Writing conclusions for essays
Psych Paper Topic For Ethics And Moral Coes
Wednesday, August 26, 2020
Art Essay Example | Topics and Well Written Essays - 500 words - 67
Workmanship - Essay Example The perspective of the visual workmanship contention is to draw out the even auxiliary equalization according to the fair hues utilized for painting. Along these lines, this theoretical arrangement piece is intended to bring out tasteful parity of nature according to the hues that have been utilized through visual sythesis. Shocking impact is a factor to the part of the aesthetic dynamic structure. This is because of the idea that, the hues and lines utilized draw out an electrifying vibe of any space that is a factor of nature. My visual contention depends on the hues that have been utilized, the lines and examples utilized for drawing out the parity as saw of nature. This depends on the hues that have been utilized by the craftsman for this theoretical piece. I utilized example, line, repeating examples and nearness as my compositional understanding of the theoretical because of the accentuation that they bring out on feel bid. The most enticing components incorporate parity acquired even from. This has been upgraded by the parity of utilization of hues. The equalization draws out the vibe of nature whereby, everything is adjusted and corresponding along these lines upgrading nature. The structure consolidated the utilization of line and shading to frame an example. The progressions that are apparent through the structure of dynamic are that, the hues have been controlled to suit tasteful intrigue. The compositional decisions are predominantly founded on shading, line and structure. This is a result of the example that has been brought out through the line and hues utilized. Influential components utilized remember closeness for terms of delicate quality of the artistic creation and authoritative structure. I accept that the example that has risen gives the theoretical artwork an alternate perspective on feel and bid in nature most individualsââ¬â¢ discernment is that, nature ought to consistently have explicit hues
Saturday, August 22, 2020
The History of the Compass and Other Magnetic Innovations
The History of the Compass and Other Magnetic Innovations A compass is an instrument containing an unreservedly suspended attractive component that shows the course of the level segment of Earths attractive field at the purpose of perception. Its been utilized to assist individuals with exploring for a long time. Situated in a similar piece of the open creative mind as sextants and telescopes, its really been being used for significantly longer than the ocean journeys that found North America. The utilization of attraction in creations doesnt stop there, however; its found in everything from broadcast communications hardware and engines to the evolved way of life. Revelation Huge stores of attractive oxides were found in the locale of Magnesia in Asia Minor a large number of years back; their area prompted the mineral accepting theâ name of magnetite (Fe3O4), which was nicknamed lodestone. In 1600,à William Gilbert distributed De Magnete, a paper on attraction that subtleties the utilization and properties of magnetite. Ferrites, or attractive oxides, are stones that draw in iron and different metals. These are characteristic magnets and are not innovations. Be that as it may, the machines that we make with magnets are creations. Attractive Compass The attractive compass is actuallyâ an old Chinese development, presumably first made in China during the Qin administration (221ââ¬206 B.C.). In those days, the Chinese utilized lodestones (which adjust themselves in a north-south course) to develop fortune-telling sheets. Inevitably, somebody saw that the lodestones were better at bringing up genuine bearings, which prompted the making of the primary compasses. The most punctual compasses were structured on a square piece that had markings for the cardinal focuses and the star groupings. The pointing needle was a spoon-formed lodestone gadget with a handle that would consistently point south. Later on, polarized needles were utilized as heading pointers rather than the spoon-molded lodestones. These showed up in the eighth century A.D.- again in China-and somewhere in the range of 850 and 1050. Compasses as Navigational Aids In the eleventh century, compasses use as navigational gadgets on ships appeared to have gotten normal. The polarized needle compasses utilized in route could be wet (in water), dry (on a sharp shaft), or suspended (on silk string) and were utilized by explorers, for example, those dealers who made a trip to the Middle East, and were utilized by early guides to find the attractive North Pole or post star. Electromagnetism In 1819,à Hans Christian Oerstedâ reported that when anâ electric currentâ in a wire was applied to a magneticâ compassâ needle, the magnet was influenced. This is calledâ electromagnetism. In 1825, British innovator William Sturgeon (1783ââ¬1850) showed the intensity of the electromagnet by lifting nine pounds with a seven-ounce bit of iron wrapped with wires through which the current of a solitary cell battery was sent. This gadget established the framework for enormous scaleâ electronic interchanges, as it prompted the innovation of the message. It likewise brought about the development of the electric motor.â Dairy animals Magnets U.S. patent #3,005,458 is theâ first patentâ issued for a dairy animals magnet. It was given to Louis Paul Longo, the designer of the Magnetrol Magnet, for the anticipation of equipment sickness in dairy animals. On the off chance that cows happen to expend scrap bits of metal, for example, nails, when theyre taking care of, the outside articles can make inside harm their stomach related tract. Dairy animals magnets keep the metal pieces kept to the bovines first stomach, as opposed to going to the later stomachs or digestion tracts, where the sections can cause the most harm.
Tuesday, August 18, 2020
Newly Admitted International Students I-20 FAQs
Newly Admitted International Students I-20 FAQs Congratulations on your admission to the University of Illinois at Urbana-Champaign! You may be wondering about the next steps in your journey. Today, I am covering the Form I-20 by answering some frequently asked questions. What is an I-20 and who needs it? Admitted students who are not citizens or permanent residents of the U.S. seeking F-1 (Student) Visa status must obtain a UIUC Form I-20 (Certificate of Eligibility for Non-Immigrant F-1 Student Status) and apply for an F-1 Visa at a U.S. Embassy or Consulate before traveling to the U.S. to begin their degree program. When do I start with the I-20 process? You will start as soon as you accept your admission offer. Remember that the deadline for accepting your offer is May 1. Afterwards, you must complete and submit the online I-20 application to begin the process. What are the estimated expenses provided on the Form I-20? New F-1 students are required to show an estimate of acceptable funds to cover expenses for the length of one year of their program. For Fall 2018, the minimum estimated funds should be $62,800. What is considered acceptable financial verification? Acceptable financial verification can be a bank letter or statement that is issued and signed by a bank official in English or, if not in English, accompanied by an official English translation. For more information on acceptable financial documents, click here. Who issues my I-20? A Designated School Official (DSO) within the Office of Undergraduate Admissions at UIUC will issue your I-20. When will you start issuing I-20s? We will begin issuing I-20s for freshmen and transfer students who are starting their studies in the fall on March 1. What do the dates on my I-20 mean? Program Start Date: indicates the Wednesday prior to the âstart of classes.â Program End Date: indicates the last day when you complete your program of study. What is a SEVIS I-90 fee? SEVIS is a U.S. government system that manages data and application processes for F-1 and J-1 nonimmigrants in the United States. If you are beginning a new program in the U.S., you are required to pay a one-time fee before you could obtain an F-1 visa. Each Form I-20 has a SEVIS ID number. All SEVIS ID numbers start with the letter N, and the number is located on the top right corner of the I-20. If you are interested in what an I-20 looks like, click here for a sample. Thatâs all for now! Keep an eye out for a post about international student orientation in the coming weeks. I look forward to answering your questions! Brian Assistant Director, Undergraduate Admissions I'm here to help high school students and their families navigate the college search process. An Illinois alumnus (LAS â02), I had the honor to play football for the Orange and Blue.
Sunday, May 24, 2020
Martin Luther King Jr. Essay - 1862 Words
ââ¬Å"I have a dream that one day my four little children will live in a nation where they will not be judged by the color of their skin but the content of the character,â⬠(Martin Luther King Jr,1963) Martin Luther King Jr. was a smart child and had a good childhood. He learned values from his parents, and Martin Luther King Jr was a man of much wisdom during his time. He was a major contributor to the civil rights movement, and those contributions have profound effect even today. Michael Luther King was Martin Luther King Jrââ¬â¢s name when was born. His parents changed his name to Martin Luther King when he was just a young boy. They changed his name because it was his fathers way of claiming he was his son. He was born on March 15, 1929. Heâ⬠¦show more contentâ⬠¦and Coretta Scott got married. Daddy King (Martin Luther King Sr.) pronounced them a married couple. Although they had the lack of privacy, and long periods of separation, they managed to keep their marriage strong and healthy. Not to say that they didnââ¬â¢t fight like a normal couple, because they did. They fought, but it wasnââ¬â¢t about money, they fought about Martinââ¬â¢s decisions. They went through rough times as do most couples. Coretta Scott learned that MLK was helping his country, and she needed to accept the fact that thats what he was going to do. Later, she got more involved with the Civil Rights Movement. Martin Luther King, Jr. learned many lessons from a lecture given by Mohandas Gahandi. He learned about non violent protests from Gahandi. Mohandas was born in India, and he moved to South Africa later. He was able to gain equal rights for South Africaââ¬â¢s Indians by protesting discrimination through general strikes and marches planned in a peaceful, nonviolent way,(Fleming 1-119).He was also involved in civil disobedience. Civil Disobedience is refusal to obey the law, because a person believes the law is immoral. Before the civil rights movement, civil disobedience was not acceptable, and Martin Luther King believed in the peace protest. Mohandas was jailed because of his beliefs. MLK was also influenced by Henry David Thoreau, and achieve social change. While learning more about the civil rights movement, and Gahandi, Martin became a pastor. The 1958 BusShow MoreRelatedMartin Luther King Jr.867 Words à |à 4 Pagespeople, one of them is Martin Luther King Jr. He made the world a better place for black citizens by doing non-violence movements and marched the way to freedom. Martin Luther King Jr. was born on January 15, 1929, in Atlanta Georgia as Michael King Jr., but changed his name to Martin Luther King Jr. in honor of Protestant Martin Luther. Through his activism, King played a pivotal role in ending the legal discrimination of African American citizens. During his childhood, Martin Jr.ââ¬â¢s father stronglyRead MoreMartin Luther King Jr1194 Words à |à 5 Pagesï » ¿ Simmons 1 Gabrielle Simmons Mrs. Fitzgerald Social Studies 8A 4/27/10 Martin Luther King Jr. Martin Luther King Jr. is a well known and an inspiring man to all cultures of the world. King was and still is one of the most influential heroes. King s views and believes helped African Americans through the 50 s and 60 s to the rights and liberties that was their right. King faced many obstacles on his journey, things like jail and even assassination attempts. Despite these obstacles,Read MoreMartin Luther King Jr.1078 Words à |à 5 PagesMartin Luther King, Jr., was a very strong person, constantly fighting for what he believed in, which was equality for African Americans. He was not scared to stand up and tell the world what he wanted for society. He was fearless and did everything in his power to prove a point. Martin Luther King, Jr., was the strongest individual of his time, for he fought until death, which proves how much he was willing to risk his life to make the world an equal place. Growing up, he had a very interestingRead MoreMartin Luther King, Jr Essay1153 Words à |à 5 Pagesbe slaves, African-Americans saw a road trip to equality through the eyes of Martin Luther King, Jr. Even after being emancipated from slaves to citizens, African-Americans were not ready to wage the battle against segregation alone. The weight which African Americans carried on their back, was lightened when they began to see what Martin Luther King, Jr. brought to the table against segregation. Martin Luther King, Jr. was the single most important African-American leader of the Civil Rights MovementRead MoreBiography of Martin Luther King, Jr745 Words à |à 3 PagesMartin Luther King, Jr. (January 15, 1929-April 4, 1968) was born on in his mothers parents large house on Auburn Avenue in Atlanta, Georgia. He was the second child, and was first named Michael, after his father. Both changed their names to Martin when the boy was still young. King JR was born into a financially secu re family middle class with that, They received better education in respect to most people of their race. King Jr, noticed this and this influenced him to live a life of social protestRead MoreEssay on Martin Luther King, Jr.591 Words à |à 3 PagesMartin Luther King, Jr. Martin Luther King, Jr. was born at home on Tuesday, January 15, 1929 in Atlanta, Georgia. His parents were Martin Luther, Sr. and Alberta King. He was born into a world where segregation was the law. Where his boyhood best friend, who was white, wasnt allowed to play with him once they started school. Where black people went to separate bathrooms, drank from separate water fountains, couldnt eat in whites only restaurants, and had toRead MoreMartin Luther King Jr.1144 Words à |à 5 PagesMartin Luther King Jr. (January 15 1929-April 4, 1968) Brief Summary (of who MLK Jr. is): Martin Luther King Jr. was a Baptist minister and an activist who led the civil rights movement in the 1950. He was a fundamental force behind the civil rights movement that ended legal segregation. He was awarded the Nobel Peace Prize in 1964. But he was sadly assassinated in 1968 on a second floor balcony of Lorraine Motel in Memphis, Tennesseeâ⬠¦ Childhood: Martin Luther was never poor. He lived with a middleRead MoreMartin Luther King Jr.2405 Words à |à 10 PagesMartin Luther King Jr. was a Baptist minister and social activist, who led the Civil Rights Movement in the United States from the mid-1950s until his death by assassination in 1968. IN THESE GROUPS NOBEL PEACE PRIZE WINNERS FAMOUS PEOPLE WHO DIED IN 1968 FAMOUS PEOPLE WHO WENT TO PRISON FAMOUS CAPRICORNS Show All Groups 1 of 19 à « à » QUOTES ââ¬Å"But we come here tonight to be saved from that patience that makes us patient with anything less than freedom and justice.â⬠ââ¬âMartin Luther King Jr. Read More Martin Luther King Jr. Essay637 Words à |à 3 Pages Martin Luther King, Jr. was perhaps one of the most influential person of our time. As the father of modern civil rights movement, Dr.Martin Luther king, Jr., is recognized around the world as a symbol of freedom and peace. Born January 15, 1929, King was the son of an Atlanta pastor. King accomplished many achievements during his life. He graduated from Morehouse as a minister in 1948 and went on to Crozer Theological seminary in Chester, Pa., where he earned a divinity degree. After that KingRead MoreThe Legacy of Martin Luther King Jr.1123 Words à |à 4 PagesMartin Luther King Jr. (January 15, 1929 - April 4, 1968) was known as an activist and a remarkable leader for African Americans throughout the Civil Rights Movement. He was put in jail for his non-violent civil rights campaigns, spoke out for racial justice, and tried to find an end to racial discrimination. Kingââ¬â¢s legacy is still known present day, and continues to be one of the most well known leaders. Throughout Martin Luther King Jr.ââ¬â¢s lifetime and the Civil Rights Movement, King was devoted
Wednesday, May 13, 2020
Amy Tan s The Joy Luck Club - 890 Words
Lena and Ying-Ying from Amy Tanââ¬â¢s The Joy Luck Club both face injustice in their patriarchal relationships, just as Mariam and Laila from A Thousand Splendid Suns, however on very different terms. Lena, like Amir and Laila, struggles with confrontation and complete deference of others. However, under the influence of her mother, Lena realizes the problematic recurrences in relationship with her husband. Ying-Ying, aware of her daughters submissiveness, must lead Lena to intervention to confront herself and reconnect with her Chinese heritage in order to save her struggling relationships. While Ying-Ying sees the imbalance in Lena and Haroldââ¬â¢s relationship as an embodiment of the flaws in her own marriage she reflects on her past and thinks to herself, ââ¬Å"So this is what I will do. I will gather together my past and look. I will see a thing that has already happened. The pain that cut my spirit loose. I will use this sharp pain to penetrate my daughters tough skin an d cut her tiger spirit looseâ⬠(Tan, 153). She has sacrificed so much for her daughter, Lena, and accepts her American ways despite the fact that broadens the cultural gap between her Chinese heritage. Ying-Ying already experienced her loss of identity and self through her own marriage because she was unable to be assertive towards her husband. Here, just like Mariam and Hassan in Hosseniââ¬â¢s novels, Ying-Ying gives up her freedom in order for Lena to live a better life than she had. Although Ying-Ying doesnââ¬â¢t give upShow MoreRelatedAmy Tan s The Joy Luck Club1097 Words à |à 5 PagesCulture defines humanity. Culture makes humans different than any other living organism ever known. Culture is what makes humans unique, and yet culture is easily the most misunderstood characteristic of individuals. In Amy Tanââ¬â¢s The Joy Luck Club, Amy Tan develops the theme of incomplete cultural understanding leads to an inability to communicate oneââ¬â¢s true intentions t hrough juxtaposition and conflict between mothers and daughters and their cultures. The conflicting Chinese culture of the mothersââ¬â¢Read MoreAmy Tan s The Joy Luck Club1385 Words à |à 6 Pages Amy Tan s The Joy Luck Club Mona A. M. Ahmed Zagazig University, Egypt The purpose of this paper is to investigate pluralism, acculturation and assimilation in Amy Tan s novel The Joy Luck Club (1989), a finalist for the National Award, and a recipient of the 1990 Bay Area Book Reviewers award for fiction. Amy Tan (1952- ) is a Chinese American novelist; she is the daughter of John Tan, a Chinese electricalRead MoreAmy Tan s The Joy Luck Club Essay805 Words à |à 4 PagesRebecca Nemmers American Minority Writers Professor Czer September 12, 2016 Mother Knows Best Amy Tanââ¬â¢s The Joy Luck Club is a well-known novel that discusses the difficulties that Chinese American immigrants face especially in the second generation. This novel specifically focuses in on the stories of the mothers and their daughters, their sufferings and triumphs. Due to both the generational and cultural differences between the mothers and daughters are extreme and these differences cause theirRead MoreAmy Tan s The Joy Luck Club1023 Words à |à 5 Pagesand other scholarsââ¬â¢ articles, a diasporic and often considered as postcolonial discourses- Amy Tanââ¬â¢s debut novel The Joy Luck Club comes to my mind. Amy Tan, as one of the renowned contemporary Chinese American writers, and also as one of the daughters of the immigrants herself, writes several novels revealing situations and reflecting problems faced by the Chinese diaspora in America. Although The Joy Luck Club has been published for more than two decades, the stories inside are still going on in Chi neseRead MoreAmy Tan s The Joy Luck Club Essay1567 Words à |à 7 PagesAmy Tanââ¬â¢s ââ¬Å"The Joy Luck Clubâ⬠is a novel written in various short stories between four immigrant Chinese mothers and their four Chinese-American born daughters. The motherââ¬â¢s represent their heritage, tradition, culture, and native tongue. Their daughters; however embody America and its culture, along with language. Each mother and daughter share the emotional feeling of cultural separation between themselves and their relationship with each other. With their cross-cultural relationship, the daughtersRead MoreAmy Tan s The Joy Luck Club1028 Words à |à 5 PagesIn Amy Tanââ¬â¢s The Joy Luck Club, Waverly Jong is a dynamic character who shows her arrogance, selfishness and insecurities as the story progresses. On the first letter of Waverlyââ¬â¢s name, W, sits a Mink, which symbolizes her desire for her motherââ¬â¢s approval. Throughout the novel, Waverly avoids Lindoââ¬â¢s criticism and fears her mother will not agree with her choices. This is evident in ââ¬Å"Four Directionsâ⬠when Waverly shows her mother the mink coat Rich bought her and Lindo responds, ââ¬Å"This is no goodâ⬠¦Read MoreAnalysis Of Amy Tan s The Joy Luck Club1637 Words à |à 7 Pagessame timeâ⬠(Goreski). Amy Tan, an author of numerous novels, understands the battle of relationships, especially between culturally diverse mothers and daughters. In one of Tanââ¬â¢s novels, The Joy Luck Club, she writes to get the point across of how difficult it is for contrasting cultures to communicate with one another, ââ¬Å"...out of an intense concern with the individual artistic choices she was making at every level and at every momentâ⬠(Evans 3). The passionate message Tan stresses in the novelRead MoreAmy Tan s The Joy Luck Club1210 Words à |à 5 PagesThe Joy Luck Club, Amy Tan tells the story of four Chinese mothers and their American daughters. Throughout th e book, Tan talks about the mothers and the life they had in china, the relationship between their mothers, and why they moved to America. She also writes about the daughters who were born and raised in America and their relationship with their mothers. In addition, she talks about the cultural differences between the Chinese mothers and the Chinese-American daughters. Joy Luck Club is oneRead MoreAmy Tan s The Joy Luck Club986 Words à |à 4 Pageshope. How to laugh foreverâ⬠, Amy Tan wrote in The Joy Luck Club. This powerful quote not only exhibits the mindset that Amy has formed over the years, but also how various lessons has shaped her inner-being. Overcoming a past were all the odds were against her, even her mother, leaves Tanââ¬â¢s story worth being heard. Amyââ¬â¢s mixed heritage made adapting to the free life of America from an authoritarian Chinese parenting style difficult. The pivotal moment that altered Amy Tanââ¬â¢s life the most was breakingRead MoreAn alysis Of Amy Tan s The Joy Luck Club Essay1664 Words à |à 7 PagesLauren Lee 11 September 2016 English 203H 1st Period 3 paragraphs ââ¬Å"The Joy Luck Clubâ⬠Journey of the Swan In Amy Tanââ¬â¢s story ââ¬Å"The Joy Luck Club,â⬠Jing-mei recalls the struggles she is burdened by in not understanding the extensive sacrifices her mother made and the guilt she carries of never living to be her motherââ¬â¢s swan. For the majority of her life, June has battled with the tedious thoughts of why her mother never seemed content with her. ââ¬Å"Auntie Lin and my mother were both best friends and
Wednesday, May 6, 2020
Surgical Site Infections Free Essays
string(87) " should at all times deal honestly and openly with patients concerning medical errors\." Surgical Site Infections Elizabeth Griffor HCA 375 Continuous Quality Monitoring Accreditation Instructor: Annajane Schnapp October 27, 2012 I chose to do my paper on the hospital-acquired condition of surgical site infections. In this paper I will discuss what a surgical site infection is, why it is considered preventable, the legal implications related to the patient, the role disclosure plays, accreditation expectations, and analyze the cost of continuous quality monitoring as it relates to quality. Surgical site infections account for 40 % of all hospital-acquired infections ( HAIs) and are unnecessary and largely preventable. We will write a custom essay sample on Surgical Site Infections or any similar topic only for you Order Now Use of antibiotics is fundamental in preventing surgical site infection and includes three core elements: 1. appropriate selection, 2. timing of the first dose, 3. and discontinuation postoperatively. It used to be the standard practice to ââ¬Å"shave and prepâ⬠a patient prior to surgery, but a study done in 1992 revealed that surgical site infections were 50% lower in surgery patients whose hair was removed with clippers rather than a razor. One of the most common complaints from surgery patients is being cold in the holding area, operating room, and the post anesthesia care unit ( PACU) . This is uncomfortable and can increase risk of complications; such as surgical site infections. Glucose control is also important as a method for decreasing surgical site infections ( Frances, 2005). Guidelines for preventing surgical site infection are at the preoperative stage, intraoperative stage, and postoperative stage. They are as follows: 1. Preoperative stage: Patient preparation- Identify and treat all infections before surgery; postpone surgery if possible until infection is resolved. * Do not remove hair by the incision site unless it interferes with the operation; use electric clippers immediately before surgery if hair must be removed. * Have patients bathe or shower with an antiseptic the day of the surgery or the night before. * Thoroughly wash and clean at and around the incision site to remove gross contamination. * K eep hospital stays as short as possible to limit the patientââ¬â¢s exposure to nosocomial infections. Antimicrobial prophylaxis- * Work with the physician, pharmacist, and administer a prophylactic antibiotic only if it is indicated; antibiotic chosen should be effective against common pathogens that cause surgical site infections. * I. V. administration of the antibiotic should be timed so it is concentrated when the incision is made. * Do not use Vancomycin for antimicrobial prophylaxis routinely. Surgical team preparation- * Keep fingernails short, no artificial nails; bacteria and fungi can colonize on your hands if you wear artificial nails. Surgical team members who have signs or symptoms of an infectious illness need to promptly report this to their manager and occupational health service personnel. * Surgical team members that have draining skin lesions should be relieved from duty until infection has been ruled out, they have had therapy, or the infection is gone. * It is also suggested that no hand or arm jewelry be worn, as well as nail polish. 2. Intraoperative stage: Ven tilation- * Maintain ventilation in the operating room and maintain a minimum of 15 air changes per hour. Keep the operating door closed as much as possible. * Limit the number of staff entering the operating room. Surfaces and equipment- * Clean surfaces or equipment with hospital disinfectant if they are soiled with blood or body fluids before the next operation. * Do not perform special cleaning or closing of operating room after contaminated or dirty operations. * Sterilize all surgical equipment according to guidelines. * Assemble sterile equipment and solutions just before using them. Surgical attire- * Before entering the operating room, a surgical mask and hood that covers he hair on the face or head must be worn. * Sterile surgical gloves must be worn, putting them on after a sterile gown. * Shoe covers are not necessary for preventing surgical site infections. Vascular access- * Adhere to the rules of asepsis when placing intravascular devices and administering I. V. drugs . 3. Postoperative stage: Incision care- * Use a sterile dressing for 24-48 hours on an incision after surgery. * Wash your hands before and after any contact with the surgical site, even when changing the dressing. Use a sterile technique when changing dressings. * Teach the patient and family about incision care, signs or symptoms of surgical site infection, and when to report any symptoms (Adams, 2001). Following these guidelines can effectively reduce or prevent surgical site infections. Although nothing is 100% full proof, surgical site infections can be reduced and prevented in most situations. If an infection is not present at the time of admission and becomes evident after 48 hours of hospitalization; it is considered to be hospital acquired. Following the above mentioned guidelines indicates quality health care practices. By using these techniques, surgical site infections will be prevented and reduced resulting in quality care; benefiting both the patient and the hospital. A legal implication related to a patient developing a surgical site infection, results in more cost to the hospital, less profit, and leaves them open to possible lawsuits. Hospital acquired infections affect 1. 7 million hospitalizations, cost $ 8. 1 billion to treat, and lead to 2. 3 million total days of hospitalization. Infections are the fourth most expense in hospitals, costing $ 252,600 per hospital on average, and each afflicted patient requires $ 24,500 more in care on average as a result. Examples of lawsuits filed due to hospital infections are as follows: July 2008, couple awarded $ 2. 58 million after the patient contracted a deadly type of staph infection ( MRSA), resulting in the loss of a kidney, and an amputated leg and foot. November 2008, jury awarded $ 13. 5 million to a womanââ¬â¢s family after she died of an infection aused by flesh-eating bacteria; contracted during cancer treatment. And November 2008, a woman reached a confidential settlement of $ 16 million when a hospital failed to detect a flesh-eating bacteria, before and after she gave birth, resulting in the loss of three limbs and several organs ( Gaffey, 2010). According to the AMAââ¬â¢s code of ethics, it is a requirement that a physician should at all times deal honestly and openly with patients concerning medical errors. You read "Surgical Site Infections" in category "Essay examples" Several doctors cite the risk of litigation as grounds for caution when discussing medical errors. Practicing defensive medicine such as ordering more tests or consults has become the norm to avoid malpractice suits. 94% of physicians say they would inform a patient if a mistake was made that caused an injury. Concern regarding legal liability which might result from telling the truth should not affect a physicianââ¬â¢s honesty with a patient according to the AMAââ¬â¢s Code of Medical Ethics, however some skeptics maintain that it is easier to brag about virtue, than actually follow it ( Rice,2002). For the most part physicians agree that honesty is the best policy. Many doctors in a survey confessed to errors such as; prescribing the wrong medications, wrong dosage, misinterpreting x-rays, misinterpreting lab reports, etcâ⬠¦ One physician stated that being upfront about his mistakes, talking to the family, and apologizing probably avoided a lawsuit. Most doctors agree that it is better to be upfront about a mistake for several reasons, they are: 1. That it always comes out eventually, 2. Dishonesty causes more damage and loses the publicââ¬â¢s trust, 3. Honesty decreases the chance of being sued, as well as it is the right thing to do, and 4. They want their patients or family to hear it from them first ( Rice, 2002). Communicating with the patient or family, educating them on the procedure and signs or symptoms to look for can prevent surgical site infections. Being open and honest with the patient and their family when an error occurs can possibly help to avoid a lawsuit. Honesty is always the best policy when providing quality health care. In October 2008, CMS announced that it would no longer pay for hospital-acquired conditions. It is their view that if a hospital has a good standard of practice and multidisciplinary care guidelines that these events should not happen and can easily be prevented. This is not to penalize health care, but to improve the safety of patient care and improve the quality of care by establishing standards of care and protocols. The Joint Commission has also implemented similar reporting and nonpayment initiatives to improve safety and improve the quality of care ( Lisa, 2009). The Joint Commissions new national patient safety goal to prevent surgical site infections includes a requirement to look for surgical site infections for up to 30 days after a procedure. The Center for Disease Control ( CDC) estimates that between 12% and 84% of surgical site infections are found after patients are discharged from the hospital. Joint Commission surveyors will be looking to see if the following protocols are being followed: * Hospital educates health care workers involved in surgical procedures about healthcare ââ¬âassociated infections, surgical site infections, and the importance of prevention. Before all surgical procedures, the hospital educates patients/family about surgical site infection prevention. * Hospital implements policies and practices aimed at reducing surgical site infections. * Hospital conducts periodic risk assessments for surgical site infections. * Measurement strategies follow evidence-based guidelines and surgical site infections are measu red for the first 30 days after surgery. * Hospital supplies surgical site infection rate data and prevention outcome to leaders, practitioners, nursing staff, and other clinicians. Antimicrobial agents for prophylaxis used for a particular procedure or disease are administered according to standards and guidelines. * Administer I. V. antimicrobial prophylaxis within one hour before incision. * Discontinue the prophylactic antimicrobial agent within 24 hours after surgery. * When hair removal is necessary, use clippers or depilatories ( Hospital Infection Control, 2008). Localized improvement occurs when a team is developed to look at a specific problem; such as the rate of surgical site infections. Organizational learning occurs when this process is ocumented and results in the development of policies that are implemented; such as a protocol for preventing surgical site infections. Process reengineering occurs when a major investment blends internal and external resources to make c hanges; such as being accredited by the Joint Commission and following their guidelines for prevention of surgical site infections. Evidence-based medicine involves the selection of the best clinical practices; implementing surgical site infection control guidelines or protocol to reduce cost and increase profit (Sollecito Johnson, 2013). The most effective strategies for improving health care quality are: clinician-directed audit and feedback, clinical decision support systems, specialty outreach programmes, continuing professional education based on interactive small-group case discussions, and patient-mediated clinician reminders. Pay-for-performance strategies directed to clinician groups and organizational process redesign are modestly effective ( Scott, 2009). In my opinion using the organizational learning strategy would generate the best outcome and cost the least to implement. Having a team put together to gather data on surgical site infections and implementing a protocol or guidelines to follow to prevent these events would result in less cost and increased profit. In conclusion, surgical site infections are for the most part preventable. Following protocols or guidelines can greatly reduce surgical site infections. Educating staff, patients, and their families, can have a big impact on preventing surgical site infections and implementing these strategies reduces cost and increases profit. References: Adams, A. 2001). Preventing surgical site infection ( SSI): Guidelines at a glance. Nursing Management, 32 (8), 46-46. Retrieved from http://search. proquest. com/docview/231438710? accountid= 32521. Frances, A. G. ( 2005). Best-practice protocol is: Preventing surgical site infection. Nursing Management, 36 (11), 20-26. Retrieved from http://search. proquest. com/docview/ 231393974? accountid=32521. Gaffey, A. D. RN, MSN, CPHRM, FASHRM. ( 2010). Legal Impl ications of Healthcare- Acquired Infections. Retrieved from http://www. ahe. rg/ahe/conference/2010/content /092910/a. Lisa, M. S. ( 2009). Compliance with CMS ââ¬Å" never eventsâ⬠billing requirements. Journal of Health Care Compliance, 11 (5), 33-36. Retrieved from http://search. proquest. com/ docview/227916352? accountid=32521. Rice, B. (2002). Medical errors: Is honesty ever optional? Medical Economics, 79 ( 19), 63-72. Retrieved from http://search. proquest. com/docview/227734141? accountid=32521. Scott, I. (2009). What are the most effective strategies for improving quality and safety of healthcare? Internal Medicine Journal, 39 (6), 389-400. Doi:http://dx. doi. org/ 10. 1111/j. 1445-5994. 2008. 01798. x. Sollecito, W. A. Johnson, J. K. (2013). Continuous quality improvement in health Care (4th ed). Sudbury, MA: Jones and Bartlett Publishers. ISBN: 9780763781545. The joint commission update for infection control: SSI goal: Look for infections a month after procedure. (2008). Hospital Infection Control, Retrieved from http://search. Proquest. com/docview/758852362? accountid=32521. How to cite Surgical Site Infections, Essay examples
Monday, May 4, 2020
Movie Overview Collateral Essay Example For Students
Movie Overview Collateral Essay The movie Collateral, written by Stuart Beattie, is about a taxi driver named Max who finds himself trapped in his vehicle with a contract killer named Vincent. Max is forced into difficult situations and eventually stands up for himself and the last name on Vincentââ¬â¢s hit list. There are many points that the writer makes throughout the film however, one stands out more than others. You need to take risks to get what you want. In the movie, Max is a taxi driver who picks up a woman named Annie. She tells him to drive in a certain direction, however, Max knows there will be traffic there so he bets her a free ride if he is wrong about the traffic. At the end of the ride, Annie gives Max her business card and max puts it in the visor of the car. Later Max picks up Vincent in his taxi and Vincent pays Max six hundred dollars to drive him around for the night. Throughout the night Vincent and Max go around the city. Vincent turns out to be a contract killer and forces max to stay with him and finish the job. Vincent has a bag that contains the names of the people that he needs to kill. Later in the movie, you find out that Max visits his mother in the hospital every night so in order to not raise suspicion Vincent and Max take a trip to visit Maxââ¬â¢s mother. During the visit Max decides he has had enough of Vincent so he grabs Vincentââ¬â¢s bag and runs off with it. There is a huge chase seen and Max ends up throwing the bag over a fence on to a highway. I believe that this is the turning point it the movie because you see from this point on that Max is changing, risking more, and is making progress in stopping Vincent. Max starts taking charge of the bad situation he is in. The next time in the movie you see Max taking risks was when he is forced into going in to the club to get the last two names from the man paying Vincent. Max is nervous in the beginning but takes charge of the situation by telling the man behind him to put his gun away. This shows the man in charge that Max is not messing around and Max pulls off becoming Vincent. Also it shows the viewers that Max is willing to do anything to be rid of Vincent. Another part of the movie that had this theme was the ending when Max and Vincent are on their way to kill Annie, the last person on Vincentââ¬â¢s list. Max tries to throw off Vincent by flipping the taxi. However, Vincent is only slightly injured after the taxi rolls over. Vincent leaves Max in the flipped taxi while Vincent walks to the last targetââ¬â¢s office building. Police show up to the scene and find the dead body in the trunk so the police officer goes to arrest Max. Max takes a huge risk and handcuffs the officer to the flipped taxi and runs after Vincent. After many attempts to warn Annie, Max goes up in to the office building to save Annie. Max took many risks to save Annie. The risks Max took throughout the movie lead to getting the girl he wanted. Before meeting Vincent, Max would not have ever even thought about handcuffing a police officer to his flipped taxi. Taking risks and getting what you want is not only one of the main themes but is a good lesson to take from the movie as well.
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