Lifelong Learning or Learning for Life an Example of the Topic Psychology Essays by

Lifelong Learning or Learning for Life? by Expert Dr jack | 06 Dec 2016 The changing world is so competitive in which the potential learners for lifelong learning in fact live. The perspective for thinking concerning any form of post-school earning has changed so radically over the past twenty-five years that whatever it is that can make a difference has revolutionized too; and essentially so. Every feasible aspect of society is different from what it was a moderately short time ago. Work, home, family, leisure, and all the adult roles within them, are as different as chalk from cheese. It all tells the same story (Brown, 2002, 44). Need essay sample on "Lifelong Learning or Learning for Life?" topic? We will write a custom essay sample specifically for you Proceed More and more people are taking more accountability for what happens in their own lives as they live them, taking a greater concern in matters which can affect them, from food, how to grow it, shop for it, cook it, eat it to global warming, from obesity to simulated insemination. What is more, the opportunities for people to learn have extended exponentially. Television, radio, Web access is now accessible to knowledge and information for huge numbers of people who really wants it. Undergraduates Frequently Tell EssayLab professionals:I'm not in the mood to write my essay. Because I want to spend time with my boyfriendEssay writer professionals propose: Buy An Essay Which Will Lead You To Your Academic SuccessWrite My Essay Helper Write My Essay For Cheap Pay Someone To Write Paper Online Essay Writing Company And the shelves of self-help books in bookshops, hot lines for a range of people who are in pain for one reason or another, all point in the same direction. Learning has become an inpidual doings for inpiduals as never before. What is more, the sheer variety of topics on any list of what people are learning these days would have seemed ludicrous to former generations. But maybe the most significant aspect of all this is that most people would not illustrate what they are doing as learning as they look for to master whatever topic they keep with. Overall, therefore, a persity of social trends has enlarged the attractiveness and perceived significance of university for a far larger part of the population than in the past. Many analyses of these social changes in modern society, which are broadly mirrored in other Western societies, go on to argue that the more varied, flexible and atomized nature of society must be viewed within the framework of post-modernism. Everything is comparative, there are no universal laws, no meta-narratives', and certainly no place for ideological frameworks such as liberalism or collectivism. One of the various glaring fallacies of post-modernism is, as Peter Osborne has noted, its failure to distinguish that the narrative of the death of meta-narrative is itself grander than most of the narratives it would relegate to oblivion' (Osborne in Eagleton, 1996, p. 34). University, in this climate of post-modernism, has comprehensive roles, but the customary liberal framework is certainly challenged. A part of the post-modernist assault has been to refute the validity or even the prospect of academic objectivity. The possibility of securing objective knowledge and of pursuing truth in an impartial way can no longer be assumed' as of what Ron Barnett has termed the epistemological undermining' (Barnett, 1990, p. 189) of the bases of moderation. If the liberal basis of university is thus under attack, how much more so is the social principle perspective of continuing education. Yet this should be a key element of the Lifelong Learning. A defining trait of lifelong learning has to be a disquiet with and commitment to the widest possible contribution of the adult population in PCET, in order to put in to the development of a democratic, participative society and culture. This can be, and has been, articulated in a persity of liberal and socialist frameworks. However, they all have in general the a priori contention of the need for a value framework. Defining the knowledge and learning suitable to a university' is no longer the exclusive conserve of the universities themselves. Several other agencies are concerned such as government, employers, professional bodies and, not least, the students themselves. Modularity and credit systems are breaking down the old punitive empires, but this challenge is also the upshot of the ideological pressure from these exterior forces. Academic curricula and concerns require reflecting the realities of the outer world. Thus inter-disciplinary, problem or area based studies are often seen as much more pertinent than university-defined single punitive areas. In many ways, the ideological as well as cultural traditions of informal learning are thus informing the new world of prospective mass university. Adult education has always had to, and certainly wanted to, respond to student perspectives and to exterior partners. It has also had little consideration to the inflexibilities of corrective boundaries. Cultural studies, and to a degree industrial studies and regional studies, for instance, had their origins in adult education provision. Perhaps more considerably, the general trend within mass systems is to focus less upon knowledge-based, corrective expertise and rather more upon vocationally on the one hand and the development of basic skills on the other. Again, this represents partly a return to the culture of the informal learning environment and a recognition both that the university does not subsist in a social vacuum and that it no longer has, if it ever did, the control on the definition and rights of the learning process in higher education. If universities move away into defensive mode and try to keep their pre-existing structures and cultures, they could be overtaken by the larger forces of the learning society. If they adapt to and work in partnership with the new agencies of lifelong learning development then they might become centrally important agencies of change and development. Certainly, this latter path has significant political dangers, not least the probable erosion of university autonomy, and a downgrading or even desertion of critical thinking and some commitment to social purpose, as vocational and instrumental pressures raise and as credentials' threatens to destabilize liberal educational objectives. Thus, the changing pattern of employment is that effort to think of lifelong learning on a bulk stipulation basis collides with the way more and more people are in fact living out their lives. For many, portfolios of employment fit better beside a personal pick-and-mix approach to any further learning which can be undertaken rather than formal courses listed in a college prospectus (Brighouse, 2002, 53). Tension between plans for improving lifelong learning through formal institutions and the way people are now leading their lives which so far does not appear to have been taken into concern when White Papers appear for discussion as precursors to Acts of Parliament. Indeed, it is almost satirical how lifelong learning is used in the rhetoric as something which can assist sustains a rational society when much of that society is moving in the opposite direction. It is as if the increasing inpidualization of society is happening anywhere else. But it is not. It is here with us now. It is another challenge. And it is hard to see why this propensity will not grow stronger, leading to changes in society which can simply be guessed at. There could be a premium on connections between prosperous lifelong learning and a strong democracy. This is perhaps why public oratory does not get transposed in public action which is tuned to present conditions. Perhaps tackling that tension is too hot a matter for politicians to grapple with. Cynics might say that just as schooling can be construed over the years as a means of wielding a form of social control, so talking concerning lifelong learning in terms of formal provision which is under tight control by government can also be a covert and conceivably nervous way of trying to do the same things with adults. If so, then lifelong learning could make to contain some rather inopportune social time bombs. Subsequently there could be much of rediscovery. Perhaps, too, there is a simpler explanation: that for all its good purpose the government has no clear idea of what it believes lifelong learning to mean. So many phrases get bandied around. Sometimes there is the 'true purpose of learning', the approach to learning'. It would be a motivating exercise to set a test for the civil servants accountable for the use of these phrases, requiring them to eloquent clearly the meaning of each one of them and to portray the differences which those meanings are anticipated to convey. This muddled thinking could rest on what Sally Tomlinson claims concerning education change in general: There is also confusion regarding political focus and ideological purpose behind educational change. This is partially due to rhetoric that the state has given more autonomy to inpiduals while in actuality central control has tightened (Tomlinson 2001, 54). Work Cited Barnett, R. (1990) The Idea of Higher Education, Milton Keynes: SRHE and Open University Press. Brown, K. (2002) The Right to Learn: Alternatives for a Learning Society, London: RoutledgeFalmer. Osborne, P. (1995) The politics of time' cited in EAGLETON, T. (1996) The Illusions of Post-Modernism, Oxford: Blackwell. Tomlinson, S. (2001) Education in a Post Welfare Society, Oxford: Oxford University Press.

Natural Disaster Hazard Assessment Essays

Natural Disaster Hazard Assessment Essays Natural Disaster Hazard Assessment Essay Natural Disaster Hazard Assessment Essay Hazard Assessment for Memphis, Tennessee Environmental Geology Hazard Assessment for Memphis, Tennessee A natural disaster is defined as any event or force of nature that has catastrophic consequences (â€Å"natural disaster†). The only reason that these events are considered to have catastrophic consequences is because people are negatively affected by these natural events. If people were not present during these events, they would not be considered catastrophic. The more people affected means the event would be considered more catastrophic. Tennessee is the 17th most populated state, with approximately 6. million residents (Infoplease. com). Within the state, Shelby county covers the most area, (755 square miles), and is also the most populated county, with approximately 927,644 people residing there (Infoplease. com). Shelby county includes the city of Memphis. Memphis is the most populated city within Tennessee with at least 645,000 residents (Infop lease. com). I have attached several maps in order to see different parts of the land. Map I shows where the county lines are located within Tennessee. You can also see where Memphis is located within the county. Map II shows the elevation levels of the state. As you can see in that map, Memphis is located within the lowest elevation levels of the state. Map III shows the rivers that run throughout the state. The main river that runs between the Tennessee, Arkansas, and Missouri borders is the Mississippi River. There are several natural disasters that I would consider to be threats to the Memphis area. One natural disaster that I would consider to be a concern to Memphis would be an earthquake. According to the United States Geological Survey, (USGS), there is an approximately six percent chance that there will be a major earthquake within 50 kilometers of Memphis in the next 50 years (Homefacts. com). The last earthquakes that had magnitudes of five were in 1976 and 1991 (Homefacts. com). The earthquake recorded in 1976 was approximately 40 miles away from Memphis. Looking at the sources found, I see that Tennessee has had its fair share of earthquakes, so I would say that another earthquake occurring in the area should be a concern of the citizens and government officials. â€Å"There is a broad agreement in the scientific community that a continuing concern exists for a major destructive earthquake in the New Madrid seismic zone. Many structures in Memphis, Tenn. and other communities in the central Mississippi River Valley region are vulnerable and at risk for severe ground shaking. † (USGS. gov). The New Madrid Earthquake of 1812 was one of the most significant events in U. S. history. Topographic changes were noted over an area of 75,000 to 130,000 square kilometers, with the total area shaken being at least five million s quare kilometers (USGS. gov). Back then, the damage was minimal because of sparse population. Nowadays, an earthquake that severe could result in â€Å"great loss of life and property damage in the billions of dollars† (Cusec. rg). The fact that Memphis is the most populated city in the state, a small earthquake could cause a significant amount of damage. â€Å"By learning about the potential earthquake hazards in your area and by taking certain preparedness measures now, you can increase your chances of surviving an earthquake and minimize its dangerous and damaging impacts† (Cusec. org). There are many organizations that Memphis has in order to help citizens learn how to prepare for these catastrophic events, and what to do in order to survive. One organization is the Radio Amateur Civil Emergency Service (R. A. C. E. S. ), which is a volunteer communications group that assists the Shelby county area. R. A. C. E. S. provides emergency personnel that can help with communications during local, regional, or national emergency/disaster events (Cityofmemphis. org). Another organization that provides help during emergency situations is the Memphis/Shelby County Emergency Management Agency (EMA). The EMA helps local, state, and federal agencies with response to disasters that requires a multi-agency/multi-jurisdictional response. The EMA has satellite links with the National Weather Service that activates sirens in order to warn the residents of multiple cities, including Memphis (Cityofmemphis. org). There are also things that the citizens and homeowners could do in order to minimize the damage during earthquake. Earthquake drills are a great way to help enforce the importance of preparedness, and to prevent panic and injury during an earthquake. Families should have emergency plans that lay out where everyone is going to be and where to reunite with one another. Keep a flashlight and a batterypowered radio in the home. Place large or heavy objects on lower shelves, and fasten the shelves to walls. And lastly, have a seven to ten day supply of food and water (Cusec. org). You can never be too prepared for any natural disaster, so being safe is better than being sorry. Not all natural disasters are threats to Memphis. Volcanoes are an example of a natural disaster that is not a threat to the Memphis area. There are no known volcanoes in the area that would cause any kind of harm to the residents of Memphis. Historically, there have not been any known volcanoes in the area either. Memphis is not located on any fault boundaries, so I would think that there would no volcanoes forming in the area any time in the near future. Hurricanes are a little more of a concern for Memphis. The western area of the state has the possibility of being affected by the end of certain storms. Hurricane Katrina is an example of this situation in which Memphis can be affected by storms not necessarily in the direct area. When Hurricane Katrina hit the U. S. in 2005, multiple counties in Tennessee were evacuated; Shelby County was one of those counties (Fema. gov). I would consider Memphis to be slightly concern about hurricanes occurring in the area, especially since the city is located at a low elevation. The lower elevation would be more susceptible to flooding. The government should have adequate warning of the hurricane, since it would most likely be coming from the Gulf of Mexico. I would also expect that the citizens would be prepared for hurricanes, since they are used to flooding situations. Tornadoes, I feel, are more of a concern than hurricanes. There are many more tornadoes in the middle of the state then there are on the outskirts. Tornadoes are more likely to strike open plains rather than in an urban area, like Memphis. â€Å"The reality is, very few tornadoes ever touch down in the city of Memphis†¦.. Nevertheless, tornadoes can and have struck within the city† (About. com). There have been numerous tornadoes that have affected Shelby county, but not nearly as many as the middle of the state. The last one that affected Shelby County, and had a high death count was in 1987, with at least 120 deaths (NWS Memphis Forecast Area Tornado Database). There have since been tornadoes that have caused deaths, hich is not surprising considering the amount of people that live in the city. With all the tornadoes that have gone through the county, there has always been a significant amount of damage. That also is understandable since there are a lot of buildings in the city. There have also been plenty of tornado warnings for the state, but not all of them affecting Shelby County. The last tornado warning that included Shelby County was on May 9, 2011. In order to be prepared for a tornado, there are several things we could do. First of all, avoid windows and seek shelter in the center-most room on the lowest floor possible. Use your hands and arms to protect yourself from falling debris. Also, keep some sort of identification on you at all times in case you are hurt or disoriented (About. com). Keeping identification on you is a good idea for every natural disaster. It will help emergency personnel identify who you are and hopefully get you back with your family. Tsunamis are another type of natural disaster that is not a concern for Memphis. There have been no known tsunamis recorded for Memphis. I do not think that there will be any future tsunamis in Memphis because there is no ocean or large body of water located near Memphis. The Mississippi River is near Memphis, but the river does not create waves that would be large enough to create a seismic wave. Even though tsunamis are not a threat to the city, flooding is a huge concern for the city. The Mississippi River is right near the city, so that would be a reason as to why the area floods frequently. The city is also at a low elevation, which is another reason as to why the area floods frequently. There is currently an active flood warning in effective right now (Fema. gov). Last year, there was flood that occurred in the beginning of May. The Mississippi River was supposed to rise to a record level of 48 feet, with 48. 7 being the record crest in 1937. More than 1,300 homes were ordered to evacuate and nearly 400 people were living in shelters. According to an article on abcnews. com, the most extensive damage occurred in Memphis, where â€Å"entire neighborhoods have been swallowed by the water and vehicles completely submerged† (Tanglao, â€Å"Memphis Flooding†). Since this obviously happens frequently, the citizens and government have ideas of what the levees can hold, and what the river’s maximum water level is. To prepare for flooding situations, there are certain things the government should tell their residents in order to make sure they are safe. They must send out warnings letting people know when and if the water level is high enough to go over the lands limits. In Memphis, the government should be able to accurately know when and if the Mississippi River has reached its maximum, and if people should evacuate their homes. As a resident, you should also be aware of what is going on in your community and know about the town’s emergency plans. You should also have sump pumps with back-up power in order to prevent contamination of the flooded water. Turn off all utilities at the main power switch in order to prevent electrocution. Fill bathtubs, sinks, and soda bottles with clean water, so you have water to drink that is not contaminated. You should also have water bottles and a food supply that will last a couple of days (Bt. cdc. gov). On the opposite end of the spectrum, wildfires are another example of a non-threat to Memphis. There are no forests in Memphis because it is a highly urban area with lots of people and buildings. The last wildfire reported in Memphis was in 1952, when there was a serious drought (Tnema. org). Even though there was that wildfire many years ago, I do not think that there is a serious threat to Memphis for another wildfire. Lastly, I also think that there is not a threat for extreme winter conditions to occur in Memphis. The last warning for some sort of winter conditions for Shelby County was in February 1992 (Fema. gov). Even though that was not too long ago, I still feel like there is not a huge concern for extreme winter conditions to occur any time soon again. Since Memphis is further south, they do not really get harsh winters like we do here in Pennsylvania. Memphis Tennessee has its fair share of natural disasters. They have to be concerned about earthquakes, floods, and tornadoes the most, while extreme winter conditions, volcanoes, and tsunamis the least concerned about. Every place on the Earth has to be concerned with natural disasters. Humans make the disasters a lot worse than they actually are, but there is nobody else to blame but ourselves. We get in the way of nature, and have to pay the consequences some way or another. Map I Map II Map III Centers for Disease Control and Prevention. Natural Disasters Severe Weather. Web. 12 April 2012. Central United States Earthquake Consortium. Earthquake Safety. Web. 12 April 2012. City of Memphis. Emergency Management Agency. 2003-2011. Web. 12 April 2012. Federal Emergency Management Agency. Tennessee Disaster History. 26 March 2012. Web. 12 April 2012. â€Å"Memphis Earthquake Information. † Homefacts. com. 2012. Web. 12 April 2012. â€Å"Natural Disaster. † Dictionary. com. Web. NWS Memphis Forecast Area Tornado Database. Web. 12 April 2012. Tanglao, Leezel. Memphis Flooding: Mississippi River Nears Record Highs. † AbcNews. com. 9 May 2011. Web. 12 April 2012. â€Å"Tennessee. † Information Please Database. Pearson Education, 2011. Web. 12 April 2012. Tennessee Emergency Management Agency. Wildfire. Web. 12 April 2012. â€Å"Tornadoes in Memphis: What to expect and how to stay safe. † About. com. The New York Times Company, 4 Ap ril 2011. Web. 12 April 2012. United States Geological Survey. Earthquake Hazard in the New Madrid Seismic Zone Remains a Concern. 3 August 2009. Web. 12 April 2012. United States Geological Survey. Tennessee: Earthquake History. 21 October 2009. Web. 12 April 2012.

Poetry Review Essay Example | Topics and Well Written Essays - 2500 words

Poetry Review - Essay Example The language used moves in a melodious iambic meter, both lulling us to drift with the speaker and awakening us to the paces of life. The first stanza uses repetition and alliteration to help soothe us into the quiet world of the hospital ward even as the tulips are seen to be a rude interruption into this world. Repeated whispers keep the tone quiet: â€Å"how white †¦ how quiet, how snowed-in† (2) and the soothing sound of the ‘th’ letter combination continue in â€Å"this bed, these hands† (4). The speaker is â€Å"learning† and â€Å"lying† (3), the â€Å"light lies† on â€Å"white walls† (Dickie, 1979), giving us a pattern of movement that is rocking on rhythm. As she wakes up, though, focus on the bright red of the tulips forces a quickening pace that is also reflected in the language. Things are â€Å"coming and going† (51), â€Å"the air snags and eddies† (54) and the tulips â€Å"concentrate my attention† (55). The tulips are filling the air â€Å"like a loud noise† (52). It is mostly due to this quickening pace toward life leading into the end of the poem that we are led to believe the poem is an affirmation of life, even though the tone remains as emotionless and detached as it first began. In â€Å"The Fish,† Elizabeth Bishop describes the perfect catch of a venerable old fish as she observes him hanging from her line. The fish hasn’t fought at all to prevent being reeled in and his skin hangs in strips â€Å"like ancient wallpaper† (11), the pattern reminding her of â€Å"full-blown roses / stained and lost through age† (14-15). These images conjure up thoughts of the family home, old and empty now that the children are grown and gone, maintenance no longer a priority in this advanced age. The fish is coated with barnacles, lime and sea-lice, with strings of seaweed attached to his underside. Through this

The Cherokee People Research Paper Example | Topics and Well Written Essays - 1500 words

The Cherokee People - Research Paper Example Although a great deal of emphasis has been placed upon the interaction between Europeans and Native Americans, the reality of the fact is that rather than approaching this issue from the split standpoint of understanding that two separate entities existed at each and every juncture, a far more effective means of interpretation has to do with the melding of culture and the means through which unique dynamics in the Cherokee experience came to be evidenced as a result of the process of acculturation. Firstly, it must be understood that the geographic representation of the Cherokee people was mainly concentric within the now modern states of Georgia, South Carolina, North Carolina, and Tennessee. As a function of this level of geographic representation, the Cherokee people have oftentimes been referred to as those who lived in the mountains by contemporary Indian tribes. Interestingly, whereas many other Native American tribes were defined as nomadic, the Cherokee people could be define d as â€Å"semi-nomadic† (Emerald, 2012, p. 44). This is due primarily to the fact that individual branches of the tribe tended to inhabit specific regions, and cultivate crops. These crops included but were not limited to squash, beans, sunflowers, and different types of corn. So great was the emphasis upon agriculture that the Cherokee put forward that the introduction of a specific hybrid of corn was developed as a result of their agricultural endeavors. To specific theories exist with regards to the ultimate origin of the Cherokee tribe. Due to the fact that the Cherokees native-language was determined by linguists and anthropologists as uniquely Iroquoian, the most prominent theory suggests that the Cherokee tribe migrated from the Great Lakes region approximately 500 to 700 years prior to first contact with the Europeans (Chambers, 2013, p. 26). The ultimate purpose for this migration is little known; however, myths and legends exist with regards to the fact that other Iroquois nations banished this particular group of individuals from the Great Lakes regions. The subsequent removal and forced exodus led this tribe to inhabit a region that few other native peoples wanted; namely the Appalachian mountain range. A secondary theory that exists with regards the origin of the Cherokee people posits the belief that this particular tribe of Native Americans was an offshoot of the mound building Native Americans that inhabited parts of Mississippi. However, further ethnological and anthropological work, as well as a great deal of archaeological analysis has revealed the fact that this particular theory does not have a high level of evidence to support it. Moreover, the secondary theory promotes an understanding that the Cherokee people had been living within the region of the southeastern states for a period of over 1000 years; a fact that no direct archaeological evidence that is thus far been uncovered and/or analyzed denotes (Blackburn, 2013, p. 16). T he first contact with Europeans was with an expedition led by Hernando De Soto. As such, like so many of the contacts initially made with Europeans, relations were friendly and ultimately somewhat profitable to both sides (Greg & Wishart, 2012, p. 11). The Native Americans received traded goods in exchange for raw material, guidance, and

Research question and case study Annotated Bibliography

Research question and case study - Annotated Bibliography Example This loss of demand for the products traded in by the retail company happens to render large amounts of impact on the productivity and revenue patterns of the concern. Thus the retail companies to sustain their enhanced market share and profitability in the global market must strongly work to reduce the amount of lead times involved. Retail companies that mainly focus on the trading of fashionable garments and merchandises along with toys and technological products generally tend to suffer from the pitfalls of an ineffective supply chain system. Increasing lead times in the supply chain systems of such retail concerns leads to the unavailability of the right merchandise at the right season or time thereby contributing to loss of sales. It is therefore required for the retail organizations to arrange for the merchandises specifically during the peak seasons to meet customer satisfaction and thereby gain in sale revenues. Again the increase in the lead times for such retail companies a lso amounts to piling up of unused or unsold merchandises in retail warehouses that in turn locks a considerable amount of working capital for the concern (Bakal and Geunes, 2010, p.2395-2396). The paper relating to the above fact tends to focus on cases where the retail business organizations have taken resort to technological and process innovations to help in reducing the amount of lead time involved. Fashion retail companies like Zara belonging to the Inditex group are found to take resort to process innovations in its retail operations to contribute in the reduction of lead times. The retail company is observed to suffer from the loss of sales owing to the emergence of assorted sizes pertaining to garments in their different stores. In that the fashion retail company required the store managers of different operating stores to render individual

Assessment Of Mrs Baker Nursing Essay

Assessment Of Mrs Baker Nursing Essay Upon admitting Mrs. Baker to the ER assist her into a gown. While assisting into the gown notice any skin issues, such as injury from the fall, or irritation from possible prior falls or injuries. Elderly people often have issues such as dehydration, of which the signs may be skin tenting, poor turgor, and red areas from pressure, ask about fluid intake and record capillary refill. Mrs. Baker, as a known diabetic, could have unhealed sores or ulcerations and signs of neuropathy, ask about any numbness or tingling. Assisting the patient into a gown may also determine if there are bladder and bowel continence issues. While assisting to gown use the opportunity to question the patient about what, in her opinion, happened. While asking about the incident, ask if there have been periods of light headedness or dizziness, apply a cardiac monitor and pulse oximeter, for observation. Ask the patient if there are any areas that hurt, or if there is any pain even unassociated with the fall. Whi le questioning the patient about what happened and the patients theory of why, evaluate speech pattern and level of orientation, the patients awareness of time and cognitive ability may be assessed at this time. Determine if the patient can provide an accurate account of the fall and what preceded the fall. While assessing the patient, it is essential to look at each system and watch for nonverbal signs of pain. Observe the patient, for signs of confusion and check for pupil response to light. Auscultating lung sounds, listen for adventitious sounds such as rhonchi, rales, or wheezes. Listen to determine if lung sounds are present in all lung fields. Auscultate heart sounds, listen for irregularities, is there a murmur noted. Evaluate cardiac monitor for arrhythmias. Question the patient about any chest pain, tightness, or heaviness. Palpate peripheral pulses, note if they are equal, note the quality if they are thread /bounding, and are pulses even on each side. Obtain vital signs such as blood pressure, orthostatic if possible as this is common with HCTZ and Lisinopril; maintain a 30 minute check on blood pressure readings, note rate and quality of respiratory effort along with oxygen readings. Ask again if the patient has any pain as pain may increase readings in blood pressure, respiratory rate, and pulse. The elderly are sometimes reluctant to report pain, thinking it is all part of the aging process and accepts it as a part of life. Many may not report physical discomfort due to the fear that they may lose independence or the risk of being viewed as a burden. Anxiety may also raise vital sign readings; attempt to explain all procedures to the patient. This not only contributes to trust from the patient, but also reduces some of the fear from the unknown. Listen to bowel sounds, indicate the presence of or lack of in all quadrants. Ask the patient about bowel pattern if possible when the last bowel movement was, palpate for any sign of tenderness or guard ing. Examine the face, hands, and feet for edema. While checking the lower extremities for edema, indicate the quality of pulses in the legs. Pay attention to color and texture of the skin in the legs and feet, note any sores or red areas, note capillary refill. Pay attention to the temperature of the legs as lower extremities blood clots is common. Again, it is necessary to explain the examination to the patient in order to reduce anxiety and to reassure the patient. If the patient is able, ask about medications and when was the last time they were taken. Ask about the time the last meal was eaten. Once the initial assessment is completed, explain to the patient that there will be some tests to assist in determining the medical problems at present. It is advisable to ask if the patient has questions for the nurse; this may aid in preventing any misunderstandings. Technological tools, uses, and benefits Some of the tools frequently used in the assessment, of any patient, start with auscultation and palpation. Listening to the patients verbal response is an advantage to the assessment; however, listening to the heart, lungs, and abdomen is required. To begin, start an IV site and obtain the needed blood for testing, this may prevent a delay in treatment. Be aware of the length of time the tourniquet is applied to the patient, quality of the lab draw is also a factor in the values obtained. After obtaining the blood work, begin a physical assessment. Listening to heart sounds may provide information about various cardiac problems such as a heart murmur; deviation in heart sounds may indicate a cardiac condition. Lung sounds may determine if there are pulmonary issues such as bronchitis, pneumonia, or pulmonary edema. Listening and palpation of the abdomen may indicate irregularities in the gut, such as an obstruction or potential aneurysm. Asking about pain or tightness in the chest m ay also indicate a possible cardiac condition. Ask about any history of chest pain or tightness. Noting the rate and respiratory effort, along with a continuous pulse oximeter, assist in determining pulmonary problems. Ask if there have been any problems with shortness of breath. Blood pressure readings, especially orthostatic in a falls patient may lead to indications leading to the fall. Along with the possible reason for the fall, this may also assist in the determination of medication misuse. The elderly may sometimes forget they have taken their medication and repeat the dosage. Obtaining a blood glucose level may also determine if the fall is related to hypoglycemia. Knowing or having an idea of when the last meal was eaten, and when the medications were taken, also assist in determining possible reasons for the fall. Having knowledge of the estimated fluid intake may also be useful as a tool in the analysis of causative agents. Dehydration in the elderly can cause confusion a nd light headedness. The continuous cardiac, oxygen, and blood pressure readings are necessary to watch for sudden changes that may occur. Cardiac monitors assist in determining if there are irregularities in the electrical conduction, in the heart, early detection and treatment may prevent further complications. Oxygen readings assist in determining the amount of capillary oxygen and profusion difficulty; this may indicate the need for supplemental oxygen before further decompensation. Frequent checks in blood pressure may be the first sign of sepsis in an elderly person. Other testing and tools used is a chest X-ray, viewing a chest X-ray aids in determining pulmonary issues not noted during the physical examine treatment for pulmonary issues can quickly be obtained. A CT scan of the brain, without contrast, may be used to rule out a brain bleed. A CT scan of the lungs, without contrast, will assess for possible pulmonary embolus. To use contrast, the results of the renal function are needed. Blood testing is critical in determining the bodily functions. Obtaining a complete blood count tells the general hydration, amount of volume and signs of infection with an elevated white blood count, hypervolemia can be promptly corrected; low red blood count indicates the lack of oxygen carrying capacity and may require a transfusion. A complete metabolic profile lends details of renal and hepatic function, as well as levels for key electrolytes such as potassium, sodium, magnesium, and glucose, this also aids in monitoring for metabolic acidosis or alkalosis. With lisinopril, it is common to see an elevation in bun, creatinine, and lowering of glucose levels. HCTZ is known for lowering the potassium, sodium, and magnesium levels. The combination of HCTZ and lisinopril are known to cause dizziness, and palpations and should be monitored closely especially in people with renal impairment and /or of advanced age. Cardiac enzymes are drawn to evaluate the cardiac muscle, to determine if there are cardiac issues. Arterial blood gases assist in determining the pulmonary system function, this also aids in determining respiratory acidosis or alkalosis. Another lab test highly beneficial is a urinalysis with culture and sensitivity. When there is a urinary infection in an elderly person, it may cause dizziness and confusion. The culture helps to determine the proper medication for the organism responsible for the infection. The urine tests also indicate if there are ketones or proteins being spilled in the urine; this is a frequent problem in diabetic patients. Obtaining a twelve lead EKG aids in determining any irregularities in the cardiac conduction, such as heart blocks and ventricular ectopy that are often seen as a result of low potassium. Blood cultures may also be required to determine if there is an infection. Frequently an opportunistic infection may lead to sepsis, and the elderly often do not present that ill until the infection is severe. T he elderly may not always present with an elevated temperature; this cannot be the only sign of illness. All the testing and the physical analysis will help to determine potential health issues, but the best source of information is to monitor the patient. Being aware of changes in the patient status and comfort level is required. Continuous visual monitoring may assist in treating sudden changes in the patient. Frequent questions pertaining to the comfort level are required in the elderly as they may be reluctant to admit pain. Explain that pain, of any level, can be addressed, and that comfort may assist in the treatment. Data collection prioritization It is essential to prioritize the data collection and report findings to the physician. The application of monitoring devices, such as a cardiac monitor, blood pressure machines, and pulse oximeter, may be done as the patient is being gowned. Visual inspection of the skin may also be done at this time. While gowning the patient, asking about medications and history may also be accomplished. Starting the IV site and obtaining blood work will get information to the physician quickly and should be done as soon as possible. Collect a finger stick for blood glucose, as this may determine if the patient is hypoglycemic. The EKG and ABGs are also critical information needed as soon as possible. A chest X-ray may be done next, along with a CT scan of the brain and lungs, without contrast. Collection of the urine for testing can be collected after the other departments have finished what needs to be done. As the patient is on a continuous monitor for cardiac, respiratory, and blood pressure i t is easy to monitor for changes. It is now appropriate to complete the physical assessment of the patient. This saves time while awaiting the results from lab, x-ray, and cardiopulmonary departments. Report any irregularity in the assessment to the doctor as soon as possible. While obtaining information from the patient, it is necessary to ask about pain and monitor for nonverbal cues during the assessment. Morphine, low dose (0.05mg/kg IV) for pain may be appropriate at this time as it decreases the oxygen demand from the heart and may reduce anxiety. Tylenol may not be the medication of choice until liver function is established. Advise the physician that the patient has been taking HCTZ, Lisinopril, and metformin. The combination of HCTZ and Lisinopril may cause dizziness and dehydration. Lisinopril also aids in lowering blood glucose levels, and should be monitored closely especially in people with renal impairment and/or of advanced age. This combination may also cause palpati ons and dizziness. HCTZ can cause electrolyte imbalances leading to alkalosis. The patient may also be experiencing a drug hypersensitivity to the lisinopril. Signs would include dyspnea, chest tightness, and arterial acidosis, requiring intubation (Hydrochlorothiazide and Lisinopril side effects, Drugs.com). If the patient was medicated for pain, check for relief of symptoms. Verbal affirmation should be listed on a scale of 1-10 according to the flacc scale. If the patient has pain relief, note this with the physician. Monitor for lab results and report any findings outside the normal range, the same with EKG, ABGs, x-ray, and CT scan. Monitor the patient for changes in mentation, and visible signs of changes. The elderly may have sudden changes; it is advisable to monitor closely. With continuous monitoring, and noting the change in status of Mrs. Baker, there would be more aggressive measures taken. A rapid response from respiratory therapy would be needed, and a request for the attending physician, for the mental status and respiratory changes and the possible need for increased measures such as intubation. A repeat of ABGs would be needed; STAT results are indicated. Radiology should be available for potential tube placement. All team members should be alerted for the possibility of a code blue alert. The staff needs to be monitoring the cardiac status at all times. With respiratory arrest, cardiac is soon to follow. Rapid response to changes in respiratory status can prevent further complications. Constant monitoring of the flacc scale may assist in monitoring the patients comfort level. A patient may show signs of discomfort by moaning, thrashing about, or facial grimace. Being aware of this may aid in the quality of patient care. The patient may not be a ble to tell that they hurt, but body language speaks volumes. If the patient is indicating that they are in pain, morphine at a low dose may be used (0.05mg /kg IV). Considering the slower metabolism of the elderly, it is necessary to medicate accordingly. This not only aids in pain relief, but also lowers the oxygen demand by the heart. Close observation of the patient is mandatory. If the medication is effective the signs observed will diminish and the patient will appear more relaxed, with little or no signs of pain (possible lower BP and heart rate, no facial grimace, more relaxed, less restlessness). The alert patient can verbalize the effectiveness of pain medications, with an unresponsive person we must rely on physical cues that are presented. Again, it is important to report pain relief to the physician and continue to watch for changes in the patient. Rapid evaluation and assessment, accurate data, and concise information are imperative to patient care. When assessing the elderly it is necessary to remember that due to the aging process, metabolism of medications may be slowed. With advanced age, there is also a reduction in renal and hepatic filtering. The elderly may also be reluctant to report pain. When caring for the elderly, it is necessary to keep their viewpoint in mind, and to explain procedures prior to the procedure. A reduction in anxiety may assist in a trusting relationship and aid in lowering blood pressure and heart rate. It is also helpful to remember that changes can occur rapidly with the elderly and that they may not always present as with a younger person. Keep an open mind and alert at all times.

Samuel Slater :: essays research papers

Description Son of a yeoman farmer, Samuel Slater was born in Belper, Derbyshire, England on June 9, 1768. He become involved in the textile industry at the age of 14 when he was apprenticed to Jedediah Strutt, a partner of Richard Arkwright and the owner of one of the first cotton mills in Belper. Slater worked for Strutt for eight years and rose to become superintendent of Strutt's mill. It was in this capacity that he gained a comprehensive understanding of Arkwright's machines. Believing that textile industry in England had reached its peak; Slater immigrated secretly to America in 1789 in hopes of making his fortune in America's infant textile industry. While others with textile manufacturing experience had emigrated before him, Slater was the first who knew how to build as well as operate textile machines. Slater, with funding from Providence investors and assistance from skilled local artisans, built the first successful water powered textile mill in Pawtucket in 1793. By the time other firms entered the industry, Slater's organizational methods had become the model for his successors in the Blackstone River Valley. Later known as the Rhode Island System, it began when Slater enlisted entire families, including children, to work in his mills. These families often lived in company owned housing located near the mills, shopped at the company stores and attended company schools and churches. While not big enough to support the large mills which became common in Massachusetts, the Blackstone River's steep drop and numerous falls provided ideal conditions for the development of small, rural textile mills around which mill villages developed. One of the earliest of these mill villages was Slatersville. Located on the Branch River in present day North Smithfield, Rhode Island, Slatersville was built by Samuel Slater and his brother John in 1803. By 1807, the village included the Slatersville Mill, the largest and most modern industrial building of its day, and two tenement houses for workers, the owner's house and the company store. In the early twentieth century, industrialist and preservationist Henry P. Kendall took a personal interest in the village and initiated many of the improvement projects, which give the village its traditional New England Charm. Impact The system of child labor in Rhode Island mills began with Rhode Island's first textile mill - the Slater Mill. Samuel Slater's first employees were all children from seven to twelve years of age.

Feminism in Literature Essay

Feminism has gradually become more far-ranging and subtle in its attacks on male-dominated society. Many injustices still need to be corrected, but equally necessary is a more down-to-earth, tolerant and compassionate view of fellow human beings. Introduction Many feminists dislike theory. Sharp intellectual categories, argumentation, seeming objectivity, and the whole tradition they grow out of are just what feminists are seeking to escape. And if their reasoning seems unsystematic they can draw support from the psychoanalysis of Lacan and Julia Kristeva, fromDerrida’s deconstruction, and from Rorty’s view that philosophy should model itself on an edifying conversation seeking rapprochement rather than no-holds-barred gladiatorial combat. Androgynist Poetics Critics, being generally male, had not generally concerned themselves with gender issues. Most of the world’s great literature had been written by men. Sappho, Austen, the Brontes and Emily Dickinson apart, it was difficult to think women really had it in them to write at the highest level. Literature was literature, and critics saw no need to distinguish a specifically feminine way of writing or responding to a text. Virginia Woolf was herself a refutation of that thesis, though her mental breakdown was perhaps brought on by the strain of balancing male self-realization with female abnegation. But in her essay Professions for Women, Woolf complained only that women’s social obligations hindered a writing career. Their lives gave them a different perspective, but women were not fundamentally different from men in their psychological needs and outlooks. Gynocriticism The gathering feminist movement very much disagreed, and argued that women’s writing expressed a distinctive female consciousness, which was more discursive and conjunctive than its male counterpart. Such consciousness was radically different, and had been adversely treated. Simone de Beauvoir in The Second Sex documented the ways â€Å"Legislators, priests, philosophers, writers and scientists have striven to show that the subordinate position of women is willed in heaven and advantageous on earth. † Women had been made to feel that they were inferior by nature and, though men paid lip-service to equality, they would resist its implementation. Some men might be sympathetic to women’s issues, but only women themselves knew what they felt and wanted. And perhaps they always knew. The essays collected in Susan Cornillon’s 1972 anthology Images of Women in Fiction all suggested that nineteenth and twentieth century fiction was simply untrue to women’s experience. Rather than search for the essentially feminine, critics now turned to the social context of women’s writing, to the ways a male-orientated society had formed or deformed individual novels, plays and poems written by women. Adventure and romance, whoever written for, seemed to stress the male competitive element, and even the submissive partner of gay literature only imitated the female stereotype. Not all agreed, of course. Norman Mailer’s The Prisoner of Sex: disliked the blanket criticism of Kate Millet’s Sexual Politics, arguing its examples were too selective chosen. Gynesis Nonetheless, by the early eighties, feminists had advanced to a much more confrontational attack on male hegemony, advocating a complete overthrow of the biased (male) canon of literature. French feminists argued that women should write with a greater consciousness of their bodies, which would create a more honest and appropriate style of openness, fragmentation and non-linearity. Parallel studies in the visual arts stressed a feminine sensibility of soft fluid colours, an emphasis on the personal and decorative, and on forms that evoked the female genitalia. And the problem lay deeper still, in the language itself. Words had been coined to express a male point of view, and that was indeed misogynist. Some 220 words exist in English for the sexually promiscuous woman, but only 22 for promiscuous men. And in the sexual matters that really concerned them, the vocabulary was hopelessly restricted. Discourse was power, said Foucault, and psychoanalysts likeLacan and Kristeva stressed the liberating role that literature should play, particularly to allow the semiotic flux of the unconscious in early childhood, i. e. before the symbolic world of public discourse imposed its male-favouring rules. Poets worked on the boundaries of the two realms, and Kristeva urged them to engender political and feminist revolutions by dissolving the conventions of normal discourse. Gender Theory Five years later the debate had moved on, from exclusively feminine concerns to the wider issues of gender in social and cultural contexts. Patriarchy and capitalism should be examined more closely, perhaps as Althusser had attempted, and sophisticated models built to integrate the larger web of economics, education, division of labour, biological constraints and cultural assumptions. Michele Barrett demanded facts, research. How does gender stereotyping arise in various social contexts? How are the canons of literary excellence actually established? What is the practical effect on literature? Shouldn’t we remember that attitudes are struck within a fictional framework, and can’t be simply pulled out and convicted by a kangaroo court of feminist morals? Critique Literature will often reflect the cultural assumptions and attitudes of its period, and that of course includes attitudes towards women: their status, their roles, their expectations. But a literature doctored of male-orientated views would be failing in its first requirement, to present a realistic or convincing picture of the world. Moralizing, which includes political correctness, has its dangers. Feminists have argued for positive discrimination as the only way to correct centuries of bias. Nonetheless, the consensus emerging among black Americans is that positive discrimination is counter-productive. Disadvantaged minorities desperately need the odds levelled, but not patronizingly tilted in their favour. Psychoanalysis has little scientific standing, and Lacanian theory is further disputed within the psychoanalytical community itself. Feminism does itself few favours by relying on these supports. A more damaging criticism is the concept of the feminine itself. Does it really exist? There are very real differences in the psychological make-up between the sexes, but testing also indicates what anthropologists have long accepted: the expression of those differences is more determined by cultural factors than sexuality per se. Feminists who argue for a more understanding, fluid, and delicate attitude are not so much advocating qualities native to women but for attitudes still repressed by society. That in turn suggests society itself needs exploring rather than sex differences per se, which is indeed a view more recognized in contemporary feminist studies. Feminist Literature Feminist literature, as the name suggests, is based on the principles of feminism, and refers to any literary work that centers around the struggle of a woman for equality, and to be accepted as a human being, before being cast into a gender stereotype. Not all these works follow a direct approach towards this goal of equality. It is only through such media that women believed a change was possible in the way they were perceived in society. Not all feminist literature has been written by women, but also by men who understood women beyond the roles they were expected to fit into, and delved into their psyche to understand their needs and desires. Some works may be fictional, while others may be non fictional. Here, we take a look into the characteristics of feminist literature, and give you a list of some of the many works of feminist literature, that make for a good read if you truly desire to learn extensively about this form of writing and what it stood for. Characteristics of Feminist Literature Feminist literature is identified by the many characteristics of the feminist movement. This will help you understand exactly what is feminist literature. Authors of feminist literature are known to understand and explain the difference between sex and gender. They believe that though a person’s sex is predetermined and natural, it is the gender that has been created by society, along with a particular perception about gender roles. Gender roles, they believe, can be altered over time. The predominance of one gender over the other, is a common concept across almost all societies, and the fact that it is not in favor of women is an underlying, yet blatant, characteristic of feminist or women’s literature. Here, it is argued that any society that does not provide channels of learning and knowledge to both genders equally is not a complete and impartial society. Critics argue that there wasn’t much difference between male and female authors, and that there was no need to identify a separate class of literature termed as feminist or look for traces of feminism in literature. However, if you read any such work, you will realize how such writers criticized society’s andocentric (male-centered) approach, and tried to understand the beliefs and needs of the opposite sex with a subjective, and not an objective, approach. Take for example Jane Austen’s Pride and Prejudice. The protagonist, Elizabeth Bennett was a woman of her mind. Despite the societal pressure (put on her by her mother) to choose a partner, and to lead a life that was decided for all women, she decided to choose her own path towards what she wanted. And none of this was blatantly approached. She did not put an outward fight, in order to choose her life course. The entire piece of work is subtle, and the only clear characteristic of the protagonist you will notice is her assertiveness. And that is one clear characteristic of the feminist approach toward literature. Women in literature of the feminist nature are always featured as the protagonist, who, more often than not, do not readily accept the traditional role of women as decided by society. They are ready to make their own decisions, to express this choice of personal decision-making, and are ready to deal with the consequences of these choices, actions, and decisions. Though a daughter, a mother, a sister, or a wife, any piece of feminist literature first deals with a woman as a woman. It is not these relationships, roles, or stereotypes that give these female characters in literature their identity. Their identity is defined by their choices and their beliefs which are then associated with these roles. It is important to note, that, not all works of feminist literature have happy endings, both for the character, and for the author of the work. Women have been ostracized by society for openly demanding equality, and have had to face several negative consequences of their decision to go against the waves. Not only feminist literature, women have been treated as important subjects even in many literary works by men. For instance, Henrik Ibsen, a Norwegian author and playwright, often focused on women, women’s issues, their troubles faced by society, and the decisions they made based on their personal values and beliefs. If you take a look at the play called ‘A Doll’s House’, by this very same author, you will clearly notice the strength and character of the protagonist. Not all, but some pieces of feminist literature (particularly non-fiction) showcase and stress on women’s suffrage and a demand for equality in society, for political, social, and economic rights. In modern feminist literature, the attack on a male-dominated society became more forthright and straightforward, where women demanded a closer look into the patriarchal and capitalistic approach towards feminism.

Earth-Like Planet Discovered essays

Earth-Like Planet Discovered essays Earth-Like Planet Discovered 50 Light Years Away European astronomers have discovered a planet less than 50 light years away. This planet has come to be known as a sort of super Earth. It takes only ten Earth days to orbit its sun (much like our own) and the surface of the planet is scorched by the close proximity to the sun. The discovery of this planet has lead us to discover two more planets in that solar system made much like our own. Many astronomers not connected to the finding of this planet have begun to make statements of the great data that it has brought to not only them but to the world itself. This is the first planet close to the relative size of Earth found orbiting a live star. It is 14 times the size (close to that of Uranus) but is still rocky. Much controversy over the issue of the physical make-up of the planet is being discussed by astronomers world-wide. While the full reaches of life are unknown, life as we know it could not exist on a planet this close to a star. The discovery of super Earth really does fascinate me. With the possibility of other rocky planets out there it seems as though it is very possible for another intelligent species of creature to exist somewhere in the universe if not our own galaxy. If not intelligent then at least living creatures on a planet other than Earth would stir some extreme amounts of push for science and math to be taught in the United States again. We lost the edge of education in these two areas when we beat the Russians to the moon. If we were to discover another planet that was harboring life we would begin to race to see who could study them better and faster. The composition of the planet would want to be found as well. Any planet that can harbor life in whatever conditions would be very helpful to look at and understand much better. There is possibility of the human race becoming to large for the planet it is on. In such a case i ...

Supreme court documents essays

Supreme court documents essays United States v. Butler ( 1933 ) This Court case belongs in the Freedom of Speech category. This case is about a person named Butler who wanted to declare the Agricultural Adjustment Act unconstitutional. This is because of the fact that the government back in the 1920s did not do much for the farmers. The Agricultural Adjustment Act was that farmers were being taxed and that tax would go to other farmers to reimburse them to not to grow food. The reason it was brought to court was because Butler refused to pay the tax and the Supreme Court agreed with Butler. The law was then passed legally that farmers taxes would go into a general fund and from the fund would go to other farmers to not to grow food. This court case belongs to the Freedom of Speech category. Eugene Dennis was a communist party leader in the U.S. This case states that Dennis was arrested for violating the Smith Act. The Smith Act prohibits arguing in any manner to overthrow the government of the U.S. Dennis stated that the Smith Act violated his first amendment right to Free Speech. The Supreme Court Found that the Smith act did not violate Denniss Freedom of speech. Even though Free Speech is a guaranteed right it is not unlimited. This right can be overthrown if it prevents danger to the national security of the U.S. This court case belongs to the Freedom of Speech category. This case is about 14 people Arrested for violating the Smiths Act by being members of the communist party in California. The people argued that theyre Freedom of Speech right was taken away from them. The Supreme Court stated that in order for the Smiths Act to be violated people must actively be involved in something rather than just believing in something. The Supreme Court came to a conclusion that the Smith Act did not prohibit "advocacy of forcible overthrow of the government as an abstract doctrine." This court case belongs to the Freed...

Older staff often come with more life experience and a willingness to Essay

Older staff often come with more life experience and a willingness to work - Essay Example â€Å"If employers don’t act soon, they will fail to win the war for talent, as older adults will be relied upon as one of the most important sources of talent for the future workforce (Jan 2007). The global survey, which included 28,000 employers across 25 countries and territories, found employers in the UK are far ahead of their international counterparts, with higher percentage of respondents, respectively, working proactively to retain their older employees. But in Italy and Spain, only 6% have such strategies in place. In 19 of the 25 countries, retention strategies were more predominant than recruiting strategies for older workers. This may be because many of these countries have government legislation or programs in place to encourage employers to retain older workers (Paula 2007). The aim of this topic is to understand and learn more on the recruitment of old employees and the strategies used. We also review the benefits and challenges associated with having an older workforce in companies. We also discuss aging population and recommend what action organizations should take to ensure they have a ready supply of labor in the future. We are also going to review why age diversity pensions are decreasing in value and on the other people are becoming more likely to still have financial obligations such as mortgages or student support, later in life. We are also going to go through what employers will need to consider how they can best become an employer of choice for older workers and how they can retain older workers in an increasingly competitive market place.     For some organizations this will mean a significant culture change.   Consider that 25-34 is the current favorite recruitment age of employers and The Employers Forum on Age has estimated that ag eism costs the United Kingdom economy over  £26bn each year.   This article  will help you to explore the issues that affect your capacity to be an age positive employer and

Drug profile Essay Example | Topics and Well Written Essays - 2000 words

Drug profile - Essay Example Indications: - bronchial asthma (RACGP, 2006; Lullman et al., 2000), - bronchitis (RACGP, 2006) - exercise-related dyspnea (RACGP, 2006) - other breathing problems (RACGP, 2006). - pre-term labour (Morgan et al., 1987). According to the Medical Reference Manual by Adult Retrieval Victoria (2011), Salbutamol (5-10 mg or 8 puffs 10-15 minutely) is one of the standard therapies for refractory asthma. Continuous nebulised Salbutamol is also used for maximum pre-intubation therapy. As well, the Queensland Ambulance Service (2011) lists approved emergency indications as bronchospasm and suspected hyperkalaemia with QRS widening and/or AV dissociation (Medical Director’s Office 2011 p. 69) for adult and paediatric administration (p. 70). Contraindications against paramedic use of salbutamol have been reported to include potential synergism with other sympathomimietics. It should also be used with caution in patients with diabetes, hyperthyroidism, and cerebrovascular disease (Albuter ol 1999, p. 1). List of drug-drug interactions with Salbutamol (Albuterol 2011) Medicine name Strength Atomotexine – may cause CVS effects such as tachycardia and hypertension case reports Digitalis – hypokalemia induced by salbutamol may cause cardiac glycoside toxicity Mechanism already elucidated Diuretics – hypokalemia Steroids – hyperglycemia or hypokalemia Sympathomimetics – additive effects Theophylline – additive effects Xanthine derivatives –hypokalemia Bendrofluazide – augments hypokalemia, cardiac effects, arrhythmia Signal Transduction Mechanisms for ?2 Receptors Figure 1.The messenger system starting with the activation of receptor, which stimulates the G-protein to dissociate into its subunits. The ?-subunit then activates the enzyme converting ATP to cAMP. Figure from Guyton, A. C. and Hall, J. E. 2006. Textbook of Medical Physiology. Philadelphia: Elsevier. Salbutamol is an agonist of the beta 2 adrenergic recep tors found on the smooth muscle lining airways of the lungs (Lullman, 2000). The intracellular components of the receptor are associated with G protein. In turn, G protein has three sub units (alpha sub unit, plus tightly associated beta, and gamma sub units). Upon binding of salbutamol to ?2 receptor, the latter activates the G protein, causing GDP (guanosine 5'-diphosphate) associated with the G protein to be phosphorylated to GTP (guanosine 5'- triphosphate), which initiates detachment of alpha subunit. The alpha subunit binds with adenylyl cyclase, which catalyses the conversion of ATP to cAMP (adenosine 5'-triphosphate to adenosine 3',5'-monophosphate) (Guyton and Hall, 2006). cAMP then inhibits myosin light chain kinase which is responsible for the contraction and hence constriction of bronchial smooth muscle (Klabunde, 2008). The inhibition of myosin light chain kinase promotes the physical relaxation and hence dilation of the smooth muscle lining of the affected airways whic h improves the potential for improved respiration which is key to addressing several pulmonary disorders Evidence of Clinical Effectiveness Despite being the most used ?2-agonist, research on the clinical effectiveness of Salbutamol had contradicting results. In a randomized control trial on salbutamol against preterm labor, 100 women, ages 17-32 years old and between 20-37 weeks pregnant, were recruited.