Sunday, October 6, 2019
Report Essay Example | Topics and Well Written Essays - 1500 words - 19
Report - Essay Example ?      Citizen Watchdog Coordinator                                                                                                 InterNews                                                                                                     Eipalei@INTERNEWS.ORG The report’s contents include; table of content, executive summary, report text, introduction, project statement, and methods used findings, analysis, conclusion and agenda (reference, appendices) remember to look at the recommendations so that you take the necessary steps as we agreed during our last focus group discussion. Inter-news’ liberated and Fair Media program focuses on election related issues not only in Kenya but the entire continent of Africa by analyzing its media coverage of emerging and sensitive issues (Stifftung , 2012). The program is aimed at monitoring various radio stations in the country to ascertain their coverage of the electioneering period that is; Pre-election period, Election Campaign period, Polling Day and the Results announcing day. This monitoring project involves monitoring dangerous speech in the media and the role of the media in promoting peace and conflict mitigation. There are different media topics being covered including, including gender, dangerous speech, issue based coverage, fairness and balance. The report looks into the challenges that the radio station faced and recommendations that when implemented could improve the situation. The report also documents the findings by the media monitors in the period 1st January – 9th March 2013. All cases of hate speech that were reported were independently verified. The geographical scope of the content covered was primarily national. This survey indicates that in most of the programs monitored, it is male
Saturday, October 5, 2019
Holidays Comparison Essay Example | Topics and Well Written Essays - 250 words
Holidays Comparison - Essay Example The essay "Holidays Comparison" presents the comparison of two holidays - the ‘4th of July’ and the ‘Christmas’. As holidays make our lives interesting, therefore, it is very common for people to wait for upcoming holidays. The main difference between these holidays is that the nature of both holidays differs to a large extent if we take a closer look at the reason for which they are celebrated. Christmas holidays have their origin in the Christian religion and for this reason, Christmas holidays may be regarded as having a religious feel. They are a reflection of the Christian belief system. And the 4th of July has a patriotic feel since it relates to a historical achievement of the American people in the history. Another prominent difference is the weather that is associated with these holidays. The 4th of July and summer appear to be bonded together and hence the celebrations are in accordance to the warm weather. Christmas is during the cold part of the year and so Christmas is celebrated in warm clothes coupled with snow. As far as similarities are concerned, both holidays are well recognized throughout the nation and both have national acceptance and approval; so the whole nation celebrates them in a unified form. Both holidays serve to give the message of being united at the national level; an aspect that is important in the international scenario. Both holidays provide a means of interaction and recreation to the masses, who are otherwise absorbed in their busy daily lives throughout the year.
Friday, October 4, 2019
I am not sure about the subject that i used, but you have to put the Essay - 1
I am not sure about the subject that i used, but you have to put the right subject for my work - Essay Example Geological studies, which deal with the details of the formation and structure of the physical geography, stand as a basis for analyzing the characteristics of places selected for the scientific observation to find out their fitness and potential threats. The Arbuckle Mountains in the North American constitute one of the prominent geographical locations for the geologists to make experimental studies based on its history and the formation structure. This paper will make a comprehensive trial for investigating the geological history of the Arbuckle Mountains on the basis of the geographical specifications of this region in the Oklahoma state of the United States of America. Like the presence of a diverse culture among its population, the United States also has the characteristics of accommodating varieties of geographical patterns inside its political boundaries. They include a number of large and small rivers, forests, plains, plateaus, mountains and valleys besides the urbanized industrial regions and the vast areas of land under the cultivation of numerous edible and commercial crops. Generally, mountains get the quickest glance of every explorer of a region because of the attraction they yield with their elevated altitudes. For the geologists, they give essential information about the nature of the geographical structure and thus help them make necessary assessment of the potential challenges and advantages before the plains and valleys associated with the mountains. The Arbuckle Mountains are one the oldest mountains discovered in the United States, and therefore, it is important to know the details about the region’s geological specificati ons by forming an overall idea about these mountains. The Arbuckle Mountains lie in the south-central region of the Oklahoma state in the United States of America (‘Have you thought about Oklahoma’s Climate And Geography?’). As Oklahoma’s geography features a large number of mountain ranges, the state
Thursday, October 3, 2019
How One Film Demonstrates Features Which Can Be Considered as Post-Modern Essay Example for Free
How One Film Demonstrates Features Which Can Be Considered as Post-Modern Essay Film within the post-modern genre simply illustrates the ideas of postmodernism through expressive art. Postmodern can be defined as a â€Å"genre of art and literature†¦ in reaction against principles and practices of established modernism†In this essay I will be outlining the key concepts as well as characteristics that can be found in a post modern film. Postmodern cinema contradicts the typical principle of narrative structure and the portrayal of the characters. One film I believe illustrates these ideologies is Quentin Tarantino’s film Pulp Fiction. Released when postmodern films were at its peek. Pulp Fiction has to be one of cinemas most iconic films of all time. Due to the uncertainty of the characters and the stylised yet ambiguous nature of the plot, Pulp fiction is not only to be branded intriguing but also a great example of postmodern. Work by theorists such as Fredric Jameson, will be looked at to help with the analysis of the chosen film. By doing so this helps prove that key concepts which are present within the film such as pastiche, irony, fragmentation and parody are perceptions that together make up a postmodern film proving that pulp fiction is a good illustration. The use of pastiche is present throughout the film. Pastiche allows the emergence of differing techniques to form together in order to create a new structure. Replications of renowned film makers work has been used in order for an updated equally creative film to be produced. Anything from words, phrases, visual, and musical patterns can be used, by doing so it demonstrates that postmodern film is a combination of a variety of texts, styles and skills. Many theorists have spoken openly about their disproval of pastiche. Theorist Fredric Jameson for example even goes as far as to refer to pastiche as a â€Å"dead language†. In the book Postmodern Culture Fredric Jameson writes about the decline of new art, he writes â€Å"in a world in which stylistic innovation is no longer possible, all that is left is to imitate dead styles†(Jameson,1995 ) Even though â€Å"plagiarism of older plots†(Jameson, 1995) occurs in some films it can be argued that by this technique being used it allows an ingenious reinvention of a classic, to be made. One of the first indications of pastiche in Pulp Fiction takes place in the third scene where Vincent (John Travolta) and Jules (Samuel L. Jackson) enter the house. When Vincent is directed to the place where the brief case is, and opens it he is to be met by a bright glow, the scenes shows similar replication to a 1950s film in the film noir genre; called kiss me deadly. Where in both films the characters gaze adoringly in to the case, in Pulp Fiction the question of what it could possibly be is asked, considering the 666 (the mark of the anti-Christ) had to be entered into the case in order for it to be opened. Referencing to the 1950s is evident in the film, Marcellous’s wife Mia is associated with the 1950s quite a lot. The dialogue between Vincent and Mia is reminiscent to what would be said in a 1950s film. This idea is highlighted again when she chooses to go to a 1950s themed restaurant. The language and the setting break’s away from the usual formatting of the film which up until now consisted of violence. Mia being so much associated with the 1950s is rather ironic as you automatically associate the 1950s and women to be calm and innocent. We soon find this not to be the case as she is soon after shown taking drugs in the bathroom. Another example of pastiche within the film would be when Marcellous got raped. After his traumatic experience he tells Butch that he’s going to get his men to work on Zed with a â€Å"pair of pliers and a blow torch†. A line that was famously taken from the film Charley Varrick. The use of parody is another postmodern feature that is evident in pulp fiction. Like pastiche parody is also the imitation of a person’s previous work. Even though they may seem the same, the two techniques in fact contrast one another. Parody imitates film through cynicism whilst pastiche emulates true form. According to Jameson the use of parody emphasises a films distinctiveness through mockery, he rightly declares â€Å"now parody capitalises the uniqueness of these styles and seizes on their idiosyncrasies and eccentricities to produce a imitation which mocks the original†(Jameson,1995 ) The sarcastic tone to situations that can be considered to be serious are ridiculed whilst random partially irrelevant scenes are present at times. This technique easily can be seen as an attack on history however it also can be perceived as a humorous take on a scene or situation of something of importance. According to Linda Hutcheon â€Å"pastiche usually has to remain within the same genre as its model, whereas parody allows for adaptation†(Hutcheon1989). Parody allows the script to differentiate away from the original and become a voice and vision of its own, helping create a new meaning to the scene. Parody allows the script to differentiate away from the original and become a voice and vision of its own, helping create a new meaning to the scene. An example of parody is shown in the film is in the scene where Butch is a young boy. He receives a visit from a friend of his father who died at war. On first appearances you as the audience not only are intrigued but curious to find out what is going on. What seems to be something of importance is soon dismissed as the soldier goes on to talk about how Butch’s birth right was hidden up his and Butch’s fathers â€Å"ass†for seven years. Another element which is evident is the exploitation of words and situations being used in order to suggest the opposite of their intended meaning. Pulp Fiction explores this feature in the form of irony. The three types of irony used are: irony of fate, verbal irony and dramatic irony. Together the three different varieties of irony merge collectively providing a witty script. The scene where the two men in suits (Samuel L. Jackson and John Travolta) approach the door and enters, is a prime example of dramatic irony. This is due to fact that we know something bad is going to take place. The audience knows more than the characters in the film, making us to wonder what will happen next. The sarcastic tone in the conversation Jules is having with one of the victims, too adds to the suspense as his tone is not serious â€Å"do you mind if I have some of your tasty beverage to wash this down? The dialogue is rather confusing as you immediately think that your interpretation of events must be wrong and once again are left not knowing what is going to happen next. Before killing the victim Jules recites a biblical verse â€Å"The path of the righteous man is beset on all sides by the iniquities of the selfish and the tyranny of evil men. Blessed is he who in the name of charity and goodwill shepherds the weak through the valley of darkness, for he is truly his brothers keeper and the finder of lost children. And I will trike down upon thee with great vengeance and furious anger those who attempt to poison and destroy my brothers. And you will know my name is the Lord when I lay my vengeance upon thee†(Ezekiel 25:17). The irony behind this is that he associates God with assignation. His act has now become justified in a deluded way. Whereas before God was associated with negativity in regards to Jules in the end it was the â€Å"divine intervention†of God that also saved him from the life of violence. Jules’ epiphany came when he was close to death it was this same epiphany that saved the thieves in the diner at the end. An example of irony of fate would have to be when Butch runs into Marcellous at the traffic lights. This is ironic as Butch escapes being killed due to Marcellous putting out a warrant for him. The scene continues to show irony as the two of them end up being put in a compromising situation in which they end up needing the help of the other for their own survival. Marvin’s death in the car is an additional case of irony of fate. He ends up being shot accidentally minutes after his life was spared. This is tragic as in Marvin’s case he was killed due to being at the wrong place at the wrong time. The complex nature of the film means that pulp fiction contains multiple storylines making it a story within a story. This fragmented form â€Å"deliberately discontinuous narratives†¦to suggest the fragmentation and breaks-up of formerly accepted systems of thought and belief†(Tim Woods, 1999). This particular feature is vital and takes place through out. The mergence from one thing into the next forces those watching to construct and figure out the story for themselves. Fragmentation has a real role of importance in Pulp fiction as the distorted storyline enables the audience to have empathy for the characters. The beginning of the film which we later find out is in fact the end, starts off with a mid way conversation between a man and a women. Only seconds into the movie and already the audience is left unsure of what it is they are talking about and what is going on in the scene. After a confusing dialogue between the two people which lasts only a few minutes the scene ends with a frozen image of the two of them. Not knowing what is going on is a theme which is explored throughout the film. Like in the first scene the scene following, too starts off with a conversation which has already started â€Å"okay so tell me again bout the hash bar†by doing so again the audience are unaware of what is taking place and feel the need to construct the story for themselves. A different example in the scene â€Å"Vincent Vega and Marsellus Wallace’s wife†introduces another character which the film later reveals is one of three protagonist characters Butch. Like the formatting of the other scenes a conversation is already taking place when the scene begins. The scene continues and Vincent and Jules randomly enter wearing t-shirts and shorts. It is only nearer to the end of the film that we find out why they are wearing what they are wearing. As the film draws to an end the first scene in the diner is explained in the last scene. The audience later find out that both Vincent and Jules are in fact present at the robbery. With his new morally correct path in which Jules wants to pursue he spares them their lives even though they had a gun pointed in his face. After an extensive look into postmodern film and the role in which it plays in the formation of film, it is evident that it is these features that make the films what they are, despite it contrasting the conventions of typical film. Borrowing plot lines from other well known sources, the use of sarcasm when imitating art, irony and perplexity are just a few descriptions, you could find within this genre. Even though at times these features have been questioned as well as criticised, in the end the final product at times are fascinating, a good example of this theory defiantly lies in the film pulp fiction. Pulp fiction forces the audience not to conform to the conventional ideas of film but instead consider a new way of understanding and acknowledge film. The concepts effectively add a new type of understanding to a collective of ideologies, allowing the reader to witness many different transitions that occurs within life through the characters. The relation between postmodernism and film has been openly criticised yet applauded by theorists. The lack of originality is the main focal point in regards to the subject with some theorist even referring it to plagiarism. Quentin Tarantino disproves this theory as his work is a prime example of originality and uniqueness that can come out of postmodern film in spite of pastiche, parody, irony and fragmentation being used.
Wednesday, October 2, 2019
Malnutrition Effects on Quality Of Life
Malnutrition Effects on Quality Of Life The focus of this assessment is quality of life and specifically this paper considers how malnutrition affects quality of life of community settings patients. According to the Scottish Governments publication Older people living in community Nutrition needs, barrier and interventions: a literature review, malnutrition is an umbrella term for undernutrition, overnutrition and imbalance diet intake (The Scottish Government, 2009). Malnutrition has previously been described in the various ways (The Scottish Government, 2009). However, for purpose of this assessment the following term will be used as defined by World Health Organisation (WHO) the cellular imbalance between the supply of nutrients and energy and the bodys demand for them to ensure growth, maintenance, and specific functions (see European Nutrition for Health Alliance, 2005). According to Saunders, Smith and Stroud (2010) 2 per cent of the UK population is underweight: Body Mass Index (BMI) is lower than 18.5 kg/m. However, they agreed that patients could be still at risk of malnutrition whatever their BMI is (Saunders, Smith and Stroud, 2010). Malnutrition, as well as other factors, has negative effect on the persons quality of life (The Scottish Government, 2009). In the UK, hospitals admission rate and mortality were greatest in patients with BMI below 20 (kg/m2) (Teo and Wynne, 2001). During nutrition screening survey in the UK various settings it was found that malnutrition doubles risk of mortality in the hospital patients and triples morality in elderly patients in hospitals following discharged (RCN and NPSA, 2009). Care Homes nutrition survey shown that 30 per cent of service users recently admitted to care homes were at risk of malnutrition (RCN and NPSA, 2009). According to Hickson (2006), malnutrition may be secondary to certain health conditions which is increasing risks for patients to become malnourished and those risk factors will be discuss later in this assessment (Hickson, 2006 and Teo and Wynne, 2001). However, European Nutrition for Health Alliance (2005) argued that malnutrition should be classified as independent disease (European Nutrition for Health Alliance, 2005), its due to undernutrition has a negative effect on all organs systems such as muscle-skeleton, cardiovascular, respiratory, gastrointestinal, endocrine systems and in addition, malnutrition has a psychosocial effect (Saunders, Smith and Stroud, 2010). It was found that undernutrition could cause following health conditions: in the healthy individuals and has advance exacerbation effects upon existent illnesses or injuries, reduced psychological wellbeing (increase anxiety, depression apathy, and loss of concentration and self-neglect) (Webb and Copeman, 1996 and Saunders, Smith and Stroud, 2010). According to Morley and Kraenzle (1995), balanced diet in general, is improving cognitive and memory performance in elderly (see Vetta et al, 1999). Chandra (1993) found that undernutrition is depressing organism immune function (see Webb and Copeman, 1996). It could be due to impaired cell-mediated immunity and cytokine, complement and phagocyte function this most commonly could lead to developing bacterial and parasitic infections and poor wounds healing (Saunders, Smith and Stroud, 2010). Malnourished patients have reduced muscle function, loss of cardiac muscle and reduce cardiac output, which results in impact on the renal function (Saunders, Smith and Stroud, 2010). The same individuals have reduced respiratory response to oxygen deficit by poor diaphragmatic and respiratory muscle function (Saunders, Smith and Stroud, 2010), increased risk of hypothermia, increase risk of falls and injuries (Webb and Copeman, 1996). In addition, redaction of fat and muscles mass are more obvious signs of malnutrition (Saunders, Smith and Stroud, 2010). According to Clayton (1991), malnourished elderly clients have a poor prognosis for recovery from following fractured femur, hypothermia, pressure ulceration and other conditions (Clayton, 1991). Fracture risk is high then calcium, magnesium and vitamin D intake is insufficient, during the weight loss bone mass is reducing as well (Saunders, Smith and Stroud, 2010). Early stage of malnutrition leads to loss of digestive enzymes that result in intolerance of lactose. The colon loses its ability to absorb liquid, electrolytes, and secretions of small and large bowels, which results in diarrhoea (Saunders, Smith and Stroud, 2010). According to Saunders, Smith and Stroud (2010), endocrine system is affected in malnourished patience. For example, chronic malnutrition will change the pancreatic exocrine function by reducing the insulin secretion (Saunders, Smith and Stroud, 2010). An author is currently working a nursing and residential care home for elderly patients as well as nursing and social recruitment agency, which is covering biggest part of the North West of England. Being allocated in hospitals and nursing homes the author noticed that patiences nutrition needs are being met well but where are still some areas for improvement. During the study carried out in the large the UK hospitals, it was found that 40 per cent patients admitted to hospitals were malnourished and two-thirds subsequently lost weight during their hospital stay (Teo and Wynne, 2001). During the service users meeting in the care home author working in, carried out in January this year, all 14 service users have stated that they are satisfied with food they are getting. However, two patients are still at risk of malnutrition. They have been referred to the GP for dietician support. The author strongly believes that nursing home is providing adequate food to the service users. Catering manager in the UK hospitals compare to chefs in nursing home have a small budge of  £11 to  £15 per patients a week (Teo and Wynne, 2001). The authors care home spends around  £30 per service user a week. However, in March 2007, Royal College of Nursing (RCN) carried out survey questioning nearly 2200 of their member relating nutrition issues. Survey has revealed that 42 per cent said the food provided for patients were below overage expectancy (RCN, 2011). In various reasons government and health profession organisations are now advising for routing screening of all patients admitted to any healthcare facilities (RCN and NPSA, 2009). In authors opinion, the main priority for addressing this issue is promoting patiences health and wellbeing and cutting financial cost. For example, annual financial cost of treatment malnutrition patience and any associated illnesses in the UK was estimated around 7.3 billion pounds. This figure includes treatment malnourished patience in the hospital setting, round 3.8 billion pounds and long-term care facility such as care home, round 2.6 billion (Elia M., et al., 2005). Causes of Malnutrition The author is currently looking after two service users who are scoring on the MUST. All two patients are elderly from 65 to 80 years old, with different background and health conditions. Patient No 1 is 87 years old female, was diagnosed with Alzheimers Disease, history of Transient Ischemic Attack (TIA), high blood pressure, right wrist fracture and Dysphasia. Current BMI is 19, which was stable after referral to dietician and commencing on oral supplements, than BMI was 17 back in the October 2010. Patient No 2 is 72 years old man, diagnosed with alcohol excess, CA oesophagus, Gout, Heart Failure. Current BMI is 23, which was stably increasing over past months following admission to nursing home, than his BMI was 17. Both patients have a poor appetite at present. Nursing homes staff cannot establish reasons for anorexia and BMI reduction in one patient. There are number of risk factors, which could cause malnutrition among elderly population. However, the most important factor leading to undernutrition is reducing of oral intake (Saunders, Smith and Stroud, 2010). Inadequate dietary intake is depending on various factors (Saunders, Smith and Stroud, 2010), which could be divided into three main categories: medical, social and psychological (Hickson, 2006). Firstly, age related changes such as changing in appetite or sensory (Teo and Wynne, 2001). Working in the care homes author noticed, an appetite is reducing with advanced age. Some people refused or preferred to omit meals, for example, one patient does not take breakfast, then the author asked her why she is not taken breakfast that patient replied that she is not a breakfast person. In addition, during the study carried out in USA it was discovered that elderly population are consumed less energy intake and follow more traditional eating pattern then younger population (Teo and Wynne, 2001). Poor appetite or anorexia is a most common factor leading to malnutrition in both young and old generation (Hickson, 2006). However, during the study commenced by Roberts et al (1994), it was found that ageing seemed to affect the ability to control food intake and weight lost will take longer to re-gains in elderly men compare to young (see Hickson, 2006). In addition, according to work of De Castro (1993), older people are less responsive to stomach contents than younger people, in term of hunger (see Hickson, 2006). Anorexia may occur as process of aging as well as during underlying illnesses (Teo and Wynne, 2001 and Hickson, 2006). Hetherington (1998) argued that changing in taste and smell could lead to loss of appetite through a perceived decline in the pleasantness of food. Loss of taste and smell could be associated with advance age and medications therapy mechanism of these changes are remains unknown (see Hickson, 2006). In authors care environment patients prefer to eat strong flavour and taste meals such as a roast meat with gravy, bacon, fish which are being served with traditional sauces or salt and vinegar to encourage patients to their food. According to Hickson (2006), a few works have been done to find out that improving the flavour of the food can improve diet intake and follow weight increase in hospitals and community healthcare patients (Hickson, 2006). A few patients do not like vegetables, intake of which have being recommended by NHS 5 a day complain based on the WHO (NHS, 2009). Patient No 1 and Patient No 2 do not have own teeth which is reducing ability to chew tender food. For both patients oral problems have not been reported. However, according to Finch et al (1998), National Diet and Nutrition survey, energy consumption was lower in edentate individuals compare to individuals with own teeth (see Hickson, 2006). Dysphasia or swallowing problem is leading concern in reducing dietary intake (Hickson 2006). The author has experienced that often care and catering staff do not understand the different between soft and liquidised diet and which diet should be given to each patients with dysphasia. Moreover, care staff that is responsible for feeding patients, needed assistant, every often do not understand the sings for swallowing problem. This concern has been addressed in the care home that the author is working in by appointed care staff for appropriate training section provided by Liverpool Primary Care Trust (PCT). According to research carried out by Mowe et al (1994), swallowing problem is showing up in 64 per cent of in-patience elderly (see Hickson, 2006). In addition, Gariballa et al (1998) argued that post Cerebrovascular Accident (CVA) patients with Dysphasia had a worse nutrition status then those patients without swallowing problems (see Hickson, 2006). The author strongly believes that malnutrition caused by various factors combined together such as old age and health or mental health problem (Saunders, Smith and Stroud, 2010). In the UK, it was estimated that around 8 per cent of patients with chronic diseases living in the community are malnourished (Teo and Wynne, 2001). According to Hickson (2006), diseases-related malnutrition is usually associated with cancer, physical disabilities, endocrinology disorder and respiratory disease, gastrointestinal disorders, neurological disorders, sources of infection and other psychological factors such as depression and Dementia (Hickson, 2006 and Teo and Wynne, 2001). Medical factors increase the risk of patient to become malnourish through, for example, nausea or vomiting, diarrhoea or constipation, anorexia and malabsorption (Hickson, 2006). Cultural factors or social (Vetta et. al. 1999) and food habits are also playing an important role in developing malnutrition as independent illness (Hickson, 2006). As example, an individual who had a long-term hospital stay or had no nutrition support while in the community would not used to have full nutritional meals. Moreover, individual who has been admitted to the authors care home used to take fast food or sandwiches at all the time while at home, instead of cooked meals. According to Hickson (2006), there are lifestyles and social risk factors for malnutrition in elderly people are lack of knowledge about food, nutrition and cooking, isolation and loneliness, poverty, inability to shop or prepare food (Hickson, 2006). Dementia has a great effect on individuals relationship with food (Alzheimers Society, 2011). Dementia patients or patients with low mental status appeared to lost weight due to reducing self-feeding ability, acute sense of smell and taste that is depending on severalty and progression of disease (Teo and Wynne, 2001). Berkhout et al (1998) has confirmed that weight lost in demented patients is caused by patients ability to feed them rather than by dementia as illness (Hickson, 2006). According to Incalzi et al (1998), study carried out for in-hospitals patients found out that cognition is causing impairment to ability or desire to eat (see Hickson, 2006). Progressive dementia is usually associated with uncontrolled weight lost and changing eating habits (Claggett, 1989 see Hickson, 2006). Nutrition screening and risk assessment In 2007, RCN commenced Nutrition Now campaign, which has a wide response from members of public as well as members of multidisciplinary teams. The RCN Principles for Nutrition and Hydration were published in 2007. That principals aim to help of all health professionals grades to improve nutrition and hydration of patience. This paper is highlighting three principles of nursing care: accountability, responsibility and management to improve the patience nutrition and hydration (RCN 2011). Nutrition screening pathway, nutrition risk assessment are widely used which assist nursing staff to indentify the risk of malnutrition or/dehydration and appropriate actions to be taken. Risk of malnutrition screening should be a routine process in all healthcare settings (RCN and NPSA, 2009). In the authors care home as required all service users are being screened for malnutrition on the admission and once a month or more often if required, using Malnutrition Universal Screening Tool (MUST) as recommended by government bodies and Care Quality Commission (CQC) as registration body. Part of the admission documentation is to collect and record patiences food likes and dislikes. According to Saunders, Smith and Stroud (2010), MUST is reliable and valid screening tool in diagnostic or prediction of malnutrition (Saunders, Smith and Stroud, 2010). However, nutrition assessment was only done for patients who have been referral to their GPs following scoring, weight loss of 1 to 2 per cen t per week, 5 per cent per month or 10 per cent over period of six months (Mitchell, 2003). According to RCN and NPSA (2009), purpose of nutritional assessment is details identification of nutritional status and for special dietary plan to be formulated and implicated (RCN and NPSA, 2009). In the authors care home, dietician or dieticians assistant based on the information provided by staff nurse on duty normally carries out the nutritional assessment. As far as author concerns, nutrition assessment should be done by care home nurses as they are working in close contact with patients and their families on the daily basis, know better persons food likes and dislikes. However, special nutrition trainings are not always available to the nursing home staff. This could lead to complicated nutrition issues not to be addressed as quickly as they should be due to community dieticians waiting time is usually 6 weeks. In the authors nursing home all necessary equipments are available such as weight scales and height measures. However, weight scales calibration has not been done which could lead to poor nutrition screening assessment (NPSA). After completing the MUST, the author and colleagues will formulate the personalised care plan for each patient in order to meet nutritional requirements. Nutrition care plan could be based on the information or guidance provided by dietician or other health professions. Treatment According to Hark and Morrison (2003), the nutrition needs of healthy older adults are mainly the same as for middle age adults (Hark and Morrison, 2003). The intake of food containing Calcium, Vitamin D, Folate, Vitamin B12 and B6 should be increased for the elderly population (Hark and Morrison, 2003). Protein intake recommendation is variable from 0.8 g/kg per day in the USA (Mitchell, 2003) to 0.75 g/kg in the UK (McKevith, 2009). However, according to Mitchell (2003), one established nutrition needs recommendation cannot be used for all ages population (Mitchell, 2003). In addition, patients lifestyle, height and weight should be taken in account (Mitchell, 2003). There are number of fundamental support of nutrition available at present such as enteral and parenteral nutrition support (Hark and Morrison, 2003). At this assessment only oral nutrition support (ONS) will be discussed. The aim of the nutrition support is to ensure an individual gets enough energy, proteins, macronutrients and micronutrients to meet patients nutrition requirements (Saunders, Smith and Stroud, 2010). Saunders, Smith and Stroud (2010) argued that provision of regular meals with better nutrition content, wide menu choice and assistant with feeding should be enough to meet nutrition requirement and reduce nutrition risk (Saunders, Smith and Stroud, 2010). Numerous studies show that nutrition support could reverse weight loss, only if underlying health conditions under control (Saunders, Smith and Stroud, 2010). However, not all patients react at the same way (Hickson, 2006). At what reasons care and treatment should take an account of individual needs and preferences (RCN and NPSA, 2009). In practice, knowledge of food preferences and past medical history, following personalised nutrition care plan, serving patients with small meals (Teo and Wynne, 2001) or using a small plate could encourage service user to finish all meal. Currently some of the UKs hospitals commenced to use red tray scheme for serving the meals to patients. A purpose of using red trays is to alert hospital staff that patience with red tray is at nutrition risk and need assistance or supervision with diet intake (Bradley and Rees, 2003 see Davis, 2007). Protection of mealtime scheme is also widely spread across the UK. The purpose of this scheme is to create an environment for hospital patients free from hospital activities and unnecessary disturbance during a mealtime. In addition, this scheme is to assist nursing staff with concentration on the meeting nutrition need of hospital patients (NS, 2007). People with Dementia could loss an ability to use cutlery that could lead to weight loss and malnutrition. Providing those patients with available finger food could improve nutrition status (Alzheimers society, 2011). Teo and Wynne (2001) argued that the possible benefits from using energy supplements in elderly patients have received little or no evaluation in clinical practice (Teo and Wynne, 2001). However, during the study carried out by Volkert et al (1996), it was found that patients consuming food supplement while in-patience and 6 months in community have develop positive nutritional status compare to group of patients without food supplements (see Teo and Wynne, 2001). The author has come across the situation then GP has refused to prescribe food supplement to one of the patience and recommended full fat milk instead. In addition, during controlled trial for six months in patients who have been discharged from hospital and prescribed ONS has no economic benefit. To compare, using ONS in community is costing more than using ONS in hospitals (Elia et al., 2005). However, malnourished patients using could be at risk of re-feeding syndrome, which could results in death (Saunders, Smith and Stroud, 2010). Re-feeding syndrome is associated with water retention leading to fluid overload due to decay of potassium, magnesium, phosphorus and sodium in blood plasma (Mallet, 2002). Saunders, Smith and Stroud (2010) recommended that during re-feeding saviour malnourished patients potassium, phosphate and magnesium should be prescribed and thiamine (for patients with history of alcohol excess) (Saunders, Smith and Stroud, 2010). Conclusion The UK elderly population is rising, currently about 16 per cent of the population is above 65 (Hickson, 2006) and by 2050 over 30 per cent European population will be over 60 which will result in prevalence of malnutrition to rise (European Nutrition for Health Alliance, 2005). Many changing associated with aging have been documented, however, how senescence leads to the health conditions, related to aging, is still unknown (Mitchell, 2003). It was found that ageing is leading to slow reduction of weight and modification in body composition. It is due to declines in bone, muscle mass and body cell mass. Bone mass reduced due to inadequate intake of Calcium and inadequate exposure skin to the sunlight to encourage production of Vitamin D (Sahyoun, 2002). In general, people are gaining weight until they 60th birthday and after gradually reducing weight, usually 10 per cent between 70 and 80 (Mitchell, 2003). Weight loss related to aging and malnutrition should be indentified during initial nutrition assessment. In addition, community healthcare is facing many concerns. Firstly, malnutrition remains under-recognized problem facing patients, their families and health professions (Saunders, Smith and Stroud, 2010). Secondly, according to, Hark and Morrison (2003) argued that there are no single physical or biochemical screening tools could accurate predict the nutrition status in elderly (Hark and Morrison, 2003). Food prices are constantly rising and ONS are costing too much to the local PCT. In the authors opinion, providing service users with good quality food, offer choice of menu and snacks between meals are solution to fight malnutrition. The significant role in education medical students and junior doctors in nutrition has widely recommended (Saunders, Smith and Stroud, 2010). However, inadequate knowledge in nutrition of nursing and care staff could increase risk of malnutrition (Saunders, Smith and Stroud, 2010). In the authors care home nutrition in elderly is not mandatory training for the care staff. Following this assessment, the author will provide relevant care staff with information on the nutrition in elderly service users. This could be achieved through supervision sections and face-to-face talks. Moreover, there it is possible, elderly population and their families should be informed about the latest nutrition recommendations related to their age, lifestyle and health conditions and should encouraged to apply those recommendations to individuals lives (Sahyoun, 2002).
Different Strands of Feminism: Comparing Equal Rights Feminism, and Socialist Feminism :: Womens Studies
Different Strands of Feminism: Comparing Equal Rights Feminism, and Socialist Feminism With the developments going on in England during the 19th century, a new social class started to emerge, a middle class whose wealth came from land, trade, the professions, or industry. It was from this class that a great deal of the women working for the women's right movement emerged from in the 19th century, since they were the ones that experienced the deprivation of rights which men from this class had won. In 1897 in England the women's movement reunited in the National Union of Women's Suffrage Society, and from here on more women, from both the middle-class, and the working class began allying with the new Labor Party to advocate for the right os workers in general. However, the new reunited women's movement split again in 1906 when feminist lost patient after a deputation of 300 women meet with the prime minister to request the vote, and got instead an advice to be patient. From here on the English women's movement concentrated in winning the vote, but split into two r ival parties, the National Union of Women's Suffrage Society(NUWSS) led by Millicent Garrett Fawcett, and the Women's Social and Political Union(WSPU), led by Emmiline Goulden Pankhurst. Faweet took the prime minister, and peacefully, and patiently continued working to get the vote. She believed that the parliamentary democracy would eventually acknowledge women's right to the vote. So she dedicated to expand membership of NUWSS, to promote publically the demand for the vote, through speaking tours, and distribution of their journal, The Common Cause, and to lobby Liberal Politician to vote in favor of women's suffrage. They repudiated the use of violent tactics. Pankhurst on the other hand completely discarded the advice of the prime minster. She believed that of the vote was to be gain, then action had to be taken. Pankusrt actively spoke to gain the vote whenever a Liberal politician spoke. She participated in local and national suffrage demonstrations, at personal risk. WSPU follows this tactics, they disrupted meeting, organized demonstrations such as open-air rallies. In spite of all this government still did not act, so the WSPU turned to more violent ta ctic. They broke windows, poured liquid down mail boxes, cut telegraph wire, and curve "Votes for Women" in golf courses. They often encounter arrest, to which they responded with hunger strikes.
Tuesday, October 1, 2019
What Techniques Does F. Scott Fitzgerald Use When Describing the Lights and Colors of Gatsby’s Party?
Fitzgerald uses many different literary techniques and vivid when describing the lights and colours of the party to exaggerate the sense of how bright the lights and colours of his parties are. He seems to say that the brightness of the lights at Gatsby’s party are equivalent to the those of the sun. He writes that â€Å"the light grows brighter as the earth lurches away from the sun†he is talking about the sun going down and everything becoming darker, however he then says that â€Å"the light grows brighter†which suggests that as the sunlight goes away Gatsby’s lights go up so high that they balance out the light lost from the sun going down. This shoes us just how bright Gatsby’s lights really are, they are bright enough to replace the sun when it has gone down. That gives an impression of the party keeping the night alive and moving which gives a sort of life to the light that Gatsby has at his party. Fitzgerald then goes on to talk of light and colour in a lot less positive way than he previously has. he describes the guest’s clothes as â€Å"gaudy with primary colours†which is describing how bright and colourful even the guests are at Gatsby’s parties. The guests clothes are not nice and even though they consist of very simple primary colours they even manage to overdo this with them then being described as â€Å"gaudy†, which means that they are just too bright. This description is strikingly similar to the description of the light at Gatsby’s parties. We get the sense that although both of them are very simple they are just too over indulgent and bright. This also reflects on the guests personalities with all of them trying to be the brightest of them all. Gatsby uses this description i think to try and tell us that everything at Gatsby’s parties scream bright lights and colours not just the lights themselves. I think this is somewhat to help the reader with later descriptions that he makes about light and colour so that they understand that he may not be literally talking about the lights or the colours but about another aspect of the party.
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