Thursday, November 28, 2019

The Full Monty and Bridget Jones Essay Example

The Full Monty and Bridget Jones Essay In the West, during the 20th Century the traditional roles, views on inherent abilities and predispositions, and thus their representation in art, underwent a fundamental change, reflecting the feminist agenda that womens role could and should be equal to that of men. Sometimes these changes reflect the changes in the world, sometimes they are propaganda to promote such change, and yet others satirise inequalities. Contemporary representations of gender in art are consequently far different to that of their traditional gender roles, many of them subverted and even swapped; for example the dominant ideals right up to the 1970s was the male gaze, however in the 21st century the amount of media focusing on both the male and female gaze is nearer to equal. The gender roles displayed in both the Full Monty and Bridget Jones Diary differ largely from the traditional stereotypes. Both the Full Monty and Bridget Jones Diary show how the perception of gender roles has changed over time. Both demonstrate how in todays modern society females are gaining attributes that were usually associated with the male gender and vice versa. For example the Full Monty explores the female gaze while it is usually assumed that males lust after the female body. Typical working class labourers are required to perform a strip show and the main protagonists are a father and his son, whereas in the 20th century, fathers were not really promoted in films as the dominant parents to a child, nurturing being seen as more of a female attribute. We will write a custom essay sample on The Full Monty and Bridget Jones specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on The Full Monty and Bridget Jones specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on The Full Monty and Bridget Jones specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Contradictory to the traditional role, none of the main male characters in the film are breadwinners; in fact they are all unemployed. When comparing Bridget Jones to Jane Austins Pride and Prejudice, which the book was loosely based upon, it is an obvious observation that Helen Fielding has brought the novel into the 21st Century. A working woman who socialises with feminists and camp homosexual men and has a desperate passion for cigarettes, chocolate and good times differs greatly from the more flaccid personality of Elizabeth. Although it could be argued that both pieces of media show positive change in the female gender role, Bridget Jones also shows how much social and media pressure is on women. Bridget is constantly trying to change; she is almost addicted to trying to better herself even if it is half-heartedly. Every new-year there is a long list made in the binary opposite forms I WILL and I WILL NOT of unrealistic resolutions that include Stop smoking, save up money, be more confident, reduce circumference of thighs. (1) She is very body conscious, which is demonstrated through her giant pants (2) and constant calorie counting and her insecurities are only reinforced by her love interest, Daniel Clever, leaving Bridget for an American stick insect (3) in the modelling industry, relating to the size zero debate, and the weight of celebrities which is all over the tabloids in popular culture, putting pressure on young female readers. In addition to this she (Bridget) continuously comments on the pressure from family and non-single friends, to achieve the married with 2. 4 children lifestyle she feels is expected of her. Bridget Jones is about the female struggle in todays society. However, in the Full Monty the roles are subverted. You can see the social and physical pressures that are placed on men, particularly as, after they start to practice the routine doubts begin to appear, due to some of the men not feeling secure about their appearances and lifestyles for different reasons. While Dave wraps himself in cling film, due to the fact he is unhappy with his body, and even quits the show less than a week before their performance because he couldnt imagine anyone wanting to see his naked body, Gerald, an unemployed steel worker who leads a middle class lifestyle, only agrees to being part of the act, as he is ashamed about not being able to financially support his wife. Providing for the family is one of the most key points rooted to the male gender tradition, just as one of the keys for women is to be a homemaker. Unlike traditional families, the protagonist Gary or Gaz is separated from his sons mother, who has a new partner, and again breaking with traditional stereotypes, it is the love the father has for his son that spurs on the act, as Gary needs to pay his child support. Both films and the book of Bridget Jones were huge best sellers. It is a personal belief that the successes of both the films are partially due to the uplifting nature of stories. The happy endings result in the deviance from traditional gender roles being accepted and supported by other characters, and the end result was not a failure. As shown on the television and often written about in the media, the UK has a problem with both obesity and eating disorders; people do deviate from the traditional and ideal physically, in their lifestyle choices and within aspects of their personality. It would appear that there is no longer a normal (assuming of course that there ever was! ) and moving every day closer to equality as female and male attributes merge, in our new hybrid society, both texts show that it is acceptable to digress from the traditional gender roles, which almost everyone does to some degree. Despite Bridgets cosmopolitan lifestyle, throughout the book she describes how she longs for a stable relationship, even though she is self-sufficient. It is clear that Bridget feels social pressures alongside those from her married friends and family, but Bridget clearly wants a relationship for her own stability and happiness despite the independent-woman drunken rants that she partakes in with her feminist friend Jude. While Helen Fielding has managed to reflect the increase in female independence in her novel, she has not diminished the longing for intimate adult companionship. This mirrors the marriage and divorce figures ((4)on overleaf) although there has been an increase in the number of divorces there has also been an increase in the number of people who re-marry. The data could suggest that an increase in choices and a slow progress towards equality from both genders has meant that the divorce rate has risen, but that the human need for adult company, love and affection has led to a society of serial monogamy.

Monday, November 25, 2019

teen curfews essays

teen curfews essays It was a very tragic moment last week when two teens died in driving accidents. One of the events happened to a student of a fellow G.I.S.A school. Now the main focus is on the future of teen driving. It is a very serious issue, which needs very serious reform. Now the Georgia senate is considering narrowing driving curfews of teenagers. This new proposal calls for sixteen and seventeen year olds to be off the roads between 10 p.m. and 6 a.m. this proposal had been urged lt. Governor Mark Taylor and senator Phil Gingrey. Governor Roy Barnes first proposed this curfew. Taylor then proposed another solution, which would call for 16-year-old drivers to be off the road by 10 p.m. and for 17 year olds to be off by midnight. I prefer this solution because many teens especially older ones dont have much time after they work or leave school events. Some people say that we should have a 9 p.m. curfew for teen drivers. This curfew is like the one already in effect in North Carolina. Their deaths and injuries due to driving have dropped 29 percent. This new bill would also make any 16-year-old driver lose his or her license for 6 months if they are charged with a moving traffic violation. A second would make them lose their license for a whole ye ar. The new bill also calls for teens to have 40 hours of driving instructions before they receive their license. Many people think that they should put drivers education back into high schools but due to the cost many people disagree. The bill is expected to pass Tuesday and if it passes then the whole senate could be voting on it by next January 26. Lets all hope that this bill will pass and hopefully teens will become more cautious, courteous drivers. Hopefully we wont have to deal with many more of the accidents that happened last week. Kathey Pruitt, Curfew for teen drivers in debate, Atlanta Journal-Constitution ...

Thursday, November 21, 2019

Take-Home Quiz 3 Essay Example | Topics and Well Written Essays - 1000 words

Take-Home Quiz 3 - Essay Example There are two types of fiscal policy: discretionary fiscal policy and non-discretionary fiscal policy. Discretionarily policy is the deliberate changes in government spending and taxes in order to ensure stabilization of the economy through increased demand by achieving control inflation, full employment and economic growth. (Fisher 2011) Expansionary policy- a) When the government increases its spending then the aggregate demand will shift to the right b) The reduction in taxes will make the aggregate demand curve to shift to the right c) The application of increasing government spending and decreasing taxes. contractionary policy a) By reducing the government spending , there will be a shift of the aggregate demand to the left with prices falling down with an assumption that there is downward price flexibility b) When taxes are raised , the aggregate demand will shift to the left c) Combination of tax increase and reduction in government spending. Non-discretionary policy- These ar e automatic stabilizers which do not require any government regulations. They often take place as a result of changes in taxes as GDP changes. Recession can happen if there is the fall on consumption, investment, government spending and exports. The short term effect is the raising of unemployment. The fiscal policy is therefore to deal with unemployment. The tool that the Bahrain government can use includes raising government expenditure, lowering taxes and the combination of two. (Fisher 2011) If AD shifts to the left, it is countered by adopting discretionary expansionary fiscal policy. In the chart, assume that the RGDP1 is the full employment level of output in Bahrain. If Ad falls AD2, RGDP will fall to RGDP2 as a result of full multiplier of the changes in G, I, X, or C. Reducing taxes and increasing its expenditure will enhance the spending capability of the populace. When the government pays for the services, it will create more jobs and enhanced wages people earn that will in turn be pumped into the economy. Through pump priming the government will be able to create more jobs and improve the consumer’s capacity to buy goods. This will at the end rekindle business and improve the growth of an economy. The private sector will benefit from the ability of customers to buy their products besides enjoying cheap services funded by the government. The private sector will be able to create more jobs to the people and in turn pay more taxes to the government. Question 2 An economy can be impacted either positively or negatively by the changes in interest rates. Interest rate influences the spending patterns of consumers and the growth of an economy. If the federal government cuts the interest rate there will be a reduced cost of borrowing and therefore there will be an increased disposable income to the consumers. This will lead to higher spending and improved growth of the economy. If the fed increases interest rates, there will be reduced inflation. C onsumers will be shy of spending and injecting their money into the economy in form of investments. This will then result into an economic downturn or recession. The growth of an economy will be slow, which will in turn result to increased capacity spare and increased cases of unemployment. A growing economy is characterized by

Wednesday, November 20, 2019

Employee Involvement and Employee Participation Essay

Employee Involvement and Employee Participation - Essay Example However, the increase of competition in all industries worldwide resulted to severe turbulences in most firms’ internal and external environment. In this context, efforts are made so that the interests of employees are adequately promoted ensuring that job satisfaction and employee performance are at high levels. Moreover, emphasis is given on the involvement of employees in all organizational activities. The modes of employee participation and employee involvement, as these terms reflect different aspects of the employment relationship, are analyzed below. Particular reference is made to shared capitalism which is often regarded as a form of employee involvement. Employee involvement is differentiated from employee participation. In order to understand the characteristics of these two terms it would be necessary to refer to their definitions, as they have been developed in the literature published in this field. In accordance with Foot and Hook (2008) employee involvement is used in order to reflect the right of employee to participation in various phases of organizational activities. It is explained that the above right is provided to employees in order for their engagement and productivity to be increased (Foot and Hook 2008). On the other hand, Secord (2003) defined employee involvement as ‘a range of processes designed to engage the support, understanding and optimum contribution of all employees in an organization’ (Secord 2003, p.231). From a similar point of view, Cummings and Worley (2008) note that employee involvement reflects ‘the participation of employees in various organizational decisions’ (Cummings and Worley 2008, p. 350). The cases of Wells Fargo and Verizon as mentioned as examples of the potential effects of employee involvement in organizational decisions. It is explained that the above organizations supported employee involvement, by encouraging their employees to suggest practices that would help towards the increase of organizational performance. In accordance with Kirkman, Lowe and Young (1999) employee involvement can have three levels: ‘a) the parallel suggestion involvement, b) the job involvement and c) the high involvement, or, else, empowerment’ (Kirkman, Lowe and Young 1999, p.4). The mode of employee involvement promoted within a particular organization is depended on the organization’s culture but also on its aims. Employee involvement, as described above, is differentiated from employee participation, a term used in order to describe the regulation of employment relationship by the state. Of course, employee participation can also refer to empowerment and participation in decision-making but it refers to these activities as related rather to industrial democracy, i.e. for highlighting a right given by the state, as for instance, the collective bargaining right (Evans 2001). In accordance with Rose (2008) employee participation can be defined as Ã¢â‚¬Ë œthe extent to which employees and their representatives should and do enter into joint decision making with management’ (Rose 2008, p.335). Winstanley and Woodall (2000) note that since 1980s the context of employee participation has been changed; in its new form, the term employee participation is used in order to show the increase of employee commitment as a means for promoting organizational change. In any case employee involvement often incorporates the elements of employee parti

Monday, November 18, 2019

Credit & Identity Theft Research Paper Example | Topics and Well Written Essays - 250 words

Credit & Identity Theft - Research Paper Example You should know all of your payment due dates. Make a list of all your regular due dates and if a bill doesn’t show up, look into it right away. You should always review your medical insurance claims and statements. Medical costs are so high that it would only take one or two fraudulent claims to leave you owing thousands of dollars for treatments someone else received. Another way to protect yourself is to invest in a paper shredder. There is just so much information on so many different bills and statements that can easily fall into the wrong hands. Before you throw away anything with any personal information on it, shred it! Another good idea to take advantage of the three free credit reports that you can access every year. You can space them apart so that you can review a credit report every 4 months. Not only is it important to keep someone from accessing your identity or your credit but it’s just as important that you become aware of it right away. The longer it goes undetected, the longer it will take you to repair your name, your identity and your credit. It’s important to keep in mind that this is a global problem. Last year I got a phone call from my credit card company asking if I had made two charges totally about $1000 in France. They told me that the two charges were actually â€Å"swipes† at two stores in Paris, France which means that someone had actually made up a fake credit card with my credit card number on it and passed it through a credit card machine. Even though they didn’t allow the two charges I felt violated that somehow somebody had gotten my credit card information. Mine was a small case. Some people have been financially ruined with their bank accounts emptied; credit cards â€Å"maxed† out, home and car loans initiated without the victim’s knowledge until it was too late. As I stated earlier, if your identity is stolen it is important that you find out as quickly as

Friday, November 15, 2019

Palliative Care within the Acute Care Setting

Palliative Care within the Acute Care Setting Palliative Care during End-of-life: An Annotated Bibliography Waldrop and Kirkendall (2009) surveyed employees from a 120-bed suburban nonprofit nursing home to explore how their staff recognized a dying patient and identified standards of care which would be put into place once palliative care has been initiated. Using a qualitative method to gather data, 42 employees were interviewed which included nurses, chaplains, social workers, nursing assistants, housekeepers, and administrators to provide multiple perspectives on the dying experience. The survey was done in the form of a 30-minute interview in a quiet location of the nursing home away from the nursing unit (Waldrop Kirkensall, 2009). An affiliated research assistant or investigator whom has had training in conducting interviews and qualitative data analysis conducted it. They asked the employees open-ended and objective questions about frequency and standards of care for dying patients and their families. All interviews were audio taped, transcribed by a professional transcriptionist, and labeled with a letter number combination (e.g., N[urse]-1). The transcripts were entered into Atlas ti software for data organization and management(Waldrop Kirkensall, 2009). The survey identified physical, behavioral, and social factors as the three main indicators of impending death. Physical indicators included altered breathing patterns (including apnea), anorexia, or increase in pain; behavioral indicators included mood changes and diminished activity level and social indicators sometimes included withdrawal from interaction with staff or family (Waldrop Kirkendall, 2009). During the survey the staff explained that Comfort care is initiated when patients began to exhibit these signs. At this nursing home standard order sets were not used and comfort care measures were described as being very patient individualized and holistic. Comfort care includes an interrelationship of symptom management, family care, interpersonal relationships, and interdisciplinary cooperation in which each member of the healthcare team participates in the care of the patient, according to their scope of practice (Waldrop Kirkendall, 2009). The survey revealed that health care employees deliver comfort care in different ways and it identified the need for more comparison studies in other nursing homes to explore standards of care in other facilities because this was just one study of one nursing home. By further comparing nursing homes which use different models of care comfort care standards and or improvements can be made. This survey was conducted in a nursing home setting but its results reflect on hospital end-of-life care. At the present time the standard of care for dying patients in a hospital setting consists of pre-printed order sets which are not individualized to the specific needs of the patient. This study promotes use of the holistic, individualized care approach to ensure a more satisfying and comforting dying experience. Level of evidence: VI Single descriptive qualitative/physiologic study Jarabek, B.R., Cha, S.S., Ruegg, S.R., Moynihan, T.J., McDonald, F.S. (2008). Use of a palliative care order set to improve resident comfort with symptom management in palliative care. Palliative Medicine, 22, 343-349. Jarabek, Cha, Ruegg, Moynihan, McDonald, (2008) began a study within the Internal Medicine Residency Program at Mayo Clinic in Rochester, Minnesota hypothesized that standard palliative order sets within a hospital setting would enhance physician comfort with managing 4 aspects of end-of-life care: pain, secretions, agitation, and dyspnea. A 5-question, pre-intervention web-based survey regarding physician comfort in diverse aspects of palliative care was given to 144 internal medicine resident physicians before the release of the palliative order set, which would later be used within the hospital. Each question included a 5-item Likert response scale, ranging from 1, very comfortable to 5, very uncomfortable(Larabek et al., 2008). Three months later an educational email was sent to all house staff and faculty addressing end-of life-care along with the initiation of the order set, which consisted of physical ailment provisions. Another 3 months was spent allowing staff to use and or work with the order sets at which point a post-intervention survey was performed. Results of the post-intervention survey were that 88% had utilized the palliative order sets and 63% stated that they felt increasingly comfortable with palliative care (Jarabek et al., 2008). There was an overall 10% increase in resident comfort regarding the 4 aspects of palliative care with the initiation of order sets, but no change in social or communication-related comfort (Jarabek et al., 2008). The survey concluded that palliative order sets can increase physician comfort in providing care to patients during end-of-life, but it also revealed that the order sets do not address the psychosocial needs of the patient when providing comfort care. Although physicians find comfort in having order sets as guidelines for end-of-life care, they are only guidelines and open communication needs to be initiated between the health care team and the patient to ensure all the comfort care needs of the patient and family are met in a holistic way so that they may have a peaceful dying experience. Level of evidence: Teno, J.M., Clarridge, B.R., Casey, V., Welch, L.C., Wetle, T., Shield, R., Mor, V. (2004). Family perspectives on end-of-life care at the last place of care. Journal of the American Medical Association, 291(1), 88-93. Teno, clarridge, casey, welchl wetle,shield, mor (2004) evaluated 1578 adult patients with different, chronic illnesses end of life experiences by surveying the decedents loved ones and determining whether their perspectives on quality end-of-life care were influenced by the environment where the patient spent their last 48 hours of life. A survey was devised from a conceptual model for patient-focused, family-centered medical care and the calculation of scores and psychometrics of the measures were taken from an online tool formulated by Brown University. Within 9 to 15 months from the time of death a close family member or informant whom was listed on the death certificate was surveyed and was asked about the quality of care their loved one received during their last 48 hours of life. Five different domains were used in the survey, including whether healthcare workers provided patient physical comfort and emotional support, supported collaborative decision-making with the physician , treated the patient with respect, attended to family needs, and provided coordinated care with other healthcare workers or facilities (Teno., et al. 2004). Teno et al. (2004) concluded that 69% of the decedents site of death and last place to receive care was in a hospital or nursing home setting, 31% home, 36% without nursing service, 12% home nursing, and 52% home hospice. The survey showed that family perceptions of the quality of care were different according to where their loved one last received care. Families of patients who were in nursing homes or had home health had a higher rate of unmet needs for pain (Teno., et al. 2004). Over half of the families in hospital or nursing home settings reported unmet emotional needs. In addition, 70% of families receiving home health care reported inadequate emotional support in comparison to 35% in families who utilized home hospice care. Patient and family respect was also a concern to families and varied in different settings. Only 68% of nursing home residents families felt they had been treated with respect and consideration compared to the 96% of families receiving hospice care (Teno et al., 2004). Survey participants felt that physical symptom management was adequately managed so it was comparably equal throughout all patient settings. Although families did not experience a difference in pain or dyspnea management in comparison to other nursing services families who used hospice services overall, 71% reported excellent care (Teno et al., 2004). Kolcaba, K.Y., Steiner, R. (2004). Efficacy of hand massage for enhancing the comfort of hospice patients. Journal of Hospice and Palliative Nursing, 6(2), 91-102. Kolcaba, Dowd, Steiner, and Mitzel (2004) identified the need for comforting interventions for patients at end of life that are simple, easy to learn and administer, and require minimal effort on behalf of the patient. Bilateral hand massage is a good intervention because it is noninvasive, easy to do, does not take long, and relies on caring/healing touch( Kolcaba., et al. 2004). The purpose of their study was to determine empirically if a bilateral hand massage provided to patients near end of life twice per week for 3 weeks was associated with higher levels of comfort and less symptom distress. 31 adult hospice patients from 2 hospice agencies participated in the study. Each patient was English-speaking and expected to remain alert and oriented for the duration of the trial, 13 months. Data collectors who were unknown to the patients called the homes of the patients, explained the study, and then scheduled an appointment for a research visit. Data was collected at the patients homes and at the hospice centers(Kolcaba., et al. 2004). After informed consent, participants were randomly divided into the treatment group (with 16 patients) and the comparison group (with 15 patients). All participants were asked to complete a modified General Comfort Questionnaire (GCQ), tailored for end-of-life patients, once a week for 3 weeks. After completing the questionnaire each week, the treatment group then received the hand massage intervention twice a week for 3 weeks. The comparison group received the intervention once at the end of the study period. The study concluded no significant difference between the treatment and comparison groups in regard to enhanced comfort or decreased symptom distress over time (Kolcaba et al., 2004). However, comfort did increase some in the treatment group even as the patient approached death. The study also revealed that the hand massage seemed to allow more time for therapeutic or face to face communication allowing the patients to talk about how they feel and their feelings on transitioning to death, and patients receiving the intervention reported it to be a personalized experience something they could engage in that feels good, and family members were appreciative of the care and attention their loved one was getting (Kolcaba et al., 2004). Because this intervention is easy to learn and requires minimal time for the caregiver to do and minimal effort for the patient it is an excellent intervention that can even be taught to the family. This study identifies interventions that can be used withi n the hospital setting and any other setting to enhance comfort during end-of-life. Nurses and family members can use this intervention to increase communication by using caring touch, which provide psychosocial care and therefore holistic comfort for the patient. Bakitas, M., Lyons, K. D., Hegel, M. T., Balan, S., Brokaw, F. C., Seville, J., Hull, J. G., Li, Z., Tosteson, T. D., Byock, I. R., Ahles, T. A., (2009). Effects of a palliative care intervention on clinical outcomes in patients with advanced cancer. The Journal of the American Medical Association. 302 (7): 741-749. Bakitas, Lyons, Hegel, Balan, Brokaw, Seville, hull, Li, Tosteson, Byock, Ahles, (2009) using project ENABLE combined with a nurse-led intervention with ongoing assessment, coaching, symptom management, crisis prevetion, and timely referral to palliative care and hospices hypothesize that patients newly diagnosed with advanced cancer if exposed to this intervention right away would become informed, active participants in their care, and would experience an improved quality of life, mood, and have better symptom relief. The study protocol and data and safety monitoring board plan were approved by the institutional review boards of the Norris Cotton Cancer Center and Dartmouth College in Lebanon, New Hampshire, and the Veterans Administration (VA) medical center in White River Junction, Vermont. All patient and caregiver participants signed a document confirming their informed consent.(Bakitas., et al (2009). Participants completed baseline questionnaires when they were enrolled and th en completed a follow-up one month later. Using a stratified randomization scheme patients and their caregivers were randomly assigned to the interventions or usual care group. One of 2 advanced practice nurses with palliative care experience conducted 4 structured educational problem solving sessions first one lasting 41 minutes and sessions 2 through 4 approx 30 minutes each and at least monthly telephone follow-up sessions until the participant died or the study ended (Bakitas., et al.2009) The advanced practice nurse began all contacts with an initial assessment by administering the Distress Thermometer, an 11-point rating scale recommended by the National Comprehensive Cancer Network guidelines. It identifies sources of distress in the 5 areas of practical problems physical problems, family problems, spiritual, emotional problems or religious concerns. If distress intensity was higher than 3, the advanced practice nurses then identifies the sources of distress and checks to see if the participant would like to problem/solve to take care of their issue. The nurse then covers the assigned module for that session. The participants clinical teams are responsible for all medical decisions and inpatient care management, however the advanced practice nurse was readily available by telephone for the participants and they could also facilitate ancillary resources. The participants also were able to participate in group shared medical appointments (SMAs), which are led by certified palliative care physicians. The usual care participants were allowed to use all oncology and supportive services without restriction. Follow-up questionnaires were mailed every 3 months until the patient died or study completion in December 31, 2007. Quality of Life was measured with a 46-item tool called the Functional Assessment of Chronic Illness Therapy for Palliative Care. It measures the participants physical, social, emotional, and functional well being along with the concerns of a person whom has a life-threatening illness. Of 1222 screened, 681 were eligible and were approached and 322 were enrolled (47% participation rate). There were a total of 134 participants in the usual care group and 145 participants in the intervention group. A systematic review of specialized palliative care identified 22 trials (16 from the United States) between 1984-2007 with a median sample size of 204, half exclusively with cancer patients. There was lack of evidence due to contamination, adherence, and recruitment etc. The trial addressed these issues and contributed to the increasing evidence that palliative care may improve quality of life and mood at the end of life. In our study, intervention participants higher quality of life and lower depressed mood may be attributed to improved psychosocial and emotional well being. Mood is a determinant of the experience of quality of life and suffering despite a mounting burden of physical symptoms(Bakitas., et al. 2009). However, while patients in the intervention group had improvement in these outcomes, we conservatively planned our original target trial enrollment of 400 based on a significance level of .01. Statistical inferences based on this stringent critical value would lead to the conclusion that there were no statistically significant differences between groups in quality of life or mood(Bakitas., et al. 2009). The study concluded that compared with participants receiving usual oncology care those receiving a nurse-led, palliative care-focused interventions that takes care of the patient holistically provided at the same time with oncology care had higher scores for quality of life and mood, but did not have improvements in symptom intensity scores or reduced days in the hospital (Bakitas., et al. 2009). Level of evidence- Summary The research presented reveals while palliative care order sets provide a helpful guideline or tool which reassures health care providers in giving consistent good quality care, patients care needs should be assessed and individualized orders and interventions should be implemented to ensure a peaceful and comforting dying experience. Hospice care settings have been shown to provide excellent holistic care for dying patients and they have also been shown to show compassion to the family as well. The comfort interventions from these facilities can be modified for application in the hospital for use in the acute care setting. Holistic comfort care interventions include hand massage, music therapy, or the utilization of a visual analog scale the faces to measure comfort. These are some of the ways hospitals can utilize the findings from this research into daily practice to ensure quality holistic patient comfort is achieved and ultimately a peaceful death.

Wednesday, November 13, 2019

Romania - Ecotourism in Romania Essay -- essays research papers

  Ã‚  Ã‚  Ã‚  Ã‚  Fascinating Romania   Ã‚  Ã‚  Ã‚  Ã‚  At the eastern edge of Europe, Romania is perhaps best known for its Black Sea resorts, such as Mamaia and the Greco-Byzantine port of Constanta, and the Danube delta, listed by UNESCO as a World Heritage Site for its rich wetlands and abundant bird-life. The Transylvanian Alps occupy much of the northern half of the country, the waters of their many spa resorts having been appreciated for their healing properties since Roman times.   Ã‚  Ã‚  Ã‚  Ã‚  Romania offers a rich tapestry tourist attractions and vacation experiences unique in Central-Eastern Europe: medieval towns in Transylvania, the world-famous Painted Monasteries in Bucovina, traditional villages in Maramures, the magnificent architecture of Bucharest, the romantic Danube Delta, fairy-tale castles, the Black Sea resorts, the majestic Carpathian Mountains, spas and much more.   Ã‚  Ã‚  Ã‚  Ã‚  Transylvania is also the legendary home of Bram Stoker's Dracula, based on an infamous medieval king 'Vlad the Impaler' whose spooky abode at Bran Castle may be visited. The northern half of the country is bisected by the great Carpathian Mountains, most of which are covered by pristine mountain forests which shelter one of Europe's last strongholds for large carnivore populations.   Ã‚  Ã‚  Ã‚  Ã‚  Romania is a country with rich biodiversity (ecosystems, species and genetic diversity) and a high percentage of natural ecosystems 47% of the land area of the country is covered with natural and semi-natural ecosystems. The natural integrity of forest ecosystems is indicated by the presence of the full range of European forest fauna, including 60% and 40% of all European brown bears and wolves, respectively. Europe’s largest wetland, the Danube Delta, also lies predominantly in Romania. Major grasslands, caves, and an extensive network of rivers, add to the ecosystem richness. Important for Romania as well as for all Europe, is that the territory of Romania is a confluence point between biogeographic regions between arctic, alpine, west and central European, pannonic, balkanic, sub Mediterranean and even eastern colchic. The high level of geographic diversity in Romania and the consequence of its location as a biological confluence place have produced a fl oral diversity that includes over 3,70... ...rs and of local infrastructure. It also promotes the technological progress, environmental protection activities, and the financial sector reorganization. The development and restructuring of these fields are prerequisites for the increased traffic of local and international tourists.   Ã‚  Ã‚  Ã‚  Ã‚  Well known for a long time on international scale, the Romanian hospitality proved to be, over the years and quite often, not only a characteristic of the Romanian people but, using the touristic language, a promoting instrument of the national offer on the international market, too. The idea of developing the tourism in Romania is based on this characteristic of the Romanians, and on the beauty of the Romanian village and landscape.   Ã‚  Ã‚  Ã‚  Ã‚  Biography http://www.carpathians.org/l_rom.htm http://www.ce-review.org/99/2/lovatt2.html http://home.online.no/~romemb/tourism.htm http://www.grida.no/enrin/biodiv/biodiv/national/romania/robiodiv.htm http://www.responsibletravel.com/TripSearch/Europe/Country100204.htm http://aboutromania.com/photos.html http://www.factbook.ro/countryreports/ro/Ro_Tourism.htm http://www.factbook.net/index.html