La Ferrassie Cave Neanderthal and Early Modern Human Site in the Dordogne Valley

Field Trip Report On The Cape Fear River - 1161 Words

Field Trip Report The Cape Fear River Watch is a non profit organization initiated to â€Å"protect and improve the water quality of the Cape Fear River.† They intend to help the river water remain â€Å"fishable, swimmable, and drinkable.† The Cape Fear River Watch provides a wide array of education, advocacy, and action programs for members of the Cape Fear River community. The Cape Fear River contains environmental habitats including salt marshes and black water swamps. The distinct and unique culture of the Cape Fear River demands protection. Large corporations have abused the Cape Fear River over the last few decades. Over the last century, the river’s fish population has decreased drastically. The Cape Fear River has developed water contamination and air quality issues from coal ash emissions and waste, Concentrated Animal Feeding Operations, and is now further threatened by the possible introduction of Titan Cement company. Theses companies have significantly impacted surro unding communities. Environmentally, these issues are destroying our water and air quality, and are detrimental to ecosystems within the river. As we explored the Cape Fear River during our field trip, our guide focused on these three main contributing factors to the destruction of the river. We explored the Rock Arch Rapids the River Watch constructed. We evaluated the different factors of water contamination from large corporations like Duke Energy. Sociologically, surrounding communities are facing issuesShow MoreRelated The Navigation of Christopher Columbus and the Age of Discovery4963 Words   |  20 Pageswonder at the bold willingness to risk life and limb that was demonstrated by the explorers of this era as they left the safety of the waters and oceans that they knew, to challenge the unknown. 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Dolls house Free Essays

House by Henrik Ibsen is my favorite play that we read this semester. A main reason I liked this play was because of the writer himself. Ibsen is a realistic writer who took his problems from his day and brought it to life on stage. We will write a custom essay sample on Dolls house or any similar topic only for you Order Now A Doll’s House deals with where women stand in their marriage and society. Ibsen felt injustice to what society was doing around him. A Doll’s House is about a Married couple named Nora and Torvald. Nora borrows a lot of money from a man named Krogstad , who happened to work for her husband. She did this because when her husband got sick e said that he needed to get out of the country to get better. Nora was only trying to do her best for her husband. She never told him of this loan and has been secretly paying it by saving from her household allowance. Her husband thinks her careless and childlike, and often calls her his doll. When he is appointed bank director, his first act is to relieve a man who was once disgraced for having forged his signature on a document. Krogstad, is the person Nora has borrowed her money. Nora forgot that she forged her father’s signature in order to get the money. Krogstad threatens to reveal Nora’s crime and tell her husband and everyone. Krogstand wants Nora to talk Torvald into keeping his Job. Nora tries to but Torvald thinks of Nora as a child who cannot understand the value of money or business. When Torvald discovers that Nora has forged her father’s name, he is ready to disclaim his wife even though she had done it for him . Nora then tells Torvald she is leaving him and her children. This play was sort of mysterious and interesting. I liked it because it showed how society was a long time ago for women and showed that Nora realized to move on with life and become a independent person which is abnormal in this time period for a women. How to cite Dolls house, Papers

Monitoring Of Blood Glucose Level In Rohan â€Myassignmrthelp.Com

Question: Discuss About The Monitoring Of Blood Glucose Level In Rohan? Answer: Introducation Proper nutrition should be provided to Rohan which will not exaggerate diabetes condition in him. There should be regular monitoring of the blood glucose level in Rohan. Based on the blood glucose level, modifications should be done in his food. Physical needs: The physical need of Rohan is proper diabetic diet which has been proposed by the doctors. Accounting to her teacher, Rohan and his family are vegetarian and hence not following the diabetic plan, which includes meat. Rohan also needs rigorous physical activity and cyclic insulin uptakewhich will help to reduce his blood sugar level and prevent ketoacidosis. The physical activities will also help him to perform regular developmental activities which other kids of his age would be getting(Joslin and Kahn 2012. Social needs: The prime social needs of Rohan are love, compassion and generosity. His mother is ill and suffering from depression and his father is busy and hence Rohan conducts his own glycemic test and subcutaneousinsulin injection. He is only 9 years old, an age at which children develop identity, and become independent. He must therefore lead a healthy social life so that he does not get isolated. Cultural needs: Rohan and his family are immigrants and hence the main cultural need for Rohan is a friendly environment. The depression of his mother is affecting him also, a friendly environment where he can communicate his thoughts and feelings will be helpful for Rohan to lead a healthy life(Zheng and Chen 2013).Moreover, the embedded cultural beliefs adhered by the Rohansfamily were to be explained to the clinical staff during the preparation of the dietary plan. This factor could have enabledthe clinician to provide an alternative to meat (DeFronzo 2014). Three Priorities for Nursing Care Educate the patient and the family member about the threats of diabetes Rohanis very young to understand the chronicityof Type 1 Diabetes Mellitus. His mother is ill and sufferingfrom post-immigrationdepression and his father remains busy all the time. Here it is important for Rohans father to make some time for his family and understand the problems. Rohans teacher who is also concerned about his health must also come forward. Thecommunity nurse will help Rohans father to recover from unfamiliarity and misinterpretation of the information. The nursing interventions will be evidenced by verbal statements of concern or misconceptions centringthe disease and development of the preventable complications(American Diabetes Association 2016). The desired outcomes of such nursing care are active participation in the learning process followed by generation of disease awarenessand correlation of the signs and the symptoms of the disease with adequate explanation. Educate the family about the risk of unstable glucose level in blood Rohanis only 9 years old with three younger sisters and hence the lack of adherence of the diabetes management will solely be directed towards his parents and teachers. The nursing care will involveblood glucose monitoring, timely intake of insulin, regular physical activity (Dunning 2013). The desired outcomes of such treatment will help in identification of the factors leading to the unstable glucose concentration in blood, proper understanding bodys need and maintenance of normal glucose concentration. Counselling Rohans Mother The first steps towards delivering the quality nursing care for immigrants are addressing the heath and the mental needs of the persons. Here, Rohans mother with be thoroughly counselled for post immigration depression and her difficulties with nephritic problems(Lindsay et al 2012). The desired outcomes will help in overcoming depression via getting accustomed with the new country, generation of concern and sympathy for the children and family and capability to express and discuss the problems and gaining confidence to fight against . Strategies to engage with the child and family to develop a trusting relationship: Cultural Safety Theory: Cultural competency care deals with the knowledge, health practices and learning skills that have been designed to support and care people of different ethnicity and cultural background (Hawala-Druy and Hill 2012).It will help Rohan to share his problems to the nurse. Rohanis new to in Australiaand he might be facing a cultural differences in order to share his thoughts and problems with other. Since his mom is ill and his father remains busy, Rohan has no one to discuss his problems. A culturally competent, community nurse will help Rohan to discuss his problem freely.(Lecca et al. 2014).The community nurse will be well aware of the cultural beliefs adhered to by Rohan family andshe will explain thesame to the clinical staff during the preparation of his dietary plan. This factor could have enabled the clinician to provide an alternative to meat (Majumdar2014). Family Centred Care Theory: Patient- and family-centered care therapy can be regarded as an innovative approach to plan, deliver and evaluate the goodness of well being that is grounded over the pillar of mutually beneficial partnership among the patients and their family members. Health care professionals who practice such therapy first try to recognize the vital role that a family plays for the well-being of the childrenand the other family members of all ages. After that, they counsel the family members so that they help each other and perform like a healthy and integrated family. Family centered care therapy most targets the mothers and many reported cases have shown that such family centered therapy has helped the mother to recover from depression and anxiety (Kitson et al. 2013). It will involve counselling of Rohans mother first. Such therapy will eventually help her to get recover from depression and get accustomed with the new environment of Australia. With the help of couns elling she will gradually understand the importance of family and how her family and her children (especially Rohan) are suffering from problems. Her mental recovery will bring sync in the family and will generate trusting relationships between Rohan and other three daughters(Kitson et al. 2013).Therapy will also encompass his father and three sisters and will help them to lead a healthy life in unison. Interpeonal/Communication Theory:focuses on the way the family relationships affect a patient mental and physical health. The therapy use communication as a principal weapon to develop trusting relationships among the family members. This therapy is very useful for the treatment of depression and anxiety (Berger 2014).It will help Rohan to freely communicate with the nurse and discuss his problems with her. Since Rohan is very young, suffering from diabetes and is being forced to take his own medicine, he is bound to suffer from certain mental depression as he has no one to share his problems. His father remains busy most of the time, her mother remains depressed and her three sisters are too young to understand his problem. Communication therapy will help Rohan to recover from his developmental and psychological problems(Rogers 2014).Moreover, Rohan also suffers from developmental defects as he has high level of glucose, the interpersonal therapy will generate synchronization betwee n the family relationship and such synchronization will assist Rohan to fight against his developmental problems via taking proper diet, regular attendance in school, proper physical activity and timely medicine intake. Plan of care Educate the patient and the family member about the threats of diabetes Family holds the sole pillar in the patients life. However, if a family member has encountered with any serious illness, the daily routine and common activities need to be reshuffled. The family must be educated with the symptoms of the disease, side-effects and the possible outcomes. By doing this, family can act as an active hand of support to the patient and will help in speedy recovery by providing mental and physical support. The family support will help in medication adherence and glycemic control (Mayberry and Osborn, 2012). Nursing Intervention and Evaluation Interventions and Effectiveness of Care Interventions to the nursing care plan (Educate the patient and the family member about the threats of diabetes) Intervention / Assessment (1): Identification of the learner: patient/ family member or care giver (Chen et al. 2012) Rationale: In this case, the main learner will be Rohans father and his teacher in school. Rohan lives in a troubled family where his mother is ill and her sisters are much younger than him. So it is the responsibility of the father to learn and gain about the knowledge. Rohans teacher is also concerned with his health however, she is not accustomed with the disease diabetes and hence she will be the second most important learner in this nursing care model. Intervention / Assessment (2): Enabling the patient to open up with the previous experience and health teaching(Inzucchi et al. 2012) Rationale: Rohan has no one to discuss his problem (both mental and physical) so such nursing care program will help Rohan to open up and discuss freely about his problems. Rohan also takes his own insulin and does his own glycemic test and it is very important to evaluate the kind of thought process he pass through while performing such phobic task alone and that too at such a young age Evaluation: The effectiveness of the nursing care will deal with monitoring of blood glucose level and prevention hyper glycemic shock. The care will also adhere to proper diabetic medication, observance of proper dietary plan, participation in active physical activity and spending quality time with family. Reference List American Diabetes Association, 2016. Standards of medical care in diabetes2016 abridged for primary care providers.Clinical diabetes: a publication of the American Diabetes Association,34(1), p.3. Berger, J., 2014. Word of mouth and interpersonal communication: A review and directions for future research.Journal of Consumer Psychology,24(4), pp.586-607. Chen, S.M., Creedy, D., Lin, H.S. and Wollin, J., 2012. Effects of motivational interviewing intervention on self-management, psychological and glycemic outcomes in type 2 diabetes: a randomized controlled trial.International journal of nursing studies,49(6), pp.637-644. DeFronzo, R. (2014). International textbook of diabetes mellitus.Chichester: John Wiley. Dunning, T., 2013.Care of people with diabetes: a manual of nursing practice. John Wiley Sons. Hawala-Druy, S. and Hill, M.H., 2012. Interdisciplinary: Cultural competency and culturally congruent education for millennials in health professions.Nurse education today,32(7), pp.772-778. Inzucchi, S.E., Bergenstal, R.M., Buse, J.B., Diamant, M., Ferrannini, E., Nauck, M., Peters, A.L., Tsapas, A., Wender, R. and Matthews, D.R., 2012. Management of hyperglycaemia in type 2 diabetes: a patient-centered approach. Position statement of the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD).Diabetologia,55(6), pp.1577-1596. Joslin, E. and Kahn, C. (2012).Joslin's diabetes mellitus. 3rd ed. Philadelphia: Lippincott Williams Willkins, p.68. Kitson, A., Marshall, A., Bassett, K. and Zeitz, K., 2013. What are the core elements of patient?centred care? A narrative review and synthesis of the literature from health policy, medicine and nursing.Journal of advanced nursing,69(1), pp.4-15. Kuo, D.Z., Houtrow, A.J., Arango, P., Kuhlthau, K.A., Simmons, J.M. and Neff, J.M., 2012. Family-centered care: current applications and future directions in pediatric health care.Maternal and child health journal,16(2), pp.297-305. Lecca, P.J., Quervalu, I., Nunes, J.V. and Gonzales, H.F., 2014.Cultural competency in health, social human services: Directions for the 21st century. Routledge. LeRoith, D., Olefsky, J. and Taylor, S. (2015). Diabetes Mellitus. Philadelphia: LWW (PE). Lindsay, S., King, G., Klassen, A.F., Esses, V. and Stachel, M., 2012. Working with immigrant families raising a child with a disability: challenges and recommendations for healthcare and community service providers.Disability and rehabilitation,34(23), pp.2007-2017. Majumdar, P., Majumdar, J., Majumdar, J., Banerjee, D. (2014).Cultural Safety Theory (3rd ed.). New Delhi: B. Jain. Poretsky, L. (2010). Principles of diabetes mellitus. New York: Springer, p.4. Rogers, L.E. ed., 2014.Relational communication: An interactional perspective to the study of process and form. Routledge. Zheng, X.P. and Chen, S.H., 2013. Psycho-behavioral changes in children with type 1 diabetes mellitus.World J Pediat,9(3), pp.261 Social needs: Interventions and Effectiveness of Care Reference List