Night Hoops free essay sample

Fellow Word Shakers, When I started reading the book, Night Hoops by Carl Deuker, I was very bored. I felt like I wasn’t relating to the characters and the plot was moving too slowly. I questioned whether I should start a new book; however, I persevered just like Nick, and I am very grateful that I stuck with it. After reading Night Hoops, I have developed a new mindset on how I should pursue my goals no matter what impediments obstruct my ability to reach them.Nick, the protagonist, always dreamt of earning his spot on his high school’s varsity basketball team, but his road to the team was filled with family troubles; being overshadowed by his older brother, Scott; and run-ins with Trent, the local bully. However, Nick persevered through it all and accomplished his goal of making the varsity basketball team. Over the past few years, I have been extremely dedicated to becoming the best golfer I can be. We will write a custom essay sample on Night Hoops or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page However recently, I have lost my enthusiasm for the game. Because of this, I feel like I can relate to Nick and although he is a fictional character, use him as inspiration to rededicate myself to the game of golf. Aside from my fascination with Nick’s perseverance and dedication, I was intrigued by the friendship that developed between Nick and Trent, the local bully. At first, Trent and Nick didn’t get along. In fact, Trent beat Nick up. However, as Deuker took us through their relationship we saw how they soon became good friends who were connected through the game of basketball.From this, I realized that some of the people best fit for you could be right under your nose, but they put up a facade to support their tough guy image so you don’t get a chance to get to know who they truly are. Another aspect of the book that really captured my attention was how Nick’s father applied pressure on him to succeed in basketball. At first, this pressure really inhibited Nick’s ability to play good basketball. However, as he became used to the pressure and used it as motivation, Nick became the player both he and his dad always wanted him to be.This brings up the dilemma that a lot of parents struggle with today. Should they push their kids to succeed or should they let their kids succeed on their own? There is no right or wrong answer to this question, but I think it is fascinating that Deuker poses this question in a book written for teens. More than just my experience with the different characters, I loved Deuker’s very tangible description of the basketball games: â€Å"He caught it in stride, soared upward in the same fluid motion, and gently laid the ball against the backboard. It dropped through the net just as the horn sounded.A tenth of a second later we were jumping all over him† (167). I felt like I was at the game, sitting on the edge of my seat praying that the ball falls through the net, and jumping into the air screaming in joy when it does. Although I loved his poetic descriptions of the basketball games, I felt like too often he used very basic, simple language. Every book has its flaws, but if you are into basketball, like a story about perseverance, or want to be taken through a great friendship then this book is definitely for you. I hope that you enjoy this book as much as I did. Yours Truly,

Elderly Alcohol Abuse Treatmen essays

Elderly Alcohol Abuse Treatmen essays Statistics within the United States indicate that the fastest growing segment of the population is among older adults. According to the United States Census Bureau, in the year 2000, there were an estimated 35 million people in the United States who were age 65 or older (Federal Interagency Forum on Aging-Related Statistics, n.d.). This proportion of older adults accounts for approximately 13% of the total population. Within the United States, the number of individuals under the age of 65 has tripled within the 20th Century. During this same time frame the number of persons who are age 65 or older has increased eleven fold. There have been estimates that by the year 2030, older adults will comprise one-fourth or 25% of the United States population, more than double the current rate (Adams Fleming, Manwell, Barry, Adams, baby boom generation will begin to turn sixty-five in the year 2011, which will account for most of the growth between 2010 and 2030. According to the Census Bureaus middle series projections, the number of older adults will increase by an average of 2.8% annually during this time period (United States Department of Commerce, Economics, One major area of concern involves identifying and understanding the etiology and maintenance of alcohol use among the older adult population. Although alcohol problems tend to decrease with age and appear less prevalent among older adults than younger adults, there is increasing evidence that alcohol problems among older adults are growing and represent a significant public health concern (Adams & Cox, 1995). Gallo and Lebowitz (1999) suggested that alcohol consumption is common among older adults, with approximately 10 to 20% of the older adults drinking alcohol on a daily basis. Many researchers have reported that alcohol use among older adults may have more severe adv...

Assignment Example | Topics and Well Written Essays - 500 words - 133

Assignment Example However, it is worth observing the fact that despite the crisis, for the Neo-Classics, they responded through defending their position and even made it clear that the crisis was a confirmation of their view. It is understandable that the disunity amongst economists become more pronounced after the economic and the financial crisis mainly due to the resemblance of the recent financial crisis to the great depression of 1930s in both policy orientation and on doctrine issues. During the principle policy problem of the 1930s was unemployment which was then traced to rigidities which prevented the free working of the capitalist system and it was then determined that the major rigidity was obstruction too the downward movement of wages, making the crisis a matter of confidence which could not find cure either on fiscal or monetary expansion. Looking at the current crisis, it is evident that the crisis was triggered by the collapse in the banking system which was a big wake up call for the Neo-classical mainstream economists as it was a clear proof of ill preparation for the crisis owing to the cold shoulder extended to the financial sector. However, on the other hand, the New Keynesians and the New Institutional Economists were presented with the first opportunity to employ the use of fiscal and monetary expansion to halt the contraction of the financial sector. Therefore, theoretically, as a matter of fact, neither economics nor the special branch of economic history is capable is capable of doing its work entirely without help from the neo-classical theory. The last quarter a century has seen the economy-environmental dynamic become subject to the concept of the environment and humans. The last decade has seen an increase in alarming abuse of and exerting of excessive pressure on the environment resulting into a devastation on a grand scale most notably in the developing countries. Most of these instances have

"The Graduate" And "Bonnie and Clyde" Assignment

"The Graduate" And "Bonnie and Clyde" - Assignment Example To make the matter worse, the parents who are funnily involved in infidelity issues are married with children. This production would not have exposed infidelity this much owing to the fact that â€Å"The Graduate† movie targets a larger audience. "Bonnie and Clyde" movie unethically presents a rare reflection of the full range of human life. Movies should ethically be produced as per human nature reflection as in most cases they target human society as the general viewers. "Bonnie and Clyde" movie contemplates human life presentation as a movie revolving around pitiless cruelty, which emerges as an irritant to the audience. This film aimlessly portrays un-forgiveness at this time we are living. Clyde walked into the bank with a major aim of robbery together with the Barrow Gang (Whitehead 23). This movie, through the Borrow Gang, reveals the epitome of violence in American history of exploitation in the mass media production for the first time. The violence and unethical nature of â€Å"Bonnie and Clyde† movie does not make it be grouped as an ideal movie to watch in the contemporary

Personal reflection Essay Example | Topics and Well Written Essays - 250 words - 5

Personal reflection - Essay Example There is much reason that explain the perpetual social problem among coffee farmers. One of the main problem is the existent of middlemen in the coffee market (Francis). They buy coffee at a low price and sell at super profit. In addition, the coffee market is controlled by a few multinational companies that dictate the prices of coffee (Francis). For this reason, the farmer has no power to control the market, but they are reduced as price takers. And because the coffee multinational want to maximise their gain they buy coffee seeds at low price to the disadvantage of coffee farmers. This explains the perpetual circle of poverty among Ethiopian and other African countries that grow coffee (Francis). And because lack of hope in controlling the poor prices of coffee, the farmers are turning to chat farming because it attracts better prices in the local market. They argue that the only way out of poverty is to abandon coffee for other lucrative

Orems general theory of nursing is composed of three constructs

Orems general theory of nursing is composed of three constructs Orems theory: Orems general theory of nursing is composed of three constructs. Throughout her work, she interprets the concepts of human beings, health, nursing and society and has defined 3 steps of nursing process. It has a broad scope in clinical practice and to lesser extent in research, education and administration. Orems theory describes how patients self -care needs will be met by nurse, the patient or both. This theory includes Self-care: practice of activities that individual initiates and perform on their own behalf in maintaining life, health and well being; self care agency is a human ability which is the ability for engaging in self care -conditioned by age developmental state, life experience socio-cultural orientation health and available resources, Therapeutic self-care demand: totality of self care actions to be performed for some duration in order to meet self care requisites by using valid methods and related sets of operations and actions, and Self -care requisites: action directed towards provision of self-care. 2) Roys theory: His theory is evolved from mental imagery of what nursing is, who the nursing client is, and what the goal of nursing is. He systematically developed theoretical propositions to promote research projects. Propositions were based on neurological and biological sciences. The goal of nursing is to help person adapt the changes 3) Nightingale: Florence Nightingale  (1820-1910), considered The founder of educated and scientific and widely known as The Lady with the Lamp wrote the first nursing notes that became the basis of nursing practice and research. In environmental effects she stated in her nursing notes that nursing is an act of utilizing the environment of the patient to assist him in his recovery Nightingale 1860/1969 that it involves the nurses initiative to configure environmental settings appropriate for the gradual restoration of the patients health, and that external factors associated with the patients surroundings affect life or biologic and physiologic processes, and his development. B) CREATE A TIMELINE WHEN THESE THEORIES WERE DEVELOPED. Ans b. 1) Orems Nursing: Concept of Practice was first published in 1971 and subsequently in 1980, 1985, 1991, 1995, and 2001.Continues to develop her theory after her retirement in 1984. 2) Roys theory was developed from 1976-1981. 3) Nightingales theory was developed between 1820-1910. Q2) UNDERSTANDING OF HEATH CARE TEAM. RESEARCH THE VARIOUS HEALTHCARE TEAM MEMBERS AND DISCUSS THEIR ROLE IN PATIENT MANAGEMENT Doctors: they have in common is a high level of autonomy in practice and a commensurate level of responsibility. Nurses and nursing staff: The people in this group provide direct, hands-on patient care, most often carrying out doctors orders but also initiating care based on their own clinical judgment and observation at the patients bedside. They provide near continuous monitoring of a patients progress and response to treatment and have a strong tradition of patient advocacy. Other Direct care providers: The people in this group provide direct patient care in particular settings or areas of medicine. Some function as physician extenders and practice in settings and areas of medicine as diverse as physicians do. Therapists: The people in this group provide direct patient care in specialized areas, usually at the request of primary caregivers. Some concentrate on helping patients regain or retain their ability to function with respect to daily activities while others provide therapy to patients with problems in specific areas (Respiratory Therapists, Speech-Language Pathologists). Care and Psychosocial Support Coordinators: The people in this group assist patients and caregivers with the coordination of the complex and variable range of services that may be required for patients and their families. Some deal primarily with logistical issues, continuity of care, post-discharge support and resources, and financial issues. Others address spiritual needs and support or complex issues involving difficult ethical decisions. Diagnostic Technologists: The people in this group provide technical services in support of diagnostic or therapeutic aspects of patient management. Some are primarily involved in collecting and analyzing biological patient samples, while others are involved in gathering diagnostic data (images) and carrying out treatment protocols. Administrators and information managers: The people in this group are not involved in hands-on patient care but provide critical resources to ensure the smooth operation of the health care team. Some have responsibility for the overall operation of a hospital or institution some provide or process the gamut of information necessary to ensure efficient and safe patient management, and others ensure the security of the physical facility (Hospital Security Officers) or work to minimize the liability of the institution. Other support staff: The people in this group provide a variety of services. Some are in direct contact with patients, often assisting them as they move through the processes involved in accessing and interacting with the healthcare system. Others provide services primarily to other members of the health care team. B) CASE STUDY 1   Ansb. Case study 1: I would suggests the best way to solve Rebeccas case would be to let the doctors know about the situation, and the dieticians can be very much helpful in this case. Q3 ENROLLED NURSE CAREER Ans3. A) ENROLLED NURSE WORK IN A VARIETY OF HEALTH CARE SETTINGS, RESEARCH AND DISCUSS SOME OF THE CAREER PATHWAYS OPEN TO ENROLLED NURSES. ANS A) Rest haven acknowledges that the continued provision of quality service to residents and clients is underpinned by appropriately trained and skilled staff. Enrolled nurse can work as midwifery, in mental health dept., in aged care, NT public sector nursing and midwifery. B) THERE ARE SEVERAL PROFFESIONAL BODIES THAT NURSES MAY JOIN AS WELL AS ORGANIZATIONS WE MUST BE APART OF, DISCUSS THE ROLE AND FUNCTION OF THESE PROFESSIONAL BODIES. ANS B) Enrolled Nurses can find work with a variety of organizations including hospital wards or operating theatres, GP surgeries, nursing homes, community health centers, aged care services, private homes, schools, ambulance service, the Red Cross, emergency aid or even a combination of these. Health industry / health focused business settings: University, vocational, and school educational settings Maternity / Birthing facilities. Acute care and Day Surgery hospitals (adults and Children) As a casual flight nurse. C) THROUGHOUT OUR CAREER WE ALL ARE EXPOSED TO PERFORMANCE APPRAISAL. WHAT IS THIS PROCESS AND WHY ISIT IMPORTANT TO OUR CAREER DELIVERY? ANS C) In the early 1980s performance appraisal was redirected from issues related to the development of psychometrically sound rating scaled to those involving the cognitive processes of raters (Landy and Farr 1980, Feldman 1981). Since that time several reviews have attempted to translate principles from social cognition and cognitive psychology to the specific conditions of formal appraisal systems in work-oriented organizations. The review is structured around a 3 stag process model of gathering, storing and retrieving information about social stimuli for the purpose of rating performance. Factors affecting this process are clustered into four categories: appraisal settings, rates, raters and the nature of scales used for the appraisal. Once reviewed, the research is evaluated in terms of its contributions to improving the quality of appraisal systems as they are used in organizations (Janet L, Daniel R, David B 1980) Q4 NURSING CARE A) RESEARCH THE FOLLOWING METHODS OF NURSING CARE DELIVERY; WHAT ARE THE BENEFITS AND LIMITATIONS OF EACH TYPE OF CARE DELIVERY? Ans A) 1) Functional nursing care: This model is also referred to as the Task Method, and for good reason. Functional nursing evolved during the Depression when RNS went from being private practitioners to becoming employees for the purposes of job security. Once WWII broke out, however, nurses left to care for the soldiers, which left the hospitals short-staffed. To accommodate this shortage, hospitals increased their use of ancillary personnel. For efficiency, nursing was essentially divided into tasks, a model that proved very beneficial when staffing was poor. The key idea was for nurses to be assigned to TASKS, not to patients. For example, one nurse would be responsible for all the treatments, another nurse for all the medications, and so on. Advantages: A very efficient way to delivery care. Could accomplish a lot of tasks in a small amount of time Staff did what only they were capable to do: no extraneous work was added that could be done by assertive personnel. Disadvantages: Care of persons became fragmented Patients did not have one identifiable nurse and the nurse had no accountability. Very narrow scope of practice for RNS Lead to patient and nurse dissatisfaction 2) Team Nursing: Advantages: 1. High quality comprehensive care can be Provided despite a relatively high proportion of ancillary staff. 2. Each member of the team is able to participate in decision-making and problem solving. 3. Each team member is able to contribute his or her own special expertise or skills in caring for the patient. 4. Improved patient satisfaction. 5. Organizational decision making occurring at the lower level. 6. Cost-effective system because it works with expected ratio of unlicensed to licensed personnel. 7. Team nursing is an effective method of patient care delivery and has been used in most inpatient and outpatient health care settings. Disadvantages: 1. Establishing a team concept takes time, effort and constancy of personnel. Merely assigning people to a group does not make them a group or team. 2. Unstable staffing pattern make team nursing difficult. 3. All personnel must be client centered. 4. There is less individual responsibility and independence regarding nursing functions. 5. Continuity of care may suffer if the daily team assignments vary and the patient is confronted with many different caregivers. 6. The team leader may not have the leadership skills required to effectively direct the team and create a team spirit. 7. Insufficient time for care planning and communication may lead to unclear goals. Therefore responsibilities and care may become fragmented (Marquis and Huston, 2003). 3) Client Assignment: Client assignment or total patient care method is the oldest way of providing care to a patient .In this one nurse provides total care for one patient during the entire work period. This method was used during Florence nightingale era. Care includes fulfilling the needs of whole family as well as cooking and cleaning (Nelson, 2000). Advantages:- The patient receives consistent care from one nurse and this helps in developing mutual trust between patient, nurse and family. This method of caring is comprehensive, continuous and holistic. Disadvantages: In todays healthcare economy it proves to be very expensive. It requires highly qualified and skilled nurses but during the times of nursing shortages there are not enough resources or nurses to use this model. This care delivery requires total patient care, such as assessment and teaching the patient and family, as well as the less functional aspects of care. 4) Primary Nursing: Primary nursing was developed in the 1980s by Marie Manthey and the hallmark of this model is that one nurse cares for one group of patients with 24 hour accountability for planning their care. In other words, a Primary Nurse (PN) cares for her primary patients every time she works and for as long as the patient remains on her unit. An Associate Nurse cares for the patient in the PNs absence and follows the Primary nursing individualized plan of care. This is a decentralized delivery model: more responsibility and authority is placed with each staff nurse. It has been debated whether PN is a cost-effective model. Some say it is because the RN has all the skills necessary to move the patient through the health care system quickly. Others say it is not cost effective because RNS spend time doing things that other, less expensive employees can do. Advantages: Increased satisfaction for patients and nurses More professional system: RN plans and communicates with all disciplines. RNs are seen as more knowledgeable and responsible. RNs more satisfied because they continue to learn as a function of the in-depth care they are required to deliver. Disadvantages: Intimidating for new graduates who are less skilled and knowledgeable Where do we get all these RNS during times of shortage? B) WHEN DELEVERING AGE CARE, GENDER, RELIGION AND CULTURE OF OUR CLIENT NEEDS TO BE CONSIDERED. GIVE AN EXAMPLE OF HOW A NURSING ACTIVITY MAY NEED TO BE ADJUSTED TO MEET DIFFERENT NEEDS IN RELATION TO THIS. AnsB.   Nurses need a pragmatic approach to the culture of clients that is flexible enough to take multiple scenarios into account. The very first step is to understand the concept of diversity. In this discussion, diversity is an inclusive concept that embraces not only ethnic groups and people of color, but also other marginal or vulnerable people in society. These groups are included because they experience discrimination based on their lifestyle choices, e.g., sexual preference, or their socioeconomic status, e.g., the poor, the handicapped. Several theoretical models for cultural assessment are available. Leininger (1991), Giger and Davidhizer (1995) and Campinha-Bacote (1994) developed three of the most widely used models. The Leininger model is an expansive systems approach to achieving cultural understanding. She identifies the cultural content categories as educational, economic, political, legal, kinship, religious, philosophical, and technological. Giger and Davidhizer propose tha t nursing consider the following phenomena for their cultural importance: communication; space; time; environmental control; biologic variations; and social organization. The Campinha-Bacote model views cultural awareness, cultural knowledge, cultural skill, and cultural encounters as components of cultural competence in nursing care delivery. Nursing literature also offers many data collection tools that were devised to create a profile of clients from other cultures and to specify how associated behavior influence the biological, psychological and sociological dimensions of health. However, integrating these theoretical models and assessment tools into the actual practice of nursing continues to be an evolving process. The most basic assumption is that there is a point of convergence where people enjoy sameness before differences cause divergence. This sameness or common core is largely an outgrowth of the universal need of all people to be treated with respect. The ability of the nurse to accept the need of all persons to be treated with respect is predicated on awareness of the interaction of three cultures. First, it begins with our personal selves as cultural entities. Every nurse brings two cultures into the relationship with clients. First, the qualities and characteristics of personal culture are key determinants of personal and professional behavior. Second, and equally important is recognizing that the health care delivery system, which the nurse represents and helps the client and family to access, is also a separate and unique culture. Both of these cultures-that of the nurse and of the health care system- must strike a balance with a thirdthe culture of the client. Ignoring any of these entities creates barriers to the achievement of positive, productive, and caring nurse -client relationship.   Nurses care for the whole person. If nursing care is truly holistic, then culture must be an integral part of the nursing process. Culturally competent care is achieved when individualized care includes a complementary and harmonious blend of the patients beliefs, attitudes and values, with Western health care practices (Murray Atkinson, 2000). The nursing process is the primary tool for critical thinking. It facilitates decision-making and is a deliberative, systematic method of care planning for individuals, families, and communities.   C) CASE STUDY 2 Ans c. As a nurse we should maintain the confidentiality as well as duty of care towards our client. In this case if we report this we breach the clients confidentiality or privacy. Most of the organizations have internal reporting protocol, in this case the nurse should report to the appropriate person within the organization. This is called internal duty of care but theres also external duty of care as well. Having reported internally and if that person would report it externally then even it breaches the confidentiality of the client. If the client doesnt want to let the nurse report internally also even then it breaches his confidentiality. Duty of care is a balancing between your duty to that person and that persons rights. But at last keeping Jones uncomfortable during his sons visit all the time its better to do something for him rather than doing nothing. Because to be sued for negligence is worse than being sued for a breach of confidentiality. Thus in this case its better t o report the concerned RN within organization but at same time it should not be reported externally by RN. This satisfies the duty of care as well as confidentiality. (Brian Herd, Carne Reidy Herd) Q5) EVIDENCE BASED PRACTICE ANS A) A great and increasing challenge facing all practitioners, regardless of their discipline or background, is how to keep abreast of new research findings. All clinicians would like to think that they are following best practice and that their practice is based on evidence. However, evidence-based practice means more than practicing with an awareness of research evidence. A widely accepted definition of evidence-based medicine is a conscientious, explicit and judicious use of current best evidence in making decisions about individual patients (Sackett et al, 1996). Ensuring that nurses can practice according to the philosophical underpinnings of their profession is recognized as an important factor in job satisfaction and hence is critical to retention and recruitment of the nursing workforce (Baumann et al. 2001). Employers share responsibility with nurses, professional associations and others for promoting environments that support quality professional practice (Canadian Nurse s Association 2001). The Aged Care Standards and Accreditation Agency Ltd (the Agency) was established in October 1997 and appointed as the accreditation body under the  Aged Care Act 1997  (the Act) owned by Australian government. The Accreditation Grant Principles 1999 require the Agency to carry out regular supervision of accredited residential aged care homes to monitor their compliance with the Accreditation Standards and other responsibilities under the Act; and to assist residential aged care homes to undertake a process of continuous improvement. Improvements have occurred in the provision of care and services since the commencement of accreditation. There have been three major rounds of comprehensive accreditation assessment since September 1999. In an industry comprising more than 2,800 residential aged care homes nationally, during the last round (July 2005 to December 2006), 91.8% of residential aged care homes were assessed as being fully compliant with all 44 expected outcomes of the Ac creditation Standards. That is an improvement from an already outstanding 87.9% three years earlier, and a sharp improvement compared with 63.5% in 2000.

Male Attitude in Hurston’sTheir Eyes Were Watching God and Seraph on the Suwanee :: Their Eyes Were Watching God Essays

Male Attitude Towards Women in Hurston’s Novels, Their Eyes Were Watching God and Seraph on the Suwanee "‘Aw naw they don't. They just think they's thinkin'. When Ah see one thing Ah understands ten. You see ten things and don't understand one.'"(71) Joe Starks to Janie in Their Eyes Were Watching God "‘That shows the difference between me and you. I see one thing and can understand ten. You see ten things and can't even understand one.'"(261) Jim Meserve to Arvay in Seraph on the Suwanee While reading these two novels by Zora Neale Hurston, I noticed several metaphors, ideas, and lines that she uses in both texts. I think that the almost parallel lines quoted above are particularly telling of the way that these two novels relate in their depictions of male attitudes towards women and the relationships that exist between the husband and wife characters. Janie's marriage to Joe Starks in Their Eyes Were Watching God and Arvay's marriage to Jim Meserve in Seraph on the Suwanee both operate under the rubric of the male figure's ideas about what marriage and women should be and do. Within both of these marriages, the husband feels his wife is a possession that is to be provided for and cherished, yet not necessarily to be communed with. Joe embodies this sentiment throughout his marriage with Janie, placing her on a kind of pedestal where she can be seen, but not heard. Jim establishes his marriage under similar pretenses and verbally reiterates them throughout the novel, yet seems to evolve past them in a certain respect as he urges Arvay to take an active role in their love. In their patriarchal positions of authority, both Joe and Jim see themselves as wise, as "understanding ten things," whereas they view their wives as stupid and ungrateful, as unable to "understand even one thing." We can infer Joe's attitude towards women and marriage from several statements that he makes to Janie throughout their relationship. While he courts his future wife, Joe explains himself and his intentions: "‘Ah'm uh man wid principles. You ain't never knowed what it was to be treated lak a lady and Ah wants to be de one tuh show yuh. Call me Jody lak you do sometime'"(29). He then situates Janie's subservient and silent position within the marriage: "‘mah wife don't know nothin' ‘bout no speech-makin'. Ah never married her for nothin' lak dat.