The Role Ofreligion And Morality In Cats Cradle Essay Example For Students

The Role Ofreligion And Morality In Cats Cradle Essay As a creator, Kurt Vonnegut has gotten pretty much every sort of recognition a creator can get: his works held a similar influence over American way of thinking as did those of Jack Kerouac or J.R.R. Tolkein; his composing has gotten approval from scholastics and the majority the same; and three of his books have been made into include films. Society has for all time and discernibly been changed by his composition. Through available language and effectively got topics, Vonnegut has made works unpretentious, immersing, and natural. His principle technique for doing this is by abusing a subject with which everybody is recognizable and about which everybody has his own feeling: religion. We will compose a custom article on The Role Ofreligion And Morality In Cats Cradle explicitly for you for just $16.38 $13.9/page Request now Relatively few individuals are more able to investigate this subject than Vonnegut. He was conceived in 1922 on Armistice Day (November 11), an occasion commending harmony, in Indianapolis. His family was modestly well off until the beginning of the Great Depression, when they lost everything. In 1944, Vonneguts mother ended it all by overdosing on dozing pills. Before long a while later, he joined the military and battled in the Second World War. Vonnegut was caught as a POW and kept detainee in Dresden. Not long after his catch, Dresden, a totally non military personnel town, was shelled vigorously. Vonnegut endure the shelling, returned home, and turned into an author. His first book, Player Piano, got next to no notification at the time it was composed, 1952. At the point when he distributed Sirens of Titan in 1959, it likewise was to a great extent disregarded. In 1969, Vonnegut distributed Slaughterhouse Five, which was a prompt business and scholastic achievement. Slaughterhou se Fives achievement focused on his different works, and however Vonnegut was not as well known after the 60s, he kept on distributing effective books (http://www.duke.edu/crh4/vonnegut/). Vonneguts works have been delegated sci-fi, however that barely does them equity. His works are fundamentally affected by that kind, however contain strikingly significant analyses about contemporary American culture which set him apart from other sci-fi authors. His utilization of sci-fi draws an entertaining complexity between the extremely significant essentialness of the idea of the universe and of the real world, and the unimportance of human life and society. The entirety of his works stress the huge powers following up on his characters, not the least of which is destiny. As his composing advanced and developed, this elaborate subtlety turned out to be increasingly apparent. In his book Slaughterhouse Five, Vonnegut portrays his own style by methods for Tralfamadorians, an outsider race for whom time is nonexistent, and whose writing reflects this:Each bunch of images is a short, dire message depicting a situation,a scene. We Tralfamadorians read them at the same time, not one after the oth-er. There isnt a specific connection between all the messages ex-cept that the creator has picked them cautiously, so that, when seen at the same time, they produce a picture of life that is wonderful and astonishing and profound. There is no start, no center, no closure, no anticipation, no good, no causes, no impacts. What we love in our books are the profundities of numerous magnificent minutes seen all at once (88). To be sure, Vonnegut has excused fleeting congruity in his composition, and has consequently wiped out tension. Characters are frequently mindful of their own inescapable predetermination, as in The Sirens of Titan, and are vulnerable to prevent it from happening. Vonnegut clarifies that advanced society is a lot of like this individuals can see where theyre headed, yet are excessively weak or aloof to forestall it. In his book Cats Cradle, Vonnegut derides people groups careless, aloof acknowledgment of their destinies by depicting a circumstance in which inconceivably ground-breaking powers hurl around individuals urgent to get away from them. He presents civic establishments endeavor to end it all (Hocus Pocus, 72), the nuclear bomb dropped at Hiroshima, and closures the book with the entirety of the water on earth freezing as the aftereffect of a substance called ice-nine, and therefore human progress effectively ending it all. Unexpectedly, the man who made the nuclear bomb additionally made ice-nine, a man not malevolently abhorrent, however just oblivious. In this, Vonnegut depicts not just the stunning impact the powers of the universe have on us, yet in addition the impact a chosen few of us have on the powers of the universe. .u448aff7148bc4c2452c2b70ef171a0da , .u448aff7148bc4c2452c2b70ef171a0da .postImageUrl , .u448aff7148bc4c2452c2b70ef171a0da .focused content region { min-tallness: 80px; position: relative; } .u448aff7148bc4c2452c2b70ef171a0da , .u448aff7148bc4c2452c2b70ef171a0da:hover , .u448aff7148bc4c2452c2b70ef171a0da:visited , .u448aff7148bc4c2452c2b70ef171a0da:active { border:0!important; } .u448aff7148bc4c2452c2b70ef171a0da .clearfix:after { content: ; show: table; clear: both; } .u448aff7148bc4c2452c2b70ef171a0da { show: square; progress: foundation shading 250ms; webkit-change: foundation shading 250ms; width: 100%; haziness: 1; change: mistiness 250ms; webkit-progress: obscurity 250ms; foundation shading: #95A5A6; } .u448aff7148bc4c2452c2b70ef171a0da:active , .u448aff7148bc4c2452c2b70ef171a0da:hover { murkiness: 1; change: obscurity 250ms; webkit-change: darkness 250ms; foundation shading: #2C3E50; } .u448aff7148bc4c2452c2b70ef171a0da .focused content zone { width: 100%; position: relative; } .u448aff7148bc4c2452c2b70ef171a0da .ctaText { outskirt base: 0 strong #fff; shading: #2980B9; text dimension: 16px; textual style weight: intense; edge: 0; cushioning: 0; text-adornment: underline; } .u448aff7148bc4c2452c2b70ef171a0da .postTitle { shading: #FFFFFF; text dimension: 16px; textual style weight: 600; edge: 0; cushioning: 0; width: 100%; } .u448aff7148bc4c2452c2b70ef171a0da .ctaButton { foundation shading: #7F8C8D!important; shading: #2980B9; fringe: none; outskirt range: 3px; box-shadow: none; text dimension: 14px; text style weight: striking; line-stature: 26px; moz-fringe span: 3px; text-adjust: focus; text-enhancement: none; text-shadow: none; width: 80px; min-stature: 80px; foundation: url(https://artscolumbia.org/wp-content/modules/intelly-related-posts/resources/pictures/basic arrow.png)no-rehash; position: total; right: 0; top: 0; } .u448aff7148bc4c2452c2b70ef171a0da:hover .ctaButton { foundation shading: #34495E!important; } .u448aff7148bc4c2452c2b70ef171a0da .focused content { show: table; stature: 80px; cushioning left: 18px; top: 0; } .u448aff7148bc4c2452c2b70ef171a0da-content { show: table-cell; edge: 0; cushioning: 0; cushioning right: 108px; position: relative; vertical-adjust: center; width: 100%; } .u448aff7148bc4c2452c2b70ef171a0da:after { content: ; show: square; clear: both; } READ: Heart Of Darkness - Cruelty EssayIn Cats Cradle, Vonnegut depicts an incredibly perplexing methods by which to acknowledge the impulses of the universe. It is a spoof of religion, and is the thing that religion would be on the off chance that it were deprived of all custom and doctrine. It is called Bokononism, and it uncovers exactly that it is so human to allow destiny to have its direction, and exactly that it is so purposeless to battle against it. The essential principle of Bokononism, as per Vonnegut, is that individuals should live by whatever foma (innocuous falsehoods) fulfill them. Individuals, as indicated by Bokononism, ought to do this with the goal that destiny appears to be considerably less predominant in their lives, thus that they feel that their own through and through freedom is the fundamental power in their lives. Vonnegut contends that such self-trickiness is one of the most vital parts of mankind (Understanding Kurt Vonnegut, 53-65). Felines Cradle was distributed in 1963, at once in American history when through and through freedom appeared to be the main power managing anybody. Individuals were burnt out on war, and tired of the danger of war. Individuals were very nearly losing confidence in government. It is in this condition Vonnegut set forth his assault on religion and on the human circumstance. The idea of ice-nine was just about as alarming as the genuine danger of atomic assault, so individuals could without much of a stretch identify with Cats Cradles plot. Vonnegut depicts government in Cats Cradle as viable just when a foe exists, and he depicts Bokononism as governments foe. At the point when the strain among great and fiendishness is high, says Vonnegut, the individuals can be monitored upbeat and. At the point when the line isolating them gets obscured, individuals immediately become frustrated and defiant. In spite of the fact that Vietnam, where the line among great and wickedness was practically nonexistent, didn't realize the finish of human advancement, residential resistance altered American life, similarly as Vonnegut anticipated. In this specific occurrence, Bokononism can be compared to Communism the ceaseless adversary saw, maybe wrongly, to be the most risky power on the planet. Felines Cradle isn't the just one of Vonneguts works which has such a hint of tension and criticalness; without a doubt, it is one of the characterizing highlights of his work. The pressure between the powers following up on humankind is higher than it has ever been, and in the event that one power should give way, life as we probably am aware it will end. The best way to contin ue is to persuade ones self that life isn't this deceptive, and that every individual can influence the result. This, as per Vonnegut, is the most essential foma of all, and it may have the option to spare development. English Essays

Stereotyping Comparison

Presentation Stereotypes are regular speculations concerning a specific gathering of individuals. Generalizing includes appointing specific arrangement of qualities to the gathering. Generalizations can be sure or negative. Generalizations are authored dependent on the accessibility of a steady and clear quality that is related with that specific group.Advertising We will compose a custom article test on Stereotyping Comparison: All Italians are in a Mob, All Jamaicans Smoke Weed, All Muslims are Terrorists explicitly for you for just $16.05 $11/page Learn More The generalized people or gatherings think of it as an affront and on occasion very upsetting since they may encounter fear of out of line treatment; it mentally influences the thinking about the individuals who are the people in question. Generalizing should be possible in two different ways: when there is speculation in the portrayals and qualities, and through inclinations which are subliminal in structure. Generalizing can be equivalently utilized with bias (USNews, 2010). Principle Analysis The three fundamental generalizations that will be examined in this article are: All Muslims are psychological militants; All Jamaicans smoke weed and; All Italians are in horde. All Muslims are fear mongers: This is a typical generalization among the nations of the world however it is transcendent in United States of America and its partners. This generalizing was boundless and picked up noticeable quality after the various bombarding missions by the Al-Qaeda and strict fundamentalism that is related with Islamic confidence. To comprehend the contentions behind this generalization, we should utilize rationale. Rationale is the investigation of standards of thinking; this thinking might be fortunate or unfortunate. Rationale is significant as in it empowers us to look at a contention all the more basically. The reason of the contention on this generalizing Muslims are fear based oppressors is that individuals ack nowledge this case without testing it. This generalization is just founded on a solitary encounter and contentions about generalizations are decided on one line of end. The end here is that from the relationship of certain Muslims with psychological warfare all Muslims are fear based oppressors (Mosser, 2011). The regular errors that are found in the contention are that there might be varieties in perspectives which are fanaticism and distrust. Stubbornness forestalls the affirmation of the opposite side of the contention. All Jamaicans smoke weed: Weed is related with enthusiasts of reggae and since Jamaica has a great deal of reggae fans by the way that reggae is established in Jamaica then all Jamaicans are weed smokers. So as to comprehend the contention about this generalization, it is critical to prove the cases that go with the stereotype.Advertising Looking for paper on social examinations? We should check whether we can support you! Get your first paper with 15% OFF Learn M ore The case in this contention is that all Jamaicans are weed smokers. The end concerning this case is valid since it is a psychological development. This is on the grounds that it depends on inductive thinking and nobody has gone the additional mile to learn whether all Jamaicans smokes weed. For this case and end to be affirmed, all premises controlling contentions must be followed. First this case should be assessed and afterward the main problems concerning the question recognized. The slip-ups that are regularly found in such contentions are matters of foreordained mentality and no gathering is eager to surrender ground on either side of the contention and each side in the contention will in general offer realities to help the case. Mentality is a typical factor that influences a contention since it characterizes the side of the story. All Italians are in a horde: It is by and large accepted that most Italians are goons and they are known to act as per crowd brain science. The contention hidden this discussion is that in each opposition or foundation, Italians are known for causing commotion. The normalized mental image of the Italians in the USA is delineated in motion pictures where since the times of Godfather a few films highlighting the Italians as crooks have been delivered. The slip-up in this contention is the since the psychological picture is as of now created, the slip-up of how to persuade those creation the cases is demonstrating hard. Likewise any discussion about generalizing is regularly partial and one-sided since these are the two premises with which generalizations are instituted. These contentions influence that picture of the casualties in the general public (Mosser, 2011). Subsequent to watching the film on the impact of prior convictions on legitimate thinking, I can infer that they in reality contort singular choices and thinking. The pre-decided convictions about homosexuality misshape the rule of consistent thinking. It is obser vable that people are wary with regards to data that they have made up their psyches concerning it. The previous convictions concerning homosexuality affirm the way that the generalized gathering is awkward about their apparent status and as such their psychological reasoning is influenced. Likewise individuals around them feel remorseful by affiliation (INTELCOM, n.d.). Generalized gatherings are regularly forceful; they over eat and frequently experience trouble in settling on sound choices. Generalizing, particularly negative generalizing has an enduring mental impact on the person in question. The generalized gathering during affiliations will in general be forceful and show some feeling of discretion (USNews, 2010). Determination Stereotyping is an exceptionally terrible wonder, it can deliver mental torment and at an outrageous level mental injury particularly when that individual is embraced contemplates. The generalization against the Muslims has taken a wide structure to th e degree that the Muslims are separated specifically countries.Advertising We will compose a custom exposition test on Stereotyping Comparison: All Italians are in a Mob, All Jamaicans Smoke Weed, All Muslims are Terrorists explicitly for you for just $16.05 $11/page Learn More References INTELCOM. (n.d.). How previous Beliefs Distort Logical thinking. Web. Mosser, K. (2011). A prologue to rationale. San Diego, CA: Bridgepoint Education. USNews. (2010). Generalizing Has Lasting Negative Impact, Prejudice has waiting impacts, study appears. Web. This paper on Stereotyping Comparison: All Italians are in a Mob, All Jamaicans Smoke Weed, All Muslims are Terrorists was composed and put together by client Logan Hurley to help you with your own investigations. You are allowed to utilize it for research and reference purposes so as to compose your own paper; be that as it may, you should refer to it in like manner. You can give your paper here.

Ratios

Ratios Ratios Home›Economics Posts›Ratios Economics PostsDQ 1.Ratios that could have been reviewed to detect the aging of equipment problemThese are financial ratios which give a clear evidence of how an organization uses its equipments. They can also be referred to as efficiency ratios. They are of two types namely receivables turnover and inventory turnover ratios.Receivable turnover ratio shows how fast an organization reduces its debtors. It is stated as:Turnover receivables= Annual credit turnoverDebtors/Accounts receivablesIn reporting the sales on credit, the value is usually given as a number in which they stand as a debt before they are subscripted. The number is usually the collection period.   This is the balance in trade debtors divided by the per annual credit sales.Mean collection period= Annual sales on credit       OR           365                                                                                                                                                                                                               Trade Debtors                                   Turnover ReceivablesStock turnover- This can be defined as the cost of sales in a given period of time divided by the mean stock level in the stated period of time. i.e.Stock turnover=Cost of salesAverage salesStock period- It reports the number of days in which stock ca be worth on hand. This can be stated as:Stock period = Mean stockStock period= 365                                                                                                                                                                                                                                                                                                   Turn over on stockii. Those ratios which can be impacted on the repairs of the equipmentThese are financial ratios which measure the success of an organizationGross profit margin ratio- It is the relationship between the gross profit a nd the sales. It takes into consideration, the cost of sales but not any other production expenses.Gross profit margin= Turn over- Cost of sales                                                                                                                                                                                                                                                             Turn overAsset Return ratio This is a ratio which shows how an organization effectively utilizes its assets at hands to generate profits.Asset return ratio = Net Income                                                                                                                                                                                                                                                                               cumulative Assets.Return on Equity- It is defined as the value earned on investment in relation to the net profit generated.Return on equity= Net Income                                                                                                                                                                                                                 Investment Shareholder EquityB.  Turnover receivables- The ratio is useful in determining the amount of sales realized on all the transactions made on credit terms. It is normally reviewed in order to analyze the entire profit/loss margin realized to all the creditors of the firm. All the firm’s assets are reviewed in the process to figure out their current values. Mean collection period used in analyzing the total sales made on credit over a trading cycle of a company.   The ratio is reviewed in order to give a clear overview of the functioning of the firm. It determines the margins of profits realized in all the transactions over the trading period. Stock turnover illustrates the net average sales made over a given period of time. It is a major determiner of the operating averag e output of three products commodities. It aids in foretelling the required stock over a trading cycle of a given firm. Stock period is reviewed in order to determine the intake-output of the firm’s total sales within the trading cycle. It helps in the process of planning for all the firm’s purchases in a given period. Asset Turn over ratios is useful in analyzing low/high profit margins of a company in relation to its production turn over. They are normally affected by the competitive and cutthroat pricing procedures in the labor markets (Walsh, 2008).C. Concern about the:InvestorThe investor will have to consider in general the return in relation to his/ investment. In doing so, the following factors should be emphasized: The total turnover, the net worth of the business and the total assets.The sales to net worth ratio- this is the relationship measuring the per unit return on investment. This can be summarized as:Sales to net worth ratio= Total sales   Net worthTurn over to total assets ratio- This is a ratio which shows the value of sale generate on per unit asset. It can also be defined as the ability of an asset to generate income as a unit.Turn over to total assets ratio= Total turn overTotal AssetsIf the turnover of company is higher than the total assets and the net worth of the business, then the investor will be wise investing in such a companyCreditorThe Creditor should consider a company that can settle its accounts payables within the shortest time. This will ease resource acquisition and bills settlement. The following factors are taken into consideration: the Company’s cost of sales, the debtors, debtors’ turnover the number of days in the financial year, usually 365, Net profit, any non-cash cost and principle on accounts receivables.Accounts payable turnover- It is a measure of the company’s ability to clear it debtors, either partially or fully by utilizing its cost of sales. The lesser the value, is clear indication that the comp any experiences a hard time in clearing its debtors.Accounts payable turn over= Cost of sales                                                                                             DebtorsDay’s payable ratio- This is the measure of the number of days in the accounting period, a company is able to settle its debtors.Days payable ratio= 365                                               Debtors turn overDebt Coverage Ratio:This is the ability of the company to manage its debt at hand and it’s panache to take additional debts without worryNet Profit + Any Non-Cash Expenses/ Principal on debtFinancial ManagerThe financial manager’s obligation is to realize and ensure the efficiency of a company’s available resources. This will be in relation to the existing turn over or sales. The following factors are taken into consideration: The cost of sales, the stock at hand, number of days in the accounting period, usually 365, the stock turn over.Inventory turnover- This ratio shows the rate at which company clears its stock. The higher the rate of turnover, the better since it is healthy for the business. This increases the flow of cash and reduces storage expenses and other expenses related to storage. It is important to monitor stock turnover since it detects over and under stocking (Walsh, 2008).Stock turnover= Cost of sales                                                                     StockDay’s stock shows the mean time of days that stock is at hand, the lesser average days, the faster the rate.Day’s stock= 365 days/ Stock TurnoverDQ 2. Explain how each of the following ratios could support the allegation of poor billing performance (Failing to bill/ under billing patients). Include an analysis of working capital in the discussion.Working capital measures the relationship between current assets and current liabilities. It’s also determines the liquidity of a given entity i.e.  if the current assets can meet the businesses current obligations . Relationship giving value 1 portrays negative working Capital. Ratio more than 1 to 2 can be considered satisfactory. In this case Valley hospital is not utilizing its assets used to billing in the best way that can meet its current obligations. Current Ratio gives the measure of a company’s ability to meet its short term obligations using the assets at hand. If the current ratio is low, then it is a clear indication that the company is poorly utilizing its billing facility/asset. Return on Equity ratio forms a basis for the analysis of initiating new projects in a given firm. It gives rough estimates of the cost of undertaking the project in relation to the working capital of the firm as it indicates all the realizations from the firm’s investments within a stipulated period. It is normally rated above the leverage acquired from the creditors of the firm. It is a reference point that determines the establishment of any project in a firm. Profit Margin refers to the net income realized divided among the revenues of the firm. The ratio is used in comparing the performances of various related companies in the labor market.   The ratio is normally displayed in percentage in terms of dollars. A high percentage indicates proper control of the firm’s cost and vice versa in relation to the competitors. Days cash on hand ratio give an overview of all the business transactions as it relates both the expenses incurred and the revenue earned within the trading cycle on daily basis. Days in patient accounts receivables refers to the daily evaluation of the cash flows from the patients. It gives an average of all the payments collected from the patients within a stated time. The ratio is useful in planning for the process of funding the health care units as much of the receivables are used in purchasing all the requirements in the unit (Walsh, 2008).

Rhetorical Strategies America s Teen Anxiety Epidemic

Rhetorical Strategies in Cunnion’s â€Å"America’s Teen Anxiety Epidemic is Heartbreaking. Parents, Here’s The Incredible Think You Might Do Now† Does the anxiety of children rely heavily on that of their parents? One author, Jeannie Cunnion, wrote â€Å"America’s teen anxiety epidemic is heartbreaking. Parents, here’s the incredible thing you might do now,† published in 2017 in Foxnews argues that the anxiety that parents have gets projected onto their children which is the reason for kids high anxiety. Cunnion builds the integrity of her argument by using personal facts, reputable sources, and a vast array of emotional appeals; however, at the end of the argument, the emotional appeal used weakens Cunnion argument to a portion of her audience.†¦show more content†¦Yet, while Cunnion tries to promise a good appeal to ethos, her logos appeal lacks in its approach to actually providing more statistics and facts. She points out that â€Å"The primary message our kids receive is that they’d better be the best at everything, and this leaves them afraid to reveal their inadequacies and insecuri ties—and hiding behind the best version of themselves† (Cunnion). There is no sound evidence provided to support this claim, yet the reader is left to assume that kids are left feeling inadequate due to having to be the best at everything. There are an abundance of sentences like that throughout the article that makes claims with no support. Even the layout of the article can get a bit choppy while reading. Paragraphs jump back and forth from it’s the parents fault; to kids trying to figure out if â€Å"is who I am enough?† (Cunnion) back to it being the parents fault and then low and behold the ending has to do with the Word of God. Though, what Cunnion is lacking in logos, she makes up for in pathos, or emotional appeal, throughout the beginning and mid-section of her article. Towards the beginning of the article Cunnion uses a lot of powerful phrases that are intended to latch on to the heart strings of parents and create a desire and want to take action. In a specific piece of the article, she states â€Å"If you’re reading this article as a mom, I imagine it breaks your heart like it breaks mineShow MoreRelatedDeveloping Management Skills404131 Words   |  1617 Pagescourses in Principles of Management, Human Resources, Strategy, and Organizational Behavior that helps you actively study and prepare material for class. Chapter-by-chapter activities, including built-in pretests and posttests, focus on what you need to learn and to review in order to succeed. Visit www.mymanagementlab.com to learn more. DEVELOPING MANAGEMENT SKILLS EIGHTH EDITION David A. Whetten BRIGHAM YOUNG UNIVERSITY Kim S. Cameron UNIVERSITY OF MICHIGAN Prentice Hall Boston

Assignment Unit 4 Legal And Ethical Issuesfin Essay

Assignment Unit 4 Legal and Ethical issues Legal issues Legal issues that affect Northbrook college are: Data Protection Act 1998: This controls the personal information that the government or organisations have of you and how it will be used. This gives individuals the right to know what information is held about them. The Data Protection act as 8 principles; 1) Data may only be used for the purpose it is collected. 2) Data must not be passed on to other people without the consent of the person whom it is about. 3) People have the right of access to the information held about them. 4) Personal information may be kept for no longer than is necessary and must be kept up to date. 5) Personal information may not be†¦show more content†¦The codes will certainly protect IT administrators who run the servers and will often be the first to detect misuse. Northbrook shows the codes of practice as they welcome everyone to college despite the students abilities, background and characteristics – including the adult’s age, sex, sexual orientation, religious persuasion, racial origin, ethnic group, and cultural and linguisiotic heritage. An organisation’s policies may have a significant effect on how it treats information. This is the equality and diversity policy of Northbrook. This is what every organisational policies should be. Information ownership This would prevent staff at one location accessing information held at another location even though the company would be happy for them to do so. The department that produced the data should own every field of data in every record. They should have the responsibility for making sure that it is entered into the computer system in a timely way, that it is correct and that it is consistent. This links in with plagiarism at Northbrook. Security of information and back ups Northbrook keep all data and information stored at broad water campus in a fireproof cabinet. They have backups frequently to make sure all information is kept safe and not lost. Health and safety polices to abide by Northbrook have a Health and safety page on Blackboard for all students and

Management of pressure ulcers in a high risk patient a case study Free Essays

string(37) " bed with the support of wheelchair\." 1. Introduction Clinically, pressure ulcers are defined as the lesions that are the result of localized tissue damage or cell death (generally necrosis), developed because of pressure over a bony prominence.More commonly, they are also known as pressure sores or bedsores as they are mainly developed by patients that are bed-bound (Wake, 2010). We will write a custom essay sample on Management of pressure ulcers in a high risk patient: a case study or any similar topic only for you Order Now Approximately, 3 million adults are affected by pressure ulcers and are most common in hospitalized patients (Lyder and Ayello, 2008). However, effective management and care plans against pressure ulcers are still lacking. The role of nursing care is a fundamental aspect to pressure ulcer management, including its prevention and treatment (Wake, 2010). In this case study report, I visited a diabetic patient as a district nurse for insulin administration and provide support by assessing the patient’s risk of developing pressure ulcers due to associated pathological and other risk factors. 1.1. Purpose of the study In all health care settings, pressure ulcers remain one of the major issues. More so, pressure sores or pressure ulcers are associated with significant cause for morbidity in the medical community. The main purpose of this patient visit was to provide healthcare support for patients who were at risk of developing pressure ulcer. The healthcare support included the risk minimisation by doing risk assessment, therapeutic interventions, suggestions for lifestyle changes including exercise and dietary habit. All these were targeted with the views of providing timely assessment of pressure ulcers in high risk patients, and suggest therapeutic interventions for timely treatment of the condition. 1.2.Patient history The patient was 75 years old male, diabetic and paralysed due to recent stroke attack. He was completely bed bound and was on wheelchair. Furthermore, the patient was suffering from cancer of the oesophagus. Since the patient could not mobilize, his family members and carers used to transfer him from the bed to his wheelchair and wheelchair to his bed. 1.3. Risk assessments of needs, vulnerabilities and strengths of the patient The patient was chronically ill and had several complications associated with his conditions. Stroke attack had caused him paralysis and was unable to move. This had put him in significant risk of developing pressure ulcers. The patient was also diabetic. Diabetes causes slow healing of wounds that may lead to ulcer (Guo, et.al. 2010). In this patient, the combination of factors including diabetes and immobility had increased his risk of developing pressure ulcers. Other factors such as old age of the patient, cancer and dietary factors would trigger the development of these pressure sores. Cancer is a chronic disease that may cause severe debilitation and prolonged confinement to bed. Therefore, it is expected that patients with cancer are at significant risk of developing pressure ulcers (Walker, 2001). Diet may have a supporting role in the development of pressure ulcers. Although the role of nutrition in preventing the development of pressure ulcers is still debatable, it is obv ious that patients who are malnourished are at risk of developing those (Doley, 2010). Thus, nutrition therapy could be central in minimising the risk of developing pressure ulcers. It was seen that the patient was clearly underweight due to his chronic health conditions. Overall, the following risk factors of the patient were considered while making his assessment. Based on these risk factors, care plans and suggestions were made to minimise the risk in the patient. Sensory factor: This factor was assessed in order to identify how well the patient can process sensory input from the skin, as well as how effectively he can communicate level of sensation. Since the assessment of skin is an important way to identify patient’s risk of developing pressure ulcers, it would ensure the degree of risk of pressure ulcer in this patient and hence, take measures to prevent them before complications arise. Moisture: Moisture is another hallmark of pressure ulcers. Excess skin moisture puts patients at greater risk of developing pressure ulcers. It is common that patients who are confined to bed produce more sweat. Thus, it is required to evaluate what degree the skin is exposed to moisture. Activity Lack of activity is one of major risk factors of developing pressure ulcers in bedbound patients. Continuous friction between the skin and bed mattress may result the development of pressure sores. Measuring the activity is another important parameter to predict the patients’ risk of pressure, irrespective of their degree of mobility. Patients who are unable to move need to be physically turned by healthcare staffs or family members at regular intervals Nutrition As mentioned earlier, although nutrition may not have direct effects on the patient’s risk of developing pressure ulcers, it may be possible that lack of required nutrients may increase its complications. It is thus important to evaluate what constitutes the usual pattern and amount of caloric intake in the patients. After evaluating the above risk factors in the patient, it was concluded that the patient was likely to develop pressure ulcers if timely interventions were not introduced. These would have direct effect in patient’s health. These ulcers influence the risk of bacterial and viral infections, which can become life threatening in chronically ill patients. In addition, there is a high rate of mortality associated with pressure ulcers. Mortality rate is high as 60% is reported in older patients with pressure ulcers within 1 year of hospital discharges (Lyder and Ayello, 2008). The patient in this case study could have weakened immune system due to his old age and illnesses such as cancer and diabetes. In immune-compromised patients, the risk of infections spreading into their blood and other organs of the body are considerably high. This may result blood poisoning and septicaemia. Both these conditions are very fatal and categorised as medical emergencies (Redelings, et.al. 2005). However, despite of several associated risk factors, the patient was provided with proper care and support by his carers and family members. He was regularly taken off from his bed with the support of wheelchair. You read "Management of pressure ulcers in a high risk patient: a case study" in category "Essay examples" More so, the patient was on medications to control his blood sugar. He was also supplemented with vitamin to strengthen his immunity. To conclude, patient although was receiving appropriate healthcare service, these were mainly therapeutics which included medications against the chronic illnesses which he had. Patient and family members were lacking suggestions and expert advice in regards to minimising the risk of pressure ulcers. It was also observed that the patient was provided with a normal bed and mattress that would further trigger the risk of developing sores. 2. Interventions and referrals After evaluating the patient’s condition, as a district nurse, I provided the evidence based interventions and referrals to the patient and his family members and carers as preventive approaches of pressure ulcers. Firstly, the patient was provided with a hospital bed with pressure relieving mattresses. This would help minimise the friction between patient’s body and the bed and hence, reduce the risk of pressure ulcers. Moreover, this would provide support surfaces and help in pressure redistribution (Stannard, 2012). Several recommendations for skin care including the use of cold water instead of hot water, use of mild cleansing agents to minimise irritation and dryness of the skin and excessive moisture was suggested. The patient was also advised to avoid low humidity as it may promote scaling and dryness (Lyder and Ayello, 2008). Further suggestion such as avoiding mechanical loading was given. This is considered as one of the most effective preventive measures of p ressure ulcers in hospitalized patients (Lyder and Ayello, 2008). Thus, family members were advised to frequently turn and reposit the patient while in bed. It is essential that patient intake adequate levels of both macro and micronutrients to prevent complications of pressure ulcers. This patient was already supplemented with vitamins and minerals, so no action was taken. However, the patient was suggested to eat diet high in proteins, which are essential for wound-healing and overcome malnutrition. Management of pain is another key aspect in patients with pressure ulcers (Cooper, 2013). Pressure ulcers can be very painful and may require interventions with analgesics (Wake, 2010). However, this patient did not require analgesic treatment as the pain due to pressure ulcers was not very severe. Instead, focus was given on the preventative approaches in minimising the complications associated with pressure ulcers. Finally, the focus was given on the patient/carer education in the management of pressure ulcers. Both patient and carers/family members were made aware about the risk factors of pressure ulcers. Also, they were educated and made aware on the most vulnerable sites of the body that are at risk of developing pressure ulcers. General training was also given on how to take care of skins and methods for pressure reduction. They were told about the severity of the condition and requested to seek medical advice if symptoms of pressure ulcers persist. 3.Critical evaluation and evidence-based examination of outcomes of interventions and referrals The interventions and referrals made for the patient in this case study were evidence based. Risk assessment was made considering the standard pressure ulcer prediction tool, Braden Scale, by observing the six vital signs of pressure ulcers as explained earlier. This tool has allowed for the early prediction of pressure ulcers and thus introduction of early interventions before the complications are developed (Sving, 2014). Classification of pressure ulcers is one of the best ways to predict its outcome. Pressure ulcers are classified into various stages (Lyder and Ayello, 2008). Stage I is determined by the presence of redness in the skin. In case if the redness in the skin is observed, nurses are required to make thorough skin inspection and advice patients about the preventive measures. Stage II is characterized by the loss of skin with the presence of blisters. In stage III loss of skin is quite thick; however, not exposed to muscle or bone tissue. In this stage, there is a high risk of infections, so care should be given in personal hygiene (Sving, 2014). Also, patient should be suggested to include vitamins and minerals in the diet to prevent the possible risk of infection. In stage IV there may be an exposure to bone, tendon and muscle. This condition is considered as potentially dangerous, due to associated risk of life threatening bacterial infections. In many cases, this may also require hospi tal admission to reduce further complications (Lyder and Ayello, 2008; Sving, 2014). To conclude, nurses are required to assess various stages of pressure ulcers and provide treatments and suggestions based on these stages. This is because; different stages of pressure ulcers may require different treatment plans. Some could be minor and may be improved through general suggestions such as encouraging patients to move and involve in physical activities and maintaining healthy diet; whereas some may require therapeutic interventions including the use of antibiotics to treat bacterial infections, dressing and cleaning of the wound and hospital admissions if complications are severe. (Wake, 2010). Ample evidence is now available on the understanding of effective pressure ulcer treatments. Treatment strategies such as use of hospital bed, avoiding mechanical loading, and physical activity are now considered as the standard form of treatments in pressure ulcers. These approaches not only reduce the risk of pressure ulcers, but are also beneficial in lowering its complications. Furthermore, the association of pressure ulcers with other chronic diseases such as cancer, diabetes and stroke are well understood. Thus, much attention is to be given while giving care to the patients who have these conditions. Educating patient and family members on the risk factors and management is another approach to pressure ulcer management as suggested by NICE guidelines (Wake, 2010) However, the available knowledge on the evaluation of risk assessment of pressure seems insufficient. The evidence lacks support and requires further epidemiological research to understand risk factors of pressure ulcers in greater depth. Some of the interventions and their effectiveness including re-positioning and nutrition are still questionable. Further studies on the influence of different turning intervals on the development of pressure ulcers need to be carried out. Similarly, what specific diet is suitable for pressure ulcer patients needs further clarification. Appendix1: Care plan of the patient Risk assessmentCare goalsInterventions and evaluations Patient’s needs and vulnerabilities : old age, bed-bound, chronic diseases including cancer and diabetes, paralysed due to strokeTo identify the patient’s risk of developing pressure ulcersThe patient was provided with hospital bed, cushion for his wheelchair and family members were suggested to move the patient time to time Patient’s strength: on proper medications, carers and family members providing the support, supplemented with vitamins and minerals to boost the immune functionTo build on the patient’s strengths and to meet his needsPatient was provided with full support from the family members. High protein diet was suggested as this may improve would-healing. Signs of complications, such as pain, bacterial and viral infections.To avoid complications associated with infections including blood poisoning and septicaemiaImmune booster such as vitamins and disinfectant creams to avoid infections. References Cooper, K.L. 2013, â€Å"Evidence-based prevention of pressure ulcers in the intensive care unit†, Critical Care Nurse, vol. 33, no. 6, pp. 57-66. Doley, J. 2010, â€Å"Nutrition management of pressure ulcers†, Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition, vol. 25, no. 1, pp. 50-60. Guo, S and DiPietro, L.A, 2010. Journal of dental research. Factors Affecting Wound Healing, vol. 89, no. 3, 219-229. Lyder, C.H and Ayello, E.A, 2008. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Pressure Ulcers: A Patient Safety Issue. Lyder, C.H, 2003. Clinician’s corner. Pressure Ulcer Prevention and Management, vol. 289, no. 2, pp. 223-226. Lyder, C.H. 2006, â€Å"Assessing risk and preventing pressure ulcers in patients with cancer†, Seminars in oncology nursing, vol. 22, no. 3, pp. 178-184. McInnes, E., Jammali-Blasi, A., Bell-Syer, S., Dumville, J. Cullum, N. 2012, â€Å"Preventing pressure ulcers–Are pressure-redistributing support surfaces effectiveA Cochrane systematic review and meta-analysis†,International journal of nursing studies, vol. 49, no. 3, pp. 345-359. Redelings, M.D., Lee, N.E. Sorvillo, F. 2005, â€Å"Pressure ulcers: more lethal than we thought?†, Advances in Skin Wound Care, vol. 18, no. 7, pp. 367-372. Stannard, D. 2012, â€Å"Support surfaces for pressure ulcer prevention†, Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses / American Society of PeriAnesthesia Nurses, vol. 27, no. 5, pp. 341-342. Stechmiller, J.K. 2010, â€Å"Understanding the role of nutrition and wound healing†, Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition, vol. 25, no. 1, pp. 61-68. Sving, E., Idvall, E., Hogberg, H. Gunningberg, L. 2014, â€Å"Factors contributing to evidence-based pressure ulcer prevention. A cross-sectional study†, International journal of nursing studies, vol. 51, no. 5, pp. 717-725. Wake, W.T. 2010, â€Å"Pressure ulcers: what clinicians need to know†, The Permanente journal, vol. 14, no. 2, pp. 56-60. How to cite Management of pressure ulcers in a high risk patient: a case study, Free Case study samples

Equal Rights, Equal Obligations, Equal Opportunities free essay sample

This essay discusses women in the military and the law. This paper discusses the legal basis of the situation of women in the military, and relevant court cases such as Hoyt v. Florida, Taylor v. Louisiana, US vs. St. Clair, Rostker v. Goldberg, Craig v. Boren, and Schlesinger vs. Ballard. Discusses myths and truths regarding women and military service. Argues for equal rights, equal obligations, and equal opportunities within military and civilian spheres. From the paper: Men and women are treated unequally in regards to military service. Men are required to register for the Selective Service when they turn 18, while women are exempt. While women are allowed to perform most jobs in the military, they are still restricted from some combat roles. This gender inequality stems from antiquated notions of female weakness and domesticity, which have no legal validity in our society today. Furthermore, limiting womens roles in the military violates womens rights to be full and equal citizens of the United States, with all the privileges, obligations, and duties that carries with it. We will write a custom essay sample on Equal Rights, Equal Obligations, Equal Opportunities or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page