US Soldiers and Their Relationship With Society in America After the Vi

US Soldiers and Their Relationship With Society in America After the Vietnam War Imagine playing in the NCAA National Championship game in front of 50,000 people and millions of others watching via their televisions at home. After an intensely fought game the final score indicates that a loss was suffered. Hopes and dreams of winning a National Championship are gone and one can only contemplate what could have gone the other way and what may be in store for next season on the journey home. Once arriving to campus the cheers and mass distributions of congrats are heard by those in the surrounding society for the effort and hard work exhibited by the players on the team. Although defeat was endured, positivity still lingered amongst the community. The story of the losing team in a National Championship game is seen numerous times every year. However, the relationship the society of America displayed with the returning soldiers from the Vietnam War had a negative aura that is still shown over 30 years later. The Vietnam War was filled with controversy from the beginning and it has yet to end today. The Vietnam Veterans in America suffered from social, physical, and psychological problems that only complicated their relationship with society and is portrayed statistically and through examples from soldiers since the day they returned from the battlefield. The Vietnam War was an extremely controversial war that took the lives of many Americans and resulted in America’s first losing campaign. The U.S. was involved in Vietnam since World War II supporting Ho Chi Minh and his Communist forces against Japanese occupation. After the result of an incident involving two US vessels, President Lynden Johnson ordered jets to bom... ...amongst the society and the individual soldiers may roam for years to come. Hopefully the next time America is faced with entering war the players come home from the championship game with a win and a remarkable homecoming. Learn more about the Vietnam Veterans and the Vietnam Memorial (1) Lembcke, Jerry. The Spitting Image: Myth, Memory, and the Legacy of Vietnam. New York: 30. (2) Lembcke, 30. (3) Dean, Eric T. Jr. Shook Over Hell: Post-Traumatic Stress, Vietnam, and the Civil. War. Cambridge: 183. (4) Edwards, Adam Charles. Personal Interview. (5) Lembcke, 32. (6) Lembcke, 1. (7) Lembcke, 31. (8) Witteman, Paul A. â€Å"Lost in America.† Time, 11 February 1991: 76-77. (9) Witteman, 76. (10) Witteman, 77. (11) Witteman, 76. (12) Witteman, 76. (13) Witteman, 77. (14) Dean, 195. (15) Dean, 196.

Counseling Case Study Essay

Introduction – Robert is a 46 years old high functioning male. He just recently got divorced and he self-referred himself for counseling. On the first session, he denied any of problems between him and his wife. He doesn’t seem painful about living away from his children. He didn’t describe well about his feelings and emotions. Therefore, we will mainly use Cognitive Behavioral Therapy. CBT builds a set of skills that enables an individual to be aware of thoughts and emotions; identify how situations, thoughts, and behaviors influence emotions; and improve feelings by changing dysfunctional thoughts and behaviors. Once he gets to know him better, he will see more improvement. Treatment Plan – Problem: 1. Lack of relationship with children 2. Have not notice the reasons about recent divorce 3. Avoidance, denial and isolation 4. Possibility of low self-esteem 5. Highly functional at work and outside the house only Goals: 1. Increase self-worth, self-value and self-image 2. Develop the ways to have fun 3. Recovery the relationship with ex-wife for himself and his children Plan: 1. Assigned homework – making plan for weekend activity 2. Develop a relationship with his children 3. Writing journal about his feelings 4. Self-evaluation(find what kind type of person, what he likes) Conclusion Divorce is 2nd stressful change in life.(1st is of Death of spouse) Client needs time for adjusting changes. Even though he is high functioning, he is having a hard time coping with his divorce that he claims was unexpected and  to him everything was fine. During this case study we came to an understanding on what he think is important and what he will be willing to work on. He will be given homework and will journal about his feelings, what he would like to improve and the type of relationship he wants to develop with his children. He will be given the proper tools on how to manage his coping skills and will learn to validate how hard his changes are going to be. We will monitor his progress and decide what type of adjustment is going to be needed for his recovery. Resource (Reference) Jeffery A. Cully, PH.D. & Andra L. Teten, PH.D. A Therapist’s guide to brief cognitive behavioral therapy Meeting with Military & Family Life Counselor â€Å"Dee Moriaty†

Survival of the Sickest Essays - 859 Words

Survival of the Sickest, written by author Dr. Sharon Moalem, is a book discussing why evolution has not allowed for the destruction of certain diseases. He states that these deadly diseases, such as Anemia, Hemochromatosis, and High Cholesterol, are in fact tools that evolution used to help the human race survive. He explains how these diseases helped fight against more dangerous and life threatening sicknesses such as, Malaria, the Bubonic Plague, and Vitamin D deficiency related illnesses. The main idea of this book is a simple one. Evolution did not necessarily favor adaptations that made us better. Instead, it favored adaptations that helped us survive. Even if these adaptations would end up killing us in the long run. This book†¦show more content†¦The subject matter itself is also an interesting and entertaining combination of fact and speculation. The author is not scared to go off on a limb and suggest seemingly unreasonable ideas and then quickly uses scientific facts to back up his speculation. For example he explains how the wood frog completely freezes itself in the winter in order to survive. In the spring it thaws out and returns to the normality of living. He uses this example to explain that one day cryogenic freezing could be an effective life sustaining tool. He also says that diabetes is caused from an ice age by the name of the Younger Dryads. As unbelievable as it sounds, he proves that it is a logical argument using scientific facts and research. He also takes the reader on a history lesson in order to explain why diseases helped the human race. The population today may not need Hemochromatosis to protect against the bubonic plague, but at one point in history, only those with this deadly disease survived the onslaught of the Black Death. The simple writing style and lightness of the somewhat delicate topic makes this book a fantastic read that can be enjoyed by a range of people. Experts in the subject field of biogenetics and curious high school kids can both appreciate this book for what it is; and insightful, fascinating, fresh look at the world of biogenetics and what it can mean for you personally. I say personally because scientists have com toShow MoreRelatedSurvival Of The Sickest By Sharon Moalem1806 Words   |  8 Pages â€Å"What doesn’t kill us, makes us stronger† (p. 28). In the scientific novel Survival of the Sickest by Sharon Moalem with Jonathan Prince, self-acclaimed â€Å"Medical Maverick† Dr. Moalem makes in-depth analyses of current human diseases that, ironically, may have led to the survival of mankind in the past. He presents a novel concept that greatly contradicts what have been universally accepted beliefs surrounding biology and the process of human evolution for a long time. With the use of myriad scientificRead MoreSurvival Of The Sickest By Sharon Moalem1628 Words   |  7 PagesJamie Zeng ID #: 5982 Stuyvesant High School Summer Reading Assignment 2015: Survival of the Sickest â€Å"What doesn’t kill us, makes us stronger† (p. 28). In the scientific novel Survival of the Sickest by Sharon Moalem with Jonathan Prince, self-acclaimed â€Å"Medical Maverick† Dr. Moalem makes in-depth analyses of current human diseases that, ironically, may have actually been beneficial to the survival and evolution of mankind throughout its existence on Earth. With the use of myriad scientific studiesRead MoreSurvival of the Sickest Chapter Summaries Essay1288 Words   |  6 PagesChapter 1 Summary In chapter one it talks about how hemachromatosis is a hereditary disease and it’s the most common genetic disease for people of European descent, in which the body cant register that it has enough iron. So it keeps absorbing as much of it as possible, and this can have very, serious side effects (including death). Iron is very important for bacteria, cancer, and other things to grow. The way this disease is most easily treated is blood letting. Looks like all those crazy blood-lettingRead MoreSurvival Of The Sickest : The Surprising Connections Between Disease And Longevity1058 Words   |  5 PagesBiology, more specifically evolution, is the reason why I find science so interesting. Survival of the Sickest: The Surprising Connections Between Disease and Longevity was right up my alley, and one of the most thought-provoking books I have ever read. It was also very different from most books I read, since non-fiction books are usually not my first choice. However, I am very ha ppy that this book was a part of the summer assignment not only because I enjoyed it, but also because how it will helpRead MoreCharles Darwin s Survival Of The Sickest By Dr. Sharon Moalem2195 Words   |  9 Pagesway to adapt to their environment and produce more offsprings. As discussed in the novel of Survival of the Sickest, written by Dr. Sharon Moalem, Moalem gives readers an evolutionary approach to the mystery behind modern day diseases by looking into the past. For my purpose, I will be discussing the evolutionary advantage behind three crucial diseases that were vitally important for our ancestors survival which are diabetes, hemochromatosis and favism. Modern day diabetes is one of the most commonRead MoreLife Is A Constant State Of Creation1448 Words   |  6 PagesAs writer Sharon Moalem said, â€Å"life is in a constant state of creation.† (Survival of the Sickest, paperback version, p.139), and it is true. For centuries organisms have been changing and †˜creating’ entire new species to be able to survive and reproduce. Evolution, the process in which all living beings have been developing from their earlier forms, occurs over and over again and will continue doing so to be able to keep the species alive and well fit to live in their current given environmentRead MoreDr. Sharon Moalem And Jonathan Prince1264 Words   |  6 Pagesscientific book Survival of the Sickest . They discuss that if diseases weren t helpful, shouldn t they have been eliminated through natural selection or shouldn t humans have developed resistance to them through the use of evolution? Moalem and Prince answer the questions by going back in time and analyzing the uses of diseases, and come across surprises that may help humans in the future as they may have in the past. Though Moalem and Prince discussed many diseases in their book Survival of the SickestRead MoreDiseases And Viruses Are Preventable Harmful, Dr. Sharon Moalem1280 Words   |  6 Pa gesin their blood to create heat.† In addition, in areas of cold weather more people are diagnosed with diabetes. Thus, it is easy to imagine that people with diabetes had an advantage over other people during the time of the Younger Dryas. Survival of the Sickest has definitely modified my perspective of diseases and inheritance. I would never have thought that diseases could have actually helped us, however if you think about it, it seems reasonable because if diseases were bad for us, evolution wouldRead MoreMedical Allocation And Its Effects On Society773 Words   |  4 Pagesbe increased by allocating aged donors to aged beneficiaries, in light of the fact that the shorter expected joining survival of more established kidneys might be less grave for more seasoned beneficiaries, who are not anticipated that would live the length of a more youthful beneficiary. Since the survival of transplant beneficiaries of all ages is more noteworthy than the survival of patients on dialysis, it is contended that it is ideal to utilize more seasoned perished benefactor kidneys thanRead MoreGlobal Health 101 : Universal Declaration Of Human Rights Essay1024 Words   |  5 Pages100. A score of 20 means the kidney is expected to last longer than 80% of available kidneys. The score is a reflection of the age and health of the donor. On the recipient side, the comparable measurement is called the Estimated Post Transplant Survival (EPTS) score. The scale is the same, zero to one hundred and here too a score of twenty means the recipient is likely to need a kidney longer than 80% of all recipients. The factors that go into calculating the EPTS score include age, length of time

Article by Bartley - 523 Words

In the article by Bartley, it looks at how the West should believe in itself a little bit more and they should see how they are different. The article looks at communication and how it will insure that democracy survives and it mediates our understanding of the world. The article also looks at the â€Å"clash of civilizations† and how the conflicts will not be over resources but it will be over the fundamental and often irreconcilable values. This will make the U.S. and the West on the defensive. The article also talks about how there has been a lot of interest in cultural, ethnic and religious values in the Islamic fundamentalism. The article looks at how people in the other countries are being educated in the U.S. There is also a power of prosperity where Western values are becoming an artifact of an exogenous civilization, but a lot of people believe that they are an artifact of economic development itself. At a certain level of prosperity people want power and that the eco nomic development leads to demands for democracy and individual autonomy. The future is no sure thing and it is all about the people. In the article by Wilson, it looks at the concept of American Exceptionalism. The article talks about how we should embrace our values in the country and we should be proud of who we are in the world system. The article looks at how we are truly different and distinct. There are a couple of problems in our world which is the poor cannot get over certain things andShow MoreRelatedSun Tzu’s Art of War and The Global War on Terror Essay1715 Words   |  7 Pages(Galvin and Giles 21). This is why Tzu remains an important piece of literature for all to read. Tzu’s principles on leadership; â€Å"the Commander†, military training, and war tactics have been compared to Al Qaeda’s mujahidin and leader, Osama Bin Laden (Bartley 238). While Sun Tzu was a military strategist, he â€Å"stressed the action of war as a final and last o ption† (Galvin and Giles 15). This, along with the importance of understanding the enemy and identifying the appropriate time to attack are demonstratedRead MoreTheir contribution during world war one was the main reason why the majority of women gained the right to vote in 1918 How valid is this view?1710 Words   |  7 Pageshimself, however now this view is being disputed. Bartley argues against this due to the fact that in 1918, the vote was only awarded to wealthy women over the age of thirty, despite that it was primarily working class women who did these jobs during the war. Additionally, Bartley argues that working class women had always filled these positions so a sudden recognition of this would be unlikely to be the reasoning behind awarding the vote to women. Bartley also argues that men resented women filling theirRead MoreThe Buffalo Creek Disaster Vs. Buffalo Coal Company1428 Words   |  6 Pagestreatment received from the Piston company and the Buffalo Coal company would have been different. In West Virginia, there has been several cases that involved citizens that live beneath the poverty line. The cases are, the Benwood Mine Disaster, the Bartley West Virginia Mine Disaster, the Farmington Mine Disaster, and the Buffalo Creek Disaster. Like in the case of the Buffalo Creek Disaster, the victims of these disasters received unfair treatment from the law and most, are still fighting to get theRead MoreA Strengths Of The Grugel And Pipe818 Words   |  4 Pagesbefore accommodation (Van Houdt, Suvarierol, and Schinkel, 2011). Hypothetical influence to this discussion involve the claim of the advanced labor of Michel Foucault (Van Houdt, Suvarierol, and Schinkel, 2011). Weaknesses One of the weakness in the article of Grugel and Piper, 2014, is they draw attention to wage problems, but they are not offering workable solutions to the problem. Nations have avoided their accountabilities and immigrants discover they are in dangerous and dangerous occupations orRead MoreProviding Free Healthcare under the NHS1023 Words   |  4 Pagesnewspapers and magazines, the internet, and other forms of advertising media (Mason, 2005). There are many reasons for which people may take up such behaviors. One is when they are depressed for various reasons such as employment frustrations (Bartley, 1994), frustration from family or lack of friends or sudden changes in their lives for example death of a loved individual. These are some of the causes that lead to people being compulsive alcoholics, drug addicts, smokers or even over-eaters. Read MoreOnline Courses are Superior to Traditional Courses Essay1566 Words   |  7 PagesFurther, the instructional design of online courses can often be poor in comparison to traditional courses. Studies by Bartley and Golek, and Cook conclude that online courses often suffer from poor instructional design. Although both traditional and online courses can have poor instructional design, there are many established techniques to optimize student learning (Bartley and Golek 168). However, â€Å"in contrast to a face-to-face course in which a talented instructor can teach with min imal preparationRead MoreThe World After 9/11589 Words   |  2 PagesIn the article by Galtung, it looks at the world after 9/11. The author discusses three discourses which are terrorism, state terrorism, and retaliation. The first one which is terrorist discourse is more inspired by fundamentalist Islam, the shahadah and the sword. The second is more of a fundamentalist U.S. version. The third looks at more why 9/11 happen as parts of a retaliation cycle and to use that revenge for other purposes. There is a global clash of fundamentalism and in a way it is aboutRead MoreAn Essay on Orientalism Through Novel the Kite Runner by Khaled Hosseini1223 Words   |  5 Pagestalent†¦ [and] he is the center of the plot†. Lastly there are many articles that oppose that this novel is not an orientalist novel. An Globe and Mail Writer Jim Bartley says that â€Å"There is no display in Hosseinis writing, only expression† what he means by this is that Hosseini knows what he is doing while writing a book he does not try to display anything he is not supposed to he is just expressing himself the best way he can. Bartley says: â€Å"By page seven, as a bullied Afghani boy weeps in a darkenedRead MoreQuestions On Crisis Management And Response Essay1840 Words   |  8 PagesManagement and Response Leigh Lusignan Walden University CPSY 6100-1 – Introduction to Mental Health Counseling Facilitator: Dr. Cyndi Briggs July 29, 2015 Week 9: Discussion: Crisis Management and Response Today, we will be discussing two articles. We will be contemplating why there is an increasing focus on the crisis and catastrophes in the clinical mental health counseling profession; meditating on outcomes that contributed to the focus, including the tragedy of 9/11. In addition, NaturalRead MorePain Perception Of Native Americans1035 Words   |  5 PagesPain Perception in Native Americans The psychological processes in the article include pain perception, and how we as humans perceive pain, how we react to it, and how we adapt to it. The article explains the pain signaling process and how pain can be amplified. For example, when we get pricked by a needle, a signal from our finger ascends through the spinal cord to reach parts of the brain. From there, we perceive pain, then we form a pain experience. Pain perception can be resulting from several

Historical Development Of Haute Couture - 1627 Words

This essay will be considering the historical development of haute couture by analysing Charles Frederick Worth’s (father of haute couture) key factors in the success of haute Couture. I will then discuss Coco Chanel’s thriving impact on haute couture as well as ready-to-wear caused by the second world war. Saint Laurent’s drift to ready-to-wear and the high street fashion system will also be discussed in order to answer if haute couture is relevant in fashion today. The books I will be analysing and referencing are ‘A Cultural History of Fashion in the 20th Century’ by Bonnie English, ‘Couture’ by Ruth Lynam, ‘How Fashion Works’ by Gavin Waddell. Which will thoroughly breakdown the evolution and historical development of fashion by cultural, economic, environmental and social changes to finally come into a conclusion. The attraction to Englishman Charles Frederick Worth’s garments caused by royalty was the origin to the relevance and recognition of haute Couture in the 19th Century. Ruth Lynam, editor of Couture concludes the growth of Worth’s wealth, she states: â€Å"The princess was the instrument of good fortune for Charles Worth...† (Lynam, 1972:54) What Lynam seems to be stating is the pecuniary advantage the Princess Pauline de Metternich supported with her admiration for his creations. The promotion of his designs are partly owed to the princess however without the recognition perhaps haute couture wouldn’t have been relevant or would not have been as effective. TheShow MoreRelatedAnalysis Of Gilles Lipovetsky s The Empire Of Fashion Essay1358 Words   |  6 PagesFashion on the practice of democracy in Western Europe. According to Lipovetsky, â€Å"Fashion unlike tradition requires free individual intervention, a singular and capricious power to disrupt the o rder of the appearances.† Essentially, Fashion and Haute couture have led to the support of democratic values; it is fashion that encouraged individuals to believe in self-expression. Lipovetsky establishes his arguments on the history of fashion and its symbol of rank in during the Old Regime. In France, TheRead MoreThe Role Of Haute Couture Industry On The Fashion Industry2102 Words   |  9 PagesHaute Couture has been at the forefront of the fashion industry since the Victorian period. It, therefore, has a long and distinguished history, leading the way for trends in the fashion industry. This essay will firstly outline the historical background to the development of the Haute Couture industry. Secondly, the essay will consider the role of Haute couture in the fashion industry today and in what ways it can be seen as successful, it will also discuss whether there are any defects, thirdlyRead MoreFashion Marketing And Its Impact On Consumer s Design Preferences Essay2152 W ords   |  9 Pagesthe order of the appearances.†(34) Essentially, fashion and haute couture led to the development of democratic values and encouraged individuals to believe in self-expression. Developed in the nineteenth century, haute couture was the direct relationship between client and couturier; in other words, the birth of made-to-order fashion. â€Å"Haute Couture is without question the most significant institution in modern fashion.† (56) Haute couture revitalized fashion; it allowed clients to wear their tastesRead MoreFashion Trends And The Fashion Industry1087 Words   |  5 Pagesbillion each year. Fashion designers are the heart of the fashion world. The fashion industry has grown to popularity by dominating the worldwide economy, media, workplace, and everyday life. Clothing trends have changed over the last century due to historical events and the evolution of technology. With the gift of creativity and skill of constructing clothing, fashion design ers complete a degree in designing, research past trends, predict future trends, sketch ideas, and oversee production of theirRead MoreEssay on The Surrealist Movement in Arts Influence on Fashion1528 Words   |  7 PagesThe Surrealist Movement in Art’s Influence on Fashion Introduction This essay aims to analyse the key role that the surrealist movement has played on fashion and the fashion industry. Both from a historical point of view, as well as its continued impact on fashion today, as a source of inspiration for contemporary fashion designers. In this essay I will account for how the Surrealist movement in art has influenced the progress and growth of fashion worldwide and our sense of appearance.Read MoreCristobal Balenciaga, the Spanish Couturier3527 Words   |  15 Pagesseaside resort of San Sebastian. His designs were favored by the aristocracy of Spain including the Spanish royal family. The eruption of the Spanish Civil War forced him to close down his boutiques and moved to Paris. Once in Paris he opened his couture house on 10 George Avenue V; where he immediately became an instant success among the elite and joined the ranks of Chanel and Schiaparelli. By 1939 Balenciaga was becoming a revolutionizing force in fashion with customers fighting to gain accessRead MoreThe Negative Effects of Counterfeiting2458 Words   |  10 Pageshappening the longest. For 100 years (1860-1960) Haute couture dominated fashion in Europe and America (Stewart, 2005) â€Å"Bon Marchà © mimicked couturiers by arranging showings of their ‘‘latest creations’’ and employing, though only for their catalog covers, the same illustrators as fashion magazines did.† (Stewart, 2005). It is easy to think of all the counterfeiting going on currently, however we don’t realize that it happened within Haute Couture over 100 years ago as well. It is helpful and beneficialRead MoreHow Fashion Professionals Are Inspired by History and Culture1843 Words   |  8 PagesVivian Westwood shows a series of dresses inspired by the diamond jubilee of the Queen, which were designed for the red carpet events. The models are unique, the colo urs more than fine - pastel, sparkle and grays, and exclusive patterns. In the new couture collection spring / summer for Chanel the main theme in the views of Karl Lagerfelds game between the rigid lines of jackets - so narrow that fit like a glove, and fairy multilayered skirts reaching just under the knee. The German designer hasRead MoreSchool Uniforms1707 Words   |  7 PagesRist 1996). Furthermore, critics argue school uniforms have no influence on ones academic achievement, behavior, or attitude towards school (Brunsma 2001a). While the arguments for each position are varied and numerous, there are more practical, historical, and unbiased ways to approach school uniforms and their impact on academic achievement. Fashion and Where We Get It Most people believe fassion is a concept belonging to the 20th and 21st century; however, many Roman historians note the stressRead MoreChanel Analysis Swot, 6 Ps5076 Words   |  21 Pagesbeen doing to constantly promote the image of the label? It is commonly known that Chanel, impersonated by its famous female founder and designer Coco Chanel, has over time evolved into being a huge fashion empire which is irreplaceable for the development of the fashion branch in the 20th century. From Coco to Karl - A Legend lives on COCO CHANEL In 1912 Coco â€Å"Gabrielle† Chanel (1883-1971) founded the label bearing her name in Paris, France (Rue de Cambon) . Coco Chanel was one of the first fashion

Lesson Plan in Math free essay sample

Yes correct! Very good! Did you know class everything you see has a shape, like this whiteboard it is a rectangular shape. Who has a 1 peso coin?. Kindly look on it, so what shape is that? What can you describe? Very good. (Showing of flashcards) Class this is Circle, It has no sides. Square has 4 equal sides How about this one, How many sides? This is Triangle, It has three sides. Let us count one ,two, three Class, this shape is what we called crescent shape. It’s look like a moon, who among you here see this during night? This is a cone shape. Who among you here eat ice cream? Did you know that cone of the ice cream is cone shapeHad you ever ate a doughnut? What did you observed? Very good! Doughnut is a ring shape. Class this is an oval shape. An example of this is like a mirror as you can see. We will write a custom essay sample on Lesson Plan in Math or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page This one is a star shape, What object do you see every Christmas season is looks like? Very good! Class do you have any question regarding to our topic for this day? Ok, now that you identify some shapes. I will test your memory if do you really understand our lesson for the day. I have here a game what I called â€Å"Matching Shapes and Objects†. All you have to do is come in front and open twice the boxes and try to memorize in mind the shape or object according to their corresponding shape and object. Are you ready? (Expect all students will participate)C. GeneralizationClass, now that you identify some of the basic shapes, kindly tell one object and give what shape its look like. Very good! How about you? Very good! D. Application Shapes can be found everywhere. All of what you can see has one or more shapes. Those shapes will help you distinguish different objects. And shapes also give an inspiration to dream to become an Architect. | Classmates are you ready to pray? Yes! Those pictures are so beautiful. Some students raise their hands. Yes! Yes! The student will tell what the object is and determine what shape belongs to. These real objects have corresponding shapes. This coin has a circle shapeIt has 2 long sides and 2 short sides. Students will raise their hands. Students will raise their hands. Yes. Doughnut is like a circle but there’s a hole in the middle A Christmas lantern! None. Yes! (Give reward if the student match the shape and object)That door is like a rectangle. My notebook is also a rectangle shape. | IV. EVALUATION Direction: Choose the letter of the best answer. Write your answer on the space provided. ____a____1. Square has how many sides? a. 4b. 6c. 8d. 10 ____c____2. Which has no side/s? a. b. c. d. _____c____3. Which object is not example of a rectangular shape? a. bookc. soccer ball b. rulerd. computer keyboard _____d_____4. Which shape doesn’t belong to the group? a. squarec. diamond b. rectangled. crescent _____b_____5. Look at this picture, which shape have many sides? a. b. c. d. circle star diamond triangle V. AGREEMENT Draw in your notebook ten (10) objects that can be found in your house and give what shape its look-a-like. Ex. Plate Circle

Clinical Reasoning Cycle Case Study for Healthcare - myassignmenthelp

Question: Discuss about theClinical Reasoning Cycle Case Study for Healthcare. Answer: Clinical reasoning cycle is one of the best frameworks that enable healthcare professionals to identify various symptoms that are presented by the clients. This model has steps which when by followed by professionals in a sequential manner, helps them to relate the symptoms with the disorders understand their pathophysiology, identify the biological and social determinants of health and thereby recognize the care priorities (Vlayeyen et al., 2015). Following this, the professionals will set goals and plan their interventions that will e sure safety and quality care of the patients. However, professionals should always focus on providing care that is culturally and ethically justified so that the patient can be satisfied with the care they get. This assignment will mainly portray the ways by which clinical reason cycle helps professionals to handle a critical nursing case and help patents to get the best service. The first step is considering the patient situation. Mrs. McKay is a 86 year old widow who has been transferred to residential aged care named Sunset. She has faced a fall previously that had made her undergo hip replacement in acute care hospital. She had also faced a skin tear after bumping on her wheelie walker. She already has Alzheimers diseases and vascular dementia in the early stage. She is intermittently incontinent as she fails to reach the toilet on time. The second step is called the collecting cues or information through the three steps of reviewing, gathering and recalling information. Mrs.Mckay is currently under medication of Paracetamol, aspirin and desmopressin. She is not compliant with the professionals in her activities of daily life. She used to be a strong-minded person and had strong opinions. Although she needs to walk with wheelie walker, she often forgets it. She is suffering from Alzheimers diseases and vascular dementia that needs to be cared by the professionals. The third step is called the processing of information. It is seen that the patient Mrs. McKay is suffering from early stages of Alzheimers disease and dementia. Researchers are of the opinion that this disorder occurs due to two important abnormalities. Plaques are formed when clumps of proteins called beta-amyloid causes damage and destruction of the brain cells in different ways that mainly participate in cell-to-cell communication. Besides, tangles are also formed when threads of tau protein that mainly helps in carrying nutrients through brain are seen to form tangles (Alvarez et al., 2016). This results in failure of the transport system. These factors both result in destruction of brain cells and result in shrinkage of brain. This affects brain functions like memory and cognitive abilities. Moreover, patient Mrs. McKay had undergone hip replacements following fall, which had compromised her mobility and had made her restricted in her movements. She had always been independent and therefore taking support due to her impaired mobility or inability to conduct ADL have made her agitated and affects her self-respect. Therefore, she might be non-compliant with the professionals as taking helps affects her dignity and self-respect. Another important aspect of care is to take care of her wound that might affect her quality life by providing her with pain. Therefore, this should be taken care of in the nursing care plan. The fourth step is called the identification of the problems by synthesizing of facts. From the above discussion, it becomes quite clear that the patient Mrs. McKay is suffering from a number of issues that should be taken care of. She has developed restricted mobility and often forgot to take up her wheelie walker. Therefore, the first care priority would be to develop intervention for fall prevention so that the patient does not suffer from any falls (Santamaria et al., 2015). The second issue is that she is suffering from early stage of dementia and Alzheimers and therefore, she may be seen to suffer from memory loss, social withdrawal, mood swings, distrust in others, irritability, wandering activities, delusions and many others. Already some form of symptoms are visible in her from now only. Therefore, nursing professionals should try their best to care for her in ways by which she can develop her quality life (Breimaier et al., 2015). Moreover, she has faced a skin tear that ma y be painful to her and may make her suffer during healing of the wound, as she has grown old. Therefore, take these three-care priorities should in consideration. The fifth step is called the setting of goal. The first goal would be to conduct a risk assessment of fall for the patient and thereby taking initiatives by which the environment may be made safe for the patient from fall. Second goal would be to take care of her in way that would help to ensure that her symptoms of Alzheimers and dementia are actively controlled and maintained. The third goal would be her proper wound management so that her skin tear in her knee can be managed effectively. The sixth step is called the action taking stage where the nursing individuals need to take interventions for the care priorities chosen. As she is at a risk of fall in the residential care, a wristband should be first provided to patient Mrs. McKay to help so that the healthcare professionals are aware of her risk for fall. Mrs. McKay should be then transferred near the nurse station so that nurses can attend her immediately when called. As she is intermittently incontinent, this would also help her to prevent her from wetting her bed (Gustavvson et al., 2015). Items should be moved near her bed so that she can easily access them without the need for covering a certain distance. This would reduce the fall hazards. The nursing professionals should also position the beds at the lowest possible position. They should make the sleeping position adjacent to the floor that reduces chances of falls. Moreover, the professionals should allow use of bed rails as well as hand rails in the washr ooms and other places possible so that the Mrs. McKay can seek support to when locomotion (Anderson et al., 2015). Moreover, proper arrangement of bright room lighting should also be done. Mrs. McKay should be also encouraged to take on slippers or soles that are non-skid. The patient should be familiarized with the layout of the room and clutters should be removed from her pathways. No light furniture should be which increases the risk of the patient tumbling down (Dowsett Dowsett, 2015). Too much loose clothes should be avoided as it may increase the chance of fall. The professionals should also collaborate with physiotherapist and occupational therapists that would be having physiotherapy sessions to develop her gait, provide her proper assistive service, and teach het to do light free exercises (Boltz et al., 2016). The second priority would be maintenance of her Alzheimer and dementia disorders. The nursing professionals should assess her though process by evaluating her cogni tive, disorientation, issues with communication or changes in thinking patterns. Mrs. McKay is in her early stages, so these issues are not yet pronounced. However, she gets irritated and does not allow anyone to help her in her activities of daily life. Therefore, it is very important for the nurse to develop a therapeutic relationship with the patient where the patient learns to trust and rely on the professionals. Effective communication in a compassionate and empathetic manner may help in developing bond with the patient. Mainly Mrs. McKay is frustrated and agitated as she used to be independent and strong opinionated woman. As she has to depend on the professionals now, her self-esteem is affected (Farina, Rusted Tabet, 2014). Therefore, the nursing professionals should always respect her dignity and autonomy and should always take her informed consent before undertaking her for any activities of her daily life. The better the bond developed between them, the patient will lear n to rely the nurses and would accept help from her. However, the nurse should never connect any activities that would overpower her presence over the client. The client should be treated in a way where she always feels respected and her consent is prioritized. The better the emotional connection with the patient, Mrs. McKay will have better health outcomes. For her skin tear, the nurse should first monitor the sights around the wound once daily for identifying any color changes, redness, swelling, pain, warmth and others. Depending on the status of the wound, care should be taken about the kind of dressing that it needs like whether the wound is dry or wet. Accordingly, wet or dry dressing, lubricants, hydrocolloid dressings would be provided. A sterile dressing technique would be adopted for preventing infection (Cabrera et al., 2015). Care should be taken so that lessened exposure of the skin tear to moisture takes place from incontinence, wound drainage and perspiration. Proper antibiotics should be given and the patients should be advised to prevent rubbing or scratching. A nutritional diet should be encouraged. The last two stages are effective evaluation followed by reflection of the nursing professionals after application of the intervention. The nurses should evaluate the walking posture and the ability of the patient. The patient should be able to walk properly with a steady gait and should be free from any risks of fall. Secondly, the patient would successfully participate in her ADL activities conducted by the nurses after effective therapeutic relationship development. The nurses should also evaluate the conditions of the wound and the ways it is healing (Muller et al., 2017). After evaluation, the nurse should reflect on the interventions and the ways the patient has responded to all the interventions. From these interventions, the nurses should reflect on the experiences gathered and find out ways by which better quality care can be ensured (Farlow et al., 2016). From the above discussion, it becomes clear about how clinical reasoning cycle has helped nurses to develop proper care plans for the patient named Mrs.Mckay. Moreover, it is also helpful in understanding the pathophysiology and determining the symptoms that need to be treated. Therefore, every nursing professional should know the ways about how to conduct each step properly. This would ensure developing of a care plan that would address all the symptoms of the person and help her to develop better quality life. References: lvarez Barbosa, F., Pozo?Cruz, B., Pozo?Cruz, J., Alfonso?Rosa, R. M., Sanudo Corrales, B., Rogers, M. E. (2016). Factors associated with the risk of falls of nursing home residents aged 80 or older.Rehabilitation nursing,41(1), 16-25. Anderson, C., Dolansky, M., Damato, E. G., Jones, K. R. (2015). Predictors of serious fall injury in hospitalized patients.Clinical nursing research,24(3), 269-283. Boltz, M., Capezuti, E., Fulmer, T. T., Zwicker, D. (Eds.). (2016).Evidence-based geriatric nursing protocols for best practice. Springer Publishing Company. Breimaier, H. E., Halfens, R. J., Lohrmann, C. (2015). Effectiveness of multifaceted and tailored strategies to implement a fall-prevention guideline into acute care nursing practice: a before-and-after, mixed-method study using a participatory action research approach.BMC nursing,14(1), 18. Cabrera, E., Sutcliffe, C., Verbeek, H., Saks, K., Soto-Martin, M., Meyer, G., ... Zabalegui, A. (2015). Non-pharmacological interventions as a best practice strategy in people with dementia living in nursing homes. A systematic review.European Geriatric Medicine,6(2), 134-150. Dowsett, C., Dowsett, C. (2015). Breaking the cycle of hard-to-heal wounds: balancing cost and care.Wounds International,6(2), 17-21. Farina, N., Rusted, J., Tabet, N. (2014). The effect of exercise interventions on cognitive outcome in Alzheimer's disease: a systematic review.International Psychogeriatrics,26(1), 9-18. Farlow, M. R., Borson, S., Connor, S. R., Grossberg, G. T., Mittelman, M. S. (2016). Quality improvement in skilled nursing facilities for residents with alzheimers disease.American Journal of Alzheimer's Disease Other Dementias,31(2), 156-162. Gustavsson, J., Bonander, C., Andersson, R., Nilson, F. (2015). Investigating the fall-injury reducing effect of impact absorbing flooring among female nursing home residents: initial results.Injury prevention, injuryprev-2014. Mller, C., Lautenschlger, S., Meyer, G., Stephan, A. (2017). Interventions to support people with dementia and their caregivers during the transition from home care to nursing home care: A systematic review.International journal of nursing studies,71, 139-152. Santamaria, N., Gerdtz, M., Sage, S., McCann, J., Freeman, A., Vassiliou, T., ... Knott, J. (2015). A randomised controlled trial of the effectiveness of soft silicone multi?layered foam dressings in the prevention of sacral and heel pressure ulcers in trauma and critically ill patients: the border trial.International wound journal,12(3), 302-308. Vlaeyen, E., Coussement, J., Leysens, G., Van der Elst, E., Delbaere, K., Cambier, D., ... Dejaeger, E. (2015). Characteristics and Effectiveness of Fall Prevention Programs in Nursing Homes: A Systematic Review and Meta?Analysis of Randomized Controlled Trials.Journal of the American Geriatrics Society,63(2), 211-221.