The 7 Types of Tectonic Landforms

Health And Patient Education For Diabetic Foot Care

Population Health and patient education for diabetic foot care Generally our population sees diabetes as a disease for people that can’t eat sugar, but, those with diabetes know it comes with some life changing events. Diabetes effects an estimated 29.1 million Americans each day. Diabetes develops in one of two forms, Type one and Type two. Type one is insulin dependent diabetes, where the body lacks production of insulin (Ignatavicius Workman, 2013). Type two diabetics are insulin resistant, affecting mostly adults (Ignatavicius Workman, 2013). Diabetes is a chronic illness that accounts for many comorbidities and complications to those suffering from the disease. Diabetes is the seventh leading cause of death from conditions including, hypertension, dyslipidemia, cardiovascular disease, heart attacks, stroke, blindness, kidney disease, and amputations (American Diabetes Association, 2016). Management of these complications can occur with proper education, health promotion, and prevention from the patient. Foot care and ulcer preven tion can reduce or eliminate complications suffered by diabetics; leading to infections requiring hospitalization and the most serious amputations. Teaching this population or any population about their healthcare needs and requirements can be difficult. Establishing the best way to education will be explored within this paper. Throughout this paper the author will take a look at daily foot care and prevention of ulcers. The paper willShow MoreRelatedDiabetes : Diabetes And Gestational Diabetes1209 Words   |  5 Pagesmetabolic disorder; which causes patients to be extremely thirsty and produce a lot of urine. Diabetes arises due to high blood pressure, due to the body not being able to produce enough insulin or because the body does not respond well to high insulin levels (MNT, 2016). There are four types of diabetes; there is the pre-diabetic stage, type 1 diabetes, type 2 diabetes and gestational diabetes. In 2014, 29 million people died due to diabetes. This equates to 1 diabe tic patient dying every seven secondsRead MoreNurse-Patient Interactions Related to Diabetes Foot Care Essay1351 Words   |  6 Pagesto positive patient results. The following critique of the quantitative research article entitled â€Å"Nurse-Patient Interactions Related to Diabetes Foot Care† written by Lisa Sue Flood. This is a critique of her research study dated November of 2009 Oakland University, Rochester Michigan. Problem Statement, Study Purpose, and Research Question Diabetic foot care is becoming an ever increasing concern as diabetes has reached epidemic proportion. This has increased the associated diabetic problems suchRead MoreManagement And Leadership Track Of The American Sentinel Msn Program1307 Words   |  6 Pagesof safe quality care is imperative in today’s healthcare environment. The Management and Leadership track of the American Sentinel MSN program has provided the guidance to cultivate and prepare future nurse leaders to develop a sense of ownership and commitment to their work and organization. The evidenced based practice (EBP) project that is proposed will be implemented at the Veterans Administration Medical Center (VAMC); it will support the staff to improve the quality of care for the veteranRead MoreCompetency Differences Between Adn and Bsn Prepared Nurses Essay702 Words   |  3 PagesJewell Grand Canyon University Competency Differences between ADN and BSN Prepared Nurses Merriam-Webster defines nurse as: â€Å"a person who cares for the sick or infirm;  specifically:  a licensed health-care professional who practices independently or is supervised by a physician, surgeon, or dentist and who is skilled in promoting and maintaining health†. This definition gives no differentiation between the nurse educated at the Bachelor of Science in nursing (BSN) level and the nurse educatedRead MoreNurse Practitioner Core Competencies And Professional Organizations1380 Words   |  6 PagesIn 1990, the National Organization of Nurse Practitioner Faculties (NONPF), a United States-based organization which represented over 90% of academic institutions with nurse practitioner (NP) education programs, released the first set of entry into practice core competencies (Duller, 2013, p .71). Nurse practitioner core competencies integrate and build upon existing Masters and DNP core competencies and are guidelines for educational programs preparing NPs to imp lement the full scope of practiceRead MoreDifferences Between Western Hills And O Health Maintenance Is Typically Focused On Podiatry At The Clinic Essay1193 Words   |  5 PagesDifferences: †¢ Western Hills: o Health maintenance is typically focused on podiatry at the clinic. The podiatrists at Western Hills have recommendations for patients regarding foot care and the main recommendation emphasized was that the patients should not wear flip flops. This prevents unnecessary foot problems and can be prevented by wearing supportive shoes. They also emphasized the importance of well fitting shoes. o Many patient’s will only discuss their foot care needs, however, the nurse inRead MoreDiabetes And Its Effects On Diabetes1607 Words   |  7 Pagesattacks, stroke, kidney failure, nerve damage, or blindness (Turkoski, 2006). It not only costs many individuals their lives, but it also causes untold emotional and physical problems for people with diabetes and their families. In addition, the cost of care associated with diabetes and the associated complications exceeds $132 billion annually. There is no cure for diabetes. It is a chronic disease and managing or controlling it requires a lifelong process. Even though diabetes has no cure, prompt andRead MoreAdvance Practice Nurses ( Apns )1154 Words   |  5 Pagesimprove patient outcome and satisfaction while reducing cost. To provide such care, APNs need to implement the six core competencies as outlined by Hamric. These six core competencies are: direct clinical practice, expert coaching and advice, consultation, research skills, clinical and professional leadership, collaboration, and ethical decision-making. This paper will explore how APNs can implement each of the six core competencies to support the effective improvement of outcomes such as patient satisfactionRead MoreTerminology Of The Icf : Impaired Glucose Tolerant, High Blood Sugar Levels1512 Words   |  7 Pagesup/down the stairs. Has difficulty maintaining a healthy style with mental health being affected. - Participation restrictions - Alex’s inability to carry out simple tasks restricts his participation at work. As a father, he needs to walk his daughter home from school but with his walking impairment, this seems to be a struggle. Contextual Factors - Alex’s environment is supportive as he has access to many health care facilities which can treat his condition. However, with no car, he has toRead MorePatient Education Essay1681 Words   |  7 PagesPeople 2012 has identified foot ulcers as their ninth objective. Through patient education Healthy People 2012 hopes to reduce the number of foot ulcers in people with diabetes, as diabetes is the number one cause of nontraumatic amputations in the United States. In order to successfully reduce the number of amputations and diabetic foot ulcers, patient teaching is essential. Patient teaching, as with the nursing process, begins with assessment in order to identify the patients learning needs (Wilkinson

Fatherly Influence King Lear free essay sample

Fatherly Influences An individualis the most impressionable throughout the maturing stages of their life, which is why parents are seen as highly influential characters. It is common for a child to share similar qualities or interest as their maternal partner and even inherit their flaws. William Shakespeare’s play King Lear is a tale filled with greed, miscommunication and most importantly the mistreatment of family members. Throughout the play these key elements enhance the way Lear’s behavior influences the actions and mind set of his daughters. Most Shakespearean criticism concentrates on the rebellious nature of â€Å"like father, like daughter relationships†; however, these relationships revealed in the play show similarities and differences between fathers and their children† (Buckley, MaryEllen). Lear portrays the qualities of a kind-hearted man but still has a tendency to jump to conclusions and allows his impulsiveness to get the best of him. Thro ugh the dysfunctional relationship between King Lear and his daughters it is evident that Lear’s actions have a toll on his daughters. This is exemplified through King Lear in which favoritism, miscommunication and unquestioning belief can damage an obsessed father’s influences on his children. King Lear demonstrates favoritism between his three daughters, which results in greed and jealousy. No father should favor one child over another, because it causes major dysfunction within the family. â€Å"Showing preferential treatment to one child over the other siblings nurtures a kind of jealousy and even hatred in the heart of the one being neglected. And as the experts tell us, this may lead to various psychological and social problems that can last well into adolescence and adulthood†. (Asma Shameem). Regan and Goneril treat their father in a cruel manner due the lack of affection they reieved and the jealousy they harbor towards Cordelia. Through the opening scenes of the play Cordelia is acknowledged as Lear’s most beloved daughter and such favoritism creates resentment by Regan and Goneril. The resentment towards King Lear the two daughters to pretending to love their father for his fortune. Regan and Goneril succeeded in obtaining what they desired through greed and fakeness. The flattery and profession of their fake love for Lear assured the position of power and inheritances were secure with the two â€Å"evil† sisters. Lear lacks the ability to balance the affection for his kids, which is why the tension is high between them. As the play unravels it becomes evident that Goneril and Regan feel comfortable with their father resenting Cordelia. Cordelia, who had been the favorite, didn’t find it necessary to proclaim her love to her father. She did not abandon her father even following his proclamation that she was dead to him. Through the help of Kent, disguised under the name Caius, she located her annoyed father and, at the end of the tragedy, died with him at the hands of traitors. She had been the recipient of love for her entire life, and because she had loved her father in return and was sympathetic to his senility, she had the urge to help him† (Bailey Shoemaker Richards). The love Cordelia received allowed her to express true love, and even following her cruel treatment, she continued to love her father and do everything in her power to save him from the scheming of her evil sisters. However, because Regan and Goneril had not received the same amount of attention Cordelia receives they became bitter individuals and the only way they knew how to get what they wanted was through flattery and fake love for their father. Miscommunication is another major factor causing a hole between Lear and his daughters. King Lear’s influence on his children was missing the most important thing, communication. At the beginning of the play, Lear wanted to listen to his daughter’s flattery speeches of how much they love him, for his own judgment of dividing the kingdom. Lear states Tell me, my daughters / which of you shall we say doth love us most? †(Act 1 Scene 1, Lines 49-51). Goneril and Regan shower their father with flattery and proclaim their â€Å"love† towards him. Cordelia refuses to make a big public deal about her love and does not list false over dramatic feelings she has towards Lear just to satisfy his ego. She replied: My heart into my mouth. I love your Majesty / According to my bond, no more nor less (Act1. Scene1, Lines 94-95). She is simply stating that her affection towards her father is how a daughter should love their father. She loves him no more or less. Cordelia clearly feels a strong connection with her father, which is why she professes her true emotions. Cordelia’s honesty is not to Lear’s satisfaction, which is contradicting since he taught his daughters to be honest. Her nature was too good to allow even the slightest deviation from her morals. Cordelia believes that she should say what is morally right, rather than lie to the man she deeply admires. This tragedy of banishment could have been avoided if Cordelia gave an impressive speech similar to her sisters but instead, she stayed true to her heart, which resulted in a short-term loss. Lear is under the impression that the way a father should treat his daughters was to give them the best way of living. He also believed that the daughter who loved him the most would be the one to inherit his fortune. Due to Lear’s blindness, he fails to realize that actions speak louder than words. Goneril and Regan continuously degrade and strip Lear of his power and dignity throughout the play even though they claim to â€Å" adore† him the most. Cordelia’s unconditional love for her father is evident when she saves Lear from her sisters. Cordelia is disgusted by Goneril and Regan’s behavior and even goes as far as saying she wouldn’t treat her enemies dog the way her sisters treated Lear. Lear seems to have a moment of clarity when he is reunited with Cordelia and begins to apologize and comes to the conclusion that she had his best interest at heart this entire time. However, it was too late for Lear since the situation ended in the death of not only his beloved daughter Cordelia but himself as well. The mistreatment of Cordelia by Lear resulted in major miscommunication. King Lear did not even attempt listen to why she said what she said instead, he immediately banished her. The lack of communication between Lear and his daughters enhances his blindness and advocates that Lear is not the best role model. The lack of faith and trust in Cordelia who truly loved her father but didn’t show it, causes King Lear’s unquestioning belief. King Lear has to learn the hard lesson of true betrayal by Regan and Goneril whom he assumed truly love them. After he split the kingdom, Lear planned to take turns every month visiting and living with his two daughters. Wanting to be a little more independent and actually start to have rule over the kingdom, neither of the sisters truly wants Lear to live with them. Lear decided to travel to Goneril’s house with his personal soldiers. Almost instantly Goneril decides that she does not want Lear at her estate because he and his guests are being obnoxious† (Ryan Cutts). Although he had given up his rule of the kingdom, Goneril tried to take away as much remaining power that Lear had left. She said, â€Å"As you are old and reverend, should be wise. Here do you keep a hundred knights and squires; / men so disordered, so debauched and bold / That this out court, infected with their manners, / Shows like a riotous inn. Epicurism and lust / Makes it more like a tavern or a brothel / Than a graced place. The shame itself doth speak / For instant remedy† (Act 1 Scene 4 Lines 234-241). King Lear realized this was an act of betrayal from the daughter that supposedly loved him the most. He also doubted that his other daughter Regan would act any differently. He confided in Regan and explain how badly Goneril mistreated him and how she was doing the opposite of what she was supposed to do when she assumed power, which was to take care of him. The only response Regan provided him was that she felt that Goneril had made the right decision and it was Lear who was being unfair. â€Å"When Lear finally realized that his daughters did not love him, and only wanted control of his power he felt stupid for doubting Cordelia’s belief and love. He felt like a fool and should have known that Cordelia loved him and only wanted the best† (Ryan Cutts). King Lear only cared about hearing about how much his daughters loved him not if they truly loved him. He acted like a foolish role model to give his power away before questioning all of his daughters love for him. Lear allowed his impulsiveness and blindness to misguide him and Overall King Lear fell from his positions of power because of his poor fatherly influences on his daughters. His actions truly go against the statement â€Å"like father, like daughter† because his daughters may share a few similarities but yet many differences from Lear. If Goneril and Regan were â€Å"like father like daughter†, and were kind hearted as Lear was, there never would have been all the misfortune. If Cordelia was as resentful as Lear, she never would have went back to find and help him. He learned through the false sense of communication, favoritism and his untrusting belief, why his daughters acted the way they did, causing major dysfunction in Lear’s family. Work Cited Buckley, MaryEllen. Like Father, like Daughter: The Similarities between Fathers and Daughters in Five Shakespearean Plays. Gradworks. umi. com. Apr. 2009. Web. Heims, Neil, and Harold Bloom. King Lear. New York: Blooms Literary Criticism, 2008. Print. Cutts, Ryan. Parent Child Relationship in King Lear Bookstove. Bookstove Books, Literature. 25 Mar. 2008. Web. Richards, Bailey Shoemaker. Parent-Child Relationships in King Lear: Shakespeares Tragic Tale of Dysfunctional Families. Suite101. com: Online Magazine and Writers Network. 22 Aug. 2009. Web. Shakespeare, William. King Lear. A Collection of Great Drama. Ed. Tom Smith. Oxford: Globe Theater Press, 2005. 1235-1298. Print. Shameem, Asma. â€Å"Fvoritism Amoung Children.. An Injustice Indeed† In Every Hand, In Every Heart Articles. 21 May 2007. Web.

Red Cocoon Essays - Oddworld, Platform Games, Windows Games

Red Cocoon Generally speaking, the purpose of most forms of artistic expression such as literary art, music, or art itself is a mode by which the author can express him/herself with. They use their respective skills and/or interests to convey feelings or thoughts on any given topic. Short fiction is by no means exempt from this. Many writers use their literary skills to express dreams, aspirations, opinions, or even political viewpoints. In order to make a dertermination of a probable origin for a story, research into the authors life and beliefs most likely will prove benefical. With this in mind, Abe Kobo's story "The Red Cocoon" seems to be a prime example of an author expressing his political viewpoints and his personal conflicts with society through literature. Given this, researching his life and political stance might help to support or negate such an assumption. "The Red Cocoon" begins with a man walking down a street discussing with himself the problem of not having a house to go home to. The narrator, who is also the main character, jumps abruptly from topic to topic throughout the story, but this reoccuring theme of the lack of a house seems to be a central idea. As the narrator comtemplates, he wonders if he has just forgotten his house and proceeds to knock on the door of a random house to find out if this is what has happened. After he has explained his plight to the woman who answers the door, he begins arguing with her over having proof that it is not his house. Shortly thereafter, the narrator begins to ponder wether or not things such as concrete pipes or park benches are his house. Deciding that they are on their way to belonging to someone or that they belong to everyone and not just one person, he begins to wonder if anything exsists that belongs to no one. At the end of the story, he finds that one of his legs begins to unwind into a silk thread and wrap him up in a cocoon. Abe Kobo's story is quite abstract and seems to have little meaning. In fact, that is just the opposite. After reading some information about Abe Kobo, the story seems to take on a new meaning. Abe Kobo is considered to be one of the leading authors during the post-WWII era of Japanese history. Many of his works use what was then radical artistic methods of literature ("Abe Kobo"). In his early childhood, Abe was living in Manchuria which was occupied by the Japanese at the time. Being born in Japan, altough Abe felt strong ties to the chinese, he was left feeling like an outsider and rejected by both societes. After the war, Abe became more and more antinationalist and was interested in marxism and communism. Soon, he even joined the Japanese Communist Party ("Abe Kobo"). He was quite involved in political issues at this time and many of his early writings preceding the early 60's deal with his issues about society says Clerk and Seigal in Modern Literatures of the Non-Western World (136). With this information about Abe Kobo, an interpretation of "The Red Cocoon" emerges with heavy political and social tones. The narators central problem of attempting to find out why he does not have a house seems to point to not only Abe's feelings of isolation during his childhood, but also his socialist political viewpoints at the time. "The Red Cocoon" was written in 1949, a period of Abe's life when he was a strong political activist (Clerk and Seigal, 136). Utopian marxist or communist views on society center around a flat heirarchial structure where no one is more powerful or of a higher class than any other. The property of the country is reffered to as property of everyone and ownership is somewhat denounced in the strictist forms of the political stance. Abe's character in "The Red Cocoon" seems to be having problems with ownership of houses and other pieces of property. The question is asked, "Even if it isn't mine, can't there be just one thing that doesn't belong to anyone?" This question appears to have socialist undertones as if one were in support of everything being everyone's. A strange yet interesting parralism is with Samuel Beckett's character in Watt. The character has a very hard time dealing with the issue of time and is isolated because of that problem. Similarly, Abe's character is isolated because of his lack of understanding possesions. As stated before, this situation with the

europe Essay Example

europe Essay After 1500 there were many signs that a new age of world history was beginning, for example the discovery of America and thefirst European enterprises in Asia. This ?new age? was dominated by the astonishing success of one civilization among many, that of Europe. There was more and more continuous interconnection between events in all countries, but it is to be explained by European efforts. Europeans eventually became ?masters of the globe? and they used their mastery to make the world one. That resulted in a unity of world history that can be detected until today. Politics, empire-building, and military expansion were only a tiny part of what was going on. Besides the economic integration of the globe there was a much more important process going on: The spreading of assumptions and ideas. The result was to be ?One World?. The age of independent civilizations has come to a close. The history of the centuries since 1500 can be described as a series of wars and violent struggles. Obv iously men in different countries did not like another much more than their predecessors did. However, they were much more alike than their ancestors were, which was an outcome of what we now call modernization. One could also say that the world was Europeanized, for modernization was a matter of ideas and techniques which have an European origin. It was with the modernization of Europe that the unification of world history began. A great change in Europe was the starting-point of modern history. There was a continuing economic predominance of agriculture. Agricultural progress increasingly took two main forms: Orientation towards the market, and technical innovation. They were interconnected. A large population in the neighborhood meant a market and therefore an incentive. Even in the fifteenth century the inhabitants of so called ?low countries? were already leaders in the techniques of intensive cultivation. Better drainage opened the way to be

Selecting An Article On Current Events Within The Native American

Selecting An Article On Current Events Within The Native American Selecting An Article On Current Events Within The Native American Communities And Analyzing / – Coursework Example Article Review: â€Å"Native Cry Challenges Indian Country To Walk 10,000 Steps for Suicide Awareness† An article written by a staff of Indian County Today Media Network (ICTMN) entitled â€Å"Native Cry Challenges Indian Country To Walk 10,000 Steps for Suicide Awareness† published online on 23 January 2013 proffered relevant issues about an organization’s pledge and commitment for Native American Indians to â€Å"stand up for suicide awareness†1. The organization, Native Cry Outreach Alliance, reportedly co-founded by the featured Quechan tribal member, acknowledged the need to enhance awareness to this dilemma since, according to its official website, â€Å"Native American youth are among the highest suicide rates of any ethnicity†2. To assist in addressing the ultimate cause of the youths’ alleged depression in contemporary times, it would be crucial to understand the historical origin on the people. As emphasized by Calloway (2011), from the written experience of Keith Basso among the Western Apaches: â€Å"For Indian men and women, the past lies embedded in features of the earth†¦ Knowledge of places is therefore closely linked to knowledge of the self, to grasping one’s position in the larger scheme of things, including one’s own community, and to securing a confident sense of who one is as a person†3. Therefore, there should be a more in-depth understanding on the root cause of Native American youth’s depression that ultimately leads them to decide on taking their own lives in contemporary times. BibliographyBasso, Keith H. Wisdom Sits in Places: Landscape and Language among the Western Apache. Albuquerque: University of New Mexico Press, 1996.Calloway, Colin G. First Peoples: A Documentary Survey of American Indian History. Bedford/St. Martins, 2011.ICTMN Staff. "Native Cry Challenges Indian Country To Walk 10,000 Steps for Suicide Awareness." Indian County Today Media Network. January 23, 2013. http://indiancountrytodaymedianetwork.com/2013/01/23/native-cry-challenges-indian-country-walk-10000-steps-suicide-awareness-147180 (accessed January 23, 2013 ).NativeCry.org. "NativeCry.org Daily News." 2013. nativecry.org/ (accessed January 23, 2013).

Religious Liberty Essay Example | Topics and Well Written Essays - 1750 words

Religious Liberty - Essay Example It is, therefore, the very first amendment, introduced in the constitution in 1791, provides an absolute and unrestricted religious freedom to the masses, where the followers of all faiths are declared free to perform their religious practices without any prohibition, interference or restrictions from the state or government altogether. The first amendment in the US constitution states: Congress shall make no law respecting an establishment of religion, or prohibiting the free exercise thereof, or abridging the freedom of speech, or of the press; or the right of the people peaceably to assemble...† Runquist (2007) observes that the first clause prohibits the government from establishing a religion (including preferring one religion over another or over no religion). The second clause guarantees the free exercise of religion. Father of the US nation, George Washington, hand-wrote in his own personal prayer book that it is impossible to rightly govern the world without God and th e Bible (Judiciary House, 2011). Hence, the Americans are free to attend churches, mosques, synagogues, and temples without any checks on their religious performances from the state as well as from their religious opponents and rival communities. Religion can rightly be stated as one of the most fundamental elements of human life. Though it is a diversified subject, and thousands of faiths exist in the world, yet believe in the supernatural and metaphysical powers is common in all cultures of the world. An overwhelming majority of the people at global scale maintain that some Supreme Being certainly exists in the universe, which could solve all their difficulties and problems, and can protect them from the disasters and calamities they themselves are unable to combat with. Consequently, people develop emotional attachments with the deity they adore and do not allow any type of hindrance or obstacle that could stop them from displaying their sincere compliance, reverence, and worship to the deity. History is replete with the examples of horrible wars fought in the name of religion, which resulted in heavy and irreparable losses in men and material. Adherence to the religious teachings is not confined to one single community or social class only; rather, it is equally popular among the rich and poor and the strong and weak. It is, therefore, George W. Bush (2001) had declared the war of terrorism as the continuity of the crusade wars fought by the Christians against the Muslims in the medieval times. Judis (2005) submits to state that in putting forth his foreign policy, George W. Bush speaks of the United States having a calling or mission that has come from the Maker of Heaven. Thus, the religion is central in the life of the American people; it is therefore 79% of the population openly declares it as the follower of various Christian factions. Keeping in view all these facts and realities, along with the mental condition and sentiment of the people behind the m, the founder-leaders of the USA decided to offer unrestricted religious liberty to the masses in order to avoid and escape any unpleasant state of affairs for the future years to come. I