The Importance Of Nursing Patients With Multi Resistant...

The purpose of this essay is to reflect on the importance of demonstrating nursing care with patients requiring standard and contact precautions using a model of reflection. Reflection is the process in which learners engage to recapture, notice and re-evaluate their experience, to work with their experience and to turn it into learning (Boud et al, 1993). The skill of reflection is essential to the development of clinical knowledge and ability which allows the learner to consider personal and professional skills and identify needs for ongoing development (Levett-Jones et al, 2011). This reflection will allow me to analyse the goal of nursing patients with Multi-Resistant Organisms (MROs), I planned to learn and understand at the beginning of the course, evaluate my professional growth and obtain conclusions in relation to my personal learning outcome. The Gibbs Reflective Cycle (1988) will be used as a model of reflection which comprises of six stages involving reflection on the des cription, feelings, evaluation, analysis, conclusion and action plan, better understand outstanding goals and continuously improve nursing practice. In addition, I will evaluate my nursing practice in accordance with the national competency standards for the Registered Nurses by the Nursing and Midwifery Board of Australia (NMBA, 2006) and will consider changes for my continual professional development. Stage 1 of Gibbs’ Reflective Cycle (1988) consists of the description of what has happened.

Thomas Hobbes The Founding Father Of Political Philosophy

English philosopher, Thomas Hobbes, was born on April 5th, 1588 in England and died on December 4th, 1679 in England. He was not born into a wealthy or powerful family, in fact, he was the son of vicar who happened to get into a disagreement with a clergyman outside of their church which resulted in him having to flee home. Hobbes is known to be the founding father of political philosophy. â€Å"His main concern is the problem of social and political order: how human beings can live together in peace and avoid the danger and fear of civil conflict.† (Internet Encyclopedia of Philosophy). Hobbes began his studies at the University of Oxford in England with the help of his uncle who brought him in and raised him after his father fled their home. After receiving a highly intelligent education in Oxford, Hobbes progresses on to tutoring the son of the noble Cavendishes family and King Charles II. Once the Civil War ended, Hobbes then got a tutor for himself who brought him closer to the English chancellor Francis Bacon and soon later got in contact with the European philosophers Descartes, Mersenne and Gassendi. Hobbes was a very intellectual individual and gained a great amount of knowledge in many different fields. â€Å"He was known as a scientist (especially in optics), as a mathematician (especially in geometry), as a translator of the classics, as a writer on law, as a disputant in metaphysics and epistemology; not least, he became notorious for his writings and disputes onShow MoreRelatedJohn Locke s The Second Treatise Of Civil Government977 Words   |  4 PagesMadeline Boche Dr. Thorn Philosophy 1301.040 24 March 2017 John Locke’s The Second Treatise of Civil Government In John Locke’s The Second Treatise of Civil Government, Locke discusses what the moral state of nature is and rejects the idea of a â€Å"divine right of kings.† John Locke was a product of the best schools in England and had a heavy impact on Western thought through his writings. As a Christ Church graduate, Locke largely discusses in his writings the state of nature, the concept of naturalRead MoreThe Declaration Of Independence And Independence3280 Words   |  14 Pageswriters of the Declaration of Independence? Who are our founding fathers and where did they receive these great ideas? I will examine the main writer of the Declaration of Independence Thomas Jefferson and look at the sources he used to begin our country. If Thomas Jefferson was a student at the United States Sergeant Major Academy, and he submitted his Declaration of Independence to turn it in would he pass? Were our founding fathers even great thinkers or were they just taking the advice o fRead MoreThomas Hobbes And John Locke1659 Words   |  7 PagesThe political world is one that impacts nearly every aspect of our day-to-day lives. Whether it be through its enforcement of laws, protection of the public, or use of taxpayer-raised monies to carry out its myriad tasks. The government always makes a mark on its people. The actions of the government, while frequently ridiculed or vilified, are the results of the people themselves, operating within our system of government. So while many people may disapprove of the job Congress is doing or the directionRead MoreThomas Hobbes And The Philosophy Of Political Science1729 Words   |  7 PagesHe started out on the philosophy of political science while on his trips and visits to other countries outside of England to listen to other scientists and learn different forms of government. While studying, Thomas Hobbes wondered about why people were allowing themselves to be ruled and what would a great form of government for En gland. He reasoned that people were naturally wicked and shouldn’t be trusted to govern themselves because they were selfish creatures and would do anything to betterRead MoreThe Enlightenments Eras Most Notable Thinkers1684 Words   |  7 Pagesthoughts that are directly responsible for contemporary social, political, and religious institutions. This epoch, along with the Renaissance, helped to spur Western Civilization out of the Dark Ages and into contemporary conceptions of modernization. Not surprisingly, this time period is characterized by a number of different seditions and the revolutionary tenets that fueled them which were markedly at variance with social, political, and religious notions that preceded them. As these three spheresRead MoreEssay about Social Contract Theory1429 Words   |  6 Pages The political world is one that impacts nearly every aspect of our day-to-day lives. Whether it be through its enforcement of laws, protection of the pub lic, or use of taxpayer-raised monies to carry out its myriad tasks, the government makes a mark on its people. The actions of the government, while frequently ridiculed or vilified, are the result of the people themselves, operating within our system of government. So while many people may disapprove of the job Congress is doing orRead MoreThe Human Nature Aspects Of Self Interest846 Words   |  4 PagesAccording to Hobbes, every human being has the right to practice its talents for the sake of self-preservation and development. He also wrote about life without a government something he called the state of nature. In the state of nature, everyone would have a right to do anything and everything in the world. But this could inevitably lead to a conflict, like a war against each other. But to escape a war, humans would have to accede to a social contract. Society is a population of sovereign authorityRead MoreEssay on Impact of the Writers of Antiquity on Modern Times613 Words   |  3 Pagesthe predecessors of present theories that have been reinterpreted for a different era and reapplied in a new context. In his most famous work, The Prince, Niccolà ³ Machiavelli discusses the ways in which to not only attain, but also retain, political power. His works deal heavily with methods for creating and maintaining a defensive state—one that is capable of withstanding attack—and the ways in which a ruler can rule. According to Machiavelli, a ruler may violate the moral norm—throw away theRead More17th Century Witers: The Age of Reason Essay1139 Words   |  5 Pagespoets and authors such as Robert Herrick, William Shakespeare, and Thomas Hobbes. Shakespeare’s play, King Lear is a great representation on the relationship of reason and emotion. The design of reason and emotion was being developed during the 17th century. They related the ideas of emotion with words such as ‘passion’ and ‘affect,’ (Schmitter, Amy M.) These terms of emotion contrast from todays definition. Philosophy was a vital part of the seventeenth century due to the enlightenmentRead MoreThe Philosophy Of Political Science1799 Words   |  8 PagesOhlone College The philosopher, Thomas Hobbes, started out with the philosophy of political science while on his trips and visits neighboring countries outside of England to listen to other scientists discuss and learn about different forms of government. While studying, Thomas Hobbes wondered about why people allow themselves to become ruled by the government and would be the ideal form of government best for England. He answered that questioned by stating that since people were

Nutrition in Nursing for Anthropometric Measurements-myassignmenthelp

Question: Discuss about theNutrition in Nursing Care for Anthropometric Measurements. Answer: The present paper will discuss optimal nutritional for nursing practice with a view to integrating nutritional interventions and policy into everyday nursing care. The nutritional care and interventions will be discussed in reference to a case study of a patient who is predisposed to diabetes type II and has interventional nutritional requirements. The anthropometric measurements used will be discussed with recommended weight loss targets, nutritional and physical activity recommendations and the nurse led role in behavior change and nutritional promotion. Anthropometric measurements Those used in the case study included height, weight, waist circumference and their derivatives Body mass index (BMI), waist to height ratio (WHR), and waist to weight ratio (WWR) (Australian Bureau of Statistics, 2013). These measurements are used to describe the body composition and try to stratify individuals according to the indices derived (Kondalsamy-Chennakesavan et al, 2008). Thomass measurements were a height of 175 cm, weight of 105 kg and waist circumference of 112 cm. The waist circumference is mainly a reflection of subcutaneous fat storage around the abdomen. The scale puts Thomas at substantially increased risk (102 cm or more). The waist circumference should be used in conjunction with the BMI for total obesity estimation and waist to height ratio for central obesity (Ashwell Gibson, 2016). WHR is derived by the division of waist circumference in centimeters by height in centimeters. Thomas has a WHR of 0.64. A blanket cut off of 0.5 is used to denote increased risk of obesity-related conditions (Ashwell Gibson, 2016). According to this, Thomas has an increased risk. The BMI is a measurement derived from weight and height and is a great tool used to stratify those who are obese and at a increased risk of cardiovascular disease and diabetes (Pasco et al, 2014). It is calculated by taking body weight in kilograms divided by height in meters squared (Nuttall, 2015). From this equation, Thomass BMI is 83.71. The BMI indices were categorized by the world health organization into categories of underweight, normal, overweight and obese. Underweight if less than 18.5, normal from 18.5-24.9, overweight from 25 to 29.9 and obese if 30 or greater (Lim et al, 2017). According to these strata, Thomas is clearly obese. Further WHO classification for obesity put her at class 3 obesity, the highest class for those with BMI of 40 or more. Weight loss is achievable and beneficial for Thomas who is class 3 obese. Weight loss goals will have to be set and individualized for him. Achievement of a desirable BMI may be an unrealistic goal in the short term but a slow and steady weight loss of 5% is still beneficial (Queensland Health, 2015). For goal setting and weight loss plan to be effective health education is an important prerequisite. The patient should be told the benefits of weight loss and lifestyle modifications. Thomas is at risk of type diabetes type two and cardiovascular events on account of his obesity and also from his family history where his father died of a heart attack and mother from a stroke. Nutrition and physical activity recommendations Nutritional recommendations are geared to modify the risk for development of diabetes and cardiovascular risks, reduce weight and complement other lifestyle modifications. According to Queensland health (2015), nutritional requirements should meet the energy requirements of the patient, include all the five major nutrient groups, be achievable and monitored. Thomas eats an unhealthy diet that consists of saturated fats like deep fried dim sims, chips, pork chops, Chico rolls, and meat pies, non-diet soft drinks, and foods with added sugars example soft drinks. His diet also lacks crucial components including fruits and vegetables. His daily alcohol habit is also detrimental to his health. The first recommendation is diet change to a more balanced nutritious diet and reducing energy intake (National Health and Medical Research Council, 2013). His breakfast which had white bread, honey, jam and coffee with milk should be changed to low-fat brown bread, use of sweeteners instead of sugar and honey and the addition of a fruit or a natural juice. His lunch should contain less deep-fried fast foods and include more cereals, vegetables, and water. If this is not available at his workplace, carrying packed lunch from home is a viable option. Dinner should include lean meats and poultry or fish with legumes instead of pork chops. Reduced fat milk should be used for tea and coffee. Drinking a lot of water with meals is recommended. Other eating recommendations include directives on portion size and serve sizes. Large portions and serves also lead to weight gain and overnutrition. According to Queensland health (2015), an adult of Thomass age need the following serves daily; six of vegetables, two of fruits, six of grains and cereals, three of lean meats, poultry and fish, two and a half of milk and dairy products, and four of polyunsaturated fats and spreads. Low-fat diets have been shown to reduce weight gain considerably (Makris Foster, 2011). Since he is class 3 obese, rapid weight loss is desirable and a very low energy diet is recommended (National Health and Medical Research Council, 2013). Use of adjunctive ways of weight loss is also recommended such as weight loss medication (Jin, 2015). Another recommendation is reducing or stopping alcohol consumption (Traversy Chaput, 2015). If willing to stop, referral to a center for alcohol addiction and rehabilitation should be attempted. If unwilling to stop, the alcohol content should be reduced to within two units per day (Traversy Chaput, 2015). Physical activity directly targets weight loss and prevention of weight gain by increasing energy consumption. Physical activity recommendations should encompass his occupation, leisure, and transport (National Health and Medical Research Council, 2013). Thomas level of activity is described as sedentary and carries a large risk of both obesity and cardiovascular risk (Barnes, 2012). The daily activities that fit him in this category include his occupation where he sits all day, driving to work daily and watching television after work. The Australian recommendations are to increase the level of intensity of physical activity to moderate to vigorous as they are the ones that carry health improving benefits (National Health and Medical Research Council, 2013). It prescribes that he should do about 150mins of vigorous activity or 300 minutes of moderate intensity activity or combining both models together with dietary modifications (National Health and Medical Research Council, 2013). Thomas could apply this by first walking to work which is achievable at two kilometers away. If not achievable bike riding to work is a ready alternative. He could take up leisure activities that are not sedentary and carry a better physical activity intensity, for example, swimming or join a gym or sports team. If these prove too expensive routine jogging is a cheaper option. Nurse-led role - promoting self-management Behavior change in weight management is crucial if any strategy is to work. The nurses role is to promote and spearhead the process of behavior change. The initial approach would be to apply several techniques that support behavior change. They include setting goals both long term and short term, encouraging self-monitoring, for example, a food diary or a workout plan, control of triggers of unhealthy behavior and cognitive behavior therapy (National Health and Medical Research Council, 2013). The main approach could be to individualized therapy or group therapy with individuals that share Thomass condition. Psychological therapies by the nurse could be applied and have been shown to enhance behavior change. They include cognitive behavior therapy and behavioral therapy (Teufel, Becker, Rieber, Stephan, Zipfel, 2011). This can be supplemented by other strategies to augment behavior change. They include incentives for weight loss and use of technology for example programs that set goals, reminders and offer information on the same (National Health and Medical Research Council, 2013). In conclusion, the anthropometric measurements used included weight, height, waist circumference (WC) and their derivatives BMI and waist to height ratio (WHR). Use of multiple measures reduces the shortfalls of just one to predict the risk of obesity-related conditions. The goals of weight loss do not have to involve rapid weight loss to achieve a normal BMI since that can be impossible. Even a 5% weight loss is beneficial. Nutritional recommendations aim at reducing energy intake and physical activity recommendations aim at increasing energy expenditure. The primary care nurse should foster behavior change to sustain these lifestyle modifications with psychotherapy and support in helping patients set goals and monitor their progress. References Ashwell, M., Gibson, S. (2016). Waist-to-height ratio as an indicator of early health risk: simpler and more predictive than using a matrix based on BMI and waist circumference. BMJ Open, 6(3). Australian Bureau of Statistics. (2013). Australian Aboriginal and Torres Strait Islander Health Survey: Users' Guide, 2012-13. Sydney, Australia: ABS Barnes, A. S. (2012). Obesity and Sedentary Lifestyles: Risk for Cardiovascular Disease in Women. Texas Heart Institute Journal, 39(2), 224-227. Jin, J. (2015). Medications for weight loss: Indications and usage. JAMA, 313(21), 2196-2196. doi:10.1001/jama.2015.5575 Kondalsamy-Chennakesavan, S., Hoy, W. E., Wang, Z., Briganti, E., Polkinghorne, K., Chadban, S., Shaw, J. (2008). Anthropometric measurements of Australian Aboriginal adults living in remote areas: comparison with nationally representative findings. American Journal of Human Biology, 20(3), 317-324. Lim, J. U., Lee, J. H., Kim, J. S., Hwang, Y. I., Kim, T.-H., Lim, S. Y., . . . Rhee, C. K. (2017). Comparison of World Health Organization and Asia-Pacific body mass index classifications in COPD patients. International Journal of Chronic Obstructive Pulmonary Disease, 12, 2465-2475. Makris, A., Foster, G. D. (2011). Dietary Approaches to the Treatment of Obesity. The Psychiatric clinics of North America, 34(4), 813-827. National Health and Medical Research Council. (2013). Clinical practice guidelines for the management of overweight and obesity in adults, adolescents, and children in Australia. Melbourne: National Health and Medical Research Council. Nuttall, F. Q. (2015). Body Mass Index: Obesity, BMI, and Health: A Critical Review. Nutrition Today, 50(3), 117-128. Pasco, J. A., Holloway, K. L., Dobbins, A. G., Kotowicz, M. A., Williams, L. J., Brennan, S. L. (2014). Body mass index and measures of body fat for defining obesity and underweight: a cross-sectional, population-based study. BMC Obesity, 1(1), 9 Queensland Health, (2015). Chronic Conditions Manual: Prevention and Management of Chronic Conditions in Australia. (1st Ed.). The Rural and Remote Clinical Support Unit, Torres. Teufel, M., Becker, S., Rieber, N., Stephan, K., Zipfel, S. (2011). Psychotherapy and obesity: strategies, challenges, and possibilities. Nervenarzt, 82(9), 1133-1139. Traversy, G., Chaput, J.-P. (2015). Alcohol Consumption and Obesity: An Update. Current Obesity Reports, 4(1), 122-130

Romanticism Essays (141 words) - British Poetry, Romantic Poets

Romanticism Samuel Taylor Coleridge is often discussed in association with his peer, William Wordsworth. This is due in part to their friendship and joint ventures on works such as Lyrical Ballads. Although he is often paired with his counterpart Wordsworth, there are several differences in Coleridges poetic style and philosophical views. Coleridges poetry differs from that of Wordsworth, and his association with Wordsworth overshadows Coleridges individual accomplishments as a Romantic poet. In addition, Coleridges poetry complicates experiences that Wordsworth views as very simple and very commonplace. Samuel Taylor Coleridge has a poetic diction unlike that of William Wordsworth, he relies more heavily on imagination for poetic inspiration, and he also incorporates religion into his poetry differently. Coleridges different views, combined with his opium addiction, led to an eventual breach in his friendship with Wordsworth a friendship that had begun in 1797.

The eNotes Blog Chapter One Unveiled for Harper Lees Wildly Anticipated Go Set a Watchman ANovel

Chapter One Unveiled for Harper Lees Wildly Anticipated Go Set a Watchman ANovel Fellow literature lovers, take a small sigh of Scout Finch-deprived relief. Weve all been holding our  breath since Harper Lees announcement of  Go Set a Watchman  early February.  This book comes more than 50 years after everyones favorite English class novel,  To Kill a Mockingbird.  Lees second novel  is scheduled for release July 14, and the first chapter (excerpt below) has been published, alongside beautiful animations, on The Guardian. Since Atlanta, she had looked out the dining-car window with a delight almost physical. Over her breakfast coffee, she watched the last of Georgia’s hills recede and the red earth appear, and with it tin-roofed houses set in the middle of swept yards, and in the yards the inevitable verbena grew, surrounded by whitewashed tires. She grinned when she saw her first TV antenna atop an unpainted Negro house; as they multiplied, her joy rose. Continue reading on The Guardian Pre-order the novel,  $15.95 for hardcover or $13.99 for Kindle, on Amazon.

The Tragedy of War essays

The Tragedy of War essays Since the beginning of mankind, war has been the ultimate companion of men across their evolution. Man has always had that spirit of a warrior. Without it, he could never have improved because that is the same spirit that guides people in the various fights which combine to constitute the path of life. However, war is still a nightmare that raises a big These days, movies come to report barbarian acts that men can perpetrate during wars. Those films make people hope we never have a WWIII, because they represent artistically how horrible war is, and the are so realistic that they can push us to identify ourselves with the characters. This comes down to the special effects used in the recent war films as Saving Private Ryan or The Thin Red Line. These effects make people more aware of soldiers pain and therefore more mindful to what war represents. The aim of my research is to show how movies can persuade the audience on both sides, either on making them aware of wars horrors, or on stimulating their patriotic spirit so The Thin Red Line is an anti-war film, probably the best one. It highlights the insanity that turns out when humans insist on fighting. The film follows a company throughout their campaign to take an important hill on the pacific island of Guadalcanal in the Second World War. As much as it can be categorized, the plot consists of these mens exploits, triumphs and deaths in their attempts to capture this strategic strip of land from the The film director Terrence Malicks intention seems to be showing the terrifying reality of modern combat, focusing on the devastation wreaked upon individual men. In fact, the film shows that every man fights his own war. When Malick juxtaposes the war atop these images from Eden, we get a quick idea of the destructiveness of humankind. One is reminded again that Wo...

Advertising on the Internet Essay Example | Topics and Well Written Essays - 1250 words

Advertising on the Internet - Essay Example The world of advertising was not always the cut-throat competitive field it is today.Ads in television and newspapers were the norm a decade ago, and internet was just one of the new things on the horizon.Internet advertising actually began in 1994 when HotWired contracted 14 advertisers for its entry in the online market. In the next two years, the internet gained in popularity as a possible advertising medium, and by 1997, websites were already being advertised in the traditional media. As Kaye puts it:"The growth of Internet advertising since its 1994 birth has been truly phenomenal. What started out with banners as bland and common as roadside billboards has exploded into a rich-media interactive environment that may soon rival the rabbit hole in Alice in Wonderland. (Kaye et al, 2001)."But the internet was not always popular as an advertising medium. At the end of the millennium, there was some serious soul-searching done by commercial enterprises on whether the internet really had the possibilities in advertising that had been earlier claimed. This was closely associated with the bursting of the dot.com bubble. As Schumann and Thorson point out in their book written in 1999:"Yet, many companies are growing disillusioned with the commercial possibilities of online advertising, and some have suggested that the Internet is better suited for interpersonal communication and personal sites rather than commercial sites.. Executives are questioning whether the potential of the Internet is real or just hype, and some companies are considering decreasing or removing their investment in online advertising".(Schumann et al, 1999) This changed down the years and the internet is now an established advertising medium due to a few specific reasons. The very first was the decreasing price of software and hardware. What used to be expensive software and hardware ten years ago has today become open source software and nearly free hardware. This has led to the increased possibility of setting up websites, and publishing content at low or negligible cost. This means more advertising space can be created at low cost. The second was wider accessibility and higher speed of the internet with the arrival of the broadband: bandwidth prices have gone down from $1000/mbps to less than $20/mbps. This has meant a larger audience, who are able to browse a large number of pages, and hence advertisements, in a short space of time. Moreover, the audience stays online longer because of the sheer speed and convenience of the medium. The internet has truly become a mass medium with two out of three people in the US surfing the internet, and a whole lot of the population, especially the youth, spending longer on the internet than on watching television. Thirdly, advertising strategies have matured in that the internet is no longer considered only a space which would provide for click-through purchases, but also opportunities for long-term brand-building. In the words of Greg Stuart, president of Interactive Advertising Bureau: "Internet advertising is without question taking share from the other media at this time and for good reason-marketers have figured out that online advertising is often the most cost-effective medium for influencing both branding and sales results." (Olsen, 2004) This brings us to our fourth reason for the establishment of the internet as an advertising medium: cost effectiveness. It is cheaper to place an ad on the internet than it is to run it in on the television or print media. One obvious example is the election campaigns run by the presidential candidates: while there are ads on TV and print, a whole host of candidates have chosen to go the internet advertising route, and possibly none has ignored the internet altogether. Right now, the internet as an advertising medium is competing with the traditional media not only because of its cost-effectiveness and an increased reach, but also because it has a potential that the television and print media do not.