Developing a teaching plan Research Paper Example | Topics and Well Written Essays - 1750 words

Developing a teaching plan - Research Paper Example The nurse practitioner model creates enhanced patient-nurse relationships, which provide both self-care education and cancelling within the context of disease state management. The nurse teacher for a diabetic person needs to assess the patient’s needs, predict the expected outcomes from the teaching, and develop intervention plans based on a suitable nursing theory. Patient Assessment Albert Boyle is a 69-year-old man with five-year history of type 2 diabetes (Spollett, 2003). The doctors diagnosed Joseph’s condition in the year 1997. Two years prior to diabetes type 2 diagnoses, Albert Boyle had symptoms indicating hyperglycemia. Albert’s fasting blood glucose ranged between 118-127 mg/dl (Spollett, 2003). The doctors advised Albert to lose at least 10 lb of his weight, but he did not take any action. The family physician referred Albert Boyle the diabetes specialty clinic where he reported recent weight gain, foot pain, and suboptimal diabetes control. Albertà ¢â‚¬â„¢s attempts to lose weight through increased exercises were not successful. Albert takes 10 mg of atorvastatin daily for hypercholesterolemia (Spollett, 2003). He took gymnema sylvestre, pancrease elixir and chromium picolinate with an attempt to improve his diabetic condition; however, he stopped these supplements because he did not see any improvements (Spollett, 2003). Albert Boyle does not test the levels of his blood glucose at home because he does not belief that this condition would help him improve his diabetes control. Albert questions the benefits of knowing the numbers since after all the doctor is already aware that the sugar level is high. Albert Boyle does not have knowledge of diabetes self-care management, and expresses that he is worried about what causes his diabetic condition since he does not eat sugar. Albert has been physically active by playing golf once in a week and gardening; however, he has reduced more than 3 lb of weight (Spollett, 2003). Albert ha s neither consulted a dietician nor been instructed in self-monitoring of blood glucose. Defining Characteristics Albert Boyle has a misconception about the approaches to improve his health status. He does not believe that knowing his health status can help him manage his diabetes control. Albert argues that there is no need of him of knowing his blood-sugar level; he claims that the doctors already know that the level of sugar in his body is high. Another characteristic of Albert Boyle is that he does not demonstrate self-care skills concerning his diabetic controls. Albert is not aware of the critical skills that are required to control his blood sugar. Albert does not believe that he is diabetic. This is evidenced by the fact that he questions the source of the condition, and he does not eat sugar. Albert is ignorant that direct intake of sugar does not cause diabetes. Diabetes results from two factors: when the pancreas fails to produce insulin, and when the cells fail to respon d to the insulin that is produced (Boswell, 2007). This leads to accumulation of blood sugar in the body. Related Factors Patients with diabetic conditions have extremely comprehensive learning needs. The diabetic patients’ needs focus on informing them proper measures of managing their sugar levels and preventing their diabetic condition

Exploring The Darkness Within Kurtz English Literature Essay

Exploring The Darkness Within Kurtz English Literature Essay The Heart of Darkness stands as a profound examination of the hypocrisy of imperialism, and the darkness that results from it. This imperialism embodies itself in the form of Kurtz, the antagonist of the story. Kurtz initially exists as a remarkable man, an emissary of light who enters the Congo with noble intentions. (Conrad) However, as he enters the heart of darkness that is the Congo, his own heart becomes dark as well. This novella explores Kurtzs transformation in three consecutive chapters. The darkness foreshadows itself in part one, describes its path in part two, and finally presents itself in part three. Conrad depicts this darkness with his skillful use of imagery and metaphors. Carefully crafting the message of the story, Conrad utilizes imagery and metaphors as the paints to his palette. Foreshadowing permeates every moment of this narrative. Although it can be found in the entirety of the story, it predominates in part one. The foundations for the consistently dark imagery lie in Conrads prolific sentence structure, which tends to meditatively wonder, both in the scenery and his own philosophical speculation. (Lachotta) Through the vivid imagery, many metaphors arise, and contribute to the foreshadowing as well. The foremost metaphor of part one exists as the Congo River itself, which resembles an immense snake uncoiled. (Conrad) One usually associates a snake with evil, which foreshadows the actuality that lies in the Congo. As a metaphor, it represents the European imperialism, and thus, it represents Kurtz. Another metaphor lies within the two woman at the doctors office, who are knitting black wool. Marlow states his uneasiness in regards to them, how they seem to be guarding the door of Darkness. (Conrad) Conrad capitalizes Darkness in this sentence to emphasiz e the imagery of his message. Indeed, these women stand as an omen for the dark months that lie ahead, for once Marlow enters that door, he officially becomes part of the dark world that leads him to Kurtz. Numerous metaphors in part one foreshadow Kurtz transformation into madness. The story of Fresleven, who was the gentlest, quietist creature to ever walk on two legs, exemplifies this dark dissent. After a couple of years engaged in the noble cause, he attempts to assert self respect by beating a native mercilessly, all for the frivolous reason of two black hens. (Conrad) The fact that the doctor wants to measure Marlows head, along with the Swedes story of the man who hangs himself, both serve as key elements of foreshadowing Kurtzs own destiny. (HoD, Symbolism) Once the foreshadowing takes place, Conrad further explores Kurtzs darkness in part two. Now that Marlow physically stands in the Congo jungle, he vividly describes the darkness that part one preludes to. As the managers uncle extends him arm out to the forest, Marlow states that he seems to beckon to the lurking death, the hidden evil, the profound darkness of its heart. (Conrad) This ominous atmosphere of the Congo exists as the same atmosphere that drives Kurtz to madness. Once Marlow and his crew descend up the river to reach the inner station, Conrads vivid imagery presents further metaphors. Marlow explains that going up the river was like traveling back to the earliest beginnings of the world, when vegetation rioted on the earth and the big trees were kings. (Conrad) Comparing this journey to the beginning of the world represents the colonists journey, which moves away from civilization and towards a primitive existence. As they move away from civilized society, they become cl oser to the heart of darkness that Kurtz physically and psychologically lives in. Another metaphor presents itself with the personification of the trees as kings. This alludes to Kurtzs proclamation of himself as a god to the natives, something of which he accomplishes only through his primitive location. Overall, the imagery of Africa Conrad deploys in part two provides a backdrop for Kurtzs moral dissolution. (Mwikisa) Once the path up the river comes to an end, part three begins. In this final chapter, Conrad presents the core of the darkness Kurtz himself. The entire novella leads up to this point, in which Kurtzs corruption establishes itself. Presiding over the inner station, Kurtz becomes addicted to his power. (Rekue) He grows tired of being a mere man, and through force and violence, transforms himself into an omnipotent figure. The scene where the natives carry him on a stretcher indicates how he completely abandons European morals and norms of behavior. (Lachotta) In the beginning of this chapter, Conrads phenomenal imagery illustrates the inner station. As Marlow observes his surroundings, he assures that never before did this land, this river, this jungle, the very arch of this blazing sky, appear to me so hopeless and so dark. (Conrad) This not only explores Kurtzs darkness, but preludes to his hopeless death. Kurtz gives in to the immoral temptation within the Congo, and thus, his inn er darkness takes over. In further speculation of the chapter, Conrads imagery and metaphors explore the characteristics of darkness itself. Three elements must correlate in order to constitute darkness. These elements include anger, fear, and aggression. (Lachotta) Throughout this chapter, Kurtz exemplifies all three of these characteristics. After Marlow witnesses Kurtz being carried on a stretcher, the harlequin tells the story of how Kurtz threatened to shoot him over a small lot of ivory. Kurtz reasoning was that he could do so, and had a fancy for it. (Conrad) This, along with the chastisement of the manager, represents Kurtzs anger. The heads of the rebels on the sticks represent his aggression in gaining complete power; his ivory hunts represent his aggression in obtaining ivory. In regards to fear, Kurtz fears being taken away from the dark place of which he feels comfortable. In the desperation that arises from his fear, he tries to escape by crawling away the night before the departure. Kurtz ple ads that he has his plans, but his efforts remain futile. (HoD Study Guide) Through these three elements, Conrad explores the darkness of the human soul. Kurtzs moral degeneration in the Congo epitomizes that darkness, which in the end, completely envelops him. Kurtz initially exists as a man of morals, who travels to the Congo full of philanthropic ideals. (HoD, Kurtz) However, these ideals become devoured by the darkness of imperialism. The Heart of Darkness explores this transformation through the three chapters of the novella. The darkness foreshadows itself in part one, describes its path in part two, and presents itself in part three. Conrad depicts this darkness through his aesthetic use of imagery and metaphors, which work to intertwine throughout the entire story. During the last moments of his life, Kurtz, in realization of his darkness, utters the words, The horror! The horror! (Conrad) In the end, he succumbs to the darkness, for once you start down the dark path, forever will it dominate your destiny; consume you it will. (Yoda Quotes)

Essay --

Yossarian is faking his illnesses to avoid the war. While he’s in the hospital he is required to censor letters and he will joke and censor just about anything he reads and signs off as â€Å"Washington Irving†. A Texan comes and eventually annoys everyone back into active duty. Yossarian notices that he is the only one who is concerned with the war and claims that everyone is trying to kill him. Everyone else denies that there is a war going on. He later finds out that his Colonel has raised the number of required missions from 45 to 50 when Yossarian was at 44. Orr talks to Yossarian about how he used to walk around with crab apples in his mouth. A general named Peckem hopes to take over command of Yossarian’s unit because the current general is failing at bringing enthusiasm to his subordinates. Yossarian feels sick but Daneeka instead sends him back and recommends acting like Havermeyer, who is a soldier that makes the most of every situation Yossarian talks with Daneeka whose problems are that the war is interrupting his medical practice. Yossarian interrupted educational meetings resulting in a rule that only people who don’t ask questions could ask questions. Private first class Wintergreen caused frustration among his superiors by giving a message out that only said â€Å"T.S. Eliot†. Yossarian listens to Doc Daneeka’s story about newlyweds who visited his office. Yossarian again attempts to get grounded by claiming he was crazy, which of course proved that he wasn’t. Hungry Joe has flown all of his missions and he is still not allowed to go home because the number of missions keeps rising. Orr attacks Appleby in a game of Ping-pong. Yossarians pilot, McWatt is described in this chapter as the â€Å"craziest combat man† because o... ... go through with the plan. Orr and Yossarian realize Milos amount of control as he is the mayor and even god in some countries. Nately Yossarian and Hungry Joe arrive in rome where they meet up with Nately’s prostitute. Nately argues with an old man about how America and Italy were doing in the war. Milo’s company has grown world wide but has a problem selling massive amounts of Egyptian cotton. He was surprised when Yossarian brings the idea of selling it to the government. The chaplain is miserable because no one will treat him as a regular person. He tries to help by seeing major major about the missions but he wont allow anyone in. After Colonel Cathcart periodically throws him out, he begins questioning everything even god. Nately falls in love with his whore while she is annoyed with him. Yossarian and Dunbar change identities but are caught by the Nurses

ASsignment in Science

Epiglottis It's a flap that covers the opening to your lungs while you're swallowing so you don't inhale food. . Coughing When you cough you are either releasing mucous or germs or some other Irritant In the lungs. E. Incomplete rings of Trachea Prevent the trachea and bronchioles from collapsing and closing up. F. Fat and protein film lining the Inner wall of the alveoli Surfactant In the alveoli causes them to effectively stay open during the whole respiration/breathing process.When there is lack of surfactant the alveoli can collapse on themselves causing less surface area for gas exchange, hence causing breathing difficulties/shortness of breath due to the decreased ability for oxygen exchange. G. Pleura& lymph between he two layers They play a critical role In immunological responses in both local and systemic diseases. It is positioned to respond to inflammatory changes in the lung permanency. The pleura functions not only as a mechanical barrier, but also as an Immunological a nd metabolically responsive membrane that is Involved in maintaining a dynamic homeostasis in the pleural space. . Rib cage The rib cage are a set of bones radiating from the Thoracic region of the vertebral column (not to be confused with the vertebral cord which is located inside the vertebral column). These bones are the ribs and sternum (or breast bone). They form a cage like structure around the very delicate organs such as the heart and the lungs. Not only do they protect these organs, but they also support them, keeping them In place. Without the rib cage, your organs would all fall out of place. 2014 Grade and Section: Aphrodite Instructor: Mr. Eugene Vernal 1 OFF 2.How does the internal respiration differ from the external respiration? External respiration is the exchange of gases between the alveoli and lung capillaries. Oxygen diffuses from the alveoli into the blood, while carbon dioxide moves from the blood in the alveoli. Internal respiration, in contrast, is the excha nge of gases in body tissues 3. What is a Third Hand Smoke? Third hand smoke is generally considered to be residual nicotine and other chemicals left on a variety of indoor surfaces by tobacco smoke. 4.What are some of the diseases caused by smoking? Cardiovascular Diseases- the main cause of death due to smoking. Hardening of the arteries is a process that develops over years, when cholesterol and other fats deposit in the arteries, leaving them narrow, blocked or rigid. When the arteries narrow (atherosclerosis), blood clots are likely to form. Cancer- Smokers are more keel to get cancer than non-smokers. This is particularly true of lung cancer, throat cancer and mouth cancer, which hardly ever affect non-smokers.Lung Diseases- Chronic Obstructive Pulmonary Disease (COOP) is a collective term for a group of conditions that block airflow and make breathing more difficult. 5. Explain the mechanisms of breathing in human. Mechanisms of breathing inspiration When you breathe in: inte rcessor muscles between the ribs contract, pulling the chest walls up and teethe diaphragm muscle below the lungs contracts and flattens, increasing the size of the chest the lungs increase in size, so the pressure inside hem falls. This causes air to rush in through the nose or mouth.Mechanisms of breathing expiration When you breathe out: Intercessor muscles between the ribs relax so that the chest walls move in and down. The diaphragm muscle below the lungs relaxes and bulges up, reducing the size of the chest. The lungs decrease in size, so the pressure inside increases and air is pushed up the trachea and out through the nose or mouth. 2014 Grade and Section: 9-Aphrodite 6. Why are lungs considered as both respiratory as well as excretory organs? Lungs are the main organ of the respiratory system where gas exchange takes place. F something. . Name 2 Respiratory Diseases. How can they be prevented, detected and treated Names of the Respiratory Diseases How can they Prevented How can they Detected (What are the symptoms) How can they be Treated a. Lung Cancer -Don't smoke. -Stop smoking -Avoid second hand smoke Test -Avoid carcinogens at work -Eat a diet full of fruits and vegetables. -a cough that doesn't go away after two or three weeks. -a long-standing cough that gets worse. -persistent chest infections. -coughing up blood. -an ache or pain when breathing or coughing. -persistent breathlessness. 1 .Non small cell lung cancer can be treated with surgery, chemotherapy, radiotherapy or a combination of these, depending on the stage when the cancer is diagnosed. Some people with advanced lung cancer may have biological therapy. There is information below about the treatment of non-small cell cancer by stage. B. Asthma -Learn about your asthma and ways to control it. – Use medicines as your doctor prescribes. -Get regular check-ups for your asthma. Asthma symptoms, which include coughing, wheezing, and chest tightness, are common in an asthma attack. -Medicines -Follow an Asthma Action Plan -Record Your Symptoms

Over Population in the Philippines Essay

1.Introduction 1.1Purpose of the study: to discuss and cite ways on how to prevent overpopulation in the Philippines. 1.2Significance of the study: to make people realize how alarming is overpopulation. 2.Meaning of Overpopulation 3.Overpopulation facts 3.1Causes of Overpopulation 3.2Effects of Overpopulation 3.3Solutions to Overpopulation 4.Manila: A megacity where the living must share with the dead ( Jenny Kleeman’s Article ) 5.Conclusion 1.Introduction The purpose of the study is to discuss about overpopulation in our country. Using library research and internet. I will elaborate the causes and effects, as well as the possible solutions to this social phenomenon. I will also include in my studies about the article of Jenny Kleeman, his point of view on Manila. A presentation such as this is important for us to realize that our country being overpopulated is alarming. I believe that behind this studies, I can help about this problem that not only the Philippines are facing, but also the world. 2.Meaning of Overpopulation The term â€Å"Overpopulation† is the condition where the number of organisms  exceeds the carrying capacity of their habitat. It has impacted the life of common man and has proved to be one of the gravest difficulties that have to be fought. It implies scarcity of resources and economic inflation; these are the monsters which can make life miserable. (The Threat of Overpopulation (Earth Issues) pp. 177-179) Defined by those books that I’ve read, truly Overpopulation is a serious problem. As I search for more meanings about it, this come out: Overpopulation is the condition of having a population so dense as to cause environmental deterioration, an impaired quality life, or a population crash. It is A situation which occurs when the number of occupants of an area exceeds the ability of that area to provide for those.

Microsoft and the Government essays

Microsoft and the Government essays On May 30, 1990, the Federal Trade Commission opened up an antitrust investigation on the Microsoft Corporation on charges that the companys pricing policy pertaining to their Windows Operation System illegally thwarted competition and that there was hidden code in their operation system that hindered competitive applications to run. Microsoft continues to battle this attempt by the government to regulate to this day. The leading software company in the world provides the software for nearly half of the worlds websites. The government claim is that the software company continues to practice anti-competitive policies pertaining to the software licensing, thus a violation of the Sherman Anti-Trust Act. Microsoft simply defends that their practices are all legal and that they are merely trying to innovate their products. Much has been said that if Microsoft controls the majority of the worlds network software, then they are potential controllers of global commerce and content on th e Internet. A deep analysis will be done on the idea that is Microsoft Corporation a good monopoly or bad monopoly. The Microsoft Corporation is the current leader in software licensing not only in the United States, but also globally. Their chief product is their operation system, Windows. But the majority of the accused anti-trust violations come from their actions to control the Internet browser market. On January 22, 2002, AOL Time Warner, Incorporated filed an antitrust suit against Microsoft, accusing the software giant of using illegal practices to remove Netscape Communication Corporation from atop the Internet browser market. According to a recent study by Netcraft, Microsoft controls 49.2% of the actual hardware behind the worlds websites; coming in a distant second-place is Linux controlling 28.5% of the market (Client Server News). Although, one can argue that Microsoft is not a monopoly and does indeed have com...

How to Use College Scorecard Find the Right School for You

How to Use College Scorecard Find the Right School for You SAT / ACT Prep Online Guides and Tips Figuring out which colleges to apply to and selecting a college to attend can feel overwhelming. How do you narrow down your college search from the thousands of college options? How do you figure out if a school is preparing its students for future success? How do you determine whether a college is worth its cost? College Scorecard is a website developed by the government to help you answer these questions. It provides extensive information on colleges to help you evaluate them and aid you in your college search. In this article, I'll do the following: Explain College Scorecard Detail its uses and the information it provides Explainthe benefits and drawbacks of the website Let you know how you should be using the scorecard What Is College Scorecard? College Scorecard is an interactive website launched by the US Department of Education in September of 2015. President Obama claimed that colleges had been effectively raising costs and focusing on things like alumni outreach to game ranking lists like those of US News, but they were ignoring student outcomes. College Scorecard was created to provide detailed information to help consumers of college education determine the value and effectiveness of different colleges. Specifically, the site focuses on providing financial information to help you compare colleges' costs and the earnings of their graduates. This information is seen by the government as a more accurate way to assess the quality of colleges, and you can use this information to help determine which colleges will potentially provide you with the best return on your investment. In terms of how you use it, the scorecard is very similar to other college finders on the internet. You're able to narrow your college search by selecting various search options, and each school profile will provide data like the school's graduation rate, freshman retention rate, and standardized test scores. The primary benefit of using College Scorecard compared to other finders is the financial information that it offers. For example, you can determine the median salary of students from different colleges 10 years after they graduate, and you can get a rough estimate of how much you would have to pay for a certain school after receiving financial aid. How Does College Scorecard Work? You can use the College Scorecardwebsite to look for colleges that match your interests, or you can look up a specific school to check its profile and review the available statistics. I’ll walk you through how to use thescorecard as a college finder, and then I’ll explain the information on the school profiles. Step 1: Click on the addition signs next to each category to select filters to narrow your college search. Select the qualities that you want in your dream college. You may not find the specific major you’re interested in under the â€Å"programs/degrees† category because the options are more general, but select the subject area your major of interest would fall under. Step 2: Once you’ve completed selecting your filters, click â€Å"find schools.† Step 3: You can sort your search results by "% earning above HS grad," "average annual cost," "graduation rate," "salary after attending," "name (A to Z)," or "size (small to large)." Step 4: Your search results will show you basic info, and, for the schools you’re interested in, you can click â€Å"view more details.† Step 5: Look at the full profiles of any schools that interest you. The full profiles provide information about the student body demographics, costs, financial aid and debt, graduation and retention rates, earnings after school, standardized test scores, and academic programs. Step 6: For any schools that still interest you after looking at their profile, make a note of the school name and do more extensive researchonthat school to help determine if you want to apply to that school. Step 7: After you apply to schools and get your acceptances, you can use College Scorecard to compare your college options and get assistance in choosing a college. College Scorecard can help you decide your college path. Benefitsof College Scorecard The best part about the scorecard is the detailed information related to money. For example, you can get information about the average annual cost for colleges, which is the net price for students who receive financial aid. Also, you can calculate what your net price would be for a given school, and you can see what students from different income brackets have to pay on average. Here’s information for Northwestern University: Northwestern's average annual cost is $28,544, which is above the national average of $16,574. You can also see its average cost for each income bracket. Families that make $0-$30,000 pay an average of $15,841 annually, and families that make more than $0,000 pay $41,946. Also, you get information about the amount of debt students graduate with and how well graduates of the school are doing compared to those from other schools at paying back their loans. At Northwestern, 96% of students pay down their debt. The percentage of students paying down their debt is the number of students who have repaid at least $1 on the principal balance of their federal loans within three years of leaving school. Also, students from Northwestern leave school having to pay an average of $213 per month to repay their loans in 10 years at a 6% interest rate. From the costs and debt information, combined with the median salary for graduates, you can get an idea of the return on investment for different schools and determine which schools are more worth what you have to pay. Drawbacksof College Scorecard Like the Forbes ranking list, College Scorecard does focus on student outcomes, but that may not be the best way to evaluate colleges. The scorecard emphasizes the financial success of graduates, not the actual student experience. There’s no information about class sizes, professors, or extracurricular activities. The median salary for graduates tells you something about the quality of a college, but that figure can be misleading. Schools that have a higher proportion of engineering students may have higher median student earnings because engineering graduates usually make more money irrespective of where the engineering degree was earned. For example, Northwestern has a â€Å"salary after attending† of $64,100, while Illinois Institute of Technology has a â€Å"salary after attending† of $68,200. By most ranking lists and other objective statistics, Northwestern is considered the better school, but Illinois Tech focuses on engineering and technology. Perhaps a more worthwhile comparison to evaluate schools would be the salaries of liberal arts majors, since the earnings of those with STEM degrees don’t appear to be significantly influenced by the college they attended. Also, thescorecard offers far fewer search categories and less data than other college finders and websites. For example, college finders like Big Future and College View allow you to search for schools that have more focused majors. On College Scorecard, you can search for schools that offer engineering, but on Big Future, you can search for schools that offer aerospace engineering or chemical engineering. Similarly, other college finders let you search for schools that offer specific extracurricular activities, athletic teams, or support services. Those options aren't available on College Scorecard. Finally, because College Scorecard relies on federal data, some of its statistics are limited.The â€Å"typical student debt† figure given on College Scorecard only includes federal loans. It doesn’t include private loans or Parent PLUS loans. Because many students rely on private loans and PLUS loans to pay for school, the â€Å"typical student debt† is likely significantly lower than the actual median debt for undergraduates who borrow money to pay for their education. Other sites will give you more info. How Should You Use College Scorecard? The scorecard should be one of many resources you utilize to help with your college search. I recommend using this siteafter you've done some research on colleges and are looking for more specific financial information about costs and the earnings of graduates. Also, it's a good tool to use after you've been admitted to schools and aretrying to make your college decision. Keep in mind that, even though College Scorecard does offer worthwhile information, it won’t reveal what life is like on campus or whether a school would be a good fit for you. You should also use other college finders, search websites, ranking lists, and guidebooks in your college search. Additionally, you can go to college fairs or on college tours to become more acquainted with your college options. If you’re focused on the value of different colleges, look at a website like payscale.com,whichranks schools and majors by their return on investment. Finally, if possible, consult with teachers, counselors, parents, and alumni to help you select a college. What's Next? If you're just starting your college research, make sure you stay on task by familiarizing yourself with the complete college application timeline. Also, figure out where in the country you should go to college, and determine if you'd be more comfortable at an urban, rural, or suburban school. Finally, if cost is a concern for you, find out which colleges will meet 100% of your financial need. Want to improve your SAT score by 160 points or your ACT score by 4 points?We've written a guide for each test about the top 5 strategies you must be using to have a shot at improving your score. Download it for free now: