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Clinical reasoning can be defined as, the process by which nurses (and other clinicians) collect cues, process the information, come to an understanding of a patient s problem or situation, plan and implement interventions, evaluate outcomes and reflect on and learn from the process (Levett Jones Hoffman 2013, p.4). It requires health professionals to be able to think critically and ensures better engagement and results for the patient (Tanner 2006, p.209). The Quality in Australian Healthcare Study (Wilson 1995, p.460) discovered that cognitive failure resulted in approximately 57% of unfavourable clinical events involving the failure to produce and act correctly on clinical information. It also recognises that often nurse s preconceptions and assumptions can greatly affect patient care and by going through such a process, one can take into account the holistic nature of the patient and provide the best, most appropriate care. Process Information The third stage in the clinical reasoning cycle is process information. This involves the gathering of signs and indications and the recognition of patterns (Levett Jones Hoffman 2013 p.5). It is also when one can begin to form hypotheses and predict potential outcomes. In regards to Mrs Checkett s case, there are many cues that need to be taken into consideration in order to best care for her. According to Chester and Rudolph (2012, p.2), vital signs in the elderly change due to the reduction of function of homeostatic
Introduction The economy of any civilization is inherently dependent on a well founded political system. A well founded political system, on the other hand, largely impacts on the social well being of the people. In this regard, all these factors, as Abdou Zaazou (2013) afford, are deeply interrelated in the sense that they converge to provide a favorable environment for socio economic development. At the start of the Egyptian revolution in 2011, the country was largely plagued by inconsistency as it pertained to the equitable distribution of wealth, and the lack of social justice (Mossallem, 2013). As a matter of fact, Wahba (2011) provides that it was the tyrannical rule of former President Hosni Mubarakthat inadvertently led to the resentment expressed by the general public at Tahrir Square. Many commentators on the Egyptian revolution have always attested to the increasing police brutality of civilians, uncontrolled high levels of corruption in government circles, the lack of freedom of speech, and the lack of elections, as some of the intrinsic factors that stimulated the occurrence of the 2011 revolution. While it is important to recognize the role of the revolution in ousting authoritarianism in Egypt, it is also imperative that we recognize the resulting implications, many of which have negatively impacted on the economic state of Egypt, resulting in a raging economic crisis. The International Bank for Reconstruction and Development (2013) provides that economic
My cousin, who is ten years older than me, is an accountant. She graduated from the University of Waterloo but due to her remarkable academic performance, she has successfully found herself an accounting job and now abides in Canada. She has been my role model ever since my childhood, each time she returns home, she would bring me some Canadian gifts; the Canadian Root T shirts, sweet maple syrup, maple sugared cookies and so on. All these experiences have made me long to be in this rattling country. At the same time, how she describes accounting also make me gradually became interested in it and hoped to undertake Accounting as my lifelong calling. Later I got admitted into Nanjing Audit University, the accounting specialty is a trump card here. Being exposed to the rich cultural... Show more content on Helpwriting.net ...
Since freshman year, I have cultivated an interest in Accounting and studied accounting as my subsidy major. I majored in the intermediate financial accounting (91 points), senior financial accounting (86 points), cost management accounting (90 points), enterprise financial audit (95 points), and other professional courses. Now I have a well grounded foundation of accounting knowledge, as the saying goes, Believing in yourself is the first step to success. I believe in myself and I believe that I can overcome the difficulties of crossing major, so as to do well in accounting curriculums. If the application is successful, I want to pass the CA certificate or CGA certificate. Later, after my graduation, I want to work in an accounting firm or on a large scale of accounting, since it can offer me a more professional platform, thus enabling me to apply my theoretical and practical knowledge moreover I would like to start as a management trainee at an overseas founded
Sometimes in life we all need to be treated with respect and equality. From the start of Joe becoming mayor of Eatonville he showed that women are not on the same level as the men are. A citizen of Eatonville asked Janie to say a speech which she was quickly rejected by Joe. Joe proceeded to say He didn t marry Janie for her words . He saying he didn t marry her for her words really showed the diversity he believed in. You could tell by the text that it hurt Janie but she didn t let it show so she wouldn t draw attention. Throughout the novel the women were treated like mules these women were the black women. Janie was treated badly and misused throughout her relationships. Joe didn t like Janie being like
One of the most common and high risk disorders among college students is sleep deprivation. Sleep deprivation is when one does not obtain the full amount of sleep that is required for the body to function properly. Young adults need about six to eight hours of sleep in order to function properly, but some college students do not get to sleep the full six to eight hours in one sleep session. There has been a wide range of concern on whether or not people are performing at their highest potential in their day to day lives or if that performance is somehow interrupted due to this insufficient sleep. Buboltz, Brown and Soper (2001) found that trouble waking up in the morning, taking more than thirty minutes to fall asleep, and daytime sleepiness were more of the common types of sleep difficulties. Due to inadequate sleep students get during the night, they tend to take naps in the middle of the day (Ye, Johnson, Keane, Manasia, Gregas, 2015). Most college students often surrender their sleep during the week, and make up for it by sleeping longer on the weekends (Pilcher Walters, 1997), but they actually do not get more sleep. Sleep deprivation comes with many risks such as impaired cognitive performance, behavioral changes, and health issues. This paper will review research on sleep deprivation and inadequate sleeping patterns such as napping to make up for loss of sleep. This paper will explain the normal sleeping patterns that one
WITH THE AID OF DIAGRAMS, ILLUSTRATE THE CAUSES OF INFLATION AND DEFLATION, AND BY COMPARING THEIR ECONOMIC EFFECTS CONSIDER HOW BOTH CAN AFFECT THE CORPORATE SECTOR.
The essay will describe causes of inflation and deflation and explain how they can affect the corporate sector.
Inflation is a process in which the price level is rising and money is losing value. (Parkin, Powell, Matthews p654)
Inflation tends to rise when at the current price level, demand for goods and services in the economy are greater than economy s ability to produce goods and services. The graph below shows continuously growing inflation, occurred by a rising price level.
If the price level is ... Show more content on Helpwriting.net ... As a respond to that workers demand pay increase and with higher cost business need to increase its prices again that is called cost push inflation spiral.
Cost push inflation usually leads to a slower growth of company profits which can then feed through into business investment decisions.
An increase in output prices, such as rise in wage rates or the cost of raw materials, increases firm s costs. With higher costs, firms are less able to make profit. Some firms exit the market and, as a result, aggregate supply is less and shifts to the left. The macroeconomic equilibrium changes, with input prices push up inflation across the economy.
Cost push inflation usually leads to a slower growth of company profits which can then feed through into business investment decisions.
Inflation is costly when it is unanticipated because it redistributes income and wealth and creates inefficiency in the economy.
(Parkin,Powell,Matthews p676)
There is widespread agreement that high and volatile inflation can be damaging both to individual businesses and consumers and also to the economy as a whole. However, economists disagree about the relative seriousness of inflation. The revision notes below cover some of the main economic and social costs associated with persistent inflation in goods and services. Effect on UK competitiveness if the
After more than 50 years of offering largely homogenous products and maintaining a bureaucratic culture of consistency, stability, and predictability, the insurance industry was forced to change due to deregulation and subsequently expanded the kind of products offered by insurance companies, banks, and financial institutions (Lester Parnell, 2006; Roesenberg, n.d.). Thus, companies experienced expanded product diversification, increased competition, and the volume and speed of change escalated across industry. As a result of these factors, combined with a struggling economy, Christine Brooks once prominent and highly profitable employer is now in the midst of its third consecutive year of declining revenues and unprofitability. Consequently,... Show more content on Helpwriting.net ...
As her employer has made these changes 98% of the managers and 85% of the employees on Christine s team have maintained their overall job satisfaction, however, 41% of the managers believe the company has poorly managed how they have implemented changes. Additionally, several managers expressed concerns regarding the speed and volume of change, eroding lines of communication, diminishing trust in leadership, declining employee morale, increased attrition, the loss of the company s family oriented feel, and unsustainable uncertainty.
In conclusion, Christine must manage more than the physical consolidation of her teams if she intends for her organization to be successful. Merging the diverse organizational cultures of each location into one dynamic, fully functional culture will require Christine to first start with aiding her leaders reorient their beliefs, attitudes, behaviors, and values to align with the new overall company culture (Denning, 2011). By doing so, Christine will help her team shift from their existing bureaucratic culture to a culture of adaptation, whereby they are more pliable, resilient, and prepared for constant and rapid change. Once her leaders are fully aligned with the new company culture, her front line employees will undoubtedly align as
A tale of two brothers. Cain slays Abel out of wrath. Cain and Abel are two brothers and the sons of Adam and Eve. God gave Cain the job of a farmer and Abel the job of a shepherd. When Cain and Abel find out that they both have to sacrifice a lamb to God, Abel sacrifices his best lamb to God while Cain sacrifices some extra wheat he has. Cain becomes angry at Abel and God because God favored Abel s sacrifice. Cain then leads Abel to a field and slays him out of rage. These events take place in Genesis book Cain and Abel. Genesis interprets the human experience in many ways throughout the story. Genesis interprets the human experience in the story by showing jealousy, attention seeking, and that crime will be punished.
Genesis interprets the human experience through jealousy because all people are jealous of one another. Everyone wants what another person has whether it be money, clothes, or even attention. In this world we see jealousy everyday. In the story of Cain and Abel, Cain is jealous of Abel because he was getting more God was giving Abel more attention the him. This definitely shows jealousy and since all people show jealousy, Genesis was able to interpret the human experience in his story.... Show more content on Helpwriting.net ... All people want attention and to be recognized for their achievements. Everyone wants to be rewarded for their accomplishments. In the story of Cain and Abel, Cain was angry because his sacrifice to God got no recognition while Abel s was recognized and appreciated by God. Since people in real life and the story want attention, Genesis was able to interpret the human experience through attention
After watching the movies Blade Runner and Blade Runner 2049, both directed by Ridley Scott. The two movies has numerous similarities between them not just because they are part of same series, some similarities are such as the setting of the movies which both take place in Los Angeles, California and show a future dystopia society and the protagonists of the films, Deckard and Joe are equally similar in many ways, for example both of them are replicants who work for the Los Angeles Police Department as a Blade Runnermeaning they retire rogue replicants and while doing so both Deckard and Joe are morally challenged and both of them fell in love with someone who supposedly is not engineered to have any real emotions, After watching and analysing both films. I have come to the conclusion that Blade Runner 2049 is a better filmwhen in comparison to its prequel Blade Runner and this is clearly show through the plot, relationships between characters and the craft of film making.
As a football fan, like you I hold the magnificent game close to my heart. I have been a loyal supporter of my local team since I was a young child. I even remember now the first game I witnessed and the amazing feelings that rushed through my veins as the crowd chanted and roared. We ve all felt this, and it is what is so great about the game of football. With football there are ups and there are downs, just like any other game, but unlike most other sports there are huge injustices week in and week out. Every game there will be a wrong decision made, no matter whether it big or small it is still unjust. Obviously, you know how painful a stupid decision by some bloke with a whistle ... Show more content on Helpwriting.net ...
In contrast to this, where video refereeing is already used such as Rugby, we notice barely any difference between now and before it was introduced into the sport. This is because decisions can be replayed a split second after an incident has taken place, to be reviewed by a panel of officials who can make an almost instant decision. I myself do not think this would waste time at all because, think about it, when a referee makes a decision on the pitch which is felt unjust to a side of players, it is going to be highly disputed leading to arguments between players and officials which in turn leads to cards being shown as we ve seen so many times before. Due to this, a huge advantage of video replays would be that the referee only has to enforce a decision on the pitch, meaning that any of the players on the field have no one to dispute a decision because it will be accurate in it s decision by officials watching a big screen
Has your team ever had an unjust decision against them that could cause huge consequences to their survival? I think the answer to that is yes, like any club in any league. We ve all had unfair decisions made against us that could lead to all kinds of disasters such as relegation or losing the title. This can t go on much longer surely. Game after to
Growing up in a Catholic family, I often questioned the existence of God. As I delved myself into Bible and the words of my priest, the state of perplexity continued to cumulate. Rather than forcibly believing literal messages of the Bible, I adopted a representation of those words in order to mollify myself, in a complex world with a myriad of questions arising. I agree with Freud that the need of the oceanic feeling, derived from religious beliefs, comes from the infant s helplessness and the longing for the father (Freud 47). Reflecting on my high school senior year, I remember the connection I tried to make with Godfor different purposes, from tensions that I had with friends to appeasing myself on the college application matters. Such reflections influenced me to question my faith in Catholicism. Are my religious beliefs deriving from a naive outcry for help, or are they representing my faithfulness to God? Show more content on Helpwriting.net ...
Contrary to the Catholic belief, I not only had relations with girls, but also often partook in multiple carouses. Even though Catholicism does not ban drinking, the Bible says to honor God with your body (1 Cor. 6:19 20). After continuous involvement with such activities, I started to question myself; am I still a child of God who is just misled? Is it right for me to continue with this behavior that does not reflect the truthful follower who I claim to be? I started to think that I am stuck in the vicious cycle, a continuous loop that will be hard to get
With the success of Chuck Palahniuk s novel Fight Club, Hollywood decided that a film should adapt to the novel. Since we just finished explaining the messaging of the novel, now let s examine the film, Fight Club, directed David Fincher. Fight Club the movie came out in 1999 about three years after the novel was released. There were many different meanings viewers got from the movie but one stood out and that was people must go through self destruction to find their true inner self. Many of us have a hard time with discovering who we truly are just by ourselves. Most of us need help from others to gain this satisfaction. Director Fincher incorporates elements of psychology and captures the different characteristics of cinematography to enhance... Show more content on Helpwriting.net ... When the narrator is away from Tyler, such as when he is working, the lighting is soft having more filler lights which soften shadows. Also, all the props and costumes in his office have neutral colors and are plain. When he is with Tyler the colors are more vivid and saturated, not necessarily brighter. Everything in the normal world is flat and bland reflecting the narrator s feelings towards corporate life and the rut that he feels he is stuck in (Fight Club). But when the narrator hangs out with Tyler Durden, the lighting is darker and more intense. Low key lighting appears with Tyler making the scenes with him have harsh shadows. The harsh lighting emphasizes how intense Tyler Durden really is. When the narrator is with Tyler, the audience are really seeing how the narrators truly feels about himself and the life he is living. Next, we will discuss the importance of the narrator finding his true inner
Mental health is a heavy topic of conversation in general. People still struggle with grasping a real understanding of what mental health is and how it effects a person in their daily life. Due to the already limited understanding of mental health, it is often glamorized or portrayed in an over exaggerated manner with heavy influence on the close ups and different kinds of camera angles in order to express the insanity of a particular character or characters. The films My Friend Dahmer and The Fire Within, a French film directed by Louis Malle, introduce characters with mental illnesses in different eras of Hollywood media. The two films utilize cinematography and narrative to express the mental health issues impeding the two protagonists.... Show more content on Helpwriting.net ... While movies, newspapers, magazines, television shows, books, radio programs, and advertisements have all been vehicles for communicating the experience of...mental illness it usually [tends] to be a misrepresentation of the experience (Corrigan 201). This has a major negative impact on people suffering from mental illnesses because they feel sentiments of societal scorn and discrimination which ultimately leads to diminished self esteem, fear of pursuing one s goals, and loss of social opportunities (Corrigan 201). There seems to be a revival in the world of movies and television of depicting forms of exploring the minds of serial killers which started in the 60s with the creation of the Horror film genre. There is almost a strange fascination amongst audiences to know more about the minds of murderers and those who are too sick to see the wrong they are doing. Films depicting mental health have a great impact on the lives of those suffering from mental illness and also the perceptions of those who do not suffer from mental illness. The mostly negative stigma surrounding those who suffer from mental disorders gives them a bad reputation that impacts most aspects of their lives. My Friend Dahmer explores the beginnings of serial killer Jeffrey Dahmer s mental sickness and how, though he tries to suppress his tendencies, he