Friday, December 27, 2019
Regulating Hypertension Through And Exercise Intervention
Regulating Hypertension Through and Activity and Exercise Intervention The nursing process is an array of steps that provides a formulated structure for the professional nursing practice to adhere by in order to provide exquisite care for every patient (Ackley, Ladwig, Makic, 2017, p. 2). It is used in a variety of nursing situations. The author will use this process to gather information from her family to analyze a problem within her own medical history. The risk for a disease is found using a genogram. Hypertension was determined to be the most prevalent disease based on the assessment of each family member and through her strengths and risks. Through the steps of the nursing process, the author will assess the disease entityâ⬠¦show more contentâ⬠¦These patterns assess an individualââ¬â¢s health status to see if there is a possible problem the may need the assistance of a nursing intervention. It uses the strengths found in a situation to aid in solving the identified problems (Gordon, 2008,1). The health pattern that will be addressed in this paper to help with the hypertension prevention is the Activity-Exercise Pattern. Although the Nutritional-Metabolic Pattern could be used as a health promotion intervention, the Activity-Exercise pattern is a more realistic way for the author to maintain a healthy blood pressure. The reason in which it would be harder to follow the Nutrition-Metabolic Pattern for the author is that there is no access to a kitchen, meaning that all of her food must be prepared for her, making it difficult to monitor her food intake. According to Gordon (2008), the Activity-Exercise Pattern is important for the reason that it is ââ¬Å"one of the major activities of daily living. When challenged by illness, it can affect nearly all other health patternsâ⬠(p. 45). Physical fitness correlates with lowering the rate of obtaining hypertension. (Faselis et al., 2014). Current Practice and Intervention The Activity- Exercise pattern was chosen because it is the most realistic way for the author to monitor her blood pressure. Currently the author exercises for about 45 minutes, 2 times a week. Through a family practice, the author hasShow MoreRelatedCorrelation Between Higher Dispositional Mindfulness1134 Words à |à 5 Pagesand the left caudate. Since amygdala is known to regulate central stress responses, the decrease in its volume in mindful individuals could signify the effect of such intervention in managing and reducing anxiety (Taren et al., 2013). Moreover, as suggested by Taren et al. (2013), the right amygdala might be involved in regulating immediate aggregate responses whereas the left amygdala is in charge of processing affect-related language, which suggests that mindfulness could affect each hemisphereRead MoreBehavioral Health Prevention of Diabetes3251 Words à |à 14 Pagesof diabetes. Diabetes can be control through a person lifestyle, by changing their diet, regulating their weight, and exercising regularly. Blood sugar level should be keep at a stable level and healthy level. Type 1 treatment needed to management of insulin and type 2 diabetes treatments focuses on weight control, exercise, and diet reducing sugar and carbohydrate intake and keeping total number of calories intake a day. Educational interventions are very important to controlling diabetesRead MoreCareer Oriented Cognitive Behavioral Therapy1284 Words à |à 6 Pagesdecrease symptoms of depression (3) general skill rehearsal for emotion management (4) role modeling assertive and positive behavior and (5) providing interventions for safety. Background/HX: James is a Caucasian, developmentally disabled adult male who, according to his file, has been diagnosed with Moderate Mental Retardation, Depression, Hypertension, Hyperlipidemia and Gout. 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However, diabetes, along with the complications associated with it, are preventable through a healthy diet and regular exercise. Weight loss improves insulin resistance and reduces the risk of developing hypertension. Smoking is another risk factor for the development of diabetes. Smoking increases the abdominalRead MoreHealth And Life Style Of Graduate Students At Central Michigan University6928 Words à |à 28 Pagesthe outcome of life years that could have been saved per 10,000 people if each preventive service was delivered to the target population in their prior years. Similarly, they calculated the medical costs and medical sav ings per person per year of intervention. They figured out the total medical costs and medical savings per total population and compared that with the U.S personal care spending (Catlin A, Cowan C, Hartman M, Heffler S 2006).When results were analyzed the researchers found out that byRead MoreHealth And Life Style Of Graduate Students At Central Michigan University6928 Words à |à 28 Pagesthe outcome of life years that could have been saved per 10,000 people if each preventive service was delivered to the target population in their prior years. Similarly, they calculated the medical costs and medical savings per person per year of intervention. They figured out the total medical costs and medical savings per total population and compared that with the U.S personal care spending (Catlin A, Cowan C, Hartman M, Heffler S 2006).When results were analyzed the researchers found out that byRead MoreObesity : A Growing Problem1780 Words à |à 8 Pagescheap, quick access, and takes no w aiting time. Through the years studies have shown an increase in obesity throughout the country. This is a major cause of concern for Americans. Research has shown that factors like socioeconomic status, race/ ethnicity, and poor eating habits are related to this growing epidemic. Obesity is an issue that can be resolved by increasing exercise, making better nutritional choices, and having physician intervention. Over the last few decades, obesity has become aRead MoreAlzheimer s Disease : A Progressive And Neurodegenerative Form Of Dementia2437 Words à |à 10 Pagesboth types of medications together(alz.org). Other treatments may also include antioxidants (such as vitamin E, anti-inflammatory drugs, aspirin, statins (for lowering cholesterol), blood pressure control, antidepressants, nutrition, exercise, cognitive intervention, psychiatric medication for behavioral disturbances, and supportive therapy (Levine, 2006). All of the prescription medications currently approved to treat Alzheimerââ¬â¢s symptoms in early to moderate stages are from a class of drugs calledRead MoreDiabetes Mellitus Type 2 Diabetes1988 Words à |à 8 Pages(BMI) at which additional weight increases risk for diabetes varies with different racial groups. For example, compared with persons of European ancestry, persons of Asian ancestry are at increased risk for diabetes at lower levels of overweight. Hypertension and prehypertension are associated with a greater risk of developing diabetes in whites than in African Americans (ADA, 2014). There major risk factors for type 2 diabetes mellitus such as age greater than 45 years (though, type 2 diabetes mellitus
Thursday, December 19, 2019
The Role Of Environmental Factors On The Development Of...
Focusing on the role of environmental factors in the development of autism after birth is a popular study amongst the autism spectrum disorder (ASD) community. It is known that genetics strongly influence the risk for developing ASD, but genetics are not responsible alone. The increasing cases of autism have generated great interest in the potential involvement of toxins in our environment and how that impacts children prone to autism spectrum disorder. For example, exposure to the chemicals thalidomide and valproic acid prior to birth has been linked to increased risk of autism. Autism Speaks has come out with two requests for application, referred to as RFAââ¬â¢s, focusing on environmental epidemiology studies and gene-environment interactions. The Environmental Epidemiology of Autism Research Network (EEARN) is a collaboration of both Autism Speaks and the National Institute of Environmental Health Sciences, aimed at supporting the research at autism risks. Define ââ¬Å"Environmental Factorsâ⬠While genes play a role in the development or triggering of autism, they do not occupy the entire picture. Many other factors, termed as ââ¬Å"environmental factorsâ⬠, also play a significant role in the early development of autism. What the term ââ¬Å"environmentalâ⬠includes may be debatable. What falls into the category of environmental factors must be identified in order to prevent misleading pretenses. Throughout the research of autism, the word ââ¬Å"environmentalâ⬠refers to any influence beyondShow MoreRelatedCommon Chromosomal Abnormalities Associated With Autism1434 Words à |à 6 PagesFive other gene disorder that contributes to autism are (1) EN2 (Engrailed 2) involved in cerebellum development. (2) GABR (Gamma Amino Butyric Acid Receptor) regulates brain cell migration. (3) OXTR (Oxytocin Receptor) participating in the response to stress and social skills. (4) RELN (Reelin) involved in neuronal migration in the developing brain. (5) SLC6A4, a serotonin transporter geneâ⬠(Johnson, Giarelli, Lewis, Rice, 2013). As a result of all the researches done several chromosomal lociRead MoreAutism Refers To A Neuron Developmental Condition, Which1569 Words à |à 7 PagesAutism refers to a neuron developmental condition, which impedes the normal childââ¬â¢s growth and progress within a social setting. According to Tzanakaki et al., ââ¬Å"an autistic individual finds it challenging to interact with other people and cannot relate to societal norms ablyâ⬠(63). Health practitioners believe that failure of neuron synaptic networks in the brain to develop in a normal way owing to chromosomal deficiency causes autism. The symptoms and signs of autism become visible right from infancyRead MoreVaccines Cause Autism Essay1360 Words à |à 6 Pagesvaccines cause autism, however, there is no evidence that Measles, Mumps, Rubella vaccination is associated to autism. Parental age and pregnan cy complications have been the most studied risk factors for ASD especially low birth weight and prematurity. Three of five studies have found low birth weight to have a significant association with autism spectrum disorder. Mothers aged 35 years and older and fathers aged 40 to 49 years have also found significant associations with autism. Pregnancy complicationsRead MoreNature Vs Nurture Theory Essay828 Words à |à 4 Pagesparents that David is an ideal candidate for altering his physical appearance and existing sexual characteristics. The doctor was supporting his nurture theory. The doctor believed that the environment in which the David is raised significantly play a role to change Davidââ¬â¢s identity or behavior. Q) Did Davidââ¬â¢s experiences support the nature or nurture theory? Explain your answer. The term nature is referred as heredity and the term nurture is referred as the environment. 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Today, however, there is general agreement that the symptoms of autism, with the exception of those of abandoned children, are a behavioral response by young children to an organic disease affecting their brains. In fact, it is now generally understood that autism is a complex developmental syndrome representing a heterogeneous group ofRead MoreAutism Spectrum Disorder ( Asd )909 Words à |à 4 PagesAutism spectrum disorder (ASD) refers to a group of neurodevelopmental disorders that is characterized by abnormalities relating to social, behavioral, cognitive and language skills. The genetic architecture of ASD is comprised of a variety of rare mutations. These mutations include monogenic conditions involving autistic symptoms. Furthermore, single nucleotide variants and de novo copy number variants add to disease susceptibility. Inherited Factors Related to ASDs Autosomal recessive loci are
Wednesday, December 11, 2019
Internal Factors Affect the 4 Functions of Management free essay sample
External/Internal Factors of an Organization Team B has decided to do our paper on the United States Postal Service. The reason for this is that this service utilizes each of the functions such as globalization, the newest technology, the best innovations, and diversity and ethics combined all in one great service we each use on a daily basis in one way or another.During the reading of this paper, one will find that the following has been researched and discussed: the explanation of the four functions of management, also how the following factors affect the four functions of management: Globalization, Technology, Innovation, Diversity, and Ethics. As we look at these factors, we will learn how the Postal Service gets the mail from point A to point B and keep happy employees for years. When the United States Postal Service does the planning for the next fiscal year, the United States Postal Service must make sure that all of the employees know and understands how the company works and is run. In this, the USPS has a schooling that the employees must go through in order to teach all the employees be the employee a mail carrier, electrician, maintenance individual, and even management what is expected of the individual and enlighten the individual as to how to do his or her job better. In the organizing of the company, the upper management needs to keep up on all the changes from the United States to the Unites Kingdom and all over the globe. Another thing with the organization this company has to make sure that the company is on top of the changes that need to be made in order to keep updated and up to date.In the leading portion of the United States Postal Service, this is important because if the upper management does not know how to lead the employees then the management will need to go back to the books and re-learn how to be the management and lead the company or be demoted to a lower position in the company. In the controlling part of the company this is where the co mpany needs to make, sure that the upper management has time to check on the control of the price of equipment and products at all points in the company.Therefore, the company will have control of the service and products that all of the employees give to the customers that are in need of the service or product. The United States Postal Service can also control how the prices go up and when the prices go up on the products that the company produces and sells to the consumer. The company controls the employees on where he or she can go and what kind of mail is carried and even when the particular pieces of mail are carried.Ranked 92 out of the 500 largest corporations worldwide, the United States Postal Service reaches billions of customers daily with national and international mail (CNN Money, 2010). The massive amount of business USPS operates necessitates successful implementation of the four functions of management. Two such factors (i. e. planning and organizing) of maintaining business is reaching out worldwide to deliver packages. According to the USPS web site, packages scheduled for international delivery contract with FedEx on a global scale reaching 190 countries (USPS, 2011).The service named Global Express Guaranteed or GXG offers customers options like date certain delivery and track and confirmation information. Contracting with FedEx is a prime example of globalization. An organization such as USPS which is not worldwide fills their customersââ¬â¢ needs by joining forces with an organization that can facilitate delivery all over the globe. Strong leaders must be in place for a connection like this to come to fruition. USPS exhibits tight controls over the entire process by handing off their customersââ¬â¢ needs to another organization. The United States Postal Service is dated back to 1775â⬠(USPS) and it has experienced many changes throughout the years. One of the biggest factors that the Postal Service has had to face is with new technologies. A couple of new technologies that has affected the postal service in recent years are the internet, and cellular phones. The internet lets people communicate instantly whereas writing a letter and dropping it in the mail will take days. It is the same with having a cell phone now people can text and sends an instant response which in turn, less people are using the postal service to communicate with friends and family.This is also where the external factor has affected the United States Postal Service which has led the post office to make changes internally. Even with new technologies the postal service is still needed there are still many people out there who are sending packages to their families such as gifts, care packages or just ordering large items through the mail, so the postal service has had to make internal changes such as ââ¬Å"Dedicated rate-shipping tools which are put in pla ce to save money and beat out competitors such as UPS and Fed-Ex. â⬠(J. Crouse, 2009) Jeff Crouse Vice President of Marketing states: ââ¬Å"If the cost-savings, convenience, reliability and unparalleled reach are driving you (like many others) to switch to the Postal Service, donââ¬â¢t be surprised to find that the technology available will make the transition easier than you might have imagined, as the Postal Service aggressively takes market share in the parcel market, state of the art, easy to use technology is one of the best weapons in its arsenal. â⬠ââ¬Å"The Postal Service has grown and changed with America boldly embracing new technologies to better serve a growing population. (USPS) As described by Bateman and Snell (2009) innovation is the introduction of new service and goods. This is a constant factor of the USPS as they have a retail area of sales to bring in revenue. Planning is the first step to incorporate innovation into the USPS retail environment. Executives must decide what type of materials they want to sell, who they wan t to contract or team up with and determine sales prices. The organizing process of retail sales in USPS stores involves collaboration between executives, managers, and postal workers that sell the items. The process must be fluid so stock are available and new areas of innovation can be incorporated. The customer demands must be met and USPS needs to adapt to changes and the introduction of new competitors. (Enter Georgeââ¬â¢s submission here for Diversity and Ethics) Delegation is the assignment of authority and responsibility from an manager to his/her subordinate. It give the subordinate Delegation is an important tool managers should be able to use for the internal and external factors of Globalization, Technology, Innovation, Diversity and Ethics.The reason delegation is so important is because it creates a peaceful and good working environment. If an organization has a good working environment then the employees have respectable work ethic and are productive employees. In turn if the company has employees with those qualities then the company is more successful. If a manger fails at delegation employees seem to have more stress, low morale and the organization then is not as successful. When a manager delegates he or she can then measure the time and cost of performing certain duties however, the Postal Service also uses an operation called Work Sampling.The Post Office Department has to determine the cost of handling and delivering the mail in each postal class. They then compare it with the parallel postage or additional revenue earned by class. This information then goes in front of congress to endorse postal rate changes. When the work which the employees are performing is observed they are more productive and in turn the United States Postal Service is more successful.
Tuesday, December 3, 2019
Transformations Emma and Clueless free essay sample
The universality of themes pervading both Emma and Clueless in correlation with the humanistic, obviously flawed protagonists in both texts, captivates and immerses responders. This engagement leads to an involvement and enjoyment in the composerââ¬â¢s craft, which enables the respondersââ¬â¢ to obtain sophisticated insight into the textââ¬â¢s concerns on both subjective and objective levels. Critiques agree that the transformation enables an audience to ââ¬Å"enjoy cultural capital and aesthetic knowledgeâ⬠while retaining a ââ¬Å"connection to the past through classic text and cutting edge post modernism. â⬠Responders of both texts are positioned to see familiar values and attitudes reflected in different worlds. From a ââ¬Å"time characterised by massive political destabilisation and a strong spirit of change and revolutionâ⬠as noted in extract one, to a time reminiscent of ââ¬Å"the reluctant emergence of America onto the world stage as a result of two world warsâ⬠everything and nothing at all has changed. We will write a custom essay sample on Transformations: Emma and Clueless or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page The paradoxical situation we face on a close analysis of both contexts is that though Austen and Heckling lived almost 200 years apart their perceptions and criticisms of the world and the world itself are uncanningly similar. Both composers explore attitudes surrounding gender roles, social hierarchies and the moral development of the protagonist, but use different genres, perspectives and centuries to do so. The restrictive, conservative 19th century society transforms into the promiscuous, fast paced world of 20th century America. The male-dominated patriarchy gives way to the post-feminist world where women take their ââ¬Å"freedomâ⬠for granted. However the insular, economically and thus socially privileged world of both protagonists, though somewhat tainted, stays stable and shallow throughout. Though the transformation of contexts is severe, the transformation of the protagonists is somewhat placid in comparison. ââ¬Å"Emma Woodhouse, handsome, clever and rich with a comfortable home and happy disposition, seemed to unite some of the best blessings of existenceâ⬠but throughout the novel, Austenââ¬â¢s authorial tone and scrupulous irony not only belittles and subtly criticises Emma and her insular existence, but structures an ambiguous work of fiction screaming for higher order thinking in responder and protagonist alike. Emma a bildungsroman text, shows the unlikely yet self proclaimed heroine transform, through incidents of self reflexivity usually encouraged by Mr Knightley, from a strong-headed, yet naive ââ¬Å"matchmakerâ⬠into a submissive, romantically complacent wife, the epitome of the philosophical paradigms of the 19th century. The critique of Austenââ¬â¢s society is thus softened, but so too is Emmaââ¬â¢s moral transformation. Knightley says of Emma ââ¬Å"You are materially changed since we talkedâ⬠and she replies ââ¬Å"I hope so for at that time I was a fool. Even so, as Knightley clearly states, she is only ââ¬Å"materially changedâ⬠at a very superficial level. Her ways of thinking and role within society remain unaffected and the ââ¬Å"happy endingsâ⬠of the novel imply that everything will go on as usual, in the microcosmic world of Highbury, a reflection of the rigidly structured and insular 19th century society. Critiques note that ââ¬Å"Cherââ¬â ¢s world is paradoxically bigger and smaller than Emmaââ¬â¢sâ⬠her transformation can be described likewise. Her transformation is similarly superficial to Emmaââ¬â¢s, though due to the differing contexts manifests itself in an altered way. The film medium aims to externalise the internal, so Cherââ¬â¢s transformation is depicted visually. We see her transform from a pampered American princess to a more socially compassionate, aware person. The shallowness of her world somewhat lessens as lighter, more realistic washes are progressively used in opposition to the brightly coloured almost cartoon-like washes of the beginning of the film. In parallel to Emma these transformations are equally materialistic, as shown in the impervious tone of Cherââ¬â¢s narrative voice over throughout, her unwavering popularity and fantasies, all culminating in the final scene of the movie. Here we see a changed Cher, not engaging in the fantastical plans of Di and Tai for their perfect weddings, genuinely affectionate to Josh, dressed in an appearingly conservative pale pink dress. All these assumptions are belittled in the throwing of the bouquet scene whereby Cher reverts to her old ways of self preservation and determination in her frivolous attempts to secure the bouquet (and thus Joshââ¬â¢s affections). A high angel shot of the pack of screaming girls with a hysterical Cher centred, reveals the inappropriate length of Cherââ¬â¢s attire simultaneously robbing her of the audienceââ¬â¢s previous respect. The superficiality of her transformation is thus depicted, with her actions and motives seemingly unaffected by the previous climatic events of the film. Both protagonists commence and end their journeys of self realisation with ââ¬Å"very little to distress or vexâ⬠them, an ambiguous ââ¬Å"happy endingâ⬠enabling the textââ¬â¢s concerns to be further interpreted in the respondersââ¬â¢ minds. This responder interaction continues as both texts explore issues of gender roles and expectations. The comedy of manners explored in Emma and archetypal characters appearing in Clueless enables us to see the peculiarities of the ways in which men and women relate to each other, we see the mundane as such in a new and insightful way. Extract 5 comments on the transformation of mediums in that ââ¬Å"Emma is grounded in reality while Clueless is a fantastical dramatic parodyâ⬠. As such the themes are explored differently but the concerns themselves appear almost identical. Both texts explore a certain reliance on men and emphasise the aesthetically valued traits of successful women. In Emma women rely on marriage and thus men for long term security, as such the oxymoron of Miss Taylorââ¬â¢s ââ¬Å"gentle sorrowâ⬠sums up the conflicting interests and expectations surrounding gender roles in Victorian times. A woman was expected to be aesthetically pleasing, talented, submissive to her male counterparts and ââ¬Å"a single woman of good fortune was always respectableâ⬠. All these values, save the fortune, were encompassed in Jane Fairfaxââ¬â¢s characterisation who comes to represent the epitome of a respectable Victorian woman. Mr Knightley, the textââ¬â¢s hero saw in Jane ââ¬Å"the real accomplished womanâ⬠Emma wanted to be thought herself. As a ââ¬Å"testament to the 1990sâ⬠there is no Jane Fairfax and hence no suggestion of the ideal woman in Clueless. The possibilities are endless and indefinite. The emphasis on aesthetic and social superiority has been transformed into modern times through Cherââ¬â¢s promiscuous costuming and interactions with the opposite sex. When driving atrociously, with No Doubtââ¬â¢s background music ââ¬Å"Just a Girlâ⬠Cher appears as a young woman out of control in need of a steadying male influence. Though seemingly independent, Cher resorts to using men to get what she wants. She relies on Josh for driving supervision, rescuing her from her Valley disaster and overcoming the criticisms of her fatherââ¬â¢s lawyer. Tai too relies on the affections of men to solidify her popularity and social status, while Harriet and Jane Fairfax are indebted to men for both social AND financial security. In the transformation of the texts, specifically their concerns of gender roles and expectations it becomes apparent, through parallel characters and situations, that even in this post-feminist society, very little has changed regarding womenââ¬â¢s dependence on men and resulting social status. Or has the change come, been deemed unnecessary and inconvenient to all involved and instead reverted back to the 19th century ways of thinking? Overall, the transformation of Emma, an ironic, romantic novel of Victorian times to the American ââ¬Å"chick flickâ⬠Clueless, enables responders to gain an enhanced understanding and involvement in the textââ¬â¢s concerns. Through considering the ââ¬Å"universalâ⬠themes of gender roles, self reflexivity and development enjoyment is embedded in the composerââ¬â¢s craft as our world and the world of almost 200 years ago are reflected simultaneously. ââ¬Å"Seldom, very seldom does complete truth belong to any human disclosure â⬠but both composers come close.
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