Pharmacology in Nursing-Free-Samples for Students-Myassignmenthelp

Question: Examine about the pharmacology in Nursing. Answer: Presentation The present task manages the part of pharmacology in nursing. The examination here concentrations upon a real clinical situation where the medication organization and security and rules have been damaged. The task further partitions the medication into different timetables as dependent on a portion of these particulars the medication should be controlled to the patient. The medication organization is additionally guided by various moral standards and enactments. Prescription mistakes The present examination depends on the contextual investigation of Mrs. T who was a multi year elderly person admitted to the psychogeriatric ward with crazy pressure or injury. She was regulated a number an off-base prescription inferable from the carelessness of the attendant. This brought about deadly wellbeing outcomes inside the patient. The patient had a previous history of sorrow, cholecystectomy, ischaecmic heart alongside repetitive urosepsis. The patient had additionally experienced aortic valve substitution in the year 2008 due to synocopal scenes. Since the medical procedure, the patient had additionally experienced weakening wellbeing conditions, for example, poor hunger, critical weight reduction, decreased versatility and torpidity. The patient family had referenced that a lot of her falling apart wellbeing conditions could be credited to the nearness of sadness in the patient and henceforth she required quick mediation techniques. In the psychogeriatric ward Mrs. was initiated on mirtazapine which was expanded to 15 mg following seven days. The patient was to be moved from the psychogeriatric unit to the mental emergency clinic for the treatment of her significant gloom. In any case, before the exchange the nursing experts taking care of Mrs. T needed to guarantee that she was given the necessary prescription portions with the goal that later she doesn't miss them during the exchange procedure. It was seen that rather than miratzapine the patient was given nitrazepam 15 mg, which was a calming having a place with the benzodiazepine class of prescriptions. The arrangement of the meds brought about advancement of low weight in the patient. The patient later passed on from septic stun and yearning pneumonia on admission to the emergency unit. The calming impacts of the medication made the patient suction gastric substance prompting septic stun. Henceforth, there was an away from with respect to the nursing experts, as they had put the drug on wrong prescription. The high dose of the narcotic made the patient try her gastric substance prompting septic stun, which further activated multiorgan disappointment in the patient bringing about moment passing (Hanson, 2016). The occurrence unmistakably pointed towards a hole in correspondence between the nursing experts. The attendants liable for taking care of Mrs. T had directed her off-base medication. The episode however followed by an individual medical caretaker, who believed it to be the other name for a similar medication and neglected to talk with her partner. Hence, both the attendants neglected to check the technique which was followed with the patient viably. Thus, there unmistakably a penetrate of morals with respect to the medical caretakers, which further crumbled the state of the patient. The medical attendants had additionally unveiled the blunder and archived the equivalent in the clinic record (Brown, Edwards, Seaton Buckley, 2017). The carelessness delineated by the attendants brought about the demise of the patient. Consequently, proficient nursing gauges and morals had been abused here. Moral standards The clinical carelessness could be additionally depicted dependent on various moral standards. Some of which had been enrolled here, for example, veracity and non-maleficience. Both of these could be contemplated upon here so as to comprehend the holes in the nursing care and bolster administrations conveyed to Mrs. T. Veracity could be portrayed as the state of truth telling and is supported by the regard for people and furnishing them with adequate self-governance (Latimer, Hewitt, Stanbrough McAndrew, 2017). For the present task, concentrate should be moved to the part of truth telling. As referenced by Buckley, Stasa, Cashin, Stuart Dunn (2015), the guideline of veracity is damaged by oversight or purposeful keeping down of vital data. This is especially significant inside the medicinal services setting, as misdirecting of urgent data can imperil the life of the patient. As bolstered by Birks et al. (2018), trade of consistent with the reality data can forestall the event of untoward frequencies. As contended by Hewitt, Tower Latimer (2015), the veracity additionally alludes to being straightforward in ones expert collaborations. The veracity additionally alludes to keeping up the guidelines of documentation, viable administrative detailing and consistence checking (Martiniano et al., 2016). In this regard, the nursing experts had blundered the whole methodology to be followed with the patient. The need compelling consistence observing additionally offered path to the untoward occurrence (Gammie, Lu Baba, 2015). There could be various causes behind the careless practices delineated by the medical caretakers. It could be because of absence of preparing or merciful weakness inside the medical caretaker. The other moral guideline which could be talked about here is non-maleficience. The part of non-malefiecience in nursing implies making the least mischief the patient with a motivation behind drawing out the most ideal result (Christensen, Craft, Wirihana Gordon, 2015). The nursing experts should fill in according to the standard of non-maleficience, where the medicines ought to be conveyed in a manner which limits the mischief to the patient (Hayes, Jackson, Davidson Power, 2015). This could be examined regarding the present circumstance where both the medical caretakers had indicated carelessness in taking the records and managing the patient. The patient here Mrs. T was experiencing intense type of misery and must be conceded for following up her treatment. She was proposed another prescription were she should take mirtazapine rather than sertarline. Be that as it may, nursing experts who were following up the treatment of Mrs. T had put her under an inappropriate medicine rather, where she was out on a solid narcotic nitarzepam. The treatment was led in hurried way which brought about the passing of the patient. Hence, both the nursing moral standards were obviously disregarded here. The nursing standards were not under any condition followed for this situation as both the attendants had indicated carelessness in following the drug design. The individual attendant neglected to talk about or report the blunder to her friend imagining that a similar prescription under various conventional name had been given the patient. Wastefulness was likewise appeared in the documentation and the subsequent procedure. Consequently, there was an away from of the nursing morals for the situation study. Enactment The essentialness of medication enactment has been examined here. The medication enactments comprise of the successful rules with respect to the drug designs and the specific portions dependent on which the meds should be managed to the patient. As referenced by Hewitt, Tower Latimer (2015), by no means unaided drug could be recommended to the patient. The capacity, flexibly of prescriptions is represented by medication and meds enactment (Birks et al., 2018). A portion of the enactments which could be featured here are - Poisons and helpful merchandise act, 1966, Poisons remedial products guideline, 2002. With respect to the present situation, a portion of the compelling medications guidelines could be talked about here which are wellbeing guideline, 1966, which sets out prerequisites for supports holders concerning capacity, record keeping and deals of calendars medications and toxic substances. According to the wellbeing guideline, the record keeping ought to be done adequately wi th respect to the organization of the medications. This aides in the counteraction of organization of wrong drugs or wrong prescription dosages to the patient. In this regard, a portion of the guidelines referenced in the Australian timetable of medications have been recorded here. A portion of these are plan 2, 3, 4, 8, etc. The calendar 2 spreads drug store medication, under which mental medications with high potential for misuse have been accounted for, for example, hydromoprohone, nethadone, meperidine and so on. The timetable 4 spreads remedy just medication, for example, diazepam, mizadolam and so forth and has low potential for misuse contrasted with plan 3 medications which incorporate Ephedrine, Apomorphine and so on. The timetable 8 spreads controlled medication which have high potential for misuse and fixation. A portion of the models are Buprenorphine, Alprazolam, Amfetamine and so forth. The calendar 3 covers the exceptionally addictive meds and must be recommended under the assent of a drug specialist as it were. The nursing proficient taking care of the consideration worry of Mrs. T expected to guarantee that appropriate dosa ges of the correct medicine were given to the patient. As referenced by Gammie, Lu Babar (2015), after the six right of nursing can forestall the event of the untoward mishaps in an intense clinical arrangement. The six rights could be referenced as follows-right drug, right portion, opportune time, right patient, and right course. Also, the nursing morals had not been followed here which prompted a further compounding of the circumstance. The patient Mrs, T was additionally given various drugs, for example, panadol osteo and enbdone. Endone comprise of the nonexclusive name oxycodone and was recorded under calendar 8 of the medications and prescriptions. Panadol osteo contained the conventional name osteovan and had a place with plan 2 according to the Australian medications and medication. The patient Mrs. T was given nitrezepam which had a place with plan 4 of the Australian meds and medicates and was a physician endorsed tranquilize as it were. In this manner, solo portions of the medicine could prompt further heath chances in the pati

Regionalism in the World of Alistair McLeod Essay

Symbolism is utilized off and on again in the eastern shoreline of Canada may have an unforgiving and rather brutal streak, however numerous Canadians decide to raise their families and practice their art there. In both short stories by Alistair McLeod; The Lost Salt Gift of Blood and The Boat, the setting of the Canadian east coast is utilized to create both the plot and the character. Alongside the portrayal of the physical setting there is additionally the complicated exchange spoken by the different characters. In mix, the different traditions and customs introduced by the creator through language and setting grow our capacity to comprehend the plot. Without McLeod’s regionalistic composing structure, the reader’s capacity to solidly characterize the setting and characters would obstruct them from his multilayered stories. Symbolism is utilized regularly in The Boat with the goal of not just giving the peruser a feeling of reality yet additionally an understanding to the character. The dad is disappointed with his absence of training and ebb and flow way of life along the coast, â€Å"the ocean was behind him and its enormous blue evenness loosened up to touch the curving blueness of the sky. It appeared to be far away from him or else†¦he appeared to be too huge for it. † (263) The creator in this situation suggests the embodiment of the issue in the story; the narrator’s father is never bound together with the ocean he works in, never accomplishes the connectedness that goes with working so intimately with nature. Too, because of his higher goals, the dad is excessively curious and anxious for information to stay in such a basic spot. In The Lost Salt Gift of Blood, symbolism is utilized to hand-off the hidden story and topic to the peruser. Mist is the best type of symbolism utilized in light of its nearby connection to the activities and their implications underneath the outside of the story. The whole story appears to be somewhat foggy as it contains discourse and reflection that happens in the present as opposed to the storyteller thinking back and dissecting the importance of occasions. Along these lines, it is left to the peruser to sort out the story, on occasion troublesome when the story appears to be inadequate. For instance, the haze assumes an imperative job in the story encompassing the mother’s demise, â€Å"It be foggy all the day and everybody be thinken the plane won’t come or have the option to land. Also, I says, little to myself, presently here in the mist be the misfortune and the demise however then there the plane be, practically like an apparition transport comen out the mist with every one of its lights shinen. I think possibly he won’t be on it yet soon he comen through the haze. † (307-308) As the granddad transfers the story, he suddenly stops, yet never begins with further elaboration. His story lingers palpably like mist; inevitable, covering and unfit to obviously characterize. The exchange in The Boat has an informed style yet is brief and to the point. Each time McLeod permits a character to talk, just the most imperative words required are verbally expressed. In spite of the fact that this story incorporates depiction from an investigative perspective, its greater part stays with the peruser sorting it out. It is during grave minutes that word are traded â€Å"you have given added a long time to his life. † (267) There are likewise no depictions of boisterous chitchat among the kin. This is astounding as commotion and contentions are unavoidable to most enormous families. With the information that the mother runs her family unit with accuracy, the absence of fierce discourse might be because of the tiring way of life. The father’s response is a case of this after the mother blames him that it will be his issue if their girls get back home impregnated, â€Å"†¦reflecting the weariness of a man of sixty-five who had been laboring for eleven hours on an August day†¦he transformed and went into his room. † This exchange improves the alienation of the east coast; little is squandered, be it vitality or words. The difference in discourse in The Lost Salt Gift of Blood is wise when comes to characterizing characters. The dad is knowledgeable and from Toronto. He met his son’s mother while exploring for his college paper. Then again, it is uncovered at long last that John’s grandma and granddad can neither read nor compose. Similarly as John is the main association the grandparents have to his dad, the main midpoint between their phonetic abilities and his father’s is John. All the more strangely is the change of language and what it can let us know. In the start of the story the peruser sees John’s granddad talking cordially yet essentially to the dad â€Å"well, it is a decent night tonight†. As the night wears on a blend of liquor, weakness and crude feelings change his language to that of a harsher waterfront slang â€Å"and the canine runned around like he was insane, moanen and cryen more terrible than the swiles outs on the ice, and throwen hisself against the dividers and jumpen on the table. † (307) The continuous change in language is a minor one, yet it passes on a huge number of recognizing highlights. Such highlights lay ground to a superior comprehension of the locale. Inside both short stories, McLeod paints a much more extensive feeling of the eastern Canadian coast utilizing the residential standards held there to portray the area. The residence of John and his grandparents is one where things are not squandered, â€Å"cast-off tires additionally whitewashed and filling in as blossom beds†¦ initially broken†¦ [the grandfather] helped him fix them, nailing on new machines and weaving new headings. † (295-296) Anything broken is fixed, reclaimed or put to another utilization. The family is obviously connected with along these lines of living and profoundly has a place in this spot. The training is additionally a significant one considering the granddad is instructing and remembering John for the procedures. Also, the family in The Boat didn't squander things, â€Å"a rack which contained matches, tobacco, pencils, odd fish-snares, bits of twine†¦Ã¢â‚¬  (258) Items in this family had a spot and a reason. Indeed, even little things like twine are gathered for a further utilize later. Alongside the difficult work in the ocean and basic way of life, the narrator’s mother kept the house clean; â€Å"everything was perfect and flawless and all together. On account of the conventional beach front living, the hard-got profit from the sea don't take into consideration paltriness, squander or a bounty of parlor toys. As Alistair McLeod injects regionalism to characterize the setting, a picture of the way of life just as the way of life of the characters is uncovered. The eastern bank of Canada may have an unforgiving atmosphere and troublesome lifestyle, however through the language utilized by the McLeod and his depiction of setting, we are urged to comprehend this way of life and the individuals who grasp it. In both short stories The Lost Salt Gift of Blood and The Boat, the plot and the characters are characterized as people in their way of life just as members of a bigger practice. Alongside the portrayal of the physical setting, a comprehension of customs is expounded through point by point depictions. With this specific style of regionalism, McLeod left the peruser to expound on characters and settings he characterized, the way of life be that as it may, stayed consistent with the eastern shore of Canada. McLeod’s regionalism allows the peruser to immovably characterize the setting and characters at that point permits them to investigate the slyly made plots.

Roamler

Roamler One of the interviews we did during our Europe-trip was an interview with both co-founders of  Amsterdams start-up called Roamler   Wiggert de Haan and Martijn Nijhuis. The idea of Roamler as a start-up to collect location based insights for market research purposes.We asked Wiggert and Martijn about their path to an entrepreneur, about the business model of Roamler, and the market development of the market research over the last years. Both co-founders shared also their advices for the first time entrepreneurs.Martin: Hi, today we are in the beautiful Amsterdam with Roamler. Who are you and what do you do?Wiggert: I am Wiggert de Haan, co-founder of Roamler, and together with my friend we tried to build a global workforce for small tasks.Martijn: Yeah, and I am Martijn. With Roamler we collect and report location based insights. Therefore, we use a very intelligent, smartphone-based platform, and we use thousands of people, consumer like you and me that use this smartphone technolo gy to collect all these insights, report them to us, and then make money with it. Three years ago we were one of the first companies that really made it possible for consumers to make money with their iPhone, which was pretty unique.Martin: Can you walk us through the business model. How does it work technically, I know that people download the app, what do they do with it?Martijn: I don’t think we would worry with all the technical stuff, but the principle is very pretty easy. If our customer, like a big fast-moving brand, wants to know of 500 supermarket locations whether their product is on the shelf, available, then we just drill that down to a very small task that we make available in all the supermarkets. The Roamler consumer picks it up in his smartphone, he gets a notification once he passes the supermarket, and says, okay I can go into the supermarket, count the number of products of this brand, and I take a picture of it, and he gets all the information, he sends it thro ugh the app. Then we have a validation team, reviewing team, and they say you did your job well or you didn’t do well, if he did it well he gets accepted, our Roamler, the consumer, gets his couple of Euros, and our customer directly online gets the insights reported in an online portal. So that’s a little bit of the process. If you talk from the financial point of view, Roamler gets its credits, like two, three, four Euros for an audit, and our customer pays a little bit more, and the rest is to invest in our business.Martin: So basically there is a two sided model. First you need to acquire some individuals like having some app installs, and then on the other hand you do require someone to be the customer. How do you manage this kind of balance, because if you go to the corporate and tell them you could use our services but right now we don’t have a lot of individuals using our platform, or the other way round, how do you make this model work with having the two sides availa ble?Wiggert: In the beginning it is the chicken and egg problem of course. But you can start by putting in the task yourself. So in the beginning when we started here in Amsterdam we put down tasks for all the different locations and allowing the community to grow. And once we had a community base it was very interesting for fast-moving consumer goods manufacturers. You don’t need too many Roamlers to have a workforce. If you have a couple of thousand Roamlers per country you can do very well.Martin: Okay, but did you focus on specific cities first on specific areas in the Netherlands?Martijn: In the Nether lands we started with nationwide.Martin: Okay. Because I would have assumed that you would have to generate a specific density in one place so you can sell this kind of dense network to fast-moving consumer companies, for example?Martijn: Well, the Netherlands is one dense area. It’s pretty densely populated throughout the country. It’s a different story in Germany, for ins tance, or in Chili, in South America, where we are also active, there’s like two big cities, one in the center and one up in the North, and that’s like 80% of the economy. So it is a totally different landscape there as compared to Holland. And there we do a city by city approach. In Holland we did just a national rollout at once.Martin: How do you acquire the individual customers? How do you generate the app installs?Wiggert: Pretty much there they acquire it themselves. We like to have a system where they can find other Roamler, so as a Roamler you can find another Roamler, and by doing this the Roamler tells the story of Roamler to the other Roamler, making sure that the conversion is as high as possible. Because before you’re allowed to do commercial tasks, tasks that we could have for our customers, you have to do ten tasks to really get to know the system, and we go to their boot camp, and if you are failing during a boot camp, it’s not a win for us of course. So the b etter you know about the concept before you start, the better chances are you can get to level two where you can do commercial tasks.Martijn: Then there is one other thing. At least in Holland, but in very many countries that we’re active in, if you start telling consumers that they can make money with their iPhone or their smartphone just by performing very easy workaround tasks, you don’t need to say too much more to convince them to join the crowd. People like to earn an extra buck.Martin: And they’re simple tasks, as you said, just taking pictures?Martijn: It’s simple, and it’s also convenient because you have to go to the supermarket to get your groceries, so we just invite you once you’re there toâ€"Martin: Pay for your grocery.Martijn: Yeah, we make it a little bit easier for you, and you just have to go to the soda shelf or the beer shelf or the diaper shelf, take some notes, make a picture, and that’s it.Martin: Great. Let’s talk briefly about the corporate strategy. Who do you perceive are your biggest competitors in Europe or in the Netherlands? And what does it take to outperform them?Martijn: In Europe when we started there was no competition. There were two initiatives in the US which were similar to ours, they started a couple of months earlier. In Europe there was nothing, so it was a very luxury situation, but then again we were not Europe, we were in Holland. Then about nine months later there was a first copy concept in Holland, they’re still a competitor. And during the past three years, ten, fifteen, twenty initiatives have started throughout Europe. At the moment most of the competition is local, and we know the way that we can keep in front of them, stay in front of them, it’s just to really get the European footprint, because we are convinced that we are still Europe’s biggest player in terms of coverage. If we really have a solid footprint throughout Europe then we will remain and become more interesting for our c ustomers who are also very regional orientated.Martin: So is it that fast-moving consumer goods companies are more global, that’s why they want to have this kind of global footprint and access, because they want to look at the stores in Germany, Italy, etc., and if you have people using your app there then this is the competitive advantage, that’s why you want to scale very fast in these kinds of areas?Wiggert: I think so. Scale is an advantage, and also we see a lot of competitors focusing more on the infrastructure, having also a broad variety of applications. I think here again focus is key as well, so focus on retail, focus on really what the marketing manager is worrying about, or the people responsible for on-shelf availability. Also having a closer fit to your business, something that we really try to do. At least for some of the competitors we see they have greater infrastructure, for example you have to review the task yourself, which is fine, but I think it is having a bit of focus or different focus works for us.Martin: How did the corporates do their market research four or five years ago when no company like yours existed in Europe?Martijn: Market research is about locations based insights which we focus on. They didn’t do it. Or they used their own field force for it, or their hired field force, which was very expensive. To give you an explanation â€" which was also the explanation for this business model â€" in my previous company we had a project in which on a monthly basis we had to visit three hundred random bus stations to collect some data from those bus stations. We did that with physical people that we put in the car with a Tom Tom Sat Nav, with a picture camera, with a question list, all that was collected and sent to the office, then data entry, you can imagine it’s pretty time and money intensive. That’s how we did that before.Wiggert: Now you can do it in a single morning.Martijn: Yeah, now you can do it in a single morning. So we cut out a lot of staff, we cut out personnel, we don’t need staff anymore, we cut out mileage, people don’t have to drive to a specific location because we know that you are in the vicinity of the location already. So we cut out the most expensive parts of that process, and time of course.Martin: And it’s variable.Wiggert: Yes. I think all the competitors in the market are companies like GFK, companies that provide retail insights, although they are focused most of the time on consumer research and consumer data, that will be something that they will do as well, and we can deliver it at a fraction of their price.Martin: How big is this location based market in Netherlands or in Europe?Martijn: I’ve no idea. No, really, it’s big. We can look at our revenue, but that’s not the market. I think where we are now it can be at times five to ten in the Netherlands. It doesn’t tell you anything but it is alike an indication. I really can’t put a number on it. It can be a hundred million Mark, it can be a billion Mark, I really am not sure.Wiggert: And still a market that needs to be created as well. I think that the thing we’re doing, since it’s more accessible for companies, we are creating a market that wasn’t there. So we’ll have to see how big we can get the market.Martin: We share some very cool insights with our readers based on your personal experience. You wanted to share some experience on what sales errors first time entrepreneurs are making or that sales is very important, and the second thing is that every entrepreneur should focus on staying fit and healthy. What can you tell us for the first point?Martijn: Well, we can start lecturing sales for hours. [chuckles] It is not that we know the exact number or the recipe, but we know not only from this company but also from other companies that we have had before, you can have a brilliant idea, product, technical concept, whatever you have, it doesn’t come to the market without anybody selling it. So sales is in our DNA so it’s the first step. We take sales very seriously in terms of the entire process. It’s like written in a book, we follow the rules as far as creating your segmentation, who are your prospective customers, put them on the list, make a sales script, and start making phone calls. Of course you start with a playfield of people that you know, but you run out of them at some point. So they really have to just follow the rules, make phone calls, learn from each phone call and make your next phone call better. Make volumes, don’t spend your day making five phone calls, make thirty phone calls or fifty phone calls. And then it is all going to be sales funneled, then you have a thousand phone calls, and then you have business meetings, you have follow-up meetings, you negotiate, and then all of sudden you have ten customers. The better you get at managing that process, the higher your conversion will be. I think we did a good job but we coul d do way better if we invested more in sales right from the beginning three years ago. We advise it to our partners too. So we tell them this is your framework business guys, you need project management, and you need community management, you need finance, blah, blah, blah, but sales is at the top. Even before you go live in your country you have to take a three-month period to initiate sales with two people.Martin: What do you advise technical firms, because in Europe most firms are technically based. How can they change their mindset or maybe find another co-founder who has this kind of sales mindset?Wiggert: I think that’s maybe the solution, find another co-founder who really goes for marketing, because when we started Roamler we actually got the idea December 30th, and before we made an agreement with each other that we need to find customers before we go live, because we were both running quite a successful company. We did not want to leave the other companies when there was nothing to go to. So we decided we don’t need to be customers, we need to have this proof concept, both technical and businesswise. So selling is something that we really started from the beginning.Martijn: Yeah. We even had the first contract before we even had the app. We just had a PowerPoint slide and just some drawings, and we just told imaginary stories. And I think that’s another thing for technical startups, don’t only start selling once you think it’s ready, that’s some kind of fear that a lot of people have, “It’s not ready, it’s not read yet, so I’m not going to talk to people because it’s not ready yet.” We said we have an idea, on February 1st 2011 we had a phone call, he called me and he said if you’re not going to do anything with it I am going to take that business. I said, okay, if you’re not going to do it I’m going to the business. So we joined forces. And then we just went to potential clients and we just told them imaginary stories. Imagine that we can market research locations relevant for you within two days. And they were like, “What? If you can do that, we might be your partner.” We said, okay, we think we can do that. So, especially for technical startups, start sharing it before it’s even on the table. Just tell your idea, and the sharing also goes with sharing the entire cake. I see a lot of fear where people say I have this brilliant idea and then they talk to family and friends about it, and then they might get as far as saying we have to get somebody who works it out with you, but I’m not giving away my share and it’s mine and blah, blah, blah, the possessive attitude. And I think that kills everything, because if you start sharing it, not only by telling the story but also sharing it literally by saying you know how to sell, you’re good at sales, so you take a piece of the cake, because the cake eventually starts growing.Martin:   If you can’t sell a product then your company is worth z ero, and 100% of zero is less than something of a bigger cake. You do a lot of sports Martijn. Tell us what you would advise first-time entrepreneurs to do for staying physically and mentally fit?Wiggert: That’s a tip that I got three years ago from another entrepreneur who I told about Roamler and the adventure that we were starting, and he said there is a lot of things going to happen if this becomes a successful startup, the world will be all over you and you will be flying in the air, it’s very hard to keep your feet on the ground, blah, blah, blah, and other things might happen. He said there is only one thing that really matters â€" stay fit. And stay fit in terms of physical fitness, not over weight, eat well, do a lot of sports, but also mentally fit, take your rest, even start meditating. I don’t really meditate on a regular basis, but I try, and especially now I’m in a very active mode in terms of sports. It’s all relative, because it’s where I came from. But i f you do nothing then you will lose. I do more now, but I really start feeling the benefits in terms of sleeping well, in terms of having the feeling that I work less and produce more. I think it’s one of the most important lesson for life, but especially for entrepreneurs who really come like bull’s eye with an idea and then everybody is all over them and then it is very difficult to keep your feet on the ground and really stay fit.So we’ve had an initiative in this company where a friend if ours started this seven day recharge programs, and we decided to join that program with the entire company. That program consist of just conscious living throughout one week, which is pretty easy, seven day. But it came down to no coffee, no alcohol, a lot of exercising, meditation, yoga, no connectivity in terms of mobile and internet after 8:30 p.m., wake up without snoozing, all small and big stuff which is doable within a week. And after that week some of those aspects just stated to become part of the program. I know that to make a change in your program it takes 21 days, but seven days is a good start. So conscious living, conscious eating became part of the company.Martin: Okay, thank you very much Martijn and Wiggert for you time.

Personal Narrative for Msw - 1643 Words

Social work is a profession for those with a strong desire to help improve peoples lives. Social workers help people function the best way they can in their environment, deal with their relationships, and solve personal and family problems. Social workers often see clients who face a life-threatening disease or a social problem. These problems may include inadequate housing, unemployment, serious illness, disability, or substance abuse. Social workers also assist families that have serious domestic conflicts, including those involving child or spousal abuse. Social workers often provide social services in health-related settings that now are governed by managed care organizations. To contain costs, these organizations are emphasizing†¦show more content†¦There I noticed the great lengths these social workers went through to help people like ourselves that were in need. Our social worker helped us obtain benefits like medical insurance, food stamps, even a monthly stipend. She even helped my mother by giving her the opportunity to go to a vocational school and then to get job training and lastly help her find a job. Thats when I turned to my mother and said to my mom when I grow up I want to become a professional that dedicates their lives to help other people in need and that I would be looked upon as someone they can talk to that they can trust. As a child I took the initiative and started volunteering at the Liga Contra el Cancer Foundation which helped cancer patients that were needy. I was a cangrejito at first collecting money at local streets and selling chocolates door to door. Then as I got older I was part of the Juniors Club which supervised the cangrejitos at the local streets and organized all mailings for donations being made by callers. We sent the donors a thank you card for contributing to our organization and helping the cancer patients. At Thanksgiving we helped the homeless by providing them food and shelter. During Christmas time we would gift wrap at local malls to raise money. I became a volunteer for this foundation because my cousin was diagnosed with cancer, this foundation helped raise money for him when my aunt and uncle could no longer afford theShow MoreRelatedThe Little Tokyo Service Center and Language Barrier Assessment2277 Words   |  10 Pagesallows the co-participant to be describe the ir issues without being categorized into stereotypical generalizations. Hence, the frameworks of CRT /I allow practitioners to analyze co-participant’s situation based on their narratives of experiencing oppression in society. CSUDH’s MSW Self-Study (2009) describes the critical advancement of acknowledging the story and experience of co-participants out from the dominant culture. In additional, CRT /I assists in explaining the disenfranchisement of AsianRead MoreSocial Workers And The Social Work Field1840 Words   |  8 Pagesparticipating in legislative processes.† (NASW) If a social worker has earned up to their master’s degree they can perform practice in psychotherapy, one necessary field of mental health and substance abuse. Students also have the opportunity to apply for MSW programs, a certificate to go towards a master where they can earn their 900 hours in this field to obtain a master’s degree. The clinical social worker is licensed in all 50 states, and also needs to pass a licensed exam and perform under-supervisionRead MoreSocial Work And The Field Of Competition Essay1811 Words   |  8 Pagesmaster’s degree they can perform practice in psychotherapy, which is almost necessary in the field of mental health and substance abuse. A market is available for non-masters in a not as specialized field, students have the opportunity to apply for MSW programs, a certificate to go towards a master where they can work in the field, to earn their 900 hours in this field to earn a master’s degree. The clinical social worke r is licensed inside all 50 states, and also has to take a licensed exam and under-supervisionRead MoreReflection Of Self Care ( Wellness )1472 Words   |  6 Pages Assignment 2: Reflection of Self-Care (Wellness) Mary Marrone USC School of Social Work March 1, 2016 Current Agency I am currently placed at the Salvation Army, the Haven along with four other USC MSW students: Michelle (first year), Michelle (second year), Michael (second year), and James (second year). Michelle (first year), Michael (second year), and I (first year) intern at Victory Place, while Michelle (second year) interns at Naomi House and James (second year) at ExodusRead MoreArticle Critique Of The Social Work Arena1794 Words   |  8 PagesSOWK 503 Assignment #1: Article Critique Antonio Gallegos 08/28/2014 Cynthia Rollo-Carlson, MSW, MA, LICSW What are the main points of the article? The main points to this article were how to incorporate various concepts, and strengths perspective within all theories in the social work arena. One must combine theory and perspective to explain a situation or concept. Having a definite concept to each theory, and perspective will help one to understand all its entities to each situation.Read MoreEssay on Social Work Narrative3078 Words   |  13 PagesPersonal Narrative Statement 1) How do you account for your interest in social work? In your response, discuss paid or volunteer experiences that support your choice of social work as a profession? My interest in social work developed during college. I always had a interest in helping others in one way or another. I joined a sorority in college, Delta Sigma Theta, which is based off of community service. During the week I would volunteer to tutor children that were struggling in certain areas

A Reflection On The Family - 1299 Words

member on a scale from 0 to 10 how he or she think their family is doing. Explain to the family that 10 is the best that they have ever been and 0 is the worst the family has ever been. Using circular questioning, a therapist will ask all members and hopefully throughout the sessions the number will increase, showing progression and improvement within the family (Gehart, 2010). Again, general strengths may include that a family has solid social support, stable employment, and an impactful spiritual life. Using those strengths in a SFT framework would include the family relying on social support to assist them when role confusion is present and the family needs help to get through their daily routines (i.e. picking kids up form school, preparing meals). The parents’ place of employment can also be helpful by giving the parent more paid time off so the non-caregiving parent can accomplish the necessities as since is role confusion may happen. Lastly, the family can use their spiritual involvement as a sense of hope and power to get through their hardship. Needs in the family includes needing to unbalance the uneven power distribution, clarifying the role confusion and boundaries, and eliminating negative coalitions between members against other members of the family. Families also need to work on better ways to handle conflicts within the family that were pointed out through enactments and spontaneous behavior sequences. The responsibility of enacting this policyShow MoreRelatedReflection on Family619 Words   |  3 PagesFamily Reflection †No one is ever born into Life alone. Everyone has shared the bond of family, at least at birth, and for many people it is a bond that will follow them throughout life. For many people it is the most important bond of all.† Family means many things to different people, yet the word itself can bring about a host of emotions from anyone who hears the word uttered. 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That’s when we feel safe and know that our parents are there to watch over us. A secure attachment could also be when we start going to school and we know our parents will pick us up after school. Ambivalent attachment is whenRead MoreFamily Reflection798 Words   |  4 PagesThis course has opened my eyes to some things I would not have considered when working with families in an early childhood setting. Living in a rural community, that is not very big, you don’t realize how much diversity you deal with on a regular basis, as well as, what it entails for a larger population. You learn in other early childhood courses and even on the job that you need to have some form of communication, but it’s not always emphasized to inc lude their individuality. 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In the context of this paper, the term substance relates to drugs and alcohol, which, when misused, bring about undesirable consequences. Drugs can be of varied categories. Addictive drugs such as marijuana, cocaine, and heroine are usually harmful to one’sRead MoreFamily Reflection Essay1480 Words   |  6 Pagesabout on holding a family together and what makes a family a whole. Hunting topic in my thoughts where is an informal topic because of what it entails. The topic was something that I like to do and take part in. In the paper I chose to write that I am against that it wasn’t cruel in anyway. That way back over hundreds of years that everyone had to hunt to survive and eat. At times many hunters got together to hunt and disperse the food evenly between each household or family. The opposing sideRead MoreFamily Reflection Paper915 Words   |  4 Pagesand your family arent exactly what you expected out of them or yourself. Being 12 years old and questioning your entire identity of values, choices, appearances, beliefs and friends and family is a stage in life I didnt quite take note of until the recent year to occur. My mother was getting married. In the picture above we look like a happy family bursting with happiness. Changing from neighborhood to neighborhood from city to city didnt quite help the odd circumstances but my family has alwaysRead MoreFamily Reflection Paper1035 Words   |  5 Pages I will be observing my Family members (Brother, Dad, Mom). A symbol we commonly use in our family is a Cross. There are many Crosses hung up around our household that represents our love for God and Church. It is a very important and symbolizing piece in our household that we hold very dear. My family believes in Christianity and the importance of God. M y Parents also believe republicans are reasonable people and that you should earn what you work for. 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Hepatitis C Virus Free Essays

With the WHO goal of HCV elimination seeming more achievable with the new DAA therapy, nurses are uniquely positioned to be the final and vital spoke to get the machine running efficiently. History has shown that nurse led programs in HIV treatment were successful and many developed and developing countries have adopted nurse led models in the fight against HIV. Nurses have the education to be a useful ammunition in the fight against HCV infection. We will write a custom essay sample on Hepatitis C Virus or any similar topic only for you Order Now Nurse led programs can be a cost effective alternative and also help to decentralize HCV care and improve access. Certainly, progress in HCV care has been appreciable. Nurses have been integrated into the system in novel ways and numerous studies have shown that the effect is an improved rate of recognition of the infection, treatment uptake and adherence and achievement of sustained virologic response (SVR). Nurse are currently supporting physicians in treating HCV patients. Yet, this is not enough in bringing about any observable change in the epidemic of HCV. With the shortage of physicians and specialists, it is imperative to bring about policy changes that will allow nurses to treat HCV. What is lacking is the involvement of nurse practitioners (NPs). This is the age of DAA and no time has been better than today in involving NPs in the fight against HCV by giving them prescribing authority for DAA. Study conducted in United States (US) showed similar treatment outcomes for HCV infected patients with care by NPs, PCPs and specialists (Sarah et al, 2017) concluding that HCV treatment provided by NPs was as safe as that provided by specialists. An Australian study (Lloyd et al, 2013) conducted between 2009 to 2010 utilizing a nurse led program in prisons with specialist supervision via telemedicine also showed safe and effective HCV treatment outcomes. The newer regimens of DAA which have lesser adverse effects can be easily prescribed by nurse practitioners who have the relevant education and experience. NPs in Australia have already been given the authority to prescribe DAA (Gastroenterology Society, 2017), and US and Canada can take important lessons from the success of this policy change. Nurse practitioners working in nurse led models in prisons, rural areas, and with hard to reach groups like PWID can bridge the gap due to non-availability of specialists.Expanding the scope of practice of NPs is especially relevant today in order to improve uptake of high risk groups into treatment. PWID have a high prevalence of HCV (systematic review 60 – 80% of IDUs in 25 countries had anti HCV while 80% IDUs had anti HCV in 12 countries https://www.sciencedirect.com/science/article/pii/S0140673611610970 ) and are the core group of transmitters. Treatment uptake is low in this group and yet the success of HCV programs is not going to be substantial if issues of HCV detection and treatment in PWID are not addressed effectively. PWID have many barriers to accessing health care, including but not limited to criminalization, poverty, mental health issues, addiction related issues, stigma and marginalization. But they are more likely to be engaged with community level health care providers like primary care physicians and nurses (Milne et al, 2015) in low threshold settings where they do not have fear of stigma or criminalization. Expanding the role of NPs to improve capacity to provide HCV care in these settings will lead to shorter wait times, improve information sharing with patients, advance engagement with the health care team and deliver better treatment outcomes. Prison environments have a huge concentration of HCV infected inmates. 24% of federal prisoners and 23% of provincial prisoners were positive for HCV antibody (Trubnikov 2011). Prisoners are at high risk of passing on the infection due to sharing of drug paraphernalia and are able to spread the infection once out in the community. Rural and remote areas also have disproportionate allocation of health services putting those living in these areas in the demographic of marginalized. Patients are less likely to travel large distances to start and complete treatment. Nurse led models in these two settings are urgently needed to improve HCV care. Nurse led model: a protocol based treatment program can be developed and tailored to cater to the needs of specific populations in community care clinics, OST centers, prisons, rural/ remote areas. The protocol can include relevant history taking, clinical assessment, investigations including the nurse performing transient elastography and triaging patients to determine the risk of each patient. Based on this the nurse would either start treatment, do a one on one consultation with the physician or refer the patient to consult with the physician using telemedicine. Follow up assessments should be conducted and referred for any adverse effects. In prison environments, patients who are released before the end of treatment should be referred to the community center and appropriate continuation of care must be in place. With shorter DAA regimens and better tolerated drugs, more number of prisoners may be offered HCV treatment and more number of inmates may be motivated to complete treatment upon release. Future research should focus on impact of nurses in protocol driven treatment of HCV, nurses dong fibro scan as compared to physicians, efficacy of DOTs therapy in HCV for those populations with adherence issues. Increased funding for specialty education for nurses in viral hepatitis to improve HCV care would definitely improve capacity in the fight against HCV. Lack of treatment for the marginalized is unfair and inexcusable. Nurse led programs in HIV care provided improved outcomes in all indicators and is evidence that they will be crucial in the war against HCV. Nurse practitioners need to rise to the challenge and advocate for better patient care among those affected with HCV by demanding prescribing authority for DAAs. Nurse led model in HCV care is an effective strategy to attain the WHO goal of elimination of HCV by 2030. How to cite Hepatitis C Virus, Papers

Public School Systems Across The Country Are Now Requiring Students To

Public school systems across the country are now requiring students to wear uniforms. Can uniforms really make a difference in a child's academic performance? Wouldn't uniforms infringe the child's creativity and self expression? The clothes don't make the child right (Hempill A15)? Wrong. School uniforms can drastically reduce school violence and help a student to focus on school work. In 1996, President Clinton endorsed public school uniforms in his State of the Union Address(Atkins 42). This created a rage among some education critics across the country. Critics complain that uniforms will lessen children's individualism and creativity, infringing students' rights and hint of racism. While proponents believe, uniforms will put the students emphasis on schoolwork instead of dressing coolly, and they will help to lower school violence. The idea comes from a Californian elementary school in Long Beach. In 1994, Long Beach became the country's first public school district to institute a mandatory uniform policy"(Atkins 42). The results were so promising that they lead to the President's endorsement. The school saw a fifty-one percent drop in physical fights, a thirty-four percent drop in assaults and batteries, a fifty percent drop in weapons offenses, and a thirty-two percent drop in school suspensions(Mancini 65). All this in a time span of only one year. Proving that a child's clothes does make a difference in school violence. In a time when school children are getting killed for designer jackets and shoes, uniforms are exactly what our children need(Mancini 63). Critics say that school uniform inhibit self expression. If you take away a child's self expression through clothing, you force that child to express his or herself in other ways. This might even force a child to resort to even more violent forms of expression, like through writing and art. In today's society, students are fighting each other in schools, because of other students that wear rival gangs colors and clothing. I went to school in a town with a population of about only ten-thousand residents. In our relatively small school, classes were disrupted several times, because one student was wearing another student's rival gang's colors causing outbursts and fights. This problem is one that occurrences daily in big city schools, but a problem uniforms can help remedy. Uniforms eliminate gang clothing like baggy pants, belts with initials on the buckles, halter tops, or certain gang colored clothing items. The uniforms can also help to identify outsiders within a school. Drug dealers would have wear uniforms in order to be able to roam the school yard without being spotted. The uniforms can also help parents save money. A parent can pay anywhere from sixty to a hundred dollars for a pair of pants, forty to sixty dollars on a single shirt, and eighty to one hundred-fifty dollars for a pair of shoes. A student would need to have at least five to six different outfits to wear to school. Where as a child wearing a uniform only would need two sets of clothes for class. The uniforms may vary, but most uniforms consist of basic colored slacks and a basic colored collared shirt. They can be purchased for as little as forty dollars at discount stores and the most expensive being around a hundred dollar. Besides saving parents hundreds of dollars, school uniforms also help to erase lines between the social classes. Since all students will be dressed alike, it will be impossible to tell the difference from a students from low income family and one from a high income family. I went to a public school for nine years, before transferring to a private school. At the public school my enthusiasm was minimal at best. My parent are not rich, and I had to wear clothes that were not consider cool. This automatically put me out of the cool group. I felt unhappy and left out. I did not go to school functions, because I felt I was not cool enough and would not fit in. Going to a private school and having to wear uniforms remedied that. I longer was not cool, just because I did not wear the right clothes. Students did not judge me by my apparel, instead I was judged by my personality. My grades improved and I graduated as student body president. When I talk to old friends from the public school, they are amazed at how much I have changed . I don't credit all of this to uniforms, but they sure allowed a side of me to be seen that most