Thursday, August 27, 2020
Instructive Mission Statement - Essay Example Hierarchical statement of purpose is a significant proclamation since it speaks to: Hence, the statement of purpose is fundamental to the association's personality and it is enlarged by different things, for example, reasoning proclamation, values, destinations and so forth. The core of any hierarchical statement of purpose isn't in the words however in the promise to do what is spelt out in the announcement. This paper looks to feature the statement of purpose and the way of thinking of nursing of a human services association in correlation with the statement of purpose and nursing reasoning articulation of a nursing division of an instructive establishment. Arranged inWorcester, Massachusetts, Saint Vincent Hospital, a 348 bed office, offers a bunch of social insurance administrations including medical procedure, disease medication maternity and youngster care administrations, neurosurgery, orthopedics, psychiatry, ICU administrations and so forth. Committed to arrangement of value quiet consideration with unwavering fixation to clinical greatness, wellbeing of the patients and an unparalleled fixation and pledge to ensure best medicinal services for our customers Holy person Vincent Hospital's way of thinking of nursing and nursing practice is summarized in their qualities which are basically separated into five columns. These are: Trust, Teamwork, Dignity and Reverence, Cooperation and Integrity. Collaboration - recognizes the contribution of everything except needs penance for the patient's advantage in order to improve the soundness of the network getting the emergency clinic's administration. The emergency clinic likewise works in a joint effort with different associations in an offer to take care of powerless gatherings in the network Participation - Between the patient and the nursing staff and furthermore between the different clinical experts and pros Honesty - Integrity is organized and is shown for the most part through decency, truthfulness and self-investigation in all administrations rendered as an ideal method to guard general security, just as assurance caution and protection (Huber, 2006). 2.2University of Iowa Hospitals and Clinics Department of Nursing Services and Patient Care College of Iowa Hospitals and Clinics Department of Nursing give human services to the whole college of Iowa people group. 2.2.1 Mission Statement Arrangement of top notch care for patients through solid commitment to advancement, practice, exploration, instruction, and joint effort 2.2.2 Philosophy of Nursing and Nursing Practice Nursing as a craftsmanship and science-nursing as a workmanship and science is given to improving both mental and physical government assistance of
Posted by Randolph Ashton at 4:53 PM
Saturday, August 22, 2020
The issue of current recreation has, consistently, been an all around talked about theme among numerous sociologists. Friendliness, for this situation, is one of the most general types of recreation that will be talked about in this article. The hypothetical system for this conversation is given by the sociological bits of knowledge of Georg Simmel (1858-1918) as he contends that the Ã¢â¬Å"tumult of the metropolisÃ¢â¬ (refered to in Frisby 1989, p80) makes inward obstructions among individuals and recommends that Ã¢â¬Å"sociabilityÃ¢â¬ can outperform this issue. As indicated by Frisby (1989), Simmel states that the city life has changed the battle with nature for job into a battle with other people for gain. This is additionally talked about as Frisby (1989) and Giulianotti (2005) depicts how amiability can rise above this issue as per SimmelÃ¢â¬â¢s friendliness hypothesis. LetÃ¢â¬â¢s start by characterizing what amiability is. As per Simmel, amiability is Ã¢â¬Ëthe unadulterated structure, the free-playing associating reliance of individualsÃ¢â¬â¢ that is Ã¢â¬Ëfreed from substanceÃ¢â¬â¢ (Simmel as refered to in Frisby 1989, p.87). It is in this way situated complet...
Posted by Randolph Ashton at 12:34 PM
Friday, August 21, 2020
Best Custom Essay Writing ServicesWhen it comes to finding the best custom essay writing services, there are many factors that you should consider. What you decide to do with this information is up to you. But before you go and choose a service, be sure to consider the following tips.The first thing that you should consider is how much time the question should take. If you are unable to sit down and answer it all yourself, ask friends or someone that has the ability to help. This way, you can be certain that you have time to look over the details and make any adjustments that you may need to make. It will also help you ensure that you are getting exactly what you need.When you are choosing custom essay writing services, you should remember that these people are trained professionals. They should provide you with proofreading of the material, editing and corrections. This is something that you should expect because the last thing you want is your essay to be rejected. A professional w ho offers services such as this should not only make sure that you get exactly what you want, but should work to make it as impressive as possible.Service charges should be up front and in writing. This will ensure that you know what you are getting into and what you will be paying for. You may be able to find a cheaper service but this does not mean that the quality of their writing is better.Be sure to take your time when looking at services. While you want to narrow down your choices, you need to keep in mind that there are many different services out there. Choosing the wrong one may mean that you do not get exactly what you want. Do some research so that you can see if what you are looking for is offered by the company that you are considering.Ensure that they are certified. This is important so that you can be sure that you are receiving the best type of service. You can find all of this information online. It may be easier for you to do this online than to call up the office of the company that you are considering.Always remember that there are many different types of writing services out there. Even when you are looking for custom essay writing services, there are many options to consider. There are also many different ways that you can use these services to get exactly what you want.When you are choosing custom essay writing services, it is important to take the time to consider the above points. These are things that you can easily do yourself and save yourself a lot of money. When you consider the above tips, you will find that you are saving yourself a lot of money and time by taking the time to find a good service that you can trust.
Posted by Randolph Ashton at 10:16 AM
Monday, May 25, 2020
Many classic literary works are considered timeless due to the way they tackle the human condition. These works have stood the test of time and continue to do so because they grapple with economic and social issues that people of all ages, from all walks of life, can relate to. Shakespearean plays ideally encompass these viewpoints; they can be tragic, comedic or even romantic. Taming of the Shrew by William Shakespeare explores the marriage between a shrewd woman, Katherine and a willing suitor, Petruchio. Petruchio challenges himself to try and transform shrewd ways of Katherine to turn her into the ideal and obedient house wife by using various techniques, such as denying her company and even food and clothing. The comedic genre is shown through the clever language and the witty words, revealing an entertaining and light hearted tone. Classic literary works should always be relatable and to this day, this play is still engaging people with issues prevalent in modern day society. During Shakespearean and Elizabethan times, women were not seen as equal and were treated like property, traded like cattle and sold off with a dowry during marriage. They had to be subservient to the men in their lives, whether it be towards their father or their husband. The man was seen as stronger, more able to do everyday tasks and providing for the family, while the women were to stay at home to raise the kids and clean the house. Despite societyÃ¢â¬â¢s claims of advancement, women are stillShow MoreRelatedWilliam Shakespeare s Taming Of The Shrew889 Words Ã |Ã 4 PagesIn many accounts, William ShakespeareÃ¢â¬â¢s Taming Of The Shrew, is often criticized for its seemingly misogynistic themes; such as the thought of Ã¢â¬Å"tamingÃ¢â¬ a woman, thus making her completely submissive to her husband. While in the opening of the play, Katharine, ill-tempered but seemingly impenetrable, gets pulverized by PetruchioÃ¢â¬â¢s contradicting her words, and also saying disgusting j okes in an intense verbal arguement. In another example, one of the other main characters, Bianca, was bet on by severalRead MoreWilliam Shakespeare s The Taming Of The Shrew1180 Words Ã |Ã 5 PagesWilliam Shakespeare s Ã¢â¬ËThe Taming of the ShrewÃ¢â¬â¢ is a controversial comedy that has more than 1 interpretation. The 2 prominent interpretations is that it a misogynistic play or that it is a love story about a man liberating a woman. This play has been adapted into any movies the 2 that were studied were Ã¢â¬ËThe Taming of the ShrewÃ¢â¬â¢, produced in 1967 and Ã¢â¬Ë10 Things I Hate About YouÃ¢â¬â¢, made in 1999. Upon viewing these 2 movies I found that Ã¢â¬ËThe Taming of the ShrewÃ¢â¬â¢ had a great deal of misogyny throughoutRead MoreWilliam Shakespeare s The Taming Of The Shrew Essay2348 Words Ã |Ã 10 PagesShakespeare wrote his plays without a thought that they would ever not be performed on stage. Many of ShakespeareÃ¢â¬â¢s plays have been performed sinc e his death 400 years ago. And with time comes advances, as many of ShakespeareÃ¢â¬â¢s play have been adapted from text to film. Some films take ShakespeareÃ¢â¬â¢s original plot and twist it to be more modern, while others stick with the classic. In Franco ZeffirelliÃ¢â¬â¢s 1968 film version of The Taming of the Shrew, he recreates ShakespeareÃ¢â¬â¢s loved play. Although ZeffirelliRead MoreWilliam Shakespeare s Othello, And Taming Of The Shrew1684 Words Ã |Ã 7 PagesThroughout the works of Shakespeare there are several relationships that develop in order to help guide the story into its conclusion. For instance, in Othello, and Taming of the Shrew, similar relationships between the male and female lead characters are displayed and emphasized to bring large meaning to each of the texts. It is these relationships between fathers and daughters, as well as husbands and wives that form to progress the plots of each play. Through these bold and sometimes fatal relationshipsRead MoreWilliam Shakespeare s The Taming Of The Shrew And Of Clytemnestra1550 Words Ã |Ã 7 Pages When William Shakespeare and Aeschylus create purpose, they create it in a direct manner. Executing it with carefully chosen language, Shakespeare and Aeschylus implement multiple layers to construct meaning and multiple interpretations. Without alienating the audience and regardless of itÃ¢â¬â¢s controversial themeÃ¢â¬â¢s, both textÃ¢â¬â¢s were at a time developed when devoted leaders condemned the idea of Eve and praised the Virgin Mary, Neoclassical scholars welcome the idea of feminism, reversed gender rolesRead MoreAnalysis of William ShakespeareÃ ´s The Taming of the Shrew1962 Words Ã |Ã 8 Pages Ã¢â¬Å"The Taming of the Shrew Ã¢â¬Ë is undoubtedly amongst ShakespeareÃ¢â¬â¢s most popular and debated comedies .The main subject of contention amongst critics is the apparent misogynistic elements offered in the play.Some ,like Stevie Davies argue that Ã¢â¬ËThe Taming of The Shrew Ã¢â¬Ë celebrates Ã¢â¬Ë female subjugation and mistreatment Ã¢â¬Ë .Others see it is a parody of Ã¢â¬Ëfemale subjugationÃ¢â¬â¢ which grotesquely exaggerates PetruchioÃ¢â¬â¢s Ã¢â¬ËtamingÃ¢â¬â¢ of shrewish Katherina and portrays their relationship as a Ã¢â¬ËgameÃ¢â¬â¢ .Whether theRead MoreWilliam Shakespeares Taming of the Shrew William ShakespeareÃ¢â¬â¢s romantic comedy, The Taming of1100 Words Ã |Ã 5 Pages William Shakespeares Taming of the Shrew William ShakespeareÃ¢â¬â¢s romantic comedy, The Taming of the Shrew, is an embodiment of the context in which the text was shaped, the Renaissance. The Renaissance period was a time of progression, primarily in the areas of art, science, humanism, religion and self-awareness. The Renaissance focused on taking elements of the past including religion, art and science and adapting them to make them better. Humanists advocated for the freedom of the individualsRead MoreGender Essentialism : Katherine s Transformation1735 Words Ã |Ã 7 PagesGender Essentialism: Katherine s Transformation in William Shakespeare s Taming Of The Shrew Feminist and cultural historians have convincingly demonstrated that rebellious women were a concern for englishmen during the late sixteenth centuries (Detmer 273). The idea of Ã¢â¬Å"tamingÃ¢â¬ a women is one that men can find useful, though women can also benefit from. Katherine cynically conforms to expectation, and in doing so displays how The Taming of the Shrew is a critique on gender essentialism. TheRead MoreThemes in Taming of the Shrew1433 Words Ã |Ã 6 PagesThe Taming of the Shrew is a comedy written in the early 1590Ã¢â¬â¢s by William Shakespeare. This play within a play starts when a powerful lord plays a prank on a poor, drunken man named Christopher Sly. The lord convinces the poor man that he is actually a lord himself and that the troop of actors that have arrived are there to perform a play for him. This play that the troop of actors performs is the story of Petruchio, who wants to marry for money, and Katherina, the shrew. The two actually marryRead More The Relationship Between Katherine and Bianca in The Taming of the Shrew1186 Words Ã |Ã 5 PagesThe Relationship Between Katherine and Bianca in The Taming of the Shrew Ã Ã William Shakespeare is considered the greatest playwright of all time.Ã His gift for developing characters is one major aspect that accounts for this lofty acknowledgement.Ã Shakespeare created various characters from drunks and fools to kings and generals.Ã The characters are so human and so real that the audience can see aspects of their own personalities represented on stage for better or worse.Ã Inadvertently
Posted by Randolph Ashton at 11:57 PM
Friday, May 15, 2020
Fast food advertisements can be found around the world, on newspapers, television, and even online. Children, teenagers, and parents have seen marketing focused on fast food. While adults may think little about such blatant advertising tactics that are solely designed to attract new customers, how are kids affected? People across the United States worry about the ever increasing obesity rates amongst children in recent years. A common explanation is the spike in popularity of fast food. Most kids and teenagers have eaten fast food at least once in their lifetime. But why has fast food gotten increasingly popular recently? Fast food has always been known to be very unhealthy, but kids still consume it anyway. The culprit: fast food advertising. In modern times, the majority of kids living in the United States have access to the internet or television, where they are easy targets for advertising. To prevent the nation from growing up obese, fast food companies should end all ad campaig ns targeted towards children and focus advertising strictly on adults. These advertisements cause kids to consume fast food more often, to eat an unhealthy diet, and to grow up in a culture dependent on fast food. Most people will agree that, in the current generation, kids eat a lot of fast food. Considerably more than ever, kids regularly ask their parents to take them to a fast food joint. Based on information from Ã¢â¬Å"Study: Fast-Food Ads Target Kids with Unhealthy Food, and It WorksÃ¢â¬ , byShow MoreRelatedFast Food Industry in U.S1040 Words Ã |Ã 5 PagesProfessor Johnson 03/06/2012 Fast Food Industry in U.S A variety of different regulations have been set for people that are concerned with tobacco either on a personal level or commercially. Tobacco is associated with damages and thus it has been attacked by medical authorities and social observers. The fast food industry is no exception since it has also contributed to different damages to peopleÃ¢â¬â¢s health. Obesity is just one of the many ailments caused by fast food joints. FDA has made sureRead MoreThesis: Junk Food Consumption by Children During TV Watching921 Words Ã |Ã 4 Pagesto inhibit junk food consumption by children during TV-watching Submitted by: Dr. John Doe Title: Fast food advertisements should not be shown during TV shows for children Topic: Fast food advertisements should not be shown during TV shows for children Research Classification: Applied Objective: to structure an instructional program that would inform paretns about the hazards of fast food advertisements during TV shows for children and how to control childrens eating junk foods as a result Background: Read MoreEssay On Cigarettes Should Be Banned707 Words Ã |Ã 3 Pagesessence of restricting or completely banning cigarette advertising to reduce the number of affected individuals. Cigarettes have since time immemorial been established to cause a wide range of infections and diseases. The most common disease caused by cigarettes is cancer and since the drug affects smokers and non-smokers as well, there has been a widespread call to illegalize cigarette advertising. The rationale behind banning cigarette advertising is to reduce the influence that adverts have on youngRead MoreAnalysis Of The Article How Junk Food Can End Obesity844 Words Ã |Ã 4 Pageschange the obesity rate? In the article Ã¢â¬Å"How Junk Food Can End Obesity,Ã¢â¬ the author David H. Freeman demonstrates how so many people are very poorly informed on the facts of processed foods and how bad it is for oneÃ¢â¬â¢s health, he goes on to explain how wholesome foods are supposed to be primarily better for the health of an individual, but that is not necessarily true. In our society, we loudly blame processed food companies mainly directed at fast food companies, for the sole contribution to the increasingRead MoreFast Food Nation By Eric Schlosser1596 Words Ã |Ã 7 Pagesby consumerism and big business. Companies selling cheap food and cheap goods are scattered across the nation in every state and town. This is Eric SchlosserÃ¢â¬â¢s main topic in his novel Fast Food Nation. From telling the start of the first fast food restaurants in America, to explaining how the food is made, Schlosser s covers the whole history of the world wide food phenomenon. Eric Schlosser is an American journalist and Author of Fast Food Nation. He was born in Manhattan, New York, but grew upRead MoreObesity Among Children And Children Essay1456 Words Ã |Ã 6 Pagestable for breakfast, lunch, and dinner, because they have no control over their own meal. Sometimes children make their own decision on what they want to eat for lunch or dinner, but it is not always the right decision, because they do not know which food is good or bad for their health. Research shows that Ã¢â¬Å"Over the past three decades, childhood obesity rates in America have tripled, and today, nearly one in three children in America is overweight or obeseÃ¢â¬ (LetÃ¢â¬â¢s move). There are three solutionsRead MoreNegative Influence of Advertising1524 Words Ã |Ã 7 PagesNegative influence of advertising on society Advertising by definition is a paid form ofÃ communicationÃ intended toÃ persuadeÃ an audience (viewers, readers or listeners) to purchase or take some action upon products, ideas, or services. We are takenÃ into what the advertisers exactly want us to do - buy their products. Advertisements in themselves are not bad. They do perform an importantÃ role in the society and that is the promotion of products and servicesÃ so that people will become aware ofRead MoreIs Fast Food Fat?926 Words Ã |Ã 4 PagesIs Fast Food Fat? Over the past few decades the obesity rate along with the amount of fast food restaurants has increased at a drastic amount. In fact in the past thirty years the, Ã¢â¬Å"U.S. spending on fast food has risen from $6 Billion to $110 billionÃ¢â¬ (Jason P. Block) dollars. While there are many contributing factors, the fact of the matter is that the United States is growing to become one of the most obese countries in the entire world. Also it seems that in todayÃ¢â¬â¢s times nobody can spare timeRead MoreYouth Obesity : Who Is Responsible?1446 Words Ã |Ã 6 Pagesto fast food consumption. Over the past decade, lawyers and health advocates have tried to accuse fast food companies of the countryÃ¢â¬â¢s growing obesity problem among children. Many customers have filed lawsuits against fast food restaurants blaming them for causing their children to gain weight. However, none of these cases have won in the courts and the main reason is that blaming the fast food companies exclusive ly would be too reductive. We will therefore argue that, in addition to the fast foodRead MoreReview of Eric Schlossers Fast Food Nation780 Words Ã |Ã 3 PagesFast food nation We live in a world that is in a continuous process of transformation, considering that progress manages to control all the aspects of individuals life. Being part of a society which is always changing makes it essential for people have to adapt to all these aspects. One of the biggest problems for the American society is that it has no time to eat, since it is always on the run. Fast food came as the greatest solution for this problem. Since the process of modernization of the
Posted by Randolph Ashton at 6:35 AM
Wednesday, May 6, 2020
One of the most notable aspects of Jane AustenÃ¢â¬â¢s Pride and Prejudice, is the use of satire as a way to comment on English society in the 19th century. AustenÃ¢â¬â¢s satirical approach to analyzing societal norms gives the novel a comedic and lighthearted tone, while also educating the reader on faults in the social class in which she was raised. Mrs. Bennet and Mr. Collins serve as satirical objects of the society Pride and Prejudice depicts and are crucial in portraying AustenÃ¢â¬â¢s view on conventional attitudes towards marriage and women. Austen establishes her satirical view of these characters in the first line of the novel. The narrator states, It is a truth universally acknowledged that a single man in possession of a good fortune must be in want of a wife.Ã¢â¬ (p.1). The plot of the novel surrounds this societal assumption and provides a medium for author Jane Austen to critique society. In the classic novel of Pride and Prejudice, Jane Austen uses satire as a way to critique the role of women and marriage. Jane Austen chooses to satirize Mr. Collins in order to comment on the misguided purpose of marriage. Mr. Collins exemplifies this in his proposal to Elizabeth Bennet. In his proposal, Mr. Collins says haughtily, Ã¢â¬Å"Ã¢â¬ËMy situation in life, my connections with the family of de Bourgh, and my relationship to your own, are circumstances highly in my favour; and you should take it into further consideration, that in spite of your manifold attractions, it is by no means certainShow MoreRelatedSatire Of Being Earnest And Jane Austen s Pride And Prejudice1533 Words Ã |Ã 7 Pagesorganized religion and a rigid class system. Oscar WildeÃ¢â¬â¢s The Importance of Being Earnest and Jane AustenÃ¢â¬â¢s Pride and Prejudice use satire to reveal faults in these elements of society. Many of WildeÃ¢â¬â¢s criticisms of society are provoked by his closeted homosexuality. He portrays religion as a restricting, meaningless convention and de picts the aristocratic class as a hypocritical and unempathetic lot. Austen similarly finds faults in these areas of society, but her opinions stem from her experiencesRead MorePride And Prejudice By Jane Austen1189 Words Ã |Ã 5 PagesLiterature April 21, 2016 Jane Austen s use of Satire in Pride and Prejudice Set in Nineteenth-century England, Jane Austen s Pride and Prejudice is a satirical novel focused on the ideals of social class and marriage. Austen plays on social behavior to show a society in which a woman s character is of the ultimate importance. A lady is expected to behave in a specific way and breaking the set social norms can put her at risk of being ostracized. In the 1800 s there were very little financialRead More Jane Austens Pride and Prejudice: Novel and Movie Essay652 Words Ã |Ã 3 PagesJane Austens Pride and Prejudice: Novel and Movie Pride and Prejudice, the novel by Jane Austen, and Sense and Sensibility, the movie based on the novel by Austen, share many striking similarities. These similarities lie in the characters, plots and subplots between these characters, the settings, and the overall style and themes used in creating the two works. Jane Austen uses extremely similar characters in almost the exact same situation in Pride and Prejudice and Sense and SensibilityRead MorePride And Prejudice : A Comedy Of Characters1387 Words Ã |Ã 6 PagesPride and Prejudice: A Comedy of Characters In Jane Austen s novel Pride and Prejudice, a subtle layer of comedy exists that is especially noticeable when very different characters are juxtaposed. This method is used to deepen characterization and make clear the intended satire. The distinct differences between characters help to bring out AustenÃ¢â¬â¢s subtle satire because the negative qualities of certain characters are more blatant when surrounded by opposing positive qualities in another characterRead MoreThe Theme of Society in Pride and Prejudice Essay976 Words Ã |Ã 4 PagesOriginally written in the late 1700s, Jane AustenÃ¢â¬â¢s Pride and Prejudice satirically depicts the universal ideals in Old Regency England, primarily regarding social class. Austen follows the development of an outspoken middle-class British woman, Elizabeth Bennet, as she encounters and overcomes the many social barriers that separate her from her wealthy upper-class neighbors. Throughout the novel, Lizzie must confront societyÃ¢â¬â¢s cla ss-consciousness, particularly with her familyÃ¢â¬â¢s growing relationshipRead MorePride and Prejudice: Exploring the Chasm Between Love and Marriage in Georgian England1675 Words Ã |Ã 7 PagesÃ¢â¬Å"Pride and PrejudiceÃ¢â¬ , is a novel which explores the huge chasm between love and marriage in Georgian England. Jane AustenÃ¢â¬â¢s presentation of passion and matrimony reiterates the fact that marriage is a Ã¢â¬Å"business arrangementÃ¢â¬ . Austen uses irony to make fun of polite society in this satire and Austen also emphasizes the point that social hierarchy dictates whom you can marry. The pressures of men and women in Georgian England are revealed through her exploration of the aristocracyÃ¢â¬â¢s prejudice againstRead MoreSeparation between Classes in the Movies, My Fair Lady and Pride and Prejudice1409 Words Ã |Ã 6 Pagesmovies, Pride and Prejudice and My Fair Lady, represent different classes, and how they interact with each other. Even though the movies are set in different time periods, the interactions between the classes are very similar. Although both movies show the differences of the society classes, My Fair Lady shows the differences of the classes in a more obvious manner than Pride and Prejudice which tends to show the differences in a more subdued manner. In Joe WrightÃ¢â¬â¢s 2005 Pride and Prejudice, theRead MoreNontraditional Women in Jane AustenÃ ´s Pride and Prejudice Essay983 Words Ã |Ã 4 Pagessilently admiring the three commanding attitudes of these nontraditional women. For the 19th century, these women express attitudes that deviate from the typical stereotype. Pride and Prejudice offers Jane AustenÃ¢â¬â¢s take on the traditional 19th century woman through indirect characterization, tonal elements, and heavy satire and irony to portray the idea that flawed women (in the 19th century sense) hold the key to success. Charlotte Lucas, the rational, plain often overlooked character in AustenÃ¢â¬â¢sRead MorePride and Prejudice Research Paper2598 Words Ã |Ã 11 PagesProgressive Work in a Conservative Time Pride and Prejudice, a Jane Austen novel, is one of the most classical pieces of literature in history. It has been evaluated and critiqued a countless number of times, and has been adapted into several films. It can be argued that there is a lot to be retained by readers from this literary work, an important message that can be passed down from generation to generation. During Jane AustenÃ¢â¬â¢s time, in the early 1800Ã¢â¬â¢s, women were around to be married off, bearRead MoreJane Austen s Pride And Prejudice1035 Words Ã |Ã 5 PagesThe novel Pride and Prejudice was written by Jan Austen and first published in 1813. She had begun writing it in about 1796 after spending some time with her brother and his wife in Goodnestone Park. The book was first titled First Impressions but was renamed after a bookseller refused to see the manuscript. The genre of this novel is best described as a satire or novel of manners. The main character is Elizabeth Bennet and it follows her on her j ourney to understand manners, marriage, mortality
Posted by Randolph Ashton at 4:15 PM
Tuesday, May 5, 2020
Question: Discuss about the Epidemiology and Etiology of Outlet Obstruction. Answer: Introduction: Alan Jones is 60-year-old man who was admitted to hospital for surgery following urinary symptoms that led to a diagnosis of benign prostatic hyperplasia (BPH). He has a history of obesity and type 2 diabetes mellitus. Alan lives alone but his adult son is with him on admission and reports that his father drinks a lot of alcohol (at least a bottle of wine per night). Alan was taken to surgery and underwent a transurethral resection of the prostate (TURP) under spinal anaesthesia. After 2 hours in the post-anaesthetic recovery room (PARU) he was transferred to the ward. He has continuous bladder irrigation via a three lumen urethral catheter. His urine contains large blood clots. After Alan was taken to the ward, it was detected that Alan was suffering from high Blood pressure, high heart rate and body temperature. He also reported difficulty to respiration and he reported no symptoms of pain in his body parts. However, he was detected with the benign prostatic hyperplasia (BPH). The BPH is an extremely common form of disease. The advanced forms of the age of men are the risk factor for the enlarged form of the prostate. Half of all the men over 50 have developed the symptoms of BOH and only 10% of them proper medical or the surgical form of the interventions (Oelke et al., 2013). In the disease of benign prostrate hyperplasia, the prostrate tends to grow larger. It may be compressed from the urethras that have been coursed from the centre of the prostrate. This can effectually cause the urine back up in the bladder that leads to the increase in the frequency to urinate during day and night (da Silva et al., 2015). The other form of the common symptoms includes the low flow of the urine, the need to urgently urinate and have difficulty in starting of the stream of the urinary. The Benign prostrate hyperplasia (BPH) is an enlarged form of the prostate glands in men. The prostate gland surrounds the walls of the urethra. It acts as a tube those carriers the uri ne from the bladder to the out of the body (da Silva et al., 2015). However, when the prostate gland gets bigger it blocks and squeeze in the paths of the urethra. This causes a major of problem with the process of urinating. The BPH has occurred in almost all the men, as they tend to age (Oelke et al., 2013). The BPH is not a form of cancer. An enlarged form of the prostrate can be very big problem in future. However, it is not a very serious form of a problem. The Benign prostate hyperplasia is probably the normal part of the process of aging in men that are caused by the changes in the balances in the hormone and the growth in the cell (Oelke et al., 2013). The process of the hyperplastic in the prostrate begins in the periurethral region that includes the zone of the transition. These phenomenons are influenced due to several reasons that leads to the increase in the number of cells and the size of the epithelial and the stromal proliferation or the apoptosis. The capsule of the prostate is another form of the developed that are caused by the LUTS by transmitting the several form of the pressure of the expansion of the tissue that have the expansion to the urethra and the increased form of the resistance of the urethra (Patel Parsons, 2014). Despite there are a significant success in the use of the alp-ha blockers and the alpha reductase inhibitors are in the reducing rates of the risks of the progression of the LUTS, 20% of the men with BPH will have to experience the urinary retention that are related to the prostate may require surgery that can be within one year after the initiation of the drug. After the procedure, it is very likely to place the catheter in the place because there is a swelling that may eventually block the flow of the urine (Mehta Baikady, 2015). However, if the patient is unable to urinate after the tube has been removes, the doctors reinserts the catheter and allows few times of the day until the swelling goes down and the patient can urinate very normally. The patients may experience several side effects after going through the surgery. However, these side effects are not so much threatening (Mehta Baikady, 2015). The first side effect that can be observed is the occurrence of blood in the urine. It is a very normal phenomenon to see the blood for the few days after the procedure. The doctors help can be needed when there are clots in the urine or the bleeding is worsened. The second effect is the irritation symptom in the urinary tract. The patient might feel the urgent need to urinate or you might have the habit to urinate late at night. However, post the surgery, most of the men faces the burning effect at the tip of their penis and near the end of the urination. However, with some of the laser surgery these symptoms can last for weeks or even for months depending on the how much time they need to heal and also depends on the size of the prostate of the patient (Mehta Baikady, 2015). However, the other form of the problem that are seen in the patients are the patients finding it difficult to hold the urine. This inconsistence can occur as the bladder of the patient is used for having to push the urine through the urethra that is narrowed by the enlarged form of the tissues of the prostrate. In case of most of the men, this kind of issue resolves with time. However, depending on the type of the prostrate the laser surgery is given to the patients and they have to stay in the hospital overnight before getting the discharge and going home. However, the doctor always recommends the patients to take the surgery without any stress. They asks the patients not to take any form of strenuous activities such as the lifting of heavy weight until they improves (Nicholson, 2015). The doctor also advices the patients not do get involved in any sexual activity as it can cause more pain and bleeding. Lastly, the patients need to follow proper form of medications. The national trial of the treatment of the Emphysema used as the multidisciplinary approach for implementing the maximum rate of the protocol for the medical care that includes the adjustments of the medications and the outpatient pulmonary rehabilitation for all the patients and the nutritional counselling are also needed. The interdisciplinary team normally consists of the dieticians, physiotherapist and the antitheist for the case of Alan. However, this phenomenon discusses the benefits of the approach in the care of the patients with the chronic form of the obstructions that can cause the pulmonary diseases. The role of the team members is to complement each other and to contribute to the major goal of providing an excellent quality of the medical care (Nicholson, 2015). The focus of the team is to reinforce the plans of the medical fields and to provide the best possible form of the care to the education of the patient and provide great support. However, it reviews the initial form of the elements of the assessment of the patients and for the nutritional assessment of the patients. By developing a plan, it can be assessed that the initial plan of care begins with the assessment of the patient (Bagla et al., 2015). The completed history and the physical examination can be obtained from the patients and there if it is needed there are various inputs from the support person. The dietician also plays an integral part in their case. The patient is prescribed to take less amount of water for the night as it will cause less pressure on the bladder of the patient. The physiotherapists are involved for giving the various forms of physiotherapy to improve the flow of urine of the patients. As the patient was given spinal anaesthesia, the anaesthetist should give a proper amount of anaesthesia to have a smooth surgery of the patient. References Bagla, S., Martin, C. P., van Breda, A., Sheridan, M. J., Sterling, K. M., Papadouris, D., ... van Breda, A. (2014). Early results from a United States trial of prostatic artery embolization in the treatment of benign prostatic hyperplasia.Journal of Vascular and Interventional Radiology,25(1), 47-52. Biardeau, X., Aharony, S., Campeau, L., Corcos, J. (2016). Artificial urinary sphincter: report of the 2015 consensus conference.Neurourology and urodynamics,35(S2). da Silva, R. 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(2015).Estrogen Receptor-alpha is a Key Mediator and Therapeutic Target in Benign Prostatic Hyperplasia(Doctoral dissertation, University of Rochester). Oelke, M., Bachmann, A., Descazeaud, A., Emberton, M., Gravas, S., Michel, M. C., ... Jean, J. (2013). EAU guidelines on the treatment and follow-up of non-neurogenic male lower urinary tract symptoms including benign prostatic obstruction.European urology,64(1), 118-140. Patel, N. D., Parsons, J. K. (2014). Epidemiology and etiology of benign prostatic hyperplasia and bladder outlet obstruction.Indian journal of urology: IJU: journal of the Urological Society of India,30(2), 170. STAFF, A. (2014). CATHETER-ASSOCIATED URINARY TRACT INFECTIONS: DEFINITIONS AND SIGNIFICANCE IN THE UROLOGIC PATIENT. Sweeney, C., O'Sullivan, E., McCarthy, M. (2015). Keeping it real: Exploring an interdisciplinary breaking bad news role-play as an integrative learning opportunity.Journal of the Scholarship of Teaching and Learning,15(2), 14-32.
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