Free Essays on Nursing Process And Implications For Parkisons Disease

Nursing Process and Implications/Teaching Parkinson’s disease In any patient a thoughrough history and assessment is needed. After obtaining this data you will be able to loosely classify the extent/level of Parkinsonism that is being exhibited by the patient. There are five stages; Stage 1: Involvement of one limb, slight change in speech, tremor may be noticed. Small changes also in facial expression, posture, and movement. Stage 2: Two limbs now are involved. Here early postural changes, some social withdrawal, and possible depression are seen. Stage 3: Gait disturbances that are significant and moderate generalized disability. Stage 4: Akinesia (abnormal state of motor and psychic hypoactivity or muscle paralysis), rigidity, and severe disability. Stage 5: Unable to stand or walk even perform any and all activities of daily living are gone. Being able to classify Parkinson patients allows for better and proper nursing and medical care to be given. Knowing where the patient is at, what they have been through, and where they are going next makes it much easier for the nurse or caregiver to set up a plan of care. While there are good medications on the market for Parkinson’s disease, their side effects can be less than desirable. Simple nursing interventions/implications can help relieve or make the side effects more tolerable. For dry mouth, offer sugarless candy or gum, ice, sips of water frequently, and enforce good oral hygiene. For blurred vision, explain to the patient that it will more than likely go away after a few weeks. Also assist the patient with activity that good vision is needed. Constipation can be a problem, so encouraging a high fiber diet and lots of water (if not contraindicated) is a good move. Constantly assess and reassess for abdominal distention, absent bowel sounds, nausea and vomiting, and epigastric pain. All of this could point toward paralytic il... Free Essays on Nursing Process And Implications For Parkison's Disease Free Essays on Nursing Process And Implications For Parkison's Disease Nursing Process and Implications/Teaching Parkinson’s disease In any patient a thoughrough history and assessment is needed. After obtaining this data you will be able to loosely classify the extent/level of Parkinsonism that is being exhibited by the patient. There are five stages; Stage 1: Involvement of one limb, slight change in speech, tremor may be noticed. Small changes also in facial expression, posture, and movement. Stage 2: Two limbs now are involved. Here early postural changes, some social withdrawal, and possible depression are seen. Stage 3: Gait disturbances that are significant and moderate generalized disability. Stage 4: Akinesia (abnormal state of motor and psychic hypoactivity or muscle paralysis), rigidity, and severe disability. Stage 5: Unable to stand or walk even perform any and all activities of daily living are gone. Being able to classify Parkinson patients allows for better and proper nursing and medical care to be given. Knowing where the patient is at, what they have been through, and where they are going next makes it much easier for the nurse or caregiver to set up a plan of care. While there are good medications on the market for Parkinson’s disease, their side effects can be less than desirable. Simple nursing interventions/implications can help relieve or make the side effects more tolerable. For dry mouth, offer sugarless candy or gum, ice, sips of water frequently, and enforce good oral hygiene. For blurred vision, explain to the patient that it will more than likely go away after a few weeks. Also assist the patient with activity that good vision is needed. Constipation can be a problem, so encouraging a high fiber diet and lots of water (if not contraindicated) is a good move. Constantly assess and reassess for abdominal distention, absent bowel sounds, nausea and vomiting, and epigastric pain. All of this could point toward paralytic il...

How to Make Water From Hydrogen and Oxygen

How to Make Water From Hydrogen and Oxygen Water is the common name for dihydrogen monoxide or H2O. The molecule is produced from numerous chemical reactions, including the synthesis reaction from its elements, hydrogen, and oxygen. The balanced chemical equation for the reaction is: 2 H2 O2 → 2 H2O How to Make Water In theory, its easy to make water from hydrogen gas and oxygen gas. Mix the two gases together, add a spark or sufficient heat to provide the activation energy to start the reaction, and presto- instant water. Merely mixing the two gases at room temperature, however, wont do anything, like hydrogen and oxygen molecules in the air dont spontaneously form water. Energy must be supplied to break the covalent bonds that hold H2 and O2Â  molecules together. The hydrogen cations and oxygen anions are then free to react with each other, which they do because of their electronegativity differences. When the chemical bonds re-form to make water, additional energy is released, which propagates the reaction. The net reaction is highly exothermic, meaning a reaction that is accompanied by the release of heat. Two Demonstrations One common chemistry demonstration is to fill a small balloon with hydrogen and oxygen and to touch the balloon- from a distance and behind a safety shield- with a burning splint. A safer variation is to fill a balloon with hydrogen gas and to ignite the balloon in the air. The limited oxygen in the air reacts to form water but in a more controlled reaction. Yet another easy demonstration is to bubble hydrogen into soapy water to form hydrogen gas bubbles. The bubbles float because they are lighter than air. A long-handled lighter or burning splint at the end of a meter stick can be used to ignite them to form water. You can use hydrogen from a compressed gas tank or from any of several chemical reactions (e.g., reacting acid with metal). However you do the reaction, its best to wear ear protection and maintain a safe distance from the reaction. Start small, so that you know what to expect. Understanding the Reaction French chemist Antoine Laurent Lavoisier named hydrogen, Greek for water-forming, based on its reaction with oxygen, another element Lavoisier named, meaning acid-producer. Lavoisier was fascinated by combustion reactions. He devised an apparatus to form water from hydrogen and oxygen to observe the reaction. Essentially, his setup employed two bell jars- one for hydrogen and one for oxygen- that fed into a separate container. A sparking mechanism initiated the reaction, forming water. You can construct an apparatus the same way as long as you are careful to control the flow rate of oxygen and hydrogen so that you dont try to form too much water at once. You also should use a heat- and shock-resistant container. Role of Oxygen While other scientists of the time were familiar with the process of forming water from hydrogen and oxygen, Lavoisier discovered the role of oxygen in combustion. His studies eventually disproved the phlogiston theory, which had proposed that a fire-like element called phlogiston was released from matter during combustion. Lavoisier showed that a gas must have mass for combustion to occur and that the mass was conserved following the reaction. Reacting hydrogen and oxygen to produce water was an excellent oxidation reaction to study because nearly all the mass of water comes from oxygen. Why We Cant Just Make Water? A 2006 report by the United Nations estimated that 20 percent of people on the planet dont have access to clean drinking water. If its so hard to purify water or desalinate sea water, you might be wondering why we dont just make water from its elements. The reason? In a word- BOOM! Reacting hydrogen and oxygen is basically burning hydrogen gas, except rather than using the limited amount of oxygen in the air, youre feeding the fire. During combustion, oxygen is added to a molecule, which produces water in this reaction. Combustion also releases a lot of energy. Heat and light are produced so quickly that a shock wave expands outward. Basically, you have an explosion. The more water you make at once, the bigger the explosion. It works for launching rockets, but youve seen videos where that went horribly wrong. The Hindenburg explosion is another example of what happens when a lot of hydrogen and oxygen get together. So, we can make water from hydrogen and oxygen, and chemists and educators often do- in small quantities. Its not practical to use the method on a large scale because of the risks and because its much more expensive to purify hydrogen and oxygen to feed the reaction than it is to make water using other methods, to purify contaminated water, or to condense water vapor from the air.

Selection methods in recruitment Essay Example | Topics and Well Written Essays - 2500 words

Selection methods in recruitment - Essay Example This essay discusses that the selection of personnel and assessment activities are some of the integral parts of organizational existence. The economic climate and global business environment have witnessed a dynamic increase in the rates of staff turnovers and the consequent reorganization of organizational structures along with the eradication of the traditional concept of ‘job for life’. Consequently there has been an increase in pressure to fill up the vacant positions in the organization with the most appropriately skilled personnel. Additionally the quality of human resources recruited in organizations and their fitness with the structures and processes in the organization also account for the competitive strength of these organizations. The decisions about selecting a candidate and classifying applicants according to the predictions about their work behaviours in future are becoming increasingly critical. There are ample methods and procedures before a company for selecting candidates or making promotion decisions about their employees. Different kinds of assessment techniques are also at their disposal. However, these techniques are commonly seen to fail in the long run. It is seen that there is either a mismatch of skills, or work behaviours different from that expected or even an increase in the staff turnover, depicting a failure of the selection or assessments methods employed for recruiting them. Extensive research has been conducted to trace the reasons for such failures and the ways to eliminate them. However, it is seen that despite the low accuracy of such selection techniques in predicting job performance firms continue to employ them and they remain widely used in today’s organizational scenario. The present assignment seeks to bring forth the reasons why they continue to be popular modes of selection in organizations despite their high failures. It also presents an evaluation of the other selection methods used in organiz ations. Selection Methods in Recruitment The common modes of section in organizations are interviews, bio data, structured interviews, psychological tests, assessments centres etc. Along with skill testing to analyse the fitness of a personal in a particular job, personality tests are also conducted for evaluating heir behavioural fit into the culture of the organization. With the advent of technology and the wide use of the internet, organizations have been increasing undertaking online tests for evaluation of candidates. Interviews are the most common practice of validating tools and skills of candidates to examine how relevant they are and how well they can predict the subsequent performance of the candidate in the organization. Even though the job relatedness of the conventional selection techniques does not follow any particular pattern and are considered to be low they are widely used in organizations despite the fact they are considerably unreliable, subjective and invalid. W hile the necessity of interviews in some form or the other is accepted in organizations, there emerge questions over its validity and reliability when a firm relies on it completely. One explanation which had been forwarded by researchers is that different interviewers assess candidates different and such irrelevant aspects such as race, sex, appearance, age are given prominence which introduces biasness in the way interviewer evaluate the candidate. Structured interviews conventionally include questions which are developed though a form of job analysis which consequently limits the subjectivity of the assessment. Conducted through standardised procedures structured interviews brings a direct link between the content of the interview and success of the job. However, despite having a high degree of validity and relatedness structured interv

The current extended interpretation of the Commerce Clause Research Paper

The current extended interpretation of the Commerce Clause - Research Paper Example There is little doubt that the conventional and accepted common meaning of commerce both in common discourse as well as in legal language, was mercantile trade and the additionally associated activities (Natelson & Kopel, 2011). There are at least four possible interpretations which have been proposed in interpretation of the Commercial Clause (Scheb & Stephens, 2007, pg. 100). First it has been advocated that the clause bestows upon the Congress the absolute power to control commerce. Under this construal, states are deprived off power to check interstate commerce. Secondly, it has been interprated that theclause gives Congress and the states contemporaneous powers to regulate commerce. Under this interpretation, state regulation of commerce is unenforceable only in cases where it is pre-empted by federal laws (Exploring Constitutional Conflicts, 2011). Third, the Commerce Clause has been interpreted to imply that both the congress and the states each have their own mutually exclusive zones of regulatory power. Under this construal, it becomes the responsibility of the judicial system to determine whether one sovereign has invaded the exclusive regulatory zone of the other. The last interpretation that has been advanced is that the clause by its own force dissociates states the power to regulate commerce in certain ways, but both the Congress and States retain coexisting power to control commerce in many other respects. This forth interpretation, is a complicated and convoluted hybrid of two others, and it is the approach employed by the courts in their decision while interpreting the commerce clause. According to Marshall (Kommers, Finn, & Jacobsohn, 2004, pg. 301), as long as any aspect of commerce implicated or involved more than one state, such as transportation or the exchange of commodities across state lines, congress may regulate it. The power to regulate, however, is equally broad. He added, this power, like all others

The Shape of a Hydrograph Essay Example for Free

The Shape of a Hydrograph Essay The shape of the hydrograph varies according to a number of controlling factors in the drainage basin A number of factors (known as drainage basin controls) influence the way in which a river responds to precipitation and have an effect on the shape of the hydrograph. The size, shape and relief of the basin are important controls. Water takes longer to reach the trunk stream in a large, round basin than in does in a small, narrow one Where gradients are steep, water runs off faster, reaches the river more quickly and causes a steep rising limb. Prolonged heavy rain causes more overland flow than light drizzly rain. Different river catchments produce different shapes of hydrograph. A flashy hydrograph has a short lag time, high peak discharge, and steep rising and falling limbs; a damped hydrograph is the opposite. Urban development is likely to make a river catchment more flashy and prone to flooding, because of rapid runoff from impermeable tarmac surfaces into streams. Hello MAtthew The shape of a hydrograph changes according to a number of controlling factors in the drainage basin. An example is if there is a steeper gradient on the surface at which the water is running of it means that the water runs off faster and eaches the river quicker and causes a steep rise on the graph like on the Hydrograph of River Secton there is lots of discharge, compared to the River Dorth hydrograph at which the slope on the graph is shallower meaning that the surface is gentler. Also areas of permeable rocks and soil allow more infiltration to and so there is less surface runoff which means that the shape of the graph may change. The climate may change the shape of the graph as there is more likely to be more rainfall in winter than in the summer so the shape will be slightly different

Othello :: essays research papers fc

Emotional Destruction The tragedy Othello, was written in a time of great racial tensions in England. According to Eldred Jones, in 1600 just three years before Othello was written, Queen Elizabeth proclaimed an order for the transportation of all "negars and blackmoores" out of the country . It is in this manner that Shakespeare began the masterpiece of Othello, a drama about a noble black Arab general, Othello, who falls in love with and marries, Desdemona, a young white daughter of a senator. In the tragedy not only is Othello susceptible to weaknesses but so is every major character . The tragedy reminds humans that even one’s good nature can be taken advantage of for the worse. In Shakespeare’s Othello, characters are strongly affected by their influential emotions of love, jealousy, and hate which ultimately lead to chaos and tragedy in the end. All the relationships in the play demonstrate the vulnerability involved with love. Each of the relationships in Othello portrays insecurities in each person, except Iago. In fact, all of the relationships with one character, Iago, are focused around him and his devilish plot for the demise of Othello. However, most of the relationships in Othello bring about unintentional frustrations and vulnerabilities. The marriages in Othello are the most important relationships involving vulnerability because they bring out the best hopes and attitudes, and the worst fears and emotions in each character. Shakespeare, in designing Othello’s marriage to Desdemona, shows that although one can truly love a person, the need for human control can destroy any relationship causing heartbreak. From the very beginning, Othello faces a dilemma of vulnerability because of his marriage. In his essay, Eldred Jones has concluded with this by stating that Othello made himself available to public criticism and assaults on his character by marrying a young white girl. Furthermore, the couple’s constant struggle over power and control makes them susceptible to destruction of their happiness. Othello seeks complete control over his wife, Desdemona: â€Å"O curse of marriage. That we can call these delicate creatures ours, And not their appetites! I had rather be a toad And live upon the vapour of a dungeon. Then keep a corner in the thing I love†(61). Othello is clearly showing that he sees Desdemona’s love, faithfulness and submissions as criteria for his manhood. His feelings demonstrate how vulnerable people can become in putting their self-value in another person. Shakespeare, in developing the power struggle of Othello’s marriage, reminds the audience that to control a person fully only brings about turmoil. Love is the most powerful emotion and ironically the emotion that leads to the most

Reaction paper to malampaya fund

When I'm reading articles, facts, and history about this, I was surprised with 137. 8 billion pesos estimated fund collected annually with this project. In reality with this capital, we can build another oil industry and various projects to manipulate this asset which primarily based on research that Philippines are rich in natural resources. When we overcome this proper usage, manipulation, development and strengthening the force of our country that we may be not able to bully by other states and get this place which are capable to make our country powerful than them.If this so, Philippines have the capabilities to pace with other countries also focuses on producing oil and other natural resources found in their area. But what happen? It goes to the pockets of the corrupt government officials instead it is for the development of the country. But there's nothing new about it. What was the road were taking in? Is this the track that they promised with their sweet words? Or if will und erstand this at present, promises are really made to be broken.We lack of ability of manipulation of the things that we really owned. When I'm writing this reaction paper, I feel so bad not only to those public officials but also to those who have the right to suffrage, still we choose who are popular, good-looking without dedication and accountability. As a public administration student, starting now I will think what's good for the country than filling my own pocket coming from the taxes earned through hard work of every citizen. Our country needs us.