Saturday, November 30, 2019

My Body is My Own Business free essay sample

Naheed Mustafa’s is speaking to her sisters of Islam to pull away from western thought process of what is beautiful. She does this through using racially divisive hook, â€Å"I OFTEN wonder whether people see me as a radical, fundamentalist Muslim terrorist packing an AK-47 assault rifle inside my jean jacket†. Her tone is a sharp frustration of western culture. This literary style will most definitely attract people of her race and gender. â€Å"My Body is My Own Business† and â€Å"Chicken-Hips† discloses western cultures fallacies on what is beautiful. Naheed states that, â€Å"WOMEN are taught from early childhood that their worth is proportional to their attractiveness†. Catherine states, â€Å"I come from a culture in which it is almost unseemly for a woman to eat too heartily. It’s considered unattractive†. Both authors succeed in pointing out western cultures values on what is beautiful. Pigott’s write in a manner which is easier to digest for public reading. We will write a custom essay sample on My Body is My Own Business or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page If it were to be placed in a national newspaper it would printed on liberal and conservative papers. You feel you’re discovering what she is has learnt through her experiences in Africa. She does this my making her ironic state (being overweight but still under sized) delightfully humorous. Naheed’s essay if you were to place hers in a national newspaper it would only be print in a liberal paper. Her tone would be considered too brash for other racial groups. It was written not for the average person to understand. Her essay is more of a statement of, â€Å"who I am and I don’t care what you think of me†. She speaks in great detail how the hijab is a lightning rod for ridicule by others who are less enlighten. â€Å"I get the whole gamut of strange looks, stares, and covert glances†. However, it is her source of freedom to disengage from the physical values press upon women within western society. â€Å"My appearance is not subjected to public scrutiny, my beauty, or perhaps lack of it, has been removed from the realm of what can legitimately be discussed†. How I personally view this, she chose to carry a different cross of objectification for another. I see her hijab as a bunker from western values she bombarded with.

Monday, November 25, 2019

American Opportunity essays

American Opportunity essays Opportunity is defined in Websters Dictionary as a good position, chance or prospect for achievement, which can be compared to the idea of The American Dream. After all, America is known as the land of opportunity, Most people come to America in search of a better life and achieve it through hard work and dedication to their cause. The poem by Jimmy Santiago Baca So Immigrants Are Taking Jobs from Americans and the interview by Studs Terkel Arnold Schwarzeneggers Dream are united under the subject of immigrants, but separated by how each views opportunity differently, depending on ones ethnicity. First of all, in the poem of Santiago Baca, he implies that immigrants do not have opportunities in this country, that there is no American dream. His narrator observes, I see the poor marching for a little work, I see small white farmers selling out to clan-suited farmers living in New York (Baca 1111). Here, the narrator implies that immigrants come to this country in the hope of finding a better world, but what they find is the sad reality of an immigrant: acquiring poor paying jobs and taking the leftover jobs. In the same way, Bacas poem denotes negativism about opportunities for immigrants in America: I see this, and I hear only a few people got all the money in this world, the rest count their pennies to buy bread and butter (Baca 1111). He indicates that only a few are lucky enough to succeed and make their dreams come true, but the rest have to stay their whole lives struggling to just have a piece of something. Baca also assumes that opportunities for immigrants are rare t o the point of risking their lives to achieve some dreams that are out of reach: Below that cool green sea of money, millions and millions of people fight to live, search for pearls in the darkest depths of their dreams (Baca 1111). The author insists that ...

Friday, November 22, 2019

Learning Disability? There Are Many Resources for You

All people learn differently. But while all students have naturally variable approaches to learning (read more about different learning styles here ), others have difficulties with specific skills that generally come more easily to their peers. A learning disability is a neurologically-based processing disorder that makes it difficult for people to learn basic skills such as reading, writing, and math, or higher level skills such as organization, time planning, abstract reasoning, long or short term memory and attention. Some people have a learning disability in a specific area, in which case the individual’s performance would be significantly lower in that subject compared with every other area. Do you suspect you have a learning disability? If you, your parents, or your teachers think that might be the case, it’s important to have a psychologist or other certified tester diagnose it through formal testing. Once you have a diagnosis, there are many resources to help you succeed.   Also remember that having a learning disability doesn’t mean you’re not smart or won’t have a bright future. On the contrary, many successful people have learning disabilities, such as Steven Spielberg, Keira Knightley, Anderson Cooper, and Tommy Hilfiger, who all have dyslexia. They didn’t let it hold them back, and there’s no reason why you need to, either! Read on for more for more information about resources for students with learning disabilities. There are different types of learning disabilities. Here are a few of the more common ones. Our Early Advising Program helps students in 9th and 10th grade discover their passions and build strong academic and extracurricular profiles to succeed in high school. Some disorders, such as ADHD (Attention Deficit/Hyperactivity Disorder) and Dyspraxia, are not technically learning disorders, although they can still affect and impact students’ learning abilities. Many of the accommodations we describe below may also apply to students with these disorders. If you have a learning disability and are concerned with how it’s impacting your schoolwork and other areas of learning, your first step is to get it diagnosed and make sure your high school has all the necessary documentation. Ask your parents to set up a meeting with your guidance counselor or other school administrators to discuss the situation and describe what accommodations you will need, if you know. You will probably need a letter or confirmation from your psychologist or whomever gave you the diagnosis explaining your disability and how it affects your ability to complete you schoolwork. There are other types of support available to you. For instance, the SAT , ACT , and AP exams offer special accommodations for people with different types of learning disabilities, such as extra time. To learn more about how they can support you, check out our post, 2017 Welcomes New Testing Policies for Accommodations on the SAT . Additionally, many schools will give you extra time, assign you to a school therapist, allow you to type your assessments if need be, and make other accommodations depending on your needs. If you have a learning disability, remember that you’re not alone. Millions of other students have one too. Because there are so many people with learning differences, there are numerous organizations and associations that are dedicated to supporting these individuals and their parents. There are several unique resources for students with specific learning disabilities. You’ll likely find that your high school and the other people with whom you learn and interact are more than willing to help and support you. Still, you should make an effort to seek out services that can assist you. If you’d like a tutor to help you with your schoolwork or standardized test preparation, make sure you look for one who is specifically trained to work with students with your learning disability. You can often find tutors with this type of training through local learning centers, colleges, or your high school. Document your learning disability on your college applications. For tips on how to address it, check out How to Address a Mental Health Issue or Disability on Your College Application . When touring, visiting, or speaking with representatives at prospective colleges, ask if they have resources and accommodations for your learning disability. Many schools have dedicated learning centers that can assist you. In addition, check out the Mentorship Program . Our mentors drive significant personal and professional development for their high school mentees, and can provide insight on unique circumstances like navigating high school with a learning disability.   Combining mentorship with engaging content, insider strategies, and personalized analyses, our program provides students with the tools to succeed. As students learn from successful older peers, they develop confidence, autonomy, and critical thinking skills to help maximize their chances of success in college, business, and life.

Wednesday, November 20, 2019

Tragic Flaws in School Funding Assignment Example | Topics and Well Written Essays - 500 words

Tragic Flaws in School Funding - Assignment Example As averred, the authors indicate that â€Å"policymakers give more resources to students who have more resources, and less to those who have less† (Carey and Rosa, 2008, 1). The authors supported their contentions through a comparative analysis of funding distribution between two apparently similar schools when gauged through external appearances: the Cameron Elementary School in Fairfax County in Virginia and the Ponderosa Elementary School in Cumberland County, North Carolina. Further, a closer examination of policies from the federal, state and local agencies, reveal the culprits for the disparities. The authors finally presented viable recommendations that indicate the need for â€Å"federal and state policies should continue to target poor students and poor schools but use inverse funding formulas† (Casey and Rosa, 2008, 1). Main Argument or Message The main message that the authors aim to reveal is the clear and distinct unequal allocation of funds for schools tha t are currently skewed towards higher income students rather than the neediest.

Monday, November 18, 2019

Breaking cultural boundaries with art works Dissertation

Breaking cultural boundaries with art works - Dissertation Example The intention of this study is the concept of identity as one which continues to transform according to the definitions placed on artists, society and individual experiences which many have. When looking at identity, there is a question of the divisions which are made as well as how this associates with others that are looking at the identity which one carries. The identity is one which begins with labels and divisions that are associated with an individual and is inclusive of everything from cultural ideals to belief systems and expectations which occur. The result is boundaries which are created and conflicts that are associated with the identity in which many believe in. The result is the pushing of boundaries between the other, or marginalized identity, as opposed to the popular identity which one lives in. Understanding the cultural differences, divisions which are made and how this affects the concept of identity is one of the ideologies which continues to evolve, dependent on the beliefs which one holds. The concept of cultural differences and identity which occurs is not only based on the several associations with identity, such as society, culture and belief systems. There is also an exploration of how this affects the statements and beliefs of many in society, specifically with the association in culture, politics and overall belief systems. The divisions which are made are not only associated with the boundaries that are created between identities. There are reflections of this which are noted in artistic works. ... Specifically, the paper will create an understanding of how the current boundaries within society are questioned in artistic works and how this relates to the changing of identity such as through language, culture, politics, language, expression or experience in Alys, Minh Ta and Piper. There will be an examination of artistic works in relation to the current development of cultural differences and boundaries which are created. The overall understanding will then relate to the belief of division by culture and identity while showing how these statements continue to change according to the identity which one holds and which creates a boundary between the popular and marginalized identity which one has. The objectives of this research paper are as follows: Examine the overall concepts of identity and how this relates to society and politics Examine the changes being made according to cultural differences Develop an understanding of cultural identity and how this relates to art Examine the cultural identity and how this pushes or creates boundaries in contemporary culture Define the concepts of expression and artistic works according to different artists and how this relates to the idea of cultural identity The overall examination of artistic works will relate specifically to the understanding of cultural differences and identity as well as how this defines the boundaries that are created. There will be a further examination that shows artistic works that question the ideas of identity and how this relates to the effects of those within society. Literary Theory The concept of cultural differences and identity is one which is associated with a variety of theories and concepts. The current theories and beliefs will be examined to

Saturday, November 16, 2019

Implications of Gambling Industry on UK Business Environment Essay Example for Free

Implications of Gambling Industry on UK Business Environment Essay Gambling opportunities have sharply increased all over the UK in a short period of a couple of years. It has been transforming into a socially acceptable means of entertainment due to the increasing leniency in laws regarding gambling. Gambling has been made available in all areas of the city and special facilities have opened for this purpose. Betting offices, clubs, and casinos are just a few examples of such places. â€Å"Gambling is playing games involving chance or placing bets in the hope or expectation of winning money. Gambling takes many forms, from buying lottery tickets in a raffle to playing the football pools or betting on the Grand National to table gaming in casinos. † (Basic facts about the British Gambling Industry, pg. 2) Developments in science and technology have open new gates for gamblers on a global scale. Nowadays, gamblers can take advantage of online gambling facilities to indulge themselves in these activities without leaving their houses just by using their credit cards. The government has further opened opportunities to gamble on telephones if you have activated an account with a bookmaker. According to a report prepared by KPMG, the total amount betted on gambling activities in Britain in the year 1998 reached 42,121 million pounds. The amount spent in casinos was the topmost which calculated up to 18,547 million pounds. A Brief History of Gambling in Britain â€Å"The high point of gambling in Britain is considered to be a period of aristocratic excess in the late 18th and early 19th centuries. Upper-class gaming was characterized by deep play (defined by the philosopher Jeremy Bentham as gambling for stakes so high that it becomes irrational) and crazy, eccentric wagers, such as the one apparently struck by the northern baron who bet he could make it to Lapland and back within an allotted time, accompanied by two reindeer and two native females. He won his bet. † (Atherton, pg. 28+) The Gaming Act of 1845 declared the games of chance as illegitimate. For a long period of time until 1960, gambling carried on inside the UK as an illegal business. It was in 1960 that the government took a major step in the legalization of this industry. Hence, the betting and gaming Act of 1960 was introduced for this legalization process. The Betting and Gaming Act of 1960 altered the previous laws and paved the way for the development of gambling outlets especially casinos all over the UK. Since this was the first time that gambling was permitted in the UK, the government did not take necessary precautions to control the side effects that are associated with gambling activities. This was the major cause of the rise in crimes in Britain at that time since criminals found these new legalized gambling outlets and casinos as a good place to strengthen their footholds. Moreover, loans and losses in gambling gave birth to new criminals as addicted gamblers adopted thefts, burglaries, and other money-making crimes to fulfill their gambling compulsions. As time passed, lawmakers realized the need for a new act that would focus on these issues that have risen after the legalization of gambling. Therefore, the Gaming Act of 1968 was brought in to impose certain restrictions on the gambling industry. With the introduction of the Gaming Act of 1968, the Gaming Board was seriously planning to put a ban on Roulette but they succumbed to the demands of the gambling industry. (http://www. hca. heacademy. ac. uk/resources/TDG/reports/gaming-example-wolfe. ppt) The launching of the National Lottery and the increasing trend in online gambling during the 1990s led to the revision of betting duty by the British government. Afterwards, the government decreased the taxation on betting activities by a considerable amount. General Betting Duty (GBD), a particular type of tax on betting activities that was charged on the percentage of stakes has been replaced by another one, known as Gross Profits Tax (GPT). This new type of tax is charged on the net profits that a bookmaker makes. They also decided to replace the current general betting duty (GBD), levied as a proportion of betting stakes, with a gross profits tax (GPT), based on the net revenue of bookmakers. (Paton, et. Al, pg. F296)

Thursday, November 14, 2019

Students :: essays research papers

  Ã‚  Ã‚  Ã‚  Ã‚  Students that struggle with reading in school is not a new problem. This has been a challenge for teachers for years and continues to be an issue in school systems nationwide. As stated in video program five, â€Å"While a child’s development may be delayed, the developmental pattern will remain the same.† (Bear, 2004 ). This really lets school officials know that these students are reachable, but the teachers need to provide appropriate instruction for the student’s developmental level. There are several things to be considered such as: grouping, type of instruction, spelling words, and vocabulary.   Ã‚  Ã‚  Ã‚  Ã‚  Teaching special education, it seems that my students are usually grouped in the teacher/child ratio. Within those small groups there are a variety of reading levels and adjustments that have to be made. We have reading groups everyday in my classroom. My students along with my teammates students are grouped according to ability. Even with that type of grouping remediation for some students is needed because of their rate of progress. It was stated in video program five that struggling readers need repetition, practice, and explicit instruction (Bear,2004). I try to provide this through different modalities. One strategy is a computer program called Intelli-talk.   Ã‚  Ã‚  Ã‚  Ã‚  This is a program similar to Cowriter or Write Out Loud. It allows information to be inputted into the system by the teacher and it will orally read the directions, any reading or activities that go with the lesson. This program also allows pictures to be associated with vital vocabulary in the reading in the form of a word bank. By clicking on a picture the students can review a brief definition of the word and hopeful this will aid them in completing the vocabulary/comprehension activities. This program will also allow the teacher to make a word web and using the pictures mentioned early, the students can match the correct word with the picture. This is a great way to have students review independently what was read or discussed previously in a small group setting. This also allows the teacher to engaged in another activity with other students without having to be directly one on one with another student.   Ã‚  Ã‚  Ã‚  Ã‚  My students are tested annually on 400 basic sight words using the Brigance test. Any words that the students do not know how to read are given to them as spelling words. The students are expected to know what the word means, how to read and spell the words by the end of the week. Supplemental activities for classwork and homework are given as a reinforcement.

Monday, November 11, 2019

Critical Thinking Paper

Thinking and Decision Making Paper University of Phoenix MGT/350 December 13, 2010 Cyndie Shadow Critical thinking and decision making are more related than people know. Critical thinking affects the way people think, the way people live, and the decision they make. Good decision making is the backbone of sound management. This paper will analyze the three different types of thinking styles. Also, this paper will provide you with critical thinking and decision making processes by discussing workplace examples that highlight each of the three different types of thinking. The three different types of thinking are scientific, creative, and persuasive. After reading this paper learning more about critical thinking and decision making you will then have a better understanding of their relationship. This paper should provide you with the benefits of both critical thinking and decision making both personally and professionally. Persuasive Thinking Persuasive thinking is the thought process that is trying to influence someone to accept a message (Kirby & Goodpastor,  2007). This type of thinking is extremely too difficult to master, but when done well can be very effective. The main points to consider when using this type of thinking an individual must understand; human nature, emotions, and think carefully before attempting to get someone to accept a message. An individual must also be aware of the time and the place the message is being communicated, and understands his or her involvement in the message it’s self. Most important, the message being conveyed must be understood, the audience, and the audiences’ values. A thinker that can understand all of these complex pieces of persuasive thinking will be successful at getting the people they are attempting to persuade to accept his or her message. Scientific Thinking Scientific thinking and the scientific method have been a part of problem solving and communication since before the modern era. The scientific method has four specific steps used in the thinking process. The first is observation, and brainstorming the causes and effects of a certain situation or phenomenon. This is the beginning of thinking. The second step to the scientific method is hypothesis, a tentative statement about the relationship between two variables, usually in the form of a prediction (Kirby & Goodpastor,  2007). The hypothesis is similar to an educated guess that formulates the experiment. Experimentation is the third step of the scientific method. This is necessary to test the hypothesis and determine the correct cause and effect through various types of research. The final step of the scientific method is verification, or the analysis of data to see if that data supports or disputes the hypothesis. If the hypothesis is not supported the communication was incorrect somewhere and needs to be restarted at step one. Creative Thinking According to â€Å"VirtualSalt, 2010† Creative Thinking is the ability to imagine or invent something new. Unlike Persuasive thinking, Creative thinking is much easier to master. It is basically taking your own ideas and sharing that information into an objective. Anyone can think creatively, in fact, much of everyone’s thinking is some form of creatively. A person only thinks of creativity as a gift or skill, but a person could learn creative techniques from a teacher. Creativity starts with brainstorming. Brainstorming allows the mind to flow from thought to thought. Being creative is a benefit of having fun. There’s five creative methods in creative thinking process which are; evolution, synthesis, revolution, reapplication, and changing direction. Many organization work effectively together by using each other’s strengths, rather than punishing each other because of their difference. Our creativity can generate an astonishing amount of material, and creativity is involving continually in all areas of our thinking (Kirby & Goodpaster, 2007). Compare and Contrast Creative thinking, scientific thinking, and persuasive thinking have many similarities. Although they share similar traits, these thinking styles are also different from each other. A few of the similarities between these three thinking styles are that they all play an important role in critical thinking and commonly used in the decision making process to reach a solution. Creative thinking is when something new is created due to an individual’s thoughts. Many people use creative thinking in their daily routine which helps in tackling complex Creative thinking can be challenging at times as people don’t realize when they use this style. Creative thinking is one of the first steps of the critical thinking process however it can be used at any time during the process. Creative thinking is used in many situations such as creating a new product, creating a schedule, or even dealing with children. Without creative thinking there wouldn’t be consistence and frequent growth in new inventions. Unlike creative thinking, scientific thinking is a more serious thinking style. Scientific thinking is one of the most reliable types of thinking. It is also used by a lot of people in all areas of their everyday lives. There are four major steps in scientific thinking and at the end of that process we may be able to reach a persuasive conclusion. And last but not least is persuasive thinking. Persuasive thinking is when individual’s can encourage others to share their thoughts. Persuasive thinking is used by many people in their everyday lives however most people are not aware of it. We are more likely to be persuaded by someone who is knowledgeable, objective, rational, honest, attractive, convinced, similar to us, and by someone who appeals to our values, ours needs, and our wants (Kirby & Goodpaster, 2007). Unlike the scientific thinking process the persuasive structure process has five steps. These five steps are very important when using persuasion. Another thing that plays an important role in persuasive thinking is the audience. The audience’s demographics, their values, and their needs are very important when it comes to persuasion. Critical thinking is a very complex subject to break down and be able to fit the ideas in a few paragraphs. Any action that leads to a reaction by humans requires some form of critical thinking process and be able to judge the outcome of the reaction created. Scientific, persuasive and creative styles of thinking are a process within the critical thinking map. These are styles that simply help mitigate risks. Scientific styles plays an important role in critical thinking as it could either be a start of an idea, or there could be some form of scientific style that plays an important role when the thought has matured, or it could be the ultimate solution to the thought. This style is used for effectiveness and being able to prove the impacts of these thoughts. Creative style helps in the exploration of a critical thought. This style helps in thinking outside the box and molds us to think of alternate solutions. Thinking about open ended questions is a very crucial part of this style. This helps the mind explore into unknown territories. This style can be used in the day to day routines in personal and professional lives. Decorating a home to creating a PowerPoint presentation requires this style. Creative style also helps in building, developing and creating a short term and long term vision of the thought. In the corporate environment this style has become very popular and employers have given this style quite an importance. For e. g. Google has a very lengthy interview process where one of the interviews is all about how creative you are and whether or not you are able to come up with a solution with this style. They are not looking for a right or wrong answer but is able to test and reason their creative thoughts on the given problem. The last but not the least is the persuasive style. This style requires expertise and the ability to gain confidence of your audience to convince them about your message. One may have a brilliant thought, but not being able to persuade your audience can cause a huge problem. There may be finances involved with your thought but not being able to effectively convince your audience on how, the thought remains a thought. Persuasive style requires some scientific and some creative thinking as these go hand in hand. For e. g. There is a software idea that helps resolve the needs of a sales team. In order to prove this idea, scientific and creative thinking can help in the building blocks to the software. The next step is to be able to prove this idea and this requires persuasiveness. The need to connect with your audience and at the end of the day be able to persuade and convince them to buy the software for their sales team. Conclusion Thinking is something that everyone does on daily basis. This paper described the persuasive, creative, and scientific thinking styles that could be used by an individual or group to determine the best solution for a given problem. One thinking style may work in a particular situation while another is best for a different situation entirely. Each individual is different and therefore has a thinking style that works best for them in a given situation. Understanding each thinking style and selecting the style that best suits the individual is the key to finding the best possible decision. References Kirby, G. R. & Goodpaster, J. R. (2007). Thinking (4th ed. ). Upper Saddle River, NJ: Prentice Hall. Kirby, G. , & Goodpastor, J. (2007). Thinking: An Interdisciplinary Approach to Critical and Creative Thought. Retrieved from  https://ecampus. phoenix. edu/content/eBookLibrary2/content/TOC. aspx? assetdataid=d714d42b-a9b3-4644-abe2-bd0499f8f9ca&assetmetaid=8b8803a8-2bba-48b1-be11-f0f4106b8920. Virtualsalt, 2010 retrieved on December 13, 2010 from http://www. virtualsalt. com/crebook1. htm

Saturday, November 9, 2019

Wgu Nut1

Introduction to the Electronic Medical Record (EMR) Introduction to the Electronic Medical Record (EMR) Gary L Williams Western Governors University Introduction to the Electronic Medical Record (EMR) The new millennium has produced many changes in the world as we know it. Our national security which seemed to be impermeable has revealed its vulnerability to being breached. Remember September 11, 2001 when the hi-jacking of planes lead to the destruction of the Twin Towers in New York City, and severe damage the Pentagon in Washington DC.Now our Healthcare System has now moved into the information highway. How you may ask, through the introduction of the EMR. So will the EMR be safe and secure? Let us investigate. So just what is the EMR? There are many formal definitions but the one that stands out and will be used today is from the Healthcare Information and Management Systems Society (HIMSS). It states: The Electronic Health Record (EHR) is a longitudinal electronic record of pati ent health information generated by one or more encounters in any care delivery setting.Included in this information are patient demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data and radiology reports. The EHR automates and streamlines the clinician's workflow. The EHR has the ability to generate a complete record of a clinical patient encounter – as well as supporting other care-related activities directly or indirectly via interface – including evidence-based decision support, quality management, and outcomes reporting. (HIMSS) Within this definition there is a multitude of system components.Think of it like the multiple Introduction to the Electronic Medical Record (EMR) dividers that were found in the paper medical record. For instance, you may see headers like, medication record, order entry, nursing assessments, the plan of care, education, radiology, cardiology, etc. Under the medication tab la ys the eMAR, medication history, and reconciliation. Each band with the click of the mouse will open a new file within this record. The design is formatted to follow a systematic flow with check boxes, drop down lists, or free text space to document the patient findings, activities, and assessments.The EMR will have many benefits for the entire healthcare team and the patient. By development and design with the assistance of key personnel, the EMR should flow and make documentation easier. By having a standardized flow and options to document the standards of care, documenting should become easier and provide more consistency. Take for example a urine description. You may see for color description amber, yellow, red, clear, or tea. Then cloudy, turbid, clots, or mucous followed by malodorous, sweet, or pungent. This will provide a means of potential measurement for Evidence-Based Medicine (EBM).How many patients with UTI receiving Bactrim DS have amber mucous pungent urine on a GU u nit? Can you see the pattern? The EMR will assist in critical thinking as well. Your physical assessment for instance may be by body system or a complete head to toe assessment. These screens will assist the nurse in reminders of required documentation. The nurse may receive a task list for a certain procedure or required documentation of a high risk factor, such as fall precautions, to alert the bedside nurse or technician that the document is due or past due.Introduction to the Electronic Medical Record (EMR) The EMR will provide real time data and reports from various disciplines within the healthcare facility. For instance, a Vancomycin trough was ordered at 0700 and its 0900 and the IV medication is due. By selecting the laboratory tab your result will be there in front of you before the dose is administered. The same can be expected of radiology imagining results, EKG, stress test reports, a bedside capillary glucose test done by the technician. No more searching through multi ple computer systems or piles of lab results to find the data you need.The information is there and readily available. Healthcare providers have the penmanship of a deranged mad scientist. How often do you have multiple nurses trying to determine what Dr. Hyde just wrote? What if you guess wrong? Now you place that call to Dr. Hyde for clarification when you have a multitude of things to be doing. With Computerized Provider Order Entry (CPOE), no longer will guessing what was written be an issue. Standard order sets will be available with the opportunity to be individualized or modified from a pre-determined list of ommon orders for routine admission or for specific disease processes like the Acute Myocardial Infarction. Included may be diet, activity, vital signs, IV fluids, labs, EKG, PCXR, or consults. As touched upon earlier with the urine sample report, there is a myriad of potential data that can be extrapolated to form reports for research and to assist with the EBM. What is the average number of days for patients on the ventilator for June, 2011? How many patients in the rehabilitation unit have pressure ulcers? Maybe a nurse says to the unit manager that it seems like a large number of the patients on the unit have C- Difficile?A report can be run to show Introduction to the Electronic Medical Record (EMR) trends of the patients with this condition. Maybe it’s a hand washing issue or cross contamination from multi-use bathroom facilities. There are many opportunities that would at best have been difficult to track from the old paper medical record. Identity theft is rampant in this world of technology. How will the EMR be secured? How can the nurse access the EMR? Today home computers are almost essential. The same virus and malware that affect your home computer can infect the EMR if security is lacking.The Information Technology team will provide the overall security for the system by continuous upgrades to software like antivirus and firewal l protection. Each team member will be issued a unique log-in and password to access the EMR. This must be kept strictly confidential for the nurse’s protection. This secure log-in is like a finger print of the assigned user. When the EMR is accessed, there is a time stamp of what records were accessed, for what length of time, and by whom. A secure trail of entry into the EMR can be traced. What is the Personal Health Record (PHR) and how does it differ from the EMR?The PHR is essentially the same document that you would produce in the Physician’s Office. The PHR can be completed online either through a Physician’s Office or through an outside resource. Things that would be included in the PHR might be your name, address, telephone number, date of birth, and possibly the social security number. This record could also contain your Physicians name and phone number, the list of your current medications and dosages, a list of current and Introduction to the Electro nic Medical Record (EMR) past medical conditions, and passed surgical history.This type of a record is usually maintained by the patient themselves. The PHR will differ from the Electronic Medical Record in that the Electronic Medical Record is property of the Health Care facility and not the consumer. The personal health record becomes more vulnerable to breaches in security since it is maintained by the consumer. For example, I might give my sign on and password to my family or friend to input data for me. This obviously breaches ones security. This allows access to these individuals to alter ones personal health record at will.The website that maintains the personal health record may not be as secure as that of the Health Care facility. The Electronic Medical record is usually maintained by the healthcare facility, outpatient clinic, or Physician’s Office. These healthcare facilities must maintain high security to protect the information within that medical record. In 1996 , Congress passed a law entitled The Health Insurance Portability & Accountability Act (HIPAA). This law was designed: -To improve portability and continuity of health insurance coverage in the group and individual markets. To combat waste, fraud, and abuse in health insurance and health care delivery. -To reduce costs and the administrative burdens of health care by improving efficiency and effectiveness of the health care system by standardizing the interchange of Introduction to the Electronic Medical Record (EMR) electronic data for specified administrative and financial transactions. -To ensure protecting the privacy of Americans’ personal health records by protecting the security and confidentiality of health care information. (James) The security and confidentiality are paramount. Fines are levied as a result of a breech to the HPPA law.There must be alerts to vulnerabilities, safeguards to help protect the EMR and the Information Technology team must be able to identi fy possible threats. Using an EMR (electronic medical record) has no absolute right and wrongs in either computer equipment or software for HIPAA compliance. Usually there are four areas to examine: -Physical Security – can your computers with patient data be stolen? -User Security – can anybody log on to the patient database? -System Security – what happens on a hard drive crash? -Network Security – can unauthorized persons outside your facility access patient data? Milne, 2006) Security is never easy to maintain; it requires continuous safeguarding. As a team we are all responsible to assist in the security of the EMR. Always log on and off when you are no longer Introduction to the Electronic Medical Record (EMR) using the bedside computer. Always check before charting that it is indeed you that is longed into the system and that only one patient record at a time is open for use. The EMR can be a valuable tool for Quality Improvement (QI). Through the design phase, a number of measurable data can be built into the EMR for report generation.If the team wanted to look at the number of times vital signs were not documented as dictated per Policy & Procedure. This data can be built into the system and reports run daily, weekly, or monthly. The same thing can be built to monitor for overdue or omitted medications. This can be further expanded to identify which team member is involved and to check for trends. Data may also be collected to support EBM. For example, tracking the effectiveness of two different antibiotic treatment regimens of a selected disease process may be used to support a change in the disease treatment (e. . antibiotic A showed improvement in five days where as antibiotic B showed improvement in ten days. ) Here again the possibilities seem endless. Think of the time savings for all the key people that would be required to look through endless paper medical records for this type of data collection in the paper medic al record. So how does the EMR come to fruition? It takes a large team of various specialties and specialists to develop the EMR. It starts with the Healthcare system researching and then purchasing the best system to fit the company’s needs and requirements.Once purchased, the owner of the software will deploy a team of specialists that will assist the Healthcare systems team to design and develop the contents and flow of the EMR. The team includes senior management which will assist in the purchase and be the governing authority of the proposed Introduction to the Electronic Medical Record (EMR) work flow before implementation. There are many subdivided teams. Nursing will have Subject Material Experts (SME) that will be the voice to assist in the flow, wordage, and design of the nursing components of the EMR. The SME’s will be from every department of nursing.From this group will be the Super User. The Super User will act as the cheerleader for the project developme nt and will be the main source for assisting with the Go Live of the EMR. The Information Technology (IT) will be a multi-tiered group ranging from System Support Analyst or the front line of communication, the Computer Programmers and System Analyst or the builders and troubleshooters, to the Project Managers or the supervisors of the IT team. Nursing will also have the Clinical Informatics Application Analyst who will be the voice between nursing and the technical side of issues, concerns, and development.The End User which is the front lines of nursing and everyone that will be using the system for documentation. And last but not least will be the Educators that will teach the system to the entire team. This is a rather large of individuals working as the voice of the EMR development and implementation. In conclusion, change will be rough at times but change is necessary for progression. Be positive and listen to the teams and the tips that are offered. Assist each other as suppo rt with the continued learning and development of the EMR. The Technology age is here and we should all reap the benefits of this endeavor.Remember how Florence Nightingale was the frontier to nursing as we know it. Well each of you deserves a pat on the back as you are the pioneers that have lead nursing into the technology phase of the Electronic Medical Record. You too are a part of nursing history. References HIMSS. (n. d. ) EHR Electronic Health Record. Retrieved from http://www. himss. org/asp/topics_ehr. asp James, R. (n. d. ) What is HIPPA? Retrieved from http://www. dhmh. state. md. us/hipaa/whatishipaa. html Milne, M. (2006, March 6). HIPAA in a â€Å"Nutshell† – Guidelines for EMR and Paper Medical Records Compliance.Retrieved from http://ezinearticles. com/? HIPAA-in-a-Nutshell—Guidelines-for-EMR-and-Paper- Medical-Records-Compliance&id=156737 Ten open ended questions. 1. When the EMR is first implemented on your unit, how can you assure the patient that you are competent in your profession? You will explain that you are a seasoned nurse and an expert in the nursing field. Today our facility is introducing the new EMR which will benefit you in the future. This will take a little more time for me to learn and I do not want you to feel like you are being ignored. I may have to ask you a lot of questions as I go through each section.Please feel free to ask me any questions or concerns that you may have. Our goal is your comfort and safety though the high quality of care. 2. On the day of Go-Live, how can your unit best assist you in providing support as you learn this new technology? My unit manager should over staff initially as we learn the new system. I can foresee the nurse being so buried in the computer that the delivery of care might be too slow initially. Having the extra staff will decrease the patient load and allow extra hands to assist with the delivery of care. 3. As you learn the new system there will be some anticip ated frustration.How can you divert this frustration so that your patient doesn’t sense that something is wrong? We will need to have the Super-User and Analyst available to assist us as problems or concerns occur. It is imperative that the bed side nurse remain positive an up beat as we learn. I suggest maybe huddles through out the day away from the bed side to discuss our concerns. We don’t want the patient to feel uncomfortable. 4. Your patient asks you why it is important to have the computer charting. Briefly tell me what you might say and why? The EMR is being implemented throughout the area as well as world wide.As you record develops, we will only need to verify some of your past medical history, allergies, medications, etc. These types of data will flow from one visit to another making you care easier as the data is readily available. No more waiting for old charts to arrive and thumbing through page after page of data to look for pertinent information. 5. Ho w do you perceive future benefits of an interoperable EMR? It will be possible in the future as the EMR progresses, that your hospital record, physician office record, out patient records, and pharmacy to communicate with each other.By doing so, some potential errors may be thwarted. For instance, maybe you are not able to recall all of your home medications and your consulting physician decides you need a new blood pressure medication. If the records could speak to each other then this physician would be able to see that you were already prescribed an antihypertensive medication or the pharmacy might catch the possible error. 6. Futuristically, let’s say you take a dream vacation to a foreign country. While on your visit you become ill and collapse unconsciously.How can the interoperable EMR potentially be a benefit in this case? If the system develops into a world wide communication link, then with limited data perhaps the hospital in the foreign country would be able to ac cess and utilize my EMR to provide answers in how to deliver the best possible care for me. So if I went in with a suspected ruptured appendix, by accessing my EMR surgical history it would be noted that I have had an appendectomy ten years prior so the focus could be directed at another possible cause. 7.Your patient states to you that she hates the computer and that it is the devils advocate. She is tearful and appears anxious. How might you handle this as you are in the middle of documenting in the EMR? You should stop what you are doing and maybe sit beside the patient and gently hold her hand and ask what seems to be troubling her? She might say she feels the nurses spend more time touching the computer and no time touching her, as you just did, and that we come across as cold and not caring. We need to realize that patient interaction is still paramount to the overall delivery of care.Take time to interact with the patient. Then step back and document; perhaps explaining what you are documenting and why it is important to her care. 8. What do you anticipate will be your plan of action when the computer system is down? What will be your back up plan? If the computer is down for a set amount of time, as determined by the hospitals administration, then the paper chart will be utilized. If the downtime is for an extended period of time, then this data would be scanned into the EMR as soon as possible after the computer system is back on line.If the duration was short, say an hour or so, then this data should be manually documented back into the EMR with the assessment time documented. 9. How do you anticipate computer physician order entry being a benefit? For one legibility! No more trying to decode what you think may have been written. It will be clear and concise. Also the physician may be able to look at documentation form somewhere other than the patients unit and decide orders need to be given. He can simply do computer order entry and a task will appe ar for new orders.If the order is anything other than routine, a call should be placed to alert the nurse of the priority. 10. What do see as a benefit to Quality Improvement by the institution of the EMR on a unit basis? We will be able to track data at a faster and higher accuracy a opposed to thumbing through paper record after record searching for data collection. The data collected can be as concise as to a particular nurse or a specific health issue. The data collected helps to support EBM change.

Thursday, November 7, 2019

Prohibition and the 18th Amendment to the Constitution essays

Prohibition and the 18th Amendment to the Constitution essays The 18th Amendment to the Constitution -passed by Congress in 1917, and ratified by  ¾ of the states by 1919 prohibited the manufacture or sale of alcoholic beverages within the boundaries of the United States. The Volstead Act of 1919, also known as the National Prohibition Enforcement Act, which was mandating "No person shall manufacture, sell, barter, transport, import, export, deliver, furnish or possess intoxicating liquor except as authorized in this act." It clearly defined an alcoholic beverage as one with an alcoholic content greater than 0.5 percent. The necessary 36 states ratified the amendment on January 16th of the same year. Allowing for the years adjustment, America went "dry" at the stroke of midnight, the morning of January 17th. The Prohibition Era began on January 16th, 1920, when the United States ratified the 18th Amendment, which prohibited the manufacture and sale of alcohol. The good intention ideals of the Prohibition Era led to several ill effects includi ng unbearable hypocrisy within the American society, corruption on all levels of government, and an astounding death toll, which was a result of the alarming crime rate. Prohibition in the United States was a measure designed to reduce drinking by eliminating the businesses that manufactured, distributed, and sold alcoholic beverages. The best evidence available to historians shows that consumption of beverage alcohol declined dramatically under prohibition. In the 1920s consumption of beverage alcohol was about thirty percent of the pre-prohibition level. Consumption grew somewhat in the last years of prohibition, as illegal supplies of liquor increased and as a new generation of Americans disregarded the law and rejected the attitude of self-sacrifice that was part of the bedrock of the prohibition movement. Nevertheless, it was a long time after repeal before consumption rates to their pre-prohibition levels. In that sense, prohibition "worked." When...

Monday, November 4, 2019

The repeal of the US Banking Act 1933 (commonly known as the Essay

The repeal of the US Banking Act 1933 (commonly known as the Glass-Steagall Act) was a substantial cause of the global bankin - Essay Example Stock markets in most of the countries plunged and there was widespread inflation everywhere. Food and oil prices rose to an all time high. Oil price went as high as $147 a barrel. (Oil and Gasoline, April 6, 2011). Lack of purchasing power led to a fall in demand for goods and as a result several industries suffered. International institutions like IMF and European Union outlined several corrective policies and advised nations on adopting more risk aversive regulatory measures for the national financial institutions. All over the world the governments dished out policies and bailout programs for the citizens and institutions to tackle problems like inflation and unemployment. Most of the countries spent huge amount of money from their federal reserve’s in an effort to bring them back to the path of sustained growth. German government helped Hypo Real Estate with $50 billion (Bettinga and Parkin, September 29, 2008). Investors from UK had huge losses in the London Stock Exchan ge. On October 2008 the British government announced a plan worth $850 billion to rescue its banks from going into insolvency. (Nanto, 2010, p.58) The US government adopted the Troubled Asset Relief Program in 3rd October 2008 to rescue the distressed homeowners and also lent to $182 billion to AIG to prevent it from going down (GAO, 2009; The Troubled Asset Relief Program, n.d.). In total they pledged $700 billion to fight the recession in their country. The bailout though saved the economy for the time being, a lot of senators argued that these monetary assistance from public money cannot chart long-term growth stability for the country. They emphasized on the need for the Glass- Steagall Act that was enacted at the time of the Great Depression to be reinforced. In this paper we shall try to address the issue concerning whether the Glass-Steagall Act was needed to prevent the Financial Crisis. About the Act United States experienced worst recessions in its history during the 1930s . One of the primary reasons behind the recession was that the bankers and brokers of the nation were guilty of dubious financial practices like using their customer’s deposit to invest in stocks and securities. Also they used their financial might to inflate the prices of the securities and did not have enough capital cushions to back up their investments. So when the public got scared and wanted to withdraw their deposits a large number of banks went insolvent. A large number of small banks filed for bankruptcy and the nation faced an extreme crisis. Under such circumstances the US Banking Act of 1933 also called the Glass-Seagull Act was enacted under President Roosevelt to prevent the country from further such disasters. The Glass-Steagall Act had two main components. They are as follows: Setting up the Federal Deposit Insurance Corporation (FDIC) to insure the deposit of the customers and secure their deposit: This was done firstly, to restore the customers faith in bank deposits and secondly, to collect money so that the banks can be assisted in terms of liquidity crisis. A lot of banks were saved from bankruptcy by receiving capital from the FDIC. Separating the commercial banking activities from the investment banking activity: Firstly, this would prevent the banks from using the saving of their customer to indulge in buying stocks and bonds.

Saturday, November 2, 2019

Science Meet Real Life Assignment Example | Topics and Well Written Essays - 500 words

Science Meet Real Life - Assignment Example It has been realized that there are some cases of students continually missing classes in the schools. It has also been noted that this is a phenomenon that seems to be on the rise and it is not just affecting a single student but it is becoming something that affects the population at large. The most probable reason for this is most likely to be caused by the food which is on offer in the schools. On critical examination of the subject matter. It is actually the most probable reason that can be linked to the case. This is so because the one thing which most of the students in the school share is the food. It might be that the food which is being offered right now may be from a supplier who may not be carrying out quality tests on it or at the same time the school restaurant may be having a lacking in the quality inspection which it is supposed to carry out. The problem can pose itself in two ways; either internally or externally. The statement "The Brentwood Indians basketball team lost the state championship because there is bad stuff in the stars happening with Mars in Aquarius" can be a suitable thesis statement in the course of carrying out research. The main reason for this is because it can be used as a statement from which a phenomenon can be established and in this case getting to know whether it is true or false. After having the statement as the guide it is when it can be established whether the research will fulfill its demands or