Tuesday, April 28, 2020

Time Management Essay Research Paper Things that free essay sample

Time Management Essay, Research Paper Thingss that matter most should neer be at the clemency of thing that affair least. We, as human existences, allow this go on much excessively frequently. Many of us blow our clip on things that are neither of import nor necessary, alternatively of utilizing that clip for thing of that are important. Time direction is non merely how to acquire more out of you re clip, but truly how to go a better individual. Time is a really difficult thing to pull off, because we can neither see it or experience it until its has passed. Before we can pull off our clip we must cognize precisely what clip is. The dictionary describes it as, the continuance of one s life ; the hours and yearss which a individual has at his disposal. How we dispose of that clip is clip direction. It s the manner we spend our clip to form and put to death around our precedences. We will write a custom essay sample on Time Management Essay Research Paper Things that or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Remember merely because clip is intangible doesn T mean that it is non valuable. I want to learn you about the background of clip direction, the different manners and how to utilize them, and how it will alter your life. Background Time direction today is non as it was in the yesteryear. It has grown with clip. Stephen R. Covey places clip direction into four coevalss. He feels it has evolved the same manner society has. Each coevals grows on the one before it. For illustration, the agribusiness revolution was followed by the industrial revolution, which was so followed by the informational revolution. The first moving ridge or coevals is fundamentally notes and checklist. Which truly merely identifies the demands placed on our clip and energy. Calendars and appointment books qualify the 2nd coevals. This reflects an effort to look in front. The 3rd coevals is current clip direction field. It s the last two coevalss with the thoughts of prioritization, clear uping values, and comparing the worth of activities. It besides includes the thought of doing a specific program to carry through ends and activities that we determined to be of value. Because this all may be excessively curtailing for people they turn to t he old coevalss to continue relationships, and spontaneousness. And the last coevals, which is merely get downing to emerge, is a different type of clip direction. The challenge is non to pull off clip, but to pull off ourselves. The coevals focuses on relationships and consequences. Time direction is everlastingly altering. We each see it in our ain manner. It has been used since the start of clip and will merely better. Just because there has been progression doesn T mean that we have progressed with it. Manners and How To Use Them There are many different types of clip direction, some are simpler and some are more complex, but all are utile. We must each happen a manner that we re compatible with and implement it into our lives. Even if the manner you choose is non the most effectual one, you must utilize it mundane to assist better pull off your clip. Before you begin to pull off your clip you must recognize that it is non a short-run undertaking, but a life long committedness. Geting and Staying Organized This is a system that s intent is to salvage you a few hours a twenty-four hours by demoing you how to form. The end of this manner of clip direction is to acquire organized so that you can change over clip that you ve wasted during a normal twenty-four hours into clip that can be used more expeditiously and efficaciously. This manner of clip direction is directed on concern in general, but I feel it can still be applied to every twenty-four hours life. It gives us simple easy to make tips on how we can go organized. The first tip is to divide the things that are importance from the things that are non. Then throw away what s non of import. Following tip is to put the of import material in order that it needs to be done by making a maestro list. A maestro list is the construct of composing everything down in an orderly, punctilious manner, so that you can make a better occupation of remaining on top of things. Another tip is to compose everything down on paper. The concluding behind this is that because you are saved from holding to retrieve tonss of information, you ll hold more learning ability for more of import things. This system seems to concentrate on the short-run and is truly basic. It may work good for people who like to take things one measure at a clip. Daily Planner For old ages people have kept path of meetings, assignments, unfinished work by utilizing a day-to-day contriver. The day-to-day contriver may hold many monikers, such as Day Runners and Filofaxes, but whatever you call it is a productiveness betterment tool. It helps us put our precedences, form and be after our long-run undertakings, maintain path of our work load, and set new ends. Besides they can be used to jot down notes, memos, thoughts and ideas. It is frequently used as an index for telephone Numberss, and addresses. This book keeps path of our day-to-day life and helps us maintain our lives in order. The great thing about a day-to-day contriver is that it can be used for your personal life every bit good as concern life all in one. This clip direction tool is practical and simple to utilize for everyone. Learn To Communicate This means to by able to speak and listen in an efficient and effectual affair. If we are able to better our ability to pass on and acquire the information we need, so we can pass less clip in meeting or explaining, and more clip on more of import things. Here is some of the suggestions Jeffrey Mayer made in this book, Time Management for Dummies, about pass oning. Ask inquiries that are right to the point and easy to understand. If you don t acquire something come straight out and inquire, wear t round around the shrub. Listen to others to better understand the manner they think and feel about the subject. You can larn a batch about a individual merely by listening. If they ask a inquiry during this clip reply it briefly and so inquire them another inquiry. Avoid inquiring close-ended inquiries that will take to a yes or no reply. Once you have received the information paraphrasis or sum up it. This will assist you understand and retrieve it better. Let the transmitter know you re l istening. That manner they feel that they re acquiring through to you. I feel that because we spend so much of our clip with others, larning to interact with them better is a really smart and logical thought that will salvage us clip in the terminal. Be Super-Prepared Bing super-prepared is to expect every bit much as possible what will happen in the hereafter and be prepared to manage it. Another manner of seting this is being proactive ( extremely pg.75 ) . You are taking control of the state of affairs at manus. You are non allowing things that you have no control over have control over you. For illustration, you wake up to a blizzard and your auto won t start but you have to travel to work. You either allow that halt you or you can take control of that state of affairs. If you were prepared because you checked the conditions channel the twenty-four hours before you might hold plugged in your auto or woken up earlier to catch the coach. You should ever be prepared for anything. By taking clip to acquire prepared you will stop up salvaging more clip in the long tally. This is a sensible and easy manner to salvage clip. Put First Things First This manner or system of clip direction is one that I ve already mentioned. It is the 4th of the coevalss, which Stephen R. Covey calls Put First Things First. This is, I feel the best manner of clip direction because it so luxuriant. What it tries to make is equilibrate the production ( of desired consequences ) over the production capableness, or P/PC Balance. You do this by prioritising your activities so that you can acquire the of import thing done. Effectiveness lies in this balance. Excessive force on P and you deplete the Personal computer. For illustration if you stay up wholly dark analyzing and working on concluding undertakings everyday for hebdomads on terminal, you ll stop up firing your ego out. Possibly even stop up worse than when you started, because you re excessively tried to listen in category or even to concentrate on a trial. If you place excessively much force on the Personal computer you ll neer acquire P at its soap. For illustration, person who is invariably exerting to look better for others, but he neer has clip to travel out because the free clip he does hold he uses to workout. He s non run intoing his coveted consequences. An illustration of the P/PC Balance would be to acquire good classs in school ( the Production ) and paying the monetary value to acquire an instruction ( the Production Capability ) , which gives us the opportunity to acquire those classs so that we can acquire a grade. It is really hard to judge the balance of the two. The great thing about the P/PC Balance is that it balances the long-run with the short-run. That is the first facet of this manner of clip direction. Identifying what needs to be done to be effectual. The following measure is calculating out how to run into those demands. How do we pull off out clip so that we can acquire things done most efficaciously? Covey calls it the Time Management Matrix. Figure 1.1 Time Management Matrix It captures the indispensable focal point of this coevals of clip direction. It helps us place how we spend our clip. There is fundamentally four ways we spend clip. The two factors that define our activities are pressing and of import. Pressing means it must be done. These things act on us, and are easy to place. Many of the pressing things are unimportant, such as replying a telephone call. Importance trades with consequences. If something is of import to you it contributes to your mission, your values and ends. Important affairs are normally non pressing because we act on them. It s us who seize the chance to do things go on. The first quadrant trades with affairs that are both pressing and of import. These are things that demand immediate attending or in other words crises or jobs. If you focus on populating problem-minded or deadline-driven quarter-circle I will merely acquire bigger. There are many that spend their clip in quadrant III, pressing and unimportant, even though they feel that we re in quarter-circle I. They spend their clip responding to things that are pressing and presume that they are besides of import. This is because they base affairs on the precedences and outlooks of other. Peoples who spend their lives in quadrant III A ; IV are truly irresponsible. The key to good clip direction is populating in quadrant II. This is where you pass your clip covering with things that are non pressing but of import. When these affairs aren t tended to they become quadrant I. By being in this quarter-circle we feed chances and starve job. This is because we act on our chances before they re gone and wear t Lashkar-e-Taiba jobs turn so large that we can t manage them. By making this we shrine quadrant I. Quadrant II is acquiring things done, while maintaining you P/PC Balance. To be in quadrant I you must state no to quarter-circles III A ; IV. You can t ignore quarter-circle I you can merely do it smaller. You have to state no to things that are of import and yes to those that are. That is the lone manner to hold clip to carry through them. To be in quadrant II you must be able to make three things: ( 1 ) prioritize, ( 2 ) organize around those precedences ; ( 3 ) and have subject. Most clip direction tends to strive on relationships instead so construct on them. As each coevals physique on those that have preceded it, the strengths and some of the tools of the first three coevalss provide elemental stuff for the 4th. That is why I find this manner of clip direction to be the best. It incorporates the best of clip direction manners and combines them wholly in a really logical easy to understand mode. How Does It Change Your Life Learning how to pull off your clip and successfully using it to your life will emancipate you. Truly, clip is the freedom and power we need to break ourselves. Once clip direction has become a manner of life you will happen your self-living a more relaxed life style. Your whole life will go less nerve-racking. While some emphasis is utile, it can assist in concentrating and increasing efficiency ; excessively much emphasis creates jobs. In fact, 70 % of medical visits are stress related. Time direction may really good better you wellness. It may better your calling by assisting you to be able to be after the usage of your clip so that undertakings can be completed in timely mode, and so clip is available for planning, thought, and contemplation. It will beyond doubt break your societal life by giving you more clip to pass with loved 1. Besides it will give you more personal clip to yourselves. Because we are pull offing such a cherished trade good that is clip, the manner it effects ourselves is eternal and priceless.

Friday, March 20, 2020

7 Interview Secrets for Introverts

7 Interview Secrets for Introverts Raise your hand if you’ve gone to an interview, and been so nervous about the whole thing that afterward, you couldn’t remember half of what happened. (Raises hand.) Now raise your hand if that’s happened multiple times, because anxiety. (Hand still raised.) Interviewing can be really tough if you’re not a natural extrovert. Meeting new people, having to be â€Å"on† at all times, trying to negotiate the interaction†¦it can be exhausting. And more importantly, it can undermine your job search, even when you know you’re qualified, and have an A+ resume. Nerves or pauses can come off as seeming unprepared, which is the last thing you want.The way to get around this, and seem like you put yourself out there all the time, no big deal, is to develop coping mechanisms that will have you schmoozing like someone who does it all the time. That being said, here are 7 interview secrets for introverts.1. Chill- it’s just a conversation.It can be very daunting to walk into an interview. It’s just so formal. The handshake, the eye contact, all of it. Instead, remember that this is literally a conversation between two (or more) people, at heart. You already have an â€Å"in,† so it’s not like you have to start from scratch with conversation topics. Always remember that even though the stakes are higher than your average chat over coffee, you’re talking to regular people, not CIA interrogators.2. Show off those listening skills.One of the best social skills that many introverts have is the ability to listen carefully and zero in on the heart of the issue- one of the most beneficial skills to bring into an interview. Even if you’re used to being the one who hangs back in conversation, that’s something you can use to your advantage in a job interview. A customized answer to a complicated question can give you an edge of someone who’s in extrovert interview mode, and working fro m a set of personal talking points.3. Bring notes.Personally, one of my biggest interview challenges is feeling like I’m rambling or forgetting crucial information in the moment. Notes can help with that. Unless the interview is bizarrely like the SATs, where notes and calculators are not allowed, it’s not likely any interviewer would object to you having a notebook in front of you. That way, if you start to feel nervous or like you’re having trouble thinking on your feet, you have your prep notes right there for reference. However, be careful not to lean on these too much- you want to maintain the eye contact and conversational flow.4. Anticipate small talk.It’s going to happen. After the initial offer of water or coffee, there will always be some small talk. If that’s not your strong suit, think of a few topics ahead of time: the weather (clichà © but it works), the commute, that awesome painting in the lobby. Honestly, this will be the easiest part of the interview, so it’s not worth stressing about whether you’ll have anything in common with the interviewer.Be prepared to have a few casual minutes of talking about things that aren’t directly related to the job at hand. Also be prepared to think on your feet. For example, if you’re in someone’s office and see a Yankees cap, it’s a good chance to comment on their World Series chances this year.5. Realize you’re there to brag.If you struggle with being the center of attention, find ways to couch your accomplishments as part of your current company’s growth/positive outcomes, or focus on things you’ve been praised for in the past. It can be easier to illustrate your awesomeness than to come out and say, â€Å"I’m awesome.† It’s also good to focus on things that make you genuinely excited about your job- if you light up when you talk about something, that’s an easy win and engages the i nterviewer.6. Practice, practice, practice.Know the job description cold. Know ahead of time what questions you have about the job or company. Know what you want to to emphasize in your own history and experience. Then, once you have those in mind, practice answering questions about all of them. The more familiar you are with the lines of the conversation ahead of time, the easier it will be to deal with them when you’re in an unfamiliar space with unfamiliar faces.7. Use the thank you email to your advantage.If you did fumble something or let nerves get the better of you in part of the interview, the follow-up note can help you clarify a bungled point. If you’re better in writing than chatting in person, a coherent and charming thank you note can help shore up the final impression.The job interview as we know it is not suited super-well to those of us with introvert tendencies- but that doesn’t mean you have to accept that. You don’t need to become a soc ial butterfly overnight, but having a set of strategies in you pocket can really help you compete with people who take to the format much more naturally.

Tuesday, March 3, 2020

How to Stir Up Your Essay Writing Motivation

How to Stir Up Your Essay Writing Motivation How to Stir Up Your Essay Writing Motivation Essay writing motivation is invaluable. Finding personal motivation is key to success in any academic environment. Whenever you set out to complete an academic task, you face the risk of demotivation. This simply means you cannot find the inspiration to get to work. Starting on any project is always the most difficult part. Once you start you will find that moving onward is not nearly as challenging. As a college student, there are many things which might get in the way of stirring up the motivation, especially if you are busy with a multitude of other projects. But it is possible and we will show you how: Look Deep into Yourself If you are struggling to get motivated, look into yourself and find out what the issue is. You have control only over your actions and your thoughts, so if there is a problem with someone else or something else in your life, deal with it as far as you are personally able to and then let the rest go. You should not let yourself become demotivated to work simply because of things you cannot control. Get Less Stressed Sometimes the lack of personal motivation stems from stress, and more often than not in college stress can be debilitating for students who are unable to press onward through the storm. But thankfully, you can get back your personal motivation. If you are stressed about a project, break it down into smaller pieces. Crop down the Deadline Set up a deadline working backward from your due date so that you can assign manageable milestones for each day. Reward Yourself Give yourself a break as a reward once you accomplish the halfway point on your milestone list. Embrace the Feeling of Accomplishment Remember that setting smaller goals means you will feel accomplished more easily. That feeling will be motivating enough to get you through the next milestone, and the next one too. Soon enough, your entire project will be completed. This is something you want to apply to each task you face during the course of your academic career. A lack of personal motivation might come from feeling ill, from money problems, from stress, anxiety, or a fight with your friend. Regardless of why you are feeling less motivated, it is up to you to rise up, overcome the reasons for demotivation, and rectify the problem. Whether you are frustrated by a heavy workload, friends, family, or something else in between, you can identify the issue and start working to put it aside. If you are overwhelmed, start organizing your work or setting up a time management schedule. This will help you to feel motivated and accomplished; take that small accomplishment and turn it into something bigger and better. You can regain your motivation if you talk with family about your issues, or tell them that you need some space in order to get work done. Again, whatever the cause of your demotivation, find it out and fix it. Only then can you return to pursuing your academic goals. If you are demotivated in writing your paper feel free to contact our professional custom essay writing service right now!

Sunday, February 16, 2020

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

ECT - Assignment Example These attacks interrupt a message between two segments of a system by inserting themselves as malicious actors who then impersonates both parties to gain access to information that the two parties are exchanging (Strebe 25). Prevention from MITM attacks include using PKI or public Key Infrastructure, reinforced mutual authentication like secret keys, second channel authentication, and reinforced encryption. Involves ensuring that one’s computer is protected against possibly lethal materials or suspicious software obtained online. Browser security is obtained through simple security tips like deletion of spam, use of password, using firewall, and only opening email attachments deemed safe. DLP is crucial way of protecting susceptible information or data via messaging, endpoints, and web gateways. Effective implementation of DLP involves proactive identification, tracking, and securing sensitive organizational data from all vulnerable points within the organization with little or no effect on employees’ routine and output. I would apply snort in my organization but only on condition that the primary organizational antivirus as a threat or untrusted programs does not perceive it (Strebe 136). The advantage is that all employees will have their computers protected from intrusion on real time basis. Additionally, the administrator can use the traffic analysis and packet logs to trace any intrusion issues on each user’s computer. SYN flood presents attacks that deny services by dominating immense server resources of host thereby preventing the system from being responsive to genuine interchange. Prevention techniques include firewalls and proxies, filtering, SYN cache and cookies, and elevated backlog amongst others. WiMax or Wireless Interoperability for Microwave Access is a convention for communication using set wireless networks with data transfer of up to 49 Mb/s. In data terminals and

Sunday, February 2, 2020

An Expose on Urban Poverty during the Gilded Ages as a member of the Essay

An Expose on Urban Poverty during the Gilded Ages as a member of the Progressive Party - Essay Example As an active member of the party fully dedicated to the cause of eliminating poverty and bringing justice in the country, I attack the social evil of child labor also. Child labor prevents us as a nation from getting ahead and overcome this chaotic economic contraction which engulfs our country in the present times. In order to overthrow this contraction and become a modernized and successful nation, every person needs to stand up against social disorder with full zeal and do everything possible in individual capacity to become economically flourished. All Progressives should tirelessly work to address a wide range of issues from slum housing to child labor to drugs to control urban poverty (Noble 58). It should not be forgotten that these evils are generated by rapid industrialization of America which has left many bewildered and confused about the right course of action. As an active Progressive, I advocate implementation of new social policies and reforms in the country which inst ead of being based on orthodox methods would be able to address the needs of the current

Saturday, January 25, 2020

Pregnancy Induced Hypertension Causes and Treatments

Pregnancy Induced Hypertension Causes and Treatments Pregnancy is the gestational process compromising growth and development within a woman of a new individual from conception through the embryonic and fetal periods to birth. Pregnancy lasts for two hundred and eighty days, clinically considered forty week from the first day of the last menstrual period. Psychological changes are emotional experiences of pregnancy, as reported by a pregnant woman. Being keenly aware of the rapid and inevitable changes of the body the pregnant woman is undergoing. The nurse can help the parents in decision making about the concerns for the pregnancy. It is vital to make the mother understand the physiological processes, preparation for labour and to plan for the infant’s needs. The basic goal of antenatal or prenatal care provided by the nurses is to offer proper information to the pregnant women and the family about the current pregnancy. As well as provide emotional support, good nutritional advice and careful observation which will help the m other to achieve healthy and happy maternity period. To begin with, there are many factors that influence pregnancy which are often diagnosed during the antenatal clinic visits. The case study discussed below highlights the factor of pregnancy induced hypertension. Hypertension mostly affects pregnant women aged less than eighteen years and more than forty years. Blood pressure ranges from 140/90 mmHg to 160/110mmHg. Recently on booking, a mother came with the history of pregnancy induced hypertension. Mrs. X is twenty-four years old with the weight of fifty-five kilograms. She lives in Seaqaqa with her husband, parents-in-law and only son who is two years old. Mrs. X’s husband is a farmer, as she stays home and does domestic duties. Moreover, during Mrs. X’s initial visit to the antenatal clinic she presented the signs and symptoms which included nausea and vomiting. After diagnosis it was found that she had high blood pressure, however no other medical disorder. The blood pressure was 150/100 mmHg which showed a sign of pregnancy induced hypertension. Mrs. X does not consume kava or alcohol and does not even smoke. Upon history taking it was mentioned that after her first child she often took out some time for social life, whereby participated in netball training. According to Mrs. X it relieved stress and help her keep fit and healthy. Mrs. X was previously admitted in hospital during the delivery of the first child. However, Mrs. X neither encountered any complication for the first pregnancy nor went for any surgery previously whereas during the recent pregnancy antenatal clinic it has been found that she has hypertension. Initially when Mrs. X came to the hospital she had swollen legs, elevated blood pressure, therefore her twenty-four hours urine was taken to test for protein in urine. Proteinuria was diagnosed which was more than 0.3 grams of protein in one litre of urine. However, there was no sign of vaginal discharge, blood or amniotic fluid shown for gynecological disorder. Mrs. X had her last menstrual period on the 7th February, 2014 which lasted for seven days. The bleeding was heavy for the first three days and then became mild as Mrs. X used to have the menstruations every month in the same rhythm (severe to mild). The Pap smear test was done after two months from the first delivery as the results were normal. Mrs. X used condom as the family planning method. She is gravid of two and parity of one. Mrs. X delivered the first baby normally with a birth weight of 3.1 kilograms. In the second pregnancy she has pregnancy induced hypertension during the twenty weeks of gestation. Mrs. X is curre ntly prescribed for antihypertensive drugs by the physician. Mrs. X should deliver on the expected date of delivery which is the 14th of November, 2014. Furthermore, Mrs. X’s physical examination was done. It was done to assess fetal growth and development. Vital signs were taken as follows; pulse rate 78 beats per minute, respiration rate was 24 breaths per minute, temperature was 37.2 C and blood pressure was 150/100 mmHg. The weight was sixty-two kilograms during pregnancy therefore her body mass index was calculated as it was the leading factor to pregnancy induced hypertension complication. Blood pressure was taken when Mrs. X was resting however, it was still elevated of a reading of 148/100 mmHg. Therefore, the blood pressure was taken every two hours to see for any progress which was documented. Urinalysis was performed. During the initial visit the midstream urine was collected and sent to the laboratory for culture. Results showed protein in urine due to hypertensive disorder in pregnancy. Blood test was also done on booking for full blood count. An eye examination was done to check for further retinal changes. Liver and kidney enzyme function test was also done. The aim of antenatal care is to monitor the progress of pregnancy which optimizes maternal and fetal health. The nurse can evaluate; â€Å"physical, emotional and sociological effects in pregnancy on the women and the family† (Fraser Cooper, 2009). Some ways to achieve antenatal care are as follows; by developing a partnership with the mother. The nurse should communicate friendly in order to know more information about the problems that the mother is facing and the nurse can help in solving the problem. Secondly, by providing holistic approach to the pregnant mother’s care that meets the individual needs. Preparing the mother physically and psychologically will help her to make the choice of either for vaginal delivery or opting for a caesarean delivery because of pregnancy induced hypertension. The nurse should provide tender and loving care to the mother. Furthermore, as a nurse provide information to the mother and the family members to enable them to make informed choices about the current pregnancy. Nurses can advocate for the pregnant mother to the family about the nutritious foods and adequate rest required by the mother cause of the current health condition. As well as providing an opportunity for Mrs. X and the family to express the views and concerns about the pregnancy. Advise the mother that breastfeeding will be the best method of feeding and nutrition for the newborn baby. Nurse can explain the advantages of breastfeeding as it will be a sensitive advice to support the pregnant mother’s decision. The nurse can show the proper positioning of the baby during breastfeeding, for example; using rugby ball method. Advice the mother on buying the baby’s clothes and other required items as it will facilitate the woman and the family to prepare accordingly to meet the demands of the forth coming child. Offer parenthood education within a planned programme or on an individual basis as it will promote awareness on public health issues for the mother and the family. Giving public health advice and pertaining pregnancy in order to maintain the health of the mother and fetus. Nurses can build a trust relationship with the mother is in part of care, love and safety for the mother. To add on, nurses play a vital role when managing the health of the mother with pregnancy induced hypertension. Nurses should communicate effectively and sensitively. Redman (2007) suggests that: â€Å"understanding and self-confidence in a woman will develop her relationships with nurses† . The nurse should sit at the bedside of the mother and communicate with her, in order to understand the problems and difficulties the mother is facing. Nurses can find possible solution for the problems and help the mother in solving the problem, as it will help build a more therapeutic relationship between the mother and the nurse. Mrs. X should be advised on adequate bed rest. Though, rest does not prevent the development of pre-eclampsia. It is important to make the family members understand that, Mrs. X should lie on her left side since left side relieves pressure and symptom associated with pain, hence also facilitates venous return increasing the circulatory volume, renal and placenta l perfusion and blood pressure (Gilbert, 2007). Therefore the mother needs to have adequate rest, for at least eight to twelve hours and away from stress. If the mother has high blood pressure she can be admitted to the hospital. However, it is most preferable if the mother rests at home and visits hospital after every two weeks. Hospital visits will facilitate the nurse to check her blood pressure and compare the previous readings, check whether it is elevated, decreasing or remains the same as previous reading (150/100 mmHg). The mother’s vital signs should be taken in every clinic. Elevated blood pressure ranges from 140/90 mmHg to 160/110 mmHg shows sign of pregnancy induced hypertension. Fluid balance can be maintained if there will be reduced intravascular compartment in pre-eclampsia and poorly controlled fluid balance may result in circulatory overload and pulmonary edema (Gilbert, 2007). The nurse can use water therapy for severe edema. Water therapy helps prevent or slow the progression of pre-eclampsia. The nurse should advice the mother which diet she should take due to hypertension, which is having low salt low fat diet. Advise the mother to consume those food which are locally available rather than foods which are imported from overseas countries or canned and junk food. For instance, locally available food includes pumpkin, cabbage, fish, bean and many more. Educate the mother on food which contains iron, fibre, vitamins and protein as it is good for the mother’s health and for the growing fetus. â€Å"Prophylactic fish oil in pregnancy may perform as an anti-platelet mediator, thereby it prevents hypertension and protein uric pre-eclampsia†. (Redman, 2007). Pregnant mother should consume at least eight glasses of water per day is important for her. Calcium supplement reduces the risk of pre-eclampsia especially of patients that have diets deficient in calcium. Exercise is also important for Mrs. X and the growing fetus. Nurse can teach the mother on some exercises which the mother can practice like kegel’s exercise. Exercise will keep the mother and fetus healthy and it will also help in contraction of uterus muscle. This will help mother feel comfortable and less painful for normal vaginal delivery. Exercise will also reduce stress and provide healthy and refreshing body and mind. Health care professionals can also help the nurse in managing the pregnant woman in various ways. Other health specialist can get together and collaborate what kind of treatment the mother should get to reduce pregnancy induced hypertension and have a healthy baby. Firstly, the radiologist (x-ray) department, can scan and the check for gestational age of the growing fetus. They also check the health of fetus and document the fetal movement and fetal kicks. Change in the number of frequency may mean the fetus is under stress. An ultrasound scans for measurement of fetal movement, fetal kick and direction of fetal position. Laboratory technicians can do the mothers blood test and urine test. Serology department would experiment the 24 hours urine collection, to found out whether it has protein present in it. Physical examination of urine can rule out the level glucose, protein content and ketones. Microscopic examination of urine, which will show blood cells and microorganisms. The hem atology department does full blood count, that includes hematocrit, Hemoglobin level, red blood cell and white blood cell count. Hematocrit is the percentage of red blood cell mass in mother’s blood volume. Hemoglobin is the main cellular component contains red blood cells. The physiotherapist can help mother by teaching Mrs. X some exercise which will be helpful and effective for her. Bed exercises increases the blood flow, keep the muscle toned, leg exercise for example foot circles at least two times daily, kegel’s exercise and abdominal tightening exercise which keeps abdominal muscle tone. Kegel’s exercise can be done at least five times daily because it helps prevent the loss of muscle tone which occurs after child birth. This exercise involves contracting muscles around vagina holding tightly for ten seconds and then relaxing for two seconds, the woman should be work up for thirty contractions. Moreover, the dietician can also advise the mother on low salt low fat diet. Advises the mother to use salt as needed for taste, and that adequate nutrition is important for pregnant mothers eating a nutritious balance diet containing high amounts of calcium, magnesium, and iron, vitamins, less sodium, folic acid and increase amount of protei n to take. As it reduces the risk of pre-eclampsia especially in patient who have diet deficit, avoid beverages containing caffeine and drink six-eight glasses of water per day is also important because it reduces the risk of dehydration and improves proper blood circulation which reduces risk of pre-eclampsia. Hence, a counselor can also counsel the parents on the antenatal care which should be provided to the mother. The prenatal education should focus on the positive labor and birth experiences and ways in which the mother can have decreased blood pressure. Advice Mrs. X if she has any fever, rupture of membrane or leak of fluid, decrease fetal movement, vaginal bleeding, feeling of nausea and vomiting as to immediately complain to the nurse before any further complications arise. Since the mother is a non-smoker and non-alcoholic it is better to advise her to stay away from anybody smokers and not to consume alcohol so that it does not affect the growing fetus. Provide information about breastfeeding techniques which is very supportive approach. â€Å"Expected length of breastfeeding is an important prenatal factor associated with breastfeeding period†. (Pairman, Pincombe, Thorogood Tracy, 2006). Due to increase breastfeeding duration there will be increased maternal confidence in breastfeeding and handling the child. Child birth education is also important for the mother. This provides opportunity for enhancement of family systems and can facilitate the family to empower behavior that lasts longer. Furthermore, a dentist is needed to check oral care of the mother, where the dentist can check for any decaying tooth or paining gums. This can cause pain and headache and increase the mother’s blood pressure. Treatment could be given accordingly. As the dentist can advise the mother about proper oral care, for instance; on brushing her teeth twice daily this will be healthy. In evaluation, after the diagnosis it was found that Mrs. X had pregnancy induced hypertension. Mrs. X tried herbal medicines and followed all the nursing management which was advised to her. Though there weaknesses, which include; family members were not allowing her to come to hospital alone, mostly her mother-in-law accompanied on the antenatal clinic visits which became a hindrance for Mrs. X while expressing her views and concerns. Hence, a few times Mrs. X does not have enough money to pay for the fare since her husband was inco-operative. At certain times due to fear, anxiety and stress Mrs. X was unable to express the problems which made it difficult to exam her problems. Though Mrs. X had some weaknesses but she tried her best to co-operate with the nurses so that she has a healthy maternity period and at last to have a healthy baby. After providing successful interventions, the strength of Mrs. X was also shown as she tried to follow all the steps given by the nurses so tha t she can have a healthy baby. (Approximately: 2,498 words) References Cooper, M. A., Fraser, D. M. (2009). Myles: Text book for Midwives. (15th ed.). Churchchill Livingstone: Elsevier limited. Gilbert, E. S. (2007). Manual of High Risk Pregnancy Delivery. (4th ed.). The United States of America: Mosby, Inc. Pairman, S., Pincombe, J., Thorogood, C., Tracy, S. (2006). Midwifery: Preparation for  Practice. Australia: Ligare Pty Limited. Redman, B. K. (2007). The Practice of Patient Education: A Case Study Approach.  (10th ed.). Missouri: Mosby. Weber, J. C. (2003). Maternity: Parenthood Education Approach. Retrieved June 17, 2014 From http://books.google.com.fj/books?id=4CYJb8rW2rYCpg=PA28dq=pihhl.

Friday, January 17, 2020

Nursing †Statement of Purpose Essay

In life there is the path imagined & the path followed. The difference between these two paths is our experience. My experience on the path to becoming a Registered Nurse began in the fall of 1998 at West Chester University. For as long as I could recall I was possessed of an unmitigated passion for taking care of others. This passion, I was sure, this joy I found in helping others that seemed so much a part of who I was, would propel me through my undergraduate classes. In four years, I assumed, I would have a degree, would be starting a career as a professional nurse. This, the path imagined, was so clear. Then there was the path followed. The idea that life is not to be lived for selfish ends but for the principal benefit and aide of others was instilled in me by my parents, both of whom immigrated to the United States from Vietnam at the close of the war. They arrived with no money and but a few sets of clothing. What they lacked, however, in material wealth they compensated for with devotion: to each other, to their children, and to those traditions that they brought with them from Vietnam. Born in America, but raised in a traditionally Vietnamese household, there were many points of friction. My parents often kept me home on the weekends to help with chores. A great emphasis was placed on academics and a great much of my day-to-day living was scheduled or spoken for without my input. Admittance to West Chester’s University’s nursing program was predicated on the completion of several pre-requisite courses. Their completion, however, did not guarantee immediate acceptance into the program. No longer bound to those traditions of family which had seemed so overwhelming, overbearing even, and suddenly unable to move forward in my studies, I drifted into the more social aspects of college. My grades reflect this: a person who has done so much correctly, so much for others, suddenly unable to help herself. Frustrated, I dropped out of college in the summer of 1999. Things had changed. I had changed. After the freedom of college, I couldn’t live at home. I left. I’d scarcely unpacked my overnight bags from the hospital when the vomiting started. I changed formulas. Changed milks. Changed everything a new mother would think to change. I would have changed the wallpaper if I thought it’d make a difference. My son, eight days old, would not stop vomiting. The surgery he  required to clear the bowel obstruction took just over 4 hours. The doctors told me that the obstruction, his developing it so early, could have long-term repercussions, could mean more bowel obstructions in the future. Was this the path? I made a phone call. I moved back home with my parents. I got a part-time job to help pay a share of their mortgage. In turn they looked after my son so I could attend school full-time. When I returned to school, this time to Delaware County Community College, in 2003 it was as a single mother with a two-year old boy and the understanding that though the path had certainly changed, it was still my path to make. I had received my certification as a medical assistant, but immediately came to realize the role’s many constrictions. The opportunities to create quality relationships with patients & to positively affect their care seemed so minimal, so fleeting. Filing charts, taking vital signs, these things were certainly important, but in the role of medical assistant it was all so abstract. I am always thirsty for knowledge, but more importantly, for understanding. I knew then more than ever that I wanted to take on the role of the Registered Nurse. I transferred from Delaware County Community College to Drexel University and was immediately accepted into the nursing program. The path was clearing, I thought. That the obstructions would return just as he was entering Kindergarten and I my first semester at Drexel University was nothing I could have ever known but still wish I had. My son had gone years without issue, had grown happy and healthy. When the vomiting returned it was with a vocabulary. My son now cried tears of hungry and of pain. There were more hospital admissions, more surgeries, more bends in the path. In the meantime my employer began requiring a strict part-time schedule. It was my job or my education. I knew, though, that the financial stress, however great, would be, could only be, short-lived. I was devoted: to my son & my family, to my education & my happiness. In my third year at Drexel the path was straightening, clearing. I received an offer from Hospital of the University of Pennsylvania to work on the Neuroscience Unit as a Nurse Extern. The value of such an opportunity was incalculable. I did not know anyone in Philadelphia’s major hospital networks or health care facilities. I could rub no shoulders or scratch no backs. I knew, though, after so many clinical hours, that that was precisely where I wanted to be, that my ambition was to be a bedside nurse. Travel  arrangements, however, prevented me from being able to get to the hospital and so it was instead arranged that I would work at Penn Presbyterian Medical Center as a Pool Nursing Assistant. I worked hard and in doing so tried to let my work ethic, my growing knowledge base, my approachable nature, communicate what so few words can: passion. True passion. The passion that propelled me as a single mother to provide the best for my son while honoring my parents. The passion that grounded me, that centered & focused me, humbled me, and that, at last, brought me to the end of the path imagined. My degree, my job as a Registered Nurse in the Penn Presbyterian Coronary Care Unit, my son’s health, my parent’s love: these were the manifold ends of single path, my path, a path I walk with passion.