Evolution of Theoretical Knowledge of nursing

Evolution of Theoretical Knowledge of nursing The ultimate goal of the nurse is to maintain, and restore the health of the patient. Nursing is considered both a "science" and an "art". The application of nursing knowledge and the technical aspects of the practice is considered the "science". The establishment of a caring relationship through the application of nursing knowledge and judgment is used in a compassionate manner and is seen as an "art". (College of Nurses 1999 June Nursing and You Volume1, number 3 p3)This paper will attempt to explain the four concepts of the nursing metapardigm as it relates to the person environment, health and nursing. A person is seen as an individual possessing their own uniqueness, personalities and having their individual needs. A person should be treated with respect and dignity regardless of their cultural, religious, socio-economic class, marital status or sexual preferences. The individual should not encounter any bias or discrimination in school, employment or when the need arises for me dical care.Nurse log, Quinault Rain Forest Nature TrailEach person has their basic needs that must be met while progressing through the different stages of development. One should be given choices, and be allowed to have an input in their care or treatment plan. They should be allowed to excel and strive to achieve their goals. Be able to reside and work in their chosen location and field as long as they are qualified for the job.They are usually part of a family belonging to a cultural group, living within a community or region of their choice. The environment can be open or closed. It can contribute to the building or endangering of the persons self esteem. One might adapt to the environment depending on one's personal preference. A person might be seen in the eyes of others as the product of their environment that might be...

Roads vs Public Transit Essays - Transport, Road Transport

Roads vs Public Transit Essays - Transport, Road Transport Roads vs Public Transit Some people think that governments should spend money on improving roads and highways rather than on improving public transport . ESSAY: | - There is no doubt that governments spend more and more money on improving roads and highways nowadays. Nevertheless, some think that improving public transport is much more important. In my opinion, firstly governments should invest money in public transport . First of all , buses, trains and subways are significant for people who have no cars. They also should have a right to be transported in comfort. Secondly, by improving roads people will use cars more often and, as a result, degrade the environment. What is more , with flexible public transport people will avoid traffic jams which usually make people arrive late at their destinations. However, some people believe that improving roads and highways is a priority task for governments. They think that dangerous condition of roads can lead to various car accidents as well as to traffic jams. That is why it is necessary to solve problems caused by unacceptable road conditions. This may be partly true, but I am convinced that governments should not forget that public transport in most of cities and towns is in bad shape . Using public transport will encourage people to preserve the environment . Besides, with well-organized public transport people will have no need to use large parks which would allow more space for gardens . Summing up, I strongly believe that spending money on improving public transport is beneficial and reasonable. Not does it make people's lives more comfortable, but also makes the environment clean and friendly .

Spoken and written discourses Essay Example | Topics and Well Written Essays - 1000 words

Spoken and written discourses - Essay Example The word discourse is picked from the Latin term ‘discursus’ which is defined as ‘conversation, speech.’ From a linguistic point of view the term discourse is defined as a continuous stretch of language, which is larger than a sentence and often constitutes coherent units such as argument, joke, sermon, or narrative A discourse is not necessarily long; short conversations/ groans can be equally described as discourse just as a novel would. Discourses may be classified in many ways: written or spoken discourse; classification according to level of formality; classification according to genre; or classification according to the number of participants, whether on or many.For a conversation to be classified as a written or spoken discourse it needs to fulfill several criteria as Beaugrande (1981) explains. They include cohesion, coherence, intentionality, acceptability, informativeness, situationality, and intersexuality. This paper compares the written and spok en discourses. Differences between Spoken and Written discourses The main difference between spoken and written discourse lies in the fact that spoken language must be understood immediately whereas written discourse can be referred to many times (Crystal 1997). Unlike in written discourses, which involves medium that keeps a record of its conveyed message, spoken discourse involves only air and thus conversation is possible only up to the moment it occurs. The speed of conversation also varies between the two mediums of discourse. In spoken discourse, the speaker uses the speed that is appropriate for him/her; such speed is not necessarily convenient for the listener. The speed in spoken discourses is usually varying but faster than in written discourses. Other differences may be classified into: Contextualization Spoken discourse offers a natural form of speech where the audience is usually present. This speech facilitates effective communication since the speakers are able to get feedback from their listeners. This, however, means that spoken discourse has more repetition as the audience asks for clarification on unclear points. Written discourse as Crystal (1997) explains has an audience that is usually farther away and mostly unknown. Writers experience some disconnect in relation to the audience since the audience is not nearby; the writers only try to imagine what their intended audience would appreciate. Such a distance makes writing discourses inherently more difficult compared to spoken discourses. However, some genres of spoken discourse such as academic discourse, have minimal context of shared content, no feedback is encouraged immediately. On the other hand, some written discourses also employ the feedback of the readers who provide background information of the discourses usually through interviews. Spontaneity Spoken discourses tend to be largely unorganized where topics can change at any moment; interruption and overlapping of communication ca n occur often (Halliday 1989). In the spoken discourses, speakers can ask for clarification as well as correct what has already been said. Written discourses, on the other hand, are more organized and grammatical (Halliday 1989). The audiences of written discourses only get the finished product and cannot make any modification or clarification. The written discourses are having limited ways of conveying their message; written discourses are more constrained. Lexical characteristics Spoken discourses have a lower percentage of different words than written discourses. Spoken discourses are marked with longer and more repetitions unlike written discourses where repetitions are limited. Spoken discourses generally have shorter, less complex phrases. They contain more verb-based phrases and less abstract words. In addition to this, they also contain more words that refer to the speaker (Halliday 1989). Written discourses, on the other hand, have a more complex lexical characteris

Health and Spa Tourism Essay Example | Topics and Well Written Essays - 1750 words

Health and Spa Tourism - Essay Example As the study outlines in recent times, there has been great mushrooming of these travel agencies and the tourism industry has flourished at an unprecedented rate. With the competition becoming tougher everyday, it has become important that new strategies and plans incorporating exotic and special themes be introduced. Innovative ideas in attractive packages are being prepared for a select target thus opening a whole new vista of tourism. The exclusivity of the package has special appeal which has popularized the concept of special interest tourism (SIT). This type of tourism goes beyond the usual definition of the word and fulfils the extra demand that the body or the mind or sometimes, both, require. Tourism that caters for a specific target group with focus on one special activity has become very popular among the elite class. This discussion declares that holidays have always held a special charm for the young and the old alike. Krippendorf says ‘travel is: recuperation and regeneration, restoring body and soul’. Vacations to different places have not only provided a way to rejuvenate the mind and the body after the humdrum monotony of the routine life but they have also been a great source of information and knowledge about people and places. Though the pattern of holidays and vacations, has changed over the years, the basic aim of relaxing has remained the most important feature.

Drug Addiction and Time Essay Example for Free

Drug Addiction and Time Essay I believe that I am an addict, I made a lot of bad decisions in my life. But the worst was my decision to start using drugs. From the day that I started using to now I have loved it. And at times I would do just about anything to get it, I have done just about everything except sell my body. I stole from the people I love to get what I needed. Using drugs went from only on the weekends, to a couple times a week, to everyday. The worst part is, is I didn’t see that it was consuming so much of my life. There came a point where just smoking weed wasn’t enough anymore, and that’s when i should have walked away. I was 16 when I did heroin the first time. But it wasn’t until a year later when I started shooting up. My best friend and I did everything together and this was no different. We were hooked, she more than I, our lives revolved around getting high. I remember the days we couldn’t get it, she would shake and cry because her body ached for it so bad. I hated seeing her sick, all I could do nothing to help her. It was the worst thing that I have ever seen. When I could I would get her what she needed. We spent our summer days inside. Most of the time we were so high that we couldn’t move, but to us that was the best part of the day. At that moment we could finally just close our eyes and breathe. Looking back now the worst part for me is that I helped my best friend kill herself. I provided her with the drug that was sucking her dry. At that point in time I thought I was helping her. We have always depended on each other but this time we depended on something else. We both are not using heroin anymore, and have come out on the other side of that addiction. We both know that if it were placed in front of us we could not say no. Addiction has taken a lot from me. I have lost the trust of my Parents and my freedom I ounce had. My best friend and I can not hangout outside of school, were just not good for each other to be around. But most of all I lost respect for myself.

Key West Essay -- Papers

Key West Key West is many people's paradise. It has dazzling waters, beautiful beaches, and a wonderful climate. This tiny island is located off the southernmost part of Florida is the only true tropical island in the United States. Thousands of people from all over the world come to Key West every year for the relaxing lifestyle and rich culture. As well as being rich in culture it is rich in history too. Key West has also been the home to many great authors and artists and is known for having a very diverse population. Initially, Key West was a home for Spanish explorers and pirates until the first settlement was established in 1822. In 1822 the U.S. Navy sent Commodore David Porter to the island. He was sent to take over the island and to eventually stop piracy. He did succeed and in 1825, Congress put forth a law that required that all ship wrecks where salvaged goods were taken must be brought to a U.S. port for arbitration. That U.S. port turned out to be Key West. It then became the wealthiest city in the U.S. (Murphy 3). Industry arrived in Key West by 1831. Industries such as, cigar-making, ship-fitting, salt manufacturing, and turtling employed many people. Soon after that the local residents discovered that their sea sponges were highly valued in the North and that spun another booming industry for the people of Key West (3). By 1850, this tiny island was populated and had schools, hospitals, and churches and was thriving on its success (4). Key West soon played a part in the Civil War and became known as the cigar capitol of the world. During the Civil War the Confederacy set up two forts that would serve as headquarters for naval blockade, Jefferson and Taylor. Key West ... ...his way back from Paris he and his family stopped on the island and fell in love with it. Soon after that Hemingway bought land and built a house there (5). Key West is a beautiful and diverse city unlike any other city in the world and even though it has had its good times and bad times it has managed to become successful. It thrives on its main industry witch is tourism, but that is what the city specializes in. Many wonderful attractions are in this city, such as rich culture and beautiful coral reefs, but this is why Key West will always be in America's hearts. Works Cited Gifford, John. "The Florida Keys". National Geographic Society, 1997. Murphy, George. "The History of Key West". www.Key West Florida. com. Wilson, M. " The Hemingway Recource Center". www.lostgeneration.com. The Hemingway Resource Center, 1999.

Impact of AIDS on Sub-Saharan Africa’s Economy

Sub-Saharan Africa is the part of the world most terribly influenced by AIDS.   By the end of 2004 it was estimated that twenty-six million inhabitants in Sub-Saharan Africa were suffering from AIDS. Approximately seven to eight per cent of the grown population is affected, with occurrence rates getting as high as forty per cent in a few countries.Females are strangely infected, with adolescent girls five times more prone than teenage boys to catch AIDS. In 2004 only, two million people expired of AIDS in Sub-Saharan Africa.However the epidemic has far stretched from its peak, since infectivity rates are still exceeded casualties from AIDS. Due to the gap between infectivity and successive death, we have until now to see the full impact of AIDS on Sub-Saharan Africa’s society as a whole.There have been differing opinions over how AIDS has affected the economic future of the African continent. Mixed messages on the true economic repercussions of the spread of the disease have contributed to a limited response, despite the inclusion of combating AIDS in the Millennium Development Goals (MDGs).One of the least studied but most significant areas of the epidemic's impact is rural agriculture. Though long de-prioritized, rural agriculture is a source of livelihood for millions on the African continent and is now again being perceived as a crucial contributor to economic growth and development by such organizations as the New Partnership for Africa's Development (NEPAD).Hunger, food aid and agricultural subsidies are all key elements of the current discourse on Africa in policy circles and in the media, but few studies have assessed the impact of AIDS on agriculture to push for specific interventions to mitigate the impact of the epidemic on rural agriculture.This disease has affected millions of people and since many of them are farmers therefore it has indirectly affected agriculture also. Since agriculture is a major source of capital for individuals and t he country therefore it has affected the economy of Africa also. It seems clear that such high levels of illness and mortality will severely hamper economic performance in the most heavily affected countries.Yet over the last decade, a number of macroeconomic studies have declared that AIDS is not having a significant impact on GDP growth. These analyses are important because they provide ammunition that allows statesmen and scholars to dismiss the epidemic as not worthy of action and funding.In circles of power around the world, it is money that drives policy initiatives. The claim that AIDS is not impacting economic performance speaks loudly and prevents aggressive intervention.( n5)This paper will start with an assessment of a number of the macroeconomic studies that aim to measure the impact of AIDS on GDP growth, and which contribute to the justification of a limited international response to the disease.Macroeconomic Analysis Of The Impact Of AIDSThe assessments of the macroec onomic impact of AIDS have been largely dismissive due to the unique character of the epidemic. AIDS affects the poorest of the poor: those who are not recognized or measured by traditional macroeconomic indicators. (Ruxin, 2004)As a UN report on â€Å"The Impact of AIDS† notes, â€Å"those rural people whose activities are not counted by standard measurements of economic performance and productivity are among the most vulnerable to the impact of AIDS.†( Bloom,   Mahal, 1997, 108)By not fully accounting for the informal sector, the rural economy and small-scale agriculture are largely dismissed, and women, who play a large role in the informal economy and agricultural sector, are marginalized. While the macroeconomic studies assessing the impact of AIDS disregard them, in fact it is the poor, the rural and women who are most affected by the disease.After decades of neglect by governments and abandonment by structural adjustment programs, there is a renewed focus on a griculture by international organizations and groups such as the World Bank and NEPAD. Agriculture is once again being seen as a driving force for growth in Africa.The Comprehensive Africa Agriculture Development Programme (CAADP) released in July 2003 states that â€Å"the high economic growth rates envisaged by NEPAD cannot be realized unless farm production is significantly increased. Higher output will directly reduce hunger and bring down the cost of food imports.It will also have wider economic benefits, from stimulating rural incomes to providing raw materials for African industry.†(Harsch, 2004, 13) However, the rural areas are where AIDS is having its most devastating impact.At a time when population growth is high relative to other emerging economies, the amount of arable land is stable, the quality of land is degrading, and output per hectare stagnant, the rural areas are under increased pressure.Adding the AIDS epidemic into an already precarious mix of factors fo rces the agricultural sector into a dangerous downward spiral and threatens hopes for economic growth in sub-Saharan Africa.Few of the macroeconomic studies specifically address rural livelihoods and agriculture. They also assess the impact of AIDS without acknowledging that, from an economic point of view, the primary impact of the disease manifests mainly among individual economic agents, i.e. individuals and households. (Booysen, Bachmann, 2002)As a result, these macroeconomic models often fail to allow for the effects of a number of important microeconomic impacts which are endogenous to such models. (Booysen, Bachmann, 2002)Though the death of an individual might only represent a minor change in GDP, the macroeconomists fail to understand the ripple effect chronic illness and death has on communities. The impoverishment of communities cascades upwards and impacts macroeconomic measures. The traditional macroeconomic research approach is not sufficient in the face of the widespr ead devastation of AIDS.Microeconomic Analysis Of The Impact Of AIDSIt is vital for researchers to conduct microeconomic household-level studies on the impact of AIDS. Such analyses document the economic choices that households and individuals are forced to make in the face of the epidemic in terms of household composition, labor, productivity, savings and coping strategies.It is these behaviors that will inform observers of the real impact the epidemic is having on sub-Saharan Africa and will thus serve as the basis for understanding the effect of AIDS on families, communities and the nation.Rural Household StudiesIt is clear from existing microeconomic household-level analyses that AIDS is devastating and will continue to devastate Sub-Saharan Africa's rural agricultural sector and, through it, undermines the agricultural and rural revival that many see as the basis of Africa's recovery.As Carolyn Baylies notes, â€Å"AIDS is having a profound effect, undermining rural household production, contributing to declining agricultural output and affecting the very integrity of families and their sustainability as viable units.†(Baylies, 2002, 12)This paper will now delve into a number of the microeconomic studies, with a focus on rural agricultural household studies, to assess the house hold level impact of the epidemic and to investigate the effects that the macroeconomic analyses have largely missed.A 2002 household impact study conducted in South Africa by Frederick Booysen and Max Bachmann explores the impact of AIDS on families in the Free State province. Researchers note that deaths in the households due to AIDS mostly occurred in individuals in their 20s and 30s.A Rwandan study revealed that, for those that died, the average period of illness before death was 23 months: a long period during which care had to be provided and medicines sought. (Donovan, 2003) Household illness dramatically increases the dependency ratio in the home.Booysen and Bachmann note that the households affected by AIDS in fact have a smaller supply of labor than non-affected households, with a larger proportion of the household consisting of children and elderly persons. (Booysen, Bachmann, 2002) Furthermore, dependency is exacerbated by the fact that many individuals return to their rural homes to receive terminal care after becoming ill. (Jayne, 2002)The South African study also assesses the impact of AIDS on household income. The authors note that â€Å"per capita and adult equivalent income in affected households represents only between 50% and 60% of the levels of income in non-affected households.†(Booysen, Bachmann, 2002)This dramatic drop results not only from the loss of labor of the infected individual but also from the burden of care that falls on family members. Importantly, Booysen and Bachmann also explore the impact of the disease on expenditure levels.AIDS significantly alters the consumption patterns of households: â€Å"per capit a and adult equivalent expenditure is between 60% and 70% of the levels of expenditure in non-affected households.† (Booysen, Bachmann, 2002) Notably, affected households spend less on food than non-affected households, which has a negative impact on the health of household members.