Mental Health and Anxiety - Free Essay Example

Mental Health is too often ignored not only in the general population but especially during the transitional periods of adolescents and young adulthood. Anxiety, despite its usefulness in assessing threats can become a chronic, maladaptive illness when not addressed in time. According to the National Institute of Mental Health (2017), approximately 32% of youth ages 13-18 met criteria for a clinical anxiety disorder. A review of publications exploring etiological factors placed a greater emphasis on environmental factors than biological ones as main causes for the development of chronic anxiety in adolescents and young adults (Beesdo, Knappe, Pine, 2012). Although anxiety disorders have been known to be managed through evidence-based practices, for those youth who do not receive treatment, the long-term effects impair the youths personal wellbeing and their ability to interact with others. Anxiety is a natural response the body takes on when in distress. This natural response helps protect us from harm, helps us perform when faced with a challenge, and can help shift perspectives. Be that as it may, anxiety when prolonged and in excessive amounts becomes a mental health illness. The clinical diagnosis for anxiety disorders share the common feature of excessive and unreasonable fear. This exorbitant amount of fear creates avoidance behaviors, negative cognitive ideation and perceived cardiac arrest. Even with physiological symptoms many young adults and adolescents refuse treatment due to the stigma revolving mental health, worsening their already severe symptoms. Demographics The rate of anxiety in youth is equivalent to the national average of 31% in adults, meaning that despite the knowledge, youth are not seeking or receiving treatment (National Institute of Mental Health, 2017). Within the U.S., studies have found a higher prevalence of anxiety disorders with individuals identified as White American than African American, Asian Americans and Hispanic Americans (American Psychiatric Association, 2013). According to the American Psychiatric Association, (2013) anxiety disorders are more frequently diagnosed in females than in males (approximately 60% of those presenting with the illness are females). Aside from binary genders, low socio-economic status was correlated with higher levels of anxiety disorder diagnosis (Vine, 2012). Theories of Etiology Similar to other mental health illnesses, there is no one root cause to anxiety disorders however, there are several environmental factors, trauma, and biological predispositions that help explain the prevalence of anxiety in adolescents. One of the more prominent theories associated with anxiety is Cognitive Behavioral Theory. Cognitive Behavioral Theory as it relates to anxiety states that the individuals catastrophizing thoughts impede them in engaging in positive interactions with others out of fear, and thus creating avoidance behaviors (Beesdo, Knappe, Pine, 2012). Banduras Social Learning Theory as it relates to anxiety affirms that the overwhelming response to fear is a learned behavior (Beesdo, Knappe, Pine, 2012). Effects on youth Similar to other mental health illnesses, there is no one root cause to anxiety disorders however, there are several environmental factors, trauma, and biological predispositions that help explain the prevalence of anxiety in adolescents. One of the more prominent theories associated with anxiety is Cognitive Behavioral Theory. Cognitive Behavioral Theory as it relates to anxiety states that the individuals catastrophizing thoughts impede them in engaging in positive interactions with others out of fear, and thus creating avoidance behaviors (Beesdo, Knappe, Pine, 2012). Banduras Social Learning Theory as it relates to anxiety affirms that the overwhelming response to fear is a learned behavior (Beesdo, Knappe, Pine, 2012).There are various effects of clinical anxiety on adolescents, some of the most common include: low self-esteem, failing grades, dropping out of school, petty crimes, substance use, behavioral problems and avoidance of social interactions (Beesdo, Knappe, Pine, 2 012). Aside from external effects there are various developmental factors that occur across adolescents. For example, specific phobias begin to develop, school anxiety, rejection from peers, and at extremes panic attacks (Beesdo, Knappe, Pine, 2012). Over time, chronic anxiety impacts an adolescents immune system, enables weight gain, and deteriorates the prefrontal cortex which is responsible for planning, personality, and the ability to make decisions (Beesdo, Knappe, Pine, 2012). Family Dynamics Clinical studies link family interactions and the development of anxiety disorders among adolescents. The most common family interactions associated with anxiety include: lack of self-involvement in childrens lives, lack of appropriate boundaries, intergenerational conflicts, absence of a family member (distance, death, illness, abandonment), and parental control (Bettis, Forehand, Sterba, Preacher, Compas, 2018). Many caregivers want their adolescent child to be fixed without realizing the development of the anxiety occurred due to the family dynamics. Studies suggest that across race, ethnicity, and cultures the most critical component of the development of most anxiety disorders is correlated with family interactions. Parental control as it relates to anxiety describes a parent who constantly places demands on adolescents. The constant responsibility and obligations create a push pull relationship with the youth resisting the demands yet creating anxiety due to the perceived sense of failure. Additionally, caregivers who deny or minimize the loss of a family member tend to manifest unresolved grief which was a common theme in the development of anxiety in adolescents (Bettis et al., 2018). The inability to process grief or loss creates feelings of worry in an adolescent, resulting in them being on edge about who will be the next person to leave.

A Dermatology Resident From the South on Her Way to NYC

This interview is the latest in an Accepted blog series featuring  interviews with medical school applicants and students, offering readers a behind-the-scenes look at  top medical schools and the med school application process. And now, introducing Elyse Love†¦ Accepted: Wed like to get to know you! Where are you from? Where and what did you study as an undergrad? Where did you attend med school?   Elyse: I was born and raised in Bessemer, Alabama, which is about 20 minutes south of Birmingham. I went to the University of Alabama for undergrad and I graduated in May 2011 with a Bachelors of Science in Biology. I started medical school at Emory a few weeks later. I graduated from medical school in 2015 and am now completing my intern year back in Birmingham before moving to NYC for my dermatology training. Accepted: Can you share 3 fun facts about yourself?   Elyse: 1. I tap danced for 12 years. 2. I studied snake metabolism in undergrad. 3. I once was a computer nerd – I studied fortran, C++, C#, and Java in high school/college.   Accepted: Why did you choose Emory University School of Medicine? How many programs had you applied to? How did Emory win? Elyse: Its kind of a long story how I ended up at Emory. Ive wanted to leave Alabama for a long time. I couldnt pass up the scholarship I was offered for undergrad, so I stayed.   For medical school, I had my heart set on New York. Some company makes a book that goes over all of the medical schools in the country. I went through the entire book and settled on 13 programs, which I narrowed down to the 7 programs I applied to. Emory, Alabama, and University of South Alabama were the only Southern schools I applied to. I was accepted to my #1 school, which wasnt Emory, but Emory continually came up during my medical school second-looks (a time to revisit the schools youve been accepted to before making the final decision)! So, I thought to myself hmm.. I guess I should take a second look at this place. Id initially written it off after my interview because everyone appeared to be so happy; I didnt think it was genuine. Well, I went back for second look and fell in love. I wrote a post about choosing a medical school on Love and the Sky and it really comes down to where you think youll thrive. For me, Emorys relaxed and beautiful atmosphere was the best backdrop for such a stressful time in my professional life. Everyone takes medicine seriously, but most people dont take themselves too seriously. The school itself is gorgeous (renovated in 2011) and the grounds are so pretty. Theres a strong focus on producing ethical physicians, and Grady (the county hospital) allows for some of the best clinical training in the country. In addition, I knew I wanted to practice dermatology (a very competitive residency specialty) and Emory had matched four people into dermatology at great programs that year, the dermatology program at Emory was highly regarded, and the school guaranteed 5 months of dedicated research time within the 4 year curriculum – while other programs made it clear I would have to take a year off to do substantial research. Also, Atlanta is a really wonderful city with moderate cost of living and good weather.   Emory is an amazing place, and I will always think of my time there warmly.   Accepted: You graduated in 2015 – what have you been doing this past year?   Elyse: I graduated in May 2015 and started intern year (the first year of residency) in June. Im doing a transitional year at a community hospital back in Birmingham to be close to my family, particularly my niece and nephews.   Accepted: What are your plans for next year? Why dermatology?  Ã‚   Elyse: Dermatology training includes one year of general intern level work and three years of dedicated dermatology training. The remainder of my residency training will be in NY. Why dermatology is also a long answer which you can read about here. Accepted: Are you looking forward to life in the Big Apple after all your years down South? Elyse: It will be an experience, and I am excited. For medical school, New York was the destination and the schools came after. For residency, I wasnt really looking to go to New York. I applied and interviewed all over the country, but NYU was the best fit for me. It is one of the few programs that can rival Emorys diversity. I go into detail on how I made my match list here. Accepted: Can you tell us about the match process? What are your top 3 residency application tips?   Elyse: These are loaded questions. Haha. Yes, I can! Each applicant applies and interviews at residency programs in the same way thats done for medical school, law school, or pretty much any job interview. After interviews are over, each applicant ranks the programs in the order that theyd like to train at said program and each program ranks the applicants in the order theyd like to train said applicant. Rank lists are submitted towards the end of February. Theres a very smart algorithm that attempts to match each applicant to a program, based off of applicant and program preference. Match day is in March. At  noon  on match day, each applicant finds out where they will be training come July and each program finds out who theyll be training. Its a crazy, stressful process.   My 3 biggest tips: 1. Apply to enough schools  Ã¢â‚¬â€œ even traditionally noncompetitive programs have become competitive in recent years; make sure you discuss the number of programs you intend to apply to with your mentor. 2. Have a mentor – my mentor sat me (and the other derm applicants) down and told us everything she knew about each program in the country and gave us a ton of advice for the season in general. This mentor has to be in the specialty youre applying to because it is crazy how different the process is specialty to specialty. Also, dont take advice from anyone thats been in private practice for ten years. Things have changed, a lot. Ideally, you would have a high-level attending mentor and a mentor thats in residency currently or just out of residency.   3. If youre applying to derm, dont expect interview offers before October. Dermatology interview season is the latest interview season. Most of my friends were on their 4th or 5th interview before I got my first interview invite offer.   Residency interviews were the first topic I tackled on my blog, so there are a ton of tips currently posted – including the residency interview series, how the match algorithm works, tips to match a competitive specialty, and writing your own letter of recommendation. There will be more to come in the next few months.  (See here and here for more on this.) Accepted: Any good skincare tips?   Elyse: Dont waste your time with over the counter products for acne. Find a good dermatologist that you like. Im a personal fan of weekly exfoliation and masking but it will only make minor improvements in your skin. Accepted: Can you tell us about your blog? Who is your target audience? What have you gained from the blogging experience?   Elyse: Love and the Sky is a career and lifestyle blog for medical professionals and medical students. There are advice pieces – such as how to choose your medical specialty or how to choose a medical school complimented by interviews from current residents and attendings who share their path to and through medicine, including their premedical and medical school training. Our new staying healthy during residency/medical school series will be released this spring. The readers really drive the content. I did a lot of research in undergrad and medical school and blogging has replaced that hole in my life this year. It has allowed me to create something that is under my sole creative control. In contrast, medical training is very rigid and I am absolutely not in control. Blogging has also given me a venue to continue and promote mentorship despite my hectic intern year schedule. Thanks for the feature! Readers are welcome to contact me with  loveandthesky@gmail.com  with any questions or content requests! You can follow Elyses adventures through medicine by checking out her blog here. Thank you Elyse for sharing your story with us! For one-on-one guidance on your med school applications, please see our catalog of med school admissions services. Do you want to be featured in Accepteds blog? If you want to share your med school journey with the world (or at least with our readers), email us at bloggers@accepted.com. Related Resources: †¢Ã‚  A Residency Admissions Tip for Third-Year Medical Students †¢ 4 Donts for Your Residency Personal Statement †¢Ã‚  After the Match: How to Prepare for Residency

Argumentative Essay On Civil Rights - 956 Words

Most of us today cannot say we’ve experience the horror of war. I infact have never. I’m ignorant to the subject, while others can say they’ve stared death in the face. We fought for slave rights, for equal rights, and allowed people to immigrate here believing America was a peaceful place. I infact am honored to be an American. I have rights, I do not serve under a dictator, but most countries arent as lucky as I. Unfortunately, tragedy is the only magnet that pulls us together. We have not learned from the sacrifices of our own sons and daughters. It is my hope that America can move on from its childish antics and turn away from all the violence. Hate goes back generations here. We stole peoples lands, and claimed them as our own. We†¦show more content†¦We have not forgotten, and we certainly aren’t forgiving. Instead, we are walling off countries so they can no longer travel here and make a better life for themselves. For certain tragedies we are vengeful to other countries. We view these people as aliens, or a threat. We shut these people out when they need us most. We have closed arms for these people. Refugees are dying, suffering critical injuries, and weve closed the doors. We fought back, killing thousands of innocents, and so little of the guilty. We are mirroring the exacts acts we swore never to repeat. We signed documents swearing we would make our future better. We are letting our founding fathers down. Our hope for the future is peace... It takes only a tragedy for Americans to come together to help, and accept each other. Only after a tragedy, we realize how much we need each other to overcome anything. Like bombings, bombings that happen so frequently. After every attack, love responds. Officials, even injured civilians help others. It not only was their job, but it’s the fact we believe innocent lives do not deserve to be taken. Why can’t it be like that all the time? Why is it that when people are slaughtered we finally realize were all equal? How exactly is it okay for us to attack other places, but its not okay for it to happen to us? Not only do we come together in rare times, but we dont pay attention to it after a while. We shield our children, and shield ourselves from the harshShow MoreRelatedShould Gays Be Allowed to Marry1476 Words   |  6 PagesThe Prusuit of Happiness! Should gays be allowed to marry? Stacey Dockery PHI103: Informal Logic (GSJ1231E) Instructor Name: Daniel Beteta September 3, 2012 Argumentative Essay on Gay Marriage Marriage: a legally recognized relationship, established by civil or religious ceremony, between two people who intend to live together as sexual and domestic partners. Typically this is between a man and a woman, in love, as they come before their families, to pledge to spend the rest of their lives togetherRead MoreA3 Civil Rights Citizenship And Participation1216 Words   |  5 Pagesï » ¿ Unit 3: Civil Rights, Citizenship, and Civic Participation This Unit Activity will help you meet these educational goals: Inquiry Skills—You will identify and analyze real-world public problems, contribute appropriately to public deliberations, evaluate and use evidence, develop explanations and make persuasive arguments in support of your conclusions, and communicate your conclusions. 21st Century Skills—you will employ online tools for research and analysis, use critical-thinking and problem-solvingRead MoreAmerican Civil-Military Relations: Argumentative Essay1595 Words   |  7 Pagesï » ¿ US ARMY COMMAND AND GENERAL STAFF COLLEGE Intermediate Level Education (ILE) Common Core C100: Foundations C171: Argumentative Essay Module C160- American Civil-Military Relations Submitted by MAJ David Nicoll The purpose of the argumentative essay is to assess written communication skills. The challenge is to persuade the reader of the validity of the thesis presented and convince the reader of the argument. It is also to argue why it will assist studentsRead MoreArgumentative Essay on Gay Marriage842 Words   |  3 Pages Wesley King Grammar and Composition lesson 75 Argumentative Essay on Gay Marriage Marriage is the ceremonial binding of two people, male and female, into one couple. Historically, marriage has been the institution when a man and a woman join together with the promise of love, devotion, to always stay together, to be there for each other, to take care of one another and to start a family together. Biblically, marriage has been all the aspects above, but including honoringRead MoreThe Federalist 51 Argumentative Essay1160 Words   |  5 PagesFederalist 51 Argumentative Essay In order to have a stable government one must first be able to separate its powers equally among its members. James Madison explains how he wants the government to be broken down into three branches, the legislative, executive and judicial branch. This is the case in order to not give anyone more power than the other and to keep members from having little to no communication with members of other branches. Madison wrote Federalist 51 in 1788 in order to state hisRead MoreResistance to Civil Government: Thoreau Essay1096 Words   |  5 PagesThe title is an important aspect that should be considered and not misinterpreted. When this essay was first published it was under the title â€Å"Resistance to Civil Government†. The resistance in his title is later used as metaphor that compares the government to that of a machine. The machine is producing injustice therefore he says â€Å"If the injustice is part of the necessary friction of the machine of government, let it go, l et it go; perchance it will wear smooth — certainly the machine will wearRead MorePersonal Statement : Public Schools1030 Words   |  5 Pages Boswell Statement Essay My contribution to NYC public schools children in education has been extensive. I first began working in NYC public schools as a speech pathologist in 1980. I would examine expressive and receptive language skills of children and through task analyses develop strategies of language acquisition. In short, I was able to gets students to improve their reading and writing skills in order to master grade level competencies. In my educational journey, I was recruited by PrincipalRead MoreThe Toulmin Model Of Argument 11533 Words   |  7 Pagesfor all ethnic groups. Warrant: Equality of access is a basic American value. Backing: Equality before the law is a fundamental right of all Americans. Rebuttal: Affirmative action policies do not result in reverse discrimination because they are only part of a process that attempts to ensure fairness in college admissions. Five Categories of Claims Argumentative essays are based on a claim, which almost always falls into one of the five following categories. 1. Claims of fact. Is it real? Is itRead MoreThe Magnificent Style Of Writing By. B. Dubois1382 Words   |  6 PagesBlack Folk. The Souls of Black Folk is an instant classic when it is read, and it was a very important part of literature for black civil rights. The text talks about how blacks were treated in Post-Civil War America, what education they needed, how blacks were not yet Americans, short stories, and Negro Spirituals. The actual text is a collection of thirteen essays, and a short story written by Dubois. The book also contains Negro Spirituals to tell the reader the history of the enslaved peopleRead MoreArgumentative Essay About Same Sex Marriage822 Words   |  4 PagesThis Argumentative essay will discuss about the argument of same sex marriage. The contents are: meaning, brief background and thesis statement for the Introduction; for the Body of the discussion is the counter argument; and for the conclusion part: the summary and the restatement of the thesis statement. Same Sex Marriage also known as  gay marriage  or  equal marriage it is marriage between two persons of the same  biological sex  or  gender identity. In the 20th and 21st centuries various

Poverty in the Victorian era Free Essay Example, 1500 words

In respect to the immediately foregoing (crime), areas such as Whitechapel, Clerkenwell and Jacob’s Island were known as the homes of homicide during the 1880s. It is against this backdrop that Jack the Ripper, the anonymous serial women killer came about in Flower and Dean Street. Understanding the irrevocable nexus between poverty and crime, as a way of responding to crime, the London County Council made successful and vigorous attempts to pull down worst slums. The London County Council introduced and used the slum upgrading and clearance programs to abate the number of slums in both Britain and London. Williamson contends that the plight of poor housing as a manifestation of poverty during the Victorian age is informed by the housing culture of the Victorians. Those who worked for long hours were compelled to live within the proximity of their workstation. It is for this reason that available housing highly priced and highly scarce. Because of this, tenants by themselves would let their rooms for 2 dollars to 4 dollars in a day, to their fellow employees. This was an artifice to meet their rent. We will write a custom essay sample on Poverty in the Victorian era or any topic specifically for you Only $17.96 $11.86/pageorder now Because of this, most industrialized cities in Europe and the United Kingdom, particularly, London, were totally overcrowded, unsanitary and underdeveloped. These houses and the slums that emerged from these conditions were known as the rookeries (Williamson, 99 – 131). There were instances in which pockets of some British cities were the domicile for those who suffered from incurable diseases. For instance, Spitalfields which derives its name from the historic St. Mary’s Spittel was known for being the preserve of lepers. Spitalfields was initially inhabited by rich French Huguenot silk-workers and weavers. As the district moved to the mid 19th century, the descendants of Spitalfields were brought down to deplorable living conditions because of the competition which was emanating from the Manchester textile factories. Thusly, Spitalfields slumped down into a crime-infested and slum-riddled area. Resultantly, the once handsome and spacious Huguenot houses were partitioned into tiny dwellings. These tiny dwellings were rented out to the poor laborers and helping hands seeking employment in the docks nearby. According to Bailey, the legacy that poverty left in the Victorian age is personified by an array of charitable organizations. For instance, from the 1850s and beyond, the Sisters of Mercy under the guidance of Father Daniel Gilbert opened and established a night refuge for the destitute, especially, women and children.

Desire in Early Buddhism - 1088 Words

Desire in Early Buddhism According to the Third Noble Truth, we eliminate suffering and achieve Nirvana by eliminating desires (taņhÄ ). This is sometimes taken to mean that we should eliminate all desires (after all, just about any desire is a cause of suffering). However, we also witness the Buddha and the arahants pursuing goals, feeling compassion, begging for food, etc. These behaviors and tendencies might be seen as inconsistent with a life without desires. According to Holder’s view of the four noble truths, the third noble truth is â€Å"just the statement that suffering is curable by removing it’s cause, namely, craving (xv).† Gowan’s definition of the third noble truth â€Å"depicts a state of health that is said to be free of suffering (135).† Buddhist believe that a person only exists in designation but not in reality. A person experiences body, feelings, perceptions, volitions, and consciousness which enables the person to believe that the person is more than just those components. The person believes that he is alive when in reality it is merely the perception of being alive. In believing that a person is alive the person also give into desire. A monk has to desire to enter Nirvana, and to enter Nirvana he must have the motivation to meditate. However the monk only reaches Nirvana when he no longer has desire. So is that not an impossible attainment. Based on Holder’s definition of the third noble truth the only solution that comes to mind is that the monkShow MoreRelatedBuddhism : Buddhism And Buddhism982 Words   |  4 PagesBuddhism is a philosophy that is often viewed as a religion and dates back to approximately 6th century B.C.E. Buddhism originated in the Indian subcontinent by a man known as Siddhartha Gautama. The original language of Buddhism is often debated as some scholars believe that it was first practiced in Pali while other believe it was first spoken in Sanskrit. The practice of Buddhism first spread to China in the 2nd century A.C.E and was translated to Mandarin in 3rd century A.C.E. Today, there areRead MoreBuddhism Breaks Apart Essay example1402 Words   |  6 PagesBuddhism Breaks Apart Buddhism is the religion of spiritual enlightenment through the suppressing of one’s worldly desires. Buddhism takes one on the path of a spiritual journey, to become one with their soul. It teaches one how to comprehend life’s mysteries, and to cope with them. Founded in 525 B.C. by Siddhartha Gautama; Theravada Buddhism is the first branch of Buddhism; it was a flourishing religion in India before the invasions by the Huns and the Muslims, and Mahayana Buddhism formedRead MoreThe Changing Self Can Not Be Denied992 Words   |  4 Pages The changing self can not be denied One of the central belief of Buddhist is the denial of the self. In particular, Buddhism criticizes the idea that â€Å"an individual atman is an assumption of an unchanging and constant serf that somehow underlies and is the basis for the variety of changing experiences.† (Gethin 1998, 141) In fact, any individual, no matter its matter of life, is just a particular pattern of a series of casual connectedness. That is a very convincing idea since it is clearRead MoreTaking a Look at Buddhism663 Words   |  3 Pagesstudying the World religion textbook one of our chapter assigned was about Buddhism. I found the chapter very intriguing, since I am Christian that has not had much religion experiences outside of Christianity. The Buddhism chapter was very refreshing to read. I was captivated by the culture that I had to know more about it. That is why I decided to write about early Buddhism origins and practices in India. The word Buddhism represents â€Å"to awaken†. It emanates from two thousand five hundred yearsRead MoreThe, The Buddhist Monastic Order1692 Words   |  7 Pagessuffering originates from our ongoing desire, a clinging to possessions, attachments, and self. Why would a religion founded in the idea of shedding attachment focus so much on gender, which is an attachment? I feel that the Buddha’s hesitation in allowing women to be initially recognized in the Sangha originates from his early childhood convictions of women, fear of the Dharma becoming further compromised, and ultimately leading to the deterioration of Buddhism altogether. The Buddha’s hesitationsRead MoreComparing Buddhism And The Bhagavad1453 Words   |  6 PagesContrasting Early Buddhism and the Bhagavad GÄ «tÄ  Early Buddhism and the Bhagavad GÄ «tÄ  have a wide array similarities and differences. Both Buddhism and the Gita deal with an inner struggle. We see Arjuna dealing with the struggle of whether or not he should murder his family in order to obtain a kingdom. In Buddhism, we see the inner struggle as the quest to find nirvana and the pain that is the very act of living. Although there are some similarities, the differences between Buddhism and the GitaRead MoreBuddhism: Past and Present Essay665 Words   |  3 Pagespractices formed over the years, from Christianity to Judaism, each of them having their own impacts on culture and society, one of the major religions that formed was Buddhism. Today we will discuss how Buddhism was founded, the practices of it, and how it has changed as it has entered a new area and interacted with a new people. Buddhism was founded by or Siddhartha Gautama also known as â€Å"Buddha† was born about 2565 years ago in what is now part of Nepal. A contemporary of Mahavira and came from theRead MoreConfucianism : Ziran And Wuwei1371 Words   |  6 Pagesbeen widely translated to mean self-so. Laozi explains what self-so may mean when he tells his followers to â€Å"open yourself to the Tao, then trust your natural responses; and everything will fall into place.† As Robert Eno, Associate Professor of Early Chinese History and Thought at Indiana University, puts it, â€Å"The inhabitants of the Natural world are ‘self-so,’ they simply are as they are, without any intention to be so.† Simply put, in civil society, humans have no choice but to be driven byRead MoreEssay on Shintoism and Buddhism1210 Words   |  5 PagesShintoism and Buddhism The Japanese religions, including Shintosim and Buddhism, are rich and complex, and it contains many condradictory trends which may puzzle a Westerner. In the center of the tradition is Shinto, the natural religion of Japan. Also in the center is Buddhism, the Indian religion that was brought to Japan in the sixth century from Korea and China. Throughout the history of Japan, it has been these two religions that have contributed most to the Japanese understandingRead MoreSimilarities Between Hinduism And Buddhism1351 Words   |  6 PagesIn this essay, I intend to compare and contrast two major religions, Hinduism and Buddhism, that came out of India thousands of years ago. Though these two religions are old, they are still practiced today by millions of followers within the continent of Asia and the West. First, I would like to introduce the religion of Hinduism. The term Hinduism was derived a river of South Asia, the Indus. This term was used by the ancient Persians to classify the people of that region of the North-West territory

Frederick Engels Impact on the Conditions of Laborers...

Life can at times seem bad, even in the lives of some of the most prestigious, rich, popular people in the world. Bad hair, lack of sleep, abundance of homework, and an absence of money have the tendency to put a damper on some peoples days, among other things. Too many times, though, in todays society things are taken for granted. Imagine not having a place to sleep, having no means of education, or having all hard-earned funds taken by the government, not even leaving enough to feed the family. This is how it was for Englanders in the 1800s. The condition of the working-class in 19thcentury England was, without a doubt, disgusting and miserable. The circumstances were spiraling out of control and the working class was†¦show more content†¦These rigorous studies lead to Engels writing of The Condition of the Working-Class in England in 1844, an important work bringing more attentions to the struggles and problems of the working-class and raising ideas on how to bring reform . Engels friend and life-long work partner Karl Marx in 1844 in Paris, France. Together, Marx and Engel, while establishing modern Communism and Socialism, crafted the Communist Manifesto, among other things. The Communist Manifesto, published in February of 1848, attempts to explain the goals of Communism, Marxs and Engels solution to the struggles and exploitations of each class by the other classes. This work is undoubtedly the most influential piece produced by these two revolutionists. Another collaboration by Engels with Marx include the development of the International Workingmens Association. Frederick Engels produced a few other revolutionary pieces including the major works Anti-Dyriring in 1878 and The Origin of the Family, Private Property, and the State in 1884. After Marxs death in March of 1883, Engels devoted the rest of his life to translating and working with Marxs writing and ideas. Engels died on August 5, 1895 in London. The condition of the working class in the 19th century was ridiculously out of control. Due to the instant explosion of industrialization throughout Europe, the environment suffered. The rise of mass production happened so quickly and itsShow MoreRelatedMarx and Weber: Conflicting Conflict Theories1903 Words   |  8 Pagesbetween the capitalist bourgeoisie who own the means of production and the proletariat that is the labor force behind production. In Marxs Economic and Philosophic Manuscripts of 1844, he begins to draw the line between the capitalist owner and the laborer class. As a result of the competition that is necessary for capitalist interests, society divides itself into two classes: the owners of property and the workers without property. (Marx 1964, 38) Marx argues that the worker becomes an object himselfRead More The Role of Autonomy and Responsibility Held by the Bourgeoisie during the Industrial Revolution1550 Words   |  7 Pagesand the majority was the poor working class, the proletariat. The bourgeoisie believed in their rights to gain wealth and preserve individuality and in their duty to maintain these rights, which in turn determined the harsh laboring and living conditions of the working class. The indignities forced upon the lower class also caused movements that challenged the bourgeoisie to alter their beliefs. 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NMBA Legislated Registration Standards for Nursing- myassignmenthelp

Question: Discuss about theNMBA Legislated Registration Standards for Nursing. Answer: The nasogastric tube is inserted through the patients nose into the stomach for either feeding, administration of drugs or any other oral agent. For the small quantities of liquid feeding, a syringe is injected into the tube, but for the continuous feeding, a system based on gravity is used with a solution put at a point above the patients stomach (Chiarella, et al., 2008). However, at times the tube can block due to a variety of factors such as bacteria colonization, poor flushing methods, tiny internal space of the tube lung tubes as well as the interaction between medications, formula plus gastric acid to mention just a few. When this happens, nursing personnel can be used to remove or replace the tube from the patients body (Corry et al., 2009). Although it has been a while after completing my studies and have never performed the replacement or insertion of nasogastric tube or witnessed the skill in a patient before, I will not proceed with the procedure because it is against the ethics of nursing. Besides, the NMBA postulates that a health officer should have competency, skills, and professionalism on the task at hand when it comes to attending the patients. Therefore, my immediate action would be to inform the supervisor that I have never executed the procedure before. At this point, I will witness the process for the first time and second time if necessary. After grasping the knowledge of what needs to be done or how the replacement or removal of the tube is performed, I will carry out the third procedure applying the skills and techniques learned in the first and second procedures. When doing this, I will ensure to be under the supervision of a registered and a competent health professional for clarifications and guidanc e to ensure certainty of the procedure. All in all, before performing the procedure I would check the patients medical as well as nursing notes for any potential complications. For instance, anatomical variations as a result of surgery like cancerous tumor or flap repair might prevent the tube from passing swiftly into the stomach hence causing pain/discomfort to the client which can also lead to further complications Learning needs Apart from the necessary skills and knowledge learned in school on how to safely replace or insert the nasogastric tube you need to have other skills which include; providing both oral plus skin car. You should give rinses as well apply oil to the patient's nostrils lips. Using any lubricant that is soluble in water lubricates the catheter until it touches the nostril. The reason for doing this is because the patients nose can become dry plus irritated (Garnett et al., 2008). Next will be to verify the nasogastric tube placement by checking if the tube is in the stomach. I can aspirate a small amount of the stomach content. Besides, the x-ray will be ideal to verify such replacement. Gloves will also be essential when starting the nasogastric procedure since any contact with the client's blood/body fluids raises particularly with inexperienced enrolled nurses (Gumaste et al., 2014). Both face eye protection will be of great importance if the risk for vomiting is high. The nursing and midwifery board in Australia calls for every team member doing the Nasogastric procedure to wear gowns, face protection plus gloves. The learning activities Prior to nasogastric tube insertion, it should be measured starting from the edge of a clients nose, loop near the ear as well as downwards roughly 4.5 cm beneath the Xiphoid processes (Homer et al., 2009). Besides, the tube is noted at that point to ascertain that it is inserted deep enough into the clients stomach. Although the majority of the commercial duodenal plus stomach tubes have varying depth markings e.g. 18-inch, 22-inch, 26-inch from the distal edge, the infant nasogastric tubes usually comes with depth markings of 1 cm . The end of the tube is lubricated and inserted into the patient nare. The tube needs to be pushed straight to the posterior of the client as if it glides towards the nasal cavity and down the throat(Jacob et al., 2012). The moment the tube enters the oropharynx slides down the backside of the pharyngeal wall, a patient might gag. Once the nasogastric tube has passed has passed the pharynx into the esophagus its easily inserted into the patient's stomac h after which it is secured to prevent it from gliding. Precaution should be taken to ascertain the tube does not enter the trachea via the larynx and down the bronchus. A reliable technique is to aspirate a small amount of liquid from the tube using a syringe. The fluid is then tested to determine its acidity, and if its below 4, then it is in a correct position. Notably, only smaller tubes are ideal for long term feeding so as to prevent irritation plus erosion of the nasal sub mucosa (Lin et al., 2017). Conclusion In the entire paper, it has been pointed out that the NMBA assumes a key function set by the national law. The body puts forth registration standards that must be met by every nurse/midwife to ensure competency and professionalism in the heath field. Besides, the body postulates that a registered nurse should have certain skills, competency, knowledge, and educational opportunities to perform certain procedures such as the replacement or exchange of nasogastric tubes. References Chiarella, M., Thoms, D., Lau, C., McInnes, E. (2008). An overview of the competency movement in nursing and midwifery. Collegian, 15(2), 45-53. Cole, E. (2015). Improving the documentation of nasogastric tube insertion and adherence to local enteral nutrition guidelines. BMJ quality improvement reports, 4(1), u203207-w1513. Corry, J., Poon, W., McPhee, N., Milner, A. D., Cruickshank, D., Porceddu, S. V., ... Peters, L. J. (2009). Prospective study of percutaneous endoscopic gastrostomy tubes versus nasogastric tubes for enteral feeding in patients with head and neck cancer undergoing (chemo) radiation. Head neck, 31(7), 867-876. Council, A. N. (2002). National competency standards for the enrolled nurse. Australian Nursing Council. Cubit, K. A., Leeson, B. G. (2009). Is there a case for tailoring graduate programs for nurses who have previously practiced as Enrolled Nurses?. Nurse Education Today, 29(8), 891-894. Garnett, S., Coe, K., Golebiowska, K., Walsh, H., Zander, K., Guthridge, S., ... Malyon, R. (2008). Attracting and keeping nursing professionals in an environment of chronic labour shortage: a study of mobility among nurses and midwives in the Northern Territory of Australia. Charles Darwin University Press. Gumaste, V. V., Bhamidimarri, K. R., Bansal, R., Sidhu, L., Baum, J., Walfish, A. (2014). Factors predicting early discharge and mortality in post-percutaneous endoscopic gastrostomy patients. Annals of Gastroenterology, 27(1), 42. Homer, C. S., Passant, L., Brodie, P. M., Kildea, S., Leap, N., Pincombe, J., Thorogood, C. (2009). The role of the midwife in Australia: views of women and midwives. Midwifery, 25(6), 673-681. Irving, S. Y., Crawford, J. E., Goldberg, E., Mohan, A., Ford, N., Davis, D. H. (2015). Practice Change for Patients with Nasogastric/Orogastric Enteral Tubes: Safety Improvement Initiative. Jacob, E., Sellick, K., McKenna, L. (2012). Australian registered and enrolled nurses: Is there a difference?. International journal of nursing practice, 18(3), 303-307. Lin, T., Gifford, W., Lan, Y., Qin, X., Liu, X., Wang, J., ... Chen, K. (2017). Diagnostic accuracy of ultrasonography for detecting nasogastric tube (NGT) placement in adults: A systematic review and meta analysis. International Journal of Nursing Studies, 71, 80-88. Mordiffi, S. Z., Goh, M. L., Phua, J., Chan, Y. H. (2016). Confirming nasogastric tube placement: Is the colorimeter as sensitive and specific as X-ray? A diagnostic accuracy study. International Journal of Nursing Studies, 61, 248-257. Nursing, A., Council, M. (2005). National Competency Standards for the Registered Nurse [electronic Resource]. Australian Nursing and Midwifery Council. Schneider, Z., Whitehead, D. (2013). Nursing and midwifery research: methods and appraisal for evidence-based practice. Elsevier Australia.