Sunday, August 25, 2019

Hamza Yusuf Essay Example | Topics and Well Written Essays - 1000 words - 1

Hamza Yusuf - Essay Example Yusuf often acts as a guest speaker at events coordinated by different subdivisions of the Muslim Students Association of the US and Canada. Together with Haten Bazian and Zaid Shakir, Yusuf is a co-founder of the Zaytuna College located in Berkeley, California. The college was established in 1996 and is dedicated to reviving traditional methods of study, especially with regard to the sciences of Islam (Ghazali 2011, 65). Yusuf is also a signatory of A Common Word Between Us and You, which is an open letter written by Islamic scholars addressed to Christian leaders, speaking to the need for peace and understanding. Yusuf has adopted a stance against all religious rationalizations for terrorist attacks. After 9/11, he typified the actions of the attackers as acts of mass homicide. Yusuf strongly condemns terrorist attacks arguing that Islamic is exploited as an innocent victim (Ghazali 2011, 115). Yusuf has authored an array of books and pamphlets, which seek to educate Muslims on pro per and ethical conduct. Thought Yusuf is renowned for a number of original thoughts, which are aimed at assisting Muslim lead fruitful lives devoid of evil deeds. One of his most notable thoughts is that of dunya. Yusuf typifies dunya as the illusory nature of the world; it consists of aspects that delude people into thinking that they are permanent fixtures in the world. Dunya also compels Muslims to think that they can transgress since they believe they are independent from Allah. In essence, Yusuf considers dunya as the element that takes Muslims away from the akhira (the after life), thus exemplifying Satan’s game. Satan’s game, according to Yusuf (2008, 69) is aimed purposely at detracting people away from the akhira through shaytan, which means to obstruct or make distant from the akhira. Therefore, Yusuf (Yusuf and Shakir 2007, 128) believes that dunya makes Muslims feel that dunya is nearer than the akhira. Islam argues that dunya is distant and equates it to attempting to reach for grapes that are beyond one’s grasp. This is the true character of dunya; one can never get it since it always evades people. Through his teachings, Yusuf seeks to teach Muslims that dunya is unimportant. He in turn demonstrates the importance of the akhira, which is the essence of all Islamic messages. Therefore, he argues that, in all their actions, Muslims must endeavor to head away from dunya and further towards the akhira. In order to delineate the true nature of dunya, Yusuf contrasts it to normal human actions. Yusuf (2004, 89) argues that seeking food to sustain a healthy body is not considered dunya, neither is earning enough money to meet one’s obligations or spend on halal. In order to justify his stance regarding dunya, Yusuf ponders on the assertions of the Holy Prophet of Islam that if Adam’s son had a single mountain of gold, he would then desire a second mountain. The Prophet argued that the son’s mouth would never b e filled, with the exception of the dust of his private grave. Yusuf takes this teaching to mean that dunya is deceptive since it compels people to desire more earthly possession than they need. Yusuf teaches Muslims to steer clear of the deluder and in turn move towards the akhira. In addition to this, Yusuf teaches that Muslims should avoid the delusion of dunya that it is possible to live both in the past and future. In turn, Yusuf believes that Muslims should always endeavor to live in the present. He argues that

Saturday, August 24, 2019

Core Curriculum Content Standards Essay Example | Topics and Well Written Essays - 500 words

Core Curriculum Content Standards - Essay Example In large part, both the New Jersey curriculum standards and the National Core Curriculum Standards are designed to prepare students for the college environment. Indeed, this is one of the major noted concerns of the establishment of the standards, as it was believed that previously public school systems had not gone far enough in establishing stringent enough instructional methods that consider the importance of college preparation. Another important element that is reflected across both curriculum standards is the importance of combining both content and skill specific knowledge. In both instances, this knowledge is incorporated into the specific curriculum designations. Indeed, it’s noted that, â€Å". The Standards set a rigorous definition of college and career readiness, not by piling topic upon topic, but by demanding that students develop a depth of understanding and ability (‘Myths vs. Facts).† Indeed, it’s clear that the underlining philosophy behi nd the two sets of standards are directly in-line with each other. While the overriding philosophy of the state and national curriculum standards are in-line with each other they differ along a specific line.

Friday, August 23, 2019

Hooters Of America Essay Example | Topics and Well Written Essays - 1750 words

Hooters Of America - Essay Example (Hooters of America, Franchise Disclosure Document, 2010). Therefore, their beginning can be traced back to 1984 with a different name while their functionality under the name of â€Å"Hooters of America† can be traced back to 1989. â€Å"Hooters of America† is mainly concerned with the business of running Hooters Restaurants. However, it has many affiliates, which run different kinds of businesses under the title of â€Å"Hooters† such as Naturally Fresh, Inc., Super Sports Merchandisers, Inc., Super Sports Marketing, Inc., Hooters National Advertising Fund, Inc., Hooters Magazine, Inc., Hooters Racing, Inc., Hooters Sports News, Inc., Hooters Sports Productions, Inc. and National Golf Association, Inc. (Hooters of America, Franchise Disclosure Document, 2010). There are varieties of eatables served at Hooters Restaurants and there are certain unique characteristics that make Hooters Restaurants different from other dining spots. â€Å"Hooters of America† offers franchises for the institutionalization of its restaurants and its services under the name of â€Å"Hooters of America† (Hooters of America, Franchise Disclosure Document, 2010). It is a public traded company. As far as the expanded business of the company is concerned, â€Å"Hooters of America† is a large networked corporation with many affiliates. Their head office is in Georgia. All the affiliates of the company are also located in Georgia (Hooters of America, Franchise Disclosure Document, 2010). The company has license to operate in the whole United States of America and also outside the States. The company provides franchises for restaurants (Hooters of America, Franchise Disclosure Document, 2010). The franchises of â€Å"Hooters of America† are spread in the whole United States due to which, it can be easily stated that the business network of the company is widely expanded. The company,

Thursday, August 22, 2019

Internalization theory best explains CEMEX’s FDI Essay Example for Free

Internalization theory best explains CEMEX’s FDI Essay 1.Which theoretical explanation (or explanations) of FDI best explains CEMEX’s FDI? 1.Internalization theory best explains CEMEX’s FDI because CEMEX entered into many countries and bought domestic cement businesses instead of licensing. CEMEX has a great system and needs to protect it from competitors. 2.What value does CEMEX bring to a host economy? Can you see any potential drawbacks of inward investment by CEMEX in an economy? 1.The value is that CEMEX has a â€Å"Midas touch† that transforms a cement business into a thriving business. This brings great stimulation to the host economy and also helps in the construction field, which in turn helps to build cities and civilization. No, CEMEX would do well to invest inwardly, yet, CEMEX is better at acquisitioning businesses. 3.CEMEX has a strong preference for acquisitions over greenfield ventures as an entry mode. Why? 1.Acquisitions are solid because the business in the host economy already knows the demographics and the market. CEMEX just has to make the business better with little research. A greenfield venture would prove risky and not cost effective. 4.Why do you think CEMEX decided to exit Indonesia after failing to gain majority control of Semen Gresik? Why is majority control so important to CEMEX? 1.A licensing is very dangerous. CEMEX only have a 25% push with Semen Gresik. It did not have full control and the methods of CEMEX would be exposed and vulnerable to be stolen. CEMEX has a great system and does not want anyone interfering. 5.Why do you think politicians in Indonesia tried to block CEMEX’s attempt to gain majority control over Semen Gresik? Do you think Indonesia’s best interests were served by limiting CEMEX’s FDI in the country? 1.Indonesian politicians did not like the possibility of CEMEX taking over the cement market. Their interests were in domestic businesses and protecting the â€Å"purity† of their economy. No, Indonesia would have benefitted greatly if CEMEX was allowed an in. 6.What is CEMEX doing today? Do they still engage in FDI? 1.â€Å"MONTERREY, MEXICO- OCTOBER 8, 2010 – CEMEX (NYSE: CX), announced today that pursuant to the exercise of a put option by Ready Mix USA it will acquire its partner’s interests in the two joint ventures between CEMEX and Ready Mix USA which hav

Wednesday, August 21, 2019

Animals Rights Essay Example for Free

Animals Rights Essay Animal rights are benefits that humans give to animals, including the right of protection from user and abuse by people. Do you agree or disagree? For decades, the question â€Å"Do animals have rights?† has been examined from many different angles. People contend that animals do or do not have rights based on several factors, including whether animals can learn, can use language, are conscious, are able to suffer, and are ethical beings. Whether and which animals have rights depends on which characteristics are considered. For many years, there has been a major debate regarding animal rights. So, what are animal rights? Animal rights is the idea that animals have the same rights as humans, to live free of suffering, are just as important as living individuals, and have the same moral status as humans. Also, as Doris defined animal rights â€Å"The right of animals is to be free of oppression, confinement, use and abuse by humans† (721-725). There are people think that animals need rights to be protected. They think that animals should be treated as humans. Moreover, they believe that animals should be protected from people. On the other hand, there are some other people who think that animals should not be treated as humans. These people believe that they need to use animals to live. In addition, they use them for every aspect of life. Now everyone wonders which group is correct. In my point of view, animals are not even close to being in the same league as humans. True, animals can feel pain and emotion, but that does not give them the rights to freedom that humans have. As Carroll said, â€Å"Scientists claim that the cardinal difference between animals and humans is that humans have a capacity for moral judgments and thought. We are ethical sentient beings whereas animals are only sentient beings.† Humans can consider aspects in making decisions that animals cannot. For example, in deciding whether to shoot a bear that is pregnant or has young cubs in tow, a hunter can consider ethical reasons not to kill it, such as the bear’s responsibility to its cubs. Animals, on the other hand, have no concern to the lives, responsibilities, or feelings of other living things, as is the case when a bear attacks and kills a person whose family is nearby. When was the last time someone wanted to eat or kill his or her children? For humans, that is something unbelievable. On the other hand, animals eat and kill their own children. Mother dogs will kill or push out their young ones if they are sick or cannot keep up with the rest of the bunch. It also happens with fish, birds, cats, rodents, and many other animals. If we were to give animals the same rights as humans we would have to kill or punish the animals if they were to do such acts. It is obvious that animals cannot be responsible as humans so they should not have equal rights as human. Humans need animals to feed themselves. There is huge number of people who are vegetarian but it cannot be compared with the number of people who are not. Some people like vegetarians and philosophers, believe that people should not eat animals because animals have the right to life. In fact, if animals have the right to life then why do animals kill each other for no reasons? Many of us have seen a house cat killing rabbits or rats just to kill them. They would not eat them, just kill them and walk around with the dead animal in their mouth. If you watch some Discovery Channel shows on young animals, especially meat eating animals, the same thing applies. In addition, some animals eat plants as humans do, so do plants have rights too? Plants are live creatures just like humans and animals, so should we prevent animals from eating plants? Of course not because this is the nature of the life of all creatures; humans eat animals and animals eat plants and life continues with this conce pt. Humans have been evolving and will continue to evolve through time. To learn we must experiment and use trial and error. This involves the animal testing issue. This is where it starts getting hard to define the rights of animals. It is true that there are some unnecessary experiments, but the most are important. For example, there are a huge number of women who suffer from breast cancer; through testing on animals, humans are provided two medicines that have saved the lives of women with breast cancer. Another example of diseases which was fixed by testing animals is lung cancer. Lung cancer has been killing more people than breast, colon and pancreatic cancers. Through relying on mouse models of lung cancer and focusing on understanding, preventing, and detecting lung cancer, scientists are developing new therapies for treating this disease. These examples prove that testing animals has significant positive impact on human lives. It prevents human from death by different disease; therefore, when human use animals to find a way to prevent themselves from death there is nothing wrong about it. For instance, when you driving down a road and a small animal crossed it, would you run over it for your own safety or you will out yourself in a dangerous situation to just save that animal. Most people will choose their own safety rather than the animal’s life. This applys on testing animals to save humans lives. In conclusion, it is true that humans should respect animals, but that does not mean that animals have the same rights as humans. When humans kill animals to feed themselves, they should kill them as painlessly as possible so that animals do not suffer as Michael mentioned â€Å"animals do not suffer and that their deaths are swift and painless† (374). Also, although it is correct thought that some animals are treated poorly, animal testing is for the better overall as it saves humans lives. Animals should not be given the rights that humans have because humans can think, judge, and behave, but animals cannot. Work Cited Lin, Doris. â€Å"Protecting Animals Moral Status and Moral Rights.† Animal Rights 9:6 (2008): 721-725. Print. Carroll, Jamuna. â€Å"Gale Cengage.† Do Animals Have Rights? (2004): 209-217. Print. Polloan, Michael. The Norton Reader. London, NY: W.W. Norton Company Inc, 2012. Print.

Tuesday, August 20, 2019

The Roper Logan Tierney Model Nursing Essay

The Roper Logan Tierney Model Nursing Essay The aim of this study is to demonstrate the care management that a nurse can provide to a patient who had Laparotomy and mesh repair of incarcerated incisional hernia. It also shows how the Roper- Logan- Tierney Model was utilized in assessing, planning, implementing, and evaluating patients care. The core of this care study is on infection and wound healing management which was identified as the patients main problem. According to NICE (2008), a minimum of 5 out of 100 surgical patients develop infection and that this covers almost a quarter of all infections acquired in a hospital. The patients name was altered to uphold confidentiality (NMC, 2008). In this study, health and social care policies affecting the patient care were also considered. PATIENT PROFILE Mrs P is a 63 years old lady who was admitted due to symptoms of small bowel obstruction like vomiting, bloating and abdominal pain. She lives with her husband in a privately owned house who also has impaired mobility due to stroke. Mrs P weighs 111 kilograms, 5 feet 7 inches tall and body mass index of 38. Previous medical history includes Chronic Kidney Disease Stage 2 (2008), Congestive Cardiac Failure (2007), leg cellulitis (2006), Essential Hypertension (2005), Primary repair of Incisional Hernia (1992), Type 2 Diabetes(1991), Repair of Umbilical Hernia(1985), Total Abdominal Hysterectomy NEC (1979) and Cholecystectomy (1976). After series of examination, she was found to have incarcerated incisional hernia which was repaired with mesh on the emergency list. Post- operatively, she was admitted to ITU for ventilator support and post-op care. When she was stable, she was transferred in the ward and two weeks post- op she developed infection and her abdominal wound dehisced. Patient has to take several medications while in the hospital to help her recover. She had Augmentin (Co- amoxiclav) 625 mg via oral route three times a day, followed by tazocin (Piperacillin with Tazobactam) 4.5 grams intravenously every 8 hours interval, Fragmin (Dalteparin) 7500 units once at 6 pm, senna (7.5mg) two tablets in the evening, bisoprolol 10 mg once daily, furosemide 20 mg daily orally, ramipril 5mg daily orally, amlodipine 10 mg daily oral, paracetamol 1 gram 4-6 hourly oral, domperidone 10mg three times daily orally, insulin Glargine(Lantus) twice a day SC injection, Novorapid three times daily SC injcetion, and oxycodone hydrochloride (oxynorm) 10 milligrams every 4-6 hours orally when needed. PATHOPHYSIOLOGY The development of an surgical site infection depends on contamination of the wound site at the end of a surgical procedure and specifically relates to the pathogenicity and inoculum of microorganisms present, balanced against the hosts immune response(NICE,2006). Typically, wound infection is caused by migration of patients normal flora to the wound site. Another way of surgical site being contaminated is being in contact with contaminated surgical equipments, environment, and hands of staffs. (NICE, 2006). ASSESSMENT The Roper- Logan-Tierney Model of Nursing based on activities of living was used in planning the care of Mrs P which is a widely used model in practice areas in the UK(Roper et al 2000). Maintaining a safe environment Mrs P was alert and orientated however she is diabetic, hypertensive, uses eye glasses and obese. She has an infected wound that is oozing and painful, poorly healed, dehisced, abdominal wound. She has a urinary catheter in situ which can be a potential site of another infection. Communicating Patient can communicate effectively, her primary language is English, can hear and talk without any aids and difficulties, and very conversant but when it comes to her care she tends to stay quiet and just wait for her turn to be look at. Breathing Patient is at risk of developing chest infection due to decreased mobility and respiratory depression due to oxynorm medication. Patient has a respiratory rate of 15 breaths per minute, oxygen saturation of 98% on air, no shortness of breath noted, no signs of respiratory distress and no complaints of pain during breathing. Eating and Drinking Patient claims to have decreased appetite after operation and risk of poor wound healing since although she is obese, she still needs some important nutrients like protein and vitamins like vitamin A,C, and K. Also patient is scared that when she ate, it will cause more pressure to her abdominal wound. Patient is able to eat and drink independently, no complains of difficulty of swallowing, and she is on normal diet. Eliminating Mrs. P has urinary catheter in situ draining adequate amount of urine at present which made her at risk of further infection. She was continent of faeces and uses bedside commode with assistance of two staffs. Because of the pain on her wound when moving and the need of two staffs to help her get out of bed, she keeps refusing her senna tablet and end up opening her bowel on bed. Personal Cleansing and dressing Nurses are the one irrigating and changing her wound dressing. Mrs P is unable to wash and dress herself independently due to her current state of health. Did not have any shower since admission because of her difficulty in mobilising. Controlling body temperature Although Mrs P got an infection, her temperature during assessment was 36.8 degree Celsius, no sweating noted, skin warm to touch, uses only hospital gown and dressing gown to keep her warm during the day, and uses top sheet and one blanket at night. She has limited mobility which predisposed her to poor blood circulation. Mobilising While on bed, Mrs P can turn on her sides but still with assistance of one staff because of her abdominal wound and shes an obese patient. Patient complains of pain on the surgical site when moving and mobilising. Three days before she was being hoisted from bed to chair and back to bed with assistance of 3 staffs but at this time after referral to physiotherapist, she can transfer to chair with assistance of two staffs and use of a zimmer frame. She was able to stand during the transfer and can make 2-3 steps during transfer. Working and playing Patient worked in an office before but had early retirement due to illness. Enjoys knitting and playing with her grandchildren at home. Although she can still do knitting, she cannot run or look after her grandchildren at home in her situation. Expressing sexuality Mrs P is 63 years old, menopause, and still lives with her husband. Her abdominal wound makes her anxious about her body image. Sleeping Patient says shes not able to sleep well due to environment change, pain and sometimes bowel urgencies. Mrs P takes two glasses of milk before bedtime. Death and Dying Mrs P keeps asking about worst thing that could happen to her regarding her present condition. She is worried for her husband when it happens to her first. Patient does not have a will. IDENTIFICATION OF PATIENTS PROBLEM While in the ward, Mrs P was assessed using the RLT Model based on activities of living. From those activities, all problems identified were related to her infected wound that is not healing normally. She has to stay further in the hospital until her infection is dealt with and that her condition will be manageable by primary care. This is a serious problem that if not attended immediately would cause further injury or problems to Mrs P therefore these problems which are related to each other should be the priority and the focus of her care plan. GOALS After nursing interventions, Mrs P will be able to verbalize feelings regarding her condition and understand the course of treatment being done to her. In three to 7 days, patient will be able to mobilize on her own using her zimmer frame and will be infection free. NURSING CARE PLAN PROBLEMS INTERVENTIONS RATIONALE REFERENCES 1.Wound Infection >Monitored patients vital signs. >Assessed wound site daily and documented. >Maintained aseptic technique when changing dressing and irrigation. >Administered antibiotic as prescribed. >Encouraged patient to eat nutritious food and increase fluid intake >Educated patient about wound infection control and prevention. >Infection is frequently linked with pyrexia >As basis for treatment >To prevent further deterioration in wound >Inhibits growth and kill microorganisms >Enhance immune response >To have an idea on how to manage her surgical wound Rico et al, 2002 Shultz et al, 2003 MEP,2008 Colier, 2004 Dealey,2012 NICE, 2006 2. Poor wound healing >Assessed the wound and its surroundings >Monitored blood glucose regularly >Maintained strict infection control measures >Encouraged patient to eat nutritious food and increase fluid intake >Encouraged diversional activities like knitting and reading papers. >Maintained a moist wound environment but not saturated >Managed exudates to ensure that surrounding skin is protected from leakage. >Referred to tissue viability nurse >To assess healing and as basis for treatment. >Associated with delayed wound healing. * need to expand >To prevent further infection >Poor nutrition increases infection risk. * how does protein, calories affects healing, hydration? Link poor healing with nutrition. >To reduce stress caused by pain on the wound surroundings. >Supports wound healing >Exudates can damage surrounding skin and is ideal for bacterial growth >To give advice on appropriate wound dressing for wound healing by secondary intention. Daugherty and Lister, 2004 Patel, 2008 Pratt et al,2007 Dealey, 2012 Augustine and Maier,2003 Shultz et al,2003 Vowden and Vowden, 2002 NICE, 2006 PART 2 HEALTH AND SOCIAL CARE POLICIES The basic principle of NHS is that good healthcare should be available to all, regardless of wealth(NHS website,2011). In order to maintain it, the NHS is regulated by several policies. DH policies are designed to improve on existing arrangements in health and social care, and turn political vision into actions that should benefit staff, patients and the public (DH 2010b). Mrs Ps information are compiled in a folder and kept in a secure place so that only members of the Multi-disciplinary team responsible for her care will be able to access it. It is the responsibility of healthcare professionals to safeguard their patients information and share it only to appropriate individuals (NMC, 2008). Mrs Ps personal information were handled in accordance with Data Protection Act of 1998. According to Mental Capacity Act of 2005, every adult has the right to make his or her decision and must be assumed to have capacity to make them unless it is proved otherwise. Informed consent was taken from Mrs P before any procedures or treatment was given or done. Doctors, anaesthetists and nurses has the responsibility to explain all tests and procedures being carried out on her and made sure she understood why it is being done or given to her. The consent is not valid when the person did not understand intervention (DH, 2009a). The vital signs of Mrs P were kept monitored and documented using the National Early Warning Score (NEWS)Chart. It is a new observation chart (implemented July, 2012) used in the ward where Mrs P was admitted. RCP (2012) says that this is also used as a surveillance system for all patients in hospitals, tracking their clinical condition, alerting the clinical team to any clinical deterioration and triggering a timely clinical response. Another tool used in Mrs Ps ward is the SBAR Tool. It is a structured method for communicating critical information that requires immediate attention or action(NHS Website, 2008). The patient was also assessed using the Waterlow Pressure Ulcer Risk Assessment Tool and Malnutrition Universal Screening Tool(MUST). In the chart it says there that although the later was incorporated to Waterlow, they should be assessed individually to ensure patient needs are addressed and their care was implemented (Waterlow 1985, Revised 2005). This tool helps nurses and other healthcare professionals in identifying what measures and equipment are needed for the care of the patient. NICE (2006) recommends that all hospital inpatients on admission and all outpatients at their first clinic appointment should be screened (weighed, measured and have Body Mass Index (BMI) calculated). Screening should be repeated weekly for inpatients and when there is clinical concern for outpatients. The abdominal wound of Mrs P was also assessed and documented on the Wound Management Chart implemented by the trust. Mrs Ps surgical team decided to leave her dehisced wound open and heal by second intention. The team looking after her prescribed antibiotic, and twice a day irrigation and dressing of her wound. Mrs P was referred to the Tissue Viability Nurses (TVN) for advice on appropriate dressings to be used on her wound as it was planned to heal by secondary intention (NICE, 2012). Another issue to consider in looking after Mrs P was infection control. The fact that she was already infected does not mean healthcare staffs no longer follow Infection control procedures. Infection control should be strictly manifested in order not to aggravate her situation. Hand hygiene is important especially before touching the patients wound to minimise introduction of pathogens and also after changing wound dressings to prevent self and cross- contamination of patient. The WHO (2006), provided Five Moments as to when healthcare professionals should perform hand hygiene. Use of appropriate Personal Protective Equipments (PPE) should also be worn when irrigating and renewing the surgical wound dressing of Mrs P to prevent spread of infection. Guidelines on how to put on PPE and how to take it off were also produced by WHO(2007). Proper disposal of sharps used by Mrs P like needles used for her antibiotic, insulin, and fragmin injection should also be observed. They should be th rown directly to designated sharp bins as uncapped and still assembled (RCN,2011). OVERALL EVALUATION AND CRITIQUE OF FRAMEWORK The nursing process is an orderly method of designing and providing nursing care which are collecting information and assessing the patient, planning care and defining objectives for nursing care, implementing interventions and evaluating results (Uys Habermann, 2005,p.3). Roper et al(2000,p.124) pointed out that assessment which is considered to be the first phase of the nursing process should be done regularly and not only once. Being this the case, the use of Roper- Logan-Tierney (RLT) Model based on Activities of Living is preferred for Mrs Ps case. It does assess the patient needs wholly and can determine the impact of infection and poor wound healing to her identified twelve activities of living as recognized by the model. Using RLT model, an overview of Mrs Ps health status was created and from it prioritization of her needs is easier. This model enabled healthcare professionals to produce a care plan which is unique or aligned to her needs. The author of this care study find this framework to be an ideal model in assessing patient and useful for healthcare professionals as they do not miss out any aspect of care. Looking at the down side of the model, it is a very long process of assessment and it takes time for a healthcare staff to finish all the twelve areas. The author of this study thinks although it is an ideal one that in a ward where Mrs P was confined, there might be an issue in doing this regularly to all patients. It is a very busy ward and if all patients are assessed regularly using this model, problems on other aspect of nursing process will be left untouched and cause additional work to incoming staffs. CONCLUSIONS AND IMPLICATIONS FOR FUTURE PRACTICE Health and social care policies are indeed very important and has a great impact to the healthcare system. It serves as the basis for the trusts in making their own policies and it guides healthcare professionals to their practice. Nurses practice in accordance with the NMC Code, Standards of conduct, performance and ethics for nurses and midwives and other laws and guidelines provided by the British government and different departments or agencies like the Department of Health, National Institute of Clinical Excellence, World Health Organization, etc. After using the Roper-Logan-Tierney Model The care of Mrs P went smoothly during her stay in the hospital. Her post- operative complications have been managed without any major issues. Since the very start, nurses and other members of the MDT reassured her that personal details and all information regarding her care is treated as confidential and that this could only be shared to appropriate people only on her approval. The MDT members based their interventions on the protocol and policies of the trusts which was based on National policies. Mrs Ps problems were managed by the interventions provided in the hospital and was now discharged and back to her home. Long term goals were also taken into account therefore a proper referral to the district nurse was done before she went home.

Images of Africa in Heart of Darkness and Things Fall Apart Essay

Images of Africa in Heart of Darkness and Things Fall Apart  Ã‚        Ã‚  Ã‚   Joseph Conrad's novel Heart of Darkness portrays an image of Africa that is dark and inhuman.   Not only does he describe the actual, physical continent of Africa as "so hopeless and so dark, so impenetrable to human thought, so pitiless to human weakness" (Conrad 94), as though the continent could neither breed nor support any true human life, but he also manages to depict Africans as though they are not worthy of the respect commonly due to the white man.   At one point the main character, Marlow, describes one of the paths he follows: "Can't say I saw any road or any upkeep, unless the body of a middle-aged negro, with a bullet-hole in the forehead, upon which I absolutely stumbled three miles farther on, may be considered as a permanent improvement" (48).   Conrad's description of Africa and Africans served to misinform the Western world, and went uncontested for many years.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   In 1958 Chinua Achebe published his first and most widely acclaimed novel, Things Fall Apart.   This work-commonly acknowledged as the single most well known African novel in the world-depicts an image of Africa that humanizes both the continent and the people.   Achebe once said, "Reading Heart of Darkness . . . I realized that I was one of those savages jumping up and down on the beach.   Once that kind of enlightenment comes to you, you realize that someone has to write a different story" (Gikandi 8-9); Achebe openly admits that he wrote Things Fall Apart because of the horrible characterization of Africans in many European works, especially Heart of Darkness.   In many ways, Chinua Achebe's Things Fall Apart can be seen as an Afrocentric rebuttal to the Eurocentric depi... ...t of Darkness.    Works Cited Achebe, Chinua.   "An Image of Africa: Racism in Conrad's Heart of Darkness." Heart of Darkness: An Authoritative Text, Backgrounds and Sources, Essays in Criticism.   3rd  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   ed.   Ed. Robert Kimbrough.   New York: W.W. Norton, 1988.   251-262. ---.   Things Fall Apart.   Greenwich: Fawcett Publications, Inc., 1959. Boahen, A. Adu.   African Perspectives on Colonialism.   Baltimore: The Johns Hopkins University Press, 1987. Conrad, Joseph.   Heart of Darkness.   London: Penguin Books, 1989. "Doctrines on Colonialism."   The Government of Tibet in Exile.   3 May 2000. http://www.tibet.com/Humanrights/Unpo/chap2.html>. Gikandi, Simon.   "Chinua Achebe and the Invention of African Literature."   Classics in Context: Things Fall Apart.   Chinua Achebe.   Portsmouth: Heinemann Educational Publishers, 1996    Â