Tuesday, December 31, 2019
Life and The Truth - Free Essay Example
Sample details Pages: 3 Words: 806 Downloads: 10 Date added: 2019/04/01 Category Society Essay Level High school Tags: Truth Essay Did you like this example? The theme, truth can be deceived depending on the perspective that it it being told from, is revealed in Monster by Walter Dean Myers and The Tale-Tale Heart by Edgar Allan poe, even through the text are structured differently. The reality of truth is based on the narrators perception of the text. The bookMonster by walter Dean Myers is about a 16 year old boy named Steve Harom who is on trial for partaking in a murder and a robbery. Walter Dean Myers writes the book in the form of it being a movie or film script. Some parts of the book add notes that came from Steves diary while the trial was going on. The book is titled, Monster because, that is how the prosecution sees steve as. Steves main objective is to get the prosecution to see that he is not a bad person. On page 82. Of Monster, If the jury sees it as a contest between the defence and the prosecution as to whos lying, theyll vote for the prosecution. The prostuter walks around looking very important. No one is accusing her of being a bad person. Theyre accusing you of being a monster. The jury ask itself, Why should the prosecutor lie? This shows where Steve has to change the prostitution perspective of him. During the story Steve gives us and the prostitution reasons to suspect that he was involved with the murder a nd the robbery. During the trial steve admits that he hates jail so much, to us if he hates jail so much then why would he commit crime that will put him in a place that he hates so much. During the trail, with the prostion way on seeing Steve and teaches Steve about understanding oneself that he now process. Donââ¬â¢t waste time! Our writers will create an original "Life and The Truth" essay for you Create order The Tell Tale Heart shows the same conception as the book Monster. The story The Tell- Tale by Edgar Allan Poe is about the narrator who kills an old man because of the color of his eyes freak him out. The narrator objective is to prove that hes not crazy or mad. The olds man eyes were blue and to the narrator this resemble the eyes of a vulture. Then the narrator cuts ups the old man body parts and hides them under the floor in the old man room. The police men then comes to old mans door saying, A schrick had been heard by a neighbor during the night ; suspicion of foul play had been aroused. The narrator lets the policemen in without hesitation and then acts as there nothing wrong, then starts hearing the old man heart beating. This frightens the narrator and confesses because he feels the guilt and snaps and confesses to killing the old man. While the story is going on Allen shows the tension and suspension as the narrator shows different sides of his madness. This show the same conception as monster by the way that the narrator tried to make us see that he is not mad in the beginning but then in the end he proves to us as the reader that yes he is crazy. In paragraph 1 of The Tell Tale the narrator says, How, then, am I mad? Hearken! and observe how healthily how calmly i can tell you the whole story. This shows us how the narrator wants to prove that he is not crazy. Both text, The Tell- Tale and Monster show that,the reality of truth is based on the narrators perception on the story even tho the text are structured differently. Monster is set up as a scripted text, this helps Steve separate himself from what the prosecution and the gurly have to say about him. In The Tell-Tale Heart the narrator tries to make himself and the reader that hes not crazy and tells us what happens exactly throughout the story. Thats why the story shows a lot of repetition throw out the story, I undid the lantern cautiously -oh, so cautiously cautiously. In Monster, Walter tries tricking us into making us believe that that steve isnt what the prosecution say he is. In the Tell-Tale Heart, the narrator tricks himself into think that hes not crazy but we can see that is is because he cut up an innocent old man and put his body under the olds man floor. This shows that truth of something is is only based on whos telling the story or situation. Both of the stories show that whoever is telling it will be there truth of the story. The Tell-Tale Heart show that the narrator is crazy and what happened wasnt really what had happen. This ties into the clam the reality of truth is based on the narrators perspective. The narrators of both stories tell the story from there point of view.
Monday, December 23, 2019
The Test of Time BMWs Ethical Dilemmas Over History Essays
This Research paper reports on the ethics of BMW through its history starting from 1916 to present time of 2013. It shows the progression of BMWââ¬â¢s ethical dilemmas of having prisoners of war and concentration camp workers, allegation of bribery, to its racial discrimination. And the changes that where implemented that led them to be on Ethisphere Institutes top 100 list of the Worlds Most Ethical Companies for 2009. Such changes such as new management, changing conduct codes, improving environmental awareness, and ethics programs to insure no reoccurring incidents. Bayerische Flugzeugwerke Werke (BFW) was founded on March 7th, 1916. At this time BFW was making parts for trains and retro-fitting planes with their revolutionary engines.â⬠¦show more contentâ⬠¦With substantial wealth, and having the previous knowledge of building planes Hitler gave Gà ¼nther the title of ââ¬Å"Wehrwirtschafts fà ¼hrerâ⬠(Military and Economic leader). By the early 40ââ¬â¢s BMW was now devoting its resources almost exclusively to building aircraft engines for the German Air Force, as well as chemicals and batteries. To help with such a work load ââ¬Å"Quandt factories employed 50,000 slave laborers to churn out weapons and ammunition for the Nazis during World War Two, making the family very richâ⬠(Fiona). Many ended up dyeing from terrible work conditions. Alongside with Porsche, BMW helped to create a new peoples car called Volkswagen, just one of the few projects entrusted to BMW by Hitler himself. This kept production up and the financ ial stability at an extraordinary high. After the war was over BMWââ¬â¢s head factory was destroyed by US troops, having all machinery dismantled and sold for scrap. With no longer factories to produce, and all machinery confiscated. BMW went into a financial hole. This left Gà ¼nther and the rest of his family in a very tight spot, and it did not look good for BMW. As the Quandt family fought the allegation after the war, they did what they could to keep BMW going. They were left making kitchen and garden equipment. It was not till 1948 that BMW was scraped up enough lose materials they were able to make their new much sought after one cylinder motorcycles. The GermanShow MoreRelatedStephen P. Robbins Timothy A. Judge (2011) Organizational Behaviour 15th Edition New Jersey: Prentice Hall393164 Words à |à 1573 PagesBalance Workââ¬âLife Conflicts 21 â⬠¢ Creating a Positive Work Environment 22 â⬠¢ Improving Ethical Behavior 22 Coming Attractions: Developing an OB Model 23 An Overview 23 â⬠¢ Inputs 24 â⬠¢ Processes 25 â⬠¢ Outcomes 25 Summary and Implications for Managers 30 S A L Self-Assessment Library How Much Do I Know About Organizational Behavior? 4 Myth or Science? ââ¬Å"Most Acts of Workplace Bullying Are Men Attacking Womenâ⬠12 An Ethical Choice Can You Learn from Failure? 24 glOBalization! Does National Culture AffectRead More_x000C_Introduction to Statistics and Data Analysis355457 Words à |à 1422 Pagesin mathematics and, while acquiring graduate degrees at the University of Iowa, concentrated on statistics, computer programming, psychometrics, and test development. Currently, he divides his duties between teaching and evaluation; in addition to teaching, he is the assessment facilitator for the Cedar Rapids, Iowa, Community Schools. In his spare time he enjoys reading and hiking. He and his wife have a daughter, Anna, who is a graduate student in Civil Engineering at Cal Tech. JAY DEVORE earnedRead MoreStrategic Marketing Management337596 Words à |à 1351 Pagesorganizations compete Identifying competitorsââ¬â¢ objectives Identifyin g competitorsââ¬â¢ likely response profiles Competitor analysis and the development of strategy The competitive intelligence system The development of a competitive stance: the potential for ethical conflict Summary CONTENTS vii Stage Two: Where do we want to be? Strategic direction and strategic formulation 7 Missions and objectives 7.1 7.2 7.3 7.4 7.5 7.6 7.7 7.8 Learning objectives Introduction The purpose of planning Establishing
Saturday, December 14, 2019
The Attention Deficit Disorder Controversy Free Essays
Attention Deficit Disorders have become a very highly controversial topic during the last decade. Attention Deficit Disorder, also known as ADD, is a broad, almost generic term for the different types of Attention Deficit Hyperactivity Disorders. The Diagnostic and Statistical manual of the American Psychiatric Association offers us this definition: ââ¬Å"ADHD is a disorder that can include a list of nine specific symptoms of inattention and nine symptoms of hyperactivity/impulsivity. We will write a custom essay sample on The Attention Deficit Disorder Controversy or any similar topic only for you Order Now â⬠In addition, the Concise Columbia Electronic Encyclopedia provides this interpretation: â⬠(a) chronic, neurologically based syndrome, characterized by any or all of three types of behavior: hyperactivity, distractibility, and impulsivity. Unlike similar behaviors caused by emotional problems or anxiety, ADHD does not fluctuate with emotional states. â⬠About 1-3% of the school aged population has the full ADHD syndrome, without symptoms of other disorders. Another 5-10% have partial ADHD syndrome with one or more other problems, such as anxiety or depression. CHADD) Gender and age affect the way the patients display their symptoms. Boys are more likely to have the disorder than girls. The symptoms of ADHD usually decrease with age, but those symptoms related with other similar disorders are said to increase with age. 30-50% of children with ADHD may display symptoms, although often times less ADHD may be observed in children before the age of four, but itâ⬠s signs are often missed until the child begins school. ADHD is often accompanied by learning difficulties, excessive physical activity, impulsive actions, nattention and social inappropriateness. Many of the children affected by ADHD exhibit a low threshold for frustration, which predisposes them to uncontrollable tantrums, and inability to concentrate in a controlled setting, such as a classroom. The behavioral symptoms associated with ADHD must last more than six months to be diagnosed as an attention disorder, although, it is not uncommon for medical doctors promote the idea of office diagnosis. Diagnosis of ADHD syndrome in a doctorâ⬠s office however, presents an evaluation in a controlled environment, which are subject to rror. Office diagnosis entails a child being put in a observation room, usually alone, which enable the doctor to observe their behavior. This observation does not produce accurate results due to the fact that the environment is not one of which the child frequently has problems in. Frequently the behaviors of children affected by ADHD will parallel those of a normal child, other times, the child can be uncontrollable. Most children with ADHD have problems with interacting with other children or when asked to omplete a task, especially if additional distractions are present. More frequently, children suspected of having ADHD are evaluated by their intellectual, academic, social and emotional functioning. The evaluation often includes input from the childâ⬠s teacher(s), parent(s), and others adults that frequently interact with the child. There are questionnaires that will rate the child behavior that are often used by the parents and teacher of the child. (See Addendum 1) Being that the behavior must last for at least six months, a log of behavior is also encouraged to be kept. ADHD ââ¬â Combined type is defined by an individual meeting both sets of attention and hyperactive/impulsive criteria. ADHD ââ¬â Not otherwise specified is defined by an individual who demonstrates some characteristics but an insufficient number of symptoms to reach a full diagnosis. These symptoms, however, disrupt Although we mostly hear of children having the disorder, many adults are also affected by ADHD. Adults often try and shape their lifestyles to compensate their abilities by seeking jobs in fields that: do not require long periods of focused attention, allow them the freedom to move about, do not equire close attention to detail, etc. (Wender, 15) In adults, their are greater problems with stress, which lead to greater expressed emotions. Other psychiatric disorders, known as comorbidity, are also found in ADHD patients. Oppositional Defiant Disorder , Conduct Disorder, and Learning Disorders can confuse the diagnosis and treatment of ADHD. These disorders display similar characteristics and can be negatively influenced if the patient is treated for disorders they do not have. Treatment of ADHD is often done through behavior management, parent training, psychiatric treatment, educational intervention and psychostimulant medications. The combination of medication and psychosocial intervention is called multimodality treatment. 70-80% of children treated with ADHD respond positively to psychostimulants. Medications primarily used in treatment include Ritalin (methylphenidate), which is the most commonly prescribed, Dexedrine (dextroamphetamine), and Cylert (pemoline). (CHADD) The most common side effects of these are loss of appetite, loss of weight, and problems with falling asleep. The loss of appetite typically lasts while the drug is working, and after it has worn off, the patients hunger returns, often stronger. Weight loss occurs rarely, and fter research, growth is not revealed to be affected. Insomnia and sleeping problems are mainly credited to doses taken too late in the day. It is common practice to give the last dose no later than 4:00 p. m. (Diller, 263) Ritalin, which is a stimulant, confuses many people on why it is used to treat ADHD patients. The reasoning is that ADHD patients have a chemical imbalance within their brains, which causes Amphetamines, such as Ritalin, to have a reverse, typically calming affect. These effects allow the patient to concentrate more and interact better with others. Schools are developing better programs to aid children with attention eficit disorders. IDEA (Individuals with Disabilities Act) and ADA (Americans with Disabilities Act) ensure that students with all types of disabilities, including ADHD, receive a free and appropriate education. ADHD students have an IEP (Individualized Educational Program) which can result in placement in resource or SDC (Special Day) classes. IEPâ⬠s involve the childâ⬠s parent(s), teacher(s), school psychologist, and even a school administrator. The IEPâ⬠s provide the studentâ⬠s current level of performance, a plan of educational goals, both long and short term, and how these goals The prognosis with children affected by ADHD is encouraging, especially for those whose symptoms are identified early and treated accordingly. Many children can cope with their disorder and become productive members of society. Untreated cases of ADHD can lead to failure in school and emotional and social difficulties, which puts them at a disadvantage compared to their peers. Numerous studies are underway and will hopefully produce more answers and a better understanding of the American Psychiatric Association. The Diagnostic and Statistical manual of Psychiatric Diagnoses. How to cite The Attention Deficit Disorder Controversy, Essay examples
Friday, December 6, 2019
Individualized Care Recovery Of Patients â⬠Myassignmenthelp.Com
Question: Discuss About The Individualized Care Recovery Of Patients? Answer: Introduction: Nurses play a critical role in individualized care and recovery of patients. Systematically prepared care plan is the right means of guidance for them to meet specific health care needs of patient and manage their critical conditions. Assessment of activities of daily living is also an important action before preparing care plan. It helps to determine the level of support and assistance needed by patients while under care (Howatson-Jones et al. 2015). This meticulous process of assessment of patient condition and planning care is described in this report through the case of Kyle. Kyle is a 2 year old male admitted to the paediatric ward with whopping cough. The main symptoms observed in patient includes rhinorrhea, red blood shot eyes and repetitive forceful coughs. In relation to the patients conditions, the report specifically provides an overview about changes in the activity of living of breathing and controlling body temperature due to whooping cough and how the assessment relat ed to the changes can be done. Furthermore, the assessment process guides in determining the type of treatment needed for each symptom. Secondly, the report identifies one clinical issue related to breathing and the nursing strategies and evaluative measures needed to address the issue. On the whole, the report develops understanding regarding the critical elements of care and nursing process followed for implementation of care. Discussion of activities of daily living related to the case study (breathing and controlling body temperature): Kyle has been admitted in hospital due to whooping cough. It is a condition in which a person experiences long burst of cough due to infection in the nose, throats and lungs. The infection is mainly caused by the bacterium, Bordetella pertusis (Giayetto et al. 2017). Small children like Kyle face difficulty due to several coughing spells and breathing difficulty. This causes great distress to children and affects their activities of living particularly breathing and controlling body temperature (Shields and Thavagnanam 2013). Affect on activities of living(AoL) due to whooping cough: Breathing difficult in children with whooping cough is seen as a result of the action of the bacteria Bordetella pertusis. It leads to the production of toxin after the bacteria attaches to the cilia of the respiratory epithelial cells. This results in inflammation of the respiratory tract and disrupts clearing of the pulmonary secretion (Kilgore et al. 2016). This ultimately has an impact on the activities of living of breathing and children like Kyle experience breathing problem and regular spells of cough. During bout of cooking, the face turns red and attempts to breath lead to production of whooping sound. In some children, the breathing also stops at the end of a coughing bout and they go pale for sometime. It resumes again making child go pale for some time. In relation to of the AoL of controlling body temperature, this is altered significantly due to whooping cough. The infecting bacteria affect the lining of the airways and in the first stage, mild cough and slightly high temperature is seen. Secondly, in the paroxysmal stage (main coughing stage) too, fever is seen with bouts of intense coughing (Kline et al. 2013). Fever is an adaptive response to inflammation in the respiratory tract. Schell-Chaple et al. (2015) also points to the body temperature abnormalities in patients with respiratory distress Nursing assessment for the two identified AoL: The first step for assessment of AoL of breathing difficulty in Kyle is observation of breathing pattern. The signs of increased work of breathing and wheezing sound indicates ineffective breathing pattern in patients. Children like Kyle may engage in frantic exhaling and inhaling activities. To detect alterations in breathing patterns, the nurse can do the following assessment: Assessment of respiratory rate, rate and depth of breathing Assessment of ABG levels and oxygen saturation level Assessment of breathing pattern and rate and depths of respiration Regularly checking the children for shortness of breath is important Nurse can also look for level of accessory muscle use and skin color to determine the level of difficulty in breathing Listening to breathing sounds such as whooping or wheezing sound is also an important assessment as it gives an idea about the cause of breathing problem (Sousa et al., 2015). Measuring body temperature of Kyle is a vital activity to ensure safety and proper care of Kyle. The following nursing assessment is needed to identify this: To regularly obtain baseline temperature of patients and compare them with further recordings To closely observe the child for symptoms of hypothermia or hyperthermia In case of initiation of antimicrobial therapy, nurse should regular observe for adverse signs and symptoms Treatment of symptoms in Kyle for each AoL: To manage breathing difficulty faced by Kyle, the nurse can provide the following treatment and intervention: The first step is to reduce respiratory distress in patient by providing antibiotics and respiratory medications as per physicians order. Generally, erythromycin family of antibiotics is given for 2 weeks. Secondly, regular observation of vital signs, respiratory status and pulse oximetry is needed to manage adverse issues instantly. Supportive care is also needed to remove thick secretions from the throat and nasal passage of Kyle Rapid active bronchodilator should be given for wheezing sounds and the child should be observed after every three hours for signs of improvements or complications (World Health Organization 2013). Nursing treatment for body temperature are: If Kyle had fever then paracetamol and antipyretic medications should be provided Environmental factors of Kyle like room temperature and body temperature should be adjusted. In case of fever, nurse should maintain adequate food intake in patient (Wang et al. 2014) Nursing care plan: Considering the current symptoms of Kyle, the major clinical issue in the child is his paroxysmal cough. This is making him lethargic and apathetic. The repetitive bout of cough is seen in the paroxysmal stage where series of cough is followed by sudden inspiration and whooping sound (Hartzell and Blaylock 2014). Children like Kyle stop breathing temporarily and sign of cyanosis is seen during coughing bout. Hence, paroxysmal cough is a factor that affects the AoL of breathing pattern and developing care plan to address this issue is important. The main goal of the care plan will be to reduce bouts of cough in Kyle, observe the severity of cough and breathing difficult, provide a calm environment, adequate rest and maximize nutrition and recovery of the child (Bocka 2017). To prevent the child from additional difficulty, a comprehensive care plan is needed that can address the following: Firstly, during the catarrhal stage of infection, Kyle should be isolated to prevent transmission of infection There is a need to provide restful environment to patient free from dust and smoking so that any incidence of paroxysm is prevented. Proper body alignment of the child should also be maintained to maximize breathing pattern. Humidifying the room promotes clearance of secretion (McNamara et al. 2014). Preventing the child from infection at this stage is important. So, it will be necessary to start antibiotic therapy and regularly observe for signs of airway obstruction by checking vital signs, respiratory rate and pulse oximetry. To reduce breathing problem, the plan is to carefully observe for apnea and cyanosis and provide mechanical ventilation and breathing treatments at the right time (Scanlon et al. 2015). The most important plan for recovery of Kyle would be to provide supportive therapy effectively. This includes all activities to prevent risk and complication in patients. This is dependent on regular observation of patients and monitoring of heart rate, breathing rate and oxygen rate. Adequate sleep periods and rest should be provided to relieve Kyle for distress. Although there is no specific consideration, considering the age of Kyle, he should be given oral feedings or intravenous fluids if oral feeding is not appropriate due to breathing problem. Regular fluid intake and small and frequent feeding is important (Heininger 2010). Improvement in the work of breathing, respiratory rate and breathing sounds can give an indication if the above mentioned care plan was successful for the recovery of Kyle or not. Conclusion: The case analysis of Kyle, a 2 year old child with summarized gave insight into the series of clinical issues faced by children with whooping cough. As the bacteria Bordetella pertusis causes inflammation in the respiratory tract, it disrupts clearance of pulmonary secretions. Due to the pathogenesis of the disease, two AoL was identified to be affected and altered in patient- breathing patterns and control of body temperature. The report discussed how both these AoLs are affected in Kyle. The report provided the idea for nursing assessment needed to identify these alterations. Secondly, in relation to the issue of breathing problem and changes in body temperature, the report gave appropriate treatment options to provide relief to patient. It also reflected on one issue arising due to breathing problem and gave a comprehensive care plan to promote recovery of patient. The key learning from this research is that to prevent complications in patients, it is necessary to start supportive care for patients early to promote recovery and well-being. Reference Bocka, J. 2017.Pertussis Treatment Management: Approach Considerations, Pharmacologic Therapy, Immunization.Emedicine.medscape.com. Retrieved 10 August 2017, from https://emedicine.medscape.com/article/967268-treatment Giayetto, V.O., Blanco, S., Mangeaud, A., Barbas, M.G., Cudola, A. and Gallego, S.V., 2017. Features of Bordetella pertussis, Bordetella spp. infection and whopping cough in Crdoba province, Argentina.Revista chilena de infectologia: organo oficial de la Sociedad Chilena de Infectologia,34(2), p.108. Hartzell, J.D. and Blaylock, J.M., 2014. Whooping cough in 2014 and beyond: an update and review.Chest,146(1), pp.205-214. Heininger, U., 2010. Update on pertussis in children.Expert review of anti-infective therapy,8(2), pp.163-173. Howatson-Jones, L., Standing, M. and Roberts, S., 2015.Patient assessment and care planning in nursing. Learning Matters. Kilgore, P.E., Salim, A.M., Zervos, M.J. and Schmitt, H.J., 2016. Pertussis: microbiology, disease, treatment, and prevention.Clinical microbiology reviews,29(3), pp.449-486. Kline, J.M., Lewis, W.D., Smith, E.A., Tracy, L.R. and Moerschel, S.K., 2013. Pertussis: a reemerging infection.American family physician,88(8) McNamara, D.G., Asher, M.I., Rubin, B.K., Stewart, A. and Byrnes, C.A., 2014. Heated humidification improves clinical outcomes, compared to a heat and moisture exchanger in children with tracheostomies.Respiratory care,59(1), pp.46-53. Scanlon, K.M., Skerry, C. and Carbonetti, N., 2015. Novel therapies for the treatment of pertussis disease.Pathogens and disease,73(8). Schell-Chaple, H.M., Puntillo, K.A., Matthay, M.A., Liu, K.D. and National Heart, Lung, and Blood Institute Acute Respiratory Distress Syndrome Network, 2015. Body temperature and mortality in patients with acute respiratory distress syndrome.American Journal of Critical Care,24(1), pp.15-23. Shields, M.D. and Thavagnanam, S., 2013. The difficult coughing child: prolonged acute cough in children.Cough,9(1), p.11. Sousa, V.E.C., Lopes, M.V.D.O., Silva, V.M. and Keenan, G.M., 2015. Defining the key clinical indicators for ineffective breathing pattern in paediatric patients: a meta?analysis of accuracy studies.Journal of clinical nursing,24(13-14), pp.1773-1783. Wang, K., Bettiol, S., Thompson, M.J., Roberts, N.W., Perera, R., Heneghan, C.J. and Harnden, A., 2014. Symptomatic treatment of the cough in whooping cough.The Cochrane Library. World Health Organization, 2013.Pocket book of hospital care for children: guidelines for the management of common childhood illnesses. World Health Organization.
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