Thursday, May 14, 2020
Wednesday, May 6, 2020
Introduction. Health Outcomes Are Influenced By A Variety
Introduction Health outcomes are influenced by a variety of factors, one of which is clinician communication abilities.1 In fact, I took a class in medical school dedicated to teaching the art of the interview and how to properly build and maintain the sacred patient-clinician relationship. Health communication is growing field of medical research that both examines the current state of clinician communication and uses experiment to improve or further understand the process of disseminating health information. 2 This year, I spent 10 months researching health communication and medical decision-making using transcripts of real patient encounters from men with early stage prostate cancer and from women deciding between surgical treatmentâ⬠¦show more contentâ⬠¦The rest of the conversation felt different. After the surgeon apologized again and explained that she could save the nipple on the non-cancerous side, but not the cancer side a family member asks the patient ââ¬Å"Thatââ¬â¢s a big deal isnââ¬â¢t it?â⬠The Bad: Throughout the transcripts I have also noticed the sheer number of ââ¬Å"medspeak.â⬠Medical jargon, the vernacular of clinicians, forces the patient to decide if the clinician is sharing important concepts or irrelevant details. Furthermore, few patients are sufficiently healthcare literate to understand complex medical language. 4,5 In one transcript a women who is discussing treatment of her breast cancer asked about the imaging of her breast cancer to further understand her disease. The clinician responded with: Clinician: Thereââ¬â¢s the stuff showing your PASH at nine oââ¬â¢clock and ten oââ¬â¢clock and thereââ¬â¢s the invasive and then the receptors got split but your estrogen receptor is positive, progesterone receptor, positive and HER2 not overexpressed. Patient: So can you ââ¬â English? Clinicians are entrenched in medical jargon and often assume that their patients understand the information they are conveying. Frequently, patients faced with jargon do not ask questions or interrupt like this patient did.6 Without this feedback from the patient, I assume the clinician would have continued on her explanation without realizing that her patient was lost, her question continuing to remainShow MoreRelatedDevelopment Of Workable Plans Help Individuals Maintain Healthy Lifestyle And Increase Life Expectancy1165 Words à |à 5 PagesIntroduction This paper will discuss the influence of research study findings on the development of workable plans to help individuals maintain the healthy lifestyle and increase life expectancy. The data collected from these three studies was analyzed and showed how the environment impacts a person s overall health and wellbeing and how that can affect a personââ¬â¢s longevity. The application of the findings was used to make suggestions to improve environments like inner cities, by incorporatingRead MoreUse Of Competency Of A Nurse1348 Words à |à 6 Pageseducation, and coordinate care depending on the health needs of that individual (IOM, 2010). Nurses make up the largest workforce in the healthcare system and have the privilege to play a leading and fundamental role in the transformation and initiation of changes in the field. The use of competency of a nurse, especially the use of communication, knowledge, technical skills, clinical reasoning, emotions, values, and reflections in pract ice, brings quality outcomes and improvement in care delivery (RubenfeldRead MoreHA545 Kaplan Essay1479 Words à |à 6 PagesPolicy Making HA545- Health Policy Kaplan University Introduction The purpose of this essay is to discuss Medicare Part D, as well as the influence of the various interest groups and governmental entities during this process. This essay will discuss both the policy process and the policy environment (the key players involved and other circumstances that shaped this policy-making effort), how stakeholder groups influenced the final outcome of Medicare Part D legislationRead MoreEssay about Concept Analysis on Self Perception1071 Words à |à 5 Pagestheir perceptions when relating to life events, eventually causing a chasm or warped view of the inner self. The reason for examining self-perception relates to how it affects the healing process and the relationships with those providing care. Introduction Working in a healthcare system you encounter people from various ages and statuses. It has always been concerning to see how self-perception affects a personââ¬â¢s wellbeing. Understanding self-perception is to also understand how people changeRead MoreInformative Speech- Fast Food Essays865 Words à |à 4 Pages Introduction I. Anywhere you go, there is a good chance there will be a fast food restaurant nearby. A. Itââ¬â¢s the easy way out of cooking dinner, or grabbing something fast because you didnââ¬â¢t have time to make anything. B. Fast food may taste good, but have you ever thought of the effects it has on your body, and wallet? II. For the past 92 years fast food has become a popular choice of breakfast, lunch, and dinner. III. However, the effects it has can be negative for health, as wellRead MoreHigh Quality Healthcare At Today s National Health Service998 Words à |à 4 PagesHigh quality healthcare in todayââ¬â¢s National Health Service (NHS) is defined by NHS England (2013) as having three essential components. Firstly clinically effective care that is seen by patients not just clinicians; secondly that care is safe; and third, care that delivers a positive experience for the patient. As quality care is the focus for NHS England, it advocates NHS employees all working towards this goal. Having a common purpose promotes a sense of direction (Storey and Holti, 2013), andRead MoreAdvocacy And Public Policy Making1469 Words à |à 6 PagesAdvocacy and Public Policy Making HA545- Health Policy Kaplan University Introduction The purpose of this essay is to discuss Medicare Part D, as well as the influence of the various interest groups and governmental entities during this process. This essay will discuss both the policy process and the policy environment (the key players involved and other circumstances that shaped this policy-making effort), how stakeholder groups influenced the final outcome of Medicare Part D legislation, the specificRead MoreHow Accountability Is Important For Healthcare Services For The Future1634 Words à |à 7 Pages1.0 Introduction Before introducing the topic, it is essential to understand what accountability is. In this regard, it can be stated that the term ââ¬ËAccountabilityââ¬â¢ signifies an image of transparency as well as trustworthiness. In relation to this, it can be argued that in different dimension the meaning of accountability is usually differ. However, the real meaning of accountability can be referred as an answerability, which signifies that having an obligation of answering or clarifying regardingRead MoreDementia Caregiving Experiences1042 Words à |à 4 PagesTitle- Dementia Caregiving experiences : The impact of negative caregiving experiences on Care recipientââ¬â¢s Mental and Physical health. Introduction With advancing age dependency increases and family is the primary contact an individual turn to for assistance.It is reported that 36 million adults provide care to a family member aged 65 or older. (National Alliance for Caregiving, 2009).Similarly, the family members will also have higher degree of involvement in caregiving for an individualRead MoreInstitute Of Medicine Report On Quality1432 Words à |à 6 PagesInstitute of Medicine Report on Quality Introduction In 1996, the Institute of Medicine (IOM) initiated a campaign aimed to evaluate and improve the quality of care for health care systems in America (Bielaszka-DuVernay, 2011 p.2). Consequently, IOM Committee on Quality Health Care outlined strategies to improve patient safety by preventing medical errors that are caused by individual and system factors in a report titled ââ¬Å"To Err is Human: Building a Safer Health Systemâ⬠(1999). Furthermore, IOMââ¬Ës 2001
Tuesday, May 5, 2020
Studies Mathematical Understand Psychology â⬠Myassignmenthelp.Com
Question: Discuss About The Studies Mathematical Understand Psychology? Answer: Introducation The sensory and the motor functions are the basic forms of all the behaviours. In simple words, the stimulus response behaviour units are composed of the receptors, the neural impulses the travel the afferent form of the central form of the muscular form of responses (Payne and Isaacs, 2017). The sense organs responds very selectively for the various forms of the stimuli that results in the responses that are been given by the various stimuli and that very much results from the responses that involves some of the muscular form of reactions for the nature of the stimuli that are being received. It has been seen previously that developmentally, there has been earliest forms of the behaviour that are simple for the sensorimotor responses (Cabral et al., 2015). However, at the same time it has been seen that the central nervous system are very much meaningful that accompanies the perception of the sensation and the motor system has become better organized for the reflexes that are been g iven away by the behaviours under the control of the voluntary system. Anecdotal Record- Cognitive Development The theory of Piaget (1936) about the form of cognitive development has explained that the child have the constructs of the mental model of the world. He has disagreed with the idea that the intelligence that was actually one of the fixed form of trait that are regarded to the cognitive form of development as the process that can occur due to the biological form of maturation and the form of maturation and the interactions with the environment (Saxe, 2015). The goal of the theory is to explain the mechanisms and the processes that are with the infants and then with the child that can developed into the different form of interactions with the environment and can effectively form the hypothesis. Summary of Childs Developoment The breakdowns throughout the ages have provided a rough form of correspondence to the different stages of the theories of Piaget, Erikson and Bronfenbrenner. Within all the stages, the theory have documented the description that how the development can typically proceed through the major channels of the development that includes the emotional, social, physical and emotional developments (Rotta et al., 2015). The second form of documents that can address the appropriate styles of parenting is known to be the development of the child with every stage of the development. However, it is important to remember that these forms of documents can make the general statements that when the developments that mainly occur in the life of the child, that the child will develop in their own speed and even with the channels that may progress faster than the others may (Rotta et al., 2015). References Payne, V.G. and Isaacs, L.D., 2017.Human motor development: A lifespan approach. Routledge. Cabral, T.I., da Silva, L.G.P., Tudella, E. and Martinez, C.M.S., 2015. Motor development and sensory processing: a comparative study between preterm and term infants.Research in developmental disabilities,36, pp.102-107. Rotta, P.P., Valadares Filho, S.C., Santos, T.R., e Silva, L.C., Engle, T.E., Marcondes, M.I., Campos, M.M., Menezes, A.C.B. and Lobo, A.A.G., 2015. Interpretive summary Fetal development of dairy cows Rotta.COMPARISON OF PURINE BASES AND 15N TO QUANTIFY MICROBIAL NITROGEN YIELD IN BEEF CATTLE AND THE EFFECTS OF DAY OF GESTATION AND FEEDING REGIMEN IN HOLSTEIN GYR COWS, p.89. Saxe, G.B., 2015.Culture and cognitive development: Studies in mathematical understanding. Psychology Press. Demetriou, A., Shayer, M. and Efklides, A. eds., 2016.Neo-Piagetian theories of cognitive development: Implications and applications for education. Routledge.
Sunday, April 5, 2020
The High School Experience free essay sample
It is well known that being a teenager is difficult, and being a teenager in high school is even more challenging. Now combine the difficulties of being a teenager in high school with being overweight and youââ¬â¢ve created for yourself the recipe for disaster. Usually you hear about the bullying that teenagers endure throughout their high school experience, yet those stories and happenings disappear over time. They arenââ¬â¢t really spoken about much after the fact or even brought up. Did you know though that some of the bullying that goes on can lingers inside your soul, memory, and everyday life, haunting you forever? That one memory can spark an array of emotions from the one-day in that one lunchroom on October 12th when you were called FAT in front of those seven people. Normally in movies thereââ¬â¢s two people, the person bullying and the person being bullied. The person being bullied usually closes themselves off from the outside world, they want to be left alone and donââ¬â¢t want to interact or become involved with the bully, the reason for this is that they know more pain could be directed their way if they stand up for themselves. We will write a custom essay sample on The High School Experience or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page This one bully has the tongue of a serpent. Why would they want to get themselves embarrassed another time? They are quiet and try to ignore the bully, yet the bully somehow always manages to rise above and control their feelings due to the words they use to hurt them. The movie is coming to an end now, miraculously the one who was being bullied has risen above and figured out a way to triumphantly defeat the bully, and all ends well. The bullied has become brave and happy and then the credits roll. Unfortunately real life doesnââ¬â¢t roll that way, its much more severe and damaging. Being overweight brings many things amongst tear and unhappiness. There this ââ¬Å"thinâ⬠person dying to be let out and accomplish things a ââ¬Å"thinâ⬠person does. Wait though, what is this ââ¬Å"thinâ⬠that is spoken about? This ââ¬Å"thinâ⬠is the person who can fit into any article of clothing without hassle. One of the difficulties with being overweight is that you do not fit into most of the things you want, you wish to portray this style inside and want to share with the world your artistic point of view through fashion because its a silent statement, nevertheless, that cant even be accomplished because nothing fits you. The frustration is unbearable and honestly unspeakable, this is a scenario where if you havenââ¬â¢t gone through it yourself, you honestly canââ¬â¢t say, ââ¬Å"I knowâ⬠. Being in large groups is another pressure for the overweight teenage girl, tons of questions ponder through her mind. What is everyone thinking about me? Fat girl or nice girl? Or nice fat girl? Never being calling by your name always referred to as she or her; realistically because no one remembers ugly, only ââ¬Å"hotâ⬠. Once in a blue moon though you will be called a name, a name that isnââ¬â¢t yours and a name that isnââ¬â¢t hurtful, its wonderful because for that slight moment you think they actually remembered you, but they have just called you the name of another girl, a girl that is also overweight. Active? You become fatigued at the slightest motions, why even attempt sports if you know itââ¬â¢s an automatic fail. Thereââ¬â¢s no point. You have tried before but itââ¬â¢s always ended up with the dissatisfaction you bring to yourself because you are naturally not good enough for being active. This bullying that is spoke of will never end. This ââ¬Å"fatâ⬠has now become apart of the daily wardrobe you present to others; your shirt, pants, shoes, makeup and fat, itââ¬â¢s just another accessory added on. Donââ¬â¢t like it? Thatââ¬â¢s unfortunate, welcome to the club. The first time someone says it to you or refers to you as it, this emotion of death passes over you, as if a loved one is lost for forever. I still to this day cant express or even try to explain this feeling, its empty, lonely and scary. You are no longer a regular person you are now a person with a label, a label that has complete control over how you will behave, dress, talk and think. You feel as if you are socially unaccepted. Some would never think that this word could have such an impact on the way a person feels, nonetheless, this one word has the ability to dictate a person as if it can control everything and anything within that person, and you the bully are to blame for that. Did you ever think about the aftermath that occurs when you call someone fat? That someone could feel all these horrible things at once from a three-lettered adjective? The three-lettered adjective you had provided them with? That there entire day could be ruined just from the mere memory of when you had called them fat in that certain lunch room on October 12th 2010, when that same feeling they received that day can pop up at any time and haunt them for hours on end until they feel so disgusted and sick and embarrassed of themselves that all they want to do is be silent and away from the world until they feel human and lifelike again? I can guarantee you had no idea the disgusting impact you had on them. Born this way is the one and only quote that explains myself positively. I am proud to be able to understand and take to heart what this quote means. Lady Gaga has provided me with an outlet, an outlet where I am not alone with these feelings. Supplies this whole other world, this entire new generation and race. A race that bears no prejudice, no judgment and boundless freedom. This world is where her little monsters congregate and share their stories and feelings and help others. We protect one another and encourage life into some, stopping the self-harm that may be inflicted to someone. Born this way provides a safe place for the freaks and underdogs and the bullied. She has inspired me to love myself and to be proud of the person I am today. The people who are less fortunate in the social society; the girls who are considered gross, not pretty and unattractive; the boys who donââ¬â¢t get girls, who arent muscularly, photo shopped and charming. This three-worded phrase was able to turn that three-lettered word for me into nothing, bust dust. I say this to myself everyday, look straight into the mirror and realize I am not perfect, however I was born this way, and Im beautiful to myself. There is guaranteed to be the population that doesnââ¬â¢t see it and I am comfortable with that because I see it and thatââ¬â¢s all the matters. I finally fully love and respect myself. I will now and forever stay true to mysef and will never underestimate who I can be as a person or try to hide who I am from the world. Simply because I am who I am, amazing and strong willed, open-minded and concerned, thoughtful and scared, as are many. Mostly however I am a person, a person with the same feelings as you and anyone else who has been hurt has. I no longer have a label; I have erased it from my memory and started fresh. I have risen above my insecurities, embraced them and I am now proud to glorify them for everyone to see. I am stronger emotionally and realize that t hree letter word means as much as dirt in the ground, nothing. The imperfection we all embrace as a society has finally meant something to me and has become perfect, I respect the fact that there will be bullies in my life and everyone elseââ¬â¢s. The only thing to do though is never let that one person who is miserable inside for their own reasons drag you down with them. You may listen to what they say and ignore it, or you can listen and respond by shocking them, offering the help they most likely need, love. I was a teenage girl that was overweight and had self esteem issues. I have been bullied and I want to share the depth of what happens after the bully has spoken. How the quote Born this way has impacted me to become a better person from the experience and realize that everyone was born his or her own way, not matter what in the end we are all beautiful and human. I also wanted to share about how the bully is now silenced and whatever might be said from them wonââ¬â¢t be heard however, helped.
Sunday, March 8, 2020
The Tempest How is Caliban presented and what is his dramatic significance to the play Essays
The Tempest How is Caliban presented and what is his dramatic significance to the play Essays The Tempest How is Caliban presented and what is his dramatic significance to the play Essay The Tempest How is Caliban presented and what is his dramatic significance to the play Essay Essay Topic: The Tempest Caliban is the son of Sycorax, a witch that originally inhabited (and so is the only true native) of the Island on which the play is set. He is the misshapen slave of Prospero who claimed the island as his own when he was banished to it 12 years previously.Prospero refers to him using earthly names, such as tortoise, making very clear quite early on that Caliban is not considered an equal by Prospero or Miranda. He is seen as a lower, uncivilised life-form because of the uneducated and primal state they originally met him in, making their actions to correct this mirror the current events during the Elizabethan period in regards to the discovery of the Americas. Shakespeare has used the character of Caliban to represent the natives of such countries, giving the role of the civilised invaders to Prospero and Miranda who attempt to educate Caliban in a bid to make him an acceptable person in the eyes of the society Prospero was usurped from. This was a failure, a s although they took pains to make [him] speak they could not rid him of his primal nature or his uneducated sense of morals and so he could see nothing wrong with endeavouring to rape Miranda. This was the point where Prospero stopped trying to nurture Caliban into a respectable man and started seeing him as filth. Shakespeare chose to include such an occurrence to highlight the fact that we cannot judge natives from undeveloped countries by western standards, as however much semantic knowledge they acquire, it is made completely redundant if they are taught western morals to which we feel they should abide by, making Caliban crucial to conveying this theme.Despite the deficient schooling, he is very close to the natural aspect of the island, which is shown in his passionate and almost poetic description of it (The isle is full of noises / Sounds and sweet airs that give delight and hurt not) which is quite contradictory to the image of poisonous slave that Prospero describes.The t heme of nature being tainted with magic is also explored in the character of Ariel, as well as Caliban and Shakespeare presents these two characters as almost a representation of good and evil. Another common characteristic is that they are both under the control of Prospero, but they respond to their captivity in very different ways. Caliban sees his imprisonment as an injustice as he claims This islands mine by Sycorax, my mother, which thou takst from me and so responds to his captor in a negative way, whereas Ariel remains on the good side of Prospero and so receives much better treatment. Ariel is described as his fine apparition and is an airy spirit which corresponds more to the elements, leaving Caliban discussing springs, brine pits keeping the connection between him and the earth very strong.The actions of Caliban towards the end of the play draw parallels with the actions of Antonio as well, in the way his ambition leads him to attempting to usurp Prospero from his positi on. The only difference is that Antonio actually achieves this, but the raw ambition that led them to commit the deeds are the same, which is demonstrated when he tells Stephano and Trinculo The dropsy drown this fool I what do you meanTo dote thus on such luggage? Lets alone, And do the murder first
Friday, February 21, 2020
District Budget Comparison Research Paper Example | Topics and Well Written Essays - 2750 words
District Budget Comparison - Research Paper Example When comparing two Texas school districts- Lubbock Independent School District and Laredo Independent School District- research will show a few similarities and differences among the districts in terms of demographics and budget analysis. All data and research conducted will be derived from the Texas Education Agency Academic Excellence Indicator System (AEIS) Reports and each districtââ¬â¢s Comprehensive Annual Financial Report for the 2010-2011 academic school years. Student Population Student Population by Grades Lubbock Independent School District is located in Lubbock city, Texas in Region 17. According to the AEIS report, Lubbock ISD has 28, 680 students in over fifty schools. The district is composed of 35 elementary schools, 10 middle schools, 4 high schools, and 3 disciplinary alternative education programs. Lubbock ISD has 53.1% of its student population at the elementary level. Local high school enrollment accounts for 25.4% of the student population and the middle scho ol for 21.5%. ... At the elementary level, the district has 57.4% of the student population enrolled. Local high school enrollment accounts for 23.6% of the student population and the middle school for 19.1%. Table 1.1: Student Enrollment by Grade Level Grade Level Laredo ISD Lubbock ISD State Elementary 57.4% 53.1% 50.8% Middle 19.1% 21.5% 21.9% High School 23.6% 24.4% 27.2% Graph 1.1: Student Enrollment by Grade Level Source: TEA, Academic Excellence Indicator System (AEIS), 2010-11. Laredo ISD enrolls more students in the elementary level when compared to Lubbock and State. On the other hand, the proportion of its middle and high school is less than that of Lubbock and state. The proportions of Laredo ISD and those of states are quite similar. Student Population by Ethnicity Laredo ISD has a predominantly set in terms of ethnicity and overall student population, meaning that the student population in general is stable and one sided, compared to other districts with more diversity. Laredo ISD has a dominant Hispanic distribution. Almost 100% percent of the student population is Hispanic. However, Lubbock ISD is a little more diverse in its ethnicity makeup even though Hispanics still dominate. Hispanics enrolled account for 53.9% of the student population, while whites follow with 29.1%. African Americans account for 13.3%, American Indian 0.4%, Asian/Pacific 1.7% and other ethnics 1.6% of the Lubbock ISD student population. Table 1.2: Ethnicity Comparison Ethnicity Laredo ISD Lubbock ISD State African American 0.1% 13.3% 12.9% Hispanic 99.5% 53.9% 50.3% White 0.3% 29.1% 31.2% American Indian 0.0% 0.4% 0.5% Asian/Pacific 0.2% 1.7% 3.5% Others 0.0% 1.6% 1.6% Graph1.2: Ethnicity Comparison
Wednesday, February 5, 2020
Judiciary Essay Example | Topics and Well Written Essays - 500 words
Judiciary - Essay Example Judicial restraint is the antonym of judicial activism (Ringhand & Collins, 2010). The discussion between judiciary restraint and judicial activism started in the early days of the United States of America and has proceeded to the present. A number of renowned Supreme Court justices such as John Marshall have supported the judicial activism view, the belief that itââ¬â¢s the role of the judges to chart new constitutional grounds as well as make bold policy decisions. Supporters of legal activists are to judicial restraint that supports that the judiciary should leave the policy formulation and decisions making process to the executive and legislative branches (Ringhand & Collins, 2010). For decades, Republican Party leaders have decried judicial activism and championed for judicial restraint. Republican politicians have associated judicial restraint with a commitment to judicial deference, stating that judges who support judicial activism disrespect the will of many people. The debate has continued to warrant close inspection as a result of the deployment of judicial activism by Republic politicians during the Supreme Court confirmation of Judge Sonia Sotomayor as well as in the 2008 presidential elections. The senators were utterly aghast that Soniaââ¬â¢s experience and background might affect her decisions and that she may be an activist. The Sotomayors emphasized that justices make no laws and policies but merely apply those laws that are in existence (Davis, 2009). It is uncontroversial to indicate that only chief Justice Scalia and Justice Roberts Alito and Thomas belong to the number of judges who are in the political circles of Republican. Justice Alito a nd Roberts were nominated by Bush and were considered Republican favorites. The two were however not democratââ¬â¢s favorites, and President Obama was not ready to vote
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