Wednesday, May 6, 2020

Report On A Richard Rogers Architecture Essay Free Essays

string(279) " was confident that the Gallic authorities would turn it down, but as it has it, they did n’t, and although it was criticized at first and claimed to be ‘ugly ‘ it is now complimented on being â€Å" one of the most singular edifices of the twentieth century\." This study is written to admit an architectural design icon, Richard Rogers. I will be looking at this adult male ‘s life and his achievements. Richard Rogers is my design icon because his edifices are bold, make bolding, attention-getting and of class, inspirational. We will write a custom essay sample on Report On A Richard Rogers Architecture Essay or any similar topic only for you Order Now To acquire the information and research I need, I will be chiefly garnering it from the cyberspace, interviews and picture every bit good as any books I can come across. Hopefully, after reading this study you will understand why Richard Rogers is considered a design icon non to merely myself, but the remainder of the universe. Richard Rogers As a individual, Richard Rogers has lead an unbelievable life, born in Italy, he trained at the AA ( Architectural Association ) and Yale University go forthing with an impressive sum of makings. Richard Rogers, his spouse Norman Foster and their married womans Su Brumwell and Wendy Cheesman, set up an architectural pattern called Team 4, although this partnership merely lasted a 4 old ages, Richard continued to get married Su, and make a new partnership with Renzo Piano when they so designed the first of many inspirational edifices, the Pompidou Centre. Richard won assorted awards for many different edifices, even though he did hold some jobs with the populace about his edifices, he did travel on to plan another edifice, the Lloyd ‘s edifice in London, which is much more popular today than it was when it was being built. Richard has visited many different states go forthing his grade in many of them, including the United Kingdom, Spain, France, Germany, New York and Japan. He has inspired many people with his edifices and his finding. He has non being afraid of seting his thoughts frontward, and has been given both heartache and congratulations by the populace. He is committed to guaranting that his edifices should be â€Å" people ‘s topographic points † . The BBC invited Richard as the first designer to give the BBC Reith Lectures for a series called ‘Cities for a Small Planet ‘ . Richard even became the Chief Advisor on Architecture and Urbanism to the Mayor of London, he has besides been a president of the Tate Gallery and Honorary Trustee of the Museum of Modern Art in New York. If that was n’t plenty, he even went on to be knighted and became Lord Rogers. Richard Rogers has many accomplishments and has done many, many things over his life-time, below is a short timeline of some of his most singular accomplishments. Richard Rogers was born in Florence, Italy in 1933. Richard moved to London to travel to the Architectural association. He so went on to derive a maestro ‘s grade from Yale University in 1962. Richard met up with former Yale pupil Norman Foster and began an architectural pattern called Team 4 with their married womans, although the partnership merely lasted a few old ages, Richard rapidly found a new spouse, Renzo Piano, who together won the Prizker Price their edifice the Pompidou Centre which was built in 1977. His following chief edifice was Lloyds edifice in London which was completed in 1986 which became merely every bit much of a memorial as large ben. The European Court of Human Rights ( 1995 ) is really popular in France, for its antic expressions. The Barajas airdrome in Madrid was besides a caput Turner. The Millennium Dome though truly was a antic construction, stand foring so much in such a alone manner, this was completed in 1999. Another large undertaking was London Heathrow Terminal 5, there was so much to this undertaking, but it was eventually completed in 2008. And eventually, a existent memorial, Three Word Trade Centre, it is said to be completed between 2011 and 2015, it is to stand following to two other towers built by other designers utilizing the same manner. Born in Italy 1933 Architectural Association, Yale University 1954 1959 Fullbright, Edward Stone and Yale Scholar 1961 1962 Team 4 1963 1967 Pompidou Centre 1977 Richard Rogers Partnership 1977 RIBA Gold Medal 1985 Lloyds edifice 1986 Knighted 1991 BBC 1995 The European Court of Human Rights in Strasbourg 1995 Lord Rogerss 1996 Barajas airdrome 1997 Tomas Jefferson Medal 1999 Millennium dome 1999 Chief adviser on architecture 2001 2009 Stirling Prize 2006 Minerva Medal 2007 Pritzker Prize 2007 London Heathrow terminal 5 2008 Three World Trade Centre On-going Buildings Richard Rogers has designed many edifices, most popular are the Pompidou Centre in Paris, in London he designed the Lloyd ‘s Building, the Millennium Dome and London Heathrow Terminal 5. The European Court of Human Rights edifice in Strasbourg, Barajas airport terminal 4 in Madrid and the National Assembly for Wales edifice were besides antic constructions. The Pompidou Centre The Centre Pompidou was Richards first edifice created aboard Renzo Piano in 1977, the design of which won the Prizker Prize in 2007 by fundamentally making the edifice inside out. This meant that all the parts you would normally anticipate to see indoors, like the stepss, air canals, plumbing, overseas telegrams, etc. were all on the exterior of the edifice making monolithic indoor infinite, which is peculiarly utile as this peculiar edifice was used as an art museum, in fact, it is the largest museum for modern art in Europe. Not merely was this edifice functional, it besides complimented its usage for an art museum, affecting its visitants before they even entered the edifice. In theory, holding the internal care, such as the plumbing and air canals, should besides do the edifice easier to keep. Another congratulating facet of the edifice is how each external portion has being colour coded to do certain they stood out instead than intermix in. The Pompidou ‘s original programs were really much more excessive to get down, including traveling internal walls and adjustable floors, which unluckily, did non do it into the concluding design. Richard was at first loath to set this design frontward as he was confident that the Gallic authorities would turn it down, but as it has it, they did n’t, and although it was criticized at first and claimed to be ‘ugly ‘ it is now complimented on being â€Å" one of the most singular edifices of the twentieth century. You read "Report On A Richard Rogers Architecture Essay" in category "Essay examples" † The central office for Lloyd ‘s of London Richard used the Pompidou centre as an inspiration for his following edifice, the Lloyds edifice in London. This was a monolithic undertaking as the old edifice was created in steel where as this one of concrete. Once once more the edifice was designed with its internal parts, outdoors, this even included glass lifts which were the first of their sort in the UK, every bit good as the overseas telegrams, stepss, pipes and even the lavatories. This, of class, left big unfastened infinites on the interior. Once once more the Lloyds edifice was brilliantly coloured and brilliantly lit. The populace at first feared this would do this edifice an ‘alien ‘ is really â€Å" regarded as one of the finest edifices on London since the 1980 ‘s † The Millennium Dome The millenary dome is another 1 of Richards ‘s creative activities. It is a really cagey design with 12 towers or ‘arms ‘ squeeze outing from the white canopy which support the roof of the construction. Stretching out a monolithic 365m diameter, the Dome is the biggest 1 in the universe. The design of the construction is besides cagey as you will detect 365m in diameter, one metre for each twenty-four hours of the twelvemonth, every bit good as one tower for each month of the twelvemonth. Although you would of ne’er of realized until person mentioned it, it ‘s still a singular thing to hold built in. On the interior there was a big unfastened infinite with a fanlight in the centre of it all to make full with whatever the users would wish, which for the millenary, was split into 13 different zones to educate the populace in an synergistic manner, unluckily, the ?43 million constructing merely brought in half the expected visitants and was eventually converted into the 02 Arena. The millenary dome was a singular construction built for the millenary and had been planned for since 1996, and was originally planned as a impermanent construction to last merely 1 twelvemonth, but as it happens, it ‘s lasted much longer. 175 Greenwich Street 175 Greenwich Street is the future site of the 3rd universe trade centre. The construction will stretch up to 1155 pess with 71 narratives, four of which will be below street degree. The edifice will busy 200x 198 pess. The edifice itself has been designed to the highest energy efficiency evaluations. It is to hold a cardinal concrete nucleus utilizing a steel frame on the exterior of the edifice. It is planned to be completed between 2011and 2015 depending when the site is available to developers. The edifice will besides be accompanied by two other towers built by separate designers but hired by the same company, Silverstein Properties. All three edifices are to hold the same manner. London Heathrow Terminal 5 Terminal 5 was eventually approved in 2001 after a 46 month public enquiry, the longest public enquiry in British history. In 2002 work had eventually started and was non completed until 2008. The new terminus means that the airdrome can back up a much higher rider capacity, but it will non hold any more flights, although conservationists say it will take to more flights and pollution. For the terminus to be built, two rivers had to be diverted. Using unreal waterways to successfully deviate the rivers allowed the ?4.2 billion edifice to be built. Terminal 5 had to include a railroad station and several other edifices every bit good as a control tower ; this truly shows how large the undertaking really is. Manner Richard Rogers has been accused of holding several different manners, he himself is committed on his edifices being â€Å" people topographic points † , although this is non usually classed as a manner, he surely has made it into 1 with his constructions have extremely big indoor infinites. Bowellism is another manner related to his first edifice, the Pompidou Centre. Having the internal constituents such as the lifts, pipes, stepss and overseas telegrams externally, means that there is an unreal sum of floor infinite, which, for an art museum, is really utile. Post-modern is referred to another one of his constructions, the Lloyds edifice in London, holding all the constituents clearly seeable, and so brilliantly painted, and so brilliantly illume When Richard was younger, he dreamed of constructing a Zip-up house where his parents would populate, a zip-up house fundamentally means ready to piece or a level battalion house. Having walls, floors, panels and so on prebuilt and fabricated doing the edifice energy efficient, and easy to set. Decision As you can see, Richard Rogers has lead a singular life, constructing many inspirational edifices such as the Pompidou Centre, go forthing his grade in many states such as England, and many metropoliss such as Strasbourg, he has received many good merited awards for his edifices and has even been knighted by the queen. He has an unbelievable design oculus, and is non afraid to travel outside of the box, or in some instances, the edifice, and even though some of his edifices have been criticized severely, in the terminal, they ever came out positive. The fact that Richard is still planing, and his designs still make the public pant is astonishing, hopefully he will go on to construct and design for every bit long as possible, and I ‘m certain that many people will be inspired by his work and his life. All of these things, and many, many more, rebelliously make him a supreme pick of a design icon. Recommendations Trying to urge anything for Richard Rogers is highly hard as he has done it all, he ‘s traveled, he ‘s married, he ‘s left his grade, he ‘s divine, he ‘s lived, if anything people should look at his life and do recommendations for themselves. Make what you love making, and do it until you die, do n’t be afraid of seting your thoughts frontward, and battle for what you want. How to cite Report On A Richard Rogers Architecture Essay, Essay examples

Mental Health Nursing for Practitioners - myassignmenthelp.com

Question: Discuss about theMental Health Nursing for Practitioners and Providers. Answer: A mental health patient may not have complete recovery from his or her illness. One may recover from the physical illness but in mental health, nursing the word complete recovery is a rarely used. Mental health nursing is more than the treatment or management of symptoms. Recovery refers to having support, building resilience and ability to process thoughts. For this purpose the recovery principles are developed that will help guide the patients recovery from mental illness. In this assignment Jeremy Oxleys recovery pathway is discussed. He is the founder of the band named, Sunny Boys and is known to be a gifted musician. He was diagnosed with schizophrenia. He lived twenty years with this illness and yet returned to the stage. The essay discusses the principles of recovery in response to the mental health problems experienced by Jeremy. Sunny Boys is the popular Australian band, led by the famous guitarist, Jeremy Oxley. The documentary video shows the life of Jeremy and his remarkable journey with schizophrenia. At the age of 18, he was popular as talented singer and was popular of successful band. In early 1980s, Oxley performed along with Peter (elder brother). Peter was a bass guitarist. They achieved a great success in very short period of time. Oxley became a busy man right in those years and engaged in hectic schedules of recording sessions and relentless touring. It turned out be stressful for him and ultimately led to physical as well as mental burnout (Chien et al., 2013). In one incident, Oxley in 2012, walked out of the Enmore Theatre. Nobody could comprehend the rationale of this behaviour. It was the sign of his crushing health. Eventually, this came out be schizophrenia and Oxley was trapped into this lonely horror of mental illness (The Sunnyboy, 2013). Bill Bilson, the childhood friend of Oxley, describes him as fun loving and gentleperson. His friends knew him as perfectionist. Bill was a drummer of the band Sunny Boys. He was in surfing before and later engaged in guitar playing. He described that Oxley, was highly stressed due to hectic schedule. Eventually he started to have disturbed thinking pattern and paranoid thoughts. He started with excessive alcohol consumption and was slowly turning arrogant particularly during the shows (McGorry, 2014). He failed to continue with the high performance in band as earlier. Soon the newspaper articles exposed his bad behaviour to the public, He was always found to be down and out, as he sought the refuge of alcohol and drugs. This phase indicates a heavy impact of schizophrenia on Oxley. This behaviour led to the demise of the popular band, The Sunny Boys. Peter was initially unable to comprehend the rationale for this bizarre behaviour of Oxley. It was difficult for Jeremy at that point to understand and accept his mental illness. He refused to undergo treatment and he was separated with his brother. It was difficult life for Jeremy as he was becoming a complex personality. He was himself not able to figure out the changes happening in his life. He was experiencing auditory hallucinations. He experienced hearing voices of people who are not around him. He had illusion that people prefer his brother Peter more than him. He felt that somebody stole his music from him. These were classic signs of schizophrenia and hearing of voices is also known as first-rank symptom for schizophrenia. Jeremys non compliance to the medical treatment could be justified by his denial of illness. He refused to accept Schizophrenia and denied the medical intervention. He also did not maintain a healthy regime knowing about his unusual heart rhythms and diabetes. Many people refuse treatment as they fail to understand and accept the psychotic episodes experienced by them (Chandra et al., 2014). This significantly hampers their recovery process. People cannot accept mental illness as fast they could cope up with the physical illness. Consequently, their quality of life is deteriorated. Awareness of mental illness is less likely to be found in some people (Kate et al., 2013). It was same with Jeremy as he had no insights of Schizophrenia. He married Mary Griffith, who finally helped him to recover from Schizophrenia (The Sunnyboy, 2013). Recovery from mental illness is not known as clinical recovery. It is more of a personal recovery, where a person understands the illness, and expertise with the manifestations of the illness. It is different from the clinical illness where a person has to work hard to change the attitude towards life, values, beliefs, attitude towards life, emotional and social skills, roles and feelings (Cavelti, Homan Vauth, 2016). In this type of recovery a person have to try to live a meaningful life despite the limitations imposed by the mental illness. It is called as living in hope and adding value to life, to make it more meaningful. In this type of recovery, a mentally ill patient tries to find purpose to life and way to grow beyond the catastrophic events. Recovery from complex mental health condition needs a change in personal attitude and perspective towards life. It cannot be cured solely based on medications. Emotional support is vital to recover from schizophrenia (Hasson-Ohayon et a l., 2014). It requires proper guidance to cope up with the limitations of the illnesses. Mary offered such support and guidance to Oxley. She gave him mental comfort to cope with his illness. They had a happy life together and had two children Kieran and Lachlan, also came out be a helping hand in Oxleys recovery (The Sunnyboy, 2013). There are six principles of mental health recovery according to the National Recovery Framework. This framework is to guide a patient, to hope and gain confidence, engage proactively in life, understand and accept the mental illness and its symptoms, cope up with disabilities, gain personal autonomy, build social identity, and foster positive self-image (Hasson-Ohayon et al., 2014). In the subsequent sections some of the principles are explained that are relevant to the given case study. The first principle deals with the recovery of an individual with ones own uniqueness. It means that the recovery is all about having satisfactory life. This type of recovery is based on opportunities for making healthy choices that can add value to life. The objective of the recovery principle is to help a patient live a meaningful life, and be a contributing factor in a society (health.gov.au, 2013). This recovery principle emphasise on the individual empowerment and improving the quality of life. Mary empowered Jeremy, to make choices that are healthy for his life, their family and children. Jeremy gained a social status with his wife and two children. With the emotional support and attachment of love, Jeremy could make individual choices. He could recognise his importance, and uniqueness which made him engage in self management process (Department of Health, 2017). The second principle refers to the way of empowering and supporting the individual with mental illness, to make choices, explore the choices meaningfully and creatively and acknowledge the choices (health.gov.au, 2013). Jeremy could make individual choices as he was empowered during his recovery period. During his recovery he was engaged in painting to express his thoughts and emotions. He could vent out his feelings through colours and painting. It helped him to become more creative and expressive. He was happy to teach guitar to his children. It made him and his children when playing music as depicted in video. Eventually it helped Jeremy to gain strength and own accountability of his actions. As he spent time with his family, he felt more responsible towards his life. To help Jeremy balance his personal life and professional liabilities this engagement was necessary. To make him use his opportunities, it was necessary for him to ensure balance between support and duty of care. The fourth principle is also relevant to the case study that deals with patients dignity and respect. In this type of recovery, interaction with the mentally ill patient is respectful, courteous and involves honest communication (health.gov.au, 2013). Recovery is based on considering the sensitivity of each individual and respecting their beliefs and values of life. Mary respected Jeremy despite of his illness considering him an important part of her family. Even the children engaged with him actively in communication. This made Jeremy feel empowered as he was getting attention to his needs, choices, and belief system. He felt his dignity was maintained as he played equal role in family as father and husband. His opinions were respected giving him the feeling of autonomy a measure of recovery (Shanks et al., 2013). Using the National Recovery Framework the essay illustrated the Jeremys recovery from schizophrenia. He was empowered by his wife Mary and rectifying his thought process made him take healthy decisions. Eventually he gained the confidence to return back to the pop-music industry. It was a commendable journey of 20 years of lived experience with mental illness. Jeremy is still seeking treatment. He is yet to find many more answers to life. He was engaged in good communication system, support and empowerment process, which made him optimistic about life a measure of good recovery orientation process (Williams et al., 2017) It can be concluded from the case study of Jeremy Oxley, that the mental health services need to incorporate these recovery principles when treating the mentally ill patient. The patient centered approach is the holistic approach as demonstrated by Mary in the video. Instead of solely relying on medication, she also collaborated with the clinicians. Thus, National Recovery Framework guides mental health professionals to design care plan that deals with language of hope, self management of illness, and committed nursing. There is a need of right conjugation of services, supports and treatments. The life of Jeremy Oxley is inspiring in the sense that it is not impossible to recover from complex mental health conditions. References A national framework for recovery-oriented mental health services: Guide for practitioners and providers. (2013).health.gov.au. Retrieved 17 September 2017, from https://www.health.gov.au/internet/main/publishing.nsf/content/67d17065514cf8e8ca257c1d00017a90/$file/recovgde.pdf Cavelti, M., Homan, P., Vauth, R. (2016). The impact of thought disorder on therapeutic alliance and personal recovery in schizophrenia and schizoaffective disorder: An exploratory study.Psychiatry research,239, 92-98. Chandra, I. S., Kumar, K. L., Reddy, M. P., Reddy, C. M. P. K. (2014). Attitudes toward medication and reasons for non-compliance in patients with schizophrenia.Indian journal of psychological medicine,36(3), 294. Chien, W. T., Leung, S. F., Yeung, F. K., Wong, W. K. (2013). Current approaches to treatments for schizophrenia spectrum disorders, part II: psychosocial interventions and patient-focused perspectives in psychiatric care.Neuropsychiatric disease and treatment,9, 1463. Department of Health | Principles of recovery oriented mental health practice. (2017).Health.gov.au. Retrieved 17 September 2017, from https://www.health.gov.au/internet/publications/publishing.nsf/Content/mental-pubs-i-nongov-toc~mental-pubs-i-nongov-pri Hasson-Ohayon, I., Mashiach-Eizenberg, M., Elhasid, N., Yanos, P. T., Lysaker, P. H., Roe, D. (2014). Between self-clarity and recovery in schizophrenia: reducing the self-stigma and finding meaning.Comprehensive psychiatry,55(3), 675-680. Kate, N., Grover, S., Kulhara, P., Nehra, R. (2013). Relationship of caregiver burden with coping strategies, social support, psychological morbidity, and quality of life in the caregivers of schizophrenia.Asian journal of psychiatry,6(5), 380-388. McGorry, P. (2014). Film review The Sunnyboy.Australasian Psychiatry,22(5), 503-503. Shanks, V., Williams, J., Leamy, M., Bird, V. J., Le Boutillier, C., Slade, M. (2013). Measures of personal recovery: a systematic review.Psychiatric Services,64(10), 974-980. The Sunnyboy. (2013). Retrieved from https://edutv.informit.com.au.ezproxy1.acu.edu.au/watch-screen.php?videoID= 655842 Williams, J., Leamy, M., Bird, V., Harding, C., Larsen, J., Le Boutillier, C., ... Slade, M. (2012). Measures of the recovery orientation of mental health services: systematic review.Social psychiatry and psychiatric epidemiology,47(11), 1827-1835.

Friday, May 1, 2020

Clinical Reasoning Cycle in Parkinson Disease Scenario

Question: Discuss about the Clinical Reasoning Cycle in Parkinson Disease Scenario. Answer: Introduction: Parkinsons disease (PD) is a multidimensional and neurodegenerative disorder that targets the central nervous system causing deficits in neurotransmitter production. This disease mainly targets the motor system of the victim causing symptoms like shaking, rigidity, and difficulty in walking with stalled movements at large (Allen, Schwarzel Canning, 2013). Studies suggest that approximately 1 % of the male and female population suffer from this ailment worldwide, specifically the ageing population over the bar of 60 years. This particular disease does not have a definite cure and that complicates the health care for the patient, care plans only focussing on minimizing the challenges associated with the disease (Allen, Schwarzel Canning, 2013). Therefore the nursing care for the patients of this particular disease needs to be multidisciplinary and specific. Application of clinical reasoning cycle can prove to be beneficial for constructing a highly specific and optimal care plan for such patients. This report attempts to address the complexities of caring for Diana Harrison, a 64 year old dealing with Parkinsons disease and identify two care priorities in such a scenario by the virtue of applying clinical reasoning cycle by Levette Jones. Clinical reasoning cycle is a simplified framework using highly logical and realistic steps to construct an optimally curated care plan for a particular patient. This revolutionary tool in the field of nursing and health care by Levette Jones, and has caused a paradigm shift in the field of nursing (Chaffey, Unsworth Fossey, 2012). The purpose of using a clinical reasoning cycle is to conduct the investigation of the symptoms of the patient, characterizing the disease and arriving at a logically and optimally sustainable treatment or care plan for the patient that will lead him to a hassle free speedy recovery. The clinical reasoning cycle comprises of a number of systematic steps that guides the nurses to arrive at the best possible solution for the patient (Delany Golding, 2014). Scenario of Diana Harrison: The context of nursing care should be focussed on biopsychosocial factors incorporating legal, ethical, theoretical and practical concepts for the patients of Parkinsons disease in order to promote and facilitate treatment and rehabilitation. One might raise a question as to how application clinical reasoning can help with achieving the above mentioned outcome. The answer to this question should be the accuracy and efficiency clinical reasoning provides in the entire caring procedure and the strategic simplification and clarity that it brings. Taking the example of Diana Harrison, a 64 year old lady suffering from the parkinsons disease it is possible to arrive at a conclusive care plan using clinical reasoning cycle (Contreras Grandas, 2012). The very first step of clinical reasoning is to consider the situation that the patient under consideration is in. It has to be considered that Parkinsons disease already is a complicated medical condition, and sometimes this disease comes accompanied with other medical complexities like dementia (Contreras Grandas, 2012). In this case, Diana is a semi-retired part time high school teacher for the subject for science, mother of three children and grandmother of 5 grandchildren. However all of her three children live interstate and Diana had participated in many outdoor activities along with her husband and has been quite an active lady all throughout her life. She has partaken in activities like bushwalking, gardening and cryptic crosswords as hobbies; however she started experiencing the onset of the disease as small tremors in her hands which escalated into much more complex health problems later on. Hence considering her situation we can come to the conclusion that she had been a n active lady all her life and the disease has taken away from her the active participation in life affecting her locomotor skills completely and which has depressed her to no end (Ironside, McNelis Ebright, 2014). The next step to clinical reasoning is the collection of cues and information about the patient and his or her medical history. In this step the nursing professional is supposed to review all the information available about the patient till date, including reports, patient history charts, and investigative test results and nursing history if available for the patient. In this case for example, this step will facilitate collection of all the information that will guide the healthcare team to determine how her symptoms manifested (Phillips, Duke Weerasuriya, 2017). The next step is the processing of all the information that has been collected about the patient and her medical history till date (Sniderman et al., 2013). This step includes interpretation of the symptoms that Diana is exhibiting, like fatigue, Bradykinesia, increasing termors in her left hand, unsteady gait with unnecessary tripping and stumbling and lastly emotional outburst and depression. This is the step that allows the nurses to arrive a predictable outcome followed a strategic treatment plan. It is vital for a proper diagnosis that there is clear discrimination between the relevant and irrelevant information, so that the diagnosis is neither delayed nor clouded by useless information (Victor-Chmil, 2013). The next obvious step is the diagnosis of the disease of identification of the problem that has led the patient to where she is. In this case the patient is discovered to be having Parkinsonian syndrome, with having prior medical history of high cholesterol-lipitor in the past. The very next step in the cycle is to establish goals that will help the patient overcome her symptoms (Zamani et al., 2017). Prioritization of caring needs: The clinical reasoning cycle enables the health care professionals to apply logical and reasonable [perception to the construction of the care plan. The benefits of this novel concept in nursing is that it allows the treatment plan to prioritize the specific needs and requirements making the care plan very specific rather than being very generalized. For example in case of Parkinsons disease, the caring priorities for the patient are not very difficult to identify. In case of Diana she was suffering from extreme nausea and unsteady gait and fatigue, few common occurrences of parkinsonian syndrome. The first and foremost priority for her is the immediate commencement of dopamine antagonist medication. Studies suggest that this neurodegenerative disorder targets the dopamine receptors to destroy the motor signalling system of the body (Lill et al., 2012). The dopamine antagonist medication, levodopa coupled with dopamine releasers Amantadine can be highly beneficial in diminishing the locomotor system problems. Levodopa serves in downward titration of dopamine in the body and amantadine serves to increase the efficacy and longevity of the drug in the body to target the issues like tremors and unsteady gait (Lill et al., 2012). Selegilline and rasagilline are another group of abundantly used prescription medication in the management of Parkinsons disease. This medications function in the body by conserving the amount of dopamine saving it from being destroyed. Another vital medicine for this disease is the COMT inhibitors, tolcapone and entacapone fall under this group of drugs inhibit the COMT system and in retention o dopamine and increases the efficacy of levodopa. Parkinsons disease already impairs the movement capability of the patients; however it also comes coupled with alarming levels of weight loss (Lill et al., 2012). There are various reasons that contribute to the frightening weight loss that is associated with parkinsonian syndrome however the faulty signalling system in the motor signalling pathway of the body heavily affects the energy intake and energy expenditure ratio of human body leading much more elevated levels of exhaustions (Aviles-Olmos et al., 2013). Irrespective of the reasons, reduction in body weight interferes with the recovery heavily, hence the caring priorities should include addressing and preventing weight loss in the patient. The medication provided for the PD symptoms like levadopa has a positive impact on the glucose metabolism but this is not enough, the care provider must prioritize weight gain (Lill et al., 2012). Nutrition is the first step to handle the weight loss issue in the scenario of parkinsonian syndrome; the care provider must incorporate elements of all food groups into the diet plan for the patient like whole grain, fruits, vegetables and dairy items. High protein diet can also be beneficial for such patients like meat, fish, soy, beans and egg. The patient should be advised to introduce herself to frequent eating habits, eating small nutritious meals every two to three hour to accustom her body to the changes (Aviles-Olmos et al., 2013). The patient can also include high calorie items like cream and butter but will also need to include exercise as a daily regimen to help with balancing g the weight gain. The patient must also be referred to a registered nutritionist periodically followibg her recovery journey. Conclusion: Undoubtedly, the need for comprehensive and multidisciplinary albeit practical nursing approach is a necessity in treatment and care delivery of patients of Parkinsons disease. And the steps of clinical reasoning cycle enable the nursing professionals and the physicians to apply cognitive reasoning and logical thinking that articulate sets of strategies to find optimal care plan for the patient having the most realistic approach to it. The advantages to the framework of this cycle is that it not only helps the nursing professionals attain better understanding on the condition of the patients but also helps them device sets of strategic interventions that will prioritize the specifics needs of the patient helping them attain speedy recovery as well. Hence it can be hoped that the revolutionary concept of clinical reasoning will change the face of health care for the better. References: Alfaro-LeFevre, R. (2015).Critical thinking, clinical reasoning, and clinical judgment: A practical approach. Elsevier Health Sciences Allen, N. E., Schwarzel, A. K., Canning, C. G. (2013). Recurrent falls in Parkinsons disease: a systematic review.Parkinsons Disease,2013. Aviles-Olmos, I., Dickson, J., Kefalopoulou, Z., Djamshidian, A., Ell, P., Soderlund, T., ... Limousin, P. (2013). Exenatide and the treatment of patients with Parkinsons disease.The Journal of clinical investigation,123(6), 2730-2736. Cappelletti, A., Engel, J. K., Prentice, D. (2014). Systematic review of clinical judgment and reasoning in nursing.Journal of Nursing Education,53(8), 453-458. Chaffey, L., Unsworth, C. A., Fossey, E. (2012). Relationship between intuition and emotional intelligence in occupational therapists in mental health practice.American Journal of occupational therapy,66(1), 88-96 Contreras, A., Grandas, F. (2012). Risk of falls in Parkinsons disease: a cross-sectional study of 160 patients.Parkinsons Disease,2012. Delany, C., Golding, C. (2014). Teaching clinical reasoning by making thinking visible: an action research project with allied health clinical educators.BMC medical education,14(1), 20. Forsberg, E., Ziegert, K., Hult, H., Fors, U. (2014). Clinical reasoning in nursing, a think-aloud study using virtual patientsA base for an innovative assessment.Nurse education today,34(4), 538-542. Ironside, P. M., McNelis, A. M., Ebright, P. (2014). Clinical education in nursing: Rethinking learning in practice settings.Nursing Outlook,62(3), 185-191. Lill, C. M., Roehr, J. T., McQueen, M. B., Kavvoura, F. K., Bagade, S., Schjeide, B. M. M., ... Liu, T. (2012). Comprehensive research synopsis and systematic meta-analyses in Parkinson's disease genetics: The PDGene database.PLoS Genet,8(3), e1002548. Phillips, N. M., Duke, M. M., Weerasuriya, R. (2017). Questioning skills of clinical facilitators supporting undergraduate nursing students.Journal of Clinical Nursing. Sniderman, A. D., LaChapelle, K. J., Rachon, N. A., Furberg, C. D. (2013, October). The necessity for clinical reasoning in the era of evidence-based medicine. InMayo Clinic Proceedings(Vol. 88, No. 10, pp. 1108-1114). Elsevier. Victor-Chmil, J. (2013). Critical thinking versus clinical reasoning versus clinical judgment: Differential diagnosis.Nurse educator,38(1), 34-36. Zamani, S., Amini, M., Masoumi, S. Z., Delavari, S., Namaki, M. J., Kojuri, J. (2017). The comparison of the key feature of clinical reasoning and multiple choice examinations in clinical decision makings ability.Biomedical Research,28(3).

Saturday, April 18, 2020

The Top Secret Truth on Using Nigger in a College App Essay Revealed

The Top Secret Truth on Using Nigger in a College App Essay Revealed Lies You've Been Told About Using Nigger in a College App Essay There's more than 1 way to compose an excellent introductory paragraph. This argument takes the shape of a 650-750 word article, and you'll be. Answer your own questions regarding why this component of the story is critical. Life, Death and Using Nigger in a College App Essay This might also be true if you're writing the preface or acknowledgements for your dissertation, because these sections have a more personal voice than the remainder of the document. Write the composition, employing the variety of words you're told (about 225 words) and taking into consideration the three. The structure of essay-style assignments is extremely open but generally comprises an. The thesis is a rather significant part your essay. When you compose an essay the majority of the time that you will need to include resources. 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You're saying it does not make any difference if aspects of the culture are sacred or important to the individuals who are a portion of that culture. The reality is that it's not possible to complete everypaperequally well, and that means you must determine what things to delay and which to concentrate on. At both extremes, as in life, there's sure to be some lousy language on the way. For example, if you state that something will obviouslyhappen, you are in reality indicating that you believe the occurrence is obvious not stating a truth. They may likewise not be accurate you're making a substantial claim when you say something is ideal or never happens. For some, it's simple, and for others it requires a little more effort. The issue is that the background noise they normally choose is too distracting. Analyze the present laws. What Using Nigger in a College App Essay Is - and What it Is Not To summarize, I think that a well educated doctor without a very good character. You can be my friend if you attempt to comprehend. The Using Nigger in a College App Essay Cover Up Racism does not need you to call me a nigger. Someone else's words, you must take special services to integrate this sort of. Some words shouldn't be used since they do not own a scholarly feel. Taking the precise words via an original source is called quoting. The New Fuss About Using Nigger in a College App Essay Group discussion on the way the book is making everyone feel at this time. As stated by the publisher, the point was supposed to remove the offensive word, which may have led readers to get around the book, and help it become more accessible. It functions as a guide to the remainder of your paper. Instead of spending time in the front of the computer typing, particularly if you aren't a quick typer, this app makes it quite easy to finish your essay. In that case, this is a fantastic app for you. 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Wednesday, April 15, 2020

Analyzing Research Paper Writing From the Different Points of View

Analyzing Research Paper Writing From the Different Points of ViewIn order to write a good research paper, it is important to analyse research paper writing from the theoretical point of view. The different types of writing also differ from one another. There are very many types of writing out there. Analysing each of these different kinds of writing and comparing them will help one in formulating a good research paper.The first type of writing that is analyzed is the essay. Essays are written to deliver a particular message. This is the most common type of writing as it basically gives one a reason to express himself. Many students also love writing essays in order to complete their higher education goals. This is considered as one of the best ways of taking notes during lectures.The second type of writing is the article. Articles are written to give a general description about a certain topic. This is done to make the reader interested to go on with the article itself.The third typ e of writing that is analysed is that of the post-modern times. People who come after the post-modern times do not have any kind of influence from the traditional science. They always try to push the boundaries when it comes to researching a certain subject.The fourth type of writing that is analysed is that of the journal article. Journals are similar to journals as one would have in books. It is meant to give information about a certain topic.The fifth type of writing that is analysed is that of the doctoral writing. A PhD degree is required in order to complete this. It is also very important to complete this in a specific time frame. It is just like a thesis but does not require a professor's opinion to become a graduate.The sixth type of writing that is analysed is that of the debate. This is the most creative form of writing. There are two opposing views that one is required to defend in order to prove the validity of the other. This is done in order to have a discussion betwe en two people about a certain subject.Analyzing writing styles and methods can help you in writing a better research paper. Some styles are basic, while others require more effort to come up with.

Monday, April 13, 2020

Essay Topics For Literature Class

Essay Topics For Literature ClassWhile doing an assignment for a literature class, students have a number of essay topics to choose from. It is important that the topic chosen for a literary assignment is one that will engage the reader, while drawing them in so that they can learn more about the subject at hand.Some of the literary essay subjects are autobiographical and self-help. These are topics that will give students a chance to learn about themselves and what motivates them. Through these essays, students will learn how to write about their life and experiences.There are other literary essay topics that can be used to write about. For example, a student might write an essay about his or her relationship with books. A student might write about literature from his or her perspective.However, a lot of students like to do research in order to come up with essay topics. In order to do this successfully, a student must be able to find a good source of information. Research could inc lude everything from doing research at a library to taking online courses to classes such as those offered at the university level. It is always best to take notes while doing research to be able to follow up on any ideas a student may come up with.Students should also study the class's subject matter in depth. This way, they will be able to have a well-rounded understanding of the subject matter and what is necessary to know in order to do well in the class. The professor may ask a student to discuss something, but it is also important to find out what the professor is talking about.The professor may want the class to do a research paper or something along those lines. If a student feels confident about the topic, he or she should write a research paper on that topic. When writing a research paper, a student must be able to follow directions and be aware of the rules in the class. With a little bit of work, a student can accomplish a great amount of information.With all of the essa y topics that are available to students, it is hard to come up with ones that are right for a particular class. The teacher must consider a variety of things when making a selection. These things can range from the type of person a student is to the type of paper a student has been assigned to write.With all of the writing and researching that goes into writing essays, a student will be able to draw from his or her own interests. This is one of the best aspects of the academic writing process because students learn about themselves and how they interact with others. With the tips that are available in this article, students will be able to succeed in almost any literary assignment.

Saturday, April 11, 2020

Research Paper Topics For Middle School For Christian Schools

Research Paper Topics For Middle School For Christian SchoolsResearch paper topics for middle school for Christian schools can be quite different from the topic for high school. These are some of the differences that parents should consider before giving up on their child. Each year, a new curriculum has been put in place to better educate your child on certain issues and religious beliefs. One of the greatest aspects of this change is that there are now more resources available for teachers.With the advent of the internet, Bible study materials have become easier to find. There are even Christian books available that can help you prepare your child to go to school. While the religious or Christian perspective may not be the most popular one, it is definitely being embraced by most parents. In fact, when more parents start taking interest in their children's faith, the resources may not seem as important anymore.When you enroll your child at a Christian school, you will probably want to include your child in the decision making process. This means that you will have to make sure that your child knows what they are learning. A good example of this would be getting them involved in school prayer. Parents have been getting involved in allowing their children to pray at the beginning of each day and at lunch.Many parents tend to think that if their child participates in Bible study courses that it means that they are agreeing with the Bible. While many students may get this impression, it is not the case. Teachers would love to see an active student when they are teaching. As a parent, you will want to be involved in this area so that you can know what is going on.One of the biggest differences between research paper topics for middle school for Christian schools and high school is that many of these courses are written more for students. As the students move up in grade level, they will learn more about different issues and the bible in general. When this happens, it can be a great opportunity for your child to discuss religion with a parent.One thing that you can do is to try to talk to other parents about the research paper topics for middle school for Christian schools that your child attends. You may want to talk to other teachers' wives who may have some opinions on the topic. Even if you don't agree with the opinions, you can still find a way to get your child to think about the topic. This way, you can see what kind of opinion others have on the subject and allow your child to ask questions that will make them feel comfortable.Research paper topics for middle school for Christian schools are a great opportunity for your child to learn a lot about religion. It may not be for everyone but it can still be a good way to teach your child about religion. There is more to your child learning about religion than what they are taught in school and this can only help them on the journey.