Saturday, May 16, 2020
Is Cancer A Genetic Disease - 2353 Words
Introduction Cancer is one of the oldest genetic diseases known to man. Since the evolution of mitosis as a means for cell division and the development of multicellular eukaryotes - like humans and their biological progenitors - mutations in normal cell maturation and proliferation have resulted in various types of cancers, some benign but many of which exhibit great malignancy (Hajdu, 2011). Cancer, and one of its more common forms carcinoma, is characterized as a genetic disease where by mutations - often caused by environmental stressors such as chemical or radiation exposure - in the development of epithelial cells lead to abnormal growth, either in terms of size or abundance. This abnormal uncontrolled growth is known as neoplasia (Rock Hogan, 2011). Carcinoma cells can develop by other methods however, anaplasia for example is the process by which normally mature differentiated cells begin to lose their form and resemble immature cells lacking proper function, becoming irrespo nsive to normal stimuli (Scatena, 2011). Dysplasia is similar in that it consists of a proliferation of immature often undifferentiated cells, eventually outnumbering the number of mature cells as they re removed by the process of apoptosis - programmed cell death (Wang, 2010). Eventually the neoplasm, or anaplastic cells, can replace normal tissue; as apoptosis of cancer cells is non-functioning, the development of a large tumour can inhibit the functionality of healthy organs and theirShow MoreRelatedWhy Is Cancer A Genetic Disease?1765 Words à |à 8 PagesBackground: Mrs. Jones has recently been diagnosed with stomach cancer. She has begun treatment but is curious about why cancer is a genetic disease. She has tried to understand what the doctors are saying and has even done some research herself but remains confused. Below is the conversation. Nurse: Good afternoon Mrs. Jones. I know earlier you were hoping to sit down and discuss why cancer is a genetic disease. I have some time now if you would like to discuss it? Mrs. Jones- Why yes that wouldRead MoreRole Of Cancer As A Genetic Disease2893 Words à |à 12 PagesCase Study: BIOT 635 Prahelika Reddy ROLE OF ONCOGENES IN CANCER RESEARCH 1. Introduction The idea that development of cancer as a genetic disease was first postulated by Cavenee et al and developed by Fearon and Vogelstein. According to COSMIC (Catalogue of Somatic Mutations in Cancer) database, the current list of known somatic genetic mutations leading to cancer is 522. Genes which undergo mutations leading to cancer can be classified into two groups - Proto-Oncogenes and Tumor Suppressor genesRead MoreLung Cancer : A Genetic And Acquired Disease2073 Words à |à 9 PagesLung cancer is a genetic and acquired disease. Lung cancer is genetic because cancer in general is caused by changes to the genes that control the way our cells function, especially how they grow and divide. All of these changes include mutations in the DNA that makes up our genes. Genetic changes that increase cancer risk can be inherited from our parents, if the changes are presents in germ cells. Which are the reproductive cells of the body, those are the eggs and the sperm. Lung cancer is alsoRead MoreBreast Cancer : A Complex And Heterogeneous Disease Caused By Genetic Mutations782 Words à |à 4 PagesBreast cancer is a complex and heterogeneous disease caused by both genetic and non-genetic risk factors. These factors include, mutations in breast cancer-associated genes 1 and 2 (BRCA1 and BRCA2) [1]; loss or aberrant expression of the estrogen receptor (ER) [2]; human epidermal growth factor receptor (HER2) overexpression [3] ; lack of ER, progesterone receptor (PR), and epidermal growth factor receptor (EGFR) expression[4] ; high levels of receptor for the insulin-like growth factor receptorRead MoreEssay On Being Cautious About Cancer758 Words à |à 4 PagesCautious About Cancer An informative article by: Nelson Burke Introduction Disease is defined as a disordered or incorrectly functioning organ, part, structure, or system of the body resulting from the effect of genetic or developmental errors, infection, poisons, nutritional deficiency or imbalance, toxicity, or unfavorable environmental factors; illness; sickness; ailment. Simplified, disease is when something goes wrong with the body of an organism due to either a genetic, or externalRead More72 New Gene Mutation Essay1074 Words à |à 5 Pages72 New Genetic Mutations Linked to Hereditary Breast Cancer According to the National Cancer Institute, invasive breast cancer affects approximately 1 in 8 U.S. women, and about 5% to 10% of all breast cancers are hereditary. At present, most people are familiar with BRCA1 and BRCA2 gene mutations, which are inherited gene mutationsââ¬âor abnormalities in the DNA sequencingââ¬âthat increase the risk of developing breast cancer. According to statistics from the National Cancer Institute, by age 70Read MoreGenetic Markers : A Genetic Marker1641 Words à |à 7 Pagesunattainable without genetic markers. In everyone there are certain markers that can allow a geneticist to determine a personââ¬â¢s medical future, certain medicines work with some genetic markers and not with others. Many genes are linked to certain diseases and allow a geneticist to possibly prevent diseases. A genetic marker is a DNA sequence with a known specific location on the chromosome, they can be a great indicator for genetic disorders and any other hereditary diseases. Genetic markers are alsoRead MoreThe Genetic Disorder of Down Syndrome1238 Words à |à 5 Pagescase of genetic disorder. There are so many all over in the world and many doctors still donââ¬â¢t even know what to call them. Some donââ¬â¢t even know they have a disease in them till its too late, or other know all there lives and some learn to live with the diseas e and others live every day in fear of getting even more sick and hurt. Genetic disorders are very common some more than others. Its all has to do with our 46 chromosomes. Genetic disorders can occur to anyone. Many people believe genetic disordersRead MoreUnit Title: Biochemistry Of Nucleic Acids.(A.C. 5.1 And1583 Words à |à 7 Pagescalled histone (American cancer society 2014). According to Cancer Research UK (2014) DNA by itself is made up of thousands of genes, which are a coded message that tell the cell how to behave and divide. As such if the signals are missing, cells replicate excessively and mutate, forming a tumour, and later, a primary cancer (American cancer society 2014). Figure 1.1. Mutation of the DNA leads to severe diseases such as cancer. (Midhath 2012) Read MoreMerrill Syndrome : Lynch Syndrome1358 Words à |à 6 Pages Lynch Syndrome Lynch Syndrome In 2015, 132,700 people will be diagnosed with colorectal cancer (CRC) and 49,700 people will die from the disease (ACS, 2015). According to the CDC, 1 in 30 cases of colorectal cancer can be attributed to Lynch syndrome (CDC, 2015). Using figures from 2015, that would be 3,981 new colorectal diagnoses related to Lynch syndrome. Livstone (2014) states, ââ¬Å"Patients with one of several known mutations have a 70 to 80% lifetime risk of developing
Wednesday, May 6, 2020
Child Labor Essay - 2814 Words
Child Labor Child labor is one of the biggest issues around the world because it puts children in danger, it deprives them of an education, it is widespread and its often hidden or invisible especially in agriculture, big industries and mines especially in poor countries. In this document of child labor its explained what the meaning of child labor is, why it exists, also why it is so widespread in poor countries. There are also examples of children working in deplorable conditions. This document also discusses the reason why parents send or allow their children to work in an environment as a result it finally mentions the possible solutions to end child labor. Child labor is morallyâ⬠¦show more contentâ⬠¦These children harvest and cultivate coffee. Some children harvest bananas, sugar cane, sisal, tobacco, oranges, and other fruits and vegetables. They get up early to work in the damp and cold. Often barefoot inadequately dressed, they develop chronic coughs. They are exposed to the elements, risks bites from snakes and insects, and in many occasions, work without protective equipment while wielding dangerous tools such as machetes and working in close proximity to harmful pesticides. (The story of child labor) In Colombia, there are approximately 2.5 million children that are forced to work to support their families. There are only 40 % of all children who attend to school the other 60 % leave school with a primary school completion. Most of these children work about nine ours each day, they don?t get benefits and their wages are miserably low. In the capital region of Guatemala, about five thousand children between the ages of 6 and 14 were found in secret and illegal workshops they were making fireworks and other explosives. These children were exposed to toxic, flammable, and explosive material. The workshop also didn?t have any hygiene and safety measures. This caused the death of nine children who were injured while working in the industry. Four children survived their injuries. (The story of child labor) Children in Bolivia work for the mining industry this is most found in theShow MoreRelatedThe Nature Of Child Labor1626 Words à |à 7 Pagesthat ââ¬Å"Globally there are 168 million child laborers, over half of which, 85 million, are in hazardous work conditionsâ⬠(ILO). Child labor is not a new phenomenon by any means; it has been going on for years and has become a social issue. This paper aims to portray the nature of child labor in India. It looks at the definition of child labor, the prevalence, and factors that lead children to work. Definition Often time people assume that the meaning of child labor is clear-cut. However, there is littleRead MoreChild Labor1885 Words à |à 8 Pagesââ¬Å"Child laborâ⬠By Elie Bou Chaaya ENL 110 Section ââ¬Å"Dâ⬠Miss Zeina Fayyad 18, January, 2008 Outline: Thesis statement: Child labor nowadays is considered to be a social injustice due to its harmful effects on the personal and psychological life of the child where the kinds of work offered to the child increases the amount of these effects regarding the solutions. I. Harmful personal and physical effects of child labor A. Low pay B. Very long work hours C. Forbids childrenRead MoreThe Dilemma Of Childhood And Child Labor837 Words à |à 4 PagesChildren in Need The dilemma of childhood and child labor are constantly being argued in overseas and domestic sociological literature. Anthropologists and Sociologists through the time have observed the history and the impact of social institutions on child labor. Professionals researching in the field of sociology of economics and labor by examining the incentive and value orientations of children and teenagers in the labor force, their principles and working conditions, and their outlook towardsRead MoreThe Issue Of Child Labor1196 Words à |à 5 PagesThe issue of child labor has drawn significant attention since early 1990s as many labor union and special interest groups advocate banning import of goods produced by the child labor in developing countries and the international consensus in the form of Convention on the Right of the Child (CRC) which is widely ratified in 1989 by countries (Boyden, Ling and Myers, 1998). However, concern regarding child labor is not new and can be dated back to industrial revolution, especially late eighteenthRead MoreChild Labor And The United States2768 Words à |à 12 Pages When one hears the term ââ¬Å"Child Laborâ⬠, an image of children making low quality clothing in some dingy third world sweatshop inevitably comes to mind. While this imagery is unfortunately founded in fact, the third world is not the only area complicit with this heinous practice. Truthfully, we, as a nation are also guilty of propagating this heinous practice. For over a century, this nationââ¬â¢s youth were subjugated to exploitation and abuse at the hands of captains of industry in the hopes of extractingRead MoreChild Labor Industrialization Essay1537 Words à |à 7 Pagesthat they should be protected. However, those people believed in a child s capacity to change the world in the future. While people in the past saw children as a way to change the world while they were children. In the late seventeenth century, industrialization arose in Englan d ushering in a new era of industry in our world. More industry means more workers, including children. With the rise of industrialization in a nation, child laborers are viciously abused due to their niche roles in productionRead MoreThe Effects Of Child Slavery And Child Labor On Chocolate Plantation1617 Words à |à 7 PagesChild slavery and child labor on chocolate plantations is one of the worldââ¬â¢s greatest concerns at the moment. Chocolate plantations are specifically mentioned because chocolate is such a large industry and many kids, particularly in tropical African countries, are affected by child labor. In Cà ´te dââ¬â¢Ivoire alone, around 15,000 children are slaves working on chocolate, or cacao, plantations. (american.edu) This problem is concerning because not only is it unethical, but child labor and, thereforeRead MoreChinas High Dependence On Child Labor1677 Words à |à 7 PagesChild labor is a commonplace in China. Most of the children in China, familie s work income is dependent on their familyââ¬â¢s survival. Child labor is a major issue throughout the global economy, especially in developing countries like China. Although, China has anti-child labor laws, many children in China are forced to work against their will. China is the home of many poor families and some of these families force their children to work because of their struggle with poverty and their lack of incomeRead MoreTaking a Look at Child Labor1957 Words à |à 8 PagesThe term ââ¬Ëchild labor is used for employment below a certain age, which is considered illegal by law and customs. Children are the greatest gift to humanity and Childhood is an important and impressionable stage of human development as it holds the potential to the future development of any society. A young child has yet to develop a substantial set of life experiences to allow for mature choices and decisions. Children depend on the support of adults to get them through life to ensure an adequateRead MoreChild Labor During The 1800 S1285 Words à |à 6 PagesZach Wood October 5, 2016 Child Labor 1880-1910 Child labor was very common in the late 1800ââ¬â¢s and the early 1900ââ¬â¢s in many places. Child labor usually took place in a factory working on a manufacturer line or doing as much physical labor as they could possibly do, being as young as they are. These kids who took part in child labor started some as early as the age of four or five, and then kept working until the day they died. Most of the time these kids has to work as much or sometimes
Tuesday, May 5, 2020
Mandatory Continuing Professional Development â⬠Free Samples
Question: Should Registered Nurses Be Held Accountable For Their Own Practice? Answer: Introduction Registered Nurses (RNs) are fundamental in the delivery of care in a wide variety of settings. RNs deliver and coordinate patient care, patient education, provide advice and emotional support. This assignment aims to shows that registered nurses should be held accountable for their own practice. The paper will first define the key terms that will be used throughout to support this argument. Then the assignment will go on to discuss the accountabilities of RNs nurses based on the nursing standards for practice, authority regulations and the standards established by the Nursing and Midwifery Board of Australia (NMBA). An RN is an individual, who has attained the required or prescribed education, exhibits proficiency to practice, and is registered under the Health Practitioner Regulation Nation Laws as a registered nurse in Australia. RNs undertake tertiary level degrees (Jacob, Sellick, McKenna, 2012). Accountability means that nurses are liable or answerable to the patients in their care, nursing regulatory authorities, their employer and the general public (Batti Steelman, 2014). For RNs, accountability cannot be delegated. Delegation is the professional relationship that prevails when a registered nurse delegates activities of their nursing practice to another health care professional such as student, nurse, enrolled nurse (EN) or a person who is in another discipline other than nursing. Delegation aims to meet clients needs and enable access to readily available care delivered by the right person (ANMF, 2015). Enrolled nurse (EN) is an individual who delivers nursing care with the direct or indirect supervision of an RN. This person has attained the required education level and exhibits proficiency to practice under the Health Practitioner Regulation Nation Laws as an enrolled nurse in Australia. EN is trained at vocational education level (Jacob, Sellick, McKenna, 2012). Documentation is written or electronically generated information that elucidated the condition of a patient or the type of care or service delivered to that patient. The client information is gotten through the nursing process (NMBA, 2015). Should registered nurses be held accountable for their own practice? As regulated health care providers, RNs should be accountable for their own practice. In Australia, RNs are left to practice unsupervised and do not deliver care for or on behalf of any other healthcare professionals (Australian Nursing Federation, 2011). This aspect differentiates RNs from other nurse practitioners who are often supervised when delivering care. An RN should directly or indirectly supervise enrolled nurses when they work in general practice. Indirect supervision occurs when the RNs can be easily contacted but are not involved in direct supervision of the ENs as they perform their duties (Daly, Speedy, Jackson, 2009). The RNs might be away from the care setting, but should be available for constant, direct communication with the ENs. The absence of proximity needs solid processes to be instituted for the direction, support and supervision of the activities of ENs. While ENs are responsible for their own action in practice, the RNs are accountable for their decisions made in practice. In a general practice setting, nurses offer multidisciplinary care. They collaborate with other health professionals to offer care with a focus on a positive outcome for all patients (Australian Nursing Federation, 2011). Accountability and responsibility are fundamental for RNs, but they are different aspects. Responsibility is the obligation to conduct tasks and roles applying sound professional judgment and being liable for all the decisions made in practice. (Kraak, Swinburn, Lawrence, 2014) RNs have greater responsibility due to the scope of their practice. Based on the standards of practice outlined by the Nursing and Midwifery Board of Australia (NMBA), RNs are accountable professionally and legally for their own practice. Besides, RNs are accountable to their clients, the public and their regulatory body as well as supervisory authority. In legal accountability, RNs are liable for making sure they have suitable professional indemnity insurance (PII) (NMBA, 2017). Patients expect RNs to hold PII, which would help to address any risk in case there is corroborate the claim of professional negligence. RNs achieve accountability by having autonomy to practice. Autonomy is having the capacity to make decisions within the profession. It also entails having the right as well as the responsibility to perform according to the standards of nursing practice. RNs practice autonomy since they the ability to use critical skills in practice. Also, they have the knowledge and motivation to practice based on the institutional, legislative and personal factors. For effective accountability, RNs need continuous critical thinking and evaluation in the context of thoughtful sustenance and creation of constructive relationships. As such, RNs should continue to advance professionally and sustain their capacity for professional practice. RNs are liable to deliver safe and coordinate quality nursing practice. Their practice entails comprehensive analysis, designing of a plan, implementation and appraisal of outcomes. In their practice, RNs are accountable for the delegation and supervision of nursing roles to enrolled nurses (ENs) and other healthcare professionals (Lee, Goeman, Johnson, Thorn, Koch, Elliott, 2015). Thus, the primary accountabilities are supervision and delegation. Other kinds of accountability are referral and documentation of practice. An RN who delegates duties to another health professional such as ENs is accountable to their decision to delegate. Also, the RN is accountable for delegating the duties to the right person, moni toring the performance of the duties and assessing the outcomes. The delegation decision is made should be made by the RN and the person who will perform the delegated duties (ANMF, 2015). In the process of delegation, the RN should access the risks and capabilities. Competency evaluation and teaching might precede the delegation. The accountability of nurses to delegation is different from allocation or assignment of duties, which entails requesting another health care professional to care for a certain patient on the presumption that the needed activities for consumer care are usually within that individuals roles and scope of practice. RNs should understand that most of the similar elements concerning competence analysis and supervision that are pertinent to delegation also require being regarded in relation to assignment or allocation. The accountability for delegation for RNs is broad and requires observing various responsibilities. To sustain the required standards of care when delegating roles, RNs should embrace responsibility in various contexts. The first liability is teaching the person who will conduct the delegated role (Berman, et al., 2014). However, the role of teaching might be performed by another competent healthcare professional. Competence evaluation is a fundamental aspect of the accounta bility for delegation among the RNs. They should also offer assistance and support as well as clinically-focused supervision. These liabilities are aimed towards ensuring that the person to whom the delegation is being made recognises and understands their role and is ready to accept the delegation. After the delegated roles have been completed the RNs should evaluate the outcomes and reflect on practice. Another form of accountability for RNs occurs during referral. Often primary health care responsibilities are transferred to another more qualified health professional or health service provider. The RN is accountable for their decision to refer a patient to another health service provider. As a result, the RN might be required to continue offering professional help and services collaboratively in the process of referral (Australian College of Nursing, 2015). RNs have professional accountability for documentation. According to the professional standards, RNs should document timely and right reports of assessment, decisions about a patients condition, treatment and outcomes. Documentation is fundamental for RNs because it serves three main purposes; facilitates communication, enhances safe and right nursing care and meet legal and professional standards. Through documentation, RNs communicate to other health care professionals their nursing assessments, diagnosis and the treatment plan for a certain client (McKenzie Porter, 2007). When an RN documents the care they deliver, other health care professionals can review the documentation and make their own contributions to safe and right care. The documentation further offers medical data for workload management and research. Documentation shows that a nurse has applied nursing skills and knowledge as outlined by NMBA. Hence, documentation acts an evidence of legal proceedings and practice (S tevens Pickering, 2010). RNs are accountable to their employer. When seeking employment, the nurses are given a set of guidelines and principles that should govern their practice. They should adhere to these guidelines in all their practice. In case they breach the guidelines or exhibit negligence, the RNs would be accountable to their employer. RNs exhibit these accountabilities by following the nursing standards of practice. The standards of practices are classified into four domains including professional practice, critical thinking and appraisal, provision and coordination of care. Professional practice relates to ethical, legal and professional liabilities which require expression of a competence knowledge base, accountability for practice and practising according to legislation impacting nursing and health care. The professional practice also requires protection of personal and group rights. It can be thought as the observation of human rights and human dignity. There are several tenets of the professional practice which guide the practice of RNs. The nurses should observe the legislation governing their practice and fulfil the duty of care (ANMAC, 2013). Critical thinking and analysis is another theme that causes RNs to be accountable in their practice. RNs should conduct self-evaluation, be accountable for their professional development and exhibit the value of research and evidence for practice (Ross, Barr, Stevens, 2013). They should practice within an evidence-based framework. RNs are accountable for identifying the relevant research on enhancing individual or group health outcomes. In doing so, they should utilise the best available evidence, nursing knowledge and respect for values of their clients. The demonstration of analytical abilities in assessing health information and research evidence is required in offering care(Nurisng and Midwifery Board of Australia (NMBA), 2017) Each nurse should be involved in nursing research and participate in ongoing professional development. The third domain is the provision and coordination of care. Under this standard of practice, RNs coordinates, organise and provides nursing care that includes the analysis of personal or groups, designing and implementation and appraisal of care (Ehrlich, Kendall, John, 2013). The last domain that guides nursing practice in Australia is collaborative and therapeutic practice. In this theme, the nurses establish, sustain and conclude professional relations with individuals or groups. Additionally, this theme emphasises on the competencies that RNs should exhibit when offering care. The nurses should also understand the contributions of Interdisciplinary health care team (Edmonds, Cashin, Heartfield, 2016). The RNs in Australia are governed by multiple professional standards in their practice. Firstly, they should be practised according to the Code of Professional Conduct for Nurses in Australia. Secondly, nurses should adhere to the Code of Ethics for Nurses in Australia. This standard is pertinent to all nurses in different levels in Australia. The purpose of the Code of Ethics is to determine the fundamental ethical standards and values that guide nursing profession. Also, it offers nurses a reference point from which to deliver professional care (Zahedi, et al., 2013). Thirdly, there is ICN Code of Ethics for Nurses which decide professional standards in Australia. Fourthly, professional nursing is governed by the NMBA Competency Standards for Registered Nurses. Finally, professional nursing is governed by the NMBA National Framework for the Development of Decision-Making Tools. There are, however, other standards that have been endorsed and published by the NMBA. RNs in Australia a re required to exhibit the understanding and application of these nursing standards in practice. Based on the Health Practitioner Regulation National Law Act 2010, a nurse can be punished for incompetence or negligence, which is a failure to exhibit accountability (Attorney-General's Department, 2014). Besides, failure to comply with the provisions of this Act can be viewed as lack of accountability. Conclusion This assignment has argued that RNs should be held accountable for their own practice since they do not offer care on behalf of any other healthcare professional. The RNs should be accountable to the patients, the public, their employer, and regulatory authorities. Specifically, the RNs are accountable for delegation of certain aspects of their nursing practice, referral of patients, and documentation. Also, they are liable for ongoing professional development, critical thinking and analysis and promotion of patient-centred practice. The RNs are accountable for their own practice because they are governed by nursing standards for practice. Conclusively, RNs should demonstrate competence in nursing practice because they are answerable for their decisions. References ANMAC. (2013). Review of Accreditation Standards: Registered Nurse Re-entry to the Register Programs and Entry Programs for International Qualified Registered Nurses Seeking Registration in Australia. Canberra: Australian Nursing and Midwifery Accreditation . ANMF. (2015). Delegation by registered nurses. Retrieved 9 17, 2017, from https://anf.org.au/documents/policies/G_Delegation_RNs.pdf Attorney-General's Department. (2014). Health Practitioner Regulation National Law Act 2010 . Retrieved 9 17, 2017, from https://www.legislation.sa.gov.au/LZ/C/A/HEALTH%20PRACTITIONER%20REGULATION%20NATIONAL%20LAW%20%28SOUTH%20AUSTRALIA%29%20ACT%202010/CURRENT/2010.5.UN.PDF Australian College of Nursing. (2015). Nursing in General Practice: A guide for the general practice team. Canberra: Australian College of Nursing. Australian Nursing Federation. (2011). Fact Sheet 7. Retrieved 9 17, 2017, from https://anmf.org.au/documents/reports/Fact_Sheet_Snap_Shot_General_Practice_Nurses.pdf Batti, R., Steelman, V. M. (2014). Accountability in Nursing Practice: Why It Is Important for Patient Safety. AORN Journal , 100 (5), 573-541. Berman, A., Snyder, S., Kozier, B., Erb, G., Levett-Jones, T., Dwyer, T., et al. (2014). Kozier Erb's Fundamentals of Nursing Australian Edition. Pearson Higher Education AU. Daly, J., Speedy, S., Jackson, D. (2009). Contexts of nursing. Elsevier Australia. Edmonds, L., Cashin, A., Heartfield, M. (2016). Comparison of Australian specialty nurse standards with registered nurse standards. International nursing review , 63 (2), 162-179. Ehrlich, C., Kendall, E., John, W. (2013). How does care coordination provided by registered nurses fit within the organisational processes and professional relationships in the general practice context? Collegian , 20 (3), 127-135. Jacob, E., Sellick, K., McKenna, L. (2012). Australian registered and enrolled nurses: Is there a difference? International journal of nursing practice , 18 (3), 303-307. Kraak, V., Swinburn, B., Lawrence, M. (2014). Distinguishing accountability from responsibility: an accountability framework. American journal of public health , 104 (6), e2-e3. Lee, C. Y., Goeman, D., Johnson, A., Thorn, J., Koch, S., Elliott, R. (2015). Evaluation of a support worker role, within a nurse delegation and supervision model, for provision of medicines support for older people living at home: the Workforce Innovation for Safe and Effective (WISE) Medicines Care study. BMC health services research , 15 (1), 460. McKenzie, G., Porter, T. (2007). Clinical companion: Medical-surgical nursing. Elsevier Health Sciences. NMBA. (2015). Framework for assessing standards for practice for registered nurses, enrolled nurses and midwives. Retrieved 9 17, 2017, from https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Frameworks/Framework-for-assessing-national-competency-standards.aspx NMBA. (2017). Professional indemnity insurance arrangements. Retrieved 9 17, 2017, from https://www.nursingmidwiferyboard.gov.au/Registration-Standards/Professional-indemnity-insurance-arrangements.aspx Nurisng and Midwifery Board of Australia (NMBA). (2017). Registered nurse standards for practice. Retrieved 9 17, 2017, from https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards/registered-nurse-standards-for-practice.aspx Ross, K., Barr, J., Stevens, J. (2013). Mandatory continuing professional development requirements: what does this mean for Australian nurses. BMC nursing , 12 (1), 9. Stevens, S., Pickering, D. (2010). Keeping good nursing records: a guide. Community eye health , 23 (74), 44-45. Zahedi, F., Sanjari, M., Aala, M., Peymani, M., Aramesh, K., Parsapour, A., et al. (2013). The code of ethics for nurses. Iranian journal of public health. 42 (Supple1),
Thursday, April 16, 2020
Lord Of The Flies Literature Critique Essay free essay sample
, Research Paper Throughout Chapters six, seven, and eight, Golding concentrating on Simon for being alone, and different from the other male childs. He depicts Simon as a black sheep in which the other male child # 8217 ; s disfavor. One such illustration is that the other male child # 8217 ; s are ever doing merriment of him, and despite that, Simon neer retaliates with returning verbal onslaughts. One large difference in Simon from the other male child # 8217 ; s, is that Simon does non fear the animal. Simon knows that animal is the immorality within, but Simon is pure. Simon is besides about saintly, for case, when Simon fed the small kids, this is a saintly gesture. This besides shows that Simon is the lone 1 who isn # 8217 ; Ts concerned with merely him, but he cares for the well being of the others excessively. Another illustration of Simon # 8217 ; s pureness is when the Lord of the Flies tempts him. We will write a custom essay sample on Lord Of The Flies Literature Critique Essay or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page He falls unconsciously to avoid the persuasion and enticement of immorality. Simon is the obvious fulcrum in the good and bad spectrum. On one terminal ballad Ralph, and on the other terminal lay Jack. One thing that Golding does is making Simon as a Christ-like figure. Simon is the purest of all the male childs. Simon does non follow orders, nor does he give them. He will non perpetrate Acts of the Apostless of force, nor will he diss the male childs who insult him. Golding is invariably giving Simon more and more Christ-like features and traits. From the pureness of his bosom, to the Lord of the Files trying to allure him. Another thing Golding does frequently, is use the literary tool of symbolism. Almost all of the of import facets of the book involve symbolism. Simon symbolizes a Christ-like figure. The Lord of the Flies symbolizes the Satan. When Simon fell unconscious, that represented the forfeits that had to be made in order to get the better of immorality. The last major symbolism was Ralph and Simon mounting the stones, in which Simon finished foremost. That was to demo that although Ralph has leading and power, Simon is the 1 who should be taking. He has the pureness an d the bosom to make it. Another literary tool used by Golding is apposition. Golding juxtaposes good and evil, Satan and Christ, life and decease, world and dreams, Heaven and Hell, and so on. The intent of this was to demo that the things that need to be done in order to last must be accomplished through the antonym. For case, The male child # 8217 ; s redemption ( heaven ) lies in the custodies of the fire ( snake pit ) that will signal a deliverance ship. Another case is the Lord of the Flies ( Satan ) speaking and alluring Simon ( Christ ) , like what happened in the desert in which Christ was stuck in for 40 yearss. Golding intentionally composes Simon as a Christ-like figure, but more significantly juxtaposes the pure good of Simon following to many signifiers of Evil. Among those evil signifiers lay fire, enticement, autarchy, killing, verbal blasting, animals, and Satan. The chief immorality signifiers nevertheless lay in the fire, the bossy regulation, and the animal. First, the fire: The fire acts as a redemption from the evil island, freedom. To accomplish freedom, one must utilize the prisoner of war ers of evil. The fire represents not only physical salvation, but also mental salvation for Simon as well. Simon must mentally overcome the fireââ¬â¢s salvation. He cannot be tempted by evil he must use his purity in order to obtain complete salvation. If Simon did fall to the dark forces of evil, he would surely be off the island or would he? He would live the remainder of his life pondering over what would have happened if he stuck with good. He fell for evil and because of it he never achieved mental salvation, his mind would forever live on the island. The next major evil is the autocratic rule imposed on by Ralph and Jack. They represent the very rulers who sent Christ to the hill to be crucified. They wanted complete control over the people and their beliefs, as do Jack and Ralph. They will send Simon to his grave, perhaps not on a cross, but they will send Simon to his final grave. Unfortunately, the good versus evil battles which are fought, will usually be won by bad in the beginning, and hopefully fall in the end. In history, Christ was killed when he was the good. Hitler killed the Jews, when Hitler was the evil one. Ralph and jack will kill Simon, when he is the good one. Through out history, it shows that in order for the bad to make themselves look good, they must destroy those who are really good. The last evil form I will focus on is the beast. The reason why Simon is never afraid of the beast, but the others are, is because, Simon is the beast. The beast is not really evil; he is viewed as evil. The beast is really the good, Simon, the purist of all. To the bad, the good is bad; thus Simon is viewed as the beast. Not a flying animal, or a huge squid, but the pure white heart of a human being is the real beast in the eyes of the evil. Not all the boys are evil, but if they follow the autocratic ways of Ralph or Jack, they have been corrupted by evil. In a sense, what are viewed as far as the beast, are complete opposites. The beast, which i s viewed as bad, is in fact good. The bad now fears the good, where as usually the good fear the bad. It is one big paradox with good and evil. Why are the bad so fearsome of the beast which is good, since there is an overwhelming amount of the bad, opposed to just one pure good character? Perhaps evil knows, and has always known that good will prevail over evil, despite circumstances. I feel that evil fear the good beast only because it poses a threat to the autocratic rule of the evil island. In my opinion, Lord of the Flies creates a new Ying yang, one of all black (evil) and only one small dot of white (good). The black represents all the evil on the island, and the small white dot symbolizes Simon, the one small bit of pure white good. Despite the temptations and overwhelming amount of evil to good, the small bit of good will never give up. Good fights and lives until it is destroyed, but will never surrender over to the dark side. If the world should ever become this Ying yang , what will happen when the good is swallowed by the evil?
Friday, March 13, 2020
Jane Eye essays
Jane Eye essays Jane Eyre, a novel about an English womans struggles told through the writing of Charlotte Bront, has filled its audience with thoughts of hope, love, and deception for many years. These thoughts surround people, not just women, everyday, as if an endless cycle from birth to death. As men and women fall further into this spiral of life they begin to find their true beings along with the qualities of others. This spiral then turns into a web of conflicts as the passenger of life proceeds and often these conflicts are caused by those sought out to be guides through the journey of life but merely are spiders building a magnificent web to catch its prey. In Jane Eyre, Bront uses the literary elements of plot and character to convey the theme that a person often falls in love with a manipulator because she has little experiences of other forms of love and as a result she has to establish her own integrity. Bront uses the character element of opinions to show how some people often form con clusions about others and express them in their thoughts as either cruel or friendly. Since Bront bases Jane Eyre as story told through a young lady the reader is allowed to experience her thoughts and reactions to those around her who make her very personality. As Jane is in her youth she develops these notions about her own family yelling at her cousin John saying, You are like a murdereryou are like a slave-driver-you are like the Roman Emperors. (p. 8) Not only showing that Jane has the intellectual maturity much greater than that of a normal ten-year-old but also that she finds John cruel and sees him becoming a bad man when he grows up. Due to Mrs. Reeds lack of discipline John did grow as his cousin perceived causing his own demise and the relief of Jane for her cousin no longer could torment those lesser than himself. Mr. Rochester continued blind for the first two years of our union: perhaps ...
Wednesday, February 26, 2020
Shouldice HospitalA Cut Above Assignment Example | Topics and Well Written Essays - 750 words
Shouldice HospitalA Cut Above - Assignment Example In order to increase its capacity, Shouldice Hospital can add a total of 30 operations on Saturday. By doing this, the number of operations would be increased from 150 to 180. However, the number of beds staying at 90 would mean that Shouldice Hospitalââ¬â¢s available bed days would remain at 630. The decision to include 30 operations on Saturday would increase the number of bed days used in Shouldice Hospital to 540. This means that the bed utilization rate would rise from 71.4% to 85.7%. However, the surgeons in the hospital would perform 2.5 operations per day or a total of 15 operations per week. This means that the total operations per operation room, per week, would increase to 36. Performing 30 more operations on Saturdays increases their utilization rate and their capacity. This will work since the number of hours per surgeon, operation room hours, and available beds are not exceeding with the increase in Shouldice Hospitalââ¬â¢s capacity. Below is a table showing the e ffect of adding 30 operations on Saturday; Shouldice Hospital can increase the number of their capacity by increasing the number of beds they have. However, so as to do so, Shouldice Hospital have to invest in capital expenditure so as to expand the facility. Increasing the number of beds by 50% will mean that the number of beds in the hospital will increase from the initial 90 to 135. Increasing the capacity of Shouldice Hospital with exactly 50% means that one room will only have one patient in it. Therefore, Shouldice Hospital may choose to increase the number of beds to 134 instead of 135. Through this increase, Shouldice Hospital would be in a position to perform a total of 45 operations per day or 225 operations per week. The available bed days, 135 days multiplied by 7, would be 945. Therefore, after the increase, Shouldice Hospital would have 945 total
Sunday, February 9, 2020
Mobile Development Languages Research Paper Example | Topics and Well Written Essays - 1000 words
Mobile Development Languages - Research Paper Example But, nowadays, the main concerns are starting to move somewhat in a diverse way. In this regard, a mobile phone is a wide purpose device that facilitates not simply to converse however as well to earn, discover, communicate with friends or relatives and entertain themselves by using different utilities offered by the mobile manufacturers. All these features and facilities are accomplished particularly through the development of mobile applications (gfmstudio, 2011). This report presents a comprehensive analysis of some of the main aspects and areas of the mobile programming languages paradigm. The basic aim of this report is to analyze some of the prime areas regarding the evolution of mobile programming languages paradigm, discuss its main qualities, comparison with the traditional programming languages in addition to popular operation systems applications of the mobile programming languages. ... It is estimated that in January 2011 there were over two hundred mobile trademarks internationally as well as that is predictable to raise over the subsequent three years. In addition, at present most powerful mobile application is Googleââ¬â¢s Android mobile operating system that executes over a huge variety of Android facilitated devices plus a rising variety of Tablets. Android application is offered by Google as an open source framework as well as is able to be integrated with Mac OS X, Windows plus Linux and an application developer is able to select his Integrated Development Environment, diverse plug-ins offered for Eclipse (WanaRUA, 2011) and (LMU, 2005). Mobile application development is the procedure through which mobile applications are designed and built for small low-power handheld systems like that enterprise digital assistants, PDAs or else personal digital assistants, otherwise mobile phones. In addition, these mobile applications are either already installed on co mmunication phones system in the course of downloaded or manufactured for clients from the application and other mobile applications system distribution platforms. In view of the fact that mobile devices have become pervasive items the moment people utilized mobile phones, PDAs and smart phones wherever and at anytime. On the other hand, the design and development of mobile applications is not a simple job since the development of mobile applications is completely different from the traditional software development processes. Additionally, the project managers are not able to without difficulty judge the risks and challenges of a mobile application development project because of the troubles to match up to a variety of
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