Saturday, May 23, 2020
Edgar Allan Poe was born January 19, 1809. Many consider him to be the master of mystery and horror. He only lived until he was forty, and during that time he endured a lot of hardships. For one, every woman he ever cared for ended up dead, usually by the dreaded tuberculosis. That included his wife Virginia. The men in his life who were supposed to be there to guide him, well, they were not there. I think that helped him write a lot of his dark and macabre stories. His most famous work is The Raven, a narrative poem that was first published in January 1845. He also wrote other highly regarded short stories such as, The Murders in the Rue Morgue, The Tell- Tale Heart, and The Black Cat. I will be doing my review on the latterÃ¢â¬ ¦show more contentÃ¢â¬ ¦Poe creates a narrator that loses his humanness. The narrator kills his cat and wife due to mere fits of rage. A sane person would not do that. Poe basically has his narrator starts telling the story at his mad point . Poe had his narrator realize his deterioration but also an inability to stop it from happening. The narrators madness was exasperated by an addiction to alcohol. From the story, But my disease grew upon me - for what disease is like alcohol? (Poe 199). I think Mr. Poe is saying that alcohol can push people over the edge. The narrator already had his demons that he had been able to keep in check until he went on a drinking binge. From there on out, things unraveled. It is said that Mr. Poe himself struggled with alcoholism (cite). It is quite possible that he drew up that aspect of the narrator makeup from his own life. And on a minor note, Edgar Allan Poe also uses this story to present the age old no crime goes unpunished bit. He has a narrator that believes that he has gotten away with his crime. Poe presents a person who is so ho-hum after a heinous crime, the murder of his wife, but that does not last very long. Poe uses the cat as an antagonizing figure that foil s his narrators perfect crime. I have to agree with Edgar Allan Poe in regards to the alcoholism. I think we have all seen to some capacity the negative affect alcohol can have on an already strained situation. It really is like throwing a gallon of gasolineShow MoreRelatedA Crazy Cat Lady1322 Words Ã |Ã 6 Pagesam the epitome of a crazy cat lady. DonÃ¢â¬â¢t take me to a humane society, it will end with me attempting to smuggle out a cat, and getting caught because...well, stealing cats is apparently frowned upon in society. Yes, I am unhealthily obsessed; I love my cat more than Iove my best friend, more than my sister, and on some days, I love him more than I love my parents. The sickness started in August of 2015. Well, no, thatÃ¢â¬â¢s actually a lie. That was when I got my first cat. IÃ¢â¬â¢d wanted one since I wasRead MoreEssay On High School1552 Words Ã |Ã 7 Pagesthe common room. Their Headmistress stood in front of them. Waiting for the final student. There was silence when they heard high heels walking down the marble staircase. Marie Nottingham dressed in black, blonde hair straightened running over her shoulders. Her blue doe eyes were coated heavily with black eyeliner. She always said if youÃ¢â¬â¢re a witch, might as well dress like it. Eyes followed her as she sat down in an empty seat. Ã¢â¬Å"Are we all set Miss Nottingham?Ã¢â¬ Headmistress Camille asked. MarieRead MoreCats: Domestic Cat11027 Words Ã |Ã 45 PagesThe cat (or domestic cat, house cat) is a small domesticated carnivorous mammal. It is valued by humans for its companionship and its ability to destroy vermin. A skilled predator, the cat is known to hunt over 1,000 species for food. Intelligent, the cat can be trained to obey simple commands, and has been known to teach itself to manipulate simple mechanisms (see cat intelligence). The trinomial name of the domestic cat is Felis silvestris catus. Its closest pre-domesticated ancestor is believedRead MoreDescriptive Essay - Original Writing1226 Words Ã |Ã 5 Pagesnight laid my doggie and I relaxing while watching the dramatic series of Ã¢â¬Å"90210Ã¢â¬ . I began to sink deeper into my comfy bed beginning to doze off, until I heard a creaking sound that seemed to be coming from below my bedroom floor carpet. MimiÃ¢â¬â¢s little coal colored ears perked up in curiosity. I watched her every move, as she hopped down from the bed and just sort of wandered around my bedroom floor. She scoped out the area for a few seconds and seemed satisfied enough to resume her spot at theRead MoreA Short Story Of A Book : Finding Out 2080 Words Ã |Ã 9 Pages | Prologue: Finding Out | Creekroot fluffed up his already short fur as the chilly wind brushed through it. He was sitting with his tail over his front paws and head tilted slightly backwards to look at the night sky. He enjoyed watching the stars. The stars of his fallen friends and family. Creekroot begged in his mind that they would give some sort of sign of hope for his Clan. . . . He clenched his teeth as the dreadful reality of his ClanÃ¢â¬â¢s doom overwhelmed him. The silver, mackerel tabbyRead MoreMr. Snuffles: A Short Story About a Monstrous Creation1195 Words Ã |Ã 5 PagesMr. Snuffles Large black clouds covered the sky above a lovely Victorian Manor; thunder crashed and shook the sturdy foundation as a young man ran through the ManorÃ¢â¬â¢s dark halls and down its many winding stairs, the only light guiding him came from the flash of constant lightning. He ran down and down until he finally reached his destination, a large wine cellar refurbished into a crude laboratory with a large pool to the side, many different wires, and pipes leading in and out adding mixtures andRead MoreEssay about Creative Writing - Belonging1278 Words Ã |Ã 6 PagesCreative Writing I jump back as a black feline shoots across the path in-front of me. I catch a glimpse of its matted fur; a screeching hiss pierces the night air as it encounters a mammal in the undergrowth. They say a black cat at night is bad luck, but I honestly doubt my luck could get any worse in light of recent events. Ã¢â¬Å"Get out, you donÃ¢â¬â¢t belong here anymoreÃ¢â¬ , Ã¢â¬Å"Just looking at you makes me sick. Leave now and get out of our livesÃ¢â¬ . ItÃ¢â¬â¢s funny how the ones who are meant to love you the mostRead MorePesky Goat1604 Words Ã |Ã 7 PagesThe Pesky Goat Ã DoÃ ±a Josefina lived on the outskirts of CiÃ ¡les, a small town in the highlands of Puerto Rico. Her tiny house was as spotless as a porcelain teacup. Although she lived alone, except for her dog, LadrÃ ³n, and her cat, MisifÃ º, DoÃ ±a Josefina was too busy to ever be lonely. Ã Ã Ã Ã Ã Ã Ã Ã Ã Ã Ã She spent all her waking moments tending her beloved garden. DoÃ ±a Josefina was known throughout the island for herÃ mano santa--the blessed hand that turned all plants she touched into breathtaking specimensRead MoreMy Sisters And I Are Completely Different1220 Words Ã |Ã 5 Pagesmom calls her a Pomapooski because Zoey has three different dog breeds mixed in her: Pomeranian, Poodle, and Shitzu. Zoey was a MotherÃ¢â¬â¢s Day gift for my mom. Zoey was such an adorable little puppy! When my parents got her at SadieÃ¢â¬â¢s Flea Market in Dothan, Alabama, my mom sent me a picture of a little ball of fur sticking its head outside of the pocket of my dadÃ¢â¬â¢s khakis. When they came home that afternoon with her she was very much-loved on. My sisters and I couldnÃ¢â¬â¢t put her down that night becauseRead MorePugs6576 Words Ã |Ã 27 Pagesdisagreement exists regarding the manner in which pug came to be applied to these endearing, impish, sprite like, solid-as-a-barge, sometimes demonic little monkeys that were great favorites at court if not with courtesans. Many observers believe that pug first was applied to monkeys and, after certain facial resemblances between monkeys and the little dogs with the curly tails had been noted, the word was applied to the dogs, too. (This application was noted as early as 1731 in England.) Persons subscribing
Tuesday, May 12, 2020
For every child being raised in the foster care system, nearly twenty five children are being cared for by grandparents, who supply their basic needs. Maya Angelou and Bailey Johnson are included in that group, because from a young age Momma, their grandmother, took care When it comes to making difficult decisions Momma always seem to make the right ones, including the choice to send her grandchildren to San Francisco. In I Know Why the Caged Bird Sings , an autobiography by Maya Angelou writes that Ã¢â¬Å"In San Francisco, for the first time, perceived myself as part of somethingÃ¢â¬ (179). In this quote Maya Angelou describes her overall feelings on the topic of San Francisco and how it changed her life for the better. As a result of Momma choosing the correct path for Angelou and Bailey, they gained freedom, escaped a racist environment in Stamps, Arkansas, and were guaranteed a little bit more protection in San Francisco. As a result of the size of Stamps, and the people tha t inhabited the town, there was very little you could do without the whole town knowing. Throughout Maya AngelouÃ¢â¬â¢s and BaileyÃ¢â¬â¢s childhood they were constantly limited by the narrow-minded town and in San Francisco they gained the freedom to expand their minds. In San Francisco they left MommaÃ¢â¬â¢s disciplined ways and benefited from VivianÃ¢â¬â¢s laid back ways. Considering this independence that they children were given, they reacted well and due to it, they realized who they were as a person and were able toShow MoreRelatedMaya AngelouÃ¢â¬â¢s Unique Self Essay2562 Words Ã |Ã 11 Pages p.20). In Maya AngelouÃ¢â¬â¢s autobiography, I Know Why The Caged Bird Sings, she recounts her early years as a young girl growing up in Stamps, Arkansas who faces displacement, trauma, and prejudice. It is through her character and artistic expression that she is able to overcome the trauma of her childhood and evolve into the distinguished and unique individual that has captivated millions through literature. In her book, I Know Why The Caged Bird Sings, Angelou reflects on the impact that her childhoodRead MoreReview Of I Know Why The Caged Bird Sings 1553 Words Ã |Ã 7 Pagesnovel Ã¢â¬Å"I Know Why The Caged Bird SingsÃ¢â¬ by: Maya Angelou, she illustrates Marguerite combating society from a disadvantaged position. Set in the United States during the time of racism and segregation towards the black community, the novel displays the contrast in MayaÃ¢â¬â¢s upbringing in Stamps, St. Louis to San Francisco and her constantly changing development and maturity in herself through h er effectiveness to conquer difficult situations. Maya Angelou uses symbolism in the form of the caged bird toRead MoreI Know Why the Caged Bird Sings - Maya Angelou6502 Words Ã |Ã 27 PagesAnalysis: Chapters 1Ã¢â¬â5 The lines from the poem Maya cannot finish, Ã¢â¬Å"What are you looking at me for? I didnÃ¢â¬â¢t come to stay . . .Ã¢â¬ capture two of the most significant issues she struggles with in her childhood and young adulthood: feeling ugly and awkward and never feeling attached to one place. First, Maya imagines that though people judge her unfairly by her awkward looks, they will be surprised one day when her true self emerges. At the time, she hopes that she will emerge as if in a fairy-taleRead MoreSummary Of Maya Angelous I Know Why The Caged Bird Sings1363 Words Ã |Ã 6 Pageswhich focused primarily on her childhood. The three generations Angelou portrays in I Know Why the Caged Bird Sings--Mommas, her parents, and her own--represent the diversity of progressive outlooks and, despite their obvious divides on accepting circumstances through generational respite from direct slavery, MayaÃ¢â¬â¢s generation was the only one remotely capable of enacting real change. A prominent member of MommaÃ¢â¬â¢s generation, Booker T. Washington was just eight years old when slavery was abolished
Wednesday, May 6, 2020
The long term health care problem has been acknowledged by many health care institution and health care organization as difficult to address.Ã Dennis Robbins admitted that the difficulty lies in obtaining Ã¢â¬Å"accurate and up-to-date guidanceÃ¢â¬ (p. 1), towards addressing conflict, developing policies, and also the many ethical problems that usually come up in health care context. We will write a custom essay sample on Long Term Health Care or any similar topic only for you Order Now Robbins noted that despite of those vast arrays of health care institutional settings. Many legal cases came up when the patient was no longer confined in these institutions.Ã Robbins pointed out that there are about 21,000 long term care facilities, 14,000 hospitals, and 38,000 nursing and personal care facilities that caters to these problem of long term health care.Ã He emphasized that long term care are services provided in institutional settings, yet, he also disclosed that estimates showed that almost Ã¢â¬Å"three quarters of the seventy disabled who receive home care services received that care from family members or volunteer care givers (p.1). However, long term health care institutions are not exclusively the sole provider of a long term health care.Ã Home care is an alternative; those who need long term treatment may opt to choose considering cost of hospital bills.Ã However, the problems that need to be solve both by the long term health care and home care is the lack of sufficient Ã¢â¬Å"health care professionals to staff many of these committee in home care and long term careÃ¢â¬ (Robbins, p. 16). Robbins pointed out that these problems are resulting to a diminished or lacking in post accurate care settings that include quality assurance and risk management committees, attending physicians and related groups.Ã Thus, long term care facilities are viewed by some as Ã¢â¬Å"necessary evilÃ¢â¬ (p. 17). Beyond the many legal and ethical issues that surround long term health care, are the problems that deserve to be addressed.Ã These are: under-funding of the long term health care, high staff turn over, and quality of report card. According to an advisory issued by the committee on ways and means sub-committee on health of the United States House of Representatives Ã¢â¬Å"about nine million adults are receiving home term care assistance, either in community settings or in nursing homesÃ¢â¬ (p.2).Ã This report cited that Ã¢â¬Å"nearly sixty percent of these elderly persons receiving long term care assistance and rely wholly on unpaid care givers mainly their immediate families either their spouses or the children; only seven percent of these elderly can afford of paid services. The report further cited of around one hundred thirty five billion dollar on long term care for the elderly through the different agencies that caters to the needs of these groups such as Medicard and Medicare and other private insurance (p. 2).Ã However, this budget did not include any amount devoted to long term care provided by the informal care givers. In this report, United States law makers are alarmed of the growing numbers of elderly people and booming problems of long term care in the face of diminishing numbers of professional health care givers.Ã The hearing of the committee was to address the current financing for long term care services and the range of services available in the continuum of care from home as well as community-based services to nursing home careÃ¢â¬ (p. 2). According to some studies presented in this hearing, there was actually substantial funding for the long term health care.Ã The Director of Congressional Budget office pointed out a total of over two hundred billion dollar was spent in 2004 equivalent to twenty four thousand dollars per senior with impairment (p. 9).Ã The problem that they see was not on funding but rather on government rules that hinder public from preparing for their own future.Ã The statement says, Ã¢â¬Å"Those rules create incentives that discourage people from making their own financial preparation and encourage them to rely on government assistanceÃ¢â¬ (p. 9). The anticipated increase of number of elderly people by two and a half times poses another problem as the number of adult eighty-five and older who uses long term care are likely to increase by five percent in 2050, triple more than the 1.5 percent in 2000.Ã Thus, the committee on health is encouraging to promote alternative delivery systems such as an Ã¢â¬Å"early intervention and care management in nursing homes and the community as well as greater use of home and community based careÃ¢â¬ (p. 36).Ã They saw institutional long term care as costly and in efficient and leads only to poor outcome. Dr. Meghan Gerety of the University of Texas, College of Health and Sciences, testified that the current system is lacking of necessary incentives for promoting Ã¢â¬Å"alternative delivery systemsÃ¢â¬ (p. 36).Ã Dr. Gerety said, Ã¢â¬Å"Many people have signified their desire for care in the home and community yet, the current financing system has a strong institutional bias (p. 36). Dr. Gerety revealed that of the 83 percent who need long term care, seventy-eight percent of their help come from unpaid sources such as family and friends (p. 37).Ã The problem therefore of under funding does not necessarily pose problem in such a way that there is sufficient funding being allocated for elderly and those adults with impairments.Ã What is lacking is a more creative, more practical approach into this part of the society. The next question that needs to look into is the high turn over of staff. Various orientations on nursing home administrations provide training for long term care workers.Ã Learning modules are easily available and it seems that there are pretty much demands of long term health care workers all over as the number of elderly people are looming and those who are seeking long term care are doubling. As we have seen in the committee report of the Subcommittee on Health by the United States Congress, there is an anticipated increase of numbers of elderly people of about five percent by 2050, as the so-called baby boomer generation is coming to end.Ã Not only this pose financial burden but it also needs additional long term care personnel.Ã But according to Douglas A. Singh, despite of efforts to identify the cause of turn over, and despite efforts to prevent the erosion of manpower, Ã¢â¬Å"staff turn over remains one of the most daunting problems of nursing home industryÃ¢â¬ (Singh, p 468).Ã Singh noted that the efforts to address the issue have produced only a little success up to this time.Ã He disclosed that despite of the turnover, there was no attempt to increase staff retention given the fact that turnover is expensive.Ã Singh identified two major costs related to turnover problem namely the placement cost and the training cost for the new worker (p. 468). Singh identified one of the staff turnover causes is easily burnout among new employees.Ã He noted that consistent shortages of staff and often picking up of employee to fill the slack is demoralizing and leaves feelings of disillusion powerless and incompetent for the position (p. 471). Another source of turnover of staff is sexual harassment on the part of women health workers.Ã Jeff Hearn said, there was a very Ã¢â¬Å"high turn over of female care staff in this area.Ã Hearn noted that management knew about the high staff turnover in this area and which the reason was just to choose not to act on it.Ã Hearn observed that Ã¢â¬Å"grievances were simply ignored and never got any action; and that management is likely to prefer to replace female care worker than dismisses the officerÃ¢â¬ (p. 116). The high turnover of staff therefore is not simply related to compensation but rather more personal reasons which the management often chooses to ignore or not act on it.Ã Solution to this problem according to Douglas A. Singh is to impose an effective Human Resource and Staff Development orientation which would offer learning modules to all personnel, concerning their duties, obligation, rights and accountabilities.Ã This module also serves as encouragement as they will be oriented of their benefits and other incentives that would keep them stay in their work without fear of harassment or exploitation. The Report Card Florence Kavaler and Allen Spiegel said that Ã¢â¬Å"Health care providersÃ¢â¬â¢ helps consumers make informed about a provider refutation through the report card.Ã¢â¬ Ã But they noted that the report made by a United States Health Plan Employer Data and Information in September 2001 indicates Ã¢â¬Å"declining member satisfaction with the New York Health Plan (p. 105).Ã They also noted the decline in satisfaction of members with diabetes from 53.7 percent in 1994 to only 49 percent in 2000 (p. 105). This report card is one of the three clusters-smarter markets through report cards.Ã It seemed that this card offered only limited benefit for the holder as it only provides option for a better choice of a service.Ã This is probably the reason for the decline of report card use.Ã As one observer commented, report cards have not the desired effects because consumers are not aware of the quality problems that have been observed in health care.Ã Therefore, it is not surprising then the decline of the use of this report card. What to do with this card? I would suggest they dissolved it and think of a more relevant initiative that would cater to better health care option. Work Cited Dilulio, John and Nathan, Richard (1994) Making Health Reform Work: The View from the States. Ã Brookings Institution Press Hearn, Jeff (1989). The Sexuality of Organizations. Sage Publications. Kavaler, Florence and Spiegel, Allen D. (2003) Risk Management in Health Care Institutions: A Strategic Approach. Ã USA: Jones and Bartlett Publisher, Inc. Long Term Care: Hearing before the Subcommittee on Health of the Committee on Ways and Means. Ã US House of Representatives One Hundred Ninth Congress (April 19, 2005, Serial 109-46). Diane Publishing Robbins, Dennis A. (1996) Ethical and Legal Issues in Home Health and Long Term Care: Challenges and Solutions. Jones and Bartlett Publishing, Inc. Singh, Douglas A. (2005) Effective Management of Long Term Care Facilities. MA, USA: Jones and Bartlett Publisher, Inc. Ã How to cite Long Term Health Care, Essay examples
Saturday, May 2, 2020
The vibration of voices caused the steaming water in my soup bowl to ripple across the plastic bowl until the wave was distinguished by an overlapping ripple. I shifted the bowl closer to my body, allowing my skin to absorb the heat from the soup as I breathed the smell of hot broth. Although I wasnÃ¢â¬â¢t fond of onions, I picked up the soup straddle to taste. I have tasted many of soup, maybe in the hundreds but IÃ¢â¬â¢m not particularly fund of any recipe. Not that I dislike like soup, I just havenÃ¢â¬â¢t found a soup worth a second taste. I love the way its smell, the feelings of a blistering steam hitting my pours in vapor form, and its unusual texture and appearance but not its taste. ItÃ¢â¬â¢s hard to rationalize that soup has vastly impacted my life, the way I live my life, and the way I look at the lives of others but it has. We will write a custom essay sample on Life in a Soup Bowl or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Soup has made me the person I am today. You canÃ¢â¬â¢t always tell whatÃ¢â¬â¢s in a soup by its appearance, you must examine it, taste it whether you think care for it or not. You canÃ¢â¬â¢t say you donÃ¢â¬â¢t like a soup because of its name, you must try it; for every restaurant, store, or company makes that soup a different way using different ingredients producing a unique taste. People are virtually the same way. You canÃ¢â¬â¢t tell what a person is like from the way they look, you must examine them, get to know them, and befriend them before you can formulate an opinion about them. Just because you are close to one person named Sara doesnÃ¢â¬â¢t mean you will be found of every person named Sara. Like soup, everything in life must be examined for its true identity. You must research to find facts but not every piece of knowledge can be acquired regardless of whether that thing is a soup or a person being investigated. I know that I donÃ¢â¬â¢t know the answers to everything, but IÃ¢â¬â¢m not sure that a nyone does. But isnÃ¢â¬â¢t that what college is for anyway; to investigate every soup, without judging its names or ingredients, to formulate a personal take on a number of different soups using experience?
Sunday, March 22, 2020
What supports the diagnosis of chronic renal failure instead of acute renal failure? Give reasons from GeorgeÃ¢â¬â¢s history; his signs/symptoms. The terms acute and chronic are terms used by medical specialist to describe the amount of time that the illness as lasted. Chronic meaning a long time such as a month or longer while acute means a short period of time from days up to a couple of weeks. So the fact that George began noticing issues with his blood pressure being harder to control then normally lasting over a month indicates that is when the renal issues began. One of the function of the kidneys is to regulate blood volume and pressure. With this information the diagnosis of Chronic renal failure was warranted. Which of the blood test results are abnormal? Why would chronic kidney failure cause these abnormal results? The test results that are abnormal are the RBC and Hgb. We will write a custom essay sample on Blood Pressure or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Georges test results for RBC were 3. 8 million cells/mcL but the normal results for an adult male would be between 4. 2 and 5. 9. His results for Hgb was 11. 0 gm/dL but the normal for an adult male is 13. 5. With both hemoglobin and RBC being low this would indicate anemia which is a indication that the kidneys are not producing enough erythropoiten which causing decrease production of the red blood cells. Module 06 Written Assignment 3 Which of the urine test results are abnormal? Why does chronic kidney failure cause these abnormal results? The GFR results for George were 45 mL/min/1. 73m but the normal range is 90-130. This test measures how well the kidneys are handling waste. Also Georges creatine results were 3g/24hr but the normal is 102g/24. The protien levels for George were 3g/24hr but the normal range is trace-0 -150mg/24hr. This would indicate that George is in stage three kidney failure. Increase urine creatinine and protein in the urine signifies damage to kidneyÃ¢â¬â¢s filtration units. (kidney)(stress) (Gould, B. E. , pg 196-197, 2011) If George was in the second stage of chronic renal failure, what percent of his nephrons have been lost? What changes will be seen in the GFR; urination; and percent of nephrons lost when George reaches end-stage renal failure? The amount of nephrons that would be lost if George was in the second stage of chronic renal failure would be about 75% loss. At the end stage of chronic renal failure there would be a loss of more then 90% of nephorons and his GFR levels would be so low that they would not be readable. Blood would become toxic due to fluid, electrolytes and wastes are retained causing an impact on all body systems. Marked oliguria (scant) to none (anuria) would develop. (Gould, B. E. , pg. 460, 2011). At this point due to the fluid, wastes, and electrolytes being built up the blood would turn toxic and then impact all the systems of the body. Georges kidneys will fail and without transplant or dialysis on a regular basis, his life would be in danger. Module 06 Written Assignment 4 How will GeorgeÃ¢â¬â¢s condition be treated? Is it curable? First the doctor would focus on lowering Georges blood pressure as this is a stress on the kidneys. The doctor would then focus on decreasing the progression of the chronic renal failure. He would be given a blood pressure medication and implement lifestyle changes. Some of these changes would be diet, exercise, and measures to reduce stress such as education about blood pressure and possibly encouraging taking some time off of work. For the anemia the doctor folic acid, iron, and B12. He would also encourage George to eat foods rich in these minerals. As for is this curable, no it is not but it can be treated. Which Electrolyte? Which electrolyte balance was diagnosed? Which lab results support this diagnosis? Is there anything else in BettyÃ¢â¬â¢s history that would support this diagnosis? Normal Magnesium levels range from 0. 7 to 1. 1 mmol per liter. Bettys levels were 3 mEq/L which would indicate she has Hypermagnesemia. Neuromuscular toxicity is the most consistently observed complication of hypermagnesemia. Increased magnesium decreases impulse transmission across the neuromuscular junction producing the Ã¢â¬Å"pins and needlesÃ¢â¬ feeling Betty has been experiencing in her legs. What foods would the doctor recommend Betty eat? Why? The doctor may advise limiting certain foods: most nuts and nut butters; soybeans, tofu, lentils, kidney Module 6 5 beans and pinto beans; collard greens, kale, spinach, avocados and potatoes with the skin on; millet, brown rice, bran, wheat germ, oatmeal and whole wheat bread; dried apricots, raisins and bananas; and milk, yogurt, chocolate and cocoa powder. The doctor would advice Betty to eat grains that are highly refined or boiled are typically low in magnesium, such as boiled macaroni, boiled white rice, white flour products and pastries. Many fruits are low in magnesium, including raspberries, cantaloupe, cherries, strawberries, plums, peaches, oranges, pineapple, grapefruit, apples, pears, cranberries, and grapes. Boiled vegetables including peas, broccoli, cauliflower, and potatoes without the skin are encouraged, as well as carrots, mushrooms, onions, eggplant, lettuce, tomatoes, cucumber and asparagus. Finally, lean meats such as roast pork, grilled lamb, ham, and roast beef are good protein sources. (Wyman 2013) What medication/supplement might the doctor prescribe? Why would it probably only be needed for a short period of time? Calcium may be given by the doctor because of the effects that high levels of magnesium can have on the heart and the fact the Betty is a heart patient. But because her levels are not currently high and at the lower end of the spectrum the doctor would not keep her on this medication for a long period of time. Why is it important for Betty to be on furosemide for her Congestive Heart Failure? What does this drug do? Furosemide is a diuretic used to keep fluid from building up around the heart. Betty suffers from congestive heart failure which is caused by fluid build up surrounding the heart. So it is very Module 6 6 important that Betty remains on the Furosemide to prevent this from happening. If Betty asks you why this electrolyte is important, what would you tell her? Electrolytes maintain the electric voltage throughout your cells so that signals can pass easily. Several bodily functions are dependent on this electrical communication that electrolytes help carry. They include regulating nerve and muscle function, acidity levels and fluid levels. An imbalance of electrolytes have dire consequences. For example, bicarbonate is an electrolyte that is responsible for regulating muscles like the heart. Insufficient levels of bicarbonate would result in irregular heart beats, which may be fatal.
Thursday, March 5, 2020
5 Step Power Plan on How to Impress in an Interview ItÃ¢â¬â¢s sometimes easy to get caught up in doing what we think weÃ¢â¬â¢re supposed to do and thinking itÃ¢â¬â¢s enough to get the job. We go into interviews thinking we just need to answer all of the interviewerÃ¢â¬â¢s questions correctly, pleasantly, and that there is nothing else to it. But that isnÃ¢â¬â¢t always the case. More and more hiring managers are looking to be wowed, looking for that interviewee who really stands out from the crowd. Here are 5 ways to make sure you get your interviewerÃ¢â¬â¢s attention right off the bat- and hold it.1. Kick off the conversation yourself.Instead of meekly following your interviewer into a room, sitting down, and waiting to be asked your first torture question, why not grab the bull by the horns? Come up with a good ice breaker or- better yet- a question relevant to the hiring manager or the job youÃ¢â¬â¢re applying for. Start the conversation off yourself. Your interviewer will be surprised and probably delighted. Get off t he tired script before youÃ¢â¬â¢re even on it.2. Turn the tables.If you do get on the script and want off again, look out for ways to turn the table. If the interviewer goes with the standard Ã¢â¬Å"Tell us about yourselfÃ¢â¬ question, give her a few bullet points then pivot: Ã¢â¬Å"I hate to rattle on about myself. Can I ask you a question about your role here to make sure IÃ¢â¬â¢m focusing on details that are most relevant for you?Ã¢â¬ Again, youÃ¢â¬â¢ll need to have this question already planned out. Next thing you know, youÃ¢â¬â¢re interviewer will be talking again. And youÃ¢â¬â¢ll be getting valuable insight and scoring listening points. Plus, hopefully youÃ¢â¬â¢re figuring out how to come up with a way to offer yourself up as the ideal solution to the companyÃ¢â¬â¢s problems. All while sitting back and becoming more and more comfortable in the interviewing room.3. Ask about company problem spots.This only works once you get past the by-rote HR interview type s and get to sit down with your potential supervisor. You need to figure out what the companyÃ¢â¬â¢s biggest problem is- their pain, so to speak. DonÃ¢â¬â¢t diagnosis this yourself; that might come off as arrogant or insulting or presumptuous. Ask a number of excellent (and pre-prepared questions) that get your manager talking about challenges theyÃ¢â¬â¢ve faced (couch these with compliments first, of course).Ã 4. Learn the stakes of the problems.Once you figure out whatÃ¢â¬â¢s ailing the company, or just your manager and her team, itÃ¢â¬â¢s best to figure out what the consequences of this problem are. Start asking questions around the pain points. DonÃ¢â¬â¢t be a bully, and donÃ¢â¬â¢t be too transparent in picking things apart, but do get your interviewer talking so she herself admits just how much of a problem the problem is. Get nitty gritty with details. This also helps show your interest and expertise in the workings of the job.5.Ã Show that youÃ¢â¬â¢re the one who can solve them.Now you know what your managerÃ¢â¬â¢s biggest problem is. And she knows that you know. SheÃ¢â¬â¢s going to want to ask how you would solve it. Pivot again! The last thing you want to do is rattle off some strategy that they have likely already tried to no avail.Keep your brilliant solutions to yourself for the time being. Say something like, Ã¢â¬Å"I would certainly need to learn more first, from on the ground here.Ã¢â¬ Then go on to describe another, similar, but hopefully even bigger problem you tackled at a previous job. Set it up dramatically, make sure your interviewer knows the stakes were high, then describe just how you struck the final blow and solved the problem. SheÃ¢â¬â¢ll be so dazzled, sheÃ¢â¬â¢ll hardly make eye contact with the next few interviewees as she tries to imagine you slaying all of her dragonÃ¢â¬â¢s as well.WhatÃ¢â¬â¢s most important to remember is that you are not a sheep. You do not have to be ordinary or follow any s cripts. In fact, itÃ¢â¬â¢s almost always a better idea to stand out from the crowd. Be intelligent, respectful, extremely well prepared, but also your innovative, exciting self.
Tuesday, February 18, 2020
Pressure on students - Research Paper Example The students may end up in unfair practices because of the pressure that is being imposed upon them. In several instances it is seen that the students have cheated for their exams so that they can achieve better grades. In other words pressure is causing the students to go through ethical dilemmas which they otherwise may not go through. Similarly it is also found that the students undergo anxiety because of the pressure that they feel. Moreover in exams the students may not be able to perform well because of this very pressure. It has been argued by many that this pressure can create many difficulties for the students and this aspect would be further analyzed in this essay (Welch et al 2007). Students are pressurized by parents mostly to perform better so that they can achieve good grades. But this pressure has been directly linked to the anxiety found in the students. This anxiety can further affect the results of the students in a special environment. It has been found that studen ts who are anxious when giving a test tend to perform lower than the ones who have not been informed. In other words the students who tend to be pressurized about a test perform lower than the ones who are not pressurized about it. Another process of Ã¢â¬ËcatastrophizingÃ¢â¬â¢ may occur when the students fear the consequences of the test before even attempting it. This again is a process through which the students are pressurized and this affects the grades of the students. In other words high pressure can affect the grades of the students negatively rather than positively (Welch et al 2007). During the student life it is seen that the students have to undergo a lot of pressure from parents and peers. A study conducted showed that students of both genders were under pressure from their peers during their school life. It is because of this that the students have to undergo a great deal of pressure and this affects their grading. Students who undergo pressure cannot withstand it a t times and they undergo other social problems while trying to achieve better grades (Gewertz 2005). Pressure on students is enforced by the parents and peers so that they can achieve good grades. Professor Eric Roberts has blamed the norm of getting higher grades a primary problem which increases plagiarism and cheating in academic institutions. It has been found that the pressure inflicted upon the students by parents and peers leads to a greater level of stress amongst the students. The problem has become so bad that the stress levels have also been indicated to be a health epidemic. It has also been found that because of the stress levels the students tend to forget the ethical values that are involved in education. A lecturer Clark Pope stated that Ã¢â¬Å"The students "know [cheating] is wrong; they tell me they wish they didn't do itÃ¢â¬ ¦."But they feel like the most important thing they do is get the grades, by hook or by crook." This clearly shows that to achieve higher gr ades the students forget their ethical limits and get involved in the practice of cheating. Achieving higher grades has become a norm for every student and this should be somehow removed from the minds of the students. The students on one hand are able to achieve higher grades but on the other hand the ethical problems are on the rise and this can be accounted to the pressures that these students are facing (Palmer 2005). The problem of peer and parent pressure in students has increased so much that Stanford