please respond to the following two post 109 words one reference
#1Juan Carlos Velasquez
Week 12 Juan Velasquez
For my research I am focusing on patients with chronic renal failure on dialysis and the impact this has on the caregivers. About 40% of the U.S. population >60 years of age has CKD . And, the number of elderly patients who receive ESRD treatment has been rapidly increasing. Currently, nearly one in five prevalent ESRD patients are of age 65–74, and 16% are of age 75 or older. These numbers can be expected to increase further as the population ages; it is projected that the number of individuals >65 years will increase from 35 million in 2000 to 70 million in 2030 (Charina Gayomali, 2008). Caregiver burnout is a real problem in United States and around the world. With more and more cut back in hospital patients are being discharged with home duties to provide care for the loved ones. Burden is definable subjectively and objectively. Objective burden is defined as the changes and disruptions appeared in life as a result of care. Subjective burden definition is the reaction or attitude of caregiver against care experience (Mashayekhi. F. Pilevarzadeh. M, 2015). I belies some f the challenges I will encounter in obtaining samples will be, time, acceptances of the caregivers to be shadowed in their own home, and being able to connect with the caregivers and dialysis patients to open up and disclose there true thoughts and feelings. Participation in research is voluntary. A well-planned, culturally sensitive (stretching the term culture to include people of different ages, genders, health statuses, and incomes, as well as races and ethnic group memberships) recruitment effort is needed to find and enroll willing volunteers (Tappen, 2015). I will need to have a well prepared marketing plan to be able to fins the suitable participants. Once this is accomplished a very detailed interviews with both patient and caregiver separately will need to be done, to be able to accept or reject the participants. My main emphasize will be on build a trusting and caring relationships to be able to collect accurate data.
Suri, R. S., Larive, B., Garg, A. X., Hall, Y. N., Pierratos, A., Chertow, G. M., … FHN Study Group (2011). Burden on caregivers as perceived by hemodialysis patients in the Frequent Hemodialysis Network (FHN) trials. Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association – European Renal Association, 26(7), 2316–2322. doi:10.1093/ndt/gfr007
Mashayekhi, F., Pilevarzadeh, M., & Rafati, F. (2015). THE ASSESSMENT OF CAREGIVER BURDEN IN CAREGIVERS OF HEMODIALYSIS PATIENTS. Materia socio-medica, 27(5), 333–336. doi:10.5455/msm.2015.27.333-336
Mallappallil, M., Friedman, E. A., Delano, B. G., McFarlane, S. I., & Salifu, M. O. (2014). Chronic kidney disease in the elderly: evaluation and management. Clinical practice (London, England), 11(5), 525–535. doi:10.2217/cpr.14.46
Tappen, R. M. (2015). Advanced nursing research: From theory to practice. Sudbury, MA: Jones & Bartlett Learning.
Among all adult residents of the facility in the research admitted to the ICU over a 1-year period. The most appropriate population would be critically ill patients ages 18 and over. I would assess the following: ICU, hospital, 30-day, and 180-day mortality rates; ICU and hospital lengths-of-stay; Post-hospital use of hospital care, ICU care, outpatient physician care, medications, and home care; and Post-hospital residence location.
The data will be stratified by age, sex, and separate categories of health status. The challenges in obtaining a sample from this population is consent since these patients are in critical condition and consent needs to be obtained from next-of-kin. I can address the challenges by recruiting patients and drafting an education brochure explaining the benefits of the study and the participation expectations.
Essential III, Quality Improvement and Safety, notes that quality improvement is emphasized through leadership and collaboration. Nurse leaders collaborate with staff and agencies to build tools that support quality improvement efforts. Through the development of methods, structured processes, and organizational guidelines, the nurse will be able to apply quality measures to every day nursing practice.
American Association of Colleges of Nursing (2016). About AACN. Retrieved from: http://www.aacn.nche.edu/about-aacn.
Bounds, M., Kram, S., Speroni, K. G., Brice, K., Luschinski, M. A., Harte, S., & Daniel, M. G. (2016). Effect of ABCDE bundle implementation on prevalence of delirium in intensive care unit patients. American Journal of Critical Care, 25(6), 535-544. http://dx.doi.org/10.4037/ajcc2016209.
Research Discussion Reply
Note: One article is from wikipedia (do not reference it in any of your work) only used for quick information.
During the early 2000s Microsoft was under a microscope for having a monopoly. The case was settled (see wikipedia >Settlement)
Review the below links:
United Stated vs. Microsoft Corp.
NSA and CIA Backdoor
Answer the following:
What are your thoughts on what you have read?
Do you believe that your privacy rights have been or currently violated?
Do you think that hackers have found the backdoor?
How would you protect your infrastructure against a backdoor?
Any other thoughts?
Must be original and in APA format.
During the early 2000s Microsoft was under a microscope for having a monopoly. The case was settled (see wikipedia >Settlement)
Turkey: Middle Eastern or European? Essay
Nowadays, it is commonly assumed that, despite its affiliation with the religion of Islam, Turkey is essentially a European country. After all, a part of Turkey (Eastern Thrace) is located in Europe. Moreover, the country is the member of NATO and is scheduled to join the EU at some point in the future. The assumption’s validity is further confirmed, in regards to the fact that, just as it is happened to be the case in European countries, Turkey adheres to the ideals of democracy (at least formally), with one of the main principles of the country’s political system being the separation between church and state. Nevertheless, a closer analysis will reveal that the practice of referring to Turkey as a European nation per se is conceptually fallacious. The reason for this is that the manner, in which Turkey continues to manage its internal affairs, and the country’s current stance in the arena of international politics, suggest that it has so much more to do with Turkey’s historical legacy as the former Ottoman Empire than with its today’s thoroughly secular/democratic positioning. In its turn, this implies that Turkey is, in fact, a Middle Eastern country. In my paper, I will aim to substantiate the validity of this suggestion at length. Probably the main characteristic of Turkey’s system of political governance is that the country’s military enjoys a rather hypertrophied power within the domestic body politics – something that can be illustrated, in regards to the military coup of 1960. Even today, one of the country’s constitutional provisions entitles the military to right to intervene in the political process, once Turkey is in danger of facing a civil disorder of any sort, “Turkey’s main divergence from the normal parliamentary pattern has been the shadowy presence of the military as an independent branch of government” (Palmer, 2006, p. 324). Even though the provision in question is commonly seen as a temporary measure to ensure the proper functioning of the country’s democratic institutions, this is far from being the actual case. After all, Turkey has a long legacy of the military order of Janissaries (captured Christians, converted to Islam) having exerted a strong influence on the governing process within the country when it was still the Empire. As Palmer noted, “The sultans had become dependent upon Janissary support. Indeed, it was not unusual for new sultans to begin by lavishing gifts upon Janissaries” (2006, p. 305). Thus, it is in Turkey’s very nature to remain highly militarized and obsessed with conquest, as something that has the value of a ‘thing in itself’ – even the country’s most recent history leaves only a few doubts as to the full validity of this suggestion. The continual occupation of northern Cyprus by the Turkish army, contrary to the numerous resolutions by the UN, serves as a good example, in this respect, “The United Nations condemned Turkey and the U.S. threatened economic reprisals, but Turkey refused to budge” (Palmer, 2006, p. 315). In its turn, this can be explained by the fact that, despite having sustained numerous military defeats at the hands of the Russians, the French and the British back in history, Turkey continues to aspire for the reestablishment of the ‘Islamic caliphate’ – even at the expense of providing the unofficial support to such notorious terrorist organizations as ISIS. It is understood, of course, that this sets Turkey apart from the rest of the Western countries. In fact, this makes Turkey the de facto enemy of the West – despite the country’s membership in NATO. Another notable difference between Turkey and these countries is that unlike what it is the case with the latter, Turkey’s democracy is essentially about citizens being provided with the opportunity to express their ethno-cultural, personal and religious loyalties during the political elections. According to Palmer, “Turkey’s party system from the 1980s onward was characterized by exceptional fluidity. Parties formed, merged, fragmented, and re-formed with a different name or face. Individuals were often more important than ideology” (2006, p. 326). This, of course, implies that Turkey can hardly be referred to as a democracy, in the conventional sense of this word – just as it happened to be the case with other formally democratic, but essentially tribalistic countries that attained their statehood rather incidentally, such as Ukraine. The reason for this is quite apparent – the democratic form of governance serves the purpose of allowing citizens to affect the process of political decision-making in the country, rather than the purpose of legitimizing the continual rule of the country’s rich and powerful elites, as it is the case in Turkey. Get your 100% original paper on any topic done in as little as 3 hours Learn More This suggestion directly relates to what can be deemed as yet another qualitative aspect of the functioning of Turkey’s political system – the fact that this country’s stance on world politics continues to sway in a rather unpredictable manner, and also the fact that Turkey’s bureaucratic apparatus is, in fact, nothing short of the entity of its own. As Palmer pointed out, “The Turkish bureaucracy is a bloated apparatus that absorbs much of the budget left behind by the military” (2006, p. 329). There is nothing surprising about this situation – during the Imperial era, it used to account for a commonplace practice among sultans to be primarily concerned with experiencing sensual pleasures, at the expense of leaving the matters of state-governance in the hands of viziers (advisors), “Weak sultans depended on the viziers… Many sultans were corrupted by the harem and had little interest in the affairs of empire” (Palmer, 2006, p. 305). Partially, this explains why even today, many Turkish top-officials tend to act irresponsibly, while addressing geopolitical challenges. The President Erdogan’s most recent order to shoot down the Russian bomber-plane, which was on the mission of bombing the ISIS installations in Syria, exemplifies the soundness of this suggestion perfectly well. After all, the world will be lucky not to be plunged in the nuclear WW3, because of the incident. This once again illustrates that, even though Turkey may appear European (rational) on the outside, it is strongly Middle Eastern (emotional) on the inside – something that hardly qualifies the concerned country as the would-be legitimate member of the EU. Turkey’s legacy as the Ottoman Empire’s descendant helps to explain yet another indication that this country can be referred to as anything, but European – the fact that the Turkish government continues to proclaim that Turkey is homogeneous, in the ethno-cultural sense of this word, while refusing to acknowledge the very existence of Kurds, as the representatives of the country’s largest ethnic minority. After all, even though the Empire’s rulers used to allow their subjects to enjoy a certain degree of religious freedom, the latter never ceased being considered Turks – regardless of the concerned people’s wishes, in this respect. The Empire’s approach to addressing people’s dissent with such a policy was simple – those who did not want to be considered Turks had to be exterminated physically, “Between 1894 and 1897… more than 100.000 Armenians were slaughtered in an attempt to stem growing separatist tendencies in Turkey’s Armenian provinces” (Plamer, 2006, p. 307). Even today, the Turkish government refuses to admit that the genocide of Armenians had ever taken place – contrary to the fact that in most European countries the denial of the ‘Armenian holocaust’ is considered a criminal offense. Apparently, Erdogan believes that the ‘Kurdish problem’ could be solved in a similar manner – hence, Turkey’s practice of subjecting Kurdish villages to the indiscriminate bombing raids, on which the West prefers to turn a blind eye while screaming bloody murder about the violation of ‘gay-rights’ in Crimea. It is understood, of course, that some Western countries (such as Germany or the U.S.) are no strangers to having tried exterminating the ‘undesirable’ nations (such as the Jews and the Native Americans) en mass in the past. However, these countries have condemned their former affiliation with such a practice long time ago. The Turkish governmental officials, on the other hand, even today do not seem to think that there is anything wrong about it. This, of course, confirms even further that the country in question is strongly alienated from the values of tolerance and democracy, which define the realities of today’s living in Europe. Therefore, there is nothing accidental about the fact that, even though Turkey has submitted the application to join the EU as far back as in 1987, it is highly unlikely that this country will ever have its membership-request approved. As Palmer pointed out, “Both the EU and Turkey maintain that Turkish membership is on track, but the situation remains iffy” (2006, p. 321). The EU continues to feed Turkey with promises, in this respect, but there is clearly no light at the end of the tunnel. The same can be said about the situation with yet another self-proclaimed ‘European’ country – Ukraine, in which people’s average salary amounts to approximately $30 per month. While answering the question about when would Ukraine be allowed to join the EU, the organization’s spokesmen usually say that this will happen after Turkey is accepted. When asked to specify the time when Turkey is to be granted the full-membership in the EU, they say – never (off the record, of course). Apparently, a nation can consider itself ‘European’ all it wants, but it does not make it European per se – especially, there is no nation to speak of, in the historical sense of this word. We will write a custom Essay on Turkey: Middle Eastern or European? specifically for you! Get your first paper with 15% OFF Learn More I believe that the earlier deployed line of argumentation, in defense of the idea that, despite having succeeded in mimicking Europe in a number of different ways, Turkey remains as Middle Eastern (Asiatic) as ever, is fully consistent with the paper’s initial thesis. The main conclusion that can be drawn from what has been said is that the innate essence of a particular country cannot be altered – especially if this country’s government remains committed to implementing reforms, recommended by the international organizations that are there to make sure that the ‘developing’ nations never become fully developed, such as the World Bank or IMF. It appears that despite not being a particularly bright individual, Erdogan has come to the same conclusion – hence, his decision to turn Turkey into yet another Islamic state. Such his decision, however, may cost the country dearly – especially if Turkey continues to support Islamic terrorism, as the mean of trying to affect the geopolitical dynamics in the world. References Palmer, M. (2006).The politics of the Middle East. Belmont: Wadsworth Publishing.
essay order fountainhead.
Please write a 2 page paper applying ethical egoism to The Fountainhead. Ayn is one of the most misunderstood philosophers of the 21st century. You may still disagree with her when you are done but you should at least know her principles. Use specific examples and apply specific principles to them. An example of a good paper would be a concise introduction which explains what ethical egoism is (or Objectivism as Ayn named it) and conclusion which can include your own opinion. In the body of the essay, perhaps write five paragraphs of analysis which specify one of Ayn’s principles and an example from the movie/book which exemplifies this principle. You can do more or less than five but try to give a few examples and some good analysis. Submit the paper below through Turnitin.
Grand Canyon University Leadership Journal Template
Grand Canyon University Leadership Journal Template.
Journaling provides a valuable tool for recording, reflecting on, and reviewing your learning. This approach provides an opportunity for you to “connect the dots” and observe the relationships between and among activities, interactions, and outcomes.Unlike a personal journal of thoughts and feelings, this leadership journal is a record of your activities, assessments, and learning related to this academic experience.Journal entries should include a record of the number of hours spent with your nurse leader each week.Write a journal entry of 750-1,500 words on the subject of provision, including the following:Practicum Activities Reflection: Provide observations and thoughts on the activities in your practicum during Topics 7-8.Application of Leadership: Describe how your nurse leader preceptor influences the work environment. Consider how influence protects and values others in the work environment.Practicum Project Preparation: Describe any potential or actual barriers you have encountered as you prepared for project implementation. If you have not encountered any, what could present a barrier in the future?Leadership Video Reflection: Reflect on at least two things you learned from the “Servant Leadership – Issue of Headship” video.Use the “Leadership Journal Template” to complete this assignment.APA format is not required, but solid academic writing is expected. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.
Grand Canyon University Leadership Journal Template
History Of Stereotypes And Bullying Film Studies Essay
More and more bullying cases are being reported each year. About 160,000 children stay at home due to bullying going on in school. Although bullying has been around for so long, there has been a great amount of media response to the topic these past three or four years. With TV shows portraying storylines and situations in which their characters get bullied, it is interesting to notice how the bullying in question is being represented. One can’t help but wonder if what we are seeing on TV is what happens in real life, or if it’s just being exaggerated for shock effect or to gain more viewers. A clear example of bullying being represented in current media is the American TV series: Glee. The show is about a group of teenagers who can’t seem to find their place in the social circles of high school, they join glee club so they can fit in and ultimately be accepted for who they are. Since the series began in 2009, it has had a massive following with audience members all around the globe. It’s attracted more viewers of different age groups than its intended demographic and overall it’s having a successful run. With this information the following question arose: To what extent is high school bullying portrayed accurately in the TV Series “Glee”? Glee has been chosen specifically because during its bullying arc ratings were generally positive. With the highest viewed episode being an estimated 26.8 million viewers and its lowest 8.85 million, it’s safe to say that the audience watching at home was subjected to their representation of bullying that Glee had made. The show throughout its three complete seasons has referenced bullying in a minor or major way, ranging from emotional to physical abuse. Since the show has gained a great amount of followers during its run, teenagers and adults alike may feel identified with the characters because of the setting. Since it is portrayed in high school, teens can relate because they are currently living it and adults can find similarities with their experience because they’ve already lived it. The main idea is to compare real life situations and events that have happened in American high schools with moments in the show, then discuss the accuracy in the portrayal of such events and see if the television reenactment does the real life situation justice. What’s bullying? Bullying is an epidemic that everybody can experience. Whether you’re in high school, college, or well into adulthood, you are always going to find someone that will hurt you physically or emotionally, even if they meant to or not. It is fairly common in school periods because children and teenagers are experiencing changes in their personal and social lives. “Bullying is widespread and perhaps the most underreported safety problem on American school campuses” (Batsche, G. M.