Bipolar Disorder And Mental Health - 855 Words

Everyone has good days and bad days, as some say â€Å"Everyone has their up’s and down’s†. Whether it is good or bad most people can control their moods. Unfortunately, there are people that experience a mood disorder known as Bipolar Disorder. According to the National Institute of Mental Health about one percent of the American population has been diagnosed with bipolar disorder. Living with a person that has been diagnosed with bipolar disorder is very difficult, especially not knowing anything about bipolar. There are many questions to be asked. Such as what is the disorder? Is bipolar disorder heredity? How is the disorder treated? First of all, Bipolar Disorder, also known as manic-depressive order cause’s shifts in moods, energy, activity levels, and the ability to carry out day to day tasks. According to the Diagnostic and statistical manual of mental disorder, â€Å"There are different types of bipolar disorder†. Bipolar I is manic episod es often followed by severe depression or mixed episodes. Some Symptoms of bipolar I are increased energy, racing thoughts, decreased need for sleep, increased sex drive, and aggressive behavior. Bipolar I occurs equally in both sexes. Bipolar II is a pattern of major depressive episodes alternating with episodes of hypomania. Females are more likely to have bipolar II. Feeling sad, tired, feeling irritable, helpless, not able concentrate, and thoughts or attempts at suicide are just a few symptoms of bipolar II. Having a mild form ofShow MoreRelatedBipolar Disorder And Mental Health934 Words   |  4 Pages Bipolar Disorder is otherwise known as manic-depressive illness. It is a brain disorder that causes shifts in moods, energy, activity levels, and the ability to carry out daily tasks. (Cite) These changes in behavior are outside of the norm as most people have ups and downs throughout their daily routines. But those with Bipolar Disorder experience shifts in mood that can be damaging to relationships, as well as their overall school and work performances. (Cite) I chose this disorder as the topicRead MoreBipolar Disorder And Mental Health1691 Words   |  7 PagesAccording to the National Institute of Mental Health, over 5 million individuals over the age of 18 are affected by bipolar disorder. Bipolar disorder is an illness that occurs with the brain and causes abnormal shifts in mood and energy. An individual with bipolar disorder will experience many ups and downs. These ups and downs are way different from the ups and downs an individual without the disorder will experience. B ipolar disorder is a lifelong condition and if not noticed, or treated properlyRead MoreBipolar Disorder And Mental Health910 Words   |  4 Pagespercent of American’s suffer with bipolar disorder but, unless you know someone who has the disorder or have it yourself you probably cannot define the disorder. Bipolar disorder is defined as a brain disorder that causes unusual shifts in mood, energy, activity levels, and the ability to carry out daily tasks by the National Institute of Mental Health. Or that is what the current definition for bipolar disorder is. Alan C. Swann in his article What is Bipolar Disorder says that we are far from a rigorousRead MoreBipolar Disorder And Mental Health Essay851 Words   |  4 Pagesexperience a mood disorder known as Bipolar Disorder. According to the National Institute of Mental Health about one percent of the American population have been diagnosed with bipolar disorder. Living with a person that has been diagnosed with bipolar diso rder is very difficult, especially not knowing anything about bipolar. There are many questions to be asked. Such as what is the disorder? Is bipolar disorder heredity? How is the disorder treated? First of all, Bipolar Disorder, also known as manic-depressiveRead MoreBipolar Disorder And Mental Health755 Words   |  4 PagesBipolar disorder has become more prevalent in the United States, particularly Bipolar Disorder II, which accounts for 30-50% of patients with depression (Thomas Hersen, 2002). Historically bipolar was known as manic depression (Thomas Hersen, 2002). According to National Institute of Mental Health (n. d.) â€Å"Most scientists agree that there is no single cause, rather many factors that act together to produce the illness or increase the risk† (NIMH, n. d.) Some of those factors can be family, workplaceRead MoreBipolar Disorder And Mental Health1840 Words   |  8 PagesInstitute of Mental Health (2015), bipolar disorder is a brain disorder that may cause random shifts in mood, energy, activity levels, and their ability to perform everyday tasks. There are different types of bipolar episodes; the high, euphoric episodes are known as mania, and the low, miserable episodes are known as depression. The median age, of those who are affected by this illness, is 25 years old. Although, it can start in early childhood, or as late as 50 years old. This mental illness doesRead MoreBipolar Disorder And Mental Health Issue1619 Words   |  7 Pages The word â€Å"bipolar† is commonly tossed around in our daily vocabulary to simply describe a person who is overly moody and easily irritated. However, the implications of the mental health issue, that is bipolar disorder, is much more complex than is implied. Bipolar disorder was first discovered in 1851 by French psychiatrist Jean-Pierre Falret who described the condition as â€Å"la folie circulaire† which literally translates to circular insanity (SeddlerRead MoreBipolar Disorder : Mental Health Condition981 Words   |  4 PagesBipolar disorder, or manic-depressive disorder, is a disorder characterized by extreme mood changes. An individual who suffers from this disorder can have extreme highs or extreme lows. They could go from being overly energetic and outgoing to feeling empty, depressed, angry and just completely worthless on a daily, weekly, monthly and or even yearly basis. Diagnosis, dramatic changes in one’s life, and even treatment can have a ser ious effect on an individual that is suffering from Bipolar disorderRead MoreBipolar Disorder : Mental Health Diagnosis797 Words   |  4 PagesBipolar disorder is a mental health diagnosis when a person can experience extremely different moods. It also can affect the brain during the progression of the illness. A person with this diagnosis usually experiences mood changes of extremely high moods/ manic or extremely low moods which look like depression. There are two different types of Bipolar disorders. The first is Bipolar I which is when a person’s mood can go to severe mania or severe depression. The second type is Bipolar II whichRead MoreDepression And Bipolar Disorder : The National Institute Of Mental Health Essay1358 Words   |  6 PagesDepression and Bipolar Disorder Whitney Keeton Mr. John Davis Jr., MFA, M. Ed. English Composition 1 - ENC 1101 Monday, Tuesday, and Thursday 6-10 PM Keiser University â€Æ' Depression and Bipolar Disorder The National Institute of Mental Health (NIMH) has stated that depression is a common but serious mood disorder. Depression is also a form of mental illness; that have many different types. Some of the types of depression are as follows: †¢ Persistent depressive disorder †¢ Perinatal depression †¢ Psychotic

Ethical dilemma of a patient’s refusal of blood transfusion Free Essays

string(66) " that treats others as mere means, rather than end in themselves\." Introduction In the analysis of this ethical dilemma we assess a case of a 20-year-old, pregnant, black Hispanic female presented to the Emergency Department (ED) in critical condition following a car accident. She displayed signs and symptoms of internal bleeding and was advised to have a blood transfusion and emergency surgery in an attempt to save her and the foetus. She refused to accept blood or blood products and rejected the surgery as well. We will write a custom essay sample on Ethical dilemma of a patient’s refusal of blood transfusion or any similar topic only for you Order Now Her refusal was based on a fear of blood transfusion due to her religious beliefs. The ethical dilemma presented is whether to respect the patient’s autonomy and compromise standards of care or ignore the patient’s wishes in an attempt to save her life. Her religious values are at stake. The issues concerning her values are the right or wrong of her actions and the acceptance, reputation or embarrassment of her decision in the social world. This case demonstrates dilemmas faced by healthcare professionals caring for patients in critical, life-threatening situations who have divergent views and values contrary to what is offered as a solution to their predicament. In the analysis of the ethical dilemma surrounding this particular case, we make explorations basing on two principle approaches; utilitarianism and deontology. This is in an endeavour to find the right moral balance and/or stand between the patient’s view and value and that of the healthcare professional seeking to intervene to restore her to health. Utilitarian approach Utilitarianism believes that the moral standing of an action, whether right or wrong, is dependent entirely on its consequences. This theory holds that the course of action that is considered proper is one that maximizes utility, maximizing happiness and reducing pain/suffering. In this approach, the worth of an action is only determined by outcome or result, consequent to that action. It therefore is a form of consequentialism (Paul and Elder, 2006). For our purpose and appropriate in this context, Mill (1998) argues that â€Å"the morality of the action depends entirely upon the intention – that is, upon what the agent wills to do.† Intention, in it being a foresight of consequences, constitutes the moral position of the act, whether right or wrong. I acknowledge that what is morally right and best for her in the values that she has expressed, is her religious stand and affiliation in which the medical interventions proposed are denounced. At the same time, however, and under the circumstances, her health risks might lead to miscarriage and there is likelihood that they might also eventually lead her into depression. In the utilitarian view, the young lady in this situation risks losing her own life and that of the foetus she carries if she does not allow the blood transfusion and surgical procedure to bring her to health. The doctors and nurses therefore have to consider her life first. Her circumstance is considered as legally enforceable and specific according to the Bentham’s tradition right (1816), assigning to law the role to define inviolable rights to protect the well-being of the individual (Hart, 1973). The utilitarian approach is a straight forward way to determine the best possibilities for all involved, balancing pleasure over pain for everyone (Paul and Elder, 2006). According to this principle, it is better to maximize equality between the lady and her foetus, and in view of her severe pain, to go ahead and perform the blood transfusion and emergency surgery. With this approach, I assume that later in a better state of health and recovery and after saving her life, she will console and will reconcile her moral stand with her predicament. The physicians therefore have the moral right to override the young lady’s refusal of the blood transfusion. Also useful in the argument and supporting the judgment for blood transfusion that the doctor may (or must) seek to override the patient’s refusal are two ethical principles. These are the principle of non-maleficence and the related principle of beneficence. The principle of non-maleficence requires the doctor to avoid harm where possible (Paul and Elder, 2006). So, withholding a proven, beneficial treatment would likely have the effect of producing harm. On the other hand, the principle of beneficence, which is inherent in the maximization of benefits and minimization of harm (Paul and Elder, 2006), could also be useful in support of the argument for the duty to administer the blood transfusion against the patient’s expressed will. However, this assumption and what society regards as of best interest to the patient should not be determinative of what is ideally her individual best interest. Overriding her wishes and not taking her religious views into account in going ahead with the blood transfusion and intervention might lead to a far worse situation for her. Among the possible eventualities after her treatment is depression, which might result from feeling that she has gone against the rules and expectations of her religion which are very important to her. Her situation might also be worse if she gets eliminated from her church for going against the rules of her religion. She might lose acceptance from her family members and friends. These eventualities might lead to the deterioration of her health, which by taking the contrasted utilitarian approach and our assumptions, we intend to protect. This eventuality will therefore thwart our best intentions. Deontological approach A more appropriate approach, more suitable to determine what is best for her, is Deontology and especially the philosophical tradition of Immanuel Kant. Unlike utilitarianism which is focused on the outcomes, consequences and eventualities of actions, Deontological ethics often referred to as duty-based ethics, are concerned with what people do, their actions. It is the belief that people have a duty to do the right thing, even it produces more harm (or less good) or a bad result than do the wrong thing (Wood, 1999). Kant gives a ‘categorical imperative’ to act morally at all times. One was that it was wrong to act in a way that treats others as mere means, rather than end in themselves. You read "Ethical dilemma of a patient’s refusal of blood transfusion" in category "Essay examples" According to Kant, persons are made special by a distinctive set of principally psychological capacities which includes self-consciousness and rationality, a distinct capacity for personhood (Wood, 1999). This view is founded on two basic principles; first, a person has the distinctive ability to think and to act rationally, best expressed when they behave morally or as a moral community. Secondly, people have dignity and are valuable in a distinctive way, a unique, intrinsic value that has no exchange value. This is in contrast to things which have an exchange value such as a coat whose value is equivalent to the money paid for it (Wood, 1999). According to Deontology, it will be wrong to undermine her autonomy and flout her dignity – treat her as a mere means. It is better, therefore, to respect her religious belief and respect her decision not wanting to have the blood transfusion. Respect for the patient’s principles and her status as a competent adult mandates that doctors should comply with her expressed wishes even if the predicted outcomes are unfavourable or may result in death. It is her choice as a self-conscious, rational adult with intrinsic capacity to evaluate and know what is morally right and acceptable for herself. Morality versus religion For many religious people, and especially those in monotheistic religions, morality and religion are the same – they are inseparable. For them, it is either that religion is their morality or that morality is part of their religion (Childress, et al., 1986). Religions have frameworks of values through which adherents are guided in determining right and wrong. The monotheistic religions derive ideas of right and wrong by the rules and laws set in their respective holy books and by their religious leaders (Childress, et al., 1986). For adherents like our patient, the rules set out and as interpreted by religious leaders are absolute and there are dire consequences for flouting such rules. For most monotheistic religions, flouting rules and values is considered ‘sin’, a failure that leads to punishment in the after-life. The patient in this instance expresses a fear of blood transfusion due to her religious beliefs, possibly a fear of dire consequence such as future punishment. This absolutism and the derivation of values from deity and holy books can hardly be challenged by rational criticism and explanations that seek to give some worth to disallowed practices and procedures such as blood transfusion in this particular case. My personal view There can be different opinions and points of view about what should be done with the patient in the analysis of this ethical dilemma. There can be different possibilities and we may never reach clear and generally agreeable conclusions with regard to what is morally right in this case, with our conclusions and inferences dependent on our varied ideas and beliefs over morality based on varied religious, societal and cultural backgrounds, among other influences. With the well-being of the individual protected as an inviolable right in the utilitarian approach, and since under the circumstance, the patient risks losing her life, risks miscarriage and possible depression as consequences of her refusal of intervention, the doctors and nurses have to consider her life first as legally enforceable and specific. The related principles of non-maleficence and beneficence provide useful support for the argument requiring that the doctor, with the knowledge of the necessity of the intervention, avoids harm by not withholding such beneficial treatment. This makes the assumption that it is for the patient’s individual good that she receives treatment even if her expressed will has to be overridden. Although the patient’s autonomy should be respected as it is her life and at her age she is a competent adult, in this case, she will have to deal with the consequences of the blood transfusion in the future, when in a position of health and when her death has been avoided. This decision is justified based on my opinion to maximize the patient’s high quality of well-being on J. S Mill’s Principles of Utility (1806-1873). Mill (1998) states that the principle of utility does not mean that any given pleasure or exemption from pain (such as health) is to be looked upon as a means to happiness, and so to be desired. They are desired and desirable in and for themselves; besides being a means, they are a part of the end, a part of the happiness. An acknowledgement of the importance of her religion to her is, however, essential and is considered to be an important part of the argument put forth. Her religious stand and affiliation makes her wary of blood transfusion and represents the morally right position for her. I consider that under the principle of utility applied to this context, blood transfusion, if performed against her expressed will, would cause the patient unhappiness and pain in the future. However, considerations of future stigma and loss of acceptance, or depression resulting from her reaction to these consequences are only possible if she manages to survive her current predicament. It is therefore a priority and a greater good, that she receives such an intervention and manages to survive and that her unborn child also survives. I feel that she has a right to be accepted by the church and her family despite the decisions she makes, with the realization in all rationality that the blood transfusion, though considered a ‘mistake’ or ‘sin’, serves to get her to health and possibly to save her life after the accident. It is not an intended procedure that she willingly sought, but is necessitated by her medical predicament after the accident. She wouldn’t have to have the procedure in a state of adequate health and well-being. I would in this case, therefore, appeal for such rational consideration among the people in her social circle, with the acknowledgement of her predicament and respect for her autonomy and individual capacity and competence. I also consider the people she is associated with and her unborn child and the possible impact her unhappiness would bring them in future. I am aware that this conduct of blood transfusion could upset her family and church and cause some conflict within their relationship, but the main subject to consider is the patient. Respect for her autonomy and competence in the decision would make her feel worthy, valued, respected and dignified. Depression could result from either of the choices, if the blood transfusion is conducted or not. This could in turn cause harm to her unborn baby, to herself, and to those she associates with in her social world, who have to live with the consequences of such ill health. This means that whether or not the blood transfusion is conducted, there will possibly be consequences and we have then to weigh the relative impact of either option over the other to acquire a morally right position. However, our assumptions of the best interest for the patient and her good cannot be determinative of her ideal best interests. The consequences from proceeding with the blood transfusion against her expressed will, which we consider less harmful than the consequences of withholding of treatment, might well turn out to be worse for her. Depression and deterioration of health exacerbated by her loss of acceptance in her church and social circle could be terrible for her, worse in her case than the consequences of death or ill health consequent from withholding treatment which we consider to have more harm. Will we, by overriding her will, therefore be undermining her autonomy and treating her as a mere meansAcknowledging that she is a self-conscious and rational individual having distinct capacity and competence, we would and it would clearly be wrong to undermine her autonomy and flout her dignity. She can rationally evaluate the predicted outcomes, however unfavourable, and make appropriate decisions on what is acceptable for herself and morally right. The doctors therefore should comply with her expressed wishes, however unfavourable the outcome. From these arguments put forward in this case, I deduce that there would be more negatives than positives if the blood transfusion is conducted, even with her death and the loss of her unborn child as possible eventualities of withholding treatment. Conclusion The overall and ultimate questions are who is or what is it that determines what is right and what is wrongDo we do what is morally right according to the patient and respect their autonomy or do we go against her wishes and act based on what we as a society feel is morally right according to usGiven that our conclusions are dependent upon individual ideas and beliefs about what is moral and what is immoral basing on our religious, societal, cultural backgrounds, etc., what should we do in line with our work ethics, beliefs, codes of conduct, etc.? In assessing the case of the 20-year-old patient and the ethical dilemma resulting from her refusal of blood transfusion citing contravention to her religious beliefs, I have made explorations of this particular case using two major approaches; the utilitarian and deontological principles, together with the ethical principles of non-maleficence and beneficence to support the various arguments. The utilitarian approach seeks to protect the well-being of the patient as a legally enforceable right as under these circumstances, justifying the override of her wishes to conduct the blood transfusion. This approach is supported by ethical principles of non-maleficence and beneficence, that the doctor avoids harming the patient by not withholding necessary intervention and beneficial treatment. On the other hand, Kantianism/the deontological approach seeks to protect the autonomy and psychological independence of the patient in the evaluation of her predicament and the making of choices appropriate and acceptable to her in her moral standing. This latter approach is more appealing, considering that we cannot assume to be able to accurately quantify the greater of harms consequent from any of the choices of the ethical dilemma. There is a tendency for us to determine that death as an eventuality is a significant harm, and therefore to consider it a greater good to try and prevent such an eventuality whatever the arguments against it. This is especially so with an assumption that she can reconcile her predicament later after she manages to survive and is in better health. For the young patient, however, our assumptions of her best interest cannot be determinate of her ideal good and the consequences may turn out to be a greater harm to her, worse than the withholding of treatment. Her unhappiness from the override of her expressed will in conducting the blood transfusion and possible depression may lead to a deterioration of her health, with suffering and death as possible eventualities as well. With this consideration, I deem it morally right that the doctors respect her expressed will not to conduct the blood transfusion however unfavourable the consequences. References Childress, (ed.), James, F., Macquarrie, (ed.) John, 1986. The Westminster Dictionary of Christian Ethics. Philadelphia: The Westminster Press. p. 400. Hart, H., 1973. â€Å"Bentham on Legal Rights.† In: Oxford Essays in Jurisprudence. Oxford: The Clarendon Press. Paul, R., and L., Elder, 2006. The Miniature Guide to Understanding the Foundations of Ethical Reasoning. United States: Foundation for Critical Thinking Free Press. Mill, J., 1998. Crisp, R., ed. Utilitarianism. Oxford University Press. pp. 65. Wood, A., 1999. Kant’s Ethical Thought. New York: Cambridge University Press. How to cite Ethical dilemma of a patient’s refusal of blood transfusion, Essay examples

A Case for Race-Based Admission in Higher Education free essay sample

A persuasive paper which supports race-based admissions to colleges and universities. The paper examines the Cheryl Hopwood case where a young white woman applied to the University of Texas Law School and was denied admission. The paper shows that four years later Hopwood, along with four other plaintiffs, filed a lawsuit against the University of Texas Law School for reverse discrimination. This paper provides specific reasons that support race-based admissions for colleges and universities. The paper points to the educational benefits students receive when they attended a diverse college. Another educational benefit to college students is that studies have shown that a diverse campus contributes to better academic outcomes. In 1999, Gurin conducted a study of the educational benefits of college students who attended a diverse college campuses. Gurin found that White students, as well as minority students, reported higher levels of diverse ideas and information (10). Gurin also found in his study that students from diverse college campuses were more likely to show growth in their active thinking processes (10). We will write a custom essay sample on A Case for Race-Based Admission in Higher Education or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page That is, college students from diverse campuses scored higher test scores in complex thinking and social thinking than those from a more homogeneous college campus. These students also had higher levels of intellectual engagement and motivation (21). Lastly, these students were more likely to aspire to go to graduate school (23). As seen in Gurins study, college students from diverse campuses gained educational benefits.

Substandard Patient Care or Health Care Delivery

Table of Contents Introduction Substandard Patient Care or Health Care Delivery Conclusion Reference List Introduction The world health organization defines health as a condition of absolute physical, mental and social fitness. Thus, the presence of diseases and infirmities do not necessarily reflect unhealthy status. Nevertheless, such infirmities and diseases can heal if patients subject themselves into health care facilities and services.Advertising We will write a custom research paper sample on Substandard Patient Care or Health Care Delivery specifically for you for only $16.05 $11/page Learn More Perhaps to start with, a health care delivery system comprises of human resources, pharmaceutical drugs, surgical equipments, and other health care services vital to health demands. On the other hand, there are health care facilities such as dispensaries, clinics and hospitals controlled and administered by either the public or private segment. Each o f these health care facilities provides range of services. For example, public health care facilities provide curative and preventive care services while, the private segment deals with curative health care services. Thus, it is evident that there are many factors determining the health of an individual. In most cases, the environment where a person lives is imperative in determining health conditions. (Amanda, 2006, p. 1). As Michael (2006) notes, in highly populated regions, people seem poor hence, poor health care services. Of course, with the current economic downturn, many people have failed to secure first-rate patient care services. Worse still, health care professionals have made professional mistakes, which have led to many death cases. Research shows that substandard patient care has worsened the provision of health care services, and together with ignorance and negligence from health care professionals, many will loose life or encounter additional health problems (p.1). A t the present, substandard patient cost American taxpayers about US$3 billion per year on Medicare patients alone. Noticeably, the figure will be high we consider other departments. Personally, I have witnessed a number of cases arising from substandard patient care. In a rather disturbing note, I am able to recall about two medical malpractices done to two close family members. In my own view, substandard health care delivery causes more pain far above than the previous one. Moreover, it leads to leads to additional financial burdens, which many people fail to afford. It has come to my realization that many hospital facilities do not have enough human resource. The number of nurses attending patients is too low. In fact, some patients die unattended due to the shortage of health care workers. The few health care workers present work for long hours, making them unable to deliver efficiently. In many health care facilities, there is dire demand of health care equipments. (Gerson Lehr man Group, 2009, p. 1).Advertising Looking for research paper on health medicine? Let's see if we can help you! Get your first paper with 15% OFF Learn More Substandard Patient Care or Health Care Delivery Substandard patient care occurs due to negligence or medical malpractices of health care workers. For example, it is quite legitimate and non-discriminatory to fire a nurse for failing to offer standard patient care. Not once, I have witnessed a number of cases where nurses fail to deliver due to incompetence. Nurses who lack professional nursing skills can cause additional health problems or even cause death. For example, one hospital in Oklahoma City recently released one nurse off her duties citing incompetency in work. The nurse who was working in the hospital’s anesthesia care unit had little experience in patient care. During her first weeks at the hospital’s patient care unit, the nurse seemed positive about her tasks. However, her incompetence came into public when I took my sister for a delivery process. From the first day, I realized something was wrong with the nurse’s attitude. This is because she could not even examine my sister first before proceeding with her professional roles. Worse still, the nurse could not account reports from other patients under her care. She seemed to take more offs without notifying the nurse in charge and therefore leaving patients agonizing. As for my case, the nurse failed to administer some basic drugs properly (IV drip and IV push). According to medical practitioners, such failures led to my sister develop health care complications while under patient care. In addition to this, the nurse could not even recall professional skills regarding the coding of patients in order to control respiratory distress in my sister. These and many other substandard patient cares left my sister in serious jeopardy. When experienced co-workers examined my sister, they found out that the nurse had participated substandard patient care. They therefore decided to terminate her contract to retain public confidence. Thus from this particular scenario, it is evident substandard health care causes additional health problems besides increasing the cost of health care services. (Legal Eagle Eye Newsletter for the Nursing Profession, 1996, p. 1). Five years ago, my grandfather died while undergoing recuperation at the patient care. The circumstances leading to his death resembled that of substandard patient care. My grandfather was suffering from aspiration pneumonia. In order to combat this health problem, the doctors had to carry out a bowel blockage operation. However, after two weeks, my grandfather died due to wrong operation that caused more pain hence, resulting to his death. My family strongly believes that the hospital erred in patient care. Since the day, my grandfather arrived at the hospital, substandard patient care exhibited. For example, it took the doctors three days t o carry out a CT scan test revealing his extended stomach.Advertising We will write a custom research paper sample on Substandard Patient Care or Health Care Delivery specifically for you for only $16.05 $11/page Learn More Inside his stomach, a certain fluid extended all the way to the esophagus thus blocking the bowels. The problem demanded an operation in order to remove the fluid. In that case, surgical doctors settled on the idea of inserting a naso-gastric tube into his stomach aimed at removing the fluid. Nevertheless, these surgical doctors failed to perform the operation on time in what the hospital described as, â€Å"a busy patient care day†. After successful interaction with the hospital staff, we finally took my grandfather to an operation room later in the day. However, the absence of a nurse complicated matters especially on the fact that my grandfather had been vomiting the whole day and needed some patient care. Consequently, an anesthetist came to perform the operation but did not even have scan results. Definitely, the anesthetist went ahead to carry out a wrong surgery. Under anesthetics, a patient of this kind is likely to vomit when his muscles relax, and by the following morning, my grandfather had vomited two litres of fluid, one of it from the lungs. The fluid in the lungs had caused serious damages and eventual caused his death. Although the doctor appeared remorseful of his wrong surgery, he blamed substandard patient care as the main cause of my grandfather’s death. The doctor added that under such circumstances, death is unavoidable. (Natalie, 2010, p.1). Conclusion Many people die because of substandard patient care. The government should institute proper mechanisms of controlling deaths that occur due to substandard patient care. In the past, we have seen some families take health workers in court for their professional mistakes. To some extent, this has made nurses and doctors extra ca reful when executing their professional skills. Perhaps, professional medical bodies should enact legislations aimed at discouraging negligence and laziness at work. To some extent, this will improve standards of patient care and health care delivery. Reference List Amanda, G. (2006). Most Americans Getting Substandard Health Care. Web.Advertising Looking for research paper on health medicine? Let's see if we can help you! Get your first paper with 15% OFF Learn More Gerson Lehrman Group. (2009). Negligent Patient Care: The Impact on the Cost of Health Care. Web. Legal Eagle Eye Newsletter for the Nursing Profession. (1996). Web. Michael, T. (2006). Pleasant Care Nursing Facility Struggles With Quality of Care Lawsuits: Newest Settlement with State Attorney General Will Place Monitor in Facility. Web. Natalie, A. (2010). Patient’s care ‘substandard’. Web. This research paper on Substandard Patient Care or Health Care Delivery was written and submitted by user Elsa P. to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Free Essays on Seneca Falls Convention

There have been many types of movements throughout time. Many are to accomplish goals and to get equalities throughout different minorities. Women’s movements have always been a controversial issue. The movements vary from demanding to get equal rights, to the persistence in women’s suffrage movement. The Seneca Falls convention of 1848 formally introduced several ideas: equal voting rights for men and women, equality regardless of gender, and equal opportunity for participation in commerce and trade. The Seneca Falls Woman's Rights Convention sparked to life a women's movement that is still changing the world today by improving the lives of women and, consequently, men everywhere. The Seneca Falls convention was the single most important catalyst in the women’s rights movement, contrary to the commonly accepted belief that it was merely the product of an inevitable social revolution. As a result of preexisting grievances, new access to resources, and an internal dialectic of opposition, the issue of women’s rights was increasingly discussed from abolitionist platforms throughout the 1840’s. These dynamics culminated in 1848 with the well known Seneca Falls women’s rights convention, which drafted a Declaration of Sentiments and principles that formally launched the women’s rights movement. (Brownmiller, In our revolution pg. 52-53) While the precise timing of this convention concerns the biographies of the women involved in calling the convention, the year 1848 is a significant reminder that the women’s right began in a social climate of agitation and reform at home and a political climate of revolutionary social change in Europe. Both nationally and internationally, such reform and revolutionary movements created important social and political space for other movements, including women’s rights, to build a foundation. ( Myra Marx, Controversy and Coalition, pg. 49-51) Such movement space is yet another resource tha... Free Essays on Seneca Falls Convention Free Essays on Seneca Falls Convention There have been many types of movements throughout time. Many are to accomplish goals and to get equalities throughout different minorities. Women’s movements have always been a controversial issue. The movements vary from demanding to get equal rights, to the persistence in women’s suffrage movement. The Seneca Falls convention of 1848 formally introduced several ideas: equal voting rights for men and women, equality regardless of gender, and equal opportunity for participation in commerce and trade. The Seneca Falls Woman's Rights Convention sparked to life a women's movement that is still changing the world today by improving the lives of women and, consequently, men everywhere. The Seneca Falls convention was the single most important catalyst in the women’s rights movement, contrary to the commonly accepted belief that it was merely the product of an inevitable social revolution. As a result of preexisting grievances, new access to resources, and an internal dialectic of opposition, the issue of women’s rights was increasingly discussed from abolitionist platforms throughout the 1840’s. These dynamics culminated in 1848 with the well known Seneca Falls women’s rights convention, which drafted a Declaration of Sentiments and principles that formally launched the women’s rights movement. (Brownmiller, In our revolution pg. 52-53) While the precise timing of this convention concerns the biographies of the women involved in calling the convention, the year 1848 is a significant reminder that the women’s right began in a social climate of agitation and reform at home and a political climate of revolutionary social change in Europe. Both nationally and internationally, such reform and revolutionary movements created important social and political space for other movements, including women’s rights, to build a foundation. ( Myra Marx, Controversy and Coalition, pg. 49-51) Such movement space is yet another resource tha...

How to Talk Politics and Still Stay Friends

How to Talk Politics and Still Stay Friends Is it possible to talk politics without the conversation ending in bruised egos and hurt feelings? Is politics, like religion, a  subject too taboo  for the holiday gathering or family function? And if someone does unexpectedly start to talk politics at your dinner table, what should you do? Republicans. Democrats. Libertarians. Greens. Neocons. Ultraliberals. Americans are a diverse bunch, and theyre growing increasingly polarized and seemingly more unable by the minute to talk politics in a civilized manner. Usually, a fight breaks out when the topic turns to the upcoming election. Here are five ideas for how to talk politics and still stay friends with your partisan pals. Cite Facts, Not Opinions If you absolutely must talk politics, one way to avoid messy confrontations is to steer clear of opinions and instead cite facts. Dont say, for example, that you think all Republicans are insensitive or all Democrats are elitists. Steer clear of painting everyone with such a broad brush. If you find yourself engaged in political debate while trying to enjoy the Thanksgiving turkey, use facts to gently back up your position. This will require some preparation and study the night before a get-together, but a policy discussion that centers on facts and not opinion tends to be one that is more thoughtful and less likely to end in a brawl. Disagree Respectfully Dont shake your head in disgust. Dont interrupt. Dont sigh like Al Gore did during his debate with George W. Bush in 2000. Dont roll your eyes. Dont be a jerk, in other words. There are at least two sides to every debate, two visions for the future, and yours isnt necessarily the right one. Let your sparring partner have his say, then explain in an even tone why you disagree. Do not use the phrase, You are wrong. This makes the disagreement personal, and it shouldnt be. Stick to the facts, be respectful, and your holiday gathering should be a smash. In a good way, of course. The bottom line: Agree to disagree. See the Other Side Lets face it: If you were right all the time, youd be president and not that other guy in the White House. Theres a chance youre wrong about some things. Its always good to see an argument through your sparring partners eyes. Occasionally, should you feel the need to extinguish what appears to be an escalation of the political rhetoric, stop and say to your friend, You know, thats a good point. I never looked at it that way. Dont Take It Personally So you and your pals or in-laws once disagreed over how President Barack Obama had handled the economy, or whether Mitt Romney really understood the middle class. Who cares? That shouldnt have an impact on your friendship. The bottom line: This is isnt about you. Get over your bruised ego or hurt feelings. Move on. Embrace your differences. Theyre what make America great. Keep Quiet If you really dont have anything nice to say, as the old maxim goes, dont say anything at all. This is especially true when talking politics. If a civil discussion of the issues is impossible with your friends and family, its best to keep quiet. Even if they raise force the issue, stay silent. Shrug your shoulders. Duck into the bathroom. Pretend to be distracted by the song playing in the background. Whatever it takes, keep your thoughts to yourself. For silence is the best policy of all in the long run.

Why Obama won Essay Example | Topics and Well Written Essays - 2250 words

Why Obama won - Essay Example Campaign strategies are based on what people value and what affects the people. Politicians must always preach practical ideas, things that can be implemented, not ideas that are out of reach. That is where campaign strategies come in. Speaking of campaign strategies, the just concluded United States of America election was based on issues, ideas and issues that give solutions to problems that are very close to the heart of the Americans. United States of America as the most powerful country in the world would never endorse strategies that will drag them behind, strategies that do not consider gender, age, social status, race and any other issue that affect America both within and abroad. President Obama re-election bid was about how United States of America can move forward, and was strategically planned to appeal to the electorates (Americans) as the best strategy for America. President Obama re-election bid was all about issues that affect the poor and the rich, young and old, bla cks and whites, educated and non-educated, gay marriage and straight marriage. Unlike President Obama, his main challenger Mitt Romney’s campaign was majorly based on Obama’s failures, what the president promised and never accomplished. Romney’s ideas were viewed as not to be â€Å"touching† the hearts of Americans. Romney was more of what will be done if he is elected and not how they will be done if elected, unlike president Obama who preach practical ideas and how they will be done. ... President Obama scored 50.5% (61,907,639) while Mitt Romney scooped 49.5% (58,648,640) of the popular votes. President Obama won the election despite the state of the economy because Mitt Romney never addressed issues that have close impact to the live of Americans. Mitt Romney’s stand on legalization of marijuana, same sex marriage, immigration reforms, corporate affairs and dealing with Middle East and China did not correspond well with the Americans views. Unlike Romney, President Obama was able to consolidate the sentiments of emerging voters like legalizing same sex marriage, increase social spending, legalizing the use of marijuana, reforming immigration law and withdrawal of United States of America Military from Afghanistan and Iraq. This gave President Obama an upper hand to wins votes from Hispanics, Black Americans, Millennial and Asians that boosted his victory. Furthermore, President Obama won the election because he was able to appeal to two very important consti tuencies namely; Millennial and Hispanics. These two groups played a very critical role in President Obama’s re-election bid. President Obama’s stand not to deport young illegals should they come to United States of America as a child and has reached the required criteria avoided any bad impact on the state of the economy. Unlike Obama, Mitt Romney view on illegals did not go well with the group thus earning President Obama their votes. According to CNN, the millennial generation, which constitutes of 19% of the total US population up from 17% in the year 2008, 60% - 36% of the millennial generation voted for president Obama. President Obama’s position on gay marriage and immigration reforms

Divorce in America Essay Example | Topics and Well Written Essays - 750 words

Divorce in America - Essay Example There are seven factors identified as the reasons for divorce based on the study done by Mafauzy, director of faculty of health in Malaysia. According to him the following is the reason for divorce; failure by husbands and wives in discharging their responsibilities, low grounding in religion, interference by third parties, differences in culture, sexual problems, money and careers. A recent study by the Creighton University Center for Marriage and Family concludes that the biggest obstacle in the marriage life is the time, sex and money. The study found that debt brought into marriage, the couples' financial situation, balancing job and family, and frequency of sexual relations were of greatest concern to those ages 29 and under. The female or male may have their freedom from the marriage but the biggest impact will be on the children of the couple. Each year over 1 million children suffer the divorce of their parents. Those children who witnessed the divorce of their parent before they turn 18 usually carry the effect up to their adulthood and even affect the future generation. Some of the damaging effects include the following: Families with children that were not poor before the divorce see their income drop as much as 50 percent. Almost 50 percent of the parents with children that are going through a divorce move into poverty after the divorce. Institutions, go Religious worship, which has been linked to better health, longer marriages, and better family life, drops after the parents divorce. Conclusion Institutions, government and every individual should be aware in the effects of divorce in children. The people or couple should understand the core principles of marriage before getting into it. That principle is that marriage is the best environment in which to raise healthy, happy children who can achieve their potential and that the family is the most important institution for social well being. If the family is the building block of society, then marriage is the foundation of the family. If this foundation is growing weaker, then the society will not be as strong as it used to be. Reference: 1. Patrick, F. and Rector, R. , "The Effects of Divorce on America, June 5,

The Holy Virgin Mother Mary Essay Example for Free

The Holy Virgin Mother Mary Essay The Holy Virgin Mother Mary,by Chris Ofili, is one of the many controversial pieces of artwork to rise to fame in the late nineties. Taken as highly offense to the religious community due to the portraits exposed breast, hints of pornographic material,elephant dung and seemingly downgrading use of the sacred image of Mother Mary. Due to Ofilis inappropriate interpretation of real art, he received countless criticisms about his work including threats and vandalism against The Holy Virgin Mother Mary. The portrait has a 2D shape,very flat with little to no depth. My eye is drawn directly to the blue rosebud in the center of the portrait,which turns out to be the breast of the Holy Virgin Mary,after reading a little into the background of this portrait. Multiple round putty-like splatters are spread out around the painting. If you look closely you can determine that these are pornographic cutouts pasted all along and around the painting. The foreground of the painting tends to blend with the background and the only thing separating the Virgin Mary from the bright yellows and oranges is a soft thin line. The Holy Virgin Mary depicts a woman of African descent and clothed in turquoise blue robes in a similar manner as mother Mary. Small round objects float about the painting in a random and unorganized manner,which represents an ironic reference to the putti that appear in traditional religious art. The Holy Virgin Mother Mary sit centers around a yellow and orange background. Ofili started using dried-out elephant dung for the first time after a visit to Zimbabwe in 1992, his first ever trip to Africa. He was so taken by this experience that he wanted to import something of the African landscape into his paintings. In order to compensate for the foul nature of the dung, however, he took special care to make the overall effect of his paintings especially attractive. He did so by making richly-layered decorative surfaces. Ofili employed mixed media, including oil paint, glitter, and polyester resin,and collaged pornographic images in this painting, incorporating colored dots, sparkling glitter, polyester resin, map pins, collage cut-outs, all carefully combined into a dazzling display of vibrant folksy energy. A lump of dried, varnished elephant dung orms one bared breast, and the painting is displayed leaning against the gallery wall, supported by two other lumps of elephant dung, decorated with colored pins. The pins on the left are arranged to spell out Virgin and the one on the right Mary. (BBC News) In an interview, the British artist Chris Ofili discusses his work. He asserts that his paintings are part of hip-hop culture, and states that his work operates on multiple levels and is open to interpretation. He explains his intention of transforming everyday junk and aspects of contemporary culture into thought-provoking images, noting the importance of his identity as a Londoner. He discusses his techniques and current projects, and explains the importance of music, drawing parallels between his concerns and those of contemporary hip-hop and soul artists. He considers his painting The Holy Virgin Mary with reference to issues including the stereotyping of black women, the paradox of the virgin mother, and notions of beauty and caricature, and concludes by asserting that art can be constructed from anything and should be unrestricted by cultural norms(Miller, Paul D). It is perhaps Marys role as virgin and mother that best captures the paradoxical character of her identity and her imagery. Mary has often been cast as the counterpoint to Eve,as the agent of sin and death versus woman as vehicle of redemption. Yet, remember, Mary also bore a son. In one fourteenth-century book, the Annunciation scene is surrounded by cats, rabbits, monkeys, and flirtatious girls and boys to contrast the Virgins chastity with worldly carnality and simultaneously to offer a message of fertility(College Street Journal). I think that Ofilis imagery must be seen against this,contradictory visual history and in terms of the personal and universal that has underlain much of art connected with the Virgin. Ofili depicts her features and uses elephant dung to connect her in a basic way to the African earth and its people. To depict the The Holy Virgin Mary as a beautiful piece of art, is a bit of a stretch for me. It is a unique work of art that expresses the artists views on certain religious phenomena and worldly stereotypes.

Good Use: What is it Good For? :: Teaching Writing Education

Good Use: What is it Good For? I sit here at my computer surrounded by writings about good use. They are beside me, in front of me, next to me. I have read them all many times and I still wonder if I have figured out an answer to "What is good use and what is it good for"? Good use is something that I feel is ingrained in us from kindergarten on. We are taught the proper way to write and the proper way to talk. It distinguishes the educated from the uneducated. Oh, we may try to say that good use does not matter, but we notice when 'bad use' is evident. We see words that are misspelled and sentences that make no sense at all. We hear words used totally out of context or mispronounced. We try not to be judgmental, but, in the back of our minds, there is a little gnome whispering little opinionated thoughts about the ignorance before us. Okay! Okay! I can see everyone getting defensive on that last comment. But if we are honest with ourselves, it is true. We talked in class about good use being a class distinction. There is no avoiding it. Of course, there are the extremes. The example of Niles from 'Frazier' is the utmost extreme in constant good use. Or is it? Maybe it is just an example of class. But Frazier would be of the same class as his brother and he does not speak in such extremes. This is very sad. Now I am arguing with myself in this paper. I think I have triggered an idea, though - Niles is not an example of good use. He is using a dialect that he is comfortable with, that is not common among us. It makes us think of good use because it is so formal. The dialect does consist of good use, but it is not the epitome of it. Frazier and even his Dad speak in ways that would constitute good use. You do not have to use formal english to be considered using good use. Now it may sound like I am getting away from the class distinction, but I don't think that I am. I think the class still shows up, especially in people who have not had a chance at an education. Then there is a definite lack of good use, as we know it.

Characterization of Lydia Bennet Essay

In Pride and Prejudice, the character of Lydia Bennet is characterized as someone who is immature, critical, and foolish. Lydia is a young, spoiled teenager who is accustomed to getting what she wants and is a favorite of Mrs. Bennet. Through over-indulgence on the part of her mother and neglect on the part of her father, she has been allowed to grow to be â€Å"vain, ignorant, idle and uncontrolled.† This characterization is revealed through both direct and indirect characterization. Through the use of description, dialogue, and actions the overall meaning of the novel is conveyed. Lydia is characterized as being a very immature young girl. Lydia goes shopping with her sister and tells everyone that she wanted to treat them all to lunch, but they would have to lend her the money because she spent all of hers. She then continues to say, â€Å"I have bought this bonnet. I do not think it is very pretty; but I thought I might as well buy it as not. I shall pull it to pieces as soon as I get home, and see if I can make it up any better.† She also says that there were much uglier ones in the shop and that this one is tolerable. This statement shows that Lydia is very immature in how she spends her money and is a spendthrift. Lydia Bennet’s dialogue shows that she is very critical of other people. Jane and Elizabeth tell the waiter that he doesn’t need to stay. Lydia then laughs and says, â€Å"Aye, that is just like your formality and discretion. You thought the waiter must not hear, as if he cared! I dare say he often hears worse things said t han I am going to say.† She then says that he is very ugly and has such a long chin and that she’s glad he’s gone. Lydia also says that her news about Wickham is too good for the waiter. Elizabeth then tells Lydia that Wickham is safe because Mary King is gone to Liverpool. Jane says, â€Å"But I hope there is no strong attachment on either side.† Lydia says, â€Å"I am sure there is not on his. I will answer for it he never cared three straws about her. Who could about such a nasty little freckled thing?† Through Lydia’s conversations we see that she is a critical person. Lydia is also a very foolish person. She is very concerned with the militiamen. She is very happy to hear that they are in town for the summer. Lydia tells Elizabeth, â€Å"They are going to be encamped near Brighton; and I do so want papa to take us all there for the summer†¦ Only think what a miserable summer else we shall have!† Lydia only seems to care about flirting with the militia. She thinks that she will be miserable all summer if she doesn’t go to see them. Elizabeth says, â€Å"Good Heaven! Brighton, and a whole campful of soldiers, to us, who have been overset already by one poor regiment of militia, and the monthly balls of Meryton.† When Mary says, â€Å"Far be it from me, my dear sister, to depreciate such pleasures. They would doubtless be congenial with the generality of female minds. But I confess they would have no charms for me. I should infinitely prefer a book,† Lydia rarely listens to anyone besides herself for more than a minute, and never listens to Mary at all. Lydia seems to only be concerned with the little, unimportant things that happen. Through the dialogue between Lydia and the other characters, the character of Lydia is clearly described. Lydia is constantly obsessed with the officers in the regiment, and sees no purpose to life beyond entertainment and diversion. She lacks any sense of virtue, propriety or good-ju dgment, as well as maturity.

Managing Diabetes in a Patient with Enduring Mental Health

DIABETES; A CONTEMPORARY APPROACH 2486 WORDS CONTENTS CONTENTSPAGE1 INTRODUCTIONPAGE2 DISCUSSIONPAGE2 CONCLUSIONPAGE8 REFERENCESPAGE9 ARTICLES ACCESSED ONLINEPAGE12 APPENDIX 1SCENARIOPAGE13 APPENDIX 2 ‘EATWELL PLATE’PAGE14 Introduction Lavinia had suffered a relapse in her mental health and had been using illicit drugs and alcohol to combat the disturbing positive symptoms of her illness and had stopped taking any of her prescribed medications.The nursing assessment indicated that the first issue to deal with was her chaotic behaviour and once that was under control a series of therapeutic interventions could be put in place to aid her recovery. Initially her chaotic presentation and challenging behaviours (Beer et al, 2005; Xeniditis et al, 2001) made it difficult to engage with her with in a therapeutic way and she resisted staff’s attempts to help her. The decision was made to manage her using intramuscular injections (IM) of an anxiolytic that necessitated usi ng physical restraint in order to administer the IM.The first few days were not pleasant for Lavinia due to staff needing to restrain and inject her in order to manage her challenging behaviours but her chaotic behaviour did resolve over time and she became more accepting of staff interventions. Lavinia’s named nurse engaged with her and spent time ‘counselling’ her and a series of therapeutic interventions were agreed. Mental health nurses are specialists in caring for people with mental health problems and it has been identified that they have deficits in their knowledge of diabetes (Nash, 2009).This was the case in caring for Lavinia at the time. Little emphasis was placed on the importance of managing her diabetes because staff were not aware of the implications of poor diabetes management. Discussion In the United Kingdom mental illness is by far the largest single source of burden of disease. There is no other illness or disease in the combined extent of pe rsistence, prevalence and breadth that impacts on the person more (Friedli and Parsonage, 2007).There is an inextricable link between poor mental health and an increased risk of physical illness, increased health risk behaviour, deprivation, poor educational achievement, substance misuse (National Institute for Health and Clinical Excellence, (NICE) 2009). Managing mental illness carries the single largest cost to the National Health Service (NHS) coming in at ? 10. 4 billion (Department of Health, 2012). Schizophrenia is a psychotic disorder that can have a debilitating effect on many aspects of a person’s life including perceptions, thinking, language, emotions, social, behaviour.The positive symptoms of schizophrenia can include hallucinations of any senses, delusions, disorganized thought processes, causing the person to lose contact with reality. Diabetes is a serious condition that can have a debilitating effect on the person. It can cause kidney failure, blindness, hea rt disease, stroke, psychosocial problems, if left untreated (NICE, 2008). The United Kingdom is facing a significant increase in the number of people diagnosed with diabetes. In the past 16 years the number of people diagnosed with diabetes has increased from 1. million to 2. 9 million cases and it is estimated that this figure will continue to increase as the number of older people and overweight/obese people increase (Diabetes in the UK, April 2012). Diabetes mellitus is a condition whereby the body is unable to properly use the glucose it produces because of either lack of or resistance to the hormone insulin. There are two main types of diabetes; type 1 & type 2. Insulin is needed to enable the glucose to pass from the blood and enter the cells of the body where it is stored.Type 1 diabetes occurs when the body (pancreas) is unable to produce its own insulin (an autoimmune disease) and the person needs to have regular daily injections of insulin to counter this. Type 1 diabetes accounts for approximately 10% of all people with diabetes (Diabetes in the UK, April 2012). Type 2 diabetes mellitus is a condition whereby the body either does not produce sufficient insulin or that the person is insulin resistant. It can be treated with medication alone or medication and insulin.Type 2 diabetes accounts for approximately 90% of all people with diabetes (Diabetes in the UK, April 2012). It is known that type 2 diabetes mellitus has an increased prevalence in people with schizophrenia compared to the the general population (Schoepf et al, 2011). Further, the treatment for schizophrenia is typically with antipsychotic medication and it is now clear that some antipsychotics elevate the risk of developing diabetes and weight gain (iatrogenic effect) though just why this happens is not fully understood (Dixon et al. 000). Lavinia suffers from schizophrenia, is obese, takes antipsychotics, and suffers from type 2 diabetes. Diabetes is potentially a life threatening con dition. Blood glucose levels below 3. 5mmol/l are too low for the brain to function; this is hypoglycaemia. The signs of hypoglycaemia are similar to a person experiencing psychoses, e. g. aggression, disorientation, changed behaviour. It would have been imperative that nursing staff should have made it a priority that Lavinia’s blood glucose levels were monitored.Lavinia could have been experiencing a hypoglycaemic state when in fact nurses might have mistaken this for challenging behaviour. Lavinia’s blood glucose levels might have been above the recommended guidelines (>8mmol/l) which is hyperglycaemia and the nurses would need to have an understanding of the potential elevated blood glucose levels can have, e. g. damage to the micro and macro vascular system leading to blindness, increased risk of heart attack, increased risk of stroke, diabetic ketoacidosis.Not having sufficient knowledge of diabetes while at the same time caring for someone with diabetes and not acting compromises the nurse’s professional obligations (Nursing and Midwifery Council, NMC, 2002) and the NMC or the courts would have no reluctance in pursuing this should it become an issue (Kane Gorny, 2009). Any nurse who cares for a person needs to be competent. Roach (1992) defines competence as, â€Å"the state of having the knowledge, judgment, skills, energy, experience and motivation required to respond dequately to the demands of one’s professional responsibilities†. The nurses caring for Lavinia would therefore be duty bound to refer her to a diabetes nurse/Dr. According to the NICE (2008) recommendations it is vital that people with diabetes receive an annual check up including; blood pressure; feet check; smoking status; urinary albumin test (or protein test to measure kidney function); serum creatinine test; retinopathy screen; cholesterol levels; weight and BMI measurements; HbA1c– blood glucose levels.Lavinia may have had these checks ca rried out within the last 12 months but due to her chaotic lifestyle over the past few months her results might differ significantly thus during this admission it would be an opportune time to have these checks carried out. Hypertension can have devastating effects on the person whether they have diabetes or not, e. g. increased risk of stroke, cardiac disease, renal failure. Research by Diabetes UK (2012) found that little more than 50% of people with diabetes were meeting their blood pressure targets which they recommend should be 130/80.The importance of good foot care in diabetes cannot be overstated. Poor foot care can lead to ulceration and ill health, gangrene and even amputation. Diabetes UK state that up to 80% of amputations annually in England are avoidable. The risks that smoking presents are well documented, e. g. heart disease, stroke, vascular complications, amputation. A person with diabetes is pre disposed to certain illnesses and should he/she decide to smoke then their health risk profile increases considerably by multiplying the potential deleterious effects.Blood tests can identify potential or actual renal failure. Diabetes causes harm to the micro vascular system which includes the very tiny vessels in the retina of the eye. If this is not addressed it can lead to blindness and Diabetes UK recommend an annual eye screen. High cholesterol levels are serious whether the person has diabetes or not and can lead to heart disease, circulatory complications, stroke, fatty liver. Abnormal levels of cholesterol can cause insulin resistance.Type 2 diabetes is one of the most serious consequences associated with being obese or overweight. Over the past 25 years the number of people in England who are classed as obese has doubled and it is anticipated by the year 2050 obesity will affect 60% of adult men, 50% of adult women, and 25% of children (Foresight, 2007). The blood glucose levels – HbA1c – is an indicator for risk of damage to blood vessels. NICE (2008) recommend an HBA1c level of between 6. 5% and 7. 5% would be the goal for people with diabetes.For people with type 2 diabetes, effective blood glucose control can reduce the risk of diabetic eye disease by 25% and kidney damage by 33% (UK prospective Diabetes Study (UKPDS). It is clear that management of diabetes can be a challenging role and a multidisciplinary approach is needed to manage it as effectively as it can be managed. Multidisciplinary teamwork is important in any care giving role (Liberman et al, 2001). The most important person in the multidisciplinary team is Lavinia. She is the person who has the most control and needs to manage her diabetes on a daily basis.For Lavinia there are two issues; managing schizophrenia and managing diabetes. Using a depot antipsychotic in preference to oral medication would help Lavinia because a nurse would administer it weekly thus reducing the risk of relapse. NICE guidelines (2009) advise that people with s chizophrenia should be offered access to psychological therapies including cognitive behavioural therapy (CBT) and/or family therapy. If Lavinia did benefit from psychological interventions it might reduce her reliance on medication thus reducing side effects.In order to manage her diabetes Lavinia should have access to a team of professionals including diabetic nurses; podiatry; Dr’s; ophthalmology; dietician; pharmacist; physiotherapist; counsellor. An assessment for management of diabetes should be holistic (Dunning, 2009 pgs. 36 – 49) and appropriate to a person’s lifestyle. For Lavinia this means sitting down with a specialist diabetic nurse and having a complete assessment of her lifestyle and her understanding of how it interacts with her diabetes. She needs to fully understand the importance of good glucose control and the consequences of poor control.She might already have experienced hypoglycaemic attacks but been unaware of what they were/are, i. e. c ould be confused with positive effects of schizophrenia. As a starting point it would be appropriate to ensure she knows how to test her blood glucose levels, which is one of the NICE (2008) guidelines, and how to interpret the result. She needs to be aware of the relationship between food intake, physical activity and medication understanding how managing these can help her maintain appropriate blood glucose levels. Diet is known as the cornerstone of management in type 2 diabetes.An appropriate diet will help control blood glucose levels, maintain an appropriate weight/body mass index, and prevention of complications. Lavinia is obese which is possibly due to the combination of antipsychotic medications she takes for schizophrenia and her lifestyle. An assessment by a dietician or specialist diabetic nurse into her eating habits would help to identify any areas she would benefit from by making changes to her diet. The ‘Eatwell Plate’ (Department of Health, 2011) offer s a model for healthy eating in the United Kingdom (see appendix 2).It gives good visual, easy to understand, guidance on the balance/proportion and types of food that contribute to a healthy diet. Lavinia would benefit from an assessment with the physiotherapists to determine her level of fitness and areas that could be worked on in order to improve her fitness with a view to losing weight. Exercise can reduce the risk of major illnesses e. g. heart disease, stroke, diabetes and cancer by up to 50% (National Health Service, 2012). However, the benefits of exercise on glycaemic control and body mass in type 2 diabetes is not clear (Boule’ et al, 2001).The potentially damaging effects that diabetes can have on a person are well known and documented (e. g. UK prospective Diabetes Study, 1977 thru 1997 (UKPDS). The damaging effects of poor blood glucose control are not always immediately observable and consequently people with diabetes do not always fully appreciate the importan ce of controlling their blood glucose levels (see Mail Online, 2010). The reality of diabetes care is self management and effective self management delays the onset of complications. Lavinia needs to understand how the lifestyle choices she makes, e. . level and frequency of physical activity, what and when she eats, managing her mental health, are all major factors in controlling her diabetes. Because the damaging consequences of not managing diabetes are not immediately obvious the impetus to manage it is not always paramount (Diabetes UK, 2012). It might be enough that Lavinia understands these factors and therefore takes action to manage her condition. If not, she would need support to help her change her behaviour/lifestyle in order to manage her diabetes. There are several models of behavioural change, e. g. ealth belief model (Becker, 1974); theory of reasoned action (Fishbein and Atzen, 1975); social learning theory (Bandura, 1977). Motivational interviewing (MI) (Rollnick a nd Miller, 1995) is a model that is used to bring about behavioural change and has been shown to be effective in bringing about change in a range of healthcare settings including diabetes care, e. g. VanWormer et al (2004); Clark and Hampson (2001); Kim et al (2004). The aim of MI is to bring about discrepancy in the persons beliefs and thoughts by bringing about a state of cognitive dissonance, i. e. he difference between where the person is currently and where they want to be in future and setting small goals to achieve. Thus, Lavinia has full knowledge of the damaging effects diabetes can have and in future she would like to get married and have children. To have children she needs to be as ‘healthy’ as she can be and therefore she will be self motivated to resolve the dissonance she experiences. Used in combination with Prochaska and DiClemente’s model, stages of change (1983) and Egan’s (1998) skilled helper model of problem management could work to g ood effect for Lavinia in bringing about a change.Conclusion The link between poor mental health and poorer outcomes for physical illness, increased health risk behaviour, deprivation, educational achievement, substance misuse is well known (NICE, 2009). Diabetes is potentially a life threatening condition; Lavinia has schizophrenia and diabetes. Her poor mental health could be supporting the deleterious effects of her diabetes. Not having sufficient knowledge of diabetes while at the same time caring for someone with diabetes and not addressing it compromises the nurse’s professional obligations (NMC, 2002).Lavinia needs support from both the mental health and diabetes services. She needs to have a good understanding of the interplay between the diabetes and mental health. She needs to have insight into potential relapse signatures to her mental health so that she can get help as early as possible. A diabetes counsellor could help Lavinia make lifestyle changes by engaging h er in a course of motivational interviews (Rollnick and Miller, 1995) in combination with Prochaska and DiClemente’s model, stages of change (1984) and Egan’s (1998) skilled helper model of problem management. ReferencesBandura, A. (1977). Social Learning Theory. Englewood Cliffs, NJ: Prentice Hall. Becker, M. H. , ed. (1974). The Health Belief Model and Personal Health Behavior. Health Education Monographs, Vol. 2 32473. Beer, D. Turk, V. McGovern, P. et al, (2005), Characteristics of patients exhibiting severe challenging behaviour in low secure mental health and mild learning disabilities units. Journal of Psychiatric Intensive Care, Vol. 1, pp 29-35. Boule’, N. G. Haddad, E. Kenny, G. P. Wells, G. A. Sigal, R. J. , (2001). Effects of Exercise on Glycemic Control and Body Mass in Type 2 Diabetes Mellitus.A Meta-analysis of Controlled Clinical Trials. JAMA, Volume 286, No. 10, pgs 1218 – 1237. Clark, M. Hampson, S. E. Avery, L. Simpson, R. (2004), Effec ts of a Tailored Lifestyle Self-management Intervention in Patients with Type 2 Diabetes. British Journal of Health Psychology , Vol. 9, 365–379. Dixon, L. Weiden, P. Delahanty, J. , (2000) Prevalence and correlates of diabetes in national schizophrenia samples. Schizophrenia Bulletin Vol. 26, pp 903–12. Dunning, T. (2009) Care of People with Diabetes, A Manual of Nursing practice, 3rd edition, Wiley Blackwell, pp. 36 – 49.Eatwell Plate, (2011), Department of Health in association with the Welsh Government, the Scottish Government and the Food Standards Agency in Northern Ireland. Egan, G. (1998), The skilled helper, a problem-management approach to helping. Brookes/Cole, CA. Fishbein, M. Ajzen, I. (1975). Belief, attitude, intention, and behavior: An introduction to theory and research. Reading, MA: Addison-Wesley Foresight (2007), Tackling obesities: Future choices – Modelling Future Trends in Obesity & their Impact on Health. 2nd edition, Government Of fice for Science. Kim, C. J. Hwang, A. R. Yoo, J. S. , (2004).The impact of a stage matched intervention to promote exercise behaviour in participants with type 2 diabetes. International Journal of Health Promotion, 41, 833-841. Kirk, A. F. Higgins, L. A. , Hughes, A. R. , Fisher, B. M. Mutrie, N. , Hillis, S. , et al. (2001). A randomized, controlled trial to study the effect of exercise consultation on the promotion of physical activity in people with type 2 diabetes: a pilot study. Diabetic Medicine, Vol. 18, pp 877-882. Lean, M. E. Pajonk, F. G. (2003), Patients on atypical antipsychotic drugs: another high-risk group for type 2 diabetes: response to Hardy and Breier [letter].Diabetes Care, Vol. 26, pp 3202-3203. Liberman, R. P. Hilty, D. M. Drake, R. E. et al, (2001), Multidisciplinary Roles in the 21st Century; Requirements for Multidisciplinary Teamwork in Psychiatric Rehabilitation. Psychiatric Services, doi: 10, 1176/appi. ps. 52. 10. 1331. Nash, M. (2009), Mental Health Nu rses’ Diabetes Care Skills. British Journal of Nursing, Vol. 18, No 10, pp 626-630. National Institute for Health and Clinical Excellence (2008), Type 2 Diabetes: The Management of Type 2 Diabetes. NICE Clinical Guideline 66. Developed by the national Collaborating Centre for Chronic Conditions.Mental Health Act (1983) Code of Practice, (2001), 7th edition, Department of Health and Welsh Office under licence from the Controller of Her Majesty’s Stationary Office. National Institute for Health and Clinical Excellence (2009), Depression in Adults with a Chronic Physical Health Problem: Treatment and Management. NICE clinical guideline 91. Developed by The National Collaborating centre for Mental Health. Nursing and Midwifery Council Code of Professional Conduct (2002): Standards for Conduct, Performance and Ethics. Nursing and Midwifery Council. Prochaska, J.O. DiClemente, C. C. (1983) Stages and processes of self-change of smoking: toward an integrative model of change. Journal Consult Clinical Psychology, June; 51(3):390–5. Roach, M. S. , (1992), The Human Act of Caring; A Blueprint for the Health Professions, 2nd Edn. Canadian Hospital Association Press, Ottawa. Cited in, An Integrated Career and Competency Framework for Diabetes Nursing, (2001) 3rd Edn. TREND, pg. 4. Published by SB Communications Group. Rollnick S, & Miller, W. R. (1995). What is motivational interviewing? Behavioural and Cognitive Psychotherapy, Vol. 3, 325-334. Schoepf, D. Potluri, R. Uppal H. et al (2012), Type-2 diabetes mellitus in schizophrenia: increased prevalence and major risk factor of excess mortality in a naturalistic 7-year follow-up. EUR. Psychiatry, Vol. 1, pp 33-42. VanWormer, J. J. Boucher, J. L. (2004), Motivational interviewing and diet modification: a review of the evidence. The Diabetes Educator, 30 (3): 404-416. Xeniditis, K. Russell, A. Murphy, D. (2001), Management of people with challenging behaviours. Advances in Psychiatric Treatment, Vol. 7, pp109-116. Articles accessed onlineDepartment of Health (2010) Programme Budgeting Tools and Data. Available online and accessed July 2012 at: http://www. dh. gov. uk/en/Managingyourorganisation/Financeandplanning/Programmebudgeting/DH_075743). Diabetes UK. Available and accessed online in July 2012 at: http://www. diabetes. org. uk/About_us/News_Landing_Page/Half-of-people-with-diabetes-have-high-blood-pressure/ http://www. diabetes. org. uk/Get_involved/Campaigning/Putting-feet-first/? gclid=CPyGnpCyo7ECFcVkfAodWzK1zg http://www. diabetes. org. uk/Guide-to-diabetes/Complications/Retinopathy/? clid=CJjF7q63o7ECFYzbfAodghophw Friedli, L. Parsonage M. (2007), Mental Health Promotion: Building the Economic Case. Northern Ireland Association for Mental Health. Available online and accessed July 2012: http://www. chex. org. uk/media/resources/mental_health/Mental%20Health%20Promotion%20-%20Building%20an%20Economic%20Case. pdf Mail online. Available and accessed in July 2012 at: http:// www. dailymail. co. uk/health/article-1309609/The-cruel-cost-ignoring-diabetes-Jane-lost-arm-legs-disease-like-didnt-seriously. html NHS Choices.Accessed online in July 2012 and available at: http://www. nhs. uk/Livewell/fitness/Pages/Whybeactive. aspx UK prospective Diabetes Study (1977-1997). Available and accessed online in July 2012 at: http://www. dtu. ox. ac. uk/ukpds_trial/index. php Appendix 1 Scenario Lavinia (pseudonym) is a 25 year old female with a history of schizophrenia stretching back to her late teens. She has been placed on a section of the Mental Health Act (MHA, 1983) and detained on a psychiatric intensive care unit (PICU) due to her presenting with chaotic behaviour posing a threat to

state and nation building in Arica

state and nation building in Arica African countries are independent and sovereign; however, most of the African countries are going under stress. This is largely because most of the African states are not nation-states, where African leaders neglect nation-building and rather focus on state-building. They seek to provide human security and other needs necessary to build the state. However, by state-building, it is an act which is at the expense of others religious and ethnic groups within that state. Hence, this has spearheaded most African conflicts due to deprivation of human needs. Therefore, this essay seeks to validate to which extent African leaders are good at state building and not nation-building.State-building can be defined as the establishment, re-establishment, and strengthening of a public structure in a given territory capable of delivering public goods. Nation-building is the most common form of a process of collective identity formation with a view to legitimizing public power within a given territor y (Bogdandy, HÂÆ'Â ¤uÂÆ'Ÿler, Hanschmann, Raphael 2005).Nation-building should be in a bid to accommodate and build good relations between cultural, ethnic, racial, religious and other salient social identities; however, nation-building is a big challenge to most African leaders (Masunungure 2006). According to Mandela (1965) a leader is like a shepherd, he stays behind the flock, letting the most nibble to go on ahead were upon others follow not realising that all along they are being directed from behind therefore, leadership is the probity of an individual actor where a leader demonstrates leadership through their personal characteristics and how they behave. Bernard C (1938) defines leadership as "the ability of a superior to influence the behaviour of subordinates and pursue them to follow a particular course of action. In this essay a nation building can be understood as the unification, elimination of segregation in society through religion, ethnicity, and colour...

The 15 Easiest Scholarships to Apply For

The 15 Easiest Scholarships to Apply For SAT / ACT Prep Online Guides and Tips Scholarships are awesome resources if you’re checking out different ways to payfor college. It’s free money after all- what’s not to love? As it turns out, most scholarship programs have application processes that aren’t exactly lovable. Students generally have to submit a lot ofinformation about themselves: transcripts, GPAs, test scores, resumes, community service activities, and so on. There might even be a few essays and grade requirements thrown in as well. You don’t want to complain- because, again, free money- but these applications sure are tedious when you’re working on college apps, high school courses, and financial aid applications all at the same time. The following easy scholarships have application processes that are a bit more manageable. Some ask you to write short essays, while othersdon’t require any essays at all! The awards might not be as large as some other scholarships out there, but when the application process is so easy, you really don’t have much to lose. I'll start off with some words of warning before getting into the good stuff:essay and no-essay scholarships that are so easy to apply for, you might end up applying to all of them! Caveat: If a Scholarship Seems Too Good to Be True ... Unfortunately, there aren't too many legitimate "easy" scholarships out there. If a scholarship application sounds too good to be true, be cautious- you don't want to fall victim to a scholarship scam! Here are some things to look out for: A scholarship application that asks for personal information that isn't relevant to the award:Many top scholarship programs ask for personal information (transcripts, SAT/ACT scores, and even financial information for need-based scholarships); however, this info is all relevant to candidate evaluation. If you're ever uncomfortable providing personal info for a scholarship program, dig deeper. Can you verify that the program is legitimate? Does it have its own website, or can you only find info about it through a third party? Try Googling "[award name] scam" to see whether anything suspicious pops up. A scholarship that asks you to make payments to enter or win: Scholarship programs are in the business of giving money to students, not taking it. A scholarship program is likely just a scam if the application asks you to make a payment- especially if it asks you to enter credit card information. Now that we've got that out of the way, it's time to get to the good stuff: all the best easy essay and non-essay scholarships and how to win them! These essays won't take you long at all, but they're a good excuse to set up at your favorite cafe. Essay Scholarships The scholarships in this section ask students to submit short essays with their applications. Even though you'll have to write an essay, the rest of the application (and the essay itself) should be easy and manageable for all these awards.In fact, most of these applications shouldn'ttake longer than one to two hours to complete. Bachus Schanker LLC Scholarship This scholarship program is a bit different from most of the other awards included in this post- it's funded by a private law firm in Colorado. Students compete for a $2,000 award by writing a short essay (800 words) about the 7th amendment and how it affects their lives. Eligibility: High school students who have been accepted to a four-year university and university students with a minimum 3.0 GPA Deadline: November 30, 2019 (to win a scholarship for the spring semester), and July 30, 2020 (to win a scholarship for the fall semester) Courage to Grow Scholarship This $500 award is given out to one lucky student every month. To compete for the award, applicants must explain in 250 words why they think they deserve the scholarship. Eligibility:US high school juniors and seniors and college students with a minimum 2.5 GPA Deadline:Last day ofevery month! Odenza Marketing Group Scholarship To compete for this$500 award, applicants must like the Odenza Facebook page and write two short essays of about 500 words each. One essay must be related to travel and your career, and the othermust explain why you should receive the scholarship. Eligibility: Current high school students aged 16-25or students who have at least one year of college remaining. Applicants must also have a minimum 2.5 GPA. Deadline September 30, 2019 MoneySolver.org Scholarships The website MoneySolver.org gives out several $1,000 scholarships throughout the year to US students enrolled in (or planning on enrolling by next fall in) college, university, or trade school. Each of these scholarships involves writing a short (250 words, maximum) essay about the topic at hand. Students are eligible to win up to two scholarships. Emoji Scholarship: Write about what emoji best describes your life and why. Deadline is August 31, 2019. Back to School Scholarship: Write about what you would do if you could go back to high school for one day. Deadline is September 30, 2019. Halloween Costume Scholarship: Write about your favorite Halloween costume that either you or your pet has worn. Deadline is October 31, 2019. Thanksgiving Scholarship: Write about the weirdest thing you were ever served at a Thanksgiving dinner. Deadline is November 30, 2019. Holiday Celebration Scholarship: Write about your favorite way to celebrate the holidays with people you love. Deadline is December 31, 2019. Some of these applicationswon't take you longer than a few minutes. No-Essay Scholarships When it comes to easy applications, you can't get much easier than the following scholarship programs. You'll still have to submit some information about yourself (and, in some instances, complete some brief activities or tasks), but you won't have to write any essays to qualify. AFSA High School Scholarship Here'sone of those scholarships for which you have to complete a few unique activities to qualify. For the 2017 scholarship, students applied byreading about automatic fire sprinkler systems and then taking an eight-question quiz based on the information they read. Ten$2,000 awards are given out each year. Eligibility: Current high school seniors (US citizens or legal residents) Deadline: Likely early April, 2020 Dr. Pepper Tuition Giveaway Students can qualify to win $2,500, $20,000, or even $100,000 in tuition money by writing a short description of how they plan to change the world and recording a video explaining their academic and professional goals. Eligibility: All students aged 18-24 Deadline: Mid-October 2019 Nicholas A. Virgilio Memorial Haiku and Senryu Competition This scholarship program gives out relatively small awards of $50, but the application process is fun and easy. Students qualify by simply writing and submitting up to three original haikus. Eligibility: All students in grades 7-12 Deadline:March 2020 "No Essay" College Scholarship This $2,000 award is given out monthly. To apply for this scholarship, submit an application that includes basicidentifying information, your GPA, and your SAT/ACT scores. Winners are randomly selected, and you can submit a new application every month. Eligibility: High school students, adults heading back to school, current college students, and anyone else looking to attend college or graduate school within the next year Deadline:Last day ofevery month! Stuck at Prom Scholarship Contest Do you have a creative side and an eye for fashion? Students can compete for the grand prize of $10,000(one each for the dress and tux categories)by designing and wearing prom outfits made out of duct tape. Check out the website for fun pictures of past winners! Eight $100 prizes are given to runners-up. Applicants can enter as individuals or as part of a couple. Submissions that get the most votes win prizes, so be sure to recruit your friends to vote for you! Eligibility: High school students in the US and Canada (excluding certain states and territories- refer to the official rules for details) Deadline: April-June 2020 for submissions; July 2020 for voting US Bank Student Union Scholarship Three$5,000awards, one $10,000 award, and one $20,000 award are available through this scholarship program. To qualify, studentssubmit a simpleapplication; you may also earn extra entries by completing up to eight online learning modules on financial literacy. Eligibility: Current US undergraduate students Deadline: October 25, 2019 11:59PM Central Time Because College is Expensive Scholarship This $500 scholarship is awarded to one student four times a year (March, June, September, and December). All you need to do to enter to win the scholarship is to fill out the form on the Cedar Lending website. Eligibility: High school juniors and seniors; current college students; anyone else looking to attend college or grad school Deadline: March 31st, June 30th, September 30th, and December 31st, 11:59 PM EST Save an average of $1000 per semester with our smart college finance tool! Starting to think about applying to college, but worried your funds are going to come up short? Our financial aid tool will help you calculate your likely cost of attendance at public and private schools (including not just tuition, but room, board, and other expenses). We'll also tell you what financial aid you qualify for in addition to identifying scholarships that you would specifically be a good match for. 3 Tips for Winning Easy Scholarships Easy scholarships to apply for aren't necessarily the same as easy scholarships to win. Since these scholarship applications are so simpleto complete, you'll probably have a lot of competition. Here are some strategies to help you submit your best applications possible: #1: If you have to write an essay, you’re likely to be more successful if your views align with those of the entity that’s awarding the scholarship. To prepare, do some research about the company or charity's mission statement. #2: Make sure your application is polished. You won’t have the opportunity to make more than a first impression (remember, these apps are short and sweet!), so double-check for any grammar, spelling, or punctuation errors. #3: Last but not least, be sure that your application is complete and on time! What's Next? These scholarships are excellent options if you want to churn out as many applications as possible. As you might've noticed, though, the award amounts are a bit underwhelming (though keep in mind that several smaller awards can be just as helpful as one big award!). You'll have to spend more time on your applications if you're gunning for a top scholarship, but the payoff can be more than worth it.To learn more about some of the best scholarships out there, check out our guides to thetop scholarships for high school juniors and seniors. Want to improve your SAT score by 160 points or your ACT score by 4 points?We've written a guide for each test about the top 5 strategies you must be using to have a shot at improving your score. Download it for free now:

Rewrite PERSONAL DEVELOPMENT PLAN papers based on tutor's feedbacks Essay

Rewrite PERSONAL DEVELOPMENT PLAN papers based on tutor's feedbacks for my course International Strategy Management. Writer MUST be ON TIME. Writer needs to s - Essay Example In today's rapidly changing business environment where competition is very fierce I realise that in order to succeed I need to discover and capitalize on his personal competencies in order to excel in his chosen field of career. I should improve my knowledge, talents and skills to stay in the competition or else I will be lagged behind. Once left behind, I will likely face termination not only from my present job, but also from my future career. Especially on my case that I am foreigner I should improve my not only in academic aspects but also my communication and interpersonal skills. My unique knowledge, skills, and talents are tools that I can use to improve not only to myself but also to humanity as a whole. Having these he should create a plan on what these are, how and when to use them. These are the critical issues that I discovered and worked on during the first parts of the course. I mapped up my personal development plan. As what Elliott said1, personal development planning provides us with access to bridge our dreams towards its realisation. In the first workshop, I found out the how important reflection is not just in personal development but also in learning in general. ... Before I had a notion that in order to learn something I just had to rely on the spoon-fed teachings and learning methods. Because of this learning theory, by way of concrete experience, observation and reflection, forming abstract concept, and testing in new situations; Kolb emphasised to us that learning is on immersing oneself in a real case scenario rather than simulating reality in a classroom4. With these realisations, I felt empowered by the first workshop. I also felt responsible for my personal development. I became confident that I would solve my problems in life particularly in my weaknesses that, I personally believe, will hamper my personal development. I realise that I should become proactive in my quest to improve myself, just as what Covey5 said in his Habit 1 "Be Proactive". The nature of personal development as I see it after finishing the course is to be proactive and to develop ourselves continually that will enable us to be competitive today and in the future. During the filling up of the personal learning style questionnaire conceptualised by Mumford6, I found out that I am activist learner. That reflected that I could learn better when I am exposed in concrete experience. This justified my interest in joining in hands-on activities that require teamwork. I also found out in Guirdham's conflict solving style questionnaire7 that my personality is inclined towards avoiding and competing. I found this interesting since it accurately reflected my own personality. According to Guirdham's questionnaire, my personality is not inclined to solve conflict. I have the tendency to compete with others instead of finding a solution to the