Childrens Functional Health Pattern Assessment Essay Example for Free

Childrens Functional Health Pattern Assessment Essay The U.S. health care delivery system has gone through enormous and transformational changes in the past two decades. The traditional hospital-centered health care delivery is no longer able to support the expanded demands of health care services, especially outside hospitals. In the same token, the traditional role of a nurse as bedside direct caregiver is insufficient to meet the accelerating needs of nurses in other areas, such as health promotion and disease prevention, case management, leadership and research. As a result of that, preparation of the entry-level of professional nurses requires a broader competencies so that nurses are educationally prepared to function with more independence in delivering diversified care. The American Association of Colleges of Nursing (AACN) recognized the Bachelor of Science degree in nursing as the minimum educational requirement for professional nursing practice (AACN, 2000). There are significant differences between associate degree nursing programs and baccalaureate degree nursing programs. The baccalaureate program not only include all of curriculum in the associate degree programs, but also provides in-depth study in physical and social sciences, nursing research, leadership and management, community and public health nursing, patient education, and the humanities (Johnston, 2009). The broader and more in-depth education enhance professional development and critical thinking. The baccalaureate graduate is prepared to better understand many issues in culture, society, economy and politics. Such skills are essential for todays nursing professionals. In clinical practice, associate degree nurses provide bedside care in less complex situation while baccalaureate degree nurses design and manage a comprehensive plan of care. They understand more in patients signs and symptoms, supervise other nursing personnel, support staff, and guide patients through the complicated health care resources in a community, and educate patients on health care options and advanced directives . Over the past several years, researchers and policymakers have identified that educational preparation does make a huge difference in how nurses practice. Johnsons (1988) meta-analysis indicated that there were  significant differences between professional (baccalaureate degree) and technical (associate degree and diploma) nurses on measures of nurse performance. Measures included communication skills, knowledge, problem-solving, and professional role. Pardue (1987) investigated the differences in critical thinking ability and decision-making skills among 121 associate degree, diploma, baccalaureate, and masters prepared nurses. Results indicated that nurses with masters and baccalaureate degrees had the highest scores in critical thinking ability. In my hospital the ICU nurses are BSNs, and they are responsible for patient education in addition to providing bedside care. An example of a patient care situation that was positively affected by having a BSN nurse available, recently occurred at the department where I work. A 37 year-old lady who is a post-liver transplant patient was admitted to the ICU for organ rejection and severe anemia. The medication compliance issue was brought up by the resident doctors. The ICU nurse provided medication reconciliation and discovered that patient often missed Prednisone. The nurse therefore spent more time on educating post-transplant immunosuppressant medications and reinforcing the importance to be compliant with medication regimen. The patient finally confessed that Prednisone made her gain lots of weight, which was the main reason why she did not take this medication. The nurse researched clinical evidence based on patients primary diagnosis and corresponded medical treatment options. She realized that patient has a diagnosis of recurrent autoimmune hepatitis and Prednisone is one of medications that treat autoimmune disease. The ICU nurse called out a meeting with the multidisciplinary team included the transplant social worker, pharmacist, nutritionist, nurse practitioners and surgeons. Patient and her care giver husband were also invited to the discussion of the plan for her care. Because of the shared decision making, the transplant team agreed to lower her Prednisone dose to the minimum and add a small dose of diuretic to avoid water retention caused by Prednisone. Through social workers help, patient agreed to take Prednisone every day and her husband promised to remind her to take the medication. Nutritionist provided consultation in fluid and salt restriction. This example demonstrated that the baccalaureate degree nurse was well prepared to understand the pathophysiology and disease process. She conducted research study and obtained the best available evidence in reference to patients care. Finally she used her coordination and collaboration skills and gathered a meeting of the multidisciplinary team and patients family. She also demonstrated a strong leadership skill in case management. She placed patient at the center of the care and approached to a shared decision-making. Without any doubt, her performance is a result of the educational preparation she received from the baccalaureate nursing program. If this case was handled by an associated degree nurse, her educational skill sets might not have prepare her to fulfill the task. References - American Association of College of Nursing (2000). The baccalaureate degree in nursing as minimal preparation for professional practice. Retrieved from http://www.aacn.nche.edu/publications/position/bacc-degree-prep - Johnson, J. H. (1988). Differences in the performance of baccalaureate, associate degree, and diploma nurses: A meta-analysis. Research in Nursing Health, 11, 183 197. DOI: 10.1002/nur.4770110307 - Johnston, K. A. (2009). The importance of the baccalaureate degree in nursing education. Retrieved from http://www.peoriamagazines.com/ibi/2009/apr/importance-baccalaureate-degree-nursing-education - Pardue, S. F. (1987). Decision-making skills and critical thinking ability among associate degree, diploma, baccalaureate, and masters-prepared nurses. Journal of Nursing Education, 26, 354-61.

The Influence of Frank Lloyd Wright on Frank Gehry in the Design of his

Many of Frank Gehry’s early works reflect a refined manipulation of shapes and structures, whereby many of his buildings present distorted shapes or apparent structures. From the Guggenheim museum to the Walt Disney concert hall, Frank Gehry’s architecture is close to none. He cleverly plays with shapes and geometries. In this essay, I shall start with a brief analysis of Gehry’s house and the influences in the design of the house. I shall then analyze the extent to which Frank Lloyd Wright has inspired and influenced Gehry in the design of his house through a comparison with Frank Lloyd Wright’s Jacob’s house. Gehry draws his inspiration from famous paintings such as the Madonna and Child which he qualifies as a â€Å"strategy for architecture† (Friedman M. , 2003, p. 42) and which he used as an inspiration for a project in Mexico . Through his interpretation of the paintings and artwork, Gehry looked for a new kind of architecture. His search for a new type of architecture culminated in 1978 with his own house in Santa Monica. What was once a traditional Californian house would be redesigned to become one of the most important and revolutionary designs of the 20th century, giving Gehry international prestige and fame. Frank Gehry’s â€Å"Own House† uses a mixture of corrugated metal, plywood, chain link and asphalt to construct a new envelope for an existing typical Californian house. This house has been inspired by Joseph Cornell, Ed Moses and Bob Rauschenberg. Gehry comments on his house by saying that there was something â€Å"magical† (Friedman M. , 2003, p. 54) about it. He admits having â€Å"followed the end of his [my] nose† (Friedman M. , 2003, p. 54) when it came to constructing the â€Å"new† house, which led Arthur Drexler, former Director... ...nian architects. Frank Lloyd Wright, on the other hand is considered as one of the founders of modern architecture but what is certain is that they have both had a tremendous influence on the world of architecture today. Works Cited (2000, August-November 12). Retrieved December 15, 2010, from http://www.arcspace.com/gehry_new/index.html?main=/gehry_new/html/ar.html Carter, R. M. (2001). Frank Lloyd Wright. London: Phaidon Press Limited. Friedman, M. (2003). Architecture+ Process Gehry Talks. London: Thames and Hudson Ltd. Friedman, M. (2003). Gehry Talks. London: Thames and Hudson Ltd. Humphries, L. (1970). Programs and manifestoes on 20th-century architecture. Cambridge Massachusetts: Michael Bullock. Maddex, D. (2000). 50 Favourite houses by Frank Lloyd Wright. London: Thames and Hudson Ltd. Zevi, B. (1998). Frank Lloyd Wright. Boston: Birkhauser.

Mary Barton

Elizabeth Gaskell’s â€Å"Mary Barton† is a novel of social reform that explores injustice, abuse and inequality. The novel is especially concerned with the societal condition of England at the time. In her â€Å"Preface† Mrs. Gaskell asserted, â€Å"I know nothing of Political Economy, or the theories of the trade. I have tried to write truthfully†. The â€Å"truth† of â€Å"Mary Barton† is not political or economic but the truth of the human heart. The novel is not about industrial conditions but about people living in those conditions. Mrs. Gaskell’s social aim in writing is to inform rather than to reform. Her aim in writing is to give â€Å"utterance to the agony† and to explicate the consequences of â€Å"the seeming injustice of the inequalities of fortune†. In â€Å"Mary Barton†, the protagonist John Barton asks with bitter vehemence about the injustice of the massive gulf between the upper and lower classes: â€Å"Why are they so separate, so distinct, when God has made them all? [†¦ ] We are their slaves as long as we can work; we pile up fortunes with the sweat of our brows; and yet we are to live as separate as Dives and Lazarus, with a great gulf betwixt us†. John Barton is ultimately driven to the act of murder by his outrage at the gulf fixed between the rich and the poor. John Barton is ultimately a victim of society and an example of how a man full of human kindness is hardened into hatred and violence. As the author tells the reader his wife’s death meant that â€Å"one of the ties which bound him down to the gentle humanities of earth was loosened†. The string of events that followed – the strike, the Davenports’ starvation and fever, the employees’ arrogant isolation and the failure of the petition, seem to purposely show that the world reckons the poor folk no account. And as John Barton lies on his deathbed his enemy Mr. Carson sits in his library quite unable to hate his son’s murderer. At the end Mr. Carson forgives John Barton and the murderer dies in the arms of the man whose son he has murdered and this image explicates the novel’s pivotal theme in the hope of human heartedness. In her novel Mrs. Gaskell presents men and women at the extreme of suffering at which point only the most radical of human actions remain be they despair and hatred or alternatively human compassion and forgiveness.

Corruption of Criminal Justice System - Free Essay Example

Sample details Pages: 2 Words: 501 Downloads: 2 Date added: 2019/02/20 Category Society Essay Level High school Tags: Criminal Justice Essay Did you like this example? Over the years, acts of corruption by the administrations in authority have for a long time shaken the public faith in government. However, the loss of public confidence is particularly acute when those involved are the police. Unfortunately, the police have acquired a dubious reputation. Don’t waste time! Our writers will create an original "Corruption of Criminal Justice System" essay for you Create order They have been accused of committing acts of corruption which might include abuse of authority, money laundering, concealing of criminals and also the violation of human rights (Corinthia, 85). As a result, such inhuman acts have led to mass public outcry hence putting the criminal justice system at a tight spot due to the increasing number of attacks resulting from police brutality. When the security agencies disrespect the law and fail to honor their code of conduct, they inadvertently promote a culture of corruption that breeds deception, greed, and discrimination (Corinthia, 85). Police corruption exists because police culture protects and embraces officers who intentionally, execute innocent people. Additionally, the culture is promoted when close ranks officers to the perpetrators of the crime, cover up knowledge of an officers misconduct with the aim of self-preservation. This culture of corruption arises when there is a failure in the recruitment process, lack of resources and failure of the courts to be accountable. As a result, the public acquires a negative attitude towards the judicial and legal systems that condone police impunity (Corinthia, 87). Most security departments in which corruption is rife tend to have weaknesses in the recruitment process. This is because the police units do not adequately investigate the officers been recruited or trained. As a result, some of these officers tend to have serious criminal records that undermine the confidence in law enforcement. Lack of resources in the police department stems from educational and cultural deficiencies. Research shows that most security departments lack funds to pay the security officers who then end up extorting innocent civilians and receiving bribes to survive (Corinthia, 89). Additionally, some of the security officers act as hit men for organized criminal gangs for them to be paid lucratively. The judicial system has been accused of lacking integrity and accountability when hearing cases that concern officers who have abused their powers in the line of duty. In most cases, prosecutors have been accused of covering up the evidence and using vague law in the prosecution of the facts (Corinthia, 91). Additionally, the courts have been accused of turning a blind eye to police brutality and also failing to mete out befitting punishment for impunity. Thus, lack of judicial accountability reflects implementation of vague laws that put inadequate restrictions on security agencies. It also reveals that the state has failed to criticize police impunity hence, police brutality will always creep in where justice gatekeepers fail to shut the door in its face (Corinthia, 97). In conclusion, to reduce police brutality, laws must be passed with zero tolerance for corruption. Furthermore, the state must provide adequate resources to cater for the officers and finally, proper monitoring policies must be established to ensure that the police serve the citizens per the law.