Analysis Of Cornel West, An American Philosopher And...

On Love and Intimacy Short Paper 3 Riana Nigam Due Tuesday, May 9th, 2017 Exchange â€Å"We live in a predatory capitalist society in which everything is for sale. Everybody is for sale, so there is ubiquitous commodification.† This quotation by Cornel West, an American philosopher and political activist, conveys the widespread objectification of human beings in our society. The narrow, traditional image of prostitution has experienced a dramatic shift in the post-industrial American society. Sex workers are not automatically considered to be from low-income, marginalized groups, and instead, they have come to also include individuals from the educated, middle-class category. This demographic transition reveals the gradual†¦show more content†¦Consequently, sexual relations between individuals occurred increasingly to satisfy the desire for recreational experiences and less for reproductive and long-term purposes. The growing inclination to escape the complexities of interpersonal relationships has been reflected by a tendency towards more bounded and delineated modes of sexual contact. This pattern also reveals transformations in the social structure of private and public spheres, as it allows individuals to have the feeling of a genuine sexual experience while still allowing them to bypass the obligations that are often expected or required in a more committed relationship. Bernstein labels this redefinition of sexual intimacy â€Å"bounded authenticity,† which entails the sale and purchase of authentic and physical connection, all within the realm of predefined limitations (Bernstein, 127). Bounded authenticity demonstrates how traditional romance has metamorphosed, as it has become centered around recreational sex beyond the confines of the family unit. Moreover, it has contributed to the view of heterosexual male desire as problematic. There is an expectation that heterosexual mal es engage in sexual commerce to fulfill a need that is left void within the home. However, it is more and more transparent that their participation in this industry is not a replacement for a sex life within the privatized family home, but instead, it is an additional component to it. As

Is Childhood A Uniform Global Experience - 1268 Words

Is Childhood a uniform global experience? Childhood can be defined as many things, a time of growing up and for the majority a happy time filled with imagination and laughter. However, this is not always the case for all. Depending on where you are in the world your childhood will be different, not everybody’s childhood is the same it varies on where you live, the time you live in and whom you live with. It would seem that the idea of 2.4 children with a mother father and two children is rarity these days this could be due to the economic climate and the cost of bringing up children is putting people off having children so many are becoming families with one child. Thus being the case the childhood one would experience as an only child†¦show more content†¦This usually leads to a moody and anxious child but most of the time a well behaved child. A Permissive Parent - These types of parents are affectionate and very anxious to please, they tend to finish every sentence with asking If â€Å"that’s ok?† they cannot say no and stick to it and are usually manipulated. This then leading the child in to be demanding and whiney they also get frustrated very easily and lack empathy and kindness. The passive parent – these are the more emotionally removed parents they remove the discipline are very inconsistent and unpredictable. These children are very likely to be clingy and needy rude and likely to get into trouble. There is many a literature on how one can parent a child for example The Incredible Years. This explains how a parent can interact though play and praise and ignore bad behaviour. (Webster-Stratton, 2005). The Incredible Years claims to be a â€Å"a troubleshooting guide for parents of children aged 2-8 years†. (Webster-Stratton, 2005). It bases itself on a parenting pyramid where each level of the pyramid builds upon the previous tier to create to create a strong parent child relationship. This is by play, praise, effective limit setting, ignoring bad behaviour and time out. (Appendix 1). The advice given is to use the play and praise liberally and use with one’s child frequently

Process of Clinical Reasoning Cycle-Free-Samples for Students

Question: Discuss about the Process of Clinical Reasoning Cycle. Answer: Introduction: The clinical reasoning cycle is the process by which the nurse collects cues, process information, analyze the nursing situation, construct plan. Develop interventions and then evaluate the effects and reflect on the learning. This report analyses the case of Ms Melody, who is having Peritonitis followed by ruptured appendix. The reflection on the patient-care approach used for the patient is provided here by the application of clinical reasoning cycle (Adams, Maben Robert, 2014). The phase or process used in clinical reasoning cycle is also described here for Ms. Melody to determine appropriate interventions and outcome for her. Reflection based on clinical reasoning cycle: Description of persons conditions, collection of information, process and presentation of the information This will be reflecting on the condition of Ms Melody who is suffering from peritonitis followed by ruptured appendix. It is found out that she was presented in the Emergency department with 2-3 days of severe left lower quadrant abdominal pain. She needed emergency laparoscopic surgery on removal of the ruptured appendix. The following is the current information that was collected about Melody. Then it can be reviewed that her information on past medical history which showed that she had asthma, depression. The present medical cues were followed on the medicaments like ventolin, seretide, straline. It is also observed her current observations which included blood pressure 95/45 mm Hg, heart rate of 120, temperature 38.3 Celcius, RR of 22/ min and shallow, spO2 of 95% on room air. It is also noted that she complained of increasing nausea, abdominal pain which was found to be 7-8 on a scale of 0to10. Her physical evaluation reflected on distended abdomen and generalized abdominal guar ding. Then it was found that she had her raised white blood cells (WBC ) count and CRP. After all the possible cues and the situations of Ms Melody, following information can be processed. On the basis of information, it could be interpreted that she has low blood pressure. She is also facing higher heart rate than the optimal. Her body temperature is moderately increased it was about 100.94 Fahrenheit. Her respiratory rate is within the normal range but she is having tachypnea because of shallow breath . Her SPO2 reading suggests that her oxygen level in the blood is almost normal. While processing her complaints it could be said that she is facing acute Peritonitis. She is suffering from abdominal pain which is high in the scale of 0-10. The abdominal pain mainly presented her situation of peritonitis (Grace, 2017). The nausea that she is having is also due to her present condition. Pathophysiological conditions of peritonitis The clinical issues faced by patient has mainly occurred because of the diagnosis of peritonitis. The pathophysiological explanation of the condition of peritonitis states that it is mainly caused by the inflammation of peritoneum and the tissues which line the inner walls of the abdomen. They are mainly caused by the bacterial and fungal infection (Burkhardt Nathaniel, 2013). The basic pathophysiology behind the conditions is due to immunological response. The initiator effector cells which localize the peritoneum such as the mast cells, macrophages and lymphocytes, increase the secretion of chemokines and influx of neutrophils, monocytes. These lead to inflammation and clinical symptoms of peritonitis. Thus the key points in pathophysiology will include the leakage of contents of abdominal cavity, proliferation, edema, invasion of the blood cells and the immediate response of the intestinal tract (Cherry Jacob, 2016). Identification of 3 nursing problems based on the health evaluation data- While making the person centered care, the nurses can prioritize on the 3 nursing issues on which it will be developing the nursing interventions. The three nursing problems are related to: Pain- The patient is suffering from acute pain. Thus the nurses need to manage the pain problem which will be an important step in my nursing interventions. This will help me manage her condition Infections- The inflammation in the peritoneum will be causing fungal and bacterial infection (Feo et al, 2017). The infection is occurring due to her distended abdomen and the generalized abdominal guarding. This is another cue which the nurses need to handle. 3- The deficient fluid volume which was detected from her low BP and high pulse rate (Gee et al, 2015). This section also requires high care and management by my nursing interventions. Nursing goals or key care priorities Pain- The nursing goal will focus on controlling the acute pain as it was almost 7-8 in a scale of 0-10. The nursing interventions will be planned in such a way that it will provide relaxation skills and methods that will promote comfort from this. Infections- The goal here is to achieve timely healing, free of erythema, verbalize the goals according to the individual causative risk factors (Holloway Galvin, 2016). Here the nurses must set up the goal according to situation of Melody who can face infections due to ruptured Deficient fluid volume- The nurse will try to improve the fluid balance which will be evident with the adequate urinary output with normal specific gravity, stability in vital organs, moist mucous membranes, good skin turgor, capillary refill will be prompt and the weight within the acceptable range. This will also follow with the goal to maintain the blood pressures and heart rate of the patient (Griffith Tengnah, 2017). Discussion on nursing care Pain: To managepain ofpatient, the nurse gave the following nursing interventions topatient. The nurse investigated the pain report ofMs Melody. In this section, the nurses noted the duration and intensity of pain. She hadpain level of 7-8 in0-10 scale. The pain tends to be constant and itdiffuse over the entire abdomen when the inflammation process will accelerate (Hunter Arthur, 2016). The nurses will maintain thesemi-fowlers position. This will facilitate the fluid and wound drainage by gravity reducingthe abdominal irritation and reducing pain (Johnstone, 2015). The nurses moved the patient slowly and deliberately, splinting the painful area. This will reduce the muscle tension and guarding and minimize the pain (Mikkonen, Kyngs Kriinen, 2015). The nurses also provided comfort measures like massage, back rubs that helped in patients relaxation. Infections- The nursing interventions I took are listed below, The nurses noted the risk factors that are due to ruptured appendicitis. This will influence the choice of intervention. The nurse will access and evaluate the vital signs like decreased blood pressure, tachycardia, fever and tachypnea. This will help to evaluate any complications in patient and promote early action (Ignatavicius et al, 2015).They have to strictly monitor the urine output because oliguria can develop due to bacterial infections. They will have to maintain aseptic conditions while handling the open wounds, dressings. This will minimize the infecting organisms or cross contaminations. They will have to observe the drainage of wounds and provide the status of infection (Li et al, 2016). Deficient fluid volume- Looking at the signs and symptoms of Melody, the nurses took some of the nursing interventions to manage this condition, They monitored the vital signs that are the blood pressure, tachycardia, tachypnea. They also measured the central venous pressure. This has aided in assessing the fluid deficit and the effectiveness of the fluid replacement.The nurses will maintain accurate I and O and will be co relating the weights every day. They will evaluate the overall hydration status. They measured the urine specific gravity that will also reflect upon the hydration status and the renal function. They will observe if the patient had dry mucous membrane. This will reflect on the conditions of hypovolemia (Doenges et al, 2014). They will change the positions frequently and provide skin care that may arise to deficiency in fluid. The edematous tissues are compromised in circulation and are prone to breakdown (Parahoo, 2014). If necessary, they will be administering fluid, electrolytes and diuretics. This will be helpful to replenish the circulating fluid and electrolyte volume (Sommers et al, 2014). Evaluation of care After nursing care interventions were adopted on the patient for managing pain condition, the patient showed a little improvement with the relief in pain. With proper evaluation of the infection level and maintaining the aseptic conditions, the infections decreased in case of Melody. The evaluation results in deficiency of fluid showed that her vital signs improved a lot. These interventions taken for curing and relieving the issues in peritonitis is effective. The nursing process that should be followed also reflected patient-centred care approach as major focus was on identify immediate care needs of patient and taking patients preference before initiating any nursing actions. This action is also in relevance with the ethical and legal code of conduct for nursing practice because this code emphasizes on maintaining autonomy of patient during care process (Sidani Fox, 2014). Conclusion The last part of the reasoning cycle describes the contemplating the issues that the nurses will learn. Hence, my reflection from this activity or experience is that the nurse learnt to identify the specific issues and take patient centered caring process for peritonitis. The nursing interventions taken after accessing and processing the overall conditions of the patient helped in recovery of patient. This form of patient-care approach will help me in the future to implement strategic interventions and identify specific rationales too. It can also reflect team of nurses and other professional act as great means of support when we require guidance in relation to nursing actions required for challenging situations. References Adams, M., Maben, J., Robert, G. (2014). Improving patient-centred care through experience-based co-design (EBCD): an evaluation of the sustainability and spread of EBCD in a cancer centre.Kings College London. Burkhardt, M., Nathaniel, A. (2013).Ethics and issues in contemporary nursing. Nelson Education. Doenges, M. E., Moorhouse, M. F., Murr, A. C. (2014).Nursing care plans: Guidelines for individualizing client care across the life span. FA Davis. Feo, R., Conroy, T., Marshall, R. J., Rasmussen, P., Wiechula, R., Kitson, A. L. (2017). Using holistic interpretive synthesis to create practice?relevant guidance for person?centred fundamental care delivered by nurses.Nursing inquiry,24(2). Gee, T., Dalton, L., Levitt-Jones, T. (2015). Using Clinical Reasoning and Simulation based education to flip the enrolled nursing curriculum. InSustainable Healthcare Transformation: International Conference on Health System Innovation Grace, P. J. (2017).Nursing ethics and professional responsibility in advanced practice. Jones Bartlett Learning Griffith, R., Tengnah, C. (2017).Law and professional issues in nursing. Learning Matters Holloway, I., Galvin, K. (2016).Qualitative research in nursing and healthcare. John Wiley Sons. Hunter, S., Arthur, C. (2016). Clinical reasoning of nursing students on clinical placement: Clinical educators' perceptions.Nurse education in practice,18, 73-79. Ignatavicius, D. D., Workman, M. L. (2015).Medical-Surgical Nursing-E-Book: Patient-Centered Collaborative Care. Elsevier Health Sciences. Johnstone, M. J. (2015).Bioethics: a nursing perspective. Elsevier Health Sciences. Li, P. K. T., Szeto, C. C., Piraino, B., de Arteaga, J., Fan, S., Figueiredo, A. E., ... Struijk, D. G. (2016). ISPD peritonitis recommendations: 2016 update on prevention and treatment.Peritoneal Dialysis International,36(5), 481-508. Mikkonen, K., Kyngs, H., Kriinen, M. (2015). Nursing students experiences of the empathy of their teachers: a qualitative study.Advances in Health Sciences Education,20(3), 669-682. Parahoo, K. (2014).Nursing research: principles, process and issues. Palgrave Macmillan Sidani, S., Fox, M. (2014). Patient-centered care: clarification of its specific elements to facilitate interprofessional care.Journal of interprofessional care,28(2), 134-141. Sommers, M. S., Fannin, E. (2014).Diseases and disorders: A nursing therapeutics manual. FA Davis.

The Whale Rider free essay sample

Her people claim descent from Kahutia Te Rangi, the legendary whale rider. In every generation since Kahutia, a male heir has inherited the title of chief. But now there is no male heir, and the aging chief is desperate to find a successor. Kahu is his only great-grandchildand Maori tradition has no use for a girl. But when hundreds of whales beach themselves and threaten the future of the Maori tribe, it is Kahu who saves the tribe when she reveals that she has the whale riders ancient gift of communicating with whales. Kahu is the eldest great-grandchild of Kori, the chief of the Maori in Whangara, Maori culture is rich with whale-riding stories and traditions. Many tribes have their own particular legends and heroes. The stories often tell of an originating ancestor’s arrival to New Zealand shores aboard a whale. These stories usually involve bitter betrayals, extraordinary feats of survival, and high adventure. We will write a custom essay sample on The Whale Rider or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page The tradition of the famous whale-riding ancestor Paikea inspired the film Whale Rider. The word paikea often refers to humpback whales, but was the name of an individual whale in the most famous whale riding legend. According to this legend, Paikea (the whale rider) assumed his name from this humpback whale which rescued him after his brother tried to drown him at sea. The whale later carried Paikea to the east coast of New Zealand’s North Island, where he became the founder of the Ngaati Porou, a Maori tribe. Descendants of Paikea believe that he is buried on the far side of the small island Te Motu-o-Paikea, considered the fossilized remains of the whale itself. Maori sometimes remember significant events and stories about whales by naming islands and landforms after them. The names refer to, among other things, significant whale strandings, navigational pathways, and important journeys. Imbuing landmarks with the memory of whales shows the reverence with which these creatures are be regarded. This is the indication of many islands and clusters of land surrounded by heavy tropical bodies of water; bodies of water with an abundance of wildlife inhabitant. The Maori are a deeply spiritual and traditional tribe that relies on the healthy relationship they establish with nature to continue to help the people prosper. Kahutia Te Rangi settled in Whangara, upon his whale, â€Å"and brought with him the life-giving forces that would enable us to live in close communion with the world. † Maori respect what the land and sea has to offer and in turn remain grateful for them. The presence of the abundance of land and sea aides in the understanding of the importance of communication and oneness in tribal culture. But, in the recent years around the birth of Kahu, the Maori have lost their ability to communicate successfully with nature and the whales. Kahu who possesses that innate gift helps to reestablish this connection. For Kahu getting the tribe, and more importantly the chief, her great-grandfather Koro Apriana, to accept and recognize her gift is complicated because of gender signifiers. Koro Apriana is a strong traditional believer that the descents of the hierarchy be male, unless the tribe will perish. When first finding out that Kahu was female he disgustedly proclaimed, â€Å"A girl. I will have nothing to do with her. She has broken the male line of decent in our tribe. † Koro Apriana at that time was unaware of Kahu’s gift and his attitude towards her stayed unchanging throughout. In fact the gender of Kahu was the primary cause of distress for Koro and the entire tribe. It was because of Koro’s rejection of Kahu that threw off the balance of sea and human kind. Others in Kahu’s family, her Uncle Rawiri and her Nanny Flowers, Koro’s wife, saw the potential in Kahu but were never successful in convincing Koro. Instead Koro blamed Nanny Flowers for the reason the tribe may parish because of her strong female side. Kahu’s gender is a representation of her human face. Her face, as well as her body, is female however she proves to be a cohabitation of male and female. She’s kind, gentle and carrying but has the ability to be a leader and a ruler of the sea. In Kahu is the oneness that the Maori ancestors believe produces a great communion. Koro’s inability to look past Kahu’s gender is because of his traditional tattoo. Koro is one of the eldest in the tribe. He strongly believes in the male influence as the determiners of the Maori and offers instructions on Maori tradition as well as language to only males in Whangara. A tattoo is permanent so Kahu’s birth didn’t hold any value to Koro because she was female she did not fit into tradition; she was not a part of the tattoo. Koro also often dismisses suggestions from Nanny Flowers because she is a women and he looks strongly to the males of the tribe to satisfy his need for the men to stay strong. In one of Koro’s instructions he took the young men out on a boat, past the bay where the water would suddenly turn dark green. Koro dropped a carved stone into the ocean and proclaimed, â€Å"One of you must bring that stone back to me. † None of the young pupils were able to retrieve the stone for Koro and his hope was lost and he was broken from not being able to see a powerful future for the Maori. Koro was looking for the next generation of the tattoo among his pupils but they were not there. The significant detail apart of tradition was Kahu; a communion of male and female and nature and humankind. Shortly after seen Koro upset Kahu set out and retrieved the stone for him. This marked the first of a series of miraculous things Kahu would do for Koro and the tribe. In the beginning it was sad how the grandpa discriminated on his granddaughter because she wasn’t a boy, but in the end she made a differences in there generation and she brought a different thing into the family tribe, her family was proud of her, and she never gave up to try and prove her grandpa and everyone else wrong, in the end of the story her grandfather was destined to be the chief of the tribe even tho he didn’t have faith in her he she forgave him and. Through the cultural lens dealing with gender can be discriminating hard, guys often think that girl’s can’t do thing’s that guy’s do They tend to think that it s guys job or that girls or women or weak and not cut out for the job, and gender can do it if they put there heart to it and give it there all and they can end up having a hard time doing it or doing it really good and having the good out comes in the end, in the end of this store / movie the girl Kahu was tested to prove the others wrong and show them what she came do , or that she can do a leaders job just as well as the guy even so maybe better then them , when she showed them that she can do it to , they were all shocked and amazed and it was a different thing to see because she was a young lady doing a males job, they were proud of her and glad they got to see what se has done to change the tribe family , the change was a good change for everyone so that both genders male and female could car ry out the cultural tradition of the family and keep the tradition alive and going , without no problems on who’s going to carry on it , both genders can be able to, it dosent matter if you’re a female or male you have the abilty to change it and make a difference if Kahu can do it when she was eight years old so can everyone else can she give hope faith and courage to take on the ablity of a male .