A Good Man is Hard to Find Essay -- essays papers

A Good Man is Hard to Find Thesis: Bailey and his family discover the hard way just how ironic life can be. â€Å"A Good Man is Hard to Find† In â€Å"A Good Man is Hard to Find† Flannery O’Conner tells the story of a family in route to their Florida vacation and the trouble the grandmother gets them in. The grandmother does not want to go to Florida on vacation and tries many methods of changing her son, Bailey’s mind. Although she tries many methods, none of them have the effect on him she desires. Bailey is as stubborn as his mother, completely shutting the door on every proposition his mother makes. When she finally makes some progress in delaying their travels things go horribly. Bailey and his family discover the hard way just how ironic life can be. The grandmother uses many excuses for the family to go to Tennessee instead of Florida on vacation. The first of her many excuses is â€Å"The Misfit†, a serial killer that has escaped from prison and is headed toward Florida, claiming that she would never take her children anywhere near a man like that. This didn’t have the desi...

Nursing Diagnosis, Interventions and Goal Assignment Essay

Select a major medical diagnosis for your patient. Pick two nursing diagnoses and write four (4) pertinent interventions and rationales for each diagnosis. Be sure your interventions are applicable to your assigned patient. Cite your sources in APA format. Print two copies of this page so you can develop two nursing diagnoses. Patient’s Medical Diagnosis: Hypertension Nursing Diagnosis: Deficient Knowledge 1) Intervention: Define and specify the desired blood pressure limits. Describe hypertension and its effect on the heart, blood vessels, kidneys, and brain. Rationale: Provides a basis for understanding blood pressure elevation, and describes commonly used medical terms. Understanding that high blood pressure can occur without symptoms is the center allows patients to continue treatment, even when feeling better. 2) Intervention: Assist patients in identifying the risk factors that can be modified, for example, obesity, a diet high in sodium, saturated fat, and cholesterol, sedentary lifestyle, smoking, alcohol consumption, stress lifestyle. Rationale: Risk factors that have been shown to contribute to hypertension and cardiovascular and renal disease. 3) Intervention: Assess the patient’s motivation to learn. Rationale Provide positive reinforcement. Provide information relevant to situation to prevent overload. Avoid the use of negative reinforcers._ 4) Intervention: Establish priorities in conjunction with client. Rationale: Identify information that needs to be remembered (cognitive). Identify information having to do with emotions, attitudes, and values. Identify psychomotor skills that are necessary for learning. Nursing goal: Patient participation in learning process. Identify intereferences to learning and specific action(s) to deal with them. Verbalize understanding of condition, disease process, and treatment.

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Hypoglycemia is a condition in which the glucose level present in the blood drops to a level below the normal range. It can develop both in type 1 diabetes mellitus and type II diabetes mellitus. Frequently, this is a very severe health issue in diabetics and has severe effects. The physician may be able to identify and treat diabetic ketoacidosis and diabetic non-ketotic coma early, but hypoglycemia turns out to be a serious problem as it is often not recognized in diabetes. In certain cases, hypoglycemia occurs suddenly, and by the time one recognizes that they are hypoglycemic; it may be too late to take control of the situation. If hypoglycemia is left untreated for a long time, especially in a diabetic, the chances of permanent brain damage are very high. Hypoglycemia is also associated with several cardiovascular disorders such as heart attacks, stroke, cardiac failure and arrhythmias, myocardial ischemia, etc. In elders, the risk of losing consciousness and developing seizures is especially high. Associated injuries that develop during the hypoglycemic-associated complications such fractures, injuries to the legs, etc, may be especially problematic to heal in diabetics. Hypoglycemia in elders is responsible for causing visual and coordination problems. In elders, hypoglycemic symptoms are often perceived as symptoms of ischemia, both by the relatives and the healthcare professionals. This difficulty in recognizing the symptoms worsens the outcome of the disorder. As age increases, the symptoms of hypoglycemia become less severe, and are often altered by the addition of certain atypical symptoms and the absence of the regular ones. In younger individuals, physical symptoms of hypoglycemia develop earlier than that compared to loss of cognitive functions. Hence, the individual may have sufficient time to treat the condition. Besides, if the glucose levels in the blood fall to a very low level, it cannot be restored to normal by administering glucose orally. Usually a close relative or the spouse can recognize the symptoms of hypoglycemia by noting that the patient looks at a distance or demonstrates several other symptoms such as repeated blinking, loss of speaking skills, deep breathing, aggressiveness, etc. It may be considered that individuals with greater control over their diabetes are also in good control of hypoglycemia. Hypoglycemia can occur during fasting and even after consumption of food (as a reactionary mechanism). Hypoglycemia can occur following several drug therapies such as along with steroids, beta-blockers, ethanol, insulin, disopyramide, etc. Hypoglycemia can evidently lead to neuroglycemia. Although, 50 mg/dl of blood is considered to be hypoglycemia, symptoms are produced at 40 mg/dl, and coma and seizures frequently occur at 20 mg/dl. As hypoglycemia can occur frequently and has a high rate of mortality as well as morbidity, the importance of identifying and treating it should be explained to the patient and his/her relatives. The individual should be warned of the symptoms that could develop during the mild (confusion, light-headedness, etc), moderate (headache, behavior alternations, etc) and serious (seizures, coma, unconsciousness) stages of hypoglycemia. The individual should also be told of the situations in which hypoglycemia can commonly develop such as excessive consumption of anti-diabetic medications, excessive use of insulin, reduced consumption of foods, additional exercises or physical activity, alcohol consumption, etc. The individual should be advsied of the hypoglycemic symptoms that can develop during sleep (such as sweating, nightmare, hunger, etc). Thus it can be seen that hypoglycemia is a frequent complication especially in diabetes. It should be adequately controlled utilizing some simple precautions. In case the individual develops hypoglycemia, immediate recognition and emergency treatment is essential in order to prevent the development of neuroglycemia and serious complications like permanent brain damage. References: Boyle, P. J. (2000). Hypoglycemia, In. Leahy, N. L. , Clark, N. G. , and Cefalu, W. T. (Ed. ), Medical Management of Diabetes Mellitus, New York: Marcel-Dekher. Mangione, R. A. (1996). Recognition and Management of Hypoglycemia, Retrieved 14 Janaury, 2007, from US Pharmcist Web site: http://care.diabetesjournals.org/cgi/content/full/28/12/2948

Free Essays on Who Are the Assyrians

The Assyrians are the indigenous people of Mesopotamia and have a history spanning over 6700 years. Today, the Assyrians are the descendants of the ancient Assyrian Empire and one of the earliest civilizations emerging in Mesopotamia. Although the Assyrian empire ended in 612 B.C., history is replete with recorded details of the continuous persistence of the Assyrian people till the present time. Assyrian civilization at one time incorporated the entire Near East, most notably the area of the Fertile Crescent. The heartland of Assyria lies in present day Northern Iraq. The remains of the ancient capital of Assyria, Nineveh, lie next to Mosul in Northern Iraq. The world’s 4.5 million Assyrians are currently dispersed with members of the Diaspora comprising nearly one-third of the population. Most of the Assyrians in the Diaspora live in North America, Europe, and Australia. The remaining Assyrians reside primarily in Iraq, Syria, Iran, Lebanon, and Turkey. The Assyrians are not to be confused with Syrians. Although the name of Syria is directly derived from Assyria and the land was once a part of Assyria the people of Syria currently maintain a separate Arab identity. The Assyrians are not Arabs, but rather have maintained a continuous and separate identity, language, and culture that predates the Arabization of the Near East. Until today, the Assyrians speak a distinct language, Syriac, the language spoken by Jesus Christ. As a Semitic language, the Assyrian language is related to Hebrew and Arabic but predates both. The Assyrians were the first to accept Christianity in the first century A.D. Despite the subsequent Islamic conquest of the region, the Assyrian Church flourished and its adherents at one time numbered 80,000,000. Assyrian missionary zeal was unmatched and led to the first Christian missions to China and Japan. Today, the Assyrians belong to three major Christian sects: the Church of the East, the Chaldean Churc... Free Essays on Who Are the Assyrians Free Essays on Who Are the Assyrians The Assyrians are the indigenous people of Mesopotamia and have a history spanning over 6700 years. Today, the Assyrians are the descendants of the ancient Assyrian Empire and one of the earliest civilizations emerging in Mesopotamia. Although the Assyrian empire ended in 612 B.C., history is replete with recorded details of the continuous persistence of the Assyrian people till the present time. Assyrian civilization at one time incorporated the entire Near East, most notably the area of the Fertile Crescent. The heartland of Assyria lies in present day Northern Iraq. The remains of the ancient capital of Assyria, Nineveh, lie next to Mosul in Northern Iraq. The world’s 4.5 million Assyrians are currently dispersed with members of the Diaspora comprising nearly one-third of the population. Most of the Assyrians in the Diaspora live in North America, Europe, and Australia. The remaining Assyrians reside primarily in Iraq, Syria, Iran, Lebanon, and Turkey. The Assyrians are not to be confused with Syrians. Although the name of Syria is directly derived from Assyria and the land was once a part of Assyria the people of Syria currently maintain a separate Arab identity. The Assyrians are not Arabs, but rather have maintained a continuous and separate identity, language, and culture that predates the Arabization of the Near East. Until today, the Assyrians speak a distinct language, Syriac, the language spoken by Jesus Christ. As a Semitic language, the Assyrian language is related to Hebrew and Arabic but predates both. The Assyrians were the first to accept Christianity in the first century A.D. Despite the subsequent Islamic conquest of the region, the Assyrian Church flourished and its adherents at one time numbered 80,000,000. Assyrian missionary zeal was unmatched and led to the first Christian missions to China and Japan. Today, the Assyrians belong to three major Christian sects: the Church of the East, the Chaldean Churc...

Begum Surname Meaning and Family History

Begum Surname Meaning and Family History Begum is a Muslim honorific title for, or means of addressing, a respectable lady. It did not originally develop as a surname, but over time has been adopted as a last name by many unmarried women, especially in Bangladesh and Pakistan. Begum is quickly becoming a fairly common surname in America and England. A frequency map created by James Cheshire in 2012 puts Begum as the most popular surname in Londons  Tower Hamlets and south Camden neighborhoods. Surname Origin:  Muslim Alternate Surname Spellings:  BAIGUM, BEGAM Famous People With the Begum Last Name Hamida Banu Begum - Wife of the  second Mughal Emperor, Humayun, and mother of Mughal Emperor, Akbar.Mehnaz Begum - Pakistani singerFatma Begum -  Indias first female film directorAmeena Begum - Wife of Sufi master, Inayat Khan Where Is the Begum Surname Most Common? The last name Begum  is the 191st most common surname in the world, according to surname distribution information from  Forebears. It is most prevalent in India, where it ranks as the 37th most common last name, followed by Bangladesh (50th) and Fiji (92nd). Within India, the name is most prevalent in  Telangana, where it is the most common surname, followed by  Jammu and Kashmir, Pondicherry, Assam, and Delhi. WorldNames PublicProfiler  does not include surname data from India, but within Europe Begum is found most frequently in West Midlands, Yorkshire and Humberside, South East, North East and East Midlands, England. The name is also fairly common in Oslo, Norway. Genealogy Resources for the Surname BEGUM Begum Family Crest - Its Not What You ThinkContrary to what you may hear, there is no such thing as a Begum family crest or coat of arms for the Begum surname.  Coats of arms are granted to individuals, not families, and may rightfully be used only by the uninterrupted male-line descendants of the person to whom the coat of arms was originally granted. FamilySearch - BEGUM GenealogyExplore over 340,000  results from digitized  historical records and lineage-linked family trees related to the Begum surname on this free website hosted by the Church of Jesus Christ of Latter-day Saints. GeneaNet - Begum RecordsGeneaNet includes archival records, family trees, and other resources for individuals with the Begum surname, with a concentration on records and families from France and other European countries. The Begum Genealogy and Family Tree PageBrowse genealogy records and links to genealogical and historical records for individuals with the Begum surname from the website of Genealogy Today. Ancestry.com: Begum SurnameExplore over 260,000  digitized records and database entries, including census records, passenger lists, military records, land deeds, probates, wills and other records for the Begum surname on the subscription-based website, Ancestry.com. References: Cottle, Basil.  Penguin Dictionary of Surnames. Baltimore, MD: Penguin Books, 1967. Dorward, David.  Scottish Surnames. Collins Celtic (Pocket edition), 1998. Fucilla, Joseph.  Our Italian Surnames. Genealogical Publishing Company, 2003. Hanks, Patrick and Flavia Hodges.  A Dictionary of Surnames. Oxford University Press, 1989. Hanks, Patrick.  Dictionary of American Family Names. Oxford University Press, 2003. Reaney, P.H.  A Dictionary of English Surnames. Oxford University Press, 1997. Smith, Elsdon C.  American Surnames. Genealogical Publishing Company, 1997

How Does Paid Employment Affect The Identity Essay - 4

How Does Paid Employment Affect The Identity - Essay Example This research will begin with the statement that in order to have paid employment exert friendly influences on one’s identity, it consequently becomes highly important to learn all the critical ways to thrive in a career in a very positive and professional manner. This remains a reality that employment heavily interferes with one’s identity, self-esteem, and psychological satisfaction either in a positive or negative way. Also, there definitely exists a direct relationship between a worker’s identity and the amount of salary on which he or she is employed in any organization. Workers getting high salaries tend to be more satisfied with their identities and enjoy high self-esteem in comparison to low-profile workers who get paid poorly and who also consequently, tend to face the pressures of low self-esteem and poor social identities. Maintaining the nature of work identity also holds huge importance once a worker enters the workplace and the type of management pr acticed in that workplace also shares a relationship with whether a worker would be able to maintain his or her identity or not. Much research has been done on workers’ identities, which has effectively changed the way relationship with organizations is perceived presently by the workers. More and more managers these days are seen increasingly focus on the concept of organizational culture and trying developing familiarity with the organizational culture and the nature of culture-oriented issues helps in proper maintenance of identity. It is mentioned by Grey that a highly professional and concerned approach is required in every organizational setup for addressing various critically important factors like workers’ skills and identity issues. The concept of organizational culture is heavily related to the potential to reformulate the concept of workforce identity, as mentioned in the work compiled by Grey. It is discussed by the author in the book that cultural concept got introduced in the American management system earlier in the 1980s. Actually, the cultural idea proposes that the organizational practices should be designed in such a way that they would promote the shared values because the establishment of shared values ultimately leads to solidifying the workers’ identities, as already discussed. For stable cultural management, it is critically important that the staff should have a firm belief in values instead of going along with the orders of the managers like feeling fewer automatons. There should remain no distance between individuals’ purposes and those of the organization in which they are employed. According to the theoretical approach introduced by Willmott, culture management has the serious potential to reformulate identity in harmony with the managerial doctrine. This theoretical approach professes that culture management should actually be perceived as a powerful tool through which internal world of an organization can be reshaped in terms of the identity of people at work. With the help of a historical approach, Grey discusses how Japanese managers laid greater emphasis on motivating the employees in order to commit them to working on united goals during the 1970s and 1980s, so that company output could be enhanced along with customer service.  

Legal Responsibilities of a Nurse Essay Example | Topics and Well Written Essays - 750 words

Legal Responsibilities of a Nurse - Essay Example From this paper it is clear that  nursing laws state that a nurse should act as an intermediary between the physician and the patient. Nurses have to carefully monitor the patient and report to the physician if any abnormality is observed. A nurse is legally responsible for interpreting the patient’s charts and files and thereby identifying what allergic reactions the patient may develop against different medications. Nurses are legally required to provide the patient with assistance in issues like hygiene if the patient needs it. Some patients may move out of the hospital environment and use infectious facilities during the course of treatment. Undoubtedly, this situation would adversely affect the patient’s disease recovery process. Hence, a nurse has the legal responsibility to pay proper attention to his/her patient and thereby avoid those adverse situations. In short, a nurse should avoid all acts that are likely to affect the patient safety or quality of the car e badly.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  This discussion highlights that  the major legal responsibility of a healthcare employer is that he should maintain a sound healthcare environment where patient safety is specifically met. Healthcare laws indicate that employers are legally required to employ sufficient number of staff that is essential to achieve patient safety and quality care.  An employer has the legal responsibility to ensure his employees’ safety and welfare.... In addition, the employer has to ensure that his staffs are provided with necessary medical equipments and other treatment facilities. Employers must provide their staff with a potential worksite environment where elements of stressors are minimal. An employer has the legal responsibility to ensure his employees’ safety and welfare. It is the legal responsibility of an employer to assess the risk factors existing in the workplace environment and do whatever is practicable to minimize the level of those risks. Hence, a healthcare employer should encourage his staff to report any issue or pitfall in the work environment that is likely to hurt patient safety or employee efficiency. In addition, the employer is legally responsible for paying immediate attention to issues that are likely to impact the quality of care. American Medical Association in its code of medical ethics has specified the fundamental elements of doctor-patient relationship and patient’s rights. Those ri ghts involve â€Å"the basic right to have adequate health care† and â€Å"the right to courtesy, respect, dignity, responsiveness, and timely attention to health needs† (Kwon, n.d). Hence, a medication error will certainly constitute violation of patients’ rights. In the view of Kitchener, â€Å"autonomy, nonmaleficence, beneficence, justice, fidelity, and veracity† are the six fundamental ethical principles in the healthcare (as cited in Corey, Schneider & Callanan, 2010, p. 19). Hence, through the medication error, the nurse violated the principle of nonmaleficence, which states that ‘do no harm’ to clients intentionally or unintentionally. Even though the nurse violated the basic nursing principles and thereby patient rights were