What to write a paper on
Choosing A Good Topic For Thesis Paper
Tuesday, August 25, 2020
Conference wk 5 Coursework Example | Topics and Well Written Essays - 500 words
Gathering wk 5 - Coursework Example This data can be consolidated with insight administration to give ground onto which examinations about foes and malignant acts can be begun. Data can likewise be utilized to make the individuals of the United States strength. The data sharing technique is confronted with the test of the media through which the data can be passed (Purpura, 2007). This is on the grounds that the internet is accepted to be a basic foundation confronted with dangers, for example, cybercrime. The achievement of the assurance of basic framework strategic intended to keep the data secure and hidden. The data must have the sender and the recipient. The recipient goes about as the crowd. The data must be coordinated to the correct crowd. The messages that are sent must be educative and advising. Country security office should then search for criticism from the crowd. Input would then be able to enable the office to realize how to treat the data, the crowd or the subject (Coppola, 2011). They can know whether it is defiled. Country Security office influences the ecological equity through the effect of its activity, administrative exercises and through money related help to ancestral, state and nearby governments. The activities made by Homeland Security division can in some cases influence nature which could be the individuals, network, associations and its accomplices. The participation of the considerable number of players is required to give comprehension of the strategic, (2011). Ecological equity can be given through preparing and training on the known and obscure dangers. For known debacles, Homeland Security, Energy and Justice Departments can dispatch battle to prepare people in general on the best way to manage explicit circumstances when they occur or before they occur. People on call are generally accessible to help where people and networks neglect to manage calamities (Purpura, 2007). Making sure about
Saturday, August 22, 2020
Themes for May Classroom Activities
Topics for May Classroom Activities Here is a rundown of May topics, occasions, and occasions with relating exercises to go with them. Utilize these thoughts for motivation to make your own exercise plans and exercises, or utilize the thoughts gave. Get Caught Reading Monthâ The Association of American Publishers broadly propelled Get Caught Reading Month to remind individuals how much fun it is to peruse. Commend this month by having understudies perceive what number of books they can peruse in the period of May. The victor of the challenge can get a free book! National Physical Fitness and Sports Month Celebrate by getting dynamic, finding out about sustenance, and making sports creates. American Bike Month Observe American Bike month by having understudies ride their bicycles to class on May eighth and learning the principles of the street and how to be protected. Childrens Book Weekâ Childrens Book Week regularly happens toward the start of May, however youll need to check the dates every year. Since 1919, National Childrens Book Week has been devoted toâ encouragingâ young perusers to appreciate books. Praise this day by providingâ activitiesâ that will urge your understudies to adore perusing. Educator Appreciation Week Educator Appreciate Week happens in May, however the dates can differ. During this week, schools the country over praise the difficult work and commitment of instructors. Attempt a couple ofâ these educator gratefulness activitiesâ with your understudies. National Postcard Weekâ During the main entire seven day stretch of May, observe National Postcard Week by making postcards and sending them to different understudies the nation over. National Pet Week During the principal entire seven day stretch of May, observe Pet Week by having understudies get a photo of their pet to impart to the class. National Police Weekâ National police week happens the schedule week during which May fifteenth falls. Welcome a neighborhood police officer to your school, or plan a field outing to your nearby police headquarters to respect this week-long festival. National Transportation Week National Transportation Week for the most part happens during the third seven day stretch of May. Commend the network of transportation experts by having understudies investigate potential employments in the transportation field. Have understudies research and round out an application for an employment opportunity in their preferred field. Moms Day Mothersâ dayâ is saw on the second Sunday of May each year. Observe withà Mothers Day exercises, or attempt these very late exercise plans. You can likewise utilize this word rundown to assist you with making a Mothers Day sonnet. Commemoration Day Commemoration Day is praised on the last Monday of May every year. This is an opportunity to celebrate and respect the officers that relinquished their lives for our opportunity. Respect this day by giving understudies a fewâ fun exercises, and show understudies the benefit of regarding the memory of the individuals who preceded us with aà Memorial Day exercise plan. May 1: May Dayâ Observe May Day with artworks and exercises. May 1:à Mother Goose Day Investigate reality with regards to Mother Goose by perusing the Real Mother Goose. May 1: Hawaiian Lei Day In 1927 Don Blanding thought of having a Hawaiian occasion that everybody can celebrate. Respect his desires by participating in Hawaiian conventions and finding out about the way of life. May 2: Holocaust Remembrance Dayâ Find out about the historical backdrop of the Holocaust, and read age-fitting stories, for example, The Diary of Anne Frank and One Candle by Eve Bunting. May 3: Space Dayâ A definitive objective of Space Day is to advance math, science, and innovation, and motivate youngsters about the marvels of the universe. Praise this day by having your understudies participate in a couple of fun space-related exercises to help sustain their interest of the universe. May 4: Star Wars Dayâ This is a day to commend the Star Wars culture and respect the movies. A great method to praise this day is by having understudies get their activity figures. You can utilize these figures as motivation to make a composing piece. May 5: Cinco De Mayoâ Commend this Mexican occasion by hosting a get-together, making a pinata, and making a sombrero. May 6: No Homework Dayâ Your understudies buckle down every day, praise this day by giving your understudies a No Homework Pass for the afternoon. May 7: National Teachers Dayâ At long last, a day to respect and commend the entirety of the difficult work educators do! Show your thankfulness for our kindred educators by having understudies compose a letter of gratefulness to every one of their instructors (workmanship, music, physical training, and so forth). May 8: National School Nurses Dayâ Respect your school nurture by having understudies make an exceptional endowment of appreciation. May 8: No Socks Day To praise this wacky and fun day have understudies make makes out of socks, become familiar with the history, and wear fun shaded socks to class for the afternoon. May 9: Peter Pan Day On May 9, 1960, James Barrie (the maker of Peter Pan) was conceived. Praise this day by finding out about the maker James Barrie, viewing the film, perusing the story, and learning the statements. In the wake of perusing his statements have understudies attempt and thought of their own. May 14: The Start of the Lewis and Clark Expeditionâ This is an extraordinary day to show your understudies Thomas Jefferson and his job in the Lewis and Clark undertaking. Gain proficiency with the historical backdrop of the undertaking, and read understudies the book Who Was Thomas Jefferson by Dennis Brindell Fradin and Nancy Harrison, and visit the Monticello site for photographs and extra assets. May 15: National Chocolate Chip Day Whats a superior method to observe National Chocolate Chip Day than to prepare a few treats with your understudies! For some additional fun, attempt this chocolate bar math exercise. May 16: Wear Purple for Peace Dayâ Help improve the world a spot by having all understudies don purple for harmony day. May 18: Armed Forces Dayâ Pay tribute to the people who serve the United States military by having understudies compose a thank you letter to somebody in your nearby military. May 20: Weights and Measures Day On May 20, 1875, an International arrangement was marked to set up a global part of loads and measures. Commend this day with your understudies by estimating objects, finding out about volume, and exploringâ non-standard measures. May 23: Lucky Penny Dayâ Fortunate Penny Day is commended to fortify the hypothesis that on the off chance that you discover a penny and get it, you will have good karma. Commend this pleasant day with your understudies by making a penny art, checking and arranging pennies, or utilizing pennies to diagram Another great thought is to give understudies the composing brief, Once I found a fortunate penny and when I got it... May 24: Morse Code Dayâ On May 24, 1844, the primary Morse code message was sent. Praise this day by encouraging your understudies Morse Code. The understudies will adore the mystery, all things considered, May 29: Paper Clip Dayâ In 1899 Johan Vaaler, a Norwegian innovator imagined the paper cut. Respect this astounding little wire by having understudies concocted another approach to utilize it. May 29: John F. Kennedys Birthdayâ John F. Kennedy was one of the most cherished United States Presidents within recent memory. Respect this momentous man and the entirety of his achievements by having understudies make a KWL Chart, at that point read your understudies his life story, called Who Was John F. Kennedy? by Yona Zeldis McDonough. May 31:à World No Tobacco Dayâ World No Tobacco Day is a day to fortify and feature the wellbeing dangers related with tobacco use. Invest significant energy on this day to stretch the significance of why understudies ought not smoke.
Sunday, August 2, 2020
Twas the Night before Finals
âTwas the Night before Finals My apologies to Clement Clark Moore. âTwas the night before finals, and all through the âtute, You would think that the students had all become mute. The freshmen were nestled all snug at their desks, While hoping for at least one 5 AM rest; And I with my physics, roommates with their chem, Had just settled down for some quick SHM, When out on the ânet there arose such a clatter, I sprang to my Mac to see what was the matter. âIâm going to fail physics!â I saw one frosh yell. âIs torque in or out? Thereâs just no way to tell!â The seniors all clammered, âThereâs no need to stress, Youâre on pass/no record, and itâs just one test!â (âhttp://www.youtube.com/watch?v=Be6jlCuMvVQ,â Was what I replied, adding my two cents, too.) Though after a bit, that commotion died down, And I went back to physics and tried not to drown. But if youâre like me, your attention spanâs shot, So I went to the kitchen to make something hot. Well, it turns out our suite had some Chinese around, And MIT moral code says to free food Iâm bound, So armed with some chicken, to work I returned, But facebook then beckoned (you think Iâd have learnedâ¦) âBout two hours later, my status updated, My procrastination seemed slightly abated. So I went back to physics- attempt number three! And this brings us to now, about 1:23. My review sheet is awesome, my psets are read, My exams are all studied, and I am in bed. In just a few hours, fiziks will be done, And I will have finished exam number one. Itâs hard to believe that just one year ago, I was just one of you- yeah, I still didnât know! So while I wait for finals, and you for decisions, Hereâs something to think about during admissions: Early admits, in one year you, too, could be, Freshmen learning the truth in: IHTFP!
Saturday, May 23, 2020
Development of My Personal Core Values Essay - 1348 Words
Personal values are something which we develop through the course of life; they can change over time and may be influenced by our family, friends, culture, religion and the media. Personal values develop through experience and development, they impact our personal lives as well as our professional lives. This essay will look at my personal values, how they were shaped through the course of my life and the influence on my view of society and the role of the practitioner. Conclusively, I will outline my professional development by making reference to Kohlââ¬â¢s experiential learning model in addition, to my personal reflection on my development so far. The family is the main agent of socialisation and an institution. (Giddens, 2013:339). Asâ⬠¦show more contentâ⬠¦In my view, I support their decision as this goes against their beliefs. However, I also believe the happiness, health and wellbeing of individuals should be respected, and they should have the right to marry. Therefore, as an emerging professional we must be aware of diversity and bare this in mind when working with individuals and communities. It is important to remember that lives are shaped, by the way, in which we were socialised. This is a major part in how we develop. Primary socialisation is the first phase which occurs in early infancy. The family plays a vital role in teaching the infant the norms and values of their cultures. Secondary socialisation is the next stage we go through, and our values and beliefs come from the education system, peer groups and the mass media. Most societies do not have a single culture but an array of subcultures which is different from other members of society. (Haralambos Holborn 2009:1) Social class along with religion and ethnicity is a part in the socialisation process and outcomes for individuals. A personââ¬â¢s social class is a determining factor of their life chances and as such varying degrees of inequalities exist in modern day society. Research suggests My education brought disabilities to my attention. My primary school had a unit for deaf children within it, something which was unusual back then. I can remember when told of this and there being aShow MoreRelatedThe Vaule of Personal Development in The Divine Comedy, by Dante Alighieri1209 Words à |à 5 PagesIn Italian Dante Alighieri (1265) Poem, The Divine Comedy Inferno, Translated by Mark Musa. Dante demonstrates the value of personal development which is the ability to keep a balanced life and continuously learn from past mistakes in order to create a better future. Dante begins the poem wrapped in his own thoughts and suffering but by the end of the poem he begins to understand otherââ¬â¢s sufferings beyond his own. In his growth throughout his journey he learns about pain and sorrow that he cannotRead MorePersonal Statement959 Words à |à 4 Pagesworld.â⬠In implementation, the practice of ethical action, redemptive service and responsible citizenship within th e church, local community, and globally, are emphasized. As an older student at Lee University, I admit that these values were heavily communicated to me, by my mother, from an early age. After high school, I did not pursue a vocation and worked in a factory in Alabama for a couple of years. It was during this time, that I realized, that God wanted more out of and for me. I returnedRead MorePersonal Leadership Statement: Becoming an Educational Leader983 Words à |à 4 Pagesconcrete life storyâ⬠(Contino, 2004, p. 85). 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These periods are known as the imprint period, modelingRead MorePurpose And Understanding Of An Authentic Servant Leader1618 Words à |à 7 Pageschanged their thinking or the direction of their lives. The purpose and understanding of reflection is important in instruction. Authentic leaders have a clear understanding of who they are and they lead from their core values (Northouse, 2016). In discovering my core values by following my internal leading in becoming an authentic servant leader (George, 2010), I am able to recognize the importance of being self-aware, relational, supportive, and participatory with the ability to manage crisis (NorthouseRead MoreSelf Directed, Intrinsically Motivated, Active Learning998 Words à |à 4 Pagesteachers and at the same time appreciate that the inclusive education environment, irrespective of its merits, will present barriers for learners and for teachers. The learner can be described as an individual, a recipient of an educational system that values standards and results.(Gavin Reid) For a self-directed, intrinsically motivated, active learner, the individual takes the initiative and the responsibility of the learning process. The learner selects, manages and assess their own learning activitiesRead MorePersonal Development Review and Plan1519 Words à |à 7 PagesPersonal Development Stage 1 Review and Development Plan Table of Contents Page Introduction My Personal Development Review My Personal Development Plan 3 4-5 6-7 2 Introduction At the Introduction to PD workshop I identified two broad reasons why I decided to pursue my MBA. The first was to develop my competence as a manager. The second and more important reason was to advance my career by making myself more marketable. The job market today is undoubtedly very competitive and I realisedRead MoreMy Personal Values On Nursing964 Words à |à 4 PagesIdentifying personal values, beliefs and concepts ignite the individual to make a well-rounded decision and live an authentic life. As a nurse, I want to promote the best possible care for my patients because I believe in maintaining life balances. Life balances acknowledge the individualââ¬â¢s prioritizes by linking each lifestyles together. In physiological terms, maintaining equilibrium and homeostasis is critical in achieving a state of balanced. Therefore, my values about person, health, nursingRead MoreWilliam Sullivans Work And Integrity : The Crisis And Promise Of Professionalism1340 Words à |à 6 P agesexclusive group of peers who possessed a distinct body of knowledge, language, and abilities.1 The officer corps is burdened with greater responsibility based on the nature of the military construct. The officerââ¬â¢s professional military education, development of an abstract body of knowledge, a code of ethics reflecting the ââ¬Å"special trust and confidenceâ⬠bestowed by the President and Congress, and the oath of office, are all different from the enlisted branch. They must be by nature.10 This is supportedRead MorePersonal Philosophy of Leadership Essay1215 Words à |à 5 PagesPersonal Philosophy of Leadership Being a leader is more than simply holding a leadership position or having the ability to lead. Everyone is capable of being a leader, but not everyone exercises his or her leadership abilities. Each personââ¬â¢s idea of leadership is different. My idea of leadership has developed over time, and being a member of the Presidentââ¬â¢s Leadership Class has helped me develop my philosophy of leadership further than what it was two months ago. My personal philosophy of leadership
Monday, May 11, 2020
Example Question - 1605 Words
Research Method-Pastyear 1._____ is the application of the scientific method in searching for the truth about business phenomena. A.Induction. B.Application research. C.Business research. D.Science. 2.Which type of research tries to verify a theory or to learn more about a concept and is not intended to solve a particular business problem? A.Performance-monitoring research. B.Basic research. C.Total quality management. D.The scientific method. 3.Which of the following refers to the way researchers go about using knowledge and evidence to reach objective conclusions about the real world? A.Qualitative method. B.Quantitative method. C.Scientific method. D.Primary method. 4.Job satisfaction, which is an employeesââ¬â¢sâ⬠¦show more contentâ⬠¦| unit of analysis | 20. What type of variable is marital statusâ⬠(single, married, widower)? A. | Continuous variable. | B. | Primary variable. | C. | Dependent variable. | D. | Categorical variable. | 21. A statement such as: If we increase price five percent, sales will likely drop eight percent or more, is an example of a __________. A. | hypothesis | B. | dependent variable | C. | problem definition | D. | research objective | 22. The people who answer survey questions are referred to as ____. A. | researchers | B. | clients | C. | respondents | D. | users | 23. Which of the following can be the target of survey research techniques? A. | wholesalers | B. | employees | C. | consumers | D. | all of the above | 24. Systematic errors are also called ______. A. | random sampling error | B. | interviewer error | C. | nonresponse error | D. | nonsampling errors | 25. Systematic error is divided into which two general categories? A. | respondent error and administrative error | B. | random sampling error and administrative error | C. | response bias and interview error | D. | primary error and secondary error | 26. When a respondent tells the interviewer that he reads The Wall Street Journal on a daily basis so that he can impress the interviewer, this is an example of _______. A. | interviewer bias | B. | auspices bias | C. | administrative bias | D. | acquiescence bias | 27. Which term isShow MoreRelatedAn Example of the Question of Truth1531 Words à |à 6 Pagessure of the truth? In the Question of the Truth Unit we read a variety of selections based off of peopleââ¬â¢s perception of the truth, though in many of these selections the truth wasnââ¬â¢t what people expected. These selections help develop a contrast between how things seem on the surface, and how they really are. A couple of these selections accept the surface appearance of things as embodying reality and not the actual truth. Platoââ¬â¢s ââ¬Å"Allegory of the Caveâ⬠is a prime example of what appears to be trueRead MoreExample Questions LMP Exam1654 Words à |à 7 Pagesï » ¿Example Questions Essentials of Organizational Behavior. 1 Ch.1 The underlying principle of scientific management was to: A) structure organizations for the efficient management of people. B) apply statistical analysis to the design of jobs C) get people to do more work in less time. D) eliminate the need for first-line supervisors C 2 Ch.1 The human relations movement A. emphasized the importance of employee training and development. B. encouraged employee participation in organizational decisionRead MoreKraft Questions Essay examples815 Words à |à 4 Pagesï » ¿Amanda Kluszczynski Strategic Business 59-620B Eveanne Lovero Kraft Questions March 12, 2015 1. What is Kraft Foods Inc.ââ¬â¢s corporate strategy? How has its corporate strategy evolved since its independence in 2007? Kraft has a strong global strategy. They found themselves operating in more than 80 countries, which included 220 manufacturing and processing facilities and 228 distribution centers. Because of the different regulations in each country related to food, they found themselves in needRead MoreLiterature Questions Essay example1159 Words à |à 5 Pagesshrinking Questionà 2 Partially correct Mark 0.50 out of 1.00 Flag question Question text The poem ââ¬Å"The Weary Blues,â⬠by Langston Hughes, focuses on all but the following elements of modernism:à Select one or more: a. fragmentary nature of thought b. erasing the disctinction between high and low artà c. using the first person voiceà d. subjectivityà Feedback The correct answer is: fragmentary nature of thought, subjectivity Questionà 3 Correct Mark 1.00 out of 1.00 Flag question QuestionRead MoreHR Questions Essay example7470 Words à |à 30 Pagesflexible; can provide detailed information; easy to organise and prepare. Disadvantages: Time-Consuming; expensive; difficult to analyse. 4. Observation interviews: Similar to individual interviews but give additional information, for example: visual or auditory information; these contextual clues make it more difficult for the analyst to be misled; the methods may expose both the analyst and the worker to increase safety hazards. 5. Group interviews: Similar to the individual interviewRead MoreMacroeconomics: Questions and Answers Essay example890 Words à |à 4 Pagesà Work à Assessment PROBLEM à SET à NO à 4 à (Chapter à 3033) Student #1 Name and ID: Gwee Yi Xuan S3506518, 10148285 Student #2 Name and ID: Cheah Wei Yun, S3509385, 10148653 Student #3 Name and ID: Yong Chang Wei Stanley, S3532641, 10154582 Question 1 Suppose that a countryââ¬â¢s inflation rate increase sharply. Explain the following situations. (1 mark for each) a) What happens to the inflation tax on the holders of money? As inflation rate increases sharply, the price level also increases sharplyRead MoreMgt Pre Questions Essay example601 Words à |à 3 Pagesyour explanation? 6. How do the results of your analysis affect the alternatives proposed to resolve the strategic issue? Explanation for identifying underlying causes of performance: Now determine the WHY behind their performance. For example if profitability is declining or profits are negative, try to identify why. Look for evidence in the common-size statements that you prepared as well as industry information in the case. The purpose is to link strategic analysis with financial analysisRead MoreHypothesis and Research Question Essay example543 Words à |à 3 PagesResearch questions are formulated in a study to inquire about variables, both independent and dependent variables, and the relationship between them. Research questions are categorized into two, that is, qualitative and quantitative research questions. Qualitative questions are used in qualitative research like case studies, surveys and action research where the approach is non-numerical and analyses special phenomena that occur in nature. Quantitative research on the other hand is more of a systematicRead More Development During Adolescence: Questions Essay example978 Words à |à 4 PagesQuest ion 1: Discuss adolescence: a)The period of adolescence and the cultural aspect thereof Pinpointing the start of any developmental phase is difficult as different people view adolescence and who is classified as an adolescent in different ways. This is because of perspective as well as cultural differences of what an adolescent is. As a rule of thumb,we say that the onset of adolescence is when puberty starts. This is fairly easy to notice because of the physical changes. However, determiningRead MoreImportant Questions on Financial Accounting Essay examples844 Words à |à 4 Pages 1. Which of the following statements is true about hedge accounting under U.S. GAAP? a. If a derivative qualifies as a cash flow hedge, a company may choose to account for it as a fair value hedge. 2. When a currency is allowed to increase or decrease in value relative to other currencies, the currency is said to: a. Float 3. What has occurred when one company purchases the right to buy a foreign currency some time in the future at an exchange rate quoted today? a. the company has acquired
Wednesday, May 6, 2020
Mrs. Thomas Holistic End of Life Care Free Essays
string(48) " is worse or that the pain is deserved somehow\." Governors university Scenario A brief synopsis of the scenario explored in this paper will be forthcoming so the following observations and detail will have context. The key points in the scenario explored for Mrs.. We will write a custom essay sample on Mrs. Thomas: Holistic End of Life Care or any similar topic only for you Order Now Thomas, her husband and family are as follows. Mrs.. Thomas is a candidate for palliative care; In specifically hospice If she Is given a prognosis of six months or less. She has suffered breast cancer twice In the past year. A year ago she had a right mastectomy with removal of five auxiliary lymph nodes, with chemotherapy and radiation. Six months ago she had a second mastectomy on her left breast, followed by chemotherapy and radiation. After said treatment it was discovered that the cancer had metastasisââ¬â¢s to her lungs and further surgery is not a feasible option. She has not been taking her pain medication as she does not want to procure an addiction problem. Her pain has Increased and she spends most of the time In bed crying. She had to leave her job, but has a small stipend via disability. She and her husband, a police officer, are struggling to make ends meet financially Her husband suffers from chronic depression that is being managed by medication, but he is resorting to take his medication often. He is a supportive and able caregiver however, he Is showing signs of caregiver strain and Job stress. In response Mrs.. Thomas Is worried that he Is becoming classical because of the circumstances of her condition and this In turn Is causing her further suffering. Core family support Is minimal. Mrs.. Thomasââ¬â¢ close female relatives are dead from the very disease that is killing her. Because she is sick, she and her husband no longer socialize; she does not seek help from her female friends. Her sons live far away, and call often but they do not come to see her. Mrs.. Thomas is saddened that her sons are not here, but Quality of Life and Health Promotion This nurse believes that quality of life is defined individually for each patient. Each individual is unique and how they perceive life and what their life circumstances are define what is needed for end of life care. Quality of life during a time when aggressive treatment is no longer possible needs to be focused on comfort and support of the patient, caregivers and family. This nurse believes comfort (quality of life) includes the right to be free from pain, unless the patient chooses to experience main in trade for mental clarity. It includes the right to not participate in aggressive treatment or in clinical trials if the patient has no wish to do so. Quality of life to this nurse is helping the patient to do the best with the situation in life in which the patient finds themselves. It includes helping the patient with what he or she perceives as unfinished business and helping the patient conclude this business to the extent possible. Holistic end of life care includes care of all aspects of the patient (physical, social and spiritual) and care for those who love the one dying?the family. The family is whatever blood or non-blood ties this entails; whatever ââ¬Å"shapeâ⬠of family the patient has at this time. This nurse believes that holistic end of life care encompasses not only physical comfort for the patient but promotion of healthy interactions for the patient with those who love and comfort them. These sensitivities are the goals of this nurse and if applied diligently may provide the best outcomes for the patient in this time of life. Strategies Four holistic nursing goals to begin to improve quality of life for Mrs.. Thomas, her husband and family are the nursing diagnoses: Pain Management, Addressing Anticipatory Grieving and Situational Low Self-Esteem, as well as, Altered Family Processes. First one must establish a rapport with the patient. By providing an open nonjudgmental conversation the nurse can encourage an open and realistic dialogue about what Mrs.. Thomas is feeling. By reviewing past life experiences one can get to know the patient and what interests her and establish trust. This trust is of most importance as all nursing care success depends on creating a team effort with the patient. Family involvement in this time needs to be proactive to help Mrs.. Thomasââ¬â¢ mental state and via this her physical functional ability. Nurseries) A beginning conversation with Mrs.. Thomas needs to be about the importance of pain relief. By bringing the patient to an understanding of how this relief of pain will benefit those around her, Mrs.. Thomas may be more likely to try the medication for said relief. This may be the initial hook with which one can get her to take said medication. The nurse must determine a comprehensive pain history, including frequency, duration and intensity using a scale dependent upon the patientââ¬â¢s perception of pain throughout her life span. Zero pain for no pain; ten for the worst pain ever. This call gives the nurse a baseline from which to assess pain management. Her pain has been increasing for the last six months and this nurse would designate that as chronic pain, perhaps with acute episodes. Also, the nurse must ask about and continue to monitor when said pain is occurring, as well as where and how much. Morning or when? Identifying precipitating factors of pain will help in its long term management. (Nurseries) Pain is what the patient says it is; we as nurses need to accept that premise. Within the realm of pain lie both physical and emotional response. Because Mrs.. Thomas is no longer seeking aggressive cancer treatment, he ââ¬Å"variations of aggressive treatmentâ⬠pain control will not be discussed. However, as her disease progresses it is most likely that her pain will increase. Which brings up another point?reluctance of the patient to report pain because of fear that the disease is worse or that the pain is deserved somehow. You read "Mrs. Thomas: Holistic End of Life Care" in category "Life" The nurse must also be aware of unmanageable side effects (like hallucination) which if experienced must be dealt with in a matter of fact fashion and by trying another medication regime. To address pain management with Mrs.. Thomas one must address her fear of addiction. By talking with Mrs.. Thomas openly and honestly about the need for pain relief, it is hoped that she is lead to the conclusion that pain management and pain medication abuse are two different things. At the end of life, pain medication addiction is not an issue. This idea needs to be gently but openly professed. One could point to the relief of stress for her husband if she is not in pain; as well as the physical benefit (and hence mental benefit) of remaining pain free. If she remains pain free she will be more able to take care of herself and her activities of daily living. She will be able to live in this time instead of living in dread of each day. Once she is taking said pain medication it must be monitored, adjusted and changed as needed for optimal effect and to support the ability to participate in activities of daily living to the fullest as possible. Also discussing non-pharmacological comfort measures like massage and diversionary activities like music is in order. What does Mrs.. Thomas respond to; what does she like? What kinds of non-pharmacological pain intervention has worked for her in the past? Ask questions so that she can verbalize these things to help herself. Being able to relax will help her focus her attention. Encouragement of stress management skills and complimentary therapies (relaxation techniques, biofeedback, LAUGHTER, music, aromatherapy, acupressure, acupuncture and touch are a few) helps the patient to actively participate and enhances a sense of control. Heat and cold may also help by decreasing muscle spasms and inflammation. Pain makes stress, stress makes stiff muscles and increases self-focus which, unfortunately, increases pain. As the nurse interacts with the patient it is important that the patient comes up with ideas about care and becomes a proactive member of their healthcare team. (Nurseries) Mrs.. Thomas is also suffering, ââ¬Å"Anticipatory Grieving. This is related to loss of her physiological health and change in lifestyle. It is interconnected to the knowledge that she is going to die, for real, and most likely soon. This nursing diagnosis is needed because of her change in social activity level, her reluctance to tell her sons that she needs them?now. It is evidenced by her denial that she does need them and help and support in general from her friends. (Nurseries) Outcomes that are desired include the patient being able to feel her feelings and express them. By doing this she will hopefully come to the place where she is able to take one day t a time and continue her normal activities; even planning for the future. Being able to admit that she is dying, understanding and verbalizing the process is a beginning is done, she must feel supported in her grief work. One must beware of debilitating depression, the like of which is indicated by the scenario. To address this the nurse must be frank and direct in asking questions about the patientââ¬â¢s mind state. (Nurseries) Frequent visiting by the nursing team and care providers, family and social support of friends can help relieve feelings of isolation and abandonment. Her ones need to be contacted with a ââ¬Å"for your informationâ⬠talk about coming to see their mom (and dad) and possibly who could be of help with caregivers as it is needed. Mr.. Thomas is also a source to find out about who may be able to help with this care this, as well. The nursing diagnosis, ââ¬Å"Situational Low Self-Esteemâ⬠is related to how Mrs.. Thomas feels about her disfiguring surgeries and subsequent treatment side effects (aliped, muscle wasting, and more) as well as feelings of self-doubt and lack of control in her life. It is about the doubt about being accepted by othersââ¬âof still eyeing a human in the world. It is also about her anxiety and fear of her disease process. This is evidenced by her not taking responsibility for self-care (not taking pain medication; crying in bed all day. ) Acceptance of her situation is an outcome that is looked for. She needs to be able to develop mechanisms to cope with her problems and set realistic goals. What coping skills has she used in the past? She needs to be able to participate in her own life by learning to adapt. The nurse can help her through this process by asking proactive questions about how she feels and perceives her world. By getting her to voice where sheââ¬â¢s at, she will also perhaps start to voice how she can manage. (Nurseries) This diagnosis ties in with the aforementioned, ââ¬Å"Anticipatory Grievingâ⬠diagnosis. By defining diagnosis and disease process beginning problem solving can occur. By anticipating what can happen, some measure of control can be taken. By working with Mrs.. Thomas and planning how daily activities can be managed, adaptation can occur. (Nurseries) Discussion about her roles in life, as a worker, spouse, and mother and problem solving about how to accomplish her goals for these roles may help reduce problems that interfere tit her self-esteem. It may help her to see how she can cluster activities at home to conserve energy but be productive. It may help her to be more able to reach out to those who love her for inclusion and support. The nurse must acknowledge troubles she is experiencing and validate the patientââ¬â¢s reality; this opens the door to the patient being able to seek measures that are necessary to cope, like counseling, and support groups. The nurse should readily be able to supply information about said resources so as to facilitate the patient in procuring more support. If Mrs.. Thomas is n hospice the social worker of the interdisciplinary team can help facilitate and direct this work; but the nurse must always continue it during her visits. Holistic Nursing Plan Amongst personal revelation the nurse must explore who may be able to help Mrs.. Thomas with her activities of daily living. Her husband is doing the Job, but he is suffering from care giver strain and could use some help. It may be that the people she has cut herself off from socially miss her and would love the chance to be able to help in some way. Caregivers avenues and their affordability need to be explored before they are needed. These interactions; providing pain control, helping with grief and esteem issues, and helping the patient to discover what will work best to live disease state progresses, but before it is needed, preparation for a lesser level of self-care must be addressed. Medicare provides a ââ¬Å"compassionate allowanceâ⬠for hospice care for those of any age with a metastasis cancer with a prognosis of six months or less. She needs to apply for this care in the beginning of the nursing visits if she qualifies. To receive hospice care via Medicare she must be eligible for Medicare Part ââ¬Å"Aâ⬠, be certified as terminally ill and then apply for hospice care. This care would be in her home. By signing an election of benefits Mrs.. Thomas would be choosing hospice care in lieu of routine Medicare-covered benefits. Hospice would pay for pain medications and those required by her terminal diagnosis, as well as services included in the palliative plan of care. Often the hospice doctor confers with the patientââ¬â¢s primary doctor and others on the hospice interdisciplinary team are included. (ââ¬Å"Your Medicare benefits,â⬠2014) Hospice of Kits County provides an interdisciplinary team consisting of the doctor, the patientââ¬â¢s primary provider and nurse practitioners, sitting nursing care, a medical social worker, a chaplain, a home health aide. Also provided are complementary services, which include massage and music therapies. Volunteers are also enlisted to help with such things as grocery shopping and the like or simply for company. These persons come to the patientââ¬â¢s home for service. Hospice care differs with regional coverage. Durable medical equipment is also covered, so if Mrs.. Thomas is in need of a hospital bed, oxygen, bedside commode, wheel chair and so on, it will be provided at no cost to her family via Medicare coverage. Grief and loss counseling is also provided. ââ¬Å"Hospice of kits,â⬠) Providers for home care must be explored as Mrs.. Thomas declines. Often the expense precludes coverage of duties in this way. Exploration of service providers and means of payment need to be explored as a way to cover Mrs.. Thomasââ¬â¢ needs as she declines. Medicare covers the cost of a short term inpatient care in a Medicare approved hospice facility, or nursing home if the caregiver is suffering from caregiver strain (for up to five days) or if it is determined by the hospice physician that symptoms must be managed in an inpatient setting. Because Mrs.. Thomas has no Eng term care health insurance this care could be instrumental in providing for her final days. ââ¬Å"Your Medicare benefits,â⬠2014) The fourth nursing diagnosis, ââ¬Å"Altered Family Processesâ⬠must be addressed for the holistic health of Mrs.. Thomas. This holistic care includes her husband as well as Mrs.. Thomasââ¬â¢ sons and families. Situational crises can develop when a family member has a long term illness. There is a change in roles in caring for a paren t and an anticipated loss of said parent. (Nurseries) Those involved need to learn to express feelings freely and demonstrate individual involvement. This individual involvement must include a problem solving process that promotes suitable solutions for the situation. Mrs.. Thomasââ¬â¢ sons need to be contacted and requested to attend a family conference. If they are unable (because of finances or schedule) to attend then this could be accomplished via phone. They must understand the need of their mother to see them in person and will hopefully comply. The reality of the situation must be broached to them in a caring way. It may be that the Thomasââ¬â¢ or Mrs.. Thomas can go and stay with them for more available for care and support of their mother. Speaking with family members in a caring, respectful manner and providing information both written and spoken helps promote feelings of empathy. It stimulates individual feelings of value and capability in ability to handle the present situation. In answering questions and providing information one can empower Mrs.. Thomasââ¬â¢ loved ones. Identifying patterns of communication and interaction between family members is an important nursing intervention. It provides information about how active said communication is. It can also identify what problems may exist that interfere with the family in helping the patient and what problems there are in adjusting to the prognosis. Role expectations must be explored and how each individual sees the situation, in sharing these thoughts the family can promote understanding within its unit. Assessing the way members are expending their energy with which to deal with the situation is needed so as to provide guidance in positive focus for the well-being of patient. Acknowledging the difficulty of the prognosis, as well as, encouraging appropriate expressions of anger helps resolution in the stages of grieving. The nurse must remain centered. Stressing the importance f continuing dialogue that is open and honest between the family members helps communication to remain open and thus facilitates problem resolution. Mr.. Thomas must be educated by the community health nurse as with regards to how anti- depressants need to maintain a certain blood level to be effective. If he is not taking them regularly this will not happen. To help achieve this goal, a pill box with days on it can be set up; perhaps an alarm set to the same time each day enlisted, so that he can remember to take his medication and thus be better able to function at this time. To provide holistic nursing care to Mrs.. Thomas her needs as a person must be addressed. Physical, social and spiritual realms must be explored. Plans of action to provide for her physical care and the demise of her abilities must be explored; help must be sought out from the aforementioned sources. Method must be applied via nursing diagnosis and indications of said diagnosis. Desired outcomes must be planned, as well as nursing interventions to work toward these outcomes. Mrs.. Thomas must be approached with honesty and treated as a human being, with a life, in her time of need. How to cite Mrs. Thomas: Holistic End of Life Care, Essays
Thursday, April 30, 2020
Rizal Reaction Paper free essay sample
Noel me Teenager and II Fulfils Terrorism, we learn about social cancer that really happens in our society and we are encouraged to apply Racals ideals in current social and personal problems and issues. Through his books, Racial asked the youth to study, to acquire knowledge, because as he said, nationality does not define your intelligence. As well as we develop an appreciation and deeper understanding of all that Racial fought and died for. It fosters the development f the F-loping youth in all aspects of citizenship and love of country.As a nation, we share the same collective experience, history, culture, and identity as one. By studying about Racals life and works, together with other historical figures that we encountered, ex: Juan Ulna, Andrea Boniface; we will learn to understand our identity as a Filipino. The Philippines experienced the suffering under the colonization of foreign power. And we saw their desire to attain reform, freedom and independence. We will write a custom essay sample on Rizal Reaction Paper or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Racals novels reflect, through the harassers in it, the hardship and conflicts in order to attain the desired independence.But at the same time, it ignites the awareness of people and their spirit to defend their country. From the novel, I really admire Alias. We saw how he tried to prevent the revolution from happening by try to ask Barbara to help them grant the reform. Alias loves the country so much that he sacrifices his own personal need for the good of his country and others. We saw how his family suffered so much, but Alias was willing to leave his assessment behind and do whats best for his country.Aside from learning about Racial and his books, we also did our final project. We had to do a community service. From planning, executing and report about the activity that we chose. By doing this project, we were not only doing it for academic requirements, but we as well, want to apply the stewardship of the community. We belong in the same society and we respect, care, and share the same love for our country, ideology, and history. We believe that it is our accessibility to act for the common good of people, especially the less fortunate than us.Our project was a helping mission part of the Joyful Church regular activity and our group chose to collaborate with the church because one of our underlying principles to do this is to exercise our duty as a good Christian. We are always being reminded of the importance of giving. Not just material based, but as well services, time and effort. To be sincere, generous, and sacrifice to those in need. By doing this project, our group is trying to remote the people to care more about public welfare.We prefer this helping mission because we admire the simplicity, the straightforwardness, and the regularity or the continuance of the program. Due to those elements, the ability of the citizens to participate is imminent. It has been a good semester learning more about the Life and Works of Racial. We learned new things, had good discussions, watch movies, etc. We really appreciate the effort that was given by the teacher to make this subject interesting thank you.
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