Widow, is no longer able to live independently Essay Example for Free

Widow, is no longer able to live independently Essay Mrs. Jones, a widow, is no longer able to live independently and is requiring more and more help with her self-care. Her daughter, Susie, who is married with three school-aged children, agrees to let her mother move in with her. Susie is concerned with balancing the demands of her career and the needs of her family, especially now that her elderly and chronically ill mother will need assistance. She is also unsure about how she feels with the reversal of roles, having to now be the primary caregiver of her mother. How can the nurse, caring for this family, assist with the changes they are about to undergo? How can both the family structural theory and the family developmental theory be applied to this scenario? How can health education enhance health promotion for this family? Mrs. Jones, a widow, is no longer able to live independently and is requiring more and more help with her self-care. Her daughter, Susie, who is married with three school-aged children, agrees to let her mother move in with her. Susie is concerned with balancing the demands of her career and the needs of her family, especially now that her elderly and chronically ill mother will need assistance. She is also unsure about how she feels with the reversal of roles, having to now be the primary caregiver of her mother. How can the nurse, caring for this family, assist with the changes they are about to undergo? How can both the family structural theory and the family developmental theory be applied to this scenario? How can health education enhance health promotion for this family? Mrs. Jones, a widow, is no longer able to live independently and is requiring more and more help with her self-care. Her daughter, Susie, who is married with three school-aged children, agrees to let her mother move in with her. Susie is concerned with balancing the demands of her career and the needs of her family, especially now that her elderly and chronically ill mother will need assistance. She is also unsure about how she feels with the reversal of roles, having to now be the primary caregiver of her mother. How can the nurse, caring for this family, assist with the changes they are about to undergo? How can both the family structural theory and the family developmental theory be applied to this scenario? How can health education enhance health promotion for this family?Mrs. Jones, a widow, is no longer able to live independently and is requiring more and more help with her self-care. Her daughter, Susie, who is married with three school-aged children, agrees to let her mother move in with her. Susie is concerned with balancing the demands of her career and the needs of her family, especially now that her elderly and chronically ill mother will need assistance. She is also unsure about how she feels with the reversal of roles, having to now be the primary caregiver of her mother. How can the nurse, caring for this family, assist with the changes they are about to undergo? How can both the family structural theory and the family developmental theory be applied to this scenario? How can health education enhance health promotion for this family?Mrs. Jones, a widow, is no longer able to live independently and is requiring more and more help with her self-care. Her daughter, Susie, who is married with three school-aged children, agrees to let her mother move in with her. Susie is concerned with balancing the demands of her career and the needs of her family, especially now that her elderly and chronically ill mother will need assistance. She is also unsure about how she feels with the reversal of roles, having to now be the primary caregiver of her mother. How can the nurse, caring for this family, assist with the changes they are about to undergo? How can both the family structural theory and the family developmental theory be applied to this scenario? How can health education enhance health promotion for this family?Mrs. Jones, a widow, is no longer able to live independently and is requiring more and more help with her self-care. Her daughter, Susie, who is married with three school-aged children, agrees to let her mother move in with her. Susie is concerned with balancing the demands of her career and the needs of her family, especially now that her elderly and chronically ill mother will need assistance. She is also unsure about how she feels with the reversal of roles, having to now be the primary caregiver of her mother. How can the nurse, caring for this family, assist with the changes they are about to undergo? How can both the family structural theory and the family developmental theory be applied to this scenario? How can health education enhance health promotion for this family?Mrs. Jones, a widow, is no longer able to live independently and is requiring more and more help with her self-care. Her daughter, Susie, who is married with three school-aged children, agrees to let her mother move in with her. Susie is concerned with balancing the demands of her career and the needs of her family, especially now that her elderly and chronically ill mother will need assistance. She is also unsure about how she feels with the reversal of roles, having to now be the primary caregiver of her mother. How can the nurse, caring for this family, assist with the changes they are about to undergo? How can both the family structural theory and the family developmental theory be applied to this scenario? How can health education enhance health promotion for this family?

NAFTA Destroyed Employment Essay examples -- Free Trade, Globalization

NAFTA and the North American Worker The North American Free Trade Agreement (NAFTA) was signed into law on December 8, 1993 by former President Bill Clinton. The goal was to facilitate trade between the U.S., Mexico, and Canada by eliminating tariffs on goods traded between them, but it was also about creating jobs. William Orme (1996) affirmed, â€Å"From the beginning, the Bush Administration said NAFTA was about three things: ‘jobs, jobs, jobs’† (p. 112). The trade agreement was sold to the workers of North America with the promise of better jobs, higher pay, and faster growth, but it did not turn out this way for workers in the U.S., for workers in Mexico, or for workers in Canada. According to the Economic Policy Institute, instead of an increase in better paying jobs in the U.S., over a million jobs were lost in ten years with a decrease in wages for many workers with less than a college education (Scott, Salas, & Campbell, 2006). The Mexican economy that NAFTA was expected to prop up has become one of cheap labor used to assemble imported goods into final products for export. James Cypher (2011) confirmed: â€Å"NAFTA has permanently tied Mexico to a low-wage export strategy† (p. 62). In Canada, the once generous social welfare programs granted to workers and citizens alike have been reduced since NAFTA was ratified. The U.S. Worker Although the impact has been less due to the size of the U.S. economy, the U.S. worker has still been adversely affected since NAFTA was implemented. This has been mainly due to the growing trade deficits with Mexico and Canada that have arisen after the agreement became law. The high-paying jobs of U.S. workers in industries that manufacture and export goods have been displaced as a result of more g... ...ited?. The International Economy, 22(3), 24-35. Retrieved from Research Library. (Document ID: 1554987891). Bacon, D. (2004). The children of NAFTA: Labor wars on the U.S./Mexico border. Berkeley: University of California Press. Cypher, J. M. (2011). MEXICO SINCE NAFTA: Elite Delusions and the Reality of Decline. New Labor Forum (Murphy Institute), 20(3), 60-69. Retrieved from EBSCOhost. MacArthur, J. R. (2000). The selling of "free trade": NAFTA, Washington, and the subversion of American democracy. New York: Hill and Wang. Orme, W. A. (1996). Understanding NAFTA: Mexico, free trade, and the new North America. Austin: University of Texas Press. Scott, R. E., Salas, C., & Campbell, B. (2006). Revisiting NAFTA: Still not working for North America’s workers. Economic Policy Institute. EPI Briefing Paper #173. Retrieved from http://www.epi.org/publication/bp173/.

Major Functions Of The Skin Health And Social Care Essay

The tegument is the largest organ of the organic structure. Measuring between 1.5 and 2.0 square meters in an grownup, it forms an extended contact country with the environment. This contact presents a assortment of of import challenges, which the tegument must run into in order to protect the organic structure. It besides provides of import chances, which the tegument uses to keep homeostasis.See the challenges and chances posed by contact with the environment and associate them to the major maps of the tegument.The integumental system, dwelling of tegument, hair and nails, act as a barrier to protect the organic structure from the environment. Some challenges and chances posed to the tegument by the environments are ; exposure to sunlight/UV Rays, bacterium, mechanical harm, chemical harm and thermic harm. The integumental system acts as a barrier in three ways: a chemical barrier, a physical barrier and a biological barrier. The integumental system works with the immune system to make a biological barrier. Specialized cells in the tegument discovery and destroy foreign bacteriums. A physical barrier consists of difficult, keratinized cells in the nails, tegument and hair. These cells particularly in tegument and nails help protect the internal variety meats and blood system from external environmental factors. Hair helps to minimalise insects from creeping on the tegument, protect the scalp from physical injury and regulate heat. A chemical barrier is besides due to clamber. The tegument has perspiration secretory organs which secrete substances onto the tegument that stop the reproduction of bacteriums. The tegument besides produces melanin which acts to protect ultraviolet beams from the Sun nevertheless despite melanin ‘s protective factors excessive Sun exposure will finally damage the tegument.2Explain how the constructions of the skin contribute to its maps.35 % 437.5Answer The tegument is the largest organ in the integumental system and has 2 major constituents: the cutaneal membrane or tegument and the accessary constructions. The cutaneal membrane has 2 constituents: the cuticle and the corium. The cuticle is the outer bed of the tegument and the corium is a bed of tegument between the cuticle and hypodermic tissues. The accessary constructions consists of hair, nails and multicellular duct gland secretory organs. The cuticle consists of 5 beds ; the stratum basale, spinosum, granulosum, lucidum and horny layer. The Stratum basale is the outer bed of tegument, the stratum spinosum is a bed of the cuticle found between the stratum granulosum and stratum basale. [ 1 ] This bed helps to forestall desiccation, the stratum granulosum is the bed between the stratum lucidum and stratum spinosum, the stratum lucidum is a thin, clear bed of dead tegument cells. It is found merely in countries of midst tegument, most perceptibly on the thenar of the custodies and the colloidal suspensions of the pess and eventually the stratum horny layer is the outermost bed and is filled with ceratin, which is made up of dead cells. The corium is responsible for the strength of tegument. Its chief maps are to modulate temperature and to provide the cuticle with nutrient-saturated blood. Much of the organic structure ‘s H2O supply is stored within the corium. The corium contains most of the tegument ‘s specialised cells and constructions, including: Blood vass, lymph vass, hair follicles, perspiration secretory organs, greasy, or oil, secretory organs, nervus terminations, collagen and elastin. The corium bed is made up of two sublayers, the papillose bed, which contains a thin agreement of collagen fibres. The papillose bed supplies foods to choose beds of the cuticle and regulates temperature. The 2nd is the reticular bed which is thicker and made of thick collagen fibres that are arranged in analogue to the surface of the tegument. The reticulate bed strengthens the tegument, supplying construction and snap. A bed of tissue that lies instantly below the corium is the hypodermis or hypodermic tissue. The hypodermis consists chiefly of loose connective tissue and lobules of fat and Acts of the Apostless as an energy modesty. It contains larger blood vass and nervousnesss than those found in the corium. The hypodermis contains: elastic fibres, hempen sets, fat, blood vass, lymphatic vass, hair follicle roots, nervousnesss and musculus. The tegument includes the undermentioned maps ; protection, esthesis, heat ordinance, control of vaporization, storage and synthesis, soaking up, H2O opposition. The constructions of the tegument all work together to keep the of import maps.3You are exerting on a hot twenty-four hours. Explain two ways in which the integumentary system acts to continue homeostasis20 % 250AnswerTwo ways in which the integumentary system acts to continue homeostasis are sudating and vasodilation. Homeostasis is a term for your organic structure ‘s ability to modulate your internal province, and perspiration is an illustration of this. If your organic structure temperature gets excessively high, one of the homeostatic mechanisms used to convey your temp back to normal is sudating. Eccrine perspiration secretory organs are the major perspiration secretory organs of the human organic structure, found in virtually all tegument. Sweat is clear secernment that is chiefly H2O and salt ( sodium chloride ) . Perspiration reaches the tegument via a canal that opens externally as a funnel shaped pore. Eccrine perspiration secretory organs are a extremely efficient portion of the heat regulation system, they are supplied with nervus terminations that cause them to release perspiration when the organic structure ‘s temperature gets excessively high. When perspiration evaporates off the teguments surface it takes organic structure heat with it. On a hot twenty-four hours you could lose up to 7 liters of organic structure H2O. Another manner the integumental system acts to continue homeostasis is vasodilation. Blood vass providing blood to the tegument can swell or distend – called vasodilation. This causes more heat to be carried by the blood to the tegument, where it can be lost to the air nevertheless if the external environment is every bit hot as or hotter than the organic structure the lone manner to let go of heat is through vaporization of sweat. This is an efficient beginning of heat loss every bit long as the air is dry, if it is humid vaporization occurs at a much slower rate go forthing the individual hot and annoyed. When the organic structure cools down the hypothalamus through the autonomic nervous system tells the ‘heat loss ‘ Centre to exchange off.4Indicate how aging affects the tegument and explicate how these alterations affect its normal map.15 %AnswerAs people age their cuticular cell replacing slows therefore the tegument begins to thin ensuing in an addition of bruising and other types of hurt. The lubricating substances provided by the tegument glands that provides immature looking and soft skin start to go less efficient, ensuing in dry itchy tegument. Elastic fibres and collagen fibres become fewer and stiffer so the tegument has much less snap ensuing in furrows. The lessening in Numberss of melanocytes and langerhans cells produced can heighten the hazard of skin malignant neoplastic disease in older age, particularly if alot of ultraviolet beams are absorbed. UV beams are a major part to the celerity of teguments aging. Over clip, the Sun ‘s beams damage certain fibres in the tegument called elastin. The dislocation of elastin fibres causes the tegument to droop and take longer to mend.Aging besides affects things below the tegument ; loss of fat below the tegument may ensue in loosening tegument, bone loss after the age of 60 can do puckering of the tegument around the oral cavity, gristle loss in the nose causes saging of the rhinal tip.Smokers besides tend to hold more furrows than non-smokers of the same age. Skin alterations associated with ageing pose peculiar jobs for nurses caring for aged people.5Outline the nursing rules involved in tegument attention in the aged.15 %AnswerAged patients are prone to clamber cryings, ulcers, scratchs, annoyance and infection particularly if they are diabetic. If proper tegument attention is non adhered to, it can ensue in sores, dry/painful tegument and even sphacelus. When an aged patient is bathing the temperature of the H2O should be warm instead than hot as aged people ‘s tegument does non incorporate as much oil as it one time did, if all the oil is washed off, their tegument is more susceptible to breakage, which can take to infection. A mild soap should ever be used as it is non rough on their tegument and helps forestall it from going prohibitionist. Due to the loss of natural oils in the tegument, it is necessary to use a moisturizing lotion after a bath and multiple times through the twenty-four hours. Using a moisturizer helps cut down the itching, and the likeliness of infection. It is non uncommon for some aged patients to be confined to their bed 24 hours a twenty-four hours. This is when skin attention is critical, particularly if they are incontinent of intestine and vesica, rinsing and drying the country on a regular basis can cut down the hazard of a fungous infection forming. Aged tegument must be observed on a regular basis to look into for alterations such as moles. MARK SHEET. Workbook 3 Integumentary system Question Marks out of 100 Marks Awarded 1st marker 2nd marker Agree 1 15 2 35 3 20 4 15 5 15 Entire 100 Final Agreed Mark Workbook 1 Workbook 2 Workbook 3 Concluding Percentage

2 Life Lessons From Joan Didion

This week, on December 5th, Joan Didion, literary journalist and novelist, turned 79. One of the greatest American essayists (and memoirists), she walked a long path of life, leaving her reflections, thoughts and experiences within her works. Almost eight decades spent on the Earththere must have been plenty of raw material for good stories. Extreme mix of optimism and nostalgia, grief and pleasure, past and future, which is shown in her stories, was not created for pure entertainment. There are many important lessons one can learn from Joan Didions novels and articles, and the most valuable two are about attitude towards the past. Do Not Forget About Your Past In one of essay collections by Joan Didion, entitled â€Å"Slouching Towards Bethlehem†, there is a short sketch called â€Å"On Keeping a Notebook†. It might not be the most famous of her works on memory-collecting and the ideas in it, may not be relevant to what people are used to reading in her essays. In this short piece Didion muses on what a personal notebook is. According to her, writing thoughts, ideas and feelings down might help you always remember, who you, your goals and values once were: â€Å"I think we are well advised to keep on nodding terms with the people we used to be, whether we find them attractive company or not. Otherwise they turn up unannounced and surprise us, come hammering on the minds door at 4 a.m. of a bad night and demand to know who deserted them, who betrayed them, who is going to make amends.† Do Not Let Your Past Consume You Joan Didions best-known novel was published in 2005 and was called â€Å"The Year of Magical Thinking†. In this novel the author reflects on the grief she experienced after her husbands death. â€Å"The magical thinking† term refers to the famous philosophical concept that, if acting positively, a person can avoid the cruelties of fate. When losing something (or someone) precious completely and irrevocably, we, nevertheless, always try desperately not to let our memories go. We gather everything we can find things, clothes, scents, notes, colors, photos (totems, as Didion states) – and, putting them altogether, try to pretend that these are not just dust and ashes. Clinging to our memories, we lose the valuable moments of present time. And perhaps this is where writing things down works. If to seal your grief and pain within written words, it might be easier for you to let hard feelings go. You will not forget a thing, but you will not live in your past anymore.