Identify the cohort group Essay Example for Free

Identify the cohort group Essay I belong to the Cohort group called the Boomers. I am a loving mother of two kids, who wants to see and wishes my children to graduate from college. I am not just a full time student, but also a full time employee for a school system. I am a real diligent student who wants to finish school in the next three years, even if working hard as an employee only earns me a little more money, just barely enough for my family’s living. I do value health very much and wishes to have a peace of mind. When it comes to working, I never waste a minute and I see to it that I am always on time. Greeting my team members is a must for me and having a personal interest in their welfare is also important for me. This probably has something to do with my instinct or feelings as a mother. My family strengthens me to work harder and gives me the enthusiasm when it comes to understanding and helping others. I am a hard-worker that I always have the strength to do my tasks as an employee and as a student, even if I just finished doing all the household chores. My good and strong educational background reinforces me to be dependable. You can always count on me whenever you have problems or worries, whether it may be about work, family, education or other personal issues. I am honest and trustworthy when it comes to issues and relationships that a lot of my co-workers and fellow students confide in me with ease. I wish to be successful not only as a mother, a student or a worker but an individual as a whole. I expect my work values to incorporate more balance when it comes to my work and personal life, though giving priority to my family more would also be possible and acceptable for me in the future. I also expect my work values to be flexible and be enhanced further to work out any obstacle that I might encounter in the next five or ten years. Reference: Miller, G. (1998). Handbook of Research Methods in Public Administration. New York, USA: Marcel Dekker Incorporated.

Case Study: Narcotics Withdrawal Impact on Health

Case Study: Narcotics Withdrawal Impact on Health Arlena Davis Based on the clinical scenario is Mrs. X’s altered mental status due to a focal neurologic deficit or is it related to a more global etiology? Why? Mrs. X altered mental status is not due to focal neurologic deficit as she does not show focal neurologic signs. Some of the signs of focal neurologic deficit are impairment of the spinal cord, nerves and brain activities impairment of the nerves, spinal cord and brain affects certain areas of the body and causes weakness in the right leg and left arm. Mrs. X does not have impaired of the spinal cord, nerves and the brain according to the medical examination. Mrs. X does not have weakness in the left arm and right leg. The neurologic examination shows Mrs. X has no problem. Mrs. X has grip strength of 5/5 bilaterally. The Dorsi and plantar flexion is 5/5 bilaterally. Mrs. X has no focal spinal and costovertebral angle tenderness. Thus, the altered mental status is linked to a more comprehensive etiology. The altered mental status can be due to overdose of Percocet and use of narcotics. Mrs. X took 80 tablets of 10mg Percocet within 72 hours before she started experiencing the symptom s. In addition, Mrs. X has misused narcotics as evidenced by the family’s reaction. Overuse of narcotics and withdrawal can change the mental status of a patient. McCance, K. L., Huether, S. E. (2014). Pathophysiology: The Biologic Basis of Disease in Adults and Children (7th ed.). Maryland, MO: Mosby Elsevier. 2. Based on the available information what differentials can the NP absolutely rule out? Give a rationale as to why you are ruling out each differential. Differential diagnosis is conducted to rule out certain diseases and hence ensure the diagnosis is accurate. The NP should rule out some differential diagnoses. The NP should rule out a focal neurologic deficit diagnosis as Mrs. X does not show signs and symptoms of focal neurologic deficit according to the historical and examination data. Additionally, the NP should rule out influenza DFA diagnosis as the patient does not show signs of DFA influenza. They can rule out diarrhea as a result of influenza according to the examination done by the doctor the diarrhea is not be due to influenza, but narcotic withdrawal. Mrs. X has been misusing narcotics and she has not used the drugs since she became sick and this might have contributed to the diarrhea. Further, the NP should rule out narcotic overdose diagnosis as the patient does not show signs of narcotic overdose. McCance, K. L., Huether, S. E. (2014). Pathophysiology: The Biologic Basis of Disease in Adults and Children (7th ed.). Maryland, MO: Mosby Elsevier. 3. What differential diagnoses still need to be ruled out? Other differential diagnosis that still need to be eliminated is serotonin syndrome and encephalitis. She could be dehydrated, her urine is dirty she could have a UTI, she has not eaten since onset of symptoms so the Hydroxycut could be causing her to metabolic alkalosis. Loss of fluid through diarrhea and not eating and drink are related to metabolic alkalosis. Boyer EW. Serotonin syndrome. http://www.uptodate.com/home. Accessed June. 12, 2014. Gasper,M.L.,Dillon,P.M.(2011).Clinical Simulations for Nursing Education Learner Volume. Philadephia, PA: F.A Davis 4. What are the signs of narcotic overdose? Is Mrs. X’s condition consistent with a narcotic overdose? There are different signs of narcotic overdose. The first sign of narcotic overdose is respiratory depression. The respiratory rate is low and apnea is evidenced in serious cases. The patient can have a respiratory arrest if the overdose is significant. Hypoxia can cause pulmonary edema as it impairs the permeability of the pulmonary capillary. Pupil constriction is common expect in severe hypoxia when dilation can be seen. The formation of urine is decreased because of the reduction in the flow of renal blood. Other signs of narcotic overdose are hypotension, cold clammy skin and bradycardia. Moreover, patients presenting narcotic overdose show other symptoms. The symptoms include nausea, vomiting, constipation and slurred speech, confusion, poor judgment and decreased level of consciousness. Mrs. X’s condition is not consistent with narcotic overdose. Mrs. X. does not have a reparatory depression which is the main sign of narcotic overdose. Mrs. X has an elevated respiratory rate and a heart rate of 22 and 97 respectively. Mrs. X does not have constricted pupils as they are reactive to light. However, Mrs. X has decreased level of consciousness and she is confused. Goldberg, R.(2013).Drugs Across the Spectrum. Stamford, CT: Cengage Learning 5. What are the signs of narcotic withdrawal? Is Mrs X’s condition consistent with a narcotic withdrawal? Patients using narcotics show different signs after withdrawal depending on the dosage and how long they have used the drug. The patients can be restless and have insomnia. Also, patients can be anxious, long for the drug and have a flu. Patients can have abdominal cramps, body aches, loss of appetite, Rhinorrhea, fever, confusion, irritability and loss of appetite. Also, patients can have increased respiratory rate, pulse rate and blood pressure in late withdrawal. Patients have gastrointestinal problems including nausea, vomiting, diarrhea and loss of weight. Mrs. X’s condition is in line with the signs of narcotic withdrawal. Mrs. X has an increased heart rate, blood pressure and respiratory rate. Mrs. X heart rate, respiration rate and blood pressure are 97, 22 and 135/55 respectively. Also, Mrs. X has fever and flu- like disease. She has decreased appetite as she has not eaten anything since she became sick. Also, she has lost 25lb in the past 2 months after taking hydrox ycut. In addition, Mrs. X has diarrhea and she has been restless and confused. Gasper,M.L.,Dillon,P.M.(2011).Clinical Simulations for Nursing Education Learner Volume. Philadephia, PA: F.A Davis Munjal,Y.P.,Sharma,S.K.,Agarwal,A.K.,Gupta,P.(2012).Api Textbook of Medicine. New Delhi, India: JP Medical Ltd 6. There are 2 clues which are related to one another in the HP and both suggest the same potential differential diagnosis. The admitting physician did not pick up on the clues and consequently did not consider this in their differentials. What are the two clues? What additional historical information is missing from the HP which should be obtained from the husband based on the 2 clues? The two clues are the patient takes Ultram and Percocet, this combination of drugs cause serotonin syndrome. The physician noted that Mrs. X had excessively used narcotics, but did not put this two together with this outcome. In addition, the physician found she had not utilized narcotics for the last three to four days. The overuse of narcotics and withdrawal of narcotics could have led to altered mental status or decreased level of consciousness. As a result, the doctor encouraged Mrs. X to continue using her medications. The physician should have done a narcotic overdose or withdrawal differential diagnosis. Additional historical information includes mental health history, smoking history and OTC and narcotic drug history. The physician should ensure the husband gives a detailed description of OTC and narcotic drugs used. The husband should identify the type of drug used, dosage, dosing schedule and reasons for using the drug. A detailed drug history enables the physician identify drug interaction cases and overdose. The family members have expressed concern over the misuse of narcotics as they believe Mrs. X is misusing narcotics. Nevertheless, they do not state the narcotics used and dosage. Dietary supplements can interact with other drugs and have an adverse impact on the patient. Further, the doctor should ensure the husband gives a comprehensive description of tobacco smoking history. The husband should state the number of packets she smokes in a day. Additionally, the doctor should obtained information regarding the mental status of the patient. Elderly people are prone to mental disorders and they negatively affect their functioning. Some of the mental illnesses are depression, focal neurologic deficit, delirium, dementia among others. Mental health problems affect cognitive functioning. Understanding the mental health history helps in determining the causes of symptoms elderly patients present with. In this case, Mrs. X is unable to speak and has altered mental status. The physician needs information about Mrs. X’s mental health history to determine the cause of the decreased level of consciousness. Mental disorders such as delirium, dementia and focal neurological deficit change the mental status of the patient. 7. Based on the available information what do you think the most likely diagnosis is for Mrs. X’s altered mental status? Narcotic withdrawal has led to altered mental status. Mrs. X shows different symptoms of narcotic withdrawal including increased heart rate, blood pressure, respiration rate, diarrhea, and confusion. Other symptoms are fever and flu-like disease. Thus, Mrs. X has experienced the symptoms as she has not used narcotics for the last 4 days. References Gasper, M.L., Dillon, P.M. (2011). Clinical Simulations for Nursing Education Learner Volume. Philadephia, PA: F.A Davis Goldberg, R. (2013). Drugs Across the Spectrum. Stamford, CT: Cengage Learning Woods, A., Spratto, G. (2011). Delmar Nurses Drug Handbook 2012 Edition. Stamford,CT: Cengage Learning McCance, K. L., Huether, S. E. (2014). Pathophysiology: The Biologic Basis of Disease in Adults and Children (7th ed.). Maryland, MO: Mosby Elsevier. Boyer EW. Serotonin syndrome. http://www.uptodate.com/home. Accessed June. 12, 2014. Gasper, M.L., Dillon, P.M.(2011). Clinical Simulations for Nursing Education Learner Volume. Philadephia, PA: F.A Davis Goldberg, R. (2013). Drugs Across the Spectrum. Stamford, CT: Cengage Learning McCance, K. L., Huether, S. E. (2014). Pathophysiology: The Biologic Basis of Disease in Adults and Children (7th ed.). Maryland, MO: Mosby Elsevier. Munjal, Y.P., Sharma, S.K., Agarwal, A.K., Gupta, P. (2012). Api Textbook of Medicine. New Delhi, India: JP Medical Ltd Woods, A., Spratto, G. (2011). Delmar Nurses Drug Handbook 2012 Edition. Stamford,CT: Cengage Learning Zerwekh, J. (2012). Illustrated Study Guide for the NCLEX-RNÂ ® Exam8: Illustrated Study Guide for the NCLEX-RNÂ ® Exam. Saunders: Elsiever Health Sciences

How To Surf The Internet :: essays research papers

How to Surf the Internet The term "Internet," or "The Net" as it is commonly in known in the computer business, is best described as an assortment of over one thousand computer networks with each using a common set of technical transfers to create a worldwide communications medium. The Internet is changing, most profoundly, the way people conduct research and will in the near future be the chief source of mass information. No longer will a student have to rely on the local library to finish a research essay - anybody with a computer, a modem, and an Internet Service Provider can find a wealth of information on the Net. Anybody with a disease or illness and who has access to the Internet can obtain the vital information they are in need of. And, most importantly, businesses are flourishing at this present day because of the great potential the Internet holds. First of all, for a person to even consider doing research on the Internet privately they must own a computer. A computer that is fast, reliable, and one that has a great deal of memory is greatly beneficial. A person also needs a modem (a device that transmits data from a network on the Internet to the user's computer). A modem's quality and speed are measured as something called a baud rate (how fast the modem transmits data in bits and kilobits - similar to grams and kilograms). A kilobit is a term simply used to describe the speed of a modem. For example, if somebody was to go out and purchase a 2400 baud modem, they would be buying a modem that transmits data 2400 kilobits per second which is definitely not the speed of a modem you want if your thinking of getting onto the Internet. The speeds of modems then double in the amount of kilobits that can be transmitted per second going from 4800 baud to 9600 baud and so on eventually getting up to 28800 baud (which is the fastest modem on the market right now). To surf the Internet successfully, a person will have to own a 9600 baud or higher, and with recent advancements the Internet has offered, the recommended speed is a 14400 kilobytes per second modem. A modem ranges in price, depending on the type of modem you want, the speed you need, and if it is an external or internal type, modems range from as low as $20 to as high as $300. If a person is unequipped with a computer most local libraries and nonprofit organizations provide Internet access where research can be done freely.

A Weird Experiece :: Personal Narratives Violence Crime Essays

A Weird Experience We were a threesome that late winter. Friday afternoons when Thomas got home at a decent hour he called on the intercom and I went down the hall to their apartment for drinks. Sometimes when he was late Krystal knocked on my door and asked me to come on down and keep her company. Later we might go out to dinner. Or we skipped dinner and just talked and listened to music. Sometimes on Saturdays he took his car and we drove down the Jersey shore or up the Hudson Valley or to Connecticut. Once we went out to The Hamptons where they were looking for a vacation house. Our friendship lasted exactly three months. A lucky number, Krystal said of the three of us. The perfect number. Thomas Milton was an investment banker. After getting his Masters from Harvard Business School, he'd returned to New York to a major firm and at 32 years old had already made $100 million, or close to it. Thomas was tall, handsome, charming—and Jamaican. His beautiful photo model wife, Krystal, was Dominican and rich in her own right. The Miltons had just bought and were remodeling a penthouse in a nearby Central Park West apartment building and would soon be moving from the cooperative. :: Inevitably we ended up talking about what I was calling in those days the great American divider—the color line. Not that Thomas and Krystal initiated our discussions; they said race didn't matter. No, it was I, the white liberal for whom race does matter, who turned an everyday conversation into a social study. I think they were embarrassed at my endless talk about such an immutable situation—they were black and basta, as Thomas once said soon after we met. And in general, he said, people are racists. That's just the way things are. Yet with each racial affront encountered, with each new racist attack reported on TV, with each new case of police humiliation, I returned to the attack. Relentless, I forced them to participate. How long, I asked piously, this chasm between whites and blacks? Why the fears? Why the silence? I often asked that winter why race had to change our relationship? Change everything? And deprive me of what I above all needed—their respect. One evening after a number of cocktails in the sprawling salon of their big 10th floor apartment I asked them point blank what it was like being black here in the city.

The Author to Her Book by Anne Bradstreet Essay -- The Author to Her B

â€Å"The Author to Her Book† by Anne Bradstreet In â€Å"The Author to Her Book,† Bradstreet is inundated in indecision and internal struggles over the virtues and shortfalls of her abilities and the book that she produced. As human beings we associate and sympathize with each other through similar experiences. It is difficult to sympathize with someone when you don’t know where they are coming from and don’t know what they are dealing with. Similar experiences and common bonds are what allow us to extend our sincere appreciation and understanding for another human being’s situation. In this poem an elaborate struggle between pride and shame manifests itself through an extended metaphor in which she equates her book to her own child. "The Author to Her Book" expresses some of the emotions Bradstreet felt when her most intimate thoughts were made know to the world with the publishing of her book. In addition she also relates some of the story as to how her work came to be published. The average person could not relate to the distress Bradstreet feels in this situation. The collection of poetry that she had written expressed her feelings in a way that most women during that time didn’t have the skill to do. Many people would wonder why Bradstreet the publishing of her work would be so distressful when they had brought Bradstreet much personal fame and brought many people enjoyable reading. Therefore, she could not simply write a clear-cut poem to tell how she feels about her stolen thoughts. Only another writer would be able sympathize with Bradstreet in this matter if she didn’t draw some basis for comparison. In order for her readers to be able to feel her pain and joy she had to use a situation in which her readers could comprehend the many emotions she experienced. Many of the women who read her poetry were either already mothers or would one day be mothers. This common bond opened a door for understanding. By comparing her book to a child, she is able to gain the compassion of her readers and help them appreciate the emotions she is feeling. In line one she states how she feels about her creation, which she calls an "ill-formed offspring" (line 1) and she gives the book human characteristics throughout the poem to enhance the effect of the conceit. She constantly speaks directly to her work as if it were her own child. Then in line 23 Bradstreet calls hers... ...nyone to read. But was with Bradstreet I stood behind my work even though it may not have been perfect and I think every writer could relate to here situation. Most people could not so the metaphor she used out in perspective for those who are not writers. In a small sense this poem lets the reader gaze into Bradstreet’s nature and our own. This poem along with all the other she wrote was a way for her to express her emotions into words, in this case about something very specific. As a columnist I can appreciate what she is doing and I understand the feeling she was trying to convey about the judgment she was sure to receive from the publishing of here work. Through her use of this extended metaphor, Bradstreet weaves a brilliantly intricate web of parallels: Parent and author, child and book, creator to creation. These parallels allow the reader to emotionally relate and sympathize with Bradstreet. She succeeds in conveys here feeling and giving the reader a means of association with what she is feeling. She used the pain and pleasure of creating and nurturing human life to show people who were not writer the pains and the pleasures of have your work exposed to the world.

Levi Roots

How does Levi Roots use language to sell his product to the dragons? Levi Roots uses spoken language devices to persuade the dragons to invest in his product. He uses a variety of spoken language techniques such as pausing, overlapping, turn taking and accent in order to persuade the dragons. The dragons respond in a warm way, and join in the humour Levi creates throughout the interview; this suggests that Levi root was successful in persuading the dragons. His use of language also sets mood and tone in different situations throughout the interview.As Levi enters the room, he starts to sing a song. This catches the dragon’s attention as they have never been welcomed in such way before. This suggests that they are amused and are willing to hear what Levi has to share with the dragons. There is light humour at the start of the interaction when Levi decides to joke about his own name, ‘My real name (. ) is Keith’ the slight pause may suggest possible reluctance, as h e may feel uncomfortable in sharing his name with other people.However, he may also be pausing for comic effect because he knows what the response will be and how the dragons will react in return. Most of the times, Levi uses pausing to create humour and comic effect, this helps him to create bond with the dragons. Throughout the interview, Levi overlaps the dragons, not mainly because of disagreement but to show that he understands and respects their views and ideas as well as making polite explanations. ‘|Thank you very much (. ) no it’s not it’s my studio name’ Levi overlaps when Theo Paphitis asks if Levi Roots is his ‘real name’.He makes a polite explanation and tells him that his real name is Keith. However, the fact that ‘Levi Roots’ is his studio name shows that he has an original name whom nearly most of the people will call him by. Moreover, the fact that only famous and professional people have studio names shows the dr agons that Levi Roots may be one of them or ‘can’ be one of them in the future if he is able to convince the dragons to invest in his product. Levi’s varies his choices of words and phrases to persuade them. ‘I don’t see me would have†¦ this is an example of Levi’s Jamaican dialect; his spoken language does not suit the context or the situation he is in, but he is able to control it by creating bond with the dragons, through humour. ‘You’ve just you’ve just lost so much credibility,’ this shows that Levi has achieved to create a bond with them as Duncan Bannatyne joins in the humorous tone and is mirroring Levi. ‘Oh dear (. ) right,’ stated by Theo Paphitis, he has become more serious and has returned to his formal tone suggesting that he is ready to talk business with Levi Roots.Realizing that Roots himself can’t create anymore humour, he changes the way he speaks to make a more formal way a nd tries to do his best to convince the dragons that he is a good businessman. However he starts to overlap and pause more often than he did before at the start of the interaction, this shows that he is hesitating and is nervous as he does not want to say something he shouldn’t. It also suggests that he cares in what he has to say, and wants to be seen as a confident, businessman who wants to sell his product. I think Theo must be this handsome guy right in front of me, here’ Levi realizes that things have become more serious, so he tries his best to stay relaxed and bring back the humour so he does not have to hesitate anymore. Levi’s humorous tone shows the dragons that he is being himself and is being as truthful as he can in order to be able to sell his product. By acting this way, Levi is able to get attention from the dragons, making them want to hear more on what Levi has to say, it also makes the interview more interactive as he involves comic and humour as well. Ah sold. I like you already’ this shows that Levi has won one of the dragons over as he is joining in the humour. It also shows that Theo is eager to maintain light-hearted. Also the humorous bond between the two suggests that Levi Roots is charismatic. Moreover, the filler ‘Ah’ suggests that Theo feels confident when talking to Levi, as he does not feel like he has to follow the specific tone and the ‘business talk’ script. This implies that Levi is able to persuade the dragons to buy his product as he is staying light-hearted.It also implies that Levi is able to convince someone like Theo to use fillers, suggesting that they are on the same level and are equal to one another. This is because business people like the dragons rarely use fillers whilst talking and the reason why Levi Roots may be seen as ‘charismatic’ is because he has successfully persuaded him to use filler. When Roots is asked to confirm the carnival sales, h e decides to clarify it’s ‘Notting Hill Carnival’, this implies that he is confident and proud ith what he has produced and done due to the event’s high profile and popularity. Notting Hill Carnival is one of the most famous, and most-visited carnivals of all time, and as Levi Roots has sold Reggae sauce at the carnival shows the dragons that he had good sales and has sold the product to many people. Levi Roots is also specific with his values; this implies enthusiasm and knowledge of his own product. However it also shows that he is a desirable business partner and is someone who can be trusted, which is a way Levi uses to get closer to the dragons. Two and a half thousand bottles at the carnival† this connotates that Duncan is amused by how much Levi has sold at the carnival. He repeats Levi to confirm what has been said once again, and politely Levi overlaps with a ‘yes,’ showing his confidence and that he is certain with the number o f products sold. As things have become more serious, the dragons and as well as Levi take turns to talk, suggesting that they are interested in what others have to say.Levi repeats words more often and feels like he has to pause more because he knows that the dragons are focused on him and is taking his words more seriously than they used to at the start of the interaction. â€Å"Yes at the moment I make it at my home in my kitchen and my children help me and an we just sort of do it as a family† it comes to a point where Duncan B. asks Levi where he makes the sauce. Making it at home suggest amateur operation so his nerves are beginning to show.Although Levi was trying to stay focused on his words and tone, he loses control as he is nervous and goes back to his informal tone of language. This shows the dragons that he is hesitating and is more nervous because he is scared to hear what their responses will be as it is more likely to be negative. However he may also be perceiv ed positively as he ‘is’ a good family man with attractive qualities who spends time with family. Also ragae sauce may be the reason which keeps the family together, also this may leave the dragons in awe. This will secure the investment as

Nike as a Multinational Company

Nike is one of the largest athletic shoe brands in the world and sells millions of shoes and clothing each year. The company was founded on January 25, 1964 by a University of Oregon track athlete Philip Knight and his coach Bill Bowermanas. It was first named Blue Ribbon Sports and it officially became Nike, Inc. on May 30, 1978 (Nike). As a multinational company, it operates retail stores domestically and overseas and all of the products it sells are manufactured by independent contractors located predominantly in foreign countries.Nike first entered the international market through China overcoming the many challenges it faced while trying to do business with them. Nike is also listed as one of the 226 companies recognized for sustainability efforts on the Dow Jones Sustainability Index. Beyond the CERES principles, Nike has recently been investigating options for improving its energy efficiency. By certifying all of its new buildings in Oregon with ‘Earth Advantage', Nike h as been able to save more than two million kilowatt-hours and over 2,000 therms of natural gas. This has translated into a total saving of $100,000 for the company.Nike's plans for the future include: †¢A continued effort to eliminate PVC in its products; †¢The ‘Reuse a Shoe' programme which, since its inception, has enabled some 13 million pairs of athletic shoes to be recycled; †¢Working with organic cotton farmers to create a larger market for their cotton: Nike's use of organic cotton has been climbing each year since 1997, and it has a goal of 3% organic cotton use in every unit of the company by 2010; †¢Reducing emissions at factories worldwide and encouraging the adoption of environmental management systems in each plant;A major challenges that still faces Nike is the monitoring of labour conditions in the factories operated by its many overseas suppliers. The company has been commended for its openness in admitting to unacceptable practices, and its challenge now is to eliminate them.