Friday, March 6, 2020

How Sociology Defines Social Oppression

How Sociology Defines Social Oppression Social oppression is a concept that describes the relationship between two categories of people in which one benefits from the systematic abuse and exploitation of the other. Because social oppression is something that occurs between categories of people, it should not be confused with the oppressive behavior of individuals. In cases of social oppression, all members of the dominant and subordinate groups are involved, regardless of individual attitudes or behavior. How Sociologists Define Oppression Social oppression refers to oppression that is achieved through social means and that is social in scope- it affects whole categories of people. This kind of oppression includes the systematic mistreatment, exploitation, and abuse of a group (or groups) of people by another group (or groups). It occurs whenever one group holds power over another in society through the control of social institutions, along with societys laws, customs, and norms. The outcome of social oppression is that groups in society are sorted into different positions within the social hierarchies of race, class, gender, sexuality, and ability. Those in the controlling, or dominant group, benefit from the oppression of other groups through heightened privileges relative to others, greater access to rights and resources, a better quality of life, and overall greater life chances. Those who experience the brunt of oppression have fewer rights, less access to resources, less political power, lower economic potential, worse health and higher mortality rates, and lower overall life chances. Groups that experience oppression within the United States include racial and ethnic minorities, women, queer people, and the lower classes and the poor. Groups that benefit from oppression in the U.S. include white people (and sometimes light-skinned racial and ethnic minorities), men, heterosexual people, and the middle and upper classes. While some people are conscious of how social oppression operates in society, many are not. Oppression persists in large part by camouflaging life as a fair game and its winners as simply harder working, smarter, and more deserving of lifes riches than others. While not all of the people in dominant groups actively participate in sustaining oppression, they all ultimately benefit from it as members of society. In the U.S. and many other countries, social oppression has become institutionalized, meaning it is built into how our social institutions operate. Oppression is so normalized that it does not require conscious discrimination or overt acts of oppression to achieve its ends. This does not mean that conscious and overt acts do not occur, but rather that a system of oppression can operate without them once the oppression itself has become camouflaged within the various aspects of society. Components of Social Oppression Social oppression is produced through forces and processes that permeate all aspects of society. It is the result not only of peoples values, assumptions, goals, and practices but also of the values and beliefs reflected in organizations and institutions. Sociologists view oppression as a systemic process that is achieved through social interaction,  ideology, representation, social institutions, and the social structure. The processes that result in oppression operate at both the macro and micro levels. At the macro level, oppression operates within social institutions, including education, media, government, and the judicial system, among others. It also operates through the social structure itself, which organizes people into hierarchies of race, class, and gender. At the micro level, oppression is achieved through social interactions between people in everyday life, in which biases that work in favor of dominant groups and against oppressed groups shape how we see others, what we expect from them, and how we interact with them. What ties oppression at the macro and micro levels together is the dominant ideology- the sum total of values, beliefs, assumptions, worldviews, and goals that organize the way of life as dictated by the dominant group. Social institutions reflect this groups perspectives, experiences, and interests. As such, the viewpoints, experiences, and values of oppressed groups are marginalized and not incorporated into how social institutions operate. People who experience oppression on the basis of race or ethnicity, class, gender, sexuality, or ability often internalize the ideology that produces the oppression. They may come to believe, as society suggests, that they are inferior to and less worthy than those in dominant groups, and this, in turn, may shape their behavior. Ultimately, through this combination of macro- and micro-level means, oppression produces widespread social inequalities that disadvantage the vast majority for the benefit of the few.

Tuesday, February 18, 2020

Portrait Of A Dog from FAMILY GUY Essay Example | Topics and Well Written Essays - 750 words

Portrait Of A Dog from FAMILY GUY - Essay Example Producer, writer, MacFarlane tries to portray and explain through this episode how a dog is segregated from society despite being the closest member of a family; he wants to have a major impact on the audience by letting them know how the most loyal member of their families, who might even be the caretaker, is not taken care of and bossed about, like a slave. Upon reaching the dog show, Brian is forced by Peter to behave like the other dogs in order to win; however when Brian refuses because he feels that his dignity is at stake, Peter orders him and shouts at him. This makes Brian feel unwanted and oppressed in a way and puts him in a difficult situation. To support his position, MacFarlane has tried to draw an analogy with respect to most people belonging to society and how they are stereotyped. Then, he talks about exclusion from society for a certain section of people, and finally about how even though they are living beings and have equal rights, are not treated equally in accor dance to the laws that have been laid down, and do not even have a voice which can be heard because of the deafening noise of society in the environment. Just because Brian is a dog does not mean that he has to obey his master by sitting when his masters commands him to, or rolling and heeling when his master orders him to. Brian refuses on the grounds of having his own voice and his own wishes and dreams to fulfil; he does not want to be treated like how the other dogs are treated because he has evolved more than them and is capable of much more than just being a pet and guarding the house; Brian is a true depiction of what kind of a friend a dog can be to a man. Brian however feels unwanted and leaves Peter’s side; Peter’s ego also leaves him to himself, not going to search for the lost dog, despite his wife Lois repeatedly asking him to. In his heart Peter knows that he has made a mistake by stereotyping Brian, however, he does not give in to the fact as soon. MacFa rlane wrote this episode in order to impact his audience so that they would understand how people and animals are stereotyped; for example, when the police find Brian without a leash, they immediately turn him in, when Brian drinks from the public fountain in the park, he is frowned down upon by the other people around him and again taken in by the police as a fugitive for a crime that he has not even committed. All he asks for is to be understood by people properly who do not look at him as a dog, but as a living being with feelings, just the same as other human beings. Furthermore, when he tries to enter a supermarket or a restaurant, he is thrown out just like ‘dogs’ are, just because he is stereotyped to be a dirty and misbehaving animal. Ultimately during the courtroom scene as well, the judges, even though they give Brian a chance to explain his conduct, suddenly change their minds and ask each other â€Å"Why are we listening to a dog?† This comment howeve r hurts the other Griffin family members who by this time have realised the importance of Brian in their family – just because he is a dog does not mean that he needs to be treated like one. If he is willing to expand his intellectual horizons, then he should have the full opportunity to be treated like an equal member of the family. Peter understands that having an equal status and being treated with an equal status of the family are two different things and finally, the Griffins are able to provide the same to Brian. This is how MacFarlane achieves his

Monday, February 3, 2020

THE FACE OF GOVERMENT Coursework Example | Topics and Well Written Essays - 250 words

THE FACE OF GOVERMENT - Coursework Example In America, you can be considered to be living below the poverty line and still have your basic needs taken care of. So how we define poverty in America is important to consider also. Also, we should consider that not everyone is going to spend the money they get from welfare wisely. The money could be used on things like drugs or alcohol instead of on things that will improve that person’s overall quality of life. So I believe that in order to fix the poverty problem we need to fix the unemployment problem. I hope that Social Security and Medicare will be around when it is my turn to collect but I am also not getting my hopes up. Recently the government came out with a report that projected that the Medicare trust fund for hospital care will be insolvent by 2024 and the Social Security fund will be insolvent by 2036 (â€Å"Social Security..†) There are a few things that are responsible for this: the ratio of those putting money in to Social Security to those collecting is shrinking, the rising expense of healthcare costs, our recent economic problems, and government spending. You would think that if a person is putting money into Social Security and Medicare all their lives they would easily have enough money to live on when they retire, which is why I feel that our Social Security and Medicare problems are mostly the result of mismanagement of taxpayer money and out-of-control spending by the

Sunday, January 26, 2020

Wound care essentials summative assignment

Wound care essentials summative assignment Module Code: Wound Care Essentials Section 1. Search strategy Describe the strategy you used to retrieve the right resources to help you write your assignment. You must include the key words you used, the sources of your literature, the years searched and the type of literature you were looking for. Harvard (2007) stated that a well-structured literature search is an effective way to get reliable evidence on the topic being searched. The intended sources that will be use are healthcare databases, systematic review libraries and specialist organisations. In searching, keywords were created using Boolean logics AND, OR, NOT and phrases with quotations. The following are the list of keywords: Foot ulcer* CINAHL- retrieved 1842 records -COCHRANE lib retrieved 3 records PubMed retrieved- 1770 records diabetic foot ulcer* CINAHL- retrieved 844 records COCHRANE 2 records Cochrane reviews PubMed 46 records diabetes mellitus* CINAHL 54940 records PubMed 32863 records COCHRANE 0 record diabetic neuropathy* CINAHL 1003 records PubMed 802 records COCHRANE 0 IJDDC 76 records assessment tool* AND diabetic foot ulcer* CINAHL 24 results PubMed 2 results COCHRANE 0 International Journal of Diabetes in Developing Countries 0 manage* AND diabetic foot ulcer* CINAHL 216 results PubMed 24 results COCHRANE 0 IJJDC 0 manage* OR intervention* AND diabetic foot ulcer* CINAHL 224573 results PubMed 24 results COCHRANE 1131 results IJJDC 0 prevalence AND diabetic foot ulcer*- CINAHL 64 results PubMed 9 records COCHRANE 0 record IJJDC 11 records treatment* OR intervention* AND diabetic foot ulcer* CINAHL 316806 PubMed 33 records COCHRANE 39911 records IJDDC 5 records cost* AND diabetic foot ulcer* CINAHL 97 records PubMed 4 records COCHRANE 0 evidence base* AND diabetic foot ulcer* CINAHL 73 records PubMed 1 record COCHRANE 0 care guideline* AND diabetic foot ulcer* CINAHL- 3 records COCHRANE 0 PubMed 0 Eligible studies were identified by searching the Cochrane Library (November 8, 2010), Cochrane Wound group (2000 to November 1st week 2010), PubMed (2000 to November 1st week 2010), EBSCO CINAHL plus (2000 to November 2nd week 2010). Furthermore, reliable websites and links were used also such as www.intute.ac.uk, www.boperis.ac.uk, www.dh.gov.uk, www.library.nhs.uk, Wound Care Alliance, World Wide Wounds Electronic Journal, the Tissue Viability Society, and the International Journal of Diabetes in Developing Countries or www.ijddc.com. Peer reviewed and published journals were used which are reliable and reviewed by other authors. There was no restriction on language of publications. All publications were no more than 10 years old. Section 2. Wound aetiology Select a common wound type (e.g. diabetic foot ulceration, pressure ulcer, leg ulcer, fungating wound, dehisced surgical wound), which you have cared for in your role as a qualified nurse. It may help to reflect on a patient you have cared for with this type of wound. Using contemporary literature to support your work, discuss: What your chosen wound type is How this type of wound develops (including contributory factors) How this type of wound is recognised (common characteristics) Who it affects Prevalence in UK and home country Approximate word count: 800 _______________________________________________________________________________ Your answer here: One of the common types of wounds is diabetic foot ulcer. International Working Group on the Diabetic Foot (2010) defined diabetic foot ulcer in their research system as a full-thickness penetration of the dermis of the foot in a person with diabetes. According to Jeffocoate and Harding (2003) diabetic foot ulceration is a common complication of diabetes and it is disabling and frequently leads to leg amputation. It usually occurs as a result of neuropathic, vascular changes of a diabetic foot, foot deformities, plantar callus and smoking (NICE, 2010). Even though the cause of diabetic peripheral neuropathy is uncertain, it is known that the nerve function of a diabetic patient degenerates in response to metabolic changes, pressure and ischaemia (Alexander, Fawcett Runciman, 2000). On the other hand, the presence of high sugar level in the blood such as sorbitol can cause osmotic swelling and subsequent damage to the nerve cell, increase the risk of vascular disease and can also give rise to neuropathy and increase the risk of infection (Falanga, 2005; Watkins, 2000). Pendsey (2010) stated that the neuropathy in diabetic patients is manifested in the motor, autonomic and sensory components of the nervous system. In motor neuropathy, the innervations of the intrinsic foot muscles are damaged that leads to an imbalance between flexion and extension of the diabetic foot. It also affects the muscles required for normal foot movement altering the distribution of forces during walking. This creates anatomic foot deformities that make abnormal bony prominences and pressure points and causing skin reactive callus at the sites of abnormal load. It then gradually causes skin breakdown and ulceration (Pendsey, 2003). In sensory neuropathy, it affects the peripheral sensation, subsequently loss of sensation that makes the patient unable to feel trauma to their lower extremities. Patient will also feel heaviness, insensitivity to heat, cold and pressure. It is estimated that 45-60% of all diabetic ulcerations are due sensory neuropathy (Frykberg, Zgonis, Armstrong et al., 2006). According to Alexander et al (2000) when mechanical forces continue to be applied on the affected area, it leads to inflammation, abscess formation and, eventually, ulceration. This is also the reason many wounds go unnoticed and get worse progressively since the affected area is continuously subjected to repetitive pressure and shear forces from ambulation and weight bearing without noticing it. In autonomic neuropathy the peripheral nerve function is affected, which controls the distribution of blood through arteriolar vessels. One of the signs and symptoms is decreased perspiration in the lower extremities which make the skin becomes dry and increasingly prone to fissures (Alexander et al. 2000). Moreover, poor blood supply to the foot or ischaemia is another significant risk factor for diabetic foot ulceration, which according to Frykberg et al. (2006) it often occurs in combination with loss of sensation and the researchers also said that an estimated 45% of diabetic ulcers are due to ischaemia and neuropathy. Diabetic foot ulcer is commonly found in areas where the abnormal pressure distribution arises from disordered foot architecture. It is usually located on hallux, first metatarsal and fifth metatarsal heads, and under the heel (Grey, Enoch Harding, 2006). The precipitating causes of foot ulceration and infection are friction in ill fitting or new shoes, untreated or self treated callus, foot injuries, burns, corn plaster, nail infections and heel friction in patients confined to bed (Watkins, 2003). According to International Working Group on the Diabetic Foot (IWGDF) diabetes is global epidemic with devastating human, social and economic consequences. The disease claims many lives and places a severe burden on healthcare systems and economies everywhere, with the heaviest burden falling on low and middle income countries such as Philippines. It is estimated that 250 million people worldwide have diabetes, equating roughly 6% of the adult population with the age group 20-79 years. The number is expected to reach about 380 million by 2025, representing 7.1% of the adult population. This is due to the current lifestyles which is lack of exercise and not having a proper diet. A survey conducted by Morgan, Currie, Smithers, Butler and Peters (2000) revealed that foot problems occur in nearly 20% of diabetic patients. Two-thirds of lower extremity amputations are performed in diabetic patients alone, and a majority of these are preceded by a foot ulcer. Nwabudike and Ionescu-Tirgoviste (2008) set out a study to identify the clinical parameters associated with foot ulceration in diabetic patients. The study suggested that older age diabetic patient poses the risk of developing foot ulcer because of decreased ability to self care, including personal daily foot examinations. This is also a result of poor vision and impaired mobility which also predispose patients to trauma. The study also shows that most patients with ulcer were type 2 diabetic patients and this correlates with the age of the patient group. The average duration of diabetes the patients have was of 11.5 years. It is twice more common in males may be due to the active nature of the activities th at men are engaged compared to women, increasing the likelihood they may suffer from trauma. In Nwabudike (2008) research, it also showed that lack of awareness of the disease process and personal care increasing the likelihood that the ulcers may degenerate and leads to gangrene and amputation. Section 3. Wound Assessment Identify features of your chosen wound aetiology (wound type) that are commonly identified during the assessment process. Now select one of these features and critically discuss different ways of assessing this problem. You must link your discussion to the contemporary wound care literature. Here is a list of wound features commonly identified during assessment: Odour Exudate Infection Wound bed tissue e.g. slough, necrotic tissue Your discussion must make clear which aspect of wound assessment you have chosen and include an exploration of the different options available for measuring, describing and documenting it. Approximate word count: 500 Your answer here: Accurate wound assessment is essential for the appropriate and realistic planning of goals and interventions for patients with wounds (Collier, 2003). Diabetic foot wound has two classifications, the neuropathic foot ulcer and neuroischemic foot ulcer. Differentiating between these entities is essential because their complications are different and they require different therapeutic strategies (Pendsey, 2007). Neuropathic wound has no sensation and foot is warm to touch with intact pulses. The ulcerations are usually located on tips of toes and plantar surfaces under metatarsal heads. It also shows oedema, local necrosis and sepsis. On the other hand, ischaemic ulcer is painful upon rest and usually diminished sensation over period of time. Moreover, the foot is not warm to touch and has no pulse. The ulcerations are often located on margins of foot especially on the medial surface of the first metatarsophalangeal joint and over the lateral aspect of the fifth metatarsophalangeal joint. They also develop on the tips of the toes and heels. Signs of sepsis, necrosis or gangrene are also noted. An established clinical tool TIME which is adapted from Watret (2005) is being used for assessing the wound bed. The acronym stands for tissue, infection, moisture balance and advancing or undermining epithelium. Necrotic tissue, slough and eschar are non-viable tissues that can be found on diabetic ulcer that needs to be removed through debridement while the presence of epithelial tissue and granulation tissue in the wound suggests healing. The unhealthy granulation tissue often dark in colour and frequently bleeds on contact are signs of infection. Moisture in the wound bed needs to be assessed too. Moist is known to stimulate healing by promoting granulation and encouraging debridement, nevertheless, moisture balance should be maintained to prevent the wound from becoming too dry and too moist which could delay wound healing. In addition the wound edges and environment will be assessed for migrating epithelial cells which is a good sign of healing or maceration which suggest poor care. Infection is a major factor that affects the time healing of all wounds. Jeffcoate and Harding (2003) said that infection can cause substantial deterioration and delay wound healing. Infection is an invasion and growth of pathogenic microorganisms in the body. Diabetic foot infection is divided in three categories: superficial and local, soft tissue and spreading or cellulitis, and osteomyelitis (Jeffcoate Harding, 2003). The classic signs of infection are: heat, redness, swelling and pain. Other signs such as increase exudates, delayed healing, odour, and abnormal granulating tissue are also suggesting infection (Grey et al, 2006). Cutting et al (2005) and Edmonds (2005) used a checklist for identifying infection in diabetic foot ulcers. In the checklist, there are four areas; under it are the signs and a box opposite to it to check if certain signs are present. Clinical signs of infection: Cellulitis- acute inflammation of tissue lymphangitis phlegmon- purulent exudate pus/abscess crepitus in the joint erythema increase in exudates volume localised pain malodour probes to bone. Systematic signs of infection: Nausea Fatigue Vomiting Fever chills Probe to bone test: bone palpated no bone involvement Wound culture: wound swab required wound biopsy required. Furthermore, the wound infection continuum of Gary, White, Cooper and Kingsleys (2005; 2010) is also use to measure the extinct of infection. It is also a useful adjunct in identification of treatment objectives. The scoring is from 3-0; score of 3 means spreasing infection and 0 is colonised. Moreover, Gray et al (2010) also have the wound exudates continuum; it identifies presence of infection since excessive exudates suggest infections. Section 4. Wound Management Using the same wound feature that you identified in Section 3; critically discuss the different ways there are of managing this problem. Your discussion must include: The different types of wound care dressings, products and treatments that could be used to manage this problem Other appropriate/related aspects of patient care such as nutrition and positioning How the patient experience can be improved Now select one of your identified dressings and answer the questions in the product information table below: Product information table Name of dressing (the company name) AQUACEL Ag Hydrofiber (Convatec, Hull, UK) Category of dressing (the generic name) Hydrofiber Wound Dressing with Ionic Silver Indications for use Use on acute and chorin wounds, including burns, surgical wounds, diabetic foot ulcers, pressure ulcers, and leg ulcers Contra-indications Aquacel Ag Hydrofiber should not be used on individuals who are sensitive to or who have had an allergic reaction to the dressing and its components such as Na Carboymethylcellolose and silver. Its not compatible with oil-based products, such as petrolatum jelly. Sizes available 2x 2, 4x4.7, 6x6, 8x12, 75x18, 39x18 Adhesive or non-adhesive? Non-adhesive dressing Secondary dressing needed required Moisture retentive dressing such as DuoDERM Extra Thin or Versiva Approximate word count: 1000 Your answer here: Management of diabetic foot ulcers are removal of callus, eradication of infection, and reduction of weight bearing forces, often requiring bed rest with the foot raised (Alexander, Fawcett Runciman, 2000). A large proportion of patients with diabetic foot ulceration will develop infection, including osteomyelitis or bone infection and gangrene (OMeara et al, 2006; McIntosh, 2007). An infected diabetic ulcer needs immediate medical attention. Jude (2007) stated that infection is a major factor that delays wound healing of a diabetic ulcer. It may be necessary to undertake surgical debridement and drainage of pus. Then a wound swab will be taken from the floor of the ulcer after the callus has been removed. A culture of the excised tissue may provide more accurate information (Watkins, 2003). This will help identify the infective microorganisms and the appropriate antibiotic therapy to be given (Alexander et al., 2000). According to Watkins (2003) patients with superficial ulcer infection can be treated with oral antibiotics such as amoxicillin, flucloxacillin and metronidazole. Since the most likely organisms to infect superficial ulcer are staphylococci, streptococci, and sometimes anaerobes. For patients with deep infections should be hospitalised and started on broad-sprectrum antibiotics. Surgical debridement should then be carried out, which should include all the devitalised tissues, sloughed tendons, and infected bones. Jude (2007) said that diabetic foot ulcers generally have multiple organisms isolated from within the wound and methicillin-resistant Staphylococcus aureus (MRSA) is an important vancomycin and teicoplanin can be given to patients infected with MRSA. Anyhow, linezolid can be an alternative which can be administered orally. Furthermore, various topical antimicrobials, antiseptics, and antibiotics have been used also in treating infected diabetic foot ulcer. Topical antibiotics like neomycin, bacitracin, neomycin, gentamycin, polymyxin B, mupiricin, fusidic acid, and topical antiseptics are also used in infected foot ulcers. Although antiseptics and antibiotics are widely used, there is insufficient evidence for their use in diabetic foot ulcers (Jude, 2007). Lipsky, Holroyd Zasloff (2008) studies showed that pexiganan cream can be used as an effective alternative to oral antibiotic therapy in treating mildly infected diabetic foot ulcer and might decrease the risk of selecting antimicrobial-resistant bacteria. Dressings also play an important role in managing infected diabetic foot ulcers. There are various dressings available in the market nowadays. The selection of a dressing will depend on the condition of the ulcer. Most infected diabetic foot ulcers produce copious amount of exudates and pus. Dressings are used to control exudates, maintain a moist wound healing environment and eradicated the microorganisms that cause infection. The appropriate dressings for infected wounds with exudates are foam, alginates, hydrofiber, and hydrocolloids that are combined with silver ion. Silver has been shown to have bactericidal properties and has been used in wounds as an antimicrobial for more than century. It acts by impairing the bacterial electron transport system and some of its DNA function. It kills the microbes on contact through multiple mechanism of action, such as inhibiting cellular respiration, denaturing nucleic acids, and altering cellular membrane permeability. Nowadays, Silver ions have been incorporated in hydrofiber, foam, hydrocolloid, and alginate dressings (Bergin Wraight, 2006). Concreet Foam dressings with silver can be used during inflammatory phase following debridement and desloughing. It also kills microorganisms on the wounds. It is very absorbent that can be left undisturbed for 3-4 days. However, it can cause a drying effect on the wound if there are too little exudates. Hydrofiber dressings such as Aquacel Ag absorb the exudates, protecting the edges of the wounds from maceration at the same time kills the bacteria in the wound. Alginate dressings is use as a primary dressing and for packing wound, it is good for deeply ulcerated wound with high exudates. Another dressing is hydrocolloid; it is best use on wounds with granulating and epithelialising wounds that with low to moderate amounts of exudates. The primary dressings therefore should be either foam-based such as Contreet foam (Coloplast;Humlebaek, Denmark) or hydrofiber AQAg (Aquacel Ag; Convatec, Chester,UK), both of which will absorb the exudates. A moisture retentive dressing can be used as a secondary dressing such as DuoDERM Extra Thin or Versiva. One advantage with the hydrofiber dressing is its capacity to hold wound exudates and microorganisms within its fibres where the bacteria are then eradicated by the ionic silver (Jude, 2007). In addition, the used of hydrofiber dressing in exudating wounds has been proven with research. Jude also implied to improved outcomes in infected diabetic foot ulcers and ulcers that are colonised, one should consider silver dressings as an essential adjunct to wound care to improve its wound bed and to facilitate healing. Studies also revealed that patients treated with AQAg primary dressing showed improved healing and more overall ulcer improvement with less deterioration in the ulcer. Once the acute situation has resolved it will be necessary to ensure redistribution of the weight-bearing forces on the vulnerable foot by the use of specially constructed shoes or moulded insoles. Application of a total contact plaster cast, lightweight scotch cast boot, or air cast boots may help healing. These conform to the contours of the foot, thereby reducing shear forces on the plantar surface. Great care must be taken, especially with the fitting of plasters, to prevent chafing and subsequent ulcer formation elsewhere on the foot or ankle (Watkins, 2003). If recurrence of neurophatic ulceration is to be avoided, regular follow-up by a chiropodist will be required. An ongoing podiatry to remove excess callus and provide nail care regular assessment, look for active lesions and treat immediately, detect and manage deformities, callus, skin cracks, and discoloration, simple sensory test, examine pulses such as dorsalis pedis and posterior tibial, assess ankle reflex and assess other sensory modalities (Alexander, Fawcett Runciman, 2000). The patients experience will be improved by having a highly structured care. The patients infected ulcer shows healing improvement and prevent from amputation. Understanding the diabetic foot, the proper examination of the patients feet, investigations to classify the foot ulcers, and proper management techniques using a team approach, along with preventive steps, will go a long way in limb salvage and prevention of foot amputation (Pendsey, 2010). Section 5. Evidence based guidance Identify a contemporary source of evidence based guidance (i.e. a clinical guideline) which could be used as a basis for providing a high standard of care to patients with this type of wound. Critically discuss how the guidance given in this document might influence your nursing practice including whether you believe there are any omissions or recommendations made that would be difficult to manage in your own clinical setting (Phillipines). You must clearly state the full reference of your chosen guideline document and link your work to other healthcare literature where appropriate. Approximate word count: 500 Your answer here:

Saturday, January 18, 2020

Psy ch

The following are all examples of descriptive research EXCEPT: (Points : case studies. Correlation research design. Naturalistic observations. Surveys. Question 2. 2. A scientist studied whether climate affected growth in rats. All rats were the same age and from the same parent rats. For the study, they were raised in three distinct climates: tropical, arctic, and multinationals. In this study, the climates are categorical variables . (Points : 1) dependent variables independent variables extraneous variables Question 3. . Changes based on biological and psychological forces are functions of roommate age-graded influences cultural and age-graded Influences normative and cultural influences biological and cultural influences Question 4. 4. Professor stone follows patterns as they relate to human habitats, development, and behaviors. She is an evolutionist an ideologist a behavioral a cognitive Question 5. 5. In a hypothetical study, researchers found that 5. 7 out of 10 people prefer red dogs to cats.These data results are statistically significant statistically insignificant statistically relevant statistically Indeterminable Question 6. 6. Surveys: (Points : 1) are self-reporting and always reliable. FIFO reporting and may result in dishonest or unreliable results. Returns with reliable results. Question 7. 7. The Law of Effect is the foundation for psychodrama theory psychosocial theory behavioral theory ecological systems theory provide nearly 100% Question 8. 8. You have observed and noted the behaviors of one learner in your classroom, who you believe to have a learning disability.You take detailed notes over a designated period of time, with time and date stamps identifying significant reference markers, improvements, or other changes in learning achievement and behaviors. By following this protocol you have conducted empirical study a case study a phenomenological study a comparison study Question 9. 9. Thomas is a teacher who guides his students gradual ly and only as they require. His students' learning grows on the foundational building blocks in a scaffolding fashion within a zone of proximal development. Thomas adheres to the reciprocal process as theorized by Freud Bandeau Woos KY Erikson Question 10. 0. Many people believe that vaccines cause autism. This is an example of a proven theory an inaccurate theory a folk theory a research theory Question 1 1. 11 . Gender is a social construct referencing cultural behavioral expectations for men and women. (Points : 1) True False Question 12. 12. Is a theorist who believed in a psychosocial model in (Points : 1) Frontbencher Question 13. 13. When evaluating sources, the following is true: (Points : 1) Begin with wick sources as the first step. You can always rely on governmental or educational sources. Blobs and news sources are rarely sufficient for academic study.Skepticism is not always accessory. Question 14. 14. Psychosocial development considers personality, social, and emotio nal factors temperament, cognitive, and physical factors emotional, temperament, and cognitive factors temperament, social, and cognitive factors Question 15. 15. Puberty is a function of development physical development maturation emotional development psychosocial Question 16. 16. Jenny is a single mother of three, whose children range between the ages of 6 and 16. She has decided to return to school at the age of 45. Her circumstances are examples of graded influences normative influences roommate maturation Question 17. 7. Cognition refers to the way about other people normative history- . (Points : 1) people think people process language, thought, and problem solving people believe in intelligence people use mnemonic devices for memory Question 18. 18. In a hypothetical study on the effects of aging in older adults, 100 a representative sample an aggregate sample an age-appropriate sample a random sample Question 19. 19. A researcher studied children and noticed that most advan ced in a fixed set of maturational or developmental stages, and that they were predictable by hierological age rather than in a relative or variable sequence.The researcher's hypothesis reflects the theory of Pigged Question 20. 20. By the statement, â€Å"Stages of adult development are social constructs,† the text means that consistent across cultures life stages are development is linked to chronological age each culture or society identifies markers, which may or may not be consistent with chronological age, for maturation or adult development maturation markers are consistent with chronological age across all cultures, regarding maturation or adult development

Friday, January 10, 2020

Africa’s growing concern Essay

Whoever ignites the flames of hate has succeeded considerably. Hatred has become a way of life for many people around the world. People envy other people and create hatred to those of better lives. But no human being is prepared for what the African continent actually reveals. The persecution of unwanted individuals is prevalent in this part of the earth. Poverty hounds Africa no end. The life there is very hard and disturbing. The place is filled with chaos and turmoil. No stability is in sight. The entire world is currently alarmed over the high incidence of death within its population. Countries over the years have pledged support to the stagnant economy of the African nation. All means of contribution have been given to the poor continent. But in spite of the continued aid, there seems to be no hope of rising within the nation. Africa has shoved itself into a hole so deep that the possibility of becoming buried is never a remote idea in the future. Men, women and children agonize over their situations. Food and resources are hard to come by. Thousands die of starvation annually. But more than that, countless people become victims of unnecessary violence. World leaders and governments around the globe have, time and again, met and discuss the events in Africa numerous times. Like a disease, the social demise of its population has been a primary concern for many nationalities worldwide. People are dying every minute. The media has played a vital role in revealing the abuses and brutalities of people. All eyes are focused on this place where individuals have disregarded the value of human life. The carnage continues, and will continue unless a swift and effective solution will be unveiled. There is a sense of urgency for the world’s leading governments to address the destruction of human dignity in Africa. However, in spite of the launching of countless humanitarian missions to solve the nation’s woes, death and suffering lingers on. Billions have been spent on relief operations but the social problem remains undefeated. The casualty toll piles up. The killing spree goes unsuppressed. And the rest of the world watches dumbfounded. It only shows that governments and its people are not doing enough to find answers to the African problem. Although food and the lack of basic needs is the primary concern among the African people, it is violence that must be silenced. Several decades of gun running and smuggling within the continent have only brought death to many citizens. As long as the armaments keep on coming, peace will remain to be an elusive and distant dream. The social instability in the African nation is about power. Individuals and their clans grapple for control. Gaining that momentum to hold every move in the tumultuous society means having the arms and weapons to subject everyone to their every word. The world is stretching its influence into every corner of the continent. But sadly, the troubled nation drives off the chance and rare opportunity to rebuild its communities. It is ironic that a very poor place can summon the strength to annihilate all intervening parties out of their motherland. Events are bleak. The panic button has been set. But with all the dangers and the deaths, Africans have little regard for the needs of their nation. Women and children go elsewhere to find peace. War escalates and the streets are stained with blood. If the world is keen on finding the answers to the growing social menace in Africa, analysts should dig deeper to gain a full and total understanding of the situation among its people. The United Nations must be aware to the motives and intentions of the African people. All along, the entire globe has only addressed the needs of the poor continent. The real reason for the chaos remains undetermined, and therefore, unsolved. Turmoil will continue to rob the African nation of its dream of peace and stability. With a disorganized crowd and a selfish government, senseless killings and looting will be around for a long time.

Thursday, January 2, 2020

Traditional Gender Roles During The United States - 835 Words

On a different note, Schmitz and Sarah (1998) examined traditional gender roles among men and women in the United States as well as in Mexico. The study revealed distinct differences between traditional gender roles perceptions held by Americans and Mexicans. The authors state that family settings in Mexico have been characterized by a dominance of the husband. The women are expected to make sacrifices for the sake of their families. They engage in household chores while the men are tasked with the role of providing income to the family. Some of the ultimate sacrifices that the women have to make include: the acquisition of education, development of careers, and having a social life. On the other hand, men enjoy all these rights as their work is majorly within the public sphere and their involvement with their family’s actual functioning is minimal. Due to Mexicans’ beliefs that gender roles stabilize families, they believe that â€Å"men should play the role of decisi on makers while women should play the roles of homemakers and family caretakers† (Schmitz Sarah, 1998, p.140). On the other hand, the study found out that gender roles in the U.S were not generally delineated according to gender since they are more focused on the attainment of gender equity. Therefore, household chores can be done by either gender. However, the general trend was that women mostly performed household chores especially in households where both the husband and the wife were professionally working.Show MoreRelatedThe Combat For Women s Rights1181 Words   |  5 Pagesdecades, women in the United States and all around the world have struggled to be considered equivalent to men, both at home and in the workplace. Women have struggled with voting rights, less pay, lower positions in the workplace, and responsibility of maintaining household chores. 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