the beloved sister after his presence became burdensome? Did his family not remember his contributions to pay off the debts owed by his father? Of course not, because they became comfortable in their situation and took Gregor for granted. When his family was convinced that no hope remained for his recovery, they moved on with their lives as if Gregor no longer existed. It is difficult to draw from The Metamorphosis, any particular divine theme without first knowing that religion was the whole world to Kafka and that he viewed the total sum of possible experience in terms of religion (Muir, 36). There is ...

12 Hour Shifts in Nursing

7 October 2011 Effects on Nurses Working Long Hours Patients in a hospital and/or healthcare facilities have to be cared for all day and all night, everyday of the week by nurses. The usual way to fulfill this need is to divide up the day into three 8-hour shifts. Different shifts have been put into place to help improve nurse satisfaction, decrease the nursing shortage and save the hospital money. The 24-hour day is made up of two 12-hour shifts; 12 hours in the day and 12 hours at night. There has been quite an ongoing debate over the years regarding this issue of nurses working over 8 hours in a single day. Many people, such as hospital nursing administrators, have reason to believe that working long hour shifts causes more errors in the workplace due to fatigue and irregular sleep schedules. Along with these reasons and other beliefs, 12-hour shifts in nursing should be revoked. The risks outweigh the benefits for extended hour shifts in hospitals and/or healthcare facilities, for both the patients and nurses. Nurses who work 12 or more hours in a single shift put at risk the health of themselves along with the health of the patients who they are treating. Working extended shifts causes fatigue, stress and lack of productivity. Errors are most common in nurses who are fatigued from working long and grueling hours. It is estimated 1. 3 million health care errors occur each year and of those errors 48,000 to 98,000 result in patient deaths. Many of these errors lead to malpractice suits and thousands of dollars lost (Keller, 497). This proves that working long hours in a health care environment will make nurses more prone to making error that may lead to patient death. Patient death is what the hospital and faculty members are trying to avoid, revoking long hour shifts seems like a proper way to start. As for the health of the nurse, nurses who work long hours are affecting their health in many ways. Some health problems that may occur in nurses are sleep problems, listlessness, and unable to think clearly. According to The American Heart Association, shift workers are inclined to drink more caffeinated beverages such as, coffee and energy drinks, smoke, and exercise less often. Along with these problems, working shifts and extended hours interfere with the body’s natural circadian rhythm, especially if working night shift. Human beings are designed to work during the daylight, not at night. â€Å"Symptoms of fatigue can include muscle weakness, lethargy, inability to think clearly or concentrate, listlessness, decreased cognitive function, anxiety, and exhaustion† (Keller, 499). This would not be acceptable for the high demands of nursing. Nurses need to be able to think clearly and stay sharp to make flash decisions incase the patients health rapidly decreases. If they are tired, they may lose this capability. Nurses also have to be able to work in high-pressure situations. If anxiety were a symptom of fatigue, this would jeopardize both the nurses and the patients. The nurse may lose her job for working while fatigued, and the patient may lose their life for not having proper care. Todays nurses would most likely oppose this argument. Most of todays nurses work long 12-hour shifts and favor them than five eight-hour shifts. They prefer working three 12-hour shifts, and then having four days off in a week. Nurses who work this shift can take a couple vacation days or sick days and be off for weeks at a time. They believe that working these long hour shifts do not affect their ability to care for patients, because they can drink coffee or soda and can take a nap on their lunch breaks. This argument may seem plausible, but reality is that these are only temporary fixes and may feel even more exhausted than before. In addition, during the four days they have off, they may feel weak and dazed so they will not be able to work a second part-time job if wanted or be with their loved-ones. After working that many hours in such a short period of time, they would need those four days off to compensate for the hard work they just endured. Health care administrators argue that having only two shifts a day (day and night) will help improve patient care because there would only be two nurses who would take care of a patient during a 24-hour shift. But still, it takes more hired nurses to fill a weeks schedule to accommodate each 12 hour shift is covered because a nurse can only work so many hours in a week. Annette Richardson claims that nurses who work extended hour shifts will be less productive during the last 2 to 3 hours of their shift. Signs of nurses being unproductive are; if he/she is taking a longer time to be with a patient than necessary, not completing patient charts and not being thorough on reports (Carson, 830). Nursing administration is there to help make patients and nurses happy and healthy. Health care administration wants the most work productivity as possible, and with having the last 3 hours of a nurses shift being unproductive will diminish that goal. Studies have shown that the most productive work schedule is working an eight-hour shift because it has the least number of errors due to workers fatigue and exhaustion. Nurses who also work long hour shifts may experience work ‘burnout’. A Burnout is a form of chronic stress related to ones job. Burnout occur most frequently in nurses who work long hours in high stress areas, such as critical care, oncology, or burn units. Symptoms of burnouts include fatigue, frequent colds, headaches, and insomnia. Mental symptoms may include decreased ability to solve problems and unwillingness to face problems and change. Nurses who suffer from burnout may quit their job or change jobs outside of the nursing profession. This causes shortages, which is currently a big issue in todays world. Not enough people are interested in the nursing career because of the high burnout rate. Linda Wilson was burning out because she worked the 3pm to 11pm shift in the critical care unit. The hospital was understaffed and had a lot of overtime. She barely got five hours a sleep a night (Ellis, 599). This proves that working too many extended hours a week with not enough sleep will cause burnout that leads to lost jobs. Lost jobs makes the shortage of nurses even higher and affecting patient care by not having enough nurses necessary to provide proper care and support to their patient during their stay. Overall, long hour shifts in nursing may have its pluses such as, a four-day weekend to be home with their loved-ones, but it also has its negative effects. Extended shifts may causes nurses to make errors while working from a lack of sleep and fatigue. This may end up in patient death or malpractice, which is the opposite of what nurses, and administrators are there to do. 12-hour days will eventually cause harm to him/herself because our bodies are not meant to work long and grueling hours because fatigue disrupts their ability to think clearly and quickly and may cause stress. With all of these going against them, they might get burned out and decide to quit or change jobs. An abundance of burnouts will create a larger nursing shortage than there already is, making the whole situation worse. I believe working 8-hours a day with three total shifts to make up a 24 hour day is the best way for both the nurses and the patients sake. It will reduce the amount of errors made do to fatigue and it will increase productivity in the workplace because nurses would not be affected by exhaustion. Works Cited

The Style of Writing in Consider the Lobster Essay - 5

The Style of Writing in Consider the Lobster - Essay Example This style was rather surprising for most of Wallace’s readers considering they anticipated a showy but also funny style of writing (Wallace 212). Each essay presents the features that follow from the author’s stance on the topic. For instance, some of the qualities of an informal and wide style of writing are transparency and ease. In Wallace’s essays, transparency and ease originate from a language that corresponds to views about the purpose of his core argument (Wallace 51). The Lobster in Wallace’s first essay serves as an exciting shortcut to his mind for his audience. The writer is complacent with the maltreatment of grammar rules and is glad to dedicate over 3,000 words to Kafka’s wit, which is evident through his mildly profane language. At some points, Wallace seems uncertain of the truth and even nervous about it, which Thomas and Turner consider crucial for writing. The essays clearly show inspired by an imposed duty obliged to attempt to convince an audience of an argument that Wallace is not very knowledgeable about or experienced in to comprehend (Thomas and Turner  Ã‚  27).

Medical Ethics in Palliative Care Essay Example | Topics and Well Written Essays - 3750 words

Medical Ethics in Palliative Care - Essay Example This begs the question, just how precious or sanctified is human, life? That is probably the most subjective moral question one can posit , and the answers will vary widely based on the respondent religious humanist beliefs or lack of thereof. Many people hold that life is indeed priceless and/or sacred, however their view of how it should be treated in different circumstances tend to be radically different, under the phase sanctity of life, the idea of life’s sacredness is widely applied by pro-life activist to argue against issue such as abortion, euthanasia and abortion (Doerflinge and Gomez, 2010). Central to the debate on life sanctity is the subject of euthanasia which is one of the most controversial moral, religious and medical issues of all times (Baranzke 2012, p.295). The setting in which it most frequently arises is in palliative care where many patients spend the last days of their lives under medical care without any hope of recovery only awaiting what is assumed to be a certain death. In some cases, patients in this situations or their family may request that treatment is stopped or that the patient is given a lethal dosage or drugs such as morphine to â€Å"save† them from pain. While it is allowed in some states and countries but the legality has not significantly served to reduce the amount of controversy surrounding the issue. This paper will discuss the importance of sanctity of life through several arguments against euthanasia for patients undergoing palliative care and then examining and disproving some of the opposing views that have been used to trivialize sanctity by pointing out their underlying weakness with a view to prove that; irrespective of the intentions, euthanasia is morally and medically unjustifiable. The concept of euthanasia has been in existence for almost as long as the

Essay --

In the book Playing with the Boys: Why Separate Is Not Equal in Sports by Eileen McDonagh and Laura Pappano, the authors examine how sex segregation is present in sports today. McDonagh and Pappano distinguish the difference between voluntary sex segregation and coercive sex segregation and what the main problem today in sports is. Along with the types of sex segregation, they also identify something that is an example of sex segregation along with the causes and effects of it. Sex segregation in sports can lead to gender inequalities in sports of all levels. Coercive sex segregation differs from voluntary sex segregation in that with coercive females are assumed to be inferior to males, which contributes to the segregation. With voluntary, females willingly self-segregate themselves into things like all girls schools or an all women’s sports team. The Three I’s associated with coercive are inferiority, injury, and immorality. The Three I’s are false assumptions that contribute to sex segregation in sports. Inferiority refers to the idea that females are inferior to males, injury r...

A close focus on act III of ‘The Crucible’ Essay

The play, ‘The crucible’, shows how people react to mass hysteria caused by a group of people, as people did during the McCarthy hearings in the 1950’s. The â€Å"House un-American activities committee† searched for communist sympathisers because they were felt to be a threat to the state. Many Americans were wrongly accused of being communist sympathisers and were convicted and sentenced without any real evidence of them having committed a crime. Mere suspicion was classed as evidence. And like the during the witch hunts, anyone who spoke out was accused which made defending yourself a death wish. This is how McCarthyism was linked with the witch-hunts that had taken place in Salem, Massachusetts in 1692. The title of the play describes exactly what was happening at the time of the witch-hunts. A crucible is a container in which metals are heated to extracted the pure element from impurities, and crucible is another word for a cauldron that witches use to brew their magic potions in. So the word ‘crucible’ could metaphorically be used to explain how the activities in Salem were like a potion brewing in a cauldron with the potion being ‘mixed’ to separate the witches (impurities) from the good, god-loving citizens (element). The opening scene of the play shows the girls dancing in the woods around a cauldron, they are spotted by Parris who also see’s that one of them is naked.  The people of Salem were Puritans and so dancing was perceived as a sin.  The morning after the dancing, two of the youngest girls cannot wake from bed. A doctor is called to help the girls but he cannot diagnose what is wrong with them or how they can be helped, His only advice is to look to the unnatural. The girls do not confess to their activities until Parris confronts them. Abigail says all that they did was dance and strongly denies that any of them were naked, ‘Uncle, we did dance.’ ‘There is nothin’ more. I swear it, uncle.’ Mrs Putnam, the mother of the other ill child, believes that her daughter Ruth and Parris’s daughter Betty’s illnesses are caused by the devil. Parris calls for Hale who is an expert on ‘demonic arts’  Parris is the minister of the Village, much to the Putnam’s dismay. Mr Putnam’s brother was in competition with Parris for the position of minister and so the Putnam’s have a grudge against not only Parris, but the Nurse family who prevented him from being minister and many of there neighbours for various reasons. Especially with Giles Corey who has worked out that the Putnam’s will do anything to get their hands on other peoples land, ‘This man is killing his neighbours for their land!’ John Proctor also has a grudge against Parris. Hale arrives in Salem, He is a confident and well education young man who believes he has all the answers. As he is examining Betty Giles Corey distracts him by asking him questions about his wife. Giles says that his wife reads strange books whilst they are in bed and while she is reading, he cannot pray. Hale carries on trying to help Betty with little effect. Parris tells Hale that he thinks he saw a kettle in the grass with the girls in the wood with something moving inside it. Hale questions Abigail but she denies that she drank blood and called the devil. Abigail then realises that if the truth is found out she will get in a lot of trouble and so she passes the blame onto Tituba, Parris’s black slave, by saying that Tituba forced her to drink blood and even blames her wicked dreams on the slave. Tituba confesses to save herself from being hung. She mentions four people’s names that she supposedly saw with the devil. Abigail mentions more and more names and then the rest of the girls join in, mentioning the names of anyone they hate, have a grudge against or just dislike. As the girls cried out more names, the hysteria began to grow.  By accusing others of witchcraft they are diverting attention away from their original misdemeanours. We can see that the Proctors relationship is not very strong, they make petty small talk over dinner and don’t appear to be happy together. One reason for this may be that Elizabeth has not forgiven John for having an affair with Abigail whilst she was ill.  Whilst Mary was at court with the other girls where people were being tried for witchcraft she made a poppet for Elizabeth. Abigail was sitting next to Mary whilst she made it. By now 39 women had been arrested and Goody Osborn was sentenced to hanging.  Mary, who had always been a very shy, timid girl was now becoming very easily led along by Abigail and just as confused between fact and fantasy as the other girls and. This is apparent when she tells the Proctors that Sarah Good had confessed to having made contact with Lucifer, and that Sarah Goods spirit tried to choke her in the courtroom. Mary then speaks of even more fantasy when she says that terrible stomach pains had been inflicted upon her when she had turned the old woman away whilst she was begging. Mary also accused the old woman of mumbling a spell to her, but Sarah Good claimed it was not a spell, it were her commandments. The court asked her to repeat the commandments, but she could not.