Tuesday, January 21, 2020

Immigration :: essays research papers

Like many other areas over the past years, the US has seen a rapid increase in immigrants who have come to the region seeking better lives for their families. These immigrants, like those throughout U.S. history, are generally hard workers and make important contributions to the economy through their productive labor and purchasing power. Most immigrants usually fill essential service jobs in the economy, which are vacant. Unfortunately, like new immigrants throughout U.S. history, â€Å"they experience conditions that are commonly deprived, oppressive, and exploitive† (Conover, 2000). They are paid low wages with little potential for advancement, are subjected to hazardous working conditions, and are threatened with losing their jobs and even deportation if they voice dissatisfaction with the way they are treated. Many work several jobs to make ends meet. Many also live in substandard housing with abusive landlords, have few health cares options, and are victims of fraud and other crimes. Immigrant problems are related to trade agreements designed to enable large corporations to capture both consumer markets and cheap labor. These agreements protect rich investors, but not the workers or the environment. In the U.S., millions of production and assembly jobs are lost when corporations move operations overseas. Poor countries have had to sell state industries and open national borders to multinational corporations in order to meet a new economic order and payment of international debts. This process has restricted markets for home industries, driven out local producers, and forced people to immigrate. The U.S. borders can never be sealed, because millions of people are seeking ways to support their families, so will come to where jobs are available. Furthermore, American businesses want and need these workers. While the multinational corporations and their rich investors benefit from corporate welfare deals and seek out havens to avoid supporting society with their taxes, ordinary Americans have to pick up their tab. This situation sounds familiar in American labor history, where immigrants have been a mainstay in the national workforce. It wasn't until the labor movement gained strength that workers in the U.S. were able to turn â€Å"exploitive jobs into occupations that enabled them to support their families and improve their living conditions† (Dougherty, 2004). Higher wages have also increased their purchasing power, stimulated economic growth, and higher standards of living. Labor contracts and new laws, regulations, and policies established a more open employment system, procedures for addressing complaints, and safer working environments. Immigration :: essays research papers Like many other areas over the past years, the US has seen a rapid increase in immigrants who have come to the region seeking better lives for their families. These immigrants, like those throughout U.S. history, are generally hard workers and make important contributions to the economy through their productive labor and purchasing power. Most immigrants usually fill essential service jobs in the economy, which are vacant. Unfortunately, like new immigrants throughout U.S. history, â€Å"they experience conditions that are commonly deprived, oppressive, and exploitive† (Conover, 2000). They are paid low wages with little potential for advancement, are subjected to hazardous working conditions, and are threatened with losing their jobs and even deportation if they voice dissatisfaction with the way they are treated. Many work several jobs to make ends meet. Many also live in substandard housing with abusive landlords, have few health cares options, and are victims of fraud and other crimes. Immigrant problems are related to trade agreements designed to enable large corporations to capture both consumer markets and cheap labor. These agreements protect rich investors, but not the workers or the environment. In the U.S., millions of production and assembly jobs are lost when corporations move operations overseas. Poor countries have had to sell state industries and open national borders to multinational corporations in order to meet a new economic order and payment of international debts. This process has restricted markets for home industries, driven out local producers, and forced people to immigrate. The U.S. borders can never be sealed, because millions of people are seeking ways to support their families, so will come to where jobs are available. Furthermore, American businesses want and need these workers. While the multinational corporations and their rich investors benefit from corporate welfare deals and seek out havens to avoid supporting society with their taxes, ordinary Americans have to pick up their tab. This situation sounds familiar in American labor history, where immigrants have been a mainstay in the national workforce. It wasn't until the labor movement gained strength that workers in the U.S. were able to turn â€Å"exploitive jobs into occupations that enabled them to support their families and improve their living conditions† (Dougherty, 2004). Higher wages have also increased their purchasing power, stimulated economic growth, and higher standards of living. Labor contracts and new laws, regulations, and policies established a more open employment system, procedures for addressing complaints, and safer working environments.

Monday, January 13, 2020

Vigilance Awareness

As you are well aware, there is an increasing concern about corruption eroding the basic values of life. It has not only a negative effect in social dynamics but also erodes the value system established in the country. It is important that the younger generation who has to play a pivotal role in the development of the country needs to be educated on the urgency to fight against such unethical practices. In general, Vigilance awareness means awareness about the rights and duties of the individual in curbing corruption – both social and economic. It is a precaution to break corruption being aware of the corruption.Now-a-days, vigilance awareness week is celebrated for developing the social awareness amongst the people. When we are cheating in exams we think that we are very brilliant guy. But we don’t realize that we are leading a step towards an evil – corruption at our individual level. We are not aware of the affects of our works which lead to devastate the soci al and economic conditions of our country. Now the question arises, why we have to be aware from this corruption? Why corruption is compelling us to be more aware and aware. Because corruption is found to be one of the most damaging consequences of poor governance system.It is characterized by lack of both transparency and accountability. Corruption lowers investment, hinders economic growth and human development. It is one of the factors responsible for poverty. That’s why we have to be vigilantly aware. If we found a cheating anywhere, we should immediately lodge a complaint. But many of us think that what is the need of lodging a complaint. If we oversight the corruption, it will be repeated again & again and lead to big scam. Hence, vigilance awareness is required to identify and check the fraud and disorderness. Vigilance Awareness As you are well aware, there is an increasing concern about corruption eroding the basic values of life. It has not only a negative effect in social dynamics but also erodes the value system established in the country. It is important that the younger generation who has to play a pivotal role in the development of the country needs to be educated on the urgency to fight against such unethical practices.In general, Vigilance awareness means awareness about the rights and duties of the individual in curbing corruption – both social and economic. It is a precaution to break corruption being aware of the corruption. Now-a-days, vigilance awareness week is celebrated for developing the social awareness amongst the people. When we are cheating in exams we think that we are very brilliant guy. But we don’t realize that we are leading a step towards an evil – corruption at our individual level. We are not aware of the affects of our works which lead to devastate the soci al and economic conditions of our country.Now the question arises, why we have to be aware from this corruption? Why corruption is compelling us to be more aware and aware. Because corruption is found to be one of the most damaging consequences of poor governance system. It is characterized by lack of both transparency and accountability. Corruption lowers investment, hinders economic growth and human development. It is one of the factors responsible for poverty. That’s why we have to be vigilantly aware. If we found a cheating anywhere, we should immediately lodge a complaint. But many of us think that what is the need of lodging a complaint. If we oversight the corruption, it will be repeated again & again and lead to big scam. Hence, vigilance awareness is required to identify and check the fraud and disorderness.

Sunday, January 5, 2020

Acheulean Handaxe The Oldest Known Formal Human Tool

Acheulean handaxes are large, chipped stone objects which represent the oldest, most common, and longest-used formally-shaped working tool ever made by human beings. Acheulean handaxes are sometimes spelled Acheulian: researchers commonly referred to them as Acheulean bifaces, because the tools were not used as axes, at least not most of the time. Handaxes were first made by our ancient ancestors, members of the hominin family about 1.76 million years ago, as part of the Acheulean tradition toolkit of the Lower Paleolithic (a.k.a. Early Stone Age), and they were used well into the beginning of the Middle Paleolithic (Middle Stone Age) period, about 300,000–200,000. What Makes a Stone Tool a Handaxe? Handaxes are large stone cobbles which have been roughly worked on both sides—what is known as bifacially worked--into a wide variety of shapes. Shapes seen in handaxes are lanceolate (narrow and thin like a laurel leaf), ovate (flatly oval), orbiculate (close to circular), or something in between. Some are pointed, or at least relatively pointy on one end, and some of those pointed ends are quite tapered. Some handaxes are triangular in cross-section, some are flat: in fact, there is considerable variability within the category. Early handaxes, those made before about 450,000 years ago, are simpler and coarser than the later ones, which evidence finer flaking. There are several disagreements in the archaeological literature about handaxes, but the primary one is about their function—what were these tools used for? Most scholars argue the handaxe was a cutting tool, but others suggest it was thrown as a weapon, and still others suggest it might also have played a role in social and/or sexual signaling (my handaxe is larger than his). Most scholars think handaxes were deliberately shaped, but a minority argue that if one resharpens the same rough tool over and over eventually it forms a handaxe. Experimental archaeologists Alastair Key and colleagues compared the angles of the edges on 600 ancient handaxes to 500 others they experimentally reproduced and used. Their evidence suggests that at least some of the edges show wear indicating the long edges of the handaxes were used to cut wood or other material. Acheulean Handaxe Distribution The Acheulean handaxe is named after the Saint Acheul archaeological site in the lower Sommes valley of France where the tools were first discovered n the 1840s. The earliest Acheulean handaxe yet found is from the Kokiselei 4 site in the Rift valley of Kenya, dated about 1.76 million years ago. The earliest handaxe technology outside of Africa was identified at two cave sites in Spain, Solana del Zamborino, and Estrecho del Quipar, dated about 900,000 years ago. Other early examples are from the Konso-Gardula site in Ethiopia, Olduvai Gorge in Tanzania, and Sterkfontein in South Africa. Early handaxes have been associated with our hominid ancestor Homo erectus in Africa and Europe. The later ones seem to be associated with both H. erectus and H. heidelbergensis. Several hundred thousand handaxes have been recorded from the Old World, including Africa, Europe, and Asia. Differences Between Lower and Middle Stone Age Axes However, although the handaxe as a tool was in use for over an astounding one and a half million years, the tool did change over that period. There is evidence that, over time, making handaxes became a refined procedure. Early handaxes seem to have been sharpened by reduction of the tip alone, while later ones appear to have been resharpened along their entire length. Whether this is a reflection of the kind of tool that the handaxe had become, or of the increased stone-working capabilities of the makers, or a little of both, is currently unknown. Acheulean handaxes and their associated tool forms are not the first tools ever used. The oldest tool set is known as Oldowan tradition, and they include a large suite of chopping tools which are cruder and simpler tools, thought to have been used by Homo habilis. The earliest evidence of stone tool knapping technology is from the Lomekwi 3 site in West Turkana, Kenya, dated about 3.3 million years ago. In addition, our hominin ancestors may well have created tools from bone and ivory, which have not survived in as nearly as much abundance as stone tools have. Zutovski and Barkai have identified elephant bone versions of handaxes in assemblages from several sites including Konso, dated between 300,000 and 1.4 million years ago. Did Dad Teach Us How to Make Acheulean Handaxes? Archaeologists have always assumed that the ability to make Acheulean handaxes was culturally transmitted—that means taught from generation to generation and tribe to tribe. Some scholars (Corbey and colleagues, Lycett and colleagues) suggest that handaxe forms were not, in fact, solely culturally transmitted, but rather were at least partly genetic artifacts. That is to say, that H. erectus and H. heidelbergensis were at least partly hard-wired to produce the handaxe shape and that the changes seen in the late Acheulean period are the result of a shift from genetic transmission to increasing reliance on cultural learning. That may seem far-fetched at first: but many animals such as birds create species-specific nests or other artifacts that look cultural from the outside but instead are genetic-driven. Sources Corbey, Raymond, et al. The Acheulean Handaxe: More Like a Birds Song Than a Beatles Tune? Evolutionary Anthropology: Issues, News, and Reviews 25.1 (2016): 6-19. Print.Hodgson, Derek. The Symmetry of Acheulean Handaxes and Cognitive Evolution. Journal of Archaeological Science: Reports 2 (2015): 204-08. Print.Iovita, Radu, and Shannon P. McPherron. The Handaxe Reloaded: A Morphometric Reassessment of Acheulian and Middle Paleolithic Handaxes. Journal of Human Evolution 61.1 (2011): 61-74. Print.Iovita, Radu, et al. High Handaxe Symmetry at the Beginning of the European Acheulian: The Data from La Noira (France) in Context. PLOS ONE 12.5 (2017): e0177063. Print.Key, Alastair J. M., et al. Looking at Handaxes from Another Angle: Assessing the Ergonomic and Functional Importance of Edge Form in Acheulean Bifaces. Journal of Anthropological Archaeology 44, Part A (2016): 43-55. Print.Lepre, Christopher J. , et al. An Earlier Origin for the Acheulian. Nature 477 (2011): 82-85. Print.Lyce tt, Stephen J., et al. Factors Affecting Acheulean Handaxe Variation: Experimental Insights, Microevolutionary Processes, and Macroevolutionary Outcomes. Quaternary International 411, Part B (2016): 386-401. Print.Moore, Mark W., and Yinika Perston. Experimental Insights into the Cognitive Significance of Early Stone Tools. PLoS ONE 11.7 (2016): e0158803. Print.Santonja, Manuel, et al. Ambrona Revisited: The Acheulean Lithic Industry in the Lower Stratigraphic Complex. Quaternary International in press (2017). Print.Shipton, C., and C. Clarkson. Flake Scar Density and Handaxe Reduction Intensity. Journal of Archaeological Science: Reports 2 (2015): 169-75. Print.White, Mark J., et al. Well-Dated Fluvial Sequences as Templates for Patterns of Handaxe Distribution: Understanding the Record of Acheulean Activity in the Thames and Its Correlatives. Quaternary International (2017). Print.Zutovski, Katia, and Ran Barkai. The Use of Elephant Bones for Making Acheulian Handaxes: A Fresh Loo k at Old Bones. Quaternary International 406, Part B (2016): 227-38. Print.

Thursday, December 19, 2019

The Case Of Jeffrey Dahmer Essay - 1377 Words

Checking the genetics of a person can tell much about the person and who they are. Does where a person lives and the environment they are in constantly influence them to commit crime? Is it the genetic makeup of the person that makes a more probable chance for them to commit a crime? â€Å"Drilling into the skull of a young man he began to funnel a stream of sulfuric acid into the head of his unconscious victim to create a zombie to fulfill all of his fantasies. Dead within a day, he mummified the head of his victim placing it in the freezer beside the skulls of those who came before. Dismembering the remnants of the body he placed skin, blood, and bone into a fifty-gallon vat of acid dissolving what was left of the young man†(Center Crisis Management). Jeffrey Dahmer one of the most notorious serial killer did not murder for financial gain, rage, or vengeance, he murdered to feed a desire. Could Dahmer’s DNA be the reason for his impulses to kill? Many theories c riticize the biological perspective, but the studies of those who commit murder suggest the biological theory could be accurate. I. Introduction First, psychological theory suggests that a person’s environment and past can influence their ability and desire to commit crime while biological theory suggest a person’s DNA makeup could influence their ability to commit crime. â€Å"Biological theories within the field of criminology attempt to explain behaviors contrary to societal expectations through examination ofShow MoreRelatedCase Study of Jeffrey Dahmer2982 Words   |  12 PagesA Case-Study of Jeffrey Dahmer. This paper will present case-analysis of the life and history of American psychopathic offender Jeffrey Dahmer. With the aim of carrying out this assignment effectively the research will be done from a psychological perspective; with regard to understanding the best fitted typology for the defendant’s criminality. Here these intimate aspects of the study will purely focus on the profiling of the offender, analyzing his past criminal record conjointly introducingRead MoreCase Case Study : Jeffrey Dahmer1659 Words   |  7 PagesCase Study of Jeffrey Dahmer Jeffrey Dahmer was born on May 21,1960 in Milwaukee, Wisconsin. He was an American Serial Killer responsible for the death of 17 males, both young and old. He is the only Serial Killer to appear in the Times Magazine, because of his unusual way of thinking, more specifically   his experiments with his victims to create them into Sex Zombies. Borderline Personality Disorder    According to WebMd â€Å" Borderline personality is the mental illness that causes intense mood swingsRead MoreBiopsychosocial Case Study of Jeffrey Dahmer1462 Words   |  6 PagesBiopsychosocial Case Study Of Jeffrey Dahmer Jeffrey Dahmer murdered 17 men between the years of 1978 to 1991 in which he participated in necrophilia, dismemberment and cannibalism (Meyer, 2006). As a child, Dahmer was shy and suffered from low self-esteem. At a young age, Dahmer displayed abnormal behavior starting with the collecting of dead animals and using acid to strip off the meat having necrophilia desires. This escalated in his teen years turning into fantasies of killing and mutilatingRead MoreThe Criminal Behaviour Of Jeffrey Dahmer1539 Words   |  7 Pagesexplored – both individually and collectively. Some of the most significant theories with regards to the criminal behaviour of Jeffrey Dahmer include: rational choice theory, attachment theory, differential association theory, biosocial theory and social control theory. This assignment will focus solely on social control theory and how it relates to the case of Jeffrey Dahmer. Social Control Theory Social control theory is used to help one understand and reduce levels of criminal activity. It is basedRead MoreJeffrey Dahmer : An American Serial Killer912 Words   |  4 Pagesoffender(s), in separate events.† Jeffrey Lionel Dahmer, who is well known as an American serial killer and sex offender who was born on May 21, 1960, in Milwaukee, Wisconsin. He is known for his murders committed in his teenage years between the years of 1978 and 1991; Jeffrey Dahmer murdered 17 males. He not only murdered 17 men, but horrifically disposed of their bodies; he committed acts of rape, dismemberment, necrophilia, and cannibalism. However, Jeffrey Dahmer has been glorified by people inRead MoreThe Monster Within By Jeffrey Dahmer852 Words   |  4 Pageskiller, Jeffrey Dahmer. The documentary follows the life of Jeffrey Lionel Dahmer told from his father’s, Lionel Herbert Dahmer, side of things. Jeffrey Dahmer killed seventeen men, had sex with their corpses, and ate them. It fo cuses on Dahmer’s sexuality, his reason of doing these things, and the timeline of his life and murders. There were many interesting facts used in the documentary that really keeps the viewers mind focused, and surprised with every detail stated. Jeffrey Dahmer stated thatRead MoreCase Study-Abnormal Behavior1484 Words   |  6 PagesCase Study in Abnormal Behavior Valvita Isaac PSY/410 April 4, 2011 Dr. Melda Jones CERTIFICATE OF ORIGINALITY: I certify that the attached paper, which was produced for the class identified above, is my original work and has not previously been submitted by me or by anyone else for any class. I further declare that I have cited all sources from which I used language, ideas and information, whether quoted verbatim or paraphrased, and that any and all assistance of any kind, which I received whileRead MoreMurder Is An Interesting Topic. Everyone Wants To Know1563 Words   |  7 Pagesidentify a criminal.The case is still on going, though it faces difficulties. This killer has been an interesting topic for more than 120 years, and will still be interesting for years to come( â€Å"Jack the Ripper Biography†).Although the killer is still unknown to this day, people still speculate as to who it was and they will continue until they get their answer. Jeffrey Dahmer Jeffrey Lionel Dahmer, born in Milwaukee, Wisconsin May 21, 1960. His parents, Lionel and Joyce Dahmer, described him as anRead MoreEvan Lalor. English 10. Mrs. Rb . 12 April 2017. Was Jeffrey1484 Words   |  6 Pages2017 Was Jeffrey Dahmer Insane One of the most infamous serial killers of the 20th century was named Jeffrey Dahmer, whose horrific murders shocked the nation. In many ways people would think Jeffrey Dahmer was insane because he killed 17 people and tried to turn them into living zombies for his self pleasure. Jeffrey Dahmer had mental struggles starting at a young age and throughout his life, Some say he had a mental illness. (Jeffrey Dahmer |Crime Library| serial killers) Jeffrey Dahmer was bornRead MoreSerial Killers And The Serial Killer1101 Words   |  5 Pagesmost â€Å"serial killers to be bound for imprisonment or execution† Society likes to take people that are different and â€Å"estrange them from the rest of us,† because differences threaten the conformity that everyone is accustomed to. In special cases like Jeffrey Dahmer, cannibalism is involved. Cannibalism is â€Å"the consumption of human flesh because of insanity,† which is ironic since insanity isn’t a psychiatric term. Cannibalism originates from â€Å"Neanderthals who were butchering each other as far back as

Wednesday, December 11, 2019

National Survey and Secondary Data Analysis †MyAssignmenthelp.com

Question: Discuss about the National Survey and Secondary Data Analysis. Answer: Introduction: The current assignment deals with post-operative nursing care practices. Here, the patient Kathleen Johnson is a 45 years old lady who had been admitted to the hospital for sleeve gastrectomy surgery. Kathleen has morbid obesity with a BMI index of 40kg/m2 along with type 2 diabetes. She is also the sole carer of her father who has been suffering from dementia and suffers from low self esteem due to her negative body image. Kathleen has been dependent upon addictives such as alcohol, cigarettes and coffee for dealing with the stress in her life. Therefore, after the gastrectomy surgery the patient has been transferred to the general ward where a nursing professional has been employed for looking after her care concerns. The patient here is a 45 years old lady suffering from type 2 diabetes and is morbidly obese. Therefore, she had been suggested sleeve gastrectomy surgery by the doctor. However, it is necessary to understand the aetiology and the pathophsyiology of the condition of the patient. The aetiology and pathophysiology of type 2 diabetes and obesity has been linked over here. It helps in understanding the effect of obesity on the overall health and well being in people. Obesity is a hetergenous group of conditions with multiple causes each of which is expressed as an obese phenotype (Berman et al., 2014). As commented by Bryant Knights (2014), the influence of genotype on the aetiology of obesity is either attenuated or exacerbated by non-genetic factors. There are a number of aetiological determinants of obesity which are endocrine and hypothalamic disorders, heritability, eating and energy storing patterns. Additionally, obesity has been strongly related to the development of type 2 diab etes. The BMI is strongly related to diabetes and insulin resistance as in obese individuals the amount of non-esterified fatty acids, glycerol, hormones, cytokines, pro-inflammatory markers are increased. Serum free fatty acids (FFA) are frequently high in obese individuals which are the one of the major contributors to peripheral insulin resistance. Elevated levels of FFA in the blood have been seen to promote gluconeogenesis inducing hepatic and muscle insulin resistance. FFAS also enhances the accumulation of triglycerides in liver and skeletal muscle, which could be correlated with insulin resistance (Hoogervorst-Schilp et al., 2016). BMI equal to or greater than 40 kg/m2 has been categorised under class III obesity which increases the risk for illness and death manifold times (Broyles, Smith, Coon Bonawitz, 2016). The obese condition of Kathleen could be attributed to her lifestyle and eating habits. In order to cope up with her life stress Kathleen had been overtly dependent upon alcohol, smoking. Kathleen has been drinking upto four bottles of beer on a single night. Therefore, excessive alcohol uptake results in increased amount of calories. Therefore excess amount of stored energy whereas less expenditure can result in increased body weight. As commented by Bullock Hales (2012), the psychosocial factors have also been seen to trigger binge drinking in people. Thus, binge drinking with long intermittent gaps have been seen to enhance weight gain by disturbing the facultative thermogenesis cycle. Underlying pathophysiology of the patients post-operative deterioration The patient had been suggested a sleeve gastrectomy surgery in order to facilitate weight loss. In the following procedure most of the stomach is removed except a small sleeve shaped pouch. It restricts the amount of food which could be consumed by the patient improving metabolic s syndrome. It acts by changing hormonal signal between stomach, liver and brain by establishing lower set points. As supported by Broyles, Smith, Coon Bonawitz (2016), undertaking sleeve gastrectomy surgery helped in controlling type 2 diabetes in 58% of the cases. However, there are a number of complications associated with the conduct of sleeve gastrectomy surgery in patients. Some of the most common side effects which could be noted after the conduct of the sleeve gastrectomy surgery are feelings of nausea and vomiting. Some more serious complications can be seen in the patient are blood clots in the lungs (pulmonary embolism) or legs (deep vein thrombosis) (Chou et al., 2016). Some other symptoms which could be seen over here are chest pain, shortness of breath. The leaking and bleeding around the stomach have been seen to cause abdominal pain and fever. In this respect, a number of post-operative complications were noticed in the patient such as shortness of breath or panting, high blood pressure, whereas the urine output has been recorded to be around 5 ml which is very less. The shortness of breath could be due to clotting of blood in the lungs during the surgery. Therefore, a post-operative follows up needs to be conducted on the patient. One of the most serious which needs to be addressed in the patient immediately is less urine output. It could be attributed to acute kidney injury (AKI) which may develop as a complication within the patient in post-aneasthasia care unit (PACU). It is important to recognise AKI in the early developmental stages as it could further progress into chronic kidney disease (Hamlin, Davies, Richardson-Tench Sutherland-Fraser, 2016). Additionally, use of antiarrythmic drug during surgery can also effect the normal urine output in the patient considerably. As commented by Forrester Griffiths (2014), ad equate resuscitation needs to implemented before application of the diagnostic criteria for decreased urine output. Appropriate nursing management of the patient Post-operative care process is crucial for the management of patients with gastric surgeries. Patients with a number of co-morbid conditions need to be kept inside the intensive care unit for few days before shifting to the general ward. Kathleen had type 2 diabetes, which required that a number of clinical assessments be completed before shifting her to the general ward. An A-E assessment needs to be conducted in order to analyse the overall condition of the patient. In this context, Kathleen was suffering from shortness of breath. Hence, the nursing professional needs to employ a proper airway management for looking after the respiratory complications developed in the patient. As commented by martin and Bartholomew (2018), residual anaesthesia have been seen to develop respiratory depression in the patient. Under such conditions, the nurse needs to make adjustments in endotracheal intubation. The patients could be placed in a reverse trendelenburg position which limits the push of abdominal contents over the diaphragm, facilitating the rate of respiration (Hamlin, Davies, Richardson-Tench Sutherland-Fraser, 2016). The expertise of aneasthelogist is required for the management of patients who are difficult to intubate. In order to improve tidal volume the head of the bed needs to be elevated from an angle of 30 to 45 degrees. Some of the additional steps which could be taken by the nursing professional over here are using intensify scale to access the pain in the patient. In this respect, the nurse should record pain as the 5th vital sign. The bleeding patterns of the patients needs to be monitored. The nurse should observe the puncture sites or the sites of insertion of the catherer tube closely as entry of any form of pathogen though those sites can result in the occurrence of central line associated bloodstream infection (CLABI) (Forrester Griffiths, 2014). Justification for involvement of three members of the interdisciplinary healthcare team The support care and participation of the interdisciplinary healthcare team can enhance the quality of the healthcare services. In this respect, part from the primary medical and nursing team three other allied healthcare professional could be involved who are dietician, critical care pharmacist, and respiratory therapist. Since Kathleen had undergone sleeve gastrectomy surgery therefore she needs to be particularly careful about her diet. Therefore, the involvement of a dietician can help in guiding the patient regarding the right food which needs to be taken after the pot-operative surgery. As mentioned by Craft, Hudson, Plenderleith Gordon (2017), the involvement of a dietician can help in providing effective diabetes management education to the patient. The involvement of clinical care pharmacist in disease state management has been found to be fruitful as they can keep a tab on the prescribed medication pattern of the patients. The interdisciplinary team can work closely with the doctors for effectively monitoring the changes in doses and their effects over the body of the patient in the long term (Nursing and Midwifery Board of Australia, 2013). The involvement of the respiratory therapists is crucial during the post-operative as they can help in restoring the normal breathing patterns of the patient. As mentioned by Gan et al. (2014), the involvement of the interdisciplinary care team can make the process of post operative support care easy and much more effective. However as argued by Bullock Hales (20121), the involvement of a number of medical channels can make the healthcare setting more slow and complicated. Therefore, an effective collaboration is needed between the different healthcare channels. Additionally, implementation of effective peri-operative nursing standards can help in improving the quality of care in an intensive care unit. Conclusion The current assignment focuses upon the nursing care and management strategies for patients who just had an immediate surgery. In this respect, the patient Kathleen is a 45 year old lady who had undergone a sleeve gastrectomy surgery due to morbid obesity. The patient depicted a number of complications immediately after the surgery such as the shortness of breath, high blood pressure and low urine output. Some of the most serious concerns surrounding the patient were low urine output along with shortness of breath. The low urine production could be due to acute kidney injury. Therefore, an effective postoperative follow up needs to be conducted which could help in accessing and monitoring the current health condition of the patient. Additionally, support from a number of health care channels along with interdisciplinary healthcare teams can help in improving the overall health condition of the patient. References Berman, A., Snyder, S. J., Kozier, B., Erb, G. L., Levett-Jones, T., Dwyer, T., ... Parker, B. (2014).Kozier Erb's Fundamentals of Nursing Australian Edition(Vol. 3). London: Pearson Higher Education AU. Retrieved from: https://books.google.co.in/books?hl=enlr=id=wMWaBQAAQBAJoi=fndpg=PP1dq=Kozier+%26+Erb%E2%80%99s+fundamentals+of+nursing+(3rd+ed.).+Australia:+Pearson.+ots=FEk6kCa1nnsig=OOOkHrwLlTkR_hoCq565ovg88c8#v=onepageq=Kozier%20%26%20Erb%E2%80%99s%20fundamentals%20of%20nursing%20(3rd%20ed.).%20Australia%3A%20Pearson.f=false Broyles, J. M., Smith, M., Coon, D., Bonawitz, S. C. (2016). Assessment of nursing deficiencies in the postoperative care of microsurgical patients.Journal of reconstructive microsurgery,32(08), 615-624. DOI: 10.1055/s-0036-1584528 Bryant, B., Knights, K. (2014).Pharmacology for Health Professionals ebook. Amsterdam: Elsevier Health Sciences, 25-45. Retrieved from: https://books.google.co.in/books?id=8b6PZgWIhYgCdq=Bryant,+B.,+%26+Knights,+K.+(2014).+Pharmacology+for+Health+Professionals+ebook.+Elsevier+Health+Scienceshl=ensa=Xved=0ahUKEwisi9H2u4zaAhWBtI8KHWxsBIgQ6AEIJjAA Bullock, S., Hales, M. (2012).Principles of Pathophysiology. London:Pearson Higher Education AU, 85-101. Retrieved from:https://books.google.co.in/books?hl=enlr=id=N3_dBAAAQBAJoi=fndpg=PP1dq=Bullock,+S.,+%26+Hales,+M.+(2012).+Principles+of+Pathophysiology.+Pearson+Higher+Education+AUots=Sier9_EJzHsig=yCQl39Wn2BK4sv55TQ9Tzq-YDvg#v=onepageqf=false Chou, R., Gordon, D. B., de Leon-Casasola, O. A., Rosenberg, J. M., Bickler, S., Brennan, T., ... Griffith, S. (2016). Management of Postoperative Pain: a clinical practice guideline from the American pain society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists' committee on regional anesthesia, executive committee, and administrative council.The Journal of Pain,17(2), 131-157. DOI: https://doi.org/10.1016/j.jpain.2015.10.023 Cole, C., Hill, O., Saunders, R. (2012).Pocket Companion Jarvis's Physical Examination and Health Assessment. Amsterdam: Elsevier Health Sciences, 202-313. Retrieved from: https://books.google.co.in/books?hl=enlr=id=g1zsgqBapekCoi=fndpg=PT8dq=rvis,+C.,+Forbes,+H.,+Watt,+E.,+(2012).+Jarvis%E2%80%99s+physical+examination+%26+health+assessment++(Australian+and+New+Zealand+ed.).St.+Louis,+Missouri:+Elsevier+Saundersots=3HXi-Ghv90sig=Hn2-S7UKGCemJ6tU97ZqHznMPf4#v=onepageqf=false Craft, J. A., Hudson, P. B., Plenderleith, M. B., Gordon, C. J. (2017). Enrolled nurses entering undergraduate studies at second year to become registered nursesA mixed methods study on commencing perceptions of bioscience.Collegian,24(4), 317-324.DOI:https://doi.org/10.1016/j.colegn.2016.05.002 Forrester, K., Griffiths, D. (2014).Essentials of Law for Health Professionals-eBook. Amsterdam: Elsevier Health Sciences, 85-92. Retrieved from: https://books.google.co.in/books?hl=enlr=id=VlqmBgAAQBAJoi=fndpg=PP1dq=Forrester,+K.,+%26+Griffiths,+D.+(2015).+Essentials+of+law+for+health+professionals+(4th+ed.).+Sydney:+Elsevierots=ajESp-PfRhsig=74kPKhCSQLNBgQb6T95QZiY6XJ0#v=onepageqf=false Gan, T. J., Diemunsch, P., Habib, A. S., Kovac, A., Kranke, P., Meyer, T. A., ... Bergese, S. D. (2014). Consensus guidelines for the management of postoperative nausea and vomiting.Anesthesia Analgesia,118(1), 85-113. doi: 10.1213/ANE.0000000000000002 Hamlin, L., Davies, M., Richardson-Tench, M., Sutherland-Fraser, S. (2016).Perioperative Nursing-EBook-epub: An Introduction. Amsterdam: Elsevier Health Sciences. Retrieved from: https://books.google.co.in/books?hl=enlr=id=_cr1CwAAQBAJoi=fndpg=PP1dq=Hamlin,+L.,+Davies,+M.,+Richardson-Tench,+M.,+%26+Sutherland-Fraser,+S.+().+Perioperative+nursing%3B+An+introduction+(2nd+ed.).+Australia:+Elsevierots=Ebt8oXl2J5sig=YEiMPAYwy4z5ddHR0JaBsZYcGd8#v=onepageq=Hamlin%2C%20L.%2C%20Davies%2C%20M.%2C%20Richardson-Tench%2C%20M.%2C%20%26%20Sutherland-Fraser%2C%20S.%20().%20Perioperative%20nursing%3B%20An%20introduction%20(2nd%20ed.).%20Australia%3A%20Elsevierf=false Hoogervorst-Schilp, J., Van Boekel, R. L. M., De Blok, C., Steegers, M. A. H., Spreeuwenberg, P., Wagner, C. (2016). Postoperative pain assessment in hospitalised patients: National survey and secondary data analysis.International journal of nursing studies,63, 124-131. DOI:https://doi.org/10.1016/j.ijnurstu.2016.09.001 Levett-Jones, T. (Ed.). (2013).Clinical reasoning: Learning to think like a nurse. Pearson Australia, 165-212. Retrieved from: https://books.google.co.in/books?id=rwc0MwEACAAJdq=Levett-Jones,+T.+(Ed.).+(2013).+Clinical+reasoning:+Learning+to+think+like+a+nurse.+Pearson+Australia+ebook.+Elsevier+Health+Scienceshl=ensa=Xved=0ahUKEwjs_8acvIzaAhUKvI8KHZ3UC2AQ6AEIJjAA martin, F. and Bartholomew, E. (2018). anatomy and physiology I. [online] Available at: https://learning.hccs.edu/faculty/auguste.nioupin/biol2401/Spring%2015_2401%20syllabus_-CRN_41813 [Accessed 27 Mar. 2018]. Nursing and Midwifery Board of Australia (2013). Professional codes and guidelines. Retrieved from :https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/CodesGuidelines.aspx

Wednesday, December 4, 2019

Three Musketeers Essay Research Paper THE THREE free essay sample

Three Musketeers Essay, Research Paper THE THREE MUSKETEERS The Three Musketeers is a fantastic narrative assorted with love affair and action. It is about one immature adult male # 8217 ; s journey from boyhood to manhood. On this pursuit he ironically befriends three of the former musketeers. D # 8217 ; Artagnan, starts his ocean trip in the states of France trusting to do his manner to Paris. D # 8217 ; artagnan leaves his place to go to France and do a luck. His male parent gives him three separating gifts one of them being a missive to Monsieur De Treville. At his first halt, in the town of Meung, the hot-headed vitamin D # 8217 ; Artagnan gets into a battle with a distinguished-looking gentlemen who ridicules him because of his saddle horse. D # 8217 ; Artagnan is beaten unconscious by a group of the gentleman # 8217 ; s flunkies. When he comes to, he sees the gentleman speaking to a beautiful, just adult female in a passenger car whom he calls # 8220 ; Milady # 8221 ; merely as the two of them are siting off. We will write a custom essay sample on Three Musketeers Essay Research Paper THE THREE or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page He prepares himself to go forth the town, but finds that the gentleman has stolen his missive of introductio N to M. de Treville. Upset by the loss of his missive he continues his jaunt to M. De Treville’s place. When he reaches the house he is asked to travel see M. De Treville, but before the two can talk Aramis and Porthos are called into the room. Athos enters tardily but shortly prostrations of his sever lesions. After Athos had been tended to D # 8217 ; artagnan is questioned by M. De Treville who at first suspects him of being a undercover agent sent by the Cardinal. D # 8217 ; artagnan sees the adult male from Meung and darts after him to dispute the adult male. Soon after D # 8217 ; Artagnan chases after the adult male he crashes into Athos who had merely been released from the physicians attention. The two work forces allow choler acquire the better of them and put a affaire dhonneur for midday of that twenty-four hours. D # 8217 ; Artagnan can non happen his mark anyplace but does see Aramis and approaches him. Aramis is in a conversation with some other work forces at the clip and D # 8217 ; Artagnan accidently exposes Aramis # 8217 ; s adulteress relationship with a marrie adult female. Aramis so challenges D # 8217 ; Artagnan to a affaire dhonneur at 1:00 that twenty-four hours.