Evolution of Theoretical Knowledge of nursing Essay Example for Free

Evolution of Theoretical Knowledge of nursing Essay The ultimate goal of the nurse is to maintain, and restore the health of the patient. Nursing is considered both a science and an art. The application of nursing knowledge and the technical aspects of the practice is considered the science. The establishment of a caring relationship through the application of nursing knowledge and judgment is used in a compassionate manner and is seen as an art. (College of Nurses 1999 June Nursing and You Volume1, number 3 p3) This paper will attempt to explain the four concepts of the nursing metapardigm as it relates to the person environment, health and nursing. A person is seen as an individual possessing their own uniqueness, personalities and having their individual needs. A person should be treated with respect and dignity regardless of their cultural, religious, socio-economic class, marital status or sexual preferences. The individual should not encounter any bias or discrimination in school, employment or when the need arises for medical care. Each person has their basic needs that must be met while progressing through the different stages of development. One should be given choices, and be allowed to have an input in their care or treatment plan. They should be allowed to excel and strive to achieve their goals. Be able to reside and work in their chosen location and field as long as they are qualified for the job. They are usually part of a family belonging to a cultural group, living within a community or region of their choice. The environment can be open or closed. It can contribute to the building or endangering of the persons self esteem. One might adapt to the environment depending on ones personal preference. A person might be seen in the eyes of others as the product of their environment that might be interpreted as a negative or a positive statement. Depending on ones interpretation of the statement. Some environments have sub-cultures within the environment. Each group has different beliefs, such as religion, diet, attire, and dialects. The environment sometimes contributes to some medical problems, for example respiratory problems. Nurses unfamiliar with the laws and customs of the environment might need to familiarize themselves with cultural practices. What is appropriate and inappropriate for that culture for example male  nurses not allowed to give care to female patients in t hat environment and vice versa. Nurses might need to observe the environment for safety precautions and life threatening situations. Which will contribute or cause an illness, or preventing recovery. The environment is considered home and that is were the person resides. It is a familiar surrounding for the individual. Health can be defined as freedom from either a mental or physical condition, which impedes one from performing activities of daily living or preventing the person from functioning at their optimum level, for that individual. The person is considered mentally or physically stable or unstable depending on the diagnosis he/she is assigned. Health is when a person is in a state of well-being. The individual has been free of pain and disease. The patient is always the focus; therefore it is called patient focused care. Health is considered the quality of life, when an individual is independent and able to function without any obstacles of impedement. Nursing can be defined as one being trained in both theory and practice. Virgina Henderson also stated that nursing is an independent unique health profession carrying out activities with or on behalf of the patient that contributes to health or recovery (or to a peaceful death) that the patient would perform unaided given the necessary strength, will or knowledge. (Nursing Foundation (1999) Basic Elements of Selected Conceptual Models p 314). In nursing the nurse should be able to critical think, be caring, competent, compassionate and have a conscience according to Roach. (Roach 1992). Nursing would include, doing a nursing assessment, nursing diagnosis, nursing care plan, and a nursing interventions. Starting with short-term goals, and upon achieving short-term goals for the patient, then proceed to long-term goals. Goals should be realistic. Then evaluate and reassess if the needs arises. Problem solving and treating the patients as human, the same way you would like to be treated. Working in a mental Health hospital, the client is seen as a whole person, a human being. A person who is unable to cope, survive or function at their optimum level in the community, due to mental illness. Patients diagnosed with a mental illness, and are being cared for in the hospital. Their mental  status is monitored, and they are assessed on an ongoing basis. Patients are encouraged by nursing staff to verbalize their concerns, so staff can be aware of their needs, which will promote stabilization of the patient, diagnosed with a mental disorder. The environment in which the patient resides should be non-threatening therapeutic and be conducive to healing. The environment might be seen as open or closed depending on ones perception. Health is interpreted differently, depending on the cultural, religious background of the person and their knowledge base, regarding health. With mental illness, the patients medication might need to be adjusted. Which will modify the behaviour and stabilized the patient at the same time. Assisting the patient to function at their optimum level, giving choices and promoting independence. My thinking represents a combination of worldviews. I looked at the whole person; reflect on the things that I could have done better. I attempt to understand the behaviors and practices of certain cultures. Gaining an understanding of the culture by using the deductionist path of science along with historical views of the person within the environment. As environment shape behaviors at times, I look at a combination of worldviews to determine each metapardigm.

Fast Food Profit Essay -- Health Nutrition Papers

Fast Food Profit The American economy relies upon competitive exchange: a process where opposition within a market creates standards for quality and price valuation. To insure the quality of American products the US government encourages a competitive market and enforces regulations. "Capitalism is a system of private ownership of capital that relies on market forces to govern the distribution of goods" (Goldstein 533). In an ideal capital market companies will produce their product to meet consumer tastes, government regulations, and beat similar competitive products. As a capitalist rule: the more competition that enters the market, the better the quality and prices. However, even though there are many fast food restaurants, the industry is able to act in a monopolistic manner. First, they are able to set the market price and have it remain relatively constant without competitive interference with respect to bid wars. Second, the clientele may choose other fast food restaurants based o n personal tastes, but are locked into the market based on speed and price. Third, besides the regulations from the FDA, businesses attempt to offer the best taste, which does not always have to correspond with quality. The fast food industry has become overflowing with new business competiting for the large fast food clientele. The companies realize the significant profit losses created by an all out bid war, so each company implicitly understands its position and market offering with respect to its competition. The silent agreement hurts consumers because they could be receiving a better price. A majority of people eats fast food because they need the food quickly and/or cheaply. The constant and loyal demand allows the mark... ...iencies, paying employees minimally, and lowering the cost of ingredients. Works Cited Franz, Neil. Taco Recall Prompts Aventis to Halt Sales of StarLink Corn.  Chemical Week Oct. 2000. 12 Apr. 2002 Web Page . Goldstein, Joshua. International Relations. 4th edition. New York: Longman, 2001. Horngren, Charles, Gary Sundem, and William Stratton. Introduction to Management Accounting. 12th edition. New Jersey: Prentice Hall, 2002. Ross, Stephen, Randolph Westerfield, and Bradford Jordan. Fundamentals of Corporate Finance. 5th edition. Boston: Irwin McGraw-Hill, 2000. Schlosser, Eric. The Flavor Counts.  Choices: The Magazine of Food, Farm and Resource Issues Wntr. 2001. 12 Apr. 2002 Web Page . Tevis, Cheryl. The Secret Ingredients of Our Industrial Food Menu.  Successful Farming Mar. 2001. 12 Apr. 2002 Web Page .

Choctaw Indians

The tribe of Choctaw Indians was originally located in the southeastern part of the Mississippi, southwestern Alabama, Louisiana and Georgia. This name for this tribe of Indians is attributed to various sources, some of these are the Spanish word chato which means flat because the Choctaw used to flatten the foreheads of their male infants and Haccha, a name of the Pearl River with which these people were associated . These people believe that they originated from â€Å"Ninah Waya†, which is a sacred hill located near Nozapter, Mississippi.The name â€Å"Ninah Waya† means â€Å"Productive Mountain† and is often referred to as â€Å"The Mother Mound†. The â€Å"emergence myth† is a part of Choctaw history. These Indians are supposed to have belonged to the Muskhogean linguistic family. Initially they existed as very large groups, but were significantly reduced in numbers due to infected foreigners who spread a number of epidemic diseases amongst thes e hapless Indians. The other tribes in this linguistic family are Creeks, Chickasaws, Seminoles and Apalachi .In comparison to the Chickasaw and the Creek who were their age old enemies, the Choctaws were more democratic and less warlike. The Choctaws lived in wattle-and-daub homes. These homes had walls consisting of pole frames covered with mud and bark and a thatched roof. They were agrarian in general and in this aspect were unsurpassed in the entire Southeastern part of the U. S, and used simple tools to cultivate corn, beans, sweet potatoes, and tobacco.They were so proficient in this activity that they were in the enviable position of possessing surplus food which they bartered in order to obtain goods that they did not have. Moreover, they utilized blowguns, bows and arrows, spears and traps to hunt animals for food and pelts. Their trading capacity was so great that they traded on a very large scale with other tribes and in order to communicate with their customers they dev eloped a simple trade language. In order to transport merchandise and animals hunted by them they used dugout canoes.The Choctaws were fond of sport and it occupied an important part of their culture. Their variety of lacrosse, which was very popular amongst the eastern tribes was a very rough game played with a stick. This game was used to promote social gatherings, bring about settlement of disputes and to train the participants for warfare. The number of participants in this game would be in the hundreds and all sorts of violence like biting, belabouring and kicking were permitted. Not surprisingly, the participants would suffer serious and sometimes fatal injuries.The outcome of this game had so much importance attached to it that Choctaw priests used to offer prayers in order to have an effect on the result of the game . The Choctaws took to riding horses and using them as pack animals with the advent of the Europeans in the 16th century. They developed their own specialized ho rse breeds and raised cattle. The 18th and 19th centuries were witness to the forced migration of the Choctaws farther and farther west in order to circumvent clashes with the European settlers.Initially they allied with the French later on they worked as spies for the Americans in the American Revolution, which lasted from 1775 to 1783, and reported the activities of the British. In the War of 1812 they allied with the U. S and fought under General Andrew Jackson and they also fought against the Creek in the Creek War that lasted from 1813 to 1814. The universal belief was that the land occupied by the Indians had gold in it, accordingly President Jackson brought about legislation that required relocation of the Southeast Indian tribes to lands west of the Mississippi River.The first victims of this inhuman deed were the loyal Choctaws, who were made to shift their location to the Indian Territory, which is in Oklahoma under the Indian Removal Act of 1830. Accordingly, as per the p rovisions of the 1830, Treaty of Dancing Rabbit Creek the Choctaw nations was forcibly relocated to South-eastern Oklahoma. The years from 1831 to 1834 saw these hapless Choctaws being subjected to a series of forced marches westward, which proved fatal for many of their numbers who succumbed to disease, hunger, exposure and attacks by bandits.Around twenty thousand Choctaws were shifted and only seven thousand survived this arduous journey notorious as the â€Å"The Trail of Tears†. The greed of the settlers was gratified to some extent by the year 1842 as most of the Choctaw lands had become the property of the settlers. Oklahoma, was chosen by the Choctaws as their promised land, because it was for the most part empty and was considered to be useless for any other purpose. However, this place proved to be very fertile and was utilized by them as an agricultural haven. The surviving Choctaws built a new city based on their agricultural genius.In the Indian Territory the Cho ctaw, the Creek, Cherokee, Chickasaw, and Seminole were collectively known as the Five Civilized Tribes, because they had organized governments with written constitutions and due to the fact that they had established public schools and newspapers. The Choctaw joined forces with the Confederacy during the American Civil War, which lasted from 1861 to 1865. Due to the ever increasing influx of non-Indian settlers, the Choctaws were unable to retain their lands, even in Oklahoma, where they had been ruthlessly relocated.Ironically, Oklahoma is a term invented by the Choctaw leader Allen Wright to connote red people and was initially used to denote the western half of the Indian Territory. The number of persons who identified themselves as Choctaw in the U. S. census of 2000 was approximately 87,000 and a further 71,000 identified themselves as having Choctaw blood. Federal trust lands are held by the Choctaw Nation of Oklahoma in the vicinity of Durant. Furthermore, the Mississippi Ban d of Choctaw Indians’ reservation is located near the Pearl River.Some Choctaw groups reside in Louisiana and what should be of encouragement to these hapless people, there has been a revival of traditional customs and unity between these groups since the 1950s . Women have traditionally been objects of veneration in the Choctaw culture. This honour has been accorded to them due their being the head of every family household and due to their being the caretakers of children and elders in the family. In legends these tribes are considered to be vegetarians and one of the Cherokee legends describes this epoch as the beginning of equality and mutual helpfulness between humans, plants and animals.Initially all three lived in harmony, however, with the passage of time, man became destructive and started to kill and eat some of the animals and in retaliation some of the animals invented diseases to limit the human population. True generosity was exhibited by only the plants, which provided not only food to man, but also medicine to cure these diseases . The historical evolution of the Choctaw makes one aware of their efforts in respect of economic development and the strong Tribal government which has resulted from such development.In the past, the Choctaw people had undergone several hardships like health problems and reliance upon the federal government for the bare necessities of life. However, subsequent to the year 1945, the situation has improved drastically and the strong tribal governmental leadership and appropriate planning have made the Choctaw people self reliant. With the improvement in employment and educational opportunities, availability of better housing and healthcare facilities a resurgence of the Choctaw community and their cultural arts has transpired and this has brought about betterment in their standard of living.The language of the Choctaws and their native culture are no longer threatened with extinction as they had been saved and st rengthened due to their efforts. At present Choctaw community can be considered to be a successful community. This is due to the fact that they not only preserved their culture but did so in the face of great adversity. The Choctaw Indian Reservation is spread across 35,000 acres of Tribal lands, which are located in ten counties of the Mississippi. The federal government is responsible for safeguarding these lands.These sites are Pearl River, Red Water, Bogue Chitto, Standing Pine, Tucker, Conehatta and Bogue Homa. The Tribal government is headquartered in Pearl River and is the largest of these lands. The Choctaws enjoy several traditional cultural activities in addition to those provided by modern society. Their artistic output comprises of hand woven baskets made from Mississippi swamp cane, beadwork, etc. They are also famous for their dances, cooking and sewing traditional apparel. In the modern world they are active in almost all fields of scientific and commercial endeavour. In contrast to the past, when they had been relegated to the background, these people can be assumed to have become a part of the fast paced and exciting American way of life. These people are highly creative and gifted and some of their special events, which enable them to congregate as a Choctaw community in order to commemorate their tribal traditions, are the annual Choctaw Indian Fair held in the month of July in the Choctaw Indian Reservation and the spring festivals of the Choctaw communities . Works Cited Page Ferguson, Bob.Choctaw Chronology. Retrieved from http://www. choctaw. org/history/chronology. htm on October 6, 2006 Rita Laws, WAS THE AMERICAN ABORIGINAL DIET VEGETARIAN? , retrieved from www. animalvoices. org/aboriginal. htm. on 06. 10. 2006. Retrieved from http://www. choctaw. org/culture/welcome. htm on 06. 10. 2006. Team Sports. Choctaw. Retrieved from http://www. cradleboard. org/cnat/resource/choctaw. htm on October 8, 2006 Waldman, Carl. â€Å"Choctaw. † Microsoft ® Encarta ® 2006 [DVD]. Redmond, WA: Microsoft Corporation, 2005.

Dreams In Dreams And Dreams Deferred By Langston Hughes

In two of Langston Hughes’ poems, he sorts out a multitude of analogies and diction to draw in the audience to better understand his perspective of dreams. When the poet begins the poems, â€Å"Dreams† and â€Å"Dreams Deferred,† he speaks of an emptiness and an ageing of dreams. Hughes’ allusions in repetition, strands, binary opposites, and anomalies can represent his overall portrayal of a life without dreams is unstable and that dreams become the person, making it impossible to run from. The pattern of â€Å"life is† and â€Å"does it† appears to be a very important part of the writer’s message (Hughes). By including what the writer believes life becomes without dreams, it gives the impression of a life without meaning or content. Later, when the poet†¦show more content†¦Even though people can say they have decided to free themselves of a past dream of theirs, there is always a stinging feeling that comes back of the thing they have a burning desire to reach. An important opposite of the act to â€Å"hold† and â€Å"go† was shown as the dream running away from the soul and the human trying desperately to keep it steady (Hughes). Although that may be true, it is almost made to seem like it is the person that is trying to rid themselves of the hopes and dreams, while the poet is attempting to get through to them to make them see how badly they need to keep their dreams alive. Some overlooked but essential binary opposites of the piece of writing follow as â€Å"syrupy† and â€Å"sags† (Hughes). While people have always viewed syrup as a sweet goodness and sagging as an unavoidable, miserable fact that happens to their skin when they grow older, the two can be seen together. When someone spills out drops of syrup, resembling a lost dream, if left out, the substance can sink down table tops, expanding its area around the person’s living environment, and leaves a sticky, gross residue. From then on if the person decides to ignore the residue, every time they cross paths with it, they will still experience that same tacky, undried feeling until they finally deal with it. The influence ofShow MoreRelatedThe Dream Deferred By Langston Hughes1020 Words   |  5 Pages â€Å"Dream Deferred,† is a poem written by Langston Hughes discussing what may become of a dream that is put off, delayed, or postponed by external influences. Throughout the poem, Hughes uses questions about concrete things in everyday life and compares them to the ignored dreams. Langston Hughes isn’t referring to the dreams we have when we go to sleep at night, he’s referring to an aspiration or a desire. â€Å"Does it dry up Like a raisin in the sun?† (Hughes 970) The vision of his dream is vanishingRead MoreA Dream Deferred By Langston Hughes990 Words   |  4 PagesThe poem â€Å"A Dream Deferred† by Langston Hughes; is about what occurs to the dream when you postpone them, instead of going for it and make it come true. Many people in this world has a dream or some sort of goal that they would like to accomplish. Although most of us would love to follow our dreams, sometimes we just cannot do it due to the struggles that we would have to face. This poem is based on a guy who is going through a difficult time and what would happen to his dream if he puts it on holdRead MoreA Dream Deferred by Langston Hughes1736 Words   |  7 Pages All Langston Hughes ever wanted was for people to have their dreams accomplished and the motivation to bring change forward. However, Hughes’s dreams almost came tumbling down for speaking out in one of his poems. In 1940, Hughes had been investigated by the FBI following the release of his poe m â€Å"Goodbye Christ†. Numerous accusations had arisen, stating Hughes â€Å"†¦[was a] member of the Communist Party, [ran] for public office, called for a race war, married a white woman, and studied CommunismRead MoreAn Analysis of Dreams Deferred by Langston Hughes685 Words   |  3 PagesImportance of Achieving Dreams It is true that people often dream widely and unrealistically. But some people dream about basic human rights such as dignity, freedom, liberty, equal rights, and access to education. Socio-economic and political conditions sometimes put people in dire situations where they do not have access to such fundamental human needs. For such people, achieving their dreams is especially important, as the shattering of their dreams may lead to the shattering of their lives altogetherRead MoreLangston Hughes Dream Deferred Essay538 Words   |  3 Pages langston huges - dream defered After the Civil War won the black people their freedom, it seemed as though their dreams of great opportunities were finally going to come true. However, they were met by even more obstacles, which left the blacks to wonder if their dreams had any chance of occurring, or if they should just give up. In his poem, â€Å"Harlem,† Langston Hughes used increasingly destructive imagery to present his warning of what will happen if you delay working towards your goal. nbsp;nbsp;nbsp;nbsp;nbsp;Hughes’Read MoreA Dream Deferred - the Poetry of Langston Hughes1647 Words   |  7 PagesThe poetry of Langston Hughes, the poet laureate of Harlem, is an effective commentary on the condition of blacks in America during the 20th Century. Hughes places particular emphasis on Harlem, a black area in New York that became a destination of many hopeful blacks in the first half of the 1900à ­s. In much of Hughes poetry, a theme that runs throughout is that of a dream deferred. The recurrence of adream deferred in several Hughes poems paints a clear picture of the disappointment and dismayRead MoreMontage Of A Dream Deferred By Langston Hughes946 Words   |  4 Pages Many of the poems within â€Å"Montage of a Dream Deferred† by Langston Hughes contain great meaning as well as emotion embedded within them. Whether they are 3 lines or 20 lines long, vivid images and explanations follow. The main focus of the series of poems are centralized on African Americans living in Harlem in the 20’s and on and their opposition from the rest. The motif in nearly all poems express discrimination, daily activities, and African American’s struggle for equality. Out of all poemsRead MoreEssay on The Transformation of a Dream Deferred by Langston Hughes694 Words   |  3 PagesIn Langston Hughes’ poem, A Dream Deferred, Hughes wonders what happens to a dream that does not come true. He writes, â€Å"Maybe it just sags like a heavy load. Or does it explode?† In A Raisin in the Sun, by Lorraine Hansberry, Walter shows that his deferred dream does both. Early in the play, he shares his hopes and dreams for his family and their futu re with his young son, Travis. He imagines that earning his fortune will cure all the shortcomings and injustices in their lives. The limitations ofRead MoreAnalysis of Dream Deferred by Langston Hughes Essay617 Words   |  3 PagesDream Deferred A dream is a goal in life, not just dreams experienced during sleep. Most people use their dreams as a way of setting future goals for themselves. Dreams can help to assist people in getting further in life because it becomes a personal accomplishment. Langston Hughess poem Dream Deferred is speaks about what happens to dreams when they are put on hold. The poem leaves it up to the reader to decide what dream is being questioned. In the opening of the poem the speaker usesRead More Power of Langston Hughes Harlem (A Dream Deferred) Essay674 Words   |  3 PagesPower of Langston Hughes Harlem (A Dream Deferred) In our journey through life, we all have certain expectations of how we would like our lives to be. All of us strive to reach a certain level of self-actulization and acceptance. It could thus be said that all of us live a dream. Some of these individual dreams inevitably become the collective dream of many people. In Harlem (A Dream Deferred), Langston Hughes makes use of symbolism as well as powerful sensory imagery to show us the emotions