The Existential Quest For American Schools - 1505 Words

Throughout the history of mankind, sages, poets, philosophers – and many others – have struggled to answer the existential question, â€Å"Who am I?† Even The Who, a famed rock band, dared to ask, â€Å"Who are you?† Today, that quest can be fulfilled through a series of short questions through various oracles: Myer-Briggs Personality test, Kinsey Scale test, VAK learning styles, People Styles at Work, What Color is My Parachute – and many others. Currently, this existential quest has been extended, in light of the poor performance of American schools when compared internationally, to include â€Å"How do I learn?† Current oracles include Felder’s Learning Styles and Gardner’s Multiple Intelligences – and many others. Traditionally, schools have relied†¦show more content†¦My learning styles Aha moment! came while in the Air Force, which is known for testing incoming airmen for everything: I was given a learning styles test. My score was 1:0:19, out of 20 total, on the VAK test. The score means my main way of learning was kinematic (K:19), followed by a paltry visual (V:1) and zero for audible (A:0). The hallelujah chorus sang as I then understood all my struggles with learning: I get nothing, absolutely nothing, from lectures. I have currently taking Felder’s Learning Styles (Felder, R.M., and Soloman, B.A) and Gardner’s Multiple Intelligences (MI Oasis) tests and the results are no surprise. According to Felder, I am described as a moderate active (5), mild sensing (3), high visual (9), and low (1) global learner (Felder, R.M., and Soloman, B.A.). Active corresponds to hands-on, interactive learning, i.e. kinematic and labs. I found I best retain information after a QA group study session and Felder confirms it. Same with sensing: I need to know where I am going and then I learn the details. In fact, I can be anal when it comes to details and following protocol, which is an essential skill for engineers and scientists, or anybody trying to avoid mid-air collisions. As a visual learner, I need more than verbal input. Unfortunately, traditional schooling uses mainly verbal and logistical teaching methods, which leaves the non-traditional learning-styles student to struggle. Interestingly, my score

English Assignment Free Essays

HK Immigration Department Immigration Tower, 7 Gloucester Road, Wan Chai, Hong Kong 10 January 2013 Mr. Aris Chu 3/F, 8 York Road Kowloon Tong, Hong Kong Dear Mr. Chu RE: Working Holiday Scheme Thank you for your letter dated 2 January 2013 enquiring about the Working Holiday Scheme to New Zealand. We will write a custom essay sample on English Assignment or any similar topic only for you Order Now I am glad to provide the information you need. Concerning the visa, ordinary visit visa holders are not allowed to work there. It allows you to leave and return to the host country multiple times. It allows the holders work in the same company for up to 3 months. Our work visa is valid for 12 months. Please note that any time you spend out of the country will not be added to the time the work visa is valid for in the ordinary visit. In addition, a financial proof of a certain amount of savings is needed, New Zealand is about NZ$ 4200 and Australia is about AU$ 5000. I am sorry to announce that the government will not provide any subsides for the applicants. However, the first 50 applicants will no need to pay administrative fee of HK$250, but you need to submit the application form as soon as possible. The annual quota of Australia and New Zealand are 5000 and 400. Regarding job seeking, the jobs in restaurants or bars are quite easy to find as a backpacker. Also, you can get seasonal jobs like fruit picking in farms and vineyards. During your stay, there is no language requirement to be eligible. I hope that the information enclosed will prove useful to you. Please feel free to contact us again if you have any further questions to our official website at http://whs. esdlife. com/. Yours sincerely Steve Petersons Senior Immigration Officer How to cite English Assignment, Essay examples English Assignment Free Essays HK Immigration Department Immigration Tower, 7 Gloucester Road, Wan Chai, Hong Kong 10 January 2013 Mr. Aris Chu 3/F, 8 York Road Kowloon Tong, Hong Kong Dear Mr. Chu RE: Working Holiday Scheme Thank you for your letter dated 2 January 2013 enquiring about the Working Holiday Scheme to New Zealand. We will write a custom essay sample on English Assignment or any similar topic only for you Order Now I am glad to provide the information you need. Concerning the visa, ordinary visit visa holders are not allowed to work there. It allows you to leave and return to the host country multiple times. It allows the holders work in the same company for up to 3 months. Our work visa is valid for 12 months. Please note that any time you spend out of the country will not be added to the time the work visa is valid for in the ordinary visit. In addition, a financial proof of a certain amount of savings is needed, New Zealand is about NZ$ 4200 and Australia is about AU$ 5000. I am sorry to announce that the government will not provide any subsides for the applicants. However, the first 50 applicants will no need to pay administrative fee of HK$250, but you need to submit the application form as soon as possible. The annual quota of Australia and New Zealand are 5000 and 400. Regarding job seeking, the jobs in restaurants or bars are quite easy to find as a backpacker. Also, you can get seasonal jobs like fruit picking in farms and vineyards. During your stay, there is no language requirement to be eligible. I hope that the information enclosed will prove useful to you. Please feel free to contact us again if you have any further questions to our official website at http://whs. esdlife. com/. Yours sincerely Steve Petersons Senior Immigration Officer How to cite English Assignment, Papers

Cardiac Nursing for Journal of Heart Failure- myassignmenthelp

Question: Discuss about theCardiac Nursing for Journal of Heart Failure. Answer: Introduction This paper focuses on Cardiac Nursing which involves caring for patients who suffer from various problems of the cardiovascular system. Nurses participate in caring for patients especially to help them stabilize the issue of heart failure. The cardiac nurses exercise the postoperative care which involves the stress test examinations, the surgical unit, monitoring the cardiac issue, vascular control, and the health investigations (Haddad, Saleh Eshah, 2017). The Nurses are expected to have the significant certification in the advanced cardiac life support and the basic. They are required to embrace various skills based on the cardiac stage of the patient. Cardiac Nurses operate in different surroundings such as the Intensive Care Units (ICU), Cardiac Catheterization, the coronary units of care, and the operation theatres. Also, the cardiac nurses also work in the rehabilitation centers such as the wards for surgery, the wards for cardiac medical and clinical research. For this paper, the role of a nurse in the person-centered management of the end stage cardiac failure has been critically analyzed. Nurses Roles in Person-centered End Stage of Cardiac Failure Nurses have a key role in the management of cardiac failure patients. The nurses largely focus on monitoring and follow-up of patients who portray a high risk of clinic (re)admission. According to reports, and observations from the health care researchers, multidisciplinary care involving the nurses contribute largely to the improvement of patients (Johnson, 2007). The role of nurses in the end stage of cardiac failure is currently recognized in international guidelines. The increased emphasis on the control of acute heart failure has given the nurses a significant role in the cardiac failure journey, and their contributions have led to the delivery of quality care and improvement of patient outcome. The Cardiac Nurses plays a great role in the person-centered management of the end stage of cardiac failure. A patient who is at the end stage of cardiac failure is associated with various symptoms as discussed below. It is easy to confuse the end stage of cardiac failure with other illnesses or aging. The patient may experience a shortness of breath especially if they walk on the stairs. Sleep issues are common where a patient fails to breathe well (Chawla, Herzog, Costanzo, Tumlin, Kellum, McCullough Workgroup, 2014). The end stage cardiac failure may cause a patient to cough during the night and daytime especially when an individual is resting. Fatigue is another symptom evident in the end stage of cardiac failure. Swelling in some parts of the body such as legs and ankles due to the failure of blood flow is evident. The patients may lack appetite, and they may as well lose a lot of weight. Therefore, the nurses have their roles to care for the end stage cardiac failure patients to at least help to prolong their life. Most of the patients in the end stage cardiac failure are set to undergo the medical therapies which some of them are viewed as burdensome. Others are set to undergo cardiac transplantations. Such interventions require the nurses involved in the end stage cardiac failure to have proper communication skills. They will need to communicate the progress of the patient to the family members and also may have the abilities to develop mutual goals with the family expectations regardless of the situation (Anker, 2014). Therefore, nurses are obliged to exercise effective communication to define the goals of care to the patients (Riley, 2015). The cardiac nurses at the end of care stage cardiac failure should have the abilities to conduct more research based on the end of life care. Cardiac Nurses at the end stage cardiac failure are obliged to take part in the adva nced care planning where they determine the patients issues through diagnosis (Morton, Fontaine, Hudak Gallo, 2017). The Cardiac Nurses at this stage monitor and investigate the patients to ensure that they are set to appropriate interventions and medications. They ensure that the patients are provided with the appropriate doses, and they should also monitor the optimization of medications especially when the patients require complex treatments. The nurses are required to have the knowledge to improve the patients knowledge concerning the cardiac failure. They have a role to help the patients understand the condition and offer them advice concerning the interventions. The Cardiac Nurses at the end stage of cardiac failure works closely with other specialists and agencies to ensure the patients receive standard individualized care (Whellan, Goodlin, Dickinson, Heidenreich, Jaenicke, Stough Heart Failure Society of America, 2014). They also work closely with the families of the patients and keep them updated on the patients condition. Nurses should collaborate with the agencies such as the cardiothoracic center and specialists such as the rehabilitation team, the psychological services, and the pharmacists. In simple words, the nurses need to liaise with other specialists dealing with the end stage cardiac failure to ensure the patients are well attended and informed regarding their conditions. The nurses at end-stage cardiac failure take audits to ensure the care provided to the patients is standard. The period when the patients are in hospital serves as the perfect time to educate the patients about monitoring and management of heart failure. In some cases, the patients and family may wish to be incorporated in the self-care program carried out by the cardiac nurses. During the program, the nurses recognize significant changes in the patients, they monitor their conditions and take the appropriate action. The nurses introduce the patients to some of these concepts during the in-hospital period. Often, there is a mismatch between the information given by the health care professionals and a patients knowledge about the management of their cardiac failure. Taking the case of the Euroheart failure survey, for instance, Cardiac nurses play the role of managing cardiopulmonary instability or acute breathlessness along with the diagnosis of end-stage cardiac failure patients. After the diagnosis of Euroheart, the results of a survey conducted indicated that the sick individuals remembered only forty-six percent of advice given concerning the self-care (Melnyk Fineout-Overholt, 2011). The COMET study indicated that the patients beliefs concerning the medications determined their adherence. Therefore, Cardiac Nurses are obliged to provide advice to the patients concerning self-care. The education of patients concerning self-care are recognized in the modern individualism of the education for Cardiac patients. Nurses are obliged to help the patients retain and learn new information hence the patient anxiety levels decline (Perk, De Backer, Gohlke, Graham, Reiner, Verschuren Deaton, 2012). Other nurses adopt the teach-back approach where the patients are required to repeat the information provided using their words. Through this technique, nurses ensure that the patients understand and they help in rephrasing the misunderstood information. At the same time, it increases the time of the nurse to interact with the patient to discuss the cardiac failure and its control. The technique is beneficial since it allows knowledge retention which is valuable to the patients based on the cardiac failure. The nurses ensure all patients especially those with low health literacy understand the basic knowledge concerning the cardiac failure (Magalhes, Ribeiro, Barreira, Fernandes, Torres, Gomes Viamonte, 2013). Research shows that there is a high mortality rate for the patients who are discharged with the end of life stage of cardiac failure. Patients die despite the advances in technology which are adopted in health care to boost their lives. There, some of the nurses participating in the admission of the patients diagnosed with the cardiac failure at the end of life stage. These nurses have am ple time to recognize the patients with worse symptoms hence they are set to supportive measures in health care. For instance, the measures include providing the discussions based on the planning of future care concerning pain relief (Fletcher, Ades, Kligfield, Arena, Balady, Bittner Gulati, 2013). Through these services the symptoms are minimized, the depression issues decline, the quality of life improves hence increasing the life span of the patients suffering from cardiac failure. These nurse services reports the increase in the advances in the planning of cardiac failure interventions. The nurses in Advanced Practice of heart failure engage in the titration and prescription of the cardiac failure symptom control and treatment. Referring and screening for the cardiac failure for sleep studies is conducted by the nurses. Several hospitals allow the implementation of the multidisciplinary plan which is nurse-directed to provide care for the cardiac patients at the end of life stage. This step is viewed as a significant strategy which some hospitals embrace to minimize the costs of care for the cardiac patients at the end of life stage (Amakali, 2015). Also, the strategy ensures that the inpatient admissions are reduce. The multidisciplinary plan is education inclusive, detailed with the drug examination, a followup of the patients to receive home care, and planning of early discharge. Nurses are ethically guided with ethical principles which are justice oriented towards fulfilling the needs of the cardiac patients. The sick individuals are human beings hence they need to be provided with the appropriate care which matches their needs. For that reason, the cardiac nurses exercise respect and autonomy to meet the demands of patients at the end of life stage (Glogowska, Simmonds, McLachlan, Cramer, Sande rs, Johnson Purdy, S. (2015). The heart is recognized as the only part which allows oxygen which is the basic need for an individual therefore nurses are trained to observe dignity when providing care to the cardiac patients (Browne, Macdonald, May, Macleod Mair, 2014). Nurses are obliged to ensure that the cardiac patients make informed decisions based on the interventions. The nurses also take roles to judge the level of truthiness applied by other physicians in regard to the cardiac interventions for the patients at the end of life stage. They make a follow-up to ensure the patients receive honest and appropriate information concerning the treatments. Additionally, nurses exercise goodness which focuses on the interventions regarding care for the cardiac patients at the end of life stage. It is evident that within health care there may be intentional harm or unintentional which can be more harmful to these patients. Cardiac nurses are obliged to protect the patients from any ha rm either intentional or unintentional. For the intentional, the nurses design the right interventions and they prioritize immediate implementation to avoid contaminations from people within the clinical setting (McDonagh, Gardner, Lainscak, Nielsen, Parissis, Filippatos Anker, 2014). For the unintentional harm, nurses should be careful to ensure the potential errors are evaded throughout the process of administering the medications. This is because the cardiac patients are delicate especially at the end of life stage (Hjelmfors, Strmberg, Friedrichsen, Mrtensson Jaarsma, 2014), hence they may experience deadly side effects if care is not observed through the process of administering medications. Once the interventions are issued, nurses take part in examining the impacts of the care provided to the cardiac patients. Finally, nurses ensure that the multi-disciplinary plan implemented for the patients at the end of life focus on the goals set to help the cardiac patients. The plan must be evaluated, and the nurses ensure that it meets the standard needs and wants for the cardiac patients. Conclusion In conclusion, this paper explores the discussion concerning the roles of nurses in a person-centered management of the end-stage cardiac failure. Johnson, 2007 argues that cardiac failure is a critical issue which needs standard care and interventions to help prolong the patients life. This paper outlines the roles of nurses in the person-centered management of the end-stage cardiac failure. Patients with the end stage cardiac failure experience various issues which can compromise the patients health hence they should be highly trained and certified. Various organizations such as the American Nurses Credentialing Center (ANCC) take part in certifying the Cardiac Nurses. Evidently, the cardiac nurses are obliged to use the technology remotely to monitor the status of patients having a cardiac failure at the end-stage. The admissions are unplanned hence the nurses are set and always ready to co-ordinate the management of the illness. For that reason, the management technique for cardi ac failure is implemented which includes the early evaluation, detailed education, and the modification of behaviors to manage and improve the quality of life for the cardiac patients. Therefore, cardiac nurses educate, coach, support, monitor and provide care for the cardiac patients at the end-stage to achieve positive outcomes in the treatment. References Amakali, K. (2015). Clinical care for the patient with heart failure: a nursing care perspective. Cardiovascular Pharmacology: Open Access. Anker, S. D. (2014). Heart failure association of the European Society of Cardiology specialist heart failure curriculum. European journal of heart failure, 16(2), 151-162. Browne, S., Macdonald, S., May, C. R., Macleod, U., Mair, F. S. (2014). Patient, carer and professional perspectives on barriers and facilitators to quality care in advanced heart failure. PLoS One, 9(3), e93288. Chawla, L. S., Herzog, C. A., Costanzo, M. R., Tumlin, J., Kellum, J. A., McCullough, P. A., ... Workgroup, A. X. (2014). Proposal for a Functional Classification System of Heart Failure in Patients With End-Stage Renal Disease.Journal of the American College of Cardiology,63(13), 1246-1252. Chen-Scarabelli, C., Saravolatz, L., Hirsh, B., Agrawal, P., Scarabelli, T. M. (2015). Dilemmas in end-stage heart failure.Journal of geriatric cardiology: JGC,12(1), 57. Fletcher, G. F., Ades, P. A., Kligfield, P., Arena, R., Balady, G. J., Bittner, V. A., ... Gulati, M. (2013). on behalf of the American Heart Association Exercise, Cardiac Rehabilitation, and Prevention Committee of the Council on Clinical Cardiology, Council on Nutrition, Physical Activity and Metabolism, Council on Cardiovascular and Stroke Nursing, and Council on Epidemiology and Prevention. Exercise standards for testing and training: a scientific statement from the American Heart Association. Circulation, 128(8), 873-934 Glogowska, M., Simmonds, R., McLachlan, S., Cramer, H., Sanders, T., Johnson, R., ... Purdy, S. (2015). Managing patients with heart failure: a qualitative study of multidisciplinary teams with specialist heart failure nurses. The Annals of Family Medicine, 13(5), 466-471. Haddad, N. E., Saleh, M. N., Eshah, N. F. (2017). Cardiac catheterisation and patients' anxiety levels.British Journal of Cardiac Nursing,12(7), 353-358. Hjelmfors, L., Strmberg, A., Friedrichsen, M., Mrtensson, J., Jaarsma, T. (2014). Communicating prognosis and end-of-life care to heart failure patients: A survey of heart failure nurses perspectives. European journal of cardiovascular nursing, 13(2), 152-161. Johnson, M. J. (2007). Management of end stage cardiac failure.Postgraduate medical journal,83(980), 395-401. Magalhes, S., Ribeiro, M. M., Barreira, A., Fernandes, P., Torres, S., Gomes, J. L., Viamonte, S. (2013). Long-term effects of a cardiac rehabilitation program in the control of cardiovascular risk factors. Revista Portuguesa de Cardiologia (English Edition), 32(3), 191-199 McDonagh, T. A., Gardner, R. S., Lainscak, M., Nielsen, O. W., Parissis, J., Filippatos, G., Melnyk, B. M., Fineout-Overholt, E. (Eds.). (2011).Evidence-based practice in nursing healthcare: A guide to best practice. Lippincott Williams Wilkins Morton, P. G., Fontaine, D., Hudak, C. M., Gallo, B. M. (2017).Critical care nursing: a holistic approach. Lippincott Williams Wilkins. Perk, J., De Backer, G., Gohlke, H., Graham, I., Reiner, Ã… ½., Verschuren, W. M., ... Deaton, C. (2012). European Guidelines on cardiovascular disease prevention in clinical practice (version 2012). International journal of behavioral medicine, 19(4), 403-488 Riley, J. (2015). The Key Roles for the Nurse in Acute Heart Failure Management.Cardiac Failure Review,1(2), 123. Whellan, D. J., Goodlin, S. J., Dickinson, M. G., Heidenreich, P. A., Jaenicke, C., Stough, W. G., ... Heart Failure Society of America. (2014). End-of-life care in patients with heart failure.Journal of cardiac failure,20(2), 121-134.

Persuasive speech smoking ban free essay sample

Each year cigarettes are responsible for about 443,000 deaths, on average this is smokers dying 13 to 14 years sooner than nonsmokers1. Cigarette smoking is a horrible behavior in our daily lives. Smoking is not just horrible, but it also has many serious effects on your health, which are often deadly. There are over 4000 chemicals in cigarettes, hundreds to which are toxic to your body2. Smoking is a terrible and disgusting habit, because second hand smoke affects the ones around you, it can cause cancer and other health related diseases, and also the cost of cigarettes cause people to spend an outrageous amount of money. Smoking cigarettes isn’t always negative when it comes to the way you live your life and the effects it has on your health. It can ease the signs and symptoms of stress. The ‘pick me up’ you feel after smoking a cigarette only lasts for a short period of time before you need another cigarette because your craving the nicotine3. We will write a custom essay sample on Persuasive speech smoking ban or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page The good feeling that nicotine gives you, draws you back to want one more cigarette. Smoking is really just hurting you and the people around you. Stress is something that is going to be around your whole life so it is better to find other way to cope without smoking. Second hand smoke affects the people around you. A smoker does effect close coworkers and family members. Most of the smoke from a burning cigarette isn’t sucked down into the lungs of a smoker, but let out into the open air to be inhaled by anyone. Second hand smoke can cause heart disease, lung cancer, and the risk of SIDs which is something that can instantly kill infants. When it comes to babies and children there are many other complications that can affect them. The Center for Disease Control and Prevention (CDC) says 4that each year in the United States secondhand smoke causes an estimated 46,000 premature deaths from heart disease and an estimated 3,400 deaths each year from lung cancer in nonsmokers. Secondhand smoke contains more than 250 chemicals known to be toxic or cancer causing5. Children or babies exposed to this secondhand smoke are inhaling many of the same cancer causing substances as smokers are. Since 1964, 34 separate US Surgeon General’s reports have been written to make the public aware of the health issues linked to tobacco and secondhand smoke. The ongoing research used in these reports still supports the fact that tobacco and second hand smoke are linked to serious health problems that could be prevented6. According to the CDC SIDS is the sudden, unexplained, unexpected death of an infant in the first year of life, it is the leading cause of death in otherwise healthy infants. 7Chemicals in secondhand smoke appear to affect the brain in ways that interfere with its regulation of infants’ breathing. On average, Children are exposed to more secondhand smoke than nonsmoking adults. Cigarettes cause health risks that affect you in a negative way. Cigarettes contain arsenic, formaldehyde, lead, hydrogen cyanide, nitrogen oxide, carbon monoxide, ammonia, and 43 known carcinogens. They contain more than 4,000 ingredients which when burned, also produce compound chemicals8. Cigarettes can cause cancer, heart disease, stroke, lung disease, emphysema, bronchitis, chronic airway obstructions, and many other health related diseases. Cigarette smoking may also lead to changes in the smokers’ appearance over longer periods of time like wrinkling skin and yellowing of the teeth. In the United States, smoking is responsible for about one in five deaths annually which is about 443,00 deaths a year9. On average, smokers die 13 to14 years early then nonsmokers. In a specific case involving Shane, a 44 year old man who started smoking when he was 18 and was only 34 when his body became damaged from smoking. He discovered he had throat cancer, and had to get his larynx removed, part of his esophagus and collarbone. Part of his stomach had to be reshaped and stretched to serve as an esophagus. Now he speaks with an electro larynx and has a 1inch stoma in his neck so he can breathe. Even after being smoke free since 2003 his smoking still affects him, he just recently found out that he now has cancer in his chest10. Smoking increases your odds of life ending shorter because of avoidable health diseases that you could have easily prevented from not smoking. The amount of money people spend on cigarettes is a ridiculous amount, which could be spent on something more important. In the long run it hurts people when you invest in cigarettes and not in other things like bank accounts or safe stocks. The cigarette industry spends billions of dollars investing and promoting. According to the CDC cigarette smoking costs more than $193 billion a year, which is $97 billion in lost productivity plus $96 billion in health care expenditures11. Cigarettes aren’t cheap and quitting or never starting can save you money now and can also keep you from spending money on health problems in the future. For example if cigarettes are an average $5. 50 for the cost of a pack of cigarettes and a smoker smokes a pack every day, in a month you would be spending $165 on cigarettes, when you could really save that much every month. If you saved this much every month, in five years you could have $9,900, $19,800 in ten years, and $39,600 in twenty years. Before you start just smoking think of the weekly spending you would be doing on just a pack of cigarettes when you could be doing something more important with your money. Smoking is a horrible choice and risk that affects you and the people around you in a negative way. There are many effects of smoking cigarettes, for example second hand smoke and the affect it has on people who are nonsmokers, they cause health risks that can cause death, and also it causes people to spend unnecessary amounts of money. Cigarettes are temporary thing that makes you feel good for a while, but overall the long term affects are dangerous to your life.