Patient Teaching plan Research Paper Example | Topics and Well Written Essays - 1000 words

Patient Teaching plan - Research Paper Example His current blood glucose level is 256mg/dl. Michael is scheduled for discharge tomorrow with a new insulin prescription. Assessment data indicating Learning Need Michael was diagnosed with Type II Diabetes (Diabetes Mellitus) 3 years ago which has been controlled using Glucotrol (oral medication). It has been established that he is grossly inexperienced when it comes to the self-administration of insulin. His nursing diagnosis would therefore be: insufficient knowledge related to unfamiliarity with Insulin and ways in which to self-administer it, as indicated by patient requesting and verbalizing that someone teach him how to take insulin (Ackley & Ladwig, 2010). Objective of client teaching By the end of this teaching, the patient should be able to explain his diabetic medications, as well as describe the correct way of taking those medications. Assessment of the learner Michael is alert and oriented to time, place, person, and event. He is very frank, communicative and willing to share information pertaining to his personal life and health. He says that he never completed high school but received his GED recently. In the short time I shared with him, I saw him reading to his son, which is a sign that he is literate. In addition to this, he is very informed about his medical condition and monitors his blood glucose daily. Owing to his obesity, Michael needs a walker to move around and says that he tires quite easily. His knowledge concerning the self-administration of Insulin is zero but he is highly motivated to learn. This is shown by his verbal request that someone teach him the skill. Specific learning objectives 1. (Cognitive) patient will have the ability to able to state the signs and symptoms of hypoglycemia and hyperglycemia and what to do in each scenario. 2. (Affective) patient will have the ability to be able to state the advantages of maintaining healthy blood glucose levels and the significance of taking insulin in the prescribed manner. 3. (Psy chomotor) patient will demonstrate/show the ability to self-administer Insulin without any assistance/prompts. The teaching session is expected to last around 3 hours. The first hour will involve providing a brief outlook of what diabetes is and how to control it using insulin. I will begin with a basic outline of the pathophysiology of diabetes and the common signs and symptoms. I will then explain to Michael that when controlling his sickness his blood sugar can rise or drop. High blood sugar (hyperglycaemia) is brought about by eating a lot of food, consuming sugary foods, or by not following the prescribed methods of taking insulin. Hyperglycaemia is characterized by frequent urination, fatigue, thirst, dry mouth, blurry vision, and weight loss. If left untreated, it can lead to a coma (Urden, Stacy & Lough, 2006). When you experience hyperglycaemia, take insulin as prescribed and drink water. Low blood sugar (hypoglycemia) is caused by taking a lot of insulin, skipping meals or eating little food. Signs of hypoglycemia include confusion, headache, anxiety, dizziness, shaking, faster heartbeat, slow or slurred speech, sweating, and blurred vision. In case of hypoglycemia, drink or eat something that contains fast-acting sugar. Examples include soda, honey, sugar, fruit juice, or candy bars (Aldridge,

La Noche Triste (the night of sorrows) Term Paper

La Noche Triste (the night of sorrows) - Term Paper Example Due to the fact that the Cortes letters to Charles V were the only written sources of information available then, the conquistador’s words were mostly credited as the truth. The description that the Spanish army was just victims of treachery committed by the Aztecs and that it fought bravely and wisely under the able leadership of Cortes were concepts that were widely considered as accurate. However, as an increasing number of historians came to explore further the details of La Noche Triste, it was soon found out that the letters sent by Cortes to the king of Spain may not be the most accurate source of information regarding the events that took place prior to it. One observation is that made by Jonathan Loesberg, who points out that that Cortes actually used a style of writing that puts him in position to influence instead of just obeying the king. In the letter Segunda Relacion, he used a style in which the king would develop support and sympathy for Cortes and his troops. This would naturally serve Cortes’s self-interests later. ... According to Inga Clendinnen in his book Aztecs: An Interpretation, â€Å"the traditional tale being too much in accord with European preferences to be easily surrendered, and the story the victors told continues to for truth.†2 To base the an analysis of an important historical event on the narratives of one man who happens to have a vested interest related to it would certainly produce inaccuracies that may be upheld as truths in the end. This is the reason why, in order to objectively appreciate such event, it is necessary to seek information from other sources as well. Cortes’s accounts are the bases of the theory that Spain intention of exploring the New World and colonizing it is to the introduce Christianity to pagan natives. Under such pretext, all actions Spaniards in the Caribbean as well as in the mainland of what is now known as Latin America were made with missionary work as the excuse. However, as mentioned earlier, Cortes has his own selfish intentions of gaining political power by getting the favor of the king as well as discovering gold for the crown and for himself. These alone are already powerful motivations that drove Cortes to lead his outnumbered but well-equipped army into the Mexican interior. Prior to this, Cortes had heard about the existence of a relatively advanced civilization among the natives. The city-state of Tenochtitlan was the seat of Aztec power in Mexico and its capture could mean the unquestionable dominance of Cortes’s army. The expedition towards Tenochtitlan proved to be productive for the small Spanish army. They met native tribes who happen to be enemies of the Aztecs, such as the Tlaxcaltecas and the people of Tliliuquitepec. Cortes treated these natives as friends although this was all according

Psychology Report - memory for text Essay Example | Topics and Well Written Essays - 1000 words

Psychology Report - memory for text - Essay Example Results showed that the group in which context was given before reading the passage had performed better in comprehension and recall than the two groups in which no difference on recall was found and that comprehension and recall is significantly correlated when context was given prior to the introduction of material. The procedure is really quite simple. Â  First, you arrange things into different groups depending on their makeup. Â  Of course, one pile may be sufficient depending on how much there is to do. Â  If you have to go somewhere else due to lack of facilities that is the next step, otherwise you are pretty well set. Â  It is important not to overdo any particular endeavor. Â  That is, it is better to do too few things at once than too many. Â  In the short run this may not seem important, but complications from doing too many can easily arise. Â  A mistake can be expensive as well. Â  The manipulation of the appropriate mechanisms should be self-explanatory, and we need not dwell on it here. Â  At first the whole procedure will seem complicated. Â  Soon, however, it will become just another facet of life. Â  It is difficult to foresee any end to this task in the immediate future, but then one never can tell. (Bransford & Johnston, 1972, p. 722.) Bransford and Johnston used this passage in their study of comprehension and recall. Two groups of subjects listened to the passage, and were asked to understand and remember it. Â  One group was made to listen to this passage right away while the second group was informed beforehand that the passage was about washing clothes. Â  Bransford and Johnston found that people in the second group were much better at understanding and remembering the passage than those in the first group. Â  The first group had no context in which to incorporate the passage; the second group could readily integrate it into their prior knowledge of washing clothes. Prior knowledge is a factor in

MGT422 Answer Questions Assignment Example | Topics and Well Written Essays - 750 words

MGT422 Answer Questions - Assignment Example Also the release of prisoner number 8612 after he was deemed to have crazed, shows the stressful life of inmates and depression levels. Considering this was just an experiment and he was to be released after one and half days, the critically one can tell the level or amount of agony in the long run. First, stripping by prisoners, which is mostly by force or without the prisoner’s consent or option, is degrading and a violation to that extent. Despite the fact that the prisoner is on the wrong side of the law, stripping may cause untold trauma as everyone deserves privacy and psychologically this may bring other issues like strong revolt and defiance by the prisoner, all in violation of freedom or rights at the start. Delousing and shaving of the heads of the prisoners, as it is put by the guards or from the societal conception, inflicts much internal suffering to the prisoner or the military as they are viewed as dirty, and from the prisoner’s point of view, psychologic ally creates fear as he/she tries to figure out the place he is about to be incubated. Push-ups were aversive forms of punishment at first but this changed with time which shows the adaptation character of humans to a life without a choice. That is, at first they were punishment but since the prisoners did not have a choice, and violation or redress was followed by tougher punishments, they were forced to adapt to the push-up as they were done by everyone and doing them, averted one from extra punishments. Personally, if I were a prisoner, life could have been worse for me especially on the issue of confinement and minimal sensory stimulation. I would be stressed and disoriented and I think I could be the first prisoner to be released of crazing. Personally, I would have rejected the offers to show the prisoner solidarity since from the slides we see some prisoner taking long to adapt to the prison life, justified by the fact that we are not the same, and by rejecting the offers, I will save the â€Å"slow adapters† agony of further torture since the guards will perceive them as notorious or showing some revolt. Misperception of the guards being â€Å"bigger† than the prisoners is always there but here we are dealing with two different cases, the first of prisoners without rights and freedoms and that of the guards who had power and authority to even to torture them. The misperception is always based on the power, privileges and authority involved as body size may not necessarily matter. Their behavior was more controlled and channeled to an intended goal of finishing the study unlike on the case of civilian and police encounters. For instance, in the latter, the civilians show much revolt during arrest as they are not aware on the kind of suffering and conditions of these cubicles and also the fact that they don’t know how long they can take in there after conviction, tends to necessitate revolt from the start. To minimize bias in the stu dy, the choice of variables should be independent and non-discriminatory in that our case where the principle investigator assumed the role of a superintendent, he could control the simulation of the study to meet his personal expectations and also the choice of students as prisoners and guards, would affect the authenticity and independence of simulation as the relationships were more friendly

Publicly-listed companies Essay Example | Topics and Well Written Essays - 1000 words

Publicly-listed companies - Essay Example Business organizations are formed and nurtured by individuals; therefore, the norms are a reflection of the character patterns of the proprietors. The acts of a defiant worker will result, depending on his/her target, lead to either productivity loss, sabotage property, show no respect for others or anti-social to colleagues. Out of the society’s desire to have and regulate ethical behaviors, jurisdictions have developed and enacted into law ethical guidelines that inform decisions. Unethical behaviors have been defined in federal law to include invasion of privacy, theft, embezzlement, fraud, price fixing and incomplete disclosures. All organizations are bound by the rules intended not only to punish, but to encourage companies to prevent violations (Zschietzschmann 25). There are three influences in ethical decision-making; intensity, moral development and ethical principles. Ethical intensity is the degree of concern people hold about ethical issues encompassing magnitude of consequences, social consensus, probability of effect, temporal immediacy, proximity of effect and concentration of effect. Ethical principles are a sum-total of long-term interests, personal virtue, religious injunctions, government regulations, utilitarian benefits, individual rights and distributive justice in guiding the process of decision-making. In enforcing and preserving ethical behavior, a company must have code of ethics that all employees must abide by whether inside or outside the workplace. The code of ethics informs, from the onset, how employees are hired to ensure that the employee personal interest conforms to that of the organization. Ethics are further transmitted through continuous training as the law is not static. When faced with an ethical issue to deci de, individual needs to identify the problem as a first step. The next step is to identify the extent of the effect it causes followed by why it came to happen. One has to explore the

International Financial Reporting Standards Assignment

International Financial Reporting Standards - Assignment Example The IASB is responsible for oversight of the IFRS. This agency was formed in 1973 under its former name International Accounting Standards (IAS). The IFRS were created in 2001 (Articlebase, 2008). The first nation to adopt the IFRS framework was the European Union. The countries of Europe adopted IFRS in 2005 (Moya, Perrramon, Constans, 2005). The biggest stock exchange in the European nation is the London Stock Exchange (LSE). All domestic companies must abide by IFRS and U.S. companies that want to list their stocks in the London Stock Exchange must convert their financial statements to IFRS. In U.S. GAAP the financial statements of all companies must follow a specific format, but under IFRS companies can utilize multiple formats for their financial statements. Despite the fact that the IFRS started in Europe, the goal of the IASB is for the IFRS to become the global standard in the accounting community. In a little over a decade the IFRS has penetrated a lot of nations worldwide a lready. There are 153 countries across the world that adopted IFRS which implies that nearly 75% of the world has currently gone through the process of implementing IFRS (Pwc, 2012). The United States is listed as one of the countries that have adopted IFRS, but in reality the U.S is still in a conceptual phase due to the fact the entire financial system of the U.S. is based on U.S. GAAP. It is going to be extremely difficult to convince the entire financial community that convergence into IFRS is in the best interest of the United States. U.S. GAAP is a more complex system that has been used for a longer time. One of the benefits of IFRS is its simplicity. A simpler accounting system can help companies reduce administrative expenses since accounting is a major function that requires a lot of resources. Some people in America have resistance to change because they believe that U.S. GAAP is a superior system that is better equipped to prevent material error and fraudulent activity. T he U.S. GAAP and the IFRS have the same function of recording the financial transactions of companies, but there are lots of differences between the ways financial information are reported in each framework. Under U.S GAAP the valuation of investments is done at the cost of the investment in order to comply with the historical cost principle. The historical cost principle states that all assets in the balance sheet must be recorded at purchase price of the acquisition (Investopedia, 2013). The profits or losses of the investments are only recognized in the accounting books if the investment is sold. In IFRS investments are recorded at fair market value. U.S. GAAP has more information and detail than IFRS. For instance under U.S. GAAP the consolidated financial statements demonstrate financial information regarding the subsidiaries of the company. The IFRS only reports financial activity of the parent company unless the parent company has control over the finances of the subsidiary. Another example of the descriptive nature of U.S GAAP is the policy of reporting detail information about the investments of the firm in the financial statements of the firm. IFRS excludes investment activity from the financial statements. The discrepancies between the two accounting frameworks create inequality in the financial markets because investors are not able to compare the financial statements of U.S. companies vs. foreign firms. In an ideal world everyone would use the

I can't believe that this was once a syllabus Assignment

I can't believe that this was once a syllabus - Assignment Example This particular curriculum design intended to evaluate the performance effectiveness in the educational system of America. Through his book, Ralph emphasized on the purpose of education in the life of children. Ralph focused on the factors such as what are the interests of the child, the problems he encountered in obtaining education through the traditional curriculum and the purpose of his study. Also to make the education system better, no particular source of information is adequate to provide a basis of wise and comprehensive decision. As Ralph suggested in his book, education system should be so formed that it would help to change the behavior of the people in the most righteous way. The feeling and thinking skills of the people influenced by the content derived from education was the key point highlighted in Ralph W Tyler’s principle. His basic principle was to understand learning of education and its effectiveness in the behavior of the people throughout the life (Tyler , 2013). Evaluation of Tyler’s Curriculum Tyler’s curriculum came into existence during his eight year study. The concentration point of the study was to understand whether students were actually getting educated through the learning delivered in the classes. While Ralph was working on his eight year study, he went to the Ohio State where the faculty wanted him to test the knowledge of the students. The instructor would give emphasis on taking tests, but Ralph suggested that tests would quantify the memorizing power of the student and not their understanding on the subject matter, which certainly became a major turning point in today’s contemporary education process. Ralph coined the term â€Å"Evaluation† to investigate the real leanings of the students through the education system (Tyler, 2013). The evaluation was to understand the effectiveness of education and learning on the people’s behavioral characteristics and their life in future. The une mployment rate in the organization was increasing due to the lack of learning in the specific subject matter. The curriculum theory of Ralph dealt with the real sense of understanding of education. The theory emphasized not on the dull sensing of meaning of the subject matter but focused on the inner meaning, emotions and continuous exploration of the study in the life of the student (Tyler, 2013). The curriculum theory also gave emphasis to few principles, which were required to be followed for a better education system. The principle of the curriculum was to explore the knowledge of the learning, the interest of the students in the given subject and most importantly, the purpose the child has in his mind regarding the study. It was observed through his curriculum theory that every student had different interests and hence, 30 schools were developed to try the new education system suggested by Ralph. The evaluation of students, were further suggested by Ralph, to be done by the rec ords of the performance of the students throughout. Appraisal system would be introduced every year to check the knowledge and to understand whether they are learning the expected skills, which would help them in future. The theory also stated that the evaluation of the people after completion of studies, which meant how the people are dealing in the real