Discussion post Essay Example | Topics and Well Written Essays - 250 words

Discussion post - Essay Example His criticisms of how Roosevelt was handling this depression and his constant fight for the minority to be given fair wages made him more popular then FDR. This was even included in his principles for the National Union for Social Justice which stated that â€Å"I believe that every citizen willing to work and capable of working shall receive a just, living, annual wage which will enable him both to maintain and educate his family according to the standards of American decency.† All in all, the greatest threat from Coughlin to Roosevelt was because he was a priest and hence majority of the people believed and trusted his doctrines, criticisms and ideologies more than they did that of President Roosevelt. Coughlin was constantly attacking and questioning the faith of Roosevelt through his weekly radio speeches and hence inflicted doubt on the American citizens about their President. This proved to be a major political bow and setback for the

Conversation Starter Essay Example for Free

Conversation Starter Essay Keeping pace with the rapidly growing health care industry has been a challenge for human resource (HR) professionals. Increasing health care costs, aging workforce primed for retirement over the next decade, and regulatory complexity will be prevalent challenges for human resources. (Minton-Eversole, 2011). Responding to the effects of health care reform, and counseling organizations on which actions to take are an unrelenting concern for management in human resources (Minton-Eversole, 2011). Health care providers are feeling the pressure as the industry moves to an accountable care model. With reimbursement contingent on patient satisfaction and safety, cost containment is more important than ever (Aberdeen Group, 2012). Providers are leaning on HR management to ensure their workforce is prepared to meet the challenges. Identifying and promoting talent within the organization, formal succession planning, and leadership programs can give organizations the advantage in an ever-changing industry (Aberdeen Group, 2012). Recruitment and retention of competent, skilled candidates that meet mandatory staffing ratios adds to the list of challenges HR professional will face (Aberdeen Group, 2012). Lacking qualified applicants to fill positions within the organization, human resources have turned to training and development to heighten the skills of current qualified workforce, while offering desirable salary and benefits packages to retain young workers (Minton-Eversole, 2011). Anticipated changes in demographics and social conditions will greatly influence the approach taken by HR professionals with the millions of individuals reaching retirement age. (Minton-Eversole, 2011). Many of these individuals in the workforce are not prepared financially for retirement; eliminating the chances for younger recruits to enter the profession (Minton-Eversole, 2011). Forecasted replacement needs will more than double the job openings  created by economic growth between 2008-2018 (Minton-Eversole, 2011). Knowing where the retirements will occur, and if there will be sufficient resources to replace them, will be the imposing challenge (Minton-Eversole, 2011). Human resource departments are engaged actively in employing and development of the strategies that will influence the health care industry. Reducing costs, improving patient care as well as safety, recruitment and retention of qualified applicants will be unfeasible for health care providers without active HR management in the organization. References Aberdeen Group. (2012). Aberdeen Group. Retrieved from http://htpp://blogs.aberdeengroup.com Minton-Eversole, T. (2011). Society For Human Resources Management. Retrieved from http://www.shrm.org

A Reflective Account Of A Fundamental Caring Skill Nursing Essay

A Reflective Account Of A Fundamental Caring Skill Nursing Essay For my reflective account of my caring skill of assisting somebody to eat I am going to use A model of reflective practice Gibbs, G. (1988). My practice was at a residential home with sixteen permanent residents and two respite rooms and so the health and amount of care needed by each individual varied. Some are mobile and independent, some need assistance from carers for only a few activities such as being pushed in a wheelchair, whereas a few are completely dependant on the carers to do daily activities such as eating. Before I started my placement I read the NMC code of professional conduct and the NMC guide for students of nursing and midwifery. This was so that I was aware of my accountability, responsibility, confidentiality and the wishes of the patients. I also researched into nutrition and feeding, to help me to understand my clients needs and feelings, so that my caring skill was more effective. Every cell requires an energy source for growth, development and for cell activity. The body obtains its energy source from eating and drinking and so they are essential to existence (Roper, Logan Tierney, 2000). Therefore nutrition plays an important role in health and I need to understand what a nutritious diet contains and the effects a healthy and unhealthy diet can have. A healthy diet contains all the nutrients the body needs to function. A nutrient is a substance that must be consumed as part of the diet to provide a source of energy, material for growth or substances for regulated growth or energy production. (Oxford Reference Dictionary for Nursing, 1990). I found that these are proteins, which supply the body with the essential amino acids for building and repairing body tissues, carbohydrates to provide heat and energy and fats which can be broken down to fatty acids and glycerol and also provide heat and energy. The body also uses fatty deposits to protect and maintain delicate organs, such as the kidney. The body also requires small amounts of vitamins and minerals. Vitamins are needed for many different things. Most of them have a catalytic function in metabolic reactions. They are needed for energy regulation, regulation of tissue synthesis and the general health of tissues. Minerals are the components of body tissues and fluids, and of man y specialised substances such as hormones, transport molecules and enzymes. (Roper, Logan Tierney, 1991). Although fibre is not used in any part of the bodys structure and is excreted in the faeces, it is still needed for a healthy diet because it provides bulk, which helps defaecation by stimulating muscular movement in the large intestine, and therefore prevents constipation. Finally, water is extremely important for the body because it makes up approximately 2/3 of body weight, is the main component of all body fluids and many body processes depend on it. Therefore if the body is severely deprived of water it will die. Holmes (1986, cited by Roper, Logan Tierney, 1991) found that food and fluid intake is controlled by complex biochemical processes. There are centres in the brain which are sensitive to changes in the level of nutrients and trace elements in the blood thereby controlling appetite and thirst. The amounts of these nutrients needed differ for each individual and vary throughout the different stages of life (Chern Rickentsen, 2003). These nutrients need to be ingested, digested and then absorbed. The digestive system includes the mouth, oropharynx, oesophagus, stomach and the intestines. The enzymes that facilitate digestion are produced in the salivary glands, pancreas, liver and gall bladder (Waugh Grant, 2004) There are many reasons why somebody may need help with eating. It is essential that nurses have knowledge of factors and how they influence activities of living. The model of nursing helps nurses to understand, assess, plan and implement relevant interventions and evaluate the effects. (Roper, Logan Tierney, 2000) The client that I assisted with eating was an elderly man who was completely dependant on the carers because he had had a cerebrovascular accident (stroke) and he was paralysed down his left side (hemiplegia). He also couldnt use his right arm much due to rheumatoid arthritis. However some people with physical disabilities like an arm defect can still eat and drink independently with the use of mechanical aids and specialised equipment or even just having the food removed from its wrapping. One client on my placement who had a stroke could use his right arm and used equipment such as a plate guard and another client used a specialised spoon so she could feed herself. The use of these aids help to maintain the persons dignity and self-esteem. (Child Higham, 2005) My client was still able to chew his food and produce the saliva and mucus to soften and bind it into a bolus and he still had the reflex to swallow it. Most of the clients could eat without or with very little assistance if given the appropriate handling aids. Other clients, who could not swallow properly due to a health problem such as cerebral palsy or a stroke, had had a Percutaneous Endoscopic Grastrostomy (PEG) for enteral feeding (a surgical procedure where an opening is made in the abdominal wall and a tube is passed through into the stomach directly). Other ways of enteral feeding are an Esophagostomy (placed at the level of the cervical spine to the side of the neck) or a Jejunostomy which is placed in the duodenum or a Naso-gastric tube which is a tube passed through the nose down the oesophagus and into the stomach.(Williams, 1994) My client had already been assessed and he did not need any nutritional supplements to go with his meals. The Body Mass Index shows healthy ranges for body weight, it is determined by their weight in relation to their height and National Screening Tools are used to identify people at risk of malnourishment and nurses should be aware of ethical issues and the influences of religion and culture when doing a care plan to meet the individuals needs. (Walsh, 2002) The carers at my placement already knew my clients preferences and nutritional needs and that he could chew his food so the consistency of the food did not need to be changed. Having to be fed can threaten dignity so nurses should make every effort to minimise any negative aspects. (Isaacs McMahon, 1997) Before I started to assist my client I asked for his consent and made sure that I washed my hands thoroughly, to reduce the risk of infection and was wearing protective clothing and that the environment was suitable. The Department if Health (2001) states, the environment is conductive to enabling the individual patient/client to eat. At my placement, if possible, all of the clients ate in the dining room where there are no distractions, the tables were set properly and everywhere was clean and tidy. I gave my client a choice of two meals and I made sure it was prepared to his liking and presented in an appropriate way. This is because if the food is not presented appropriately for the client and does not look tempting to eat then feeding will be inhibited, giving them a choice gives them back some of their independence when they could be feeling helpless and vulnerable and their self-esteem could be decreased.(Child Higham, 2005) It is important to make sure that the client is comfortable and relaxed to make the interaction more effective (Williams, 1994). I think I achieved this quite well because I made sure that my client was sitting up in his chair, which also lessens the risk of choking. I pulled up a chair next to my client so that I was closer to him and was at a similar eye level. This also shows the client that you are not in a rush and he is not being an inconvenience to you. My body language was relaxed and I used positive facial expressions because if I had been tense and negative, my client would not have enjoyed his food and would have felt uncomfortable and rushed and therefore the interaction would have been inhibited and he might not have wanted to eat anything. I tried to ask my client if he had any preferences to the order that he wanted to eat his food but he did not really respond verbally or none verbally. This made me feel quite uncomfortable and I just fed him the food in the order that I thought he might have liked it and he seemed happy with that. I used ordinary cutlery and cut the food up into what I thought were appropriate bite sized portions for my client and adjusted the size if I thought I had put too much on the fork. After my client had swallowed his first mouthful I asked him if it was too hot and he said no so I carried on feeding him. I waited until I thought he had completely swallowed each mouthful before I gave him another. Once my client had eaten his entire main course I asked if he wanted a drink and I held the cup up to his mouth. I did this so that he would not still have the taste of his main course while he was eating his dessert. I cleared away the dirty equipment before I gave him his dessert and I once again cut it into bite-sized pieces and after his first mouthful asked if it was alright and if he liked it. Once my client has finished his dessert I cleared the dish away and asked if he wanted a drink. I encouraged him to try to hold the cup with his right hand and I supported the other side and tipped it up a bit further when needed. After he had finished everything I asked if he wanted anything else and if he was happy. I then gave him a wipe so that he could wipe his mouth but he could not do it so I asked if he wanted me to do it for him and he let me. Then I asked him where he wanted to go and took him there and asked if he needed the toilet or anything else but he said he didnt. I then went and recorded how much he had eaten in his notes. I feel the interaction went well because even though I felt a bit uncomfortable at first I soon relaxed and I think that I used good body language and facial expressions and it was good that I sat in the chair next to him and didnt just stand over him. My client was relaxed and happy to have me feeding him. The dining room was clean and tidy and there were no distractions. I did find it quite difficult to talk to my client because I did not want to ask him too many questions because he was eating and other than asking him if everything was alright I did not really talk much. It was good that I used a fork to feed my client because if I had used a spoon it may have made him feel like a child and lower his self-esteem. A negative factor of the interaction was that I put a paper bib on my client, which could have lowered his self-esteem and dignity. I also used a plastic beaker with a lid so that I did not spill his drink down him and this could have also made him feel like a child. At some points I did put the next forkful up to his mouth before he had completely swallowed the last one and even though I apologised and put the fork down again and waited until he had completely finished, I did feel as though he may have thought I was rushing him a bit. Next time I am assisting to feed someone, I will use a napkin instead of a bib and if possible a normal cup. I will also try to talk to the client a bit more without asking too many questions so that they dont have to talk with their mouth full. I will also ask if they want to brush their teeth or clean their mouth so that they feel more comfortable and it will also help prevent dental decay or any sores from developing around the gums. I spoke to my mentor about how she thought the interaction went and whether she thought I could improve on anything and she was happy with it. In conclusion, I feel my caring skill went well. This is because we were both relaxed and comfortable, no problems occurred and I would do most things the same again. Even though I felt as though I may have rushed him a bit at times by accident and some of the equipment I used may not have been appropriate, my client was happy and ate everything. He also said he would feel comfortable with me helping him again and I now feel confident and comfortable enough to assist feeding people. 2198 words.

What Ruined Ralph and Jacks Friendship in Lord of the Flies :: essays research papers

Lord of the flies essay Q: at the start of the novel we are told: ‘Ralph and jack smiled at each other with shy liking.’ yet by the end they are mortal enemies. What happens to ruin their friendship? Ralph and jack are friends at the start of the story. They are both the oldest boys on the island and they both have a high level of admiration from the boys at the beginning. Ralph got all the boys together when he had established the conch, which straightaway got him the boys respect. However jack is the head boy at school and is the boss of the choir. Ralph is chosen by the boys as leader, even though they both wanted to be chief. Ralph was tactful enough to consider jack to a vital job, so he asks him to be leader of the hunters. this is what makes them see each other with a shy liking: they have both benefited from power and respect. However Ralph and jack have different notions as Ralph is more sensible he sets his mind on everyone surviving and then getting rescued. He constructs shelters and manages to keep a fire going. Ralph is thinking and caring for everyone. Nevertheless jack is single minded in his pursuit of the pigs. He mainly hunts and then kills a pig for food as he states he loves hunting. ‘A compulsion to track down and kill that was swallowing him up’ This is the meaning of jacks wish that he gives into to instead of doing what he was supposed to do such as help Ralph with work like the fire and shelters. ‘now the antagonism was audible’ indicates Ralph dislikes this and therefore bears a grudge as only Simon helps then goes off to a hiding place. Although Ralph and jack start to dislike things about each other they still resolve in being friends. Bewilderedly they know there’s conflict between them. jack takes his choir to hunt and leaves the fire which goes out and at that moment a ship sails by, then jack arrives back with his choir following, he proudly shows Ralph a dead sow that they killed. Ralph is furious and exhibits real despair at the passing of the ship, possibly, as he begins to feel the pressure of his overall responsibility for the boys.

Hwangs trying to find Chinatown version4 Essay

Race has been a root of a lot of discords and wars for many centuries. From the past to the present, the world has been divided into different sides just because of this. However, the conflict that is caused by ethnicity is not only between people. Oftentimes, it is also between a person and himself. Many people from marginalized ethnic groups face internal struggles due to their incapability to accept their history, status and nationhood. They cannot accept their identity as a member of a certain race. However, people should accept their identity as a person belonging to a certain group of people. The reasons for this are numerous. First of all, acceptance of one’s own identity helps make a person satisfied and happy. Second, a person who cannot accept his identity is ashamed, not only of his race, but also of himself. Third, failure to accept identity prevents people from uniting and advancing a certain cause. Last and most importantly, of all aspects of identity, ethnicity, whether by blood by culture, is something that cannot be changed forever. These arguments will be explained in the following paragraphs using the experiences and opinions of Benjamin and Ronnie, as expressed in the play Trying to Find Chinatown. First, acceptance of one’s own identity helps make a person satisfied and happy. This is because that person has less to desire or wish for. On the contrary, a person who cannot accept his own identity is often dissatisfied and unhappy. Aside from the things that he need and desire such as money, food, success, popularity and friends, he will have an additional desire that is difficult to obtain. He will want to escape his own race and be part of another, which he believes to be better and more superior. This may be shown by the attitudes of Ronnie and Benjamin in the play. Of the two, Benjamin seems to be happier and more satisfied. In fact, he is more at peace. He is able to achieve this happiness from simple things such as the sounds of screaming in Cantonese and Sze-Yup in Chinatown (Hwang 1484). He is happy remembering his father chasing the boys who was shouting to him, â€Å"Gook! Chink! Slant-eyes† (Hwang 1482). He is also at peace sitting on a stoop on Chinatown while sucking hua-moi because he feels at home and he is happy to China as his home (Hwang 1484). This is the exact opposite of how Ronnie feels. He views himself to be nobody (See 1484) because he thinks his ethnic group is not important in the world, thus he cannot get a sense of pride for just being a part of it. While it takes simple things to make Benjamin happy, it also takes simple things to make Ronnie unhappy. He is unhappy using chopsticks, seeing ducks hanging on windows of restaurant and eating dim sum (See Hwang 1483). It is true that there are other factors like wealth and education that determines a person’s happiness and satisfaction. However, what differentiates a person who accepts his race from the one who does not is that, for the latter, satisfaction is always not possible. Despite his riches and the things he achieved, he will always have that secret desire to have a different identity. Second, a person who cannot accept his identity is ashamed, not only of his race, but also of himself. He will always be in denial of what he is. For example, in the play, Ronnie repeatedly denied being a part of the Chinese community such as that one that may be found in Chinatown. For him, such types of places do not tell anyone anything about who he is (See Hwang 1483). He takes any association of himself with his ethnicity as an insult. In the beginning of the play, Benjamin asked Ronnie where Chinatown is and the latter got mad because he though the former chose him to ask because he is Chinese (Hwang 1480). He even tries to hide his ethnicity through his clothes (See Hwang 1480). On the other hand, no trace of this shame as regards his race may be found on Benjamin. In fact, he is the one who tells people that China is his roots (See for example Hwang 1481). He takes pride of his history and his ancestors. Such pride in his background helps him to be proud of himself. Third, dissatisfaction with ethnicity prevents people from uniting and advancing a certain cause. On the contrary, satisfaction will help people achieve unity. Even just between Ronnie and Benjamin, this inability to unite is evident. Instead of being on the same side, they argue on the worth of being Chinese. Ronnie finds being part of a community that has opium dens, chopsticks, ducks, Ms. Saigon and dim sum is not something worth being a part of. On the other hand, Benjamin defends Chinese communities based on these features and more; like the sweets, the railroads and the workers. (See Hwang 1481, 1483-1484) If they cannot unite as between themselves, it is very difficult to imagine them fighting for the cause of their community together. This may be compared to the group of Asian students in the Midwest who went on hunger strike despite the probability that they have not experienced directly the evils they are fighting against (Hwang 1481-1482). Due to their acceptance of their ethnicity, they were able to identify with each other and unite to fight for a cause. Last and most importantly, of all aspects of identity, ethnicity, whether by blood by culture, is something that cannot be changed forever. It is ingrained in the way one talks, speaks and lives everyday. Even for someone like Benjamin who is not ethnic by blood, the Chinese culture has been ingrained in him from his childhood. Therefore, this culture becomes rooted in him too deep that it becomes a part of his identity. This cannot be uprooted easily. As a consequence, the dissatisfaction, shame and other things that arise from dissatisfaction will also stay. Therefore, a person like Ronnie may be able to assimilate to another culture and lead another mind. However, deep in the recesses of his mind, and in his heart, he knows that he does not belong and that there are people who will think such. Therefore, he will always be defensive of his status and ashamed of his past. In conclusion, people should accept the fact that they belong to a certain ethnic group. First of all, this will help them become satisfied and happy. Second, a person who cannot accept his identity is ashamed, not only of his race, but also of himself. Third, failure to accept identity prevents people from uniting and advancing a certain cause. Lastly, ethnicity, whether by blood by culture, is something that cannot be changed and will remain as part of a person’s identity forever.

Colonists and Americans essays

Colonists and Americans essays From the end of the French and Indian War, there was a sense of unity brewing among the colonies. The colonies had to unite in order to overcome a common foe as expressed in the Albany Plan of Union that called a combined effort of defense throughout the colonies. However, even after the French and Indian War the colonies united once again to face an opponent that could not physically be shot down (A). The tremendous hole that was left in the pocketbooks of Britains be treasury because of the French and Indian wars as well as previous wars caused a change in the economic policy for the colonies in the form of taxing and the enforcement of pre-existing laws. The collective taxing once again pitted the colonists against a common enemy. By the eve of the Revolution, the colonies knew what they were doing, and had defined their identity as no longer British or Englishmen but as Americans. Even by 1750, the colonists were already a distinct breed of people. Most were of mixed European background. Whether the colonists defined themselves as Americans at this point does not matter. They were a separate type of people who could be found in no other country (H). Yet, this alone would not be strong enough to define them as Americans just yet. The French and Indian War, though, was a major point in colonial unity. After the French and Indian War, colonists began to think of themselves as Americans rather than British or English. The heavy debt caused by the French and Indian War and other wars left the British only one option: to tax the colonies. To defeat this, the colonies had to unite. For one colony or one town acting alone would have little or no effect and would result only in defeat and even harsher regulations. After the Stamp act was defeated, the colonies fully realized that their only chance of withstanding British attempts to tax them was to come together. ...