Wednesday, August 26, 2020

Current Surgical Treatment of Gallstones Free Samples to Students

Question: Examine about the Current Surgical Treatment of Gallstones. Answer: Presentation: Compelling clinical thinking aptitudes in nursing practice guarantee positive patient results. Then again, poor clinical thinking abilities lead to patients crumbling (Salminen et al., 2014). The term clinical thinking in nursing alludes to the way toward gathering prompts, preparing persistent related data, understanding the wellbeing state of the patient, arranging and advancement of mediation, assessment of result and pondering the results and the procedure. The whole procedure is a not straight rather each progression of the procedure is a pattern of connected and continuous clinical experiences (Dalton et al., 2015). Levett Jone built up the clinical thinking cycle and it is indispensable in nursing calling. The article manages the contextual investigation of 49-year-elderly person Mr. Kasim Al-Mutar who presents to the crisis office with cholecystitis. The exposition presents the wellbeing evaluation of the patient utilizing the Levett Jones clinical thinking system. The clinical thinking cycle is a powerful Management procedure and comprises of a few phases. The initial step of the system is the thought of the patients circumstance. In the given contextual analysis, Mr. Kasim Al-Mutar, a multi year elderly person with cholecystitis is introduced to the crisis office. He presents following two days of right upper quadrant stomach agony, heaving and fever. Cholecystitis is the condition related with gallbladder aggravation. In this condition, the gallstones block the cystic conduit. It bring about develop of bile in the nerve bladder prompting irritation. The most widely recognized indication of the intense cholecystitis is stomach agony and delicacy in right upper quadrant or RUQ (Bosch et al., 2016). It is the run of the mill consistent for his age and sex. As indicated by Wichmann et al., (2010) the danger of cholecystitis increments with age. In Australia this is the normal condition in 25-30% individuals matured 50 years or more. Intense chol ecystitis is more typical in men than ladies who get gallstones all the more regularly. Thusly, it is basic for Mr. Kasim to encounter these manifestations. Be that as it may, further appraisal is expected to decide the specific reason for the manifestation and distinguish the nearness of gallstones. The following stage of the clinical thinking cycle is assortment of signals and data identified with the clinical circumstance introduced. For this reason, it is essential to audit the handover data. In view of the clinical handover by past attendant, the patient had pulse of 126, circulatory strain of 100/45 and temperature of 38.5 which demonstrates fever . The handover illuminates extreme torment in right upper quadrant with last scene of spewing 2 hours prior. After gathering more data on the patient from the past medical attendant, it was discovered that the patient is pale with dry mucous film. The patient is parched and is mentioning water to drink. Extra data picked up from the past reports incorporates shoulder tip torment. The patient announced a torment score of 7 on a size of 10. After gathering data on patients family, it was discovered that the main part to help and care for Mr. Kasim is his 12-year-old little girl. The clinical handover doesn't give data on nearness of stomach sounds which is the most widely recognized indicative test requested to analyze cholecystitis. The data doesn't demonstrate if the agony was at first colicky and if later has gone to be consistent. There ought to have been more data fair and square of bilirubin, basic phosphatase which, give a proof on the hindrance of bile pipe. There is a need of complete blood tally test for finding and affirmation of a charming cholecystitis by distinguishing the markers of irritation (Yabluchansky et al., 2016). The data gathered from the handover should be handled to continue with further wellbeing appraisal of the patient. The preparing of acquired clinical data is the following phase of clinical thinking cycle. To begin with the imperative signs the pulse of patient which is 126 beats for each moment is demonstrative of tachycardia (Yabluchansky et al., 2016). His circulatory strain of 100/45 shows hypotension and fever is shown by his temperature of 38.8C. Further, the patient has been heaving 2 hours back. As indicated by Yabluchansky et al., (2016) the most widely recognized manifestations of intense cholecystitis incorporate fever, vomitting, tachycardia, and stomach torment. As per McPheeters and Karp, (2015) sickness and spewing in this condition is related with biliary colic which is the condition caused when bile channel is incidentally hindered by the gallstones. Subsequently, these indications coordinate on account of the patient. The patients of intense cholecystitis report upp er stomach torment, which at that point emanates to the correct shoulder or scapula. Further, the torment every now and again starts in the epigastric area and afterward limits in the RUQ (Bosch et al., 2016). A comparative side effect has been caught up if there should arise an occurrence of Mr. Kasim whose clinical history shows shoulder tip torment and serious RUQ torment. The torment score of 7 out of 10 demonstrates a predominant torment. It shows extreme torment that overwhelms the faculties. This extreme agony fundamentally meddles with rest and restrains the capacity to play out the ordinary every day exercises (Strong et al., 2014). Further, the fair skin of the patient shows pallor, and the patient is dried out as apparent from the dry mucous film and patients readiness to drink water. It demonstrates the need of setting up intravenous liquid promptly (Jeong Jung, 2016). It is important to pass judgment on the current state of the patient utilizing basic speculation abilities to distinguish the issues and issues. In light of the side effects of the patient the most presumed conclusion is intense cholecystitis thinking about the manifestations and writing (Le Finlayson, 2016). There is a need of focussed wellbeing appraisal. The research facility trial of amylase/lipase, liver capacity test, cardiovascular chemicals and b-HCG will better take out the unimportant alternatives from the differential analysis. A portion of the side effects are likewise basic if there should arise an occurrence of regular bile pipe block, and acalculous cholecystitis (Barie Eachempati, 2015).These symptomatic tests are fundamental since intense cholecystitis and normal bile conduit hindrance is affirmed with expanded degree of Alanine aminotransferase, aspartate aminotransferase, bilirubin and alakaline. In intense cholecystitis, amylase and lipase are somewhat raised. Sub sequently, these tests will preclude the potential outcomes of different issues, for example, a ruptured appendix (Victory et al., 2017). On the off chance that the fever is because of contamination it will be apparent from the ascent in WBC (positive blood societies). The right data of the finding can be accomplished from the intense stomach arrangement and ultrasound of the correct upper quadrant. In the event that the intense stomach arrangement is negative then the data from the ultrasound test will be the final retreat for right determination. It is on the grounds that the correct upper quadrant ultrasound advises about the nearness of the gallstones, perichocholecystic liquid, thickening of the nerve bladder divider thickening, sonographic Murphys sign and different anomalies in pancreas, liver, kidney and different things, for example, air in the mass of the gallbaaldder. Further, auxiliary imaging tests, for example, processed tomography can help distinguish the extrabilary issue (Adhikari et al., 2014). A large portion of the side effects direct towards that of intense cholecystitis, which as a rule happen because of gallstones. Be that as it may, in numerous patients having gallstones don't prompt these side effects. A few patients might not have cholecystitis, be that as it may, may give comparable side effects, for example, excited gallbladder (Yabluchansky et al., 2016). In cases other than intense cholecystitis, for example, catarrhal aggravation, patients have been seen as contaminated with pyogenic microscopic organisms that lead to fever. It might bring about irritation and aperture of the mucous film. These conditions are unique in relation to the cholecystitis. In the event of the patient Mr. Kasim, the chance of Jaundice is absent. By and large except if basic bile pipe impediment, Jaundice is missing (Guo et al., 2014). Numerous individuals with common nerve bladder assault have comparative side effects yet don't have extreme torment like intense cholecystitis (Jeong Jun g, 2014). The last advance of the clinical thinking cycle is the itemized wellbeing appraisal of the patient. Preceding the evaluation promotion creating care plan there is a need of point by point appraisal which incorporate the accompanying Ultrasonography-it is the underlying imaging test favored for the patient of cholecystitis. It is trailed by CT check which is optional imaging test to distinguish extra-biliary clutters. It likewise distinguishes intense inconveniences of cholecystitis. Cholecystography according to Le and Finlayson, (2016) can uncover the stones in the biliary framework. The medical attendant must survey the skin and mucous layer followed by appraisal of fringe heartbeats and fine top off. Followed this the medical attendant must evaluate for stomach distension, and any hesitance to move. Medical caretaker must report if there is any successive burping and guarding in quiet. Later the medical attendant must survey the example of the torment and any danger of lack of healthy sustenance. In light of the appraisal the significant objectives for the patient incorporate mitigating torment and advancing rest. The prompt consideration regarding the patient incorporate maintaing liquid and electrolyte parity and anticipation of entanglements (Adhikari et al., 2014). Taking everything into account, the equipped expert practice requires complex reasoning abilities. Basic thinking in nursing is essential as medical attendants are noteworthy piece of the decisions and the dynamic in heath care. Patients are here and there gave the unpredictable indications which may cover with different maladies. Ineffectual judgment may prompt improvement of unseemly intercessions. Thusly, it might offer ascent to patients disintegration and mortality. Along these lines, clinical

Saturday, August 22, 2020

Buddist Text- The Heart of Understanding Thich Nhat Hanh Essay

Buddist Text-The Heart of Understanding Thich Nhat Hanh - Essay Example We might have the option to see a metaphorical â€Å"sunshine† on the paper after an artist or an author has composed something that will move us however not the strict daylight. The meaning of the word interbeing in itself is befuddling and in certainty can even be opposing in wording. Particularly when Thich Nhat Hanh referenced that â€Å"you can't simply be without anyone else alone† (10). Dismembering the terms and their importance of his content, he appeared to negate himself of what he implied by being separated from everyone else in light of the fact that by being distant from everyone else is being without any other person and how might I be able to not be separated from everyone else with myself when no one is no longer near. Obviously I am now alone without anyone else at that point. (b) Defend his contention by including extra proof or creating an additionalâ consistent proofâ Thich Nhat Hanh’s Interbeing must be perused in the more prominent se tting of the conviction arrangement of which it works which is Buddhism. Perusing it without anyone else without deriving to a more noteworthy setting of which it needs to fill a need, the content will render the peruser befuddled, with the author’s work turning out to be futile in light of the fact that the writings can't be comprehended as it is loaded with inconsistencies and loosened up associations. It will likewise be exceptionally hard to comprehend in light of the fact that the moral story doesn't bode well. In the content, Thich Nhat Hanh’s referenced that it is simply unrealistic that â€Å"you can't simply be without anyone else alone† yet I as of now am when no one is near. What's more, we can't see the paper simultaneously (Thich Nhat Hanh 9) since you are not here with me taking a gander at a similar book that I am perusing. You might be taking a gander at a similar book however it would be another duplicate of the content, not the specific paper t hat I am perusing. Be that as it may, in Thich Nhat Hanh’s point of view, we can really be taking a gander at a similar paper even without your physical nearness. To acknowledge Thich Nhat Hanh content, we need to comprehend the religious philosophy of Bhavat Gita that inspired the importance of Interbeing. While Bhagavad Gita is as basic to the Buddhist as the Bible to the Christian, it is as yet a weird plan to a non-Buddhist particularly if the reader’s point of view is situated towards western way of thinking and utilizing it as a measuring stick for understanding the content. The content is intelligent Bhavat Gita’s idea of karma that everything is only a cycle and interrelated including life and passing. This procedure of karma is ever proceeding to improve one’s karma until edification and vijnana is accomplished. So everything in this world is in a continuum and nothing exists without anyone else in light of the fact that everything is exposed to the law of karma which is recurrent and interrelated. When Thich Nhat Hanh referenced that â€Å"you just can't be distant from everyone else by yourself† it was in truth consistent when seen with the viewpoint of a Buddhist. â€Å"To be† is to be â€Å"inter-be† on the grounds that nature’s common request of things is for us to be in cooperative with everything around us that there is nothing of the sort as â€Å"just yourself†. To be â€Å"yourself† implied â€Å"to be with† in light of the fact that the regular request of the â€Å"self† is to serve karma which requires to be â€Å"inter-be†. Under this focal point, seeing the guardians of the lumberjack or the daylight on the paper is not, at this point unrealistic or unreasonable. For the paper is a piece of the greater plan of things that are interrelated and appeared not just with the contributions of creation of the

Friday, August 21, 2020

The Truth is Better than Fiction Accuracy in Historical Fiction

The Truth is Better than Fiction Accuracy in Historical Fiction As any avid reader knows, waiting for the next novel in a favorite series to be published can be excruciating. We invent all kinds of creative coping mechanisms to help us deal with the wait: writing fanfiction about our beloved characters, finding all the read-a-likes we possibly can, adopting O’Neal’s Razor. Sometimes, because social media happens, readers will start to pester authors about when the next book will be out. It’s an understandable question and, while I’m sure it can get annoying (and some readers can be rude about it), it is generally intended as a complement. Readers are asking because they like your books and want to read more. Such questioning by fans raises other questions about what authors owe to their readers, if anything. I tend to be in the camp that says authors don’t owe readers anything in terms of when they will publish their next book, or how they will end a fiction series, and so forth. But this topic touches on another issue that is near and dear to meâ€"accuracy in historical fiction. I DO think that authors of historical fiction have an obligation to be accurate in their writing. Naturally, historical fiction is different from history books and I think only the very worst pedants would expect utter slavish adherence to historical facts in a work of fiction. Also, such adherence to fact would likely render a work of fiction…not fiction. Author Elizabeth Chadwick states, “it is not about dumping all that knowledge and research into the text. That’s the last thing you want to do. Your aim is to entertain readers with a riveting story, not bore their socks off” (Chadwick, 2017, para. 15). At some point, authors will have to make a judgment call and make some things up. No one is psychic and so we don’t really know what someone was thinking. In many cases, we might have chronicles or other documentation available from which authors can draw inferences and build a story. If we are very, very lucky, we might have a person’s own journals or even a recorded in terview, depending on the timeframe involved. But even these more personal types of evidence don’t allow us to hear a person’s innermost thoughts, or witness a private conversation. Authors have to invent dialogue based on what they have learned about a person from the evidence that is available to them. In short, sometimes they have to they have to guess how an historical figure might act. These kinds of guesses are to be expected in historical fiction. Saying up front that a book is a work of fiction gives an author creative license to write a lot of nonsenseâ€"or does it? Tudor historian John Guy expresses concern that readers of historical fiction are unable to tell the difference between fact and fiction, especially when it is well written (Brown, 2017). Guy states that it is even more troubling when students applying to the University of Cambridge, where he teaches, try to apply based on a desire to study an historical figure based on a characterization they read in a work of historical fiction. In a popular series about Thomas Cromwell, for example, Guy says, “it was more scary that the writing was so good that some people think it is true” (Brown, 2017, para. 19). This is where I get antsy about accuracy. Yay for excellent writing and storytelling! Boo for making people think it is accurate. Like it or not, authors have at least some modicum of power and authority and can influence what the public thinks. Many of their readers are going to take their words at face value and not look beyond that, nor do any research of their own to verify what they just read. The term revisionist history springs to mind. It behooves authors to want to spread accuracy as well as tell a good story. There is nothing at all wrong if a reader doesn’t care about the facts so long as the dresses are pretty and the knights’ armor is shiny. But, that shouldn’t mean the facts go out the window, either. Chadwick would seem to agree. She says, “Yes, story is massively important, but in the case of historical fiction the story must rest solidly on historical integrity…Indeed, it’s essential. If you are twisting history to suit the story then you’re not a good enough writer” (Chadwick, 2017, para. 21). In essence, a good story and historical authenticity are not mutually exclusive. You can work with facts, or around them as needed, but don’t make up your own facts. We have enough alternative facts floating around right now, thank you. “If you do your research and don’t warp the history while telling a bloody good story, then the historical detail anoraks will stay off your back, the people who just want the frocks and a story won’t notice, and everyone’s happy” (Chadwick, 2017, para. 21). In all honesty, history is generally interestingâ€"and dysfunctionalâ€"enough as it is without changing things for added drama, don’t you think? The Tudors, the ever-popular favorite of historical novelists, are well known for their glittering courts full of intrigue, betrayals, love affairs,  spies, and drama, yes? Well, the Plantagenets make the Tudors look like rank amateurs in terms of dysfunction. And, the years immediately prior to the start of the Plantagenet dynasty were so miserable that the chronicler of the Peterborough Chronicle wrote, “And men said openly that Christ and his saints slept.” I mean, really. Who needs to add drama to stuff like this? It’s already built in! Accuracy can take a heavy turn as well, depending on the topic, time period, or location involved. It’s especially important that authors take care that people who are already minorities, underrepresented, or oppressed in some way are not made more so through inaccurate writing. One Book Riot contributor told me that inaccuracies in historical fiction didn’t used to bother her too much until she realized how fictionalized stories tend to favor the majority classes, religion, and castes, especially in Indian context. “Nobody tells you the stories about the lesser privileged and their narratives get lost or overwritten in this way” (personal communication, 27 Feb 2018). Another really important factor that can get overlooked is the power dynamic between the oppressor and the oppressed. This can get lost or overwritten with incautious writing or shoddy research. As another Rioter commented, “I do think inaccuracy becomes more problematic in terms of softening the oppressor (e. g. Jewish woman who falls in love with Nazi, Slave who falls in love with Master, etc). This ignoring of the power dynamics is what really will get me to put a book down” (personal communication, 27 Feb 2018). How horrifying to think that history is being misrepresented, and people’s pain may be shunted to the side just for the sake of an inaccurate story. Tell a better story. The consensus among the Rioters who kindly volunteered opinions, as well as the opinions of reviewers at the Historical Novel Society, seems to be that if readers can do the research, so can authors, and that good research is preferred. Anachronisms are “profoundly annoying and did interrupt the spell that good fiction can weave between the author and the reader…Perhaps the biggest irritant for the HNS reviewers is writers giving their characters contemporary mindsets, in taking them out of the conventions, culture and behaviour of their times and giving them an ‘enlightened’ temperament” (Kemp, 2018, para. 9). If there are liberties taken with facts or historical figures, then the near-universal preference among my colleagues is that there had better be an author’s note explaining it. It seems like such a little thing to include in any historical fiction book, will make the readers happy who like accuracy, and won’t matter to readers who are just there for a story. So, dear authors, please. I will make you a deal. I promise never to bug you about when your next book will be out if you promise to give us well-researched historical fiction with an author’s note included. You wouldn’t want your inaccurate novel to be used as the basis of some poor college student’s entrance essay, would you? How embarrassing. Deal? Brown, M. (2017, May 31). Students take Hilary Mantel’s Tudor novels as fact, says historian. The Guardian. Retrieved from https://www.theguardian.com/books/2017/may/31/students-take-hilary-mantels-tudor-novels-as-fact-hay-festival Chadwick, E. (2017, Jul 23) Beyond the Dressing Up Box: How I write historical fiction. Retrieved from http://elizabethchadwick.com/blog/beyond-the-dressing-up-box-how-i-write-historical-fiction/ Kemp, D. (2018, Feb). Alternative Truth: Historical Fact: Does it matter that we get the facts right? Historical Novel Review, iss 83. Retrieved from https://historicalnovelsociety.org/alternative-truth-historical-fiction-does-it-matter-that-we-get-the-facts-right/

Sunday, May 24, 2020

Civilization in Lord of the Flies - 546 Words

Civilization has been a pinnacle of human achievement since it appeared. To be called uncouth is a grave insult. However, is civilization truly a part of who humans are or is what they have come to associate with savagery more true to the human heart? Through Peter Brook and William Golding’s presentation of Lord of the Flies share the idea that â€Å"savagery† will overcome rational thought and when structure falls, the primitive mind will rule, Brook shows this primitiveness as more a part of the human psyche than an evil to be eliminated. Savagery overcomes forms of logical thought that has been revolutionized and prized by humans since the dawn of learning. When given a task to earn the children salvation, Jack abandons his duty and goes off hunting (pg. 70). If he had thought it through properly, Jack would have realized that all the meat he could dream of is at his home. Even if he were catering to his ego, Jack should have realized that there is no grander or mo re revered deed than saving all the children with his vigilance. After the second feast, Jack orders everyone to fight off the rain with a rain dance (pg. 151). A dance cannot possibly stop or affect atmospheric events. As a school boy, this logic should have been ingrained into him from his early childhood. As soon as any form of structure disappears, the previous ways of humans will immediately jump in and take over the human mind. Within an hour of crashing upon the island, â€Å"Ralph inspected the whole thirtyShow MoreRelatedLord of the Flies - Civilization vs Savagery2896 Words   |  12 Pageswar, Golding resumed teaching and wrote his first novel, Lord of the Flies. Lord Of The Flies tells us the story of a handful of young schoolboys who had been marooned on an island as the plane that they were travelling, on to escape the war was shot down. The only survivors were the passengers, British schoolchildren between the ages of six and thirteen. It revolves around how the children cope without the structure of authority, civilization and the watchful eye of grown ups. Though the novel isRead More Battle between Civilization and Savagery in Lord of the Flies1804 Words   |  8 PagesBattle between Civilization and Savagery in Lord of the Flies    Civilization today has become almost completely reliant on technology. Almost the entire planet is connected by phone lines, roads, air travel, or the internet. People converse with others thousands of miles away through modern connections, watch live broadcasts of news in foreign lands, or talk on wireless phones by use of satellites. We are governed by laws designed to protect us. We live in heated homes with fresh waterRead MoreLord Of The Flies Civilization Vs Savagery Analysis1209 Words   |  5 PagesCivilization as a whole is capable of savagery if they do not recognize their own flaws. In the novel Lord of the Flies by William Golding, a group of British schoolboys are stuck on an island. In this World War II allegorical story, savagery is infectious and spreading quickly. The struggle of civilization versus savagery and the dream of rescue are the main focus of the boys. The author uses the way Ralph changes throughout the novel to illustrate how close humans are to s avagery if they do notRead MoreA Fragile Civilization in The Lord of the Flies by William Golding1531 Words   |  7 PagesThe lord of the flies is a novel by William Golding author published in 1954 that shows fragility of civilization. It describes the regressive course of children themselves. After a plane crash, a group of children found alone without adults on a deserted island. Quickly the group organized in a democratic pattern: they choose by-election a leader, Ralph, and decide the role of each. Meetings organized, privileged moments lyrics. Various incidents and life which looks tougher as they thought initiallyRead MoreEssay about Lord of the Flies: Civilization vs Savagery775 Words   |  4 Pageschoose to live by one or the other depending on how we feel is the correct way to live. In this allegorical novel, William Golding represents the transformation from civilization to savagery in the conflict between two of the main characters: Ralph who represents law and order and Jack who represents savagery and violence. Lord of the Flies has remained a very controversial novel to this day with its startling, brutal, and truthful picture of the human nature. In the beginning, human influence was startingRead MoreCivilization Versus Savagery in Goldings Lord of the Flies Essay807 Words   |  4 PagesThe novel â€Å"Lord of the Flies† was written by William Golding to demonstrate the problems of society and the sinful nature of man. Golding uses symbols, characters and objects to represent his main ideas and themes. The conch was used to call meetings but is also symbolic of the government structure and power. One of the main themes in the novel â€Å"Civilization vs. Savagery† is fought between two egos, Jack the Id who represents savagery and the desire for power and Ralph the Ego and protagonistRead MoreLord of the Flies Allegory: Civilization vs. Savagery Essay883 Words   |  4 PagesLord of the Flies Allegory: Civilization vs. Savagery Every human has a primal instinct lying within them. It is not a question of how close to the actual surface it dwells, but rather how well an individual controls and copes with it. In a state of prolonged anguish and panic, what is one truly capable of? Can one remain sophisticated or will the temptation of their dark subconscious take over, bringing out the barbarianism which exists in us all? William Golding’s Lord of the Flies exploresRead MoreThe Defeat of Civilization in William Golding ´s Lord of the Flies688 Words   |  3 PagesIn Lord of the Flies, by William Golding, the Beast singlehandedly removes civilization from the island. At first, the Beast is only perceived as a minor fear, however, by the end of the book, it is perceived as an idol. The Beast is first introduced as a figment of the boys’ imagination, but further develops into a legitimate creature—by the boys—later on. By the end, the Beast becomes an actual G-d that the boys worsh ip by offering sacrifices to it, symbolizing the substitution of civilization withRead MoreCivilization Vs. Savagery In William Goldings Lord Of The Flies925 Words   |  4 PagesSince the dawn of time, humans have been evolving their behavior and way of life. In William Golding’s Lord of the Flies, he puts a group of boys on an island with a choice. Stay civilized while following rules and attempting to be rescued or tap into their primal instincts and lose all sense of humanity and morality. The theme of civilization versus savagery can be seen in the boys struggle to remain civil as demonstrated through Ralph and Jack’s conflict, Their growing fear for their safety, andRead MoreEssay on Civilization Versus Savagery in Goldings Lord of the Flies1754 Words   |  8 Pagestwisted by their own nature. Like the symbolic pigÂ’s head stuck in the calm forests clearing, all beauty and innocence can be mutated when order is overthrown by impulse actions. In William Gold ingÂ’s novel, Lord of the Flies, a central theme exists demonstrating the deterioration of civilization, and the overpowering of savagery, leading to the abandonment of moral thoughts and actions within a person. The beauty of the island is burned away slowly as the fiery demon of savagery attempts to overwhelm

Thursday, May 14, 2020

Physicians Use Of Electronic Medical Records Barriers...

Physicians’ Use of Electronic Medical Records: Barriers and Solutions Michelle Nance MIS/566 June 21, 2015 Professor Joseph Woodside Abstract Instead of using paper based records, technology allows physicians to use the electronic medical record (EMR) that improves the quality of programs. By using the EMR, this is not easy nor is it low cost. Physicians’ have to use this method as their daily task. There are some barriers that has been identified with the use of the EMR by the physicians we will discuss. There will be some suggestions made that might can help the policy interventions to overcome the barriers. This will include the support system of work/practice including electronic clinical data exchange, and financial rewards for quality improvement. (Sim, 2004) In today’s society, medical records becomes a huge issue. In many organizations such as healthcare, patient confidentiality becomes a high concern. Having internet health services, creates a challenge for compliance in healthcare. Providers have treated application security and infrastructure security independently until now. Access must be secured for clinical applications to alleviate the concern from providers in healthcare. Therefore, IT infrastructure must be protected from hackers, misusing information as well as thieves. (FairWarning, n.d.) There are many regulations healthcare providers face in challenges. One is HIPAA which governs how providers disclose protected healthShow MoreRelatedChallenges And Solutions For A Successful Ehr Implementation Project1430 Words   |  6 PagesChallenges and Solutions for a Successful EHR Implementation Project Abstract Despite of the benefits of electronic health records in medical practices, some healthcare providers are reluctant to implement of this project due to many barriers and limitations such as usability, technical ability, cost constraints, standardization limitations, and resistance of change. The main barriers to adoption of EHR systems for healthcare providers and strategies of the successful implementation projectRead MoreAdvantages and Disadvantages of Using Electronic Medical Records1237 Words   |  5 Pagesï » ¿Electronic Medical Records: Electronic Medical Records (EMRs) are computerized clinical records that are created in care delivery organizations like hospitals and physicians offices. Since their discovery, electronic medical records have been increasingly used by primary care physicians as a way to effectively manage the huge number of patient information. Many physicians and hospital staffs have stated that the EMR systems have had a huge impact on their management of patients records and theirRead MoreElectronic Health Records And The Healthcare Field946 Words   |  4 PagesIntroduction The major change from traditional systems to electronic record systems in the healthcare field within the last couple decades has made a huge impact. Patient records, risk management, planning, staff, and more in the organization are affected by the IT staff. â€Å"The penetration of Internet access, mobile technologies and social networks collectively offer a future in which it is possible to deliver highly personalized care without necessarily having to do it in person, or even with aRead MoreHealth Informatics And The Health System1717 Words   |  7 Pages(Anderson, 2007) . Such programs are Ehealth Ontario, and Alberta Netcare. Electron Health Records (EHR) and Electronic Medical Records are usually used exchangeable (Gartee, 2011). EMR servers as a data source for EHR; it usually contains patient’s medical records and usually found in an ambulatory or acute health facilities. While EHR is the sum of the entire patient’s life history of his or her health recor ds from different sources, which is usually kept in an institution such as an integrated deliveryRead MoreDo Fracking Really Bring For The Practice?762 Words   |  4 PagesUsing EHR) Electronic Health Records (EHRs) are an important component in health care reform, but do they really bring efficiency to the practice? The extent to which practices use EHRs vary from the very basic (entering clinical notes and viewing results) to the intermediate (using e-Prescribing to indicate adverse drug prevention and provide suggestions for alternative drugs) to the advanced use (including lab and radiology order entry with testing guidance, capture of electronic charge, andRead MoreEssay about Electronic Health Records2230 Words   |  9 PagesRunning head: ELECTRONIC HEALTH RECORDS The Advantages and Disadvantages of Electronic Health Records Michelle H Gay Cabarrus College of Health Sciences Abstract There are many advantages to electronic health records but there are as many disadvantages to implementation of this technology. This paper will discuss the advantages and disadvantages that take place during the implementation process of electronic health records. This material was gathered from published materials. The healthRead MoreMy Wellness Portal Is Funded By Ahrq Health1420 Words   |  6 Pagesprevention-oriented, Web-based personal health record (PHR). Personal health record is a personal health management solution that supports the delivery of preventive health services by primary care providers and involves patients in the process. According to Dr. James Mold (2013), My Wellness Portal personal Record System was developed as part of strategic plan to build and test a novel comprehensive care delivery system through primary care physicians. The team originally set about to develop anRead MoreAssessing the Value of Electronic Medical Records795 Words   |  3 Pages Assessing the Value of Electronic Medical Records Introduction The potential for Electronic Medical Records (EMR) to transform healthcare making it more accurate, efficient and cost-effective is significant. Studies indicate that the most common workflows and processes that EMR systems are used for automating can save a healthcare provider up to 67% of the total costs of correcting error-filled reports and minimizing the costs of malpractice insurance as a result (Walker, 2005). The best andRead MoreResearch Proposal Electronic Health Records Essay example2410 Words   |  10 PagesTechnological Experience on Adoption and Usage of Electronic Health Records Introduction The integration of electronic health records in the IT infrastructures supporting medical facilities enables improved access to and recording of patient data, enhanced ability to make more informed and more-timely decisions, and decreased errors. Despite these benefits, there are mixed results as to the use of EHR. The aim of this research is to determine if medical health professionals who lack experience withRead MoreElectronic Medical Records a Cure for Health Care Case Study Essay857 Words   |  4 Pagescase is medical record keeping. About 12 percent of healthcare spending goes towards medical recordkeeping. Medical records have been kept in files and folders, which causes difficulty in accessing and sharing information. This problem could be maintained with electronic medical systems. 2.) What people organization and technology factors are responsible for the difficulties in building electronic medical record systems? Explain your answer. Building an electronic medical record (EMR)

Wednesday, May 6, 2020

Essay On A Beautiful Mind - 971 Words

A Life with Schizophrenia The movie â€Å"A Beautiful Mind† helps the audience to see and understand how is it to live with schizophrenia. According to Cockerham, â€Å"Schizophrenia is a disturbance in an individual’s mood, thinking, and behavior, characterized by a distorted sense of reality that includes delusions and hallucinations† (34). The main character in this movie is John Nash, an American mathematician who struggles his whole life with schizophrenia. Although, in the long run he learns how to control it in a way that does not cause any physical or emotional harm to himself or others. For graduate school, he decides to go to Princeton University, where he competes with other students on coming up with an â€Å"original idea.† An original idea†¦show more content†¦Nash is a very lonely man. He does not like people, and he thinks people do not like him either. He considers himself as the â€Å"lone wolf† mainly because people do not like him. This is all on his mind, there are many people that appreciate his hard work and care about him. The movie does a great job on making the audience believe that certain things are happening, but in reality, they are only hallucinations that Nash is experiencing. He hallucinates things like working for the government as spy against the Russians, seeing and talking to Charles, his roommate from Princeton University and his niece, but none of this is real. There is one scene where Nash is going to drop an envelope with confidential information in it at the house of this man that he is working for, but a shooting begins. This is when the man that hired Nash tells him to get into the car. In Nash’s mind, the Russians are the ones who are shooting at him. After the imaginary shooting, he goes back to his house and locked himself up in a room. His wife starts to wonder why he is acting that way, but she never thinks that he has a mental illness, she just thinks he had a bad day. This is the defini tive outburst phase. The movie makes this scene like it’s actually happening. Towards the middle of the movie, he is taken to McArthur Psychiatric Hospital to get treatment for his mental illness. At the hospital, he tries to justify his behavior by telling hisShow MoreRelatedA Beautiful Mind Essay1388 Words   |  6 Pages In the movie A Beautiful Mind by Ron Howard, John Nash is the main focus of this movie because he was diagnosed with a serious mental disease known as schizophrenia. Schizophrenia can be described by many different symptoms, but most cases contain illogical thoughts or hallucinations (1). This mental disease became a prominent factor in John Nashs life during his early adulthood. At this time, he was studying to obtain his doctorate at Princeton University. Although he had such an immaculate knowledgeRead MoreEssay on Beautiful Mind2489 Words   |  10 PagesCMI Kowats Pd. 4 March 12, 2011 A Beautiful Mind Questions Section 1: Questions: 1. Describe the opening sequence when John Nash sees the others. What patterns does he see? Why is this important? †¢ John sees patterns on the man’s tie, and relates it to reflections of light and shapes. This shows his analytical mind, and his ability to relate two arbitrary things to geometry and math. 2. What is Nashs role at Princeton? †¢ Nash is a graduate student at Princeton. He is also famousRead MoreEssay on A Beautiful Mind (Movie)937 Words   |  4 Pagesbeen hallucinating. The Department of Defense agent William Parcher and Nashs secret assignment to decode Soviet messages was in fact all a delusion. Even more surprisingly, Nashs friend Charles and his niece Marcee are also only products of Nashs mind. After a painful series of insulin shock therapy sessions, Nash is released on the condition that he agrees to take antipsychotic medication. However, these drugs create negative side-effects that affect his relationship with his wife and, mostRead MoreEssay about A Beautiful Mind993 Words   |  4 Pagesrealizations and realizations in life that I never thought of before. One of these realizations is the fact that seeing something is not a guarantee for you to believe that it really exists. This fact only states that even your own eyes and your own minds can fool you. This is what happened to the case of John Nash in the movie. His wife, Alicia, took note of every weird action that he started manifesting, and these weird actions frightened her and their child. Then, Alicia called the psychiatric hospitalRead MoreMy Beautiful Mind Essay1013 Words   |  5 PagesLiving with Schizophrenia â€Å"The mind is indeed a beautiful thing. It is the reason for our ingenuity, artistic originality and maybe even our humanity. What happens however when the mind works against us? When it tricks us into believing that what is not real to be the actual, destroying our sense of being?† (Angelo) We see this played out firsthand in the life of John Forbes Nash Jr. in â€Å"A Beautiful Mind.† The film was directed by Ron Howard and starred Russell Crowe, who plays John Nash, PaulRead MoreA Beautiful Mind: a Case Study Essay1714 Words   |  7 PagesRunning head: A BEAUTIFUL MIND 1 A Beautiful Mind: A Case Study A BEAUTIFUL MIND 2 Diagnostic Impression: Axis I 295.30 Schizophrenia, Paranoid Type, Continuous Axis II V71.09 No Diagnosis Axis III None Axis IV Psychosocial and Educational Stressors Axis V GAF = 55 (highest level in past 30 years) Case Study: John Nash suffers from Paranoid Schizophrenia. He is a gifted mathematician who began graduate school at Princeton University in 1947Read MoreA Beautiful Mind: Psychological Disorders Essay1061 Words   |  5 PagesA Beautiful Mind illustrates many of the topics relating to psychological disorders. The main character of the film, John Nash, is a brilliant mathematician who suffers from symptoms of Schizophrenia. His symptoms include paranoid delusions, grandiosity, and disturbed perceptions. The disease disrupts his social relationships, his studies, and his work. The more stressful his life becomes the more his mind is not able to distinguish between reality and fantasy. Nashs first hallucination is inRead More John Nash, A Beautiful Mind Essay1628 Words   |  7 Pages(Cicarelli, p. 559). JOHN FORBES NASH, JR. AND SCHIZOPHRENIA A powerful exploration of how genius and madness can become intertwined, the feature film, A Beautiful Mind, was inspired by the life of Nobel Prize winning mathematician and schizophrenic John Nash (PBS Online, 1999-2002). Nash, known as a mathematical genius and one of the most original minds of the 20th century, made his breakthrough as a twenty-year-old graduate student at Princeton University with a remarkable proof in the field of gameRead MoreEssay about Schizophrenia in A Beautiful Mind912 Words   |  4 Pages nbsp;nbsp;nbsp;nbsp;nbsp;In the film â€Å" A Beautiful Mind† John Nash experiences a few different positive symptoms. The first of these positive symptoms are seen through the hallucinations John has of having a room -mate while at Princeton. This room- mate continues to stay â€Å"in contact† with John through out his adult life and later this room- mate’s niece enters Johns mind as another coinciding hallucination. Nash’s other hallucination is Ed Harris, who plays a government agent that seeks outRead More Ethical Analysis of A Beautiful Mind Essay1595 Words   |  7 PagesEthical Analysis of â€Å"A Beautiful Mind† â€Å"A Beautiful mind† is a story based on the life of John Forbes Nash, who is a famous mathematician. Unfortunately, he is suffering from paranoid schizophrenia that majorly affects his personal and social life. Schizophrenia is a psychological disorder in which the patient’s ability to function is impaired by severely distorted beliefs, perceptions, and thought processes (Hockenbury, 2010). John Nash, the main character, faces many challenges in his professional

Tuesday, May 5, 2020

Revelations Dance and Gospel Music Essay Example For Students

Revelations: Dance and Gospel Music Essay Introduction Alvin Alley was a choreographer who founded the Alvin Alley American Dance Theater in 1958. It was a hugely popular, multi-racial modern dance ensemble that popularized modern dance around the world thanks to extensive world tours. His most famous dance is Revelations, a celebratory study of religious spirit. Alley received the Kennedy Center Honors in 1988. Alleys philosophy to art is clear in his work he desired his performers to follow his meticulous choreography, but have each performer express that choreography in their own style. He use as a stimulus about the fact that the suffering and hardship faced by African Americans and feudalism and slavery. Revelations tells the story of African-American faith and tenacity from slavery to freedom through a suite of dances set to spirituals and blues music. Revelations is divided into three sections Pilgrims of Sorrow, Take Me to the Water and Move Members, Move. As an example, The opening section of Revelations. Alley described this section as songs that yearn for deliverance, that speak of trouble and of this orals trials and tribulations. The mood is reflected in unique gestures with heads bowed down and forward and heavy bodies reaching powerfully upward. The somber music and the lighting effects (by lighting designer Nicola Chronometric) and brown and skin toned costuming help with this. The second section features an enactment of a ceremonial baptism. A large group of dancers clad in white sweep onto the stage as baptismal agents?a tree branch to sweep the earth and a white cloth to cleanse the sky?lead a processional to the stream of purification. To the trains of Wade in the Water a devotional leader bearing a large umbrella baptizes a young couple at a river, represented by yards of billowing blue silk stretched across the stage. A raucous ceremony is followed by the meditative solo l Want Be Ready, which communicates a devout mans preparations for death. Lastly, In Move Members, Move, The final section celebrates the liberating power of 20th-century gospel music. This section includes the propulsive mens trio Sinner Man and the famous Yellow section, set in a southern Baptist rural church. Eighteen dancers in yellow costumes enact a church service with fans and stools. Stretched across the stage with torsos proudly lifted, the dancers embody the Joy of faith contained by complex stepping patterns performed in unison. VARIETY OF ELEMENTS (BODY) Firstly, the movements being shown within the video, are continuous arm swaying, spins, constructions and waving. However, these movements are manipulating the experience. As an example, A part of the dance piece, which is showing the trio of two omen and one male are showing their pain they have faced through sudden pulsing of the upper torso and contractions and releases and also the way theyve used their body to imitate water. Secondly, the use of fabric and the use of umbrella Revelations: Dance and Gospel Music By railways the water looked liked. Thirdly, for aural settings, gospel music have been provided in order to work well with the movements as it is ritual and the visual settings to relate with the religious music. The music have been chosen to symbolize the experience of African-Americans. As an example, In Ive Been Bucked!! nine dancers work in hushed accord, performing a ritual of communal introspection. Lastly, the use of costumes symbolize African-American, with the women wearing flow costumes as the guys only wear flow pants as it creates an effect for the choreography. These costumes have been used, to convey water, the movements and the gospel music. CONCLUSION The choreography communicate the African-American experience, by their use of events, the use of aural and visual settings and the costumes followed by the dancers. As an example, the gospel music tells the story of African-American faith and tenacity from slavery to freedom through a suite of dances set to spirituals. In my opinion, the choreography have been outstanding as it conveys the elements of movements, visual and aural settings and costumes and dancers because the somber music and the lighting effects and brown and skin toned costuming help with this.