Planning Care Case Study Example | Topics and Well Written Essays - 1250 words

Planning Care - Case Study Example Apart from this, he has a past history of hypertension, hypercholesterolemia, and chronic renal impairment. He has history of self-medication with Panadol few times a week and admits of medication noncompliance. His current admission is due to acute onset of chest pain and shortness of breath leading to emergency admission to the rural hospital where he was diagnosed with acute anterior myocardial infarction and was treated with thrombolytic therapy. There was abatement of symptoms, and he was sent to the metropolitan hospital for coronary angiography and further investigations. Mr. Walker understands that his disease is a result of atherosclerotic cardiovascular disease, which is caused by life-style associated risk factors. His diabetes mellitus, hypercholesterolemia, hypertension, and type 2 diabetes mellitus are interrelated to his dietary habits, perhaps obesity, and it in turn is causing chronic renal dysfunction, which may be further aggravated by his hypertension. His type 2 diabetes is an independent risk factor for his hypercholesterolemia, and both combined together would aggravate his atherosclerotic cardiovascular disease and deteriorate the outcome in terms of adverse cardiac events. Moreover self-medication and non-compliance to medications would also worsen the clinical picture. He also understands that smoking and alcohol use are risk factors for atherosclerotic cardiovascular disease, and they both may accelerate atherosclerotic cardiovascular disease and worsen his prognosis (Tacoy et al., 2008, 402-407). Mr. Walker has been educated on the relationship between the kidneys and hypertension. His chronic renal disease will cause hypertension, and hypertension will contribute to the development of chronic renal disease. Given his baseline myocardial infarction, hypertension is major modifiable risk factors for atherosclerosis. Therefore, he was educated on the need for medication compliance and regularity of treatment (Zoccali, Mallamaci, and Tripepi, 2002, 381-386). Mr. Walker has been educated that non-pharmacologic or lifestyle measures are important not only to prevent hypertension, but his overall condition of atherosclerotic cardiovascular disease, hypercholesterolemia, and diabetes, all will respond to such measures. He has been educated on basic dietary measures such as low-fat diet, low-salt diet, diet high in fruits and vegetables, and abstinence from alcohol would reduce his high blood pressure, hypercholesterolemia, blood sugar, and weight, which all together would reduce his risks of coronary artery disease (Chyun et al., 2003, 302-318). Mr. Walker has been educated on physical activity and has been demonstrated what kinds of activity may be suitable for him. He has also been alerted about resumption of physical activity very slowly following his myocardial infarction. He has been told that regular exercise increases work capacity. Training increases exercise capacity by increasing both maximal cardiac output and the ability to extract oxygen from the blood. Although he appeared less motivated about doing a regular exercise program, it was stressed repeatedly to him that regularity and persistence in such a program will help him (Ignarro, Balestrieri, and Napoli, 2007, 326-340). Mr. Walker has been given information on cessation of smoking since cigarette smoking is perhaps the most preventable known cause of CHD today, leading to more deaths

Explain the differences between periodic and perpetual inventory Essay - 1

Explain the differences between periodic and perpetual inventory accounting - Essay Example First in first out (FIFO) requires that we evaluate the selling stocks on the basis of the cost of stocks purchased first. Thus, the cost of stock sold is determined by their first price. Calculation done according to the FIFO inventory system is shared below. For example, we sold 130 units of goods for $240. Hence, cost of goods sold will be cost of opening balance of 20 units of $200 ($4,000), plus 50 units to $210 ($10,500), plus 60 units of $220 ($13,200). Thus, the cost of goods sold will be $27,700. Operating profit in this case is defined as $3500 (31,200 – 27,700). Accordingly, stocks include 40 units, which will be cost on the basis of the purchase price of $220 per unit with making total worth of $8,800 (Harris, 2011). Last in first out (LIFO) requires that we evaluate the selling stocks based on the sequence, the reverse order of their arrival. Thus, the cost of stock sold is determined by their last price. Our example remains the same, and we sell a total of 130 units at the price of $240 (31,200). The cost of goods sold according to LIFO method is 100 units for $220 ($22,000) and 30 units to $210 ($6,300), hence, it is estimated that the products sold are worth $28,300. According to the LIFO method our profit in this case is estimated as $2,900 (31200 - 28 300). However, the remaining goods are estimated to be worth $8200 (Carpenter & Boyle, 2012). The method of average cost is the most simple and it is one of the most common methods used by companies. Suppose a company has a balance of goods at the beginning of the period, which is 20 units, valued at $200 per unit ($4,000). During the period, it purchased two consignments of 50 units and 100 units at $210 per unit and $220 per unit respectively. However, the company sold 130 units at a price of $240 per unit thus the revenue was $31,200. The cost of goods sold is determined

Reviewing The Hobbies Of Home Cooking Media Essay

Reviewing The Hobbies Of Home Cooking Media Essay Cooking has always been a good hobby for people and part of relaxing and fun entertainment for some category of people. There is always something new to be learnt about cooking and its all about creativity and making a better taste of bland materials. It has been one of the humans interests since the beginning of their creation and has always been improved. Some people argue that cooking will be a thing of the past like many other humans past hobbies which have changed by the change of technology. Cooking at home will never be a thing of the past because many cultures continue their cooking traditions and it is more economical and healthier. Some people prefer eating outside because its easier and more convenient but cooking at home is becoming a hobby for most people. During history nations have created dishes that are special and delicious. Their decedents have learnt these dishes and got so attached to them. This is one big reason why cooking at home wont be a thing of the past. Its exactly like how do people always stick to their lands and they always go back to them no matter how long have they been away, they will always stick to their traditional food and their traditions of cooking at home no matter how much do they eat outside they will always go back to their roots and to the original way of cooking which is at home. For an example, its well known in the Arabic world that the Arabic men will never accept the idea of eating out side the house the whole time and not getting home made food at all. The reason behind this is because all Arabic mothers try to pamper their kids by cooking for them the food at home considering it as the healthiest way and the cleanest way of all. So they are used to a specific standard of food and they also feel like it is a way of care giving. Another example is the Japanese home cooking. In general, the Japanese nation is exceptionally healthy and lives much longer than any other civilization in the humankind. Why is this? Loads of people point it to the way they eat. They cook at home a lot. They use healthy delicious and very useful ingredients from the nature. They like to take advantage of everything god blessed mankind with. They will never give up on their on home cooking because they consider it a source of joy and a way of remaining healthy and a way of living longer. Some cultures look at cooking as an art and at cooks as artists. Once people declare that cooking is a fine art, they are just saying the truth. They dont come across cooking as an odd job, and they seem to see it as a mode of expressing peoples ingenuity. They appear to look at it as a method to state peoples originality. They look at the food they make, as their personal preparation and not only are they taking self-importance in their kitchens, they as well fall in love with the challenge it put forwards.( williamm,22 March 22, 2010) Each culture enjoys its way of cooking, its meals and food in general. For lots of people it is a joy and something they will never leave or stop. People will keep on cooking no matter what because human in their nature they get bored and thats a thing in all cultures. So we cant just eat outside the whole time or eat packed food or prepared food or frozen food. People will always want to eat something they know or to eat something they have cooked even if they are not great cooks but they long for that a lot. The quality of the food greatly affects peoples health. Many people prefer cooking at home because it makes them feel great and have lots of energy. There are few more reasons, why cooking at home has been so important for the health. It helps to have a strong immune system ,so people can stay in healthy weight and look slim and trim and physically fit .To avoid certain diseases known to be a related to diet and nutrition, particularly cancer, heart disease, stroke, high blood pressure, high cholesterol, diabetes and obesity, we need safe and clean food. Eating a balance of healthy foods that contain carbohydrate, protein, and fat every day will help blood glucose stay in balance. It is also very important to have full knowledge over the quality of food and utensils. All ingredients, while people cooking, should be fresh and utensils should be the best quality. The World Health Organization predicts that depression will be the second highest cause of the global disease problem by 2020. It is clear, that eating fast food thereby increasing stress and tension and reducing joy and liveliness. It is a fact that eating vegetables, fruits and well cooked fish helps to prevent depression. What humans eat controls the levels of brain chemicals, which regulate behavior (Gutierrez, 2009). Cooking salads at home is very healthy. For instance, it is proven that eating just a few ounces of broccoli each day can reduce a humans risk of ulcers and stomach cancer, as well as eating cabbage, kale, mustard seed and rocket, amongst others. Research has also shows, that broccoli and other vegetables may not only prove to play important role in many cancers, it could be effective treatment as well (Adams, 2008). There are many healthy techniques to cook like stir -frying, boiling and steaming. Stir-frying, which is very common in Asia, means cutting food into small pieces, putting them in a pan with very little oil and cooking them very quickly at a very high heat. Because it is one of the fastest ways to cook, rich of vitamins, such as broccoli and carrots, contain more nutrients, as well as their texture and colour. Also stir-fry recipe requires only two to three tablespoons of oil. This small amount of oil can cook big chicken and any veggies. One of the most popular techniques is boiling. Boiling food involves no fat, so in a sense it is healthy. Therefore, the water that the food is boiled in is actually healthier and it can be used for other purposes, such as using it as stock or for making soup. This water is extremely nutrient rich. Boiling food is a safe way of ensuring that all disease-causing bacteria in the water or the food are destroyed. Boiling water for a few minutes kills most bacteria, amoeba and other microbial pathogens. It can help prevent illnesses such as cholera, dysentery and other diseases caused by micro-organisms. As for food, boiling makes it is easy to classify. Boiling food on a high flame changes the shape of the food being cooked, while boiling on a low flame helps retain the shape. Some people believe steaming is the best way to go. Steaming preserves the vitamins and minerals in foods. It is also healthy, because it is does not require any oils or fats. Steam can actually help melt some of the excess fats in foods, which end up in the water that was heated to make the steam. When people using this technique, it is also less danger of consuming carcinogens that are present in blackened foods. Eating outside is more expensive than eating inside. The cost of the items is different for the same quantity. The statement eating out saves much time and money cannot be convinced (Jeff D Gorman, n.d). And that makes logical sense; we pay more in fast food restaurants than cooking at home for the same things. People are looking at the quantity. Were spending the same amount of time in both at home and at restaurants. At home, we shop for the ingredients and prepare our food and afterwards we clean the dishes. At restaurants, we either wait for our table to get ready, wait for the food to arrive and afterwards we wait for the restaurant to bring out the check (MetaFilter Network Inc, 1999). In a short term perspective, it may seem that dining out can be cost-effective and convenient. But in a long term perspective, it doesnt matter whether its convenient or not, but itll be very cost-effective (Christian Science Monitor, 2010). Most of the people who cant afford pricey things prefer to eat at home because they know it is cheaper. They wont complain about being mentally tired as long as the saved the money in their wallets. For a restaurant to make profit they need to put all the costs for their expenditure in the meals. They include the rent, employees salaries, and the maintenance bills in the meals. And add a little more to get the profit out of it. Now if someone knew this, how can they explain that its cheaper to eat out when youre paying for things you can do yourself and for things that probably does not concern you, and also for the same amount of time? Buying five pieces of chicken breasts for ten dirhams at a grocery store like Spinneys is much cheaper than ord ering a combo meal of chicken and rice from a fast food outlet for fifteen dirhams. The combo meal will last only for that day while the five pieces for chicken breast will last for three meals if the person is willing to do so. Even if we eat the cheapest food available, such as Chinese takeout, we can feed up to five people with the same amount of money we would spend for the meal to feed ourselves. Even if shopping takes a lot of time comparing when eating at a restaurant, we arent earning or saving any money when we are saving time from shopping. The majority of articles and books and talk about managing your budget when it comes to eating out against eating in would claim that eating out would make your money stretch. Also eating at home would depend all on how you buy your ingredients. It depends on if you buy in a bulk, with coupons, or buying premium meat or standard. It makes logical sense that companies are still selling food ingredients in supermarkets and people are still cooking at home. Dining out is for those going out on a special occasion. One reason to eat outside instead of cooking in the house is because its more convenient and easier to get. specially for that category of people who are lazier and more busy and prefer to not spend their time for cooking and preparing its material as they believe its more time consuming .This category of people believes it is always more convenient to go and get whatever they want and save a lot of time by not cooking. In first sight it may seem that eating outside is more convenient but it is actually more complicated and stressful than it look likes. By considering time people spend standing in the food cues, waiting for their meal and finding an appropriate place to sit and serve their meal will all count part of the time they spend to have a meal outside. In addition, stress and aggressiveness that people may get out of communicating with other people are all part of hassle of eating outside. In conclusion, eating will never be a thing of past because its one of humans life necessities and its more beneficial for human to keep their habit alive as it will be more economical, healthy and cultural.

Cryptography Essay -- Data Encryption

Cryptography is such a broad part of our lives we do not even notice the smallest applications, shopping on eBay or watching satellite television. I bet you even used cryptology when you were in school and did not even know it. Ever write a message in numbers instead of letters? Each letter of the alphabet correlated to its number position in the alphabet. The number sequence 3,16,25,12,20,15,12,15,7,25 equals cryptology. This is a form of cryptology in its most basic form. Webster's dictionary defines Cryptography as : n. 1. The act or art of writing in code or secret characters; also, secret characters, codes or ciphers, or messages written in a secret code. 2. The science which studies methods for encoding messages so that they can be read only by a person who knows the secret information required for decoding, called the key; it includes cryptanalysis, the science of decoding encrypted messages without possessing the proper key, and has several other branches; see for example steganography. [1] Cryptographies main purpose is to hide messages and information. One of the earliest forms of cryptography was the rearranging of letters in messages. This was known as transportation ciphers. A cipher is a system in which plain text, usually the letters, are transposed or substituted according to a predetermined code. Another early form of cryptography was the substitution of letters. One cipher was named after Julius Caesar who was said to have used a 3 letter shift. This involved substituting a letter with another letter in the alphabet three positions away. Caesar used this method to communicate with his generals in wartimes. [2] Cryptography tries to protect the confidential nature in the communications of military leaders ... ...to keep secret. References 1. http://www.webster-dictionary.net/d.aspx?w=Cryptography 2. http://en.wikipedia.org/wiki/Cryptography 3. Eerdmans Commentary on the Bible, James D G Dunn, John W Rogerson, eds., Wm. B. Eerdmans Publishing, 2003, ISBN 0-8028-3711-5 4. Kama Sutra, Sir Richard F. Burton, translator, Part I, Chapter III, 44th and 45th arts. 5. David Kahn, The Codebreakers, 1967, ISBN 0-684-83130-9. 6. http://www.cnn.com/SPECIALS/2001/nsa/stories/crypto.history/ 7. Whitfield Diffie and Martin Hellman, "New Directions in Cryptography", IEEE Transactions on Information Theory, vol. IT-22, Nov. 1976, pp: 644-654. 8. http://www.webopedia.com/TERM/S/SSL.html 9. http://computing-dictionary.thefreedictionary.com/TCP%2FIP+port 10. http://news.com.com/FAQ+Sonys+rootkit+CDs/2100-1029_3-5946760.html?tag=nl 11. http://www.rsasecurity.com/node.asp?id=1158

The Great Change (Langston Hughes)

One of the most important men in the Harlem Renaissance was Langston Hughes. His identity was formed in the neighborhood of New York City although it was said that he had much travel in his life that he can be considered as the man with no roots at all. But Langston had his heart dedicated to voicing out the experiences and the sorrow of the African American people. During his time, he created poems, plays, and books about the black making real their status in the society. He was one of the great men who were against racism and inequality. He found direction in his life not just through writing but also to listening to jazz and blues. He was the kind of man who would sit in a bar and listen to music and in that way he created a new direction not just in his poetry but in art itself. His importance and value was seen in the way he made other blacks to reach out their longings to the society, their wanting not just to be free from racism but also to be seen and valued like the whites. Hughes spoke of value as a man for the Blacks.The Harlem Renaissance characterized by new ideas was emphasized by Hughes through his music and poetry. One of his famous poem was â€Å"The Negro speaks of River† helped him make a good start in the world of poetry and cultural exposition.The Negro Speaks of Rivers (to W. E. B. B. DuBois)I've known rivers: I've known rivers ancient as the world and older than the flow of human blood in human veins.My soul has grown deep like the rivers.I bathed in the Euphrates when dawns were young. I built my hut near the Congo and it lulled me to sleep.I looked upon the Nile and raised the pyramids above it. I heard the singing of the Mississippi when Abe Lincoln wentdown to New Orleans, and I've seen its muddy bosom turnall golden in the sunset.In this poem, he gave significance to the â€Å"Blacks† being the builders of civilization, something that should be considered in history. For a long time, prior to the African American Cultur al Movement, the black people have experienced injustice in different forms, whether at work, in school and in the community as a whole. Their existence was seen to be less than the white where some African American people would say that they never really existed at all. The poem speaks of the places known to every black, and it can be noticed that these places all have historical significance.The persona and his comrades not only look for significance and visibility but also for home. The poem creates an image of longing for home where there is comfort and justice. The words â€Å"lulled me to sleep† are quite powerful for the readers to see what is being longed for by the persona, that’s none other than tranquility within. This can be related to the home that the blacks have searched for a long time in the community of whites who dominated and received the best of what the world could offer. The poem also raises the blacks’ voice of considering them the builde rs of growth and civilization because they have always been there, in the past, in the present and in the future. Hughes tried to create an immortal stand of the blacks against invisibility, an element that made racism flourish.Another poem by Langston Hughes entitled â€Å"Dream Deffered† exposes sorrow and heavy burden in life. â€Å"What happens to a dream deferred? Does it dry up like a raisin in the sun? Or fester like a sore and then run?†Ã‚   The poem is made of questions that seem to be unending. The tone is with hopelessness. The language used was simple, simple enough to be understood that it’s all about dreams of the blacks that were held long enough by time. Possibilities and ways of the process of disappearance can be seen in the poem like for example drying up from the heat of the sun which was mentioned a while ago.The line â€Å"Does it stink in a rotten meat? Or crust and sugar over – like a syrupty sweet?† is another question that may be related to the kind of death that blacks experience. The image of a rotten meat suggests something mournful and intolerable while the latter is an image of a sweet death. It makes one wonder just how tolerable is it to just throw one’s body into the river because the one who died is not really that significant and his existence is not really valued, a very common scenario of the black people who are enslaved and sold to the market of the whites. But more than the question of privilege for a peaceful death is their â€Å"right† to have it. If they are removed of the privilege to have even a good burial or death, should the question on chances for a good fate be questioned still?The tone for â€Å"Quiet Girl† can also be likened to â€Å"Dream Deffered† as it speaks also of grief over a status or position but the difference is that there is a glimpse of hope that can be seen in it.   Ã¢â‚¬Å"I would liken you to a night without stars were it not fo r your eyes. I would liken you to a sleep without dreams were it not for your songs.†   The night without stars can be seen as another hopeless case of some sort in the scene, however, it is given a sprinkle of a good chance through the eyes that was silently assumed to sparkle instead of the stars. The songs were made powerful in attaining a tranquil sleep even if there was no dream. The wonderful thing that can be derived from the poem is the sound of continuity of life despite some faulty circumstances in the lives of the black. There is the balance that is being claimed from the poem, the balance that could give meaning to the blacks’ existence.But if there is one particular poem that can characterize the present African Americans, with the way they react and live in the present society, that would be the poem â€Å"Me and the Mule.†My old mule, He's gota grin on his face. He's been a mule so long He's forgotten about his race.I'm like that old mule   Black — and don't give a damn! You got to take me Like I am.A mule that is known for its good working ability for an animal not only works for nothing, but also works for a master. But that can be one point of the poem. It can be seen also in a positive sense in the way that there is a courage directly shown from the mule and from the persona to not care, yes, not care at all from all the discrimination that he has experienced and from what the world tells about him. The mule just like the persona shall continue to live no matter how hard it is to exist and no matter how heavy the load seems. The present though doesn’t change the blacks’ past. Still, even after the Harlem Renaissance, it can’t be denied that they were still despised of their rights to experience a just treatment. But right now they are already visible, yet they will still be like the mule that won’t give a â€Å"damn† to the society’s offensive thoughts. Perhaps, ju st like the mule, giving no â€Å"damn† will make them live longer, and stronger.Hughes was able to see and react on the basis of his position and his art, his love for music, poetry and plays made him more than a figure of the Harlem renaissance. He made himself and his race visible to the world and worth it of the great and positive changes with the way blacks are treated. More than a poet, Langston Hughes was the big difference of the Harlem Renaissance.Sourcesâ€Å"A Renaissance Man.† April 23, 2007   Ã¢â‚¬Å"Langston Hughes.† April 23, 2007 â€Å"Langston Hughes Biography.† April 24, 2007 â€Å"Langston Hughes.† April 24, 2007

Isllc Standard 2

Running Head: BENCHMARK ASSESSMENT YELLOW GROUP Understanding by Design: ISLLC Standard 2 Benchmark Assessment: Deborah D. Harris Grand Canyon University: EDA 534: Educational Administration Foundation and Framework September 12, 2012 Unwrapping the ISLLC Standards: Standard 2 Concepts and Skills T Chart What administrators â€Å"need to know† and â€Å"be able to do† Concepts (Nouns) – underline |Skills (Verbs) – highlight/circle | |â€Å"knowledge† |â€Å"admin will be able to do† | |List Concept (list specific knowledge of concept) |Record Skills |Level of Blooms | | | | | | | | | | | | | | | | | Big Ideas/Enduring Understandings: Represent the main ideas, conclusions, or generalizations about the â€Å"unwrapped† concepts and skills in a focused instructional unit of study. Ask yourself: â€Å"What do is the big idea of the standard? What do I want my staff to remember long after they leave the room? | | | Essential Questions : What engaging questions will lead administrators to discover the â€Å"big ideas† of Standard 2? Essential questions should be written in an open-ended response and should match the rigor of the concepts and skills outlined within the standard. Essential Questions: | | | |Knowledge Indicators: What the school leader needs to know in order to promote the success of all students? | | | | | | | | | Disposition Indicators: Denotes an individual’s beliefs, values, and type of commitment that tend to be most effective in a school situation. | | | | | | | | Performance Indicators and Skills: What should an educational leader be able to do effectively to move a chose institution from the existing state of performance to the desire state of performance? | | | | | | | | References Wiggins, G. , & McTighe, J. (2005). Understanding by design (2nd ed. ). Alexandria, VA: ASCD The Council of Chief State School Officers. Interstate School Leaders Licensure Consortium: Sta ndards for School Leaders (1996). Atherton J S (2011) Learning and Teaching; Bloom's taxonomy [On-line: UK] retrieved 5 September 2012 from http://www. learningandteaching. info/learning/bloomtax. htm