Friday, January 24, 2020

The Inaccessible Inner Life of Wakefield Essay -- Wakefield Stories Es

The Inaccessible Inner Life of â€Å"Wakefield† â€Å"All these—all the meanness and agony without end I sitting looking out upon, See, hear, and am silent.† –Walt Whitman We are presented with a piece of gossip of a man named Wakefield who leaves his wife for twenty years to live in a house the next street over. If this story were workshopped in a present-day fiction writing class, it would be argued that this story has interesting elements but is not, as a whole, an interesting story-- that the story lies within Wakefield’s motivation for leaving or within the reaction of Wakefield’s wife upon the return of her presumed-dead husband, or that the point of view ought to be reconsidered in order to tell the full story. Much of contemporary fiction attempts to tell the story that satisfies the collective urge to know another human being entirely, to finally understand another person’s story. The story of â€Å"Wakefield,† however, admits in the Puritan vein that the story we all want to know is actually unknowable, and can only be imagined. Through examining the whims of others in fiction, the meaning that can be extracted, however universal it may seem coming from the voice of the narrator, is in the end a projection out of our own selves. â€Å"Wakefield† is not about the narrator, the curious plotline, or even about Wakefield himself. â€Å"Wakefield† is about the telling of these things. The first sentence presents the entire plot of â€Å"Wakefield,† obtained from â€Å"some old magazine or newspaper,† stating from the beginning that the story that follows is not only based on heresy but is, in fact, entirely heresy itself. Why would a reader continue reading when the ending is spoiled in the first line and the story is admittedl... ...ng in our lives, and we prove it by finding meaning in his. With his grand conclusion, the narrator warns us that if you step outside the norms of a system, you may become the Outcast of the Universe. But what is it that really makes Wakefield the Outcast of the Universe? Perhaps every man is the Outcast of the Universe when the community attempts to interpret his whims. Why write a story that cannot be told? Why read a story that cannot be told? To feel as though one can tell a story, that one can read a story and be one with a narrator, to feel united, and yet to know, on some level, that we all are Outcasts of the Universe. It is both terrifying and comforting to realize that the community, united and whole, in which we pretend to reside, is in fact a faà §ade for the community of outcasts that struggle to find meaning in one another in order to survive.

Thursday, January 16, 2020

Health Promotion in Nursing Care Essay

Many years ago, people focused on disease and illness and not staying healthy or preventing illness from occurring. People did not go to the doctor for wellness checks but rather only if they had an ailment. Immunizations have removed some of the diseases that were causing death among the individuals that had contracted the illness. Health promotion has come to the forefront in medical practice since the movement of Healthy People that focuses on health and not illness. Health promotion can be perceived differently by individuals. â€Å"Health promotion is the process of enabling people to increase control over, and to improve, their health. It moves beyond a focus on individual behaviour towards a wide range of social and environmental interventions† World Health Organization website (as cited in Casey 2007). Nurses have a vital role in health promotion in all health care settings, be it at home, in a clinic, hospital, or out in the community. It is important for the nurse to understand that health promotion is not only for the healthy but also for individuals that are disabled, have a chronic disease or are dying. By administering education and referrals to other health care professionals, the nurse is providing individuals the tools they need to experience the highest level of health possible for their given situation. Often nurses are engaging in health promotion activities while interacting with patients and are not aware of this as it becomes automatic in daily practice. Health promotion in a hospital setting can be as simple as encouraging deep breathing exercises and early mobilization to prevent pneumonia. Nurses can serve as a role model and educator in different settings such as at home with their own family members, clinics, hospitals or in the community (Lazarou, C., & Kouta, C. 2010 ). One role of the nurse in health promotion is to collaborate with all providers involved. Collaboration is especially important when working in a homecare setting to make sure a diagnosis hasn’t changed or the primary provider hasn’t changed the treatment plan. Supporting health promotion will help the economy by reducing illness and disease, allow faster recovery of illness and improve one’s quality of life. Effective health promotion teaching ultimately depends on how open the individual(s) is to change (Casey 2007). Prior to providing health promotion material, it is important to assess the learner to obtain their preferred learning method and any cultural issues that would affect the teaching. The teaching material has to be age appropriate for the learner. If they do not understand what is being taught, the teaching will be a waste of time for the nurse as well as the individual(s) involved. A nurse can passively mention a health promotion idea while caring for their patient to see their response to the concept. This passive approach could spur a conversation regarding the idea and make the patient more receptive to learning. After assessing the patient for learning readiness, providing written material and encouraging individuals to make a change is a good place to start a promotion activity. Another implementation approach would be to involve the patient’s family if the teaching involves cooking or other lifestyle changes. This approach will add a support system for the patient but also make others in the household aware of changes that need to be made. Depending on what the lifestyle changes are, they could benefit the entire household, not just the patient. The patient should be involved when setting health promotion goals (Casey 2007). If the goals are set by the nurse, the patient will probably not be as receptive to making a lifestyle change. Another method effective for health promotion is motivational interviewing. The patient is involved during all stages of planning. They not only decide on the goal, but also figure out what barriers they may face that would hinder their success. This approach would work well for implementing health promotion for increased activity and incorporating more fruits and vegetables into one’s diet. (Whittemore et al., 2010) There are three types of health promotion. The first type of health promotion is primary prevention. This type of prevention is often carried out in a community setting. Fluoridation of water to help lessen cavities, smoking bans in public areas and immunizations are examples of primary prevention as they remove the risk factors or causes of disease. The second type of health promotion is secondary prevention. Annual physicals, mammograms and colonoscopies are examples of secondary prevention because they are able to detect disease early, often before the patient is symptomatic. At this level of prevention, it is hoped that the disease is caught early enough so the effects can be reversed. The third type of health promotion is tertiary prevention. During this stage of health promotion, the patient already has the disease so the aim is to slow the progression to allow the patient to have the highest quality of life possible. Blood glucose control for the diabetic to try to prevent blindness and limb amputations is one example of tertiary prevention. Rehabilitation after a stroke would also fall under tertiary prevention (Oberg 2010). Over the years, health promotion is an important responsibility that has shifted from the physician to the nurse. They can participate in health fairs or partner with organizations and schools within the community to provide seminars. If funding for a program is an issue, grants might be available for funding. Physicians, dentists or dieticians may volunteer their time or help with the funding for school programs. Nurses could also participate with corporations to promote healthy lifestyle changes to lower health insurance premiums for their employees. As more people focus on wellness instead of illness, opportunities for the nurse to encourage health promotion are endless. References Casey, D. (2007). Nurses’ perceptions, understanding and experiences of health promotion. Journal Of Clinical Nursing, 16(6), 1039-1049. doi:10.1111/j.1365-2702.2007.01640.x Lazarou, C., & Kouta, C. (2010). The role of nurses in the prevention and management of obesity. British Journal Of Nursing (BJN), 19(10), 641-647. Oberg, E. (2010). Preventive services update. Integrative Medicine: A Clinician’s Journal, 9(4), 22-26. Whittemore, R., Melkus, G., Alexander, N., Zibel, S., Visone, E., Muench, U., & †¦ Wilborne, S. (2010). Implementation of a lifestyle program in primary care by nurse practitioners. Journal Of The American Academy Of Nurse Practitioners, 22(12), 684-693. doi:10.1111/j.1745-7599.2010.00562.x View as multi-pages

Wednesday, January 8, 2020

Should College Athletes Be Paid - 1797 Words

The popularity of college athletics have risen immensely over the past few years. The idea of paying college football athletes has been a continuous debate since the early 1900’s. This paper will debate whether college athletes should be paid a monetary compensation outside of their scholarships. This will be done by examining reasons for and against the monetary revenue for the athletes. Whether the sport is basketball, baseball, volleyball, football or swimming, college athletes bring in an immense amount of surplus revenue and popularity to the college they attend. For example, a study held by Orlando Sentinel estimates that the University of Texas Athletic Program had the highest income of any other university at $120,288,370 (Robbins). Given the amount of money generated for the university, no player was legally paid for their athletic performance. According to NCAA regulations, You are not eligible for participation in a sport if you have ever taken pay, or the promise of pay, for competing in that sport† (Staff. 2). With that regulation being stated, it has been rumored athletes are being paid through black markets. Josh Luchs, a sports agent who broke many NCAA violations however, now fights for NCAA reform stated, Inside Higher Education reported that 53 of 120 FBS schools were caught violating NCAA rules in between 2001-10† (Dohrmann). Along with the generation of revenue, the popularity of the athlete has amplified income for the National CollegiateShow MoreRelatedShould College Athletes Be Paid?1578 Words   |  7 PagesAshay Mehta Nou Per 8 Should College Athletes Be Paid? One of the hottest debates in the sports industry is if college athletes should be paid. If you want to pay these athletes, how would the college determine the dollar amount that should be paid? Should the basketball team make more than the football team? Should the the soccer team be paid as well? Cheerleading? Chess team? Should everyone on the team get a salary? What if your college is good at football and your basketball team is awfulRead MoreShould College Athletes Be Paid?1398 Words   |  6 Pagesbelieve that college athletes at the highest performing schools are better treated than others. Although they do not get paid, they do receive some benefits for being athletes that other students would not get. One advantage for playing a sport is access to scholarships that some schools reserve for their athletes. Depending on the school and the athlete’s performance, money towards tuition is often given. Only some schools are willing to grant â€Å"full-ride† scholar ships for certain athletes. AccordingRead MoreShould College Athletes Be Paid?1289 Words   |  6 PagesThroughout the years college sports have been about the love of the game, filled with adrenaline moments. However, the following question still remains: Should college athletes get paid to play sports in college? Seemingly, this debate has been endless, yet the questions have gone unanswered. The National Collegiate Athletics Association (NCAA) plays a vital role in this debate. The NCAA is a billion dollar industry, but yet sees that the athlete should get paid for their hard work and dedicationRead MoreShould College Athletes Be Paid?1334 Words   |  6 Pagesrising to the surface is â€Å"Should college athletes be paid?†. This has become a burning question. The NCAA is a multibillion-dollar industry, that makes millions, if not billions, in revenue. Yet it’s still maintains the non-profit status meaning that the industry is not set on making a profit and none of the revenue that is made is distributed to its members, managers, or officers. 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College athletesRead MoreShould College Athletes Be Paid?1239 Words   |  5 PagesLindsey Simmerman Speech 102 T/Th 1:00-2:15 October 25, 2016 Should college athletes be paid to play? Specific Purpose: To persuade the class to agree with my stance on paying college athletes to play sports Thesis: College football is the hours players spend practicing and performing, the number of injuries the players face, and the persona these athletes must portray every day all the while watching their schools, coaches, and the National Collegiate Athletic Association (NCAA) get all the compensationRead MoreCollege Athletes Should Be Paid1254 Words   |  6 PagesSome college athletic departments are as wealthy as professional sports teams. The NCAA has an average annual revenue of $10.6 billion dollars. College athletes should be paid because of the amount of revenue that they bring to their college. 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