Sunday, December 29, 2019

Comparative Essay Toms Party V.S. Gatsbys Party

Joanne Kwan April 24, 2012 Comparative Essay: Tom’s Party v.s. Gatsby’s Party The comparison between the two parties of Tom and Gatsby portrays the main difference between a Manhattan party and a West Egg (New money) party. F. Scott Fitzgerald, the author, uses this comparison to portray the 1920’s as an era of corrupted social and moral values. Although the parties at both Tom and Gatsby’s are drenched in alcohol, the motivation behind the parties is different. Tom’s main goal in throwing a party at Manhattan was to please Myrtle. The party was situated in Manhattan because Tom couldn’t risk affecting his social status by openly associating with his mistress, Myrtle, while his wife Daisy was resided in East Egg. Despite Tom’s†¦show more content†¦The description above illustrates an image of a small sized room, filled with expensive, over-sized materials that are too big for the small room they have. This portrayal informs us of how Tom is trying to bring the riches of East Egg into Manhattan to allow Myrtle to h ave feel as if she is a part of the wealthy society and parties. In contrast, Gatsby’s party was hosted at his own house, a mansion, filled with extravagant furniture, bars, gardens, orchestra, and workers. The guests all wore evening gowns charged with various colors and spirit. As opposed to Tom, Gatsby didn’t have to go to Manhattan to throw a party since he had nothing to hide. Instead, he wanted to make known of his lavish parties. He wanted people to talk about him as the mysterious wealthy man. He wished to be the main gossip of the town, hoping that one day it will grasp Daisy’s undivided attention and love. Overall, F. Scott Fitzgerald portrays the 1920s as an era of corrupted social and moral values. Fitzgerald supported its corruptness with never-ending skepticism, greed, and shallow pursuit of pleasure that was embedded into the atmosphere. Tom, the Old money, never had to work for his wealth. As a result, he is unable to be fully satisfied. Tom is u nconsciously required to be entertained. He seeks after pleasure and entertainment to save himself from realizing how pathetic and pointless he truly is, despite

Saturday, December 21, 2019

Values Essay - 1019 Words

This Essay is to explain the Army Values and how they pertain to the mistake I made. In the US army we are taught to live by the 7 army values. They are broken down to us in the acronym ‘LDRSHIP’. Loyalty â€Å"Bear true faith and allegiance to the U.S. constitution, the Army, and other soldiers.† Duty â€Å"Fulfill your obligations.† Respect â€Å"Treat people as they should be treated.† Selfless Service â€Å"Put the welfare of the nation, the Army and your subordinates above your own.† Honor â€Å"Live up to the army values.† Integrity â€Å"Do what’s right legally and morally.† and Personal Courage â€Å"Face fear, danger or adversity (physical or moral).† We are all drilled on these 7 army values from day one of basic training. First we†¦show more content†¦It requires you to be candid and sincere with your peers, subordinates, and superiors. Integrity calls upon you to be h onest and honorable in word and deed at all times. Integrity means doing the right thing even if there is no one watching. To have integrity a person must have the ability to distinguish the difference between right and wrong, so that when a controversial issue arises the right and honorable thing will be done. It is an important role in the values because if one does not have integrity they cannot be trusted on in a time of need or when you are working side by side with them in every day work. What they say cannot be taken on word alone. I usually take my integrity very seriously, and it makes me sick to think that I gave that up for something so stupid. We must have integrity because if we don’t we are untrustworthy and unreliable. These are 2 things I never want associated with my name. Finally I have been doing research for this and other items in my plan of action. I found a section of TRADOC Reg 350-10 it states â€Å"2-14 The success of institutional training depends on having experienced SGLs, SSGLs and instructors who are leadership mentors, role models, and teachers. Small group leaders, SSGLs and instructors conduct leadership assessments, counseling, and assist students to identify strengths, weaknesses, and actions to improve performance.† This statement has made me truly evaluate myShow MoreRelated AMERICAN VALUES Essay689 Words   |  3 Pageseducational and moral values. These are the three values that affect society today the most, I think. Society may look down on people if they do not live by what society thinks is correct. For example if a persons values are corrupt then society will look down on that person, but if a person has real high morals then society will think that they are fake of just a â€Å"goodie†. In society today you will be looked down anyway your moral beliefs are. nbsp;nbsp;nbsp;nbsp;nbsp;The first value that I think hasRead MoreValue Alignment Essay1221 Words   |  5 PagesValue Alignment for Wal-Mart Fadi Anadri, Betrina Hood, Schercitha Miller, Samantha Redfearn BUS/475 Bill Crigger July 21, 2010 Value Alignment for Wal-Mart An individual’s personal values depict what is important in his or her life, and such values often determine his or her behavior. Furthermore, values are an enlightenment of why people act or react the way they do, based on their personal beliefs. The combined values of an individual and organization must be compatibleRead MoreValues Essay1026 Words   |  5 Pages Values Pamela Dyer Southern New Hampshire University Policy, Law, ethics NUR480 Professor S. Butler February 26, 2015 Values Our values define who we are. They are the fundamental beliefs that guide our actions and behavior. They influence the way we interact with others and our thought process. Every day, each one of us makes choices and decisions that directly affect the way we experience each other and the way others experience us. Values, in essence are what motivates us. The values thatRead MoreValue of Life: Priceless Essay640 Words   |  3 PagesValue of Life Essay How does one put a value upon life? That is the question that surfaces in the mind of every individual at least once in a lifetime. The answer is not a definite one. Everyone has various beliefs and morals; this makes manifesting life’s value into a definite answer a daunting task. I believe every individual holds a personal value of life, each of us appreciate different aspects of life more than other. Life is priceless. There is no specific value that can be placed upon itRead MoreMy Personal Values Essay1355 Words   |  6 PagesMy personal values Values are those things that are important, meaningful and valued by an individual, a group of people, or an organization. Whether we are aware of them or not, every individual has his or her core set of values, which consist of many different kinds of values. Each individual’s value system is different from one another because individual’s values are built up through one’s life experience, environment, and family background.   Values are important to us because they reflectRead MoreEssay about Family Values507 Words   |  3 Pages When raising a child one is taught values by their families that they feel are important for their child to have. I believe that family values consist of certain actions and qualities that are important to a family to uphold. Values that are important in my family are honesty, trust and to have respect for others. Each of these values is equally important in my family. They played a big role into making me the person I am now. Growing up in my family taught me that honesty is the best policyRead MoreThe Value of Human Life Essays543 Words   |  3 PagesValue of Human Life Though our society has adapted and developed, inequality remains prevalent all around the world. Our society assigns value to human live based on ethnicity and gender. Currently around the world there are over 30 million slaves in which 60,000 are in the United States. Even though slavery has been abolished in nearly every country many people still measure the value of individuals in cents and dollars. Should life be calculated in terms of money? How should we as a societyRead MoreValue of Life Essay897 Words   |  4 Pageslife is full of meaning. As humans, we assign value to many things. However, what happens when we assign a specific value to a human life? This is the issue being presented in the article, â€Å"What is a Life Worth,† by Amanda Ripley. The government is determining a monetary value to a human life, and it does not appeal to the masses. There are many problems with the cold calculation, and most people cannot see the other side of the numbers. The economic value of a human life is calculated based on theRead MoreEssay on Edward Jones: Values and Goals1083 Words   |  5 PagesEdward Jones: Values and Goals A fourteen year veteran of Edward Jones counted one of the perks of her job as reading client thank you notes penned when children went to college, or when retirements were launched a little bit early (Wolfe, 22 Feb 2002). This veteran could have counted many other types of perks such as salary, career advancement, etc., but she did not. She stated the intangible, intrinsic benefits like â€Å"thank you† notes and personal greetings. Many other employees stated similarRead More The Value of Life Essay1133 Words   |  5 PagesShould people put the value of life into monetary value or should life be kept solely as an emotional quantity? People and societies throughout the ages have been trying to answer the problem of putting the value of life into terms of dollar bills. The ancient Egyptians buried their dead with all of their worldly belongings. They believed a person’s monetary worth on Earth was over, and they should take all of that earthly worth with them to t he afterlife. Modern day Americans are different from

Friday, December 13, 2019

Garbage and Recycling Free Essays

One of the most pressing environmental issues facing the contemporary society is the issue of garbage. As much as the global population continues to rise, people have become more wasteful and the products of modern convenience such as plastics have rendered the earth a dumping ground for non biodegradable refuse. This problem crosses all international boaders and touches of all the world people. We will write a custom essay sample on Garbage and Recycling or any similar topic only for you Order Now Although some specialists argue that recycling is not good and beneficial from an economic perspective, some people believe it will reduces the need for new landfills, creates job, saves energy, and conserves resources. Increasing in Population results an increase in waste which requires finding and buying more landfills to bury the increasing amount waste, and this is becoming a very serious problem in many areas around the world. The question is how can government find a place for the huge quantities of material where does not affect humans health. Every Canadian knows that Toronto has world-class garbage problems. A growing number of Torontonians feel uncomfortable about shipping garbage to distant landfill sites. Until 2010, our trash will continue to be shipped to Michigan, and then it will be dumped at a newly purchased landfill site near London, Ontario (News at U of T). But within the next four or five years, the city needs to choose more alternate method for dealing with residual wastes. Diseases from poisonous gases and micro-organisms in the air near garbage dumps and poisoning by polluted underground water and soil may result in serious health problems too. The UN Development Programme (UNDP) estimates that more than five million people die each year from diseases related to inadequate waste disposal systems. Therefore, Landfills are not seen as attractive additions to the neighborhood. Neighborhoods are concerned about not only health hazards but also noises, increased traffic, lowered property values, toxic gases and effluents, and all these problems mean for the government spending more money to overcome such problems, but recycling seems to be the only solution. Recycling can reduce some of these costs, and communities can even make money by selling certain recyclable materials (Lopez). Many people think that landfills and incinerators are more cost- ffective than recycling, but it is not true. Statistics show that when recycling programs are designed properly, they save at least as much money as landfills an incinerators would. A large percentage of waste that is brought to the landfills can be recycled or reused. By paying close attention to what we are putting in our garbage cans and recycling materials whenever possible we can increase the stream of goods produced by recycling rather than using up precious space and money in landfills. Recycling not only cut down our litter it can add to our growing economy by saving energy. Energy savings can be seen when most materials are recycled. One example of valuable energy savings is the recycling of aluminum cans. It takes 95 percent less energy to recycle an aluminum can than it does to make a new can from bauxite ore (denver). Plastic bags made from recycled polythene rather than virgin materials save two thirds of the energy required for production and reduce the water used by almost 90% , or recycling a single glass bottle can save enough energy to light a 100-watt light bulb for 4 hours (Thrope). According to the U. S. Environmental Protection Agency, in 2000, recycling resulted in an annual energy savings of at least 660 trillion BTUs, which equals the amount of energy used in 6 million households annually (Denver). Companies that make new products from recycled material use 30 percent less energy. That’s because they don’t have to process the raw materials from scratch. For example, a company in Cedar Rapids, Iowa, called Cedar River Paper makes cardboard boxes by recycling paper products from all over the Midwest. If Cedar River Paper didn’t use recycled materials, they’d use up a lot of a trees – and a lot of energy to cut them down, transport them hundreds of miles and grind them into paper pulp (Rinaldi). http://www. alliantenergykids. com/stellent2/groups/public/documents/pub/phk_ee_001509. hcsp Recycling generates significant economic benefits by creating jobs for communities. In fact, the Office of the Federal Environmental Executive estimates that recycling and remanufacturing industries account for approximately one million manufacturing jobs and more than $100 billion in revenue. As a matter in fact, the drive for efficient handling and use of recycled materials spurs innovation which is a key to long-term economic growth. Recycling is a very important step in slowing down and eventually stopping wasting of earth’s natural resources. In other words, The less we concentrate on recycling, the more we will rely on use natural resources which will results in depletion of the world’s natural resources and the increase of garbage mass. By reusing materials and re-manufacturing them into new products we are reducing the amount of virgin natural resources that we need to use. . For example, for every ton of recycled paper that we use we can save 17 trees (denver),but unfortunately, paper and its derived products such as carton are now being recycled successfully everyday. Can you imagine that 44 million newspapers are thrown away every day in the United States. This is like throwing 500 000 trees into a landfill each week. The loss of natural resources affects animals too. Our landfills are taking over animal’s habitats and causing many species to become endangered. For example, Animals like black footed ferrets and prairie dogs are in danger of becoming extinct (Baron). We should think broadly because recycling has a large impact in our economy over the past few decades. Although recycling of wastes entail large hidden costs in collecting, sorting, and manufacturing, it can solve issues concerning landfills. When we recycle our waste products rather than throw them all in the garbage we save room in landfills. Recycling plants also create many more jobs than people would think. Recycling activities around the country promote community development while reducing the need for new landfills, preventing pollution, saving energy, and preserving natural resources. The economic value of clean air, water and land is significant, but difficult to quantify. Since recycling plays an important role in protecting these natural resources it must be attributed an economic value in this context, as well (Rinaldi). How to cite Garbage and Recycling, Essay examples

Thursday, December 5, 2019

Clinical Decision Making Promoting Health in Extended Care

Question: Discuss about the Clinical Decision Making for Promoting Health in Extended Care. Answer: Introduction: Clinical reasoning can be alternatively called as clinical conclusion, trouble shooting, decision making and critical thinking. Clinical reasoning is a way of thinking of clinicians and nurses in the management of patients. In clinical reasoning two very important points to be considered are clinical conclusion to identify exact problem of the patient and clinical decision making to give appropriate treatment to the patient. In this case application of clinical reasoning by the nurses in two priority areas like impact on ADL performance and increased fall and injury risk in Johann Silvermann are discussed (Thompson and Dowding, 2002; Elstein and Bordage 1991; Levett-Jones et al., 2010). Impact on ADL performance: First care priority identified was potential impact on ADL performance. Johann Silvermann has tremors in hands. This leads to the disturbance in performing day to day activities like cooking, tea making, doing buttons of shirt and shoe laces. This is common in elderly patients and moreover is suffered with Parkinson's disease which is also responsible for the tremors. In this situation there are both the possibilities like negative and positive functional consequences. In negative, he can get affected psychologically due to inability to do work and on positive side, he can become determined to perform the tasks with all odds (Kozak-Campbell and Hughes, 1996). In this scenario action taken by the purposeful intervention by the nurse can definitely help Johann to boost physically and psychologically to improve his performance (Tanner, 2006; Dalton et al., 2015; Levett-Jones et al., 2010; Levett-Jones et al., 2010). Nurse should keep in mind that Johann is staying alone and moreover, he is not willing to stay with his brother. He is not financially sound to keep an assistant for his help for daily activities. Nurse should know about Johanns disease and routine activities. This information should be collected from the observation and discussion with him. Nurse should know what are the difficulties and since how long he is facing difficulties in doing daily activities. Nurse also should know about, the way he wishs to have assistance in doing his daily activities. So that he should feel more comfortable during nursing care. While helping him in his daily activities nurse should make sure that he should not feel completely dependent on the nurs e, otherwise there is the possibility that it can hurt his self-respect. From the collected information nurse should interpret type of daily activities in which he need support, most important activity for him, sequences of activities he required, is there any other better way to perform his activities, what difference would be there in his earlier activities and planned activities, whether it would really give advantage, relief and satisfaction to him by assisting him in his daily activities. Nurse should discuss this plan with Johann and understand his view on this plan. This discussion would help to make conclusions of exact requirement of the Johann in his daily activities and possibility to amend and improve the plan according his comfort without affecting his dignity. Nurse should set some definitive goal for Johann for his ADL performance (Brnnstrm et al., 1991; Carpenter et al., 2006; Ciro, 2014). This goal should be for making him comfortable in daily activities by physical ly helping him, giving him moral boost to perform activities, so that he can build his self-confidence and time plan should be set in stepwise manner like there should be his satisfaction, comfort and improvement in few activities in first week and others in month. Assistance was provided to Johann in terms of transfer within his home, dressing, eating, toilet use, and personal hygiene (Morris et al., 1999). These activities were divided into independent eating, supervision transfer within the home eating, limited assistance personal hygiene and extensive assistance toilet use and dressing. These activities were evaluated after set time points like one week and month. In case of transfer within the home and eating there was improvement in the one month as compared to the first week. At the end of the month, Johann didnt required supervision as nurse got confidence that he can move within the home and eat without assistance without any discomfort. There was also improvement in t he limited assistance task of personal hygiene. In first week, Johann required little assistance for brushing tooth and bathing. However, at the end of the month, he was able to it under supervision without assistance. Extensive assistance tasks such as toilet use and dressing didnt exhibited improvement in at the end of one month (Charles et al., 2007). I was thrilled and excited to assist Johann in his daily activities. I learned that management of patient in terms of non-medicine management is more challenging than management of patients with medicine management. I understood that, in the management of patient with non-medicine management like to assist in ADL is not completely textbook and academic dependent, however it was more related to experience and understanding skills about others conditions and problems. In this case, I got more confidence about my capability of handling non-medicine management of the patient. Fall and injury risk: Second care priority identified was increased fall and injury risk. Johann Silvermann is 77 years old having Parkinson's disease and he is staying alone in his two- storey home. Old people are more prone to fall due to their physical and psychological conditions. Johann has to perform all his activities on his own and in recent times he is not comfortable of doing routine work also. Moreover, as he is staying in two-storey home there is the possibility of fall. Fall and injury of Johann can have both negative and positive impacts. In terms of negative impacts due to the fall, he can have serious injuries and as he is staying alone, there is possibility that his fall remains unnoticed and proper management of injuries is not possible in time. On the other hand, fall can have positive impact also. Johann can learn from the fall and he can be more careful to prevent the fall (Kozak-Campbell and Hughes, 1996). Nursing management can be the best choice for the management of fall and injury of Johann (Tanner, 2006; Dalton et al., 2015; Levett-Jones et al., 2010; Levett-Jones et al., 2010). Nurse should understand that Johann is old, staying alone and he is having difficulties in doing his routine work. To know more about the fall condition of the Johann, nurse should collect information from him about his fall, she should go through all his previous reports to find out information about fall, and nurse should check previous medications for fall. After collecting the information, nurse should interpret his condition and understands the reasons for his fall. Nurse should avoid irrelevant information like fall due to the performing task beyond the capabilities. Nurse should relate fall during normal task and fall during performing task beyond the capabilities. Nurse should evaluate fall risk of Johann through shingle leg stance test and timed up and (TUG) test (Whitney et al., 2005; Deandrea et al., 2010; Phelan et al., 2015). Nurse should make inferences from the current situation and the previous evidence that fall during the normal task or daily activities is a serious problem in case of Johann. Nurse should set goals of one month to prevent fall of Johann. Nurse should plan for exercise, administration of high dose of vitamin, withdrawal or reduced frequency of medications for Parkinson's disease and use of body protectors. Nurse should assign exercise for Johann daily for 15 minutes to maintain balance of the body. Nurse should start administering high dose of vitamin D for one month. Frequency of administration of medications for Parkinson's disease to the Johann should be reduced for one month. Johann should be provided with body protectors like hip, elbow protectors while doing daily activities and at the time of toilet use. After the completion of each task, nurse should evaluate the outcome. In case of exercise, after initiating exercise fall frequency was evalu ated after one week and it was observed that there was no fall within this week. During the administration of vitamin D for the period of one month, there were two falls occurred in the first 15 days, however there was no fall in the next 15 days of vitamin D administration. In case of withdrawal of medications of Parkinson's disease also three falls happen in the first 15 days of medicine withdrawal and in next 15 days there was no fall. After the body protector use, there was no injury observed for Johann in one month period (Hill et al., 2008; Bell et al., 2012). In this case of fall and injury management of Johann, I learned to manage both medicine and non-medicine management of the patient in same case. I understood that giving confidence to the patient is very important to see improvement in his condition. Conclusion: Clinical reasoning was applied in the two priority areas like impact on ADL performance and increased fall and injury risk in Johann Silvermann . While applying clinical reasoning, nurse made clinical conclusion by from information gathered, evidences available, made decisions based on instinct and pattern recognition. Nurse applied rational methodology by collecting cues, processing the information, making decision, planning and implementing the management strategy, evaluating the result and reflecting on the learning process. It has been observed that application of Millers functional consequences theory framework and Levett-Jones clinical reasoning proved successful in managing the condition of the patient. References: Bell, J.S., Blacker, N., Edwards, S., et al. (2012). Osteoporosis-pharmacological prevention and management in older people. Australian Family Physician, 41, 1108. Brnnstrm, B., Gustafson, Y., Norberg, A., Winblad, B. (1991). ADL performance and dependency on nursing care in patients with hip fractures and acute confusion in a task allocation care system. Scandinavian Journal of Caring Sciences, 1, 3-11. Carpenter, G.I., Hastie, C.L., Morris, J.N., Fries, B. E., Ankri, J. (2006). Measuring change in activities of daily living in nursing home residents with moderate to severe cognitive impairment. BMC Geriatrics , 6(7), DOI: 10.1186/1471-2318-6-7. Charles, P.D., Shen, R., Chen, M., Sherman, M. (2007). Evaluating nursing home performance indicators: An illustration exploring the impact of facilities on ADL change. The Gerontologist, 47(5), 683-689. Ciro, C.A. (2014). Maximizing ADL Performance to facilitate aging in place for people with Dementia. Nursing Clinics, 49(2), 157169. Dalton, L., Gee, T., Levett-Jones, T. (2015). Using clinical reasoning and simulation-based education to flip the enrolled nurse curriculum. Australian Journal Of Advanced Nursing, 33(2), 28-34. Deandrea, S., Lucenteforte, E., Bravi, F., Foschi, R., La Vecchia, C., Negri, E. (2010). Risk factors for falls in community-dwelling older people: a systematic review and meta-analysis. Epidemiology, 21, 65868. Elstein, A. and Bordage, J. (1991). Psychology of clinical reasoning. In: Dowie, J., Elstein, A. (Eds.), Professional Judgment: A Reader in Clinical Decision-Making. Cambridge University Press, New York. Hill, K.D., Moore, K.J., Dorevitch, M.I., Day, L, M. (2008). Effectiveness of falls clinics: an evaluation of outcomes and client adherence to recommended interventions. Journal of the American Geriatrics Society, 56, 6008. Kozak-Campbell, C., and Hughes, A.M. (1996). The use of functional consequences theory in acutely confused hospitalized elderly. Journal of Gerontological Nursing, 22(1), 27-36. Levett-Jones, T., Sundin, D., Mark, B., Hague, K., et al. (2010). Learning to think like a nurse. HNE Handover For Nurses And Midwives, 3(1), 15-20. Levett-Jones, T, Hoffman, K., Dempsey, J., Jeong, S.Y., et al. (2010). The 'five rights' of clinical reasoning: an educational model to enhance nursing students' ability to identify and manage clinically 'at risk' patients. Nurse Education Today, 30(6), 515-20. doi: 10.1016/j.nedt.2009.10.020. Morris, J.N., Fries, B. E., Morris, S. A., (1999). Scaling ADLs within the MDS. Journal of Gerontology: Medical Sciences,54A,M174-M182. Phelan, E.A., Mahoney, J. E., Voit, J. C., Stevens, J.A. (2015). Assessment and management of fall risk in primary care settings. Medical Clinics of North America, 99(2), 281293. Tanner, C.A. (2006). Thinking like a nurse: A research-based model of clinical judgment in nursing. Journal of Nursing Education, 45(6), 204-211. Thompson, C. and Dowding, D. (2002). Clinical Decision Making and Judgement in Nursing. Churchill Livingstone, Sydney. Whitney, S.L., Wrisley, D.M., Marchetti, G.F., Gee, M.A., Redfern, M.S., Furman, J.M. (2005). Clinical measurement of sit-to-stand performance in people with balance disorders: validity of data for the Five-Times-Sit-To-Stand Test. Physical Therapy, 85(10), 1034-45.