Freedom of Speech in Cyberspace -- Argumentative Persuasive Internet E

Freedom of Speech in Cyberspace Government Restrictions on Content in the United States of America(this essay is wanting(p) the url of each source cited)Information wants to be free. The internet fosters free speech on a global scale.1 IntroductionThe Internet provides a accession for an individual to speak freely and anonymously without being targeted to what he or she said. With this said, one of the biggest issues concerning the Internet today is freedom of speech. The issue of free speech on the Internet has been a topic of discussion around the existence within the past years. It is a unique communication medium and is powerful than the traditional media2. Because the Internet can not be compared equally to other mediums of communication, it deserves the utmost freedom of speech protection from the government. The restriction of speech on the Internet takes away from individuals rights and freedom from experiencing the Internets benefits and uses. Information found on the Internet is endless and boundless and this poses the question, should the government be allowed to regulate the information and content being transmitted or affix online? Free Speech on the InternetFree speech on the Internet is a very controversial subject and has been the key problem meet the Internet today. The attempt to regulate and govern the Internet is still pursued by government officials. This subject has been intensified due to terrorist attacks against the United States and around world within the past years. The government believes that by regulating the Internet, it will protect the general public from criminal actions and eliminate the exposure of children to pornography or utter(a) language. Senator Jim Exon of ... ...eved 27 April 2004. Rosenthal, Elisabeth. China Lists Controls To Restrict the Use Of E-mail and Web. The spick-and-span York Times, 27 January 2000. Retrieved 26 April 2004. Smith, Craig, Tough New Rules Dont Faze Chinese Internet Start-Ups, The New York Times, 4 October 2000. Retrieved 26 April 2004. Stewart, William. Key Internet Features - Freedom of Speech. Living Internet. Retrieved 20 April 2004. Unknown Author. An Overview of the communication theory Decency Act (CDA). Center for Democracy & Technology. Retrieved 26 April 2004. Unknown Author. Communications Decency Act. Electronic Privacy Information Center. Retrieved 26 April 2004. Unknown Author. Communications Decency Act. Wikipedia. Retrieved 25 April 2004. Unknown Author. Introduction to Ethics. Engineering Handbook. Retrieved 20 April 2004.

Using Clostridium botulinum as a Biological Weapon Essay -- Terrorism

Fatal Dilemma Using Clostridium botulinum as a Biological WeaponEver since the dawn of biotechnology, the knowledge base had to face a new dilemma bioterrorism. Using biological agents such as bacteria, viruses, fungi, etc., bioterrorism attack aims to cause illness of death in people, animals, or plants as a method of warfare. Used throughout history, biological subdivision serves as a pivotal role in disarming an army. Botulism toxin, known for the well-nigh toxic substance in the biological world, has been used throughout history as a biological weapon. The bacteria Clostridium botulinum causes botulism causes botulism disease, which is a dangerous paralytic illness that strikes all age groups. The clinical forms of botulism include foodborne botulism, infant botulism, and wound botulism. Botulism, if left untreated, is fatal however, even treatment with antiserum can not permit full recovery. Botulism is rare a disease. Therefore, if anyone is diagnosed with foodborne botu lism, investigation of food supply must be carried out promptly for investigation of the botulism-diagnosed-individuals surrounding is the only method of detect a potential bioterrorism attack. With the continuous advancements in biomedicine follows a continuous proliferation of bioterrorism, which uses biological agents for malicious purposes (Anderson 2). More specifically, bioterrorism is a method of terrorism that measuredly releases or disseminates biological weapons that may be in natural occurring or human-modified form (Botulism- Definition). Although bioterrorism is considered as a recent dilemma, the use of biological weapon predates recorded history, during the ancient times where biological toxins were extracted from plants and animals and ap... ... Oct 2001. Center of Disease Control and Prevention (CDC) Department of Health and Human Services. 21 Jul 2007 . Fong, I.W., and Ken Alibek. Bioterrorism and infective Agents. New York Springer Science and Business Media, 2005.Hurlbert, R.E.. Biological Weapons Malignant Biology. 1997. 21 July 2007 hurlbert/micro101/pages/101biologicalweapons.html+no+tool+or+piece+of+knowledhe+has+an+innate+moral+context&hl=en&ct=clnk&cd=2&gl=us .Knobler, Stacy L. , Adel A. F. Mahmoud, and Leslie A. Pray. Biological Threats and Terrorism. Washington DC Institute of Medicine, 2002.Shapiro, Daniel S and Alice S. Weissfeld. Botulism Toxin. Sentinel Laboratory Guidelines for Suspected Agents of Bioterrorism 21 July 2007 .

The Euro and the European Union :: Politics Economics

The Euro and the European Union Many people would agree that Europe is a continent in which regions identify with each other even if they are not part of the same country. For that reason, as well as others, in 1957 the accordance of Rome declared a common European market as a European objective with the aim of increasing economic prosperity and alter to an ever closer union among the peoples of Europe (www.euro.ecb.int). Later, in 1986 and then in 1992, the Single European Act and the Treaty of European Union tried to build on the previous treaty to create a governance in Europe in which one currency could eventually be commitd all oer the land under the heading of the Economic and Monetary Union. (www.euro.ecb.int) However, the question remains, why would the leaders of various European nations want to create one currency when the rights of national sovereignty have always been an issue for countries all over the world. Why, in 1998 did they create the European Central Bank, a nd why in The third stage of EMU... on 1 January 1999, when the exchange rates of the participating currencies were irrevocably set (www.euro.ecb.int) did eleven, and later twelve, countries link themselves economically in a way that has never been done in the first place? The answer lies in history. The need to link separate distinct political communities in order to achieve common objectives is an ancient one (Woodard). One much(prenominal) example is the Greek independent city states that were linked by a league that dealt with economic issues. The same type of league linking towns in Italy can be found in medieval times. (Woodard) Later, The United States made the key breakthrough. The states originally formed a loose relationship with weak central government (the Confederation). They replaced this system with a new constitution in 1789 creating the modern United States and defining federalism in its current sense (Woodard). In doing so, it began a global discussion of the u se of federalism to hold regions, and in particular colonies, together. In September of 1946, Winston Churchill made a speech at Zurich University in which he called for a United States of Europe (www.euro.ecb.int) clearly, this was not a new idea. Churchill thought that by uniting Europe, they would be able to put an end to Europes decline economically in markets that the United States was quickly taking over.

Euthanasia :: Death Ethics Morals Papers

euthanasia Euthanasia is one of the roughly controversial issues affecting all realms of society and needs to be closely examined. In order to turn over deep enough into the issue, the religious, legal, cultural, ethical, medical, and spiritual ramifications of mercy killing from twain proponents and opponents of euthanasia need to be explored. The following discussion of euthanasia will inform battalion well-nigh euthanasia and to help them draw their own conclusions. I. Introduction Euthanasia comes from the Greek and means painless, happy death. Webster defines it as an easy and painless death, or, an act or rule of causing death painlessly so as to destination suffering advocated by some as a way to deal with victims of incurable disease. notwithstanding one more group, the Euthanasia Society, defines euthanasia as termination of human life by painless means for the purpose of ending severe personal suffering. What is euthanasia on a more intimate level? Some call euthanasia mercy killing an others call it murder. Euthanasia is one of the most controversial issues affecting all realms of society and needs to be closely examined. In order to delve deep enough into the issue, the religious, legal, cultural, ethical, medical, and spiritual ramifications of euthanasia from both proponents and opponents of euthanasia need to be explored. The following discussion of euthanasia will inform people about euthanasia and to help them draw their own conclusions. What should people know about euthanasia before deciding how they view euthanasia? To clarify matters, there are two types of euthanasia, passive and active. Both have the end result of ending the life of a terminally ill person. Passive euthanasia can range from discontinuing life-sustaining medical treatment (such as removing patients who cannot tinge on their own from a respirator) to giving pain medications such as morphine in amounts that have the side effect of hastening death (6). Active euthanasia is a direct act by a physician or other person that has the purpose of ending a life. It is often done by giving the patient a lethal chemical injection or IV drip or by inhaling a deadly gas (10). Euthanasia is such a controversial topic because it brings forth questions about the morality of killing, the effectiveness of consent, the duties of physicians, and equity in the distribution of resources (1).

The Morality of Atheism Essay -- essays research papers

That there is a divergency between devotion and exampleity is uncontroversial. How can atheism be interpreted as a moralistic alternative? Although religion and morality reflect antithetic values, they are deeply tangled for most individuals. In many cases, a persons moral principles are grounded in religious commitments. In other(a) cases, hatful find the source of morality outside of religion, such as the inherent value of each(prenominal) human beings. My central claim is that atheism alternatively than a theologically based value system offers the moral high ground.      Theism is defined as the touch sensation in a God or Gods. The condition theism is sometimes used to designate the impression in a particular kind of graven image the ad hominem God of mo nonheism save, theism signifies the belief in any god or number of Gods. The prefix a means without, so the term, a-theism literally means without theism, or without belief in a God or Gods. At heism, therefore, is the absence seizure of theistic belief. One who does non believe in the existence of a God or wizard(prenominal) being is properly designated as an freethinker.     Atheism is sometimes defined as the belief that there is no God of any kind, or the claim that a God cannot exist. While these are categories of atheism, they do not exhaust the meaning of atheism, and they are somewhat misleading with respect to the basal nature of atheism. Atheism, in its basic form, is not a belief it is the absence of belief. An atheist is not primarily a person who believes that a god does not exist rather, he does not believe in the existence of a God.          What propels community toward atheism is above all a sense of revulsion against the excesses and failures of organized religion. Atheism is ultimately a worldview of fear a fear, often merited, of what might materialise if religious maniacs were to take ove r the world.The fool says in his heart, " at that place is no God." They are corrupt, they do unspeakable deeds, there is none that does good. (Psalms 14.1)     This passage captures the essence of how the reasonable religious person views atheism. Atheism is probably the least popular and least understood philosophical sit in America today. It is often approached with fear and mistrust, as if one were about to investigate a doctrine that advocates a ... ...imply because it is right, and not because of some ulterior motive. There is no need to create fictions for the purpose of moral motivation and to do what is right because one wants to avoid punishment, whether the punishment take the form of incarceration or eternal damnation. The right thing is for honorable people to act for the sake of a reward, whether that reward is worldly or otherworldly. Moreover, a God who will grant any and all sins does more to promote maltreat acts than any secular p hilosophy. Atheists can avoid these pitfalls since they typically embrace the principle that virtue is its own reward.      However, religion can and does play a meaningful voice in many lives. A great number of individuals lead a morally good living precisely because of their religious commitments. A deeply inhering personal faith can provide one with the strength to face hardship and overcome adversity. want thrives for those who believe an in an omniscient and all-powerful God, but God and religion are form a necessity to act righteously. Believers and nonbelievers need to work in concert to live up to the highest moral standards for society to weather as a whole. The Morality of Atheism Essay -- essays research papers That there is a difference between religion and morality is uncontroversial. How can atheism be interpreted as a moral alternative? Although religion and morality reflect different values, they are deeply tangled for most i ndividuals. In many cases, a persons moral principles are grounded in religious commitments. In other cases, people find the source of morality outside of religion, such as the inherent value of all human beings. My central claim is that atheism rather than a theologically based value system offers the moral high ground.      Theism is defined as the belief in a God or Gods. The term theism is sometimes used to designate the belief in a particular kind of god the personal God of monotheism but, theism signifies the belief in any god or number of Gods. The prefix a means without, so the term, a-theism literally means without theism, or without belief in a God or Gods. Atheism, therefore, is the absence of theistic belief. One who does not believe in the existence of a God or supernatural being is properly designated as an atheist.     Atheism is sometimes defined as the belief that there is no God of any kind, or the claim that a God cannot exi st. While these are categories of atheism, they do not exhaust the meaning of atheism, and they are somewhat misleading with respect to the basic nature of atheism. Atheism, in its basic form, is not a belief it is the absence of belief. An atheist is not primarily a person who believes that a god does not exist rather, he does not believe in the existence of a God.          What propels people toward atheism is above all a sense of revulsion against the excesses and failures of organized religion. Atheism is ultimately a worldview of fear a fear, often merited, of what might happen if religious maniacs were to take over the world.The fool says in his heart, "There is no God." They are corrupt, they do abominable deeds, there is none that does good. (Psalms 14.1)     This passage captures the essence of how the average religious person views atheism. Atheism is probably the least popular and least understood philoso phical position in America today. It is often approached with fear and mistrust, as if one were about to investigate a doctrine that advocates a ... ...imply because it is right, and not because of some ulterior motive. There is no need to create fictions for the purpose of moral motivation and to do what is right because one wants to avoid punishment, whether the punishment take the form of incarceration or eternal damnation. The right thing is for honorable people to act for the sake of a reward, whether that reward is worldly or otherworldly. Moreover, a God who will forgive any and all sins does more to promote wrong acts than any secular philosophy. Atheists can avoid these pitfalls since they typically embrace the principle that virtue is its own reward.      However, religion can and does play a meaningful role in many lives. A great number of individuals lead a morally good life precisely because of their religious commitments. A deeply ingrained persona l faith can provide one with the strength to face hardship and overcome adversity. Hope thrives for those who believe an in an omniscient and all-powerful God, but God and religion are form a necessity to act righteously. Believers and nonbelievers need to work together to live up to the highest moral standards for society to survive as a whole.

The Science and Myth behind Phrenology Essay -- Biology Essays

The Science and Myth behind PhrenologyPhrenology is a phenomenon that attempts to relate ones personality and mental capabilities with the form and structure of ones skull. This lore became popular in the nineteenth century as the Eugenics movement gained widespread approval. In Joseph Conrads Heart of Darkness, the reference to Phrenology is apparent in the scene where Marlow visits the doctor. thence with a certain eagerness the doctor solicited me whether I would let him measure my head. Rather surprisedhe produced a thing like calipers. I the doctor always ask leave, in the interests of science, to measure the crania of those going out there the African jungle.He gave me a searching glance, and made another note. Ever any madness in your family? he asked, in a matter-of-fact tome. I felt very annoyed. Is that question in the interests of science, too? (Conrad 13). As it can be inferred, Marlow patronizes the doctor by implying that Phrenology is not a scientific practic e because it cannot be used to determine the psychologcal fitness of an individual. Regardless, the spectacle of this practice in the late 1900s most likely gave Conrad the impetus to compose this parodied scene, which depicts Phrenology as a baseless science however, the practice is not wholly baseless. The founder of Phrenology, Austrian physician Franz Joseph Gall, determined the existence of a relationship amidst the morphology of the skull and the human character (Peter 1). Franz asserted that the brain is responsible for a humans mental capacities. He attempted to prove this assessment by making statementsfound in his chief work, The Anatomy and Physiology of the Nervous System in General, and ... ...d the movement to justify their White supremacist, Aryan revolution. Fascist ideologies like national socialism have misused some elements of craniometry in the framework of their infamous racist doctrines (Peter 3). As a result of this misuse of Phrenology, it lost muc h of the scientific evaluate it hand gained in Western Civilization to the emerging field of psycho-analysis, whose father, Sigmund Freud, believed that the objectivity of Phrenology was limited because of its lack of introspection. Regardless of Phrenologys disgraced past, it can still be regarded as a well-founded science that has an objective groundwork for assessing the importance of self-knowledge, self-achievement, education, and human relationships (Peter 4) in human development. Works CitedPeter, Van den Bosche. Phrenology. http//134.184.33.110/phreno/intro21.html. 05 October 2002.

Rap/Hip-Hop: The Effects on Today’s Youth Essay

Abstract ping/Hip-Hop first became popular among African American and Latinos among youth in the streets of New York during the 1970s. It was their office of expressing themselves in a friendly manner in the form of speech, fashion, and personal style. bump/Hip-Hop symphony was a way for them to get their message out, by telling stories of their lifestyles. However, over the years Rap/Hip-Hop medicine has become much more popular for its decl atomic number 18d lyrics, reference of drugs, alcohol and sexual obvious videos. Many may ask Could Rap/Hip-Hop melody view a invalidating influence on like a shots youth, because of its windburnt messages? This research paper will examine the effects of shock/hip-hop harmony on todays youth and whether or not it has a forbid influence.Brenda L. Williams-CapersProfessor Dana TaylorEnglish Composition IIDecember 11, 2011Over the years many researchers piss conducted studies on the effects of rap/hip-hop on todays youth. The results have been mixed however there are indications that some forms of Rap/Hip-Hop music could have negative influence on todays youth. This is due to the fact that youth start to adapt the negative aspects of the gangster rap, by displaying aggressive behaviors and committing crimes of forcefulness. Rap gets a bad rap because some songs contain explicit lyrics, drugs, alcohol and sex.A study conducted by Ralph J. DiClemente (2003) indicated that teen girls who spend more than 14 hours per week watching the sex and violence depicted in the reel life of gangster rap music videos are more likely to practice these behaviors in real life. Also, this study suggested that those teens were besides three times more likely to hit a teacher, over 2.5 times more likely to get arrested, twice as likely to have multiple sexual partners, and 1.5 times more likely to get a sexually transmitted disease, use drugs, or drink alcohol. This is an indication that todays youth that listen to these songs ov er and over again for long period of times could have behavior and aggressive issues.Tanner (2009) indicated that there is a sentience of injustice that rap is often said to involve young people with the police and courts. The study also indicates that youth who listen to rap music have a stronger connection to property crimes than the crimes of violence, and the likelihood of committing those crimes are probably increased by poverty rather than listening to rap/hip-hop music.In a radio broadcast, Ed. Gordon (2006) mentioned two studies which addressed the effect that rap music has on todays youth. The first study conducted by The Prevention Research tenderness of the Pacific instituted for Research and Evaluation in Berkeley, Calif., indicated that rap songs were linked to alcohol addictions, drug use, and violence among youth. Also, a study conducted by The Center on alcohol Marketing and Youth, Georgetown University, also suggested that youths are exposure to alcohol thought t argeted marketing advertising for beer and ale by 66 percent for youth between the age of 12-20 and 81 percent market exposure to distilled spirits.Nearly two-thirds of rap songs mentioned illicit drugs and nearly half of rap songs mentioned alcohol compared to other types of music. The overexposure to alcohol was connected to cognacs and brandies, both which are linked lyrics in hip-hop and rap music, which rappers glorify and advertise in their songs. Rap music is also used to advertise clothing, sneakers, and cars. Rappers are walking billboards and todays youth want that same swagger.Cited in The Brown University Child and Adolescent Behavior Letter (2003), a study was conducted by a grouping of researchers from Iowa State University and The Texas Department of Human Services who examined over 500 students who had listened to seven hazardous songs and eight non-violent songs. This study measured students aggressive thoughts and their feelings. The results were that violent son gs led to more aggressive interpretation of volumes that also increased the speed in which the students read aggressive vs. non-aggressive works and increased the proportion of word fragments that filled in to quarter aggressive words. Their study also indicated that the violent songs increased violent thoughts causing youth to act out.The popularity of Rap/Hip-Hop music and Hip/Hop styles has straightaway reached the Middle East. Iraqis youth in are now starting to imitate hip-hop lifestyles of American soldiers. Youth have now started to adapt hip-hop styles such as, dancing, wearing baggy pants, slangy English, and cutting $ signs into their close cropped hair. Tattoos are now also becoming popular among Iraqis youth. This goes against Islams strictures on baring their skin. Not all Iraqis welcome the culture of the American Hip/Hop style, because they feel that Iraqis youth are now beginning to reject power and other forbidden behaviors, like engaging in forbidden love affai rs. Iraqis youth feel that their eyes are now open to the outside man since living under Saddam Husseins dictatorship. Iraqis youth are now also starting to use the internet and are watching major planet TV, which allows them better understanding of American cultures, both collateral and negative aspects.In a book written by Michael Dyson, Reflecting Black African-American Cultural Criticism. He addressed the question Is Rap music really as dangerous as many critics argue Michael Dyson (1993) states that Rap music is a form of gravid musical, cultural, and social creativity. He also stated that Rap music expresses the desire of young black people to reclaim their history. He defenses the negative impact on Rap/ Hip-hop music, which the general public claims that Rap/Hip-Hop expresses and causes violence among youth. It is in his opinion that many rappers have spoken against the violence in Rap/Hip-Hop.Rappers KRS-One spoke against black on black crimes in a song titled Stop the Violence and Self Destruction. Rapper KRS-One wanted youths to watch that not all Rap/Hip-Hop music called for violence behavior among youth. Also, rappers such as Will Smith and his partner DJ Jazzy Jeff rapped cocksure messages to youth about having fun in the summer time, not glorifying drugs, alcohol or sex. Some feel that rap can be negative and positive on todays youth. Michael Dyson (1993) feels that Rap/Hip-Hop music is getting a bad rap. Could that be true, or is Rap/Hip-Hop really unhealthy for todays youth?Over the years research, books and studied have been conducted to determine if violent and explicit lyrics in Rap/Hip-Hop music really causes or promotes violence in todays youth. Since its beginning in the 1970s Rap/Hip-Hop has gone from being fun to listen to now being a explicit rated albums. In todays time Rap/Hip-Hop glorifies drugs, violence, and sex at an alarming rate. instantlys youth are also embracing the lifestyles of rappers in their language and attitu des, with their want of money, cars, drugs and alcohol that rappers talk about in their lyrics causing them to become conservative teenagers.What must we do as concerned parents? We must be aware of what our children are watching and listening to. Parents must be involved in what their children are purchasing and they must ask questions to understand what their children are experiencing. In the 1990s C. Dolores started a crusade to stop the sale of offensive rap music to minors. Mrs. beat outspokenness earned her enemies, however she remained relentless with her crusade against what is called gangster rap. Her concerns were that the lyrics were misogynistic and threatened the moral foundation of the African American community.ConclusionRap/Hip-Hop music became popular in the 70s, since than it has changed the world youth in every corner of the globe have adopted the culture, the speech and the style. Because Rap/Hip-Hop music has become so popular, many people think that this type of music is making todays youth more violent, due to the glorification of violent, explicit language, sex, disrespect for authority, and disrespect towards women. Just as parents teach their kids not to do drug, they should also teach their kids that rapper is only for entertainment, it is a business for rappers to sale albums to make money. It is a business for them. It is all about album sales. We should all follow Mrs. Tuckers example by taking a stand against anything that could have a negative effective on our youth. Rappers should realize that they are role models to most of our youth and stop thinking about their pockets.ReferencesDiClemente, R.J., Wingood, G.M., Bernhardt, J.M., Robillard, A., Harrington, K., Davies, S.L., and Hook, E.W. A Prospective Study of Exposure of Rap Music Videos and African American Female Adolescents Health. American Journal of Public Health. (2003). Dyson, M.E., Reflecting Black African-American Cultural Criticism. Minneapolis, MN, USA Universit y of Minnesota, 1993 p.38 Gordon, E., N News, News & Notes, 8 whitethorn 2006Tanner, J. Asbridge, M. & Wortley, S. (2009). Listening to Rap Cultures of Crime, Cultures of Resistance. Social Forces, 88(2) 693-722. The Brown University Child and Adolescent Behavior Letter 2003 www.newblackmagizine.com

Patient’s history Essay

breast feeding Diagnosis 1 In seemly nutritionDebbies nutrition is not adequate for her age, as well as her weight. Due to frequent nausea/vomiting, emotional distress she lost weight. Her weight is slight ( 89 pounds) comp ard to her usual weight ( one hundred ten pounds). The assessment and management of weight is a major preoccupation in contemporary healthcare. Clinical interventions focus on achieving energy balance deficit and are premised on claims that excess weight/fatness (body mass index (BMI) 25) is a significant direct cause of morbidity and mortality and,correspondingly, that weight loss in fat (overweight or obese) people leave behind undertake risk and/or emend health outcomes. (Aphramor, 2010). in demand(p) Outcome 1Desired Outcome 2Nursing disturbance 1Refer Debbie to nutritionist.Debbie will have more information regarding healthy eating within 2 weeks. She will realize the importance of her diet and metabolism. Debbie realized the importance of healthy nutri tion and regimen. She gained weight in 2 months more than 10 pounds. She feels comfort fitting and happy.Nursing Intervention 2Pharmacological intervention, education regarding medications.Debbie will watch her weight also by controlling her nausea using the prescribed medication for nausea. She will realise information on how to use the medication, frequency, dosage, side effects in 2 days. After one week Debbie has more information regarding her medications, realized that medication helps her to control nausea and takes as ordered. Evaluation methodFollow up visit in doctors office after discharge within 2 weeks, daily weights. Follow visit- patient weighs 12 pounds more, less nauseous, feels comfortable in her weight. Rationale forbearing education, more information regarding nutrition, talking, relaxation techniques, pharmacological. Given instructions regarding future day appointments and plans on her treatment, daily weights, weight control.Nursing Diagnosis 2 Educational d eficitDebbie needs more information regarding her care. She needs education related to medications, self-catheterization, boob self-examination. Patient education is a central the practice of nursing and should be in part of their domain. The most important part of patient education is to set upDebbie for independence in her care, increase the confidence and competence for self-management. (Bastable, 2006).Desired Outcome 1Desired Outcome 2Nursing Intervention 1 book of instructions on how do self breast- examinations and self- catheterization, warning signs/symptoms. Debbie will be able to do breast self-examination herself in one week, will be able to perform intermittent self-catheterization. Two weeks passed. Debbie states how she performs breast self-examination, what she needs to look out for. She states how often she does the examination and demonstrates what positional changes she needs to do. Nursing Intervention 2Patient educationDebbie will know information about her me dications, route, dosage, side effects in 2 days. Teach back achieved regarding medications. Debbie states that she was anxious previously as she fantasy the will not remember all the information given. She is happy as she did everything correct. Evaluation methodAsked multiple cross questions, Debbie answers as educated, seems more interested in future education. Debbie made an organizer for her. The organizer contains medication regimen, few special considerations, reminders. RationaleDemonstrated Debbie how to do breast examination, catheterization. Used a kit and formative body to demonstrate. Used the board to give important information regarding medication. Debbie demonstrates what she does at home to do the catheterization, breast self-examination, questions given, answered properly as was educated.Nursing Diagnosis 3 Emotional distress.Debbie is experiencing emotional distress, anxiety. As stated in case study she is tearful, has great concern regarding her future. Effecti vecommunication among nurse and patient/family can improve care and relieve suffering. The diagnosis and treatment for cancer is a major challenge and it affects all aspects of life. By therapeutic communication, providing information, encouraging optimistic outlook, teaching how to reduce stress patient care will have better outcomes. (Yarbro, Wujchik, & Gobel, 2010).Desired Outcome 1Desired Outcome 2Nursing Intervention 1Debbie will get used to controlling her stress by daily walks, relaxation techniques, music, spending clock time with family in 2 weeks. Debbie states she feels better spending time with family, resting, being in the park, meeting friends when feeling lonely and anxious. Nursing Intervention 2Debbie will be seen by spiritual care in 2 days.Debbie states that her conversations with spiritual care makes her feel more relaxed, she reads books, has prayers at her bedside. Evaluation methodGiven instructions on how to manage time and stress with different activities, preparedness activity and periods of rest. Asked questions regarding Debbies days, stress management. RationaleEducational packets, brochures, referrals provided.Multiple written stress tests used to find our patients emotional condition. Seems more relaxed and less anxious.ReferencesAphramor, L. (2010, July). Validity of claims made in weight management research a narrative review of dietetic articles. Nutrition Journal, 9().Bastable, S. B. (2006). Essentials of Patient Education. Jones & Bartlett Learning. Yarbro, C., Wujchik, D., & Gobel, B. (2010). Cancer Nursing Principles and Practice (7th ed.). Jones & Bartlett Learning.

Process Analysis and Capacity Management Essay

1. Dello is a world-class PC companionship. Management believes that they understand their products and customers better than any outsourcing company on that pointfore Dello should provide customer service in-house. Ideally, Dellos customer service department wants to worry all the customer ph hotshot calls. During peak bits, however, Dello receives so umteen customer calls that they ask an outsourcing company, Telemate, to help handle incoming calls. Dellos switchboard system is programmed in the following way A customer calls Dello at its 1-800 number. If in that location are 14 or less societys in the system waiting to speak with one of the customer service legates, then the call stays deep down Dellos system and the customer inquiry will be answered by a Dello customer service representative. If, on the other hand, there are 15 or more calls waiting within Dellos system, then the incoming call is forwarded to the outsourcer Telemate, and the call will be answered by a T elemate agent.Draw the work flow map for Dellos customer service call handling process.pic2. Getaway is another computer company known for mass customization. Its unknown is to always hold back an inventory of base models, and to offer its customers add on options. The process is as follows The first step is receiving the order. After receiving an order, the order is checked for add-ons. If needed, add-ons are added to the base model. (Note that base models are held in inventory). Then the computer is packed, and lowestly shipped.Draw a process flow diagram for the above process.picIf you want to be stricter, you mass slang triangles for add-on parts inventory and work-in-process between packing and shipping.3. Kate is managing his companys production facility. Consider the following production process. Note some triangles may be by design omitted. picRaw materials go through machines A, B, and then C, to produce a final product. Capacity, or service rate, of each machine is as followsMachine A two hundred units per minMachine B 180 units per hourMachine C 120 units per hour(All these numbers are expressed in terms of units of final product.)a) Identify the stymie process. Is it A, B, or C? Explain briefly.Machine C, since its the slowest process of all.Kate sincerely believes that she must keep high utilization of machines. every(prenominal) time she sees an operator idle, therefore, she orders the operator to go back to the machine and continue operating.b) What is she doing wrong? What is the most likely result if she manages the factory this way?She doesnt be to understand that the bottleneck process defines throughput of the entire system. In other words, the production facility can process just as fast as the bottleneck. If she tells every operator to produce all the time, most likely result is that she will have unnecessarily large WIP built-up between machines.4. Eastern hot chocolate follows the flow graph below to serve its customers. N ote that some triangles may be omitted intentionally. It takes a player twoproceeding to take order and receive payment, two minutes to prepare coffee, and three minutes to clean equipment.Eastern coffee has two workers worker A takes order and prepares coffee, while worker B handles the cleaning.a) On add up, 10 customers per hour show up and order coffee. What is the utilization rate of worker A? And what is the utilization rate of worker B?Capacity of worker A 60/(2+2) = 15 customers/hourCapacity of worker B 60/3 = 20 customers/hourUtilization of A 10/15 = 0.666 or 66.6%Utilization of B 10/20 = 0.5 or 50%b) How many customers can Eastern hot chocolate serve per hour?From the above, Capacity of Eastern coffee bean is 15 customers/hourWestern Coffee follows the same flow chart above, and each activity takes the same amount of time as Eastern. Western Coffee also has two workers worker C only takes order and payment, while worker D handles the coffee preparation and cleaning.c) How many customers can Western Coffee serve per hour?Capacity of worker C 60/2 = 30 customers/hourCapacity of worker D 60/(2+3) = 12 customers/hourCapacity of Western Coffee is 12 customers/hourd) The manager of Western Coffee notices that cleaning is not a critical activity in the compreh displace that it can be delayed and be finished when there are fewer customers. in that locationfore, during the peak hour when many customers beat in, workers can focus on serving customers and temporarily ignore the cleaning activity. Then how many customers can Western Coffee serve duringthe peak hour?Capacity of worker D during the peak hour 60/2 = 30 customers/hour Capacity of Western Coffee is 30 customers/hour5. At Spotted frighten Coffee Shop, one cashier can take 30 orders per hour and one skilled worker can prepare 20 orders per hour. guide that the cashier and the worker are not cross-trained.a. pronounce that there are only one cashier and one worker in Spotted Cow. What is the subject of Spotted Cow? And which resource is the bottleneck? Explain.The worker is the bottleneck as she pushes the smallest amount of job in an hour. The capacity of Spotted Cow is 20 orders per hour, which is decided by the bottleneck.b. Suppose that Spotted Cow hires one more skilled worker who can also prepare 20 orders per hour. What is the capacity of Spotted Cow? And which resource is the bottleneck? Explain.The cashier is the bottleneck as she can take at most 30 orders per hour. While the two workers can prepare in total 40 orders per hour. The capacity of Spotted Cow is 30 orders per hour, which is decided by the bottleneck.6. Pavichs Brick Oven Pizza is known for its speedy delivery time of piping hot pizza. Its secret is to always maintain an inventory of uncooked, assembled, cheese pizzas, and to offer its customers only cheese and pepperoni pizza. If a customer orders a cheese pizza, uncooked cheese pizza goes immediately into the oven. If a customer orders a pepper oni pizza, pepperoni is added to the cheese pizza, and then the pizza is cooked, and finally delivered. Draw the process flow sheet diagram for Pavichs Brick Oven Pizza. In your flowchart, use at least two inverted triangles.picYou can of course have an arrow from uncooked cheese pizza inventory to cooking process.7. Campus Credit Union has 5 representatives, 2 of them specialized in business customers and 3 of them specialized in individualized customers. On average, each business customer takes 15 minutes, and each personal customer takes 12 minutes to finish the service. During the 4-5pm rush hour, 10 business customers and 10 personal customers show up. a. Does the Credit Union have enough capacity during the rush hour?Each hour, a representative can serve 60/15=4 business customers and 60/12=5 personal customers.During the rush hour, the capacity for business customers is 4*2=810. The Credit Union will have enough capacity for all the customers. 8. The following flow chart de scribes a simple burger making process. picOne stove is accessible to cook patties. It can cook patties in 3 minutes and holds 40 patties at one time. On average, it takes 45 seconds for a worker to assemble a burger. There are 12 workers available to assemble. The time it takes to deliver can be omitted. Assume that one burger needs only one patty.a. What is the capacity of the cooking stage? What is the capacity of the assembly stage? What is the capacity of the entire process?The stove can cook 40*60/3 = 800 patties per hour. The workers can assemble 12 * 60 / 0.75 = 960 burgers per hour. The stove is the bottleneck. The capacity of the entire process is 800 burgers per hour.b. Suppose that on average 600 burgers per hour are ordered from customers. What is the utilization rate of the stove? What is the utilization rate of the worker, on average?Utilization rate of the stove 600 per hour / 800 per hour = 75%Utilization rate of the workers, on average 600 per hour / 960 per hour = 62.5%.9. A small medical center would like to determine the capacity requirements for the succeeding(a) month. Currently there are 11 doctors working 8 hours a day and 5 days a week. They provide care for three guinea pigs of patients patients come for regular check-ups (type A), patients with minor problems (type B), and patients with serious problems (type C). The management had estimated the number of patients for the undermentioned four weeks as follows hebdomadly numbers of patients Week 1 Week 2 Week 3 Week 4 pillowcase A 250 50 100 500 Type B 150 300 150 300 Type C 200 150 250 150 All the doctors can provide care for all types of patients. Type A patients require 15 minutes of care, type B patients require 30 minutes of care, and type C patients require 60 minutes of care.a. What are the average utilization rates of the doctors for each of the next 4 weeks?Requirements in hours Number of hours needed Week 1 Week 2 Week 3 Week 4 Type A 62.5 12.5 25 125 Type B 75 15075 150 Type C 200 150 250 150 Total 337.5 312.5 350 425 Utilizations 76.7% 71.0% 79.5% 96.6% Total available doctors time = 11*8*5 = 440 hoursb. Does this medical center have enough capacity?Yes10. A clothing company produces 5 types of shirts (A, B, C, D, and E). The final manufacturing steps in the shirt production process are to (a) attach a care label to every shirt, and (b) brand the companys name on every shirt. The company has one machine for attaching care labels, and one machine for branding. For any shirt type, branding requires 8 minutes of processing on the machine. receivable to differences between shirt designs, attaching care labels requires the following shirt-dependent processing times (in minutes)Shirt Type Processing TimeA 4B 10C 5D 6E 8The demand per day for the different shirt types isShirt Type DemandA 20B 5C 25D 10E 15Assume each machine is available to work 8 hours per day. Does the company have the capacity to satisfy its demand? Explain yo ur answer fully.The demand for the branding machine is(20 + 5 + 25+ 10 + 15) * 8 = 600 minutes, or 600/60 = 10 hours. There is not enough capacity on the branding machine to satisfy demand. This machine is a bottleneck resource.The demand for the label attaching machine is20 * 4 + 5 * 10 + 25 * 5 + 10 * 6 + 15 * 8 = 435 minutes, or 435 / 60 = 7.25 hours. There is enough capacity on the label attaching machine to satisfy demand.11. InnovB is a call center company. InnovB has a highly sophisticated switchboard system called Virtual Agent that takes customer calls. There are 20 telephone lines and therefore 20 Virtual Agents. Virtual Agent asks a caller some basic questions such as the callers preferred language, account number, etc. On average, a customer spends 3 minutes within Virtual Agent system. Depending on the nature of the act and customers account history, Virtual Agent puts a call through to either a high-skilled or a low-skilled customer service representative (CSR). Virtu al Agent is programmed so that all difficult calls are handled by high-skilled CSRs, and all the easy calls are handled by low-skilled CSRs. It takes, on average, 6 minutes for a high-skilled CSR to process a difficult call, and it takes 4 minutes for a low-skilled CSR to take care of an easy call. There are 15 high-skilled and 20 low-skilled CSRs. At the end of the transaction, both difficult and easy calls are transferred to the companys customer satisfaction survey system. It takes on average 2 minutes to take the survey. Since there are 20 telephone lines, there can be up to 20 callers taking the survey at one time.a. Draw the process flowchart diagram for InnovB. Use at least one inverted triangle. Use only one rectangle for the survey process. Use arrows, not lines.YesNob. Can InnovB handle 125 difficult calls per hour? Explain.Capacity of Virtual Agent= 20*20 = 400 customers/hrCapacity of high skilled = 10*15 = 150 customers/hrCapacity of low skilled = 15*20 = 300 customers/h rCapacity of survey system = 30*20 = 600 customers/hrYes, 125 is possible. (125

Art Criticism of Barricade by Jose Clemente Orozco

Art Criticism of Barricade by Jose Clemente Orozco The painting Barricade by Jose Clemente Orozco is made using oil on canvas. It is 140 by 114. 3 cm and it portrays five men that are closely placed together. To the left of the portrait there is a shirtless hunched man giving his back to the attestant and has his right weapon extended to the right. He is holding a red cloth in his right hand. He has twain bullet straps going all everywhere his shoulders and strapped across his back. To his right there is another shirtless male figure facing the viewer with his arm extended forward and his feet closely placed together.There is a band loosely placed around his feet. This man also has his arm slightly extended forward. He is standing in a slanted position and is trend his back on something. To the right of this man is a fully clothed crouched man holding a natural language in his hand. There are two other shirtless men on the ground behind this crouched male figure. The two bigge r men on the left are balanced by the cardinal smaller men on the right. Orozco uses a brighter value of blue on the pants of the two men on the left to show their dominance over the rest of the men. The posture of the slanted man creates implied diagonal lines.Orozco also uses a vibrant red colored cloth shift the readers financial aid from the two dominant male figures to focus on other aspects of the artwork and the other minor figures. The whole painting may evoke a inconsolable and depressing mood in the viewer because the men appear to be struggling. The red cloth seems to symbolize bloodshed because of the seemingly ruddy scene that is pickings place in the rest of the painting. The dominant figure on the right appears to be fighting for his life because of the way he is clenching his teeth. He could be extending his arm to reach for help from someone not included in the painting.The knife in the crouched mans hand symbolizes war, and his loose grip on the knife may repre sent his defeat. The smoke that appears to be polluting the sky could foreshadow that there is something worse to come and that the conflict going on may not be resolved. Also, the fact that four of the five men are shirtless could imply that they come from a lower social class. The artist succeeded in portraying a violent scene in this artwork because of the aggressive actions of the men. He limited the number of colors used in the painting, but was still able to create well-knit emotions in the viewer using different values of those colors.The realistic portrayal of the muscles allows the viewer to perceive the reality of the environment. However, the artist confuses the viewer because he leaves the viewer to translate many things on their own. His whole painting focuses on the five men, so the viewers are left to interpret the setting, the reason for their conflict, and the time when the conflict occurred establish on the mens actions and the objects around them. Overall, the p ainter includes minor symbols such as the cloth, gun, and knife to successfully convey the overall violent atmosphere of the painting.

Social psychologist Amy Cuddy talked about

As physical delivery she is perfect. Her appearance is ingenuousness. Her dress is not too much fancy. This is good thing because if it was fancy it distracts easily plurality attention. Even it is hard to check from camera, her eye- contact seems good. Seems like, she watch every part of the hall. As seen she is moving a little bit to maintain attention. Since we are chew up of the town about a person who is talk of the town about body language, there is no need to talk about her gestures and posture. As expected, she shows that listen to me I hunch forward what I am talking about.Her vocal livery is good. Even if she is not singer her volume is good and she is controlling her volume perfectly. Also, her quarrel Is fluency eventide if there are some tongue slips such as when she is saying beautiful at the start. In general, her expression delivery Is perfect. Lets blend on to the audio-visual aids. At her speech she Is showing one video, lot of photos and some graphics. As known visual aids Increase the audiences understanding. Video, photos and graphics which are apply In speech are relevant to topic and also her sign posts are good.Sometimes she Is showing fitting a sentence. In order word, she Is emphasizing the Important points. In addition, in the midst of two slides projector Is using as a helper. What I mean Is that while she Is not using the projector, her camera Image Is shown so hoi polloi who are taunt behind can see her easily. This Is very good strategy. Generally, her audio-visual aids are good. Finally, lets move on her attention- get techniques. As seen at start, she Is activate the audiences Imagination. Therefore, she starts her speech with good attention.There Is one point that I am not sure about It. At close of the end, when she Is giving an example one of her students she Is getting emotional and string out this emotion to the people. Actually It Is a very good attention technique. I am not sure It was prepared or Just oc curred because we are talking about a person who Is Glenn a message fake It TTL become It. Even If It was prepared It Is very good tactic. Too sum up, she Is know what talk about. Her delivery, visual-aids and attention- getting technique Is very good.If you curious about body language I suggest this beech. Social psychologist Amy Cuddy talked about By carmaker her volume perfectly. Also, her speech is fluency even if there are some tongue slips such as when she is saying beautiful at the start. In general, her speech delivery is Lets move on to the audio-visual aids. At her speech she is showing one video, lot of photos and some graphics. As known visual aids increase the audiences understanding. Video, photos and graphics which are used in speech are relevant to topic and also her sign posts are good.Sometimes she is showing Just a sentence. In order word, she is emphasizing the cardinal points. In addition, between two slides projector is using as a helper. What I mean is that w hile she is not using the projector, her camera image is shown so people who are sit behind can see her easily. This is very good strategy. Generally, her audio-visual aids are good. Finally, lets move on her attention-getting techniques. As seen at start, she is activating the audiences imagination. Therefore, she starts her speech with good attention.There is one point that I am not sure about it. At close of the end, when she is giving an example one of her students she is getting emotional and spread this emotion to the people. Actually it is a very good attention technique. I am not sure it was prepared or Just occurred because we are talking about a person who is giving a message fake it till become it. Even if it was prepared it is very good tactic. Too sum up, she is know what talk about. Her delivery, visual-aids and attention- getting technique is very good. If you curious about body language I suggest this

Barack Obama’s Final Campaign Rally Essay

The lowest legal transfer cheer up Obama made the night before the election. The artifact examined in this paper is the final delivery of then-presidential candidate Barrack Obama in the state of Virginia at the night before the election. It is his last chance to address and persuade the people to vote for him in the coming election. The search model usanced The Neo-Aristotelian approaching of rhetorical criticism was used to analyze the artifact. The Neo-Aristotelian approach was used to analyze Barrack Obamas speech in this paper.This approach covers all prodigious areas to determine the genre of the speech. This leads to the understanding of the presidential made by Barrack Obama in the campaign period. The thesis The speech Obama is analyzed to provide an understanding of the rhetorical style that successfully helped him be elected as the president of the U. S. The thesis of the speech analysis on Barrack Obamas last address to the public aims to understand its attribu teificance to his whole campaign as it made a conclusion on the series of speeches he made during the campaign period. Summary of Analysis Rhetorical situation The last speech Obama made before the election in Virginia, Republican state, is very significant to analyze the whole period of his campaign. This speech is said to have win him the election. It is evident that the analysis of this speech will make way to understanding of what is the approach the Obama did in his long campaign for it is the conclusion of all his speeches and it is the night before the election. How the search model was applied to analysis of the artifact The speech analysis makes use of canons of rhetoric presented by Aristotle.The speech analysis makes use of the five canon of rhetoric in the Neo-Aristotelian approach to analyze the detail of the speech. The speech was analyzed utilize the canons like invention, arrangement, elocution, memory and delivery. And the speech was found to be outstanding in the five canons. Conclusion Usefulness of the search model The Neo-Aristotelian Approach gave way to a detail analysis of the speech that made Obama the 44th president of the United States.The approach use in this analysis clearly covers all components the speech has to evaluate its effectiveness to the public. It is found that Obama is very good oratorical speaker that awarded him an advantage in the election. Value of doing the paper The analysis gave way to the understanding that the Obama I decidedly won the public in his speeches. This analysis prove the claim that Obama touch the hearts on the American people by delivering such effective speeches that presented what he is and what he wanted to do in the future when he become president.His speeches instill such great impact to the public it probably influences the people to hand for the change. Supporting Material Visual aid The sign of a major event held by officers in roads covered in the rally. The Obama party uses sign b oards that says a major event happening and that they have to expect heavy traffic somewhat affected people stuck in traffic to attend in the rally. Audio The Stevie Wonders song Signed, Sealed, Delivered is a major factor which conveys meaning from the speech.The Stevie Wonder song at the end of the speech made a great impact to the listeners of the speech for it gives a message that Obama will do what he promise and that he mean what he said. Other The yes, we can tagline and the dismissed up, ready to go chant. The meaning involve his tagline ensures the American that they can change anything if they want to. And the chant is use to make the people in the rally to mark what they just heard.

An Educational Counseling Research Proposal Essay

AbstractEducational counseling and counselor on the basis of the establish brought about by the media on the bookman is essential in the correct using of personality and port. Due to the fact that learning process rump be deliberate by the doings exhibited by an individual, it stick out be considered as the main indication in the investigate conducted.The grow of the research is to determine the possible set up of the frolic media such as video system and calculators on the nurture of belligerent demeanour of the learner. Upon the determination of such data seek possible modes of guidance. Effect can be studied based on the results of a quantitative educational research that covers 100 students, 6 to 16 years old both male and female, undertaken through good deal research.Introduction in that location atomic number 18 unalike ways of learning which can be used and applied in educational process. The acquaintance on the effective learning techniques can b e considered as an essential factor to be fitting to secure the goals of education. The opposite types of learning process guide the educators on the most effective ways of attaining the goals which is learning. Included in the types of learning techniques are the styleal modulates brought about by the different factors in the federation.One of the most potent factors in the development of the learner is the media. In the behaviorist point of view in lined with the scientific mull of Pavlov and Skinner that behavior is a measurable concept in learning process (Griffin, Holford, and Jarvis, 2003). Thus, on the perception of the effects of media on the learner, one of the ways in the determination of the influencing effects of the mass media is through the behavior cosmos shown by the learner. This is similar to the target learning process. Anderson and Collins (1988) encounter pointed out that television has an impact not only in childrens pre-pubescent behavior besides ca n withal restore adolescent behavior.The main goal of the translate is to determine the effects of the media on the behavior of the learner and lastly inclose educational counseling methods suitable to man bestride behavioral problems that are developed, particularly aggressive behavior. There is growing pertain regarding increasing aggression and violent behavior among children and adolescents this past decade and media is has been one of the factors being Juvenile delinquency has been increasing progressively not only in number but as well in gravity (Snieckute, 2004)The shall be undertaken through the synergy of the library-based and the observation and experimental research that result rivet on the effects of the media such as television and related information tools on the development of the different aspects of the personality of the individual. The research is in-lined with the possible behavioral problems that can be expressed by the individuals under playing field. The teaching of the development of aggressiveness and violent actions as an effect of media in the development of the personality and behavior of the learner is important due to the fact that majority of he study surmised that the media is one of the major causes of the problems in behavior of the learner as a whole. More children are gaining access and are being exposed to media without or with deficient parental supervision and depend on television as their base form of entertainment and information (Walma van der Molen & van der Voort, 1999)This is due to the fact that observation and imitation of the situations in the surroundings is also an effective informal teacher not only cognitively but most especially on the behavioral aspect (Sylwester, 2005). Thus, the behavior of an individual can be both an influential factor that teaches different people and at the same metre an indication of the persons learning.To establish the effects of the media to the learner, researches co nducted forward to this study will be surveyed and assessed. The background study will enable the establishment of concepts, prevailing theories and opposite current research investigations on the influence of media as part of the experimental study, an in-depth digest of the results of the research survey will be one of the primordial buttsThe purpose of the study is to be able to determine the rigorousness of television flick as a major cause of the development of aggressive behavior among children. The objective will be achieved through the research both library-based and qualitative data gathering on the behavior influences of the group. The results of previous studies will be assessed and incorporated into the current research to establish the leg of influence of television to aggression in children.The proposed paper aims to answer the following key questions Why is there caution regarding the development of aggressive behavior among juveniles or minors specifically a ges 6 to 16 years old in relation to the exposure to media? What television practices or programming are critical in influencing behavior among juveniles or minors specifically ages 6 to 16 years old? What are the long term implications to the individuals and society of the development of early aggressive behavior among the mental test group?In line with the aim to test the hypothesis that the violence presented by the media specifically the television has significant effects on the development of the behavior of the children that can cause concern to educational guidance as well as regarding the detrimental effects of the media such as television to the behavior of the learner, theories on the psychological and behavioral norms serves as the bases for the divergence of attitudes and for the realisation of deviant behavior that can cause alarm and leads to actions related to educational counseling.Review of Related literary worksThe proposed study is on the basis of the behaviori st approach to education. In this principle, learning can be measured by the observable traits and behaviors of the individual. The behaviorist point of view depicts the importance of expression of a person in the determination of a successful learning process. One of the most important is the process of conditioning that can be applied through the process (Griffin, Holford, and Jarvis, 2003).Another key concept that is related to the course of this study is the theories on conditioning.Conditioning that can be explained as the exposure to different affective factors in the purlieu that can affect both the cognitive and behavioral aspects of development. In the study of Sylwester (2005), it was discussed that learning is greatly moved(p) by the emotions and attention capacity of an individual. In this case it can be identified that young children bring about more attracted to the television and the computer rather than any forms and tools of learning.According to Walma van der Mo len and van der Voort (1999), children today defend more information form television viewing compared to reading. A critical concept presented in the study is the theory that television is catering more to the fact that children tend to be attracted to changing environments and more suited to the learning styles (visual and aural), a competency that Media has as strength (American standoff of School Administrators, 1991 Learning Styles, 2006).The main concern that arises in relation to the behavioral influences brought about by these types of influences is the fact that television and computer games can present violence that can be imitated by the children and are subject to rattling little control deep down most homes.Based on the same study, it was presented that due to the fact that the development is composed of both the physiologic and behavioral, education can also cause development of the chief (Sylwester, 2005). The study presented a scientific and physiologic approach on the changes associated with the influences of the media to the children. The television and other forms of media were presented with fair treatment, presenting both the perceived advantages and disadvantages were presented.Based on the study conducted by Barker and Petley (2001), concern regarding media content is in relation to the behavior of the children is based on the effects of the programs shown in the television especially those that show violence. Although many studies have expressed such notion, based on the study, there is no convincing evidence that points and measures the interrelationship between the two. The researches argue that violence in the televisions has no direct relationship to the changes in behavior of an individual.The access to computer and the internet was surmised to have a very influential role in the development of the children. Like television, the internet and computers have provided new opportunities and realities for learning and education. b esides included in the benefits that can be incurred is the development of children are cognitive improvement and communication skills. On the other hand, such freedom to be able to access the computer can greatly effect the possible behavior of the learners when exposed to violence, pornographic materials and other factors that has negative effects (Cleon and Cho, 2005).One of the conventional studies on the effects of media was presented by Johnson (2005). Based on this study, the computer games can bring about the development of uninflected skills of children. The skills that can be developed are the problem-solving and logical skills.Various methodologies that can be applied in the course of the study as well flexibility of reference can be utilized. However, a taxonomic research should be employed to assess and analyze in the involvement and the effects of the media on the knowledge acquisition and cognitive skills of the children (Livingstone, 2004)ProceduresTo be able to ach ieve the projected results of the study, different procedure are inevitable to be employed. The target of the research to be conducted is to determine the effects that can be attributed to the forms of media such as the television and computers. This can be achieved through the employment of the synergy of the different methods of research.Included in the skill of the educational research there are essential steps that are taken into consideration. The limits of the study, the planning descriptor of the research process, and the decision on the most effective research technique to be undertaken are the primary considerations (Cohen, Manion, and Morrison, 2000). Document/ Study ResearchThe library-cased research focuses on the studies conducted by contemporary researchers on the basis of concepts presented. This can be considered as the qualitative part of the research process that will be the basis of the analysis on the experimental study that will be undertaken (Cohen, Manion, and Morrison, 2000).An online research or related document will serve as another reference assessment method but also as a benchmark of the research to be conducted. Comparison and Contrast of existing and recently conducted researches will be assessed for their implications. The observational ResearchThe experimental part of the research have two main objective to assess the degree of aggressive behavior that can be attributed to exposure to television and computer games and to determine the specific content, elements or features that can be directly related to aggressive behavior.o ParticipantsThe inclusion criteria in the study are the minor students and learners that are between 6 to 16 years old. These are individuals that are exposed to the television and computer technology. Demography Equal distribution of male and females Age range is between 6-16 years of age Currently enrolled in public schools that incorporate television and computers into their curricula Participants must have access both to computer gaming or entertainment and television Have significant exposure to television and computer entertainment, minimal of 1 hour daily exposure or total of 7 hours exposure in a week. Psychographics Must not be pre-diagnosed with any atypical behavioral conditions View television and computers as primary sources of information, entertainment or distraction Has no strong opinion regarding the influence of television and computers to his behavioro NumberThe ideal number of subjects that will be used in the study is 100 randomly selected from the individuals that are chosen on the basis of the inclusion criteria such as age and the exposure to the television or computer.o InstrumentationThe study will make use of the survey process specifically questionnaires for the determination of the opinions of the parents on the exposure of the children to the specified forms of media. The objective is to quantify the responses given by the sample population. The m ethod targets the characteristic or issue of interest by soliciting answers through directed questions. Responses are recorded, measured, organized and analysed to be able to come up with the output.o Sampling ProcessThe primary step required is the cookery of the questionnaires that is needed to elicit from the subjects information necessary to accomplish the objectives of the study. Questionnaire will be made to meet nearly readability levels as needed by respondents.Randomization will be employed to be able to acquire the quality of the research results. Data gathering will follow institution of responses until number or samples needed are reached.o Validation and valuationThe validity can be achieved though the validation techniques employed in the statistical sampling of random samples. Respondents validation will be done using demographic and psychographic criteria. Response validation will be indicated through successful deed of survey forms.Valuation of sampling will be conducted through statistical analysis. Correlation analysis and significance testing will be conducted to establish the actual influence levels of television and computer to aggressive behavior and their impact to aggressiveness as a behavior respectively. Ethical ConsiderationsThe aims and the objective of the survey research are not to implicate any form of media to crimes or delinquencies but to be able to assess the viability of the theories on their influence to aggressive behavior developed by children. To be able to undertake such projects license is sought from the sample population as well as their understanding of the objectives and procedure of the study. Consent from the parents or guardians and all other pertinent authorities must be acquired to facilitate the validity of the study as well as protect the interest of the participants.ResultsResults of the preliminary investigation showed the possible ways to determine the reasons for the concern of the public regarding the behavioral problems that is encountered. The preliminary research presents the overview of the possible justification of concern on the development of aggressive behavior of the children. The integration of contextual library-based and survey research will be presented to determine the validity of hypotheses and its out of bounds as a further study.DiscussionBased on the gathered data from initial research that was undertaken, a larger part of the population perceive the media as having as a negative influence only on behavior instead of it being a direct cause of behavioral problems in children and adolescents.Literature that showed the television, computer and other electronic visual media can contribute to learning, social orientation and perceptions but are not reflective or indicative of behavior for individuals The concern on the level of exposure to violence and pornography without the guidance of responsible educators, parents and guardians of young children Is conside red as the most critical and urgent. Although there is cause for public concern regarding its content and control, the lobby is for responsible programming and reviews rather that greater restriction of limitation of access.ReferencesAmerican Association of School Administrators (1991). Learning Styles Putting Research and Common Sense into physical exertion. Arlington, VA American Association of School AdministratorsAnderson, D., & Collins, P. (1988). The impact on childrens education pictures influence on cognitive development. Washington, DC U.S. Department of Education, Office of Educational Research and Improvement.Barker, M. and Petley, J (2001). Ill Effects The Media/Violence Debate. untried York Routledge.Cleon, HJ and Cho, CH. (2005) Childrens Exposure to Negative Internet Content Effects of Family Context. Journal of Broadcasting & Electronic Media, 49 (4), p. 488.Cohen, L. Manion, L. and Morrison, K. (2000). Research Methods in Education. London Routledge.Davis, J. (20 02) Types of research methods. Psychological Research Methods 2. Retrieved on October 1, 2006 from http//www.naropa.edu/faculty/johndavis/prm2/types1.html.Griffin, C., Holford, J. & Jarvis, P. (2003). The Theory & Practice of Learning. London Kogan Page.Johnson, S. (2005). Everything bad is good for you How todays popular culture is actually making us smarter. New York Riverhead Books.Livingstone, S. (2004) A commentary on the research evidence regarding the effects of food promotion on children. Prepared for the Research Department of the Office of Communication, Department of Media and Communication. London London School of Economics and policy-making Science.Snieckute, Marija (2004). Juvenile delinquency and the Family. Retrieved on October 1, 2006 from http//www.sociumas.lt/Eng/Nr16/nepilnameciai.aspSylwester, R. (2005). How to explain a brain An educators handbook of brain terms and cognitive process. Thousand Oaks, CA Corwin Press.Walma van der Molen, Juliette H. and van der Voort Tom H.A (1999). Children Remember More from Television Than Reading. Retrieved on October 1, 2006 from http//www.selfhelpmagazine.com/articles/child_behavior/kidsntv.htmAppendix1. Age _________2. Sex _________3. Are you married? _________4. Do you have children? _________5. Do you have school children? _________(Refers to school children age 6 16 years old only)6. Are they honoring TV almost everyday? _________7. How many hours spent in watching TV everyday? _________8. Having hard time in stopping them to watch TV? _________9. Do they sleep late at night because of TV? _________10. Are they committing invalid absences frequently? _________12. Do you think too much time in watching TV is the cause of this? _________13. Do you think their grades are good, maintained and not going down? ________14. Did they unremarkably pass all the subjects? _________15. Do you get feedback that they are sleepy in the class session? _________16. Do they prefer TV than basketball or other spo rts? _________

Nursing Care Plan

Health ProblemFamily nurse ProblemsGoal of CareObjectives of CareIntervention Plan treat InterventionsRationaleMethod of Nurse-Family ContactEvaluation Un wellnessful lifestyle and personal clothes specifically fanny sens as a health threat. 1. softness to recognize the forepart of the problem due(p) to In e zero(pre noinal)gh sleep withledge 2. Inability to make decisions with respect to winning appropriate health action due to fear of consequences of action, specifically physical consequences 3. Inability to provide adequate nursing cope to the at-risk member of the family due toA. Inadequate knowledge about the disease or health condition B. overlook of the necessary facilities, equipment and supplies for share 4. Inability to provide a shell environment conducive to health alimentation due to lack of knowledge of preventive measures 5. Failure to utilize community resources for health plow due to inadequate knowledge of community resources for health care sub sequently nursing noise, rust-brown Cacal with the help of his family members result be commensurate to lessen the poofs he crazy weeds from 10 sticks to 15 sticks a sidereal sidereal daylight succession to gradual a kievement of smokingObjectives 1. After contending the definition of cigarette smoking, the family testament be suit satisfactory to ground the nitty-gritty of cigarette smoking accurately in spite of appearance 3 minutes. 2. After 10 minutes of disputeion, the family leave al iodine be adequate to enumerate the components of cigarette completely in 5 minutes. 3. Given the components of cigarette, the family give be able to submit at least 8 out of 11 effects of nicotine in 8 minutes. 4. Given the components of cigarette, the family provide be able to state the effects of tar completely in 5 minutes 5.After handleing the effects of nicotine and tar, the family exit be able to distinguish the effects of habituation in cigarette smoke within 5 m inutes. 6. After 15 minutes of dealion, the family go forth be able to discuss 7 out of 9 management on how to reduce the of cigarette smoked per day within 8 minutes. 7. Given a sample of a era table, the family allow for be able to formulate a schedule on the reduction of of sticks of cigarette smoked per day within 20 minutes. 8. In a day-to-day basis, the guests impart be able to practice the hypothesize schedule excogitation in 1 month and 2 weeks.Developmental 1. The health care supplier will discuss the meaning of cigarette smoking. 2. The health care supplier will enumerate the components of cigarette. 3. The health care provider will discuss the effects of nicotine. 4. The health care provider will discuss the effects of tar. 5. The health care provider will distinguish the effects of addiction in cigarette smoking. 6. The health care provider will discuss the unalike management on how to reduce the of cigarette smoked per day 7. The health care provider will p rovide a sample of a time table.She will guide the lymph gland in formulating her schedule for 1 month 8. The HCP will monitor the customers compliance to the develop schedule 1. Discussing the meaning of cigarette smoking will enable the thickenings to have a wide apprehensiveness about this habit and be aware that smoking contributes significantly to diseases that shortens life and is leading ca practice of stopping point like meat attack, stroke, respiratory diseases which make smokers pulmonary cripples as in asthma, emphysema, bronchitis, recurrent infections, and cancer. *Ref http//doh. gov. ph/tobacco/aboutsmoking. tm 2. Discussing the components of cigarettes will enable the leaf nodes to be aware of the possible effects of the listed components *Ref http//www. knowledgebasescript. com/ emo/article-393. hypertext mark-up language 3. Discussing the effects of nicotine will enable the clients to know the medical consequences of nicotine exposure *Ref Psychology Today supply Originally promulgated by Psychology Today2002/10/10 4. Discussing the effects of tar will enable the clients to know how it affects their respiratory tract. *Ref Janice A. Dye and Kenneth B. Adler http//www. pubmedcentral. nih. ov/pagerender. fcgi? artid=475133 &pageindex=1page 5. Discussing the effects of smoking addiction give the shutting that there are many health effects of smoking cigarettes products and not one of them are beneficial. Its not an exaggeration it is reality that smoking tobacco does unquestionably not lone(prenominal) drop off clients well existence but similarly health of acquaintances and family around her. *Ref Winn, Jackie (2008), No Positive set up From Smoking muckle Be Found. September 28, 2008, from http//ezinearticles. com/? No-Positive-Effects-From-Smoking-Can-Be-Found&id=1290284 6.Discussing the different management on how to reduce the use of cigarette smoke per day increases quit rates by 30 percent. Every person who uses cigarettes should be offered at least brief advice to quit smoking. More intensive counseling and medications are even more than effective and should be provided to all cigarette users willing to use them. *RefCORINNE G. HUSTEN, ABBY C. ROSENTHAL, MICAH H. MILTON, The Gale Group Inc. , Macmillan Reference USA, unseasoned York, Gale Encyclopedia of normal Health, 2002 7. Providing sample time table will help the clients to guide the client in making a checklist or schedule on trim back and quitting smoking. Ref The lung Asssociation http//www. lung. ca/protect-protegez/tobacco-tabagisme/quitting-cesser/how-comment_e. phplist 8. observe clients compliance to the formulated schedule will able the clients to leave their schedule and reduce the number of cigarettes thrysmoked per day *Refhttp//www. healthline. com/ flingcontent/smoking-tips-on-how-to-quit? utm_source=z_smoking_cessation&utm_medium=google&utm_campaign=adam&utm_term=how%20to%20quit%20smoking Home Visit forcefulness 1. Was the family able to define cigarette smoking? Yes__ No__ why? capacityWas the time, materials, kind resources use economically? Yes__ No__ why no? __ enough Was the no. of noise adequate? Yes__ No__ wherefore no? __ correctness Was the no. of intervention, setting, time table, realistic to client billet? Yes__ No__ why no? __ acceptableness Was the intervention capable to client mail? Yes__ No__ wherefore no? __ Effectiveness 2. Was the family able to enumerate the components of cigarette? Yes__ No__ wherefore? force play Was the time, materials, sympathetic resources utilise economically? Yes__ No__ Why no? __ Adequacy Was the no. of intervention sufficient?Yes__ No__ Why no? __ Appropriateness Was the no. of intervention, setting, time table, realistic to client situation? Yes__ No__ Why no? __ acceptability Was the intervention suitable to client situation? Yes__ No__ Why no? __ Effectiveness 3. Was the family able to discuss the effects of nicotine Yes__ No__ Why? E fficiency Was the time, materials, human resources used economically? Yes__ No__ Why no? __ Adequacy Was the no. of intervention sufficient? Yes__ No__ Why no? __ Appropriateness Was the no. of intervention, setting, time table, realistic to client situation?Yes__ No__ Why no? __ Acceptability Was the intervention suitable to client situation? Yes__ No__ Why no? __ Effectiveness 4. Was the family able to discuss the effects of tar Yes__ No__ Why? Efficiency Was the time, materials, human resources used economically? Yes__ No__ Why no? __ Adequacy Was the no. of intervention sufficient? Yes__ No__ Why no? __ Appropriateness Was the no. of intervention, setting, time table, realistic to client situation? Yes__ No__ Why no? __ Acceptability Was the intervention suitable to client situation? Yes__ No__ Why no? __ Effectiveness 5.Was the family able to discuss the effects of addiction in cigarette smoking? Yes__ No__ Why? Efficiency Was the time, materials, human resources used economi cally? Yes__ No__ Why no? __ Adequacy Was the no. of intervention sufficient? Yes__ No__ Why no? __ Appropriateness Was the no. of intervention, setting, time table, realistic to client situation? Yes__ No__ Why no? _ Acceptability Was the intervention suitable to client situation? Yes__ No__ Why no? __ Effectiveness 6. Was the family able to discuss the different management on how to reduce the of cigarette smoked per day Yes__ No__Why? Efficiency Was the time, materials, human resources used economically? Yes__ No__ Why no? __ Adequacy Was the no. of intervention sufficient? Yes__ No__ Why no? __ Appropriateness Was the no. of intervention, setting, time table, realistic to client situation? Yes__ No__ Why no? __ Acceptability Was the intervention suitable to client situation? Yes__ No__ Why no? __ Effectiveness 7. Was the family able to formulate a schedule on the reduction of of sticks of cigarette smoked per day Yes__ No__ Why? Efficiency Was the time, materials, human reso urces used economically? Yes__ No__ treat Care PlanHealth ProblemFamily treat ProblemsGoal of CareObjectives of CareIntervention Plan Nursing InterventionsRationaleMethod of Nurse-Family ContactEvaluation Unhealthful lifestyle and personal habits specifically cigarette smoking as a health threat. 1. Inability to recognize the presence of the problem due to Inadequate knowledge 2. Inability to make decisions with respect to taking appropriate health action due to fear of consequences of action, specifically physical consequences 3. Inability to provide adequate nursing care to the at-risk member of the family due toA. Inadequate knowledge about the disease or health condition B. Lack of the necessary facilities, equipment and supplies for care 4. Inability to provide a home environment conducive to health maintenance due to lack of knowledge of preventive measures 5. Failure to utilize community resources for health care due to inadequate knowledge of community resources for health care After nursing intervention, Rusty Cacal with the help of his family members will be able to lessen the cigarettes he smokes from 10 sticks to 15 sticks a day to gradual cessation of smokingObjectives 1. After discussing the definition of cigarette smoking, the family will be able to state the meaning of cigarette smoking accurately within 3 minutes. 2. After 10 minutes of discussion, the family will be able to enumerate the components of cigarette completely in 5 minutes. 3. Given the components of cigarette, the family will be able to state at least 8 out of 11 effects of nicotine in 8 minutes. 4. Given the components of cigarette, the family will be able to state the effects of tar completely in 5 minutes 5.After discussing the effects of nicotine and tar, the family will be able to distinguish the effects of addiction in cigarette smoke within 5 minutes. 6. After 15 minutes of discussion, the family will be able to discuss 7 out of 9 management on how to reduce the of cigar ette smoked per day within 8 minutes. 7. Given a sample of a time table, the family will be able to formulate a schedule on the reduction of of sticks of cigarette smoked per day within 20 minutes. 8. In a day-to-day basis, the clients will be able to practice the formulated schedule externalize in 1 month and 2 weeks.Developmental 1. The health care provider will discuss the meaning of cigarette smoking. 2. The health care provider will enumerate the components of cigarette. 3. The health care provider will discuss the effects of nicotine. 4. The health care provider will discuss the effects of tar. 5. The health care provider will distinguish the effects of addiction in cigarette smoking. 6. The health care provider will discuss the different management on how to reduce the of cigarette smoked per day 7. The health care provider will provide a sample of a time table.She will guide the client in formulating her schedule for 1 month 8. The HCP will monitor the clients compliance to the formulated schedule 1. Discussing the meaning of cigarette smoking will enable the clients to have a wide understanding about this habit and be aware that smoking contributes significantly to diseases that shortens life and is leading cause of death like heart attack, stroke, respiratory diseases which make smokers pulmonary cripples as in asthma, emphysema, bronchitis, recurrent infections, and cancer. *Ref http//doh. gov. ph/tobacco/aboutsmoking. tm 2. Discussing the components of cigarettes will enable the clients to be aware of the possible effects of the listed components *Ref http//www. knowledgebasescript. com/ emo/article-393. html 3. Discussing the effects of nicotine will enable the clients to know the medical consequences of nicotine exposure *Ref Psychology Today Staff Originally published by Psychology Today2002/10/10 4. Discussing the effects of tar will enable the clients to know how it affects their respiratory tract. *Ref Janice A. Dye and Kenneth B. Adler ht tp//www. pubmedcentral. nih. ov/pagerender. fcgi? artid=475133 &pageindex=1page 5. Discussing the effects of smoking addiction give the conclusion that there are many health effects of smoking cigarettes products and not one of them are beneficial. Its not an exaggeration it is reality that smoking tobacco does unquestionably not only destroy clients well being but also health of acquaintances and family around her. *Ref Winn, Jackie (2008), No Positive Effects From Smoking Can Be Found. September 28, 2008, from http//ezinearticles. com/? No-Positive-Effects-From-Smoking-Can-Be-Found&id=1290284 6.Discussing the different management on how to reduce the use of cigarette smoke per day increases quit rates by 30 percent. Every person who uses cigarettes should be offered at least brief advice to quit smoking. More intensive counseling and medications are even more effective and should be provided to all cigarette users willing to use them. *RefCORINNE G. HUSTEN, ABBY C. ROSENTHAL, MICA H H. MILTON, The Gale Group Inc. , Macmillan Reference USA, New York, Gale Encyclopedia of Public Health, 2002 7. Providing sample time table will help the clients to guide the client in making a checklist or schedule on reducing and quitting smoking. Ref The lung Asssociation http//www. lung. ca/protect-protegez/tobacco-tabagisme/quitting-cesser/how-comment_e. phplist 8. Monitoring clients compliance to the formulated schedule will able the clients to apply their schedule and reduce the number of cigarettes thrysmoked per day *Refhttp//www. healthline. com/adamcontent/smoking-tips-on-how-to-quit? utm_source=z_smoking_cessation&utm_medium=google&utm_campaign=adam&utm_term=how%20to%20quit%20smoking Home VisitEffectiveness 1. Was the family able to define cigarette smoking? Yes__ No__ Why? EfficiencyWas the time, materials, human resources used economically? Yes__ No__ Why no? __ Adequacy Was the no. of intervention sufficient? Yes__ No__ Why no? __ Appropriateness Was the no. of int ervention, setting, time table, realistic to client situation? Yes__ No__ Why no? __ Acceptability Was the intervention suitable to client situation? Yes__ No__ Why no? __ Effectiveness 2. Was the family able to enumerate the components of cigarette? Yes__ No__ Why? Efficiency Was the time, materials, human resources used economically? Yes__ No__ Why no? __ Adequacy Was the no. of intervention sufficient?Yes__ No__ Why no? __ Appropriateness Was the no. of intervention, setting, time table, realistic to client situation? Yes__ No__ Why no? __ Acceptability Was the intervention suitable to client situation? Yes__ No__ Why no? __ Effectiveness 3. Was the family able to discuss the effects of nicotine Yes__ No__ Why? Efficiency Was the time, materials, human resources used economically? Yes__ No__ Why no? __ Adequacy Was the no. of intervention sufficient? Yes__ No__ Why no? __ Appropriateness Was the no. of intervention, setting, time table, realistic to client situation?Yes__ No__ Why no? __ Acceptability Was the intervention suitable to client situation? Yes__ No__ Why no? __ Effectiveness 4. Was the family able to discuss the effects of tar Yes__ No__ Why? Efficiency Was the time, materials, human resources used economically? Yes__ No__ Why no? __ Adequacy Was the no. of intervention sufficient? Yes__ No__ Why no? __ Appropriateness Was the no. of intervention, setting, time table, realistic to client situation? Yes__ No__ Why no? __ Acceptability Was the intervention suitable to client situation? Yes__ No__ Why no? __ Effectiveness 5.Was the family able to discuss the effects of addiction in cigarette smoking? Yes__ No__ Why? Efficiency Was the time, materials, human resources used economically? Yes__ No__ Why no? __ Adequacy Was the no. of intervention sufficient? Yes__ No__ Why no? __ Appropriateness Was the no. of intervention, setting, time table, realistic to client situation? Yes__ No__ Why no? _ Acceptability Was the intervention suitable to clien t situation? Yes__ No__ Why no? __ Effectiveness 6. Was the family able to discuss the different management on how to reduce the of cigarette smoked per day Yes__ No__Why? Efficiency Was the time, materials, human resources used economically? Yes__ No__ Why no? __ Adequacy Was the no. of intervention sufficient? Yes__ No__ Why no? __ Appropriateness Was the no. of intervention, setting, time table, realistic to client situation? Yes__ No__ Why no? __ Acceptability Was the intervention suitable to client situation? Yes__ No__ Why no? __ Effectiveness 7. Was the family able to formulate a schedule on the reduction of of sticks of cigarette smoked per day Yes__ No__ Why? Efficiency Was the time, materials, human resources used economically? Yes__ No__Nursing Care PlanNursing Care Plan Assessment equals Data Collection + Analysis Nursing Diagnosis Actual/Potential Nursing Goal(SMART) Nursing Interventions/ActionsInclude Rationale/Reference Evaluation Female get along 85Code status Full Code initially but changed to DNR on 14/Jan-2012Primary diagnosis PancytopeniaReason for Hospital gate Fall at home. Allergy PenicillinMedical History Pacemaker, Hypertension, Fall at home, Bradycardia, Hyperlipidemia. Neurological Alert, Oriented x 4. nutrition as ToleratedActivity as tolerated. Does not want to do physiotherapy.Would prefer to remain in bed. Will only move her arms and legs and adjust as needed. Activity Intolerance related to weakness, bed serenity and fastness as attest by client verbalizing lack of interest/desire in activity. Risk for locomote related to generalised weakness and impaired mobility as evidenced by client having a history of flux in the past. Hopelessness related to failing or deteriorating physical condition as evidenced by client stating Why god is not calling me to him. 1. client will participate in chance(a) activity with vital signs within limit in a weeks time. 2. customer will perform ADLs with some assistance, e. g. , toi lets with help ambulating to bathroom, by discharge. 1. Client will not experience a fall by identifying risks that increase susceptibility to falls by the end of the day. 2. Client and caregiver will apply tactics and ways to increase safety and provide a safe home environment. 1. Client will initiate behaviours that whitethorn reduce sapidity of hopelessness by the end of week. 2. Client will be hopeful verbalizing optimistic plans afterwards she is discharged and tensees home. 1. Record clients vitals to begin with and after any activity.Rationale Variation can be caused by temporary insufficiency of blood supply (Ackley & Ladwig, 2008, p 119). 2. Administer upset medications prior to activity. Rationale Pain restricts client from performing maximum activity and may worsen the movement (Ackley & Ladwig, 2008, p 120). 3. Encourage client to change position gradually, dangle, sit, stand and ambulate as tolerated. Rationale Performing activities slowly at clients pace and fo r shorter periods minimizes fatigue (Kozier, 2010, pg. 1126). 4. Teach the client systematic performance of active ROM actions to notice and improve articulate mobility.Rationale These activity increases muscular strength and active movement (Kozier, 2010, pg. 1147). 5. Encourage client plan activities with alternate periods or rest and activity. Rationale help in planning daily routines that maintain a balance between activity and rest may be necessary to conserve energy (Day, 2010, pg. 1744). 6. Reinforce importance of progressive exercise, emphasizing that joints are to be exercised to the point of pain and not after that. Rationale Pain occurs as a result of joint or muscle injury.Continued stress on joints or muscles may lead to more serious change and limit ability to move (Gulanick &Myers, 2010, pg 136). 1. Place objects used by the client within her reach. Rationale Client can lose balance and might fall when she is trying to get items that are out of reach (Kozier, pg 7 75, 2010). 2. Emphasize and educate client about the importance of nutrition especially vitamin D supplementation in relation to reducing fall risk. Rationale Proper diet along with Vitamin D supplement raises calcium which reduces falls and falls related fractures (Best Practice Guidelines, 2005, Rec. 05). 3. Consult with other health care team members such as OT/PT to help resolve mobility issues. Rationale Interprofessional collaboration results in a sharing of expertise to enhance the quality of patient care (Kozier, pg 776, 2010). 4. Encourage client to do exercises and activity as tolerated to maintain muscle strength and joint flexibility. Rationale A routine of exercises such as Tai chi can enhance balance and improve overall muscle strength (Best Practice Guideline, Rec. 2. 1, 2005). 5. Educate client to stay in the lower level of house such as bedroom/washroom or everything in one floor.Rationale Having all daily required amenities nearby will reduce clients risk of fall ing. (Kozier, pg 774, 2010). 6. Increase clients awareness by highlighting the risk factors associated with falls within home removing unsafe objects. Rationale Risk factors such as clutter, unsecure rugs, extra loose tripping turn and inadequate lighting hampers the motivation for mobility (Kozier, pg 774, 2010). 1. Creating a therapeutic nurse-client relationship by listening attentively and increase her positivity by talking about her past pleasant experiences.Rationale Encourage client to share feeling and reflecting on past accomplishments, positive memories and significant milestones (Day, 2010, pg. 434). 2. Encourage client to become involved in activities on the unit like interacting with staff, other clients, participating in therapy and recreational activities. Rationale This will help derange her mind from a preoccupation with her illness (White, 2005, pg. 1326). 3. Provide things to do when client is feeling down, like, crossword puzzle, indication books, watching TV. Rationale This provides time to shift her attention to more creative activities, and will see the situation not so utterly and hopeless (White, 2005, pg. 1326). 4. Teach client to substitute negative self-talk with positive self-talk. Rationale instruction on individuals strengths and abilities enables and support hope (Day, 2010, pg. 434). 5. Encourage client to spend increased time with family and loved ones. Rationale Clients who live alone with no family support are more prone to hopelessness (Carpenito-Moyet, 2008, pg. 329). 6.Encourage client to engage in creative activities to tap their resources. For example, music, art, storytelling, quilting etc. Rationale Expressive humanities are framework for identifying personal strengths (Kozier, 2010, pg. 1440). 1. Client performs activities within daily limits of vital signs. 2. Based on the pain scale verbalized by client, pain medication is administered 30 minutes prior to the start of daily activity. 3. Client demonstrates cha nging of positions within her tolerance limits. 4. Client understands and demonstrates ROM exercises to improve her mobility. 5.Client discussed importance of activity and rest patterns to manage energy and prevent fatigue. 6. Client understands importance of exercise and looks forward to physiotherapist appointment and also does regular exercise at home as tolerated. 1. Nurse makes sure that client has all the necessary things in within reach before leaving the room. 2. Client understands importance of nutrition in reducing risk for fall and eats appropriately. 3. Client looks forward to Occupation/Physical Therapy appointments. 4. Client understands importance of exercise and also does regular exercise at home as tolerated. . Client verbalized a plan to make changes at home to ensure safety. 6. Client is aware of potential risk for falls and keeps home clutter free and safe. 1. Client seems positive about her life talking to health care team. 2. Client socializes with other people on the floor and looks forward to any recreational activity. 3. Client sets target to finish up some part of her magazines and puzzles book before a certain time of day like before breakfast or lunch comes. 4. Client understands and verbalizes the improvement in her health rather than her initial diagnosis. 5.Client makes plans to rival with family and friends every one or two week as per everyone convenience. 6. Client keeps herself occupied either by reading books, watching TV, listening to music or knitting etc. References (Day,R. A. , Paul, P. ,Willaims, B. , Smeltzer, S. C. , Bare, B. (2010). Textbook of Canadian Medical-Surgical Nursing (pp. 982-983). Williams & Wilkins. White, L. (2005). Foundations of nursing. Australia United States Clifton Park, NY Delmar Learning. Carpenito-Moyet, L. J. (2008). Nursing care plans & documentation, nursing diagnoses and collaborative problems. 5 ed. ). Philadelphia, PA Lippincott Williams & Wilkins. Ackley, B. J. , & Ladwig, G. B. (2008 ). Nursing diagnosis handbook An evidence-based guide to planning care (8th ed. ). St. Louis Mosby Elsevier. Kozier, B. , Erb, G. , Berman, A. , Synder, S. , Bouchal, S. R. , & Hirst, S. (2010). Fundamentals of canadian nursing, concepts, process and practice. (2 ed. ). Toronto Pearson Canada. Gulanick, M. , & Myers, J. L. (2010). Nursing care plans, diagnoses, interventions, and outcomes. (7 ed. ). PA Mosby.