From Research to Practice Assignment Example | Topics and Well Written Essays - 250 words

From Research to Practice - Assignment Example One of these researches to practice demonstration is the use of heparinized saline for the flushing peripheral intravenous catheters was compared to saline (Keele, 2011). In this practical, saline was found to be more clinically effective in maintaining the peripheral catheters. As a result to this research, majority of acute care facilities made a recommendation use on patients only as a plush for the peripheral catheters. Research on cancer fatigue has been in progress for the last decade, and a research was conducted on the effects of active and moderate exercise on patients undergoing active cancer therapy, and treatment. The results showed that active exercise had positive results on fatigue, functional capacity, activity level and sleep. Since then, this method is practiced in the treatment of cancer related fatigue which has been adopted by many cancer treatment centers, and thus showing that research can be put into practice and show success. In the near future, it is good to use evidence based research in the field of nursing as it gives a wide choice of solution, and gives the correct treatment to a client. Evidence based practice is important for nursing, but its full implementation is hindered by the evidences

History of jazz Essay Example | Topics and Well Written Essays - 1000 words

History of jazz - Essay Example The next brass band was formed in 1884 and it consisted of a Creole cornet player called Manuel Perez who was an addition to the group. Different bands continued forming after that as well and they consisted of Creoles up until 1898. Jazz consisted of several different kinds of music such as blues music, ragtime and the brass band fanfares. Religious music was however not included in the mix of music during formation of jazz. White music which was popular was also missing at the beginning of the jazz music formation but was later on incorporated to add a commercial sense to the music and enable it to sell widely. In 1898 immediately after US defeated Spain and liberating Cuba, troops who had been in the war landed in New Orleans on their way to other locations. They brought brass instruments with them and they sold them on the black market which was adopted quickly. These brass instruments were unlike what was used before as they were European instruments and hence the music played from then incorporated European aspect into the Creole jazz blending the two up1. This new form of jazz with both African and European music and instruments in it was soon picked up across New Orleans and it formed the basis of the present jazz as it is known to date. New Orleans was a city which was filled with people of different races. There were Africans who were slaves, the Spanish from Cuba and who were at war with the US as well as other races such as the French, Germans and even Italians all whom were in South America but some also resided in New Orleans. Even though they had different cultures and languages, they shared a commonality which was the love for music. Each race had its own form of music which they sang in different places. It is these different genres of music that combined together to form jazz. The most renowned historian of jazz was

From Research to Practice Assignment Example | Topics and Well Written Essays - 250 words

From Research to Practice - Assignment Example One of these researches to practice demonstration is the use of heparinized saline for the flushing peripheral intravenous catheters was compared to saline (Keele, 2011). In this practical, saline was found to be more clinically effective in maintaining the peripheral catheters. As a result to this research, majority of acute care facilities made a recommendation use on patients only as a plush for the peripheral catheters. Research on cancer fatigue has been in progress for the last decade, and a research was conducted on the effects of active and moderate exercise on patients undergoing active cancer therapy, and treatment. The results showed that active exercise had positive results on fatigue, functional capacity, activity level and sleep. Since then, this method is practiced in the treatment of cancer related fatigue which has been adopted by many cancer treatment centers, and thus showing that research can be put into practice and show success. In the near future, it is good to use evidence based research in the field of nursing as it gives a wide choice of solution, and gives the correct treatment to a client. Evidence based practice is important for nursing, but its full implementation is hindered by the evidences

Military History Essay Example | Topics and Well Written Essays - 1000 words

Military History - Essay Example A Short History of the NCO is dedicated to the foundation of the NCO, its evolution, history, educational system; includes explanatory photos and tables. NCO Duties, Responsibilities, and Authorities Study Guide is a list of the main UCO duties and responsibilities which is shown in the form of questions and answers. B. The purpose of this paper is to show the role of the NCO corps and staff in the postwar history. The question demanding the answer: has the NCO played the active and appreciable role in the postwar U.S. Army history 2. A. After the World War II the constant growth of military technologies led to the necessity of new educational programs development: "Emphasis on NCO education increased to the point that by 1959 over 180,000 soldiers would attend NCO academies located in the continental United States. In addition to NCO academies, the Army encouraged enlisted men to advance their education by other means" (1). In 1950 the U.S.A. sent soldiers in Korea. The NCO soldiers took part in the war, and some of them were real heroes: "Near Surang-ni, Sergeant Ola L. Mize led the defense of "Outpost Harry." Learning of a wounded soldier in an outlying listening post, during an artillery barrage, Mize moved to rescue the soldier. Returning to the main position with the soldier, Mize rallied the troops into an effective defense as the enemy attacked in force" (2). During the war in Vietnam the NCO took a large part in combat leadership: "Needing large numbers of NCOs for combat, the Army created the Noncomm issioned Officers Candidate Course. Three branches were established at Fort Benning, Fort Knox, and Fort Sill" (2). There were also many cases of heroism among the NCO soldiers during the war: "Five times, Ashley and his newly-formed unit attacked enemy positions, clearing the enemy and proceeding through booby trapped bunkers. Wounded by machine gun fire, Ashley continued on, finally directing air strikes on his own position to clear the enemy. As the enemy retreated, he lapsed into unconsciousness" (2). B. In 1971 the NCO Educational System was introduced. Firstly it consisted of three training levels: "Basic Noncommissioned Officer Course (to provide basic leadership skills and a knowledge of military subjects needed at the squad and team level), Advanced Noncommissioned Officer Course (to provide the student with advanced technical and leadership skills), and the Sergeants Major Academy (which prepared senior NCOs to perform duties as sergeants major at the division and higher headquarters)" (2). The next rather important step of the NCO reforming took place in 1986, when was "established the Primary Leadership Development Course as a mandatory prerequisite for promotion to staff sergeant. This was the first time an NCOES course actually became mandatory for promotion" (2). In 1987 a new Sergeant Major Academy was build: "This 17.5 million dollar, 125,000 square foot structure allowed the Academy to expand course loads and number of courses" (2). Today the NCO Education

Area Evaluation for District Registered Nurse

Area Evaluation for District Registered Nurse Greenon Local School District Stephanie C Ebbs Wright State University College of Nursing and Health School Nursing The Ohio Department of Health (2014) defines public health nursing as promoting physical and mental health, disease prevention, injury, and disability. The ODH goes on to state public health nursing includes the individual client, family and support system of the client, as well as the community in which the client lives to provide services. Public health services include monitoring health, identifying health problems, educating on health issues, developing partnerships in order to identify and solve problems, developing plans and policies for individuals and communities, providing information on needed personal health services, and evaluating effectiveness, accessibility, and quality of personal and population-based services. (ODH, 2014) Carolynn Agresta is the Greenon Local Schools district registered nurse in Enon, Ohio. Carolynn graduated nursing school from the Ohio State University in Columbus, Ohio with a bachelor’s degree in September of 1981. Carolynn’s 33 years of experience includes being a nursing school adjunct and working oncology, neuro-surgical, orthopedic, ICU, and home health nursing settings. In 2000 she began working as a school nurse without school nurse licensure. Primarily Carolynn spends her days with the students in grades 7-12. Two assistants generally tend to kindergarten through grade 6. Both assistants have medical experience and have worked for the Greenon Local School district for the past couple of years. Carolynn is responsible for the entire Greenon school district which currently enrolls 1,838 students. Population The Enon, Ohio area is predominately Caucasian with an average age of 48 years of age. A majority of the population (58%) is married. 19% of the population have never married. 12.5% of the population is divorced. 9% are widowed and 2% are separated. Other ethnicities are prevalent in the community, but represent less than 25%. 91% of the Enon community has a high school degree, 28% of the community have a bachelor’s degree, and 13% have a graduate or professional degree. 8.5% of the Enon community is unemployed. Many in the community drive everywhere since a majority of the region is in a rural setting. Crime rates are below the national and state average and are mostly property related. (U.S. Department of Education Institute of Education Sciences and Advameg Inc., 2014) Struggles Carolynn faces includes the repercussions of multiple failed levees leaving tough necessary budget cuts on the school district. Teachers have not received a raise for the past three to four years and one of the four buildings open in 2013 has been closed. Carolynn reports the Enon, Ohio population to be many retired individuals who cannot pay any more than they already do for the district. She explained she is sad and happy at the same time for the merging of buildings as she moved from the now closed building into the Grennon Jr/Sr High School building this year. Carolynn states most of the buildings in the Greenon district need replaced and offers a metaphor of budgeting of the school buildings as placing a band-aid over a hemorrhaging wound. The buildings are just not in good enough condition to be continually repaired anymore. She reports pipes burst every winter and ruin the teachers’ classrooms. It forces the teachers to rebuild the classroom and shuffling the students to other rooms while repairs are being made. Many students require medical attention throughout the day at Greenon Jr/Sr High School. Most students come with minor requests of a band-aid for a minor cut, an ice pack, or feeling ill. Carolynn reports five students have Epi-Pens in the locked cabinet in the school nurse office in case of an emergent allergic reaction. One student reports having hypoglycemia and visits the school nurse’s office for a granola bar a few times during the week. One student has severe migraines. Two students are currently being monitored for type two diabetes. Three type one diabetics are present in the high school building and are Carolynn’s admitted biggest worry most days. She advocates independence of diabetic students, takes action during hypo/hyperglycemic episodes, and reports concerns to the student’s parent(s). One student is independent in diabetes management. Two students visit the school nurse’s office daily for diabetes management. One student in particular is poorly controlled and recently reported a hemoglobin (Hgb) A1C score of 13. It is a very poor score indicating the student’s diabetes is out of control. Carolynn shows genuine concern regarding the student’s long-term health. She reaches out to the student’s parents with concerns over constant hyperglycemia episodes. She is constantly helping the student try and understand how to manage carbohydrates in the diet effectively. Fears of amputation, vision and nerve damage, and a shortened life span for the student worries Carolynn. (ADA, 2014) Standards Carolynn must keep up with Ohio department of health (ODH) guidelines, Ohio state laws, HIPAA, and Greenon Local School district rules. Keeping up with compliance is no easy feat. Caring to a continuous steady stream of students needing attention, documenting care, calling parents, updating state required vaccination records of students, and instructing voluntary staff members how to tend to emergencies in her absence requires a lot of time, patience, multi-tasking, and skill. Ohio House Bill 264, safe at school, keeps children with diabetes medically safe at school. The bill allows volunteer school staff to be trained in assisting diabetic children with insulin administration and glucagon in an emergency situation. The safe at school bill also allows children to self-manage their diabetes while at school if able and capable. (ADA, 2014) One student is independent in diabetes management at Greenon. One student requires privacy to inject insulin at lunch time which is why Carolynn bought a divider for the school nurse office. One diabetic student requires a great deal of supervision and monitoring. Another law, House Bill 296 recently passed highly recommending and allowing schools to stock Epi-Pen in case of an emergency on a student not previously identified with anaphylaxis. This law will help save lives of students unaware of severe allergic reactions. House bill 296 also authorizes middle and high school students to carry an epinephrine pen with them at all times (with proper documentation from physician and parents turned into the district school nurse). Greenon Local School district does not currently stock Epi Pens, but eventually will. Carolynn states she wants to apply for a grant or at least investigate how to get the school buildings donated Epi Pens. She states she just has not been able to as of yet since the bill passed in April of 2014. (Legislative Information Systems, 2014) Five students have epinephrine auto injectable pens in the school nurse office. Most of the five students keep another Epi Pen on their person at all times in case of emergency. Students requiring epinephrine pen injection are required to be transported to the hospital and parental contact. No student is required to self-administer the epinephrine and volunteering staff are trained to assist students in case of an anaphylaxis. The Ohio Department of health has requirements of students regarding vaccinations. Polio, MMR (measles, mumps, and rubella), and Varicella (chickenpox) are required vaccinations before children begin kindergarten school. DTaP//DT/Tdap/TD are a required set of vaccinations for diphtheria, tetanus, and pertussis required before kindergarten and once before entering seventh grade. Every fall Carolynn must document and send letters to parents in order to have the proper documentation for students to remain in school. (ODH, 2014) Carolynn abides by the ODH standards of infection control prevention guidelines. She constantly is hand washing, changing paper bed linen after each student, changing thermometer probe covers with each student, cleans her stethoscope with alcohol before and after use, and never allows students to share ice packs, blood glucose monitors, band-aids, or ace wraps. Carolynn strives to protect herself, students, and staff from infection and illness and maintains high standards for herself in care of students. Care Carolynn provides a non-biased and supportive environment for all students. She listens intently to each student as they come to her office. Students always refer to Carolynn by Mrs. Agresta. She has a 700 dollar a year budget for the school nurse’s office and uses it on food and supplies. She provides free granola bars, juice, water, graham crackers, and fruit snacks to students upon request or diabetic need. Since the Greenon Local School district is public spirituality is limited. She can pray with students and families if requested, but not impede upon spiritual beliefs by federal law. Parents must be contacted to provide non-prescription medication at the school. Carolynn contacts parents daily for cough, cold, and allergy medications for students. Remaining in a supportive attitude and complying with parental wishes regarding care is a necessary component of school nursing. Giving parents an educated report of a student’s condition is required in communicating. Sometimes parents will take the student home to rest with or without recommendation of the Carolynn acting as school nurse. Carolynn is responsible for maintaining privacy in her clinic while caring for students. She requests students wait in the hall outside her office momentarily while she tends to another student. She has a nurturing motherly style approach to each student and treats each student with respect, attentiveness, and compassion as if each student were her own child. Carolynn is a dedicated nurse who tries to provide the best quality care possible in an economically struggling school district. She wishes she had more resources to help. Carolynn does reach out to local area school nurses, the Clark County Combined Health District, and the ODH for help and reference. Carolynn provides training to voluntary staff members on insulin, glucagon, and epinephrine auto-injector pens. She also answers any questions with educated research and provides additional information. She hangs health information in her office and around the school on bulletin boards to keep the student and staff population educated on their health. References Advameg, Inc. (2014). Enon, Ohio Statistics. http://www.citydata.com/city/EnonOhio.html#ixzz3DorjZSUU American Diabetes Association (ADA). (2014). Diabetes, complications, and safe at school. http://www.diabetes.org Legislative Information Systems (2014). House Bill 296 http://www.legislature.state.oh.us/bills.cfm?ID=130_HB_296 Ohio Department of Health (ODH). (2014). Immunization summary for child care, head start, pre-school, and school attendance: ohio. http://www.odh.ohio.gov U.S. Department of Education Institute of Education Sciences National Center for Education Statistics. (2014). Greenon Local Schools: Greenon High School. http://nces.ed.gov/ccd/schoolsearch/school_detail.asp?Search=1DistrictID=3904623ID=390462302475

Herald :: Essays Papers

Herald The Webster’s dictionary defines a herald as an official at a tournament of arms with duties including the making of announcements and the marshaling of combatants. This simple definition just barely scraps the surface of what a herald actually is. The office of herald has changed immensely over the centuries, as they became more dignified figures in the chivalrous world. The earliest record of a herald just mentions him as a messenger in war. He was a medieval officer in charge of carrying messages to and from the commanders of opposing armies. As we will see, this simple office turns into a complicated job that is still around in today’s society. In the twelfth century, the herald’s job grew to consist of announcing and conducting tournaments. This included announcing the proclamation of each joust and the name of each combatant. It became essential for the herald to be able to recognize the arms of the local nobles and thus become familiar with their family lineage. This ability became useful in combat, seeing how the heralds could recognize the opposing armies’ leader from the coat painted on his shield. The shield was the obvious place to paint the coat of arms since it had the largest surface area. With this knowledge of the different coats, one of the original roles of heralds was to identify and catalogue the arms of the men who had gathered at tournaments. Thus, heralds made a living by the perilous favorite sport of the nobility. Throughout the thirteenth century heralds began to serve nobles on a more permanent basis. They even wore the coat of arms of their master. Then, in the fourteenth century, heralds achieved an established position and were dignified figures in the chivalric world. Heralds of this century were acknowledged experts in armory and in all matters of secular ceremony. These ceremonies included displays of jousts and tournaments, in the judgement of prowess, in the ceremonial attire of coronations and in knightings and funerals. Officials in tournaments even trusted heralds with the vital task of deciding whether or not a contestant had a valid claim to knighthood. Their job also included recording promotions to knighthood on the eve of battle, and to search after it was over among the dead to note the names and arms of those who had shown prowess in the field.

Greek Tragedy Exemplified in Shakespeares Hamlet Essay -- Shakespeare

Greek Tragedy Exemplified in Shakespeare's Hamlet For several thousands of years, drama has existed among mankind. The ancient Greeks are accredited with the creation of drama, which began as simple religious rituals and eventually evolved into the more complex forms of tragedies and comedies. The first rules of drama, not surprisingly, were also written by a Greek--the famous philosopher and intellectual, Aristotle. Aristotle took note of the what qualities created a successful dramatic piece by observing a plethora of plays written by different Greek dramatists. As a result of what he observed, Aristotle compiled a set of guidelines to define the perfect tragedy. So influential, thorough, and well crafted were his writings that many poets and playwrights since have patterned their own works after them. Aristotle noted six basic requirements for a good tragedy--plot, character, diction, thought, spectacle, and song. The most important of all of these is obviously the plot. The plot needs to have a beginning, which doesn't necessarily follow any event; a middle, which follows the beginning and causes the ending; and of course the finale, which is caused by the middle and does not itself cause any other event. Common sense, therefore, dictates that all of the acts need to be skillfully woven into one another instead of each act abruptly starting and abruptly ending. The last need of a good plot is the incorporation of situation reversals and scenes of recognition. These are almost always the most powerful parts of any good plot, as they invoke emotional interest in the viewer. Character is the next most important aspect of the perfect tragedy after the plot. Every tragedy needs to contain a tragic hero. A complete vil... ...oetic form of all of Shakespeare's plays is always well crafted and problems with wording are nonexistent. Hamlet also contains some of the most famous soliloquies that Shakespeare ever wrote. Hamlet's "to be or not to be" speech is probably one of Shakespeare's best known speeches outside of Mark Antony's "friends, Romans, county men, lend me your ears" speech from Julius Caesar. Elements of song are also found in this play through the character Ophelia when she is in her maddened state. Hamlet is most definitely a shining example of an ideal tragedy. Its plot, characters, and wording are all masterfully crafted. It is well thought out and flows smoothly. William Shakespeare has truly embraced Aristotle's idea of the perfect tragedy through his own Hamlet, Prince of Denmark. Works Cited: Shakespeare, William. Hamlet. Global Shakespeare Theatre Series. 1996.