A needs orientated approach to care The WritePass Journal

A needs orientated approach to care Introduction A needs orientated approach to care IntroductionAssessmentPlanningImplementationEvaluationConclusionReference listRelated Introduction The aims of this assignment are to provide a needs orientated approach to care using a nursing model alongside a nursing process in order to create a framework. The nursing model for the purpose of the assignment will be Roper, Logan and Tierney (RLT). A nursing model is used to determine what is important and relevant to providing individualized care (Barrett, Wilson, Woollands 2009). This will be discussed in detail providing evidence of strengths and weaknesses of the model. The nursing process that will be discussed will be APIE which is assess, plan, implement and evaluate. A nursing process is a systematic approach which focuses on each patient as an individual ensuring that the patients holistic needs are taken into consideration. These include physical, social, psychological, cultural and environmental factors. . The nursing process is a problem solving framework for planning and delivering nursing care to patients and their families (Atkinson and Murray 1995). When used coll aboratively the nursing model and the nursing process should provide a plan of care that considers the patient holistically rather than just focusing on their medical diagnosis (Moseby’s 2009). It will also discuss an example of a care plan done for a fictional patient and evaluate and discuss how the nursing plan and the nursing process have created a plan of care and how effective this was or was not. Care planning is a highly skilled process used in all healthcare settings which aims to ensure that the best possible care is given to each patient.   The Nursing and Midwifery council state that care planning is only to be undertaken by qualified staff or by students under supervision. The Department of health (2009) says that â€Å"Personalized care planning is about addressing an individual’s full range of needs, taking into account their health, personal, social, economic, educational, mental health, ethinic and cultural background and circumstances† with the aim of returning the patient to their previous state before they became ill and were hospitalized considering all of these needs to provide patient centered care. It recognizes that there are other issues in addition to medical needs that can impact on a person’s total health and well being’.It provides a written record accessible to all health professionals where all nursing interventions can b e documented. Care planning is extremely important as it enables all staff involved in the care to have access to relevant information about the patients current medical problems and how this affecting them in relation to the 12 activities of living as well as any previous medical history. Barrett et al (2009) state that taking care of an individuals needs is a professional, legal and ethical requirement. There are many different nursing models all of which have strengths and weaknesses and its up to the nurse to choose the right one for individual patient, the model which is used will vary between different speciailties depending on which is more relevant to the patient and their illness and needs. Although a vast majority of hospitals now use pre-printed care plans it is important to remember that not all the questions on them will be relevant to all patients. An example of this would be that activity of breathing may not have any impact on a healthy young adult be would be a majo r factor for an elderly man with COPD. There are four stages to the nursing process which are Assess, plan, implement and evaluate (APIE) but Barrett et al state that there should be six stages to include systematic nursing diagnosis and recheck (ASPIRE)   as although they are included in the nursing process they are not separate stages and could be overlooked.(Barrett et al 2009). It is important that a nursing process is used and it is set out in a logical order, the way in that the nurse would think this helps minimize omissions or mistakes. Roper, Logan and Tierney model of nursing suggests that there are five interrelated concepts which need to be taken into consideration when planning and implementing care which are activities of living, lifespan, dependence/independence continuum, factors influencing activities of living and individuality in living (Roper, Logan and Tierney 2008). Assessment Assessment is fundamental to gaining all the information required about the patient in order to give the best possible care. â€Å"Assessment is extremely important because it provides the scientific basis for a complete nursing care plan† (Moseby’s 2009). The initial assessment untaken by nurses is to gather information regarding the patients needs but this is only the beginning of assessing as the holistic needs of the patient including physical, physiological, spiritual, social, economic and environmental needs to be taken into consideration in order to deliver appropriate individualized care (Roper, Logan and Tierney 2008). When using the 12 activities of living (ALs) for assessment it gives a list a basic information required but must not just be used as a list as the patient will respond better to questions asked in an informal manner and when just part of the general conversation. RLT (2008) state that although every AL is important some are more important than o ther and this can vary between patients. It is important for nurses to obtain appropriate information through both verbal and non-verbal conversation patients are more likely to give correct information but without jumping to conclusions or putting words into their mouths. ‘Assessment is the cornerstone on which a patients care is planned, implemented and evaluated (RLT 2008). â€Å"Poor or incomplete assessment subsequently leads to poor care planning and implementation of the care plan† (Sutcliffe 1990). Information can be gained from the patient, the patients family and friends as well as any health records (Peate I, 2010) During this process of gathering information it is important to find out what the patient can do as well as what they cant. , McCormack, Manley and Garbett (2004) state that gathering the information requires a certain kind of relationship between the nurse and the patient and nurses need to be able to communicate effectively in order to be able to build this relationship.   A full assessment needs to consider how the patient was before they became ill or hospitalized in relation to their medical diagnosis as well as how the patient was dealing with it, how they are now, what is the change or difference if any, do they know what is causing the change, what if anything they are doing about it, do they have any resources now or have they have in the past to deal with the problem (barrett et al). RLT (2008) state that there are 5 factors that influence the 12 activities of living which are biological, psychological, sociocultural, environmental and politicoeconomic, these may not all have an effect on each patient but all need to be taken into consideration.The more information gained in the assessment process the easier the other steps will follow. RLT (2008) suggest that assessing is a continuous process and that further information will be obtained through observations and within the course of nursing the patient. At the end of the initial assessment the nurse should to identify the problems that the patient has. There are limitations to using a nursing process which are   the 12 als are often used as a list as part of a core care plan and are not always individualized Walsh (1998) argues that the 12 activities of living may just be used as a list which could result in vital information being missed which could be detrimental to the patient. The Nursing and Midwifery Council (NMC 2008) states a nurse is personally and professionally accountable for actions and omissions in practice and any decisions made must always be justifiable. There are many benefits to using a nursing process it is patient centered and enables individualized care for each patient. It also gives patients input into their own care and gives them a greater sense of control it is outcome focused using subjective and objective information which helps and encourages evaluation of the care given. It also minimizes any errors and omissions. When I carried out the assessing stage on mabel I did this using the 12 activities of living as suggested by Roper et al (2008) but this was used too much like a checklist. I didn’t gather enough information in order to be able to do the best plan of care possible for her although I don’t feel this could have been detrimental to the care she received it needed more information than I had. I also found it difficult deciding which information should go where so I endened up repeating information in more than one of the 12 als, Which although this wouldn’t have made a difference to the planning of the care plan there was too much irrelevant information which could mean that it wasn’t read thoroughly just skimmed over as it would take too much time. As I am inexperienced in doing this I realized when writing the care plan that there were many questions that I didn’t ask so there where many parts that could not be filled in. I also didn’t gather e nough objective data for certain parts so I didn’t have   any evidence that the care had worked or how effective it had been. This is where Barrett et al (2009) state that there should be a systematic nursing diagnosis where nurses establish a nursing diagnosis rather than just a medical diagnosis. This is where the holistic needs of a patient are taken into consideration. Although nursing diagnosis differs from a medical diagnosis the two do interlink but a nursing diagnosis considers the physical, psychological and spiritual aspects of the medical diagnosis and problems that may arise from these. Another part of the systematic nursing diagnosis is to provide baselines to state where the patients are at at the present time so that a needs statement can be written in conjunction with the patient in terminology that they can understand(Barrett et al 2009). Planning The next stage of the nursing process is planning this is where all the information gained in the assessment part to plan the care of the patient. The planning stage of the process is where achievable goals need to be made through discussion with care givers and the patient or the patients representative. These goals need to contain both subjective goals and objective goals in order for them to be measurable and evaluated. The plan of care is to solve the actual problems the patient has and to prevent potential problems from becoming actual ones. It also aims to help the patient cope with their illness in a positive way and to make them as comfortable and pain free as possible (RLT 2008). Planning needs to be totally individualized and patient centered they need to feel they have a voice and part of the team. The more information gathered in assessment the easier the plan of care will be. The main objective of a nursing plan is to ‘provide the information on which systematic, i ndividualized nursing can be based and individualized nursing can be based and implemented by any nurse’ (RLT 2008). Through a detailed individualized plan of care any nurse caring for a particular patient should be able to see exactly what is required of them as all the information will be recorded in the care plan.   The NMC (2008) says that nursing interventions need to be specific for that particular patient, based on best evidence, measurable and achievable. There are many different criteria for setting goals just one of these is PRODUCT which stands for, Patient centered, recordable, observable and measurable, directive, understandable and clear, credible and time related. This is just meant as a way of helping nurses to set goals (Barrett et al 2009). When planning care a great emphasis needs to be based on the dependence/independence continuum which will have been established in the assessment phase. The care to be given will encourage the patient to get back to as reasonably possible or as close to where they were on the continuum as they were before they were admitted to hospital. Planning also needs to take into account the resources available to implement the care as they need to ensure that the care they are planning is achievable and will not be compromised by lack of resources or a shortage of nursing staff (Roper et al 2008). When I did a plan of care for mabel it quickly became evident how inexperienced I was. I didn’t gather enough information in the assessing period to be able to do an effective plan of care. I also didn’t know how achievable the goals where as I wasn’t aware of how long they would take to improve or if they where achievable or not, I also found it difficult determine which problems were interrelated and as a result tried to link anxiety in with another problem when in fact it was a problem on its own. I was able to write the needs statements effectively that were not long but on a couple of these the influencing factors were missed out which would be necessary when providing holistic care. Planning care for a patient requires a great deal of knowledge in the chosen specialty which is why it must be carried out by a qualified member of staff or a student under supervision. Implementation Implementation is the next part of the nursing process and where all the goals which were set in the planning stage are put into motion and the goals can start to be achieved through nursing and medical interventions. The main component of the implementation stage is the delivery of the care to the patient. This is done with nursing staff, the multidisciplinary team members involved in the patients care such as doctor, dieticians and physiotherapists and the patient themselves in order for the patient to be able to return to how they were previously before they were admitted to hospital. The plan of care will be specific to the particular patient and will focus on the biopsychosocial aspects of the patient (Marriner 1983).Implementation provides great emphasis on individualized care which is why it is important to establish in the previous phases where they are on the dependence/independence continuum and what they are able to do now and what they were able to do before. Individualis ed care is associated with how the patient did things before such as how the person carries out the ALs and how often they carry these out. An example of this would be when carrying out the AL of personal cleansing and dressing to individualise the care it would be necessary to have determined in the assessing stage how the patient usually did this and how often it wouldn’t be individualized if in the care plan it was stated that they got a shower every morning if at home they only did this once a week. Core care plans may be used in certain situations this can provide a greater level of care as potential problems can be foreseen if related to a certain problem on the other hand it is also important not to standardize care as patients react differently to different illnesses and treatment. (Faulkner A, 2000). The NMC (2008) state that nurses are required to ‘Make the care of people your first concern, treating them as individuals and respecting their dignity’. In order to deal with certain problems or situations people often develop coping strategies which can be either adaptive or maladaptive. Adaptive coping strategies are usually helpful to the patient whereas maladaptive ones could be detrimental to their health such as smoking or drinking, the patient may feel this helps them to deal with a present situation but it is actually causing them harm.   Patients need to be discouraged from using maladaptive coping strategies this could be done by introducing them to adaptive coping strategies and encouraging them to change their maladaptive ones into adaptive ones. Diamond (2008) states that there are also legal and ethical issues when it comes to implementing care as consent needs to be gained before any care is implemented and if this is not given the care cannot be given this will obviously have an effect on how effective the care has been when evaluating the care. The Nursing and Midwifery Council (NMC) state in section 3 of the code o f conduct you must obtain consent before you give any treatment or care (2002). During the implementation of Mabel I found that although I was able to implement the care effectively I hadn’t recognized all of the nursing interventions needed to provide holistic care and I wasn’t fully aware of timescales of the planned care. I feel I also needed to research further into Mabel’s problems in order to gain the appropriate knowledge to provide the best care available as this would ensure that are the interventions are evidence based and best practice (NMC 2008). Barrett et el (2008) state that this is where recheck should take place which would enable the health care provider to establish how effective the plan of care is before the treatment ends this would enable them to re-evaluate the plan of care while the treatment is still ongoing and adjust the goals accordingly. Evaluation Evaluation is where the care that has been given can be assessed to evaluate the care given and whether it has worked or not. Chalmers (1986) describe that it is an ongoing and continuous process and also occurs at timed points in a formal setting. Roper et al (2000) say that evaluating care also provides a basis for ongoing assessment, planning and evaluation. There are two different parts to evaluation summative evaluation and formative evaluation. Formative evaluation is done with the patient taking into account whether they feel the care given has worked when done with consideration of the dependence/independence continuum information regarding the patients previous place on the dependence/independence continuum can be obtained from the patient, their friends and relatives as well as other health care professionals in the multidisciplinary team involved in the care of the patient. Summative evaluation is when the holistic view of the patient is taken into consideration how they feel about the treatment, whether they felt that the goals were achievable. It so where all the measureable data stated in the baselines and data received after this time are analyzed to show how effective or not the treatment has been. When evaluating care consideration needs to be given to the influencing factors such as biological factors as the bodies physical ability varies according to age the physical ability of an older person is generally less efficient, therefore therefore the plan of care needs to take this into consideration so that when the evaluation takes place it its hoped to have been effective. A nurse needs to evaluate her patient’s status regularly for some patients this will be just once a day but for others it will be much more frequent depending on their illness and healthcare status. RLT (2008) says that evaluation must be individual to the specific patient and not just a standard goal that is related to a specific problem. If goals haven’t been achieved then it is up to the nursing staff to determine why. Maybe the goals set weren’t measureable or achievable. Parsley and Corrigan (1999) say that if goals haven’t been measureable or achievable then new goals need t o be set. It could also be that the nursing interventions were not successful in which case new interventions should be set. Through my evaluation of Mabel it was evident that I did not require all the information to do a comprehensive plan of care. Although I did set baselines which meant I could compare data I wasn’t experienced enough to set goals to the correct timeframe I also didn’t obtain enough measureable information in certain problems to be fully able to assess how effective or ineffective the care had been. Had I had more experience I feel that the evaluation wouldn’t be a problem.   Evaluation requires checking and rechecking in order to see the effectiveness of the care delivered. It requires knowledge and expertise to be able to effectively evaluate and amend the goals and interventions set as necessary. The whole care planning process took me a long time and I still was not very good at certain aspects of it. When setting goals a lot of detailed information is required in order for the plan of care to be effective so I can now understand why it is necessary for a trai ned member of staff to carry out the task. Conclusion This assignment has shown that when used together the nursing process and the nursing model provide a good basis to providing care. It sets out a systematic approach to providing care. Care needs to be set out in a way that both the nurse and the patient know exactly what is happening as well as any other health care professional in the multidisciplinary team providing care for the patient. It has also shown that involving patients in their care enables them to feel they are part of the team and are more likely to help themselves with their care. Reference list Sutcliffe E 1990, Reviewing the process progress. A critical review of literature on the nursing process. Senior Nurse, 10(a), 9-13. Applying the Roper-Logan-Tierney model in practice 2008 Elsevier ltd. Roper N, Logan W, Tierney J (2008) The Roper Logan Tierney model of nursing, Churchill Livingstone:London. Dimond, B. (2008) Legal Aspects of Nursing, 4th ed. Harlow: Pearson Education. Barrett D, Wilson B, Woolands A (2009) Care planning a guide for nurses: Pearson, Essex. Faulkner A (2000) Nursing The reflective approach to adult nursing. Stanley Thornes: Cheltenham. Peate I (2010) Nursing care and the activities of living 2nd ed. Wiley-Blackwell: West Sussex. Yura H, Walsh M (1983) The nursing process: Assessment, Planning, Implementing, Evaluating. Appleton Century: Crofts Norfolk. Cook S (1995) The merits of individualized measures within routine clinical practice. . dh.gov.uk/en/Healthcare/Longtermconditions/DH_093359(2009) (29/04/11 Alfaro R (2002), Applying the nursing process: Promoting collaborative care 5th ed. Lippincott: London. Moseby’s Medical Dictionary (2009), 8th ed, Elsevier. nmc-uk.org/Nurses-and-midwives/Advice-by-topic/A/Advice/Accountability/[Date Accessed 11/04/2011]. McCormack B, Manley K and Garbett R (2004) Practice Development in Nursing, Blackwell Publishing, Oxford. Atkinson L Murray E, (1995), Clinical guide to care planning, McGraw, Oxford. NMC (2002), The NMC code of professional conduct, Nursing and Midwifery Council Publications

Empire of the Sun Essays

Empire of the Sun Essays Empire of the Sun Paper Empire of the Sun Paper Essay Topic: Film Steven Spielbergs film The Empire of the Sun, based on J G Ballards novel, follows the experience of James (Jim) Graham during the siege of Shanghai by the Japanese during the Pacific War of the 1940s. The film utilises a number of cinematographic effects so as to create atmosphere and depth, and successfully reaches viewers emotions. The film successfully employs imagery as a means for creating atmosphere. Throughout the film, underlying parallels can be observed, linking situations to other similar scenarios, which occur earlier in the film. In addition to imagery, music and sound affects are also central to the viewers overall appreciation of this film, and constitute an important part of the overall result. Characterisation, as could be expected, is also important for the viewers understanding of this text. In terms of filmic devices, a particularly important scene from this movie is that of coffins floating along the Yangtze (Yellow) River. This scene, which is accompanied by Suo Gan, involves the depiction of a number of coffins, presumably containing corpses, slowly drifting along the river in Shanghai. Although the viewer cannot be sure that these coffins are in some way connected with traditional custom, the theme of death and a definite end to life, involving the river, and the theme of the river as serving as some form of path towards an alternative existence is revisited, during a later stage of the film. Towards the conclusion of Empire of the Sun, Jim throws a suitcase into the Yangtze, in a symbolic gesture of putting an end to the past and allowing objects indicative of his past life to float along the river, towards an unknown end. The suitcase was another example of a filmic device employed in this movie. Jim often refers to it and appears to treasure its contents as providing some form of proof of his existence prior to his being taken by the Japanese. For Jim, the suitcase represented a link between the frustration of life in the camp and the relative serenity of his past existence. In addition to the underlying themes presented in this movie, cinematic affects also constitute an important part of the films overall ambience and charisma. The image of Jim alone in a deserted house, in an area of Shanghai occupied by expatriate taipans, is important for character development, as well as the development of a level of empathy towards this character on the part of the viewer. Jims relative inability to care for himself, as well as his childish response of taking advantage of his parents absence through riding a bicycle inside the empty house, shows to the viewer something of his vulnerability and innocence. His mad obsession with aeroplanes, which had already been highlighted prior to his parents disappearance, draws even more attention to his innocence and childishness. The frequent repetition and return to themes already explored in the film highlights to the viewer something of the way characters develop in their changed environment. The scene of Jim riding his bicycle indoors is repeated towards the end of this text, as he rides through the deserted rooms of the Japanese war camp. The intention of this scene is perhaps slightly unclear. The director could be attempting to highlight Jims resilience in the face of change and hardship, or perhaps his ability to retain childhood despite the ordeals against which he has come. Jims obsession with aeroplanes is in no way diminished by his experience of the Japanese war camp. He still holds pilots, even from the Japanese forces, in high regard, and this is well emphasized through the inclusion of a mystic sequence, put to the music of Suo Gan. The sequence involves the depiction of a commissioning ceremony for kamikaze pilots. Jim, presumably moved by the solemnity and dignity of the ceremony, sings loudly. The use of camera angles in this sequence is original and successfully highlights to viewers the bizarre yet somehow touching significance of the sequence. The symbolism of the red setting sun as the kamikaze pilots fly towards the horizon could be seen as being indicative of the looming sunset on Japanese Imperialism. The mystic sequence comes abruptly to an end with an American air raid on the prison camp. The scenes of devastation which follow the air raid, and the exodus of former prisoners flooding from the camp towards a brighter future are well depicted in this film. The particularly memorable usage of camera angles so as to draw attention to the large number of ex-prisoners leaving the camp is successful. Another significant theme of this movie is the confused and sentimental encounter between a Japanese soldier who had befriended Jim during the war and Jim himself. The two meet in the derelict and devastated surrounds of the former prison camp. Now able to show their mutual respect for each other, the Japanese soldier draws his sword, with the intention of assisting Jim is slicing a fruit. Misinterpreting this gesture, the rather hasty and rash figure of Basie, an American who assists Jim during the war, draws his gun and shoots at the Japanese soldier, mortally wounding him. Jim, horrified by this event, attempts to resuscitate the dead Japanese prison guard, whilst repeating I can bring everyone back in a fatigued yet compulsive manner. Throughout the movie one aspect, which could perhaps be improved, is that of dialogue and inter-character relations. Speech between characters is sometimes awkward and incredible. The relations between Basie, Frank and Jim are at times frustratingly badly constructed. At times Jim acts too foolishly and childishly for someone of his age, and this is particularly apparent through his loud outburst upon seeing B51 aeroplanes during an air raid on the prison camp in which he is detained. Mrs. Victor and her partner are sometimes too cold and sterile to be believed, especially as one considers the hardship and adversity faced by these two figures. Jims bizarre ability to be able to tame the anger of the Japanese guards is also hard to believe at times. Dialogue within the British community, as depicted in the commencing scenes of the movie, is well constructed and readily believable. Relations between Jim and his parents are very well depicted. Camera angle and music are especially well employed in the scenes of street life in Shanghai, as well as at the costume party attended by Jamies parents. Filmic devices are, for the most part, well suited for transmitting important themes and successful in achieving a high level of empathy between viewers and characters. In conclusion, director Steven Spielberg successfully uses images, sound, music and dialogue to develop the story line of the film and to create a believable and human atmosphere in this movie.

Anxiety Disorders

As you get up every morning, there is a fear of crossing that day. What happens if you are often concerned? What if there is a spontaneous and uncontrollable panic attack throughout the day? What if you can not control your hand to wash their bloody broken places? What happens if you have anxiety disorder? Anxiety is the most common disease in the United States, affecting 40 million adults over the age of 18; this accounts for 18% of the U.S. population. However, 22.8% of cases were considered as severe anxiety. Anxiety is thought to be an impairment of the shaft, there are five types of anxiety disorder, generalized anxiety disorder, anxiety disorder and panic disorder, phobia, obsessive-compulsive disorder and post-traumatic stress disorder. The definition of post-traumatic stress disorder is as follows. Exposure to trauma, repression, abuse and development of severe situations and anxiety disorders of severe natural and unnatural disasters. Symptoms of post traumatic stress disord er are usually as follows: ... The crowd is anxiety disorder. It is clear that Western anxiety is increasing. Three main factors contribute to this, including treatment and reduction of anxiety in patients receiving education systems, technology, media, criticism. It is worth noting that in recent years it has become more difficult whether the educational system is good or bad in various ways. However, those who tend to be uneasy often go to school There are several types of anxiety disorders such as post - panic disorder, specific phobias, social anxiety disorder, post traumatic stress disorder (PTSD), obsessive compulsive disorder (OCD) and generalized anxiety disorder (GAD). Anxiety disorder, obsessive compulsive disorder, and related disorders, stress related diseases and trauma: The latest diagnosis and mental disorder statistical manual (DSM - 5) destroys anxiety to three categories. This difference suggests that although these diseases are commonly related, they are very diff erent. The six most common forms of anxiety are generalized anxiety disorder, post panic disorder, phobia, social anxiety disorder, obsessive-compulsive disorder and post-traumatic stress disorder. Generalized anxiety disorder (GAD) is characterized by nonspecific living events, excessive concern about subjects and condition. People with GAD are often difficult to identify specific fears and control them. This means that fear is often unreasonable and not proportional to expectation under normal circumstances. Anxiety Disorders Anxiety Disorder Anxiety is a tension associated with dangerous threats when the cause of anxiety is unknown. In contrast, fear is a tension associated with known hazards. I believe that mild anxiety in our daily life is normal. I was a little worried about that day, but everyday I can think about it. Anxiety warns us that we can prepare for response to battle and escape. However, the increase in anxiety hurts emotionally. Anxiety is thought to be an impairment of the shaft, there are five types of anxiety disorder, generalized anxiety disorder, anxiety disorder and panic disorder, phobia, obsessive-compulsive disorder and post-traumatic stress disorder. The definition of post-traumatic stress disorder is as follows. Exposure to trauma, repression, abuse and development of severe situations and anxiety disorders of severe natural and unnatural disasters. Symptoms of post traumatic stress disorder are usually as follows: ... The crowd is anxiety disorder. It is clear that Western anxi ety is increasing. Three main factors contribute to this, including treatment and reduction of anxiety in patients receiving education systems, technology, media, criticism. It is worth noting that in recent years it has become more difficult whether the educational system is good or bad in various ways. However, those who tend to be uneasy often go to school There are several types of anxiety disorders such as post - panic disorder, specific phobias, social anxiety disorder, post traumatic stress disorder (PTSD), obsessive compulsive disorder (OCD) and generalized anxiety disorder (GAD). Anxiety disorder, obsessive compulsive disorder, and related disorders, stress related diseases and trauma: The latest diagnosis and mental disorder statistical manual (DSM - 5) destroys anxiety to three categories. This difference suggests that although these diseases are commonly related, they are very different.

Critique Essay Example | Topics and Well Written Essays - 1000 words - 6

Critique - Essay Example The authors are looking forward to the best possible outcomes of regulation and taxation of marijuana; in short, they talk about issues on legalization. Marijuana has become illegal because the government together with its law prohibits it in the first place. The authors define marijuana to be legal when it is already regulated by the government and so potential tax must be obtained out from it. The authors look forward to this as for the sole purpose of funding the government’s drug and law enforcement activities with the collected tax. Furthermore, they assume that this will potentially decrease marijuana’s level of consumption, as its price will surge up high as an upshot of taxation activity. Furthermore, the authors define the legalization of marijuana by supplementing it with the assumption or circumstance that is associated with its prohibition. The authors simply are trying to point out the assumption that legalizing marijuana will remarkably address gang crimes and violence that are associated with its distribution and usage. This would require substantial proofs in the first place which the authors unfortunately fail to elaborately discuss in their argument. Conversely, one of the probable strengths of the authors’ argument is its being positive about the subject matter especially on the cost and crime control. In fact, the entire argument is substantially focused on the cost and crime control. Furthermore, the authors talk about the practicality in dealing with marijuana usage and distribution concerns. They bring out the entire issue to be highly associated with the prevailing crimes that relate with marijuana usage and distribution. The authors are making the best of this opportunity to convince the public and policy makers with their stand by integrating into their arguments some important knowledge that comes from their areas of expertise. By profession, the authors are internal medicine specialist and police officer. It is therefore

Vaccinating cattle against E.coli could cut human cases of infections Article

Vaccinating cattle against E.coli could cut human cases of infections by 85 percent - Article Example When the excretion from the cattle contain high percentage of the bacteria, the infection becomes significant. Nevertheless, there are vaccines, which reduce super-shedding in cattle. The findings of the study were that the vaccination of the cattle is likely to reduce human cases by approximately 85 percent. This is a strong figure supporting the adoption of the vaccine by livestock industries. Various countries like Scotland have engaged in research to establish an economic program for similar vaccination programmes. The aim of these countries is to develop more effective vaccines, which will reduce the impact of the bacterium on human life. Treating the cattle to cut down the number of human infection is justifiable, but there is need to put more effort in implementing the program and meeting the costs of the program. Public health has to be taken seriously to achieve this perspective. The hypothesis of the article was supported because nations across the world are responding positively to the implementation of the program. For instance, Scotland tackles an average of 235 culture positive cases of infections resulting from E.coli. This application continues to be extended to various nations for adoption. For example, the vaccine has been taken up in US. A version in US is not fully licensed yet the authority insists that veterinary medicines must indicate the improvement of human health. Louis, Matthews, Reeve, George, Gally, David L. Low, C. Woolhouse, Mark, McAteer, S. P. Locking, M. E. Chase-Topping, Margo, Haydon, Daniel, Allison, L. J. Hanson, G. Gunn, Joshua, and Reid, S. â€Å"Predicting the public health benefit of vaccinating cattle against Escherichia coli O157†. Proceedings of the National Academy of Sciences, 2013; DOI:

Paul Van Dyke Concert Critique Essay Example | Topics and Well Written Essays - 750 words

Paul Van Dyke Concert Critique - Essay Example The costumes of the artist are a black shirt and black trouser. The staging of the singer is on a podium. The shooting of the video makes him appear to be moving across the podium from left to right and vice versa. A large part of the song mixes music, light, and motion using electrical control. The musicians were well prepared since the song achieved all the musical elements and styles in an efficient manner. The song is quite entertaining and has a message too. This is evidence that the musicians had a good command to the instruments (Ann 103). The song acted as an informative device to me. It made me feel the different and contrasting situations that humans undergo just because of the existing difference in time (Ann 98). The vocal style of the song is a soft one, which is not easy to understand. The next song is â€Å"the other side.† The song is categorized under the electronic dance music. The song has employed instruments such as guitar, drums, and piano. The vocal style used in the song is a soft one, and is easy to comprehend and interpret, with relevance to the video. Analyzed and interpreted, it is a political song showing the necessity of a good relationship between the top leading politicians in a given society and their subjects within the same society. The rhythm of the song is a complex one since there more than one rhythms in the song. It is easy for a dancer to get lost while listening. The song has a strong beat which changes in pitch and speed throughout the song. The tempo of the song is a medium a fast one. The costumes of the singer is a uniform black, both shirt and trouser. Other characters are in white attire. Considering the song’s choreography, there is no dancing on the performance of the song as the entire song takes place in the house of an old man. It looks like a story, in the making. The song was performed on a concert in New York. The musicians were not well prepared as there were difficulties hearing their voices. The instruments were high in volume submerging the performer’s voices. The lighting was red, in color making the background of the show appear red. The performers had a good command of music. Like other audiences, the song made me feel bad about the political system in our nation, where the top leaders behave like totalitarians towards their poor subjects. â€Å"Crush† is another song done by Dyke. There is the use of guitar, saxophones, trumpet, and drums in the song. It is electronic dance music. It is also classified under classical music. The vocal style is shouted, as there is a rising and falling of tones within the performance. The words or lyrics are difficult to understand. The core message

Nursing Profession in Australia Essay Example | Topics and Well Written Essays - 1500 words

Nursing Profession in Australia - Essay Example In 1856, she pressed the need for better hygiene conditions in all military hospitals of U.K. On her insistence, Royal Commission on the Health of the Army was established. It was in 1860 when the Nightingale Training School was established on two basic principles; first, that nurses should get training in hospitals and second was that nurses should live in a home devoted to discipline and moral life. Through this school, Nightingale transformed nursing from its disreputable past to a respectable career for all. (Florence Nightingale)Nursing Profession in AustraliaIt was in 1902, that the Australian Army Nursing Service was formed and since then more than 6,700 nurses have served not only in two world wars but in the wars of Korean, Vietnam, and the Gulf wars. (South Australians†¦)Before World War II, the training and education of nurses in Australia was modelled on apprenticeship.   Students got selected on the basis of their moral and educational standards. Students were not charged for lodging, boarding or for vocational training. After completion of the training they were supposed to provide the services to the hospital. Students used to gain valuable experience under the supervision of the 'Ward Sister' in different areas. Ward Sisters were trained and qualified nurses and capable to train student nurses. The system was known as 'Nightingale System’ and got established so firmly that it remained unchanged for several decades. (National Review†¦)... (South Australians†¦) Before World War II, the training and education of nurses in Australia was modelled on apprenticeship. Students got selected on the basis of their moral and educational standards. Students were not charged for lodging, boarding or for vocational training. After completion of the training they were supposed to provide the services to the hospital. Students used to gain valuable experience under the supervision of the 'Ward Sister' in different areas. Ward Sisters were trained and qualified nurses and capable to train student nurses. The system was known as 'Nightingale System’ and got established so firmly that it remained unchanged for several decades. (National Review†¦) Another era of nursing is said to have started from 1943 that remained until 1984.That started with the pressure on old system of training. Recurring shortages of nurses was due to resignation of many practicing nurses and also due to high dropout ratio among nurses under train ing. The reasons were mainly status of nursing, their wages, and work conditions. In 1943, the Kelly committee suggested various measures to improve the status of nurses and the complete overhauling of the training of nurses. The committee further suggested to appoint sister tutors and sister instructors to all training schools at the postgraduate level and to establish a College of Nursing. (National Review†¦) Subsequently, almost 25 years later in 1967, the Institute of Hospital Matrons of New South Wales along with Australian Capital Territory came forward to appoint a Committee to look into the various aspects of nursing. The report emphasised to prepare for training on nursing