Wednesday, October 30, 2019

Philosophy of Nursing Essay Example | Topics and Well Written Essays - 1250 words

Philosophy of Nursing - Essay Example The nurses make sure that caring for human beings, cuts across class divide, status, race and culture. In the fast changing equation of society that has increasingly become multicultural, nursing perspectives towards people or patients, coming from diverse socio-cultural background, becomes vital ingredient of healthcare paradigms. Hence, nurses need to take especial care to understand the cross cultural values to develop better nurse- patient relationship. They should inculcate positive attitude and cheerfulness amongst patients and their family. In the contemporary environment of advancing technology and globalization, health and environment issues need to be redefined to meet the challenges of the time. The biological determinants of health like age and genetic patterns are major factors that can be effectively met through traditional approach of healthcare system. Medical intervention and behavioral changes are effective measures of prevention in such cases barring age related illnesses which the early care and change of lifestyle considerably delays the process or diseases. The socio environmental factors that are hazardous to health have become huge concern for the masses. Smoking, drugs, fast food etc are external factors that are widely observed to contribute towards diseases like cancer, stroke, cardiac diseases and obesity. A holistic approach and collective actions from government and non government agencies must be adopted to create awareness amongst the people. Understanding and change in social attitude towards issues goes a long way to facilitate better health related results. My personal philosophy of nursing is primarily focused towards welfare of the patients implemented through informed choice, understanding and empathy that promotes mutual trust and confidence building with the patients. Nurses represent the high standard of legal, ethical and moral consideration within the precinct of nursing paradigms and are equipped with

Monday, October 28, 2019

Discrimination towards Asians Essay Example for Free

Discrimination towards Asians Essay The expansion of America was a realization within the political and financial elite that there is a need for America to create markets in foreign countries for the American goods. By the turn of the 1890s there was a lot of surplus in goods that we need to penetrate overseas markets to address under consumption and economic crisis. The United States was under the premise that the countries with the largest navies and military force would eventually inherit the earth (Zinn, 1942). Before the election of President William McKinley he said that the American people needs overseas market for the surplus products since the American soil and factories are producing more than what the American people needed. This surplus should be of the advantage of the country since it will bring commercial supremacy. This supremacy led to the expansionist view in politics and even in the naval forces. President Roosevelt created propaganda for expansion in the 1890s together with other political elites who share his expansionist standpoint. Roosevelt was perhaps the greatest expansionist of his time. He was up to penetrate Hawaii, Philippines and China. In 1898, 10% of American goods were sold in the foreign markets which amounted to billions of dollars. By the year 1895, the foreign investment of American Capitalists has reached billions of dollars especially in the steel industry. This further fanned the need for the American capitalists to create overseas markets and this made engaging in war an option. As in the case of Philippines, the conflict between the Spanish conquerors and the Filipino rebels paved way for the intervention of America in the guise of â€Å"generosity†. In 1899, the American government under the presidency of William McKinley sent troops to the Philippines to aide the Filipinos in fighting their war against the Spaniards. Mckinley states four reasons on why he decided to colonize the Philippines. The first was he can’t give the Philippines back to the Spaniards. Second is that he can’t give the Philippines to the French. Third is that he thinks that the Philippines is â€Å"unfit† to govern for themselves and the forth is that he has no choice but to â€Å"adopt† the Filipinos and â€Å"civilize† them (Zinn, 1942). By the term â€Å"civilized† and â€Å"unfit† he was under the notion that Filipinos are savages, uneducated, and unscrupulous. This only shows that even the president of a democratic country thinks lowly of a race that has endured 300 years of oppression and was courageous enough to ouster a government as strong as Spain. The country was under the Spanish rule for more than 300 hundred years and the Filipinos were craving for freedom. The Filipinos under the leadership of Emilio Aguinaldo were gaining much power at that time and some historians say that the Filipino people could have won the war without the American intervention. Since the Americans came on cue, just as the war was supposed to end, America took all the credit and branded themselves as heroes and liberator of the country. This scenario is similar to what the United States did to Cuba. When the Cuban rebels sought help from the United States, they sent American troops instead of financial resources (Zinn, 1942). When the Spanish colonizers where defeated, the US did not recognize the efforts of the rebels and took over Cuba. Before the US freed Cuba, they made sure that Platt amendment will be added to the constitution giving the US rights to intervene with the Cuban government. Some US bases where also retained and the Cuban market was remained opened to American exports. In the case of the Philippines, US intervention came in together with education, clothing, healthcare and other basic necessities that were deprived by the Spaniards. Since the Spaniards aimed to suppress education among Filipinos and keep them dependent to their regime, the â€Å"Education for everyone scheme† of the United States was a hit for most of the Filipinos. However the struggle continued for those who seek real independence (Grey, 2003). The expansionist point of view of Americans towards the Philippines was regarded as acts of robbery and oppression by a black soldier designated in the Philippines. It was a bloody war as news articles and journals of soldiers revealed that they shot Filipinos like â€Å"rabbits† including the women and children who were helpless (Zinn, 1942). Discrimination in the political system was also evident since only the Americans hold office and Filipinos where kept at the lower offices of the political structure. Similar to the faith of those non-whites, the Filipino people where discriminated even in today’s society. Due to economic reasons a great percentage of Filipinos are now working abroad as domestic workers. Blue collar jobs such as domestic helpers, construction workers, waiters and etc are the most common employment for Filipinos residing in the United States (Manalansan, 2003). Because of this, stereotypes where based upon the assumption that Filipinos are uneducated and are capable of doing only menial jobs. In fact, in a British dictionary the meaning of the word Filipina is â€Å"domestic helper†. This may be attributed to the fact that 90% of Filipinos working abroad are females. However, we fail to see is that a large percentage of these Filipino workers have a college degree and are in fact educated. Sociology dictates that since Filipinos have been subjected to three colonizers (Spanish, Americans and Japanese) they are by nature patient, enduring and industrious. Thus, doing menial jobs are sacrifices they are willing to make just to alleviate their families current economic status (Manalansan, 2003). Today, the Philippines is the worlds major exporter of manpower especially in health care. Filipino nurses and care givers pride themselves as pioneers in their craft and the country even hails them as the present day heroes. However, when they set foot on the foreign soil, that pride turns to discrimination. Though they are well capable and well trained in nursing, skin color often hinders them from being treated the same way as that of the white nurses. A quote from the TV show Desperate Housewives uttered by Teri Hatcher says: â€Å"Okay, before we go any further, can I check those diplomas because I just wanna make sure that theyre not from some med school in the Philippines. This only supports the fact that Filipinos are still caught under the stereotype that they are incapable and are discriminated upon (Salanga, 2007). In comparison to the African-Americans, Filipinos experience greater amount of discrimination due to the fact that they are smaller, second is the portrayal of the Philippines as a country of terrorists, third is that they are uneducated and forth is that most of them don’t speak good English. But unknown to most Americans is that there is a thriving business of call centers in the Philippines which started in 2000. When we dial customer service and ask for help for a certain product, we might be seeking advice from Filipinos that we discriminate against. The thing is we don’t even notice that they are Filipinos by the way they speak. They are proficient in English and are able to address of plights properly, hence, the notion that Filipinos are dumb serves as an irony. In call centers, we ask for help from Filipinos and not the other way around. At present the Call center industry in the Philippines captures 20% of the world market share in call centers and the Philippine government aims to get 50% of share by the year 2008 (Ortigas Online, 2007). Filipinos today face what sociologists call double jeopardy. Because Filipinos are discriminated, they have difficulty of finding good jobs. It is estimated that a majority of Filipinos in the United States today are still holding blue collar jobs though some of them have white collar jobs. Some have even made it big time in the United States just like the lead singer of the Pussy Cat Dolls who is a Filipino-American (Ezugwu, 2007). Though some have made it up in the economic ladder, Filipinos still comprise the majority in service sectors jobs in the United States. Their poverty reinforces their minority status. Thus, the so-called â€Å"ladder of discrimination† as what sociologists call is also reinforced. Filipinos have the difficulty of upgrading their status by economic means because of these stereotypes. Thus, white Americans always associate Filipinos with poverty, terrorism, violence and ignorance. This then hinders them from alleviating their status and making their chances at getting high paying jobs a lot slimmer as compared to the whites. However, when I check the web and type â€Å"Philippines† in the search box it is amazing how it differs from what the media is projecting. As a country the Philippines has wonderful places and beautiful culture. They are deeply rooted to their religion and values which make them generally warm and happy individuals (Tope, L. Nonan-Mercado, 2007). Their history with the Spaniards taught Filipinos how to be industrious and enduring as they were colonized by Spain for 300 years. These characteristics of Filipinos show in their approach to their work here in the United States. I think the fact that they are willing to occupy menial jobs that most Americans would shun is a manifestation that they are hardworking people. Perhaps it is this realization that led to further acceptance to the Filipino culture and the Filipino people. In the United States there are Filipino communities in every state (The Filipino, 2007) and a lot of Americans prefer to have Filipino wives saying that Filipinos make a loving wife and mother. The country also has a strong president as of pres time and aims to renew the image of the Philippines as a country filled with communists. President Gloria Macapagal Arroyo wasfeatured in the Times Magazine for the second time and was hailed as one of the most powerful women in Asia (Spaeth, 2001). Since she is very stern in her fight against terrorism the Philippines and the Filipinos are beginning to portray a wonderful picture in our minds. In addition to that, society has become more lenient as to the case of racism. Many citizens are now aware that skin color or race does not limit a person’s ability to do his job properly. Filipinos, much like the other minority groups should be given the chance to grow and show their abilities. The growing popularity of snit racism and equality has made some impact on the way Filipinos are treated, however it is not yet evident in most cases. Reference http://www.commondreams.org/scriptfiles/views03/1117-11.htm

Saturday, October 26, 2019

Capital Punishment Essay -- essays research papers

In my opinion the Retributivist approach to Capital Punishment is the more appropriate view. The Retributivist believes that evil done with a vengeance should be repaid with punishment in-kind. In order to protect society and prevent crime, the death penalty has to be the most severe form of punishment with the biggest impact on society. Persons who commit murder should suffer and be punished for their inexcusable action(s). The principles of retributivism suggest that a convicted murderer should be executed because they â€Å"deserve† and â€Å"have earned† the death sentence. The right of retaliation can only be made equal by balancing of the crime with the punishment even if it is the death penalty. Those opposed to the death penalty argue that on moral grounds, all lives are sacred and killing is always wrong, a society, which kills, is no better than the murderer’s being punished. The Retributivist maintains that the death must be kept free from all maltrea tment that would cause suffering to be loathsome or abominable. Punishment and more specifically â€Å"Capital Punishment† is a very controversial and sensitive subject. Not all countries actively enforce Capital Punishment as a punishment, for a person found guilty by a Judge and/or Jury. Punishment is repairing an injustice – â€Å"Making a wrong right†. However, the question is â€Å"once a person has been convicted and sentenced to the death penalty† who has the more appropriate point of view: a)  Ã‚  Ã‚  Ã‚  Ã‚  The Retributivist: Legal Retributivism says that if a law is broken, punishment must result, regardless of any moral effects. Moralistic retributivism is concerned with the wrongdoing itself; if pain and grief have occurred, the criminal should be compensated with an equal punishment to the crime. Convicted felons must be punished and suffer to the full extent of their crime. It is morally fitting that a person who does wrong should suffer in proportion to their wrongdoing. Society must inflict as much pain and suffering on convicted criminals as was inflicted during the commission of their crime(s). b)  Ã‚  Ã‚  Ã‚  Ã‚  The Utilitarian: A moral theory according to which an action is right if and only if it conforms to the principle of utility. Utilitarianism is applied to the proposition that the supreme objective of moral action is the achievement of the greatest happiness for the grea... ...ed by it. The retributivist would point out that under this view, if punishment of an innocent person can be used to increase good or decrease harm, the utilitarian principle would be justified. Although the retributivist and utilitarian views of punishment differ, I believe that both these ideas exist in the legal system. There are two positions to punishment: a judge follows retributivism, looking to the past event to determine punishment, whereas the legislators follow the utilitarian view, looking to the future at all possible general cases. There are problems with the apparent coexistence of these two views of punishment. A retributivist cannot allow utility to be too involved in determining punishment, since there guiding principle is that those guilty of wrongdoing must be punished, no matter what. Imagine a scenario where so many criminals get away with a crime, that a utilitarian viewing body of law might decide to punish a token innocent in order to calm public fears. Justice is the theory and practice of exacting the price for the action. Convicted murderers should be put to death because they deserve to die. Utilitarian and humanitarian considerations are irrelev ant. Capital Punishment Essay -- essays research papers In my opinion the Retributivist approach to Capital Punishment is the more appropriate view. The Retributivist believes that evil done with a vengeance should be repaid with punishment in-kind. In order to protect society and prevent crime, the death penalty has to be the most severe form of punishment with the biggest impact on society. Persons who commit murder should suffer and be punished for their inexcusable action(s). The principles of retributivism suggest that a convicted murderer should be executed because they â€Å"deserve† and â€Å"have earned† the death sentence. The right of retaliation can only be made equal by balancing of the crime with the punishment even if it is the death penalty. Those opposed to the death penalty argue that on moral grounds, all lives are sacred and killing is always wrong, a society, which kills, is no better than the murderer’s being punished. The Retributivist maintains that the death must be kept free from all maltrea tment that would cause suffering to be loathsome or abominable. Punishment and more specifically â€Å"Capital Punishment† is a very controversial and sensitive subject. Not all countries actively enforce Capital Punishment as a punishment, for a person found guilty by a Judge and/or Jury. Punishment is repairing an injustice – â€Å"Making a wrong right†. However, the question is â€Å"once a person has been convicted and sentenced to the death penalty† who has the more appropriate point of view: a)  Ã‚  Ã‚  Ã‚  Ã‚  The Retributivist: Legal Retributivism says that if a law is broken, punishment must result, regardless of any moral effects. Moralistic retributivism is concerned with the wrongdoing itself; if pain and grief have occurred, the criminal should be compensated with an equal punishment to the crime. Convicted felons must be punished and suffer to the full extent of their crime. It is morally fitting that a person who does wrong should suffer in proportion to their wrongdoing. Society must inflict as much pain and suffering on convicted criminals as was inflicted during the commission of their crime(s). b)  Ã‚  Ã‚  Ã‚  Ã‚  The Utilitarian: A moral theory according to which an action is right if and only if it conforms to the principle of utility. Utilitarianism is applied to the proposition that the supreme objective of moral action is the achievement of the greatest happiness for the grea... ...ed by it. The retributivist would point out that under this view, if punishment of an innocent person can be used to increase good or decrease harm, the utilitarian principle would be justified. Although the retributivist and utilitarian views of punishment differ, I believe that both these ideas exist in the legal system. There are two positions to punishment: a judge follows retributivism, looking to the past event to determine punishment, whereas the legislators follow the utilitarian view, looking to the future at all possible general cases. There are problems with the apparent coexistence of these two views of punishment. A retributivist cannot allow utility to be too involved in determining punishment, since there guiding principle is that those guilty of wrongdoing must be punished, no matter what. Imagine a scenario where so many criminals get away with a crime, that a utilitarian viewing body of law might decide to punish a token innocent in order to calm public fears. Justice is the theory and practice of exacting the price for the action. Convicted murderers should be put to death because they deserve to die. Utilitarian and humanitarian considerations are irrelev ant.

Thursday, October 24, 2019

Should young people work

You will respect that person enough to finish your business with them, not argue, and not say disrespectful comments to them at all. With respect acquired as a personal attribute, the person will then have the self control to also put thought into what their parents have to tell them. This will allow them to listen to their parents and respect whatever their parents tell and ask them to do. Without always assuming the worst. This shows just how important it really is for a young person to acquire respect. Another reason why young people should be allowed to work is to gain their own personal money.When they work they can be more self dependent without always avian to ask and rely on their parents for everything they need. This will help them to save for things they need and want such as a car. This will allow the young person to go out with their parents and pick a car with a reasonable budget. This money they gain can also be used to save up for college. Some young people want to go to college but can't. This is sometimes do to not having enough money and not wanting to owe back a hefty amount of student loans. This will allow them to help pay for college with the money they earn from working.This will also allow the young person to go out and have fun with their friends using the money that they have worked hard for. It is also a way for parents to save money. This will also stop a large amount of kids from resorting to illegal ways of trying to gain money. This will show them it pays off to work hard and make an honest way of living. Another point on why young people should work is to gain responsibility. This job will show the young person that they are the only one that can determine what occurs in their life.They will learn it is their responsibility to wake up on time or work, know what days they have to work, and make sure they go to work. This is just a way of showing that is all on the young person to maintain their life. If they do not go to work the y will lose their job. It is just a way of showing no one can do your daily responsibilities for you. This is just a few examples of why young kids should work. It is also a good way of keeping the young person productive and not just out running around town. It takes away free time the young person could be making trouble.

Wednesday, October 23, 2019

Identify What Is Happening in the External Environment in Terms

There are three external factors that affect business: Political, Legal and Social. Political factors involve political stability, government support, taxation and direct support. Legal factor involves things such as employment laws, consumer laws, it also influence attitudes such as healthy eating. Social factor involves education, age, ethics, attitudes etc. Political factors An activity related to government policy and its administrative practices that can have an effect on something.Most business operators will keep a watchful eye on any political factor, such as new legislation or regulatory shifts, which could have a substantial impact on how their company operates and its bottom line. Political decisions involve making choices that affect large number of people and business. Government support for different types of organization- government supports different organizations in different ways. There are three types of organizations- private, public and nonprofit/voluntary.In pri vate sector, government tries to create an environment where business can compete. In the nonprofit/voluntary sector, government support business by giving various grants and tax reliefs. In the public sector the government covers the losses made by government owned organizations. Governments use taxation to encourage or discourage certain economic decisions. For example, reduction in taxable personal (or household) income by the amount paid as interest on home mortgage loans results in greater construction activity, and generates more jobs.Government also puts high taxes, for example they put high taxes on cigarettes and alcohol to discourage smoking and drinking, and high taxes on fuel to reduce pollution by discouraging people of driving cars so much. Government also tries enhancing the skills of the population. They enhance education and training help to increase skills of working population. They provide a range of training and creates the educational framework including differ ent types of qualifications, such as Apprenticeships and NVQs. Legal factors Business must operate within the framework of the law.There are three laws that affect business: Company law- how business set up and run, Contract law- contracts that business make with suppliers, employees and etc, and Competition law- how business are allowed to compare with each other. The Contract Law is a set of rules governing the relationship, content and validity of an agreement between two or more persons regarding the sale of goods, provision of services or exchange of interests or ownership. The reason for this is due to the big number of examples in which contracts can arise in everyday life.Contract law is law that governs oral and written agreements associated with exchange of goods and services, money, and properties. It includes consumer protection and employment law. Consumer protection involves: †¢Sales of Goods Act, this act means that the retailers have to sell goods as they are de scribed and satisfactory quality. It means that marketing should describe the product accurately. These laws are aimed at safeguarding consumers by ensuring that goods offered for sale are reasonably safe, and meet certain standards of quality to make them fit for their intended use. The consumer credit act this applies to business who sells goods on credit, or companies that lend money. Business need to be licensed by the Office of Fair Trading. This act wants business to give their customers updates on their account regularly. If the customer falls behind the repayments the FOS may extend the time for the customer to repay their debt. †¢Employment law means that employees are also protected at work. The contract of employment should include names of both parties, job title and description, hours of work, wages etc. Social factorsAre factors that influence individuals' personality, attitudes and lifestyle. Demographic issues, when a population of a country is growing, there is an increase in goods and services and people available to work. Changes in structure means aging population. When the number of older people increase fast the demand for some goods increase, for example wheel chairs, anti-aging creams, world cruises etc. Household and families, there are increasing number of single-person households in the uk. The average marriage age is increasing aswell and many people now live alone.Education- the level of education is very important nowadays. In almost all industries employers are expecting employees to have a good information about technology, and have good skills at the job they’re doing. Attitudes to work influence relationships between employers and employees. Britain has developed a long working hour’s culture compared to France and Italy. How external factors affect McDonalds in the UK and Lithuania McDonald’s is the world largest chain of fast food restaurants with more than 30000 restaurants serving 52 million custo mers in more than 100 countries each day.McDonald’s primarily sells hamburgers, cheeseburgers, chicken products, french-fries, breakfast items, soft drinks, milkshakes and desserts. More recently, it has begun to offer salads, wraps and fruit. Each McDonald’s restaurant is operated by franchise, an affiliate, or the corporation itself. The corporation revenues come from the rent, royalties and fees paid by the franchisees, as well as sales in company-operated restaurants. McDonald’s revenues grew 27% over the three years ending in 2007 to $22. 8 billion, and 9% growth in operating income to $ 3. billion. Within the UK there are approximately 1200 restaurants employing over 85,000 people. In Lithuania there are just 9 restaurants employing less than 200 people. Political factors In the UK McDonald's main competitors are Chippy Shops, Subway and KFC. McDonalds always needed to treat competitors carefully. That's way the factor related with competitor like competit ors product quality, service, price competition, market, sales, growth everything impacting McDonalds. In Lithuania the only competitor for McDonalds is Hesburger.There are not many fast food restaurants so there is not much competition going on. In both countries employees are impacting McDonalds because company is recruiting, training staff for company. It is not uncommon for McDonalds to be the employer of first resort for young people just entering the workforce, older workers desiring extra income, or for those planning on transferring from one corporation to another. So, employee is impacting McDonalds in this way. Legal factors In both counties McDonalds producing their product and they are serving those directly to customers.That's way the factor of product and service is impacting McDonalds. Product quality, product variety, quick and friendly service, every things are important for company. Those got an important impact on McDonalds. Employment law also affects McDonalds i n the UK and Lithuania. In the UK minim wage is: Apprentice- ? 2. 65, under 18- ? 3. 68, 18 to 20- ? 4. 98 , and over 21- ? 6. 19. In Lithuania, there are not hourly wages, but the minimum salary for everyone in Lithuania is 232 euro a month.People in England has more money to spend on fast food restaurants than Lithuanians due to a larger income, therefore McDonald restaurants make much bigger profits in the UK than in Lithuania. Social factors In the UK there are many more McDonald’s restaurants than in Lithuania, mainly because of people’s Lithuanian people are more keen on healthy eating than British people. Most of Lithuanian people grow their own vegetables and fruit; they also like to buy organic foods from the market, and stays away from fast food restaurants. McDonalds are not so popular in Lithuania as it is in the UK because of different coulture.

Tuesday, October 22, 2019

The horror film Scream Essay Example

The horror film Scream Essay Example The horror film Scream Essay The horror film Scream Essay The horror film Scream was released in 1997, the director a Mr Wes Craven was trying to aim the film at young teenagers. Although the film has blood and guts it also has psychological side to it because in quite a bit of the film when the viewer is watching it the killer will say something like do you like scary movies? this indicates that the movie is scary and that this is the killer speaking. In the film, the killer plays with you mind by speaking to the victim on the phone to find out information about her by flirting with her then the victim feels overwhelmed and starts to tell the unknown killer thing about her then the killer will use that information on her to scare her then he knows that he is in control. Usually the telephone is used to call for help or in an emergency but in this situation the phone is used to scare the victim and also to get into the victims mind. You can see that the film is aimed at teenagers because most of the characters are young teenagers so this should tell you quite a lot of information about the age group the film is aimed at. This movie is a typical teen horror movie you can see this because the killer always plays ends up killing a character that is not such a big part the main victim never ever gets killed. After watching and listening to the opening title screen this gets the viewer in the mood for the movie. The movie is quite scary in parts this is where the director tries to keep you on the edge of your seat also he uses the phone to build up the tension because when the victim is getting chased the viewer will be shouting for the victim to run because we have got to know her and we like her. As you watch the film you can start to see that Casey has a very loving relationship with her parents you can see that they trust her because they left her in the house on her own with shows that they trust her. Also they must love her very much because when they walk in the house and see all the smoke they dont say what has happened the very first thing they do is shout for Casey and start searching for her and when they cannot find her they phone the police. When her mother picks up the phone to ring the police she can hear her daughter at the other end getting killed the only thing they can do is listen and shout to her because it must be horrible to listen to your daughter being killed so they cannot listen to this but also they cannot put the phone down because they will feel guilty. Caseys parents are helpless because they cannot help her at all. The opening title to the film is very well suited to the film. At the beginning of the title the word scream flashes white and red then changes into blue and at the end of they explode. The opening titles make the watcher think of blood and horror, which is the main feature for a movie of this nature. The house that Casey lives in is very clean and the colours in the house are very light and bright the colours are a contrast of white and cream. When the killer begins to take over Casey and starts to threaten her the house becomes darker and spooky as if the killer is in her mind. After this you begin to see that she is in the middle of nowhere and how big the house actually is. This is the perfect setting for a murder because it is in the middle of nowhere. I think that Wes Craven chose to have Casey killed in her own home to show that even you are not safe in your own home. At the beginning of the film, when the killer is on the phone he is very polite and charming then after a while he begins to speak in a deeper voice then eventually he cracks and shouts at her he says no listen you little bitch speak to me again and Ill gut you like a fish. The fist time we see the killer is in the hall as he dashes past but he is just a blur. He is not dressed normally he has a white ghost mask on he is holding a knife he has boots on and a long hooded cloak with black pants. Although the fist time we see him in a close up is at the window when Casey is outside and she peers through the window sees the killers face with a mask on then he smashes through the window and grabs Casey. When we see the killer on screen he does not speak because if he does then the victim might know who the killer is and he might get caught. Also the lighting in the film is very suited to the film as in the beggining the film is very light beacuse this implies happines and this is because the victim is happy. Casey does not know that she is goning to die and the fact that she is getting ready to watch a movie, as the killer rings casey and as he starts to get into her mind the house then becomes much darker.

Monday, October 21, 2019

Dementia Nursing and Amp Essay

Dementia Nursing and Amp Essay Dementia: Nursing and Amp Essay It has been well documented that the ageing population is on the increase in Australia and due to these predictions so too is the demand on the acute care setting (Australia Institute of Health and Welfare [AIHW], 2007). Dementia is described as a "syndrome, usually of a chronic or progressive nature, caused by a variety of brain illnesses that affect memory, behaviour and ability to perform everyday activities" (World Health Organization [WHO], 2012, p.2). Purpose: The purpose of this literature review was to establish if the delivery of nursing care in the acute care setting, encompasses the older person with a Dementia diagnosis, using evidence based nursing interventions such as person centered care. Background: Though Dementia is not part of normal ageing (WHO, 2012) there is a high incidence of diagnosis in the older person. The ageing population will impact the demands of the health care setting, and health care workers require specialised skills to provide optimal care that is appropriate when an older person enters the acute care arena. Method: Initially the search question used for this review was can nurses identify triggers of exacerbated behaviour's using a validated tool? This question was omitted due to the lack of literature and refined to the broader context question of does nursing care of the person with dementia in the acute setting include evidence based practice, and how is person-centered care implemented. The data bases searched were from The Cochrane Library, CINAHL, pub Med, Joanna Briggs Institute and Grey Literature. The literature used in this review was published between 2003 and 2012. Literature sources were searched from peer reviewed journals, government publications, and the internet. Keywords Searched: Dementia, acute care, evidence based practice, nursing perspectives, behavioural and psychological symptoms of dementia, person centered care. Results: The literature review commonly noted that dementia care in the acute setting is lacking, and that further emphasis on adaption of knowledge translation related to evidence based practice is required. The common themes derived found that nursing staff in the acute care setting rationalized that "lack of time" to provide person centered care was the main reason for omission. Ward culture, experience and attitudes influenced clinical decision making of nursing staff in the acute setting, and the studies reviewed demonstrated that the needs of the nurse was prioritized over the person with dementia, thus person centered care is largely not provided in the acute setting (Bolster Manias, 2010; Borbasi, Jones, Lockwood, Emden, 2006; (Cowdell, 2010). If nurses were equipped with the experience to assist the person with dementia this would alleviate the acuity of the perceived workload of the nurse. This review however also revealed that nurses had a positive attitude to embrace evidenc ed based practice (Bolster Manias, 2010). Implementation of the specialty needs of the person with dementia into the registered nurse graduate programs or on orientation to the acute ward setting using the "train the trainer model" (Alzheimers' Australia, 2011) would be beneficial. Introduction Due to the ageing population, current trends in Australia and globally, predict increasing care of the older person with dementia, estimating a dementia diagnosis will markedly increase in the next two decades (Department of Health and Ageing [DoHA], 2012). The prevalence of dementia in the older person is increasing and "...is estimated at 35.6 million worldwide and is projected to double every 20 years..with a new diagnosis every 4 seconds" (WHO, 2012, p.2). Older people are more likely to be admitted into the acute care setting (Edvardsson Nay, 2011) so too are those with dementia (Cowdell, 2010), and the likelihood of complex needs will increase the risk of adverse affects for this populated group