Sunday, December 29, 2019

Personal Distress Emergency Room Nurses Experience Based...

Working in a high volume, fast paced and stressful work environment can lead to high stress on the nurses. Directors from the Emergency Nurses Association, a professor of nursing research, incarnate word, a director and assistant professor of nursing conducted a qualitative study titled ?It?s a burden you carry?: Describing Moral Distress in Emergency Nursing. The purpose of this study was to survey moral distress emergency room nurses experience based off of how they describe their response. Themes from data included adaptive/maladaptive coping, being overwhelmed, and dysfunctional practice arena (Wolf et al., 2016). Research Design Qualitative research design is an evolving process that continues to expand as the research continues. Multiple types of study designs can be used when researching dependent on the information the researchers are trying to obtain. In the article, the researchers described the design as exploratory using semi-structured focus groups for data collection. Recordings were made of the interviews and then analyzed for similar themes. This type of design is called descriptive phenomenology which participants describe lived experiences through detailed interview or conversational process and then researchers bracket the opinions in their study (Polit Beck, 2014). The method of design was appropriate for the research question and objectives as it allowed for the understanding of feelings and identity. The themes of questioning allowed forShow MoreRelatedCase Based Pediatrics for Medical Students10891 Words   |  44 PagesTEST A PRACTICE TEST I Situation 1 – Nurse Mito is assigned to the triage area. While on duty, he assesses the condition of a client with asthma. She has difficulty breathing and her respiratory rate is 45 per minute. The doctor prescribed epinephrine 0.3 mg subcutaneously. 1. The medication for epinephrine injection for the client is to: a. Reduce anaphylaxis b. Relieve hypersensitivity to allergen c. Relieve respiratory distress due to bronchial spasm d. Restore client’sRead MoreHesi Practice31088 Words   |  125 Pages1. Which of the following describes a preterm neonate? A. A neonate weighing less than 2,500 g (5 lb, 8 oz). B. A low-birth-weight neonate. C. A neonate born at less than 37 weeks gestation regardless of weight. D. A neonate diagnosed with intrauterine growth retardation. 2. A client with type 1 (insulin-dependent) diabetes mellitus has just learned she s pregnant. The nurse is teaching her about insulin requirements during pregnancy. Which guideline should the nurse provide? A. Insulin requirementsRead MoreHsm 542 Week 12 Discussion Essay45410 Words   |  182 Pagesprovide an example of how this tort takes place in healthcare. As leader of your own healthcare facility, what steps could you take and what processes could you implement to reduce the risk of this tort occurring in your own facility? | This section lists options that can be used to view responses. Expand All Collapse All   Ã‚   | Print View   Ã‚   | Show Options  Ã‚   | Hide Options  Ã‚   | Select:   Ã‚   | Mark selected as:   Ã‚   |   View Selected   View All | | Responses Responses are listed below inRead MoreEssay on Resilience Concept Analysis4569 Words   |  19 Pageswidely used and its definition has been stretched. If this concept is to be used in its entirety, a centralized definition will need to be developed and a consensus on the defining attributes will need to be proposed. This concept analysis will look at how the word is used, and narrow the analysis from resilience in other professions, families, and communities to resilience in the individual person. Concepts change and grow over time when new information is generated and when new interpretations ofRead MoreCommunity Acquired Pneumonia18251 Words   |  74 Pages2011) Several tests can be performed to identify the cause of an individual s CAP.  X-rays  of the chest, examination of the  blood  and  sputum  for infectious  microorganisms, and  blood tests  are commonly used to diagnose individuals with suspected CAP based upon symptoms and physical examination. (Smeltzer, 2004) Most cases of pneumonia generally run an uncomplicated course. Complications may include the following: pleurisy, pleural effusion, atelectasis, delayed resolutions, lung abscess, emphyma, pericarditisRead MoreDescribe The Role And Responsibilities Of Safeguarding Of Children5639 Words   |  23 Pages9. Describe the role and responsibilities of the different organisations that may be involved when a child or young person has been abused or harmed. Professionals within different agencies and organisations all have specific responsibilities regarding safeguarding of children and young people. The concept of integrated working involves everyone who works with children and young people, and is a central part of Working Together to Safeguard Children (2013). Services and Organisations that may beRead MoreCommon Induction Standards Essay22388 Words   |  90 PagesRole of the Worker 2.1 Your Role As A Worker 2.2 Policies and Procedures 2.3 Worker Relationships Test Your Knowledge†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Standard 3 – Maintain Safety At Work†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 3.1 Health and Safety 3.2 Moving and handling 3.3 Fire safety 3.4 Emergency First Aid 3.5 Infection Prevention and Control 3.6 Medication and Health Care Procedures 3.7 Security Test Your Knowledge†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Standard 4 – Communicate Effectively †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 4.1 Encourage Communication 4.2 Use Communication TechniquesRead MoreCase Study Essay33967 Words   |  136 PagesPART ONE Medical-Surgical Cases 1 1 Cardiovascular Cardiovascular Disorders Case Study 1 Heart Failure Difficulty: Beginning Setting: Emergency department, hospital Index Words: heart failure (HF), cardiomyopathy, volume overload, quality of life X Scenario M.G., a â€Å"frequent flier,† is admitted to the emergency department (ED) with a diagnosis of heart failure (HF). She was discharged from the hospital 10 days ago and comes in today stating, â€Å"I just had to come to the hospital today because IRead MoreHow to Safeguard the Well-Being of Children and Young People6459 Words   |  26 PagesCT 231 Understand how to safeguard the well-being of children and young people 1.Understand the main legislation guidelines, policies and procedures for safeguarding children and young people 1.1 Outline current legislation, guidelines, policies and procedures within own UK home Nation affecting the safeguarding of children and young people Polices and procedures for safeguarding and child protection in England and Wales are the result of the Children Act 1989 and in Northern IrelandRead Moreunit 025 understand how to safeguard the wellbeing of children and young people12685 Words   |  51 Pagesconï ¬ dence with regard to the personal information they hold about children, young people and their families. Any information you receive about children/young people (and their families) in the course of your work should only be shared within appropriate professional contexts. All information including child protection records should be kept securely. The law allows the allegation of conï ¬ dential personal information in order to safeguard a child or children. Usually personal information should only be

Friday, December 20, 2019

Essay on One of the Largest Islands in the Caribbean Jamaica

Xamayca, also known as Jamaica, is one of the largest Islands in the Caribbean. In this essay I found some pretty interesting things I didn’t know about Jamaica. I hope you read and enjoy it as much as I did researching and writing about one of the most visited countries. It originally home was the home of the Arawak and Taino Indians. They were mostly an agriculturally based society that grew corn, sweet potatoes, cotton, and tobacco. However, their lives were forever altered after Christopher Columbus discovered the island in 1494 during his second voyage. Originally, he had heard that Jamaica was the land of gold, but soon thereafter he found out that there was no gold whatsoever on the island. Columbus thought the Indians were†¦show more content†¦The economy of Jamaica is very diverse, even for being an island. Some of the primary industries that help make up the economy include agriculture, ranching, fishing, forestry, tourism, and mining. Sugar is the leading export crop, and is produced mainly on plantations that are organized around modern sugar factories. Also there are many farmers that are also independent growers of Sugar as well. As recently as 2000, raw sugar production was estimated at 175,000 tons, which was down from 290,000 tons in 1978. Sugar is still Jamaicas largest agricultural export, which earned them $66 million in 2001. Sugar is also used in the production of molasses (79,653 tons in 2002) and rum (24.2 million liters in 2002). Other items produced and exported are coffee, bananas, fruits, and yams. In Jamaica, ranching consists mainly of the raising of cattle, sheep, pigs, and chickens. In addition, they also have dairy farms that make enough dairy products to supply their entire country. Also, fishing in Jamaica is a large industry that started back with the natives using it to be a source of food. Since the 1980s, the island’s fishing industry has developed enough that they no longer need to import fish to keep up with the tourist industries demand. Not to be forgotten, the lumber industry makes up a part of Jamaica’s industry as well. There are 120,000 acres that make up the forest, and only 20% of the forest is used for cutting to make timber andShow MoreRelated Geography of Jamaica Essay869 Words   |  4 PagesGeography of Jamaica Christopher Columbus came upon Jamaica as his fleet sailed into St. Ann’s Bay on his second voyage of discovery to the New World in 1494. He described Jamaica as, â€Å"the fairest island eyes have beheld; mountainous and the land seems to touch the sky....and full of valleys and fields and plains† (Roberts, 141). Although founded by a Spaniard, Jamaica was eventually sold to England. Today, Jamaica is the largest of the English speaking West Indian islands. Read MoreThe Structure Of Social Service Delivery1722 Words   |  7 PagesIntroduction Our group found Jamaica to be an appealing Country, so in turn we decided to explore it through research. We will give an overview of the country and discuss some important characteristics, explore the structure of social service delivery, and discuss the vulnerable populations in the country. OVERVIEW OF THE COUNTRY History and Geographic According to Meditz and Hanratty (1987): the Spanish adventurer Juan de Esquivel settled the island in 1509, calling it Santiago, the name given itRead MoreResistance Of Slavery During African Americans1656 Words   |  7 Pagesslavery in the Caribbean started before African Americans even set foot on the ships that took them on the middle passage across the Atlantic ocean to the Caribbean islands. Slave rebellions and maroonages started to take place in Caribbean slave society during the 18th and early 19th century. The range to the rebellions varied from minor slaves running away from their owners to violence between slaves and the government. When African Americans would first come to the Caribbean Islands, they wouldRead MoreGo to The Caribbean1203 Words   |  5 PagesThe Caribbean is a great destination for people with a small or large budget who want to experience the nightlife, casinos, watersports, natural wonders, and beautiful beaches the various islands have to offer. These islands include the serene landscape of Bermuda, the eco-tourism of Puerto Rico, duty free shopping of U.S. Virgin Islands, Bahamas and many more luxurious islands the Caribbean has to offer. Family vacation-U.S Virgin Island Anyone who enjoys saving money while shoppingRead MoreJamaica, A Large Melting Pot Of Many Cultures And Tourist Attractions1241 Words   |  5 PagesJamaica, a large melting pot of many cultures and tourist attractions, is one of most interesting places on earth. Jamaica currently has a population of 2.9 million, making it the third largest countries in the Caribbean region. Christianity is the largest religion present in Jamaica, the largest branches being the Anglican Church, the Baptists, and The Catholic; with the Rastafarian movement being derived from Christian culture. The original inhabitants of Jamaica were a South American group calledRead MoreJamaica Is The Country Of Jamaica1125 Words   |  5 Pages Jamaica is an island country sitting in the middle of the beautiful Caribbean Sea. This island is 10,990 square kilometers and is currently home to 2,950,210 Jamaican citizens (Rogers). The population density is 252 citizens per kilometer squared and is growing at a rate of 0.4 percent. In regard to the size of the island, Jamaica is the fourth largest island in the Caribbean Sea. According to a The World Factbook: Jamaica, Jamaica’s terrain consists of mostly rocky mountains with narrow discontinuousRead MoreEssay on Jamaica: History, Government, People, Religion1238 Words   |  5 PagesJamaica: History, Government, People, Religion   Ã‚  Ã‚  Ã‚  Ã‚  Jamaica is a tropical island, located in the heart of the Caribbean Sea. Around the coastlines are beautiful beaches with crystal clear blue-green water. In some respects, this is the majority of what people know about Jamaica. In this orientation text you will better understand Jamaica’s history, the people who live there, the many different religions, geography, and governments that have ruled the land.   Ã‚  Ã‚  Ã‚  Ã‚  The land of Jamaica is veryRead MoreJamaican History Essay1309 Words   |  6 PagesJamaica: History, Government, People, Religion Jamaica is a tropical island, located in the heart of the Caribbean Sea. Around the coastlines are beautiful beaches with crystal clear blue-green water. In some respects, this is the majority of what people know about Jamaica. In this orientation text you will better understand Jamaicas history, the people who live there, the many different religions, geography, and governments that have ruled the land. The land of Jamaica is very small. TheRead MoreJamaica1862 Words   |  8 PagesAbstract Left blank intentionally. JAMAICA Jamaica is an island country situated in the Caribbean Sea, comprising the third-largest island of the Greater Antilles. Jamaica has a long history of census taking, and currently holds a census every ten years. The last census took place in July 2011, which showed a total of 2,697,983 residents in the country.  The largest cities in Jamaica with populations as of 2011 are: Kingston (Kingston Parish): 937,000, Portmore (Saint Catherine): 182,000Read MoreJamaica: Land of Inspiration 858 Words   |  4 PagesJamaica: Land of Inspiration Jamaica is full of diversity. From religion, to ancestry, and even geography, Jamaica is always evolving. From the towering mountains all the way to the warm and sandy beaches, Jamaica is a sight to see. However, Jamaica was not always a happy and carefree place. The Jamaican people have suffered from war, disease, and slavery. Jamaica is a small and beautiful country that thrives with culture and should be studied by everyone around the world. Geography and Climate

Thursday, December 12, 2019

Doyle builds Essay Example For Students

Doyle builds Essay Doyle builds up his atmosphere by gradually making his use of language more extreme and much more descriptive. Towards the end of chapter 6 Doyle uses language such as The journey a swift pleasant one, spent it in making the more intimate acquaintance of my two companions, and playing with Dr. Mortimers spaniel. This uses some use of descriptive language but is not clear enough to create a mental image in the mind of the reader. Whereas later on in the book in chapter 14 Doyle extends his language to create more atmosphere such as I sprang to my feet, my inert hand grasping my pistol, my mind paralysed bye the dreadful shape which had sprung out upon us from the shadows of the fog. A hound it was, an enormous coal black hound, but not such a hound as mortal eyes have ever seen. Fire burst from its open mouth, its eyes glowed with a smouldering glare, its muzzle and hackles and dewlap were outlined in flickering flame. Now this passage uses a vast amount of descriptive language to capture the reader and create horror. This description also lets the reader imagine the hound leaping out at them from amid the fog. So as you can see Doyle builds up his atmosphere throughout the duration of the story. This atmosphere adds a lot of suspense to the story; it really grabs the readers attention and makes them never want to put the book down. The weather in this story is very important in creating the effect of supernaturalism, mystery and suspense especially in chapter 14. This is because in the later stages of the book, just before the hound gets killed there needed to be a big climax, to create an effect on the reader. One of the factors used was the weather. The weather contributes greatly to the setting and atmosphere because it allows the story to be very effective. The night-air was heavy with the smell of damp and decay. Now and again the moon peeped out for an instant, but clouds were driving over the face of the sky, and just as we came out on the moor a thin rain began to fall This gives you an impression of what sort of language Doyle is using to describe the weather. He is going into detail to allow the reader to picture what the weather would be like; this helps when creating the atmosphere and setting. The weather affects the plot because it creates a dark and gloomy setting for the story to be set in. If the story was set in a sunny area it would be a lot harder for Doyle to create atmosphere and setting. The moon shone on it, and it looked like a great shimmering ice-field, with the heads of the distant tors as rocks borne upon its surfaceThe stars shone cold and bright, while a half-moon bathed the whole scene in a soft, uncertain light. These are two quotes that show how Doyle uses descriptive language to describe the weather on the moor. They give the reader a picture of a cold and desolate landscape that is plagued with strange noises and peculiar shapes. This is important because it allows the characters to be alert at all times, giving the reader the impression that something is about to happen, and therefore successfully keeping them reading. In conclusion, all of the elements I have discussed so far contribute in creating a perfect setting and a dark, mysterious and dangerous atmosphere. Doyle makes this story a frightening horror story by using strong descriptive language and the use of imagery, this is a very clever and simple way of creating an enormous effect on the reader because they imagine they are in the story and can therefore experience the suspense and thrill in a first person view. .uebb9192dbf57a123881884a34049ad3d , .uebb9192dbf57a123881884a34049ad3d .postImageUrl , .uebb9192dbf57a123881884a34049ad3d .centered-text-area { min-height: 80px; position: relative; } .uebb9192dbf57a123881884a34049ad3d , .uebb9192dbf57a123881884a34049ad3d:hover , .uebb9192dbf57a123881884a34049ad3d:visited , .uebb9192dbf57a123881884a34049ad3d:active { border:0!important; } .uebb9192dbf57a123881884a34049ad3d .clearfix:after { content: ""; display: table; clear: both; } .uebb9192dbf57a123881884a34049ad3d { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .uebb9192dbf57a123881884a34049ad3d:active , .uebb9192dbf57a123881884a34049ad3d:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .uebb9192dbf57a123881884a34049ad3d .centered-text-area { width: 100%; position: relative ; } .uebb9192dbf57a123881884a34049ad3d .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .uebb9192dbf57a123881884a34049ad3d .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .uebb9192dbf57a123881884a34049ad3d .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .uebb9192dbf57a123881884a34049ad3d:hover .ctaButton { background-color: #34495E!important; } .uebb9192dbf57a123881884a34049ad3d .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .uebb9192dbf57a123881884a34049ad3d .uebb9192dbf57a123881884a34049ad3d-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .uebb9192dbf57a123881884a34049ad3d:after { content: ""; display: block; clear: both; } READ: Essay Questions For The Crucible By Arthur MillerThis story was very effective when I read it, I especially liked the end few chapters where the suspense and atmosphere were peaking. This book really pulled me into the story and made me feel as though I was one of the people in the story, and all of these events were happening to me. This is why I think this book is so very effective in creating a powerful setting and atmosphere.