Saturday, January 25, 2020
Misuse of power by health care professionals
Misuse of power by health care professionals This assignment will discuss the potential for professional misuse of power by health care professionals when working with vulnerable group. This assignment will mainly be focusing on age care residents as a vulnerable group and why they are at a potential risk of misuse of power by health care professionals as well as what strategies are put into affect to address the overall situation and to prevent this from happening in the future, as well as outline legislation and professional codes of conduct involved with client care of this group. Age care residents suffer from a range of different illnesses which puts them in a high risk of being vulnerable, abused from people that are providing care for these residents. Elderly abuse is a wide spread concern throughout Australia in particular age care facilities, no one really knows how many elderly residents are abused each year as this form of abuse goes unreported. Elderly residents can be abused by health care professionals that are providing care. There are many forms of abuse which can be intentional (both physically and mentally) or unintentional (lack of knowledge, inexperience or inability to provide good care). According to (agedcarecrisis, 2008) there is physical abuse, emotional abuse, sexual abuse exploitation, abandonment, neglect, emotional and psychological abuse, and financial abuse. These types of abuse towards the elderly vary in reason, as of now there has been little public and professional awareness/knowledge regarding elderly abuse and neglect. More of ten then not victims are hidden from the public view (World Health Organisation 2002). Over the years social attitudes and negative stereotyping of elderly people have led to a lack of knowledge of how the real situation of this problem is. Sometimes the elderly victim may not say anything because they feel ashamed that the abuse is happening, and may also fear retribution from the health care professional that are caring for them. Sometimes symptoms and signs may be over looked and recognized as part of the aging process. There are a number of reasons why elderly residents are neglected or abused in age care facilities by heath care professionals this due to unqualified and insufficient staffing. Often when staff members dont have the proper training then there is a very serious problem in regards to duty of care for these elderly residents which then can lead to neglect and abuse (agedcarecrisis 2008). Nursing home abuse can happen due to these major factors, staff members working longer hours then they should and sometimes are overworked, underpaid and not having enough benefits, staff more often then not feel frustrated with elderly residents that are being hostile and defiant, and staff in a hurry to get home after a long day. Neglect is a form of elderly abuse which can be associated with the failure or refusal to any part of a staff members obligations or duties to a nursing home resident. Neglect and abuse in nursing homes may include the failure to provide basic life necessities which in this case are food, water, clothing, shelter, personal hygiene, medication, comfort, personal safety, and other basic life necessities which is a agreed upon responsibility to providing duty of care to all nursing home resident(agedcarecrisis 2008). The majority of elderly residents want to be cared for by health care professionals that are helpful and treat them with kindness respect and dignity, more often then not the elderly residents are bombarded with excuses of how staff are too busy and are often run off their feet then it is no wonder that elderly residents feel like they are a burden and are quiet reluctant to tell anyone if there is a problem concerning their wellbeing. Health care professionals need to really listen and communicate to the elderly residents so that improvements can be made to ensure that these elderly residents are getting the best care possible. Health care professionals have a legal, moral and ethical obligation to provide duty of care for all elderly residents that are residing in an age care facility (agedcarecrisis 2008). The user rights principle 1997 made under the age care act 1997 includes a charter of residents rights and responsibilities. The charter details the rights and responsibility of all residents including personal, civil, legal and consumer rights. The charter also outlines residents responsibilities in relation to other residents, staff and the residential age care service community as a whole.(Agedcarecrisis 2008) The care standards act 2000 includes requirements that refer in some way to the protection of the elderly in nursing home facilities to gain a thorough insight into legislation that, Governs how nursing home work is preformed. There other legislation that governs the protection of elderly abuse is as follows: human rights act 1998, data protection act 1984, and mental health act 1993-2000 (Pooley P, 2006).According to the (Age care standards and accreditation agency ltd 2010) there are forty-four standards that all age care facilities must abide by at all times. If these standards are not met the accreditation period can be reduced or revoked. The agency then can refer all serious allegations to the Department of health and ageing for further investigation. The department then can take further action if necessary if it finds standards of care, accommodation are not being met by Government subsidized age care homes or also by approved providers (Department of health and ageing, agedca re Australia 2007). The first three of the four accreditation standards are, continuous improvement- were the organization actively pursues improvement, regulatory compliance- the organizations management has systems in place to identify and ensure compliance with all relevant legislation, regulatory requirements, professional standards and guidelines, education and staff development management and staff have appropriate knowledge and skills to perform their roles effectively. These standards are intentional to enhance the quality of performance under all accreditation standards; it provides opportunities for improvements in all aspects of service delivery and is essential of overall quality (department of health and aging 2010) According to the (Department of health and aging 2010) The Aged Care Education and Training Incentive (ACETI) program will provide incentive payments to eligible aged care workers who undertake specified education and training programs. In 2010-11 budget, the Australian government provided $59.9 million over four years for a national incentive program that will provide payments to eligible aged care workers who undertake further studies to enhance their career as a personal care worker, an enrolled nurse or a registered nurse. This Australian Government (Department of health and aging 2010) programs supporting individuals in the Aged Care Workforce, The Support for Aged Care Training (SACT) Program funds aged care workers training, associated travel and accommodation costs and backfilling of staff attending training in smaller aged care homes in rural and remote locations of Australia. A pioneering trial that allows workers to gain NVQ in record time has reported excellent results. Instead of the twelve month period that was allocated, care workers could now gain their NVQ within a month. The staffs of BUPA care homes were among those taking part, and according to the results the new more intensive program has more to offer the care sectors. In addition to high levels of learner satisfaction some ninety-four percent of all care workers who took part completed their training successfully, a figure which compares very favorably with the industry average rate of just sixty-seven percent (Pooley, P, 2006). The intensive course covered Training in areas such as health, care and hygiene as well as providing instruction on a range of practical task such as moving and handling. Following the success of this training the Government plans to re-launch the National Employer Training Scheme, later this year under the banner Train to gain. This form of training has been welcomed by experts. This is more an effective way of learning and more time is spent with their tutor then in the past said Trina Mumby of the National Employer Service. The results speak for themselves under this new program, care assistants are far more likely to successfully complete qualifications and retain what they have learnt. Mark walker, health safety and training manager for BUPA said the dedication of our people is the most important factor in delivering high quality care tailored to our residents individual needs, thats why we invest heavily in training and development (Pooley, P, 2006). still throughout the care industry as a whole, training and skills has been something of a problem area, with many employers citing the many difficulties involved in recruiting and retaining good quality, well trained staff. If new initiatives such as the intensive one month NVQ can be made to be successful on a larger scale there is potential for multiple benefits for all involved in the sector. Employers can also benefit who are well trained and motivated as well as likely to remain in their jobs thus relieving the recruitment problems experienced by many care home managers (Pooley, P, 2006), However perhaps the most vital difference is that the patients themselves enjoy being looked after by staff that are skilled enough to provide them with high standards of care in their choice of home. While the government focusing increasingly on improving standards, the new program looks like a good thing for all concerned. In conclusion this assignment has tried to hopefully explain how health care professionals misuse of power can affect then people that they are looking after and in this case it happens to be the elderly residents in age care facilities that suffer. All health care professionals need to understand and respect residents /clients rights. Being in a position that gives this kind of power over other people can not be taken too lightly, however in some cases this is what exactly happens. There are legislations that govern the protection of elderly abuse, human rights act 1998, data protection act 1984, and mental health act 1993-2000. The charter of residents rights under the age care act of 1997 outlines the rights and responsibilities of all residents which include their civil, legal and consumer, rights and a further description of the charter of residents rights can be seen on the Department of health and aging website. All age care facilities can be accredited by the age care standar ds and accreditation agency for up to three years. More ongoing workplace training and in-services are need within the age care facilities to enable health care professionals to gain valuable knowledge and skills which will then lead to better health care service delivery. Residents in age care facilities dont want to feel like they are a burden to the health care professionals that are caring for them instead they want to feel like they can talk to someone when there is a problem. Health care professionals have a duty of care and a huge responsibility to look after and protect residents form any forms of abuse it is a legal ethical and moral obligation that has been entrusted to all who work as health care professional. Any form of abuse is a breach of personal, civil, legal, and consumer rights according to the charter of residents rights. Abuse and neglect is the failure to provide basic life necessities which includes food, water, clothing, shelter, personal hygiene, medications, comfort, personal safety, and other life necessiti es which is agreed upon responsibility by health care professionals ensuring duty of care is provide to all nursing home residents . There are a number of reasons of why age care residents are abused, staff working longer hours, being overworked, underpaid, not enough benefits, feeling frustrated towards aggressive residents, and in a hurry to get home after a long day. There are number of reasons why residents are often abused but the most common ones are the lack of understanding and knowledge, unqualified, insufficient staffing or staff not properly trained this is when problems can and will occur. The elderly are still human-being that have wants and needs like the rest of the population and would like to fit in with the rest of society just like everyone else instead of being isolated and forgotten.
Friday, January 17, 2020
Childhood Development and Sexual Behavior
Childhood Development and Sexual Behavior Frank Sehi PSY/265 January 24th, 2013 Nicole Pansey Childhood Development and Sexual Behavior Sexual behavior begins to develop as early as the ââ¬Å"Infancy (0 to 2 Years) stageâ⬠(Rathus, Nevid, & Fichner-Rathus, ââ¬Å"CHAPTER 13 ? Sexuality in Childhood and Adolescence,â⬠2011). Male fetuses have erections while in the motherââ¬â¢s womb, and both male and female fetus suck on their fingers, which gives pleasure in the mouth (Rathus, Nevid, & Fichner-Rathus, ââ¬Å"CHAPTER 13 ? Sexuality in Childhood and Adolescence,â⬠2011).Between 6 months to 12 months a child may begin to masturbate, such as male boys may run up against something or play with their gentiles (Rathus, Nevid, & Fichner-Rathus, ââ¬Å"CHAPTER 13 ? Sexuality in Childhood and Adolescence,â⬠2011). From 3 to 8 years old children begin to show curiosity some when it comes to sexual development behavior, just because the begin to notice the difference in boy and girl gentiles (Rathus, Nevid, & Fichner-Rathus, ââ¬Å"CHAPTER 13 ? Sexuality in Childhood and Adolescence,â⬠2011).This stage they may play house, doctor, or even with doll to play out their sexual behavior, and in most cases it is innocent behavior (Rathus, Nevid, & Fichner-Rathus, ââ¬Å"CHAPTER 13 ? Sexuality in Childhood and Adolescence,â⬠2011). Children may play out same sex sexuality, but has no effect on sexual preference at this age (Rathus, Nevid, & Fichner-Rathus, ââ¬Å"CHAPTER 13 ? Sexuality in Childhood and Adolescence,â⬠2011). During the Preadolescent stage is when a child really discovers masturbation; they discover how to pleasure themselves and the feel of the sensation.Also at this stage Preadolescents may experience same sex behavior as way of exploring their sexuality, but in most cases a short phases (Rathus, Nevid, & Fichner-Rathus, ââ¬Å"CHAPTER 13 ? Sexuality in Childhood and Adolescence,â⬠2011). The adolescent stage happens r ight after puberty, this stage is masturbation is the big part sexual pleasure. Adolescents for most part will masturbate, and still can keep their virginity and avoid pregnancy (Rathus, Nevid, & Fichner-Rathus, ââ¬Å"CHAPTER 13 ?Sexuality in Childhood and Adolescence,â⬠2011). During adolescents a few have experienced same sex sexual experiences among g their peers, and in most cases itââ¬â¢s just during the transition period from adolescent to adult sexual behavior (Rathus, Nevid, & Fichner-Rathus, ââ¬Å"CHAPTER 13 ? Sexuality in Childhood and Adolescence,â⬠2011). Adolescences who are gay or lesbian tend to struggle more during this stage, than those who are heterosexual, because of judgment of peers (Rathus, Nevid, & Fichner-Rathus, ââ¬Å"CHAPTER 13 ?Sexuality in Childhood and Adolescence,â⬠2011) In conclusion Sexual development begins from the fetus to adolescent stage, and most of the childââ¬â¢s sexual behavior is more of discovering oneââ¬â¢s self . The adolescent stage is where one discovers more on what they like sexual wise, and usually orientation as well. References: Rathus, S. A. , Nevid, J. S. , & Fichner-Rathus, l. (2011). Human Sexuality in a World of Diversity (8th ed. ). Retrieved from The University of Phoenix.
Thursday, January 9, 2020
My Nursing Philosophy - 1264 Words
Introduction Every nurseââ¬â¢s philosophy develops through education and experience. As I reflect on my clinical experiences and nursing education thus far, I acknowledge that I have unknowingly developed a set of values, beliefs, and virtues that makes up my personal nursing philosophy. As I move forward in my nursing education, the values and beliefs that I have associated with a diverse patient population, health, the environment, and the role of the professional nurse will progress with me. The central concepts and themes that define the art of nursing are described and formalized as the nursing metaparadigm. Nursingââ¬â¢s main metaparadigm concepts include: (1) the person (the patient), (2) the environment, (3) health, and (4) nursing, andâ⬠¦show more contentâ⬠¦The Person (Patient) All nursing philosophies will have differing definitions of the four metaparadigms of nursing; however, all share a common and important focal point: the patient. Of the four concepts, the most impor tant is the person and the four concepts are related in that they all work together to improve patient care. Nursing theorist, Jean Watson, emphasizes the personal relationship between patient and nurse in her Human Caring Science Theory, wherein she highlights the role of the nurse in defining the patient as a unique human being to be valued, respected, nurtured, understood, and assisted (American Nurses Association, 2015). As nurses we must see our patients as much more than just a physical human being ââ¬â the person represents individualized needs, culture, and behavior. Nursing care is planned on the basis of the patientââ¬â¢s physical, mental, social, and spiritual needs ââ¬â it sees the wholeness of the patient. A patientââ¬â¢s cultural preferences and comfort level should also be taken into account. All patients should be given the autonomy to make informed decisions about their healthcare plan and feel satisfied with their care. Environment The environment is a multifaceted concept that can affect a patientââ¬â¢s health and well-being, and is one that should be accommodated in the healthcare plan. The ANA defines the environment as includingShow MoreRelatedMy Nursing Philosophy : My Personal Philosophy Of Nursing1093 Words à |à 5 PagesPhilosophy is a distinct disciple on its own right, and all disciplines can claim their own philosophical bases that form guidelines for their goalâ⬠(Meleis, 2012, p. 28). In simpler terms, philosophy is your worldview and thought process of life. Our philosophy transcends into our beliefs and valuesââ¬â¢, examining our philosophy allows us to discover what is important to us and helps define priorities and goals (Meleis, 2012, p.28). Being aware of our philosophy creates individuality in each personRead MoreMy Philosophy Of Nursing Philosophy1481 Words à |à 6 PagesMy philosophy of nursing My own nursing philosophy arises from my Knowledge as a nurse, personal beliefs and experiences, I have gathered throughout the years from my interactions with diverse patient population and other healthcare professionals, while working in different setting as a nursing in the health care. This also addresses nurse s ethics, goal and values as it relates to my nursing practice. My Nursing Philosophy is based on five components: nursing, Person, environment, holistic careRead MoreMy Philosophy Of Nursing And Nursing866 Words à |à 4 Pagesprofession of nursing has matured from the time of Florence Nightingale. Nursing has gone from just treating dying soldiers on the battlefield to helping guide people through their entire lives from birth to death. The maturation of nursing has led to changes in nursing philosophy and allowed for practitioners of Nursing to meld these philosophies together to form their own philosophy. In this paper I will explain my philosophy of nursing and compa re it to Virginia Henderson s definition of nursing alongRead MoreMy Nursing Philosophy : My Philosophy Of Nursing Practice1074 Words à |à 5 PagesNursing philosophy My philosophy of nursing practice is being kind to others. I use my knowledge and skills to help people. I also respect patientsââ¬â¢ preferences, values and choices even though they differ from mine. I will try to understand and show empathy to my patients through seeing them beyond their illness and provide holistic and culturally sensitive care. Nursing is not just a job that looks after the sickness, rather, it is about the humanity, about being a human for another human. As aRead MoreNursing Philosophy : My Personal Philosophy Of Nursing932 Words à |à 4 PagesMy Philosophy of Nursing My personal philosophy of nursing began at an early age watching my mother volunteer for 25 years on the local rescue squad, following in the footsteps of her mother. I learned that helping others in a time of need should always be a priority. Respect and dignity should always be shown to people, no matter the who they are or where they are from. I have and will continue to show compassion for others while administering professional holistic care, guided by the AmericanRead MoreMy Philosophy Of Nursing1355 Words à |à 6 PagesIn the nursing field, there are different philosophies in how a nurse cares for their patients. Throughout the years since nursing inception, there have been many different philosophies that have contributed to the nursing practice today. For instance, Florence Nightingale was one of the first persons to address the philosophy, ââ¬Å"What is Nursing?â⬠She explained the difference between nursing and medicine (Black, 2007, p.331). As a nurse, the development of your own philosophy can model those previousRead MoreMy Nursing Philosophy Of Nursing1834 Words à |à 8 PagesNursing is a special profession for which person needs to feel dedicated for. Nursing is define in many ways but according to AmericanNurse Association it is ââ¬Å"the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populationsâ⬠. When I read that definition it feels like it is all that nursing is about. MyRead MoreMy Philosophy Of Nursing1362 Words à |à 6 PagesIntroduction In the nursing field there are different philosophies in how a nurse cares for their patients. Throughout the years since nursing inception there have been many different philosophies that has contributed to the nursing practice today. For instance, Florence Nightingale was one of the first persons to address the philosophy, ââ¬Å"What is Nursing?â⬠She explained the difference from nursing and medicine (Black, 2007, p.331). As a nurse, the developing of your own philosophy can model thoseRead MoreMy Nursing Philosophy1146 Words à |à 5 PagesMy philosophy of nursing incorporates the knowledge, compassionate, competent with respect to the dignity of each patient. This philosophy is based on my personal and professional experiences which help me contribute to patientââ¬â¢s recovery and wellness. It is these attributes that gives me a sense of pride that strengthens my commitment to this profession. This paper explores my values and beliefs in relating to the patient care, as well as health professionals responsibilities. My nursing philosophyRead MoreNursing Philosophy : My Personal Philosophy Of Nursing962 Words à |à 4 Pages Philosophy of Nursing Brianna Daniels Florida Southwestern State College October 9th 2017 Professor Kruger As I interact with my patients, I canââ¬â¢t help but think to myself ââ¬Å"this is why I became a nurse.â⬠During critical moments of a patients life I am there holding their hand, listening to stories about the ââ¬Å"oldenâ⬠days and giving them the encouragement it takes to leave the hospital healthier than they arrived. Nursing is not just giving medications on time, educating the patients
Wednesday, January 1, 2020
We Must Work to Overcome Procrastination Essay - 1486 Words
Final exams are due tomorrow and you better get studying. You open your book and notes only to realize it might take all night to review those 13 chapters! Now you have no choice but to ignore Netflix, your DVR list, and bring out that extra caffeine! Didnââ¬â¢t you plan to study during the week? Oh waitâ⬠¦ you did on Wednesday, but instead watched funny cat videos on YouTube. Well those cats were hilarious and at least you spent the day doing something you enjoyed. These arguments we have with ourselves when faced with tasks, is the psychological behavior response to our lack of self-control with our behaviors, our emotions, moods, and personalities. A lack of self-control that keeps us from achieving tasks with our full potential.â⬠¦show more contentâ⬠¦The Association for Psychological Science published in 2013 ââ¬Å"Thereââ¬â¢s no single type of procrastinator, but several general impressions. A professor named Piers Steel from University of Calgary explain th is in the following manner: ââ¬Å"The act of dillydallying can be boiled down to three human traits: the persons confidence, values, and impulsiveness (how susceptible he or she is to immediate delight).â⬠Sharing three ways of getting side-tracked. ââ¬Å"One is the characteristic of people who simply have a hard time getting started on a project, or a classic procrastinator. Another deals with a person who gets started, but then gets bogged down in details, or a classic perfectionist. The last is the person who is distractible, i.e., the student who has the paper to do, but decides to go out when a friend calls.â⬠While our personal characteristics drive our procrastinating habits, the behavior of others can also affect academic procrastination. In ââ¬Å"The Self and Parental Attitudes as Predictors of Academic Procrastinationâ⬠Ulukaya explains a study made in Turkey that investigates the correlation of parental, self-attitudes, and academic procrastination of un dergraduate students. The ââ¬Å"study group was conducted in which 697 students who were attending various universities during fall 2011.â⬠The results found that parental supervision/control was indeed a predictor ofShow MoreRelatedEssay about Overcoming Procrastination is Not an Easy Task1333 Words à |à 6 Pages Procrastination is the act of putting off doing things at a later time or date for no particular reason. For the person experiencing procrastination it can be either functional or dysfunctional according to the degree of the behavior (qtd. in Sweitzer 11). A person that procrastinates must realize they have a problem and find effective ways to overcome procrastination because they are putting their health, family and job at risk. According to Joseph Ferrari, a Professor of psychology at DePaul UniversityRead MoreMy Goals Are Important And Goals In Life1466 Words à |à 6 Pagesusually do not ask myself about what lies forward in my future ahead. We do not realize how goals can be important and exciting in our lives. It is a distinct thought that we do not often ask ourselves ââ¬Å"where am I headed and how will I get there?â⬠. Our goals make us who we are and what distinguishes us from other people. There are moments in our life where we have time to think about what lies ahead, and when we do, we worry how we are going to pursue to head to the direction. There are many pathwaysRead MoreChronic Procrastination : A Disappointing Life964 Words à |à 4 PagesChronic Procrastination = A Disappointing Life By Kara Lane | Submitted On June 26, 2011 Recommend Article Article Comments Print Article Share this article on Facebook Share this article on Twitter Share this article on Google+ Share this article on Linkedin Share this article on StumbleUpon Share this article on Delicious Share this article on Digg Share this article on Reddit Share this article on Pinterest Expert Author Kara Lane Everyone procrastinates sometimes. We start doing thisRead MoreSteps For Overcoming Procrastination By Michael Locklear Essay1196 Words à |à 5 Pages5 Steps for Overcoming Procrastination By Michael Locklear | Co-Author: John Mac Kinnon | Submitted On February 12, 2011 Recommend Article Article Comments Print Article Share this article on Facebook Share this article on Twitter Share this article on Google+ Share this article on Linkedin Share this article on StumbleUpon Share this article on Delicious Share this article on Digg Share this article on Reddit Share this article on Pinterest Expert Author Michael Locklear Millions of peopleRead MoreTime s Punishment And Reward1457 Words à |à 6 Pagesthe lapse of time.â⬠- Aristotle. When we think of time, it s very hard to explain what exactly what it is, but it s simply the concept that it s a measurement of how long events take place for. Everything imaginable is affected by time, it takes time for events to even occur, but most of all, time affects sentient beings the most. More specifically Iââ¬â¢m referring to humans, ourselves, because we are the most advanced species as we know of so far and that we are capable of the creation of the ââ¬Å"unknownRead MoreEffects Of Procrastination On Our Spiritual Life1273 Words à |à 6 PagesEffects of Procrastination on Our Spiritual Life It seems odd at first, thinking it s an ironic statement for procrastination to have an effect on our spiritual lives. Intrinsically, we need to first understand that we are actually spirit beings living in a vessel called the body (flesh). As a matter of fact, our spirit is more real than the flesh. This was unbeknownst to me, until I transmogrified to a believer. Taking a brief excursus, lets firstly understand the grammatical meaning of the wordRead MoreEssay on Personal and Professional Challenges1607 Words à |à 7 Pagesphysical, mental, emotional, and spiritual aspects during our lifespan. Self-improvement is the first step to advance and navigate personal and professional life to the right direction. Opposing forces in life help build our characters, teach us lessons we need, and make us realize that anything is possible despite the hardships. ââ¬Å"Even though they (challenges) can be difficult to manage through and can hit you at your core, if you had a life free of ch allenges, you would really just be going through theRead MoreWriting Process And How It Has Good And Bad Habits Essay1514 Words à |à 7 PagesHabits are considered to be things we preform continuously which is usually something that is hard to give up. As humans, we all have good and bad habits, it is just the size of the matter that depicts how one deals with it. I have a bad tendency to procrastinate. This leads to the struggles of putting effort and time into certain things that deserve it, trying to catch up on my work, and delaying my already poor writing process even more. In order to overcome my bad habit, I need to put my own timeRead MoreProcrastination Is Opportunity s Assassin Essay2034 Words à |à 9 PagesProcrastination is opportunity s assassin. ~ Victor Kiam, American businessman, Remington Electric Razors (1926-2001) Oh, how I wish I could overcome procrastination! Somebody please help me stop procrastinating! But not today, I m busy. Procrastination is a double-edged habit. It deserves our attention as well as our appreciation. The guilt we feel indicates that our procrastination serves as the destroyer of dreams. However, when inspired by our connection to our values it also serves asRead MoreReflective Action Plan Essay examples1681 Words à |à 7 PagesThis is done by identifying my objectives and prioritising them, setting objectives which are achievable and identifying the steps needed to achieve them, being able to work under pressure, working to a deadline and having contingency plans. By having an effective action plan, I will be able to set a time table and have defined work strategies. This will give me direction rather than wondering what to do next. It will help me focus and provide me with a solution to ââ¬Å"Where do I go from here?â⬠The inclusion
Monday, December 23, 2019
The And Pathophysiology Of Diabetes - 1793 Words
Diabetes mellitus is becoming an increasingly prevalent chronic disease which affects not only the sufferer, but also affects their family, society and numerous healthcare disciplines. According to the International Diabetes Federation (2013), an astounding 382 million people worldwide are living with diabetes. There are several different sub-types of this disease which include: Type 1 (T1DM), Type 2 (T2DM) and Gestational diabetes mellitus. Within Australia, an enormous 85.3% of the population living with this disease are suffering from T2DM (Australian Bureau of Statistics, 2012). These statistics highlight the severity of T2DM as it is rapidly becoming the type of greater concern, especially since this ââ¬Å"adult-onsetâ⬠disease is becomingâ⬠¦show more contentâ⬠¦(Mazze, Strock, Simonsen, Bergenstal, 2004, p. 81). Obesity is another condition which can result in metabolic syndromes which also play a role in the development of T2DM along with other diseases including coronary heart disease, all of which are major contributors to patient morbidity and mortality (Craft Gordon, 2011, p. 1068). Pathophysiology As previously mentioned, T2DM is characterised by insulin deficiency and insulin resistance within peripheral tissues such as muscle, liver, and adipose tissues (Mazze, Strock, Simonson, Bergenstal, 2004, p. 79). It was also noted that other conditions, namely obesity, were recognised to be positively correlated to the progression of T2DM. Insulin deficiency refers to when a person fails to secrete adequate levels of insulin during digestion of meals (Naseem et al., 2012). Producing adequate levels of insulin is essential for being able to overcome the increase of glucose levels in the body while eating, this is achieved by sending signals to the liver to reduce its production of endogenous glucose. However, after prolonged exposure to this disease, this affects the ability of à ²-cells to respond to rises in glucose levels. (Mazze, Strock, Simonson, Bergenstal, 2004, p. 80). Located in the pancreas, à ²-cells, or Beta cells, are responsible for the production and storage of insulin (Resnick, 2014). Insulin resistance, however, occurs when insulin receptors within cells of the bodyShow MoreRelatedPathophysiology Of Diabetes Mellitus And Diabetes Essay1189 Words à |à 5 PagesPathophysiology of Diabetes Mellitus Diabetes Mellites(DM), is a deficiency of insulin action causing hyperglycemia. The majority of DM have a decreased secretion of the cells, insulin resistance, or counterregulatory hormones( McPhee Hammer, 2010). Insulin is synthesized from the beta cells from the pancreases. Composed from A peptide and B peptide connected to C peptide and disulfide bonds. Insulin is a hormone that aids in metabolism. encourages glucose uptake and the synthesis works mainlyRead MorePathophysiology of Diabetes Mellitus2103 Words à |à 9 PagesPathophysiology of Diabetes Mellitus Diabetes Mellitus is a group of metabolic diseases. The body is unable to produce or absorb sufficient amounts of insulin. This causes elevated levels of glucose in the blood. The pancreas normally produces insulin which regulates the level of glucose in the blood as 1)well as how its used. Glucose is vital to your health because its an important source of energy for the cells that make up your muscles and tissues. Its also your brains main source ofRead MorePathophysiology And Pathophysiology Of Diabetes Mellitus Type 21474 Words à |à 6 PagesPathophysiology and Pharmacology of Diabetes Mellitus Type 2 Type 2 Diabetes is a chronic condition that millions of people around the world suffer from. It is related to the hormone insulin, which is secreted by islet of Langerhans cells in the pancreas, it regulates the level of glucose in the bloodstream and supports the body with breaking down the glucose to be used as energy. When people have diabetes, the body doesnââ¬â¢t produce enough insulin or cells donââ¬â¢t respond to the insulin that is producedRead MorePathophysiology Of Diabetes Mellitus And Mellitus1706 Words à |à 7 Pages Diabetes Mellitus Nathalie Dao Med 2056 VN FT030 Diabetes Mellitus Research Paper Ms. Annabelle Anglo 3/16/2015 Ã¢â¬Æ' EXPLANATION OF PATHOPHYSIOLOGY The pathophysiology of the two types of Diabetes Mellitus are described by Schilling (2010). Type 1 Non-Insulin Dependent Diabetes Mellitus starts with a viral infection or other triggering condition that forms antibodies that destroy the beta cells within the pancreas. This causes the pancreasââ¬â¢ production of insulin to drop over time. InitiallyRead MorePathophysiology Of Gestational Diabetes Mellitus845 Words à |à 4 PagesPathophysiology of Gestational Diabetes One of the most common medical disorders of pregnancy is gestational diabetes mellitus (GDM). Diagnosing, treating, and managing health outcomes for the mother and baby can be challenging. The impact of GDM can be far reaching past the postpartum period, and can affect both mom and baby for years to come. The purpose of this paper is to review the pathophysiology of GDM, explore the available treatments and discuss the impact and how education is essentialRead MoreIntegrative Pathophysiology Of Diabetes Mellitus1042 Words à |à 5 PagesIntegrative Pathophysiology of Diabetes Narelle Fleming 30095474 Diabetes mellitus caused by lack of insulin production and/or insulin resistance can cause a variety of symptoms. Insulin resistance is a condition where insulin is produced by the body (Insulin Resistance and Prediabetes), but the bodyââ¬â¢s cells become resistant to insulin (Stoppler, 2014). In insulin resistance, glucose builds up in the blood, when normally it is absorbed by the bodyââ¬â¢s cells, where it is converted to energy, whichRead MorePathophysiology Of Diabetic Neuropathy And Diabetes1160 Words à |à 5 PagesPathophysiology of diabetic neuropathy Diabetes is a chronic disease that affects blood glucose levels. Diabetes is the loss of pancreatic metabolic activity that is responsible for the use of energy, which comes from glucose that an individual consumes. There are two types of diabetes: Type 1 Diabetes is the failure of pancreas to secrete a hormone called insulin; responsible for the removal of glucose from the body to be used in the muscles for energy. Type 2 Diabetes is the failure of using theRead MoreThe Pathophysiology Of Type 1 Diabetes1395 Words à |à 6 PagesType 1 diabetes is well known disease, some of us or someone we know are the victim of this chronic illness. There are controversial explanation such as, genetic susceptibility and in contrary, environmental factors that are viral infection, prenatal and neonatal influence, nitrate in drinking water, (Norris et al, 2003) early exposure to cowââ¬â¢s milk towards why the immune system destroy the insulin producing beta cell. In this essay, I will be discu ssing about the pathophysiology of type 1 diabetesRead MoreEssay on The Pathophysiology of Diabetes Mellitus2270 Words à |à 10 PagesDM Type I II: 1 The Pathophysiology of Diabetes Mellitus Diabetes mellitus (DM) is a condition in the body that is related to a faulty metabolism. It means that the bodyââ¬â¢s metabolism is not functioning properly, which leads to adverse effects in the health. The food we ingest, gets broken down into blood sugar (glucose), which is what fuels our body in the form of energy. This converted glucose needs to enter our cells so that it can be used for energy and growth. And in order for the glucoseRead MoreDisease Pathophysiology And Treatment Of Diabetes Mellitus1464 Words à |à 6 PagesDisease Pathophysiology and Treatment of Type 1 Diabetes Mellitus Rogelio Gonzales University of Texas Rio Grande Valley 1. Introduction ââ¬Å"Diabetes mellitus, by far the most common of all endocrine disorders, is one of the foremost public health concerns confronting the world today. Over 23 million individuals in the United States, or 8% of the population, have diabetes. An estimated 17.5 million have been diagnosed, but 5.5 million (nearly one fourth) are unaware they have the diseaseâ⬠(Nelms
Sunday, December 15, 2019
Streams of Silver 24. Eulogy for Mithril Hall Free Essays
The burning dragon drifted lower and lower, the light of the flames slowly diminishing to a mere speck at the bottom of Garumnââ¬â¢s Gorge. Drizzt scrambled up over the ledge and came up beside Catti-brie and Wulfgar, Catti-brie holding the gem-studded helm, and both of them staring helplessly across the chasm. The two of them nearly fell over in surprise when they turned to see their drow friend returned from the grave. We will write a custom essay sample on Streams of Silver 24. Eulogy for Mithril Hall or any similar topic only for you Order Now Even the appearance of Artemis Entreri had not prepared Wulfgar and Catti-brie for the sight of Drizzt. ââ¬Å"How?â⬠Wulfgar gasped, but Drizzt cut him short. The time for explanations would come later; they had more urgent business at hand. Across the gorge, right next to the lever hooked to the bridge, stood Artemis Entreri, holding Regis by the throat before him and grinning wickedly. The ruby pendant now hung around the assassinââ¬â¢s neck. ââ¬Å"Let him go,â⬠Drizzt said evenly. ââ¬Å"As we agreed. You have the gem.â⬠Entreri laughed and pulled the lever. The stone bridge shuddered, then broke apart, tumbling into the darkness below. Drizzt had thought that he was beginning to understand the assassinââ¬â¢s motivations for this treachery, reasoning now that Entreri had taken Regis to ensure pursuit, continuing his own personal challenge with Drizzt. But now with the bridge gone and no apparent escape open before Drizzt and his friends, and the incessant baying of the shadow hounds growing closer at their backs, the drowââ¬â¢s theories didnââ¬â¢t seem to hold up. Angered by his confusion, he reacted quickly. Having lost his own bow back in the alcove, Drizzt grabbed Taulmaril from Catti-brie and fitted an arrow. Entreri moved just as fast. He rushed to the ledge, scooped Regis up by an ankle, and held him by one hand over the edge. Wulfgar and Catti-brie sensed the strange bond between Drizzt and the assassin and knew that Drizzt was better able to deal with this situation. They moved back a step and held each other close. Drizzt kept the bow steady and cocked, his eyes unblinking as he searched for the one lapse in Entreriââ¬â¢s defenses. Entreri shook Regis dangerously and laughed again. ââ¬Å"The road to Calimport is long indeed, drow. You shall have your chance to catch up with me.â⬠ââ¬Å"You have blocked our escape,â⬠Drizzt retorted. ââ¬Å"A necessary inconvenience,â⬠explained Entreri. ââ¬Å"Surely you will find your way through this, even if your other friends do not. And I will be waiting!â⬠ââ¬Å"I will come,â⬠Drizzt promised. ââ¬Å"You do not need the halfling to make me want to hunt you down, foul assassin.â⬠ââ¬Å"ââ¬ËTis true,â⬠said Entreri. He reached into his pouch, pulled out a small item, and tossed it into the air. It twirled up above him then dropped. He caught it just before it passed beyond his reach and would have fallen into the gorge. He tossed it again. Something small, something black. Entreri tossed it a third time, teasingly, the smile widening across his face as Drizzt lowered the bow. Guenhwyvar. ââ¬Å"I do not need the halfling,â⬠Entreri stated flatly and he held Regis farther out over the chasm. Drizzt dropped the magical bow behind him, but kept his glare locked upon the assassin. Entreri pulled Regis back in to the ledge. ââ¬Å"But my master demands the right to kill this little thief. Lay your plans, drow, for the hounds draw near. Alone, you stand a better chance. Leave those two, and live! ââ¬Å"Then come, drow. Finish our business.â⬠He laughed one more time and spun away into the darkness of the final tunnel. ââ¬Å"Heââ¬â¢s out, then,â⬠said Catti-brie. ââ¬Å"Bruenor named that passage as a straight run to a door out of the halls.â⬠Drizzt looked all around, trying to find some means to get them across the chasm. ââ¬Å"By Bruenorââ¬â¢s own words, there is another way,â⬠Catti-brie offered. She pointed down to her right, toward the south end of the cavern. ââ¬Å"A ledge,â⬠she said, ââ¬Å"but hours of walking.â⬠ââ¬Å"Then run,â⬠replied Drizzt, his eyes still fixed upon the tunnel across the gorge. By the time the three companions reached the ledge, the echoes of howls and specks of light far to the north told them that Duergar and shadow hounds had entered the cavern. Drizzt led them across the narrow walkway, his back pressed against the wall as he inched his way toward the other side. All the gorge lay open before him, and the fires still burned below, a grim reminder of the fate of his bearded friend. Perhaps it was fitting that Bruenor died here, in the home of his ancestors, he thought. Perhaps the dwarf had finally satisfied the yearning that had dictated so much of his life. The loss remained intolerable to Drizzt, though. His years with Bruenor had shown him a compassionate and respected friend, a friend he could rely upon at any time, in any circumstance. Drizzt could tell himself over and over that Bruenor was satisfied, that the dwarf had climbed his mountain and won his personal battle, but in the terrible immediacy of his death, those thoughts did little to dispel the drowââ¬â¢s grief. Catti-brie blinked away more tears, and Wulfgarââ¬â¢s sigh belied his stoicism when they moved out across the gorge that had become Bruenorââ¬â¢s grave. To Catti-brie, Bruenor was father and friend, who taught her toughness and touched her with tenderness. All of the constants of her world, her family and home, lay burning far below, on the back of a hell-spawned dragon. A numbness descended over Wulfgar, the cold chill of mortality and the realization of how fragile life could be. Drizzt had returned to him, but now Bruenor was gone. Above any emotions of joy or grief came a wave of instability, a tragic rewriting of heroic images and bard-sung legends that he had not expected. Bruenor had died with courage and strength, and the story of his fiery leap would be told and retold a thousand times. But it would never fill the void that Wulfgar felt at that moment. * * * They made their way across to the chasmââ¬â¢s other side and raced back to the north to get to the final tunnel and be free of the shadows of Mithril Hall. When they came again into the wide end of the cavern, they were spotted. Duergar shouted and cursed at them; the great black shadow hounds roared their threats and scratched at the lip of the other side of the gorge. But their enemies had no way to get at them, short of going all the way around to the ledge, and Drizzt stepped unopposed into the tunnel that Entreri had entered a few hours earlier. Wulfgar followed, but Catti-brie paused at the entrance and looked back across the gorge at the gathered host of gray dwarves. ââ¬Å"Come,â⬠Drizzt said to her. ââ¬Å"There is nothing that we can do here, and Regis needs our help.â⬠Catti-brieââ¬â¢s eyes narrowed and the muscles in her jaw clenched tightly as she fitted an arrow to her bow and fired. The silver streak whistled into the crowd of Duergar and blasted one from life, sending the others scurrying for cover. ââ¬Å"Nothing now,â⬠Catti-brie replied grimly, ââ¬Å"but Iââ¬â¢ll be cominââ¬â¢ back! Let the gray dogs know it for truth. ââ¬Å"Iââ¬â¢ll be back!â⬠How to cite Streams of Silver 24. Eulogy for Mithril Hall, Essay examples
Saturday, December 7, 2019
Statement of Purpose
Question: Discuss about the Statement of Purpose. Answer: Introduction: Accounting is a field that I had fascination from my higher school days. Most of my family members are engaged in professions of accounting that have inspired me to frame my career in this field. When I was in my graduation days, I used to help my father in his work regarding stock markets, other financial instruments, and managing a portfolio of equities. This had helped me in gaining a deeper understanding of different financial instruments. In fact, my father provides me the first lesson about the stock market. However, this is the turning point of my career life. I had made my mind choose accounting and finance as my career option. While pursuing my career I have experienced many challenging and exciting events. I have understood that investment professionals are responsible for analyzing risks and managing assets while ensuring the future success of the particular organization. I have opted Bachelor of Administrative Science with significant accounting in King Saudi University R iyadh and dreamt of working in Capital Market Authority (CMA). While studying, I had done an internship in the year of 2011 from Mobility where I had focused on individual function units of accounting in the company. Internship during my bachelor days is the starting of my career. However, I have worked for dew months, but it was a great experience and an incredible exposure of learning about basics of accounting. After completing my graduation in King Saudi University, I worked there as a faculty in international finance reporting standards. The most important aspect while teaching students at the University is preparing various developing instructional programs and course material adhering to comprehensive and accuracy. This facilitates students with vivid learning exposures while overall development of their learning process. I have worked in Saudi Industrial Development Fund. In that organization, I build and format Excel reports from data collected from different financial information and imported reports. After that, accounting and processing financial transaction of loan payments. While working in this organization, I had earned a good experience and basic knowledge about necessary financing and accounting in organizational perspective. To enhance my skills of expertise and knowledge base, I had decided to pursue masters in this field. Hence, in the year 2015, I had completed my master degree in Accountancy. The area of specialization was financial and audit. Earning a master degree in this particular domain helped me enriching my knowledge and experience in finance and accounting. It acts as a compliment for my bachelors degree in accounting. My background in accounting in both studies and job provided me significant concepts of theories of financing along with its practical implications in organizations. My part time work enhanced me in gathering knowledge about the prospects of the field. While working in groups, I have learned what is happening in the world of finance. By conducting extensive research and consulting my senior officials, I collected information about the growth and scope of the sector in a particular field. My research about the framework of the financial sector is in the stock market. As an international student, I had a dream in working in CMA from my undergraduate days. To fulfill this dream, now I have decided to pursue a GDP program for enhancing my knowledge in stock market and other financial instruments that are still unknown to me. Apart from having a master degree in Accounting from Cleveland State University, I have decided to complete the nine months GDP program that will enhance my skills in the financing and accounting sector. The GDP program is formulated for the professionals for providing a global recognition of the degree offered by the Institute. The program is usually opting completion of the GDP program will help me in securing a good position in CMA, my dream company. Throughout my career life Apart from performing my duties in organizations, I have searched for better opportunities and scope of career in the stock market of Saudi Arabia. My desire of learning abou t stock market of Saudi has encouraged me to pursue different professional certified courses that will add value to my list of expertise. The stock market of Saudi Arabia is a booming market with ample of opportunities for financial growth. Capital Markets Authority is a government organization of Saudi Arabia that regulates capital markets of Saudi Arabia. The company is focused on administrative independence, legal, and financial departments while reporting to Prime Minister of the country. The organization formulates many regulations related to capital markets along with other financial instruments. However, there are various divisions of the company such as market supervision, enforcement, issuance corporate finance and capital market institutions control. Among the four categories, my area of preference is the last one i.e. the Department of the capital market. However, to get a higher designation in the company many skills and competencies, various skill sets are required. The market is very competitive in nature. Hence, I am planning to increase my skills. Information about the company background as well as fin ancial market, the capital market should be kept up to date. Since, the market is volatile in nature, the value of stocks, equity and other financial instruments are regularly changing. It is crucial for a financial professional to keep himself updated about every detail about capital markets. I have planned many things for acquiring a deserving position in my dream company. Learning has no ending. I usually engage myself in the continuous learning process of different things about capital and stock markets. My immediate planning is to complete a graduation development program in the field of accounting. On completion of the program, I will be able to enter CMA without any complications. The basic criteria for getting a position in the organization are more or less covered by me. However, in my near future, I have a planning to become a certified public accountant along with Scopa as an international employee to broaden my opportunity in the field of accounting. I hope my grasp of knowledge gathering and my qualifications will be suitable for joining the organization. Bibliography Al-Malkawi, H.A.N., Pillai, R. and Bhatti, M.I., 2014. Corporate governance practices in emerging markets: The case of GCC countries.Economic Modelling,38, pp.133-141. Al-Malkawi, H.A.N., Twairesh, A.E. and Harery, K., 2013. Determinants of the Likelihood to Pay Dividends: Evidence from Saudi Arabia.Journal of American Science,9(12), pp.518-528. Al-Matari, Y.A., Al-Swidi, A.K., Fadzil, F.H.B., Fadzil, H. and Al-Matari, E.M., 2012. Board of Directors, Audit Committee Characteristics and the Performance of Saudi Arabia Listed Companies.International Review of Management and Marketing,2(4), p.241. Alzomaia, T.S., 2014. Capital structure determinants of publicly listed companies in Saudi Arabia.The International Journal of Business and Finance Research,8(2), pp.53-67. Ghabayen, M.A., 2012. Board characteristics and firm performance: Case of Saudi Arabia.International Journal of Accounting and Financial Reporting,2(2), p.168. Held, D. and Ulrichsen, K. eds., 2013.The transformation of the Gulf: politics, economics and the global order. Routledge. Jouini, J., 2013. Return and volatility interaction between oil prices and stock markets in Saudi Arabia.Journal of Policy Modeling,35(6), pp.1124-1144. Robertson, C.J., Diyab, A.A. and Al-Kahtani, A., 2013. A cross-national analysis of perceptions of corporate governance principles.International Business Review,22(1), pp.315-325.
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