Saturday, December 21, 2019

Implementing A Nutrition Education Component On The Double...

Project design: This project seeks to implement a nutrition education component in the Double Up Food Bucks program at the Oakland County Farmer Market The first step in achieving the goal of increasing the purchase and consumption of SNAP beneficiaries in Oakland County is to increase the participation rates of the DUBF program. A good way to accomplish this is through promotion. Promoting the the DUFB program and what is has to offer will increase awareness and educate participants of the benefits they are able to receive when they shop at the farmers market. Starting two months prior to the beginning of the farmers market season, the community dietitian will have developed numerous promotional advertisements . With the help of an assistant, the advertisements will be sent out and displayed at local businesses, community centers, government agencies and libraries within Oakland County. Promotional marketing types will include newsletters, flyers, brochures, and websites. Each adver tisement material will include information about the farmers market, such as day and time of operation and location of market, as well as information on the DUFB program, the SNAP incentives offered, and benefits of participating. Additionally, the marketing material will promote the opportunity of nutrition education and ability to speak with a RD to answer any questions they may have. Newsletters will be sent out local residents homes, especially those in close proximity of the OaklandShow MoreRelatedDeveloping Management Skills404131 Words   |  1617 PagesCoral Graphics Text Font: 10/12 Weidemann-Book Credits and acknowledgments borrowed from other sources and reproduced, with permission, in this textbook appear on appropriate page within text. Copyright  © 2011, 2007, 2005, 2002, 1998 Pearson Education, Inc., publishing as Prentice Hall, One Lake Street, Upper Saddle River, New Jersey 07458. All rights reserved. Manufactured in the United States of America. This publication is protected by Copyright, and permission should be obtained from the publisher

Thursday, December 12, 2019

Medical Science for Pathogenesis and Diagnosis- myassignmenthelp

Question: Discuss about theMedical Science for Pathogenesis and Diagnosis. Answer: History In the given case study, 52-year-old Emma Smith had a gradual onset of abdominal pain and had been vomiting intermittently and unable to tolerate oral fluids. She is unable to localize the pain and it started in the right lower quadrant in on and off form. The abdomen is rigid, tender on palpation and appeared flushed, diaphoretic. On questioning, her pain scored 9/10 on pain scale, however, there was no pain during her last urination. She was slightly agitated, vomiting and skin appeared warm to touch. Her vital signs included pulse 120 and thready, low blood pressure 90/60, sinus tachycardia with constant pain in the stomach. The above condition may be a case of appendicitis as the pain began in the right lower quadrant of the stomach (Shogilev et al., 2014). Provisional diagnosis Acute appendicitis may be an emergency condition that requires immediate care and management of the condition. The provisional diagnosis is the temporary diagnosis that can be done with the best information available in that situation which further requires confirmation. The emergency care service would help to provide the care during Emmas transfer from home to hospital. The immediate life saving care provided by the first responder would give oxygen administration, automated external defibrillator providing care minimum emergency service, and stabilize her condition before ambulance arrive and assist her to the hospital . In differential diagnosis, appendicitis can be tricky for diagnosis until the typical symptoms are looked for. The main consideration on a priority basis is pain management and checking of vital signs like stomach pain, ultrasound or CT scan) oxygen saturation levels, blood pressure, pulse rate and temperature (Ehrman Favot, 2017). Aetiology The main cause of appendicitis is due to appendiceal lumen that results in obstruction mainly by lymphoid hyperplasia caused by some foreign body or worms. There is inflammation of appendix and this leads to multiplication of bacteria inside the organ and pus formation. The obstruction may lead to bacterial overgrowth, distension, ischemia and abdominal inflammation. There is blocking of appendix by stool or foreign body that causes acute or chronic pain. Concisely, there are two main causes of appendicitis: stomach infection that might have moved to appendix or a hard stool piece may be trapped in appendix and bacteria present in it may have infected the appendix (Bowen, 2015). Epidemiology Appendicitis is one of the most common acute abdominal emergency cases; however, the incidence is low in the population with 6.7% females and 8.6% males. The lifetime risk is 12% among males and 23% among females. This condition occurs in people aged early teens and late 40s. This shows male to female predominance and is a global disease. The prevalence is stabilized in most Western countries and suggests that the incidence is rising rapidly. Among these, Europe has the highest incidence and incidence in Australia is comparable to Western Europe. The annual mortality rate in Australia due to appendicitis has decreased by 42.7%, however, the incidence is escalating that is becoming a major global health issue and burden of disease (Bhangu et al., 2015). Pathophysiology As the signs and symptoms of Emmas health conditions, indicates to the possibility of appendicitis, the pathophysiology of appendix is going to be discussed. Due to the hindrance in the lumen, it becomes a closed loop and becomes completely filled with mucus.This condition leads to intramural and intraluminal pressure and distension. Progression of such condition leads the multiplication of resident bacteria in the appendix. Some of the resident bacteria of appendix are Bacteroids fragilis and Escherichia coli(Flum, 2015).The reason of Emmas vomiting and intolerable pain is the distension of the lumen of the appendix. This condition causes reflex anorexia, vomiting, mild fever, nausea and severe abdominal pain. The pressure of the lumen of appendix keeps on increasing and exceeds the venous pressure leading to the thrombosis of small venules and different capillaries. However, in this condition as well the arterioles remains open and this makes the appendix congested and engorged. Fu rthermore, inflammation in this region leads to serosa of the appendix and leads to parietal peritoneum, leading to the right lower quadrant pain in the abdomen region. Finally, the resident bacteria start forming pus that leak out of the dying walls makes the disease more complicated (Wolfe Hanneman, 2013). Assessment There are several tool to assess appendicitis in patients. As the patient is, complaining about the stable sever pain in her lower right abdomen and her abdomen is rigid, swollen and tender. Hence, ultrasonography will be used to diagnose the cause of paining. Ultrasonography is an easy and effective way for primary diagnosis of the pain and if the process provides negative result, CT scan can be used to diagnose further. Appendixdoes notappear generally in the ultrasonography procedure. However, after the appendix becomes swollen and start paining, the ultrasonography test provides a clear picture of 7 to 9 mm of swollen structure in the lower right quadrant of abdomen. Hence, it is an effective tool to diagnose appendix, if the patient is suffering from the disease (Kim et al., 2012). To detect the possibility of appendicitis, urinary 5-HIAA tests can be performed. The proportion of HIAA in bloodincreases with the onset of the disease and during the necrosis of the appendix becomes low in amount. Hence, from the urinary 5-HIAA test, the level of HIAA in Emmas body can be detected and a clearer picture of disease can be achieved(Kim et al., 2012). Treatment Early treatment of Emma should include drugs to manage her pain and to lower the health consequences due the symptoms. In the possibility of appendix, the patient should be administered to crystalloid therapy. Emma is showing the signs of dehydration and she is unable to take any fluid inside her body hence crystalloid therapy will be effective to deal with her signs of dehydration and septicemia (Lacher et al., 2012). Sheshould be provided with analgesics (parenteral and antiemetic) to comfort her abdominal pain. This will help to calm her condition and her blood pressure will improve (Lacher et al., 2012). Transport Transport of the patient to the hospital was little difficult as she was suffering from severe pain. A team of quick action team accompanied the ward boys in the ambulance to transfer the patient from home to hospital and they carry out their provisional care techniques to calm the patient in the ambulance. References Bhangu, A., Sreide, K., Di Saverio, S., Assarsson, J. H., Drake, F. T. (2015). Acute appendicitis: modern understanding of pathogenesis, diagnosis, and management.The Lancet,386(10000), 1278-1287. Bowen, W. H. (2015).Appendicitis. Cambridge University Press. Ehrman, R. R., Favot, M. J. (2017). Can Abdominal Ultrasonography Be Used to Accurately Diagnose Acute Appendicitis?.Annals of Emergency Medicine,70(4), 583-584. Flum, D. R. (2015). Acute appendicitisappendectomy or the antibiotics first strategy.New England Journal of Medicine,372(20), 1937-1943. Kim, K., Kim, Y. H., Kim, S. Y., Kim, S., Lee, Y. J., Kim, K. P., ... Song, K. J. (2012). Low-dose abdominal CT for evaluating suspected appendicitis.New England Journal of Medicine,366(17), 1596-1605. Lacher, M., Muensterer, O. J., Yannam, G. R., Aprahamian, C. J., Perger, L., Megison, M., ... Harmon, C. M. (2012). Feasibility of single-incision pediatric endosurgery for treatment of appendicitis in 415 children.Journal of Laparoendoscopic Advanced Surgical Techniques,22(6), 604-608. Shogilev, D. J., Duus, N., Odom, S. R., Shapiro, N. I. (2014). Diagnosing appendicitis: evidence-based review of the diagnostic approach in 2014.Western Journal of Emergency Medicine,15(7), 859. Wolfe, J. M., Henneman, P. L. (2013). Acute appendicitis.women,1, 2.

Thursday, December 5, 2019

Personality Psychology and Antwone Essay Sample free essay sample

Antwone Fisher’s ( played by Derek Luke ) narrative is one of hope and religion over hardship. Fisher grows up populating in a Foster place ( the Tates ) where he is beaten. mentally and sexually abused ; he escaped homelessness by fall ining the United States Navy. The film picks up with Antwone as a immature crewman who dreams of being welcomed by a large household to highly monolithic banquet. However. his dream is interrupted with the sound of a gun shooting. Already enduring from diffidence and shame about his yesteryear. he reacts with angry effusions when his self-pride is challenged. Throughout the film. Antwone keeps on acquiring in battles and acquiring sent back to the head-shrinker. Dr. Jerome Davenport ( played by Denzel Washington ) . He easy begins opening up. larning to face the yesteryear that has fostered his long-standing fury. Dr. Davenport becomes Antwone’s replacement male parent figure. the individual who teaches him to drop his restrained bittern ess. and assures him that he has the strength to confront the inhumed injury of his childhood. One battle in peculiar changed his life. One of his fellow shipmates twits him about being a virgin. They fight and so he gets sent back to the Dr. Davenport. The Dr. Davenport so tells Antwone to travel happen a miss to travel on some day of the months with. He finds a miss ( Cheryl ) that he has been friends with for a piece. and asks her on a day of the month. He went on a day of the month and that helped him construct his self-pride. Antwone and the Dr. Davenport have become truly close. Dr. Davenport decides that it would be a good thought for Antwone to put out to happen his existent or biological household. In the terminal Antwone finds his father’s household and his female parent that gave him up at birth while in prison. Everyone learns from everyone else. Antwone’s bravery persuades Washington’s character to have up to his ain injury. What mighty accomplishments Fisher wrought. He conquered everyone who of all time held him back. round him down. and made Dr. Davenport a better physician and hubby. Then Dr. Davenport salutes him. The character Antwone Fisher through the lens of the psychodynamic theory and the societal cognitive theory. both are major constructs in the survey of human personality. Antwone’s narrative demonstrates his psychodynamic personality and his alone character traits. The Psychodynamic Theory is a position that explains personality in footings of witting and unconscious forces. such as unconscious desires and beliefs. The theory offers three basic concepts to understanding personality pathology: ego strength. defence manner and mental representation of ego and others. Social Cognitive theory trades with cognitive. emotional facets and facets of behaviour for understanding behavioural alteration. There are societal and physical environments that can impact a person’s behaviour. The Social Cognitive Theory is concerned with the development of Antwone’s idea processes. it besides looks at how these thought procedures act upon how he understand and interrelate with the universe. The primary elements of the psychodynamic theory and societal cognitive theory will be used to analyse the chief character in the movie Antwone Fisher. The abnormal psychology of the character will be identified. and an analysis through construction. procedure. growing and development and alteration will be explored. Section 1: Fictional character Personality Matrix Theory Major ComponentsStructure Process Growth and Development Psychopathology Change 1. Psychodynamic Psychodynamic Theory Antowne’s behaviour and All his behaviour has a Behavior is motivated by twoOnce the unconscious Psychodynamic theory is a position that focal point on Antwone’s feelings as an grownup cause ground ; his instinctual thrusts: Eros motivations have been explains personality in footings of unconscious procedure as ( including psychological behaviour and feelings are ( the sex thrust A ; life altered he could alter witting and unconscious forces. such asthat is manifested in jobs ) are rooted in strongly affected by inherent aptitude ) and Thanatos ( the for the better. Antwone unconscious desires and beliefs. his present behaviour. his childhood his unconscious motivations. aggressive thrust A ; decease was able to turn to face Dreams of being experiences. Children Treatment of disrespect inherent aptitude ) . Both these drivesand adjust through hi s welcomed by a large ostracized and bullied Already enduring from come from the â€Å"id† . therapy Sessionss. household to highly Antwone. He suffered diffidence and shame Personality is shaped as theAntwone was able to massive banquet. However. physical. mental and about his yesteryear. he drives are modified by recalls the maltreatment and his dream is sexual maltreatment. Later. in reacted with angry different struggles at griefs he suffered interrupted with the his adolescent old ages and a effusions when his different times in childhoodand comes to footings with sound of a gun shooting. reform school. ( a prison self-pride was Antwone’s aggression or his choler and The deficiency of positive for juveniles ) and non challenged. He finds the motivational forces are resentment. A love emotional support and coating high school. strength through released by his contending andinterest. the bravery to fact he managed to keepThe procedure of Antwone’s reding to get the better of disobeying orders. His purpose face the maltreater and all his feelings factors in his life the psychological and is to last self hu nt for his existent or bottled up indoors created valid grounds forphysical maltreatment of his saving by concealing or biological household. He himself. ( abandonment. him to be angry and have childhood that withhold his base on balls. He must besides airt some of misgiving. the maltreatment. a negative behaviour. finally influenced hislearn to command aggressive his aggression into deficiency of love from existent personal growing. inherent aptitude. larning different household ) . linguistic communications and composing verse forms. 2. Social Cognitive Cognitive Theory looks Antwone’s personality is Antwone’s interaction is Antwone’s childhood Cognitions alteration over Social Cognitive theory trades at Antwone as an based upon what his head between his environment upbringing has made him holdtime as a map of with cognitive. emotional facets and single ; behaviour ishas come up or his is mostly determined by his defeat inward therefore ripening and facets of behaviour for understanding chiefly learned world. Using triadic his state of affairss and as he exerts it as aggression experience ( attending behavioral alteration. There are societal and through his observationdynamic and mutual there become alterations in and force. Contending and span. memory. and physical environments that can impact a of other every bit good as interaction of personal his state of affairss and being disobedient. concluding accomplishments ) . person’s behaviour. through interaction factors behavior. and theenvironment this will Probably. learned as a Dating. go on therapy with his environment. environment. Abusive alteration his behaviour. Thissurvival accomplishment with the with head-shrinker and Physical and cognitive controlled environments could other kids picking on hunt for his existent or adversities greatly ( surrogate place. reform merely be achieved if he him in the Foster place. biological household and to impacted the school and the streets ) . was willing to face Antowne’s surrogate parent find that love he is determining of his grownup Antwone is force to a his yesteryear and the contributed to his deficiency of losing from his existent individuality. Populating in a life of inward isolation. flas hbacks that haunt self control. Not being in afamily. Antwone must further place where he isThese factors created him. stable environment. But at believe that he has the beaten. mentally and valid grounds for him to the same clip he had self accomplishments and abilities sexually abused and be angry with the universe. control non to go a partnecessary for making this forced to go to of the street ( smoking. in aregardless of his base on balls church. pack. traveling to imprison ) and fortunes. turn his life around for the positive. Mentions Bandura. A. ( 2001 ) . Social cognitive theory: An agentive position. AnnualReview ofPsychology. 52. 1-26. Epstein. S. ( 1994 ) . Intgration of the cognitive and the psychodynamic unconscious. American Psychologist. 49 ( 8 ) . 709-724. doi:10. 1037/0003-66X. 49. 8. 709. Pervin. L. . Cervone. D. . A ; Oliver. J. ( 2005 ) . Therories of personality ( 9th ed. ) Hoboken. New jersey: John Wiley A ; Sons. Inc.

Sunday, November 24, 2019

Do you Think Putting Native Americans on Reservations was a essays

Do you Think Putting Native Americans on Reservations was a essays The Native Americans were the original inhabitants of the what we call today the United States. They were a people who possessed their own distinct culture who lived amongst each other in different tribes based upon their geographical location. They lived in harmony of the land utilizing all of its resources never wasting and always thankful of what the nature had to give them. The discovery of America was the beginning of the end of the Native Americans claim of these lands. With the landing of the first settlers the lands of the Native Americans began to become smaller and smaller. Their population began to diminish due to European diseases and war with the settlers of their lands. This was merely the beginning of the number of hardships that the Native Americans would have to face. As time passed the Native Americans lost more and more until the time came to where they were placed on reservations. Why were the Indians placed on reservations? Was it a good faith effort of the American government to give back to the original settlers of the United States for all that they had lost? Was it to establish some type of assistance in order to get the Native Americans on their feet and help them adapt to the American culture? The answer to all these questions is NO! The American Indians were placed on the reservations simply to get them out of the way of forward growth in the white Americans world. The reservations the Native Americans were placed on were of no value. They were in areas of no real economic growth. The American Indians were placed away and forgotten. Now this brings me to the question that has been asked. This to me is a very hard question to answer because two outlooks can be taken. The first opinion that can be brought forth is the fact that the reservations could have quite possibly saved the Native American culture. The Native American culture was diminishing. It was almost to the point ...

Thursday, November 21, 2019

HRD Needs Analysis Essay Example | Topics and Well Written Essays - 1500 words

HRD Needs Analysis - Essay Example It further identifies the gaps that persist between the employees and the skills that are required in order to adequately perform the current responsibilities (Rouda & Kusy, 1995). Need analysis also attempts at describing the gaps between the existing and needed skills of the concerned employees so that they can complete the assigned tasks comprehensively. It can be stated that the needs can prevail in any of the three levels such as organization, the job/ tasks and the individual. For the purpose of ensuring effectual HRD efforts, it is important to measure the needs at each level (Slideshare, 2012). The organizations are required to assess three types of needs such as organizational analysis, task analysis and person analysis. Strategic analysis recommends the need for training and the circumstances under which it is likely to take place. Task analysis demonstrates what needs to be done in order to perform a specific task and person analysis reveals who is required to be trained a nd what sort of training is needed (Werner & DeSimone, 2012). Diagnosis of Issue It has been noted that RACQ’s reported surplus was majorly affected by factors that were not forecasted to take place in the coming years, specifically the release of preceding years’ Compulsory Third Party (CTP) related exceptional claim provisions along with mutual aids to communities which was influenced by natural disasters in late 2010 as well as early 2011. It was because of the natural disasters that the organization confronted major rise in the operational costs of road services along with its call centers. Reasons for Issue Operating costs rose in the organization after the disaster because of the disruption caused by the devastation of physical infrastructure. Operating costs are the routine costs required to run a business or service provider. Disaster leads to disruption because of the temporary interruptions in water and sanitation, transport services and electricity as well i n the organization. Hence, the company had to invest significantly in order to repair the damages that took place and increase the effectiveness. Along with it, the disruptions in the personal lives as well as businesses had a major influence upon the revenues in areas such as travel as well as driver training during and after the natural disasters. Rise in operational costs because of the natural disaster had adversely affected the profits of the organization and hence hampered its successful operations. It can be mentioned that the issues that has been raised here calls for needs analysis at all the three levels namely strategic analysis, person analysis and task analysis. These issues can be linked with the organizational analysis of need assessment. It is considered to be vital for the organization to focus upon the aspect of contingency planning by reserving sufficient funds so that it can be most effectively utilized when such mishaps takes place. There is also a need of train ing that shall focus upon the effective management of the unforeseen events in the organization (Blackman, 2012). Diagnosis of Issue The other challenge that the organization encounters have been related to the relationship management pertaining to the new members which offers the staffs as well