Treatment Intervention to Improve Sleeping Habits

Treatment Intervention to Improve Sleeping Habits Individual Assignment: Bad Sleeping Habits Koh Ke Mian Bad Sleeping Habits According to Carskadon and Dement (2011), sleep is both combinations of physiologic and behavioral processes. When sleeping, the awareness to environment stimuli will decrease (Carskadon Dement). On the other hand, National Institutes of Health (2011) had stated that sleep is just for your brain and body to shut down. People always think sleep is merely their â€Å"down time† due to their brains will shut off when sleeping. Therefore, people will always stay up late because they will think sleeping is not important and it is wasting their time. Moreover, the researchers found that how much you rested depends on the total sleep, timing of the sleep stages, and how much sleep you get each night (National Institutes of Health). Besides, Kashmir Monitor (2012) had stated that health problems are caused by the sleeping patterns. In this globalization and urbanization, bad sleeping habit has become common and more and more young people stay up late to make sure their work is done o n the day. In addition, people will also sacrifice their sleep to do other things, such as rushing assignment which due on the next day, watch movies, play games, or chit chatting. According to Sleep Health Foundation (2011), bad sleeping habits is defined as poor sleep hygiene. Bad sleeping habits can be refer as erratically bedtime routine, which is not enough sleep for each day and sleeping very late. Bad sleeping habits may bring a lot of consequences to us which may influence our life. There are consequences that will be affected by bad sleeping habits. According to Harvard Health Publications (2007), there are connection between sleep and heart disease. They had stated that bad sleeping habits may cause heart disease and heart disease will affect the quality of sleep (Harvard Health Publications). On the other hand, the researchers had also mentioned that bad sleep habits brings a lot of consequences, such as high blood pressure, atherosclerosis, heart attack, heart failure, stroke, diabetes, and obesity (Harvard Health Publications). According to Harvard Health Publications, there will be higher risk of getting heart attack due to the bad sleeping habits. Furthermore, the researcher had also stated that bad sleeping habits causes higher risk of getting mood disorder such as major depression (Oster, 2012). Other than that, the researcher had found that students who have bad sleeping habits will negatively affect their academic performance (Park 2009). In addition, bad sleeping habits may also affect the performance and difficulty concentrating in class (Park). National Institutes of Health (2011) had stated that people who suffer from lack of sleep will slower down the thinking processes, harder to focus or pay attention on something, may cause confusion easier, make the wrong decision and risk taking, and slower down the reaction time. People who do something which need quick reaction may be dangerous if they suffer from lack of sleep. According to Cain (2012), the intervention of school will be effective in increasing the knowledge of sleep to adolescents. However, there are no significantly improvements of changing bad sleeping habits (Cain). On the other hand, students had stated that there were no motivations for them to change their habits in order to get more sleep (Cain). According to Cain, he had stated that people who have bad sleeping habits have the trend to avoid the morning bright light. Other than that, the researchers had mentioned that changing a behavior may require the willingness of an individual (Miller Rollnick, 2002, p.10, as cited in Cain). To change the bad sleeping habits, the individuals should have the willingness to change and believe on their own ability which they can change the habits. Motivating me is the way that I can change this habit and knowing more about the effect that cause by the bad sleeping habits may force me to change it. I will change this habit due to the consequences that could bring me. According to Harvard Health Publications (2007), lack of sleep will cause high blood pressure, atherosclerosis, heart attack, heart failure, stroke, diabetes and obesity. Lack of sleep may also affect an individual difficult to focus, decrease reaction time, and faulty decision making (National Institutes of Health, 2011). In addition, the tools that I will use to help me change my bad sleeping habits are avoid to take caffeinated drink at least four hours before going to sleep, not to take nap in the evening because it may make it harder to sleep at night, not taking meals when going to bed but not feel hungry, try to go to bed at same times, and not spending too much of time with bed while not sleeping (Sleep Health Foundation, 2011). According to LeBourgeois, Gi annotti, Cortesi, Wolfson, and Harsh (2005), as cited in Marhefka (2011), avoid taking nap in the late-afternoon or taking nap more than an hour during daytime, and not taking alcohol, caffeine, and tobacco before going to bed may have good sleeping habits. Method To make sure that I change the behavior, the behavior that I measure is the bad sleeping habits. In the baseline phase, I have used a mobile app which called sleepbot (Refer to Appendix F) to help me record my sleeping time and wake up time. This app help to record people’s sleep pattern and it can also track motion. It can help people know what are the problems that make them cannot sleep well and they can change their sleeping pattern through understanding this. Moreover, through recording my sleeping time and wake up time, I can know the amount of my sleeping time that I slept in a day and mostly what time I go to bed. Moreover, in treatment phase, I had set alarm clock for myself which remind me to sleep and wake up on time. Besides, sleepbot is the app that could help me calculate my amount of sleep and how much I debt to my sleep. I had set up the hours that I have to sleep which is eight hours a day and I set the alarm clock by using this app as well. Through using this sleepbot application, it reminds me the time I have to sleep everyday which may help me change my bad sleeping habits. On the other hand, this app may also allow me to record my daily sleeping quality. I will choose this app to help me change my bad sleeping habits because this app has a lot of functions which I can use it and no need to download so many apps that help me record my sleep quality. Furthermore, I will choose this app to help me change my behaviour because the first things that I will do when I open my eyes is check my smartphone. This app has the alarm clock system, so I will turn off it when it ring and it records my wake up time together, and I think it is very convenience. Results In the baseline phase, there are 54.4 hours of sleep time from 29th January 2015 to 5th February 2015 (Refer to Appendix A). The average daily sleep in these seven days is 9.1 hours. There is only a day which I did not sleep for eight hours. However, the earliest sleep time for me is at 12.14am and the latest sleep time is at 1.39am (Refer to Appendix B). Other than that, my earliest wake up time in the baseline phase was at 7.15am, and the latest wake up time was at 11.06am. Even though the total average sleep for me was 9.1 hours, but I do not have a healthy life style (Refer to Appendix A). Therefore, I would like to change it and make me be healthier. The treatment phase started from 12th February 2015 to 19th March 2015. In this treatment phase, I had found that the earliest sleeping time for me was at 11.15pm, but the latest sleep time was at 2.57am (Refer to Appendix D). This has showed that the behaviour that I would like to change had failed. Furthermore, my average sleep ti me in this treatment phase is 8.8 hours per day (Refer to Appendix C). It showed I slept more than eight hours a day, but my sleeping time and wake up time are not the same every day. On the other hand, the researcher had stated that if a person want to have good sleeping habits, they should go to bed at the same time (Sleep Health Foundation, 2011). According to Appendix E, the longest time I slept was about 12 hours, and the shortest time I slept was about four hours. My consumption of sleep dramatically changes every day. Furthermore, the results had showed that I did not change my sleep behaviour throughout the time and it had showed that I had slept latest in the treatment phase than baseline phase. Discussions This treatment programme did not work for me. This is because Lunar New Year was in my treatment phase, and I went to travel on that time. I could not sleep on time because I was not in the hotel on that time. Furthermore, this treatment programme failed because the treament period was the assignment weeks and I had to sacrifice my sleeping time to finish my assignment on time. In addition, I think procrastination is the important effect that I have to sacrifice my sleeping time to do my assignment. On the other hand, I think the app was useful, however, it could not motivate me to sleep earlier. Moreover, I think the weakness of this app was that I have to open the app myself while I want to record my sleep time and it is not convenient for me when I was feeling sleepy. It caused me lost my drowsiness when I started to set my sleeping time. This is because I have to think where my app is which caused me to regain consciousness. I think this app had contributed to me 60 percent out o f 100 percent. This is because it does not provide any other functions such as tips which help for sleeping, or music which makes people relaxes. Furthermore, I always switch off my smartphone when I am sleeping. However, this app needs to on my phone all the time and it drain my phone battery whole night. The difficulties that I had faced in this treatment phase were I did not have any motivation which helps me to sleep earlier. In addition, there were a lot of others factors which caused me to sleep late, such as rushing assignment, watch drama, or chit chatting. Procrastinating could affect my sleeping time. Furthermore, I think that because of nobody urge me to sleep earlier which makes me do not care on it. Besides, I had influenced by other people (e.g. family and housemates) that they all sleep very late and it makes me to sleep late also. According to Voke (2002), environment encourages exploration will encourage the child’s natural motivation. The motivation will come from the encouragement of environment. Other than that, according to Saul (2014), he stated that procrastinating could affect ability to sleep, and also affect general health and well-being. I think the app could add some music in which could help people to relax when they are stress out and could not sleep due to the stressful environment. In addition, I think the app may provide some functions which calculate the intake of caffeine, tobacco, and alcohol in a day. This is because the amount of taking caffeine, tobacco, and alcohol may also affect the quality of sleep. Other than that, I think this app should change their system which allows their user to switch off their phone while they are sleeping. It not only helps the users sleep better, it also helps the users to save the battery of their phone. Besides, I think I should ask someone to urge me to done my work earlier and also go to sleep before 12am. I think it could be effective if someone urging me. Moreover, stay with the people who sleep early could motivate me sleep earlier. In addition, I may also require my family to sleep earlier which help to motivate me.

Card Game Essay

The study was commenced inside the Computer Shop at Dasmarinas, Cavite. After we discussed our first topic we planned to come up with a Card Game as our second topic for the sake of our thesis project in Software Engineer Subject. We picked Card Game as our second topic because we feel that it’s more challenging rather than hunting some companies around Dasmarinas. Some of the reasons why we picked Card Game as our second topic are because in this topic we own our time performing the codes of the program any time before the day of our defence without such pressure. Statement of the Problem From some of the research and data we gathered. We found a few application and websites that is running a similar online game like our propose topic. From what we’ve seen some major problem that they have is that the game is not quite user friendly. It’s difficult to use the control. Because of the lack of visual control buttons. There is also limitation on how many game can it accommodates at the same time. Of course keeping the gamers idle for so long they might lose interest in the game Research Objectives The Objectives of this research is to develop a game that will be entertaining and at the same time, a game that will be educational that may enhance thinking and decision-making skill in the following ways: * To make unique cards in the game that will allow diversity for the players to think of their own strategy. * To ensure that players will have no advantage against each other by making cards balance. * To allow multiplayer (online) for players to play against each other in different parts of the world. Significance of the Study Cardfight vanguard is a trading card game there are also people who wants to experience playing this game but doesn’t have the luxury of buying the needed cards and also looking for people to play with. Since people now are more often browsing the internet people who want to play Vanguard can play the game without buying the necessary cards needed and having to worry of looking for someone to play with. Conceptual Framework * PHP Hypertext Preprocessor. * Randomized * Easy access * Less hassle Electronic Trading Card Game The model above explains on what and how will be the process of the study. Trading Card Game is a game played using specially designed sets of playing cards. While trading cards have been around for longer, TCGs (Trading Card Games) combine the appeal of collecting with strategicgameplay, but in our study we will do it in a different way by using PHP Hypertext Pre-processor as our scripting language for this study and for our main function for this logical game is the random() function. The researchers will assure an easy access program for the user and it lessens hassle because rather than bringing your deck of cards using your bare hands, just bring your portable computer and start playing the game on your most comfortable place.

Macbeth Analysis Essay

The extract before me is from Macbeth written by William Shakespeare in the year 1606. It is from Act 1 Sc 7. It takes place in a room at Macbeth’s castle at Inverness. The extract primarily deals with the ploys that Lady Macbeth uses to persuade her husband Macbeth to commit the crime of murdering King Duncan. Two important themes are bought out in this extract, one is about the creation of gender roles and stereotypes and the second one is about appearances often being deceptive. The extract begins with Macbeth telling Lady Macbeth â€Å"We shall proceed no further in this business†. This is obviously referring to something which has happened before in the scene. Macbeth has been contemplating the consequences of this murder. He conceives a very apocalyptic vision of how the angels of heaven are gonna be coming and spreading the news of this murder all across. The angels are gonna be pleading for Duncan’s virtues and the people are gonna be actually crying and there be like a flood of tears which will drown the Earth. So, he tells Lady Macbeth that he does not wish to do away with his golden reputation, he does not want to lose its gloss and therefore, he does not want to proceed with the bloody business as he calls it. Lady Macbeth is obviously very affected by this and she ends up trying to accuse Macbeth of being unmanly. She uses adjectives like â€Å"pale†, â€Å"green†. She compares him to â€Å"the poor cat in the adage†. She is trying to drive the wedge between him and his doing and his desire to achieve the throne and his lack of action. Now, Lady Macbeth says, â€Å"what beast was it then that made you break this enterprise to me†. This is a reference to Act 1, Sc 5 because in Act 1 Sc 5, Macbeth tells Lady Macbeth about the prophecies that the witches had made and how he is supposed to become t he King of Scotland after becoming the Thane of Cawdor. Now, Lady Macbeth is just wedging upon those lines saying that â€Å"when you dared to commit this to me, that is when you were a man† and now if you are actually gonna commit the deed of murder, you are gonna commit the heinous crime of regicide, you will be even more the man. Lady Macbeth reasons out that the time and the place were not appropriate to kill Duncan at that time but now since he has come into our battlements, he is in our castle as our guest, we are supposed to kill him. Lady Macbeth is surprised that Macbeth is losing his resolve at this time. Lady Macbeth goes on to create a very grotesque image that shows that the milk of human kindness is actually not present in her. She says that she has suckled the baby at her breast and she knows â€Å"how tender it is to love the babe that milks me† and she says that if she had ever said that she had committed to anyone that I am going to be killing my child, she would have actually plucked his mouth out of her nipple and dashed his brains out against the wall. This is a very grotesque image produced by Lady Macbeth has produced. This makes it clear to us that Lady Macbeth has been dehumanised, defeminised in all ways. Thus, she has achieved her wish which she asked from the spirits. She is totally unwomanly and does not have any maternal instincts. She is actually a reminder of the character Medea from the play Medea written by Euripedes because Medea had self-decided to kill her own children. Now, we see that the scene has become progressively darker with Lady Macbeth creating images of death and Macbeth ends up contemplating the possible consequences if we should fail. We should see that there are several times when Macbeth and Lady Macbeth talk about each other as being one. They perpetually use ‘we’. Macbeth has never said that ‘i’ am gonna fail at the murder. He says that ‘we’ should fail. This shows that there is a sense of togetherness and they are partners not only in greatness but also in crime. So, Lady Macbeth immediately retaliates but then at this time there is a shift in tone. It becomes much more pragmatic because she divulges the plan of the murder to Macbeth. There is a metaphor used over here, it’s about stringed instruments, now just as you take the string and you create the appropriate tension by tying it to the right peg. Similarly, Lady Macbeth expects that Macbeth decides to be headstrong and resolute and decides to screw his courage to the sticking place. If he does so, they will certainly not fail. She goes on to discuss the plan of murder with Macbeth. She says that when Duncan will be asleep and in all probability, he is likely to sleep due to his long journey. The two sentinels outside his room are gonna be intoxicated by Lady Macbeth using wine, drugs. She will make sure that they are so drunk that they will lose thier memory which has been described as â€Å"the warder of the brain†. The receipt of reason will not be there. Reason will actually be distilled out of their brains. They will not be able to understand anything. They will actually behave like swine and sleeping in that manner. Lady Macbeth sees it as golden opportunity to perform the murder. She once again, as I said, talks about them being one. She says â€Å"what cannot you and I perform upon the unguarded Duncan?† when in fact the murder is going to be committed by Macbeth alone. Lady Macbeth is obviously very important partner in his crime. Now, Lady Macbeth further tells him that they are gonna be taking the daggers and staining the officers with the blood. She expects the officers â€Å"to bear the guilt of our great quell. Now, the use of the word â€Å"guilt† over here is very important and it is also very ironic because it is not like they do not do away with thier guilt ever. In fact, they leave in torment of the very murder. Lady Macbeth in Act 5, Sc 1 in the sleep-walking soliloquy is a woman who has completely lost her senses. She is leaving under intense emotional pressure and she is the one who is not able to sleep anymore. So, it shows that they are actually guilty of the crime. Macbeth himself in Act 2 Sc 2 does not wish to even go back to the scene of the crime again. So, it shows that even though they are gonna be staining the sentinels with blood. In fact, both of them are gonna be living in horror of the deed. Now, Macbeth seems to be quite convinced and he asks Lady Macbeth to bring forward male children only because the â€Å"undaunted mettle should compose nothing but males†. Now, this is very significant because it is about the creation of the gender stereotypes. In the Shakespearean area, it was expected of men to be embodiment of valour, courage and ruthlessness to some extent and woman on the other hand were expected to be more submissive and incapable of coming up with wicked plans. However Lady Macbeth is an exception to this rule because she comes across as one who is so resolute and cold, so devoid of pity that this is something which should be there only in men. Macbeth once again questions his wife and asks her that if they are gonna marking the two sleepy sentinels with blood, would it not see that they have done it. Lady Macbeth says that while they will be hysterically crying and lamenting the death of Duncan, suspicion will never fall upon them. Macbeth finally capitulates to all its wife’s persuasions and he seems to have â€Å"bend up each corporal agent to this terrible feat†. This is a very important line in the building up of the tragic hero because Macbeth is gonna be himself responsible for his fate. He has decided to put his heart and soul into committing so heinous a crime and he is indeed gonna be bearing indeed the consequences of it as we see later in the play. The scene ends with a couplete that rhymes which is typical of Shakespeare. It says that â€Å"Away, and mock the time with fairest show: false face must hide what the false heart doth know. So, it recounts the theme that appearances are often deceptive. This theme has been running throughout the play. It all began with King Duncan in Act 1 Sc 2 when he wished that he would be able to recognise people by simply looking at their faces. It is also present in Act 1 Sc 5 when Lady Macbeth asks her husband to â€Å"look like the innocent flower but be the serpent under it†. This time Macbeth is the one who is actually telling his wife that she is suppose to be having composure, she is suppose to conceal her ulterior motives and her false face must hide the real intentions that she has. In conclusion, i can say that there is a big contrast between the characters of Macbeth and Lady Macbeth. Macbeth is the one who is contemplating the fear of failure. He says that we should fail, what would happen. He is no doubt ambitious but at the same time he also comes across as a rational being.

Student Nurse Assessment

Student Nurse Assessment Free Online Research Papers Assessment This assignment will describe the assessment of a client that the student nurse has worked with and show how a holistic approach to the assessment process was used and the importance for this. Reference to the academic theory that support and are the reasons behind the student’s actions will be made throughout. The nursing process contains four stages based around the individual: The first and most important stage of the nursing process is assessment where good communication skills are essential to the nurse to allow her to identify problems with the client; actual and potential, physical and psychological (Kenworthy et al 2001). One of the most important nursing skills is the ability to assess the client as this is the first stage in the nursing process and is vital to obtain the information that will allow the nurse to plan and implement nursing care and evaluate their effectiveness (Smeltzer Bare 2003). The client’s details have been changed to maintain client confidentiality in accordance with the NMC Code of Professional Conduct 2004. â€Å"Anastasia Beaverhausen†, aged 78, was admitted to hospital for treatment of a fractured neck of femur. Shortly after Anastasia’s arrival to the ward, the nurse assessed the client’s blood pressure, pulse, temperature, respiratory rate and oxygenation levels (SP02). This gives the nursing team a baseline to monitor Anastasias future observations against to determine any progress or deterioration of the client’s health. The wards assessment model was loosely based around the Roper, Logan and Tierney, and was used to begin the first stage of the nursing process. This wards model used the 12 activities of daily living designed by Roper et al which are maintaining a safe environment, communication, breathing, eating and drinking, elimination, washing and dressing, thermoregulation, mobility, working and playing, expressing sexuality, sleeping, death and dying (Holland 2005) with the added assessment of skin/pressure areas. The assessment interview allows the nurse-patient relationship to be established on the basis of mutual concern for the patient’s well being. However, the interview must have a structure and contain a beginning and an ending, and should progress logically, ensuring meaning to the participants (Mallet Dougherty 2000). The nurse began by introducing herself to the client and explaining what she was going to do. In accordance with the NMC 2004 where it states that nurses must promote and protect dignity of clients, the nurse pulled the curtains around the client’s bed space to promote the client’s privacy. A private room would have been a better place to undertake the assessment, as other patients could potentially still overhear, however this was not available and the situation was dealt with to the best of the nurse’s ability. The nurse informally chatted to the client to begin to build a relationship with her. She did this to help make the client feel at ease with her and therefore feel able to express her feelings and concerns as some problems may not be disclosed by the client and may only be identified when the nurse-client relationship develops and the client feels able to trust the nurse (Mallet Dougherty 2000). To do this, the nurse positioned herself near to the client and used warm body language and eye contact. At this early stage of interaction, both verbal and non-verbal communication skills are extremely important, as any relationship comes about through communication (Nolan 2003). To enable the nurse to identify any interrelated problems, a holistic approach to the assessment was required. The term comes from the Greek word ‘holos’, meaning ‘whole’. By applying the holistic approach to health care, the nurse takes places emphasis on the whole person, taking into account the physical, emotional, intellectual, spiritual and cultural background and needs of the individual rather than simply treating the symptoms of their illness (Kenworthy et al 2001). And upon review of the many nursing theories currently in use, it is clear that they all take into account the whole person (George 1995). Early on in their conversation, it was established that Anastasia was very concerned about her dog that had been left at home with no-one to look after it. She was extremely worried about this and the nurse noted that this was a holistic need of the client that needed to be addressed. This emphasizes the importance of a holistic approach, because although it was not a symptom of the client’s injury, it was causing her to feel anxious and distressed. To gain Anastasia’s trust and her acceptance of her treatment plan, the nurse had to address this issue so the nurse asked the client if there was anyone that she could contact on her behalf and if Anastasia would be happy for this person to take care of her dog. The client remembered that her neighbour, who was a close friend, had a key to her house and that it would put her mind at rest if she knew she could care for the dog. For the purpose of this essay, the focal point will be on three of the activities of daily living that relate most to the client. For Anastasia, these were Eating and Drinking, Mobility and Skin / Pressure Areas. These were chosen because nutritional weakness and injury may also result in loss of muscle, and possibly decrease the client’s mobility and increase the likeliness of pressure sores and therefore increase recovery time. Through building a relationship with Anastasia, the nurse was mostly able to complete the assessment without asking too direct questions and therefore creating a feeling of formality for Anastasia, as clients may be reluctant to offer information around having a fall for fear of being put in a home or the need for a walking aid (Delorito 2002). During their discussion the client explained that her injury was the result of a fall after she slipped on some ice while out walking. Through talking to Anastasia about her previous medical history and reading the clients notes, the nurse saw that there had been no record of any previous slips or falls. It is important to ask the client if she has had any previous slips or falls, as a history of these is one of the most common risk factors for future falls (Delorito 2002). It was reported to the nurse by the client that she was a very active and social lady and she hoped to return to her normal life as soon as possible. The nurse was able to gain a picture of Anastasias mobility through their interaction, and noted that she usually walked unaided, had no stairs at home as she lived in a bungalow and took her dog for daily walks. The nurse also made a visual assessment and saw that the client was able to move positions in bed reasonably well which would therefore aid keeping her pre ssure areas in tact but she seemed to be in pain by doing so. To enable the nurse to assess how much pain Anastasia was in, she asked her to describe her pain on a scale of one to ten, with ten being the worst and zero being no pain at all. The client reported six on this scale and the nurse noted that this could hinder her movement while on bed rest and potentially lead to pressure sores. The nurse explained to Anastasia that she would have to remain on bed rest until the fracture had been stabilized and informed her as to how and why pressure sores form and that she could potentially be at risk, and for this reason, the nurse would need to carry out a Waterlow Assessment. Thus is in accordance with the NMC 2004 where it states that nurses must recognise and act to minimize the risk to clients. The Waterlow assessment is a tool used to determine the risk status of the client, and professional judgment must still be used. It allows clients to be classified according to their risk of developing a pressure sore under the categories of weight for height, continence, skin type, mobility, sex and age, appetite, and special risks such as tissue malnutrition, neurological deficit, major surgery or trauma and medication. To complete the weight for height score with, a body mass index (BMI) calculation must be carried out. This is a measure which takes into account the client’s height and weight to measure their body fat and can alert nurses to possible health risks for the client; the higher the BMI, the bigger the risk is of developing further health problems such as diabetes, high blood pressure and heart disease (Lee Neiman 2002). As the nurse was unable to measure and weigh Anastasia, she used information provided by the client to calculate her BMI. The nurse also asked to look at the client’s pressure areas to see if there was any evidence of any sores, either healing or beginning and noted that there were none. As part of the assessment process, the nurse also needed to assess Anastasias nutritional status. Nutritional assessment is a crucial part of nursing care (Horan 2000) as this would help the nurse to identify if the client was undernourished, the possible reasons for this, and to provide a baseline for any future care given (Gibson 2005). Because a good diet is essential to the healing process it is vital to know if the client was getting the proper nutritional intake. The nurse needed to take the clients diet history, including food frequency, habits, preferences, meal patterns, and possible religious restrictions (Lee Neiman 2002). To do this, the nurse spoke to the client about what she would usually eat at home and asked her open questions beginning with how and why, for example, creating a much greater chance of the client feeling able to express their feelings rather than simply answering â€Å"yes† or â€Å"no† (Nolan 2003). This extra information given by the client enables the nurse to gain a more comprehensive picture of Anastasias eating and drinking habits. The client became upset and reported that she had had a loss of appetite over the past two months since her husband had passed away. This was also why she was so anxious about her dog and hoped to return to her normal routine and social activities as quickly as possible as she feels that this helps her to cope with her loss. The nurse also noted, through a visual assessment of the client that her skin was dry, indicating dehydration. This was verified when the nurse asked Anastasia what she would normally have to drink in a day, including alcohol, as the client reported that she drinks only two to three cups of tea per day and drinks a glass of cherry on special occasions only, enabling the nurse to confirm her belief that the client also had an insufficient fluid intake as clients should be encouraged to drink 2-3 litres of water per day (Gibson 2005). As part of the nutritional assessment, Anastasia was also asked if she had any dentures, was taking any vitamins, minerals or supplements, and if she had any food allergies, to which the client explained that she had a full set of dentures, took no supplements, but was wheat intolerant and found this hard to cope with, which also influenced her eating habits as she cant eat the simple snacks she would like to because she is no longer cooking regular meals. The nurses visual assessment, and noted that the clients clothes and rings seemed a little loose, indicating a recent weight loss (Lee Neiman 2002). The nurse also noted that a lack of sufficient nutrients could have influenced the clients fall if she was weakened by a poor diet, as vitamin D is an essential nutrient for bone health and a major cause of its insufficiency is poor nutrition (Gennari 2001). While speaking to Anastasia the nurse made notes that she could refer to later. This was done to allow the client-nurse interaction to continue a little smoother than if the nurse was to repeatedly stop to document and to create a more relaxed atmosphere. After the assessment, the nurse used her notes to record and document all her findings clearly and legibly onto the clients assessment form, promoting effective communication between other health professionals and in accordance with the NMC Code of Professional Conduct 2004. CONCLUSION It has been established that the assessment is probably the most important stage of the nursing process because if it is done without care or inaccurately it will affect the planning, implementation and evaluation stages and possibly the clients care. Perhaps the most important factors to the assessment process are good communication and good documentation. A good assessment is dependant on the relationship between the nurse and the client and the most important aspect of all nursing activities are those that promote professional, compassionate, human to human interaction (Weber Kelley 2003). Good documentation remains in line with the NMC Code of Professional Conduct 2004 as it promotes better communication, consistency, continuity, efficiency, and professionalism within the nursing team (Wood 2003). Research Papers on Student Nurse AssessmentThree Concepts of PsychodynamicThe Project Managment Office SystemResearch Process Part OneArguments for Physician-Assisted Suicide (PAS)Moral and Ethical Issues in Hiring New EmployeesIncorporating Risk and Uncertainty Factor in CapitalStandardized TestingThe Relationship Between Delinquency and Drug UseRelationship between Media Coverage and Social andRiordan Manufacturing Production Plan

Laugh About Writing

Laugh About Writing Laugh About Writing Laugh About Writing By Sharon Writing doesnt always have to be a serious business. Though its wise to make sure that you write correctly, theres a lot of fun to be had when playing with words. Two emails that landed in my inbox the other day made me chuckle. The first was called Humor for Lexophiles. I wont reproduce the whole thing, but here are a few of my favorites: The butcher backed up into the meat grinder and got a little behind in his work. To write with a broken pencil is pointless. A thief fell and broke his leg in wet cement. He became a hardened criminal. The professor discovered that her theory of earthquakes was on shaky ground. A dentist and a manicurist fought tooth and nail. You are stuck with your debt if you cant budge it. Acupuncture: a jab well done. The second source of amusement was an email featuring metaphors from student essays. Here are a few that caught my eye His thoughts tumbled in his head, making and breaking alliances like underpants in a dryer without Cling Free. She grew on him like she was a colony of E. coli, and he was room-temperature Canadian beef. Her vocabulary was as bad as, like, whatever. McBride fell 12 stories, hitting the pavement like a Hefty bag filled with vegetable soup. Even in his last years, Granddad had a mind like a steel trap, only one that had been left out so long, it had rusted shut. The plan was simple, like my brother-in-law Phil. But unlike Phil, this plan just might work. It was an American tradition, like fathers chasing kids around with power tools. Obviously, Im not the only one who got these emails, so if you want to see more of these gems, look here and here. Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the General category, check our popular posts, or choose a related post below:Writing a Reference Letter (With Examples)How to spell "in lieu of"Apostrophe with Plural Possessive Nouns

Vies Assertion About Technology and Society Essay

Vies Assertion About Technology and Society - Essay Example When I get up in the morning, the first thing I do is check the skype messages on my mobile phone to see what my dudes had to say to me overnight. I don’t leave the bed until all messages have been attended to. In the school, I discuss latest Apple apps with my friends. My connection with friends remains open full time in the school because one of the sites that always remains browsed on my computer screen is facebook. When I get back home, I remain in contact with my friends and brothers upon massively multiplayer online games. They consume most of my time. An insight to my daily routine suggests that my social relations have been enhanced because of the 24/7 use of digital technology, though only to a certain group of people i.e. my friends. In my childhood, when I did not have a computer and there was no such thing as skype or facebook, I used to spend more time with mom, dad, grandpa and granny. I used to sit with them, have lunch, dinner, tea and coffee with them. My grandma narrated me stories and I went jogging with dad. I discussed with mom what happened in the school. But all these golden moments have been swiped away from my life by the technology. Digital technology has also changed the way I perceive myself. This is unfortunate but the change has occurred for the worse. Before, I used to feel that my blood relatives have more right upon me but with the passage of time, I have become more independent. I don’t want to think like this but I have become more of a public property than my family’s. Digital technology has increased my social networking with people of my age and distorted my social network with people elder or younger to me. Digital technology has particularly promoted my relations with people, who I am not related to by blood and weakened my tied with my blood relatives.

Foreign Currency Matters Essay Example | Topics and Well Written Essays - 500 words - 1

Foreign Currency Matters - Essay Example On the other hand, if the functional currency is the Japanese Yen, then there will be no effect on exchange rates. This means that cash flows will not be impacted, hence not included in net income (Financial Accounting Standards Board, 1981). Â  In a situation where more than half of the subsidiary’s revenue is Singapore sources, the Singapore Dollar will be the functional currency but the end of year finances will be reported in Japanese Yen. On the other hand, if more than half of the subsidiary’s revenue is from Japanese sources then the functional and reporting currency will remain as Japanese Yen (Earnest & Young, 2014). Â  4. Remeasurement means that a subsidiary’s functional currency is dominant in record keeping. At the end of the year, the current exchange rates are put into an account before reporting such that any gain or loss is reflected in the income statement. On the other hand, translation means the books are kept on the functional currency and transferred directly to the reporting currency without reflecting any gain or loss out of the exchange process. This can be reflected in the equity books away from financial books (Carmichael, Whittington & Graham, 2007). Â  5. Windbigler’s statement is incorrect when he says that the current exchange rate is defined as the exchange rate between functional currencies and reporting currencies at the balance sheet. In practice, the current exchange rate is defined as exchange rate at the balance sheet of the functional currency before the reporting currency. Alvarez statement is correct concerning monetary assets and liabilities (Georgiades, 2008). Â