A specific health care topic of interest to you --Nursing Essay

A specific health care topic of interest to you --Nursing - Essay Example According to Bracken, â€Å"every patient who faces this type of surgery struggles with fears and anxieties that are universal...† (n.d. cited in International Ostomy Association, 2006). Pre-operative and post-operative health teachings are routine interventions that help the patient prepare for, and manage surgical outcomes; however, studies supporting the common areas of stomal patient concern are scarce. This meta-analysis was done to identify the subject matter that needed further emphasis during patient teaching; as well as to identify the different factors that contributed to the low self-esteem experienced by these patients. Although pre-operative and post-operative education in managing the stoma are being employed by health care institutions, the subject matter and the patient concerns addressed during patient teaching should be assessed in order to provide individualized health teaching that can address patient uncertainty in managing the stoma; allay anxiety in rela tion to social issues; and prepare the patient for the changes associated with the surgery. Background and Introduction A stoma is an artificial opening made on the side of the abdomen that is used as a permanent, or temporary outlet for feces or urine (Clinimed, n.d.). There are three different types: colostomy--for solid fecal outlet; ileostomy--for soft fecal outlet; and urostomy--as outlet for urine (Clinimed, n.d.). Indications for stoma surgery include: congenital conditions such as malformations in the anus and urethra, and diseases like inflammatory bowel disease, colorectal cancer, diverticulear disease, and ulcers. Ostomy surgery is performed by taking a portion of the large, or small intestine through the abdominal wall to provide an outlet for feces and urine (Encyclopedia of Surgery, n.d.). A collection bag is worn over the stoma and requires routine irrigation to prevent infection and other complications. This procedure is performed to aid healing by diverting fecal ma tter from an injured or diseased part of the large intestine, for temporary stomas, and to construct an alternative excretory pathway for fecal matter and urine, for permanent stomas. The estimated of the number of patients with a stoma vary across the globe. In the US, approximately 800,000 patients with a stoma were reported in 2000; with growth rate of 3% each year (Turnbull, 2008). Ontario, Quebec and British Columbia were reported to have the highest number of ostomy surgeries annually in 2009; with colostomy accounting for 55%; ileostomy 31%; and urostomy 14% (Registered Nurse’s Association of Ontario, 2009). According to Renzulli and Candinas (2007), stoma formation and delayed closure is associated with high morbidity; and complications including: stomal necrosis, stomal retraction, stomal stenosis, mucocutaneous separation and stomal prolapse. In a study conducted by Makela and Niskasaari (2006), which explored stoma care related problems experienced by stoma surgery patients in Northern Finland, it was found out that 35 patients of the 163 respondents developed stoma complications, particularly parastomal herninas (18 cases). Apart from the problem of having to live with the life-long risks associated with a stoma, self-esteem issues may also surface. According to Honkala and Bertero (2009), the most common concerns of patients before and after an ostomy surgery were

Russian Imperial Culture Essay Example | Topics and Well Written Essays - 1750 words

Russian Imperial Culture - Essay Example Imperialism is an exploitative system of administration in which certain group comes to a territory and exploits the people of their wealth. Fundamentally, however, monopoly and finance capitalism are logical developments from free, competitive capitalism; political imperialism is a logical development of monopoly capitalism; war is a logical development of imperialism. Wars were therefore very important aspects of imperial Russian culture. The Russian state persistently battled against Nogai-Horde and Crimean khanat which were successors of the Golden Horde. Russians captured by nomads were sold on Crimean slave markets. In 1571 the Crimean khan Devlet-Girei, with a horde of 120 thousand horsemen, devastated Moscow. Annually thousands of Russians became victims of attacks by nomads. Tens of thousands of soldiers protected the southern borderland - a heavy burden for the state which slowed its social and economic development. In the beginning of the 16th century the Russian state set the national goal to return all Russian territories lost as a result of the Mongolian invasion and to protect the borderland against attacks of hordes. The noblemen, receiving a manor from the sovereign, were obliged to serve in the army. The manor system became a basis for the nobiliary horse army. Russians emraced nobility as a... In 1648 the Cossack Semyon Dezhnev discovered the strait between America and Asia. The greater and more expansive Russian Empire was born. Muscovite control of the nascent nation continued after the Polish intervention. Peter the Great, brought ideas and culture from Western Europe to a severely underdeveloped Russia. Catherine the Great, enhanced this effort, establishing Russia not just as an Asian power, but on an equal footing with Britain, France, and Germany in Europe. She enlarged the Russian empire by the Partitions of Poland. Russia had now taken territories with the ethnic Belarus and Ukrainian population, earlier parts of the medieval Kievan Rus'. As a result of the victorious Russian-Turkish wars, Russia's borders expanded to the Black Sea and Russia set her goal on the protection of Balkan Christians against a Turkish yoke. Russia and the Georgian Kingdom (which was almost totally devastated by Persian and Turkish invasions) signed the treaty of Georgievsk according to which Georgia received the protection of Russia. After Peter the Great, Russia emerged as a major European power. Examples of its post-Peter European involvement includes the War of Polish Succession and the Seven Years War. These wars were necessary to preserve the Russian empire and preserve the sovereignity of the Russian people. Each well-developed national mythology has produced what can be called the culture of the ordinary. It has to do with everyday life of men and women over a period of time. It could be said that the culture of imperial Russia was based on wars and economic exploitation. Museums could capture the dress (uniform), the weaponry and

Cezanne, Lowry and Landscapes Essay -- Visual Arts Paintings Art

Cezanne, Lowry and Landscapes Cezanne Paul Cezanne, who was the son of a wealthy banker, became a painter in the 1860s in Paris when he quit his studies of Law. By 1874 he was painting landscapes in the Impressionist manner and had some of his work included in their first exhibition held during that very same year. He painted in the Impressionistic manner, but sheared off in a different direction to the main body of Impressionist painters. The main body of Impressionist painters were concerned with the 'fleeting effects of light and colour', and in order to capture the surface impression of that moment 'they had to work fluently and quickly'. 's analysis was far more prolonged and pains-taking; He spent so long analysing his subjects that some of his work was never finished. began to be more concerned with the use of colour in modelling objects and landscape and as a way of expressing their underlying form. The basic ideas of Cubism have been claimed to be present in his philosophy. His theory was that the painter could always find the cone, the sphere and the cylinder in Nature, and that all natural shapes were composed of these shapes at their most basic form. inherited sufficient wealth to live in rich seclusion in Provence near Aix. He needed this solitude or he found it difficult getting on with others: being naturally ill at ease, neurotically sensitive and suffering from outbursts of temper. His great contribution to art was to make Impressionism solid: to restore the careful analysis of form and structure that pervaded the old masters but to combine this with an intensity of colour and harmony, full of personal expression. In his landscapes he showed a deep feeling for the force of nature in each sweeping line and chopping stroke of the brush, in the intense orange earth against the clear Provence skies. Always dissatisfied with his efforts, struggled unceasingly to reveal the truths of nature. He made many landscape paintings of the area where he lived and through them he achieved great success even in his old age. Many of these landscapes like "Route-Tournante" pulse and glow with his free and painstaking analysis. Part of the vitality of this picture lies in the loose and patchy technique The effect is particularly striking in the subtle greens of the trees and the subtle earth tones. Part of the interest ... ...riel Decamps, Charles-Emile Jacque, and other minor landscape and animal painters - e.g Brascassat/Rosa Bonheur. During the second half of the nineteenth century, the school became more and more famous - the number of painters in the "school" also increased. Barbizon was the name of the area in France where members of this school settled down to paint. Jean-Francois Millet, together with Theodore Rousseau, became the centre - the nucleus of the Barbizon community, and the reference point for all the other Barbizonners - the other members of the Barbizon school. Millet settled down in Barbizon in 1849. has often been described as the initiator of the Impressionist movement, and indeed he did develop many of the ideas that we saw in the movement as it developed. It could be said that Lowry painted landscape in an Impressionist fashion as well, as his pictures are painted in such a way as to make the viewer aware of the message behind the picture rather than the actual picture which has been depicted using brushstrokes from a man of incredible painting skill. A painting by has been included with this essay, along with a reproduction of one of Lowry's pictures.

Does Crime Pay

Does crime pay? This is one of the most debated questions that has hit our shores in recent year. Ever since the introduction of basic human rights and many successful rallies against prisoner abuse, prisons have and are becoming increasingly pleasant places to lived. In this essay I aim to cover both sides of the story and give advice to the government on what is the next step. During my recent research I have found that roughly the average price to put one prisoner into prison cost ? 95,000 for one year. I also learnt that in prison you get an average wage of ? 9. 0 based on a 32 hour working week, and most surprisingly that prisoners get some fine food like Indian curries and Italian pastas. If we put this in contrast to the daily diet of a homeless person, who can go days without food and water, these people our victims of crime and yet our government still spends almost ? 100,000 on the people who victimise these helpless people in prisons. A logical and short term thinking home less person would be silly not to commit crime – a working wage, food, a bed and toilet facilities and showers provided and the option to complete a degree are just some of the perks.So crime does indeed pay on this level. Job seekers allowance now stands at ? 67. 50 for a single person, however these people need an address to receive this, the average price of a loaf of bread is approximately ? 1 and a pint of milk is now ? 0. 40, this shows that it is nearly impossible to survive from day to day as they are not eligible to apply for jobseekers allowance and therefore are depending on busking or begging money. For many homeless people, they have been forced to make crime pay, but there is a problem†¦

Differences Between Sex And Gender - 871 Words

With sex and gender being such a predominate factor in determining our position in society, it is difficult to hinder ourselves from distinguishing certain characteristics and attributes to be masculine (male) or feminine(female). Is is paramount to distinguish the differences between sex and gender. Sex is determined by our hormones and anatomy while gender is the social meanings, behaviors, and expectations attached to a given sex by society (Logg, Lecture Notes, Fall 2015). Generally speaking, labels are immensely restricting to members of society who fail to fit into their perceived gender roles considering that it enforces the idea of the binary gender system where it is only socially acceptable to identify as a male or female based on your sex. Sex and gender is something that has not been closely examined by social scientist to prove or disprove if the binary gender system is evident in human nature. Social scientists should research and challenge commonly held beliefs about sex and gender due to the negative effects it has on society. Individuals who fail to fit into the masculine (male) or feminine (female) roles are often misunderstood and rejected by society members who identify and abide by their given gender roles. Social institutions such as media, religion, medical, government, etc. (Logg, Lecture Notes, Fall 2015) significantly impact and are present in our everyday lives. These social institutions often times do not consider alternatives to the genderShow MoreRelatedGender Differences Between Gender And Sex1334 Words   |  6 Pagesmany people are constantly categorized to be confused about what their whole life and purpose is, because they cannot be placed in one of the two socially accepted gender categories- male or female. This idea or â€Å"disorder†(Medical Dictionary) is commonly known as being transgender. I do not think that there are only two categories for gender; I believe that there are people who are not considered to be only male or female, but both. Due to different religions, inf luences, social structures, and expectationsRead MoreDifference Between Sex and Gender1127 Words   |  5 Pagessociety, the in depth differences between sex and gender has grown to be one that is discussed extensively by psychologists and sociologists too. Sex in itself is a more scientific term that explains the innate physical attributes of an individual. On the other hand gender carries a more social tone. Meaning, that it refers to the different clothing, activities, career choices, and positions people hold in society. This essay aims to highlight some of the key differential aspects between these two concepts;Read MoreDifference Between Sex and Gender1134 Words   |  5 Pagessociety, the in depth differences between sex and gender has grown to be one that is discussed extensively by psychologists and sociologists too. Sex in itself is a more scientific term that explains the innate physical attributes of an individual. On the other hand gender carries a more social tone. M eaning, that it refers to the different clothing, activities, career choices, and positions people hold in society. This essay aims to highlight some of the key differential aspects between these two concepts;Read MoreDifferences Between Sex And Gender Essay1151 Words   |  5 PagesThere are distinct differences between Sex and Gender. Sex is divided up into two divisions, male or female, based upon their reproductive system. Gender is the notion set by society on what social behaviours are acceptable for males and females, for example the expectation that females are more caring or nurturing than men. Gender can be further divided into two subcategorise: identity and stereotype. Gender identity is the concept that your sex and gender do not have to be the same but can differentRead MoreGender Differences Between Sex And Gender911 Words   |  4 Pages Now in our generation there has been great controversy about what gender you are and what kind of love you believe in. One thing many people fail to realize is that your gender and your designated sex are two completely different things. Not only is there that divide between sex and gender but there is pre-determined rules that everyone is expected to follow that is connected to their specific gender. Because gender is an ever-changing thing for some there needs to be the support for those wishingRead MoreDifferences Between Sex And Gender1498 Words   |  6 Pagespeople tend to confuse between sex and gender thinking that they’re the same thing. Sex is the two main categories of male and female into which humans and most other living things are biologically divided in. Gender however, is the state of being male or female and typically used with reference to social and cultural differences rather than biological ones. Children in the same family have different experiences in their interactions with their mothers and fathers. Such differences may teach childrenRead MoreThe Differences Between Sex An d Gender1027 Words   |  5 Pages A major question in social science is the difference between sex and gender. Contrary to popular belief, sex and gender are not the same. Sex is defined as biological differences that make someone a male or female. On the other hand, gender is a social arrangement that defines how to act according to sex categories (Conley 2013). According to the writer and sociology professor, Dalton Conley, gender is so deeply rooted in social construction that it may seem as a natural structure of humans’ livesRead MoreDifference Between Sex And Gender2324 Words   |  10 PagesDifference Between Sex and Gender and How They Can Define Us A topic that has been heavily discussed throughout this course is the difference between sex and gender. For past several centuries the word gender has been used particularly as a substitute for sex and vice versa. It has proven to be quite a useful term in the past, however, distinctions between the terms sex and gender, in instances where one word would be more proper to use than the other, have not been fully recognized. In most instancesRead MoreDifferences Between Sex And Gender2408 Words   |  10 PagesThis essay will navigate the differences between sex and gender through definition and discourse. First I will discuss sex with reference to biology, what it means to possess the parts of a man and of a woman. Within this context I will address intersex people and will examine transgenderism. I will then explore and identify gender through a discussion of Gender Identity Disorder (GID) associated with transgenderism touching briefly on the construction of gender roles. The pape r will criticallyRead MoreThe Difference Between Sex and Gender743 Words   |  3 PagesIn today s society sex and gender seem to have two separate connotative meanings. Sex is a more scientific term that explains physical traits and sexual preferences. Gender carries a more social tone. Meaning that it refers to the different clothing, activities, career choices, and positions people hold in society. A person s social status helps separate or classify the two sexes. brbrSex is the total sum of physical characteristics that distinguish males and females from each other. The most

Ebola Outbreak Of West Africa - 1655 Words

Introduction In the late 1970s, the international community was alarmed by the discovery of the Ebola virus. (Schwarz and Siegl, 1996) It was the ‘causative agent’ (Peters and Peters, 2015) of EHF (Ebola hemorrhagic fever). Ebola stems from a virus family know as Filoviridae. The virus targets various parts of the body causing a critical sickness of fever, diarrhoea, vomiting and in severe cases bleeding. However, infections do not always lead to death. ‘In previous outbreaks, 40-90% of known infections have resulted in death’ (Prevention, 2015) The very first cases were detected near a river found in the Democratic Republic of Congo and Sudan. On 23 March 2014, the World Health Organisation (WHO) made the public aware of a new Ebola†¦show more content†¦The Ebola has a strong relevance to the securitisation theory as there were many laws and precautions introduce by governments globally in order to securitise and protect public health. I will analyse my topic by looking at the laws and precautions brought it by various governments internationally and weighing their strengths and weaknesses. Then evaluating my findings and draw conclusions on how effective and efficient the steps taken towards the attempt of securitising Ebola were. 2. Literature View As explained in my introduction Ebola is a virus which targets various parts of the body causing a critical sickness of fever, diarrhoea, vomiting and in severe cases bleeding. On 8 August 2014, the WHO declared Ebola a major public health concern. Soon after there were many cases reported in the US, Liberia, Australia and other varying countries. Once the outbreak occurred, there were international efforts to strengthen health security. However, this pathway quickly changed directions when it was met with very fragile health national systems. The Western governments attempted to build up global health security by introducing advanced medical countermeasures, unfortunately they could not come up with an effective treatment

Analysing the Environmental Impact Assessment Systems...

Pà ¶là ¶nen et al in 2011 conducted research on â€Å"The effectiveness of the Finnish EIA system†. He inspected main weaknesses and strengths of EIA as a participatory and preventive environmental management tool. According to him EIA has enhanced the legitimacy of the planning processes and tools used in environmental policy. The planning has been made more transparent through the participation of stakeholders. In the early phase of Planning, the participation has made it possible to strengthen the trust between stakeholders, and allows sound consensus in disagreement. It has also prevented appeals in the later phases of decision making. EIA also has influence on project design and also on the valuations. EIA may eliminate the most harmful†¦show more content†¦Panigrahi and Amirapu in 2012 conducted research on â€Å"An assessment of EIA system in India†. According to the authors there is well developed regulatory EIA system established in India but coordin ation is vital for an effective EIA system. Interviews with the officials and consultants showed that there is weak coordination among the decision makers, SPCBs, consultants, proponents and other agencies/line departments. Proponents and consultants do not consult concerned departments and agencies during preparation of EIA reports to identify issues. The authors carried out the assessment of the EIA process and identified the following weakness in the system. †¢ There are comprehensive guidelines, legal and legislative provisions but administrative setup is very weak. EIA is just a formality as most of the time EIA is conducted after start of construction. †¢ Coordination among the consultants and planners are very weak. †¢ Involvement of stakeholders into ToR process during scoping is inadequate which results in a thin coverage of socio-economic and environmental issues in the EIA reports. †¢ The quality of EIA reports are very poor and not up to the mark. The reason identified is the lack of experts and professionals. There are many weaknesses identified in the reports such as it hardly discusses the limitations and assumptions carried out by consultants. †¢Show MoreRelatedFdi Essay1242 Words   |  5 Pagesexistence of national laws and policies has significantly determined the extent to which a countrys success or failure to benefit from trade and investment agreements. Hernando De Soto (2000) claimed that formalities and inefficiencies in the legal systems of developing countries have made them fail to enjoy the benefits of capitalism. Trubek (2006) then identified how legal cultures of developing countries were highly ‘formalist’, leading to weak enforcement, inappropriate rules, and low legitimacyRead MoreHuman And Natural Drivers Of Climate Change1732 Words   |  7 PagesClimate Change in relation to Architecture Tallis Holloway - s5015034 There are many human and natural drivers of climate change, cities and buildings in particular are increasingly affected by risks linked to rapid environmental changes and their impact themselves on the atmosphere however architect s can help limit many contributing factors. This paper examines the role of this profession, architecture s contribution to climate change mitigation/adaption and how architect s can assist in limitingRead MoreClimate change Adaptation Planning: Tourism industry in the Himalaya Region1221 Words   |  5 Pagesof total employment in 2012 for Nepal (World Travel Tourism Council 2014). The observed impacts of climate change to the livelihood of the tourism industry are the main driver to the need of adaptation to ensure future development and prosperity (Simpson et al. 2008, UNWTO 2008). Climate is one of the primary factor in determining the viability and suitability of tourism activity, where shifting of weather regime and severe weather events directly impact on the operating cost, food, water suppliesRead MoreSwot Analysis : A Pestel Essay1645 Words   |  7 PagesA PESTEL analysis is a technique used to assess the external factors that may impact a firm (Cadle, et al. 2010). Political †¢ Operations in more than 70 countries including 23 refineries worldwide consolidating its presence as a global leader (Shell Global 2016). †¢ Engages in exploration in all continents. †¢ Political turmoil in some of the countries it occupies like Nigeria may influence its operations and sales. Economic †¢ Oil prices have risen and raising issues of supply as well as highRead MoreThe Importance Of Materials For Low Impact Buildings3067 Words   |  13 PagesMaterials for Low Impact Buildings ARC 6821 Elena Constanti Number of words: 3002 CONTENTS Introduction 3 Chapter 1: Sheffield 1.1. Site Location and specification 4 Read More1 Develop Systems to Involve Stakeholders in the Planning of Change5620 Words   |  23 Pagesto work from an understanding of resource management issues to a project design. Specifically, it covers how to facilitate a: ï‚ § Solutions tree activity. ï‚ § Participatory impact assessment activity. ï‚ § Discussion of project options. Topics 5.1 Developing a solutions tree 5.2 Assessing social, economic and ecological impacts 5.3 Selecting options 5.4 Checklist of project planning issues Introduction The previous modules have taken project staff and stakeholders through a process of understandingRead MoreNursing Assessment And Identification Of Patient Problems1550 Words   |  7 PagesCare planning is the organised assessment and identification of patient problems, the setting of goals, and the establishment of methods and strategies based on best evidenced based practice for achieving them (Uhlrich, Canale Wendell, 2013). The aim of this assignment is to implement a hypothetical nursing care plan for a patient that I had been involved recently in my clinical placement using Roper, Logan and Tierney (RLT) model of nursing. This essay will discuss and justify the management requiredRead MoreEnvironmental Impact Assessment ( Eia ) Essay4845 Words   |  20 PagesConcept of EIA Environmental Impact Assessment (EIA) is defined differently in different regions and at different points of time and therefore, there is no single definition of EIA which is globally accepted. Also, quite often the term EIA is interchangeably used with ‘impact assessment’ or ‘environmental assessment’. But regardless of the variation in definitions and the terms used for it, EIA has always been considered as an aid to decision making through which the potential environmental consequencesRead MoreResearch Report On The Glasgow City Council And The Scottish Government3404 Words   |  14 PagesCHAPTER FOUR RESULT AND DISCUSSION Chapter three has displayed the methodology that is going to be adopted with these research works which include the review of earlier research materials and analysing the effect of some projects that has been carried out in other areas that has gone through the related conditions. This chapter shows the breakdown of the data gathered in line with this research work; this information will be critically analysed using the BREEAM as the standard for the analysis.Read MoreSystems, Society and Sustainability Essay3714 Words   |  15 PagesCIVIL, ENVIRONMENTAL AND GEOMATIC ENGINEERING Systems, Society and Sustainability The global challenge of sustainable development requires solutions and mindsets that bridge traditional divisions between nature and culture, and the technical and social sciences. Sustainable development requires that engineers and other professionals are able to include social and ecological considerations alongside technical and economic requirements in managing projects and infrastructure. This course outlines