Thursday, November 28, 2019
Applications, Edits, and What to Remember During the Application Process
With so many colleges and universities available to apply to, students can easily find themselves overwhelmed throughout the application process. Aside from the stress and time commitment to finishing your applications, figuring out which schools are a good fit for you is a tough conclusion to come to. So before you get started on the long journey that is applying to college, we asked some of our Emerson users what they would change about the process to help you understand different perspectives: mtanenbaum - If I had to change something about my application process, it would honestly be that I wish Id applied to more, and more varied, schools. I regret not applying to places more widely. At the end of it all, what you really want more than anything is a choice. If you dont apply to enough schools, you may not have one. This year was a particularly difficult one, and I know of many people who were boxed into going to schools that they never really wanted to go to. That said, they are great schools and Im sure theyll have a great time, but no one should start their college experience by griping about how their school wasnt their first choice. So apply to more places (assuming you have the means to). Apply to a bunch of places. Be sure to apply to a good amount of safeties, and theres absolutely no harm in applying to a reach or two. You never know what could happen! Oh, one more thing: apply to as many places as you can early action. Just knowing where youre at before you send in the remainder of your applications is a godsend. You can really prioritize that way, and you can laugh maniacally as everyone else is even more stressed out as you, but still cry hysterically because youre really stressed out, too. Suchita - Edit! In hindsight, I should have other people (i.e. teachers) give my essays a look. Its really easy, even for the best of writers, to make stupid mistakes when theyre really stressed about college apps/exams which are often happening at the same time. A second opinion on your essays might also take you in a different direction with your topic, one that is perhaps not as commonly done. No matter how unique you think you are with stuff, chances are, its been done a lot, so get someone else to take a look and give you their thoughts! alysen_smith - I applied to eleven schools in all. I wanted to make absolutely sure that I was going to go to college and that I would have options to choose from once I had heard back from each school. But this was a huge waste of time and moneyrather than spending hours and application fees on several schools, take the time to select a few that are a perfect fit for you. tylah.silva - One of my biggest regrets is not applying for the honors program. I was so swamped that week at school that I did not feel up to writing a separate essay to get in. However, the honors program at my school offers a good scholarship that pretty much pays for most of my tuition. That would have really helped me and quelled some of the anxiety that I have over my finances. carad - I should have looked at more colleges. I looked at either reach schools or safeties. I am really happy with where I ended up, but I wish I had looked at more colleges. I had a really horrible guidance department that didnt help me find more places to look. I would have liked more help finding other colleges. emilyhillebrand - I wouldnt stress so much or start so late. Try to work on your application a little every day - set time aside for it like homework. And dont worry too much, because it will all work out, even if that seems impossible and even if you end up somewhere you had never pictured yourself before. matt.dinnocenzo - Do not apply to more than 5-6 schools. Youre only putting off the decision. Apply only to schools youd see yourself LOVING, cut the alternatives. Its easier and cheaper to decide before you apply.pan> - Think about financial aid. I know that I did not put enough focus on how difficult it would be to keep up with my tuition cost. Student debt is no joke. Want to apply to Emerson? Check out the essays, stats, and advice from students who already got in. Gain inspiration or find a mentor to help guide you through the application process and answer any questions you have.
Sunday, November 24, 2019
Constipation in Older Adults Essays
Constipation in Older Adults Essays Constipation in Older Adults Essay Constipation in Older Adults Essay 2011). It is non-life-threatening; it causes distress that leads to patient discomfort and diminished quality of life. Constipation is considered a major health concern for providers of care, especially for patients in high-risk groups such as the elderly; less mobile individuals, and the neurologically impaired. The causes of constipation can be influenced by physical, psychological, physiological, emotional and environmental factors. I picked constipation to discuss because I am a Personal Support Worker, I provide care for the elderly; most of them have health conditions which are likely contributory factors. Older adults are more prone to constipation than younger adults because peristalsis of the intestine usually weakened as we age; ingestion of certain medications; also due to reduced activity levels; muscle weakness and inadequate amounts of fluids and fibre intake. (Kozeir et al, 2010). As a primary caregiver to my Clients, I have to make sure they are meeting the quality of life by simply monitoring signs and symptoms of constipation. Prevention is better than to treat, every precaution must be made to prevent a recurrence. Also, it is my responsibility to teach the family how to care for their love ones whom they suspect to be constipated. I have a Client who is paraplegic due to Spinal Cord Injury, she is also diabetic. Since March of 2010 she is on opioids for long term pain management. Recently an MRI has been done to her to see why her pain scale is always 10 out of 10, 10 as the worst pain she ever experienced. The Neurosurgeon said she has a syrinx on her spinal cord. He wonââ¬â¢t do any surgery because it will only make her condition worst. This means, she has to learn how to live with the pain since no further medical procedure will help her to be pain free from the syrinx. Knowing that constipation is a major problem for her since she is taking opioids for pain, I took up some in-service training conducted by my agency. I am trained to do digital stimulation and use of suppository for the management of chronic constipation. In her care, I often incorporate these procedures to prevent fecal impaction, as well as to prevent any complications that might be associated with constipation. Educating the patient and health promotion are important functions of a nurse. First, it is vital for the adult Client and to her family to know how to manage constipation because opioid-induced constipation is a significant problem that requires attention and should be monitored frequently. Secondly, a stool softener is often employed and bulk-forming laxatives should be avoided because of the risk of obstruction. A member of the oncology team should be approached for advice if needed. (Prynn, P. , 2011). Since my Client is using a power wheelchair, exercise is recommended, it tailored her physical ability and may benefit from daily activities such as moving her head, lifting her arms and hands while cooking, etc. Lifestyle modification such as providing privacy and strictly following the Clientââ¬â¢s daily routine. Having a regular time for defecation (e. g. best time is after breakfast or after other meals or at bedtime). Lastly, provide dietary information. Suggest eating high-residue, high-fibre foods; adding bran and/or flaxseed daily (must be introduced gradually); and increasing fluid intake (unless contraindicated). Day et al. , 2010). To support nursing practice at the point of care, whether at the bedside, in a patientââ¬â¢s home, or in a community setting, Physicians, Nurses, Physiotherapist, Occupational Therapist, Pharmacist, Personal support worker to name a few interprofessional team members works hand in hand to promote quality of life to older adults. Each membe r of the interprofessional team plays an important role to the clients care but I want to discuss the role of the Dietician. Dieticians are experts in food and nutrition. Adapting what you eat may help to ease constipation. Dieticians advise people on what food to eat which leads to a healthy lifestyle or achieve a specific health-related goal. Adjusting the diet, usually the elderly should eat more food containing cellulose, such as crude flour, brown rice, corn, celery, leek, spinach, and fruits to increase dietary fiber, stimulate and promote intestinal peristalsis. ââ¬Å"Dietary fibre intake should be from 25 to 30 grams of dietary fibre per day. Dietary intake of fibre should be gradually increased once the client has a consistent fluid intake of 1500 ml per 24hoursâ⬠. (Rnao,2005). Consultation with a dietician is highly recommended. Another interprofessional team memeber that plays an important role in caring for older adults is the Dentist. The Dentist assesses the Clientââ¬â¢s mouth for infection and bone loss on gums. Aging affects muscles of the gums to shrink, Clients are asked to see the dentist every 2-3 years for dentures refitting. â⬠People who have loose-fitting dentures or those who lost their teeth have difficulty chewing. Most of the time they prefer soft, processed meals that are low in fibreââ¬â¢. (Day et all. ,2010). Clientââ¬â¢s with dentures are also educated to avoid eating hard foods to chew such as nuts, etc. Denture sealers are also used to keep the dentures I place and to avoid irritating the gums by keeping the food out. Patient education and health promotion are important functions of the nurse. After health history is reviewed, the nurse sets specific teaching goals. These goals are for the patient to restore and maintain defecation, methods to avoid constipation, relieving anxiety about bowel movement elimination patterns and to avoid complications. (Day et al. , 2010). Nurses need to be aware of the condition and knowledge of its management. If fecal impaction is suspected, depending on the agency policies the client is often given an oil retention enema, after 2-4 hrs cleansing enema is given, suppositories , or stool softeners which are ordered by a physician. A Digital Rectal Examination is done which means manual removal is feces should be performed if other measures fail. (Woodward, S. ,2012). References: Day, R. , Paul, P. , Williams, B. , Smeltzer, S. , amp; Bare, B. (2010). Brunner amp; Suddarthââ¬â¢s Texbook of Canadian Medical-Surgical Nursing. (2nd Canadian ed. ). Wolters Kluwer Health; Lippincott Williams amp; Wilkins. Kozier, B. , Erb, G. , Berman, A. , Synder, S. , Bouchal D. , Hirst, S. , Yiu, L. , Stamler, L. , amp; Buck M. (2010). Fundamentals of Canadian Nursing Concepts, Process, and Practive. (2nd Canadian ed. ). Toronto: Pearson Canada Kyle, G. (2007). Developing a constipation risk assessment tool. Continence. UK. 1(1): 38-45 Prynn, P. (2011). Managing adult constipation. Practice Nurse (PRACT NURSE), 41(17), 23-8. Retrieved from database CINAHL with full text Woodward, S. (2009). Assessment and management of constipation in older adult. Gastrointestinal disorders. UK. 24(5). pp. 21-26
Thursday, November 21, 2019
African American Culture Research Paper Example | Topics and Well Written Essays - 3750 words
African American Culture - Research Paper Example To start with, the power of the Afro-American culture lies in the fact that it has been highly significant in the way of resisting the racial oppression (this is not only a factor) in the American society and have been generating highly innovative dynamics and platform which comes from the oral tradition from which all other cultural forms have evolved. It has been found that the Afro-American oral tradition have remained as an immensely innovative and learning process for the K-12 students in the American schools. Thus with a glimpse of its significance here it requires more elaboration with a discussion of its origin, its segregated forms, its development and its implications in the society in an elucidated fashion (Hamlet, 2011, p.27). Robust nature of the oral tradition The tradition attached with that of the oral communication generally comprises of the old sayings, proverbs and various other cultural products which have been not archived or recorded. The tradition or the enigma of the oral traditions is kept intact through the help of communication through the mouth to mouth communication from one generation to other generation. The diverse forms of African American cultures and their archetypes teach the lessons about the way of living and that of life. The oral tradition can be said to be one of the fundamental mechanism for the cultural expression as well as that of survival. The oral tradition also is predominant in the maintenance of the cultural heritage and that of reflection of the collective spirit of the race.
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