Descriptive Narrative Descriptive Essay - 1093 Words

Title The alluring sun rays peak through the clouds at Ponder Park as I walk on the damp grass. The sweet faces of those who have come peer off into the distance. This heinous, yet endearing place I have arrived at blows a cool breeze through-out my entire body. Tiring, however its small glimpses of beauty glorifies me. As I begin to stretch my legs to run I feel the tightness of my thigh begin to loosen. I hear the mumbles of all of my teammates as they surround near me. The wind plays with the leaves tuning towards the ears to those who listen. The birds sway from tree to tree seeking adventure. Before I know it, our coach calls us over to do some laps. While I brace myself for the first one I take a deep breath, enough to make†¦show more content†¦Each of the still smiling and catching their breathe preparing for another lap around the park. I smell the tense wet grass and sweat spreading out like a broken bottle on a side walk. The sky began to grow brighter, illuminati ng red and pink hues popping out like a red rose in a white vase. The clouds came to life contrasting in color with the sun. We all stare at the magnificent setting. For a moment, nothing but pure silence and amazement. All eyes piercing at the sky. â€Å"Are you all ready?† Coach asks us. Our attention then dragged towards him. I step onto the path to witness people walking. I hear the small pats of their feet as they take each step on the dirt path. While I put myself into position to begin, I close my eyes. I take steal another gush of air. With a push of a button I take off. I exchanged glances and hellos as I pass those who are walking. As I pass a bush I stare at the small, however vibrant color of the flowers that attracted me. Soon as I pass the bush, I then have to step jump over the puddles, from the now leftover water of the sprinklers. I hear a shriek behind me. The yell surprised me so much I almost tripped myself. I turn my head to glace at the tragedy that ha d been done near me. My teammate had tried to hurl herself over a puddle, but instead lost balance and landed in it. I could see the drops of muddy water leap off her as she got up to continue her journey on the path. Then I go on with my own path. When I turnShow MoreRelatedNarrative and Descriptive Essay1226 Words   |  5 Pages Compare-Contrast Essay Eng121: English Composition I (AXC13480) Regina McKinney Professor: Nancy Segovia January 1, 2014 A narrative essay is about storytelling for a narrative story to work it must capture and hold the audience attention you must give a clear understanding of your story. A descriptive essay lets you describe in detail what the essay is all about using words that appeal to your sense of smell, hearing, see, touch, and taste. A descriptive essay lets you use words thatRead MoreDescriptive Narrative Descriptive Essay2024 Words   |  9 PagesSunday November 12, 2073 we just woke up it seems like we landed outside of a huge building complex. The others and i do not know what is going on i am not ready for this we all have heard about the others and how ships would just take them how can i say it, they was just gone we have never seen this before it was just never seen again. I am strapped onto my seat across from me is a young girl with a high black long ponytail and seems to be wearing a black mask only revealing her eyes, noseRead MoreDescriptive Narrative Descriptive Essay964 W ords   |  4 PagesIt had been like dying, that sliding down the mountain pass. It had been like the death of someone, irrational, that sliding down the mountain pass and into the region of dread. It was like slipping into fever, or falling down that hole in sleep from which you wake yourself whimpering. We had crossed the mountains that day, and now we were in a strange place – a hotel in central Washington, in a town near Yakima. The eclipse we had traveled here to see would occur early in the next morning. I layRead MoreEnglish Descriptive Narrative essay883 Words   |  4 PagesIt  was  a  beautiful  Saturday  afternoon  in  Philadelphia.  The  air  was  fresh  and  the  fog  was   rolling  off  of  the  dark  green  oak  trees.  These  trees  were  scattered  everywhere  like  grains  of  sand   on  a  hot  summer  beach.  Ã‚  The  soft  and  lingering  scent  from  the  various  kinds  of  flowers  filled  the   air.  This  added  a  sense  of  happiness  to  everyone  who  was  celebrating  my  uncle’s  wedding,   especially  my  sisters  and  I.  Before  the  wedding,  people  were  gathered  in  large  groups,   everywhere,  bickering  with  one  anotherRead MoreCage Bird and How to Say Nothing in 500 Words768 Words   |  4 Pages When I start to review narrative and descriptive essays, I have to try to understand what separates the two. I chose to compare â€Å"Caged Bird†, by Maya Angelou as my Descriptive essay and â€Å"How to say nothing in 500 words†, by Paul McHenry Roberts as my narrative essay. To me these two essays set themselves apart from each other, not just because of the different styles of writers, but the meaningful message that was delivered in both essays. While both of these essays have a strong message thatRead MoreNarrative vs. Descriptive Writing977 Words   |  4 Pages A narrative essay uses a point of view to tell a story. It is an engaging way for an author to tell his reader about an experience they have had or a personal story. Descriptive writing is a description of something. It could be a person, place, thing, emotion or ex perience. The author is allowed more artistic freedom when writing in descriptive form. While both descriptive and narrative essays are similar in many ways, the descriptive essays use of language fully immerses the reader intoRead MoreLoss of Freedom in Sedaris This Old House and Angelous Caged Bird1274 Words   |  6 Pageshis feelings through narrative writing, and Angelou explores her concerns through descriptive writing with the analogy of a bird, they still are exploring the similar topic of perceived loss. The loss of freedom, demonstrated by the demand to uphold a family image, versus the caged bird, remain very similar in both pieces due to perceived entrapment, disappointment and self-nonentity. Descriptive essays leave room for misinterpretation and confusion, where as a narrative essay is straightforward andRead MoreEssay Writing Forms and Styles1402 Words   |  6 Pages------------------------------------------------- Forms and styles This section describes the different forms and styles of essay writing. These forms and styles are used by a range of authors, including university students and professional essayists. [edit]Cause and effect The defining features of a cause and effect essay are causal chains that connect from a cause to an effect, careful language, and chronological or emphatic order. A writer using this rhetorical method must consider the subjectRead MoreThe Beach Essay781 Words   |  4 PagesDescriptive Essay- Beach, Vacation The place where I feel most comfortable is a place where I am calm. A place that is peaceful in its own ways. It is the place to go to get away from all my troubles. It is the one place where I could sit forever, and never get tired of just staring into the deepest blue I have ever seen. It is the place where I can sit and think the best. A place where nothing matters but what is in that little moment. The one place capable of sending my senses into an overloadRead MoreNarrative Essay1497 Words   |  6 PagesThe Narrative Essay *What is a Narrative Essay? †¢ Narrative writing tells a story. In essays, the narrative writing could also be considered reflection or an exploration of the authors values told as a story. The author may remember his or her past, or a memorable person or event from that past, or even observe the present. †¢ The author may write about: -An experience or event from his or her past. -A recent or ongoing experience or event.

Literature Review of the Experiences of Obese Children Essays

Chapter 1 - Introduction 1.1 – Introduction and Background 1.2 – Research Aims 1.3 - Research Objectives Chapter 2 – Methodology 2.1 – Why a Literature Review? 2.2 – Data Collection 2.3 – Data Selection Chapter 3 – Findings 3.1 – Research Aim 3.2 – Research Objective 3.3 – Key Trends in Data Chapter 4 – Discussion Chapter 5 – Conclusions and Recommendations Chapter 1: Introduction 1.1 Introduction and Background Obesity is seen as the outcome of an imbalance of a person’s energy intake and the expenditure of this energy. This imbalance causes a person to store the unused energy and therefore gain weight. Sullivan (2004) also defines obesity as an excess of body fat and mentions that the level of obesity can†¦show more content†¦Literature reviews are often used to gather relevant research on any particular topic so that research can be expanded. They explore different angles and arguments regarding the given topic and point out gaps in the knowledge and possibilities for future research. Given that obesity is a sensitive topic to discuss particularly with children, there are ethical dilemmas to consider when collecting data via interviews and questionnaires to gain insight into their experiences. It is due to this reason that this study will explore research that has been gathered to gain an insight into where social work can be of use within the education and prevention of c hildhood obesity along with finding gaps in the knowledge so that future research and fill these. 2.2 Data Collection Data was collected through the use of academic journals found in research databases such as SocIndex, PychInfo, Social Care Online and Web of Knowledge, these databases were used as they are specific to social work and social care and could provide academic literature that could provide social work insight into the research topic. The ‘Boolean’ method was used to search these databases using the search terms ‘childhood or adolescent obesity’ , ‘childhood or adolescent experiences of obesity’ and ‘consequences of childhood or adolescent obesity.’ A snowball strategy was also used to collect data, whereby relevant papers were selected from theShow MoreRelatedObesity Literature Review1597 Words   |  7 PagesObesity Literature review I. Introduction Obesity is a medical condition in which excess body fat has accumulated to the extent that it may have an adverse affect on health, leading to reduced life expectancy. Child obesity has been increasing dramatically and it has become one of the most common chronic conditions for youngsters and its accompanied by several psychological effects. As for the children it might lead to being isolated and having peer problems and sense of discrimination fromRead MoreObesity And Its Effects On Obesity1612 Words   |  7 PagesApproximately 17% of children in the United States have been diagnosed as obese (Prevention, 2011). Although the prevalence of obesity has plateaued in the most recent years, the amount of children who are obese is still higher than what is desired. These obesity rates are alarming due to the effect it will have on them and their healthcare. As more children are diagnosed with obesity, the more children increase their risk of cardiovascular disease, hypertension, and ins ulin resistance later as adultsRead MoreInferential Statistics Essay560 Words   |  3 Pagesassociated quality of life in individuals aged 18 and older by means of data from the 2000 MEPS. After regulating for socioeconomic aspects and disease significance, they revealed that quality of life declined with growing levels of obesity. Those who were obese had considerably inferior health-related quality of life compared to those who were normal weight (Research on Obesity and Overweight, p.3). For the foremost time, the figure of overweight people worldwide equals the numbers who are underweight. DevelopingRead MorePICOT Question834 Words   |  4 Pagesï » ¿Problem Statement Only a few studies in nursing research provide some kind of study that looks into experiences of patients who choose to undergo bariatric surgical procedures or investigation. Within the growth of science in bariatric nursing, there is that need of information to support both the patient that is receiving the care and the physician that is providing the care and the support. In this time of continues growth in this bariatric procedures, it is a most that all healthcare providersRead MoreObesity And Obesity Among Adults Essay1487 Words   |  6 PagesThe subject of this paper is overweight and obesity among adults in the U.S. The purpose of this paper is to present an overview of scale of the problem of overweight and obesity. A literature review on the topic was conducted with the goal of identifying factors that have proven to be successful in weight loss programs. Then the Health Belief Model will be described and applied to a proposed weight loss intervention. 1. Overview of Obesity Overweight and obesity is an urgent and universal problemRead MoreChildhood Obesity Is Defined As A Body Mass Index924 Words   |  4 PagesBRIEF REVIEW OF THE TOPIC According to the Centers for Disease Control and Prevention (2009), Childhood Obesity is defined as a Body Mass Index at or above 95th percentile for both male and female children in the United States. Approximately 9 million children are struggling with Obesity (Gootman, J.A., McGinnis, M., Kraak, V.I., 2006). The rate at which children are being diagnosed with obesity has more than doubled over a span of 25 years form 7% to 18% for children ranging in ageRead MoreObesity As A Body Mass Index1606 Words   |  7 Pagesepidemic due to many factors including genetics, lifestyle and other hormonal/medical issues. According to the World Health Organization, worldwide there are about 500 million obese adults and 42 million obese children. In the United States, 35 percent of adults (roughly 100 million people) and 17 percent of children are obese. Obesity is linked to many complications, including hypertension, dyslipidemia, type 2 diabetes, heart disease, stroke, cancers (eg, breast, gynecological, gastrointestinal)Read MoreChildhood Obesity : Factors, Perceptions And Proactive Methods1197 Words   |  5 Pagesunhealthy weight gain, and can affect multiple generations of children into the future. Among unhealthy habits that are acquired over a lifetime, other factors such as: socioeconomic status; the stigma surrounding youth who are obese or overweight and how they are perceived by their peers; and the growing numbers of processed foods available to families mixed with a lack of education and understanding of the consequences of these factors, children face several challenges in combatting obesity. We must workRead MoreChildhood Obesity Among African American And Hispanic American Families Essay1534 Words   |  7 Pagesrural school district in southeast Texas. In 2008, there were 200 million males and nearly 300 million females who were obese and approximately 42 million children, five years and under, were obese in 2013 (World Health Organization Factsheet 311, 2014). First Lady Michelle Obama launched her LET’S MOVE! initiative after engaging in national conversations with America’s children when she broke ground in preparation for the White House Kitchen Garden with students in Washington, DC. First Lady ObamaRead MoreChildhood Obesity in Latino Children1187 Words   |  5 PagesObesity in Latino Children. Cindy Martinez Phoenix University The purpose of the Powerpoint presentation in the workplace project is to raise awareness for health care workers in regards to the increasing rate of obese Latino children in the United States. In the past several decades and according to the State of Obesity â€Å"38.9 % of children ages 2-19 are obese in the Latino culture.† The rates of severe obesity are higher amongst these children compared to the White American children. Nearly one

Medical History Of Joylene Sims Samples †MyAssignmenthelp.com

Question: Discuss about the Medical History Of Joylene Sims. Answer: Introduction The purpose of this paper is the case study of Ms. X, name not mentioned to protect confidentiality, to understand her medical history, events leading to her admission, health risks, Pathophysiology of the clinical conditions experienced by the patient, pharmacological interventions that might be applicable (including the outcomes, side effects, contradictions andnursing considerations), assessment of the diagnoses and provide recommendations based on the findings. The patient is a 66-year-old lady, residing in SA Housing with her son and primary care giver, Matthew. She previously was able to live independently with little assistance, needed 4WW for walking, and was able to manage her own medication, finances, toileting, and personal care. She was admitted to Finders Medical Centre on 02/05/2017 after her son found her collapsed on the floor. The patient also had a medical history of Diabetes Mellitus (type 2), Hypertension, Migraine, Fatty Liver, Depression, Right Sub Arachnoid Cyst, Recurrent pain of lower back, Left Shoulder Bursitis and Anxiety disorder. A drastic drop in blood sugar levels caused by Diabetes Mellitus can cause loss of consciousness (Fainting diabetes2017). She was subsequently diagnosed with chest infection and right leg cellulitis with septicemia. She was administered with intravenous antibiotics immediately. Her condition worsened, and developed rapid Arterial Defibrillation, Acute Kidney Injury, pneumonia and edema in her legs and arms. Her urine tested positive for APMC (multi resistant gram-positive bacterium). She has also admitted to the Intensive Care Unit twice for respiratory failure, which along with her present medical condition caused significant deconditioning and a loss of functional abilities. Consent was obtained as per the healthcare policy guidelines to access her information, for ethical concerns (Nursing and Midwifery Board of Australia Policies, 2017). The health risk was aggravated by the history of diabetes, which could have had stressful effects on the other organs (Matsuda and Shimomura 2013). Hypertension, and arterial fibrillation further complicated the condition, and a damage of the kidneys could be attributed to it, which can also explain the onset of edema (Bonde et al. 2014). Depression and Anxiety may also be the effect of her clinical condition.She is also suffering from Obesity and Deconditioning. Pathophysiology/ Pharmacology During the shift the patient experienced a plethora of signs and symptoms that worsened his condition. The primary concern in the patient was diabetes. Type 2 Diabetes occurs due to an insufficient production of insulin by the pancreas or an insulin resistance (which causes the failure of cells of muscles, liver and fatty tissues to respond to insulin, even if they exist in high levels in the blood). This resulted in a rise in blood glucose level, and a depletion of the stored glycogen. Insulin resistance can be caused due to obesity and lack of physical activity (Mandal, 2017). Type 2 diabetes represents about 90% of all reported diabetes cases, and can lead to other complications like cardiac arrest, problems with vision and foot ulcer (Diabetesaustralia.com.au, 2017). The risk factors include family history, age more than 45 years with obesity or High Blood Pressure, and certain ethnic groups. Typical symptoms include: excessive thirst, frequent urination, lethargy, persistent hunger, slow healing of wounds, skin infection and itching, blurry vision, obesity, mood swings, headache, dizziness, leg cramps (Kirk et al. 2015). Study of the patients clinical condition shows a clear association with diabetes related complications. Her diagnosis of septicemic infection of the leg, Hypertension, Migraine, Fatty Liver, Depression and Anxiety can be attributed to Diabetes. Pharmacological intervention should involve administration of Metformin HCL (1g) daily (Mujeeb and Mutha 2015). This medicine will help in improving her sensitivity to insulin, and will result in a lowered glycogenesis in the liver. However, lifestyle changes like weight reduction and exercise is needed for the medicine to be effective in reducing blood sugar levels. Side effects include nausea and diarrhea. The patient also reported signs of hypertension, evidenced by blood flow through the vessels with a higher pressure than normal. This requires attention as the condition can create stress on the heart, damage blood vessels, and can also heighten chances of cardiac arrest or myocardial infarction, cerebrovascular accident, renal dysfunction. It can even lead to death (PubMed Health, 2017). The physiological mechanisms underlying hypertension includes a decrease in peripheral resistance and elevated cardiac output; low levels of rennin and angiotensin II; interaction between the autonomous nervous system and renin-angiotensin system; endothelial dysfunction and genetic factors (ncbi.nlm.nih.gov, 2017). These will lead to headaches, dizziness and anxiety. The history of migraine headache and anxiety can be attributed to hypertension, which in turn could be related to her obesity (Ahmad et al. 2016). Pharmacological intervention should include administration of Nebivolol (5mg) once daily and Frusemide (40mg) thrice daily. Nebivolol is a beta receptor blocker and vasodilator (Perros et al. 2015), and Frusemide helps in the treatment of the buildup of fluid caused by cardiac failure, liver scarring and kidney dysfunctions (Tamargo, Segura and Ruilope. 2014). The drug will inhibit the absorption of sodium and chlorine in the proximal and distal convoluted tubules of the nephrons. Thus, both these medications can be used as effective interventions to treat hypertension in the patient. The side effects of Nebivolol may result in hypersensitivity, low blood sugar, dizziness, breathlessness, gain in weight, and swelling of arms or legs, slowing of heartbeat, headache and fatigue (Velasco et al. 2016). Therefore, the drug should be administered with or before food, at a single time without missing any doses (however, double doses/extra doses should be avoided, if timely administration is missed). Frusemide may also lead to increased urination, weakness, muscle cramps, thirst, rashes, dizziness, diarrhea/ constipation, stomach pain, fever, nausea and dehydration. However, it should be noted that the medication can increase nephrotoxicity of cephalosporin and aminoglycosides, and should not be administered with phenytoin and indomethacin. The presence of atrial fibrillation in the patient is another concern. It is caused by irregular beating of the atrium of heart, causing irregular or rapid heartbeat. This increases the risk of strokes, heart attack and other cardiac dysfunctions (January 2014). The irregularity can be due to chaotic electrical signals to the Aurio-Ventricular (AV) node, and increase the heart rate to 100 to 175 beats per minutes, and can also cause ventricular fibrillation (Andrade 2014). Previous history of hypertension, lung disease, heart attack, congenital heart defects, coronary arterial disease, and abnormal valves of heart, thyroid dysfunction and viral infections might have contributed to the incidence of atrial fibrillation in the patient. Common symptoms include weakness, palpitation, fatigue, dizziness, short breath, confusion, chest pain and light headedness (Heart.org. 2017). Based on the symptoms being manifested by the patient, her pharmacological interventions should include daily administration of Amiodarone (200mg). The drug will block electrical signals to the heart that causes irregular heartbeats (Roy et al. 2000). However, she may suffer from some side effects such as, nausea, constipation, appetite loss, fatigue and shakiness (Drugs.com.2017). Her allergic and medical history (liver/ lung /thyroid dysfunction) should be checked before administering the drug. The patient also exhibited signs and symptoms of obesity, following her admission. This condition is principally characterized by an excessive accumulation of body fats, causing adverse health conditions. A body weight that is 20% more than the normal weight and a Body Mass Index above 30 is considered as obese (WHO, 2017). Excessive calorie intake, sedentary lifestyle, lack of sleep, endocrine disruption (like food that interferes with lipid metabolism) and genetic conditions (like a faulty FTO gene or family history) might have contributed to the excess increase in weight in the patient (Healthdirect.gov.au. 2017). This condition is dangerous for the patient as it aggravates the chances of type 2 diabetes, cardiac disease, hypertension, arthritis, stroke and sleep apnea (Esser et al. 2014). The effects on health can be due to an increased mass of fat (causing arthritis, sleep apnea) or increase in the number of fat cells that can cause insulin resistance, proinflammatory and prothrombotic states. Since the patient was already obese, it can be concluded that diabetes, hypertension, fatty liver and back pain could have been a clinical repercussion. An effective approach would be a change in diet, and usage of laxatives like Docusate (50mg x2) and Sennoside (8mg), twice a day. Reducing the reward value for food is a good strategy to reduce weight (Hiesler. 2016). Side effects of Docusate include rectal bleeding/ irritation, rashes around rectum, diarrhea, stomach cramps, constipation, and allergic reaction. Sennoside administration can also lead to nausea, vomiting, diarrhea, weakness, muscle cramp, dizziness, cardiac arrhythmia, decreased urine output, mood changes and allergic reactions. Therefore, there is a need to check for drug interactions for both the medications, before administering them to the patient (Drugs.com. 2017). The patient also reported signs of deconditioning that might have occurred due to lack of physical activity or due to disuse of body parts, and can have severe effect in older patients (Narici. 2017). A sedentary lifestyle or complete bed or chair rest during an illness might have contributed to this condition in the patient. Deconditioning is characterized by a decline in muscle tone, mass and strength. Aging can result in a reduction in the number of muscle fibers, and thus a loss of the bulk. Additionally, disuse of muscles can have similar effects on muscle strength and mass. Since the patient was completely bed ridden, it seemed possible that it resulted in her deconditioning due to the lack of use of her legs. An exercise plan should be formulated with the help of a physical therapist that would keep the patient in good spirits. Investigation Investigations on the patients medical condition revealed the following problems: she developed cellulitis on the right leg, and a subsequent septicemia. It can be attributed to the slowed healing of wounds typical in diabetes. Nurses play an essential role in conducting assessments and identifying worsening conditions in a patient. However, evidences suggest that they often miss reporting patients exacerbating conditions due to delayed management that leads to adverse consequences (Chua et al. 2013). Strict monitoring of her blood pressure was required to reduce health complications. If her increased blood pressure was left uncontrolled several complications such as, transient ischemic attacks, dementia, cognitive impairment, kidney failure, heart failure might have occurred. Therefore, her blood pressure was continuously checked. She also developed chest infection which can be related to the fluid buildup and edema caused by diabetes. She was consequently administered antibiotics v ia intravenous channel. However, her condition became worse, and she developed acute kidney infection, due to the systemic spread of the disease. A positive urine test for AMPC indicated the presence of urine infection in the patient. There was a need to periodically monitor her blood glucose levels before and after meals as this would provide an accurate representation of her glycemic index. This should be strictly monitored unless the levels get normalized. Significant associations exist between cardiovascular complications and high glycemic index. Therefore, there is a need to control her blood sugar levels in order to reduce predisposition to further complications. An X-ray analysis showed the presence of chest infection in the patient. Her lung infection seemed to have quickly worsened, and she even faced respiratory failures, twice, while in the intensive care unit. Because of these multiple complications, she was put to complete bed rest, and it result in a significant deconditioning of her muscles strength and tone. The patient was considered for an ACAT assessment. This aged care assessment team provided her assistance as she was obsess and was unable to move (Boltz et al. 2016). ACAT assessment showed that the patient was no longer able to stand transfer, and hence she needed more care than what can be provided at home. Sling assistance for bed transfers, and 2-3 assists were provided. Reccomendation Firstly, the patient requires a round the clocknursing supervision or a permanent residential care. Both physical and social health care must be provided to the patient in order to help her achieve optimal health and wellbeing. Secondly, her diet should be properly formulated to ensure prevent excess calorie intake. Thirdly, it is also important to address the effect of the diseases on her mental health condition. Her medical history of depression and anxiety predisposes her of acute mental stress, which can adversely affect the treatment outcome. It can therefore be suggested that she be administered 4 tablets of Doxepin (50mg) or 1 tablet of Duloxetine (30mg), daily to manage depression (Werner and Covenas. 2017). Furthermore, social healthcare workers should be involved in providing long term care, and to assist the primary caregiver (patients son). As it is understood, that the patient might be on prolonged bed rest, with only the minimal movement, regular checkups are needed to ensure she does not suffer from bed sores, muscle fatigue and further deconditioning. Additional recommendations can a psychological counseling or evaluation would be helpful for the patient to deal with her condition. Since a comprehensive care might not be feasible in the house, she was recommended to opt for permanent residential care. Reflection Working as a nurse involves a list of responsibilities like observing behavior of patients; coordination between the healthcare professionals; creating and evaluating care plan; emotional and psychological support; analyze patients symptoms and taking any action needed for recovery; maintain report, medical history, and change in condition; administering or changing medication; checking the stock of medicine, to ensure it does not run out; maintain safe and hygienic environment; researching effectivenursing practices; providing emergency care; discussion of treatment plan with doctors or healthcare professionals; providing guidelines disease prevention and health maintenance (Nursing and Midwifery Board of Australia Policies. 2017). Feedbacks are essential tools for developing competencies in the field of evidence based nursing (Boltz, Capezuti, Fulmer and Zwicker. 2016). The feedback by my PEP facilitator during my VIVA VOCE placement suggested that I had demonstrated sufficient knowledge on the case scenario that was presented. I was able to identify the gaps that were associated with the pathophysiology of the several complications presented by the patient. However, my placement facilitator suggested that there was lack of cohesion in my VIVA VOCE assessment. Moreover, I did not demonstrate adequate flow of information during the assessment. My facilitator suggested that I had demonstrated great efforts to present the case. I felt that registered nurses should provide frequent feedbacks to the nursing students to help them develop their nursing practice. The substandard 1.2 of the Nursing and Midwifery Board of Australia(NMBA) (2016, p. 3) points out that nurses are supposed to critically think and analyse the nursing practice. Furthermore, the sub standard 3.5 states that a nurse should maintain the practice capability to ensure continuous professional development. Using the reflection provided, I will implement a better strategy in analyzing and writing the article. I will follow the protocols and marking criterion, create a mental checklist, and work towards achieving my objective. Utilizing the knowledge gathered from the feedback, and the learning processes, allowed me to better understand the subject and national standards. Thus, the clinical placement and VIVA VOCE assessment helped me enhance my clinical skills. References: Ahmad, F.S., Ning, H., Rich, J.D., Yancy, C.W., Lloyd-Jones, D.M. and Wilkins, J.T., 2016. Hypertension, obesity, diabetes, and heart failurefree survival: the Cardiovascular Disease Lifetime Risk Pooling Project.JACC: Heart Failure,4(12), pp.911-919. Andrade, J., Khairy, P., Dobrev, D. and Nattel, S., 2014. The clinical profile and pathophysiology of atrial fibrillation.Circulation research,114(9), pp.1453-1468. Boltz, M., Capezuti, E., Fulmer, T.T. and Zwicker, D. eds., 2016.Evidence-based geriatric nursing protocols for best practice. Springer Publishing Company. Bonde, A.N., Lip, G.Y., Kamper, A.L., Hansen, P.R., Lamberts, M., Hommel, K., Hansen, M.L., Gislason, G.H., Torp-Pedersen, C. and Olesen, J.B., 2014. Net clinical benefit of antithrombotic therapy in patients with atrial fibrillation and chronic kidney disease: a nationwide observational cohort study.Journal of the American College of Cardiology,64(23), pp.2471-2482. Chua, W.L., Mackey, S., Ng, E.K.C. and Liaw, S.Y., 2013. Front line nurses' experiences with deteriorating ward patients: a qualitative study.International nursing review,60(4), pp.501-509. Diabetesaustralia.com.au. (2017).Type 2 diabetes. [online] Available at: https://www.diabetesaustralia.com.au/type-2-diabetes [Accessed 18 Nov. 2017]. 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The Internet How It Works And How It Effects The World Essays

The Internet: How it Works and How it Effects the World Many people do not understand what the Internet is the power that it has over the world. The Internet is an extraordinary learning and entertainment tool that, when used properly, can significantly enhance a user's ability to gather information. Advanced Research Projects Agency Network (ARPANET) started the Internet. It was a project under taken by the Department Of Defense (DOD) in 1969. It started as an experiment to link together DOD and military research including Universities doing military-funded research. "The reliable networking part involved dynamic rerouting." (Levine 12) If one of the computers was under enemy attack, the information could be automatically transferred to other links. Fortunately, the Net is not usually under enemy attack. The ARPANET was very successful, and every university in the country wanted to sign up. Because so many people wanted to use the Net, ARPANET started getting hard to manage, especially with many university sites on it. Therefore, it was broken into two parts: MILNET, which had all the military sites, and ARPANET, which had all the nonmilitary sites. "The two networks remained connected, however, thanks to a technical scheme called IP (Internet Protocol), which enabled traffic to be routed from one net to another as needed. All the networks connected by IP in the Internet speak IP, so they can all exchange messages." (Levine 12) Even though there were only two networks at that time, IP was made to allow thousands of networks. The IP is designed so that every computer on an IP network is compatible. That means any machine can communicate with any other machine. The Internet, also called the Net, is the world's largest computer network. The Internet is the "network of all networks." (Levine 7) The networks are connected to big companies like AT About 1,000 networks join each month. Every computer that is attached to the Internet is called a host. Hosts can be super computers with thousands of users, regular PC's with only a couple of users, or specialized computers, like routers that connect networks together or to terminal servers that let terminals dial in and connect to other hosts. Each computer has its own host number. "Being computers, the kind of numbers hosts like are 32-bit binary numbers." (Hayden 32) Here is an example of a binary number: 1011010010010100100100101000 Binary numbers are easier to remember by breaking them up into eight 4-bit groups. "Then each group is translated into it's Hexadecimal equivalent." (Levine 18) So the number above would translate into this: B.49.49.28 This number is easier to use and remember. Every four digits in the binary number stands for one hexadecimal number. Below is a list of each four binary numbers and its hexadecimal equivalent. To figure out the binary number in the example into its Hex equivalent is in this way: 1011 is the first four digits of the binary number. Looking at the table, it can be determined that its hexadecimal equivalent is a "B". The second set of four binary numbers is 0100. That changes into 4 and so on. The first four numbers of a host number tells you what class the network is. The chart bellow states classes and sizes: ? ? ? ? ? ? ? ? ? ? ? Class ? First Number ? Length of First No ? Max No of Hosts ? ? ? ? ? ? ? ? ? ? ? ? A ? 1-126 ? 1 ? 16,387,064 ? ? ? ? ? ? ? ? ? ? ? ? B ? 128-191 ? 2 ? 64,516 ? ? ? ? ? ? ? ? ? ? ? ? C ? 192-223 ? 3 ? 254 ? Big companies like IBM and Apple usually have class A networks. "For example, IBM has network 9, and AT&T has network 12, so a host number 9.12.34.56 would be at IBM, and 12.98.76.54 would be at AT&T." (Levine 19) Medium sized companies and universities have class B networks. "Rutgers University has network 128.6 and Goldman Sachs has network 138.8" (Levine 19) Small organizations use class C networks. Network 192.65.175, for example, is used by a single IBM research lab. To make it easier the Internet uses names, not numbers. "For example, the machine we have heretofore referred to as 140.186.81.1 is named chico." (Levine 21) When ARPANET first came out, they had simple names; the machine at Harvard was called HARVARD. But since there are millions of names on the Net