Saturday, December 28, 2019

My Goals As A Social Worker Practitioner - 1737 Words

Reflective Paper Liza M. De Jesus Cleveland State University Author note This paper was prepared for SWK 607, Section 480, taught by Professor Deborah Willis Abstract Postmodern viewpoints emphasize the constructed nature of reality and the need for collaborative relationships between client and social worker/therapist. Social workers that use postmodern approach examine socio cultural issues such as how client problems and beliefs become socially constructed, the need for empowerment of marginalized clients, the political nature of therapy, and a need for social justice. As a healthcare social worker working with multicultural population it is important to understand how the culture play a big†¦show more content†¦A theory may explain human behavior, for example, by describing how humans interact or how humans react to certain stimuli. Social work practice models describe how social workers can implement theories. Practice models provide social workers with a blueprint of how to help others based on the underlying social work theory. While a theory explains why something happens, a practice model shows how to use a theory to create change. Target population I am interested in working with the Hispanic/Latino community of Cleveland, Ohio. As a member of the Hispanic/Latino community I know there is a need for Spanish speaking professionals. My goal is to find a job at a local hospital where I can do medical and health care social work. Many conditions affect far more that the body. They can result in an onslaught of emotional, financial, and social needs. As a medical and health care social worker I can help people meet these sorts of needs. In addition to handling the regular routines, a medical social worker needs to handle crises as they arrive. As a multicultural/bilingual social worker I would be able to serve both, English and Spanish speaking members of our community. Theoretical approach I feel that my theoretical approach will be influenced by several theories. The systems and postmodern perspectives are good when working with multicultural population. The

Friday, December 20, 2019

Personal Narrative The Great Gatsby - 1197 Words

Have you ever lit your pants on fire!?! Thankfully, neither have I, but I did make a fool of myself in front of my entire class. All of my teachers and classmates know that I am a slow reader, but I usually never do anything wrong. That is why it became such a shocking and hilarious experience when I finally did something wrong. I learned the hard way, through slight humiliation, that you should always follow an instructor’s exact directions no matter the circumstance. During the month of May, 2017, my Language Arts class was assigned a book project. Everyone received a book and worksheets that went along with the book, which helped us understand the meanings and ideas in the book. That year we read The Great Gatsby. The teacher would†¦show more content†¦My teacher possessed a peculiar sense of humor and after she finished reading the chapter she said in a villainous tone, â€Å"It might be smart to review your worksheets for a surprise quiz tomorrow.† Accompanying her evil statement was an equally evil smile that traversed her face. The evil nature of her smile even gave me goosebumps. Taking her word that there was going to be a pop quiz tomorrow, I made sure that I attained my book and worksheets to study with that night. The next day, as promised, she handed out a short pop quiz. It was not as challenging as she tried to make it sound. It presented only five multiple choice questions on it. Once we finished our quizzes, she tol d us to read the next chapter silently. Once I finished my quiz at the speed of light, I decided to finish other homework, since I preferred to read at home anyway. So while the rest of my class was reading, I worked on homework. Thirty minutes later, I completely finished all of my other assignments, so I decided to start reading the chapter. After nearly two paragraphs in, my teacher interrupted the class to see if everyone finished reading the chapter. Unknown to me, the chapter was fairly short and everyone, but me, finished it. Raising my hand slowly, I told her that I had not finished reading. Everyone in my class turned around and stared at me. The teacher asked me how far I was in the chapter and how much time I needed toShow MoreRelatedAn Interview with F. Scott Fitzgerald964 Words   |  4 Pagesauthors out there today. Many people admire his work, but he’s hard to catch and follow due to his busy schedule and personal lifestyle being an alcoholic. On the 19th of N ovember 1925 I was given a chance to meet up with F. Scott Fitzgerald, to discuss about the eminent novel written by him â€Å"The Great Gatsby† at his house in Los Angeles. The books about a poor turned wealthy man, Gatsby and his attempt on getting his past lover back. What you’re about to read is one of the first few interviews everRead MoreShakespeare s King Lear And The Great Gatsby1346 Words   |  6 PagesPersonal gratification is commonplace in society, but the force to overcome it is not. In both Shakespeare’s King Lear, and Fitzgerald’s The Great Gatsby, man’s natural psychological id is displayed by key characters, who are all morally corrupt. King Lear has 2 distinct sides who represent the id and superego, battling over justice in a kingdom centered around a weathered king. In The Great Gatsby, a commonplace working man by the name of Nick Carraway surrounds himself with friends who indulgeRead MoreThe Great Gatsby By F. Scott Fitzger ald1103 Words   |  5 Pages The Great Gatsby is Fitzgerald’s masterpiece, which was considered as one of the most perfect work relating to art forms in American novels after James. The publication of The Great Gatsby prompted T. S. Eliot to write, in a letter to Fitzgerald, It seems to me to be the first step that American fiction has taken since Henry James ....The reason why it is one of the greatest novels all over the world is not only because of its showing the cruel social reality in America during 1920s and theRead MoreThe Great Gatsby By F. Scott Fitzgerald974 Words   |  4 Pagesintroduced into the narrative, she is primarily described by her voice. These descriptions are often contradictory, reflecting Daisy’s multifaceted nature. Thus, her voice contains, â€Å"fluctuating, feverish warmth†, (?) â€Å"aching, grieving beauty† (?), and â€Å"a husky, rhythmic whisper, bringing out a meaning in each word that it had never had before and would never have again† (?). Nevertheless, the overarching commonality is that Daisy’s voice features a seductive, alluring quality to which Gatsby is unavoidablyRead MoreExplore the Ways in Which Edith Wharton Presents Themes of Imprisonment and Entrapment in Ethan Frome and Consider the Ways in Which the Great Gatsby by F. Scott Fitzgerald Illuminates This.1404 Words   |  6 Pagesentrapment in Ethan Frome and consider the ways in which The Great Gatsby by F. Scott Fitzgerald illuminates this. In the novel Ethan Frome, Edith Wharton explores the themes of imprisonment and entrapment. The characters portrayed in her novel are trapped and imprisoned by many elements including their environment, loveless marriage, predestination, mind-set, religion and many more. These themes are also explored in The Great Gatsby by F. Scott Fitzgerald. Firstly, one of the key factors thatRead MoreF. Scott Fitzgerald Research Paper1504 Words   |  7 Pages he never directly identified himself with it and was adverse to many of its manifestations. The life of F. Scott Fitzgerald was deeply divided, in that his early successes in the 1910’s and 1920’s contrast noticeably with the years full of personal happenings and self doubt. It was divided, among all, between the pursuit of the artistic ideal and the continual lure of easy success. He became a victim of the myth of success and money instead of the perpetrator. Nevertheless, Fitzgerald’sRead MoreSocial Stratification In The Great Gatsby Analysis1125 Words   |  5 PagesSocial Stratification in the Oh-So Great Gatsby Among numerous themes, including; the ‘American dream’, isolation, hope, love and various others, in F. Scott Fitzgerald’s acclaimed novel The Great Gatsby, the allure of social stratification is the most significant element. Social stratification is a concept that refers to the way in which a society groups different people into stratas, or layers, based on wealth, power, and social status. The Great Gatsby is an accomplished piece of social commentaryRead MoreThe Great Gatsby By F. Scott Fitzgerald951 Words   |  4 PagesIntroduction The extent to which ones opinions and views can be altered without them even noticing is impeccable. F. Scott Fitzgerald, the author of ‘The Great Gatsby’, explores the ways in which one can influence a person’s thoughts in such a minute way that they themselves don’t even realise it. He, as a writer, is â€Å"communicative in a reserved way†. This leaves the readers perspective altered to believe what the author wants. Different minds will acknowledge and recognise different aspects of anyRead MoreGreat Gatsby Research Paper1252 Words   |  6 PagesThroughout history it becomes apparent that all the great stories: The Odyssey, Great Expectations, The Adventures of Huckleberry Finn are all founded on a similar theme. The same plot line, a hero, most often the protagonist, faces danger and adversity to the highest extreme but always comes out on top. He is depicted as the pinnacle of human triumph and in essence, demonstrates a fundamental strength that all men should strive to achieve. These stories were, â€Å" full of darkness and danger. AndRead MoreEssay about The Great Gatsby: The Past is Forever in the Present1133 Words   |  5 Pagessatisfaction in history withholds the contentment of the future with an impeding sense of unalterable guilt. In The Great Gatsby, F. Scott Fitzgerald demonstrates â€Å"the past is forever in the present† through numerous literary and narrative techniques, suggesting that memories serve as crucial components in the development of individuals. Fitzgerald implements a first party narrative through Nick Caraway’s recollection of the events of the plot in order to effectively demonstrate the scarring, yet

Thursday, December 12, 2019

Poetry Analysis of Silver and The Moon Essay Example For Students

Poetry Analysis of Silver and The Moon Essay The Envenomed blind men, all possessing accurate but different portrayals of an elephant, show the new dimension one possess from looking at things from different perspectives. Supervising the activities on Earth, the only natural satellite on the Water Planet is perceived differently amongst the Homo sapiens roaming on it. Silver by Walter De la Mare and The Moon by P. B. Shelley are two Insights on the character of the moon. Despite Silver and The Moon both powerfully describing the nature of the moon, the two moms depicts distinct images. Silver by Walter De la Mare Is a bravura and meaningful poem with Blvd Imagery. In this Innovated sonnet (with 14 lines, 7 couplets that rhyme and 8 syllables per line except for the last two with 9) that gives the reader a round and calm beat, a mood of serenity is found in the mystical world that appeals to children with tenderly emotion. Throughout the poem, the poet repeats the word silver and has included numerous s sounds, this allows the r eader to feel tranquil as he or she reads the poem. Alliteration (slowly/silently silver/shown beams/beneath silver/sleeps silver/stream), assonance (peers/sees) and consonance (slowly/silently) are also delicate additions to the poem. Further emphasizing his point, Walter included symbols Like dove for peace and silver for luster to give the poem positive connotation. In addition, the silver reflection that is castes on Earth from the moon is a symbol of perfection. In the first couplet, the author lays out a peaceful scene. The repeated s sounds and the commas in between slows the readers mind to the tempo of the poem. Personification Is used alongside poetic devices to keep the rhyming scheme. Walking the night In silver slippers gives the poem an elegant and graceful touch. In the second couplet, the moon starts to cast it silver touch on the trees. Personification, in peers and sees, is carefully chosen so that the reader can relate to the scene. Silver fruit upon silver trees Is also a powerful message as It describes the perfection In the scene. In the third to sixth couplet, the poet Increases the detail of the poem (from casements to the eyes of a mouse), turning more and ore things to silver. Walter continues to use personifications, in catch and peep, to enliven the poem. A simile, couched in his kennel like a log, Is used to tell the reader that the dog Is sleeping peacefully In perfect harmony. Furthermore, metaphors, including paws of silver and silver-feathered sleep, are used. Silver and feather both hint a pure/simple and uninterrupted sleep. In the last couplet, the poet leaves the reader satisfied. Leaving every detail silver and completing the duty with two adaptors: movables fish in the water gleam and silver reeds In a silver stream. In short, Silver is a magnificent and meaningful poem. The Moon by P. B. Shelley is a well-written poem that takes a different stance on the moon from Silver. Similarly, both poems describe the nature of the moon and uses alliterations, similes, personifications and metaphors to reinforce the poets view. Both poems also have all but the last two lines with the same number of syllables 1 OFF poem and allows the story to be spun more clearly in the readers mind. However, P. B. Shelley views the moon in a lifeless, tiring, cheerless, dying and dull way. The poet chose to compare the moon to an old lady; a white moon instead of a silver moon. In Silver words with positive connotation help maintain a positive image. On the other hand, words with negative connotation fill the poem. Totters, dying, lean, pale, gauzy, insane, feeble, fading and murky are words that keep the image in the readers mind negative. Mr.. Shelley uses half rhymes in an ABA scheme throughout the first four lines. In Silver countless poetic devices are used to enhance Walter De la Mares poem. .u8acd2ae4d89b1195c00fd94df922a33e , .u8acd2ae4d89b1195c00fd94df922a33e .postImageUrl , .u8acd2ae4d89b1195c00fd94df922a33e .centered-text-area { min-height: 80px; position: relative; } .u8acd2ae4d89b1195c00fd94df922a33e , .u8acd2ae4d89b1195c00fd94df922a33e:hover , .u8acd2ae4d89b1195c00fd94df922a33e:visited , .u8acd2ae4d89b1195c00fd94df922a33e:active { border:0!important; } .u8acd2ae4d89b1195c00fd94df922a33e .clearfix:after { content: ""; display: table; clear: both; } .u8acd2ae4d89b1195c00fd94df922a33e { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u8acd2ae4d89b1195c00fd94df922a33e:active , .u8acd2ae4d89b1195c00fd94df922a33e:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u8acd2ae4d89b1195c00fd94df922a33e .centered-text-area { width: 100%; position: relative ; } .u8acd2ae4d89b1195c00fd94df922a33e .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u8acd2ae4d89b1195c00fd94df922a33e .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u8acd2ae4d89b1195c00fd94df922a33e .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u8acd2ae4d89b1195c00fd94df922a33e:hover .ctaButton { background-color: #34495E!important; } .u8acd2ae4d89b1195c00fd94df922a33e .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u8acd2ae4d89b1195c00fd94df922a33e .u8acd2ae4d89b1195c00fd94df922a33e-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u8acd2ae4d89b1195c00fd94df922a33e:after { content: ""; display: block; clear: both; } READ: Movie Analysis - Groundhog Day EssayIn contrast, only one other poetic device, alliteration (lady lean), is used because poetic device often makes the poem more flowery and positive. Since this is not desirable, P. B. Shelley left out many poetic devices. Despite both poets using figurative language to reinforce the poets view, P. B. Shelley, unlike Walter De la Mare, chose to use it in a negative way. The whole excerpt is a simile/personification. And, like a dying lady lean and pale, the simile/personification connects the moon to dying lady. To continue the personification, the poet used numerous personifications. For example, lean, pale, and totters. This emphasizes the image of a dying lady. Throughout the poem, Mr.. Shelley has included numerous metaphors which make the poem extremely negative. These include out of her chamber, led by the insane, feeble wanderings of her feeble brain and murky east. In all, despite both Silver and The Moon describing the nature of the moon, Walter De la Mare and P. B. Shelley paints images of the moon that are poles apart. All in all, the moon is perceived differently amongst different people around the world. Silver by Walter De la Mare and The Moon by P. B. Shelley are two views on the character of the moon. In Silver, Walter De la Mare positively believes that the moon is tranquil and mystical. On the other hand, P. B. Shelley believes that the moon is like a dying woman. Staring at the night sky, different eyes lead to different perspectives. Looking at things from different perspectives opens a new dimension. Sources:Silver by Walter De la Amaretto Moon by P. B. Shells

Wednesday, December 4, 2019

Patient Bill of Rights Essay Example For Students

Patient Bill of Rights Essay Patient Bill of Rights All patients have the right to receive safe service that respects all of their core values. This paper will focus on the patient’s bill of rights. It will explain it meaning and how it is set in place to aid the patient. This paper will list two obligations found in the bill of rights. It will also explain which rights are currently provided in the sanction of law. ? The basic rights of human beings, such as concern for personal dignity, are always of great importance. The function of patient rights is to help improve patient outcomes by respecting each patients rights and conducting clinical and health organization relationships in an ethical manner (Fremgen, 2009). The patient’s bill of rights was created in 1973 by the American Hospital Association (AHA). It protects the privacy and integrity of patients, doctors and other health-care providers (ehow, 1999-2010). This basically means that it is a bill that will help with the communication skills between all parties to provide the best care. Listed below are obligations to the items found in A Patient’s Bill of Rights. First, the patient has the right to considerate and respectful care (Fermgen, 2009). The provider has to respect the dignity of the patient by being considerate and caring. The patient should not be discriminated against. Second, the patient has the right to and is encouraged to obtain from physicians and other direct caregivers relevant, current, and understandable information concerning diagnosis, treatment, and prognosis (Fermgen, 2009). Every patient has the right to be informed on any issue that they are faced with unless it is in an emergency. This also fall under know and accepting your provider. The patient has the choice to pick who they would like and would not like to see. Third, The patient has the right to make decisions about the plan of care prior to and during the course of treatment and to refuse a recommended treatment or plan of care to the extent permitted by law and hospital policy and to be informed of the medical consequences of this action (Fermgen, 2009). All patients should be provided with their treatment options. Providers should also allow patients to participate in their treatment options. The patient has the right to have an advance directive concerning treatment or designating a surrogate decision maker with the expectation that the hospital will honor the intent of that directive to the extent permitted by law and hospital policy (Fermgen, 2009). All patients have the right to make informed decisions. The providers should honor the wishes of the patients as permitted by law. The patient has the right to every consideration of privacy (Fermgen, 2009). According to law, patient information should not be disclosed. The provider should always discuss any situations with their patient in a private location. The patient has the right to expect that all communications and records pertaining to his/her care will be treated as confidential by the hospital, except in cases such as suspected abuse and public health hazards when reporting is permitted or required by law (Fermgen, 2009). Any of patient information cannot be shared unless a physician has patients consent. All patients’ information should be kept in a secured location. The patient has the right to review the records pertaining to his/her medical care and to have the information explained or interpreted as necessary, except when restricted by law (Fermgen, 2009). Medical records should be available to all patients when they require them. Medical records can be revoked if possible abuse or public health hazards are reported. .u6c2a9d7ba6f4fde8ce9747a6e7193bc2 , .u6c2a9d7ba6f4fde8ce9747a6e7193bc2 .postImageUrl , .u6c2a9d7ba6f4fde8ce9747a6e7193bc2 .centered-text-area { min-height: 80px; position: relative; } .u6c2a9d7ba6f4fde8ce9747a6e7193bc2 , .u6c2a9d7ba6f4fde8ce9747a6e7193bc2:hover , .u6c2a9d7ba6f4fde8ce9747a6e7193bc2:visited , .u6c2a9d7ba6f4fde8ce9747a6e7193bc2:active { border:0!important; } .u6c2a9d7ba6f4fde8ce9747a6e7193bc2 .clearfix:after { content: ""; display: table; clear: both; } .u6c2a9d7ba6f4fde8ce9747a6e7193bc2 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u6c2a9d7ba6f4fde8ce9747a6e7193bc2:active , .u6c2a9d7ba6f4fde8ce9747a6e7193bc2:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u6c2a9d7ba6f4fde8ce9747a6e7193bc2 .centered-text-area { width: 100%; position: relative ; } .u6c2a9d7ba6f4fde8ce9747a6e7193bc2 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u6c2a9d7ba6f4fde8ce9747a6e7193bc2 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u6c2a9d7ba6f4fde8ce9747a6e7193bc2 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u6c2a9d7ba6f4fde8ce9747a6e7193bc2:hover .ctaButton { background-color: #34495E!important; } .u6c2a9d7ba6f4fde8ce9747a6e7193bc2 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u6c2a9d7ba6f4fde8ce9747a6e7193bc2 .u6c2a9d7ba6f4fde8ce9747a6e7193bc2-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u6c2a9d7ba6f4fde8ce9747a6e7193bc2:after { content: ""; display: block; clear: both; } READ: The Crucible: The Evil Of Fear EssayThe patient has the right to expect that, within its capacity and policies, a hospital will make reasonable response to the request of a patient for appropriate and medically indicated care and services (Fermgen, 2009). The hospital must perfume the best service that it can for all patients. The patient must provide the hospital with all necessary information that will prevent risk. The patient has the right to ask and be informed of the existence of business relationships among the hospital, educational institutions, other health care providers, or payers that may influence the patients treatment and care (Fermgen, 2009). All patients have the right to know what type of business is associated with the provider or hospital. This right includes formal complaints and what was done about it. The patient has the right to consent to or decline to participate in proposed research studies or human experimentation affecting care and treatment or requiring direct patient involvement, and to have those studies fully explained prior to consent (Fermgen, 2009). All patients have the right to decide which treatment methods are best for them. Even if a provider recommends a treatment, the patient has the right to consent to or decline services. The patient has the right to expect reasonable continuity of care when appropriate and to be informed by physicians and other caregivers of available and realistic patient care options when hospital care is no longer appropriate (Fermgen, 2009). All patients have the right to receive the best quality of care from a provider. The patient has the right to be informed of hospital policies and practices that relate to patient care, treatment, and responsibilities (Fermgen, 2009). All patients should know all hospital charges they are faced with and any payment methods that are available. All the principles listed above are not law, but standards of conduct which define the essentials of honorable behavior for the physicians (Fermgen, 2009). The bill was introduced in 2001 by John McCain and co-authored by Ted Kennedy and John Edwards. It was approved by the Senate in a roll call vote but was not voted on in the House (ehow, 1999-2010). These standards are not only rights but ethical standards for physicians. Every provider has a responsibility to his/her patient and theses standards helps them understand how crucial it is to maintain those relationships. The Patient’s Bill of Rights is set of standards that are not only for the provider but also a guide for patients. Understanding these right help protect the patient right to quality medical care. ? References E How (1999-2010) AHA Patient Bill of Rights retrieved July 31, 2010 from http://www. ehow. com/about_6170705_aha-patient-bill-rights. html Fremgen, B (2009). Medical Law and Ethics. Upper Saddle River, New Jersey: Pearson Prentice Hall.

Thursday, November 28, 2019

The Music Therapy free essay sample

From the womb, you experience sound: your mothers heartbeat, breathing and muffled voice. Growing up you sing songs and hear music being playhouse may even make your own music. From the discordant, Irritating noise of traffic in the street to the soft, soothing Mazurka played in the elevator and at shopping malls, music surrounds you and, may impact you without your knowledge. The constant honking of a car horn will tend to irritate you; whereas, a string quartet playing classical music has the tendency to calm you.As musics calming powers are TTS most noticeable results, it would prove worthwhile to explore the benefits of listening to music as a means of relaxation as well as what possible applications music may have in relation to this phenomenon. Countless studies have shown that musses relaxing effects can be seen on anyone, including newborns. Music therapist Jane Canine explored the effects of music on preterm babies and low-weight newborns as part of her masters thesis at Florida State University. We will write a custom essay sample on The Music Therapy or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page L Her research included musics effects on stress behaviors, weight, caloric and formula intake and length of hospital stay.Fifty-two preterm and low-weight babies served as subjects, and were split Into control and experimental groups. The control group received normal auditory stimulation while the experiment al group received musical stimulation from a 60-minute tape containing vocal music, including childrens music and lullabies, as well as the normal auditory stimulation. The experimental group had much shorter stays in both the newborn intensive care unit and the hospital itself as well as lower initial weight loss than the control group. Resulting weight gain was also lower in the experimental group. The experimental groups formula intake was much lower than the control group, however their caloric Intake wasnt significantly lower. The control groups mean stress behaviors were also much higher than those of their counterparts in the experimental group. Thus, it can be seen that the babies who listened to music became more relaxed and as a result, they left the hospital earlier and healthier than the babies who didnt listen to music. Such relaxation from the use of music can also be demonstrated to lead to a decrease In experienced physical pain by offering a pleasant distraction which also serves as a lid sedative.Cynthia Allison Davis, a music therapist at Gaston Memorial Hospital In Gaston, North Carolina completed a thesis while at Florida State University in which music was used in combination with relaxation techniques to help with pain and anxiety in genealogical procedures. 2 Twenty-two subjects, ages 17 40th, underwent medical treatment requiring instrumentation of the ce rvix by the same gynecologist: oscilloscope (microscopic examination); cryosurgery (tissue removal by freezing); or punch biopsy (tissue removal by punch action Instrument).The subjects were split onto a control group, who received the usual medical procedure with no music, and the experimental group who were given relaxation instructions and their choice of music before the procedure. Anxiety and pain levels were measured by observations of behavior (including movement of eyebrows, eyelids, mouth, lips , hands, feet, entire body, visualization, remarks, crying and perspiration), respiratory rates and pulse rates at five specific times during the procedure: after patient preparation and prior during scraping or other instrumentation of the cervix and as the doctor exited.Subjects also gave input as their own experienced level of anxiety before the procedure and the level of pain experienced during and after the procedure. The Observed pain responses were consistently higher for the control group than they Nerve for the experimental group, suggesting that the music was lowering the levels of pain in the experimental group. The greatest differences in pain between the groups were found during the cervical scraping, the most painful part of the procedure. At the moment of punch biopsy, the control group showed greater observable pain than their counterparts who liste ned to music during the proceed ere.Overall, the control group had higher pulse rates and respiratory rates, as well. One may ask if it could be that the music serves only to distract the patient. Whether or not the listening to music simply serves as a distraction or if it actually goes so far as to trigger the brain to release pain-killing endorphins is irrelevant. Music helps lower anxiety levels, and as a result, pain seems to be lessened. In much the same Nay, loud noises, such as busy streets and rock concerts serve to raise anxiety levels.Music can be of use in canceling out the irritating and loud sounds that we hear ACH day and the resulting stress caused by such sounds. In a study at the Childrens Hospital of Milwaukee, Wisconsin, Jenifer Winced, a clinical nurse specialist in pediatric critical care, worked with eight children (from ages two to fifteen) who suffered from cerebral edema. 3 She concentrated on the sound range from 78 to 96- decide ells in the pediatric intensive care unit (PICO), as a noise level of 70 decibels starts a stress-response initiated by the pituitary-adrenal axis.This stress response is manifested by a rise in heart rate, blood pressure, cerebral blood flow and peripheral constriction. Such stress would raise the interracial pressure (ICP) of the children suffering from cerebral edema, so she experimented with methods of muffling the noise in the PICO. The first method tested involved placing earphones over the childs ears. In the second test, she played Bachs soothing Concerto in D through the headphones. For 15 minutes before and 15 minutes during earphone use, Winced monitored fingertip temperature, heart rate, blood pressure and ICP. 20th interventions, she found, significantly lowered heart rate, blood pressure and ICP (ranging from a 16 to 29 percent drop) while also raising fingertip temperature. Inheres both methods worked, the music caused a temporary initial rise in he art rate, but was followed with a much greater net decline compared to the use of earphones by themselves. Again, one can see musics effects of reducing stress and anxiety levels even when the stress is caused by auditory stimulus. Several other studies have shown music to be an effective way of relaxation to the point of sedation: OAt the Royal Victoria Hospital in Montreal, Canada, classical music has Nortek so well as a painkiller that many terminally ill cancer patients have been taken off analgesic drugs. Olin a study involving patients in Poland who had severe headaches or painful neurological disorders 408 were divided up into two groups. Ere experimental group was exposed to symphonic music along with their daily regimen of painkillers, while the control group continued with their normal painkiller dosage.After six months, the experimental group was consuming far fewer painkillers and sedatives. 5 Olin a research project for a masters degree at Delphic hearing easy-listening music . The patients involved were all females, ranging from age 37 to 57, who had recently undergone hysterectomies. The twenty-eight subjects were randomly assigned to either the experimental group, (which was given 10-minute tape of easy-listening instrumental music for the first two days after surgery), or the control group, which was given nothing. All subjects were asked to rate their pain during the time period in which any sedative or painkiller would have Nor off. After a ten-minute period (in which the experimental group listened to music and the control group merely relaxed) the survey was given again. In the experimental group, average anxiety scores had dropped significantly, whereas in the intro group, score s remained generally the same. The same was true with the rating of pain: those who listened to the music noted a relative decrease in pain.Olin University of Utah study, 1 5 out-patients suffering from cancer-related pain were assigned three days of twice daily, 45 minute music sessions at home. 7 The experimental group listened to relaxing music, while the control group listened to a 50-cycle hum, designed to be a placebo. After three days, the groups switched. Questionnaires dealing with pain and mood were filled out by the patients before and after each session. While music was not found to alter mood much, 11 patients reported some reduction in pain. Seven of these patients had a moderate or great response.Overall, the mean percentage of change in pain scores by use of music was near double that of pain scores using the tone. These findings suggest that there is something specific with musics effect upon relaxation. If a mere distraction was needed, the scores for both music and the tone would have been the same. However, since those who listened to music reported less pain, one can hypothesize that music serves as more than a mere distraction. The preceding list of studies shows how USIA can aid in the reduction of severe pain.However, music can also be helpful for relief of pain which isnt severe or hospital relating one case, it was shown to be beneficial for migraine headaches. Psychologist Janet Lap, of California State University in Fresno, conducted a study dealing with reducing the pain involved with migraine headaches. 8 In her study, she divided a group of migraine sufferers into two groups who underwent relaxation training in combination with either biofeedback or music. In the biofeedback group, specialized equipment informed the test subjects of when they were relaxed.In the music group, the test subjects Imagined peaceful scenes while t hey listened to a medley of popular songs. The training lasted for five weeks , consisting of two 30 minute sessions a day. All test subjects kept track of the migraines they suffered (in terms of number, intensity and duration) each day while undergoing training as well as during follow-ups :approximately one month after the sessions and one year after the sessions). The results showed that both groups were suffering from fewer migraines after the training as compared to a control group who had received no training whatsoever.Overall, however, the results were better for the music group, especially at the one- Hear follow-up, at which point the music group experienced only a sixth as many headaches as they had suffered before training and the headaches which they did suffer were less intense and less prolonged. Thus, music can be demonstrated to have a positive influence on health, namely in that it reduces stress and creates a the individual, would its effects be the same in a group environment?The search for the answer to this question prompted Marcia Hummel to study music effects on a group environme nt. Hummel, a music therapist from the Quahogs County Board of Mental Retardation/Developmental Disabilities in Cleveland, Ohio, conducted a study investigating the effects of an integrated early childhood music program on the social interaction displayed amongst handicapped children and their non-handicapped peers. 9 Fifteen students (age 4) from a typical preschool and twelve students (age 3 to 5) with moderate levels of retardation participated in the study.The children met once weekly at the preschool for integrated music sessions which varied over the fifteen week period by including a wide variety of activities such as singing, playing instruments, creative movement, playing musical games and dancing. The students Nerve once urged to mingle by the supervising researchers during the sessions. To measure social interaction, a series of pretests were administered to the students before the fifteen sessions. Three opposites were given at the end to compare changes in social interaction.For each pretest and posters the students were divided into two randomly ordered groups, with members rotated for each test to ensure that students would have to choose different partners each time. The music therapist would call out half of the students by name and ask them to choose ratters. After ten seconds, it was noted if the student had chosen a partner, and if the partner was from their school or not, or if the student remained alone. The mean percentage of students who participated in the pretest stage was 69%, with 62% of those students picking partners from their home school. Only 7% of the students who participated picked partners from the alternate site. The mean posters scores show that the music sees signs helped increase the students colonization, with 93% of the students participating. Selection of a partner from the home site dropped to 47%, Nile selection of a partner from the alternate site rose to 46%. Clearly the sessions helped raise both the level of activity as well as the level of interaction among the students indicating that the music acted as a catalyst for increased interaction.The integration of music into the childrens lives as little as once a week broke down social barriers between two completely different groups who, in normal circumstances would have found it difficult to socialize. So, not only does music make the individual feel more calm and relaxed, it also aids larger groups in socializing and Interacting. All of these benefits of music have one thing in common: the brain, Inhere feelings of calm originate. However, music has been shown to effect more than mere changes in modest also can physically change the brain.Neurologist Got ride Scholar of the Heimlich Hein University in D;scolders, Germany led a team of researchers investigating the brain using magnetic resonance imaging. 10 Twenty- seven classically trained right handed male piano or string players were tested alongside twenty-seven right handed male musicians. Scholar found that the corpus callous, the central bundle of nerve fibers connecting the brains two mesosphere, was significantly larger in the brains of musicians. For those who had trained from an early age, their corpus callous were 10 to 15 percent thicker than those of musicians.Nerves which control motor functions on either side of the brain pass through the front half of the corpus callous. Since playing a musical hypothesized that musical training which takes place early in life develops the corpus callous faster and too higher degree. The Scholar team has also found differences among musicians with perfect pitch. Al In the normal human brain, the plenum memorable (a section of cortex in the temporal lobe) is larger on the left side than it is on the right. In musicians with perfect pitch, this feature is much more noticeably pronounced.The reason for this, Scholar theorizes, is that the plenum temporal might be specialized to the analyzing and categorizing of sound, and not Just language, as had been previously suspected. With this physical change in brain, one can surmise that music can effect three of the brains supreme objectives: learning, thinking and remembering. Any detrimental change, such as a lobotomy or severe head trauma can lead to a loss in these skills. It would follow that a positive change Inch happens to the brain would aid the aforementioned skills. Such an assumption Mould be correct. The recent research discovering the Mozart Effect confirms this the error in respects to thinking. In research done by Frances H. Earaches, Gordon L. Shaw and Katherine N. KY, of the University of California, Irvine, the so-called Mozart Effect was discovered. 12 Thirty-six students were given three different standard IQ spatial reasoning tasks, each preceded by ten minutes of three different selections: Mozart sonata for two pianos in D major (KAKA), a relaxation tape designed to lower load pressure or silence. The average spatial IQ scores were 119, 111 and 110 for the Mozart, the relaxation tape and silence, respectively. The enhancing effect, however, was temporary and did not extend past the 10 to 15 minutes necessary to complete each spatial task. This study shows that listening to music can temporarily enhance ones spatial reasoning abilities. This, however, can easily be attributed to the resulting calm from listening to music. As seen in the Scholar research, the brain is physically impacted when a person takes part in making it physically, most ethically by music lessons at an early age.We have already seen that the brain is affected by music lessons which take place early in life, but do students actually learn better if they take part in music lessons? Again, the answer is yes. In a pilot study, Earaches and her fellow researchers worked with a group of three-year-olds in an Inner city day care center. 13 Some received 30 minutes of singing lessons each day Nile another group was given piano lessons. After nine months, both groups showed a marked improvement in their ability to put together a puzzle, a standard est. of mathematical reasoning skills.In a larger follow-up study, Earaches and her colleagues found that the children who had received piano and voice lessons performed 35 percent better than the control group who did not have any instruction n music. Thus, music instruction early in life can ha eve a dramatic impact upon later mathematical ability. Does musical instruction only benefit learning of mathematics, however? A study of 1200 children performed in Switzerland found that those who Nerve given extra music lessons performed better than those who had not received extra musical instruction. Maria Speechify, a psychologist from the University of Fibrous in Switzerland, along with Jean-Luck Patty from the Saltwater University in Austria, studied 70 classes of children f rom the ages of 7 to 15. In the experimental group of 35 classes, the number of 45-minute music lessons per week was increased to five a week while reducing the amount of time spent on language and control group remained the same (one or two a week). After three years, both groups of students were asked a series of questions formulated to compare their intelligence, social integration and co native ability.While no difference was found n their intelligence levels, the students in the experimental group were better at language and no worse in mathematics than their peers in the control group, even though they had spent less time on the subjects. It was also found that the children n the group given extra music lessons demonstrated improvements in their ability to retell a story which had been read to them using both pictures and writing. Their teachers reported that younger children who had received extra music lessons learned to read more easily.Also reported were that there was less social tension in he ex perimental classrooms and the children were more cooperative and friendly, reinforcing the theory that music can help people relax and prove beneficial in group settings, as set forth in the Hummel study. We have now established that music can aid in the gathering of knowledge and the speed with which that knowledge is gained. Just as important is the ex. nomination of the role that music plays in recalling that knowledge.This is quite easily seen, as most of us experience it on a daily basis. Nile listening to the radio, many can sing along with the songs with assess much ease, in fact, that most dont need to think about the words that they are reciting, focusing most of their attention on much more important matters. Personally I have experienced this with the memorization Hebrew prayers in song form; I can easily recite the words, having no idea what they mean, but remembering the sounds associated with each prayer tune.However, this may be a phenomenon of short-term memory. To best examine this, one needs to examine those who have lost their ability to retain short-term mercilessnesss patients. In a Joint study by Carol A. Pricket and Randall S. Moore (of the University of Alabama and the University of Oregon, respectively), ten elderly patients who had been diagnosed with Listeners disease were assessed for recall of both sung and spoken material. 5 The material Inch was asked for was either something with which the patient had lifelong familiarity, such as popular gospel hymns (all patients were from the Bible Belt region of America) and their birthrates and hometowns, or something which the patient had Just been presented, such as the song Its a Small World, which none seemed to recognize, the therapists name and an unpublished poem. It was found that the patients recalled the words to songs much better than they recalled spoken Norms or rhymed speech.While the average recalls for familiar words, the newly presented song and the new poem were 47. 43%, 42. 19% and 39. 33% respectively, the average recall for the long-familiar songs, surpassed them with an astonishing 71. 8% recall. It is quite obvious that music incorporated with long-term memory helps the retention of memories better that n simple words alone, memorized by rote. Thus, by using music in a classroom setting, it may be possible to help teach things with a Geiger expectation of recall at a later date.Music can thus be seen to play an important role in life. Music calms. Aside from the obvious medical benefits of this calming phenomenon, it can prove to be quite useful in an educational setting. By Integrating music into the classroom passively, (by playing a recording or playing music), the students will feel calmer and experience less anxiety. This feeling will atmosphere more conducive to learning. The music will also trigger the Mozart Effect, boosting intelligence for a brief period of time. Music also helps in learning. Introducing active musical instruction into the education of a child at a young age, his brain will be affected, making such skills as math and foreign language (as well as anything ells e that deals with spatial reasoning) easier as well as giving the child a creative outlet. Making music an integral part of the learning process may help to remedy the shortcomings seen in the American public school system. The benefits of stronger music program should be thoroughly researched, especially when, at this point in time, funding for music programs in the United States is being drastically reduced.

Sunday, November 24, 2019

Why Dead Fish Float Upside Down

Why Dead Fish Float Upside Down If youve seen dead fish in a pond or your aquarium, youve noticed they tend to float on the water. More often than not, theyll be belly up, which is a dead giveaway (pun intended) youre not dealing with a healthy, living fish. Have you ever wondered why dead fish float and live fish dont? It has to do with fish biology and the scientific principle of buoyancy. Key Takeaways Dead fish float in water because decomposition fills the fishs gut with buoyant gases.The reason fish typically go belly up is because the spine of the fish is more dense than its belly.Healthy living fish dont float. They have an organ called a swim bladder that regulates the amount of gas present in the body of a fish and thus its buoyancy Why Living Fish Don't Float To understand why a dead fish floats, it helps to understand why a live fish is in the water and not on top of it. Fish consist of water, bones, protein, fat, and a smaller amount of carbohydrates and nucleic acids. While fat is less dense than water, your average fish contains a higher amount of bones and protein, which makes the animal neutrally buoyant in water (neither sinks nor floats) or slightly more dense than water (slowly sinks until it gets deep enough). It doesnt require much effort for a fish to maintain its preferred depth in the water, but when they do swim deeper or seek shallow water they rely on an organ called a swim bladder or air bladder to regulate their density. How this works is that water passes into a fishs mouth and across its gills, which is where oxygen passes from the water into the bloodstream. So far, its a lot like human lungs, except on the outside of the fish. In both fish and humans, the red pigment hemoglobin carries oxygen to cells. In a fish, some of the oxygen is released as oxygen gas into the swim bladder. The pressure acting on the fish determines how full the bladder is at any given time. As the fish rises toward the surface, the surrounding water pressure decreases and oxygen from the bladder returns to the bloodstream and back out through the gills. As a fish descends, water pressure increases, causing hemoglobin to release oxygen from the bloodstream to fill the bladder. It allows a fish to change depth and is a built-in mechanism to prevent the bends, where gas bubbles form in the bloodstream if pressure decreases too rapidly. Why Dead Fish Float When a fish dies, its heart stops beating and blood circulation ceases. The oxygen that is in the swim bladder remains there, plus decomposition of the tissue adds more gas, particularly in the gastrointestinal tract. Theres no way for the gas to escape, but it presses against the fishs belly and expands it, turning the dead fish into a sort of fish-balloon, rising toward the surface. Because the spine and muscles on the dorsal side (top) of the fish are more dense, the belly rises up. Depending on how deep a fish was when it died, it might not rise to the surface, at least not until decomposition really sets in. Some fish never gain sufficient buoyancy to float and decay under the water. In case you were wondering, other dead animals (including people) also float after they start to decay. You dont need a swim bladder for that to happen. Sources Chapin, F. Stuart; Pamela A. Matson; Harold A. Mooney (2002). Principles of Terrestrial Ecosystem Ecology. New York: Springer. ISBN 0-387-95443-0.Forbes, S.L. (2008). Decomposition Chemistry in a Burial Environment. In M. Tibbett; D.O. Carter. Soil Analysis in Forensic Taphonomy. CRC Press. pp. 203–223. ISBN 1-4200-6991-8.Pinheiro, J. (2006). Decay Process of a Cadaver. In A. Schmidt; E. Cumha; J. Pinheiro. Forensic Anthropology and Medicine. Humana Press. pp. 85–116. ISBN 1-58829-824-8.

Thursday, November 21, 2019

Managing Staff Nurses Assignment Example | Topics and Well Written Essays - 1000 words

Managing Staff Nurses - Assignment Example I as a manager of this unit have to facilitate a professional environment with a physically and mentally comfortable working conditions for the employees In order to ensure this some key objectives have to be achieved which are: 1 An objective analysis of the given working conditions 2 Understanding my employees, in this case, my staff nurses 3 The responsibilities delegated to them viz a viz their seniority and capabilities. So to begin with the working conditions of the unit has to be explored in order to establish its favorability for the household show a little care free attitude towards work. This is just an assumption based on general observation and is therefore not a verdict. All this need an objective analysis based on realities on the ground. Moreover, the injustice in delegation of work responsibilities bears a great significance in establishing the output of a staff member. Therefore, I will ensure a fair dealing with all staff nurses in this regard. Apart from this, it is also important to lay out a plan, in case a problem arises between two or more staff members. This requires an effective code of conduct to be written in order to contain such issues from happening and guarantee a peaceful atmosphere in the unit. The code of conduct constitutes a list of behavior patterns in terms of the dos and don’ts to be strictly observed. It will include: 1 be honest 2 be friendly 3 show professional approach 4 Respect each other’s dignity and space. 5 Mind one’s own business ... So to begin with the working conditions of the unit has to be explored in order to establish its favorability for the household show a little care free attitude towards work. This is just an assumption based to general observation and is therefore not a verdict. All this need an objective analysis based on realities on ground. Moreover, the injustice in delegation of work responsibilities bears a great significance in establishing the output of a staff member. Therefore, I will ensure a fair dealing with all staff nurses in this regard. Apart from this, it is also important to lay out a plan, in case a problem arises between two or more staff members. This requires an effective code of conduct to be written in order to contain such issues from happening and guarantee a peaceful atmosphere in the unit. The code of conduct constitutes a list of behavior patterns in terms of the dos and don'ts to be strictly observed. It will include: 1 be honest 2 be friendly 3 show professional approach 4 Respect each other's dignity and space. 5 Mind one's own business The Don'ts include 1 don't be irritable 2 don't be careless 3 don't back bite 4 don't be a gossip monger If one or more of the staff members found violating any of these, they will either be warned and next time a recurrence of such behavior will cost them a heavy penalty or even their job depending on the severity of the matter. However, sometimes a problem occurs which has nothing to do with a code of conduct; instead it happens between two staff members which require the manager to intervene and resolve the issue to both party's satisfaction. This requires an effective problem solving strategy. In this regard I have read different material on issue resolving skills, one of which is