Wednesday, January 29, 2020

Kolcaba’s Theory of Comfort Essay Example for Free

Kolcaba’s Theory of Comfort Essay Within the context of theory illustrates a demanding yet creative shaping of plans, structured requirements, and prediction of a provisional, determined, and systematic sight of phenomena (Chinn, 2011). Nursing theory is a crucial function within the nursing practice. Theories afford nurses with the distinctive facets that are in encompassed within patient care and the nursing profession. Clarification of practice governance, and expectations are also integrated within contextual framework of nursing theory. It bestows various manners to acquire data, examine and study, and foresee the practice of nursing and the outcomes of patient care (Parker, 2010). Kolcaba’s middle range theory of comfort captivated my interest because my impression of comfort curtails that of positive patient outcomes. Comfort is not solitary to just physical ailments, but emotional and psychological measures in addition. Throughout my experiences and years as bedside registered nurse, I can attest that patient requests stem largely from the factor of being made comfortable. As stated above, this not only embraces physical comfort, but something unassuming as a comforting touch or positive attitude to render the positive outcome and a content patient. Absorbing how theory influences practice has been an impediment that I have recently overcame. I was unmindful that certain situations and decision making were reinforced through the use of theory. Examination of the importance of nursing theories, more in depth review of Kolcaba’s theory of comfort, and theory of comfort in nursing practice, education, and research will be reviewed further. Importance of Nursing Theories Separately from the governance of practice and foundation for the practice of nursing, theories furthermore propounds opportunities for nurses in the sense of practical application. Measurable changes and enrichment of the profession occur when nursing theories are incorporated into practice. The benefits of having a defined frame of theory in nursing produces superior patient care, heightened professional repute for nurses, progressed interaction among nurses, and direction for exploration of the practice and education. Theories also illustrate the quality of the nursing profession, and serves as a reservoir of knowledge with the examination of the essential requirements of patients and necessary interventions. In addition, specialized rationales are provided. Succeeding medical doctors orders are not exclusively to the context of nursing care. Nursing care incorporates not only a compassionate attitude but passion for care of patients. The caring component of nursing cannot be measured, rather dissected through theory within the clarification of what nurses do. Systemically this is all supported through abundant theories and theorist. The nursing profession emphasizes on holistic care which is defined as treatment of the whole person. Within this skill is the admittance of problems that are biomedical but also opportune clarification of the well-being and health of a human that introduces added indicators of disease that are non-visualized (Powers, 2011). Kolcaba’s Theory of Comfort The origination of Kolcaba’s theory of comfort stemmed was first established in the 1900’s. Founder, Katherine Kolcaba, concluded that for a positive patient outcome to accomplished, comfort is a crucial obligation. Katherine organized a representation for exploring, analyzing, and gauging the care of the patient. Historically, she believed that the product of the profession of nursing is comfort. According to Kolcaba (2010), comfort is achieved in a few diverse ways to include transcendence, relief, and ease. Transcendence represents the aptitude to overcome the lack of comfort sensed by patients through their awareness to cease. Patients are able to rise above their challenges. For example, a post-operative below the knee amputee patient may experience great physical pain from the surgery as well as psychological trauma from the intervention. Pushing forward to regain strength and independence would be an instance of transcendence. Relief constitutes any ordered analgesic medication that can be given to the patient or  non-pharmacologic interventions such as distraction or repositioning. This structure of comfort is experienced as relief. Anxiety reducing measures such as anxiolytics or inducing expression through conversation or other forms of communication can be facilitated. These actions can be constituted as placing the patient at ease. In my day to day professional practice experiences, I come across different situations where comfort may be the only measure to take in a particular patients care. Pharmacological therapy interventions are important for adequate relief, but non-pharmacological interventions are just as imperative. A simple caring touch and tone conditions the patient to an enhanced state. This particular theory affords nurses a better comprehension and obligation to comfort in the practice setting. Nurse are the forefront of healthcare. We have the ability to promptly identify the demands the needs of the patient. Kolcaba’s theory of comfort conforms into the nursing metaparadigm with relation to the three concepts presented: transcendence, relief, and ease. There is a clear consensus about the concepts which includes health, nursing, person, and environment of the metaparadigm. Kolcaba elaborated on the four various experience backgrounds that comfort is achieved. These include environmental, physical, social, and psychospiritual (Kolcaba, 2010). Theory of comfort in nursing practice, education, and research Kolcaba’s theory of comfort guides research in assorted ways. It challenges the nurse to examine the correlation among holistic interventions and different comfort measures. It also imposes a contention between comfort and â€Å"health seeking behaviors†. If the product is positive, than it enhances future endeavors and postulates additional motivators to provide comfort. Institutional outcomes are also examined (Koehn, 2000). References Chinn, P.L., Kramer, M.K. (2011). Integrated theory and knowledge of development in nursing (8th ed.). St. Louis, MO: Mosby/Elsevier Koehn, M. (2000) Alternative and complementary therapies for labor and birth: an application of Kolcaba’s theory of holistic comfort. Holistic Nursing Practice. 15(1):66-77 Kolcaba, K. (1992). Holistic comfort: Operationalizing the constructs as a nurse-sensitiveOutcome. Advances in Nursing Science, 15(1), 1-10, p. 6. Kolcaba, K. (1994) A theory of holistic comfort for nursing. Journal of Advanced Nursing 19: 1178-1184 Kolcaba, K. DiMarco, M.A. (2005) Comfort theory and its application to pediatric nursing. Pediatric Nursing, 31(3), 187-194 Parker, M.E., Smith, M.C. (2010), Nursing theories and nursing practice (3rd ed.) Philadelphia, P.A.: F.A. Davis Company Powers, B.A., Knapp, T.R. (2011). Dictionary of nursing theory and research (4th ed.). York: Springer Publisher Company

Tuesday, January 21, 2020

School Safety: Protecting the Students Essay -- Education Educating Te

School Safety: Protecting the Students For many students a positive academic environment is increasingly harder to obtain. This is mainly due to their lack of safety. Whether it be inside the classroom or out. Unfavorable situations at home, psychological stability, physical dangers and violence all contribute to this evident shortage. There have been investigations on how organizations, teachers and parents collaborate together in today's society to influence the students understanding of safety in school. The purpose of this paper is to display some examples of each aforementioned contribution and show some of the current measures being taken to aid today's students. Developments within the past decade have opened up new ways for research that can lead to improvements in the life quality of vulnerable students and families. Not only does school violence create a feeling of fear and emotional uneasiness in a school, it also is difficult for the learning process to develop. Situations at home have a big impact on student's safety in school. Examples are a student not speaking up in class for fear of being ridiculed; being called a faggot because of perceptions of a student's sexual orientation; backbiting; verbal teasing and insults; offensive touching such as throws, slaps and pushes; and racial, ethnic, and/or sexist comments that are based on a student's physical appearance?. A lot of the time this is learned and adapted by children from the parents at home. Parents have the most influence on a child, the way the act, talk, or neglect their child. Children are more prone to repeat these emotions and aggressions at recess or just in class with ot her peers. Communities are also playing big roles in the safety of stude... ...September 23, 2004, from http://www.txdps.state.tx.us/schoolbus/rulesadvertising.htm Safety advertisements are being put on the back of school buses for students to see and the main point is to state the procedures that have to be gone through, in order to advertise on buses. The author states why that's important for children's distractions or visibility of pedestrians involved in loading and unloading procedures Center.Link.(2002, June). School resource officers and school administrators: ?Talking and walking? together to make safer schools, from www.cpsv.org The importance of these groups; School Resource Officer (SRO), Community-Oriented Policing Services (COPS), and the groups build up to working together to create guidelines for "best practices advice". Groups discussed issues and offered advice for those who involved about the safety of schools.

Monday, January 13, 2020

Effect of Ph on Food Preservatives Essay

Sodium Benzoate is a common food preservative used in food products such as jams and jellies, soft drinks, pickles, condiments etc and in tinned products in the market. This experiment aimed to determine whether benzoic acid is formed from it’s superior soluble form sodium benzoate in stomach acid, which is simulated by HCl (pH=2). It has been seen that at a low optimum pH, i.e. in the presence of sufficient hydrochloric acid, sufficient benzoic acid is yielded. The percentage yield is determined from the calculations of the theoretical (stoichiometric) calculations and the actual yield from the reaction. Also throughout the experiment, some basic laboratory operations such as measuring mass and volume, separating solids from liquids by vacuum filtration and drying solids are familiarized with. Introduction The reaction of sodium benzoate and hydrochloric acid is a typical phenomenon of hydrolysis reaction which conforms to the principles of acid-base chemistry and stoichiometry. In a typical hydrolysis reaction, when a salt dissolves in water, the salt dissociates to its constituent anions and cations (benzoate and sodium ions respectively). Also, when strong acids like hydrochloric acid dissolves in water, chloride ions and hydronium ions are formed. Hence in the reaction involving sodium benzoate and hydrochloric acid solution, in the presence of high concentration of hydronium ions, protons will be transferred from the strong acid H3O+ to the basic benzoate ion. This will yield benzoic acid, C6H5COOH which precipitates from the solution as it has a really poor solubility (0.34g/100ml). The fundamental reaction is sketched out below: As can be seen from the difference in the pKa values, H3O+ is a much stronger acid than benzoic acid. So, the equilibrium of the reaction strongly favours its completion and hence hydrochloric acid which ideally simulates the acidic conditions of the stomach, does convert benzoate to benzoic acid. Safety: Throughout the lab safety goggles, protective gloves and aprons were worn while carrying out the experiments. While transferring the HCl to the reaction vial in the student hood, the head must never be inside the glass hood as vapour inhalation can cause choking hazard and irritations. Also the hosepipes were carefully plugged in and out of the filter flask to avoid breakage or tipping of the Hirsh funnel. Experimental For this experiment and basic operations, calibrated Pasteur pipettes, a 5ml conical reaction vial, watch glass, stirring rod, electronic balance, small test tube, Hirsh funnel, filter flask and filter paper are used. The procedure for this experiment appears on page 7 of the lab manual, Multiscale Organic Chemistry (4th custom UB edition)3. As the primary objective of this experiment was to find out whether sodium benzoate reacts with simulated stomach acid to form benzoic acid, the results clearly indicate that a successful reaction close to completion, if not fully complete, has taken place. The percentage yield calculation reveals that approximately 90% of benzoic acid as white precipitate were recovered from the reaction. There were a number of factors which might have contributed to the 10% deficiency in the final yield. It needs to be mentioned though that a percentage yield of less than 100% is achieved because the drying of the solid mass after vacuum filtration was sufficient to give a practical number. During measurements of mass of benzoate and benzoic acid when it’s formed, there were obvious human errors involved. Some benzoates were lost while transferring to the conical reaction vial from the watch glasses, and further loss of the product benzoic acid might have taken place when the solution mixture was tipped on the Hirsh funnel. We couldn’t determine if the reaction was complete or not, so we might not have had all the salt converted 4. The solution might not have sufficiently and gradually cooled though every effort was made for that, hence there could be lack of benzoic acid crystals forming. The litmus test might have contributed to a significant loss of the precipitate, but only one instead of multiple tests were performed to see if the reaction mixture was acidic enough. Given the carefully controlled experiments and the 90% yield, it can be deemed that the methods used to perform the experiments are full proof and performed as immaculately as possible. Conclusion The fact that a new substance is formed indeed when sodium benzoate is placed into a simulated stomach acid has been demonstrated successfully with the aid of the experiments and aforementioned results. A 90% yield suggests that all the basic operations were carried out as neatly and carefully as possible and measures taken to minimize obvious errors which could take place while performing the experiments. All in all, the experiment provided a practical evidence of the theory behind the hydrolysis of sodium benzoate and percentage yield of it’s product.

Saturday, January 4, 2020

Comparing Poe and Whittman Essay - 1619 Words

Comparing Poe and Whittman A successful writer is he who is able to transmit ideas, emotions, and wisdom on to his readers. He is cable of stirring emotions and capturing the readers attention with vivid descriptions and clever dialogues. The writer can even play with the meanings of words and fuse reality with fiction to achieve his goal of taking the reader on a wonderful journey. His tools are but words, yet the art of writing is found in the use of the language to create though-provoking pieces that defy the changing times. Between the lines, voices and images emerge. Not everyone can write effectively and invoke these voices. It is those few who can create certain psychological effects on the reader who can seize him (or†¦show more content†¦The following lines compare their unique styles with the purpose of highlighting their similarities and differences, but above all stressing their originality and expertise. Edgar Allan Poe intrigued many with his often irrational and pessimistic descriptions in his poetry and short stories. He repeatedly wrote about phantasmagoric houses, spirits or shadows, the immoderate consumption of alcohol and opium, and seemingly inhuman characters trapped in the most grotesque and gloomy settings one can possibly imagine. The first line of The Fall of the House of Usher is a prime example of the latter: During the whole of a dull, dark, and soundless day in the autumn of the year, when the clouds hung oppressively low in the heavens†¦ (AL1508) His descriptions are so detailed and moving that the reader can actually experience the pain and fear of the characters. Ligeia, the strange and haunting lady in the short story by the same name, is gruesomely described by Poe in the following shocking sentence: Suddenly the colour fled, the pulsation ceased, the lips resumed the expression of dead, and, in an instant afterwards, the whole body took upon itself the icy chillness, the livid hue, the intense rigidity, the sunken outline, and each and all of the loathsome peculiarities of that which has been, for many days, a tenant of the tomb. (AL 1507) Maybe even more alarming is The Imp of the Perverse in which Poe reminds us of