In Jesus’ Name: Taking Up Serpents

â€Å"Happy shall he be, that taketh and dasheth thy little ones against the stones. † (Psalm 137:9)Read more at /list/top-20-bible-passages-to-use-against-fundamentalists/ivana-wynn? page=3#X63UZMIZkY7ETEaQ. 99 â€Å"Happy shall he be, that taketh and dasheth thy little ones against the stones. † (Psalm 137:9)Read more at /list/top-20-bible-passages-to-use-against-fundamentalists/ivana-wynn? page=3#X63UZMIZkY7ETEaQ. 99 Megan Gowler Cultural Anthropology MWF 10 a. m. IN JESUS' NAME: TAKING UP SERPENTS I've took cocaine, I've smoked marijuana, drunk whiskey, and been high on all that, but this high you get on Jesus, it's nothin', nothin' compared to that†¦ † The video was filmed in two churches in Alabama and Georgia in what looks like the 60's, but in reality was the late 80's or very early 90's, I believe the copyright date is 1991. In Jesus' Name: Taking Up Serpents heavily documents the practice of snake handling in this religious sect, but mentions the co nsumption of strychnine very minimally.The people seem happy, but not particularly affluent. They are presumably in the Appalachian region of the states, where coal mining, poverty and a hard life are all too common. The whole thing is presented without commentary or criticism allowing the viewer to experience the culture and apply their own opinions. Taking Up Serpents shows us how literal interpretations of biblical texts are executed with fervor in the name of God. The filmmakers do not appear biased or like they have any hidden agenda.It seems to be a straight-forward documentation of a church service. The filmmakers did not go out of their way to make these people seem simple or poor, which I am sure would have been easy to do with selective editing. Men are featured prominently in this video. They seem to be ‘called upon by the holy ghost' to ‘take up serpents' more readily than the women are. The women are not left untouched by the ‘spirit' as was made obvio us by the shaking, sobbing and speaking in tongues that is also demonstrated in the video.The women who do handle the snakes seemed to do so for a much shorter length of time and with greater caution then the men, who shake them and rub them around their faces and necks, almost as a challenge to the snake. Children are not permitted to handle any of the snakes in these churches. I found out online that usually (and for legal reasons) you must be 18 to begin taking part in this part of the ritual. Apparently, the Holy Spirit discriminates by not just gender, but age as well.They do not go into any detail regarding the consumption of strychnine in this video, it only gets a brief mention and is hardly shown. Interestingly, when you look at the side effects of the consumption of strychnine, one of the less grievous effects is euphoria. Also, it should be noted that it acts as a stimulant and can cause muscle spasms and convulsions, which are exacerbated by bright light and loud noises (I assume that includes raucous religious music and bright overhead lights).I wonder why they have chosen that verse specifically to focus all their energy on. Why aren't they burning male flock animals (sheep, goats) on altars in their yard or beating their children for self satisfaction (Leviticus 1:9 and Psalm 137:9, respectively). Why snake handling and poison consumption, I have a theory, but I will save it for now. Everything about this practice is bizarre, but is it only bizarre because of our distance from it?Religious ceremonies of EVERY nature have incredibly odd practices, but they only seem bizarre to outsiders. The whole video made me sad, but I can't say exactly why. The filmmakers intention was to document the practice and according to the note on Youtube, help preserve their right to practice their religion, their way. I don't know how to explain how I feel without writing another 5 pages. Religion and religious freedom is and always has been a minefield of controver sy.Islam has the prophet Mohammed who took a six year old bride when he was in his late 50's, Christianity has a virgin birth and coming back to life (insert inappropriate zombie Jesus joke here), Scientology teaches us that we are all immortal aliens trapped in physical bodies, dinosaurs are a hoax put forth by Satan to fool us all, Mormons are in their ‘magic underwear' prepping for the return on God in Missouri, putting a dirty milk glass and a plate from a roast beef sandwich in the same dishwasher can contaminate your soul, or most famously and least disputed the idea that when certain rites are performed bread and wine turn into human flesh and blood once in your stomach. I mean, there are plenty of genuinely weird ideas and practices in the United States, I mean, these are just off the top of my head. So even though this very specific sect of Evangelical Christians has the odd little habit of swinging snakes around and drinking poison really, who can judge them? I would like to mention that I did a little digging regarding this film, partly because I am fascinated by religion and partly because I wanted to know more about it and I found out that two of the men in the film have died, possibly a third, but without names, I cannot say for sure.Also, the pastor in the film, whose name is Glenn Summerford was convicted of attempted murder for stuffing his wife Danielle's hand into a box of rattlesnakes when he was in a ‘drunken rage' in 1991. Glenn was sentenced to 99 years in prison. There is a book about this titled, The Serpent and the Spirit and I now intend to read it as well. After some of the additional information I have uncovered and a lot of the stereotypes we have all heard regarding people living in this area, I wonder if these people live their lives in a more rowdy fashion than you would imagine given the scenes we are shown in the film, which is why I placed the quote I did under the title at the top.The skeptic cynic in me says th at the snake handling has less to do with God or the Holy Spirit and more to do with each individual using this fate tempting to make themselves feel better, maybe about indiscretions, financial hardships, poor decisions, who knows? Do something wrong, feel guilt, handle the snake, live through it, decide God isn't that mad at you after all because he is a forgiving God and you made a mistake, feel better†¦ now repeat. I suppose that is what every religion is supposed to do for its followers, make you feel better, help you find peace, give you a sense of place, let you know that ‘it' is gonna be okay. So as a non-judgmental observer with no plans of attending service or joining the Church of Jesus with Signs I say, ladies and gentlemen, turn up your amps, raise your cups of strychnine and shake those snakes!

Chain Analysis: Literature Review and Application on Ikea

November 28, 2012 November 28, 2012 Aisling Lynch C09687271 Aisling Lynch C09687271 Stratgic management the value chain concept: literature review and application analysis on IKEA Stratgic management the value chain concept: literature review and application analysis on IKEA Contents * Introduction * Origination * Porter’s Value Chain Concept * Linking of the Value Chain * Focus on External Sources * The Future – Conclusion * Ikea Example * References DeclarationI, the undersigned, declare that this report is entirely my own written work, except where otherwise accredited, and that it has not been submitted for a degree or other award to any other university or institution. Introduction Since the 1980’s academics have been pointing to a firm’s own activity pool for analysis, as a way of determining competitive advantage. It was in 1985 that the term â€Å"Value Chain† was coined by Michael Porter (Porter 1998) and all its subsidiary headings. I will look at some of the literature surrounding the Value Chain concept to see how it has evolved and changed since its beginning two decades ago.Using this literature I will see what recommendations are cited to carry this concept into the future with an ever more globalized market. Finally an application of this literature will be carried out on Ikea: a global company that has changed with market trends when necessary to stay a top player in its industry. Origination Kippenberger identifies in his research, how the idea of analyzing internal activities as a source of competitive advantage began in the early 1980’s with McKinsey’s Business Systems Concept (Kippenberger 1991).Through this concept, firms could look at their own activity pool and performances and compare these to that done of their competitor. This comparison would then act as a source of competitive advantage. Michael Porter took influence from this research and began to fine tune it even further. His creat ion of the Value Chain concept in 1985 (Porter 1998) has been the topic of detailed research by academics in diverse fields: strategic management (Johnson et al. 2005), marketing (Webster 1988), and customer loyalty (Parasuraman 2000) to name a few.The concept was an aid to identify sources of competitive advantage by providing a basis of differentiation (Porter 1998). According to Porters earlier research, differentiation could be created by using one of both of the following strategies: lower relative cost, or some form of differentiation offering (Porter 1998). Porter’s Value Chain Concept The original concept started with a tool called the Value Chain which when implemented correctly helped to break down all activities that a business took part in, in order to identify and understand the sources of competitive advantage (Porter 1998).Johnson et al. (2005) states that the value chain can be used to understand how a company creates or loses value in its activities. This nee ds to be identified if the company achieves competitive advantage by providing value to their customers. By stripping systems back to ‘strategically relevant activities’ (Porter 1998), cost savers and creators can be identified as well as the activities that house sources of differentiation. If these are carried out more efficiently, better or cheaper than competitors, then competitive advantage is created (Parasuraman 2000).Kippenberger reminds us that in the original concept all of a firm’s activities can be broken down into two categories (Kippenberger 1991): primary and support. Primary activities are concerned with the physical creation and delivering of the product (Johnson et al. 2005); whilst support are the activities that supply primary ones with purchased inputs, human resources and technology. It also supplies the entire chain with firm infrastructure (Kippenberger 1991). All activities are embedded into a ‘stream of activities’ called th e value system (Porter 1998).These ‘generic description of activities’ should be mapped out in an activity system (Johnson et al. 2005). This disaggregation of discrete activities can isolate the value creating areas from the lacking (Porter 1998). In this way not so important areas can be combined or ‘clustered’ (Johnson et al. 2005). Thus the firm can now see which areas of activities they should be concentrating their resources on; and which they should de-emphasis or outsource (Johnson et al. 2005). Often the categorization of activities relies on judgment (Kippenberger 1991).Linking of the Value Chain This system of mapping out and categorizing activities helps the firm to link its competencies to competitive advantage (Normann 1993). Relating your core competencies back to your resources is a successful way to gain competitive advantage (Lusch 2011); and participation of this is key to good strategy in a business (Normann 1993). Optimizing co-ordinati on between some activities may take place, as well as trade-offs between activities in order to achieve an overall more successful value result (Porter 1998).Once activities have been clustered or isolated depending on their ‘higher order strategic themes’ (Porter 1998), the links between the different activities need to identified and analyzed in order to spot any potential competitive advantage sources that lie here (Kippenberger 1991). And so to, the notion of relationship and information management in the value chain arises in the different literature. Emphasis needs to be placed on the relationships between all activities within the firm and with external organizations (Walters 2000).Information plays a significant role in good relations as it helps to co-ordinate all activities in the value chain, and implement any sources of competitive advantage found. Walter and Lancaster (2000) relate back to Browns 1997 industry perspective of value whereby concerns raised in the value chain are to do with supply chain management and logistics involvement. In the upper part of the supply chain, inputs are created or provided by suppliers; the company then adds value to these inputs before handing the product or service downstream, finally reaching the end consumer (Porter 1998).Although most of the literature see’s the participation of the supply chain and logistic elements as a necessary involvement in the value chain in order to gain competitive advantage; these essentials play different roles in different literatures. Supply chain management has also been seen as the management of the differing relations along the value chain that take place to maximize value creation (Walters 2000). Every value creating activity is facilitated by logistics such as the management of costs that occur within the supply chain. Focus on External SourcesSo far, the value chain and its successful application has revolved around the industrial view. However to modern ize the value chain from its 1980’s foundations a focus on maximizing value starting from external sources has come to play. Instead of looking at one’s own activities within a business and its supply chain and logistical partners to spot sources of competitive advantage, businesses may start value chain analysis by looking at their target customer (Webster 1988),. Taking a customer-centric approach to the value chain means that when analyzing activities one is looking to see if it maximizes value for the customer.Value opportunities are now distinguished by their ability to satisfy customer’s needs (Walters 2000). High perceived value is a determinant of customer loyalty (Parasuraman 2000). Research has shown that customer loyalty and retention is more profitable than gaining of a new customer pool. Thus it is in a business’s best interest to optimize value creation in the minds of their customer. Value should not be solely focused on product quality, as service quality has been found to be a driver of value perception (Parasuraman 2000). This is especially the case where the product offering and service quality overlap e. . a hotel stay. The idea of customers’ needs and value perceptions being paramount to the company needs to stem from every aspect and level within that company. There needs to be an organizational believe in order to create a customer orientated firm (Webster 1988). This should start at top management and the CEO and then instilled into every aspect of the company. Thus the idea of an information flow and relationship management comes to the forefront again. Value creation is aided by a good fit between relationships and knowledge within a value chain (Normann 1993).This also contributes to good strategy within an organization where by all equally informed members working pro-actively together helps to create value in whatever activity they may be partaking in (Normann 1993). The value proposition (the val ue the customer understands is being offered to them [Walters 2000]) should be communicated to all stakeholders also (Lusch 2011). It needs to have an appeal to the stakeholders so that they can see the potential value for themselves in putting customer needs first (Lusch 2011). Through this aim, the idea of ‘corporate value’ is introduced (Walters 2000).Corporate Value is the notion that if a value chain is to be successful it is crucial that the objectives of all stakeholders as well as customers are to be met. Managing the relationships between all relevant parties through the provision of information is pertinent again. This management is facilitated by the supply chain and logistical functions (as discussed earlier) within the value chain. The Future – Conclusion A number of themes keep re-emerging from the literature; all of which are noted to be prominent drivers of a successful value chain, thus being a source of competitive advantage.Corporate value and the value chain should become a guide for a company’s mission statement. Supply Chain functions facilitate the strategic direction of fulfilling this mission statement. Logistics helps to implement this whole chain by managing operations (Walters 2000). To succeed in value chain management a number of factors need to be considered. Firstly customer value criteria needs to be identified. In this way a company can ensure that when carrying out Value Chain management they co-ordinate all activities and their suppliers so that customer satisfaction and the attempt to meet stakeholders objectives is maximized.This should be carried out continuously so that at no time should there be a more preferable option to ensure value satisfaction (Walters 2000), (Parasuraman 2000). Successful implementation of supply chain management and logistical functions to aid favorable results in the value chain, can only be done so by the management of relationships and information (Normann 1993). Man y relationships take place within the value chain such as relations between employers and employees, the firm with its customers and stakeholders, and the business with its partners in the supply chain (Kippenberger 1991).Relevant information must be passed to each and every individual within the value chain (Walters 2000). Through good relations, companies can spot value creators and sources of differentiation within the vale chain (Porter 1998). Thus successful companies will learn how to re-invent value rather than just create it (Normann 1993). This will provide competitive advantage in today’s globalized market where competition is immensely high. The value chain can now also be used as a tool for evaluating new business opportunities (Walters 2000).Globalization has also caused a change in customers’ needs and value criteria with the onset of increasing competitor choice in most industries. Thus tapping into customer’s wants and needs must be done on a con tinuing basis (Parasuraman 2000). This market intelligence needs to be communicated to everyone in the value chain in order that the chain be reconfigured to ensure maximum customer satisfaction and value at all times (Webster 1988). Value propositions should be looked at again. This is the way in which a customer understands the value offered to them (Walters 2000).Firms need to mobilize their customer base so that they can create their own value from the company’s product offering (Normann 1993). They can use their value proposition as a tool for doing so. IKEA Example Six decades ago Ikea founder Ingvor Kampvad began a Swedish mail order operation selling furniture (Ikea 2012). Today, it is the global leader in home furnishing expanding into new geographic and product markets each year (Ikea 2012). By November 2011 the company had 332 stores in 38 countries worldwide (Collins 2011); 2010 saw them with an increase of 7. 7% in sales growth from the previous year ($23. Billio n) (Collins 2011). But how does their use of the value chain attribute to this success? Ikea’s business model is simple: the selling of high quality, Scandinavian designed, flat pack furniture. New product lines have been added to their product offering such as the introduction of soft furnishing items e. g. rugs, paintings etc. Profit making amenities are also located within all their stores such as coffee shops and restaurants. What Ikea saves on efficient warehousing (Ikea Distribution 2011) and low cost components, they pass onto their customers in the form of lower prices.Apart from this low cost strategy the company are able to maximize their organizational practices within the value chain in order to provide greater value to their customers in comparison to fellow competitors. By re-inventing their value proposition they have mobilized customers to take their own value from their offering. Customers are doing the jobs that furniture providers once did such as assemblin g of the product. Ikea aims to ensure that this is as seamless a process as possible for the customer by providing good quality, easy to fit components along with safety warnings and instructions.If we go along Porters definition of value (Porter 1998) -value is what consumers are willing to pay for what a firm provides- then we can see from the Ikea example that consumers perceive the ease of assembly and instructions provided as high value for the low cost that they pay. Similarly when entering the store, customers are provided with measuring tapes, pens and paper etc. This allows the consumer to take over the role of the salesperson partially. This is aided by the amount of information provided about each product through their catalogue (also available upon store entry) and on product displays.Again, these additions communicate extra value gained in the consumer’s mind by shopping at Ikea versus a competitor. Ikea have reinvented the idea of value for their customers. They do not position themselves as a supplier offering finished goods to an end-consumer. Instead they act as a mediator between two sets of producers (Ikea 2012), whereby the end consumer is also a producer as it is he who finalizes and assembles the offering. Suppliers are located in 50 countries around the world (Ikea 2012). They are selectively hosen to provide low cost, good quality wood that also complies with Ikea’s ‘Iway’ programme, whereby all wood must be obtained in a sustainable and traceable manner (Ikea 2012). By managing good relations with their suppliers in the value chain, good quality, low-priced raw materials can be guaranteed, and constantly meet the Ikea standards. Ikea also heightens the value created by their suppliers through their ‘Ikea Engineering’ programme (Ikea 2012). Technicians are provided for suppliers to aid in technical assistance.Between their online and in store till sales, ordering and payment of goods is done elect ronically (Ikea 2012). This passing of information between activities makes it easier for their warehouses to analyze shipping patterns and sales globally (Ikea 2012). Stock quantities and deliveries can also be amended with ease. The communicating of information and managing of relations between all retail and supplier units worldwide means that standards are kept the same and are controlled no matter which Ikea location a customer may be in.This means that no matter where the customer enters an Ikea outlet, that the value provided remains constant and high. Thus providing Ikea with the loyalty that earns them their competitive edge in this growing industry. References 1. Collins, L. (2011, October). How Ikea transformed home furnshings: The New Yorker. Retrieved from The New Yorker: http://www. newyorker. com/reporting/2011/10/03/111003fa_fact_collins 2. Grewal, D. P. (2000). The Impact of Technology on the Quality-Value-Loyalty Chain: A Research Agenda. Journal of the Academy of Marketing Science. , 28(1), 168-174. 3. Ikea. (2011).Ikea Distribution. Retrieved from Ikea: http://www. ikea. com/ms/en_US/jobs/business_types/distribution_logistics/index. html 4. Ikea. (2012). Ikea-History. Retrieved from Ikea: http://www. ikea. com/ms/en_IE/about_ikea/the_ikea_way/history/index. html 5. Johnson, G. S. (2005). Exploring Corporate Strategy. Essex: Pearson Education Limited. 6. Kippenberger, T. (1991). The value chain: the original breakthrough. The Antidote, 2(5), 7-10. 7. Lancaster, G. W. (2000). Implementing value strategy through the value chain. Management Decision, 38(3), 160-178. 8. Lusch, R. W. (2011). A Stakeholder-Unifying,

Deontology and Computer Programer Essays

Deontology and Computer Programer Essays Deontology and Computer Programer Essay Deontology and Computer Programer Essay A strict deontological would have no qualms about doing his duty. The Seven Oaks Philosophy website states, Theories in this category (demonology) address the question of what makes one action right and another one wrong irrespective of the consequences of the action. That means no matter the result a strict deontological will do his duty. I, the computer programmer, have sworn an oath to never intervene in any government action. If I were to interrupt the launch, that action would be ring, because I would be intervening in government actions, without giving any thought to the consequences after the launch. So a true deontological would not stop the launch nor divert the flight path and I believe my true duty would be a computer programmer that will not mess in government business. Let us put the situation to the test of Cants Categorical Imperative. The only thing GOOD about the act is the WILL, the GOOD WILL. That will is to do our DUTY. What is our duty? It is our duty to CT in such a manner that we would want everyone else to act in a similar manner in similar circumstances towards all other people. ( ICC. CUNY. Du/ Categorical_eliminative. HTML) So lets put this to the test- would I want Deltas (or any other country) computer programmer to Just do his Job and not stop millions of people dying? Of coarse I would want him to stop the launch, and thus l, using CLC should stop the launch. But would these actions be fulfilling my duty? Using Cants ironically I believe it would because my duty would not be Just a computer programmer, but our duty Is to act In such a manner that we would want everyone else to act. These entirely two different actions would definitely put the strict deontological at odds with Emmanuel Cants philosophy. Not so much In doing our duty, as using the philosophy to determine WHAT Is our duty. If I truly am the computer programmer In this scenario, I would definitely not allow the launch to happen and face the consequences of not doing my assigned Job.

History and Invention of the Post-It Note

History and Invention of the Post-It Note The Post-it Note (also sometimes called a sticky note) is a small piece of paper with a re-adherable strip of glue on its back, made for temporarily attaching notes to documents and other surfaces. Art Fry The Post-it Note may have been a godsend, literally. In the early 1970s, Art Fry was in search of a bookmark for his church hymnal that would neither fall out nor damage the hymnal. Fry noticed that a colleague at 3M, Doctor Spencer Silver, had developed an adhesive in 1968 that was strong enough to stick to surfaces, but left no residue after removal and could be repositioned. Fry took some of Silvers adhesive and applied it along the edge of a piece of paper. His church hymnal problem was solved. The New Type of Bookmark - Post-It Note Fry soon realized that his bookmark had other potential functions when he used it to leave a note on a work file, and co-workers kept dropping by, seeking bookmarks for their offices. This bookmark was a new way to communicate and to organize. 3M Corporation crafted the name Post-it Note for Arthur Frys new bookmarks and began production in the late 70s for commercial use. Pushing the Post-It Note In 1977, test markets failed to show consumer interest. However in 1979, 3M implemented a massive consumer sampling strategy, and the Post-it Note took off. Today, we see the Post-it Note peppered across files, computers, desks, and doors in offices and homes throughout the country. From a church hymnal bookmark to an office and home essential, the Post-it Note has colored the way we work. In 2003, 3M came out with Post-It Brand Super Sticky Notes, with a stronger glue that adheres better to vertical and non-smooth surfaces. Arthur Fry Background Fry was born in Minnesota. As a child, he showed signs of being an inventor making his own toboggans from scraps of wood. Arthur Fry attended the University of Minnesota, where he studied Chemical Engineering. While still a student in 1953, Fry began working for 3M in New Product Development he stayed with 3M his entire working life. Spencer Silver Background Silver was born in San Antonio. In 1962, he received his bachelor of science degree in chemistry from Arizona State University. In 1966, he received his Ph.D. in organic chemistry from the University of Colorado. In 1967, he became a senior chemist for 3Ms Central Research Labs specializing in adhesives technology. Silver is also an accomplished painter. He has  received more than 20 U.S. patents. Popular Culture In 2012, a Turkish artist was selected to have a solo exhibition at a gallery in Manhattan. The exhibition, titled E Pluribus Unum (Latin for Out of many, one), opened November 15, 2012, and featured large-scale works on Post-it Notes. In 2001, Rebecca Murtaugh, a California artist who uses Post-it Notes in her artwork, created an installation by covering her whole bedroom with $1,000 worth of the notes, using the ordinary yellow for objects she saw as having less value and neon colors for more important objects, such as the bed. In 2000, the 20th anniversary of Post-it Notes was celebrated by having artists create artworks on the notes.

Assess Client and Manage Patient for Respiratory-myassignmenthelp

Respiratory- The most urgent nursing assessment priority is to conduct respiratory assessment of patient to get information related to respiratory rate, auscultation of the lungs and oxygen saturation rate of patient after fall. This is important because high falls often cause soft tissue injury to lungs and may lead to subdural hematoma (Granhed et al. 2017). Hence, respiratory assessment may give idea about level of respiratory problem or soft tissue injury in patient after fall. GIT and metabolic- This assessment is important for patients because Jake has mainly complained about abdomen pain since admission to the ED. During this assessment, information about past medical history, current lifestyle and medication and nutritional uptake is necessary to determine the impact of any of these factors in contributing to stomach pain. It may indicate about intolerance to some food or side effects of medication since Jake is talking many medications. Onset, intensity and duration of pain will help to determine the correct medication for patient too (Macaluso   and McNamara 2012). CVS- As the patient sustained fall from high height, checking vital signs like blood pressure and heart rate is necessary to identify symptoms of anxiety and heart rate variability in patients after fall. It may also give idea about the cardiovascular causes of falls (Palvanen et al. 2014) CNS- CNS assessment is important for Jake because fall from high height might have resulted in brain injury in patient and it may help to predict level of consciousness in patient after fall. This assessment may help the nurse to take further action to minimize future fall incidents. Renal- Falls are associated with decrease in renal function in patient and renal assessment might indicate about fluid balances status and urinary pattern after fall (Gallagher, Rapuri and Smith 2007). Skin- Skin assessment is also a vital assessment for patients as he might have sustained several skin injury and color of skin, temperature and moisture can give idea about any skin infection. Psychological and discharge- Assessment in this area is needed to understand Jake’s emotion and view after fall. This will to gather motivation of patient for recovery and mental capacity to handle challenges in the treatment process. The essential nursing assessment for patient with left sided chest pain will be to collect HEART score of patients as it will give data related to history, ECG, age, risk factors and troponin (Six et al. 2013). The data can help to determine the ischemic nature of chest pain in Jake. The PQRST assessment tool can also help to determine the main factor and severity of pain patient. As Jake has history of hypertension, the BP assessment of patient will also be essential to determine the cardiovascular risk status of patient and cardiovascular cause of chest pain (Daskalopoulou et al. 2015). Left sided chest pain is an indication of heart disorder. Blood clot in the lung or pneumothorax can also lead to sharp pain and chances of this are high in Jake due to fall.   Te immediate nursing intervention for left sided chain pain will include immediate vital sign assessment of patient and making Jake sit in a semi-Fowler position to review pain. Oxygenation and relevant drugs will also be needed to reduce the intensity of pain (Abbas 2014). The rational for taking HEART score of patient is that this tool considers the risk stratification component responsible for chest pain and so it can help the clinician to make accurate diagnostic and therapeutic choices for patients like Jake (Six, Backus and Kelder 2008). The main advantage of considering semi-fowler’s position for patient with chest pain is that it facilitates airway management and relieving breathing difficulty in Jake due to chest pain (Godden and CPAN 2016). In addition, oxygen supplementation decreases the pain level if it is ischemic in nature (Raut and Maheshwari 2016). Two actual nursing complications due to left sided chest pain include shortness of breath in patient and risk of heart failure in patient. The two potential nursing complications evident due to left sided chest pain are development of precarditis and postinfarction angina in patient. 1.  Ã‚  Ã‚  Ã‚  Ã‚   Complain of left sided chest pain in patient  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Monitor and document characteristics, intensity and heart rate or BP changes due to pain  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Review past medical history of myocardial infarction in patient This nursing intervention will give idea about level of anxiety and intensity of pain in patients (Than et al. 2014). Pain documentation is crucial for resolution of patient’s problem 2.  Ã‚  Ã‚  Ã‚  Ã‚   Risk of ineffective tissue perfusion due to fall injury and abdominal pain  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Assessment of skin, peripheral pulse, edema and vital signs in patient  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Assessment of GI function Due to fall from high height, injuries might contribute to pulmonary complications in patients and abdominal pain. Hence, vital sign and skin assessment is critical to assess GI dysfunction and other complication in Jake after falls (Morton et al. 2017). This intervention is beneficial to prevent risk of complication in patients 3.  Ã‚  Ã‚  Ã‚  Ã‚   Risk of excess fluid volume due to fall  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Maintain fluid intake in patients Auscultation is beneficial in identify and manage risk of heart failure. Maintaining fluid intake is necessary to enhance fluid retention. Jake also take two cans of beer everyday and restricting the use of beer is also necessary for recovery of patient (Platz et al. 2016) Risk of heart failure and circulatory problem in patient can be controlled 4.  Ã‚  Ã‚  Ã‚  Ã‚   Discomfort in patient due to chest and abdominal pain  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Consider repositioning patients and proving analgesics Positioning will facilitate airway management in patient and analgesics will cause pain relief (Cortà ©s, DiCenso and McKelvie 2015) It is an effective intervention to minimize discomfort and intensity of pain in Jake 5.  Ã‚  Ã‚  Ã‚  Ã‚   Anxiety or fearful attitude in Jake due to chest and abdominal pain and fall injuries  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Communicate with patient and identify perception and feelings of anger or grief in patient  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Orient patient to routine and expected activities Communication with patient is important to know about coping capability of patient and reduce symptoms of depression. Orienting to routine activities distract patients from emotional stress and lead to improvement in signs of depression (Jayasinghe et al. 2014) Patient’s expression about current and future worries will help to take adequate steps to mitigate symptoms of anxiety in patient 6.  Ã‚  Ã‚  Ã‚  Ã‚   Acute abdominal pain in patient Abdominal pain in patient might also be caused by diarrhea. Hence, it is necessary to assess bowel movement in patient Bowel movement will help to determine the appropriate food and medications needed for patient to reduce pain Bowel pattern assessment is critical to proactively assess symptoms of nausea, constipation and diarrhea in patient 7.  Ã‚  Ã‚  Ã‚  Ã‚   Risk of bone or muscle injuries due to fall  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Conduct skeletal/muscular assessment of patient Clinical assessment would help to evaluate the severity of muscle or bone injury On the basis of   severity of injury, the nurse can consult the clinician regarding the use of conventional treatment option of medication or going for physiotherapy (Phelan et al. 2014) 8.  Ã‚  Ã‚  Ã‚  Ã‚   Prevent infection in patient  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Implement hand hygiene and infection control intervention for Jake Due to fall, Jake is dependent on major activities of daily living. This may increase the risk of infection in patient. Hence, maintaining adequate hand hygiene and infection prevention technique is essential to prevent infection (Anderson et al. 2014) Infection control will minimize development of other complications in Jake  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Regular PQRST assessment is necessary to analyze different factors contributing to pain Routine assessment of chest pain is critical to reduce the risk of myocardial infarction or heart attack in patient PQRST is a structured assessment method to identify the characteristics, intensity and cause of chest pain. Increased dependence in activities of daily living Provide assistance to Jake while walking, moving, dressing and going to washroom Support is ADLs is critical to complete daily life activities and reduce risk of fall in health care setting It is most effective step to support patient during difficulties in ADLs. Low physical activity and risk of obesity related complication in patient Provide guidance in physical therapy and moderate exercise intervention This I s essential to maintain minimum level of physical activity in patients Moderate exercise improved quality of life of critically ill patients Abbas, A.D., 2014. Evaluation Of Nurses ¢ Practices Concerning Chest Pain Management For Patients In The Emergency Unit.  Kufa Journal for Nursing Sciences, 4(1).‎ Anderson, D.J., Podgorny, K., Berrà ­os-Torres, S.I., Bratzler, D.W., Dellinger, E.P., Greene, L., Nyquist, A.C., Saiman, L., Yokoe, D.S., Maragakis, L.L. and Kaye, K.S., 2014. Strategies to prevent surgical site infections in acute care hospitals: 2014 update.  Infection Control & Hospital Epidemiology,  35(S2), pp.S66-S88. Cortà ©s, O.L., DiCenso, A. and McKelvie, R., 2015. Mobilization Patterns of Patients After an Acute Myocardial Infarction: A Pilot Study.  Clinical nursing research,  24(2), pp.139-155. Daskalopoulou, S.S., Rabi, D.M., Zarnke, K.B., Dasgupta, K., Nerenberg, K., Cloutier, L., Gelfer, M., Lamarre-Cliche, M., Milot, A., Bolli, P. and McKay, D.W., 2015. The 2015 Canadian Hypertension Education Program recommendations for blood pressure measurement, diagnosis, assessment of risk, prevention, and treatment of hypertension.  Canadian Journal of Cardiology,  31(5), pp.549-568. Doherty?King, B., Yoon, J.Y., Pecanac, K., Brown, R. and Mahoney, J., 2014. Frequency and duration of nursing care related to older patient mobility.  Journal of Nursing Scholarship,  46(1), pp.20-27. Gallagher, J.C., Rapuri, P. and Smith, L., 2007. Falls are associated with decreased renal function and insufficient calcitriol production by the kidney.  The Journal of steroid biochemistry and molecular biology,  103(3), pp.610-613. Godden, B. and CPAN, C., 2016. Airway issues.  Perianesthesia Nursing Care, p.23. Granhed, H., Altgà ¤rde, E., Akyà ¼rek, L.M. and David, P., 2017. Injuries Sustained by Falls-A Review.  Trauma & Acute Care. Ho, P.M., Lambert-Kerzner, A., Carey, E.P., Fahdi, I.E., Bryson, C.L., Melnyk, S.D., Bosworth, H.B., Radcliff, T., Davis, R., Mun, H. and Weaver, J., 2014. Multifaceted intervention to improve medication adherence and secondary prevention measures after acute coronary syndrome hospital discharge: a randomized clinical trial.  JAMA internal medicine,  174(2), pp.186-193. Jayasinghe, N., Sparks, M.A., Kato, K., Wyka, K., Wilbur, K., Chiaramonte, G., Barie, P.S., Lachs, M.S., O'Dell, M., Evans, A. and Bruce, M.L., 2014. Posttraumatic stress symptoms in older adults hospitalized for fall injury.  General hospital psychiatry,  36(6), pp.669-673. Macaluso, C.R. and McNamara, R.M., 2012. Evaluation and management of acute abdominal pain in the emergency department.  International journal of general medicine,  5, p.789. Morris, P.B., Ference, B.A., Jahangir, E., Feldman, D.N., Ryan, J.J., Bahrami, H., El-Chami, M.F., Bhakta, S., Winchester, D.E., Al-Mallah, M.H. and Shields, M.S., 2015. Cardiovascular effects of exposure to cigarette smoke and electronic cigarettes.  Journal of the American College of Cardiology,  66(12), pp.1378-1391. Morton, P.G., Fontaine, D., Hudak, C.M. and Gallo, B.M., 2017.  Critical care nursing: a holistic approach. Lippincott Williams & Wilkins. Palvanen, M., Kannus, P., Piirtola, M., Niemi, S., Parkkari, J. and Jà ¤rvinen, M., 2014. Effectiveness of the Chaos Falls Clinic in preventing falls and injuries of home-dwelling older adults: a randomised controlled trial.  Injury,  45(1), pp.265-271. Phelan, E.A., Mahoney, J.E., Voit, J.C. and Stevens, J.A., 2015. Assessment and management of fall risk in primary care settings.  The Medical clinics of North America,  99(2), p.281. Platz, E., Lewis, E.F., Uno, H., Peck, J., Pivetta, E., Merz, A.A., Hempel, D., Wilson, C., Frasure, S.E., Jhund, P.S. and Cheng, S., 2016. Detection and prognostic value of pulmonary congestion by lung ultrasound in ambulatory heart failure patients.  European heart journal,  37(15), pp.1244-1251. Raut, M.S. and Maheshwari, A., 2016. Oxygen supplementation in acute myocardial infarction: To be or not to be?.  Annals of cardiac anaesthesia,  19(2), p.342. Six, A.J., Backus, B.E. and Kelder, J.C., 2008. Chest pain in the emergency room: value of the HEART score.  Netherlands Heart Journal,  16(6), pp.191-196. Six, A.J., Cullen, L., Backus, B.E., Greenslade, J., Parsonage, W., Aldous, S., Doevendans, P.A. and Than, M., 2013. The HEART score for the assessment of patients with chest pain in the emergency department: a multinational validation study.  Critical pathways in cardiology,  12(3), pp.121-126. 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Phil Company Limited Essay Example | Topics and Well Written Essays - 1250 words

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Latin history Essay Example | Topics and Well Written Essays - 2000 words

Latin history - Essay Example While no underlining meta-narrative or explanation has been presented to account for the state of poverty in these regions, through the juxtaposition and comparison of these perspectives on urban poverty, shanty towns, and social violence, a pragmatic understanding of the issues affecting all societies and cultures is developed, ultimately promoting an empathetic understanding of the state of these marginalized poor. The film Bus 174 opens with an overhead shot of the Rio de Janeiro city landscape while voices from inhabitants leaving on the city streets are heard. The effect is very moving as the viewer begins to comprehend the expansive nature of the city and get a feel for the economic depravity facing many residents. The narrative voices explain how they are forced to beg for food, and attest to the difficulties of seeking shelter. They explicitly state that these issues are primary factors in their growing up enraged at the social order. The film consistently returns to the overhead shots of the city leading the viewer to consider the nature of the city landscape and the on-goings that are central to the film. The film is structured around a hostage situation perpetrated by a man named Sandro. The film reveals that it was the rampant crime in the city that led to Sandro’s mother being murdered when he was 6 years old, and ultimately leading to Sandro becoming a part of a street gang. The viewer becomes introduced to the depravity of Rio de Janeiro street life where large amounts of homeless children fend for their daily existence. In a sense, these inhabitants are presented almost like a scavenger or animal-like race that have been cast off from mainstream society. At one point during the film, a man states that if the police officers were aware that Sandro was a street kid they would have been more aware that he was