Nursing theories in clinical practice using theorists models Term Paper

Nursing theories in clinical practice using theorists models - Term Paper Example The Roy Adaption model was first published in 1970. This model presents a human being as a holistic adaptive system in constant interaction with both external and internal environment. The major work of the human system is to maintain integrity in the eye of environmental stimuli and whereas the objective of nursing is to foster successful development. This model focuses on the responses of the human adaptive system; this may be individual or a group to a dynamic environment. Adaptation is the main feature of the model. Here Problems in adaptation come when the adaptive system not capable of coping with or respond to the dynamic stimuli from the external and internal environments in a way that maintains the integrity of the system (Andrews & Roy, 1986). The proponent of the model was largely influenced by Harry Helson adaptation theory. it is this theory that triggered her mind to develop the model. The Roy adaption model is presently one of the major widely used frameworks in nursing practice. It is universally used in nursing. Roy also got influence from Raporpots definition of systems and concepts from Lazarus and Seyle (Roy&Roberts.1981). The proponent has also published books on the model. It fundamental to note that the philosophic beliefs and values that the model is based are that human meaning is rooted in omega point convergence of the globe, people have a mutual relationship with the world and a God figure, thinking and feeling mediate human and actions, awareness of self and environment is rooted in thinking and feeling among others. The Roy adaptation model focuses on six step nursing process. It should be noted that in relation to each of this steps or processes, the person called the nurse depends highly developed technical, interpersonal and institutive skills. This is done while assessing and initiating interventions involving approaches like anticipatory guidance, physical care, counseling and health

Ancient Mythology Essay Example | Topics and Well Written Essays - 1000 words

Ancient Mythology - Essay Example We come now to the year of 1982 when Marion Zimmer Bradley published her astonishing book The Mists Of Avalon. We will compare Bradley's work with the original tales, to demonstrate that while the myth of Arthur was and is still powerful, the women in Arthur's life took center stage and became legends in their own right with Bradley's book. In the original legend, Arthur was born to Uther Pendragon and his wife Igraine. Arthur had an older half-sister Morgaine, also later known as Morgan Of the Fairies. Merlin the Magician was originally known as Taliesin, a Druid High Priest who transformed over time and many authors. The original tale of Arthur's destiny is kept true to form in Bradley's book, where Arthur winds up with a fatal wound at the hands of his son, Mordred. Some claim that Mordred was the son of Arthur and the golden-haired Guenivere, and others claim that Mordred was a bastard child of Arthur's who later attempted to lay claim as Arthur's heir to the throne since Arthur had had no other sons. Bradley's rendition of the Arthurian legend centers on the women of Arthur's life and court. Igraine was married to Gorlois, Duke of Cornwall, with whom she had a daughter, the dark-haired, solemn-eyed Morgaine. Igraine loved her husband but felt a powerful draw to the beautiful, blonde Uther Pendragon. They were in love with each other, but could do nothing about it. Finally, Gorlois was killed in battle and Igraine married King Uther Pendragon, taking little Morgaine into the royal household with her. Later, their son Arthur was born, rightful heir to the Pendragon throne. This story took place in the early Christian times, when the pagans still held their festivals and Christianity had not yet dominated the land. When Arthur came of age, after having been tutored in the arts of kingscraft and druidism, he was to defeat the King Stag at the Beltain Fires and make love to the Maiden, representing Mother Earth. Arthur went to battle with the King Stag and won, then was led to the fires where he bedded with a prepared young virgin priestess. He later found to his horror that he had bedded his half-sister Morgaine. The child of Beltane would be Mordred. Bradley's book goes into a deeper explanation of the old religion, where the Isle Of Avalon was the place where the Lady Of the Lake (the High Priestess) was head of a special school for maidens who had the potential to become priestesses. In those days, unwed girls either went to nunneries or to the Isle Of Avalon. Viviane, the Lady Of the Lake, was Morgaine's grandmother with a vested interest in keeping the pagan traditions alive and defeating the Christian priests with their dirges and liturgies that oppressed women and insulted the Goddess. Morgaine trained under Viviane and did her bidding, like it or not. The first betrayal to Morgaine was the Beltane ceremony; Viviane knew full well that the royal blood of the Goddess must continue, and Morgaine and Arthur were the only two people possessing Viviane and Taliesin's bloodlines. Where the original legends portray Morgaine (Morgan Of the Fairies) as an evildoer determined to undermine Arthur's efforts, Bradley's Morgaine is the actual heroine as she struggles to keep the realm of the Goddess alive under the continued intrusion of the Christian pri

Sales Control Essay Example for Free

Sales Control Essay There must be efficient control of all food and beverage items issued from the various departments. 2. The system should reduce any pilfering and wastage to a minimum. 3. Management should be provided with any information they require for the costing purposes. 4. The cashier should be able to make out the customer’s bill correctly. 5. The system should show a breakdown of sales and income received in order that adjustment and improvement may be made. The main control taking methods 1. Order taking methods. 2. Billing methods 3. Sales summary sheets. . Operational statistics. Triplicate checking system This is an order taking method used in the majority of medium and large first class establishments. The food check consists of three copies. On taking the food order it is written from top to bottom of the food check. When only a table d’hote menu is in operation the customers would initially only order their first and main courses. The operation for an a la carte menu is similar, although customers may order by course according to their requirements. 1. The top copy of the food order goes to the kitchen and is handed to the aboyeur at the hotplate. . The duplicate goes to the cashier who makes out the customer bill. 3. The Flimsy or third copy is retained by the waiter at his/her sideboard as a means of reference. Any checks or bills that have to be cancelled should have the signature of either the headwaiter or supervisor on them, as should checks and bills which have alternatio n made on them. FLOW CHART OF FOOD AND BEVERAGE CHECK Control box Kitchen Food and beverage Service area Top copy Top copy after service Food copy- Top copy (BOT)Top copy Dispense Bar 1. 2. 3. 4. BeveragesTop copy after service Control Marry all duplicates with originals- bills and summary sheet Cashier 1. 2nd copy food or drink 2. Bill 3. Bill and payment. 4. Receipted bill. Manual systems Using hand written duplicate or triplicate checks for ordering from kitchen and bar and for informing the cashier. Often used with a cash till or cash register. This system is found on many high- level restaurants and in popular catering Duplicate checking system. This is a control system that is more likely to be found in the smaller hotel, popular price restaurants and cafes. It is generally used where table d’hote menu is in operation and sometimes a very limited a la carte menu. There are two copies of each of these food checks, each set being serial numbered. The top copy of the food check is usually carbon – backed but, if not a sheet of carbon must be placed between the top and duplicate copy every time a fresh order is taken. The top copy of the set of food and drink checks is made up of a number of perforated slips, usually 4-5 in number. There is section at the bottom of the food and drink check for the table for the table number to be entered. When writing out a customer’s order a different perforated slip should be used for each course. The server must remember to write out the number of covers and the price of the meal or the dish concerned on each slip. Before sending each slip to the hotplate see that the details ate entered correctly on the duplicate copy together with the price. Since the duplicate copy acts as the customer’s bill, the waiter must ensure that everything served is charged. Duplicate order pad with perforated sections 672464| | | | | | 672464| | | No of person waiter no table no price| | | QUICK SERVICE: Name of the establishment Table no 4No of covers 2 Retour 1 Roast chicken En place 1 poached chicken Date 2/2/12Sign DS Accident: It occasionally happens that the waiter may have an accident in the room and perhaps some vegetables are dropped. These must be replaced without any extra charge to the customer. Here a check must be headed accident. It will show the number of portion of vegetables required and should be signed by the headwaiter. No charge (N/C) is stated on the check to ensure that no charge is made to the customer. Name of the establishment Table no 4No of covers 2 Accident 1 Vegetables N/C Date 2/2/12Sign DS CASH HANDLING EQUIPMENT E. P. O. S (Electronic point of sale) It is a sophisticated system of point of sale to provide the quality of information to the management for control function. Advantages 1. Fewer error is there as the information entered will be more accurate because mistake in the sequence of entries required for a particular transaction are not permitted. 2. Transaction can be done more quickly and this may be achieved by single key entry of prices, elimination of manual calculation and automatic calculation of price tags. . Training time may be reduced from days on the conventional cash register to hours with the electronic systems. 4. Instant credit checking is possible by having terminals compare the account number with a central computer file or through on-line a connection. 5. Electronic system provides more direct and detailed information in a computer readable form. 6. Additional security system features such as locks wh ich permits the ECR (Electronic cash register) to be operated only by authorized personnel.

Hong Kong Artist :: Jackie Chan Actors Movies Films Essays

Hong Kong Artist Have you ever seen "Rush Hour" or "Shanghai Noon"? Were you excited when you see all the stunts and kung fu fighting in those films? All these film starred a famous international artist and singer, Jackie Chan, who was originated from my hometown, Hong Kong. It is interesting to know about his childhood, and how he became who he is today. Jackie Chan's Childhood was not very pleasant because his family was very poor. Jackie Chan's real name was Kwong-Sang Chan, and he was born in Hong Kong on April 7, 1954. His Chinese name Kwong-Sang means "born in Hong Kong." Jackie was delivered after twelve months of pregnancy. That was three months more than usual delivery. Therefore, his mother had to have a surgery to bring him out. At his birth, Jackie weighed more than twelve pounds. Jackie had a nickname called "Ah Pao" which means a cannonball. Jackie was not a kid who loved school. He attended the Nah-Hwa primary school in Hong Kong, but he disliked school and left after finishing first grade. At age of seven, his father took position as chief in the American Embassy in Australia. His father determined that the boy should learn some skills and sent him to the Peking Opera School. In Peking Opera School, Jackie learned dancing, singing, acrobatics, acting and martial arts. Also, Jackie met Sammo Hung and Yuen Biao who became successful actors today. During the school days, Jackie and his friends had to train everyday from morning till night. Jackie had mentioned it was the hardest period of his life. They needed to study and work 19 hours a day. Jackie and his friends would be punished and beaten up if they did not fulfill their practice or failed to achieve the standards. After days of practice, they would perform in a troupe called "The Seven Fortunes". Among them, Sammo Hung was the big brother of the group. They often performed in public performances at the Laiyuen Amusement Park and other venues. This was the childhood of Jackie Chan. The early years of Jackie Chan in the film industry was not successful at all. As time changed, the Peking Opera School declined. Their master started to loan "The Seven Fortunes" out as stuntmen to film company. Jackie worked as a stuntmen or the Shaw Brothers Film Company. He performed many dangerous stunts for the company and soon got noticed.

A Dragons Egg

â€Å"Oink oink!† grunted the hungry pigs as I filled their trough with last nights leftovers. They plunged their fat heads into the soggy spaghetti bolognaise as I turned to stop myself from being sick. â€Å"Next stop the cows,† I spoke aloud. With a sigh of dread, I hopped over the gate and began milking the six feet black and white beasts. â€Å"M-u-m I'm h-o-m-e,† I shouted upstairs. No answer. â€Å"Mum†, I repeated, still no answer. My face turned red in anger and it felt like steam blew out of my nostrils. â€Å"Mum!† I screamed as loud as possible. â€Å"What†, my mum replied, finally hearing me. My tonsils throbbed so I climbed up the stairs instead of shouting and peered into my Sister Lilly's bedroom, she was lying there with a thermometer dangling from her mouth and she was plastered in red spots. â€Å"Ha, ha, ha, ha,† I couldn't stop myself from laughing. Lilly shot back a mean look and Mum gave me a lecture on how I should care for my Sister instead of hating her. â€Å"You'll have to do the Chickens today John†, ordered my Mother. My name is John and Lilly is my very, very, very annoying Sister. â€Å"But I hate Chickens,† I protested, â€Å"their scrawny crooked legs, scagged feathers and their beady eyes, not to mention their gimpy, dorky head.† My mum gave me a stern look and handed me the chicken feed. I headed out the door and the country smell of cow dung hit me like a brick wall, the sun peeped out of the clouds and blistered down on my angry face. In the distance I heard the sound that made my hair stand on end and made me shudder all over. You see when I was young five chickens chased and pecked me all the way around the cows field, the pests. Now the sound became clearer and closer, it went like this: – Buck-Buck-Buck-Buck-Buckok!, I cringed and shivered as the noise approached closer and closer and closer and closer until †¦. â€Å"Yuck, oh, Yuck!, Chicken poop eeew!† I wailed. I glanced up, a circle of chickens surrounded me, one of them squawked and the rest of them charged towards me and began pecking â€Å"AARRRGHH!† I bellowed as I impersonated Superman flying into the chicken shed. I dumped the chicken feed in a pile on the floor and darted out dodging and jumping any obstacles in my way, including those pesky chickens. I stopped to catch my breath, I panted like a thirsty dog and gave a mean stare to the chickens who had spread themselves in a line as if to guard their territory. Despicable feathery fluff-buckets they all are I thought to myself. I climbed to my hands and knees when I spotted, â€Å"WOW! Amazing, brilliant,† I cried aloud, it was a huge egg almost as big as the chickens. I stared at it in pure disbelief, I was baffled, well I thought to myself, forget double yolkers, then a sly grin spread across my face, â€Å"well its pretty solid maybe the chickens can hatch it by sitting on it,† I decided, I threw the gigantic egg directly at the centre chicken, it caused panic among the flock, they flapped their wings and squawked high pitched screeches and all I could do was laugh. Suddenly silence fell over the flock and they advanced, gradually picking up the pace. I backed off easy at first but in the end I yelled â€Å"RETREAT,† and scarpered all the way home. â€Å"COCK-A-DOODLE-DOO!† screeched the cockerel. â€Å"Damn cockerel waking me up at six each morning, I wish I had a shotgun, I'd blow his head off,† I muttered and I moaned about life all the way down to the kitchen until, â€Å"ummm!, Pop Tarts, where have you been all my life.† I took a bite but then my Mum burst in to spoil the moment. â€Å"No time for that those chickens need feeding,† she told me, I carried on munching until â€Å"NOW!† startled I spilt my breakfast all over the floor. My mother growled and I knew that it was time for me to depart. â€Å"Hello! chickens,† I cried. I couldn't hear the slightest of sounds and I was right next to the pen, they must be making a battle plan. I decided to poke my head through the door. Nothing, except, the super egg had hatched, weird I thought. I stepped inside and to my horror a two-foot long dragon burped and chicken feathers were dispersed from his mouth, I gulped and fainted. When I finally woke up I was greeted by the unpleasant smell of dragon's breath and slobber. I pushed him aside and he hung his head low and said â€Å"please don't hurt me, sorry about the chickens I was a bit peckish ha, ha!† Once again I collapsed in a heap on the ground, and was awakened by the same foul smell. â€Å"How-How-How- Wha-What-What,† I stuttered, â€Å"that's quite a long name you have there, my names Herbert the dragon, say I do hope I'm not intruding but do you have a cage I could possibly stay in? you see it's rather nippy out yer.† I was caught in some funny kind of trance and obeyed his every command, my eyes ablaze like a demon. As I reached my bedroom I had finally calmed down, I gripped the red scaly dragon firmly around the waist as he chatted along. I already realised he had a bad case of verbal dihorea. â€Å"Oh no,† I said sarcastically â€Å"there's not a spare cage,† both of us stared at the interesting array of different species of reptiles. Herbert began to lick his lips â€Å"which ones my supper,† questioned Herbie. â€Å"None,† I replied â€Å"You'll be sleeping in my sock drawer.† â€Å"What are you crazy, the smell will over come me, I'll suffocate, I'll †¦ SLAM! the drawer slammed shut and at last Herbie shut up. â€Å"John, John,† cried my mother awaking me â€Å"it's nine am, the dopey cockerel overslept.† â€Å"No I think you'll find Herbie ate him,† I replied. â€Å"WHAT!† she screamed. â€Å"Oh! Uh nothing,† I said hoping she wouldn't start asking questions about what I'd said. â€Å"Listen! you'll have to do your breakfast yourself and don't forget those chickens, right!† â€Å"Gulp† â€Å"uh yeah sure.† I rose from my bed and opened my drawer â€Å"burp†, â€Å"oh yuck, dragons breath,† the foul aroma filled the room, â€Å"well it's not me it's your socks.† â€Å"My socks, where are they?† I asked. â€Å"A dragons got to eat kiddo.† â€Å"Why I ought to,† I threatened, but the dragon put on those puppy eyes so I threw him on the bed and took the lid off my prize possession, my Chameleon, Bob, he was about three feet long but his cage was a massive ten-foot longer. I placed him on my bed next to Herbie and turned back round to smooth out the sawdust on the bottom of Bob's cage but then Herbie pulled the final straw, as I turned back round to see Bob's legs disappear into Herbie's open mouth, my face was so mean looking now the spots would jump off any leopard. Herbie stared up at me and said â€Å"you know, if you pull that face you might get stuck like it,† I growled and started strangling Herbie, but suddenly he became three times the size that he was before, he was now eight feet long and weighed a ton, I dropped him in the cage, he struggled for breath. I gave him one last stern look and padlocked him inside and left to do my daily chores. â€Å"ARRRGHH!† I shouted, my tonsils on fire, my heart pounding like a drum. Herbie had exploded out of his cage, gobbled up all the lizards and was now fifteen feet long. â€Å"GET OUT N-O-W!† I bellowed and cried at the red lump of lard. â€Å"But where can I go, what can I do, what can I eat?† Herbie fired the questions at me like a machine gun until he finally ceased. I offered him the garden shed. † I have no choice,† answered Herbie weeping as he waddled outside. I met Herbie five minutes later; he'd just managed to squeeze his obese figure through the door. Now he led there with a face as if he'd lost a pound and found a penny. I hadn't had the chance to talk man-to-man, well boy-to-dragon so I accepted this opportunity to do so. â€Å"Uh so Herbie where do you come from?† â€Å"China,† he replied, â€Å"and your parents are where?† â€Å"Southern Hemisphere I suppose, that's our targeted destination but I must have been dropped from my mum's pouch during the flight.† â€Å"Hey wait a minute, how do you know this if you were an egg?† â€Å"Read it in your book on top of Bob the Iguanas cage.† â€Å"Oh come on you can't believe a kiddies book, they're most probably looking for you right now.† Trying to soothe Herbies sorrows was very hard, so in the end the only solution was to invite Herbie into the guestroom. â€Å"Thank you, thank you,† Herbie danced joyfully around the garden with his red scaly tail wagging, as I led him to his room. â€Å"Now listen Herbie my Mother, Sister and I have to make a short journey to the pharmacy and Gran's so go to sleep, be good and please don't grow.† I turned out of the light and worriedly walked to the car. We returned about ten PM that night to see Herbie's head poked out to the chimney, his four legs through the downstairs windows, his tail through the back door and now he had wings that shattered either side of the roof. I glanced around to see my Mother and Sister had now fainted and were sprawled out on the floor. Suddenly a spectacular sight I was glad to see, Herbie's family had parked themselves in our back yard. The biggest one spoke first, â€Å"thanks for looking after my son,† and with that they floated up, up and away as a shower of fairy dust reformed our decapitated house. â€Å"Thanks† boomed Herbie, my pleasure I thought. I turned to my Mum and Sister who were in a daze. â€Å"Hows about some cakes and cocoa,† I suggested, then disaster, a gigantic egg landed on the doorstep.

Adoption Of Information Technology On Healthcare - 1103 Words

Adoption of Information Technology in Healthcare Anusha Rayapati National University Adoption of Information Technology in Healthcare This article explains the importance of adopting the Information Technology in healthcare industry. This article also discusses about the transformations that information technology can bring to the healthcare industry and potential cost effectiveness and safety benefits. I selected this article as information technology is very important in healthcare Purpose The purpose of this article is to estimate the benefits to the healthcare industry with the usage of information technology. Essentially this article evaluates the potential savings and costs with the adoption of electronic medical record (EMR)†¦show more content†¦Researchers Data and Methods The primary source of research data for quantifying the Health Information Technology of this article was from the Healthcare Information and Management Systems Society (HIMSS). The researchers conducted a literature survey mainly on peer-reviewed for quantifying the savings from usage of Health Information Technology. The results from the survey is potential, because they exclude some saving, long term care cost and didn’t report the above mean values. For quantifying the cost adoption the researchers included overall cost of implementation cost, maintenance cost and provider downtime cost. This also includes the cost of Computerized Physician Order Entry (CPOE) and Clinical Decision Support (CDS). The researchers used-â€Å"the Medical Expenditure Panel Survey (MEPS) 1999 Inpatient file, the American Hospital Association (AHA) 2000 Hospital Survey, and the Healthcare Cost and Utilization Project (HCUP) 2000 National Inpatient Sample† (Health Affairs, 24, no.5, 2005) d ata for quantifying the cost of adoption. The researchers used the Medical Expenditure Panel Survey (MEPS) data for estimating potential health benefits. IT’s effect on other industries The researchers compared the health care with other industries information technology’s effect. Some of the industries hotel industry invested heavily on IT during 1990s they didn’t get the results immediately. But the improvement has seen slowly. Similarly the adoption of IT in

Faith and Reason Can They Coexist - 1064 Words

Faith Vs. Reason The definition of faith is confidence or trust in a person, thing, deity, or in the doctrines or teachings of a religion or view. The word faith is often used as a synonym for hope, trust or belief. In â€Å"contrast† the definition of Reason is the capacity for consciously making sense of things, applying logic, for establishing and verifying facts, and changing or justifying practices, institutions, and beliefs based on new or existing information. It is closely associated with such characteristically human activities as philosophy, science, language, mathematics, and art, and is normally considered to be a definitive characteristic of human nature. Faith and reason commonly seem to be the source of division within the philosophical community. What are faith and reason really, and is there truly no room for faith and reason to coexist? Faith in philosophy focuses more on the belief that a higher power exists, and runs more with the Christian religion. Faith is what people ca ll it when they believe that there is a greater being out there and we all have purpose according to their plan. Many people use faith as an explanation for events they cannot explain, or to get them through what feels like an impossible situation. For example, I once met a man who was very down on his luck. He had just moved here from Ecuador and within 4 months he had been laid off from his job. He had a wife and two small children and no way to take care of them. He had promised hisShow MoreRelatedReligion-Week 1764 Words   |  4 PagesExplain whether you agree or disagree with the notion that religion and science can coexist. Name at least two (2) key points from the podcast that substantiate your position. I do believe that religion and science can coexist. 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