The Battle of Verdun and The Battle of The Somme Essay Example For Students

The Battle of Verdun and The Battle of The Somme Essay History 82/4/01The battle of Verdun and the battle of the Somme are two very important battles. They both took place in France, and were fought in the same year, 1916. The first battle was the battle of Verdun. It was fought near an ancient Roman fortress that was sacred to the French. The Germans chose this spot because they thought that if it were destroyed, the French would lose confidence. (Strokesbury, p.142) The second battle was the battle of the Somme. It was fought on the Somme River. The French chose the Somme as a chief battlefield for 1916. However, the French did little but assist the British in the battle of the Somme. (Heyman, p. We will write a custom essay on The Battle of Verdun and The Battle of The Somme specifically for you for only $16.38 $13.9/page Order now 40)The battle of Verdun began in February and lasted until the end of the year. Each attack made by the Germans hurt their army almost as much as it hurt the French army. Much of the fighting was done by heavy artillery. (Heyman, p. 19) In fact, there was an overall sum of 542 heavy guns used in the battle. Thirteen of them were 420mm howitzers and seventeen were 305mm howitzers. These howitzers were devastating to the other troops. (Keegan, p. 279)The Germans plan was actually quite simple. The French did not want to lose Verdun and they would send as many troops as needed to defend it. The Germans focused a great deal of troops and artillery on this battle. No matter how many troops the French sent in, they would not be able to put up a good fight, but if they stopped the Germans would surely destroy Verdun, and for the French, losing Verdun was not an option. They were trapped. They did not want to lose Verdun and they did not want to lose their troops. (Keegan, p.279)On February 21st the German troops moved in, but the German infantry did not attack in great strength. The idea of the operation was that heavy artillery would destroy the French defenses that would then be finished off by infantrymen. If the Germans did attack in full strength, they may have succeeded in advancing eight miles towards the fort.It was extremely hard to get supplies to Verdun. French general Philippe Ptain found several ways to get supplies to the fort. 0ne of those ways was improving the road to the fort developing continuing flow of supply trucks. (Heyman, p.19) On June 22, a new attack by the Germans began. It was followed by a bombardment of shells, on the French artillery lines. These shells contained a new deadly gas called Green Cross. Green Cross was an improved form of chlorine that could not be stopped by the French gasmasks. The artillery lines that where attacked contained 600 guns. Thats one third of the French artillery at Verdun. Robbed of their protection, the French had no defense against the Alpenkorps, an elite division of mountain troops made up of Bavarian guard and German infantry. Among the German infantry officers was Lieutenant Paulus, the future Commander of the Sixth Army at Staligrad. (Keegan, p.285)By the end of June, over two million men had been killed and wounded on each side. The landscape had been permanently altered by artillery shells. (Keegan, p.285) Nearly 400,000 French soldiers were killed. The Germans lost 340,000 soldiers. The French had lost more than the Germans, since they started out with only one third as many men than the Germans had. On July 11th, the Germans made one last attempt to take Verdun. They surprisingly managed to reach Fort Souville, but from there the attack was beaten off. (Keegan, p. .u61c96f2e75cd76acda533fb4a3f7a7fd , .u61c96f2e75cd76acda533fb4a3f7a7fd .postImageUrl , .u61c96f2e75cd76acda533fb4a3f7a7fd .centered-text-area { min-height: 80px; position: relative; } .u61c96f2e75cd76acda533fb4a3f7a7fd , .u61c96f2e75cd76acda533fb4a3f7a7fd:hover , .u61c96f2e75cd76acda533fb4a3f7a7fd:visited , .u61c96f2e75cd76acda533fb4a3f7a7fd:active { border:0!important; } .u61c96f2e75cd76acda533fb4a3f7a7fd .clearfix:after { content: ""; display: table; clear: both; } .u61c96f2e75cd76acda533fb4a3f7a7fd { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u61c96f2e75cd76acda533fb4a3f7a7fd:active , .u61c96f2e75cd76acda533fb4a3f7a7fd:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u61c96f2e75cd76acda533fb4a3f7a7fd .centered-text-area { width: 100%; position: relative ; } .u61c96f2e75cd76acda533fb4a3f7a7fd .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u61c96f2e75cd76acda533fb4a3f7a7fd .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u61c96f2e75cd76acda533fb4a3f7a7fd .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u61c96f2e75cd76acda533fb4a3f7a7fd:hover .ctaButton { background-color: #34495E!important; } .u61c96f2e75cd76acda533fb4a3f7a7fd .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u61c96f2e75cd76acda533fb4a3f7a7fd .u61c96f2e75cd76acda533fb4a3f7a7fd-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u61c96f2e75cd76acda533fb4a3f7a7fd:after { content: ""; display: block; clear: both; } READ: Prostitution Should it be legal misc Essay285)At the start of October the French attempted to take back the ground they lost. On October 24th the French recaptured Douaumont. By December 15th the French had regained much of the ground on the east bank that had been lost at the beginning of the battle. (Keegan, p. 285)Mean while another battle had already begun, The Battle of the Somme. The Battle of the Somme began July 1st, 1916. General Haig of the British army hoped that his forces would break through German defenses, and enter an open field. There

Free Essays on Tests

What is at Stake? When students graduate from high school, the public expects that each student will possess the skills to be successful at either work or secondary education. We know however, that not all students meet this expectation. A 2000 report from the Employment Policy Forum reported, â€Å"that is many as 70% of students entering the workforce do not have simple writing skills† (Workforce Preparation 1). In an effort to improve student achievement, (State Law 2, statutes of 1999), authorized the development of the California High School Exit Exam (CHSEE). Seniors in the class of 2004 will be the first California public school students who must pass the CHSEE in order to receive their high school diploma (Rubin, par. 5) Advocates say exit exams will motivate students and teachers to reach higher standards, therefore improving student achievement. Critics contend, however, that exit exams have no educational value and do not answer the question of how to best measure student learning. Furthermore, they argue that these high stakes tests will lead to higher dropout rates and do not ensure that students have an opportunity to learn the material being tested (Hicks 1-2). Graduation decisions should be based on many factors; one test should not be the sole determinant of any major decision. Proponents argue that high school exit exams are a crucial key to educational reform. A statewide exam will set uniform expectations and use the same evaluation instruments for all students. The CHSEE will hold all students accountable to the same with graduation requirements and hold schools accountable for student performance. Supporters of the CHSEE make strong arguments for the use of exit exams. However, whether these exams are accurate indicators of a student's abilities, is highly debatable. Stanford University's Linda Darling-Hammond writes, â€Å"there is no evidence high stakes testing improves school quality. Indeed, th... Free Essays on Tests Free Essays on Tests What is at Stake? When students graduate from high school, the public expects that each student will possess the skills to be successful at either work or secondary education. We know however, that not all students meet this expectation. A 2000 report from the Employment Policy Forum reported, â€Å"that is many as 70% of students entering the workforce do not have simple writing skills† (Workforce Preparation 1). In an effort to improve student achievement, (State Law 2, statutes of 1999), authorized the development of the California High School Exit Exam (CHSEE). Seniors in the class of 2004 will be the first California public school students who must pass the CHSEE in order to receive their high school diploma (Rubin, par. 5) Advocates say exit exams will motivate students and teachers to reach higher standards, therefore improving student achievement. Critics contend, however, that exit exams have no educational value and do not answer the question of how to best measure student learning. Furthermore, they argue that these high stakes tests will lead to higher dropout rates and do not ensure that students have an opportunity to learn the material being tested (Hicks 1-2). Graduation decisions should be based on many factors; one test should not be the sole determinant of any major decision. Proponents argue that high school exit exams are a crucial key to educational reform. A statewide exam will set uniform expectations and use the same evaluation instruments for all students. The CHSEE will hold all students accountable to the same with graduation requirements and hold schools accountable for student performance. Supporters of the CHSEE make strong arguments for the use of exit exams. However, whether these exams are accurate indicators of a student's abilities, is highly debatable. Stanford University's Linda Darling-Hammond writes, â€Å"there is no evidence high stakes testing improves school quality. Indeed, th...

The Risks of a Nuclear Power Plant Facility Essay

The Risks of a Nuclear Power Plant Facility - Essay Example Considering the concept in the light of nuclear power plant, the focus will be on the detrimental effects accompanied by the presence of such a facility. It deals with the unprecedented effects of a potentially precarious activity or event that has not been eliminated or avoided. The radioactive material produced in the nuclear power plants exposes humans to the risk of cancer (Clapp, 2005). Risk Management and its Relevance after the Occurrence of a Disaster Because of the potentiality of a risk to produce undesirable and hazardous results, policies and strategies should be put in place to manage them whenever they occur. This brings in the concept of risk management. Risk management entails a well-structured and organized process of risk identification, and the subsequent measurement of the risk and enactment of systems to handle it. The process can be analyzed through the stages of hazard identification, assessment of the risk, control of the risk, and the monitoring and evaluation of the risk. A hazard is something potentially harmful to the people environment or the property. Any hazardous material in whichever form it is should have their effects analyzed. A nuclear power plant utilizes Uranium that is hazardous when mishandled. There are other radioactive elements that are produced during the reaction process, all of which should be disposed well. Otherwise, the accompanying effects may have a profound effect to the society and the environment for generations. In order to identify hazards in a nuclear plant facility, nuclear reactors incidences should be well documented through use of appropriate report forms. Other strategies will include conducting self-inspection, doing regular maintenance checks, regular observations and consultations, knowledge sharing with other nuclear plants operators and research institutions and seeking of specialists to assist in specific areas. Risk assessment is the second critical process in risk management. Upon realization of a risk, it is imperative that the likelihood of risk occurrence is evaluated. The likelihood of occurrence is a factor of the probability and frequency (Cohen, 2005). Therefore, the probability of a risk should be considered, in the light of the Fukushima Diiachi plant incidence it is evident that the disaster was unprecedented. Considering this fact, the probability and frequency of tsunami can predict the trend in which such disasters can occur. An evaluation of the underlying consequences should also be looked at. The effects of the radioactive material produced in the nuclear plants should be assessed and proper strategies put in place to dispose them and to ensure that in case of a disasters like earthquakes, tornadoes, and tsunamis among others the harmful material will not spread to harm the environment. In risk assessment it is also important to classify the magnitude of the risk, is it extreme medium or low risk. More focus is given to extreme risks without assuming the low risks. Aft er the risk is assessed, then control measures should be put in place. The adoption of risk control measures should be done in a manner that the most risky situations are given prevalence. In risk control, the main objective is to eliminate the risk, a situation that is not possible instantly. However, efforts should be made to reduce the risk to an extent that its chances remain negligible. A

Week 6 Essay Example | Topics and Well Written Essays - 1000 words

Week 6 - Essay Example The next is Team / Shared leadership. It is important top put others first and value the input of those around you. You must constantly seek their input and let them know that you value their contributions. As Bandura points out, â€Å"...belief in their capabilities to master activities affects their aspirations, their level of interest in activities, and their accomplishments† (1994. p.130). A leader must also be Ethical and Honest, to be as upfront and straight forward as possible while acting in a professional manner. This is one of the most critical areas where one must lead by example. The next characteristic is Visionary Leadership. This often requires a leap out of the leader and perhaps the team’s comfort zone. In order to progress and grow, I this dynamic ever-changing environment, change is a necessity. But change, good or bad, is always difficult to implement This requires someone with vision that can also share that vision with others as well as the passion to complete it. This leads to the final characteristic of Influencer. Being able not only to share facts and communicate directive, but charging the task with emotional content is perhaps the most important aspect of a leader for the future. Gone are the days of work being its own reward, staff today need to feel empowered and part of the process both intellectually and emotionally. As Goldberg states, "Process your learning continually. Be open to amazement" (2001, p. 58). Keeping an open mind and continually learning and developing are both the secrets to not only good teaching and leaderships, but to a great life as well. In the past, a paradigm shift occurred when the industrial revolution created thousands of jobs and new technologies evolved for mass production. Then another shift occurred when the economy moved from produced goods to services and this is the present day situation. So now the future

Sophocles Antigone Essay Example | Topics and Well Written Essays - 250 words

Sophocles Antigone - Essay Example Like for example stop signs in places that do not warrant them. I have to admit that there may perhaps be occurrences where I have overlooked them. Be no mistake that I recognize the need for safety but there are just those that seem superfluous and unnecessary. The general thought that comes to my mind is the ardent belief that I am doing the right thing and that I was not blinded by personal misconceptions and that fundamentally no one will be hurt. I imagine that people will actually benefit from my acts and others may perhaps be enlightened. I consider that I may not always be right but there are moments when I have to be in the right. In this regard, I identify more with Antigone who has sacrificed herself to uphold what she believes in and refuses to be subjected to any law from the oppressive Creon. Her refusal to be subdued by restrictive orders is admirable in the sense that she honors her independence more than anything, even her life. To be able to live by one’s own virtues properly guided by ethical standards of morality is the greatest law anyone could

Osteoarthritis Diagnosis and Care Plan

Osteoarthritis Diagnosis and Care Plan Patient Initials:  JA  Unit/Room DOB:  8/17/1926 Code Status Height/Weight 6’1’’ / 126 lb Allergies:  No allergies Temp (C/F Site) Pulse (Site) Respiration Pulse Ox (O2 Sat) Blood Pressure Pain Scale 1-10 97*F 79 18 160/80 8 History of Present Illness including Admission Diagnosis and Relevant Physical Assessment Findings (normal abnormal) Relevant Diagnostic Procedures Surgeries /Results (include dates, if not found state so) The patient is suffering from general osteoarthritis, muscle weakness, abnormal of gal, spinal stenosis, chronic pain neck, benign hypertension, Alzheimer, dementia with behavior disturbance, depressive disorder NEC, and myopia. The main symptom of osteoarthritis is sharp pain, or a burning sensation in the associate muscles and tendons, causing stiffness and loss of ability. OA can cause a crackling noise or crepitus when the affected joint is moved, and the patient may experience muscle spasm and contractions in the tendons. Occasionally, the joints may also be filled with fluid. Humid and cold weather increases the pain in many patients. OA commonly affects the hands, feet, spine, and the large weight bearing joints, such as the hips and knees, although in theory, any joint in the body can be affected. As OA advances, the affected joints appear larger, are stiff and painful, and usually feel worse, the more they are used throughout the day, thus distinguishing it from rheumatoid arthritis. In smaller joints, such as at the fingers, hard bony enlargements may form, and though they are not necessarily painful, they limit the movement of the fingers significantly. OA at the toes leads to the formation of bunions, rendering them red or swollen. OA is the most common cause of joint effusion, an accumulation of excess fluid in or around the knee joint (Moskowitz, 2007). Breast surgery: Right Tonsillectomy Total abdominal hysterectomy Past Medical Surgical History, Pathophysiology of medical diagnoses (with APA citations) Pertinent Lab tests/ Results (with normal ranges) with dates and rationales The patient has a history of dementia, hypertension, alcohol abuse, UTI, insomnia, and urinary incontinence. Her cause of dementia is Alzheimer’s disease. This condition frequently begins with memory loss or subtle impairments in other cognitive functions. These changes might initially manifest as simple forgetfulness or absentmindedness or as minor problems with language, judgment, or perception. As dementia progresses, memory loss and cognitive impairment extend in scope until the person can no longer remember basic social and survival skills or function independently. Language, spatial or temporal orientation, judgment, perception, and other cognitive capacities decline, and personality changes may occur (Bourgeois Hickey, 2011). She suffers from hypertension whose symptoms include: Blood in the urine Severe headache Vision problems Fatigue or confusion Chest pain Difficulty breathing Irregular heartbeat Pounding in the chest, neck, or ears (Izzo Black, 2003). Urinary tract infections (UTI) do not always cause signs and symptoms, but they can include: A strong, persistent urge to urinate A burning sensation when urinating Passing frequent, small amounts of urine Urine that appears cloudy Urine that appears red, or bright pink colored, which is a sign of blood in the urine Strong-smelling urine Pelvic pain in women (Kilmartin, 2002) Heart: Normal in size. Elevate of right diaphragm. Motion artifact involve left lung base which obscure distal. No pneumothorax. 1/31/15 Impression: no definite infiltrates or masses although motion artifact degrades the quality of the image especially left lung base. Follow up film as indicated. Elevate right diaphragm 1/27/15 Prealbumin 4 Regular diet 11/17/14 Glucose 79 BUN 22 Creatinine 0.74 RBC 4.82 Phosphate 97 hemoglobin 13.7 SGot 15 MCV 85.3 SGPT 0.5 MCH 28.5 Calcium 8.6 MCHC 33.4 Sodium 140 RDW 13.8 Potassium 3.9 platelet 216 Chloride 105 monocyte 7.9 Co2 28 lymph 28 Protein 5.7 eos 2.5 Albumin 3.5 baso 0.5 Morphology normal Globumin 2.2 A/G ratio 1.6 GFR value 83 CBC 7.7 WBC 4.82 7/21/14 Compressibility and patency through the deep venous system with augmentation noted. Right foot demonstrates no fracture or evidence of bony destruction. No definite neoplastic progress of right foot is demo Erikson’s Developmental Stage with Rationale (APA citations) Socioeconomic/Cultural/Spiritual Orientation Psychosocial Considerations The patient is over 80 years old. Therefore, she fits in the 8th Psychosocial Stage of Integrity vs. Despair. The patient is now a senior citizen. She tends to slow down on productivity, and explore life as a retired person. It is during this time that she contemplates her accomplishments and is able to develop integrity if she sees herself as leading a successful life. If she sees her life as unproductive, feel guilt about her past, or feel that she did not accomplish her life goals, she will become dissatisfied with life and develop despair, often leading to depression and hopelessness. Success in this stage will lead to the virtue of wisdom. Wisdom will enable her to look back on her life with a sense of closure and completeness, and also accept death without fear. (Shaffer, 2008) The patient lives with her son who takes care of her medical and financial needs. The patient has a decreased cognitive ability and is not able to safely take medication by herself. She experiences a high level of insomnia/sleep deprivation. She also suffers from depression exacerbated by a lack of self-efficacy. Potential Health Deviations, Predisposing Related Factors; Interventions to Assess or Prevent Potential Health Deviations â€Å"At Risk for†¦Ã¢â‚¬  nursing dx (AT LEAST TWO) Inter-professional Consults, Discharge Referrals, Current Orders (include diet, test, and treatments) with Rationale With APA citations Exercising. Exercise could increase her endurance and strengthen the muscles around her joints, making her joint more stable. She can try walking, but she should stop if she feels new joint pain. New pain that lasts for hours after she has exercised probably means she has overdone it, but does not mean she should stop exercising altogether. Using hydrotherapy, local heat and cold to manage pain: Both heat and cold can relieve pain in her joints. Heat also relieves stiffness, and cold can relieve muscle spasms and pain. Applying over-the-counter pain gels/creams. Creams and gels available at drugstores might offer temporary relief from osteoarthritis pain. Some creams numb the pain by generating a hot or cool sensation whereas other creams have medications, such as aspirin-like compounds, that get absorbed into the skin. Pain creams would work best on joints that are close to the surface of her skin, such as knees and fingers. Using assistive devices. Assistive devices could make it easier for her to go about her day without stressing the painful joints. A cane might take weight off her knees or hips as she walks. Weight management. Being overweight can increases the stress on her weight-bearing joints, such as her knees and hips. Therefore, the patient should maintain her weight to prevent putting pressure on her joints, which could increase her pain. 1/27/15HPN 4oz TID with meals for supplement 7/20/14 Regular diet 1/26/15 Ice cream at HS 9/16/14 4.1.1 benign hypertension. Amlodipine Besylate 2.5mg PO QD. Hold if BP 11/27/14 Colace 250 PO QD bowel management 7/20/14 Namenda 5mg PO BID 7/20-7/21/14 Donepezil 10mg PO QHS for Alzheimer. Tylenol 325mg 2tabs Q4H if temp >101 10/18/14-11/2/14- Mylanta 30cc PO QD PRN for indigestion 7/20/14 Effexor 37.5 mg PO QD: depressive, sadness 7/20/14 Monitor antidepressant drug side effects and episode of verbal of sadness. Assess QS for pain 0-10 4/6/15 Left and right inner buttock redness clean with NS, pat dry, Baza cream 7/31/14 RNA ambulation with FWW with QD 6x/week 10/4/14 Half left side rail up 1/31/14 CXR for cough and congestion 7/20/14 May get up on wheelchair as tolerated. Admitted to Parkview hospital for dx Dementia, depression, Alzheimer, hypertension. 11/25/14 Nursing to incorporate ROME during daily ADL care Psych drug: Effexor 37.5mg for depression and verbalization sadness. Outcome: Resident was admitted consent and order for use of med, will observe and monitor behavior 10/31/14 Resident had behavior episode during this quarter will continue to observe and monitor behavior episode. Nursing Diagnosis (at least 2) Planning (outcome/goal) Measurable goal during your shift (at least 1 per Nursing diagnosis) Prioritized Independent and collaborative nursing interventions; include further assessment, intervention and teaching (at least 4 per goal) Rationale (use APA citations) Evaluation Goal Met, Partially met, or not Met and Explanation 1. Severe pain associated with distention of tissue by the inflammatory process The pain showed reduced or controlled Looks relaxed, can rest, sleep and ability to participate in appropriate activities. Follow the treatment program. Using the skills of relaxation and entertainment activities in a pain control program. Assess pain and note the location and intensity of pain (scale 0-10). Write down the factors that accelerate and signs of non-verbal pain. Give hard mattress and small pillow. Elevate bed when a patient needs to rest or sleep. Help the patient take a comfortable position when sleeping or sitting in a chair. Depth of bed rest as indicated. Help patient to frequently change positions. Help the patient to a warm bath at the time of waking. Help the patient to a warm compress on the sore joints several times a day. Monitor temperature compress. Give a massage. Encourage the use of stress management techniques such as progressive relaxation bio-feedback therapeutic touch, visualization, self-hypnosis guidelines imagination, and breath-control. Engage in activities of entertainment that is suitable for individual situations. Give the drug before activity or exercise that is planned as directed. Assist patients with physical therapy. Rest of systemic, recommended during the acute exacerbation phase of disease and all that is important to retain the power to prevent fatigue. Eliminates pressure on the tissue and increase circulation. Facilitate patient self-care and independence. Proper removal techniques can prevent skin abrasion tear. Increasing the stability (reduce the risk of injury) and necessary joint position and body alignment, reduced contractor. To maximize joint function and maintain mobility. It may be necessary to suppress the acute inflammatory system. Useful in formulating training programs / activities based on individual needs and in identifying the tool (Moskowitz, 2007). The patient met this outcome. Her worst pain reduced to 6 and her tolerance increased to 5 with less verbal and facial expression. 2. Impaired Physical Mobility associated with skeletal deformities, pain, discomfort, and decreased muscle strength. Maintain a function of position in the absence / restrictions contractures. Maintain or improve strength and function of compensation of the body. Demonstrate techniques or behaviors enabling activities Monitor the level of inflammation / pain in joints Maintain bed rest / sit if necessary Schedule of activities to provide a rest period of continuous and uninterrupted nighttime sleep. Assist patients with range of motion active / passive and resistive exercise and isometric if possible. Slide to maintain an upright position and sitting height, standing, and walking. Provide a safe environment, for example, raise the chair / toilet, use a high grip and tub and toilet, the use of mobility aids / wheelchairs rescue. Collaboration physical therapist / occupational and specialist visional. The level of activity / exercise depends on the development / resolution of the inflammatory process. Systemic Rest is recommended during acute exacerbations, and all phases of the disease is important to prevent exhaustion maintain strength Maintain / improve joint function, muscle strength and general stamina. Eliminates stress on the network and improves circulation. Facilitate patient self-care and independence. Proper removal techniques to prevent tearing skin abrasion. Increase stability (reducing the risk of injury) and maintain the necessary joint position and body alignment, reducing contractor. To maximize joint function and maintain mobility Avoiding injury due to accidents / falls Useful in formulating training programs / activities based on individual needs and identifying tools (Grifka Ogilvie-Harris, 2012). The patient met this outcome because she is able to walk without any appliance and her mobility is independent. MEDICATION LIST Medications (with APA citations) Class/Purpose Route Frequency Mechanism of action / Onset of action Common side effects Nursing considerations specific to this patient Namenda NMDA receptor antagonist, 5-HT3 antagonist. Oral 5mg 2times a day Namenda reduces the actions of chemicals in the brain that may contribute to the symptoms of Alzheimers disease. Diarrhea, dizziness or headache. Donepezil HCL Parasympathomimetic Oral 1tab/day at bed time This medication is an enzyme blocker that works by restoring the balance of natural substances (neurotransmitters) in the brain. Nausea, vomiting, diarrhea, loss of appetite/weight loss, dizziness, drowsiness, weakness, trouble sleeping, shakiness (tremor), or muscle cramps Amlodipine Calcium channel blocker Oral 2.5mg PO Amlodipine relaxes (widens) blood vessels and improves blood flow. Dizziness, lightheadedness, swelling ankles/feet, headaches, or flushing Hydrochlorothiazide Thiazide diuretic Oral 12.5 mg 1tab PO QD Hydrochlorothiazide helps prevent the body from absorbing too much salt, which can cause fluid retention. Stomach upset, dizziness, or headache Effexor Antidepressant Oral 37.5mg 1x a day Venlafaxine affects chemicals in the brain that may become unbalanced and cause depression. Vision changes; nausea, vomiting, diarrhea, changes in appetite or weight, dry mouth, yawning; dizziness, headache, anxiety, feeling nervous, fast heartbeats, tremors or shaking, insomnia, strange dreams, tired feeling, increased sweating, and decreased sex drive. Bibliography Bourgeois, M. S., Hickey, E. (2011). Dementia: From Diagnosis to Management A Functional Approach. New York: Taylor Francis. Grifka, J., Ogilvie-Harris, D. (2012). Osteoarthritis: Fundamentals and Strategies for Joint-Preserving Treatment. New York: Springer Science Business Media. Izzo, J. L., Black, H. R. (2003). Hypertension Primer: The Essentials of High Blood Pressure. New York: Lippincott Williams Wilkins. Kilmartin, A. (2002). The Patients Encyclopaedia of Urinary Tract Infection, Sexual Cystitis and Interstitial Cystitis. Boston: Angela Kilmartin. Moskowitz, R. W. (2007). Osteoarthritis: Diagnosis and Medical/Surgical Management. New York: Lippincott Williams Wilkins. Shaffer, D. (2008). Social and Personality Development. Boston: Cengage Learning.

Aristotle :: essays papers

Aristotle According to Aristotle, a tragedy is â€Å"an imitation of an action that is serious, complete, and of a certain magnitude; in language embellished with each kind of artistic ornament, the several kinds being found in separate parts of the play; in the form of action, not of narrative; with incidents arousing pity and fear, wherewith to accomplish its catharsis of such emotions†(Nahm 7). Aristotle categorizes the six basic parts of any tragedy as plot, characters, thought, diction, spectacle and melody. Shakespeare’s Romeo and Juliet follow this definition of a tragedy and adhere to Aristotle’s six elements of a tragedy: plot, character, diction, thought, spectacle, and song. The Plot, the first principle, refers to the combination of incidents in the story. Aristotle thinks this to be the most important feature of the tragedy. William Shakespeare’s Romeo and Juliet contain a plot that complies with the first line of Aristotle’s definition o f a tragedy, which states â€Å"the imitation of an action is serious and also, as having magnitude, complete in itself†(Nahm 7). This refers to the first element of a tragedy, the plot, implying that Shakespeare’s Romeo and Juliet deal with one issue that is very serious in magnitude such as the conflict between the two families which lead to innocent deaths. Shakespeare also follows Aristotle’s idea of the tragedy being of a certain magnitude. This is because the characters are realistic therefore the audience is capable of relating to them easily. Romeo and Juliet are upset, while grieving over their impending separation and angered about the circumstances surrounding their families. They are also unsure of themselves how they should handle the situation. The audience can relate to this uncertain feeling and they are able to empathize with Romeo and Juliet. Aristotle believed the plot should depict the fall of a man who is basically good, but who suffers from some error or frailty. In the play, Romeo’s frailty is his apt to fall in love too quickly and deeply. In the start of the play he is in love with Lady Rosalynn, but soon falls for Juliet, a member of the Capulets, a rival family. Romeo is blinded by love, unable to think with rational, which cause a string of negative events to come to pass. The suffering of the tragic hero also extends beyond himself.

My Csp Project

Community Service Project (CSP 1001) University of Technology, Jamaica Name: Shanece Robinson ID#: 1200775 Year: 2012/13 School: University of Technology, School of Pharmacy Semester: Two (2) Name of Agency: University Hospital of the West Indies Lecturer’s name: Miss Stacy-Ann Nelson Tutorial day/time: Friday 9am-10am Reflection #4 The best part of my community service at the University Hospital of The West Indies was the time spent interacting and assisting the needy patients. Each minute spent at community with them gave me a sense of joy.It was really great to know that I used my interpersonal skills to make these persons feel hopeful in their dull moments. Another best part of my service was organizing the documents, I felt quite active and vibrant about doing it. The worst part however, was being there and hearing the cries of pain of the patients. It was very heart aching to hear the patients moaning the pain they were undergoing, it felt even worst to know that I could n’t help stop the pain they were feeling. Another devastating experience was the amount of hours that some of the nurses had to work, most of them started work from like 8. am and wasn’t off until like 8. m in the night or even later. I achieved my objectives to a moderate extent; I gained a sense of self growth, I assisted the nurses in whatever ways I could thus alleviating their work load. In doing that the nurses were able to offer their 100% service to the sick patients. With this done the patients were being released at earlier dates, thus providing space other sick patients to admit. Also I was able to improve my time management skills, this was achieved by having specific time by which I volunteer and get my school work done. Working by a formal schedule I am now able to manage my time more efficiently.My communication skills improved as well, that was one of my main objectives. This was achieved through the amount of time that was spent interacting with the nu rses and patients. I became more assertive and confident, and as such I’m compelled in a sense to do some more community service. I was able to enhance my problem-solving skills, ability to work in teams, and planning abilities. This I know will be of great benefit to me when I’m in the working world and as such I will surely be an asset to that organization. I was also able to enhance my civic engagement attitudes, skills and behaviors.The community, in which I worked, benefited in a number of ways; the nurses and doctors spent less time searching for files/documents, since they were arranged in an appropriate manner. The patients felt better about their well being, since I motivated, and wished them well throughout their sicknesses. The disabled persons felt a sense of caring ,since I supplied them with the necessary tings they were unable to get for themselves, such as water, bed pan, food, etc. The nurses were able to assist the patients more promptly, since I orga nized their tools so that they were easily accessed.Also it influenced the opportunity of the hospital to expand their mission and reach without substantially increasing costs by engaging a cadre of competent, motivated young people who share their time and talents in support of the organization's mission. By working with youth and getting them committed to its mission, the hospital will be able to cultivate a new generation of volunteers for either their own organization or their broader cause. Service-learning at the hospital cultivated connections between the organization, schools, and other community groups.The organization would benefit from having more csp projects, since other volunteers could assist in answering phone calls and feeding patients. This would ease the workload of the nurses; therefore they would have more time to attend to the patients. Also the patients would be supported emotionally since, volunteers would be there to encourage and make them feel better about themselves. Other volunteers could assist in sterilization of the hospital tools this would reduce the transmission of diseases from one patient to another.This would further reduce the prevalence of diseases in the population. New energy, ideas, and enthusiasm as well as specialized skills that young people bring to the hospital would be increased. The more volunteers in the hospital settings the better it is for the community at large since youths are engaged in something constructive rather than on the streets promoting violence. CSP 1001 could be improved by having more in course work, so that students will take the course more seriously and will thus feel enthusiastic about community service.Instead of having just a few community services classes, classes should be kept at least every other week, so that students will be able to share their experiences about the times spent weekly at the specific organization. Also at these classes students should be taught the benefits of com munity service, so that they will value the course more or rather be more appreciative. Csp coordinators should organize activities so as allow the students to volunteer within specific areas of the school so as to help enhancing the school property as well as services. Lecturer’s signature†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦

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