Spirituality: Philosophy Essay

Spirituality
Spirituality

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Spirituality

Introduction

Most philosophers believe that every person has a worldview. They define the worldview as a framework and commitment of ideas and attitudes about human beings, life, and the world. They further describe a worldview as a set of beliefs that man holds to and lives by. It is of great importance for human beings to discover their worldviews and abide to them.

Generally, there is no widely agreed definition of spirituality. Traditionally, spirituality is viewed as the process of reformation that is aimed at recovering the original shape of man. However in present times, spirituality has been based on subjective experience that incorporates personal growth or transformation, and this is separate from the religious views.

Spirituality can be defined from different theories including scientism which is the belief in science and using scientific evidence to describe spiritually. Scientism is a belief held by scholars in their bid for the search for physical truth. On the other hand, pluralism refers to the process of viewing the society from multiple entities which work as a single unit. An example of pluralism is the society with different cultural backgrounds which maintains their tradition. Post modernism describes spirituality as a concept of modifying traditional beliefs according to modern ideas.

Prime reality

Prime reality is the understanding of what is real. This involves understanding the origin of faith of individuals. According to Christianity, God is real, and it is through his intentions that we can live. (Bak, 2013) posits that this definition is not applicable to every individual since non-Christians do not believe in God. Non-Christians believe that God cannot be present in all places at all times. However, Christians believe that Gods powers are unlimited. Prime reality is what one believes in depending on his views of reality. Believing that God is present and available in all places at all times is a reality for specific people but not others.

Nature of the world around us

From a religious perspective, nature is God’s creation, and the world is part of   God‘s plan for man. Being a Christian, I believe that God is the creator of all things. According to the Bible teachings, God provided man with natural things in the world for man to enjoy God’s creation.

Certain situation where man experiences difficulties is part of the reality as it forms part of the learning process. As a Christian, I believe that understanding God’s plan is beyond us despite the fact that God has given us the gift of reasoning.  Christians rely on faith to guide their understanding of the world (Murphy, 2016).  

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Human beings

Murphy (2016) states that humans are God’s creation; human beings have life and a sense of self-awareness to understand their purpose on earth .but others view human as complex machine developed due to scientific discovery. But for Christians, human being are God’s superior creation because God created man giving him unique abilities compared to other God’s creation on earth .this dispute the fact that human being is termed as machines.

Since God created human beings in his image, these means human beings are above all other creation on earth. Therefore, their role is to take care of the world but not undermine the rights of other creations. Human being need to understand God intention which initial living in harmony and with other creation on earth (Murphy, 2016).

What happens to a person at death?

When people die they leave behind memories, which are cherished depending on an individual action while on earth.  Apart from Christians others believe in life after death, this is his reason why several people perform good deeds while still alive because they believe God will judge them according to their actions.

Christian believes in life after death whereby the physical body dies, but our souls remain alive to start a new life in heaven. Murphy(2016) reports that when people dietheir souls escape from their bodiesand return to God the creator.

Christians believe that righteous people will be granted eternal life by God if their actions were in line with God’s commandments. According to (Murphy, 2016), the judgment day is important because this is the day when God decides our fate. This is the day that our actions are evaluated to determine if we are worth living with God in heaven. God’s Ten Commandments are rules given by God to our ancestors to guide our action. Therefore by not obeying God’s teachings we are likely to lose the chance of being granted eternal life.

The possibility to know anything at all

Knowing anything means the understanding of our worldview based on what influence our actions. Having different sets of beliefs reveals the different perspective of our view of the world. When we experience continuous changes as we go through different circumstances enables us to increase our levels of knowledge. Seeking God’s guidance is important to gain more knowledge and understand our purpose on earth (Tomasello, 2014).

How do we know what is right or wrong?

Tomasello (2014) explains how humans determine what is wrong and right by conforming to Gods moral law. In his view, moral laws reflect God’ s purpose for man. Human beings are expected to live by Gods’ intention. God moral laws are the Ten Commandments in the Bible that stipulate various acts that need to be emulated by man. However, people fail to understand God’s purpose hence violating God’s laws.

Christians believe that God makes them undergo difficulties as a punishment for their wrongdoing. Other people believe best for themselves and acceptable to our fellow humans are termed as the right thing, while what can cause harm to the majority is termed as wrong (Tomasello, 2014).

What is the meaning of human history?

History can be defined as the sequence of events that leads to fulfilling God purpose; however history is also defined as important records about past events that formed part of our identity. Human history from a Christian perspective portrays God as a wise, holy, powerful, true and the creator of the world.

Christian’s link human history to God creation, from a Christina perspective, human history cannot be defined without explaining Gods creation. Non –Christians view human history based on specific events that they value while some people believe that human history is imagination generated from the past events.

Conclusion

Worldviews are significant whether man recognizes them or not. They offer a basis upon which the actions and corresponding moral values are based. Our worldview   concerning reality, human beings and understand of what is right or wrong differ based on individual perspective. Views presented by pluralist, scientist and post modernist depend of their individual world view.

References

Bak, P. (2013). How nature works: the science of self-organized criticality. Springer Science & Business Media.

Murphy, M. C. (2016). God and moral law. Oxford University Press.

Tomasello, M. (2014). A natural history of human thinking. Harvard University Press.

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Worldview: Philosophy Essay

Worldview
Worldview

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Worldview

Introduction

Most philosophers believe that every person has a worldview. They define the worldview as a framework and commitment of ideas and attitudes about human beings, life, and the world. They further describe a worldview as a set of beliefs that man holds to and lives by. It is of great importance for human beings to discover their worldview and abide to them.

Generally, there is no widely agreed definition of spirituality. Traditionally, spirituality is viewed as the process of reformation that is aimed at recovering the original shape of man. However in present times, spirituality has been based on subjective experience that incorporates personal growth or transformation, and this is separate from the religious views.

Spirituality can be defined from different theories including scientism which is the belief in science and using scientific evidence to describe spiritually. Scientism is a belief held by scholars in their bid for the search for physical truth. On the other hand, pluralism refers to the process of viewing the society from multiple entities which work as a single unit. An example of pluralism is the society with different cultural backgrounds which maintains their tradition. Post modernism describes spirituality as a concept of modifying traditional beliefs according to modern ideas.

Prime reality

Prime reality is the understanding of what is real. This involves understanding the origin of faith of individuals. According to Christianity, God is real, and it is through his intentions that we can live. (Bak, 2013) posits that this definition is not applicable to every individual since non-Christians do not believe in God. Non-Christians believe that God cannot be present in all places at all times. However, Christians believe that Gods powers are unlimited. Prime reality is what one believes in depending on his views of reality. Believing that God is present and available in all places at all times is a reality for specific people but not others.

Nature of the world around us

From a religious perspective, nature is God’s creation, and the world is part of God‘s plan for man. Being a Christian, I believe that God is the creator of all things. According to the Bible teachings, God provided man with natural things in the world for man to enjoy God’s creation.

Certain situation where man experiences difficulties is part of the reality as it forms part of the learning process. As a Christian, I believe that understanding God’s plan is beyond us despite the fact that God has given us the gift of reasoning. Christians rely on faith to guide their understanding of the world (Murphy, 2016).

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Human beings

Murphy (2016) states that humans are God’s creation; human beings have life and a sense of self-awareness to understand their purpose on earth .but others view human as complex machine developed due to scientific discovery. But for Christians, human being are God’s superior creation because God created man giving him unique abilities compared to other God’s creation on earth .this dispute the fact that human being is termed as machines.

Since God created human beings in his image, these means human beings are above all other creation on earth. Therefore, their role is to take care of the world but not undermine the rights of other creations. Human being need to understand God intention which initial living in harmony and with other creation on earth (Murphy, 2016).

What happens to a person at death?

When people die they leave behind memories, which are cherished depending on an individual action while on earth. Apart from Christians others believe in life after death, this is his reason why several people perform good deeds while still alive because they believe God will judge them according to their actions.

Christian believes in life after death whereby the physical body dies, but our souls remain alive to start a new life in heaven. Murphy(2016) reports that when people dietheir souls escape from their bodiesand return to God the creator.

Christians believe that righteous people will be granted eternal life by God if their actions were in line with God’s commandments. According to (Murphy, 2016), the judgment day is important because this is the day when God decides our fate. This is the day that our actions are evaluated to determine if we are worth living with God in heaven. God’s Ten Commandments are rules given by God to our ancestors to guide our action. Therefore by not obeying God’s teachings we are likely to lose the chance of being granted eternal life.

The possibility to know anything at all

Knowing anything means the understanding of our worldview based on what influence our actions. Having different sets of beliefs reveals the different perspective of our view of the world. When we experience continuous changes as we go through different circumstances enables us to increase our levels of knowledge. Seeking God’s guidance is important to gain more knowledge and understand our purpose on earth (Tomasello, 2014).

How do we know what is right or wrong?

Tomasello (2014) explains how humans determine what is wrong and right by conforming to Gods moral law. In his view, moral laws reflect God’ s purpose for man. Human beings are expected to live by Gods’ intention. God moral laws are the Ten Commandments in the Bible that stipulate various acts that need to be emulated by man. However, people fail to understand God’s purpose hence violating God’s laws.

Christians believe that God makes them undergo difficulties as a punishment for their wrongdoing. Other people believe best for themselves and acceptable to our fellow humans are termed as the right thing, while what can cause harm to the majority is termed as wrong (Tomasello, 2014).

What is the meaning of human history?

History can be defined as the sequence of events that leads to fulfilling God purpose; however history is also defined as important records about past events that formed part of our identity. Human history from a Christian perspective portrays God as a wise, holy, powerful, true and the creator of the world.

Christian’s link human history to God creation, from a Christina perspective, human history cannot be defined without explaining Gods creation. Non –Christians view human history based on specific events that they value while some people believe that human history is imagination generated from the past events.

Conclusion

Worldviews are significant whether man recognizes them or not. They offer a basis upon which the actions and corresponding moral values are based. Our worldview   concerning reality, human beings and understand of what is right or wrong differ based on individual perspective. Views presented by pluralist, scientist and post modernist depend of their individual world view.

References

Bak, P. (2013). How nature works: the science of self-organized criticality. Springer Science & Business Media.

Murphy, M. C. (2016). God and moral law. Oxford University Press.

Tomasello, M. (2014). A natural history of human thinking. Harvard University Press.

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Gastrointestinal disorders: Nursing Practicum

Gastrointestinal disorders
Gastrointestinal disorders

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Gastrointestinal disorders

Various gastrointestinal disorders may present with similar symptoms which may make the diagnosis difficult especially when the information provided in the patient history is not sufficient. In the case study presented, the patient presents with the symptoms of weight loss, anorexia, epigastric tenderness, and chronic heartburn. From the information garnered from the patient history, the risk factors included the use of NSAIDS and smoking.

Apart from peptic ulcer disease, gastroesophageal reflux disease, and gastric cancer, the differential diagnosis would include other conditions such as abdominal pain syndrome as well as dyspepsia (Agarwal & Mayer, 2013). The definite diagnosis is difficult to make since the patient did not provide sufficient information regarding the disorder.

For instance, the health care professional ought to ask the patient of the history of the occurrence of such a condition in members of the immediate family so as to rule out any genetic predisposition to the disorder (Agarwal & Mayer, 2013). Also, it would have been important if the patient was asked about having taken opioids or any other related drugs (Talley & Ford, 2015).

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Again it is important that various tests such as imaging tests be taken on the patients to assist in making the definitive diagnosis (Talley & Ford, 2015). Some further tests that should have been done include virtual colonoscopy and computed tomography to examine the patient intensively for any conditions that could have been causing the disorder. Also, magnetic resonance imaging could also have been used to rule out the possibility of the patient having any malignancies within the gastrointestinal system (Agarwal & Mayer, 2013).

More so it is recommended that endoscopy is conducted on the patient to determine or rule out the occurrence of peptic ulcer disease (Talley & Ford, 2015). Additionally, blood tests should be carried out on the patients to determine if they are suffering from the narcotic bowel syndrome.

References

Agarwal, S., & Mayer, L. (2013). Diagnosis and treatment of gastrointestinal disorders in patients with primary immunodeficiency. Clinical Gastroenterology and Hepatology, 11(9), 1050-1063.

Talley, N. J., & Ford, A. C. (2015). Functional dyspepsia. New England Journal of Medicine, 373(19), 1853-1863.

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Patient Customer Service Quality

Patient Customer Service Quality
Patient Customer Service Quality

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Clinical Quality: Patient Customer Service Quality

The clinical quality and the customer service quality which brings about the patient experience is used in the evaluation of the type of healthcare provided to the patients. The patient experience that results from the type of health care received is an essential outcome that is linked with the organization quality which is relevant when it comes to the management and assessment of care (Ahmad et al, 2015).

Despite the relationship between customer service quality and clinical quality, there exist some differences that are brought about by various factors. These factors include poor communication affecting the compliance to treatment, poor standards of care and also poor access to services for the customers which affect the provision of Medicare (Amin et al, 2013). The increased aspect of clinical quality is bound to deteriorate the patient-centered care which is enhanced by enhancing quality customer services.

The lack of satisfaction of the services offered at the health centers has prompted the customers to file complaints related to allegations of poor quality care, mistreatment, abuse and also neglect by the care providers. The East view health Centre is one medical nursing home that has received such complaints from the customers. The nursing home is located in the Birmingham has a 59% occupancy rate.

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The health Centre has a bed capacity of 112 beds occupied by the patients. The health Centre is part of the multiple nursing homes ownership under the for-profit corporation (Ihle et al, 2016). The complaints that are reported by the customers are attributed to the challenges and problems experienced in the center. All challenges and problems are closely related to the delivery of care to the patients.

The issue of protecting the patients from misappropriation of personal property, neglect and also mistreatment is highlighted as one of the complaints reported. The complaint relating to the provision of healthcare by the qualified practitioners to each of the patient’s written care plan. The issue of the provision of adequate supervision to reduce the cases of accidents and other health related hazards in the nursing home is also filed as a complaint received from the customers (Ihle et al, 2016).

There are various customer service quality and quality clinical operations that take place in the health Centre. Some of the customer services offered at the health Centre include social work services, therapy services, activities services and physician services among other many. The nurses in the health centers offer services that aim at ensuring the patients are safe and included in the treatment planning process which enhances the patient-centered care for the satisfaction of the customers (Ahmad et al, 2015).

The center also provides care and treatment to patients to reduce the cases of injuries healing the existing bed sores and also prevention of the new bed pressure. The nursing facilities are provided to the patients in the health Centre where the services are expected to be quality with cleanliness and visual appealing facilities. There has been questions and issues about the service quality in the health Centre, which influences the patient’s satisfaction and perception about the nursing home.

The problems and complaints reported by the patients fault some of the quality customer services offered by the health Centre. In this case, the quality is not given full credit for its services. Misappropriations and mistreatment of the patient are some of the complaints relating to customer services that show some inefficiencies (Ihle et al, 2016).

 The customer service quality when it comes to staffing and the timely delivery of care indicates lower quality of care as per the expectations of the patients. The have been complaints about the satisfaction of the patients as per the services they received in the nursing home. There are mental health services, as well as other therapy services offered by the nursing home, has been faulted by the complaints relating to the maintenance and recognition of the individuality of the patients. The patients respect the practitioners to ensure their dignity and respect is fully upheld to enhance a good nurse-patient relationship and satisfaction to quality of care provided.

The clinical quality refers to the accuracy of the procedures and diagnosis tasks carried out by the care providers to the patients (Ihle et al, 2016). The East view health Centre has tried to ensure that the quality of care is offered as per the professional specifications. Special attentions should be on delivering service quality. The health Centre has made efforts aimed at prevention of the infections in the health Centre and also enhancing the proper mechanisms that control the spreading of the infections (Burwell, 2015).

However, there has been complaints relating to the efforts by the nursing home to ensure efficient control of infections and prevention of diseases and injuries which indicates some improvements need to be done to ensure the clinical quality of all operations. The East view health center has effectively kept organized, accurate and complete records for its patients as per the professional standards set.

The availability of qualified professionals that provide care by the written care plan of the patients has led to complaints about the clinical quality in the health Centre. By the inspection results the nursing home is expected to improve their care operations for the patients requiring special services to ensure clinical quality. These services include respiratory care, tracheostomy care, injections and prostheses among other many offered to the patients. Recommendations by the inspection unit to improve on the safety measures is an indicator of the substandard quality care that needs the remedy (Burwell, 2015).

There are various techniques that can be adopted to improve the clinical care and customer service quality in the health Centre. Proposing the implementation and adherence to the patient-centered type of care is one of the techniques that would seek to improve the quality of customer service care at the health Centre. The technique seeks to address issues such as delays of care and lack of full involvement in the treatment plans which highlight some of the complaints reported at East view center.

Training the healthcare providers and offering the technical assistance as well as providing the evidence-based recommendations is a key technique in enhancing them to provide the quality customer service care to the patients. The technique of ensuring inspection to take disciplinary measures for those mistreating the patients and neglecting them to the extent of offering substandard care is vital to improving the quality of the customer service care (Amin et al, 2013). Adoption of these techniques effectively addresses the complaints and the problems that hinder quality services to the customers.

The quality clinical care in the nursing care requires some improvement to ensure the services are offered as per the professional specifications. The shape up of the administration and the staff to enhance the coordination between healthcare providers through the formation of teams which leads to cooperation is a technique that improves clinical care in the nursing home (Ahmad et al, 2015). The technique ensures they care to work together to meet the standards of quality care.

Appointing an internal inspection to identify regularly the areas that need some quality improvement is an important technique that enhances improved clinical care quality. Ensuring the integrated health services and designing a program that controls, investigated and manages infections in the nursing home is an efficient technique in ensuring the improved quality of clinical care. The effective adoption and implementation of the techniques lead to the overall improvement in the quality of care offered in the East view health center.

References

Abuosi, A. A., & Atinga, R. A. (2013). Service quality in healthcare institutions: establishing the gaps for policy action. International journal of health care quality assurance, 26(5), 481-492.

Ahmad, A., Nurhanis Syazni, R., Jamilah Al-Muhammady, M., & Muhamad Saiful Bahri, Y. (2015). Medical Graduates’ Perception on the Quality of Clinical Education. Education In Medicine Journal, 7(4), e52-e59. doi:10.5959/eimj.v7i4.401

Amin, M., & Zahora Nasharuddin, S. (2013). Hospital service quality and its effects on patient satisfaction and behavioural intention. Clinical Governance: An International Journal, 18(3), 238-254.

Burwell, S. M. (2015). Setting value-based payment goals—HHS efforts to improve US health care. N Engl J Med, 372(10), 897-899.

Ihle, C., Ateschrang, A., Grünwald, L., Stöckle, U., Saier, T., & Schröter, S. (2016). Health-related quality of life and clinical outcomes following medial open wedge high tibial osteotomy: a prospective study. BMC Musculoskeletal Disorders, 171-11. doi:10.1186/s12891-016-1076-x

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STATIN THERAPY: PICOT

STATIN THERAPY
STATIN THERAPY

DEVELOPING A QUESTION – STATIN THERAPY: PICOT

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Patients with high levels of cholesterol in their body usually undergo the statin therapy which helps in preventing and reducing the high risks of suffering from the cardiovascular disease, are the statins drugs right for the patients or lead to the increased cases of liver disease?

The nursing problem relating to the proper management of the cardiovascular disease and ensuring that administration of statins therapy leads to the desired impact is observed mainly among the patients having heart and liver diseases in the health centers. Statins are the group of drugs that help in lowering the levels low-density lipoprotein in one’s blood.

The statins are responsible for blocking the substances that form cholesterol in the liver (Shehata et al, 2015). The recent incidents related to the effectiveness of the statins prompts the researchers to conduct the interventional studies to establish whether the statin drugs cause the increase of the liver diseases among patients (Shehata et al, 2015).

The statin drugs ensure that any excess cholesterol within the body is converted into bile salts that absorb the vitamins and fats in the intestines (Shehata et al, 2015). Scientific research gives out evidence that high levels of the low-density lipoprotein cause the progression of the cardiovascular diseases. By the previous studies conducted, there is a significant relationship between the high LDL cholesterol and the cardiovascular disease among the patients. Therefore, cholesterol has been seen as a risk factor for the high mortality rates among the cardiovascular disease patients (Shehata et al, 2015).

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 Taking the prescribed medication appropriately, maintenance of a healthy diet and involvement in the physical exercises is efficient in controlling the cholesterol levels in the body. The populations that are more vulnerable to the disease are the elderly and the smokers. The people above the age of fifty are the most likely to suffer from diseases. The smokers take in a chemical that transports the cholesterol from the deposits of fat to the liver.

The elderly population is vulnerable as the arteries usually narrow causing atherosclerosis. The increased levels of serum cholesterol make the smokers and elderly more vulnerable to the heart disease. The various health institutions are therefore monitoring the liver function test among the patients that have undergone the statin therapy (Shehata et al, 2015).

Joint British Societies and also the NICE has recommended the adoption of statin therapy as the remedy to help in the reduction of cardiovascular disease related mortality rates. There has been significant reduction in the mortality rate by about 10% which gives credit to the intervention adopted. The remedy is significant in the nursing profession as it enhances the better and more efficient management of the problem.

The management of the disease is highly beneficial to the people most vulnerable to developing the disease. The efficient monitoring of the liver function tests among the patients is highly recommended to ensure the proper management (Shehata et al, 2015). Prior to the establishment of the significant results of the tests conducted, the statin therapy seems to be cumbersome in nature. Such a case acts as a fault to the statin drugs been used to manage and properly intervene for the problem.

The statin drugs also induce liver enzymes which cause the high levels of alanine transaminase which requires the testing to be done several months in the early weeks of ALT (Shehata et al, 2015). The patients might develop obesity or the drug-induced toxicity influencing the function of the liver. In addition to the liver function tests’ monitoring, it is essential to include the histological techniques.

Considering other factors that might influence abnormalities during the liver functions test is essential before identifying the probability of the influence caused by the statins on the disease. Measuring the patient’s baseline during the statin therapy while conducting the liver function test results into reduced cases of the cardiovascular disease which is the required outcome.

Population used is the adults between 18-55 years of age who have been clinically diagnosed with the cardiovascular disease in the past and have undergone the statin therapy at least ones during their medication process. The patients facing the liver diseases are also include to identify whether the statin therapy contributes to increased levels of their illness.

Intervention for the problem is adoption of statin therapy as the remedy to help in the reduction of cardiovascular disease related mortality rates. The management of the disease is highly beneficial to the people most vulnerable to developing the disease. The efficient monitoring of the liver function tests among the patients is highly recommended to ensure the proper management among the patients experiencing the liver disease (Shehata et al, 2015).

The standards supervised process that would not involve the establishment the significant liver test conducted which acts as a control group for the patients is used for comparison. The nitrates used by the cardiovascular patients as drugs to manage the disease would be administered to the patients for comparison with the stating therapy and the effects.

The outcome assessed during the research of the issues includes the changes in number of LDL receptors in the liver of the patients. The reduced risk of suffering from cardiovascular disease and the mortality and morbidity rates are also measured as an outcome (Shehata et al, 2015). The time frame for the outcome would be evaluated and measured monthly for 6 months.

Patients with high levels of cholesterol in their body usually undergo the statin therapy which helps in preventing and reducing the high risks of suffering from the cardiovascular disease, are the statins drugs right for the patients or lead to the increased cases of liver disease?

Rapid appraisal

  1. How does each article describe the nature of the problem, issue, or deficit you have identified?

The article has efficiently described the issue of statin therapy, its effectiveness among the cardiovascular disease patients and other impacts it causes.

  • Does each article provide statistical information to demonstrate the gravity of the issue, problem, or deficit?

The article has been helpful in describing the problem and its gravity to the extent of providing a clear insight about the issue of interest.

Example(s): morbidity, mortality, rate of incidence or rate of occurrence in the general population.

 There has been significant reduction in the mortality rate by about 10% which gives credit to the intervention adopted

  • Does the article support your proposed change?

The article has provided more information regarding the proposed change by describing the positive impacts for the intervention.

Reference

Shehata, M., Fayez, G., & Nassar, A. (2015). Intensive Statin Therapy in NSTE-ACS Patients Undergoing PCI: Clinical and Biochemical Effects. Texas Heart Institute Journal, 42(6), 528-536. doi:10.14503/THIJ-14-4891

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Chronic Venous Insufficiency (CVI)

Chronic Venous Insufficiency (CVI)

Chronic Venous Insufficiency (CVI)
Chronic Venous Insufficiency (CVI)

Chronic Venous Insufficiency (CVI)

Chronic Venous Insufficiency (CVI) arises due to incompetence of vascular walls as well as valves of the veins. This disorder leads reduction in blood flow to the heart resulting in pooling of blood or stasis in the extremities especially the lower limbs. Patients with CVI usually complain of pain and swelling in the limbs.

Conversely, deep venous thrombosis (DVT) arises when clotting occurs in the deep veins in the lower limbs (Patel & Brenner, 2013). Patients suffering from DVT usually complain of pain as welling as swelling just as those with CVI. The presentation of these conditions is almost similar. It is for this reason that health care providers take extra caution when diagnosis CVI and DVT.  

The Pathophysiological Presentation of DVT and Chronic Venous Insufficiency

The key pathophysiological difference between CVI and DVT is that DVT occurs in deep veins whereas CVI occurs majorly in superficial veins. Chronic Venous Insufficiency affects popliteal, femoral, and peroneal veins while DVT mail affects the soleal vein. Chronic Venous Insufficiency arises as a result of damage of the endothelial walls and valves in the veins (Eberhardt & Raffetto, 2014).

Some of the common causes of CVI include pelvic tumors, DVI, and vascular malformations. The valves of patients suffering from CVI are incompetent in that they cannot hold blood back against the force of gravity. Consequently, blood pools in the lower extremities leading to swelling especially in the ankles and the legs. Moreover, individuals with CVI present with venous stasis ulcers, varicose veins, pain the feet, and itching and flaking of the skin.

On the other hand, DVT develops due to clotting in the veins. Severe clinical complications occur when the formed clots lyse and get into the general circulation. Blood from deep veins usually flows into the lungs. Therefore, when this blood carries clots with it, it may lodge them in the lungs causing pulmonary embolism, one of the most severe result of DVT (Goldhaber & Bounameaux, 2012).

Often CVI presents with dermatitis and ulceration due to the structural difference between the deep veins and superficial veins. That is, the superficial veins have an adipose layer and a connective tissue whereas the deep veins have a fascia and muscles. This gives deep veins more protection and structural support.

Venous and arterial thrombosis have a number of similarities although they differ in terms of their pathophysiology, clinical interventions, and epidemiology. Venous thrombosis occurs in undamaged parts of venous walls and in areas that have low sheer pressure. This disorder leads to formation of red thrombi. Conversely, arterial thrombosis occurs in parts that have high sheer stress and are rich in plaques. Unlike, venous thrombosis, arterial thrombosis forms white thrombi.

Patient Behavior

The predisposition and pathophysiological advancement of DVT and Chronic Venous Insufficiency relies heavily on the lifestyle of an individual. The pathophysiology of DVT and CVI is enhanced when a person engages in activities that enhance the metabolic syndrome. Some of the most notable practices that have been cited to predispose individuals to CVI and DVT include lack of physical exercises, smoking, intake of meals rich in cholesterol, and psychosocial behavior (Csordas & Bernhard, 2013).

Smoking affects the circulation of blood and enhances blood clotting. On the other hand, inactivity such as sitting for long periods causes calf muscles to contract hence inhibiting proper circulation of blood. Lack of activity may also result in increase of weight which then increases pressure in veins especially in the legs and the pelvis.

When diagnosing of CVI and DVT based on behavior, a physician should enquire the social history of the patient. For instance, s/he can ask the patient whether s/he smokes or has ever smoked. If the patient smokes, he should enquire when the patient started smoking and how many sticks he smokes in a day. Questions on whether the patient engages in physical exercises such as jogging or long distance travelling are also essential in finding a differential diagnosis.

Clinical interventions for these patients involves the use of pharmacological as well as non-pharmacological approaches. If the patient smokes, a physician should assess the willingness of the patient to quit smoking. If s/he is willing to make a quit attempt, a brief counselling session should be introduced, medications such as bupropion will be offered as well as self-help resources. Follow-up visits should also be scheduled. The patient should also be advised to engage in physical exercises such as jogging. The patient should also limit his/her intake of cholesterol, leading factor in DVT development. 

References

Berkman, L. F., Kawachi, I., & Glymour, M. M. (Eds.). (2014). Social epidemiology. Oxford University Press.

Csordas, A., & Bernhard, D. (2013). The biology behind the atherothrombotic effects of cigarette smoke. Nature Reviews Cardiology10(4), 219-230.

Eberhardt, R. T., & Raffetto, J. D. (2014). Chronic venous insufficiency.Circulation130(4), 333-346.

Goldhaber, S. Z., & Bounameaux, H. (2012). Pulmonary embolism and deep vein thrombosis. The Lancet379(9828), 1835-1846.

Patel, K., & Brenner, B. (2013). Deep venous thrombosis. Medscape reference.

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CHILD DEVELOPMENT THEORY AND PRACTICES

Child Development Theory and Practices
Child Development Theory and Practices

Child Development Theory and Practices

Introduction

Child development is the theory and practice of procedures to ensure that the child is given the proper resources, guidance and nutrition to see them through their infancy up to middle school. Child development can also be the biological, social and psychological change in a child as they grow. However, it is supported by the various efforts and developmental models chosen and taken by their parents and guardians.

Indeed, the development of a child involves aspects such as pedagogical development and the development of the various biological systems in the body. The whole process is geared towards achieving total autonomy in the child. Children are exposed to many issues at an infant age. The most challenging of these issues is the introduction of new diet. 

Children often have to begin feeding on supplementary diet that is different from mammary milk after they attain the age of twelve months. Child development policies and strategies ensure that these steps and stages in the development of the child are done incrementally and professionally to achieve desired impact (Bevans, Riley & Forrest, 2010).

Background on child development

Child development has been a source of scientific and medical research over the last few decades. Policies in child development often relate to the ability of the parent to help them achieve autonomy. However, with regard to theories in child development, the concern has often been about the emotional and physical relationship of the child and the mother.

Many studies have been done on issues in child development. They have since resulted in aspects of child treatment, immunization and even nutrition. The most significant theories in child development are the Developmental theories and the attachment theories (Warner, 2007). It is necessary however to realize that although most of the theories on child development have hardly been refuted, they have not been unanimously approved as well.

Child development is often the cause of controversy in many policy development forums. There are particular goals that need to be achieved in child development but many different approaches to achieve these theories.

Where child development in a biological context is concerned, the physical change in the body of a child as they move from childhood to puberty is often a marvel in scientific research. Many children often realize a particular affinity for certain objects, games and pleasantries as they grow. However, there is likely that a child’s growth potential is achieved by the time they reach puberty (Bevans, Riley & Forrest, 2010).

Children however do not easily learn the psychomotor skills on their own. The exposure the child gets as they grow often determines how well they grow with regard to psychological and emotional development. There is indeed a direct relationship between the child’s environment and their eventual personality traits. More so, the adaptability of the child at the infancy stage is higher than at any other stages in their development. This is why child development theory and practice takes center stage among many pediatric research and education practices (Capel, 2012).

Child development however exceeds past growth. For instance, when a child grows, organs do not just grow, they are specialized. The same is the case for the various body cells and senses. They become bigger (grow) and better at their functions (develop). Child development theories thus take all these issues into account. However, with regard to the aspects and determining factors in child development; it is often the case that cases of child development complications are often treatable.

Medical research asserts that since the mind of the child keeps changing and growing, it is often the case that children may outgrow behavioral and psychological issues. There is however contention on the possibility of child brain research towards the treatment of regressive growth involving limbs and other bodily organs with a rich nervous system (O’Connor & McCartney, 2007).

Child Development Theories

Child development theories assess the growth and development of the child; the mitigating factors and the various aspects of the growth. Theories try and explain why phenomena such as development of limbs, ability to walk, talk and read as well as the growth of the intuition in a child occurs as it does. The major categories children are classified into often include; newborns, infants, toddlers, preschoolers, school-aged children and adolescents. These different categories of children often exhibit different traits.

This is why models are often specific to the category and explain how growth takes place from one category to the next. There are various theories formulated towards contributing to child development policies. However, this paper will discuss two main theories; child development theories and child attachment theories. These theories help scientists assess various growth factors and inhibitors to proper development of the child (Rigby, 2007).

Child development theories assess and explain the factors behind a child’s development. The most common of these theories is the ecological systems theory. The ecological systems theory was first proposed by Urie Bronfenbrenner. He proposed four categories for child biological development. These include; microsystem, mesosystem, exosystem and macrosystem. The microsystem of the child is the nervous and cardio vascular system. The mesosystem defines the muscular system in the body.

The exosystem defines the skin organ of the body and all systems that interact with the external environment while the macrosystem defines the organ system in the body. A child’s development is expected to take place simultaneously in all these four stages. The theory also proposes that each of these subsystems contains particular norms and principles that guarantee development in a symbiotic manner. The relationship between the systems defines how well or retarded growth in a child is.   

The child attachment theory defines the psychological, evolutionary and ethological development of a child. The theory asserts that interpersonal relationships between human beings are based on the development and proliferation of psychological needs. These needs stem from the child’s emotional upbringing and contact with the environment they live in. It is thus a concern that needs to be addressed by care givers.

The child’s evolutionary needs have to do with the child’s nutrition and socialization. Aspects such as early schooling, introduction to sporting activities and involvement in household chores contribute greatly to child development. It is thus critical to achieve these early. However, ethological (behavioral) growth in a child is cultured from the observations the children make on their own. This is why the environment one raises a child in must be protected from unnecessary exposure.   

Early Childhood Education Theories

Early childhood education theories discuss the development of the child as they progress through school from introduction to later stages in school. For instance; the Development Integration Approach in child development discusses child development on aspects such as; physical, social, emotional, language and cognitive skills. Physical development is assessed through measures such as the body mass index (BMI) that evaluates the mass against the height of the child.

Social and emotional development skills are the skills the child acquires from interacting with other children and adults. Language can be considered in two aspects; the first language the child was exposed to; known as L1 and the other languages follow as L2, L3…However, language can also be the ability of the child to learn etiquette, euphemism and other necessary language skills at an early age.

Cognition in a child is the most observable change. Abilities such as reading, learning and concentrating however take time to develop in a child. The ability to use language properly is very important to the child’s growth as it makes them able to communicate (Warner, 2007).

The other common theory in early childhood education is the socio-cultural learning theory. This theory asserts that the impact of the child’s social experiences as well as their cultural disposition affects their individual thinking and the development of their mental processes. This is why it is important to raise children in environments that elicit such growth potential.

All the same, whatever environment the child finds themselves in is able to affect their mental and psychological health either positively or negatively. The theory by Lev Vygotsky proposes that cognition should be trained by the child’s care givers since it occurs on a social context. Allowing children to play and undertake certain responsibilities early prepares them for such responsibilities in the future (O’Connor & McCartney, 2007).

For instance, early driving classes make the child develop an intuitive sense that helps them discern the path to take while on the road and the decisions that can help them avoid accidents and dangerous driving. Socio-cultural learning also presents the argument that a child born in cultural practices will likely learn them and embrace them early if they are exposed to them from the onset.      

Conclusion

Early childhood development is a phenomenon that has been observed by scientists across the world for centuries. Indeed, aspects of child development such as the development of psychomotor skills, cognitive development and physical development often relate to the child’s culturalization.

Most care givers are advised to monitor the path through which the child takes in their development actualization pattern in order to grow into the anticipated adults society envisions. However, there are biological factors in child development and growth that do not really have anything to do with the care givers but actual parents. Genetic factors are often difficult to deal with as they are as the result of recessive genes since childhood.

In such cases that these recessive genes lead to visible impaired limbs, it is necessary to seek medical attention to know how to handle these cases (Ogunnaike, 2015). Children should always be brought up in environments where they feel safe and able to interact freely with all persons in their vicinity. Since most of what they learn is acquired from vision, it is important to invest on the child’s environment and control it as much as possible without interfering with it.  

References

Bevans, K. B., Riley, A. W., & Forrest, C. B. (2010). Development of the healthy pathways child-report scales. Quality of Life Research, 19(8), 1195-214. 

Capel, C. M. (2012). Mindlessness/mindfulness, classroom practices and quality of early childhood education. The International Journal of Quality & Reliability Management, 29(6), 666-680. 

Rigby, E. (2007). Same policy area, different politics: How characteristics of policy tools alter the determinants of early childhood education policy. Policy Studies Journal, 35(4), 653-669.

O’Connor, E., & McCartney, K. (2007). Examining teacher-child relationships and achievement as part of an ecological model of development. American Educational Research Journal, 44(2), 340-369.

Ogunnaike, Y. A. (2015). Early Childhood Education and Human Factor: Connecting Theories and Perspectives. Review Of Human Factor Studies21(1), 9-26.

Warner, M. E. (2007). Child care and economic development: Markets, households and public policy.International Journal of Economic Development, 9(3), 111-121.

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Applying cultural sensitive care

Applying cultural sensitive care
Applying cultural sensitive care

Applying cultural sensitive care

Legal and ethical consideration

In this case study, there is conflict between the  nurse ethical responsibilities to her patient, legal  responsibility to her employer and legal duty to the physician; which exposes the RN to professional risk. This is a challenging situation as there is inadequate guide in resolving such kind of dilemmas. For instance, the nursing standards and law are vague about rights to ethical decisions made by RNs.  The code of ethics does not offer legal protection to RN who works as patient advocate (Hunt, 2013).

In this case, the role of the nurse is to remain cultural competent.  The RN must respect the patient decision even when the patient’s decision is irrational or wrong. The RN should advise the patient about their clinical opinion without putting pressure on them to accept the RNs advice. While doing so, the RN should be careful not to use words and actions that disrespect the patient values and beliefs (Hinkle & Cheever, 2013).

RNs support to patient decision

The RN can offer support to patient’s decision by (Taylor, Lilis, LeMone, & Lynn, 2011);

  1. Being an active listener

This is important as it helps establish mutual relationship and trust to the RN. It is a way for RN to show their concerns to the patient. The RN should ask the patient about their understanding of the health condition, which will help RN to address any misconceptions.

  • Explain medication detail

Most of the healthcare medical terms are jargons to ordinary people. It is important to discuss all the details associated with the medication, his risk level and programs which could help with the patient cost management and coping strategies.

  • Explore alternative approaches

Some of the patients could be comfortable to seek alternative medication such as herbal remedies or traditional healers. The RN must be thoroughly informed about the alternative medication because some of the treatment could be harmful. If considered as an alternative, the nurse can refer the patient to a certified practitioner. In Some cases, religious rituals such as prayers can be integrated into practice.

Example of major religion

An example of a religion that could possibly be holding similar doctrines is Muslim religion. Devout Muslims can reject medication containing alcohol such as those used during the peri-operative procedures, or medications made from pork derivatives. In medical situations which are not of emergency, the RN should educate the patient, but help them preserve their values and believes (Smith, 2013). This includes exploring other beliefs that do not contradict to their beliefs. These small accommodations could pay off the patient emotional well-being. Therefore, to remain culturally competent care, the RN must perform cultural assessment in order to understand their perception of illness and wellness (Kee, Hayes, & McCuistion, 2015).

References

Hinkle, J., & Cheever, K. (2013). Brunner and Suddarth’s textbook of medical-surgical nursing (13th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.

Hunt, R. (2013). Introduction to community based nursing (5th ed.). Philadelphia, PA: Lippincott, Williams and Wilkins.

Kee, J., Hayes, E., & McCuistion, L. (2015). Pharmacology: A patient-centered nursing process approach (8th ed.). St. Louis, MO: Elsevier.

Taylor, C., Lilis, C., LeMone, P., & Lynn, P. (2011). Fundamentals of nursing: The art and science of nursing care (7th ed.). Philadelphia, PA: Lippincott, Williams and Wilkins.

Smith, L. (2013). Reaching for cultural competence. Nursing, 43(6), 30-38.

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United Nations Human Rights Commission

United Nations Human Rights Commission
United Nations Human Rights Commission

United Nations Human Rights Commission

            United Nations Human Rights Commission (UNHRC) is an intergovernmental organization within the structure of the United Nations. It comprises of 47 Council positions intended to ensure a fair geographical representation. 13 members are drawn from Asia, 13 members from Africa, 8 from Caribbean and Latin American, 5 from Eastern Europe and 7 from Western Europe and other states.

The Council was established in 2006 by the United Nations General Assembly to succeed the United Nations Commission on Human Rights (UNCHR). UNCHR was widely criticized for failing to address human rights desecrations, and having a huge number of nations with a dismal human rights track record as its members. Despite overhauling UNCHR, several states and policymakers expressed their concerns over UNHRC’s lack of attention to contentious human right occurrences (Thompson, 2015).

Notwithstanding, the United Nations Human Rights Commission has been effective is addressing human rights violations in different nations. The effectiveness of the United Nations Human Rights Commission in accomplishing its objective of protecting global human rights largely depends on the influence of the major powers and cooperation of states.

Organizational Structure

            Member countries in the General Assembly participate in an election to appoint individuals who will occupy the 47 seats of the United Nations Human Rights Council. Each position has a tenure of three years and there is no member who can hold a position beyond two consecutive terms. The General Assembly has the authority to suspend the privileges and rights of any Council member, if it persistently commits systematic or gross human rights violation during its membership term (Smith, 2014). 

Suspension from the General Assembly necessitates a two-thirds majority vote to oust a member from the Assembly. The resolution that founded the United Nations Human Rights Commission shares that when appointing Council members, states should consider the candidates’ contribution to the protection and promotion of human rights and their voluntary commitments and pledges made.

Members selected to join the UNHRC are expected to exemplify highest human rights protection and promotion standards (Thompson, 2015). The Human Rights Council holds meeting three times every year in September, March and June. Nonetheless, the Council may decide to schedule a special session to discuss human rights emergencies and violations, at the approval of a third of the member countries.

Goals

            The United Nations Human Rights Council serves as the main forum for addressing human rights issues and intergovernmental cooperation. The Council endeavors to aid member’s nations to manage their human rights infringement through dialogues, technical assistance, and capacity building. In addition, it makes proposals to the General Assembly to improve the advancement of international law in the arena of human rights.

Through the Universal Periodic Review, the United Nations Human Rights Council evaluates the human rights situation in 192 United Nations member states.  The advisory committee offers advice and expertise in thematic human rights matters, thereby promoting the efficiency of the Council. Another responsibility of the committee is to forward complaints about violation of human rights to the Council. After a complaint is filed, the Council manages thematic issues or country situations through the special procedures system (Smith, 2014).

Evaluation

            The United Nations Human Rights Council has been successful in promoting the protection of human rights across the globe. Nonetheless, the success has been varied with the greatest achievement being realized in Africa. In contrast to Western Nations, African nations have been accommodating refugees thereby incorporating the subject of human right issues.

Refugees have been granted asylum and accepted in these societies since African communities have a strong hospitality tradition. Most importantly, African nations have exemplified massive cooperation with the UNHCR thereby accelerating to the attainment of the Council’s goals. Zambia, Zimbabwe, Swaziland and Malawi are examples of some of the nations that granted asylum to a huge number of refugees from Mozambique in 1986 (Hammerstad, 2014).

Kenya has also granted asylum to a massive number of refugees from Somalia, Ethiopia and Sudan. In all the nations, the presence of the United Nations Human Rights Council has been crucial in protecting the rights of refugees and compelling host nations to grant refuge to refugees.

            In Europe and North America, the UNHRC has encountered pressures due to the presence of stringent rules restricting entry of refuges. The outcome has been a lower level of refugee protection and refusal to enjoy asylum. In Western nations, the Council has failed in promoting the protection of human rights especially for refugees. UNHCR has resorted to reminding these nations of their duty to enhance the rights of all people whether citizens or refugees.

While the role of providing physical security or protection is the duty of the host nation, United Nations Human Rights Council has a facilitating mandate to ensure this obligation is observed. Although, the Council has failed in executing this role in certain nations and human rights situations, it has performed much better compared to its successor.

Major Powers such as the United Nations have had a major impact on the Council due to its financial donation and interest in advancing certain ideals (Smith, 2014). The United Nations should endeavor to cooperate with member states to ensure that human rights are protected and promoted. In the future, the council should review its membership slots due to population growth and to promote equality among member states.

Conclusion

            The United Nations Human Rights Council has been successful in promoting and protecting human rights across the globe compared to its predecessor. Since the Council does not harbor enforcement powers, it has effectively accomplished its mission, ensuring that human rights are observed. The effectiveness of the Council in attaining its vision of global human rights protection rest with securing cooperation with major powers and host nations.

As exemplified in the African situation, the interpretation of refugee’s rights and rights relating to granting asylum rights has hindered observation of global human rights.  The UNHRC has not been successful where nations have been uncooperative, such as the incident of Cuban, Haitian, and Mexican refuges residing in the United States. Nonetheless, on a global scale, the Council has largely demonstrated its efficiency in accomplishing its mandate.

References

Hammerstad, A. (2014). Rise and decline of a global security actor: UNHCR, refugee protection, and security. Oxford, UK: Oxford University Press.

Smith, H. (2014). Crimes against humanity? Unpacking the North Korean human rights    debate. Critical Asian Studies46(1), 127-143.

Thompson, A. S. (2015). Tehran 1968 and Reform of the UN Human Rights System. Journal of   Human Rights14(1), 84-100.

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