Family nursing Essay Example | Topics and Well Written Essays - 1500 words

Family nursing - Essay Example Mr. L lives in three-bedroom condo in residential areas. Living room and kitchen are on the first floor, and bedrooms and bathrooms are on the second floor. The house has a hardwood floor and there is a small rug under the sofa. The air conditioner is in the living room, and there are small fans in all the bedrooms. Family members take off their shoes before entering the house, and wear slippers. Mr. L was diagnosed with DM ten years ago, and now he is administered insulin injections. He often comes to visit his primary doctor because he has swollen ankles and 0.2cm by 0.2 cm foot ulcer on his big toe. He denies any other health problems or surgery history. The family is in the stage of launching the young adults because Mr. L’s youngest child got married in 2010, and a grandson was born last year. Children talk to Mrs. L easily but they rarely talk to Mr. L. All children want to have only one child because they feel that they would be burdened by responsibilities if they will plan more children. Whenever Mr. And Mrs. L’s children face any problem regarding the new born they take advice from their mother and Mrs. L has always responded to them gladly. .Mr. And Mrs. L rarely talk to each other. However, Mrs. L is always concerned about her spouse and his chronic health condition. Mrs. L cooks brown rice instead of white rice because she knows brown rice is good for health, and also helps to reduce blood sugar level for patients who have been diagnosed with DM. Dysfunctional communication patterns are observed between husband and wife. Communication patterns are one way. The husband asks his wife to do the certain job for him and the wife does it without raising any question. While watching the news, the husband discusses his opinion on the news, and the wife too tells her opinion but if somehow wife does not agree with the husband regarding his opinions, husband’s voice gets higher and insists that his opinion is right which leads to cessati on of communication between husband and wife. Affective messages are not exchanged between husband and wife. The wife is verbally and physically warm and close to her three children. Also, the children are affectionate to their mother. However, the husband only expresses warm feeling towards his oldest daughter, and has no warm words for the other two children. Life partners in this case, never express and share their internal warm feelings which they have for each other. Whenever the husband informs the wife about the problems that their family has exhibited, the wife angrily rolls her eyes at husband .It shows an incongruent message. Dysfunctional communication processes are seen in spouses. The husband himself assumes and makes decisions for his wife. While children plan a family vacation, Mr. L comes up with the argument based on his own assumptions that his wife is not interested in going anywhere. Close communication depicts the inner feelings between husband and wife. Cultura l variable affects the communication factor between the couple because they were born and raised in China. In this case, the male is dominant in the house, and wife is submissive negotiating the fact that they follow western culture where the couples are egalitarian. The husband makes all the big decisions of family by himself and does not take any advice from his wife or children.. The wife usually follows his decision without asking

Strategies for assessing skills and competencies Essay

Strategies for assessing skills and competencies - Essay Example The main difference between the retail sales and B2B sales is in terms of the volume. B2B deals in large volumes of sales order and therefore, becomes important ingredient of sales strategy. Hence, while the basic competency and skills of the present sales staff is adequate, the new group from within the sales team would need to undergo 4 months training and development program. They would also be required to explore B2B market for 1 month to evaluate their requirements and how the company can meet them. The in-house training by the external consultants and senior management staff would on the following modules would greatly enhance existing skills and provide them with wide scope of expanding their knowledge area: B2B market is focused on bulk orders therefore sales executives must be skilled in knowing what the investment parameters are going to be so that the objections arising due to money, time and resources are already made clear before making their sales presentations. The training module would prepare the sales team to evaluate these parameters for its different business partners. The encouraging and incentive driven work environment promotes retention of employees and gives the organization better leverage to compete with their rivals. The experienced and motivated workforce is conducive to higher degree of creative inputs and innovative approach. Commitment to work and loyalty towards employers is considerably increased when the employees are given opportunity to improve and improvise their professional skills and competencies through in-house training and development. Zapata-Cantu et al. have also asserted that professional growth and self improvement, through human resource development practices, greatly enhance organization’s advantage (Zapata-Cantu et al., 2007). In the highly competitive environment of recessive economy, upgrading the skills of the existing sales executives would be the best option. Indeed, HR’s

Liberalization Policies of the 1990 Essay Example | Topics and Well Written Essays - 1000 words

Liberalization Policies of the 1990 - Essay Example These include almost all sectors that contribute to the growth of the economy of any country. It was thus a big issue at hand since US was still claiming the title of being a super power, which meant that for that to be confirmed to be true in the international arena, then it was inevitable for the US to do something to boost the economic growth. This culminated to the establishment of the liberalization policies that brought an economic boom on the US that has persisted even today. The American government concentrated much on establishing free trade that enhanced flow of goods and services produced hence increasing production process for the entire world. Rather than focusing on tariff reduction, the US policies were based on organization for economic cooperation development (OECD) in order to create transparency in 1990s by accepting to outlaw the action of bribing foreign government officials to gain trade advantage over other nations. In addition, the US urges international commu nities to deregulate their firms and industries and take measures to ensure that existing regulations are transparent and do not bias against foreign firms and companies, and are in line with international policies. To keep the train moving, liberalization simply means an economic idea of loosening the rules and regulations that govern international trade with an aim of attracting more revenue to the US to enhance the economic status that had been adversely affected by the Second World War. During world war, US economy was deeply damaged and infringed in that it was mandated to rescue European nations that were falling. This led to the principled idea of harnessing of the human capital and the development of technology especially through higher education, which was viewed as a future investment strategy (Adler 45). It is good to note that it is at this point in time that the government enforced economic machineries, which were meant to counter check the growth of the economy. In thi s attempt to bring a rapid change of growth, five policies were developed and enhanced in different sectors. One of these policies was the restructuring of the yearly budget of the federal government

How to change the world Essay Example | Topics and Well Written Essays - 250 words

How to change the world - Essay Example They therefore see the realization of national vision and goals of their respective nations. The individuals who have been discussed in â€Å"How to Change the World† are from countries such as brazil, United States, India, Hungary, Burkina Faso, and Bangladesh (Bornstein 28). These people have advanced systemic change and shifted perceptions and behavior patterns. They have innovated massive ideas for solving problems; and they are determined and yearn to spread the ideas throughout the society. One of the social entrepreneurs that have been profiled by Bornstein is Gloria de Souza, a 45-year-old elementary school teacher in Bombay (Bornstein 29). In 1981, she was inspired to transform education across India; this was stirred up by her observation of 20 years of rote learning, a thing she desired to change (Bornstein 34). Souza adapted her teaching ideas to India’s specific circumstances and founded an organization to build a team to spread her ideas. Her project got stipend from a social entrepreneur organization, named Ashoka. She managed to disseminate her Environmental Studies (EVS) approach to teaching. By the end of the 1980s, Souza’s success was very eminent; the Indian government had incorporated EVS into its curriculum, and it was reported that this approach had significantly increased student performance. The lessons I have learned from Souza’s case is that change requires an intrinsic motivation, coupled with action steps; Souza acts upon her observation by taking step to set up her own organization. There is also need to secure for some source of human resource and funds to institute a transformative project; Souza gets stipend from Ashoka-a social entrepreneur organization and builds a team to realize her goal. In addition, it is important to create a relevant project for easy adoption and integration; Souza adapts her teaching ideas to India’s specific issues, a thing that saw the incorporation

Design and security of a small businness network - case study Essay

Design and security of a small businness network - case study - Essay Example The network layout of I.T soft requires an expandable and efficient network that will fulfill the requirements of the company. Advanced security features are also required in order to protect the VoIP traffic and preserve network availability. Project Scope and Objectives As I.T soft has decided to implement a new network. The network will use the latest technology in terms of both hardware and software, however cost considerations cannot be ignored as the company is an SME . The implementation of software technology includes the new innovative network that will support the following: Centralized Database access for sales/customer databases Email Internet access Company Website and Intranet VOIP They intend to run a local DNS server probably on their main domain server. They wish to provide a location for all users to store any company data Accounts and payroll data should only be available to the relevant staff. The customer database should be accessible to all staff, however they o ften have visitors to site who require network access, but the company are concerned about the integrity of their databases. Implementing a wireless environment to provide access to visitors They also require a training room, with networking and access to the internet. protect the integrity of their email and VOIP systems They need to provide access to internal data to staff working off-site. Requirement for tools and Suggestions in order to optimize network performance Requirements for monitoring the provision of their core services such as the availability and performance of their servers and VoIP system Tools to warn of any significant network changes Monitor any attacks on their systems Providing redundancy and failover Network Topology Star topology is recommended for the wired local area network. It is the most widely adopted topology. The star topology supports the centralized provision of network resources and services. The support staff can manage the network administrative and troubleshooting tasks centrally. Star topology helps to implement centralized security architecture for improved and enhanced security of the network. The network implementation cost can be saved by provisioning the core systems located centrally. The security controls and backup systems are also located centrally for better troubleshooting and management. Example of the star topology is available in Fig 1.1. Network Cables For deploying the local network for Camden site, CAT 5 cable is the best option. It supports both voice and data transmission. CAT-5 is in the form of twisted pairs. This cable consists of four copper wire pairs, connecting the network node with RJ 45 connectors.CAT-5 supports up to 100 to 1000 MHz speeds in a ‘full duplex’ mode (Category 5 Cable. 2007). The Camden site will corresponds to request related to internet applications, voice and video transmission, file transfer protocol and Emails. CAT 5 can support these features with ease. However , CAT 5 cable can support up to 300 feet equal to 100 meters in distance. A requirement of the switch is mandatory for every 300 feet. Routers A router is a core computing and packet processing devices in the computer network. Router connects two or more networks with different subnets, enabling the networks to expand on an enterprise level. Logically the router builds a routing table, where it stores all the route addresses. For example, the data packet

Ulcerative colitis Essay Example | Topics and Well Written Essays - 3250 words

Ulcerative colitis - Essay Example 2006). This paper will be divided into two main categories, whereby the first category will outline the characteristics and nature of Ulcerative Colitis. There will be a thorough discussion of what the disease is and what it is not in terms of its similarities and differences to Crohn's disease, as well as according to its prognosis. The second category will highlight the skills of a nurse necessary in managing patients affected by this disorder. In such, there will be a clear definition of the management and care that is justified with rationale and scientific explanation. The second category will also address the case study present. It is the intent of this paper to establish a complete understanding of the disease as well as the medical management aspect that is vital to the kind of care provided to patients. More than 500,000 Americans suffer each year from ulcerative colitis, Like Crohn's disease; it can be painful and debilitating and sometimes lead to life-threatening complications. This is according to the Mayo Clinic. Thus the case at hand presents Claire O'Brien, a 32 years old female admitted for possible bowel obstruction and passing of watery stools with bright red blood every 2 to hours. Initial diagnosis purports ulcerative colitis thus prompting the patient for immediate surgery, undergoing colon resection and formation of the colostomy. She is wheeled in to the ward under my care with an Intravenous Line, and has been ordered for a nasogastric tube insertion. Thus a question is raised at this point, what then is Ulcerative Colitis, and how does this disorder affect a person The answer lies in the discussion of the pathophysiology of this disease with emphasis to its etymology, symptoms and prognosis. Ulcerative Colitis is a non-specific inflammatory condition of the colon, a disease that begins often between the ages 20 and 25 years of age but may affect both young and old alike (Cotran, ET al.p776.1999). This tends to have flare-ups that later settles down again for variable amounts of time, yet it is possible to have a single attack. This disease usually begins in the rectum and spreads proximally, affecting primarily the mucosal layer, although it can extend into the lower submucosal layer. The length of proximal extension varies and may involve the rectum alone, thus called ulcerative proctitis, the rectum and sigmoid colon thus called proctosigmoiditis, or the entire colon otherwise known as pancolitis. The inflammatory process tends to be confluent and continuous instead of skipping areas, as it does in Crohn's disease. But unlike Crohn's disease that affects various sites in the gastrointestinal tract, Ulcerative Colitis is confined to the rectum and the colon. Both illnes ses though do have one strong feature in common. They are marked with an abnormal response by the body's immune system. The immune system is composed of various cells and proteins that protect the body from infection. With inflammatory bowel disease the immune system react inappropriately mistaking food, bacteria and other materials in the intestine for a foreign invading substance and thus

Focus on the Learner Essay Example for Free

Focus on the Learner Essay Muftah, married with four children, is a pleasant student who is struggling in class. Muftah did not receive any English in secondary school or university. He worked as a Physical Education teacher for two years, and then was employed with the Ministry of Youth and Sports for twenty years. In his years of employment, Muftah never needed to speak or write in English until about two years ago, when he started attending International House. He says that he is now learning English because he has a lot of time on his hands. Muftah prefers to study at home, not with friends. He says that he does not focus on reading or writing; but, he enjoys practicing his speaking skills with his fourteen year old son because that’s where he feels he needs improvement. Muftah sees this as an opportunity to bond with, and encourage, his son because Muftah never got this chance when he was younger. When asked if he is interested in working in a company in the future to maintain his English, he said that he will think about it. Muftah joined International House around two years ago and has had no previous official English education. He studies English for fun and to bond with his children who are now studying English in school; so, he regards English as a social tool rather than one to grow career wise. Muftah is very cooperative in class and participates from time to time. He enjoys group work but prefers to work in pairs because he feels he learns more than when he is with a group of people. Muftah’s strengths are in reading and comprehension. In a scanning activity, he responded accurately when asked to read a letter for one minute and reply to three questions: who sent it, where was it sent from, whom was it sent to. In controlled practice of a reading text, he answers fairly accurately when working on column matching or multiple choice exercises. However, when reading longer texts, (e.g. a newspaper article on eating healthy) he finds difficulty in responding accurately and correctly, yet he seems to put things into context and tell briefly what the piece is about. His teacher says that he sometimes leans towards looking for the answer in Arabic from peers and is the least confident in class; so, he may need to be told to engage fully in English. In addition to his less obvious weakness in skimming texts, Muftah displayed mistakes which were typical to those of an Arab learner in pronunciation and grammar. When conducting a pronunciation exercise, his vowels were incorrectly placed most of the time; this may be due to interference from his L1 because Arabic has a different number of vowel sounds from English. Wednesday: /wenÉ ªzde/ scholastic: /skÉ’lstÉ ªk/ sporadic: /spÉ’rdÉ ªk/ Thursday: /teresde/ Shirt: /ÊÆ'eÉ ªrt/ socks: /sÊÅ'ks/ clothes: /klÉ’dÉ ªs/ Department: /dÉ ªpà ¦rtÉ™mÉ ªnt/ Management: /mà ¦nÉ ªÃŠâ€™mÉ ªnt/ January: /Ê’Ã ¦nu:wÉ™rÉ ª/ Also sounds such as /v/, /p/ and /Ê ¤/ were not accurate on the first attempt and replaced with a /f/ and /b/ and /Ê’/ respectively; this is due to the absence of these sounds in the Libyan dialect. In grammar, his auxiliary verbs are either lacking or placed incorrectly, for example: ‘Where you live?’ and ‘What you doing?’; however, if he is asked to repeat, he will acknowledge his mistake and self-correct it. Again, this is due to not having auxiliary verbs in Arabic, just question words. In an attempt to strengthen his skimming skills, Muftah may buy an English newspaper on his way to work (or borrow a magazine from the school library), pick an article, and try to summarize it with his son. At the end of the week, he may hand it to his teacher for homework to check, and attach a list of new vocabulary he learned from the article. That way he can develop his repertoire of vocabulary, and, at the same time, improve his reading and writing skills. If he hands in the homework three weeks in a row, he can have a break the fourth week to celebrate his accomplishment with his son. Another area I would focus on strengthening is forming the interrogative with auxiliary verbs. Divide a poster board into four (or more) categories: sports, music, animals, and history. Each category is colour-coded and should have four to five envelopes under it. In each envelope there is either a name of a personality, an important event, etc. On each envelope there is the number of points to be won, if participant answers correctly, e.g. 100, 200, 300, etc. To play the game, you will need three persons, player A, player B and a referee. The referee stands by the poster board to take out the card that the players choose. The player will then start to ask 5 questions (yes/no questions or wh- questions) to guess what is on the card. For example, in the Sports category, the card may hold Tiger Woods’ name (or another regionally familiar athlete), so player A will ask the referee: Is it a man or a woman? What game does he play? Where is he from? Does he still pay? If he guesses correctly, he gets the points if not; then, a chance is given to player B to gain the points. If neither player guesses correctly, no points are given and they can try again later.