What if Richard Wright Had an iPad

What if Richard Wright Had an iPad As a regular part of the freshman composition classes that I teach, my students are asked to read an essay by Richard Wright called The Library Card, an excerpt from his autobiography Black Boy. Today, I asked my summer students if they could imagine not having free and easy access to books, if they would be willing to go to the lengths that Wright did when, as a young man, he wanted to read books by H.L. Mencken. They did not answer. Most just looked down at their iPads.   Even when I pointed out that there were places around the world where it is still pretty hard for people to get their hands on books on a regular basis, including in their own home countries (most of them are international students), they had trouble putting themselves in that position. To them, books are things that they can have any time they want. For some of them, books are things to be avoided whenever possible. None of them expressed a willingness to go through all the trouble that Wright describes in his narrative. If you are not familiar with Wrights story, it takes place in Memphis at a time when it was illegal for a black man to have a library card. His mother had taught him to read, but he had never had much access to books growing up. After reading editorials in the local paper about Menckens writing, Wright wants to read the books for himself and see what the fuss is all about. In order to do this, he has to approach one of the white men at his job and ask to use his library card. The man agrees and Wright forges a note to the librarian, acting as though he is there as an errand boy. When questioned, he even claims to be unable to read. Once he has those books in his hands, and the books that come after, he is a changed man. When he realizes that words can be used as weapons, that they have power, he becomes determined to master them. It is because of that determination that we know who Richard Wright is today. But what if he had not had to go to those lengths? What if he had could have had any book he wanted to read in his hand after just a few seconds? Would those words have seemed like weapons? These are not my questions. They originated with my students, and I found that I had no answer for them. It is not anything that I have ever considered. I would like to think that, had Wright had an iPad (or other ereading device), he would have still been moved by the words that he read. The fact that they were more readily available would not have changed anything. Or, at least, that is what I want to believe. Since I started teaching these classes, I have read a number of literacy narratives that talk about that moment when a person discovers just how wonderful words are. I have written on that topic before, too. For me, that moment was more than 25 years ago, long before the first ereaders hit the market. The iPad was not even a glimmer in Steve Jobs eye back then. But things have changed. People often discuss the downside of ereading, from the impermanent nature of ebooks, to the high cost involved (first the device, then the books). I have never (that I remember) heard an argument against accessibility. That seems to be one of the perks. It is for me. But, now that my students have brought it up, I cannot shake this idea that having books so readily available might actually lessen the effectiveness of the words within. Would I be reading The Library Card with my students today if Richard Wright had an iPad? I hope so. But I dont know.

The Effects And Social Changes In The Industrial Revolution Period - 550 Words

The Effects And Social Changes In The Industrial Revolution Period (Term Paper Sample) Content: Student’s Name Course Name Instructor’s Name 9 October 2018 Effect of Industrial revolution on social class The industrial revolution occurred from 1750 to 1914, in different European regions and with diverse technology. It occurred in three different phases in Britain, France, and Germany (Spielvogel 297). The economic change saw a transformation from agrarian contribution to industrial growth, new and innovated energy sources capable of powering industries, and technology invention. The industrial revolution contributed to several social changes as the economic way of life shifted from agriculture to industries. Class and family structures changed from the traditional norm of commoners, clergies, and nobility to the working and middle class popularly called the bourgeoisie. Class stratification with an accumulation of wealth occurred with the emergence of the wage economy. Perry indicates that capitalism steered industrialization leading to the desire to work in industries (297). The daily wages were a quick income method that lured people into the newly commercialized urban economy. In the new industry-driven economy, time was of the essence and valuable to the manufacturers. Precision and efficiency replaced the old fashion seasonal approach to work, which led to a shift in the mainstream social norms. For instance, employers organized labor and developed work rules. Employees had to adhere to the strict rules, thus making them develop a time conscious approach to social life. Specialization increased efficiency with workers required to concentrate on repetitive jobs so that they could gain perfection. The resultant social effect was a society defined by the division of labor. Most industries were in urban areas as the production cost was easier to mitigate than in the rural areas. The onset of industrialization prompted most people to leave rural areas to the urban set-ups in search of employment. As more people got employed, the wage economy continued to grow. The subsequent effect was an alteration in the social life. The well-paid people were able to afford the expensive and classy lifestyle. Ultimately, the controlling factor became the wage economy occasioned by the industrial growth and revolution. Industrialization brought about paternalism in the work environment. Spielvogel once indicated that employers had to assume parental roles and tailor their work schedules to cater for familial duties to impress the workers (432). Subsequently, paternalism meant that factory owners preferred male workers to their female counterparts. Not only did Edward Cadbury not employ married women, but he also pioneered gender distinction with the construction of on-site cottages for employees with families and separate housing units for single women CITATION Mar131 \p 300 \y \t \l 18441 (Perry 300). A change occurred in the family setting. For instance, in the 18th century, households and families generated ...

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Two Vulnerable Populations and Two Nursing Theories Essay

From a healthcare perspective we see vulnerability as a person’s susceptibility to disease, whether that disease is from a mental, physical, or sociological standpoint. De Chesnay amp; Anderson (2012) explain the idea of an entire population being vulnerable as â€Å"a public health concept that refers to vulnerability by virtue of status: that is, some groups are at risk at any given point in time relative to other individuals or groups.† The chronically mentally ill and the elderly go under this definition of vulnerable populations and could be helped by two conceptual models of nursing. Because those with mental illness usually have increased risked for being unable to identify, manage, or find ways to maintain health I felt that Roger’s†¦show more content†¦These therapies have the possibility to help chronically mentally ill patients to find ways to achieve and maintain a harmony with their environment that would promote their physical and social health. Orem’s Self-Care Deficit Theory views every individual as practicing â€Å"self-care, a set of learned behaviors, to sustain life, maintain or restore functioning, and bring about a condition of well-being.† (Creasia amp; Friberg 2011) The nurse uses her/his abilities to assist the patient to overcome current self-care deficits and help the patient achieve her/his best level of self-care. As time passes many of the elderly need more assistance with the activities of daily living. Taking care of themselves physically becomes more difficult, sometimes there is decreased mental acuity, as well as a loss in social contact. In every one of these areas the nurse assists the patient to achieve her/his highest level of self-care. This includes diet, eating, elimination, activity, social interaction, education, awareness of obligations, and the promotion of health. Where possible the nurse will help the patient achieve self-care. Since there are no true cures to the aging process the nurse will be needed more and moreShow MoreRelatedThe Principles Of Community Health979 Words   |  4 Pagesthe perception of nursing can change depending upon perspective. The purpose of this discussion is to compare and contrast community health nursing  practice with hospital-based nursing practice in the provision of essential  core functions and services. The paper will delineate nursing theories  and models of care in relationship to those practices.  Ã‚  Additionally, examples will be  provided from nursing experience.  Ã‚   Nursing care can be analyzed using different models of care, but  two common ones areRead MoreAssessment Tools : Assessment Tool Analysis1209 Words   |  5 Pagesmeasures by applying Watson’s theory of human caring integrates the mind-body-spirit dimensions because Watson’s theory of human caring focuses on establishing a caring relationship with patients, (Chesnay Anderson, page 89, 2012). In this paper, I choose three assessment tools: Becks depression inventory, social support questionnaire and perceived Stress scale. These three tools are the assessments that I have chosen to look deeper at the depressed vulnerable population and I will also demonstrateRead MoreJean Watson1215 Words   |  5 PagesApplying Watson’s Theory to Mind-Body-Spirit Dimensions Jean Watson’s theory of human caring is one that elevates nursing from being merely a clinical experience to becoming an intersection with the patient that affects the patient deeply in all three dimensions—the mind, body, and spirit. In order to achieve this three-pronged impact, the nurse must create caring-healing moments with the patient. As Watson (2006, p. 51) points out, â€Å"The whole caring-healing consciousness is containedRead MoreAssessment Tool Analysis Submission1407 Words   |  6 Pagesmeasures while applying Watson’s Theory of Human caring that integrates the mind-body-spirit dimensions to the three assessment tools chosen. In this paper, I will describe each tool and the population for which it might be useful, assessment tool data such as cost, length and each in using the tool. I will also discuss the population at which it is best designed, and the validity of information gained. In addition, how this tool could enhance the assessment phase of the nursing process and how it impactRead MoreReflection1058 Words   |  5 PagesReflection Paper One Advanced practice nursing (APN) can be loosely defined as an area of nursing in which nurses are required to practice at an advanced level in a specific area of interest. APN extends the boundaries of nursing’s scope of practice and contributes to nursing knowledge, and the development of the profession (Canadian Nurses Association, 2008). In order to become an APN, the nurse must obtain a master’s or doctoral degree from an accredited university in an area of concentrationRead MoreApplicability of the Dysfunctional Attitude Scale702 Words   |  3 Pagesidentifies the population this tool is best designed for and this tools validity. Moreover, the paper describes how DAS enhances the assessment phase in nursing processes and its impact on the quality of health delivered by nurses incorporating Jean Watsons theory of caring. Use of DAS to the Study Group Polygamous families are characterized by stress, quarrels and neglect. Women and children in polygamist families are ignored in situations where their fathers have more than two wives and excessesRead MoreRunning Head: Accessibility Of Healthcare For Undeserved1540 Words   |  7 PagesACCESSIBILITY OF HEALTHCARE FOR UNDESERVED POPULATIONS 1 Accessibility of Healthcare for Undeserved Populations Name: Institution:  Introduction Skewed provision of healthcare services to common populations is not a new issue in the world. in the developed world, social stratification of populations goes beyond social borders; deep into service provision in hospitals. Probably unethical, provision of inequitable services to undeserved populations has craved its way deep into the healthcareRead MoreNursing Home Abuse Essay771 Words   |  4 PagesNursing Home Abuse 3 Nursing Home Abuse As the healthcare system in this country has changed, so have traditional nursing homes. Families have the right to expect that their loved ones will be taken care of by professionals in a caring environment. Unfortunately, may people are being abused and neglected in nursing homes. It is very clear that abuse is a serious problem among nursing home patients, and something needs to be done to put a stop to it. Abuse can happenRead MoreComparison Between Nursing And Nursing Theories1632 Words   |  7 PagesComparison of nursing theories Introduction The nursing profession entails core values and commonalities that link those in the profession. A comprehensive study of the literature identifies key components of the profession as the provision of technical care, defending the vulnerable, taking care of the ill, as well as establishing systems for the delivery of care. Different models have been developed which describes and guides the nursing profession. The two nursing theories: the Theory of Nursing as CaringRead MoreEssay on Barriers to Healthcare for the Homeless Population1432 Words   |  6 PagesBarriers to Healthcare for the Homeless Population Dana Duggan University of Phoenix Sheila De Vaugh, APRN, BC August 3, 2009 Introduction A homeless person is defined as someone â€Å"who lacks a fixed, regular adequate night time residence or a person who resides in a shelter, welfare hotel, transitional program or place not ordinarily used as regular sleeping accommodations, such as streets, movie theaters, cars, abandoned buildings, etc.† (Cone, 2008, p. ). Homelessness is a growing problem

Example of related literature and studies - 1943 Words

CHAPTER 2 Review of Related Literature and Studies The previous chapter is all about the framework of the study. How the study was made possible and up to where the study bounds to are the points of the first chapter. This chapter presents survey of related literature and writing of recognized experts both of which have significant bearing or relation to the problem under investigation. The review focuses on the different materials that are needed on the solution of the study, what are the following points why these materials are necessary for the study. The chapter begins with the introduction of the different materials primarily needed to make the study successful, followed by the history or methodology used by people from ages in making†¦show more content†¦Honey also is a natural antiseptic and soothes and heals your skin. Many women use honey to treat pimples.† (stylecraze.com, 2011) Most of facial masks need milk or cream for emulsifying. But milk does not only act as emulsifier, milk has nutrients that contribute to youthful skin and moisturized face. Milk’s thickness and viscosity is not enough to make a viscous fluid or mask, instead we should make use of cream. Cream is a dairy product that is produced of the high-butterfat layer skimmed from top of milk before homogenization. Double cream is the choice, which contains 48% of minimum milk fat that whips easily and thickest for pudding and desserts. (Wikipedia.com, 2008) According to the National Dairy Council (as of 2010), milk is filled with nine essential nutrients that benefit our health: †¢ Calcium: Builds healthy bones and teeth; maintains bone mass †¢ Protein: Serves as a source of energy; builds/repairs muscle tissue †¢ Potassium: Helps maintain a healthy blood pressure †¢ Phosphorus: Helps strengthen bones and generate energy †¢ Vitamin D: Helps maintain bones †¢ Vitamin B12: Maintains healthy red blood cells and nerve tissue †¢ Vitamin A: Maintains the immune system; helps maintain normal vision and skin †¢ Riboflavin (B2): Converts food into energy †¢ Niacin: Metabolizes sugars and fatty acids According to Dr. Brian Roy, milk does not only help in fitness and bone maintenance, but also in skin health and anti-agingShow MoreRelatedEnglish Is An International Language1475 Words   |  6 Pagespeople are trying to learn English, so the number of students who study English literature or linguistics has been increasing. Learning English literature is a good choice to improve people’s English because literature and linguistics are related to each other. Learning a foreign language is not an easy thing. And it’s not just about learning language; it’s about understanding the culture as well because language and culture are related very deeply to each other. With this, you can’t learn languageRead MoreHow to Write a Thesis Proposal1055 Words   |  5 Pagesexplains what you want to study, how you will study this topic, and why this topic needs to be studied. PARTS OF THE THESIS PROPOSAL TITLE †¢Ã¢â‚¬ ¯ State the tentative title of your proposal. †¢Ã¢â‚¬ ¯ The title should give a clear indication of the topic being studied. EXAMPLE: From the thesis of Kimberly Manabat BACKGROUND OF THE STUDY: †¢Ã¢â‚¬ ¯ It is in this section that you will orient the reader to the problem you seek to solve. †¢Ã¢â‚¬ ¯ What is the aim of your study. EXAMPLE: From the thesis of KimberlyRead MoreSample Research Paper1642 Words   |  7 PagesThe problem statement is the guiding theme of the proposal. This section should include a statement of the purpose of the study and should specify its objectives. Purpose of the Study. This section should explain why the research is being conducted. It should establish the importance of the problem addressed by the research and explain why the research is needed. For example, it might establish the seriousness of juvenile antisocial behavior nationally and describe the gaps that exist in the knowledgeRead MoreLiterature641 Words   |  3 PagesIdentify the research problem: In this first phase you consider a research problem based in your interests and in your field. 2. Perform a literature review: Search for literature related to the problem to gain knowledge about the topic. 3. State the purpose of the study: It is important to be specific and clear when stating your purpose at the study. 4. Develop a research plan: Steps for developing and conducting your research that includes also how and when to collect data. Read MoreEssay On Fighting Obesity Through Taxation1408 Words   |  6 Pagesfactors and behavioural factors), the literature has shown that excessive consumption of sugary drinks and junk food as major risk factors to high prevalence of obesity and health related outcomes (Cornelsen, L., Carreido, A., 2015) High consumption of sugary drinks and junk foods has caused a vast number of health issues including hypertension, type 2 diabetes, and cardiovascular diseases. To response to the current obesity crisis and the burden of obesity health related illnesses, the implementation ofRead MoreMistake Is Not Enough Research?949 Words   |  4 Pagesthe context in which the conflict or issue under study occurs; and a discussion of how pervasive the issue is. Showing how the problem has or not has been addressed in the existing body of literature will be critical in making the case for the significant of your research. Once the background information has been stablished in the introduction, through supporting literature, a concise problem statement is provided that addresses the issue under study. 1-Social problem = lack negotiation betweenRead MoreNarrative Literature Reviews1589 Words   |  7 PagesNarrative literature reviews Introduction n A literature review is a comprehensive study and interpretation of the work that has been published on a particular topic n A literature review should convey the knowledge and ideas that have been established on a topic and their strengths and limitations Why undertake a literature review? n To provide a review of the current knowledge in a particular field n Provide a description of research studies n Identify gaps in current knowledge n Identify emergingRead MoreAnalysis Of The Article Missed Nursing Care 1222 Words   |  5 Pagesomission in health care. The study does not have research about the reasons why the nursing staff has omitted care (Polit, Beck, 2008). The problem statement is clearly and directly stated. The methods used in collecting information have been mentioned in a separate section where they are stated clearly. Lack of the current literature on the subject and the challenges facing health care sector in providing nursing care is an opportunity for anyone to conduct such study. The method that was used inRead MoreGender Roles : Gender Role Play Essay1226 Words   |  5 Pagesspecific gender role, for example, a girl pretending to be a mother or a girl partaking in a â€Å"pink-collar† job such as nursing, teaching etc. This form of play can be seen within make-believe play. Though this topic can be tricky to study, due to the fact children in general can be tricky to observe, it is i ncredibly relevant due to the fact play in general has a huge effect on children and their development and enhancement in cognitive and behavioral skills. Previous literature has found that make-believeRead MoreSelf Doubt And Well Being At Work1201 Words   |  5 PagesSelf-doubt and Well-being at Work As an indicator of negative affect, self-doubt has been found to be positively correlated with social anxiety and defensive pessimism, and negatively related to self-esteem (Oleson, Poehlmann, Yost, Lynch Arkin. 2000). With the emerging interests in self-doubt, researchers have also been investigating the effects of self-doubt on ones’ well-being. A prior research by Carroll, Arkin and Shade (2011) indicates that self-doubt negatively predicts career potential

Climate Change And Its Impacts On The Environment - 935 Words

Over the past few decades, the world has rapidly deteriorated in terms of the environment. There are numerous factors that contribute to the deterioration of the earth and one significant factor is due to the issues of climate change. Majority of environmental as well as social scientist that cares about the world defines climate change as the primary source of global risk since it could have severe impacts on the future generations. In addition, the general meaning of the term ‘climate change’ is defined as the change in regional or global climate patterns and it is mainly caused by human activities such as deforestation and emission of harmful gases that pollutes the environment. The future generations are affected in a way that survivability in the world would be tougher and lifestyle would be different compared to the present. In the following essay, climate change will be discussed by relating it to the issue of sustainable development as well as identifying several implications of a continued â€Å"Business as Usual† approach and concluding by providing several objectives and alternatives to improve sustainability of the world. Before continuing towards the discussion of the connection between climate change and sustainability, the term ‘sustainable development’ or ‘sustainability’ will be explained first. The term ‘sustainable development’ is relatively similar with the term ‘sustainability’ and both can be interpreted from variety of aspects. Due to the work of WorldShow MoreRelatedImpact Of Climate Change On The Environment1652 Words   |  7 PagesBiodiversity is one of many areas impacted by climate change. Species and ecosystem modeling has shown that there are potential changes that can occur certain key biodiversity sectors (McMahon et al., 2011). Researchers have created analysis on how changes in climate and levels of CO2 can impact different structures of vegetation and their function, including productivity in growth (Scheiter Higgins, 2008), ecosystem-based adaptation approaches and conservation plans (Cowling Egoh, 2007). ThereRead MoreImpact Of Climate Change On The Environment1338 Words   |  6 PagesIntroduction: Climate change is an issue that is currently threatening the entire world, it is occurring as a result of human activity intensifying the greenhouse effect and concentration of carbon dioxide in the atmosphere, resulting in negative changes to the global climate (Lohmann, 2002). Tourism is particularly vulnerable to the direct and indirect impacts of climate change as the climate influences the appeal, attractiveness and suitability of a destination (Rutty Scott, 2014). 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Now with the climate change issues of temperature increases, raised sea levels, the issues of water scarcity, pollution, and soil degradation are also now playing a large factor in today’s struggles. Small differences in weather or more specifically temperature can affectRead MoreThe Impact Of Climate Change On The Health And Welfare Of People And The Environment2203 Words   |  9 PagesClimate change. A phrase that encompasses a vast wealth of information, the totality of which is difficult to fathom let alone concisely elaborate upon in a condensed format such as a course or writing assignment. Through this course, the interconnectedness with which humans influence the balance of climate change is abundantly clear. Ecosystems plants and animals depend on are all connected and influencing one another but these scales are imbalanced, mostly as a result of human activities. 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Queensland has one of the world’s highest rates of greenhouse gas emissions per capita, which has only continued to increase over the last decade (Queensland Climate Change Centre of Excellence, 2010, page 23). The last decade was the warmest recorded in Queensland’s history, with temperatures being 0.58 degrees Celcius higher than the average for the past four decades (Queensland Climate Change CentreRead MoreThe Impact of International Tourism on Global Environmental Change1429 Words   |  6 PagesIntroduction International tourism can now be recognised as one of the biggest contributing sectors for many countries’ GDP. Moreover, it has transformed them in many aspects such as economic, socio-culture, and environment. International tourism involves activity of inbound and outbound tourist of a country and resident or non-resident visitors within the country (World Tourism Organisation 2014). The World Tourism Organisation has predicted the growth of tourism activities to increase by an averageRead MoreThe Issue Of Global Climate Change957 Words   |  4 Pages If the issue of global climate change is not addressed properly, it will create enormous economic challenges that will create huge price tags on the global economy; that is why we need to give much attention by proposing international policy because it will bolster cooperation between countries and international organizations by formulating policies for the general good of society. Climate change plays a key role in our day to day activities. The changes in climate will affect our movement, healthRead MoreEducation of the Environment1358 Words   |  6 Pagesrun researching climate change and the affects of those changes are becoming increasing evident as time passes. These changes are being observed in every aspect of the environment whether that includes water sources, farmland, or even human lives itself. The issues related with a changing climate are continually becoming more important within the everyday life of Americans, but with that also comes the critics that are under the assumption that it is all a hoax and that the changes experienced are

Care Plan Free Essays

Palliative care would allow the client to receive a combined and holistic approach for medications, equipment, unseeing, and symptom treatment all fascinated through one program. The community health nurse needs to be careful not to impose ones own perception about quality of life upon the client. With the experience of having helped both of my parents through the dying process, I know that it is important to separate my own experience and perceptions from those of my client. We will write a custom essay sample on Care Plan or any similar topic only for you Order Now Just as each person takes on life with a different philosophy, so it goes with the dying process. The nurse must not assume that the patient’s priorities are the same as his or hers. Open communication regarding the patient’s wants and needs must be initiated. Though not all patients have had the time or skills to know how to deal with a terminal illness, one of the most important Jobs of the nurse is to connect the patient to the proper resources needed for navigating through the various aspects and stages of their disease process, and to do so without Judgment or bias. B. Many terminally ill patients begin to navigate through the stages of grief as outlined by Elisabeth Kibble-Ross. While caring for this client with a lingering terminal illness such as cancer, my first strategy would be to keep the lines of communication open, managing the patient’s emotional and spiritual needs and outlining the stages of grief as the client progresses through them. By initiating a good line of communication, one can recognize and guide both Mr.. And Mrs.. Thomas through denial, anger, bargaining, depression and acceptance (Kibble-Ross). It will be easier to better manage Mrs.. Thomas’ physical needs if her psychological social needs have been addressed. My second strategy in helping to improve the quality of life for Mrs.. Thomas and her husband would be to manage Mrs.; Thomas’ comfort. Working carefully with a palliative or hospice team to manage the physical discomforts of the tangent’s illness, can greatly increase quality of life. This is often a critical area of educating the patient on pain control. Patients are often afraid to take pain medications, and therapeutic communication is likely to be necessary. Monsoon). My third strategy would be to set up an interdisciplinary palliative care team to to manage the health of Mrs.. Thomas. Terminal illness can be overwhelming for a family, where likely there are other factors – be it financial, familial, psychological, and no one person can manage it all. By working with the family to institute a good team or care, the burden can be lifted off the family and this will ideally allow them to care for their loved one without becoming burdened or overwhelmed. It is important to consult the family regarding any spiritual support that they would feel comforting. Is there a minister or spiritual guide currently in their life? If not, would they be open too visit from someone that is akin to their spiritual values? These are questions that should be carefully addressed. C. Nursing Care Plan for Mrs.. Thomas Assessment: Mrs.. Thomas is a 56 year-old female with a history of breast cancer. Mrs.. Thomas is aired with two grown sons, aged 28 and 30 both of which live out of state. Mrs.. Thomas has a strong familial history of braes cancer and one year ago, was treated for a malignant mass in her right breast. After a right mastectomy, chemotherapy and radiation six months ago, the cancer has now returned with subsequent right sided mastectomy, chemotherapy and radiation. The cancer has now metastasis’s to the lungs and the prognosis is now deemed to be â€Å"poor† with â€Å"palliative care now being recommended†. (Task 2). Diagnosis Number One: Acute Pain related to incision secondary to surgical intervention as evidenced by tangent’s visible discomfort/crying in bed, pallor, respirations, blood pressure and a report of 8/10 pain. Goal 1. Patient will verbalize a pain rating of 4 or less on a scale of 10 with each assessment. 2. Pain control as evidenced by patient demonstrating ability to use analgesics appropriately, use alternative non-analgesic relief, reported pain to be mild, relaxed body language, vital signs returning to normal Plan 1. Analgesic pain medication as prescribed by physician (Swearing) 2. Use of diversionary and or strategies to assist with pain (SHE Nursing Care Plan Guide) 3. Assist patient with positioning for comfort Implement . Evaluated effect of medication, utilize pain scale 2. Assessed effectiveness of diversionary strategies (SHE Nursing Care Plan Guide) 3. Assisted with position changes Diagnosis Number Two: Activity Intolerance related to generalized weakness as evidenced by increasing fatigue Goal 1. The nurse will help fascinate a physical therapist to help with mobility 2.. Will ambulate IX around block daily Patient 3.. Patient will fully participate in Tall’s within physical limitations without dizziness or change in vital signs by 8/1/14 1 . Assess patient’s level of mobility, educate within patient’s capability 2. Assess nutritional status. Adequate energy reserves are required for activity. (Swearing) 3. Ambulate patient XX a day 1. Educated patient on benefits of mobility and the proper body mechanics for mobility 2. Encourage nutrition prior to activity and the proper body mechanics for mobility Monsoon) 3. Ambulated patient XX daily Diagnosis Number 3: Ineffective Coping related to financial burden and emotional impact of diagnosis on family as evidenced by patient’s increasing isolation 1. Set up a quality interdisciplinary team incorporating counseling services for the family 2. Patient will demonstrate problem solving techniques Monsoon) 3. Patient ill verbalize acceptance of diagnosis 1. Patient will utilize available support systems and work with counselor for socio psych issues 2. Assist client to identify priorities and attainable goals as he/she starts to plan for necessary lifestyle and role changes 3. Perform actions to facilitate the grieving process (Elsevier) 1. Patient met with counseling services 2. Patient identified priorities and set goals 3. Patient demonstrated knowledge of the 5 stages of grief and how to work through them In order to optimize Mrs.. Thomas functional ability, the care team should strive for all three of the goals in her plan of care to be met. First of all, her pain needs to be managed so that manipulation can be successful, without discomfort. It is quite common for patients to be concerned about becoming addicted to pain medication as in the case of Mrs.. Thomas. Addiction is â€Å"psychological dependence† on a drug and is not the same as tolerance or physical dependence, according to Oncologist, DRP. Gary Johansson who states that â€Å"In fact, addiction is rare when avoids are used for pain relief†. With proper education and regularly scheduled pain medication, Mrs.. Thomas should be much more comfortable and able to manage other areas of her life more successfully. Once Mrs.. Thomas’ pain is under control, she will be able to work through many of the stresses that have mounted since her diagnosis. As Mrs.. Thomas disease progresses, there will come a time when she will no longer be able to care for herself. A new Plan of Care should be created and ready to transition to at that time. At this time the interdisciplinary team should consist of a hospice care which is generally implemented when a patient has less than 6 months to live. When hospice is begun, all care is transferred to the hospice team. New orders for care, medication, equipment will be set up and time is given to the family or supporting both the patient and their loved ones. Care will focus on making the most out of the time they have left, â€Å"without some of the negative side-effects that life prolonging treatments can have†. Monsoon). Most hospice patients can attain a level of comfort that allows them to â€Å"concentrate on the emotional and practical issues of dying†. Willet-Legislations). Mr.. Thomas is carrying a big physical and emotional burden during his wife’s terminal illness. The Thomas family’s case is complicated by Mr.. Thomas’ chronic depression and high stress occupation. As Mrs.. Thomas’ needs escalate and change, so do the needs of the Mr.. Thomas. By facilitating psychological help for Mr.. Thomas, the care team is in turn helping Mrs.. Thomas by easing her worries about her spouse. Patients and families need support, guidance, and encouragement to begin planning for many decisions. Many spouses are weighted with concern about the patients’ comfort and impending death as well as every day problems. â€Å"This is an emotionally intense, exhausting, and singular experience, set in a world apart from everyday life patterns†. (Siegel). Mr.. Thomas needs to be reminded that in order to help care and be emotionally supportive to his wife, he needs to take care of himself. Medication reminders and grief support should be set up for Mr.. Thomas. Therapeutic conversation and guidance can make all the difference for the significant other off terminal patient. In addition, Mr.. Thomas needs respite care so that he can be fully present while caring for his wife. Mr.. Thomas should be encouraged to take a walk, a nap, or a restorative A care plan for Mr.. Thomas could be initiated with a nursing diagnosis of: Risk for Caregiver Role Strain. (SHE). Goal: Spouse will report low or no feelings of burden or distress by 8/01/14, measured by relief stated by spouse. Plan: Encourage the caregiver to talk about feelings, concerns, uncertainties, and fears. How to cite Care Plan, Papers Care Plan Free Essays Nursing Diagnosis| Expected outcomes| Interventions| Rationale| Evaluation| Nursing Diagnosis:Sleep deprivationR/t: Age related sleeping problems and dementia. A. E. We will write a custom essay sample on Care Plan or any similar topic only for you Order Now B: Verbal report of not sleeping well. Also maybe be caused by dementia. Nursing Diagnosis: Risk of hopelessnessR/t: Client’s loss of family members in the past. A. E. B: Lack of eye contact, passive attitude, and deteriorating physical and mental condition. | Client will take part in relaxation techniques such as massage therapy and aroma therapy at least one time a week. Caffeine intake will be decreased. Client will not have any caffeine after 2 pm. Client will avoid the uses of loud T. V. ’s and radios every night. Client will use a sound generator to generate sounds of the ocean and waterfalls to improve sleep every night. Client will use the bed only for sleeping, avoid afternoon naps, and try to go to bed only when sleeping every day. Client will spend time with a caregiver or family member one-on-one at least one time a week. A family member of the client will be expected to visit at least one time a week and spend time with the client. Client will make at least 2 simple decisions every day. Client will engage in group activities at least one time a week. Assess level of anxiety. If client is anxious, use relaxation techniques. Assess and evaluate the client’s diet and caffeine intake. Keep environment quiet for sleeping. Use soothing sound generators. Follow guide lines for good sleep habits. Spend one-on-one time with the client. Involve family and significant others in Clients life. Encourage decision makin g in the daily schedule. Encourage client to participate in group activities. | The use of relaxation techniques to promote sleep in people with chronic insomnia has been shown to be effective. Caffeine often interferes with sleep. Caffeine after the use of 2 pm is associated with poor sleep. Attention to environmental noise can reduce or eliminate sleep. Ocean sounds promote sleep. Guidelines on sleep hygiene have been shown to effectively improve quality of sleep. Physical presence and active listening inspires hope in the client. Social support is a significant variable related to hope. Hopelessness may be an outgrowth of a previewed loss of control. Group activities provide social support and help the client identify alternative ways to solve problems. ** Source for rationale: Nursing Diagnosis Handbook. Betty J. Ackley and Gail B. Ladwig. **| Client responded well to the relaxation treatments used to improve sleep deprivation. Client is well after decreasing unneeded caffeine in diet and is expected to sleep better. Client’s sleep improved once excessive noise has been diminished. Client responded well to the sound generator. Client is finding it hard to follow the guidelines. Client responds well to one-on-one time and appears happy during the session. Client enjoys having family around more often. Client makes decisions on what to where and what to eat each day. Client enjoys spending time with other residents. | | | | | How to cite Care Plan, Essay examples Care Plan Free Essays Transition Nursing Process Discussion Group 3 Case Study Michael Martinez Is a 24-year-old Marine who was Involved In a motor vehicle accident (MBA) while on leave. His face hit the dashboard, resulting in a fracture of the mandible. Yesterday, he underwent a surgical incommensurable fixation, (wiring of the Jaw) for stabilization of the fracture. We will write a custom essay sample on Care Plan or any similar topic only for you Order Now As a result of this surgery, he is unable to open his mouth and is limited to a liquid diet. The restricted diet will be necessary for 4 to 5 weeks until the fracture heals. One day post pop, his vital signs are 120/76, T-99. 2, P-82, and R- 20. After medication, is pain level is 3/10. With the exception of facial bruising, his appearance is within normal Limits, Steps of the Nursing Process Patient Information Assessment Objective and subjective data will be entered here. The database presented In the case study will be used. Data is collected and verified from the primary (apt. ) and the secondary (family, friends, health professionals, and medical record). Analysis of this data provides the basis for development of the remaining steps in the nursing process. Subjective: Patient expresses disinterest in a liquid only diet Objective: wired Jaw Liquid diet Nursing Diagnosis After analyzing the assessment data, formulate a priority nursing diagnosis. Remember, a nursing diagnosis is a statement describing the patient’s actual or potential response to a health problem that the nurse Is licensed and competent to treat. An actual diagnosis Is written In three parts: diagnostic label (problem) related to_ as evidenced/exhibited by_. A risk diagnosis is written in two parts: Risk for (diagnostic label) _ related to Nutrition: less than body requirements related to Inability to eat solid foods as evidenced by liquid diet post-surgery Planning Goals: Now is the time set patient centered goals. Here you will develop expected selection of interventions based on six important factors outlined in your text. Please write the interventions you select below in implementation. Patient will be free of signs of malnutrition post dinner time each shift Implementation Here is where the nurse will carry out the plan of care. Then continue data collection and modify the plan of care as needed and document care provided. What nursing interventions will you provide to enhance patient outcomes? Assess patient’s weight every shift Calculate bowel sounds Evaluate total daily food intake Provide high calorie, nutrient-rich dietary supplements Evaluation The purpose of evaluation is to support the effectiveness of nursing practice which is patient-centered and patient-driven. This phase measures the patient’s response to nursing interventions and progress towards achieving goals using five elements listed in the text. Did you achieve the goal for this nursing diagnosis? Will you continue the plan of care, revise the plan of care, or discontinue? Reassess patient’s lab value daily for signs of malnutrition. If malnourished call health care provider for further orders Patient will weight within 10% of normal body weight every morning How to cite Care Plan, Papers Care Plan Free Essays A. Our client, Mrs.. We will write a custom essay sample on Care Plan or any similar topic only for you Order Now Thomas has been given the unfortunate diagnosis of metastasis breast cancer. When considering the current and future needs of this client, significant thought and planning must be directed toward the client’s level of well being. In the case off terminally ill patient, it is important to help facilitate a high quality of life that encompasses both physical and psychological health. I would recommend initiating palliative care for Mrs.. Thomas. Palliative care would allow the client to receive a combined and holistic approach for medications, equipment, unseeing, and symptom treatment all fascinated through one program. The community health nurse needs to be careful not to impose ones own perception about quality of life upon the client. With the experience of having helped both of my parents through the dying process, I know that it is important to separate my own experience and perceptions from those of my client. Just as each person takes on life with a different philosophy, so it goes with the dying process. The nurse must not assume that the patient’s priorities are the same as his or hers. Open communication regarding the patient’s wants and needs must be initiated. Though not all patients have had the time or skills to know how to deal with a terminal illness, one of the most important Jobs of the nurse is to connect the patient to the proper resources needed for navigating through the various aspects and stages of their disease process, and to do so without Judgment or bias. B. Many terminally ill patients begin to navigate through the stages of grief as outlined by Elisabeth Kibble-Ross. While caring for this client with a lingering terminal illness such as cancer, my first strategy would be to keep the lines of communication open, managing the patient’s emotional and spiritual needs and outlining the stages of grief as the client progresses through them. By initiating a good line of communication, one can recognize and guide both Mr.. And Mrs.. Thomas through denial, anger, bargaining, depression and acceptance (Kibble-Ross). It will be easier to better manage Mrs.. Thomas’ physical needs if her psychological social needs have been addressed. My second strategy in helping to improve the quality of life for Mrs.. Thomas and her husband would be to manage Mrs.; Thomas’ comfort. Working carefully with a palliative or hospice team to manage the physical discomforts of the tangent’s illness, can greatly increase quality of life. This is often a critical area of educating the patient on pain control. Patients are often afraid to take pain medications, and therapeutic communication is likely to be necessary. Monsoon). My third strategy would be to set up an interdisciplinary palliative care team to to manage the health of Mrs.. Thomas. Terminal illness can be overwhelming for a family, where likely there are other factors – be it financial, familial, psychological, and no one person can manage it all. By working with the family to institute a good team or care, the burden can be lifted off the family and this will ideally allow them to care for their loved one without becoming burdened or overwhelmed. It is important to consult the family regarding any spiritual support that they would feel comforting. Is there a minister or spiritual guide currently in their life? If not, would they be open too visit from someone that is akin to their spiritual values? These are questions that should be carefully addressed. C. Nursing Care Plan for Mrs.. Thomas Assessment: Mrs.. Thomas is a 56 year-old female with a history of breast cancer. Mrs.. Thomas is aired with two grown sons, aged 28 and 30 both of which live out of state. Mrs.. Thomas has a strong familial history of braes cancer and one year ago, was treated for a malignant mass in her right breast. After a right mastectomy, chemotherapy and radiation six months ago, the cancer has now returned with subsequent right sided mastectomy, chemotherapy and radiation. The cancer has now metastasis’s to the lungs and the prognosis is now deemed to be â€Å"poor† with â€Å"palliative care now being recommended†. (Task 2). Diagnosis Number One: Acute Pain related to incision secondary to surgical intervention as evidenced by tangent’s visible discomfort/crying in bed, pallor, respirations, blood pressure and a report of 8/10 pain. Goal 1. Patient will verbalize a pain rating of 4 or less on a scale of 10 with each assessment. 2. Pain control as evidenced by patient demonstrating ability to use analgesics appropriately, use alternative non-analgesic relief, reported pain to be mild, relaxed body language, vital signs returning to normal Plan 1. Analgesic pain medication as prescribed by physician (Swearing) 2. Use of diversionary and or strategies to assist with pain (SHE Nursing Care Plan Guide) 3. Assist patient with positioning for comfort Implement . Evaluated effect of medication, utilize pain scale 2. Assessed effectiveness of diversionary strategies (SHE Nursing Care Plan Guide) 3. Assisted with position changes Diagnosis Number Two: Activity Intolerance related to generalized weakness as evidenced by increasing fatigue Goal 1. The nurse will help fascinate a physical therapist to help with mobility 2.. Will ambulate IX around block daily Patient 3.. Patient will fully participate in Tall’s within physical limitations without dizziness or change in vital signs by 8/1/14 1 . Assess patient’s level of mobility, educate within patient’s capability 2. Assess nutritional status. Adequate energy reserves are required for activity. (Swearing) 3. Ambulate patient XX a day 1. Educated patient on benefits of mobility and the proper body mechanics for mobility 2. Encourage nutrition prior to activity and the proper body mechanics for mobility Monsoon) 3. Ambulated patient XX daily Diagnosis Number 3: Ineffective Coping related to financial burden and emotional impact of diagnosis on family as evidenced by patient’s increasing isolation 1. Set up a quality interdisciplinary team incorporating counseling services for the family 2. Patient will demonstrate problem solving techniques Monsoon) 3. Patient ill verbalize acceptance of diagnosis 1. Patient will utilize available support systems and work with counselor for socio psych issues 2. Assist client to identify priorities and attainable goals as he/she starts to plan for necessary lifestyle and role changes 3. Perform actions to facilitate the grieving process (Elsevier) 1. Patient met with counseling services 2. Patient identified priorities and set goals 3. Patient demonstrated knowledge of the 5 stages of grief and how to work through them In order to optimize Mrs.. Thomas functional ability, the care team should strive for all three of the goals in her plan of care to be met. First of all, her pain needs to be managed so that manipulation can be successful, without discomfort. It is quite common for patients to be concerned about becoming addicted to pain medication as in the case of Mrs.. Thomas. Addiction is â€Å"psychological dependence† on a drug and is not the same as tolerance or physical dependence, according to Oncologist, Dry. Gary Johansson who states that â€Å"In fact, addiction is rare when avoids are used for pain relief†. With proper education and regularly scheduled pain medication, Mrs.. Thomas should be much more comfortable and able to manage other areas of her life more successfully. Once Mrs.. Thomas’ pain is under control, she will be able to work through many of the stresses that have mounted since her diagnosis. As Mrs.. Thomas disease progresses, there will come a time when she will no longer be able to care for herself. A new Plan of Care should be created and ready to transition to at that time. At this time the interdisciplinary team should consist of a hospice care which is generally implemented when a patient has less than 6 months to live. When hospice is begun, all care is transferred to the hospice team. New orders for care, medication, equipment will be set up and time is given to the family or supporting both the patient and their loved ones. Care will focus on making the most out of the time they have left, â€Å"without some of the negative side-effects that life prolonging treatments can have†. Monsoon). Most hospice patients can attain a level of comfort that allows them to â€Å"concentrate on the emotional and practical issues of dying†. Willet-Legislations). Mr.. Thomas is carrying a big physical and emotional burden during his wife’s terminal illness. The Thomas family’s case is complicated by Mr.. Thomas’ chronic depression and high stress occupation. As Mrs.. Thomas’ needs escalate and change, so do the needs of the Mr.. Thomas. By facilitating psychological help for Mr.. Thomas, the care team is in turn helping Mrs.. Thomas by easing her worries about her spouse. Patients and families need support, guidance, and encouragement to begin planning for many decisions. Many spouses are weighted with concern about the patients’ comfort and impending death as well as every day problems. â€Å"This is an emotionally intense, exhausting, and singular experience, set in a world apart from everyday life patterns†. (Siegel). Mr.. Thomas needs to be reminded that in order to help care and be emotionally supportive to his wife, he needs to take care of himself. Medication reminders and grief support should be set up for Mr.. Thomas. Therapeutic conversation and guidance can make all the difference for the significant other off terminal patient. In addition, Mr.. Thomas needs respite care so that he can be fully present while caring for his wife. Mr.. Thomas should be encouraged to take a walk, a nap, or a restorative A care plan for Mr.. Thomas could be initiated with a nursing diagnosis of: Risk for Caregiver Role Strain. (SHE). Goal: Spouse will report low or no feelings of burden or distress by 8/01/14, measured by relief stated by spouse. Plan: Encourage the caregiver to talk about feelings, concerns, uncertainties, and fears. Acknowledge the frustration associated with caregiver responsibilities. Initiate counseling. 2. Help the caregiver problem solve to meet his needs. 3. Set up medication reminders for psychological medications. Implement: 1. Patient openly discusses concerns, uncertainties and fears (SHE). Patient acknowledges frustrations associated with his caregiver responsibilities. Patient attends counseling. 2. Patient participates in problem solving to meet his needs. 3. Patient follows medication reminders and takes medications for his depression. How to cite Care Plan, Papers