Thursday, December 26, 2019

Illegal Immigrants Should Receive Health Care Essay

America needs comprehensive health care reform, and immigrants should be a part of the movement. But many American citizens might ask that pertinent question: why should they cover the expense for illegal immigrants to access health care? The answer is plain and simple: until congress passes immigration laws that work, people are going to migrant here illegally. And to deny migrants access to affordable health care, Americans are not only denying them their human right, they are also putting individual and national health at risk. I believe that this country – which has the medical advancements and the facilities to ensure the health of its citizens – should reach out to its non-citizens, legal and illegal, until it†¦show more content†¦The studys results prove that if the federal law requiring employers to supply valid social security numbers for their employees is passed –thus ensuring the loss of Oregons undocumented workers-- the state could lose as much as $656 million in tax revenues resulting in 173,500 jobs losses (Navas). While the numbers vary from state to state, this study suggests that immigrants might be contributing more than people think. Illegal immigrants usually hold jobs that have bad conditions and worse pay. Oftentimes, these jobs are found in sectors such as agriculture, construction, food-handling and manufacturing (Dwyer). Unfortunately for the illegal individuals who acquire these jobs, they have no access to comprehensive health care, though their line of work tends to demand it. Although illegal immigrants are consequently strapped for cash, many of them will not visit primary care physicians for fear of being deported. This sets up a vicious cycle: individuals get sick yet ignore the signs. When illnesses get remarkably worse and are too severe to treat at doctors offices, the individuals then go to emergency rooms, where the cost is considerably greater. More often than not, the immigrants ca nnot afford to pay their hospital bills. The cost is then covered by the medical institutions and tax-payer dollars (Wolf). While some argue that illegal migrants do notShow MoreRelatedEssay on Healthcare for Immigrants: A Policy to Benefit Everyone1674 Words   |  7 Pageseconomy. While federal budget cuts will have to be made should the ceiling be lifted or not, cuts are also being felt on a local level, even in places like education. While not completely responsible for these problems, there are over 12 million illegal immigrants living in the United States. Unfortunately, about 59% of them do not have health insurance. With 25% of legal immigrants uninsured, that creates a large population that cannot seek or receive proper medical treatment (Wolf, 2008). Fixing thisRead MoreHealth Care Services and Illegal Immigrants753 Words   |  3 PagesThis is an example of what illegal immigrants with renal failure endure. On average, patients receiving dialysis are given a life ex pectancy of three to five years unless an organ transplant is received (**). Providing health care is a public good, a human right to receive care, not just a right to the insured or based ones citizenship status. The ethical dilemma that is presented leads to the following question: Should an immigrant requiring regular dialysis be denied care due to their undocumentedRead MoreThe Economic Impact Of Illegal Immigration902 Words   |  4 PagesThe economic impact of illegal immigrants in Texas has brought concerns for the state s economy. Such as opportunities, health care, and education. Illegal immigrants contribute both positively and negatively to the Texas economy. They contribute positively by paying for taxes such as sales taxes, health taxes and taxes imposed on items. The negative impacts these immigrants have on the Texas economy seems to overweigh these positive impacts. Their presence has made general wages go down for unqualifiedRead MoreThe Misconception about Illeg al Immigrants Essay1716 Words   |  7 PagesAmericans believe that illegal immigrants are freeloaders they come to the United States to use our Social Services. Let’s define Social Services, â€Å"organized welfare efforts carried on under professional auspices by trained personnel (dictionary.com, 2011, para.1).† Examples of Social Services are Housing which is Government subsidized and public housing, Temporary Assistance to Needy Families (TANF), Food Stamps/Supplemental Nutrition Assistance Program (SNAP), Medicaid and Medicare, and SocialRead MoreEssay on Healthcare: for all or citizens only?1465 Words   |  6 Pagesof losing their life but also in fear of being in debt due to the prices of health care treatment they need. But what if this patient happens to be an illegal immigrant? Should doctors deny him/her because they lack citizenship? Or should illegal immigrants be treated just like any other patients by having a right to health care? Throughout the past decade restrictions on eligibility for taxpayer-subsidized medical care has risen at both the state and national level. Some of these restrictionsRead MoreIllegal Immigrants, Health Care, And Social Responsibility1430 Words   |  6 Pages209 Illegal Immigrants, Health Care, and Social Responsibility Immigration has been and is one big problem that is widespread these days. Immigration means to move from one country to another for the purpose of one better life, better job, better health etc. The other problem that comes with immigration is the illegal immigration that in these days is growing up so fast. Illegal immigration is a problem that affects all the developed countries like America. An illegal immigrant is definedRead MoreEssay on Healthcare for Illegal Aliens1680 Words   |  7 Pagesthe prices of health care treatment they need. But what if this patient happens to be an illegal alien? What if the patient has a foreign illness that needs to be cured so it does not spread? Is it morally correct to deny this person treatment because he or she lacks citizenship or a valid visa? Or should illegal aliens be treated just like any other patients by having a right to health care? Throughout the past decade restrictions on eligibility for taxpayer-subsidized medical care has risen atRead MoreIllegal Immigration: Too Large a Burden on America1235 Words   |  5 PagesIllegal Immigration: Too Large a Burden on America â€Å"Households headed by illegal aliens imposed more than 26.3 billion dollars in costs on the federal government†¦and paid only 16 billion dollars in taxes, creating a net fiscal deficit of almost 10.4 billion dollars, or two thousand seven hundred dollars per illegal household† (Miller 1). Some people would argue that immigrants come to America to take jobs that no one else will do, but the illegal immigrants are in fact draining social servicesRead MoreThe Issue Of Illegal Immigration1519 Words   |  7 PagesNo issue in any immigration policy kindles more dispute than the issue of illegal immigration. Unfortunately, some people confuse legal and illegal immigration. Legal immigrants are here legally. They have the proper, legal documents that allow them to live and work in the U.S. without complications. Illegal immigrants are defined as anyone who was born in a country other than the U.S. to parents who are not official U.S. citizens; they enter the U.S. without legal documents to prove their legalRead MoreHealthcare Of Current Undocumented Refugees And Immigrants Of The Early Twentieth Century1410 Words   |  6 PagesUndocumented Refugees and Immigrants of the Early Twentieth Century Immigration has remained a long-standing, controversial topic in this country with strong public opinions as well as many political disputes over this issue. Laws have been created over time, which support immigration and refugee resettlement, however, these laws have been met with much resistance throughout history. According to the Department of Homeland Security (2012), the number of illegal immigrants and undocumented refugees

Wednesday, December 18, 2019

Investigating Modern Jazz Dance And The Samba No Pe

Investigating modern jazz dance and the Samba no pà © Introduction: Many interesting comparisons may be drawn between both the samba and jazz dance: not only are their historical contexts highly comparable, as they both set against the background of imperialism and oppression, but are extremely popular in their respective cultures, today. Moreover, both dances are very similar in respect to their movement and music, in which either one may be performed to music or to no music. Similarly, improvisation forms a highly integral part to both jazz dance and samba no pà ©Ã¢â‚¬â„¢s modern vernacular. Perhaps most importantly, both dances are bold representations of cultural identity and are intrinsically linked to the suffering of people of the African slave trade throughout the latter half of last millennium and are symbols of survival tactics which have translated into today’s dance discourse as some of the most popular dances. Historical context: The term jazz was first coined during the late 19th and early 20th century in African American communities in the United States, initially as a music genre. Jazz dance, albeit embodying a broad range of dance styles, originated from the vernacular dances of Africans during the Atlantic slave trade between the 16th and 19th centuries. The inception of jazz dance is attributed by historians to African Americans in the United States in the early 20th century, originally being danced alongside native African music. The radical jazz dance,

Tuesday, December 10, 2019

Infection Prevention Essay Sample free essay sample

Recently the infirmary implements forestalling spread of Infection. The infirmary has a successful model for commanding the spread of infection and/or outbreaks among patients/clients. employees. doctor. voluntaries. pupils. and visitants. Designation and managing infections at the clip of a client’s admittance to the infirmary and throughout their stay are the critical facets of the infection bar and control plan. in add-on to subsequent celebrated infection control patterns while supplying attention. In the hospital’s admittance procedure. there are legion ways to look into. control. and prevent infections in the infirmary scene. decides what procedures. such as isolation. should be applied to an single client ; and maintains a record of incidents and disciplinary actions related to infections. This procedure includes taking the patient’s history of infection. old hospitalization. current diagnosing. and presence of run outing lesion. among others. During the wellness testing procedure. the infirmary besides ensures that the patient gets help from the right staff. Immediately the patient checks into the Nightingale Community Hospital. the symptoms are examined. This forms the footing of the intervention. In add-on to the symptoms. research lab trials are used to augment the diagnosing procedure. The infirmary has a rigorous policy to test the patient for infection within 24 hours upon admittance. 2. Commission Standard: Conformity with Hand Hygiene In order to keep truth of proper manus hygiene. the Nightingale Hospital has a rigorous policy that before and after executing processs. before and after touching the patients. after touching the organic structure fluids/bloods. the staff shall rinse and dried up his or her custodies consistent with sound hygienic patterns. This attack is besides utile in minimising the spread of disease and for protection and safety of an person. For case. the infirmary implements consistent usage by staff the proper manus rinsing pattern and techniques which are critical to forestalling the spread of infections. It is indispensable for staff to pattern the proper manus rinsing technique with bactericidal soap and H2O. Hospital besides encourages staff the usage of intoxicant based manus hang-ups used in topographic point of proper manus rinsing techniques. In add-on. baseball mitts or the usage of babe rubs are non a replacement for manus hygiene. The infirmary is presently fighting with the proper manus rinsing pattern. During the old twelvemonth. it has been determined objectively in several experimental state of affairs of manus hygiene behaviour. the infirmary had 30 happenings for burying to execute manus hygiene within its records. This has increased to 60 during the current twelvemonth the staff are non gelling in gelling out. This shows disobedience to the committee criterions of infection bar and control program. Although the Nightingale Community Hospital has an first-class policy for infection control. the execution model is non compliant with the committee criterions for infection bar. In the recent twelvemonth. the infirmary has more than 80 incidents of wellness practician non executing manus hygiene within its records. 3. Commission Standard: Infection Control Audit The infirmary shows moderate conformity to this criterion. This is for the ground that it performs an audit of infection control records every twelvemonth. This is a necessary attack towards keeping the maximal criterions of infection bar and control program. However. it does non hold a model for quarterly or half-year audits. Plan FOR COMPLIANCE This disciplinary action program seeks to develop a model for heightening the hospital’s conformity to the joint committee criterions of infection bar and control program. Even though the infirmary shows conformity to some constituents of this focus country. some criterions are in awful demand of an action program. The successful executing of the action program requires coaction and support from the Nightingale Community Hospital which may affect the decision maker. the medical manager or his/her designee. the manager of nursing. and other appropriate hospital staff as needed. As a consequence. the infirmary should supply qualified Infection Prevention Coordinator. Surveillance. and Educators. Besides to the hospital’s nursing practicians and doctors are besides important stakeholders in the program for conformity. Following is an rating of the disciplinary action program for infection bar and control in row with the three criterions provided in the conformity statement. 1. Commission Standard: Infection Investigation/Identification Although the infection bar and control program system for Nightingale Community Hospital has an effectual model for testing patient from infection some failings are apparent. For case. the infirmary does non hold a model for keeping an on-going plan designed to forestall and command infections. Harmonizing the commission’s criterions on infection bar and control program. the infection control and bar plan must include certification that Hospital has considered. selected. and implemented nationally recognized infection control guidelines. This specification is critical in advancing the excellence of attention among all patients. In order to heighten infection bar and minimise the potency for transmittal of infections the infirmary can measure whether it needs to alter procedure or patterns. Nightingale Community Hospital has assorted attacks to garnering. documenting. and entering surveillance informations. Important basicss of a surveillance procedure embracing usage of standardised definitions and listings of the symptoms of infections. usage of surveillance tools such as infection studies and informations aggregation templets. walking unit of ammunitions throughout the infirmary. For case. the infirmary should implement undertaking method and/or outcome surveillance actions to sort infections that are doing. or have the likely to do an eruption. It is indispensable to carry on the information analysis to ease notice unusual or unanticipated results and to reason the efficiency of infection bar and control patterns. Additionally. papers remarks and observation related to the causes of infection and/or infection tendencies and implements steps to forestall the transmittal of infective agents and to cut down hazards for device and procedure-related infections. This attack would play an built-in function in beef uping the effectivity of infection bar at Nightingale Community Hospital. Small alteration in the infection bar procedure can do a large difference in the quality of direction result. 2. Commission Standard: Conformity with Hand Hygiene Hand hygiene is the most effectual manner to halt the addition of infection. As we all know. manus hygiene disobedience is a major cause of nosocomial infection. Hospital-acquired infections cause more than 98. 000 deceases yearly in the United States and are associated with increased cost and continuance of hospitalization. In add-on. it consumes scarce hospital resources. and therefore presents a major challenge for clinical administration and maims and putting to deaths patients. ( Cumming. K. . April 2010 ) From the current conformity position. it is clear that hospital staff fails to understand the importance of manus lavation. and it is apparent that the infirmary has non been achieving the committee criterions on truth. Although the infirmary has an first-class model that encourages every staff to execute proper manus hygiene. several factors act uponing disobedience with manus hygiene is still really high. The bad pattern is still prevailing within the establishment. In order to prevent this impetus the infirmary should present a rigorous enforcement model against inconsistent pattern in manus hygiene. This concern is really critical that require a superior dedication from direction to carry this public presentation. Now it is the minute for an unambiguous criterion to be set. that custodies should be decontaminated before each patient contact. If such a policy is non in topographic point or being followed. the trust concerned may be apt in the event of judicial proceeding. Such pun ishments will heighten the criterions of truth while managing the patients. Consequently. conformity with the old criterion will organize an first-class patient attention. To increase conformity. everyone could maintain ticker over each other. and it recommended that patients should be encouraged to inquire the staff to rinse their custodies. Training. instruction and forums are another position that would consist the disciplinary action program. Educating nurses and other staff about the importance of their single actions and proper manus hygiene can better patient safety and make an organisational civilization that promotes hygiene. Furthermore. the infirmary should form regular seminars and other synergistic forums for its staff. Through these forums. the practicians would derive the relevant accomplishments and cognition for practising proper manus hygiene while managing the patients. However. effectual communications will play a cardinal function and can enormously better patient safety. 3. Commission Standard: Infection Control. This is the concluding constituent of the disciplinary action program. From the conformity study. it is unmistakable that the Nightingale Community Hospital does non hold a construction for quarterly or half-year audits. This shows disobedience to the committee criterions on infection bar. Although the infirmary has a model for one-year internal audits. its mechanism for external audit is non efficient. In order to turn to this issue. the infirmary should implement assorted alterations. Initially. it is imperative for the association to outsource scrutinizing services from an external house. This will help in preventing cases of bias in the hospital’s audit model. The infirmary must besides establish an inclusive construction that facilitates for quarterly audits. This is important attack towards being compliant. Regular audits of infection controls are necessary towards acknowledging likely defects within the institution’s infection bar. Justification Infection Prevention and Control is really important proviso of attention in the workplace processs constabularies. We are for all clip bounded by micro-organisms and bacteriums and these be capable of on occasion contribute to the development and spread of infections. Infections can be potentially highly damaging so it is important to try and command and forestall the spread of infection. The Nightingale Community Hospital is non exclusion in line with this avowal. In array to heighten the quality of wellness attention services. the infirmary must apologize its construction for infection bar and control program. Additionally. hapless system in infection bar can increase Health care-associated infections ( HAI ) because they occur often. it can do morbidity and mortality and stand for a important load among patients. health-care workers and wellness systems. ( Otaiza. F A ; Pessoa-Silva. C. . 2009 ) With the hapless Infection Prevention Program the Nightingale Community Hospital wou ld be unable to keep an effectual and highest health care for the people in the community. This section seeks to formalize the pick of infection bar criterions in the instance audit. 2. Minimization of Costss. Confirming and pull offing infective eruption criterions for this instance audit can be dearly-won and clip devouring for the Nightingale Community Hospital. An effectual facility-wide infection bar and control plan can assist to incorporate costs and cut down inauspicious effects. An effectual plan relies upon the engagement. for the support. and cognition of the facility’s disposal. the full interdisciplinary. Disobedience in manus hygiene is associated with signi?cant attributable infirmary costs. Minimal betterments in conformity lead to significant nest eggs ( Cumming. K. . April 2010 ) Significant cost linked with Nosocomial and Methycillin Resistance Staphyloccocus Aureus have been extensively in print. Little is recognized. however refering the definite disbursals of single behaviours that direct to these infections. such as disobedience with manus hygiene during patient attention. Quantifying the cost of manus hygiene disobedience will supply clinicians. decision makers. and patient protagonism groups with concrete informations that can be used to better the answerability of manus hygiene disobedience among hospital workers. On the other manus. proper and consistent manus hygiene can heighten the company’s quest to minimise operational costs. Consequently. inappropriate and incompatibility in manus hygiene would hold negative deductions on the hospital’s operational costs and will set the infirmary into quandary and immediate hazard and worst will take to hospital foreclosure. However. the organisation will easy avoid such challenges if it complies with the three criterions of infection bar and control. The regular audits in infection control are besides indispensable towards minimising operational costs. Enhancing the Quality of Health Care. The hospital’s procedure is to suggest the paramount sufficient criterions of wellness attention to all patients. The presence of uneffective infection bar and control program models might easy sabotage this project. Infection bar forms the highest and most respected of intervention plans in any wellness attention organisation. It is hence complicated for the Nightingale Community Hospital to apologize the quality of attention without an effectual infection bar and control. The three criterions of conformity in this audit are cardinal towards the sweetening of quality wellness attention among patients. To get down with. the effectual probe and designation of a suspected infection from patients will enable the practician to do accurate intervention. This is cardinal towards hiking the patient’s good being. The augmentation of truth criterions is critical towards keeping patient safety. Patient’s safety should take precedence of other considerations. This is why the infirmary should follow with the infection bar and command criterion. The manus hygiene is besides indispensable when it comes to managing patients and to better the quality of attention. The regular audits of infection control studies besides provide as a important component of the quality construction. In the juncture of any defects. the infirmary will establish sufficient tampering steps. As a consequence this will heighten the value of patient consequence. 3. Ethical Standards. The criterions in this instance survey have momentous deductions upon wellness attention moralss in Nightingale Community Hospital. Increasingly. effectual manus hygiene is compulsory in any health care puting for the protection of the patients every bit good as the safety of all staff. The infirmary strongly reckon that as consideration is alert on the dangers and issues that relate to infection control that everyone should inspect the day-to-day ethical deductions of supplying attention for patients and hospital forces in relation to forestalling and handling infections. If the establishment does non continue the needed criterions of infection bar. it is identical to the violation of wellness attention moralss. The infirmary does non hold inclusive guidelines for advancing the effectual infection bar criterions while managing patients. The audit consequences will therefore organize an efficient construction for the infirmary to establish such model. The three criterions of infectio n bar in this audit are besides critical for determination devising. Decent determination devising is a critical facet of consideration in any wellness attention puting. The full wellness attention determinations should seek to continue the patient’s wellbeing or wellness status. If the infirmary complies with these criterions. it will extensively heighten the quality of determination devising. Decision The accreditation instance survey encompasses an audit of infection bar and control program at the Nightingale Community Hospital. Three committee criterions form the footing of the full audit. These criterions include the hospital’s model for forestalling spread of infection. proper manus rinsing. and audit of infection bar and control. From the audit. the infirmary shows disobedience in different facets of the three criterions. In footings of truth. the infirmary is presently fighting with following the infection bar and control program. While managing patients. the infirmary should set up a checklist for receptive information. The checklist will play a important function in minimising the cases of mistakes in forestalling the spread of infection. Education plays a large portion in the communicating procedure. Nursing and other instruction resources in a infirmary scene should be involved at the oncoming of program development. ( Ramsey. 2013 ) The infirmary should form regular seminars and other synergistic forums for its staff. Through these forums. the practicians would derive the relevant accomplishments and cognition for forestalling spread of infection. In summing up. infection control plans must be watchfully developed. reviewed on a standard footing. and extremely be communicated to everybody utilizing the program. These doctrines must be delivered by staffs who apply them as portion of their day-to-day modus operandi. to eliminate the chance of a patient geting a Healthcare Associated Infection and patients should anticipate nil less. It is hence important that everyone recognizes and embraces the rule that they separately and jointly hold a duty to guarantee that the National Standards for the Prevention and Control of Healthcare Associated Infections are met and actively enforced by the staff of Nightingale Hospital. Mentions Cumming. K. . ( April 2010 ) Hand Hygiene Noncompliance. Chicago The University of Chicago Press Otaiza. F. A ; Pessoa-Silva. C. ( 2009 ) . Core constituents for infection bar and control programmes. Geneva Switzerland Gerberding. J. M. D. . M. P. H. ( 2002 ) Centers for Disease Control and Prevention. Guideline for Hand Hygiene in Health-Care Settings: No. RR-16 )

Tuesday, December 3, 2019

This paper intends to look at the causes of confli Essays

This paper intends to look at the causes of conflict in the workplace and the effects that it can have on the employers, employees, and the organization as a whole. This is not a problem that started recently, this has been going on for years. Conflict in the workplace can be resolved when addressed in a timely manner and ensuring that the correct tools are used in the process. The work environment has the normal stressors, so therefore creating an environment that is free from undue stress can be greatly rewarding. Morale and productivity can reach high levels when a pleasant work environment is created. Workplace Conflict Resolution Conflict: to come into collision or disagreement; be contradictory, at variance or in opposition; clash.' How would it be to live this life free from conflict? We as humans would like to believe that conflicts never occur or if and when they do the resolution will be a favorable outcome for all concerned (Dictionary.com, n.d. ). Causes of Workplace Conflict According to Crampton (2011) workplace conflict is inevitable.' It does not matter what type of business we are in there is sure to be some kind of workplace conflict. If we know what those triggers are we will be better able to deal with and try to settle the conflicts. There are everyday circumstances that can definitely lead to workplace conflict and this is not something anyone can gage or know when to expect. Just the circumstances and situations of everyday life will cause undesirable circumstances. Personal Issues Individuals working together or living together for that matter will at some point will have person issues. According to Crampton (2011) whether these differences stem from hurts, slights, rivalry or other conflict' this can affect the goals and expectations of the organization. There will be some issues that we cannot leave at home and deal with when we return. When this happens it can and will cause a conflict in the workplace because some individuals will not or they are scared to discuss their personal problems with their boss or co-workers. This can cause a great misunderstanding in the workplace because everyone will be wondering what is going on. Poor Communication This does not happen only in business, but this happens in any area of life. When individuals fail to communicate or do not know how to communicate this can ruin any relationship. Verbal and non-verbal communication is very important for one's very existence and survival, so therefore we must be able to express not only our feelings, but workplace expectations. Today most people communicate using electronics, so therefore it is very hard to really get to know how they are really feeling or thinking for that matter. In the workplace people used to walk around to get answers to situations, but now everything is e-mailed. I prefer the old-fashioned way which was management by walking around and talking to the staff face to face. This would be a way to really build a rapport. Personality Conflicts We all have been created differently with our own minds, thoughts, and attitudes. We are now in an age where we are more aware of the different generations we interact with on a daily basis. From the silent generation to what I would call the microwave generation that really believe in texting and only using shortcuts. We are all working together and there can be some serious communication gaps which can lead to personality conflicts. Terms that are used by the more seasoned generation can be offensive to the younger generation and this can cause a conflict to occur. Stress This seems to be behind every ailment or confusion that may be happening in the workplace. What if the secretary decides that he or she does not want to schedule an appointment and the administrative assistant decides she does not want to cover for the secretary in her absence, this could become a stressful environment. What happens when have someone in human resources delays sending an offer letter because he or she does not want to listen to the supervisor? Types of Conflicts Employee versus Employee Most of the time when this happens, the employees have miscommunicated the

Wednesday, November 27, 2019

Shopping Words and Phrases in Spanish

Shopping Words and Phrases in Spanish For many travelers, shopping is one of the most anticipated activities. If you are visiting a Spanish-speaking area and want to shop, whether that means buying souvenirs or going grocery shopping for the day, this list of words and phrases along with a basic knowledge of grammar and everyday vocabulary should make the task easier. General Shopping Terms and Phrases Consider learning basic terms to understand the type of stores you will be shopping at, including their location and hours. These key phrases will help you talk to a  store manager, such as asking them what you want to try on or where the cash register is. Abierto a las 10 - Open at 10 ¿Hay ...?  - Are there ...? Do you have ...?La  caja; el  cajero, la  cajera  - Cash register or place where payments are made; cashierGracias, muchas gracias, mil gracias  - Thank you, thank you very muchNo lo  quiero. No  los  quiero. No la  quiero. No las quiero.  - I dont want it. (Lo  and  los  are used to refer to things with a masculine name,  la  and  las  for things with a feminine name.)Quiero ...,  por  favor.  - I want ..., please.Quisiera  probarlo,  por  favor.  - I would like to try it (on), please.Quisiera ...,  por  favor.  - I would like ..., please.Voy a pensarlo.  - Ill think about it.Por favor  - PleaseSà ³lo querà ­a mirar.  - Im only looking.Vuelvo pronto. Vuelvo ms tarde.  - Ill  come back  soon. Ill come back later. Words and Phrases for Understanding Cost and Value One of the most important parts of shopping is budgeting. Knowing the value of what you are buying is a must when dealing with exchange rates, foreign currency and a new language. Use the following terms to calculate costs. Barato  - CheapCaro,  cara  - ExpensiveComprar  - To buy ¿Cul es el cambio? - What is the exchange rate? ¿Cunto cuesta?  ¿Cunto  cuestan? - How much does it cost? How much do they cost? ¿Cunto vale?  ¿Cunto valen? - How much is it worth? How much are they worth? ¿Cuntos dà ³lares?  ¿Cuntos pesos?  ¿Cuntos euros? - How much (in dollars)? How much (in pesos)? How much (in euros)? ¿Dà ³nde puedo comprar ...? - Where can I buy ...?Descuento  - DiscountEn  oferta,  en  oferta  especial  - On saleRebaja  - Price reductionDe  rebajas  - On sale, at a discountEn venta, a la venta  - For sale, on saleTarjeta de crà ©dito;  ¿Se aceptan tarjetas de crà ©dito?  - Credit card; Are credit cards accepted?Vender, vendedor  - To sell, seller How to Describe the Items You Are Looking for Looking for something specific? Ask an assistant if they have what you are looking for in a specific size, color or material. The more descriptive, the more they will be able to help you.  ¿Hay ... en  otros  colores?  ¿Hay ... en  otras  tallas?  - Do you have ... in other colors? Do you have ... in other sizes?De  buena  calidad  - Good qualityDe mala  calidad  - Poor qualityPequeà ±o, pequeà ±a  - SmallMediano,  mediana  - Medium (in size)Grande  - LargeSon muy bonitos. Son muy  bonitas.  - Theyre very pretty. (Bonitos  is used to refer to things with a masculine name,  bonitas  if the name is feminine.)

Saturday, November 23, 2019

Spinal Cord Injuries Essays - Neurotrauma, Motor System, Free Essays

Spinal Cord Injuries Essays - Neurotrauma, Motor System, Free Essays Spinal Cord Injuries As an Emergency Medical Technician (EMT), when someone has a spinal injury, additional movement may cause further damage to the spine. EMTs must always immobilize the patients head and torso in the position found. The purpose of an EMT is to prevent further harm to the patient until more professional medical help can be obtained. If in doubt about whether a person has received a spinal injury, always assume he or she has. A spinal cord injury (SCI) is very serious because it can mean the loss of sensation and function in the parts of the body below the site of the injury. SCIs are caused in many different ways. Some of the most common ways a person may obtain a SCI are- motor vehicle accidents, bullet or stab wound, diving accidents, electric shock, awkward positioning of the body, falls, sports injuries (such as football or diving), industrial accidents, assault and gunshot wounds. Polio, Spina Bifida and Friedreichs Ataxia are some of the frequent diseases that cause SCI. SCI may also be know in other names such as spinal cord compression (SCC) and spinal cord trauma (SCT). According to an article in , SCIs occur in approximately 12,000 to 15,000 people per year in the U.S. About 10,000 of these people are permanently paralyzed, and many of the rest die as a result of their injuries. Most spinal cord trauma occurs to young, healthy individuals. Males between the ages of 15 and 35 are most commonly affected. The spinal cord is about 18 inches long and extends from the base of the brain, down the middle of the back, to about the waist. It is composed of 33 bones called vertebrae, 31 pairs of nerves, 40 muscles and numerous connecting tendons and ligaments running from the base of the skull to the tailbone. Between the vertebrae are fibrous, elastic cartilage called discs. These absorb shock and keep your spine flexible and cushion the hard vertebrae as it moves. The nerves that lie within the spinal cord are upper motor neurons (UMNs) and their function is to carry the messages back and forth from the brain to the spinal nerves along the spinal tract. The spinal nerves that branch out from the spinal cord to the other parts of the body are called lower motor neurons (LMNs). These spinal nerves exit and enter at each vertebral level and communicate with specific areas of the body. The sensory portions of the LMN carry messages about sensation from the skin and other body parts and organs to the brain. The motor portions of the LMN send messages from the brain to the various body parts to begin actions such as muscle movement. The brain and the spinal cord both make up the Central Nervous System. Motor and sensory nerves outside the central nervous system make up the Peripheral Nervous System and another diffuse system of nerves that control involuntary functions such as blood pressure and temperature regulation are the Sympathetic and Parasympathetic Nervous Systems. Rings of bone called vertebra surround the spinal cord, and these bones make up the spinal column or backbones. Most often, the higher in the spinal column the injury occurs, the more dysfunction a person will experience. The vertebras are named according to their location. The 8 vertebra in the neck are called the Cervical Vertebra. The top vertebra is called C-1; the next is C-2, and etc. Cervical SCIs usually cause loss of function in the arms and legs, resulting in quadriplegia. The 12 vertebra in the chest are called the Thoracic Vertebra. The first is called the T-1 and its where the top rib attaches. Injuries to this region usually affect the chest and the legs and result in paraplegia. The vertebra in the lower back between the thoracic and the pelvis, are called the Lumbar Vertebra. The sacral vertebras run from the pelvis to the end of the spinal column. Injuries to the 5 Lumbar vertebra and similarly to the 5 sacral vertebra generally result in some loss of functioning in the hips and legs. The effects of SCI depend on the type of injury and the level of the injury. SCI can be divided into two types of injury- complete and incomplete. A complete injury means that there is no function below the level of the injury, no sensation and no voluntary movement. Both sides of the body are equally affected. An incomplete injury means that there is some functioning below the primary level

Thursday, November 21, 2019

Health Care Organization As Metaphor Essay Example | Topics and Well Written Essays - 1750 words

Health Care Organization As Metaphor - Essay Example This metaphor of the organism can be used to understand a lot of different organizations including multinationals such as the Public Health Institute (PHI). Part I: Health Care Organization as Metaphor For the last three years, I have been working as a public health nurse with the Public Health Institute (PHI). The PHI is an internationally recognized public health organization known for its dynamic leadership in helping to improve the health of women, youths and children across the world. The main objective of the organization is to uncover health disparities existing among these identified groups, understand the causes of these disparities, and address each of them using evidence based solutions. The Public health Institute addresses various issues affecting women, children and youths and including asthma, obesity, and sexual and reproductive health on the international scene. In America the organization specifically focuses on nutrition, maternal mortality, depression and breast c ancer among women. The vision of the organization is to raise the social status of young people, girls and women by equipping them with desirable leadership skills and health education. The PHI is internationally funded by a diverse group of individuals and corporate entities to help it advance its course. My role in the organization was to focus on helping women and children under one year of age to overcome their health challenges. This involved working with women to fight breast cancer and depression, and advising them on proper nutrition to prevent them from contracting preventable diseases and helping to reduce the mortality rate. I also engaged with little children less than one year of age to help them fight asthmatic problems and other diseases prevalent among children in this age group. The PHI being an international organization, I had an opportunity to work overseas with different communities advancing the objectives of the organization. In my role as a public health nurs e with the PHI, I have gathered a lot of experience and knowledge in public health. I now understand fully how organizations in the public health sector operate, and I can relate running these organizations to various organizational theories that have been developed over time. Gareth Morgan’s theory of metaphors of organizations, for instance, can be relied upon to understand how the Public Health Institute (PHI) is structured and how it manages its affairs. My knowledge of these metaphors of organizations has greatly impacted my general understanding of public health as a nurse and as an administrator in one of the largest global public health organizations. Gareth Morgan (2006) in Images of an Organization stipulated that an organization can be best understood based on various images or metaphors that relate the organization to its environment and the need to be competitive and run into the foreseeable future. Among the images used by Gareth Morgan are machine, culture, pol itical system, organism, and the brain (Morgan, 2006). The image that can best be relied upon to understand the PHI is that of the organism. The metaphor of the organism considers all organizations to be as living organisms (Jim, 2000). Indeed, there are so many similarities between an organization and a living organism. As an organism, an organization is in a constant state of change and growth. Just as organisms, all organizations have very complex needs to thrive and survive over