Analysis of Effectiveness of Two Cushions in the Prevention of Heel Essay

Analysis of Effectiveness of Two Cushions in the Prevention of Heel Pressure Ulcers Study - Essay Example At the beginning of the introduction, the researchers presented the facts as to why conducting a study about heel pressure ulcers was important. It is considered as a common problem in clinical practice and is deemed burdensome on both human and financial terms. The manifestation of heel pressure ulcers affects the patient both physically and mentally, inclusive of the fact that it adds to the expenses in clinical treatment. Thus, the researchers chose to assess two different cushions in terms of effectiveness in preventing heel pressure ulcers (Braden and Blanchard, 2007). The study has also defined what pressure ulcers are, including the means of how it can be prevented. In general, these measures are to reduce the duration or reduce the magnitude of pressure and shearing forces. In that regard, the researchers analyzed that the reduction of the duration of shear and pressure can be carried out through repositioning the patient or through the use of alternating pressure air mattres ses (Heyneman, et. al, 2009). Since both variables can be reduced through the utilization of a tool that would increase the contact surface of the patient with the underlying support surface. The researchers then elaborated on the products with varying pressure reducing capacity in terms of effectiveness. ... This can be done through putting a pillow under the patient's legs so that the heels would be suspended above the mattress. This method is deemed viable as the heel zone would not be subjected to any pressure, and the pressure is distributed accordingly in the lower leg, as supported by the pillow. The study cited five studies they have acquired in PubMed in reference to the pressure reducing qualities of pillows, as well as each of the product's effectiveness in terms of removing heel pressure ulcers. The studies included were from Smith (1984), De Keyser et al. (1994), Tymec et al. (1997), Cheney (1993) and Collins et al. (2002).     Ã‚  

Abolition of African American Slavery Essay Example | Topics and Well Written Essays - 1750 words

Abolition of African American Slavery - Essay Example From this paper it is clear that  the educated and elite blacks deserved equal rights of citizenship since they could contribute to the growth of the country. The blacks also used various political and judicial platforms to advocate and fight for this right of citizenship. Also, the tireless efforts of the blacks and the abolitionists played a key role in structuring and supporting the black freedom.   When the non-violent strategies that were used by the abolitionists failed, those that were enslaved and those that were free considered the use of radical actions.As the report discusses  since 1864, the blacks used the National Black Convention Movement to fight for their right to vote and full representation in the American affairs. One aspect of the history is abolition. In the history of Black Americans, there was the formation of the abolitionist movement. The aim of the group was to allow emancipation of all slaves after racial discrimination and segregation. Advocating fo r immediate emulsification made the difference between moderate antislavery advocates and abolitionists. Abolitions due to race were mainly encouraged by regional favor during second great awakening. This activity prompted many people to advocate for emancipation with the consideration of their religion. The idea on abolishment became prominent in other churches and political beginnings in the start of 1830s. This mainly contributed to the division of the region to the north and south and fueled the occurrence of the cold war.

Coping Mechanism For Stress Management Psychology Essay

Coping Mechanism For Stress Management Psychology Essay Modern life is full of hassles, deadlines, frustrations, and demands. For many people, stress is so commonplace that it has become a way of life. Stress isnt always bad. In small doses, it can help you perform under pressure and motivate you to do your best. But when youre constantly running in emergency mode, your mind and body pay the price. You can protect yourself by recognizing the signs and symptoms of stress and taking steps to reduce its harmful effects. (1, 3) We generally use the word stress when we feel that everything seems to have become too much we are overloaded and wonder whether we really can cope with the pressures placed upon us. (3) Basically, stress is the unconscious preparation to fight or flee with the situation that a person experiences when faced with any demand, triggered by stressors causing strain or distress. So any strain that poses a challenge or a threat to our well-being is a stress.(5) Some stresses get you going and they are good for you without any stress at all many say our lives would be boring and would probably feel pointless. However, when the stresses undermine both our mental and physical health they are bad. (1, 3, 8) Then there are basically three issues: Stress Identification Stress Segregation (among positive and negative stressors) Stress Management Signs and symptoms of stress overload The following table lists some of the common warning signs and symptoms of stress. The more signs and symptoms you notice in yourself, the closer you may be to stress overload. Cognitive Symptoms Memory problems Inability to concentrate Poor judgment Seeing only the negative Anxious or racing thoughts Constant worrying Physical Symptoms Aches and pains Diarrhea or constipation Nausea, dizziness Chest pain, rapid heartbeat Loss of sex drive Frequent colds Coping mechanism for stress management Stress is a fact of everyday life but it all depends on our perception about stressors. We may be motivated and invigorated by the events in our lives, or we may see some as stressful and respond in a manner that may have a negative effect on our health and well-being.(3, 8) So one can think about the positive ways by which one can currently manage and cope with stress in the life.(2, 4) Thus there are two possible way outs from distress or strain one is unhealthy ways and the other is healthier ways to cope up with stress which are as follows:- Unhealthy ways of coping with stress These coping strategies may temporarily reduce stress, but they cause more damage in the long run: Smoking Drinking too much Overeating or under eating Zoning out for hours in front of the TV or computer Withdrawing from friends, family, and activities Using pills or drugs to relax Sleeping too much Procrastinating Filling up every minute of the day to avoid facing problems Taking out your stress on others (lashing out, angry outbursts, physical violence) (5, 7) Healthier ways to manage stress If your methods of coping with stress arent contributing to your greater emotional and physical health, its time to re-think and to find out healthier ones. There are many healthy ways to manage and cope with stress, but they all require change. You can either change the situation or change your reaction. When deciding which option to choose, its helpful to think of the four As: Avoid, Alter, Adapt, or Accept. (6, 8) These four As can be grouped into two categories: Change the situation: Avoid the stressor. Alter the stressor. Change your reaction: Adapt to the stressor. Accept the stressor. 1: Avoid unnecessary stress Not all stress can be avoided, and its not healthy to avoid a situation that needs to be addressed. You may be surprised, however, by the number of stressors in your life that you can eliminate. Learn how to say no Avoid people who stress you out Take control of your environment Avoid hot-button topics Pare down your to-do list 2: Alter the situation If you cant avoid a stressful situation, try to alter it. Figure out what you can do to change things so the problem doesnt present itself in the future. Often, this involves changing the way you communicate and operate in your daily life. Express your feelings instead of bottling them up Be willing to compromise. Be more assertive. Manage your time better.(2,5) 3: Adapt to the stressor If you cant change the stressor, change yourself. You can adapt to stressful situations and regain your sense of control by changing your expectations and attitude. Reframe problems Look at the big picture. Adjust your standards. Focus on the positive. Adjusting Your Attitude 4: Accept the things you cant change Some sources of stress are unavoidable. You cant prevent or change stressors such as the death of a loved one, a serious illness, or a national recession. In such cases, the best way to cope with stress is to accept things as they are. Acceptance may be difficult, but in the long run, its easier than railing against a situation you cant change. Dont try to control the uncontrollable. Look for the upside. Share your feelings. Learn to forgive. There could be two additional stress management strategies which are as follows: 5: Make time for fun and relaxation Beyond a take-charge approach and a positive attitude, you can reduce stress in your life by nurturing yourself. If you regularly make time for fun and relaxation, youll be in a better place to handle lifes stressors when they inevitably come. (7) Healthy ways fun and relaxation Go for a walk. Spend time in nature. Call a good friend. Sweat out tension with a good workout. Write in your journal. Take a long bath. Light scented candles. Savor a warm cup of coffee or tea. Play with a pet. Work in your garden. Get a massage. Curl up with a good book. Listen to music. Watch a comedy. Dont get so caught up in the hustle and bustle of life that you forget to take care of your own needs. Nurturing yourself is a necessity, not a luxury. (4) Set aside relaxation time. Connect with others. Do something you enjoy every day. Keep your sense of humor. 6: Adopt a healthy lifestyle You can increase your resistance to stress by strengthening your physical health. Exercise regularly. Eat a healthy diet. Reduce caffeine and sugar. Avoid alcohol, cigarettes, and drugs. Get enough sleep. If you ask what the single most important key to longevity is, I would have to say it is avoiding worry, stress and tension. And if you didnt ask me, Id still have to say it.- George F. Burns, Beloved American Comedian, 1896-1996.(5, 6, 7) Stress is fact of everyday life so we must learn how to turn stress into bliss. Just by understanding ourselves and our reaction to stress-provoking situations, we can learn to handle stress more effectively. Adopting the right attitude can convert a negative stress into a positive one. Hans Selye, Father of stress,

scarlet letter summary :: essays research papers

ANALYSIS OF PLOT STRUCTURE The Scarlet Letter is a unified, masterfully written novel. It is structured around three crucial scaffold scenes and three major characters that are all related. The story is about Hester Prynne, who is given a scarlet letter to wear as a symbol of her adultery. Her life is closely tied to two men, Roger Chillingworth, her husband, and Arthur Dimmesdale, her minister and the father of her child. Her husband is an old, misshapen man who Hester married while still in Europe. Chillingworth sends her ahead of him to New England, and then does not follow her or correspond with her for two years. Ironically, he shows up on the day that Hester is publicly punished for her sin of adultery. It is the first of the three scaffold scenes. Hester stands alone, clutching her infant. Chillingworth and Dimmesdale stand in the crowd watching her. Chillingworth is incensed over her sinfulness and vows to find out the identity of her partner so that he can have his revenge. is tormented by Chillingworth. As a result, Dimmesdale suffers from failing health as well as from his guilt. He tries to confess and cannot find the courage to do it. He even mounts the scaffold one night and calls Hester and Pearl to his side -- but it is under the cover of darkness. Unfortunately, Chillingworth watches this second scaffold scene in the darkness. He now has his final proof that Dimmesdale is the father of Pearl. His revenge intensifies. Hester realizes what is going on between Dimmesdale and Chillingworth and gains permission from her husband to reveal his true identity to the minister. Dimmesdale is devastated by the news and agrees to flee Boston with Hester and Pearl. He will do anything to escape the hold that Chillingworth has on him. In the end, however, Dimmesdale realizes that he can only be rid of his tormentor by publicly acknowledging his guilt. At the end of the novel, on Election Day, Dimmesdale climbs the scaffold with Hester and Pearl again. This third scaffold scene is in the light of day and before a crowd. With his family at his side, Dimmesdale finally confesses his sin and shows the scarlet "A" on his chest. He then dies peacefully. Hawthorne has perfectly structured The Scarlet Letter around three scaffold scenes. At the first one, located in the very beginning of the novel, Hester openly confesses her sin of adultery in the light of day while Dimmesdale and Chillingworth look on from the crowd that has gathered.

Execute a Training Bond Essay

Knowledge is an immeasurable, unique and rich possession which when impacted cannot be retrieved. Knowledge doesn’t decrease when it is given, in fact, knowledge is power. Knowing I can be financially independent and comfortable if I’m given the opportunity to become part of Access bank and also with the knowledge that a training bond can be regarded as the first step to helping me achieve that, then yes, that is the major reason why I want to execute it. I want to execute the training bond program because the incentives associated with it are universal and include increasing one’s earning potential and acquiring additional skills and abilities that are attractive to any organization. Training and development are important factors that would help me develop talent, motivation, and leadership skills that will contribute to a successful personal and professional career. A training bond is an important factor to the success of any organization. As an employee I would like to be a valuable asset that will add to the success of the company and I want to execute the training bond because I believe it will help me achieve that. A training bond supports and makes possible the development of new skills and knowledge. I want to execute the training bond because I know it will polish my abilities at various levels within the organization and assist me in developing the necessary skills and proficiency to be successful in my career as well as prepare for new responsibilities. I support the reasonable implementation of training bonds or training agreements simply because I agree that companies must secure the recovery of their training investments. When they send people to training and the employees acquire important skills, they naturally increase their market value. Trained workers are far more attractive to competiting firms than regular run off the mill workers and companies who overlook the importance of tend to poach qualified employees from their competitors. The Access bank School of banking excellence is a well recognized training platform on the African continent that provides an extensive program which develops the competencies of prospective employees as well as harnesses their commitment to Access bank. In the process of becoming a bona fide and qualified staff of Access bank, I understand that I would be required to undergo a challenging and rigorous training in order to meet the bank standards, training which is second to none in the African and global banking industry and an experience I am looking forward too.

Recent events have made the patents value of question

Before BUG, Inc. decides to go international the company needs to apply for patents and trademarks to safeguard their corporate image and their product. At the baer minimum, the company needs to apply for an American patent and trademark. Under the guidelines of the Paris Convention of 1870, more than 125 nations worldwide recognize patents that are registered with the World Patent Office in Switzerland (â€Å"International Protection of Intellectual Property† 2007).Recent events have made the patents value of question in some Third World countries as there is an international movement to allow developing nations an exemption from world patent laws, but given the the nature of the product and the import regulations of most modernized countries, the patent protection is certainly worth having. Also important is an international trademark for the company logo (U. S. Trademark Law 2007). Establishing a legal claim to the trademark can help the company to establish an internationa l identity associated with both their name and logo.Neither of these protections are particularly expensive and they can prevent the sale of black market goods which infringe on the BUG, Inc. product. They can also make it possible for BUG, Inc. to seek recompense in the event of patent infringement. Establishing the trademark and patent becomes especially important when Steve engages is corporate espionage and relays internal research and development information to BUG, Inc. ’s competitor, WIRETAP.The first thing that BUG needs to take into consideration with regard to the Steve’s actions as an employee of WIRETAP is that he ahs committed a federal crime under the Economic Espionage Case of 1996 (â€Å"Economic espionage†, 2007). That means that if the company can prduce sufficient evidence, Steve could be facing federal charges for his action. Steve could face 10 years in prison and up to $500,000 in fines related to criminal charges of the theft of trade secr ets (Halligan 1996). WIRETAP could face $5 million in fines. (Halligan 1996).Because Walter was not a law enforcement official, it could be argued that his keeping Steve in a locked room for six hours constitutes false imprisonment and he could face criminal charges related to those actions (Best Practice #1, 1999). According to the International Association of Security Professional, the law allows security guards to detain people suspected of a crime long enough to ascertain their identity and to contact the police, not to question them for six hours, depending on the state they are operating in, he could be charged with false imprisonment or kidnapping.(Best Practice #1, 1999). In addition, in most states, his threats of physical violence, though only threats, constitute a verbal assault on Steve and he could be charged with assault as well. (Online Dictionary, 2007) Furthermore, because Walter did this while on the job and used a company facility to do so, BUG, Inc. may face some liability for his actions as well. BUG could argue that Walter was not acting within the scope of his duties, but that is belied by the fact that he took these actions on company time and on company property.(Best Practice #1, 1999). This may mean that because of Walter’s actions, BUG could be facing greater liability than Steve is. When BUG goes online, it is possible that they may be able to acquire the domain name previously purchased by the clearinghouse corporation through a lawsuit arguing that the clearinghouse purchased it with the intention of depriving them from the trademark (Uniform Domain, 1999).There are also provisions for administrative hearings if BUG can demonstrate that the other entity adopted the domain name just in an attempt to deprive them of the name by which they are commonly known (Uniform Domain, 1999). However, it would be imperative as their attorney to explain that the cost of instigating the lawsuit could be large and that they should weigh th e cost of the lawsuit against the cost of simply purchasing the domain name from the current owners. There are provisions for the recovery of fees through the administrative hearing process, but they are not guaranteed to win (Uniform Domain, 1999).BUG should also be aware that as the instigators of an online contract they can determine what circumstances constitute acceptance of the contract and that American courts have held that online contracts are every bit as binding as written contracts (CyberLaw 2007). The company should also determine what their policy is with regards to sale of their product to non-law enforcement personnel and if they intend to distribute exclusively to appropriate law enforcement personnel, how they will verify that the person ordering the supplies is who they claim to be.The corporation should also consider contracting with an outside firm to supply website security to protect their financial transactions from hackers (CyberLaw 2007). At the BUG plant i n Shady Town, BUG liability for the attack on the vendor and employees is mitigated by the fact that there is a community-wide crime spree underway and by the fact that the company has not replaced lights that have been broken or burned out. As an invited guest of the company, the vendor has the right to expect safety as do employees (Killion, 2007).When sued for losses which occurred on their property, Bug’s attorneys can argue that their responsibility to provide a safe environment for employees and clients was undermined by the community-wide crime spree (Killion, 2007) The investigation into Steve’s actions might result in civil RICO proceedings if the company can prove underlying mail, wire or securities fraud (â€Å"Overview† 2007). Without evidence of the underlying crime, there is no way to pursue civilian RICO charges (â€Å"Overview† 2007).Because the company was aware of the potential danger posed by the earlier model and opted not to correct i t in an effort to lower production costs, BUG is liabile for the injuries suffered by Sally. (â€Å"Product Liability† 2007) If the company had been unaware of the injury potential from the model or had discovered it after the model was in mass distribution and had issued a recall, their liability might have been lower. However, the company was aware of the problem and chose not to fix it in an effort to make more money.At that point, a good personal injury lawyer could argue that BUG was negligent and therefore should be forced to pay not only actual damages to Sally, but also punitive damages in the form of an award for pain and suffering. Punitive damages are awarded when the court determines that a company should be punished for their actions; in this case, for knowing that the product was potentially hazardous and doing nothing to end the danger.If the case went to trial, BUG’s attorneys could argue that the newer models of the device were safer and that the respo nsibility for Sally’s injury should be shared by her employer for failing to provide her with the newer model, but this argument does nothing to decrease BUG’s liability. (â€Å"Product Liability† 2007). WORKS CITED â€Å"Best Practice #1: Detaining Shoplifiting Suspects† www. iapsc. org/uploaded_documents/bp1. doc, November 6, 2007. Computer Crimes & Intellectual Property Law† < http://www. usdoj. gov/criminal/cybercrime/iplaws. html> November 6, 2007. â€Å"Cyber Law† http://www. sidley. com/cyberlaw/features/int_juris.asp, November 6, 2007. â€Å"Free Dictionary† http://www. thefreedictionary. com/assault, November 6, 2007. Halligan, R. Mark. â€Å"The Economic Espionage Act of 1996: The Theft of Trade Secrets is Now a Federal Crime† http://my. execpc. com/~mhallign/crime. html November 6, 2007. â€Å"International Protection of Intellectual Property† < http://www. wipo. int/pct/en/treaty/about. htm> November 6, 2007. Killion, Susan Westrick and Katherine Dempski. â€Å"Legal And Ethical Issues† http://books. google. com/books? id=I20ZNJHFRVcC&pg=PA105&lpg=PA105&dq=corporate+liability+for+attack+on+premises&source=web&ots=WTIBrE-gj2&sig=iVtr5bLslUY7wZLeBT1zNzagWRQ