Wednesday, October 30, 2019

Vietnam war Research Paper Example | Topics and Well Written Essays - 500 words

Vietnam war - Research Paper Example It occupied northwest section of South Vietnam which was considered demilitarized and guard point to Ho Chi Minh Trail. This means that Khe Sanh was targeted by General Giap who was the North Vietnam army leader as the United States marine also held it as of great importance in managing the war. The North Vietnam were close to victory against US when On February 25th, one patrol lost 9 dead, 25 wounded and 19 missing in action. President Johnson officially withdrew US troops on 5th July with significant challenge to convince the world that they had defeated the North Vietnam (Rottman and Duncan 72-4). There are critical factors that Historians need to capture when investigating this war. This is as a result of the conflicting historical findings from different researchers. The facts and figures presented on the number of casualties especially the United States marine shows significant inconsistency with what actually happened. This is because united States were making attempts to satisfy the conscience of the people that it won. On the other hand, it was evident that the overwhelming tactical pressure and sustained combat by the North Vietnam Army forced them to own up (Rottman and Duncan 112-7). It is therefore important for the historians to carry out in-depth investigation on the total personnel deployed by the United States and the number that were eliminated or maimed for life. This would help give a true picture of the loss United States incurred in the entirety of war. Economic consequences United States suffered as it sustained the war at its overall overhaul of foreign p olicy change should be the standpoint of how devastated it was after the War (Prados and Ray 75). The epitome of the bloody war requires narration of an observer or participant for which one young soldier as presented in The Things They Carried, by Tim OBrien gives a better

Monday, October 28, 2019

Acute Care Nurse Practitioner Interview Nursing Essay Example for Free

Acute Care Nurse Practitioner Interview Nursing Essay The Advanced Practice Nurse (APN) I interviewed is FS; she is an Acute Care Nurse Practitioner (ACNP) with the department of Urology at Saint Louis University Hospital (SLUH) and has been licensed and board certified since 2010. FS graduated in 2005 from Goldfarb School of nursing in Saint Louis earning her bachelor of science (BSN) and then took an intensive care staff position with Missouri Baptist hospital for two years. With two years of experience she felt she needed to continue her education in nursing and enrolled in a Saint Louis University (SLU) ACNP program. She realized after the first year that trying to work full time and take classes was too much for her, so she decided to quit her job to focus full time on her studies. Her first position as an ACNP was with the trauma department step down floor at SLUH in 2011. This position was advertised in newsprint and after sending in her resume she was contacted to for an interview in person. My first interaction with FS was last fall when I was teaching Advance Trauma Care for Nurses as she was one of the students that I recognized from the trauma department. We struck up a conversation and I basically did a mini interview then and she since has given me contacts for preceptors this summer. Last week I notified her regarding this interview and she informed me to meet her at noon in her office where we discussed questions listed according to the description of assignment for a total of 30 minutes. Personal history including education FS received a Bachelor of Science degree from Georgetown University in Economics and International Business. When working out a problem or learning a new skill she likes to get the general picture and start gradually focusing in on specifics similar to deductive theory. She knew she wanted to work in a hospital setting, from there to a surgical floor, and now she has focused in on Urology. She learned the Urology department at SLUH wanted to bring in two or three APN’s on service to round and be first assistants in the operating room through networking with other APN’s in the hospital. When she interviewed for the position she had a great working relationship with that service already. They knew she was punctual along with having familiarity with documentation system. She basically had been marketing herself before she even knew it by having a proactive relationship with consults. Description of current practice FS does not currently have a formal job description since her position is new and she is the first APN to fill this newly developed role with this service. Other than being told she would round on patients in the hospital, write orders, discharge patients, and first assist in the operating room she has no formal written description. When she applied for her position she was informed it would be a lateral move with no increase in pay or benefits. FS arrives to the hospital at 0600 similar to an intern or second year resident. Every morning she receives report from night float of any new patients or issues to existing patients who have been admitted. Information is gathered on labs and radiology films that have been completed and she uses this information when her first patient assessment is completed early that morning. The fellow or senior resident will round on each patient to discuss labs, radiology, and patient assessments. From this a plan is developed what needs to be done that day to move forward before the attending rounds with the team to discuss the same items. From this point she may go to the operating room to first assist if it is her patient or write new orders on the other patients assigned to their service. If she happens to be first assistant she will follow the patient back to their room and write post operation orders. Her role is very similar to a second year surgery resident duties. Description of APN functions using the APN core competencies. Working in an inner metropolitan city hospital that has many ethnicities has been challenging. She has had to learn certain customs, body posture, and position can have either a positive or negative impact in perception from the patient with regard to attitude of care they are receiving. She has learned from staff of the same ethnicity or watched family and friends interact with one another on proper cultural customs. The first of two main core competencies FS uses is clinical and professional leadership with fellow APN’s and physicians discussing assessments and plan of care. The second of two core competencies is consultation with other services and the nursing staff in consideration to patient care and goals (Cooke, Gemmill, Grant, 2008). APN’s have additional competencies but these are the two main descriptions FS uses daily. FS has worked through many challenges as an APN the last few years. Some of the minor issues have been the acceptance from other services that do not have APN’s. Over time other services have become accustomed to consults from APN’s by her demonstrating knowledge, professionalism, and kindness. The biggest challenge she has faced is an overabundance additional patient work load since the department will no longer have residents this year. She has the attending’s blessing to hire more APN’s and they will take on more direct patient care. Issues confronting the APN in current practice FS reports there are no real issues she faces at present other than just continue to work on suturing skills in the operating room. She stays current in Urology by attending grand rounds along with reading and presenting journal articles. She also has the luxury of having a fellow who has been a great source of knowledge. Perceived impact on APN role pursuant to current healthcare developments, changes, and national recommendations. It is my personal belief APN’s will be one of the fastest growing professions in the coming years when the Affordable Health Care Act takes place. It appears that many physicians will probably be in specialized services along with the APN. In addition, APN’s will be the majority of primary care in the future as more individuals will seek wellness physicals and the baby boom generation is nearing 70 years of age.

Friday, October 25, 2019

Malcolm X :: essays research papers

Malcolm X   Ã‚  Ã‚  Ã‚  Ã‚  In the U.S there have been a lot of people who’ve had political influence in our government, and the person that interested me the most was Malcolm X. Malcolm X was a African American civil rights leader who fought so African Americans could get the same rights like everyone else. Malcolm X was born on May 19, 1925 in Omaha, Nebraska. Before, his name was Malcolm Little, but later changed it to Malcolm X when he joined the Nation of Islam. Like many political leaders, Malcolm X had his own method of how he thought was the right action to use to get his objective. To accomplish the goal of desegregation and equality of black people, â€Å"he believed that black people should get their rights by any means necessary†# He criticized nonviolence and opposed those who favored or used it. Malcolm X went throughout the North and the South making speeches about his ideas and what he thought was right, and he encouraged all black people to fight for their righ ts and protection. As he became more popular and well known by everyone, he influenced people by giving black people the courage to stand up for themselves and fight back, made a lot of them join him with his ideas, and criticized the government for all the bad things it was doing.   Ã‚  Ã‚  Ã‚  Ã‚  In his speeches, Malcolm X spoke about fighting back against those who were hurting them or were in the way. One way that he enlightened them was, â€Å"Malcolm made blacks feel good about themselves†¦he allowed them to have self-esteem and convinced them they had power.†# In order for all black people to fight back and demand their rights, they had to have high self-esteem and make them feel they had power in order for them to put up a good fight and give them motivation to fight, and he did this through his speeches. He also made them fight against white people by â€Å"exposing the white man for the devil he was.†# By making white people look bad, it would make more black people to want to fight for their rights and use violence if they were threatened. All this was part of his method of â€Å"any means necessary.†   Ã‚  Ã‚  Ã‚  Ã‚  Another way he had political influence was, he convinced and made a lot of people to join him and his ideas as to accomplish their goals. One way he convinced people was by â€Å"preaching about his beliefs from the Nation of Islam and why they where the right ideas.

Thursday, October 24, 2019

Outline and Evaluate the Psychodynamic Model of Abnormality

Outline and evaluate the psychodynamic model of abnormality. (12 Marks) The psychodynamic model (which is based on Freud’s theories) states that abnormalities are results of a conflict which has gone wrong in the â€Å"psyche† (in the mind). Freud’s idea states that the psyche – which is made up of the (id, ego and superego), should all work in perfect harmony with each other to avoid being an abnormal person.It is the idea that conscious thoughts and feelings are determined by the unconscious mind, and essentially being mentally healthy requires a good balance between: the id (which controls the desires for which we live for in order to satisfy ourselves), the superego (which takes into consideration morals and the difference between right and wrong) and the ego (which balances the superego and id to keep our behaviour in check).From these 3 components in the psyche, you can quickly see that the id and superego are constantly in conflict. This ultimately means that for a person to not develop a psychological disorder – a strong ego is necessary as it will â€Å"get the best of both worlds† and create a balance, while allowing the superego and id to express themselves (when suitable), without dominating the personality and hence, causing a psychological disorder.An example of an abnormality which could occur from the id being too strong in kids (is developing conduct disorders). In adults (they become psychopaths), all because of the personality being taken over by the id. If the superego is too strong socially acceptable pleasures will be hard to come by as neurotic behaviours such as phobias and obsessions will be apparent, as they will be constantly fixated with things that they want to do but â€Å"cant† because their too scared.Freud thought that the childhood of an individual was essential in the development of personality and that all abnormal behaviours are linked to childhood. There are different ages as sociated with different stages. An example of this is the oral stage which usually happens between (0-18 months) – the focus of pleasure is the mouth (feeding or dummy) and if this is fixated upon, this could lead to overeating or smoking in order to comfort themselves and their mouth. Another example is the anal stage (2-4 years).A conflict may arise when potty training as if the child receives either excessive punishment or the parents are too lenient during this stage it can lead to a fixation which will be taken to adult life. The end result could either be a person who has an anal retentive personality (stubborn perfectionist obsessed with tidiness) or an anal repulsive personality (messy person with no self-control), according to Freud. The evaluation of Freud’s model is that many detailed pieces of data were obtained as it was a case study.The findings did support Freud’s hypotheses and theories. However Freud’s ideas were very subjective as not mu ch – if any scientific data was produced to back his work up. This therefore raises question marks over the reliability of his findings and theories. Also the evidence from the case study came from his own patients who could compel us to think that his results are unreliable, as his patients may have been biased and essentially gave the answers Freud wanted, because they were his patients.

Wednesday, October 23, 2019

How criminals have adapted to technology Essay

Technology has made our world increasingly open and vulnerable (Goodman, 2012). As companies develop amazing technology for good purposes, criminals can use that same technology to hurt people. It is a bad assumption to believe that crime-stopping technology cannot be used against the system. Lawbreakers can develop and use technology for the sole purpose of committing crimes and new technologies produce the risks of unanticipated, undesirable risks and consequences (Cole, Smith, & DeJong, 2014). There are so many different types of new technology that criminals use and that the system uses. Criminals use cyber-crime to break into people’s accounts, and counterfeiting to steal from companies, just to name a couple. Police use computers a lot for their work. New programs, like the Geographic Information System, are useful for mapping problem locations to deal with specific crime. All kinds of information can be collected in law enforcement databases: fingerprints, tattoos, DNA samples, and gun/ballistic records. I think the biggest threat to society from their adaptation is the fact that personal information is so open to the public now. Criminals have grown with the technology and know how to get credit card numbers, addresses, and so much that is very dangerous for them to have and abuse. Reference Cole, G., Smith, C., & DeJong, C. (2014). Criminal justice in america (7th ed.). Belmont, CA: Wadsworth. Goodman, M. (2012). How technology makes us vulnerable. CNN Opinion. Retrieved from http://www.cnn.com/2012/07/29/opinion/goodman-ted-crime/.