Tuesday, August 25, 2020

Clinical Teaching Strategies Assignment Example | Topics and Well Written Essays - 250 words

Clinical Teaching Strategies - Assignment Example The clinical personnel even has to think about the set technique that the employee needs to follow if there should be an occurrence of a crisis and they should be educated about the mechanical prerequisites related with their position. 2. So as to seek after the situation of nursing clinical staff an officeholder should be an authorized enlisted attendant of the state in which they are rehearsing and they even need to have a base two years of rehearsing experience as a clinical (Duke School of Nursing, 2011). Other than a permit to rehearse the officeholder ought to at the base have a Bachelors’ of Science in nursing which is multi year long program and is basic as it helps understudies in getting ready for a vocation in the field of nursing and even help them in increasing further training in a similar field. Higher inclination is given by nursing instructive establishments to those officeholders who have achieved Masters’ of Science in

Saturday, August 22, 2020

Contract Law Problem Question Essay Example | Topics and Well Written Essays - 2500 words

Agreement Law Problem Question - Essay Example As indicated by Beatson and Anson, contract law is characterized as the part of law that guarantees lawful official of the guarantee between two gatherings and causes them to satisfy it. While French Civil Code characterizes contract law as show and understanding in which one gathering or a few gatherings tie themselves to fill a particular need or to control from a few. In this way, all things considered what contract law follow is that there lie an obligation on the two gatherings in an agreement to execute their commitments. A definitive assessment of both the meanings of English Law and French Law affirms some fundamental highlights of the legally binding relationship and that is the exhibition of the agreement. Authoritative execution is sole rule of agreement law which must be kept and satisfied at any expense. This rule of agreement law is the foundation of the entire legally binding relationship2. For the most part the agreement law is characterized as an understanding that m akes commitment enforceable by law. This commitment depends on the shared acknowledgment, thought, legitimateness and ability to perform. In this procedure of similarity, satisfaction and official, there may emerge number of issues if in the event that agreement isn't actualized appropriately or on the off chance that one gathering rejects to perform as per the commitments. A huge number of agreements are settled upon and marked on the planet consistently and the majority of them are not acted in their full embodiment as per the terms3. While huge numbers of them are settled by dealings and conversations yet there comes cases under which threats are not that simple to determine penetrate of agreement casually. In such manner law gives healing measures to give equity to troubled gathering. These cures help distressed gathering to either recoup execution dependent on the agreement or guarantee arrangement of some pay for the harm brought about by the break of agreement. Some potential cures eminent for penetrate of

Saturday, August 8, 2020

Eating Disorders and Hypothalamic Amenorrhea

Eating Disorders and Hypothalamic Amenorrhea Eating Disorders Symptoms Print Eating Disorders and Hypothalamic Amenorrhea By Lauren Muhlheim, PsyD, CEDS facebook twitter linkedin Lauren Muhlheim, PsyD, is a certified eating disorders expert and clinical psychologist who provides cognitive behavioral psychotherapy. Learn about our editorial policy Lauren Muhlheim, PsyD, CEDS Medically reviewed by Medically reviewed by Anita Sadaty, MD on June 22, 2019 facebook linkedin Anita Sadaty, MD, is a board-certified obstetrician-gynecologist at North Shore University Hospital and founder of Redefining Health Medical. Learn about our Medical Review Board Anita Sadaty, MD Updated on February 13, 2020 Emilija Manevska/ Getty Images More in Eating Disorders Symptoms Treatment Diagnosis Awareness and Prevention In This Article Table of Contents Expand What Is Hypothalamic Amenorrhea? Contributing Factors Prevalence Medical Consequences Treatment View All Back To Top Hypothalamic Amenorrhea is a commonly occurring medical condition in women of childbearing age with eating disorders. The body enters survival mode, periods stop, and women will not be able to reproduce. Learn more about what causes it, the consequences, and how it is treated. What Is Hypothalamic Amenorrhea? When an eating disorder is present, the most common cause of missing a period is hypothalamic amenorrhea (HA). The hypothalamus is an area of the brain that plays a central role in maintaining the balance of body systems. It receives input from throughout the body in the form of hormones and chemicals; it responds by secreting hormones that affect other organs including those involved in reproduction. When the hypothalamus receives a signal that something in the body is off-kilter and needs addressing, it rebalances the body by releasing hormones into the bloodstream. Sometimes, when things go wrong in the body, the hypothalamus can’t restore balance; such is the case with hypothalamic amenorrhea. An energy deficit occurs when a person eats too little compared with the energy they expend. A chronic energy deficit causes body mechanisms to conserve fuel for critical body processes. Less vital body functions are put on hold. This includes reproduction, which can actually be hazardous to survivalâ€"when energy is insufficient, energy and metabolic functions suppress the release of ovarian hormones by the hypothalamus.   A diagnosis of HA is only made after other causes of amenorrhea are ruled out. However, in the case of an eating disorder, HA is a likely cause, even when weight is not extremely low. Contributing Factors The contributing factors to hypothalamic amenorrhea include energy imbalance, food restriction, weight loss, exercise, stress, and genetics. Each person expresses these factors differently, and each factor contributes in varying degrees to the development of HA. Let’s look at each in turn. Energy Balance According to Nicola Rinaldiâ€"a biologist who both experienced and ran an online forum for women who had HAâ€"and colleagues, “In the vast majority of cases, the primary driver is an energy deficit from undereating and overexercising regardless of body size.” Our bodies need fuel in order to function optimally.   Food Restriction Restricting the range of food eaten can contribute to the development of HA. Low-fat diets are a common culprit â€" our bodies need fat to function optimally. Weight Loss Low weight and body fat percentage, as well as a history of prior weight loss, can be contributing factors. It is important to point out that some women lose their period at higher weights than others. Each person’s body appears to have a different weight at which it will function optimallyâ€"it is reasonable to believe that as with anything else in the natural world, people’s bodies naturally come in different sizes and shapes. Having lost a significant amount of weight (10 pounds or more)â€"even years in the pastâ€"increases the risk for HA.   A common misconception is that one needs to be extremely emaciated to lose one’s period. This has been shown to be untrue: in a study of 286 women with HA, the body mass index (BMI) at which they lost their period ranged from 15 to 25, with a median of 19.   Exercise Exercise contributes to HA by burning energy and leaving less available for body functions and also by increasing stress hormones including cortisol.     Stress Chronic stress can lead to increased production of cortisol. High levels of cortisol also appear to stop the hypothalamus from releasing reproductive hormones.   Genetics There is genetic variability in the various factors that determine the sensitivity of our reproductive systems to energy deficits and stress. This explains why some people can continue to menstruate at relatively low weights, while others will lose their period at a much higher weight.   Why Do Some People Get Eating Disorders? Prevalence It is estimated that HA affects approximately 1.62 million women between the ages of 18 and 44 in the United States and 17.4 million women worldwide.   The presence of secondary amenorrhea (defined as the cessation of regular menses for three months or the cessation of irregular menses for six months) used to be a diagnostic criterion for anorexia nervosa but was removed in the latest update of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). While the prevalence of amenorrhea is high among adolescent and premenopausal women with anorexia, it has been removed as a criterion for multiple reasons. First, the predisposition to hormone dysregulation is variableâ€"some women with very low weights continue to menstruate. Second, this criterion is simply not useful across the broader spectrum of those susceptible to anorexia, including men and females who are premenarchal, post-menopausal, or taking birth control pills.   Medical Consequences HA results in estrogen deficiency and the cessation of the menstrual cycle in young premenopausal women. This, in turn, has significant effects on the body’s cardiac, skeletal, psychological, and reproductive system. These effects can mimic menopause and all the physical and psychological changes that it works on the body. Short term consequences of amenorrhea include low estrogen and the accompanying hair thinning or loss, brittle nails, skin problems, low libido, and vagina dryness. One difficulty is that many women with HA, due to lack of bothersome symptoms, often feel quite well. Thus, they may be reticent to seek treatment. Longer-term consequences include higher cardiovascular disease risk and threatened bone health. Low estrogen suppresses bone production, which can lead to bone loss, osteopenia (loss of bone calcium), and increased risk of fractures. Amenorrhea can cause bone loss in as little as six months. HA is also implicated in increasing depression and anxiety. HA can cause an absence of ovulation and infertility during a woman’s peak reproductive years.   Treatment The goal of treatment for HA is to reestablish a regular ovulatory menstrual cycle. Appropriate weight gain appears to be the most important predictor of menstrual resumption. Typically, all the contributing factors must be addressed: energy imbalance, food variety, excessive exercise, low weight, and stress.   Birth Control Pills Are Not Recommended Many women with HA who present to a medical provider are prescribed birth control pills. This is unfortunate. While this is an estrogen replacement that will provide a fake bleed, it does not solve the underlying problem or help the resumption of normal natural hormone activity. The underlying HA still needs to be addressed and birth control pills may only mask the problem.   Furthermore, if you are already on birth control pills, be aware that the artificial period you get from birth control pills does not provide an accurate indicator of your health. You won’t be able to tell whether you’d menstruate on your own and whether HA is an issue for you until you go off them. “If you’re getting your period only because you are on birth control pills, it doesn’t count,” (Rinaldi, 2019, p. 12). Studies have shown that birth control pills do not help prevent further bone loss. Therefore, birth control pills should not be used as a treatment for HA.   What to Do It should go without saying that if your HA accompanies an eating disorder, you should be getting help from a professional. Working with a therapist, dietitian, and medical doctor experienced with eating disorders can help you recover from HA. Eating disorder treatment will likely include the goals of eating more, exercising less, and learning to manage stress better. If you believe you are recovered from your eating disorder, but your period has not yet resumed, you are encouraged to follow the recommendations below. Some women may think they are recovered, but still have more work to do in terms of increasing weight or food flexibility.   Eat More Recovery requires eating enoughâ€"not only to adequately fuel current energy needs but to also to make up for the history of under-fueling. For most women with HA, recovery requires eating at least 2500 kcal per day. Eating a greater variety of foods, from all macronutrient groups including fats and starches, seems to stimulate more hormone production. Full-fat dairy is particularly good for stimulating ovulation.   You may not want to gain weight, thinking that you already feel healthy. However, if you are not menstruating due to HA, your body disagrees with you. Try gaining 5 pounds and see what happens. You may be pleasantly surprised to see your cycles resume. Although healthy body weights vary greatly, most women with HA need to obtain a BMI of 22 to 23 or even higher to resume menses. Exercise Less Recovery is also facilitated by eliminating intense exercise. Faster recovery is associated with cutting exercise entirely. Slower recovery is achieved when exercise is reduced in intensity or duration or both. Running seems to be the exercise that makes it hardest to regain natural menstrual cycles.   Excessive Exercise: Could It Be a Symptom of an Eating Disorder? Stress Management Research shows that reducing stress can help with recovering from HA. However, you might be managing your anxiety in ways that can contribute to HAâ€"strenuous exercise or restrictive eating to deal with body image. Learning other coping skills such as relaxation, mindfulness, distress tolerance, and sedentary joyful activities can help complete the recovery puzzle.   How Long Will It Take? The length of time it takes to resume regular menses varies based on factors such as rate of weight gain, exercise level, stress level, age, and genetics. One study found no correlation between the length of time a period had been missing and the length of time to recovery.   One survey of women with HA tracked how long it took for women to regain their cycle after making lifestyle changes and found that success rates increased over time: After three months: 24 percentAfter four months: 34 percentAfter six months: 57 percent A Word From Verywell If you’ve lost your period, you may think there’s no reason to be concerned with your health. However, the absence of regular cycles is not normal. You are encouraged to see a medical professional and ask about the possibility of a diagnosis of hypothalamic amenorrhea. You can reduce irreversible damage to your bones by seeking help and following the lifestyle change suggestions above. If you are on birth control pills and don’t know if you’d still menstruate without them, you are encouraged to speak to your treatment providers about whether you are truly at a healthy weight.   Eating Disorders Can Prevent You From Getting Your Period

Saturday, May 23, 2020

Future Forms for English Learners

There are a number of future forms in English, just as there are different forms for the past and present. Lets take a look at examples of the four different forms: Simple Future, Future Continuous, Future Perfect, and Future Perfect Continuous used to speak in English about the future. Peter will be at work tomorrow. - Future SimpleShes going to travel to Hong Kong next month.- Future with Going toJennifer will have finished the report by ten tomorrow. - Future PerfectDoug will be enjoying a good book at this time next week.- Future ContinuousI will have been working for six hours by the time I finish this. - Future Perfect Continuous The following article takes a look at each of these forms, as well as some variations in future tense usage with clear examples to help explain the use of each. Listed below are examples, uses, and formation of Future Forms. Uses of the Future With Will The future with will is used for a number of situations: 1. Used for Predictions It will snow tomorrow.She wont win the election. 2. Used for Scheduled Events The concert will begin at 8 oclock.When will the train leave? Used for scheduled events 3. Used for Promises Will you marry me?Ill help you with your homework after class 4. Used for Offers Ill make you a sandwich.Theyll help you if you want. 5.  Used  in Combination with Time Clauses  (as soon as, when, before, after) He will telephone as soon as he arrives.Will you visit me when you come next week? Uses of the Future With Going To 1. Used for Plans   The future with going to is used to express planned events or intentions. These events or intentions are decided on  before  the moment of speaking. Frank is going to study Medicine.Where are they going to stay when they come?She isnt going to buy the new house afterall. Note: Going to or -ing are often both correct for planed events. Going to should be used for distant future intentions (example: Hes going to study Law) 2. Used for Future Predictions Based on Physical Evidence. Oh no! Look at those clouds. Its going to rain.Be careful! Youre going to drop those dishes! Use of Future Continuous Use the future continuous to speak about what will be happening at a specific time in the future. She will be sleeping at 11:30.Tom will be having a good time this time tomorrow. Use of Future Perfect Use the future perfect to speak about what will have been finished by a time in the future. I will have finished the book by tomorrow.Angela will have fond a new job by the end of the year. Use of the Future Perfect Continuous Use the future perfect continuous to speak about how long something will have been happening up to a point of time in the future. They will have been studying for five hours by six oclock.Mary will have been playing golf for five hours by the time she finishes. Uses of Present Continuous for the Future Its also possible to use the present continuous for planned or personally scheduled events. Usually used with principle verbs such as: come, go, begin, start, finish, have, etc. Note: Going to or -ing are often both correct for planned events. Going to should be used for distant future intentions (example: Hes going to study Law) Hes coming tomorrow afternoon.What are we having for dinner?Im not seeing the doctor until Friday. Common future time expressions include: next (week, month, year), tomorrow, in Xs time (amount of time, i.e. two weeks time), in year, time clauses (when, as soon as, before, after) simple present (example: I will telephone as soon as I arrive) soon, later.

Tuesday, May 12, 2020

Becoming A Helper Reflection On Self Awareness And...

Becoming a Helper: A Reflection on Self Awareness and Cultural Competence In early elementary school, I would go into people’s desks, break their pencils, and then find a glue stick and tape, put them back together, and put them back in their desk. Now, you must be thinking, what kind of horrible child does something so intentionally mean? However, that’s the thing. My intentions were always good because I was trying to help people. I wasn’t thinking â€Å"oh I want to break their pencils,† but rather â€Å"I want to fix their pencils, but they need to be broken in order for me to do so.† The Helping Trait Since I was three years old, I’ve known I wanted to help people. In fact, I’ve always had my heart set on being a doctor. It wasn’t until two years ago that I realized nursing was actually right for me. When people ask me why, I often struggle how to put it into words, but deep down I believe it is because nursing is a profession that focuses less on the science behind the disease, and more about the science of caring. The nurses are the ones who are always there next to the patient’s bedside, providing comfort, love, and compassion. A nurse knows their patients inside and out. Especially when it comes to children, nurses know what the patient’s favorite toy is, or what their favorite popsicle flavor is. Nurses have huge hearts. They prioritize everyone else’s happiness and needs above their own. They are truly angels in human form. Nurses give a piece of themselves to theirShow MoreRelatedThe Belief Systems That May Have An Impact On The The rapeutic Process2147 Words   |  9 Pagessystems in case scenarios – reflective writing I am submitting a paper on counsellors’ belief systems that may have an impact on the therapeutic process. 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The EYFS CD-ROM contains all of the written documents inRead MoreSantrock Edpsych Ch0218723 Words   |  75 Pagesbecome more self-sufficient, develop school-readiness skills (such as learning to follow instructions and identify letters), and spend many hours with peers. Grade 1 typically marks the end of early childhood. Middle and late childhood (sometimes called the â€Å"elementary-school years†) extends from about 6 to 11 years of age. Children master the fundamental skills of reading, writing, and math at this time. 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Wednesday, May 6, 2020

Organizational Development Discussion Questions Free Essays

Week Five Discussion Questions Deep-level abilities are closely related to job performance. As a manager, how could you use the knowledge that people differ to increase the likelihood an employee will perform his or her job well? What challenges does this pose when managing a diverse workforce? * As a supervisor it is my job to make a peaceful and productive atmosphere. I have many different types of employees that differ from age, knowledge, race and gender. We will write a custom essay sample on Organizational Development: Discussion Questions or any similar topic only for you Order Now Not all of my employees get along with each other but they each hold their own abilities and skills. I fit the abilities together where they are needed and match the best I can as if their personalities are like Legos. It is a constant tug of war as it never fits exactly. * Employees often see change as threatening. What are some of the sources of resistance to change, and what can you as a manager do to overcome that resistance? * There are numerous reasons why employees resist change. 1. Loss of Job is thought of, Bad communication occurs normally (You may not get the entire story / Rumors occur); fear of the unknown; Lack of Competence; and poor timing. What role does diversity play in managing change? What are some possible strategies for managing diversity? What influence does diversity training have on organizations? * Diversity is a range of different things or a variety. I would believe that diversity and change would walk hand hand. You can manage diversity through the hiring process and repeated education. The influence in education is a positive and will convey the message if only the education is enforced during normal business. Does the type of change being planned affect the strategy for managing the change? Explain and provide an example. * Change should always have a well-planned strategy before implementing. You should also monitor the situation so you can help employees adapt. If you walk into the office and just throw out changes without having proper answers How to cite Organizational Development: Discussion Questions, Essay examples Organizational Development Discussion Questions Free Essays Week Five Discussion Questions Deep-level abilities are closely related to job performance. As a manager, how could you use the knowledge that people differ to increase the likelihood an employee will perform his or her job well? What challenges does this pose when managing a diverse workforce? * As a supervisor it is my job to make a peaceful and productive atmosphere. I have many different types of employees that differ from age, knowledge, race and gender. We will write a custom essay sample on Organizational Development: Discussion Questions or any similar topic only for you Order Now Not all of my employees get along with each other but they each hold their own abilities and skills. I fit the abilities together where they are needed and match the best I can as if their personalities are like Legos. It is a constant tug of war as it never fits exactly. * Employees often see change as threatening. What are some of the sources of resistance to change, and what can you as a manager do to overcome that resistance? * There are numerous reasons why employees resist change. 1. Loss of Job is thought of, Bad communication occurs normally (You may not get the entire story / Rumors occur); fear of the unknown; Lack of Competence; and poor timing. What role does diversity play in managing change? What are some possible strategies for managing diversity? What influence does diversity training have on organizations? * Diversity is a range of different things or a variety. I would believe that diversity and change would walk hand hand. You can manage diversity through the hiring process and repeated education. Socratic Seminar Questions The influence in education is a positive and will convey the message if only the education is enforced during normal business. Does the type of change being planned affect the strategy for managing the change? Explain and provide an example. * Change should always have a well-planned strategy before implementing. You should also monitor the situation so you can help employees adapt. If you walk into the office and just throw out changes without having proper answers How to cite Organizational Development: Discussion Questions, Papers

Saturday, May 2, 2020

Reflection Thinking for Social Innovation

Question: Discuss about the Reflection Thinking for Social Innovation. Answer: Introduction: Considering the incorporation of the ICT projects, the functions of the implementers, developers and designers could not be overlooked. Since long, I am also interested in knowing the basic technicalities involved in designing websites, how the content is developed, how the designers create platforms without any technical drawbacks and so on. Hence, I have selected this post in order to understand the consequences ICT application within the society and obtain an insight on the role of the ICT implementers, developers and designers. The post illustrates how negligence of the developers could give rise to severe concerns like unpredicted effects of the content, hacking of information, which in turn brings security issues to the organizations and increase vulnerability, simultaneously, demonstrates how the developers work together to accomplish their set goals. It is mentioned in the post that the content developers are not responsible for channelling to the anticipated audience rather they focus on developing content. Alternatively, the ICT infrastructure providers are responsible for channelling to respective audience. By clarifying the roles and responsibilities, the post clearly inform the readers about the respective job roles of the ICT developers, implementers and designers (Wang and Woo, 2007). According to my personal opinion, illustration with relevant examples has increased the quality of the selected post. A prominent example in this context would be the website, named My School, which has provided a p latform to compare the students academic aptitudes based on the exams. It was also demonstrated that designed program may fail to setup effective security features due to internal conflicts of the developers, designers and implementers considering their job roles. Since making the posts, my expanded view would be that developers, implementers and designers need to work collaboratively to each other to avoid severe security concerns and establish firm, user-friendly application based systems. In the era of rapid globalization, innovation plays a major role, irrespective of the nature of the business. According to Tim, a renowned speaker of the TED conference, designers need to think big that informs a hidden message to his audience. Businesses are into tremendous competition in order to provide good quality services and products to attract more number of customers that in turn necessitates constant innovation. The present piece of writing includes opinions on design thinking, compare designing approaches at the end of the 20th century, which attracts me the most to select the post for reflection. To summarize, it could be stated that organizations cannot continue to exist without active workforce, which can implement and design the relevant projects and simultaneously, should inspire other professionals to innovate. Brown and Wyatt (2015) in this context have mentioned that creative designers should have the capacity to apprehend market demands. Collaborative working ensures that more responsibilities are accomplished. While talking about inspiring others, it indicates the need to have and develop leadership qualities within oneself. Considering a human aspect, it could be mentioned that people face loads of challenges in everyday life and difficulties are seen as opportunities, especially by the designers, who could apply their leadership skill, innovate and develop the proper solution to complicated issues. Innovation in technology includes economic parameters. Innovativeness in design thinking introduces new ways to point out the available hindrances. Effective and strateg ical dealing of which could explore new opportunities in the field of economy and technology that in turn create tools to introduce changes. According to my personal view considering the post would be that alterations come together with innovative choices that create a center of attention for the designers to develop new ideas and extend their views on those ideas. Transforming design by understanding problems and practices within organizations is a matter of concern that attracts me to a greater extent. As per my understanding from the post, it could be revealed that the success of transformation design involves developing an insight on the present practice methods and create innovative approaches to the encountered issues, which could be done by developing brainstorming and prototyping on selected matters. An attractive solution would be capacity to maintain more engagement with the customers that basically boost the understanding by the designers (Sangiorgi 2011). Searching for more innovation in transformative design would be another effective approach that promotes necessary business related processes in order to obtain desirable outcomes. In order to do this and to reduce risks, organizations need to develop prototypes and assess the usefulness of those designs. Failure is the part of it, but the designers should not give up and be active with constant monitoring of the conditions that would fetch more success. Designers need to embrace innovative approaches in order to go beyo nd traditional methods, as adoption to the newly made changes could develop physiological and practical hindrances. Service delivery could be a practical challenge if the designers fail to communicate the process in a proper way (Singh et al. 2007). It is evident that customers are more into receiving particular and relevant solution of their problems compare to general solutions and providing those solutions by the organizations is a major challenge in the present era. The organizations, which could accomplish this effectively, are preferred majorly by the customers, which could be another strategy of attracting more number of prospective customers. Based on my personal opinion, I must say that customers choice could vary based on their culture, however, designers need to consider such factors and develop products that would best fit the customers preferences. References Brown, T. and Wyatt, J., 2015. Design thinking for social innovation.Annual Review of Policy Design,3(1), pp.1-10. Sangiorgi, D., 2011. Transformative services and transformation design.International Journal of Design,5(2). Singh, V., Walther, B., Krager, J., Putnam, N., Koraishy, B., Wood, K.L. and Jensen, D., 2007, January. Design for transformation: Theory, method and application. InASME 2007 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference(pp. 447-459). American Society of Mechanical Engineers. Wang, Q. and Woo, H.L., 2007. Systematic planning for ICT integration in topic learning.Educational technology society,10(1), pp.148-156.