Friday, January 10, 2020

Quality Indicators for Safe Medication Preparation and Administration Essay

Being passionate about caring and helping others has influenced and inspired me to enter the medical field and has then encouraged me to become a registered nurse in the Philippines. I have worked in a public hospital located in Manila which caters health care services for people presenting infectious and tropical diseases. One day, I had an admission who was diagnosed with an Acute Gastroenteritis secondary to Acquired Immunodeficiency Syndrome. The doctor ordered a new antibiotic that should be given intravenously. When the antibiotic was already at hand, I administered the medication with the 100ml solution of normal saline to the patient. Afterward, because of a lot of toxicity in the area caused by a large number of patients, I forgot to reassess the patient whom I gave the antibiotic initially. I was surprised when I got back, the patient was already experiencing an allergic reaction to the antibiotic that the skin was flushed and generalized rashes were observed. I referred the patient immediately to the resident on duty and anti-histamine medications were given right away. Because of the incident happened, I felt overwhelmed with fear due to the possible consequences I had in my mind that the patient might suffer. I had been administering antibiotics many times in the past, but this situation made me feel guilty and uneasy. I even questioned myself if I am really that competent enough to do medical interventions to the patients. A nurse’s role is to render a high quality of care at all times. The reactions of the antibiotic would have been prevented if the proper assessment has been executed. Being knowledgeable in interventions especially medication administration is essential in my role, that I felt I didn’t accomplish fully. I documented all that happened to the patient and I made an internal incident report so that the other team members would be well-informed about the situation and also proper endorsements were done. Further errors and complications will be prevented through active management and effective reporting system would ensure patient’s safety. Administration of medicines to individuals who are ill is part of nurse’s responsibility to deliver holistic and optimal care (Veitch & Christie 2007). In the Philippines, nurses are required to practice methodical approach that follows local polices. In regards to my own experience, nurses practice 10 rights of medication administration that are intended to protect patients from any misconduct in promoting health. Some of the key things I have learned include developing my time management, multi-tasking, and organizational habits. One of the ways I would change what I did then would be to assess before and after administering certain medication to the patient especially if it’s an initial dose. I am now more cautious and responsible for my actions when delivering holistic care. Although I should’ve reassessed the patient, the experience I have gained from this has made me more mindful of patient’s rights that safeguard patient’s well-being. In the future, I think I would try to deal with this by improving the level of my competence and not neglect the aspects of nursing as a caring profession. I will continue to provide genuine care to the patients through further developing my skills in performing the 10 rights of medication administration. I intend to become more careful and as well as confident when protecting the health of my patients from possible risks of any treatment and health practices. As a registered nurse, I aim to advance my knowledge and skills that will befit the needs of the clients. Therefore, even if this experience for me was a challenge, I took it as an advantage to help me understand the importance of values in nursing and will guide me in tackling different instances and situations in the future.

Thursday, January 2, 2020

Citizenship Paper - 1530 Words

Theodore Roosevelt’s The Duties of American Citizenship Speech Theodore Roosevelt was the 26th President of the United States of America. He is noted for his enthusiastic personality, range of interests and achievements, and his leadership of the Progressive Movement. Before becoming President, he held offices at the city, state, and federal levels. Roosevelts achievements as a naturalist, explorer, hunter, author, and soldier are as much a part of his fame as any office he held as a politician. On January 26, 1883 in Buffalo, New York Roosevelt delivered a speech that reveals his ideas of what an ideal citizen is and what his role in the community should be. President Roosevelt’s ideas of citizenship in 1883 are different from the†¦show more content†¦The good citizen will education his family and his community by being a role model and preforming his civic duties. Roosevelt shapes his ideas of citizenship around how a man treats the people around him which impacts the entire community. Roosevelt’s ideal citizen focuse s more on the lived experience of a man and his actions in community which reflect on public engagement. President Roosevelt focuses more on the individual person and he gives examples of how a good citizen should be because that one person has the power to impact more than just his self. Roosevelt says, â€Å"In a free republic the ideal citizen must be one willing and able to take arms for the defense of the flag, exactly as the ideal citizen must be the father of many healthy children.† Although the same expectations are felt in Roosevelt’s time and today, Roosevelt puts more emphasis on it because the educational advantages are present. President Roosevelt believes a good citizen with strong moral character will raise strong children and teach them the values he was taught. He says, â€Å"A race must be strong and vigorous; it must be a race of good fighters and good breeders, else its wisdom will come to naught and its virtue be ineffective.† President Roo sevelt is saying without the teachings of good citizenship in the home, future generations will lose the true meaning of citizenship. All of Roosevelt’s characteristics of the good citizen involve education. A man cannot know what itShow MoreRelatedEssay about Citizenship, A Right And A Responsibility?.1549 Words   |  7 Pages nbsp;nbsp;nbsp;nbsp;nbsp; When I think of America I think of freedom and citizenship. The right to vote or the right of free speech are aspects that, as citizens, we posses. Being born in America automatically gives you these rights and many more, and most importantly, you become a citizen. Now, with citizenship comes responsibility such as obeying the law and paying taxes. So if you follow these simple rules does this make you an effective citizen? This question, in my opinion, is almostRead MoreEssay about Citizenship, a Right and a ResponsibilityÂ….1554 Words   |  7 PagesWhen I think of America I think of freedom and citizenship. The right to vote or the right of free speech are aspects that, as citizens, we posses. Being born in America automatically gives you these rights and many more, and most importantly, you become a citizen. Now, with citizenship comes responsibility such as obeying the law and paying taxes. So if you follow these simple rules does this make you an effective citizen? This question, in my opinion, is almost impossible to answer for a numberRead MoreWhat Citizenship Means to Me Essay784 Words   |  4 PagesFey Engl 1301 Feb. 01 2013 What Citizenship Means To Me So what does citizenship means to me? Is it just a piece of paper that says you are a citizen of a country or does it mean something more in a deeper level. When I was just a little boy my mother always talks about that when we move to the United States we should apply for citizenship immediately. As I was growing up here in the United States I slowly understand what citizenship means to me. Being a citizen for me is fulfillingRead MoreThe Role of the Citizen Essay1395 Words   |  6 Pagescommunity. This paper will help you learn what it takes to be a model citizen. What is a citizen? A citizen is a legal member of a country to which it pledges fidelity. Along with citizenship are certain freedoms, shielding, and duties. Being a member of a country also means a citizen is a member of a community and should strive to make their community a better place to live. There are a number of ways to become a citizen in the United States. 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Athens was and still is known as the original culture to create the ideal of democracy and was the first democracy in the ancient world. (Pomeroy, 2012)(Levack, Muir, amp; Veldman, 2011). However; Ancient Athenians were not an equal society, they reserved citizenship for only a select group withinRead MoreCitizenship As A Citizen Of A State1860 Words   |  8 PagesA broad description of citizenship is to be a citizen of a state. This can entail numerous responsibilities and opportunities. With that in mind, it is easier to think of citizenship not just as something that is owned and held, like a piece of paper, but instead is a responsibility that holds positive consequences if a citizen upholds their end of the deal. Not only is it a responsibility, but it is a type of contract between the individual and the state. By making it a contract it holds those responsibilitiesRead MoreEssay on The concept of earning ones citizenship2721 Words   |  11 Pages The Concept of Earning On e’s Citizenship Citizenship is defined as a being a citizen or a person owing allegiance to and entitled to the protection of a sovereign state. Citizen preferred for one owing allegiance to a state in which sovereign power is retained by the people and sharing in the political rights of those people. The concept of which in one of its earliest was given to us by the Romans, who had just began to understand the importance of a populace contributing to the decisions of itsRead MoreEssay about Corruption in Politics2511 Words   |  11 Pagesthat the debate on corporate citizenship has only paid limited attention to the actual notion of citizenship. 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Wednesday, December 25, 2019

The Effects Of Pollution On The Earth s Water - 913 Words

Over two thirds of Earth s surface is covered by water; less than a third is taken up by land. As Earth s population continues to grow, people are putting ever-increasing pressure on the planet s water resources(Chris 1).Water pollution affects the entire biosphere – plants and organisms living in these bodies of water. In almost all cases the effect is damaging not only to individual species and population, but also to the natural biological communities(WIKI 1).The three acts which causes water pollution are when garbage is dumped into oceans,and causing oil spills while transporting crude oils,industrial waste dumped into oceans. The first reason to pollution is oil spills.An oil spill is the release of a liquid petroleum hydro carbonate into the oceans(wikipedia 1).For example,when oil is shipped,it is natural to cause oil spills.As oil can not be dissolved in water,oil forms thick sludge in water(â€Å"oil†).This suffocates fish,gets caught in the feathers of mari ne birds stopping them from flying.Blocking light from photosynthetic action from aquatic plants(â€Å"oil†).Oil spills may be due to release of crude oil from tankers,off shore platforms.Oil spills on sea’s take more damage than on land. This may lead to disastrous consequence for marine animals.When exposed to oil, adult fish may experience reduced growth, enlarged livers, changes in heart and respiration rates, fin erosion, and reproduction impairment(National 1).In addition to that it even impacts on humanShow MoreRelatedPollution And Its Effects On The Environment1655 Words   |  7 Pages From the beginning of the existence of humans on planet Earth, humans have caused the majority of pollution in the environment. It is widely accepted that pollution causes negative effects on the planet and on biological health. Humans have polluted all the the four major parts to Earth; air, water, soil, and wildlife. 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Tuesday, December 17, 2019

The Yellow Wallpaper The Story Behind Jane s Metamorphosis

â€Å"‘The Yellow Wallpaper’: The story behind Jane’s metamorphosis† In her literary work â€Å"The Yellow Wallpaper†, Charlotte Perkins Gilman portrays the nineteenth century women subjugation by setting the narrator to be diagnosed with a mental illness. The narrator is then taken to a country house where she develops a special interest with the yellow wallpaper in the room her husband places her. In spite of her social status as a woman of the nineteenth century, Jane faces a major metamorphosis that consists on shifting from being repressed to being liberated from her repressive spouse; her transition is accomplished through the writing of her diary, her determination to find the symbolic meaning of the wallpaper, her recognition and rebellion against John’s male chauvinism, and finally her decision to destroy the wallpaper aiming at liberation of the woman trapped behind it. It is of true surprise that â€Å"The Yellow Wallpaper† p arallels the story of Charlotte Perkins Gilman as she also suffered from a mental breakdown. In her effort to recover, Gilman turned to the foremost physician in the country, Weir Mitchell. She was subjected to his famous treatment â€Å"the rest cure† in which she was instructed not to do any physical nor intellectual efforts and to have as much rest as possible. Since Gilman was not able to see any results, in fact, her illness seemed to worsen, she decided to retake regular activities. Unexpectedly, returning to her normal life helped her to recover and,

Monday, December 9, 2019

Pitch and Tempo Essay Sample free essay sample

If you’re male. your voice will hold a lower pitch than most of your female friends. If you are really slender. you will likely non hold every bit much vocal resonance as person with a larger chest pit. But don’t desperation. There are many characteristics of your voice that you can alter with a small pattern and if you are traveling to be giving a presentation. a small spot of vocal tune-up may be all the pattern you will necessitate to sound dramatically better. The truly governable and hence mutable characteristics of your voice are: 1 ) volume. 2 ) Tempo. 3 ) Pitch. 4 ) Quality. 5 ) Articulation. 6 ) Pronunciation. Let’s see each one and discourse some exercisings you can make to do each of these countries of your voice as First. volume is merely how loud or how soft you speak. If you are giving a presentation. you will likely necessitate to talk louder than you would in an informal conversation. A good exercising to increase you volume is to stand at one terminal of a big room ( sooner a room the same size as that where you will give your presentation ) and pattern â€Å"bouncing† words off the back wall as if they were tennis balls. If you can. hold a friend sit at the dorsum of the room and see if the friend can hear you. If you don’t hold a friend who can assist you. enter your attempts on a tape recording equipment that you can playback to see if you are accomplishing your volume ends. If you feel comfy bring forthing single words in this mode. travel up to full sentences. and so paragraphs. Besides. pattern changing your volume. For of import words. increase the volume doing the words rather loud. and so diminish the volume to a really soft. but still hearable degree. Second. pacing refers to the velocity at which you speakhow fast or how slow. Most talkers who give presentations talk excessively fast. When you are practising. you might seek clocking yourself. A nice comfy pacing is about 140 to 180 words per minute. If you speak much faster than that during your pattern Sessionss. you will about certainly speak faster during your presentation when you will be even more dying. Once you are certain you have a pleasant pacing ( non excessively slow. nevertheless ) . you should pattern changing your pacing. merely as you practiced changing your volume. The parts of the presentation that are the most of import should likely be slower ; the less of import parts can be faster. If you vary the pacing in this manner you will assist maintain your audience interested. Third. the characteristic of pitch refers to how high or how low your voice sounds. This facet of the voice is the closest a talker comes to being a instrumentalist. This doesn’t mean that you should sing your presentation. It merely means that as a talker you produce each sound you make on a peculiar pitch merely as a vocalist does. The difference is that a vocalist uses more pitches than a talker does and a vocalist typically holds the sounds much longer than a talker does. Most talkers use merely a few pitches ( or notes ) when talking. The more pitches you use. the more interesting you will be. You may hold heard of talkers who use merely one note when they speak. We call this type of talker a drone. which means â€Å"one note. † Listening to a drone talker is so deadening that many audience members tend to fall asleep. Don’t do this during your presentation. Practice talking utilizing many different pitches or notesin the high scope and the low scope every bit good as the center of your pitch scope. It is of import that you have a broad scope of possible notes and that you really utilize them suitably during your presentation. Of class. pattern your presentation utilizing as much pitch assortment as you can without traveling â€Å"over the top. † If you use excessively much pitch assortment. you might sound as if you are talking to a category of kindergarten pupils. A good manner to pattern acquiring good pitch assortment is to read fiction or poesy out loud. Let your voice respond to the emotion in the words and it is really likely your pitch will change excessively. Fourth is vocal quality. This facet of the voice is more hard to explicate than the old three elements. Vocal quality is the single alone sound of a person’s voice. We frequently label a person’s vocal quality based upon the emotional feeling it creates. such as rich. resonant. breathy. harsh. hoarse. nasal. or denasal. As you can see. some of these labels are positive and some are negative. After your presentation. you may non hold your audience raving about your rich. resonating voice. but you certainly do non desire them to believe of your voice as harsh or nasal. However. altering your vocal quality takes longer than altering the three antecedently mentioned characteristics. Changing volume. pacing. or ptich is more like altering apparels and altering vocal quality is more like traveling on a diet. If you suspect that you might hold a vocal quality defect. inquire a friend who will be viciously honorable with you. If they tell you that you do hold a voice which is rough. or hoarse. or rhinal. or denasal. you may desire to get down working on assorted exercisings to better your voice. Part of developing a pleasant voice quality is merely being cognizant of the sound of your ain voice. Record your voice. Try reading transitions in assorted ways until you hear yourself bring forthing a sound that is pleasant. This is non something that will go on overnight but it can be done. Fifth and 6th. we have articulation and pronunciation. They are presented together because they are related. Articulation refers to the lucidity with which you produce consonants sounds-such as a good chip â€Å"p† or â€Å"t. † Pronunciation is your apprehension of how a peculiar word should be produced. The major difference is that articulation is physical and pronunciation is mental. To clear up. if you’ve merely been to the tooth doctor and received a shooting of Novocain. your articulation will likely non be good. even though you understand how to articulate the word â€Å"mumble. † In fixing for your presentation. do certain your articulation is crisp by reiterating assorted lingua tornados over and over. To do certain your pronunciation is first-class. look into any word you plan to utilize during your presentation in the lexicon to be perfectly certain you are articulating it right. There you have them-the six governable characteristics of your voice. If you are traveling to give a presentation. do certain you pattern each of these six vocal features and you should sound fantastic!

Sunday, December 1, 2019

UC Students Approach To Affording College Tuition

The UC system has 9 undergraduate schools and often rank in the top 20 colleges that receives the most applications. Vast majority of these applications are from in-state applicants looking for a chance to get a higher education and a lower cost. However, the in-state tuition is still too costly for many students to handle. We understand the pressure that many students face and were here to offer some advice from current students at UC Berkeley, UCLA, UCSC, UCR and UCSB: Iron_Man(UC Berkeley ‘19): I applied to MANY scholarships. Apply to as many as you possibly can without becoming overwhelmed; college costs A LOT without scholarships. Make sure to check out your colleges financial aid benefits and how to apply, as many colleges, like UC Berkeley, UCLA, and Northwestern, give undergraduate scholarships that are worth a lot. Scholarships can make the difference between surviving through college and thriving in college.alinette:I did not begin applying for scholarships until my senior year in high school, and this was a very grave mistake. In financing my education, I relied mostly on the grants and merit scholarships offered directly by the university and student loans. You should begin to seek out and apply for scholarships as soon as possible, and as many as you qualify forif even barely. Take a couple hours at least once a week to browse through 10-30 scholarships and apply for them. Spread out the essay-intensive scholarships with easier, le ss time-consuming ones that require only a short answer or completed survey. Sites such as fastweb.com and scholarships.com are great resources, however the best chance you will have of acquiring a scholarship is through local resources such as your school, local small businesses, or your parents companies. Make sure to frequently check in with your counselor or school resources center, as local organizations will be constantly adding new scholarship applications. Locally, the applicant pool is much, much smaller and your chances are therefore exponentially higher of being chosen. Jacky1010(UC Riverside ‘19): I applied for the Cal Grant, scholarships, and also took out loans. If you have the opportunity to get free money for college you should definitely take it. If you still have financial need, like in my case, loans are a great option. 499363823546513FB(UC Santa Barbara ’19): My biggest advice for loans and scholarships is to start early. Try to get some during the summer and during your school year keep in constant contact with your college counselor because they can open up a lot of opportunities for you. CogsOfSteel:Ill state outright that I have the benefit of daddys money. My father saved and scraped 20 years to pay for my education, and so while paying for Berkeley will be a financial squeeze it is one that he can survive with no loans. With my mind occupied on getting to prestigious privates themselves (and the usually generous financial aid packages they give), I didnt work very hard on getting scholarships. That, I am quick to admit, was a massive mistake. I have no financial gift aid at Berkeley, and I cannot in good conscience put all of that burden on my father for the next 4 years. Thus I amand would recommendapplying to a variety of outside and private scholarship. kevvasquez(UC Santa Cruz ‘19): I cannot stress this enough, apply to as many scholarships as you can!!! I got a decent amount of financial aid for my first year of college but it is not enough to pay it all. I need to receive loans in order to be able to pay for my college, and trust me that was the last thing I wanted to do. It is terrifying thinking how you are going to pay for school, especially when you are new in this situation. Go to your schools career center and ask for scholarship information, go see your counselor so they can further your search in financial aid; go to websites like fastweb.com, scholarship.com, niche.com (etc.). I regret not applying to as many scholarships as I could have applied to, but you new seniors have plenty of time to still apply and get some money to help pay for tuition also offers a $5000 scholarship, so dont miss out out on yourchance! Whether you’re just starting your search or you’re looking for help applying, it’s never too early to make the college application process easier.Searchto find students like you orcontact a mentorfor help with the admissions process so you can narrow down your choices and get a head start.

Tuesday, November 26, 2019

Essay on Racism Black People and Huck

Essay on Racism Black People and Huck Essay on Racism: Black People and Huck Ahmed Heiba English 12/14/12 Br. Jammoudy There have been many distrusts and conflicts between black and white people in the past, but as time changes people change too. Friendships between whites and blacks are sometime the closest and sometimes just never work out for some specific people. In the novel â€Å"The Adventures of Huckleberry Finn,† when Jim was in the island with Huck he was so friendly with him even though Huck’s White. Unlike most black people at their time they weren’t racist to each other and went along very well because they knew that they needed each other a lot. Friendships between white and black people should be no different than any other. What makes them different other than their skin color, don’t they have brains too? When Huck escaped from his father and Jim escaped from the widow and they both met up at Jackson’s island, they needed each other a lot. Huck needed Jim’s forecasting like when Jim could tell that it was going to rain and other skills of Jim’s and Jim need Huck for all the materials he had including the canoe and some of Huck’s hunting skills. They both formed a great bond and became really good friends. They became friends to the degree that Huck could’ve told on Jim and won 300 dollars but Huck said he’d rather die than betray his friend. Today there are many friendships between white and black people but there are always these people that don’t prefer them and try to exclude them out of the society. In the novel, before Jim escaped to Jackson’s island he was a slave for the widow. He had to work for her and he wasn’t allowed to do anything else and for the work he would get food and that’s all. People around hi m would exclude him out of everything. He wasn’t educated even and didn’t used to talk to anyone but the little kids. This made him barely know how to pronounce words when he grew up. Teachers, who were all white, wouldn’t want