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Research paper looking at anorexia nervosa

Attempting to comprehend why society demands a high standard for a slender appearance is bewildering. Some individuals take extreme measures to acquire this desired look, assuming that if they achieve this look the pain within will disappear. For most men and women suffering from anorexia there are deeper, more complex emotional/mental issues to be resolved. Anorexia is common destructive eating disorder that individuals can develop overtime by giving into their deranged thoughts and perceptions. My research paper will describe in detail the actions and behaviors that someone who is suffering from Anorexia Nervosa demonstrates. I will be discussing the social attitudes towards the illness from the past to the present. Furthermore, I will give information on different ways to treat Anorexia Nervosa and also preventative measure that can be taken. Abnormal vs. Normal behavior It’s very difficult to give an exact definition between what’s normal and what’s abnormal. We have learned in class about the “4 D’s”, an accepted way to decipher whether any behavior fits the profile of abnormal. The “4 D’s” are Deviance, Distress, Dysfunction, and Danger. Deviance is abnormal behavior, thoughts and emotions that are different from society’s ideas about proper functioning. Definition of distress is great pain, anxiety, or sorrow; acute physical or mental suffering; affliction; trouble. Normally, behavior has to cause distress in order to be classified as abnormal. Dysfunction refers to whether or not the behaviors keep them from carrying out daily living. Daily living is categorized as: employment, self care, hygiene/dress, relationships, housing, and food. Danger means if the behavior puts themselves or other in harm. Anorexia Nervosa fits into all of the “4 D’s.” Deviance Behaviors and thoughts of Anorexia Nervosa include: A distortion of body image, a relentless hunt for being thin, an inability to maintain a healthy body weight, a consuming fear of gaining weight, and extremely scarce eating. To lose weight, people with anorexia force themselves to vomit, misuse enemas and laxatives, and diet and exercise excessively. A person with anorexia becomes so obsessed with becoming thin that they weigh themselves repeatedly still viewing themselves as fat. The denial of this condition is tremendous. The continual need for attention and low self esteem guides anorexics to obsessive diet and starvation as a method to control feelings and actions regarding their emotions. Many anorexics deprive themselves of life’s joys and happiness because they feel unworthy. Distress Unfortunately, there is no single cause of Anorexia Nervosa making it difficult to target the reason why someone may suffer from them. Distressful feelings associated with Anorexia Nervosa include; low self esteem, depression, loneliness, anger, anxiety, emptiness, inadequacy, perfectionism, feelings of lack of control, and setting rigid standards for oneself. The outside appearance of someone with anorexia does not dictate the amount of physical and mental turmoil they are enduring. Dysfunction and Danger The following illnesses make it almost impossible to function in regular daily life. The numerous medical consequences are quite serious and usually result in fatality. “A study by the National Association of Anorexia Nervosa and Associated Disorders reported that 5 – 10% of anorexics die within 10 years after contracting the disease; 18-20% of anorexics will be dead after 20 years and only 30 – 40% ever fully recovers.” Death is caused by any or a combination of the following: internal bleeding, heart attack or heart failure, lung collapse, stroke, kidney failure, liver failure, pancreatitis, gastric rupture, perforated ulcer, and suicide. Other repercussions include; diabetes, blood sugar level disruptions, chronic fatigue syndrome, cramps, bloating constipation, diarrhea, incontinence, dehydration, dry skin and hair, brittle nails, hair loss, mood swings and depression, osteoporosis, electrolyte imbalances, acid reflux disorders, hypertension and hypotension, insomnia, infertility, anemia, kidney infections, malnutrition, ulcers, seizures, and tearing of the esophagus. As you can see there are various effects and some of them have not even been named. Women with Anorexia Nervosa often miss menstrual cycles due to lack of nutrition. Gum disease can occur from consistent stomach acid exposed on the gums. Dental problems such as severe decay, decalcification of teeth, and erosion of enamel are results of countless purges. Callused fingers are also the aftermath for self induced vomiting. Overtime individuals suffering from Anorexia Nervosa can develop edema, defined as swelling of the soft tissues in the stomach area that can be caused by laxative use. Muscle atrophy is common in sufferers of Anorexia Nervosa; it is where there are no more muscles left in your body due to it feeding off itself. People with the Anorexia Nervosa disorder often develop excess hair on their back, face, and arms due to the body’s protective mechanism to keep a person warm during periods of starvation and malnutrition. Social Attitudes Cultural pressures and norms that place extreme value/emphasis on physical appearance or obtaining the “perfect body” rather than inner strengths and qualities are major causes of eating disorders. At risk teens are more likely to begin chronic dieting due to the persistent media messages that encourage diets. In 2006, Wiley Periodicals, Inc. conducted a survey that examined the perceptions about an individual with anorexia nervosa relative to perceptions about a healthy person and a person with another mental or non-mental illness. The results were mostly negative. Participants believed the person with Anorexia Nervosa was most to blame for his/her condition. They thought that the people who had the Anorexia Nervosa disorder were “able to pull him/herself together if he/she wanted to”, and that they act this way for attention and that biological factors were least relevant in developing the illness. These attitudes may contribute to reluctance to seek treatment among individuals with Anorexia Nervosa. Treatment Fortunately, there is hope. Early intervention can enhance recovery. Just like other addictions the first step is admittance and acceptance of the problem. Depending on the severity of their disorder, outpatient and inpatient treatments are available. Someone who has started to see the medical effects of the illness in their body may need to be hospitalized. Long term residential treatment is also available to those with uncompromising symptoms. The most effective way to treat an eating disorder is Cognitive, Behavioral therapy along with medical and nutritional support and guidance that must be individualized. The supervising therapist should specialize in eating disorders. This type of therapy theory is that thinking, questioning and doing (with practice) leads to the changes needed for recovery. Learning to change the way you think about yourself will make you change the way you treat yourself. Changing negative thoughts and words to positive are key factors in this type of therapy. Using humor, role playing, and homework and word-work in attacking shameful feelings and feelings of guilt are combined with the effort to make changes in thinking and behaviors. Cognitive therapy aids patients in the underlying issues of their disorder and behavior while supplying them with tools to cope with daily life. Pharmacology such as antidepressants and anti-psychotics are sometimes used to fix chemical imbalances that exist in the patients’ brain. However, these have now been proven to be extremely effective especially if it’s the only treatment being used for this disorder. Prevention Unfortunately, there are not many measures you can take to prevent yourself from Anorexia Nervosa besides cutting down on magazines and television or anything that portrays an unrealistic idea of beauty. As a parent, you can have family dinner together and encourage healthy eating habits, and have a healthy relationship with your child to prevent them from getting this disorder. Negative family influences play a big role in activating an eating disorder. Poor parenting through out a child’s life, even as young as infancy can increase risks. Over critical parents, especially concerning weight, have a big impact on the children’s self esteem. How often a family eats together may influence whether a child develops an eating disorder. “A study published in the Journal of Adolescent Health found that young girls who ate 3 – 4 meals per week with their families were about half as likely to engage in extreme weight control behaviors as girls who ate family meals less often.” In addition, parents of people Anorexia Nervosa are more likely to have substance abuse problems, alcoholism, and/or psychiatric problems. Problems during pregnancy or after birth have been associated with the development of an eating disorder. Pregnancy issues, including maternal anemia, maternal diabetes, and maternal high blood pressure during pregnancy heighten the risk of anorexia. While placental tissue death raises the risk of Anorexia Nervosa. After birth complications, including below-normal birth weight and length, early difficulties eating, heart problems, and low response to stimuli amplify the risk of Anorexia Nervosa. Conclusion Anorexia Nervosa is a disorder that is composed of a variety of abnormal behaviors that are brought out by the unhealthy thinking. This thinking is brought by the media, the individual’s family/friends, personal experiences, and much more. This disorder has been occurring for a long time but according to my research, wasn’t really viewed as a disorder until the 1900’s. Not until the 1930’s was it recognized as a mental/emotional disorder. Studies have shown that there is not a lot of sympathy for Anorexia Nervosa sufferers. Treatment is always determinant by how much the person wants to help themselves, and if they are denial or not. However, it is very possible for a bright future if the person is willing and open for treatment.
University of Phoenix Interview About Criminal Justice Reflection Discussion.

This assignment provides you an opportunity to learn from someone directly involved in criminal law. Watch or read an interview with the goal to learn something new and correct any of your misconceptions about criminal law.
You have an interview for a position as a paralegal with a local law firm. As part of your preparation, you want to learn about criminal law from the perspective of an active participant, so you are looking on the internet for a video or written interview to help you better understand this area of law. You are seeking as much help as possible to be prepared to answer questions posed in your job interview.
Locate and review a written or taped interview that was conducted with an active participant in criminal law (judge, attorney, etc.).
Write a draft 350- to 525-word summary of your reflections from the interview. Address the following questions:

What did you learn? (For example, consider what you may have learned about criminal law, the concept of crime, and criminal liability.)
What surprised you?
What impact did the interview have on your views of criminal law? What views were reinforced? Were any of your perspectives changed?

Cite the source of the interview.
Format your paper according to APA guidelines.
Submit your assignment.
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University of Phoenix Interview About Criminal Justice Reflection Discussion

The Not So Wonderful World of Eurodisney

Euro Disney and other Disney are subsidiaries to Walt Disney Company. This is a case study based on Euro Disney to critically analyse and answer question of the Not So Wonderful World of EuroDisney- Things are Better Now at Paris Disneyland. EuroDisney first year of operation was faced with several factors in which hindered their financial growth and success in the first year of operation. The case study will analyse and answer several questions relating to the Not so Wonderful world of EuroDisney. The questions are broken down in to five which are: 1) Why was Euro Disney performing poorly during its first year of operation? Recommend and propose strategies and suggestions to improve the situation? 2) To what degree do you consider that these factors were a) foreseeable and b) controllable by either Euro Disney or the parent company Disney? Evaluate the cross-cultural marketing skills of Disney! 3) Do you think the new theme park would have encountered the same problems if a location in Spain had been selected? 4) If you were the business development manager, what would be the major consideration you would go through before selecting a location for the next Disneyworld? 5) From your discussion select a location you think will be the next Disneyland site. By the end of the analysis, a clear understanding it to be derive on what lead to the not so wonderful world of EuroDisney, and shading light on mistakes made by the parent company. CHAPTER 1 INTRODUCTION The Walt Disney Company is the parent company of Euro Disney and other Disney company in various countries making it a network of international family entertainment network in all house hold around the world with four business diversification which are media networks, parks and resorts, studio entertainment and consumer products. Disneyland, Disney world and all places Disney have been known as the happiest place on earth, the goal of Walt Disney is opening Disneyland was not to just be a theme park, but to be a theme park that the entire family could enjoy. Although the Walt Disney Company was founded in 1938, it was not until 1952 that the theme park, Disneyland, was opened to the public. When Walt Disney opened an amusement park in the middle of Southern California orange groves in 1955, he changed the way that Americans, and the world, viewed such entertainment. Once the domain of carnival hucksters, amusement parks underwent a significant makeover at the hands of the head of the Disney Studios Walter Elias Disney is a pioneer, innovator and possessor of one of the most fertile imaginations in the world. He was an American film producer, director, screenwriter, voice actor, animator, entrepreneur, entertainer, international icon and philanthropist. Disney is famous for his influence in the field of entertainment during the twentieth century. As the co-founder (with his brother Roy O. Disney) of Walt Disney Productions, Disney became one of the best-known motion picture producers in the world. The corporation he co-founded, now known as The Walt Disney Company, today has annual revenues of approximately U.S. $35 billion. Disney is particularly noted for being a film producer and a popular showman, as well as an innovator in animation and theme park design. He and his staff created a number of the world’s most famous fictional characters including Mickey Mouse, a character for which Disney himself was the original voice. He received fifty-nine Academy Award nominations and won twenty-six Oscars, including a record four in one year, giving him more awards and nominations than any other individual. He also won seven Emmy Awards. He is the namesake for Disneyland and Walt Disney World Resort theme parks in the United States, Japan, France, and China. In April 1992, The Walt Disney Company and Affiliated Companies opened a new park for European visitors. It was located by the river Marne some 20 miles east of Paris and was designed to be the biggest and most lavish theme park that Walt Disney Company had built as compared to other sister companies (Cateora,

Implementation of a Tool to Identify Early Sepsis by Nurses

professional essay writers ABSTRACT Sepsis is defined as the immune system’s overwhelming response to infection that results in life-threating organ dysfunction (Singer et al., 2016). In the United States sepsis affects 1.7 million hospitalized patients and causes approximately 270,000 deaths each year (Rhee et al., 2014). Because of their unique position of having frequent patient interaction, nurses can have significant impact in identifying patients with sepsis (Kleinpell, 2017). The purpose of this evidenced based project was to develop a policy that would assist nursing staff in the early identification of patients with signs and symptoms of sepsis. Within the timeframe of this project, a policy was developed using guidelines developed by the Surviving Sepsis Campaign (www.survivingsepsis.org, 2018) for a rural critical access hospital, train the nursing staff on one of the medical-surgical floors in the facility, and evaluate the compliance in use of the Evaluation of Severe Sepsis Screening Tool (www.survivingsepsis.org, 2018). For this project, 15 nurses were trained to use a paper-based, 3-tired sepsis assessment tool to identify patients that presented with a history suggestive of infection, presented with at least two signs or symptoms of a systemic inflammatory response syndrome (SIRS), and identify the possibility of organ dysfunction not associated with a chronic condition. The staff was asked to perform the screening at the beginning of each shift as part of their daily assessment and notify the patient’s provider of any patient whose screen indicated either a new onset of sepsis or severe sepsis to request additional diagnostic and treatment orders. The initial medical-surgical floor consisted of a staff of both registered nurses (RNs) and licensed practical nurses (LPNs) working 12-hour shifts. Training consisted of 1 on 1 meetings with the staff that was conducted as time allowed around their normal shift activities. After the first 2 training days a total of 83% of the full-time nursing staff received the training and agreed to participate in the study. Additional follow up found that of those staff members that initially agreed to participate 86.7% initiated the use of the paper screening tool and only 40% used the screening tool consistently. The project was limited by the chosen 1:1 training method since the information provided to the nursing staff with a narrow scope of information and training with paper screening tool. While moving forward with the policy to the reminder of the facility it is recommended that a formal training program is developed and presented to the nursing staff during a designated time period that will allow the staff to concentrate and ask questions to clarify understanding of the implementation and use of the policy and screener. LIST OF ABBREVIATIONS CDC Centers for Disease Control and Prevention EHR electronic health record ICU Intensive Care Unit IRB Institutional Review Board LOS length of stay LPN Licensed Practical Nurse RN Registered Nurse SEP-1 CMS Sepsis Core Measurement SIRS Systemic Inflammatory Response Syndrome SECTION 1 INTRODUCTION Problem Description Sepsis is defined as the life-threatening organ dysfunction caused by a dysregulated host response to infection (Marik

I need one respond to classmate. keep it in less formal way and friendly, like a regular talking in class.

I need one respond to classmate. keep it in less formal way and friendly, like a regular talking in class..

I need one respond to classmate. keep it in less formal way and friendly, like a regular talking in class.Thread: Do you think you’ve observed an example of sensory preconditioning?In terms of sensory preconditioning, this is when there are 2 stimuli are presented together that help us make sense of things we seem to like or dislike for no apparent reason. i think this might be an accurate example. An example of this would be when I go to chipotle I always get chicken and black beans in my bowl. Well when I got sick from chipotle, the chicken got me sick and for awhile, I would always associated it with the black beans too and I stopped eating those too even thought it wasn’t what got me sick, the chicken was undercooked. I rejected things with black beans because of the association with the chicken.
I need one respond to classmate. keep it in less formal way and friendly, like a regular talking in class.

“An Agile Scaling Model” and “Portfolio Governance”

“An Agile Scaling Model” and “Portfolio Governance”.

“An Agile Scaling Model” Please respond to the following: Imagine you are the project manager of a large project for an organization using the Agile scaling model. Determine your decision-making approach for this project and explain why.Determine the approach you would use to handle the documentation needs for the project identified in Part 1 of this discussion. Support your answer with a rationale for your decision. “Portfolio Governance” Please respond to the following: Evaluate the differences and similarities between a waterfall approach to portfolio management and an Agile approach to portfolio management. Include examples to support your response.Choose an organization which you are familiar with. Take a position on whether enterprise-level governance is needed for your chosen organization and explain why or why not.
“An Agile Scaling Model” and “Portfolio Governance”

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