Wednesday, December 25, 2019

Short Story Of A New House - 1238 Words

People started running around frantic making sure that the new future Ashby wives had everything they would need or want once they were brought into their new house. Housemaster Vaughn is said to arrive in less than an hour with the three girls who were rescued out of their miserable lives to be brought into this house that we’ve all called home for most of our lives. All I can think about is this house having something new brought in to change it up a bit. The past couple of weeks the house has been filled with sadness because of Rose getting sicker and sicker, so all we need is something to help take our minds off of it. While we’re finishing filling the rooms with clothes, bedding, and all the makeup and bath supplies the girls would†¦show more content†¦She wakes up in a daze and so sick that she vomits on the red carpet next to her bed. I start to begin cleaning up her mess and try to reassure her that shes okay. When she responds her voice is raspy from n ot talking for the last few days, but despite the sound her voice is making, she clears it out by talking even more and asking many questions to get an understanding on whats going on. As I sit and answer her questions, I look up at her a notice something very different about her. This girl has two different colored eyes! How unique! I could stare into her eyes all day and not get bored. The girl barely seems to notice that my eyes havent strayed away from hers since I noticed her different colored eyes, but instead she starts to act like she might break down and cry because of how overwhelming everything must be. I get up and leave quietly and swiftly without even introducing myself to her. That same day as I was helping out the kitchen when I heard an attendant say that Rose wasnt feeling well again. â€Å"Here we go again† I say to the chef beside me. This is a recurring problem everyday. Rose feels sick, and we drown her in medicine to make sure she lives another day. Jus t as Im headed to rose’s room I run into Rhine outside of her room. Shes not supposed to be out so I quickly tell her to run back into her room before she gets caught. The last thing I want is to have her get inShow MoreRelatedBen Loory s Career As A Writer1498 Words   |  6 PagesDover, New Jersey, Loory now resides in Los Angeles, California. Loory graduated from Harvard University in 1993, where he concentrated on visual and environmental studies. After graduating from Harvard, he attended the American Film Institute in LA, and received an MFA in screenwriting. Loory worked as a screenwriter for six years. As a screenwriter, Loory worked under numerous successful writers, including Jodie Foster, Alex Proyas, and Mark Johnson. â€Å"Screenwriting taught me to focus on story, toRead MoreLeaving The Yellow House By Saul Bellow1642 Words   |  7 PagesSaul Bellow wrote many novels; one of his novels â€Å"Leaving the Yellow House† is about an elder woman who lives in a yellow house and is incapable to take care of herself. Her neighbors tell her that they will help her only in return for her house. The Rolfe’s are the only neighbors that really care about Hattie and do not want her house in return. â€Å"Leaving the Yellow House† was one of Saul Bellow’s most known short story. When Bellow was young he was hospitalized for a while. The time he spent inRead MoreMount Pleeasant1091 Words   |  5 Pagesexperience a lot of new things – you play, go out and see things, experience something new and just having a good time - do whatever you want, even though your parents doesn’t always approve to go out and play and get dirty with your friends. When you are a child, you have a great imagination and a big fantasy. Some children tend to live in a fantasy world, where everything is about having fun, get dirty and just having a good time. We read about all of this, in the short story â€Å"Mount Pleasant†, thatRead MoreAnalysis Of Ray Bradbury And Ursula Le Guin1385 Words   |  6 Pagessuffering that the protagonist, the â€Å"smart house†, undergoes. Ursula Le Guin utilizes diction and the rhetorical mode of pathos to demonstrate the society’s dependency on the life of a young, hopeless boy. Through the authors’ use of diction, personification, and the rhetorical mode of pathos, readers can view both short stories in a new criticism lense and juxtapose two societies that feature a suffering aspect in each story.   Ã‚  Ã‚   In Ray Bradbury’s short story, â€Å" August 2026: There Will Come Soft Rains†Read MoreEdgar Allan Poe Essay examples692 Words   |  3 PagesShort Stories + Terror = Poe American Romanticism brought a new era to America and American literature. Within literature of the Romanticism era came the development of the gothic novel. Edger Allen Poe is one of the well-known gothic authors which arose from this era. Throughout Poe’s career he wrote many short stories following one theory which he created - that every aspect of a short story should lead to one single effect. For Poe many of his stories have the single effect of terror. In Poe’sRead MoreThe Most Dangerous Game By Rainsford929 Words   |  4 PagesIn the short story The Most Dangerous Game, the tell of a man named Rainsford is set with a very difficult choice. Rainsford is first cast off his yacht. After getting onto the railing to look for where gunshots had come from, and reaching from his falling pipe and losing grip of the pole. When Rainsford then swims towards shore to find blood where a animal ,he thought, had struggled. Rsinsford sees the gothic building on the hill and makes his way to it. When Rainsford reach es the house he knocksRead MoreComparing There Will Come Soft Rains And All Summer In A Day By Ray Bradbury1303 Words   |  6 Pagescritics. Ray Bradbury wrote two short stories composed of his ideals of the future: â€Å"There Will Come Soft Rains† and â€Å"All Summer in a Day. â€Å" Both of these two short stories show a futuristic outlook on life for humans and humanity; although the concepts are expressed differently. â€Å"There Will Come Soft Rains† shows the fate of the human race and the end of humanity. Bradbury describes in this story a house, but, not any ordinary house. This house is a futuristic house that is completely designed toRead MoreTruman Capote Essay1439 Words   |  6 PagesThe short stories of Truman Capote are connected to his childhood experiences in Alabama. Truman capote was an American born writer who wrote non- fiction, short stories, novels and plays. All of his literary works have been per ceived as literary classics. The tones of some of his stories are slightly gothic. His most famous short story is Children on Their Birthdays. His work shows the occasional over writing, the twilit Gothic subject matter, and the masochistic uses of horror traditional in theRead MoreImmigration Trying to Achieve the â€Å"American Dream† Essay1298 Words   |  6 Pagessuccess. In her short stories, Lahiri shows how transitioning into American culture is quite a difficult struggle and might not be what each of the characters might have expected. Within the three short stories Mrs. Sen’s, This Blessed House, and The Third and Final Continent shows a variety of ways the â€Å"American Dream† has come to be and that sometimes trying to achieve this acceptance and dream is harder than it has been made out to be. The short story called Mrs. Sen’s tells the story of an olderRead MoreThe Importance of Traditions in A Rose For Emily and The Boat935 Words   |  4 Pagessub theme in both short stories, A Rose for Emily by William Faulkner and The Boat by Alistair Macleod. In the former, the loss of tradition is seen by Miss Emily losing her way of life in the old South. In the latter, the boat is the tradition for the story. The tradition is lost as outsiders come in and the daughters leave with the effeminate strangers and abandon the community and the cherished way of life of their mother. However, this tradition represented by Emily’s house and the boat gradually

Tuesday, December 17, 2019

Tradition is the Guide of the Ignorant in The Lottery...

Tradition is the Guide of the Ignorant in The Lottery In The Lottery author Shirley Jackson takes us to a place in which a tradition is passed down generation after generation. However, over the years, the lottery has lost any significant meaning and the villagers follow tradition without even knowing why the tradition exists. In this short story, a lottery is held every June 26th of each year. The lottery consists of every man of each household to pick a piece of paper out of a box. One family will be the chosen family, which means that each member of the family will then choose another piece of paper from the box. In the end, only one person will be the ultimate winner. They will be the one who is stoned to death, and†¦show more content†¦Summers had been successful in having slips of paper substituted for the chips of wood that had been used for generations(234). While reading, the reader starts to understand the lottery tradition from which many rules and regulations disappeared for convenience reasons. This leads the reader to believe that the villagers do not truly understand the origins of the lottery. The townspeople do not ever question why the lottery takes place and they all just stand there and go through with it year after year. The lottery has become so commonplace that it almost seems as though its a natural part of their lives. Mrs. Jackson states The people had done the lottery so many times that they only half listened to the directions(235). In this passage, the reader learns through the nonchalant ness of the villagers actions that an important event does not attract much attention. They dont even need to listen to the directions because all the townspeople already know what they have to do. Another showing of ignorance is when Old Man Warner snorts, Pack of crazy fools, he said. Listening to the young folks, nothings good enough for them. Next thing you know, theyll be wanting to go back to living in caves, nobody work any more, live that way for a while. Used to be a saying about Lottery in June, corn be heavy soon. First thing you know, wed all be eatingShow MoreRelatedResearch on Consumer Awareness13028 Words   |  53 Pagescontributed by giving us the required knowledge and time, we would like to thank all of them. It is because of their assistance and competence that we have reached this milestone. We would like to express our gratitude and sincere thanks to our Project Guide Prof. Nadeem Merchant, Anjuman-I-Islam’s, Allana Institute Of Management Studies amp; Research for instilling confidence in us to carry out this study and extending valuable guidance and encouragement from time to time, without which it would notRead MoreDavid Copperfield9349 Words   |  38 Pages1870. After doing a full days work on Edwin Drood, he suffered a second stroke and died the following day.   c- Similarity between Charles childhood and David Copperfield : Education is a kind of lottery in which there are good and evil chances, and some men draw blanks and other men draw prizes. And in saying this I do not use the word education in any restricted sense, as applying exclusively to theRead MoreDeveloping Management Skills404131 Words   |  1617 PagesEmployee-Orientation Program 634 Performance-Appraisal Interview with Chris Jakobsen 637 Employment-Selection Interview at Smith Farley Insurance 643 Supplement C CONDUCTING MEETINGS 651 SKILL LEARNING 652 Conducting Effective Meetings: A Short Guide for Meeting Managers and Meeting Participants The Five P s of Effective Meetings 652 Suggestions for Group Members 657 652 SKILL PRACTICE 660 Exercises for Conducting Meetings 660 Preparing and Conducting a Team Meeting at SSS Software 660 RoleRead MoreExploring Corporate Strategy - Case164366 Words   |  658 PagesECS8C_C01.qxd 22/10/2007 11:54 Page 597 CASE STUDIES ECS8C_C01.qxd 22/10/2007 11:54 Page 598 ECS8C_C01.qxd 22/10/2007 11:54 Page 599 Guide to using the case studies The main text of this book includes 87 short illustrations and 15 case examples which have been chosen to enlarge speciï ¬ c issues in the text and/or provide practical examples of how business and public sector organisations are managing strategic issues. The case studies which follow allow theRead MoreLogical Reasoning189930 Words   |  760 Pagesunscientific. This book is designed to improve all these other critical thinking skills, too, even though they dont directly involve arguments. Review of Major Points This chapter emphasized that logical reasoning is your guide to good decisions. It is also a guide to sorting out truth from falsehood. This chapter began with several case studies of logical reasoning. It also pointed out some common errors in reasoning. From these examples we were able to extract the following principles

Monday, December 9, 2019

Psy101outline Essay Example For Students

Psy101outline Essay Freud believed that we are dominated by biological needs, especially sexual, that must be controlled if we are to become civilized human beings. In his view, our perpetual struggle to tame these impulses leads to the emotional conflicts that shape our personality. According to his Psychoanalytic Theory, personality is shaped by an ongoing conflict between peoples primary drives, particularly sex and aggression and the social pressures of civilized society. Also early childhood experience plays a major role in molding personality. Freuds theory in this case might be argued in two basic ways. First, he might argue that the girl became unbalanced and her Ego lost control and her Id was overpowered by her Super Ego. More likely he would argue that some traumatic experience in her past was buried in her subconscious and sealed off by defense mechanisms. During the incident at the church, something started breaking down those defense mechanisms and the proverbial dam burst, sending her into emotional turmoil due to the fact that she was not able to cope with the original problem in her childhood. She remained in a state of anxiety and delusion until she was able to re-build the defense mechanisms and bury the memory once again. Once she had done that she was able to be released. Erikson believed that a persons personality is determined by how he deals with particular problems during specific stages during his life. A brief outline of the six relevant stages which would be encountered in this article (the first six stages) would go as follows. First, would be Trust verses Mistrust. This stage takes place during the first twelve to eighteen months of a childs life. During this time the girl in the article lost her father and her mother showed no compassion for her. Her mother brought home boyfriends who were not only unsupportive but actually made sexual advances toward her on some occasions. Erikson would certainly have felt that she learned to mistrust the world. The second stage is when the child is from eighteen months to three years old. This is when, according to Erikson, a child develops autonomy or shame and doubt. For the same reasons mentioned before, (the reasons remain primarily the same straight to the beginning of the forth stage) she took on the latter quality. Bibliography:

Sunday, December 1, 2019

The Anxiety Caused When A Mistake Is Realized Essay Example For Students

The Anxiety Caused When A Mistake Is Realized Essay Sigmund Freud believed himself to be a scientist. He believed that he was not a philosopher, just a scientific thinker. Freud carefully thought everything through and always backed up his views. Before any idea went into print, Freud worked hard to make sure that he covered his theories from all angles and that he himself could not disprove one of his theories. As a scientist, Sigmund believed that he must continue to test his theories. While continuing to investigate the workings on the human mind, Freud realized that his views of anxiety tended to contradict each other. In Freuds later years he takes the flipside of his initial view on anxiety. Why does this happen? Well, it is a complicated process in which the complete reversal of ideas seems to shock even Freud. In Freuds book The Interpretation of Dreams, he comes to the conclusion that anxiety arises from forced repression. It is perfectly true that unconscious wishes always remain active. They represent paths which can always be traversedIndeed it is a prominent feature of unconscious processes that they are indestructible. Since wishes remain active, Freud thought that repression of certain wishes in the id by the superego results in a level of nervousness and indecision in the ego, called anxiety. He believed that since the wish was being repressed, it fought harder to come to the surface causing an internal struggle, which heightened sensitivity to danger. However this early work on the source of anxiety was accomplished using only anxiety-dreams and seems rushed when compared to other topics in The Interpretation of Dreams. It becomes obvious that Freud rushed his initial thoughts on anxiety in his first book, when one reads Inhibitions, Symptoms, and Anxiety, one of Freuds later works. The book is full of new ideas, thoughts and research. Freud begins this book by delving into the source of neurotic symptoms. He says that symptoms are:a sign of, and a substitute for, an instinctual satisfaction whi ch has remained in abeyance; its is a consequence of the process of repression. Repression proceeds from the ego when the ego which has been swayed by the superego refuses to associate itself with an instinctual cathexis which has been aroused in the id. In order to understand this, one must first have knowledge of the id, ego, and superego. Briefly, the id is the human instinct; it is self-centered and seeks complete and instant gratification at any expense. The superego begins to develop later in life (5-8years of age) and is influenced by society. Think of the superego as your conscience. Society and the person create right and wrong. So, it might be said that, the superego is a persons moral character. That leaves the ego, which is the mediator of arguments, in the form of impulses and wishes, from the id and superego. It is responsible for a persons actions. It has the ability to choose which impulses from the id are satisfied. The superego can communicate why a certain action could be harmful to oneself or other people, and the ego must choose if satisfying the wish of the id is worth the risk. Coming back to the previous quote, Freud believes that symptoms arise when the ego decides not to allow correct satisfaction of an impulse from the id. However, since the ego realizes that something must be done to stop the impulse, it creates a symptom, which indirectly satiates the id. While this seems to work in the short term, problems eventually arise as the id realizes it has been fooled. An example of this process begins with idea of an Oedipus Complex. This is a strong sexual attraction towards ones own mother during early childhood. Freud explains this process by use of a phobia of Little Hans. The young lad had an overwhelming fear of horses, especially horse-bites. Freud relates this fear to a fear of castration by the father. Freud believes that since Little Hans is attracted to his mother, he resents his father and the power associated with his father . However, the boy cannot truly resent his father, without out causing more pain, because of the closeness in the quarters they reside. The ego of Little Hans then made the decision to fear horses instead because it already witnessed horses hurting Little Hanss friends. Fear of being eaten by their parents for one reason or another is common amongst children. Little Hans needs power and recognizes his fathers genitals as power and therefore the boy fears castration from a horse bite. Freud begins to agree, at least partially with Ranks theory of birth trauma. Lifes initial trauma leads to the creation of anxiety. This initial anxiety leads to the formation of newer and bigger anxieties. Therefore, anxiety comes from birth and exists in all humans. It is around this time that Freud begins to recognize a change in his general theory. He writes:If I had contented myself earlier with saying that after the occurrence of repression a certain amount of anxiety appeared in place of the mani festation of libido. the description would be correct.I can now no longer maintain this view. And, indeed, I found it impossibleto explain how a transformation occurred. He now begins to try to explain his new point of view by going on about further causes of symptoms. He explains that symptoms may arise when repression fails to suppress impulses, when a person tries to undo a traumatic experience, or the auto-erotic impulse is suppressed. Also, the destruction of the Oedipus Complex is a way of overcoming the fear of castration, but creates other symptoms in the fact the it the Oedipus Complex is important to the id. Freud now states that anxiety arises directlyfrom a libidinal cathexis whose processes have been disturbed. He believes that anxiety is the result of disturbed processes in the brain. For example, a traumatic experience greatly upsets every ongoing process in the body. Emotions are stirred and internal chaos results. After the initial incident, a fear arises and a pers on feels great anxiety when near the place or people involved in the initial traumatic experience. This anxiety causes the need for repression in order to calm the anxious feeling. The repression causes the need to create a symptom in order to take away any connection to the initial trauma. This symptom is generally a phobic one. This is Freuds explanation for the creation of phobias. All of the aforementioned ideas led Freud to the conclusion that: Anxiety is a reaction to a situation danger. It is obviated by the egos doing something to avoid that situation or to withdraw from itsymptoms are created so as to avoid the generating of anxiety. Now that Freud has come to a conclusion on anxiety, he begins to try to theorize why different symptoms come about. Basically, childhood neurosis is blamed for later development of symptoms. Everyone is slightly neurotic and will develop phobias, or symptoms relating to past traumatic experiences. Those who have many symptoms and are obsessiona l neurotics have problems stemming form childhood neurosis, which was never overcome. Signs of childhood neurosis can be found in all adult neurotics without exception It is evident that Freud attributes failed repression to obsessional neurosis. .u490d733a9077a5ecdffab48c8bd6d8df , .u490d733a9077a5ecdffab48c8bd6d8df .postImageUrl , .u490d733a9077a5ecdffab48c8bd6d8df .centered-text-area { min-height: 80px; position: relative; } .u490d733a9077a5ecdffab48c8bd6d8df , .u490d733a9077a5ecdffab48c8bd6d8df:hover , .u490d733a9077a5ecdffab48c8bd6d8df:visited , .u490d733a9077a5ecdffab48c8bd6d8df:active { border:0!important; } .u490d733a9077a5ecdffab48c8bd6d8df .clearfix:after { content: ""; display: table; clear: both; } .u490d733a9077a5ecdffab48c8bd6d8df { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u490d733a9077a5ecdffab48c8bd6d8df:active , .u490d733a9077a5ecdffab48c8bd6d8df:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u490d733a9077a5ecdffab48c8bd6d8df .centered-text-area { width: 100%; position: relative ; } .u490d733a9077a5ecdffab48c8bd6d8df .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u490d733a9077a5ecdffab48c8bd6d8df .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u490d733a9077a5ecdffab48c8bd6d8df .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u490d733a9077a5ecdffab48c8bd6d8df:hover .ctaButton { background-color: #34495E!important; } .u490d733a9077a5ecdffab48c8bd6d8df .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u490d733a9077a5ecdffab48c8bd6d8df .u490d733a9077a5ecdffab48c8bd6d8df-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u490d733a9077a5ecdffab48c8bd6d8df:after { content: ""; display: block; clear: both; } READ: Cannabis Sativa: Why Hasn't It Been Legalized? Essay We will write a custom essay on The Anxiety Caused When A Mistake Is Realized specifically for you for only $16.38 $13.9/page Order now Freud was a scientist. He wanted to make sure that all of his theories could not be disputed. Therefore, he needed to cover his point from every possible angle and continue to further develop it. While doing this, he realized that his theory was incorrect and needed to be changed. Instead of dismissing any possible criticisms he changed his idea in favor of one that is more suitable in light of new evidence. This is why Freud was obsessed with making the change correctly. He wanted to be correct, as we all do, and when he witnessed his mistake, he sucked it up and made anew. Its good practice. BibliographyFreud, Interpretation of DreamPhilosophy Essays

Tuesday, November 26, 2019

Hypertension Nursing Diagnosis 6 Care Plans for Any Patient

Hypertension Nursing Diagnosis 6 Care Plans for Any Patient SAT / ACT Prep Online Guides and Tips Hypertension, or high blood pressure, is an issue that affects millions of people around the world. If not properly treated, hypertension can lead to serious issues, including heart attack or stroke. That means it’s imperative to have an accurate nursing diagnosis for hypertension as well as an effective care plan. After explaining what hypertension is, what causes it, and what common symptoms are, this guide explains six key hypertension nursing diagnoses. For each diagnosis, the NANDA definition, potential evidence, and desired outcomes are explained, as well as steps to take for the nursing intervention. Nursing Diagnosis for Hypertension: What Is It? Normal blood pressure is when blood pressure is lower than 120/80 mmHg most of the time. A patient is diagnosed with hypertension, the medical term for high blood pressure, when their blood pressure is 140/90 mmHg most of the time. There are several levels of hypertension: Normal Blood Pressure: Lower than 120/ 80 Prehypertension: 120-139/80-89 Stage 1 Hypertension: 140-159/90-99 Stage 2 Hypertension: 160+/100+ Hypertension can be dangerous because it can make the heart work harder to pump blood to the body, which can increase the risk of heart failure, stroke, and hardening of the arteries. What Causes Hypertension? The exact cause of hypertension is not often known. Primary (or essential) hypertension is when hypertension has no known cause, or there is no evidence to link it to a specific cause. Primary hypertension makes up about 90% of all hypertension cases. Secondary hypertension is high blood pressure that does have an identifiable cause. Potential causes of hypertension (primary or secondary) include: Being overweight or obese Smoking Genetics/family history of hypertension A diet high in salt Consuming more than 1-2 alcoholic drinks a day Stress Old age Lack of exercise Sleep apnea Kidney disease Thyroid disorders Signs and Symptoms of Hypertension Hypertension does not always cause symptoms; in fact, about a third of people who have hypertension don’t know they have it because of no or few symptoms. Below are some of the most common symptoms of hypertension: Headache Ringing or buzzing in the ears Fatigue Irregular heartbeat Confusion or dizziness Nosebleed Blurred vision Difficulty breathing Chest pain Blood in the urine Nursing Care Plans for Hypertension Once a patient is found to have high blood pressure, it’s important to follow the appropriate nursing diagnosis and nursing care plan for hypertension in order to reduce the effects of hypertension and keep the patient’s health and quality of life high. Below are six nursing care plans for hypertension. These six care plans cover the main issues associated with hypertension. Each one includes its own nursing diagnosis, NANDA definition, possible signs of evidence, desired outcome, and nursing interventions. Use the NANDA definition and potential evidence to determine the correct nursing care plan for hypertension. Some patients may require multiple care plans. Hypertension Nursing Diagnosis #1: Risk for Decreased Cardiac Output NANDA Definition: Inadequate blood pumped by the heart to meet metabolic demands of the body. Possibly Evidenced By: N/A. This intervention is used to in order to prevent decreased cardiac output from occurring. Desired Outcomes: Show stable cardiac rhythm and rate. Maintain blood pressure within an acceptable range. Participate in activities that lower blood pressure and cardiac load. Interventions: Check patient’s lab data (cardiac markers, blood cell count, electrolytes, ABGs, etc.) to determine contributing factors. Monitor and record blood pressure in both arms and thighs Measure blood pressure in both hands. Auscultation of breath sounds and heart rhythm. Observe patient’s skin color, temperature, and capillary refill time. Advise the patient on reducing sodium intake, if needed. Administer medication, if needed. Hypertension Nursing Diagnosis #2: Acute Pain (Typically Headache) NANDA Definition: Pain is whatever the experiencing person says it is, existing whenever the person says it does; an unpleasant sensory and emotional experience arising from actual or potential tissue damage or described in terms of such damage sudden or slow onset of any intensity from mild to severe with an anticipated or predictable end and a duration of. Possibly Evidenced By: Patient reports throbbing pain in head, most often upon awakening. Changes in appetite. Patient reports neck stiffness, blurred vision, dizziness, nausea, and/or vomiting. Desired Outcomes: Patient states they are no longer suffering from a headache and appear comfortable and pain-free. Interventions: Determine the specifics of the pain, such as intensity, where it is located, and how long it has been going on. Note the patient’s attitude towards pain and any history of substance abuse. Encourage rest during severe pain episodes. Recommend methods of relief, such as neck and back rubs, applying cool cloths to the forehead, and avoiding bright lights. Limit how much the patient moves around. Provide medication, if needed. Hypertension Nursing Diagnosis #3: Activity Intolerance NANDA Definition: Insufficient physiological or psychological energy to endure or complete required or desired daily activities. Possibly Evidenced By: Patient reporting weakness or fatigue. Abnormal heart rate as a result of activity. Exertional discomfort or dyspnea. Electrocardiogram (ECG) changes reflecting ischemia; dysrhythmias. Desired Outcomes: Patient participates in necessary and/or desired activities. Uses identified techniques to enhance activity tolerance. Reports a measurable increase in his/her tolerance for activity. Demonstrates a decrease in noticeable signs of intolerance. Interventions: Note each of the factors that contribute to fatigue (age, health, illness, etc.). Evaluate the patient’s degree of activity intolerance and when it occurs. Monitor how the patient responds to activity (pulse, heart rate, chest pain, dizziness, excessive fatigue, etc.). Explain energy conserving techniques (shower chairs, sitting to brush teeth, etc.). Assess any emotional factors that may be contributing to activity intolerance (such as depression or anxiety). Encourage the patient to engage in self-care and progressive activity when possible. Hypertension Nursing Diagnosis #4: Ineffective Coping NANDA Definition: Inability to form a valid appraisal of the stressors, inadequate choices of practiced responses, and/or inability to use available resources. Possibly Evidenced By: Patient states he/she is unable to cope; patient asks for help. Worry, irritability, anxiety, and/or depression as a result of hypertension diagnosis. Destructive behavior such as overeating, lack of appetite; excessive smoking/drinking, and/or alcohol abuse Desired Outcomes: Patient can identify his/her ineffective coping techniques and their consequences. Verbalizes awareness of own coping abilities. Identifies potentially stressful situations and takes steps to avoid or modify them. Shows the use of effective coping skills. Interventions: Determine what specific areas the patient has difficulty coping with. Assess the effectiveness of the patient’s current coping skills and where improvements can be made. Help the patient identify specific stressors and how to cope with them. Work with the patient to develop a care plan, and encourage participation in the plan. Help the patient identify and begin planning for necessary lifestyle changes. Encourage the patient to evaluate his/her priorities and goals in life. Hypertension Nursing Diagnosis #5: Imbalanced Nutrition (More Than Body Requirements) NANDA Definition: Intake of nutrients that exceeds metabolic needs. Possibly Evidenced By: Patient’s weight is 10%–20% more than ideal his/her height and frame. Reported or observed dysfunctional eating patterns. Desired Outcomes: Patient understands the relationship between hypertension and obesity. Initiates/maintains an appropriate exercise program. Shows changes in eating patterns, such as food choice and/or quantity, to attain a healthier body weight. Interventions: Assess the patient’s understanding of the relationship between hypertension and obesity. Discuss the relationship between hypertension and obesity with the patient. Discuss the need for a decreased caloric intake, as well as a limited intake of salt, sugar, and fat. Determine the patient’s desire to lose weight. Help the patient establish a realistic exercise plan. Help the patient establish a realistic nutrition plan. Refer the patient to a nutritionist, if needed. Hypertension Nursing Diagnosis #6: Knowledge Deficit NANDA Definition: Absence or deficiency of cognitive information related to a specific topic. Possibly Evidenced By: Verbalization of the problem. Patient requires information or more information, or he/she doesn’t understand the information given. Patient inaccurately follows instructions. Patient appears agitated, hostile, or upset when the condition and ways for managing it are discussed. Desired Outcomes: Patient can express his/her knowledge of the management and treatment of hypertension. Patient correctly uses the drugs they are prescribed and understand their side effects. Interventions: Determine what information the patient currently understands. Assess readiness and blocks to learning. Include the patient’s partner, if possible. Describe the nature of hypertension, how it affects different parts of the body, and how it can be treated. Avoid using the term â€Å"normal BP†. Instead use the term â€Å"well-controlled† to describe patient’s BP within desired limits. Discuss with the patient changes he/she can make in order to manage hypertension. Discuss the importance of maintaining a stable weight. Discuss the need for low-calorie diet, low in sodium to order. Help the patient create a schedule for taking medications. Direct the patient to other resources that can be used to better understand and manage hypertension. Review: Diagnosing and Treating Hypertension Hypertension, the medical term for high blood pressure, is an issue that can have serious and long-term health effects if it isn’t properly managed. Therefore, having an effective nursing care plan for hypertension is important. While it’s often difficult to pinpoint the cause of hypertension, high blood pressure may be caused by the weight, smoking, high sodium intake, and/or genetics, as well as other factors. Some symptoms of hypertension can include headache, dizziness, fatigue, difficulty breathing, and/or chest pain, although some patients with hypertension don’t show any symptoms. There are six key nursing diagnoses for hypertension. Risk for decreased cardiac output Acute pain (typically headache) Activity intolerance Ineffective coping Imbalanced nutrition (more than body requirements) Knowledge deficit For each nursing diagnosis for hypertension, it’s important to know the NANDA definition, possible signs of evidence, desired outcome, and nursing interventions. What's Next? Thinking about exploring a career in healthcare administration? Read our complete guide to getting a healthcare administration degree, with explanations for what levels of qualification you need for different careers.

Saturday, November 23, 2019

SAT Chemistry Subject Test Information

SAT Chemistry Subject Test Information    You dont have to be going into the chemistry field in college to take the SAT Chemistry Subject Test. If youre thinking about heading into pharmacology, medicine, engineering or biology, then this SAT Subject Test could show off your skills when others cant. Lets get into whats on this exam, shall we? Note: This test is not part of the SAT Reasoning Test, the popular college admissions exam. This is one of the many SAT Subject Tests, exams designed to showcase your particular talents in all sorts of fields. SAT Chemistry Subject Tests Basics Before you register for this test, here are the basics: 60 minutes85 multiple-choice questions200-800 points possibleA period table will be provided for you.Calculators are not permitted on the test, but are unnecessary anyway. SAT Chemistry Subject Test Content So, what will you need to know? Here are the number of questions and the types of content youll be looking at when you sit for the exam: Structure of Matter: Approximately 21-22 questions Atomic Structure: (experimental evidence of atomic structure, quantum numbers and energy levels, electron configurations, periodic trends)Molecular Structure: (Lewis structures, three-dimensional molecular shapes, polarity)Bonding: (ionic, covalent, and metallic bonds, relationships of bonding to properties and structures; intermolecular forces such as hydrogen bonding, dipole-dipole forces, dispersion (London) forces) States of Matter: Approximately 13 – 14 questions Gases: (kinetic molecular theory, gas law relationships, molar volumes, density, and stoichiometry)Liquids and Solids: (intermolecular forces in liquids and solids, types of solids, phase changes, and phase diagrams)Solutions: (molarity and percent by mass concentrations, solution preparation and stoichiometry, factors affecting solubility of solids, liquids, and gases, qualitative aspects of colligative properties) Reaction Types: Approximately 11 – 12 questions Acids and Bases: (Brà ¸nsted-Lowry theory, strong and weak acids and bases, pH, titrations, indicators)Oxidation-Reduction: (recognition of oxidation-reduction reactions, combustion, oxidation numbers, use of activity series)Precipitation: (basic solubility rules) Stoichiometry: Approximately 11 – 12 questions Mole Concept: (molar mass, Avogadro’s number, empirical and molecular formulas)Chemical Equations: (balancing of equations, stoichiometric calculations, percent yield, and limiting reactants) Equilibrium and Reaction Rates: Approximately 4 – 5 questions Equilibrium Systems: (LeChà ¢teliers principle in gaseous and aqueous systems, equilibrium constants, and equilibrium expressions)Rates of Reactions: (factors affecting reaction rates, potential energy diagrams, activation energies) Thermochemistry: Approximately 5 – 6 questions Conservation of energy, calorimetry and specific heats, enthalpy (heat) changes associated with phase changes and chemical reactions, heating and cooling curves, entropy Descriptive Chemistry: Approximately 10 – 11 questions Common elements, nomenclature of ions and compounds, periodic trends in chemical and physical properties of the elements, reactivity of elements and prediction of products of chemical reactions, examples of simple organic compounds and compounds of environmental concern Laboratory Knowledge: Approximately 6 – 7 questions Knowledge of laboratory equipment, measurements, procedures, observations, safety, calculations, data analysis, interpretation of graphical data, drawing conclusions from observations and data SAT Chemistry Subject Test Skills Recall of Facts: 17 Questions. Here, youll be tested on whether or not you remember a definition, can identify a term, or can otherwise shell out important chemistry knowledge. Application of Material: 39 Questions. This is where things get tougher. Can you apply the knowledge youve learned to solve chemistry problems? Can you apply the concepts of ratios and proportions to solve basic word problems without the use of your calculator? Synthesis of Material: 29 Questions. This skill is the toughest of the three. Here, youll need to be able to make assertions and create new ideas based on information presented. Why Take the SAT Chemistry Subject Test? Obviously, no one is going to take this test if it doesnt fit in with his or her major, unless youve really done poorly on the regular SAT Test and want to redeem yourself a bit by showing that you do have some brains in the old noggin. If you are majoring in a chemistry-related field like medicine, pharmacology, any of the sciences, then take it to show what you can do and emphasize the positive impact you can make on the program. Competition is fierce for some of these majors, so its great to put your best foot forward. Besides, it just may be a requirement for your program, so be sure to check with your admissions advisor before you blow this off. How to Prepare for the SAT Chemistry Subject Test The College Board recommends taking at least 1 year of a college-prep Chemistry course, along with having a year in Algebra (which everyone does) and some laboratory work. Personally, I recommend getting a test prep book for this bad boy and learning anything you didnt when you were distracted by all the beakers in high school Chemistry class. In addition, there are some free practice questions on the College Board site, along with the answers to show you where you may have tripped up. Sample SAT Chemistry Subject Test Question The hydrogen ion concentration of a solution prepared by diluting 50. mL of 0.10 M HNO3(aq) with water to 500. mL of solution is? (A) 0.0010 M(B) 0.0050 M(C) 0.010 M(D) 0.050 M(E) 1.0 M Answer: Choice (C) is correct. This is a question that concerns the concentration of a diluted solution. One way to solve the problem is through the use of ratios. In this question, a solution of nitric acid is diluted 10-fold; therefore, the concentration of the solution will decrease by a factor of 10, that is, from 0.100 molar to 0.010 molar. Alternatively, you could calculate the number of moles of H ions present and divide this value by 0.50 liter: (0.100 Ãâ€" 0.050)/0.5 M of the diluted solution. Good Luck!

Thursday, November 21, 2019

Social Capital Research Paper Example | Topics and Well Written Essays - 1000 words

Social Capital - Research Paper Example A review of the additional literature, in addition to the source article, will provide collaborative details to provide support for the conclusion established. The case study by Chenhall, Hall, & Smith examined how elements of a management control system can either enhance or inhibit the bonding and bridging dimensions of social capital with potential consequences on both economic and cultural capital (2010, p.2). The study attempts to highlight and provide data to support the notion that management control systems can be contradictory as they relate to social capital. The concept of social capital is used to outline a distinctive approach to understanding the relationship between management control systems and the development of social connections in and between organizations (Chenhall, Hall, & Smith, 2010). The study additionally illustrates how formal belief systems and operational controls sustain strong interior relationships and also help to establish the case organization†™s standing with peripheral organizations vital to external bridging (Chenhall, Hall, & Smith, 2010). However, there are also several limitations to the relevancies demonstrated by the study. The study was based on a limited number of interviews rather than in-depth observational data (Chenhall, Hall, & Smith, 2010). Additionally, the study indicates that efforts to use â€Å"financial controls interactively† to deal with issues of cost awareness were not successful due to the fact that they were interpreted as â€Å"incompatible† with natural advancements and threatened to bond (Chenhall, Hall, & Smith, 2010, p.2). Literature Review Social capital can be measured in a variety of ways, although obtaining a "true", definitive measurement is not possible (What is, 2011). The most popular definitions of social capital are multidimensional and incorporate numerous aspects of analysis into a comprehensive framework (What is, 2011). Attempts to measure the properties of â €Å"inherently ambiguous concepts† such as "community", "network" and "organization" has caused problems in establishing the concept of social capital (What is, 2011). Although a few long-standing surveys have been designed to gauge "social capital", they have left researchers to assemble indexes from a range of items, like â€Å"measures of trust in government, voting trends, memberships in civic organizations, and hours spent volunteering† (What is, 2011). Researchers are attempting to compile new surveys that will give the concept of social capital a more definitive meaning. There are several examples of social capital, like civic organizations, community organizations, and scholastic communities that can significantly contribute to the overall organizational platform.