Tuesday, November 26, 2019

The History and Deculturalizat essays

The History and Deculturalizat essays The Discovery of America Brings Annihilation When Christopher Columbus landed on Hispaniola, the estimates for the number of Native Americans were astronomical in comparison to what the number is today. Estimates place 800 separate nations, with one-hundred fifty language families and 1,500 to 2,000 dialects. Population studies show between 75 to 145 million inhabitants in North and South America (Buan, 1991). By 1890, the number in North America had been reduced to 250,000. Total nations have been annihilated. When the Spaniards came to North America, Europe had already been ravaged with smallpox, measles, bubonic plague, diphtheria, influenza, yellow fever, typhoid, syphilis, tuberculosis and a host of other plagues. But the Americas had been isolated from these great ravages. When the sailing ships appeared on the horizon, they came not only to plunder but to spread their diseases as well. While it is not documentable that the Spanish deliberately spread diseases, it is well documented that they were merciless with the natives. Whole nations were destroyed by the invaders and their European plagues. Estimates nearing a 98% death rate from diseases alone are not uncommon. Three important points to remember for effective biological munitions are: first, the introduction of chronic illnesses for which there is no known cure. The second, cloak the toxin under a guise so the enemy takes it unawares until it is too late. Finally, combine weapons so that what one weapon fails to accomplish, the subsequent weapons will finish. The British had seen the effectiveness of diseases among the natives and employed a disguise. Diseases were not fast enough to accomplish the dreaded annihilation, so they combined this biological warfare with the sword, guns and hunting dogs as the Spanish did to exterminate the vermin. That the mercilessness of the British was not forgotten by invading settlers can be seen on the Trail of Tears. On the Tr...

Saturday, November 23, 2019

The Main Arguments for and Against Hunting

The Main Arguments for and Against Hunting Legitimate arguments abound for and against hunting for the control of the population of deer and other â€Å"nuisance† wildlife; or for sustenance for people who kill animals so they can eat them. For many people, the issue is complex, particularly for those who are (and intend to remain) meat eaters. After reading the arguments pro and con, you may find yourself leaning strongly to one side–or you may find that youre still on the fence. What Is Meant By Hunting? Most people who argue in favor of hunting are not arguing in favor of trophy hunting, the practice of killing an animal simply to show off its head and pelt. Trophy hunting is, in fact, abhorred by the majority of the public. Often, the animal being hunted is a rare or endangered animal, but even trophy hunting for wolves, moose,  and  bears  is unpalatable to many people.   The killing of wild animals for food is a different story. Though it was, at one time, a way of life so people could survive, today, hunting is a controversial issue because it is frequently regarded as a recreational activity. Many people are concerned about safety issues, and society’s attitudes towards animals are changing. Some hunters oppose certain practices they consider unethical, such as baiting, canned hunting (in fenced areas), and hunting of stocked animals. At the heart of the non-trophy hunting debate in the United States is one  species: white-tailed deer. In many areas in the U.S., white-tailed deer flourish because of the lack of natural predators and the abundance of deer-friendly habitat. As pockets of green space shrink and disappear in our suburbs, the species has become the center of the debate over hunting, and many who consider themselves neither hunters nor  animal activists  find themselves drawn into the debate. The debate centers on practical and ethical issues including deer management, human/deer conflicts, non-lethal solutions, and safety. Arguments in Favor of Hunting Hunting proponents argue that hunting is safe, effective, necessary, and inexpensive to taxpayers.The injury rate for hunting is lower than that of some other forms of physical recreation, such as football and bicycling.Proponents argue that hunting is an effective form of deer management because it will remove a number of individual deer from a population and prevent those individuals from reproducing.Since natural deer predators have been eliminated in many areas, hunters argue that hunting is necessary to perform the function of wolves or cougars in keeping the deer population in check.Hunting proponents also argue that reducing the deer population will reduce human/deer conflicts, such as car/deer collisions,  Lyme disease, and landscaping damage.Compared to sharpshooters and immunocontraception, hunting is inexpensive to taxpayers because hunters will kill the deer for free. Also, hunting permits are sold by state wildlife management agencies, which are partially or fully supp orted by the sales of permits. Hunters argue that killing the deer is better than letting them starve to death.Hunters argue that hunting is a tradition, a ritual or a bonding experience.Regarding ethics, hunting proponents argue that killing a deer for food cannot be worse than killing a cow or a chicken. Furthermore, unlike the cow or the chicken, the deer lived a free and wild life before being killed and had a chance to escape.Hunters also argue that killing a number of deer benefits the ecosystem as a whole. Arguments Against Hunting Hunting opponents argue that hunting is unsafe, ineffective, unnecessary, and unfair to taxpayers.Opponents point out that compared to other forms of recreation, hunting injuries are far more likely to be fatalities. Approximately 100 people die in  hunting accidents  in the US every year, and unlike other forms of recreation, hunting endangers the entire community and not just the willing participants.Opponents also argue that hunting is ineffective for solving human/deer conflicts. Studies show that car/deer collisions increase during hunting season because hunters frighten the deer out of the woods and onto roads.Contrary to popular belief, hunting  does not address Lyme disease  because the ticks are usually spread to grassy areas where humans find them by mice, not deer. In fact, hunters who dress deer or squirrels have a higher risk of tick bites.And as long as suburban landscaping includes deer-preferred plants such as tulips and rhododendrons, that landscaping will at tract hungry deer, no matter  how many deer  there are. It may also be the case that hunting to reduce the number of deer is less effective than contraception. Hunting is ineffective because state wildlife management agencies intentionally keep the deer population high, for hunters.Lands managed for hunting are sometimes purchased and maintained with tax dollars, even though 95% of Americans do not hunt.Hunters out for trophies, such as elk and deer with large racks, are killing the strongest and healthiest of the species, not the weak and starving they claim to be putting out of their misery. Killing the stronger members of the species leaves a permanent consequence for the species as a whole. Resolution The hunting debate may never be resolved. The two sides will continue to debate safety, effectiveness, and cost, but will probably never agree on the ethics of killing wild animals for food or recreation.

Thursday, November 21, 2019

Federal vs State Law Case Study Example | Topics and Well Written Essays - 500 words

Federal vs State Law - Case Study Example The manhunt that followed led police to led police to one Mr. David Harris who after being grilled pointed a finger Randall Adams as the trigger man (Gillers 117). Based on Harris’s testimony, Randall Adams convicted for murder and sentenced to death. The conviction however, later became one of the most infamous miscarriages of justice in America. Mr. Adams, as would later be proved, was not the killer. In fact, he was not in Harris’s car when the officer was killed. He was only railroaded to prison because his shaggy appearance made him look like a criminal as compared to young David Harris. However, in 1980, the Supreme Court ruled that it was unconstitutional for Texas to require that jurors must promise that the obligatory inconvenience of a capital punishment would not meddle with their thought of verifiable matters, for example, blame or purity, amid a trial. The case was eventually thrown out and Adams released after 12 years behind bars. The unconditionality of some of the state laws were eventually put to light as seen in the case of Adams. Thus, the need to revise such laws that predetermined a suspect’s innocence or guilt was raised.

Tuesday, November 19, 2019

Classical proofs of God's existence Essay Example | Topics and Well Written Essays - 2000 words

Classical proofs of God's existence - Essay Example This essay shall aim at holding a detailed discussion on the existence of God, based on arguments by religious philosophers, philosophers and other classical arguments. The contributions of these bodies of knowledge and persons will be analyzed to assess their contribution to the validation of the existence of God. The essay shall also aim at evaluating whether the arguments can be defended afresh and if they can relate to the day to day living of the contemporary human beings. Though the concept remains controversial, the arguments and different interpretations all aim at proving or disapproving the existence of God. Aquinas’ proof on God’s existence On the basis of reason, God exists. A medieval discussion on the God’s existence cannot be completed without a discussion on the contribution of Aquinas on God’s existence. In the work of Velecky, one would argue that Aquinas was on a mission to discuss the relationship between faith and reason between Philos ophy and Christianity (71). Aquinas’ views have also been indicated to be of great impact on the perception of God and religion (Velecky, 69). Aquinas indicates that a lot of things in the universe are in motion (Velecky, 73).This motion makes the movement more supernatural than movements that can be caused by a normal human. In the work of Velecky, God is referred to as the first mover, who caused several movements of other bodies in the universe (73). This fact also explains that God is the major causative agent of the occurrence of activities in the universe. Since one thing is caused by another, then God is the causative agent of the occurrence of these movements; thus, He exists (Davies & Stump, 126). Thirdly, Aquinas proofs that God exists by arguing that God is a necessary being. According to Davies & Stump, all persons have their timespan at one time or another (126). This means that they fail to exist at one moment in their existence, but God does not fail to exist a ll the times. In an instance whereby God did not exist, then there will be no existence of supernatural events, but since He exists, humans fail, and their timespan is terminated, but He continues to exist and necessitate what humans require. Fourthly, medieval history that touches on existence of God relates to Aquinas’ arguments on the greatness of God. Davies & Stump indicate that God is the greatest of all the beings, since some things in the universe are far much greater than others (126). The degree of greatness varies from one person to another, thing to another, being to another amongst others. God is termed as the source of greatness; therefore, He is the greatest of them all (Davies & Stump, 126). Lastly, Aquinas also regards the world as having imaginary, superb and unimaginable structure. This relates to the world as having a smart designer, who is God (Davies & Stump, 126). Through this argument, Aquinas validates that God exists. From Aquinas’ arguments, therefore, God can be said to exist and control all activities and happenings in the universe, as well as the creator (Wayne, 143). Pascal’s arguments In terms of self interest, God can be indicated to be existent. Medieval history also credits the arguments by Pascal’s Wager argument on the existence of God. In the words of

Sunday, November 17, 2019

Evaluating the Research Process Essay Example for Free

Evaluating the Research Process Essay Remote communities face several challenges concerning health care. For instance, communication with health care professionals, transportation, availability of doctors, and shortage of doctors. Literature review to identify and review new methods of improving access to health, quality of care, and improving the effectiveness of delivering health care services in remote Alaskan villages. MEDLINE, EMBASE, and CINAHL databases that index health research were used along with Artic health databases. Abstracts and full articles were reviewed and categorized into four sections. Organizational structure of health services, Telehealth, E-health, and medical transportation. â€Å"Despite the challenges facing rural and remote regions, there is a distinctly positive message from this broad literature review. Evidence-based initiatives exist across a range of areas which include operational efficiency and integration, access to care, organizational structure, public health, continuing education and workforce composition that have the potential to positively impact health care quality and health-related outcomes† (Masucci, Mitton, Dionne, 2011). The literature review did not identify any past research associated with new ideas to improve access, quality, and efficiency in the organizational structures and delivery of health care services in northern rural and remote and rural populations. This review was directed toward the redesign of health care systems in Nunavut territory in Canada. When conducting research in an academic or professional setting, it is important to display ethical responsibility throughout the research study. For instance, Researchers conducting the study and collecting data should obtain permission from individuals who are involved in the study in any way. Researchers must ensure subjects involved in the study are not in any physical or emotional harm, such as asking difficult questions or using insensitive words. One very important consideration for researchers to remember when conducting any form of data collection is to be sure to maintain their own personal biases and opinions so they do not get in the way of the research. Research such as questionaries’ or observations should be conducted under the assumption that findings are kept anonymous. It is important to let the research subject know whether the research results will be anonymous or not. Research subjects should be chosen based on what and who will be most beneficial to  the research. And last, when reporting results from the research study the results must be accurately represented from what he or she was told or what you observed. For example, do not discuss parts of observations without putting them in appropriate context. Research has found that telehealth and ehealth has been effective in providing information of health professions with educational opportunities to in these rural populations that would not have been provided without telehealth and ehealth. Therefore, telehelath and ehealth system have a significant impact on improving access and quality care. The research also identified the use of medical air transport when needed services are not available as well as transportation to and from rural and remote regions. The study affirmed the importance of medical air transport in rural and remote regions while indicating such concerns are not unusual. Second, there are no evidence-based guidelines indicating which services to provide in local regions as opposed to having access by medical air transport or procedures in selecting which patients to select for emergency are transported. Currently no framework exists to determine the over or underutilization of medical air transport. Researchers found that the regions with the largest potential impact in remote regions are public health where several programs have been implemented, and analyzed indicating high degree of success. For example, health promotion programs such as alcohol and smoking cessation, obesity, exercise, dental care, hygiene, and suicide prevention. The literature strongly indicates these programs have positive impacts. Therefore, the regions in the research study have opportunity to improve the delivery and organization structure of health care services. This particular research study was not a systematic review. According to Masucci, Mitton, and Dionne (2011) â€Å"The purpose of the article was not to find literature on a wide range of topics but rather to find exemplary articles that could speak to the topics at hand. However, the caution is that while we attempted to provide both sides of any given story, in some cases important papers may have been missed which could suggest important alternative courses of action.† (p. 470). The research team relied on an advisory board that gave advice on their work. Review of only found positive solutions in which history politics, structures, and behavior contribute to improvement the key factor is action ability. This information will be crucial to enhancing care in the targeted regions as well as other  remote and rural regions nationwide. The research study identifies several challenges that northern rural remote regions face. The literature review found several evidence based initiative from operational efficiency, integration, applying telehealth, applying ehealth, organizational structure, public health, continuing education, and workforce composition have potential to have a positive impact on health outcomes in rural and remote northern regions. The only area of research that indicated not to have a positive impact was medical air transport indicating further research is needed. The research study has provided an extensive survey from literate regarding innovations in the organizational structure and delivery of health serveries in northern rural and remote regions. This study did not find any conflicts of interest regarding the improvement of health care in these rural and remote regions. Specific ideas and strategies found to improving access, quality, and efficiency in the organization structure and delivery of health care services in rural and remote northern regions are palliative model, which performed most effective for patients on weekly case conferences, on-call nursing, patient held records, shared protocols, and procedures. Reference: Masucci, L., Mitton, C., Dionne, F. (2011). ) Innovations in health service organization and delivery in northern rural and remote regions: a review of the literature. International Journal of Circumpolar Health, 70(5), 460-472.

Thursday, November 14, 2019

The Axis Powers :: World War II History

The Axis Powers Almost everyone knows of The Axis Powers. They were enemies of The Allied Powers in World War II. They are synonymous with The Holocaust because Adolf Hitler was the man who started The Holocaust and he ws the dictator of Germany. The Axis Powers originally was the alliance between Adolf Hitler's Nazi Germany and Benito Mussolini's Fascist Italy. Italy did not do much during the war though. The goals of The Axis Powers clearly emerged in the Italo-Germany Pact. It was a pact that was signed in May of 1939 in which Italy and Germany promised to help each other in the time of war. Germany also signed another pact because Hitler believed that Germany had lost World War I due to the fact that Germany had to fight on two sides. The pact was a ten-year, non-aggression pact between the USSR and Germany. The pact was later abolished when the USSR began to help the Allied Powers fight Germany. Hitler wasn't well known during World War I. As a matter of fact, Hitler was a private during the war and ended up gaining power because he appealed to a large number of German people. He appealed to them by a combination of an effective and well-practiced style of speaking with what looked like undoubtable sincerity and determination. This helped Hitler find a large audience for his program of national revival, racial pride in Germanic values, hatred for France and of the Jewish and other un-German races, and despise for the Weimer Republic. With the way he spoke, Hitler convinced the people of Germany to believe that a dictatorship was the only thing that could save Germany from the problems it was having. Hitler's views only changed a little in the years to follow; yet he still managed to draw an increasing number of people to his speeches. On September 30, 1938, France and Great Britain agreed to let Nazi Germany have a piece of Czechoslovakia. Hitler told the British and French that it would be his last demand for territory in Europe. Hitler ended up breaking this pact when he took over Prague. During that same year, Germany attacked Poland and defeated them in one month. Poland was then split into two parts with Hitler's Nazi Germany taking part and Stalin's Communist USSR taking the other part. The invasion was what started World War II.

Tuesday, November 12, 2019

The Indigo Spell Chapter Seven

I MIGHT HAVE BEEN DETERMINED to find Marcus, but I certainly wasn't going to argue against a gun. I raised my hands in the air and slowly stood up, keeping my back to the newcomer. Just as carefully, I stepped away from Marcus and set the vial on the floor. Fumes still wafted out of it, but the reaction would burn itself out soon. Then I dared a peek behind me. When I saw the girl who stood there, I could barely believe my eyes. â€Å"Are you okay?† she asked Marcus. He was unsteadily getting to his feet. â€Å"I left as soon as you called.† â€Å"You!† I couldn't quite manage anything more articulate. The girl standing before me was close to my age, with long, tangled blond hair. She still had the gun on me, but a small smile appeared on her face. â€Å"Nice to see you again.† The feeling wasn't mutual. I'd last seen this girl when I faced down the Warriors in their arena. She'd been toting a gun there as well and had had a perpetual snarl on her face. She'd pushed me around and threatened me, making no secret of how heretical she thought my defense of Sonya was. Although she seemed much calmer now than she had with those fanatics, I still couldn't dismiss what she was – or what the implications were. I turned to Marcus in disbelief. He was cradling the wrist I'd nailed with my elbow. â€Å"You . . . you're one of them! One of the Warriors of Light!† I don't think I'd ever been so let down in my life. I'd had so many hopes pinned on Marcus. He'd become larger than life in my mind, some rebel savior who was going to tell me all the secrets of the world and free me from being another cog in the machine of the Alchemists. But it was all a lie. Clarence had mentioned Marcus had convinced the Warriors to leave him alone. I'd assumed it was because Marcus had some incredible leverage he could use against the Warriors, but apparently, the key to his influence was that he was one of them. He looked up from his wrist. â€Å"What? Those nuts? Hell, no.† I almost pointed at the girl but decided it would be best not to make any sudden moves. I settled for a nod in her direction and noticed all the locks on the door had been undone. I'd been so caught up in the struggle with Marcus that I hadn't heard them. â€Å"Really? Then how come one of them just saved you?† â€Å"I'm not really one of them.† She spoke almost casually, but the gun contradicted her tone. â€Å"I mean, I guess I kind of am. . . .† â€Å"Sabrina's a spy,† explained Marcus. He looked much more at ease too, now that I wasn't assaulting him. â€Å"A lovely one. She's been undercover with them for over a year. She's also the one who told me about you.† Once again, it was hard knowing how to respond to that. I also wasn't sure if I bought this spy story. â€Å"What exactly did you tell him?† He shot me a movie star smile. His teeth were so white that I wondered if he had veneers. It seemed out of character for a rogue who lived on the run, but nothing about this day was really turning out like I'd expected. â€Å"She told me about this Alchemist girl who defended a Moroi and then helped lead a dhampir raiding party.† Lead? Hardly. No one – notably Stanton – had felt the need to enlighten me about that raid until I was in the middle of it. I didn't want to tip my hand too early though. â€Å"The Alchemists sanctioned that raid,† I said. â€Å"I saw the way you spoke,† said Sabrina. Her eyes flicked between Marcus and me, fierce for me and admiring for him. â€Å"It was inspiring. And we watched you for a while, you know. You spent an awful lot of time with the Moroi and dhampirs in Palm Springs.† â€Å"It's my job,† I said. She hadn't really seemed inspired at the time. Mostly she'd looked disappointed at not having a chance to use the gun on me. Marcus's smile turned knowing. â€Å"From what I heard, you and those Moroi almost looked like friends. And then, here you are, looking for me. You're definitely the dissident we'd hoped for.† No, this was not turning out at all like I'd planned. In fact, it was pretty much the opposite of what I'd planned. I'd been so proud of my ability to track down Marcus, little knowing that he'd been watching me already. I didn't like that. It made me feel vulnerable, even if they were saying some of things I'd hoped to hear. Needing to feel like I was in control, I tried to play it cool and tough. â€Å"Maybe there are other Alchemists about to show up,† I said. â€Å"They would've been here already† he said, calling my bluff. â€Å"They wouldn't have sent you alone . . . though I did panic when I first saw you. I didn't realize who you were and thought there were others right behind you.† He paused, and that cocky attitude turned sheepish. â€Å"Sorry about, um, punching you. If it makes you feel better, you did something pretty serious to my wrist.† Sabrina's face filled with concern. â€Å"Oh, Marcus. Do you need to see a doctor?† He tested the movement of his wrist and then shook his head. â€Å"You know we can't. Never know who might be watching at a hospital. Those places are too easy to monitor.† â€Å"You really are hiding from the Alchemists,† I said in amazement. His nodded, almost looking proud. â€Å"You doubted? I figured you'd know that.† â€Å"I suspected, but I didn't hear it from them. They deny you exist.† He seemed to find that funny. In fact, he seemed to find everything funny, which I found slightly irritating. â€Å"Yup. That's what I've heard from the others.† â€Å"What others?† â€Å"Others like you.† Those blue eyes held me for a moment, like they could see all my secrets. â€Å"Other Alchemists wanting to break free of the fold.† I knew my own eyes were wide. â€Å"There . . . there are others?† Marcus settled on the floor, leaning against the wall and still cradling his wrist. â€Å"Let's get comfortable. Sabrina, put the gun away. I don't think Sydney's going to give us any trouble.† Sabrina didn't look so sure of that, but after several moments, she complied. She joined him on the floor, positioning herself protectively next to him. â€Å"I'd rather stand,† I told them. No way would I willingly sit on that filth. After rolling around with Marcus, I wanted to go bathe myself in hand sanitizer. He shrugged. â€Å"Suit yourself. You want some answers? You give me some first. Why'd you come looking for me off the Alchemist clock?† I didn't like being interrogated, but what was the point of being here if I wasn't going to engage in a dialogue? â€Å"Clarence told me about you,† I said at last. â€Å"He showed me your picture, and I saw how you'd tattooed over the lily. I didn't even know that was possible.† The tattoo never faded. â€Å"Clarence Donahue?† Marcus looked genuinely pleased. â€Å"He's a good guy. I suppose you'd be friends with him if you're in Palm Springs, huh?† I started to say we weren't friends but then reconsidered. What else were we? â€Å"Getting this isn't easy,† added Marcus, tapping the blue tattoo. â€Å"You'll have to do a lot of work if you want to do it.† I stepped backward. â€Å"Whoa, I never said that's what I wanted. And why in the world would I do it anyway?† â€Å"Because it'll free you,† he said simply. â€Å"It prevents you from discussing vampire affairs, right? You don't think that's all it does, do you? Think. What stops it from exerting other control?† I pretty much had to just give up on any expectations for this conversation because every topic was crazier than the last. â€Å"I've never heard of anything like that. I've never felt anything like that. Aside from it protecting vampire information, I'm in control.† He nodded. â€Å"Probably. The initial tattoo usually only has the talking compulsion in it. They only start adding other components with re-inks if they've got a reason to worry about you. People can sometimes fight through those and if they do . . . well, then it's off to re-education.† His words sent a chill through me, and I rested a hand on my cheek as I flashbacked to the meeting I'd had when I was given the Palm Springs assignment. â€Å"I was re-inked recently . . . but it was routine.† Routine. Normal. Nothing like what he was suggesting. â€Å"Maybe.† He tilted his head and gave me another piercing look. â€Å"You do anything bad before that, love?† Like helping a dhampir fugitive? â€Å"Depends on your definition of bad.† Both of them laughed. Marcus's laugh was loud and rollicking and actually pretty infectious – but the situation was far too dire for me to join in. â€Å"They may have reinforced your group loyalty then,† he said, still chuckling. â€Å"But it either wasn't very strong or else you fought through it – otherwise you wouldn't be here.† He glanced over at Sabrina. â€Å"What do you think?† Sabrina studied me with a critical eye. I still had a hard time believing her role in all of this. â€Å"I think she'd be a good addition. And since she's still in, she could help us with that . . . other matter.† â€Å"I think so too,† he said. I crossed my arms over my chest. I didn't like being discussed as though I weren't there. â€Å"A good addition to what?† â€Å"Our group.† To Sabrina, he said, â€Å"We really need a name for it, you know.† She snorted, and he returned his attention to me. â€Å"We're a mix. Some are former Warriors or double agents like Sabrina. Some are ex-Alchemists.† â€Å"And what do you do?† I gestured around us. â€Å"This doesn't exactly look like a high-tech base of operation for some covert team.† â€Å"Look at you. Pretty and funny,† he said, looking delighted. â€Å"We do what you do – or what you want to do. We like the Moroi. We want to help them – on our own terms. The Alchemists theoretically want to help them too, but we all know that's based on a core of fear and dislike – not to mention a strict control of its members. So, we work in secret, seeing as the Alchemists aren't fans of those who break from the fold. They really aren't fans of me, which is why I end up in places like this.† â€Å"We keep an eye on the Warriors too,† said Sabrina. She scowled. â€Å"I hate being around those nuts, having to play along with them. They claim they only want to destroy the Strigoi – but, well, the things I've heard them say against the Moroi too . . .† I thought back to one of my more disturbing memories of the Warrior arena. I'd heard one of them make a mysterious comment about how someday, they'd deal with the Moroi too. â€Å"But what do you guys actually do?† Talking about rebellions and covert operations was one thing, but actually effecting change was another. I'd visited my sister Carly at her college and seen a number of student groups who wanted to change the world. Most of them sat around drinking coffee, talking a lot and doing little. Marcus and Sabrina exchanged glances. â€Å"I can't quite get into our operations,† he said. â€Å"Not until I know you're on board with breaking your tattoo.† Breaking your tattoo. There was something sinister – not to mention permanent – about those words, and I suddenly wondered what I was doing here. Who were these people, really? Why was I even humoring them? Then another, almost terrifying thought hit me: Am I doubting them because of the tattoo's control? Is it making me skeptical around anyone who questions the Alchemists? Is Marcus telling the truth? â€Å"I don't really understand that either,† I told them. â€Å"What it means to ‘break' the tattoo. Do you just mean putting ink over it?† Marcus stood up. â€Å"All in good time. Right now, we've got to get out of here. Even if you were discreet, I assume you used Alchemist resources to find me?† I hesitated. Even if these guys were legitimate and had good intentions toward the Moroi, I certainly wasn't going to reveal my involvement with magic. â€Å"Something like that.† â€Å"I'm sure you're good, but we can't take the chance. This place has been compromised.† He cast a wistful glance around the studio. Honestly, I thought he should be grateful I'd given him a reason to leave. Sabrina rose as well, her face hardening. â€Å"I'll make sure the secondary location is ready.† â€Å"You're an angel, as always,† he told her. â€Å"Hey, how did you know I was coming?† I asked. â€Å"You had time to hide and call her.† What I really wanted to know was how he'd seen me through the invisibility spell. I'd felt the magic fill me. I was certain I'd cast the spell correctly, but he'd discovered me. The spell wouldn't work if someone knew to look for you, so maybe he'd happened to glance out the window when I was scaling the fire escape? Worst timing ever. â€Å"Tony warned me.† Marcus flashed me another of those dazzling grins. I think he was trying to make me smile back. â€Å"Good kid.† Tony? Then I knew. The boy in the parking lot. He'd pretended to help me and then sold me out. He must have spoken to Marcus while I climbed the fire escape. Maybe Marcus only answered to some secret knock. At least I had the comfort of knowing I'd cast the spell correctly. It simply hadn't worked because Marcus had advance warning that some girl was coming after him. He began packing up his meager belongings into a backpack. â€Å"The Catcher in the Rye is a great book, by the way.† He winked. â€Å"Maybe someday we'll have a literary discussion.† I wasn't interested in that. Watching him, I saw that he kept favoring his uninjured wrist. I couldn't believe I'd caused damage like that and felt a little guilty, despite everything that had happened. â€Å"You should get that taken care of,† I said. Sabrina nodded in agreement. He sighed. â€Å"I can't. At least, not through conventional means. The Alchemists have eyes everywhere.† Conventional means. â€Å"I, uh, might be able to help you get it healed through unconventional means,† I said. â€Å"You know some off-the-grid doctor?† asked Sabrina hopefully. â€Å"No. But I know a Moroi spirit user.† Marcus froze, and I kind of liked that I'd thrown him off guard. â€Å"Seriously? We've heard of them but never met one. That woman they had – Sonya? She was one, right? She was gone before we could find out more.† Talking about Adrian made me nervous, but Sabrina probably already knew he existed if they'd been watching me. â€Å"Yeah, she was one, and there's another in Palm Springs. I could take you to him and let him heal you.† Excitement lit Marcus's features. Sabrina looked at him in horror. â€Å"You can't just go off with her.† Was that concern or jealousy in her voice? â€Å"Why not?† he asked. â€Å"She's taking a leap of faith with us. We can't do any less. Besides, I'm dying to meet a spirit user. The safe house isn't that far from Palm Springs. You make sure everything's in order and then come pick me up later.† Sabrina didn't like that, not at all. Maybe I didn't understand the dynamics of their group yet, but it was obvious she regarded him as a leader and was insanely protective. In fact, I suspected her feelings for him were more than professional. They went back and forth on whether he'd be safe or not, and I listened without a word. All the while, I wondered if I'd be safe heading off with some unknown guy. Clarence trusted him, I reminded myself. And he's pretty paranoid. Besides, with Marcus's wrist out of commission, I could probably take him. He finally convinced Sabrina to let him go but not before she snarled, â€Å"If anything happens to him, I'm coming after you.† Apparently her hard-core character in the arena hadn't been entirely faked. We parted ways from her, and before long, Marcus and I were on the road to Palm Springs. I tried to get more information out of him, but he wouldn't bite. Instead, he kept complimenting me and saying things that were only one step away from pickup lines. Judging from the way he'd bantered with Sabrina too, I didn't think there was anything particularly special about me. I thought he was just used to women fawning all over him. He was cute, I'd give him that, but it took a lot more than that to win me over. It was sunset when we pulled up to Adrian's apartment, and I belatedly wondered if I should've given him some advance warning. Too late now. We walked up to the door, and I knocked three times. â€Å"It's open,† a voice called from within. I stepped inside, and Marcus followed. Adrian was working on an abstract painting of what looked like a crystalline building from some fantasy world. â€Å"Unexpected treat,† he said. His eyes fell on Marcus and widened. â€Å"I'll be damned. You found him.† â€Å"Thanks to you,† I said. Adrian glanced over at me. A smile started to form – and then instantly dried up. â€Å"What happened to your face?† â€Å"Oh.† I lightly touched the swollen spot. It still smarted but wasn't as painful as it had been earlier. I spoke my next words without thinking. â€Å"Marcus hit me.† I'd never seen Adrian move so fast. Marcus had no chance to react, probably because he was exhausted from our earlier encounter. Adrian shoved Marcus up against a wall and – to my complete and utter astonishment – punched Marcus. Adrian had once joked that he never dirtied his hands, so this was something I never could have prepared myself for. In fact, if Adrian was going to attack someone, I would've expected something magical and spirit-driven. Yet . . . as I watched him, I could see that anything as thoughtful as magic was far from Adrian's mind. He had kicked into primal mode. See a threat. Go after it. It was yet another surprising – yet fascinating – side of the enigma that was Adrian Ivashkov. Marcus quickly got his bearings and responded in kind. He pushed Adrian back, wincing a little. Even with his injury he was still strong. â€Å"What the hell? Who are you?† â€Å"The guy that's going to kick your ass for hurting her,† said Adrian. He tried another punch, but Marcus dodged and managed to land a hit that knocked Adrian back into one of his easels. When Marcus swung again, Adrian eluded him with a maneuver that was straight out of Wolfe's class. I would've applauded him if I wasn't so appalled by the situation. I knew some girls thought it was sexy to have men fight over them. Not me. â€Å"You guys, stop!† I cried. â€Å"No one's going to throw you around and get away with it,† said Adrian. â€Å"What happened with us has nothing to do with you,† retorted Marcus. â€Å"Everything about her has to do with me.† The two circled around each other, waiting for the other to pounce. â€Å"Adrian,† I exclaimed. â€Å"It was an accident.† â€Å"Doesn't look like an accident,† he replied, never taking his eyes off Marcus. â€Å"You should listen to her,† growled Marcus. The easygoing guy I'd met earlier was gone, but I guess being attacked would do that to you. â€Å"It might save you from getting your pretty face wrecked. How much styling did you have to do to get your hair like that?† â€Å"At least I brush my hair,† said Adrian. Marcus lunged forward – but not directly at Adrian. He grabbed a painting off an easel and used it as a weapon. Adrian again managed a dodge, but the painting didn't fare so well. The canvas tore, and Marcus tossed it aside, ready for the next advance. Adrian spared the canvas a brief glance. â€Å"Now you've really pissed me off.† â€Å"Enough!† Something told me they weren't going to listen to reason. This required direct intervention. I stalked across the room and pushed myself between them. â€Å"Sydney, get out of the way,† ordered Adrian. â€Å"Yeah,† agreed Marcus. â€Å"For once he's got something worthwhile to say.† â€Å"No!† I held out my hands to separate them. â€Å"Both of you back off – now!† My voice rang through the apartment, and I refused to budge. â€Å"Back. Off,† I repeated. â€Å"Sydney. . . .† Adrian's voice was a little more uncertain than when he'd told me to get out of the way. I looked back and forth between them, giving each guy a healthy glare. â€Å"Adrian, it really was an accident. Marcus, this is the guy who's going to help you, so show some respect.† This, more than anything, seemed to derail them. â€Å"Wait,† said Adrian. â€Å"Did you say ‘help'?† Marcus was equally flabbergasted. â€Å"This asshole is the spirit user?† â€Å"You're both acting like idiots,† I scolded. The next time I had nothing to do, I'd have to get a book on testosterone-driven behavior. This was out of my league. â€Å"Adrian, can we talk somewhere in private? Like the bedroom?† Adrian agreed, but not before giving Marcus one last menacing look. I told Marcus to stay where he was and hoped he wouldn't take off or call in someone else with a gun. Adrian followed me to his bedroom and shut the door behind us. â€Å"You know,† he said, â€Å"under normal circumstances, you inviting me to the bedroom would be the highlight of my day.† I crossed my arms and sat on the bed. I did so out of simple fatigue, but a moment later, I was struck by what I was doing. This is where Adrian sleeps. I'm touching the covers he's wrapped in every night. What does he wear? Does he wear anything? I jumped up. â€Å"It really was an accident,† I told him. â€Å"Marcus thought I was there to abduct him.† Adrian, having no such hang-ups with the bed, sat down. He winced, probably from the blow to the stomach. â€Å"If someone like you showed up to abduct me, I'd let you.† Even when he was in pain, it never stopped with him. â€Å"I'm serious. It was just instinct, and he apologized over and over in the car once he realized who I was.† That got his attention. â€Å"He knew you?† I gave him a recap of my day in Santa Barbara. He listened avidly, nodding along, his expression shifting back and forth between intrigue and surprise. â€Å"I didn't realize when I brought him back here that you'd inflict more damage,† I said, once I'd finished the story. â€Å"I was defending your honor.† Adrian gave me that devil-may-care smile that always managed to both infuriate and captivate me. â€Å"Pretty manly, huh?† â€Å"Very,† I said dryly. I didn't like violence, but him doing something so out of character for me actually was kind of incredible. Not that I'd ever tell him that. â€Å"You did Wolfe proud. Do you think you can manage not to have any more ‘manly' displays while he's here? Please?† Adrian shook his head, still smiling. â€Å"I've said over and over, I'd do anything for you. I just keep hoping it'll be something like, ‘Adrian, let's go hot tubbing' or Adrian, take me out for fondue.'† â€Å"Well, sometimes we have to – did you say fondue?† Sometimes it was impossible to follow Adrian's train of thought. â€Å"Why in the world would I ever say that?† He shrugged. â€Å"I like fondue.† I didn't even know what to say about that. This whole day was getting more and more exhausting. â€Å"I'm sorry I'm not asking for something as glamorous as melted cheese. But for now, I need to find out about Marcus and his group – and the tattoo.† Adrian recognized the situation's severity. He stood up and gently touched the lily on my cheek. â€Å"I don't trust him. He could be using you. But then . . . I don't like the idea of this controlling you either.† â€Å"That makes two of us,† I admitted, losing some of my earlier toughness. He traced the line of my cheek for a few breathless moments and then dropped his hand. â€Å"It might be worth helping him to get some answers.† â€Å"Will you promise not to get in any more fights? Please?† â€Å"I promise,† he said. â€Å"So long as he doesn't start one.† â€Å"I'll have him promise too.† I just hoped their â€Å"manly† natures wouldn't get the better of them. As I ruminated on this, something I'd nearly forgotten about tumbled to the forefront of my mind. â€Å"Oh . . . Adrian, I've got one more favor to ask you. A big one.† â€Å"Fondue?† he asked hopefully. â€Å"No. It's about Ms. Terwilliger's sister. . . .† I told him what I'd learned. The amusement in his face faded and turned to disbelief. â€Å"You just mention this now?† he exclaimed when I finished. â€Å"That some soul-sucking witch might be after you?† â€Å"She doesn't know I exist.† I felt surprisingly defensive. â€Å"And I'm the only one who can help, at least according to Ms. Terwilliger. She thinks I'm some super-investigator.† â€Å"Well, you do have that Sherlock Holmes thing going for you,† he said. His joking didn't last; he was too upset. â€Å"But you still should've told me! You could've called.† â€Å"I was kind of busy with Marcus.† â€Å"Then your priorities are off. This is a lot more important than his band of Merry Men. If we need to take out some evil sorceress before she gets to you, then of course I'll help.† He hesitated. â€Å"With one condition.† I eyed him warily. â€Å"What's that?† â€Å"Let me heal you too.† I jerked backward, almost more shocked than if he'd suggested hitting me again. â€Å"No! Absolutely not! I don't need it. I'm in better shape than him.† â€Å"You want to go back to Amberwood with that on your face? You're not going to be able to hide that, Sage. And if Castile sees it, he really will come after Marcus.† Adrian crossed his arms defiantly. â€Å"That's my price.† He was bluffing, and I knew it. Maybe it was egotistical, but I knew he wasn't going to let me go into a dangerous situation without him. He did, however, have a point. I still hadn't seen the mark Marcus had left, but I didn't want to explain it back at school. And yes, there was a good chance Eddie would want to hunt down my assailant. Being beat up by an avenging dhampir might make working with Marcus difficult. Yet . . . how could I agree? At least the magic I used was on my terms. And although my tattoo had trace amounts of vampire magic, I took comfort in knowing it was tied to the â€Å"normal† four elements, the ones we understood. Spirit was still an unknown entity, with abilities that continually surprised us. How could I subject myself to rogue vampire magic? Guessing my inner turmoil, Adrian's face softened. â€Å"I do this all the time. It's an easy spell. No surprises.† â€Å"Maybe,† I said reluctantly. â€Å"But each time you use spirit, you're more likely to go crazy.† â€Å"Already crazy about you, Sage.† At least this was familiar territory. â€Å"You said you wouldn't bring that up.† He simply regarded me without comment. Finally, I threw my arms up. â€Å"Fine,† I said, with more boldness than I felt. â€Å"Just get it over with.† Adrian didn't waste any time. Stepping forward, he reached out and rested his hand on my cheek once more. My breath caught and my heart rate went up. It would be so, so easy for him to pull me to him and kiss me again. A tingling warmth spread over my skin, and for a moment, I thought it was just my normal reaction to him. No, I realized. It was the magic. His eyes locked onto mine, and for the space of a heartbeat, we were suspended in time. Then he removed his hand and stepped away. â€Å"Done,† he said. â€Å"Was that so bad?† No, it hadn't been bad at all. The throbbing pain was gone. All that was left was the constant inner voice nagging me that what had just happened was wrong. That same voice tried to tell me that Adrian had left a taint behind . . . but that was hard to believe from him. I released the breath I'd been holding. â€Å"Thank you,† I said. â€Å"You didn't have to do that.† He gave me one of those small smiles. â€Å"Oh, believe me, I did.† A moment of awkward silence hung between us. I cleared my throat. â€Å"Well. We should get back out to Marcus. Maybe we'll have time for dinner before Sabrina shows up, and you guys can patch things over.† â€Å"I doubt even a moonlight stroll would fix things between us.† His words reminded me of something else I'd meant to bring up when he got back to town, something that had taken a very low priority. â€Å"Your coat – you never took it back after the wedding. It's in my car.† He waved dismissively â€Å"Keep it. I've got others.† â€Å"What am I going to do with a wool coat?† I asked. â€Å"Especially here in Palm Springs?† â€Å"Sleep with it,† he suggested. â€Å"Think of me.† I put my hands on my hips and tried to stare him down, which wasn't easy since he was so tall. That, and because his words suddenly returned me to the disorienting feeling I'd had sitting on his bed. â€Å"You said you weren't going to bring up any romantic stuff around me.† â€Å"Was that romantic?† he asked. â€Å"I was just making the suggestion, since the coat's so heavy and warm. I figured you'd think of me since it was such a nice gesture. And yet, once again, you're the one who finds romantic subtext in everything I say.† â€Å"I do not. You know that's not what I meant.† He shook his head in mock sympathy. â€Å"I tell you, Sage. Sometimes I think I'm the one who needs to take out the restraining order on you.† â€Å"Adrian!† But he was already out the door, knowing laughter echoing behind him.

Sunday, November 10, 2019

Professional Roles and Values Essay

Nursing is a profession that constantly evolves to improve itself. There is a high demand for nurses all across America. Excellent nursing practice is achieved by understanding the history of nursing and integrating the milestones achieved with the present practice. Through advanced education and new technology the nurse can provide the patient with the best care and promote community health. Knowledge gives us power to change and advance in healthcare. My mission is to demonstrate excellence in clinical care by my commitment to evidence-based practice research, continuing education, and by delivering culturally competent patient care in a caring and healing environment in accordance with the nurse practice act. PART A The Board of Nursing (BON) is a regulatory agency that functions to protect the public as well as govern the safe practice of nurses. Every state has a board of nursing that mandates the nurse practice act be properly carried out. Nurse practice acts define the scope of nursing, how to obtain licensure, how to lose licensure, and the consequences of practicing without a license. The makeup of the nursing board and its responsibilities come from the nurse practice acts also. The BON is responsible for reviewing the nurse practice act to ensure that minimum standards of practice are defined. The BON also approves nursing education programs, evaluates applicants, issues licensure, and disciplines those who violate the law (Pearson Education, 2010). To obtain a nursing license in South Carolina I am required by the BON to have demonstrated competency in performing regulated activities that are complex, require skill, and independent decision -making. This is determined by showing verification of graduating from an approved Registered Nurse education program, passing the national licensing test, and passing a criminal background check. In order  to renew my license biennially I must go through the BON and show verification of competency and the number of hours practiced as evidenced by my employer certification on a form approved by the Board. If I fail to comply the renewal requirements the BON may deny my application for renewal. Also, abiding by the nurse practice act and refraining from unethical decisions such as; using drug and alcohol at work, diverting narcotics, and abusing patients I am able to remain in good standing with the BON and abstain from any disciplinary action from the BON. The American Nurses Association (ANA) is a Professional Nursing Organization that provides nurses a variety of resources to support their careers. The ANA offers leadership positions within the organizations and workshops for continuing education as well as employment resources. Conferences are held within the organization to network and congregate about healthcare reform. Although the ANA does not offer any legal authority to grant licensure or enforce practice policy, it carries the voice of the nurse and the public to the regulatory agency to evoke change (ANA, 2013). I currently am not a member of the ANA, but I plan to join. Being as though I am a nurse that works in the emergency department I feel the need to voice concerns I have in dealing with patient care and staffing issues. I also would like to have a voice in addressing safe nurse to patient ratios in the emergency department. The ANA can help with these issues I face by helping to promote the interests of nurses to state and federal legislative bodies like the BON. I feel this organization can help me obtain the education I need in directing me to online courses offering continuing education credits and assist me in special credentialing such as obtaining a Certified Emergency Nurse certificate. PART B Nursing ethics are a set of standards concerning the actions of the nurse in his or her relationship with patients, patients’ family members, other healthcare providers, policymakers, and society as a whole (Cherry & Jacob, 2011). One provision from the code of ethics that influences my practice is â€Å"The nurse participates in the advancement of the profession through contributions to practice, education, administration, and knowledge development (ANA, 2013). Although patient care is of the utmost importance nursing can’t be practiced without the appropriate knowledge required.  Evidence-based practiced research is such an important component to nursing. Without the continuous studies of such research progress would not be made in healthcare advancements. As a nurse that has worked in the emergency department I have engaged in educational opportunities offered by the emergency department has helped with quality improvement initiatives and increased patient satisfaction scores. A second provision that has influenced my practice in nursing is listed as â€Å"The nurse’s primary commitment is to the patient, whether an individual, family, group, or community (ANA, 2013). â€Å" Many times in the emergency department families and friends are surrounding their loved one. It is the nurse’s primary duty to advocate for the patient. Many times families have other ideas of healthcare that the patient is not interested in. This is where communication and education is imperative between all involved. Also, if the patient refuses any type of care education is the best answer and then acceptance if the refusal is ongoing. Honoring the patient’s wishes as long as patient safety is not an issue must be upheld in the nursing pr ofession. PART C The ANA Code of Ethics consists of several traits that should be the underlying basis from all professional nursing practices. As a nurse one must interact with a multidisciplinary team to reach optimal results for a patient’s outcome. One of the trait’s that is important is mutual respect. In an Emergency Department I work with several entities all of which have the patient’s best interest at heart. Collaborating, listening, supporting, and implementing goals are all part of having mutual respect for the team members as well as the patient and patient’s family. Another trait that is important is confidentiality. Privacy is an essential code of ethics. Discussing pertinent issues about a patient is restricted to those directly involved in patient care. Many times individuals try to call the emergency department and get updates on patients. I follow the laws in my setting regarding this issue. A third trait would be having respect for human dignity. This is important in the emergency department when patients are too sick to move. Many times patients soil themselves and feel embarrassed. We as nurses must acknowledged their feelings in a therapeutic way. We must maintain professional and never judge the patient in these instances.  A fourth trait I possess would be accountability. I take full responsibility to abide by the nurse practice act in my state. I follow the requirement for licensure renewal and take continuing education classes pertinent to my work area. I also am accountable for the nursing care of patients and to practice using the standards of care in my hospital. If I make a mistake I am held accountable for my actions and report any incidents to the appropriate personnel. PART D Jean Watson’s Theory of Human Caring plays a significant part in promotion of a patient’s health. This theory suggests that there are carative factors that are the core to nursing. It is a holistic outlook that addresses the impact and importance of altruism, sensitivity, trust, and interpersonal skills (Cherry & Jacob, 2011). Caring is a key element of the patient’s outcome. Possessing a caring heart sets the bar high in healthcare. â€Å"The transpersonal process of caring, or caring among, nurse, environment, and client, is essential to healing† and the nurse is the tool that â€Å"implements these carative factors, that facilitates, and promotes† the restoration of the patient health (Cherry & Jacob, 2011).† PART D1 Jean Watson’s Theory of Human Caring fits in my professional practice daily. This model helps to establish a trusting rapport between you and the patient. When dealing with patients on an everyday basis the nurse is the one who interacts with the patient the most and sets the tone for the relationship. Compassion and human touch are necessary for positive patient outcomes. Following this module reminds me and helps me to improve my delivery of care by allowing patients to communicate feelings while I actively listen to their needs. When I enter a patient’s room I survey the scene or take a holistic approach. I want to let this patient know I care about all of their needs and not just the medical concerns. The theory states â€Å"interconnectedness of one human touching or caring for another is a carative factor which promotes restoration of health and equilibrium† (Cherry & Jacob, 2011). After I introduce myself to the patient I immediately ask them how they are feeling or if there is anything that they are concerned about. I feel this gives the patient the opportunity to discuss concerns and allows time for therapeutic communication establishing  a trusting nurse to patient environment. Watson’s carative factors help with caring or maintaining health even when a patient is terminal. I instill this theory through offering chaplin services to patients or assistance finding mental support for those that are terminal. I come in contact with many different cultures in the emergency department and it is important to recognize the need for teaching and making it conducive for the patients to learn about their medication or disease process. Using a language lines shows the patient that you care about their health and education. PART E Florence Nightingale was inspirational and changed the face of nursing across the world from a career many looked down upon to a highly skilled and respected medical profession by implementing standards in healthcare and training others for the occupation. After witnessing the unsanitary conditions during the Crimean War she obtained hundreds of scrub brushes and asked nurses and the least sick patients to scrub the inside of the hospital from floor the ceiling (The Biography Company, 2014). Her compassionate, dedicated, and skilled work helped her to reduce the hospitals death rate by two-thirds from implementing â€Å"The Environmental Theory† into her practice (The Biography Company, 2014). Florence was a nurse that was able to look outside the box and critical think to find solutions to better healthcare. After learning of her great achievements the one I use most in my healthcare setting is following sanitary measures. The spread of bacteria is very prevalent among the emergency department and by adhering to hand hygiene principles and other core measures to keep from the spread of disease I feel her testimony sets the stage for mostly all healthcare employees. Also, through her courage and compassion for humanity she helped to mold my nursing practice into one of diligence. PART F Respect for autonomy comes to mind when I think of a case scenario. Upon triaging a patient with their significant other in the room I came across the medical history section. This may cause concern for some patients being as though we must obtain a full medical history. I explained to the patient that I have personal questions to ask her and needed to know if she would like to be alone during this process. The patient stated she  would like her significant other to leave the room. When interviewing the patient they informed me that they did not want their history disclosed to the significant other or any of the results of testing that day. I appreciated this request and then informed the significant other that they must remain in the waiting room until testing was finished and that it would be up to the patient to notify them of updates. Beneficence is the principle of providing good to someone whereas non-maleficence addresses the risk of a procedure to cause harm to a patient (Cherry & Jacob, 2011). An example of beneficence I encountered was when an elderly patient was scheduled to have a cardiac catheterization performed. While performing the pre-op measures for this patient it was observed that this patient had an area of breakdown on his skin and an elevated temperature. I immediately called the cardiologist and informed him of the findings. He came to talk to the patient and decided to reschedule the procedure for another day when he was afebrile. Without reporting the finding to the doctor the patient could have introduced infection into the bloodstream and could have became septic with critical results. REFERENCES ANA Nursing World. (2013). Retrieved from https://www.nursingworld.org Cherry, B., & Jacob, S. (2011). Contemporary Nursing: Issues, Trends and Management, (5th edition). St. Louis: Mosby Elsevier. Florence Nightingale. (2014). The Biography.com website. Retrieved from http://www.biography.com/people/florence-nightingale-9423539 Pearson Education. (2010). Retrieved May 8, 2015 from http://wps.prenhall.com/chet_sullivan_effective_6/21/5493/1406300.cw/content/index.html

Thursday, November 7, 2019

50 Motivational Thoughts That Will Push You to Succeed

50 Motivational Thoughts That Will Push You to Succeed Need a kick in the pants? A fire under your proverbial bottom? Feeling in need of a little inspiration? Here are 50 motivational thoughts you can turn to when you need a little energizing positivity! Keep these in your back pocket and turn to them when a ray of sunshine is nowhere to be found.1. You can do anything.It’s a rather simple mindset, but if you convince yourself that you can do anything, you’ll start to believe it.2. †¦And here’s why.After you start to believe that you can, justify those reasons. Example: â€Å"I can become a cook because I love food and I cooking is my passion†.3. You deserve more.Whether it’s a better job, relationship, or healthier body, you deserve a better life. You’ll probably have to work for it, but 9 times out of 10 it’s true.4. It’s never too late.It’s always possible to get a fresh start. No matter how old you are, you can start something new and succeed. Want to start a blog? G o for it. Want to learn how to code? Go for it. Developed a recent passion for photography? Buy a decent camera and let your hobby consume you.5. Challenges are a constant.Nobody said it was easy. Don’t let one setback get the better of you. Keep your head up and don’t lose sight of what you want.6. The time may never be â€Å"right.†Don’t wait too long for the perfect moment and let the other moments pass you by. Sometimes the perfect will never arrive and you just have to make due with what you’re given.7. The plan may never be perfect either.Sometimes you just have to say â€Å"go† and figure out the kinks as you go.8. You have to start somewhere.It might as well be today–right here, right now.9. Baby steps. One at a time.Break it down into smaller steps. Don’t get overwhelmed with doing everything at once.10. You have nowhere to go but up.Thinking about only soaring higher helps in the darkest moments! Since you’re s tarting out from the bottom, there’s no where to go but up!11. Failure isn’t forever.Look at your failure as one step towards success- just in the other direction. At least you know which way to turn!12. You can learn from your mistakes.Each mistake you make is an opportunity to learn, grow and become better.13. Take it one day at a time.Many forms of mediation preach placing your mind, body, and spirit in the present moment. Today is the only thing you can control- not the future, not the past.14. If it were easy, it wouldn’t be worth doing.And everyone would have done it already.15. Seize the day.â€Å"Someday† may never arrive. Why not today?16. Negative thoughts are only thoughts.Don’t let them hold you back.17. I’ve beat worse odds before.And did you make it to the other side? Of course. So what’s the big difference this time around? Exactly, nothing. You can do it again!18. You gotta earn it.If you didn’t, would you reall y feel good about your success?19. If you have to regret something, regret action.It’s better  than inaction. At least you’ll have tried.20. Don’t ask permission.Just go for it. If people think you’re nuts, that’s their problem.21. You control your life.Your destiny is yours to determine, no one else’s.22. No one is grading you.Life isn’t a letter grade. It isn’t even pass or fail.23. Boring is boring.Playing it safe can sometimes set you back. Take a risk.24. Risk can be rewarding.Knowing the risks is one thing, but you should also think about the benefits. Taking risks can be very rewarding.25. Discipline feels good.A whole lot better than regret!26. The best ideas usually seem impossible at first.Steve Jobs anyone? Why should yours be different? Dream big!27. People have your back.Friends, family, colleagues. This is why we have networks.28. Experience is invaluable.Even if you fall short of your goals, you’ll walk away with more experience.29. Work is its own reward.Again, attempts are at very least proactive.30. Make every day matter.Every day is one step closer towards achieving your goal.31. Your perspective is the only one you have.Prioritize it. Forget about what other people think. They don’t have the same vision as you because they’re wearing a completely different pair of shoes.32. Every problem has a solution.You just need to figure it out.33. Ordinary equals ordinaryOrdinary actions will lead you down a path to mediocrity. Don’t let that be your future.34. Everything could be better.You always have the opportunity to improve yourself, your situation, your project†¦35. What you don’t know, you can learn.Education is out there.  The age of the internet is upon us. You can spend 6 hours on Youtube learning HTML and come out knowing more than you did.36. Practice makes perfect.If you need to master something, just get to work on it.37. Willpower is up to you.And in your head. You just have to want it.38. You know what you want.Start visualizing it actually happening. Then make it happen.39. Feelings come from thoughts.Even the scary ones can be neutralized by  taking control of your thoughts and rethinking your thought process.40. Don’t do  nothing.Trying and failing is much better than not trying.41. You are who you decide to be.If you don’t like it, decide different!42. You can’t win unless you try.Results are a product of effort. If you try, you have a chance to win. It’s not guaranteed, but if you don’t put in effort, your chances of winning are 0%.43. Your life is determined by your choices.Make good ones.44. You’re better today than yesterday.You’re older, wiser, more experienced, and more mature!45. Greatness doesn’t happen overnight.Have patience.46. Just start; the rest will get easier.That first step is always the hardest. Once you get ball rolling, you’ ll find motivation and start seeing results.47. You will be rewarded.Even if only by yourself, for reaching your smallest goals. Treats are on their way! Progress is being made!48. You’re not just in it for you.Don’t forget your external motivation- your friends, family, broader altruistic goals†¦ that can be powerful.49. You’ll always have more chances.If you screw up or fail, trying again is almost always an option.50. If all else fails, you’ll have a story.You’ll walk away with  experience and interesting party jokes and anecdotes!Hopefully these thoughts have helped motivate you on your path to success. The power of positive thinking is a powerful tool. The rest is up to you!

Tuesday, November 5, 2019

Definition and Examples of Evidence in Argument

Definition and Examples of Evidence in Argument In argument, evidence refers to facts, documentation or testimony  used to strengthen a claim, support an argument or reach a conclusion. The evidence isnt the same as proof. Whereas evidence allows for professional judgment, the proof is absolute and incontestable,  said Denis Hayes in Learning and Teaching in Primary Schools.   Observations About Evidence Without evidence to support them, any statements you make in your writing have little or no value; theyre simply opinions, and 10 people may have 10 different opinions, none of which is more valid than the others unless there is clear and potent evidence to support it. Neil Murray, Writing Essays in English Language and Linguistics,  2012When conducting empirical research, the researchers primary responsibility is to provide evidence to support his or her claim about the relationship between the variables described in the research hypothesis. T]he researcher must collect data that will convince us of the accuracy of his or her predictions. Bart L. Weathington et al., Research Methods for the Behavioral and Social Sciences,  2010 Making Connections David Rosenwasser and Jill Stephen comment on making connections that leave out the steps that lead to them in 2009s Writing Analytically.  Ã‚   A common assumption about evidence is that is is the stuff that proves Im right. Although this way of thinking about evidence is not wrong, it is much too limited. Corroboration (proving the validity of a claim) is one of the functions of evidence, but not the only one. Writing well means sharing your thought process with your readers, telling them why you believe the evidence means what you say it does. Writers who think that evidence speaks for itself often do very little with their evidence except put it next to their claims: The party was terrible: There was no alcohol or, alternatively, The party was great: There was no alcohol. Just juxtaposing the evidence with the claim leaves out the thinking that connects them, thereby implying that the logic of the connection is obvious. But even for readers prone to agreeing with a given claim, simply pointing to the evidence is not enough.   Qualitative and Quantitative Evidence Julie M. Farrar defines two kinds of evidence in Evidence:  Encyclopedia of Rhetoric and Composition,  from 2006. The mere presence of information does not constitute evidence; the informative statements must be accepted as evidence by an audience and believed by it to be relevant to the claim at issue. Evidence can be generally classified as qualitative and quantitative. The former emphasizes explanation and description, appearing continuous rather than discrete, while the latter offers measurement and prediction. Both kinds of information require interpretation, for at no time do the facts speak for themselves. Opening the Door In Evidence: Practice Under the Rules from  1999, Christopher B. Mueller and Laird C. Kirkpatrick discuss evidence as it relates to trial law. The more far-reaching effect of introducing evidence [in a trial] is to pave the way for other parties to introduce evidence, question witnesses and offer argument on the subject in attempts to rebut or confine the initial evidence. In the customary phrase, the party who offers evidence on a point is said to have opened the door, meaning that the other side may now make countermoves to answer or rebut the initial evidence, fighting fire with fire. Dubious Evidence In  Not on the Doctor’s Checklist, but Touch Matters from 2010 in The New York Times, Danielle Ofri discusses findings called evidence that isnt actually valid. [I]s there any research to show that a physical exam in a healthy person is of any benefit? Despite a long and storied tradition, a physical exam is more a habit than a clinically proven method of picking up the disease in asymptomatic people. There is scant evidence to suggest that routinely listening to every healthy person’s lungs or pressing on every normal person’s liver will find a disease that wasn’t suggested by the patient’s history. For a healthy person, an abnormal finding on a physical exam is more likely to be a false positive than a real sign of illness. Other Examples of Dubious Evidence America must not ignore the threat gathering against us. Facing clear evidence of peril, we cannot wait for the final proof, the smoking gun that could come in the form of a mushroom cloud. President George W. Bush, in justifying the invasion of Iraq in 2003  We have it. The smoking gun. The evidence. The potential weapon of mass destruction we have been looking for as our pretext of invading Iraq. Theres just one problem: its in North Korea. Jon Stewart, The Daily Show, 2005

Sunday, November 3, 2019

Marketing Research assignment 4 Essay Example | Topics and Well Written Essays - 250 words

Marketing Research assignment 4 - Essay Example In this case, there would be both public and professional understanding of the terms. Margin of error therefore is a radius of confidence where a statistical data from a survey relies on. This means that the marginal error is a center of information in which case there might be a higher or lower relative information. When a sample percentage is presented, a slot can be reduced on the actual value of 100% to 97% so that the 3% becomes the value of the error due to many procedures. The company can conduct a probability sampling. In this regard, each member of the target has a non-zero probability of inclusion in the sample. Here the information is unbiased because the information produced would relatively be expected to adhere to strict statistical analysis to avoid bigger errors. The sampling error considerable here is the measurable sampling error expressed as a confidence level. This means that there is a high reduction in the errors realized (Rea and Parker). Interactive, Harris. Margin of Error, When Used by Pollsters, Is Widely Misunderstood and Confuses Most People . 13 November 2007. 19 February 2014