3 year personal development plan in nursing Outline

3 year personal development plan in nursing - Outline Example Within one year, the outcome should be evident in my communication and patient-care skills. The confidence gained will pave way for me to expand my professional network in the second year. This will be achieved through participating in at least one professional development program in a quarter, thus improving on my organisational commitment and job-satisfaction as noted by Turner (2007). This would also provide knowledge on the practice in other different nursing fields, including mental health nursing. Still in my second year, I will seek to develop academically. Thus, I will enrol for part-time postgraduate diploma course specialising in adult nursing which will take me two years, up to the third year of my development plan. I will apply for a scholarship from the Nursing and Midwifery Council (NMC) so as to subsidise on the cost implication. Accomplishing this course will expand my knowledge on patient care and further on ethical issues around nursing in general. Therefore, my three year development plan would basically entail professional development and network building and academic

Cultural presentation about the jewish customs in the healthcare Research Paper

Cultural presentation about the jewish customs in the healthcare environment - Research Paper Example Suppose a Jewish patient is terminally ill and has no chance of surviving, their spiritual statutes prohibit any active medical intervention meant to hasten death with the intention of reliving pain (Hollins 92). Since, they believe in natural death, whereby at this period any ethical question regarding patient’s final wish at deathbed family sand the medical practical should consult the rabbi. Additionally, Jews do not leave their patients alone while they are about to die, but they ensure there is always somebody to offer any assistance other than medical (Hollins 92). It is the mandate of the Jews to offer their patients the necessary pastoral care. This entails visiting and praying with the patient. The Rabbi with his council selects certain individuals (approximately nine people) who will be undertaking the responsibility besides their family members (Hollins 92). Since, visiting patients is a charity deed advocated by their religion, whereby nurses ought to be ready to accommodate it despite the healthcare facility’s strict rules. In addition, the aspect of fertility among the Jews is by far diverse from numerous global cultures where most of them have embraced contraceptives. Jews normally utilize same family planning method because their beliefs do not advocate contraceptives (Hollins 91). This is because they usually prefer large families where issues regarding contraceptives consult their Rabbis. This is before giving to the medical practitioners’ directives especially in critical conditions where the couple intends to have a reasonable child spacing. After death, Jews do not either touch or move their dead person’s body where they consult their Rabbi for further directives regarding end rites (Hollins 91). Therefore, the nurses ought to leave the matter to the Rabbi. All the fluids and other disposable paraphernalia connected to the patient, the Rabbi proposes be buried immediately with the body. Since, they are part of the body

Film Essay Example | Topics and Well Written Essays - 750 words - 2

Film - Essay Example Essentially considering which specific context would inspire the film to convey its core substance and value, Linklater and the rest of the filmmaking body could have schemed for direction and production on account of the city structure of Paris, the significance of open spaces within this big city, as well as the use of mixed concepts involving places whose functions are distinct from each other. Paris had shaped and created a colourful indispensable mark in the world history as much as the mother nation had so that through it, one would gain ease and good point of recollecting the period of Renaissance or the age of Enlightenment across Europe where fields like arts, literature, music, and philosophy flourished upon the emergence of intellectuals. To this day, the essence of creativity and critical thinking lives on in a manner that encourages a culture of thinkers to run the course of nature which apparently determines the mild rustic look of Paris, as a whole, though it is widely known to the world for its high sense of fashion. Its preserved humble yet classical structure occurs as the leading ground behind how the city manages to remain conducive for intellectual sort of reflections among real individuals whose roles might probably be those assumed by Jesse and Celine. Watching â€Å"Before Sunset† with intent look into the general structure of the city, the audi ence may naturally recognize the feel of society that lacks industrial appeal or some technological approach of projecting the theme, for the thematic relevance that proceeds along the conversation of the couple seems intimately connected to the historical roots of civilization. The structural worth of the city provides context to a depth of insight possessed by the main act of exchanging words from point to point where no high-rise postmodern constructions blend in so as to secure the notion that the city is at the level close to the view of humanism rather than industrialism. On the other

Research paper on diabetes Essay Example | Topics and Well Written Essays - 1250 words

Research paper on diabetes - Essay Example A number of major findings also contributed much to the contemporary knowledge of diabetes: taking out the pancreas will result in diabetes; the pancreas generates insulin in Langerhans’s group of cells; and giving insulin to a diabetic person is effectual medication (Pompei 39). The Nobel Prize in Medicine in 1923 was given to Banting and Best for their development of insulin and provision of insulin treatment to a teenager suffering from diabetes. It is now known that diabetes mellitus can be the outcome of lack of insulin, damaged insulin production, or resistance to the effect of insulin (Bertera 33). This knowledge was supported and enhanced by advancements in the capacity to measure levels of insulin in the mid-20th century. Some individuals with diabetes mellitus lack quantifiable insulin, whereas others, in spite of sufficient secretion of insulin, either do not produce it in a way that sustains normal physiological processes, or have organs unresponsive to its impact (Bertera 33). Nowadays it is known that a number of pathogenic mechanisms can lead to diabetes and that there is a vital connection between an individual’s genetic composition and environmental forces. Diabetes mellitus is a set of metabolic illnesses typified by high amounts of blood sugar because of defects in the secretion of insulin, insulin functioning, or both. ... Since the illness could be asymptomatic for a number of years, it is approximated that numerous older people with diabetes are not aware of their disease (Pompei 40). The commonness of this illness differs with ethnicity and racial affiliation. Hispanic whites and Hispanic blacks are roughly 1.8 times more prone to have diabetes than non-Hispanic whites (Pompei 40-41). In spite of an extended asymptomatic duration, diabetes is a severe illness related to reduced life expectancy and considerable morbidity. The kind of diabetes usually impinging on older adults is related to a rate of mortality almost twice that of individuals without this illness and a decade shorter life expectancy (Bertera 35). Inadequately regulated diabetes can be the source of dangerous deterioration in an older individual and is manifested by functional disability, muscle impairment, loss of weight, and fatigue. More permanent complications of this disease involve neuropathies, kidney failure, and poor eyesight. The prevalence of kidney disease, stroke, and cardiovascular disease is intensified, and the possibility of complete loss of eyesight is heightened roughly by 40% in older adults with diabetes (Bertera 35-36). Diabetes is one of the major serious illnesses, and hence one of the major public health concerns nowadays, and its overwhelming estimated growth is mostly because of the aging of the population alongside industrialization, urbanization, and the obesity outbreak. In the 1970s, the National Diabetes Prevention and Control Program was formed to advance education, raise awareness, and regulate and prevent complications by circulating empirical knowledge (Pompei 42). Findings from empirical research are being analyzed and disseminated on a regular

Code of Ethics in nursing Term Paper Example | Topics and Well Written Essays - 750 words

Code of Ethics in nursing - Term Paper Example Ethics forms an integral part on the foundation of nursing. The profession has a distinguished history in the concern of the welfare of individuals who seek social justice; the vulnerable and injured. Apprehension is embodied towards the provision of required nursing care to the community and individuals. Nursing combines the alleviation of suffering, prevention of illness, promotion, protection and restoration of health. Nurses act to change the aspects of social structure that branch away from well-being and health. Individuals who aspire to study nursing are expected to adhere to the moral norm and ideals of the profession, and embrace these aspects as part of what make them nurses. The ethical tradition of the nursing profession is self reflective, distinct and enduring. The nurses have to follow a code of ethics that make explicit the values, primary goals and obligations of the profession. This paper analyzes my professional code from an ethical perspective through the identifi cation of four ethical concepts. Introduction Nurses respect the dignity, rights and the worth of all humanity. This should be irrespective of the nature of the health problem. A person’s worth is not defined by sickness, disability, proximity to death or functional status. This respect should extend to all those who require the services of a nurse for health promotion or prevention, and for the restoration of health. ... They actively assure and assess the appropriate and responsible use of interventions aimed at minimizing unwarranted treatment and patient suffering. The importance and acceptability of carefully considered decisions that regard the resuscitation status, withholding and withdrawal of life sustaining therapies, foregoing of medially provided hydration and nutrition; symptom management and advance directives are more evident (American Nurses Association, 2005). Patient autonomy (informed consent) The respect for human dignity requires that there be recognition of patient rights. The most important of this is the right to self-determination. This is also known as autonomy this is the philosophical basis for an informed consent in the health care profession. All patients have the legal right to be part of the medical decision; to be given complete and accurate understandable information in a manner that will facilitate the patient to make an informed decision, and to be assisted in the w eighing of the benefits, available options and burdens in their treatment (American Nurses Association, 2005). They also have the right to be given support through the decision-making and treatment processes. Such support includes the opportunity to discuss the decisions with family members and other significant people. The patients should be involved in planning their own health care to the extent that they will be able to choose and participate in the treatment process (Fowler, 2008). Each nurse has an obligation to have the knowledge regarding moral and legal rights of all patients. The nurses must protect, preserve and support these interests when assessing the patient’s understanding of the medical information presented and the implications of these

United States Declaration of Independence Essay Example for Free

United States Declaration of Independence Essay John Locke was born on August 29th, 1632 in Somerset, England. He first studied medicine at Oxford University, and then later became a highly influential British philosopher. His ideas and literary works largely influenced people and governments during both his time, and ours. In his major works, Locke wrote down his ideas on topics such as political philosophy, education, and epistemology. In John Locke’s works on the topic of political philosophy, he introduced his ideas on the subjects of natural rights and the social contract. Locke’s ideas on these subjects have been largely influential in the development of the foundation of modern government. One of John Lockes most influential ideas was the thought that everyone had specific natural rights. In his opinion, there are certain natural rights that every person is entitled to have. According to Locke, these include the rights to life, liberty, and property. He developed these ideas in his most renowned piece of literary work called Second Treatise Concerning Civil Government. In this document, Locke writes that people should give up some natural freedoms in order to cooperate with the common law, and in return, the government should protect them. Another main point Locke makes is that citizens in any given country have the right, and obligation, to replace their current government if the regime is abusing its powers. Locke writes Every man has a property in his own person. This nobody has a right to, but himself. The ideas put forth in his Second Treatise Concerning Civil Government inspired the libertarian ideals of the American Revolution, and also set an example for those who lived in Europe, Asia, and Latin America. Lockes writings were a huge inspiration to the founding fathers of America, and to the people in the original colonies who read Second Treatise Concerning Civil Government on the eve on the Revolution. His anti-authoritarian ideas inspired the creation of a different type of government that protected the rights and freedoms of its people. The Social Contract theory goes hand and hand with natural laws. The social contract is an agreement between the people and their government, where the people agree to obey the state and pay for its services, and the government will make and enforce laws that protects its citizens. This idea of social contract was also talked about in Second Treatise Concerning Civil Government. Many writers who read Locke’s ideas on natural laws and social contract became influenced by him and his ideas, most notably Thomas Jefferson in the American Declaration of Independence. Locke’s Second Treatise Concerning Civil Government can be seen as somewhat of an outline for the Declaration of Independence. An example of this in the Declaration is when it states that every man has a right to â€Å"life, liberty and the pursuit of happiness. † This almost directly references Lockes ideas in Second Treatise Concerning Civil Government where he states every man has a right to defend their life, health, Liberty, or possessions. Also, the first sentence of the Declaration establishes a Natural Law based on a theory popularized by Locke. John Locke was and continues to be a huge contributor to modern governments. The ideas of natural rights and the social contract that were put into the Second Treatise Concerning Civil Government , as well as the other writings and ideas John Locke created were a huge inspiration to many people, politicians, and modern governments. Most notably, the United States of America, where Locke’s ideas were put into the Declaration of Independence, and where he inspired the founding fathers to create a government where the people held the power, and every man had equal rights. Without John Locke and his writings, who knows where America and many other non-authoritarian governments would stand today.

A Streetcar Named Desire - Commentary Essay Example for Free

A Streetcar Named Desire Commentary Essay In the play, A Streetcar Named Desire, written by Tennessee Williams, Blanche the protagonist who is mentally fragile and depends on her sister’s help to overcome various adversities as her husband’s passing away and her paying many debts decides to move to New Orleans, where her sister lives. Throughout the play, Blanche, who is from a southern part called Laurel, strives to conform to society’s norms and attempts to ï ¬ nd a man to marry her; but she is incapable of feeling involved in the scenery and as a consequence of that, she loses her mentality at the end of the play. In this speciï ¬ c passage, Blanche returns from a date with the character Mitch who desires to marry her to please his ill mother. Through this particular scene, Williams initiates to develop the relationship between the aforementioned characters to reveal that their relationship depends merely on mutual beneï ¬ ts rather than feelings. In this particular scene, Williams establishes the codependent relationship between Mitch and Blanche, which is founded on mutual loneliness and the desire to be with anyone, to demonstrate that society employs pressure on each and every individual to conform to its norms. Initially, Williams assigns the elements of punctuation to highlight that the characters Blanche and Mitch are forced to have a relationship that only depends on the desire to be with anyone because of gender stereotypes that society puts forth. For instance, the playwright utilizes the element dash to demonstrate that Mitch and Blanche awkwardly hesitate to approach each other. Mitch states the line â€Å"Can I uh kiss you good-night?†, and Blanche states the line â€Å"The one that says the lady must entertain the gentleman or no dice!†. The dashes in these two quotes convey that both Mitch and Blanche appear to be hesitant and forced to be in this relationship. They tend to be indecisive about whether to ï ¬ nish their sentences or not. The characters’ uncertainty draws a conclusion that they feel irresolute about whether they should comply with gender stereotypes of society or not. Additionally, Williams supports the aforementioned claim by utilizing another element of punctuation called ellipsis. Blanche states the line â€Å"I liked the kiss very much. It was the other little familiarity that I felt obliged to discourage†. The utilization of ellipsis in this sentence once again proves that the characters constantly complete their sentences with hesitation and that they are uncomfortable talking to each other. Their constantly hesitating shown by these elements is due to the fact that in this particular setting, gender stereotypes are put forth by society which commands individuals to marry anyone to be regarded as â€Å"normal† by the others. Blanche and Mitch, who do not actually bear feelings for each other, choose each other to comply with these rules, but as a consequence of this situation, they appear to be forced to have this relationship in order to conform to gender stereotypes in society. Through the elements of punctuation, Williams remarks that Blanche and Mitch are forced to be together and that their co-dependent relationship is founded on the pressure that the norms of society exert. Furthermore, the playwright utilizes the elements of characterization to reveal that the relationship between Blanche and Mitch depends rather on the pressure exerted by society than on emotions. Williams depicts Blanche’s state in this scene through employing direct and indirect characterization which put forth the conclusion that Blanche feels compelled and exhausted to have her relationship with Mitch. For instance, the playwright employs direct characterization in the stage direction to depict that Blanche has â€Å"utter exhaustion† in her â€Å"voice and manner†. This direct characterization reveals that Blanche becomes disappointed in the quality of the date that she and Mitch return from. As a result of this disappointment, she reï ¬â€šects her exhaustion in her voice regarding that Mitch is not similar with the man whom she desires to have. Williams additionally utilizes direct characterization to regard Blanche’s personality as â€Å"neurasthenic†. This description conveys that Mitch’s manners aggravate her due to the fact that his manners are inadequate compared to those of the man whom Blanche desires. Hence, these examples of direct characterization prove that Blanche, who becomes dissatisï ¬ ed with Mitch’s qualities feels obliged and compelled to have a relationship with Mitch because the norms of society force her to marry anyone to be regarded as â€Å"normal†. Moreover, Williams employs indirect characterization to indicate that Blanche strives to conform to the norms of society through having a relationship with Mitch. For example, Blanche states the line â€Å"The one that says the lady must entertain the gentleman or no dice!†. Through this instance, the playwright highlights that women in society are regarded as â€Å"worthless† without conforming to gender stereotypes. Blanche states that if she does not â€Å"entertain† her â€Å"gentleman†, she will have â€Å"no dice†. The conclusion drawn from this point is that women in society cannot endure unless they satisfy their men. Hence, Blanche regards Mitch as her last option and conforms to gender stereotypes of society through having a relationship deprived of emotions. Through the elements of characterization, Williams conveys that Blanche and Mitch has an artiï ¬ cial relationship on behalf of complying with gender stereotypes of society. Subsequently, Williams accounts the elements of ï ¬ gurative language to mention that Blanche and Mitch are coerced to be in a co-dependent relationship because of the constraint that gender stereotypes of society apply. Williams implements the element of allusion to address the aforementioned message. For instance, Mitch bears, upside down, â€Å"a plaster statuette of Mae West†. In this example, the statuette of Mae West is an allusion to the sexual desire between the couple regarding that Mae West is known as a sex symbol. However, since Mitch carries the statuette â€Å"upside down†, this signiï ¬ es that there is something wrong with the sexual connection between Mitch and Blanche. Indeed, the statuette refers to the lack of sexual tension between the couple due the fact that their relationship depends only on a mutual beneï ¬ t which is to be accepted by society. The playwright employs the allusion of â€Å"Mae West† to illustrate that there is not any sexual desire between the couple regarding that their relationship does not harbor any emotion. In addition, the playwright employs the allusion of â€Å"the Seven Sisters† to remark Blanche’s loneliness. â€Å"The Seven Sisters, also referred as the Pleiades, were the seven daughters of the Titan Atlas. They became a group of stars.† Although Blanche has a sister, she is indeed mentally unsupported because of her sister’s lack of consideration. Being compared to the Seven Sisters, she adores â€Å"the Seven Sisters† for their unity, feels lonely and seeks to be with anyone to comply with the rules of society. Hence, she decides to rely on Mitch who is her last option. This allusion once again proves that Stella and Mitch build up an unnatural relationship deprived of feelings in order to conform to the norms of society. Williams implements the elements of ï ¬ gurative language to establish the relationship between Blanche and Mitch which merely depends on the desire to be with anyone and the pressure put forth by society. In summation, Tennessee Williams applies the elements punctuation, characterization and ï ¬ gurative language to develop the artiï ¬ cial relationship between Blanche and Mitch, which originates from the desire to be with anyone, in order to illustrate that society compels each and every individual to obey its norms. Through these elements, Williams eventually clariï ¬ es that this imitated relationship arises from the enforcement exerted by the gender stereotypes of society.