Analyze the associated activities in the evaluation phase of a patient Essay

Analyze the associated activities in the evaluation phase of a patient - Essay Example In any case all practitioners are required to know how to evaluate a patient. Traditionally nurse’s role in evaluating a patient has to record the observations made but not to interpret them. The main observation includespulse, temperature, rate of respiratory, blood pressure and consciousness level (Alice, 1985). The ability of nurse to record such observations accurately will determine the priority of the patient care. Assessment based on priority setting is one of the major skills that nurses that are newly fit may lack. There are elementary evaluation that can be executed on any patient while there are some that are specific to particular cases, for instancediseases that are chronic, trauma and other emergencies (Jacques, 1988). Unfortunately, the essential assessments are not always carried out. After taking patients details such as names and insurance, it is also important to understand if the patient has any historical background of an illness, such information include when the patient was last in the hospital? What disease was the patient last diagnosed? And other historical details of the patient (Allan, 2012). Such information gives a clue as to either the illness is recurrent of it involves new prescription. Patient evaluation is done through history of medical information (Alice, 1985). Physical examination is carried out so as to be able to notice any physical behavior that may likely to be caused by illness; some patients will have a pale skin and other physically observed conditions. Routine laboratory tests are necessary to try and establish the specifics of the disease (Jacques, 1988). Other diagnostic procedures can also be carried out. Physical examination must involve the suitable measurement of blood pressure, with contralateral arm confirmation. Optic fundi examination is also done. Further examination requires calculating the mass index of the body, the BMI calculation, measuring the circumference of the waist is equally

Everyday Life in the Industrial Revolution Essay Example for Free

Everyday Life in the Industrial Revolution Essay Industrialisation created an enormous impact on people’s everyday lives. Many machines were invented to produce goods much more quickly and efficiently. This lowers the price for expensive goods such as textiles and furniture and made it more affordable for everyone due to mass production. Steam trains were also invented to move perishable goods and people in quickly in long distances to markets and bring fresh, organic foods to cities which are growing in population. Trains were an affordable form of transport for citizens and people. The invention of steam ships allowed a large number of people to North America and Australia from Europe. These were the fundamental changes that occurred during the industrial revolution. The first artificial was produced using gas. These lights made cities safer, it allowed people begin to go out at night to social events or meetings, shops and factories open for longer. Working hours in in factories were also extended thanks to the invention of artificial lighting. Electricity led to the development of household appliances such as refrigerators and irons that help with house chores. It also led to many innovations such as telegraph which made communication much easier, following the telegraph were the telephone and radio. Technologies has made a dramatic change to people’s ordinary lives, it has affected the society in a positive and negative way. The industrialised innovations helped with factory work and produce products more efficiently; however these machineries have highly polluted the environment. It was very surprising how far society have come, the development of technologies made the process of things much easier. Thanks to these inventions made during the industrial revolution and is still being improved, changed the lives of younger generations. Children in the modern society now have phones, iPad, iPod etc.

Analysing Herman Melvilles Bartleby The Scrivener Film Studies Essay

Analysing Herman Melvilles Bartleby The Scrivener Film Studies Essay Herman Melvilles Bartleby, the Scrivener is a multi-faceted short story. There are many different approaches to understanding and interpreting this piece of literature. One of the most intriguing interpretations is to see Bartleby as a psychological double to the narrator of the short story. Bartleby is a very unique character in the story, one which most people cannot seem to figure out. This may be because in the reality of the short story, Bartleby simply does not exist except in the lawyers mind. Many critics would argue that Bartleby is the mentally unstable character throughout the short story. But there is a good possibility that the lawyer is in fact the mentally unstable character, for Bartleby is only a figment of the lawyers imagination. Bartleby exists solely to provide the lawyer with an escape from the barren and impersonal society in which he lives. The lawyers unusual obsessive concern with Bartleby coupled with the fact that Bartleby has no known historical background is the perfect indication that Bartleby has emerged from the lawyers subconscious mind. Bartleby is seen as mentally ill because of his erratic and unusual behavior, but only appears this way to the lawyer, who in the short story is the only character with any substantial contact with Bartleby. Bartleby is also described as eating very little other than a few ginger nuts and never leaving the lawyers office. I observed that he never went to dinner; indeed that he never went anywhere (Melville 1100). These factors also strongly indicate the strangeness of Bartleby as well as his limited contact with the world outside of his employers office. These factors are all the more reason to believe that Bartleby has been conceived in the lawyers mind. After Bartleby refuses to work any longer as a copyist he becomes somewhat of a parasite to the lawyer. He becomes dependent on the lawyer for mysterious reasons. Other than the obvious reason that Bartleby needs a place to live, his relationship with the lawyer remains a mystery. Although clearly a love hate relationship, it is otherwise vague. Bartleby is also very persistent in refusing to leave the lawyers office or the lawyers presence in general. Despite the bribes and threats made by the lawyer, Bartleby continues to stand firm in his resistance, perhaps as an indication that Bartleby cannot leave, that is not his role. Bartleby serves as a boost to the lawyers ego. The lawyer talks of Bartleby as a charity case and refers to himself as a Good Samaritan type for allowing Bartleby to stay at his office and later at his personal home without pay. The lawyer is using Bartleby as a way to earn himself merit points. He says in the short story, Here I can cheaply purchase a delicious self-approval (1101). The lawyer so detests his profession that he desires to do some good in the world. Bartleby becomes his own personal experiment to do good works, while also challenging himself to go beyond the comfort of his Wall Street home. The lawyer also displays some odd behavior throughout the short story in relation to Bartleby. He places a screen around Bartlebys desk which could be seen as an attempt to close Bartleby off from the other employees as a method of compartmentalizing his unconscious figure. He confesses he wants to isolate Bartleby from my sight, though not remove him from my voice (1098). The lawyer also admits that Bartleby has a certain kind of hold over him that is not evident in any of the other relationships in the story. He admits that Bartleby has a wondrous ascendancy over him (1109). This further proves that the relationship between Bartleby and the lawyer is unusual at best. The lawyer believes that Bartleby is sent to him for a divine purpose by an all-wise Providence (1111). The lawyer is obviously not entirely lucid when thinking this is the case. He has conjured Bartleby up in his mind to escape the realities of the harsh Wall Street world he lives in. The lawyer is in a profession tha t constantly consumes ones time and also ones emotions. He needs a release and it becomes Bartleby. Unfortunately because the lawyer becomes so consumed in Bartleby his work suffers. He is not able to keep business flowing because Bartleby has refused to copy any longer. Bartlebys inconvenience and unreasonable attitude is brought to the lawyers attention by his co-workers, Nippers and Ginger Nut. They represent the voice of reason when they tell the lawyer that he is being illogical allowing Bartleby to continue to stay at the office while not being employed any longer and failing to pay rent. They try to shed light on the lawyers situation by telling him to get rid of Bartleby because he is useless. This evolves into an internal struggle for the lawyer because Bartleby has become in many ways his confidant and friend, I had a singular confidence in his honesty (1102). He has come to rely on Bartleby to be consistently present, he was always there; first in the morning, continually through the day, and the last at night (1102). It is apparent that although the lawyer should give u p Bartleby, he does not want to. Bartlebys role is also to criticize the world in which the lawyer lives. In his subconscious mind, the lawyer feels like he is caged by his profession. He is walled off from the world by Wall Street. The pressure of the lawyers profession is further shown by the description of the two eccentric scriveners he works with. Nippers and Ginger Nut cannot get through the day without a drink. They are obviously unhappy with their professions and frustrated with their existences. With Bartlebys refusal to do work, he is challenging the lawyer to do the same. But instead the lawyer underestimates Bartleby and unknowingly shrugs off the challenge. The walls in the story are symbolic of the limitations that both the lawyer and Bartleby feel. They entrap these characters into feeling as if there is no way out of the profession that they have chosen. Furthermore the walls can be symbolic of the limitations that society imposes on all of its members. Such limitations include rules imposed by the government, norms that everyone is expected to follow, and the thought that once a profession is chosen one must stick with that profession until the end. Bartleby is attempting to challenge these limitations by not actively participating in the society in which he lives, another internal desire of the lawyer. He ultimately fails by dying within the walls of a prison yard, symbolizing his inability to actively resist the limitations. Bartlebys continued refusal to do work within the Wall Street office mirrors the internal struggle in the lawyers mind. Bartleby resounds with his insistence that he prefers not to conform to the pressures and unhappiness of mainstream society. This attitude appropriately represents a voice deep within the lawyer himself. He wants to change his way of life but he does not know how. He envies Bartlebys ease of quitting in order to maintain his integrity and composure. The fact that Bartleby refuses to leave the lawyer is a further indication of the ongoing protest in the lawyers mind. Ultimately Bartlebys lesson to the lawyer is not heard because he is eventually dismissed and locked up in prison. His lesson fails to reach the lawyer because Bartleby is suppressed by society. The ending note of the story seems to be a warning that everyone must conform and stay within the limitations that society imposes. A warning of what is to come to those who question.

The Mafia As A Corporation Essay -- essays papers

The Mafia As A Corporation Violence, blackmail and corruption as business terms, one would doubtfully consider them commonplace, but in the Mafia, nothing is. Looking at the history surrounding the Mafia, and the motivations apparent for its unconventional practices will lead one to realize that it is much more a union aimed at entrepreneurial success than the more common notion that it is simply a malicious group of amoral villains, anxious to wreak havoc. For decades the Italian-American Mafia has employed violent to achieve success in a capitalistic sense. â€Å"The Mafia has changed a great deal since the days of the peasant uprisings in sun-baked Sicily. It has found a place within its ranks for business-school graduates, and it has adopted modern banking methods and invested in legitimate corporate ventures.† The Mafia, also known as La Cosa Nostra, is generally composed of Italians or Italian-Americans that work together as entrepreneurial criminals. La Cosa Nostra literally means â€Å"T he thing ours† but is loosely translated as â€Å"our thing.† The Mafia traces its roots back to Sicily, Italy in the 9th century AD when its purpose was to guard the feudal estates of wealthy landlords. When members of the Sicilian Mafia immigrated to the United States they initially excelled in extortion, but soon adopted gambling and prostitution as business ventures. In order to understand the role the Mafia has played in the United States, it is first necessary to study the formation and role of the Mafia in Italy. The Sicilian Mafia is said to have formed around the ninth century when Arabic tribes invaded Sicily. Native Italians were forced into hiding, taking to the hills and mountains in order to stay safe. The Sicilian Mafia formed to protect Italians from the invaders, and eventually rid the region of its unwelcome foreign foes. At this point, Mafiosi (individual members of the Mafia) essentially became middlemen for business transactions in their particular city or town. In his book The Sicilian Mafia, Diego Gambetta describes the process â€Å"When the butcher comes to me to buy an animal, he knows that I want to cheat him. But I know that he wants to cheat me. Thus we need, say, Peppe [that is, a third party] to make us agree. And we both pay Peppe a percentage of the deal.† This method has many implications. â€Å"Peppe† is trusted by both the con... ...expertise into other fields. With this expansion came the fame and fortune that has made the American Mafia famous in the United States. In time, the Mafia honed their skills, and aligned them with common legitimate businesses practices, which has separated them from common criminals, and allowed themselves to excel. Bibliography 1.)Firoentin, Gianluca and Peltzman, Sam. 1995. The Economics of Organised Crime. The Press Syndicate of the University of Cambridge 2.)Gage, Nicholas. 1971. The Mafia is not an Equal Opportunity Employer. Nicholas Gage 3.)Gambetta, Diego. 1993. The Sicilian Mafia. The president and Fellows of Harvard College. 4.)Mangione, Jerre and Morreale, Ben. 1992. â€Å"Who’s afraid of La Mano Nera, ‘The Black Hand?’† New York, Harper Collins. http://organizedcrime.about.com/gi/dynamic/offsite.htm?site=http%3A%2F%2Fwww.mindspring.com%2F%7Ehistoric-ny%2Fblackhand.htm 5.)Nelli, Humbert S. 1976. The Business of Crime: Italians and Syndicate Crime in the United States. Oxford University Press, Inc. 6.)Pitkin, Thomas M. and Cordasco, Francesco. 1977. The Black Hand: A Chapter in Ethnic Crime. Littlefield, Adams & Co. The Mafia As A Corporation Essay -- essays papers The Mafia As A Corporation Violence, blackmail and corruption as business terms, one would doubtfully consider them commonplace, but in the Mafia, nothing is. Looking at the history surrounding the Mafia, and the motivations apparent for its unconventional practices will lead one to realize that it is much more a union aimed at entrepreneurial success than the more common notion that it is simply a malicious group of amoral villains, anxious to wreak havoc. For decades the Italian-American Mafia has employed violent to achieve success in a capitalistic sense. â€Å"The Mafia has changed a great deal since the days of the peasant uprisings in sun-baked Sicily. It has found a place within its ranks for business-school graduates, and it has adopted modern banking methods and invested in legitimate corporate ventures.† The Mafia, also known as La Cosa Nostra, is generally composed of Italians or Italian-Americans that work together as entrepreneurial criminals. La Cosa Nostra literally means â€Å"T he thing ours† but is loosely translated as â€Å"our thing.† The Mafia traces its roots back to Sicily, Italy in the 9th century AD when its purpose was to guard the feudal estates of wealthy landlords. When members of the Sicilian Mafia immigrated to the United States they initially excelled in extortion, but soon adopted gambling and prostitution as business ventures. In order to understand the role the Mafia has played in the United States, it is first necessary to study the formation and role of the Mafia in Italy. The Sicilian Mafia is said to have formed around the ninth century when Arabic tribes invaded Sicily. Native Italians were forced into hiding, taking to the hills and mountains in order to stay safe. The Sicilian Mafia formed to protect Italians from the invaders, and eventually rid the region of its unwelcome foreign foes. At this point, Mafiosi (individual members of the Mafia) essentially became middlemen for business transactions in their particular city or town. In his book The Sicilian Mafia, Diego Gambetta describes the process â€Å"When the butcher comes to me to buy an animal, he knows that I want to cheat him. But I know that he wants to cheat me. Thus we need, say, Peppe [that is, a third party] to make us agree. And we both pay Peppe a percentage of the deal.† This method has many implications. â€Å"Peppe† is trusted by both the con... ...expertise into other fields. With this expansion came the fame and fortune that has made the American Mafia famous in the United States. In time, the Mafia honed their skills, and aligned them with common legitimate businesses practices, which has separated them from common criminals, and allowed themselves to excel. Bibliography 1.)Firoentin, Gianluca and Peltzman, Sam. 1995. The Economics of Organised Crime. The Press Syndicate of the University of Cambridge 2.)Gage, Nicholas. 1971. The Mafia is not an Equal Opportunity Employer. Nicholas Gage 3.)Gambetta, Diego. 1993. The Sicilian Mafia. The president and Fellows of Harvard College. 4.)Mangione, Jerre and Morreale, Ben. 1992. â€Å"Who’s afraid of La Mano Nera, ‘The Black Hand?’† New York, Harper Collins. http://organizedcrime.about.com/gi/dynamic/offsite.htm?site=http%3A%2F%2Fwww.mindspring.com%2F%7Ehistoric-ny%2Fblackhand.htm 5.)Nelli, Humbert S. 1976. The Business of Crime: Italians and Syndicate Crime in the United States. Oxford University Press, Inc. 6.)Pitkin, Thomas M. and Cordasco, Francesco. 1977. The Black Hand: A Chapter in Ethnic Crime. Littlefield, Adams & Co.

Noreaster Maximizing Revenue

According the Kettle and Keller (201 2), this analysis will help to identify areas that affect a company's ability to earn profits. BOA is the leading financial service provider in twenty-three major cities. They are also the number one in online & mobile banking and mortgage services. They strengths lies within building a strong brand, multiple financial service offerings, engaging customers, and customer service. However, their weakness became prevalent when the decision was to made to only offer mobile banking to customers who already had an online banking account.This left an untapped market exposed to competition and BOA risked losing customers and reducing their market share. BOA also ignored a large mobile market of non smart phone users who would use the SMS-technology for mobile banking. This left 85% of potential mobile phone customers available to be snatched by competition, such as Comparing Chase ; who decided to roll- out their mobile banking with mobile messaging. Iden tifying the external opportunities and threats are also important for a company to remain competitive.Kettle and Keller (2012) define marketing opportunity as an area of buyer need an interest that a company determines to be profitable. BOA decision to enter into the mobile banking industry was critical to their long-term success. In the case study, several forecasts were reported to show the future projections of mobile phone users and mobile banking transactions to grow 600% by 2014. Additional opportunities to service their mobile banking customers is available as customer needs and technology changes. The main threat that BOA faces is their competition.There are ten banks that support almost 50% of the U. S. Market. While BOA is the currently the largest, their competition still exists and offers similar services. Another threat that exists is the customers apprehension to use online or mobile banking. The case study states that 1% of BOA customers used online banking. Customers states that they didn't see the value in online-banking concerns about security, and cost of data usage through cell- phone providers. BOA should focus on addressing these concerns in order to build their mobile banking customers.

Basic Information About Adult Education

Basic Information About Adult Education With so  many adults  returning to the classroom, the term adult education has taken on new meanings. Adult education, in the broadest sense, is any form of learning adults engage in beyond traditional schooling that ends in their 20s. In the narrowest sense, adult education is about literacy- adults learning to read the most basic materials. Thus, adult education encompasses everything from basic literacy to personal fulfillment as a lifelong learner and the attainment of advanced degrees. Andragogy and Pedagogy Andragogy is defined as the art and science of helping adults learn. Its distinguished from pedagogy,  the school-based education  traditionally used for children. Education for adults has a different focus, based on the fact that adults are: More self-directed and require less guidanceMature and bring more experience to the task of learningReady to learn and primed to learn what they need to knowMore oriented to learning that is problem-centered rather than subject-centeredMore internally motivated to learn Functional Literacy One of the primary goals of adult education is functional literacy. Organizations like the U.S. Department of Education and the United Nations Educational, Scientific and Cultural Organization (UNESCO) work tirelessly to measure, understand, and address adult illiteracy in the U.S. and around the world. Only through adult education can we address the real problems of society- like power sharing, wealth creation, gender and health issues. said Adama Ouane, director of the UNESCO Institute for Lifelong Learning. The programs of the Division of Adult Education and Literacy (part of the U.S. Department of Education) focus on addressing basic skills such as reading, writing, math, English language competency, and problem-solving. The goal is for American adults get the basic skills they need to be productive workers, family members, and citizens. Adult Basic Education In the U.S., each state is responsible for addressing the basic education of their citizens. Official state websites direct people to classes, programs, and organizations designed to teach adults how to read prose, documents like maps and catalogs, and how to make simple computations. Getting a GED Adults who complete basic adult education have the opportunity to earn the equivalent of a high school diploma by taking the General Educational Development, or GED, test. The test, available to citizens who have not graduated from high school, gives them the chance to demonstrate the level of achievement normally achieved by completing a course of study in high school. GED prep resources abound online and in classrooms around the country, designed to help students prepare for the five-part exam. The GED comprehensive exams cover writing, science, social studies, math, arts and interpreting literature. Adult Education and Continuing Education Adult education is synonymous with continuing education. The world of lifelong learning is wide open and covers a variety of circumstances including: Going to college for the first time after age 25Returning to college to finish a degreeWorking toward a graduate degreeLearning a technical skillEarning CEUs for professional certificationTaking classes at your local community center for the sheer fun of it