Adjusting to Terrorism. Essay free essay sample

In this current situation, local and federal law enforcement were involved, and due to local law enforcements initial involvement, it seems that some things were missed, despite the men being apprehended on conspiracy charges. I would have to make a change, and this change would come in the form of more effective Information gathering. The benefit of this change for the local law enforcement agency would allow the force to be up to date on any or all information, as it pertains to the citizens f that county or city, as well as sharing vital information with other criminal Justice agencies, such as the FBI and TAFT.In this particular story, these men were suspected members of the Georgia Militia, and had ties to various off-shoot organizations in the South that oppose the government. The negative consequences of the change may come in the form of Fourth Amendment challenges, and the Idea that law enforcement Is invading a persons privacy, which Is also protected by the constitution, but do to the Patriot Act, this has allowed the government and criminal justice agencies to pry into a persons business and life without consequence. We will write a custom essay sample on Adjusting to Terrorism. Essay or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Another negative aspect is the possibility that Information can be abused, and according to the CAP abuse can happen if such operations are not properly organized, focused, and directed (2003). There are several resources that factor into this change of obtaining information more efficiently and effectively, and human resources play a vocal role, as these individuals In this department would be responsible for record keeping of vital Information. Whether It may be personnel files. Or classified Information and assigning resources to assist in various areas of information sharing operations.Human resources is also involved in the planning and resource allocation, and according to Carter this intelligence function assist in providing information to decision makers about changing the nature of threats, emerging threat idiosyncrasies, and developing strategies and reallocating resources (2004). There are also financial and management aspect as well, as management will be erected to defin ing mission statements, staying current with potential threats, and holding individuals accountable, as possibly deception, abuse, and misguided Information can be catastrophic.

Reading ability of Damascus class Essay Example

Reading ability of Damascus class Essay Example Reading ability of Damascus class Essay Reading ability of Damascus class Essay Introduction: a. Background of the Study Reading is the most important skill a person should develop. The ultimate goal of reading is to help a person be able to understand the written material, to evaluate it and to apply it in a certain subject. In order to accomplish these things and be good in reading comprehension, one should read books more often. A person who reads book may have a wide range of imagination compared to some who dont. According to an essay writer named Arlene Babes-Evoke Filipinos are not book lovers. As what she had written, Filipinos hate solitude and are also impatient. However, there are some opinions that not all Filipinos are these kinds of readers. Nowadays, many of the Filipinos who loved to read books are experiencing difficulties in how to make reading, a habit. So in this study, the researchers will be discussing about how a certain section loved or hate books. The focus of this research study is the Grade VI pupils of Isabella District II. Many would think that all students in this section are interested in reading books, not knowing that almost half of this class are not book lovers; yes, they do read books but only for the sake of grades (e. I. English subject). This research study will help readers understand and work out the problems why there are still students who have difficulties in reading books. This can help some of the students of the Damascus class to learn and find books as the love of their hearts. B. Objectives of the Study The purpose of this study is to find out the reasons why some of the IV Year Damascus class have no reading interest while several of them are critical readers of all kind of books. Specifically, it hopes to answer the if. : 1 . What are the reasons why there are still several Damascus class does not find books interesting? 2. What is the percentage of the Damascus class who loves to read books? Who does not have any interest in reading books? 3. On what level of reading, the students of fourth year Damascus is? 4. What help are being taken to eliminate the reading illness? 5. What help are being taken to improve the level of reading of the book lovers in the Damascus class? C. Scope and Limitation This study is concerned with the reading problems of the Damascus class only. This study covers all, which is all about reading as a skill, reading problems. The researcher only interviews, ask questions to this student of Damascus class. * Definition of Terms Solitude state AT Dealing alone: ten state AT Dealing alone, separated Trot toner people, winter considered as a welcome freedom from disturbance or as an unhappy loneliness * Slothful- lazy Levels of reading * Pre-reader -Pre-reader books are for young children and adults that have not yet learned to read the language the book is written in, or have Just started to learn to pronounce and read simple words. A pre-readers vocabulary is typically small. A pre- reader is likely to have difficulty reading and understanding long words and sentences. These books should use of a lot of pictures and are likely to be read out loud with a parent or educator present. * Beginner -Books at the beginner skill level are intended for young children that can read on their own. Beginners can understand longer sentences and have a higher vocabulary than pre-readers. However, beginners are likely to have some difficulties still with pronunciation and comprehension when new vocabulary is encountered or introduced. These books are likely about basic subjects and use a minimum amount of difficult vocabulary. Difficult words that are used should be properly introduced. These books are likely to still rely heavily on pictures * Intermediate -Books at the intermediate skill level are intended for readers at an average adult reading level. Sentence structures are likely to be more diverse and more difficult vocabulary is often used without an explanation. An intermediate reader is more likely to understand new words and vocabulary Just from the context and usage. These books are likely to provide more in depth information about a subject than a beginner level book would, which may require using and explaining some specialized Jargon. These books should be accessible to readers without any reticular expertise in the subject area and should avoid using Jargon without explanations. * Advanced -Books at the advanced skill level depend on more background knowledge and understanding of more specialized vocabulary than is common for intermediate readers. Some subject-specific Jargon is likely to be used without explanation, but a heavy reliance on subject-specific Jargon should be avoided to increase readability and comprehension. Professional -Books at the professional skill level tend to be highly subject-specific and require extensive background knowledge among readers. Jargon tends to be seed extensively, and readability is often sacrificed for precision. These books may be dry and academic and not welcoming to most readers. E. Importance of the Study This research study gives importance on how the ISABELLA II PUPILS learn and handle their reading capabilities for them to use for daily lives and for facing the futu re that is ahead of them. Reading ability is needed to comprehend materials important to daily living. Reading will also affect the academic performance of the students and thus, this is the importance of the study. T Insoles statement Reading might be a burden for students, but reading also is the most important part in the lives of students especially for the graduating students. II. Review of Related Literature Reading is an important skill for the lives of the students. Reading skill helps students to understand more about their lessons and help them in their vocabularies, expanding their reading comprehension and to have an advantage in speaking English language fluently. It also helps widen the imagination of the readers and ideas Development of Reading Skills Some educators see reading comprehension as a series of sub skills, such as understanding word meaning word meaning in context, finding the main dead, making inferences about information implied but not stated, and distinguishing between fact and opinion. In high school and college, reading materials become more abstract and contain a larger, more technical vocabulary. At this stage, the student not only must acquire new information but also must critically analyze the text and achieve an optimal reading rate based on the difficulty of the material and the purpose of the reading. (Incarnate Premium, 2009) Improving Reading Skills How do you help yourself improve reading competence? Word study is one way for the older student to improve reading ability. This involves using a dictionary and thesaurus, studying word parts, and learning how to find the meaning of a word from the context. Students can also improve their vocabularies by paying conscious attention to any new words they may encounter. Because a mature reader must have several different reading rates available for different materials and purposes, practice in skimming a passage for general meaning and scanning for specific information is useful. The development of efficient study strategies is important in learning various kinds of subject matter. One useful duty technique is outlining, which helps to develop an awareness of the main points and details of a selection. (Incarnate Premium,2009). Improving adolescents literacy skills is more difficult, and its more difficult for a number of reasons. One major reason is this whole thing of attitude. We find that a lot of adolescents understandably, if theyve been struggling with literacy have really developed negative attitudes about reading, writing, the whole subject of dealing with improving their academic skills. (Kevin Feldman, De. D. ) To improve reading skills, a reader should know the tactics on how to be a good reader. To improve reading ability, a person should have a work study, it involves thesaurus and dictionary which can help the readers understand more about the content of the book. Skimming the passage for general theme and scanning for a specific information is useful. L nà ©e Must really unreason Tanat Improving tenet rearing Ana writing skills Is not something that adults do to them. Its really something that is done with them. That meaner forging a partnership so that the kids and young people understand the specifics of whats going on what we can do, how long it will take so that they have ambitious but realistic goals. . (Kevin Feldman, De. D. ) Read ing improvement is not only centered on the students, themselves. It is also depend on to the teacher or the leader of the school, if they have the passion for having students the opportunity to be book lovers. Reading ability is very difficult to assess accurately. In the communicative competence model, a students reading level is the level at which that student is able to use reading to accomplish communication goals. This meaner that assessment of reading ability needs to be correlated with purposes for reading. ( CLC. Org/essentials/reading/serenaded. HTML, 2003,2004) Causes of Reading Problems according to Kevin Feldman, De. D. 1 . Falling Behind Many students lack the reading skills required for their grade level. If students fall behind at early ages, by the time they reach high school, it is very difficult for them to catch up. According to the NAPE, 26 percent of 12th-graders cannot read at the basic level. These students may never learn to read. Whos to Blame? Parents are not helping their young children learn to read, either because of laziness or because they work long hours. Technology can also take some of the blame. According to a study published in Reuters, children who have a major video game system in their home spend 30 percent less time reading and working on homework than a child without a system. That meaner they are not getting the skills necessary to keep up with their classmates. The Art of Testing Since instant messaging and cell phone testing has taken over many kids lives, they have become lazy readers. Given the 160 character confines of a standard text message, children are learning to shorten their messages and do away with standard incaution, said Michael Swan on Lovelorn. Com. In the Classroom What this meaner for our high cholers in the classroom is that they no longer have the attention span, nor the patience to do any serious reading. This leads to very lethargic students when it comes time to read in class. Ill- Moments Ana Procedure Questions Yes No Pre-Reader Beginner Advance Professional 1 . Are you interested in reading books 16 Percentage 58% 42% 2. Why? 45% 13% Why not? 15 argental 3 Have you read an 100% 4. What was the reason of reading that book? 8 79% 5. An tents level AT read Ins, winner AAA you thank you Delano? 7 5% The researchers of this study had gathered some data from the Damascus class through interviewing them. Below is the summary of the survey the researchers did. Choices: 2. Why? A. Hobby/entertaining B. Gain more knowledge 4. A. School purposes B. Own interest Why not? A. Boring B. Too lazy The researchers had surveyed the students of Damascus class to know how efficient they are in reading. As a result of the survey, it has been proved that out of 38 correspondents only 22 of them have interests in books having the total percentage AT Wendell 16 AT teem NAS no Interest In reading Dodos navels a total argental of 42%. 45% of these students read books because it has been their habit and they found it very entertaining while 13% read books in order to gain more knowledge and get new ideas. However, those who answered NO were not interested in books having a total percentage of 42%. 0% of this percentage said that they found reading books, boring, while the remaining 2% found it slothful to do. In the question number three, the survey says that all the correspondents from the Damascus class have already read books. 21% of the students read books for school purpose while 79% reasoned that it is their own interest. The level of reading shows how the students rate th emselves according to their levels. It has also been observed that 5% of the students are still in the beginners level; 79% in the intermediate; and 16% claim that they were in the advance level of reading. IV- Results Reading books can help us improve reading skills. This part of the research can give us the overview of the result of the students of IV- Damascus in reading. The researchers have collected data and came up with a result. There are students in the Damascus class who are not interested in reading books because it is boring and lazy thing to do. Based on the survey, 58% of the students are interested in reading books while 42% are not. In the level of reading, 5% are the beginners level while most 79% are the intermediate and 16% are in the Advance level which headed to the professor. However, assistance can be offered to students who are having reading difficulties. As the researchers Procedure, they have found several results for the problem especially in improving the skills of the students. The investigation of this problem had pointed out solutions for those troubled students. Word study is one way of improving reading skills. For those who are booksellers in this section, they can improve their reading ability by continuing their holiday and taking up new challenges and having guidance from an expert. Therefore, It had been cleared that we have solutions to every problem when we think of positive results. V- summary, conclusions, Recommendation Summary: This study was about improving the reading skills of the Fourth Year Damascus class. Based on the data gathered by the researchers, they have found out that almost half of this class have no reading interest but its a good thing that the half of this class loved to read books. Those who show no interest in books have reading problems. The main reason of these students is that for them reading is boring. Environment has something to do with this kind of problem especially cell phones, the text messages that is sent by most of the teenagers were shorten which makes them to be a lazy readers, another is the internet, its true that internet makes the life of the students easy but students are abusing this technology so, whenever they have a project that have something to do with the computer, they Just copy paste them. These students that have no reading interests may think hat there is no chance for them to learn improve this reading skill. But the researchers found out some ways of improving their skills. First, they have to begin with the word study, whenever they read something they should keep on their side a dictionary or a thesaurus that would help them define the meaning of words that are difficult. Another is practice in skimming a passage for general meaning and scanning for specific information is useful, outlining, also helps to develop an awareness of the main points and details of a selection. Readers should have desire and interest in this skill because without those factors, the readers will to be able to improve their reading skills. Conclusion Therefore the researcher concluded that different students have different skills in reading. Others are diligent enough while others are lazy that they dont want reading to be their source of ideas, but in this study it can be improve through proper discipline. Recommendation If theres a will, theres a way. One can surpass the problem in reading if the person is willing to learn. The researchers point is to encourage each reader to have a positive thought about reading and to help each other one be good in this skill.

Problems in any country in Africa except Aids ( article review ) Essay

Problems in any country in Africa except Aids ( article review ) - Essay Example ater resource from the discovered groundwater would be the opportune solution to water shortage and could augment the current sources of water for drinking, irrigation, and other agricultural use. Introduction discussed the overview of the discovery of the groundwater and asserted that â€Å"according to geologists, it could satisfy northern Namibia’s basic drinking and irrigation needs for 400 years† (Dolgow par. 1). The second point emphasized that discoveries of groundwater usually have potential effects such as greater actual underground volume than on the surface (Dolgow par. 2); providing sources of fresh drinking water, as well as improving health and assisting in relieving people from poverty (Dolgow par. 3). The third point expounded in the discovery of aquafiers where locations affect consumption and the cost of drilling affects access to the public (Dolgow par. 4). Futher, there were conflicts that were seen including control of water sources, overuse, and the need for careful abstraction to enable preservation and conservation of its effective use (Dolgow par. 6). As noted, the water supply has potentials to be transported to other African countries, as deemed possible (Dolgow par. 7). One therefore learned that discoveries of aquafier or underground water have potentials for solving the water shortage in African countries. This is an informative article that provides uplifting news as potentials for improving the welfare of men have been identified through the discovery enabling access to drinking water and potentials for irrigation of land and other human activities. The strengths of the article include the use of clear and straightforward language that is easy to understand; as well as citing credible and authoritative sources within the discourse. On the other hand, the sources of secondary information were not appropriately referenced so that readers could validate the information that was disclosed. Overall, the contents of the article were

Strategic Accounting for Decision Making Case Study

Strategic Accounting for Decision Making - Case Study Example Furthermore, the decision by the Sentinel institute to explore the opportunities in small towns and sub-urban areas demoralized the spirit of the Fitness Forever. The Sentinel intended to launch its activities in Fitness Forever region in an aggressive manner, and further intended to ensure that the expansion phase is implemented soon after the official opening of their first branch in the region. Sentinel has relative stable edge over Fitness Forever, the former is renowned 'for its strong sales culture', which has motivated the consumers towards the Sentinel. The Sentinel on its behalf has been successful in the exploration and the efficient utilization of the available opportunities. The management of the Fitness Forever organization was of the opinion that 'the Fitness Forever's traditions of personal service could ride out any waves made by Sentinel', the element of over-confidence led to the least preparation on the behalf of the Fitness Forever organization which brought unexp ected and catastrophic revealing for the institution. It was observed, and complained that the staff of the organization were neither helpful nor polite towards their customers, and were strange and least informed about the products and services launched and offered by the institution for the purpose of value addition. It was further observed that Sentinel was fully prepared and planned to 'flex its considerable muscle in Waterston'. In this regard, the institution announced its plan to inaugurate more than two branches in the Fitness Forever area, at parallel; the institution took 'very aggressive moves in pricing its checking and savings accounts'. The Fitness Forever was not prepared to tackle the result oriented techniques and methodologies of the Sentinel, and popular and prominent aspect of the Sentinel's sales culture was ignored and avoided. The ordeal placed the Fitness Forever in challenging position, and level of anxiety among the management of the Fitness Forever institu te was visible gradually. The Fitness Forever was vulnerable towards two different threats i.e. Sentinel emergence in the region, and the leadership complacency issue, relevant to the management of the Fitness Forever. The employees of the Fitness Forever have expressed their ignorance towards the techniques commonly adopted in the practices, and have further expressed their inability to sale the products in the market. The employees have expressed their reluctant towards the learning of the sales practices, and belief that their profession doesn't require them to be 'pushy salesman', the concept of sales is void and misinterpreted. It has been learnt that the branch officers have complained about the lack of coordination and cooperation from the operations group. The lack of friendliness and teamwork has demoralized the employees, and operation group has been criticized for its 'rigid adherence to obscure procedures, and lack of sensitivity towards the needs and requirements of the branch officers and local employees' (David, 2006). The branch managers revealed that the sales efforts have been hampered by the requirement of the documentation in an excessive manner. The behavior and the conduct of the employees have been criticized by the customers, 'tellers are fine but the higher you go, the worse the service'. The customers

Ethical Consideration in Probation and Parole Research Paper

Ethical Consideration in Probation and Parole - Research Paper Example This article reveals the various ethical considerations that underpin the probation and parole systems. The idea of the article is that these systems should be reformed to ensure that they are effective and protect the rights of the public. Thus, it is an important contribution to the community correction aspect of the social justice systems. Probation and parole are some of the criminal correction procedures in many states in the world. Probation in criminal law refers to a period of supervision of an offender outside prison while a parole refers to the release of a criminal from prison before completing their term in prison. The offenders under parole and probation are set free to interact with the community under particular conditions. In the recent past, the conditions that offenders have to serve are raising ethical issues that need to be addressed. While it is clear that this is a better term for offenders, the conditions provided at times are dehumanizing and sometimes may have long term impacts on the community and the offenders. While many researchers argue that a great percentage of offenders prefer these conditions rather than spend their time in prison, these strict conditions have raised questions whether in reality these measures serve their intended purpose. From the fact that the parole and probation cond itions may affect the health, privacy and sanity of the offender and the community, it true that there is need to reform these conditions. In the recent past, the parole and probation have become more common forms of community correction methods. The argument of the government is that it is a more friendly approach of reinstating order in the society without necessarily having to imprison the offenders. The rationale for providing probation is that the person is not a potential threat to the community if released. The offender is released under close supervision to monitor their

Nursing and Patient Led Intervention Case Study

Nursing and Patient Led Intervention Case Study Doris presented wound to left medial malleolus that has been caused by banging her left leg on fire 6 weeks ago. The wound measures 4 cm x 5 cm, filled 90% slough, 10 % granulation on wound bed and had copious odour to exudate. SMART OUTCOME / OBJECTIVE To reduce the size of Doris’ ulcer from the current 4 cm x 5 cm to 2 cm x 3 cm within 6 weeks. NURSING AND PATIENT LED INTERVENTIONS Introduce yourself to Doris and gain consent. Introducing yourself to patient is respectful, polite and important in providing compassionate care. Nursing Midwifery Council (NMC) (2013) emphasises that patients should voluntarily give their valid consent before any intervention or procedure is undertaken. Furthermore, the NICE (2015) guideline states that part of patient-centred care is providing patients with sufficient information about their condition and encouraging them to participate in healthcare decision-making. Assess Doris’ pain prior to cleaning the wound. To reduce discomfort to patient and to structure the assessment for patient’s dressing-related pain and implement effective management strategies immediately (World Union of Wound Healing Societies, 2014; Hollinworth, 2005). Gou and DiPetro (2010) explain that wound healing involves programmed phases and once interrupted, could lead to impairment and delays in wound healing. However, most healthcare practitioners fail to assess levels of pain before cleaning the wound (Baranoski and Ayello, 2008). When pain is unmanaged, this could lead to complications and delayed wound healing (Hollinworth, 2005). Ask Doris if she has any allergies. It is significant on assessment to find out whether patient has any allergies. It assists in making decisions such as prescribing medications and prevent any further allergic reactions and other complications (NICE, 2015). Perform hand washing using the correct techniques pre and post procedure. Hands should be washed before and after patient contact. Adhering to standard precautions is essential in all aspect of patient care (NMC, 2015). According to Rowley and Clare (2011) proper hand washing before patient contact will prevent the risk of acquiring infections. Infection is the biggest risk that can delay wound healing. It also means your patient will be safe from risk of acquiring cross infections whilst carrying out care (World Health Organisation, 2009). Perform and maintain aseptic non-touch technique for all procedure to wound care. The use of aseptic non touch technique reduces risk of patients acquiring infections. The aseptic non-touch technique is suggested when dressing the wound (WHO, 2009). Rowley and Clare (2011) have stressed that aseptic non-touch technique could reduce the risk of hospital acquired infections. Hence, the use of this technique could help reduce the risk of infecting wound. As stated in the study of Guo and DiPietro (2010), infection could disrupt and delay the process of wound healing. Irrigate wound with saline at room temperature. Irrigation is to clean out the wound. Cleansing removes debris and pathogens. However, one major drawback of this approach is that irrigation may accidentally remove areas of newly granulating tissue, thus will delay healing process (Kerstein, 1994). However, the National Institute for Health and Care Excellence (NICE, 2015) guideline states that necrotic material present in the margins of the wound could be sites for bacterial proliferation and should be removed through debridement. The SIGN (2010) guideline, nevertheless, could not find studies comparing debridement and no debridement in venous ulcer management. The guideline examined a number of debridement methods. Additionally, a prospective, double-blind, randomised controlled trial (RCT) (Weiss et al., 2013) suggests that tap water is as effective as normal saline for wound irrigation. There were no significant differences in the infection rates between wounds that were irrigated with tap water and those irrigated with saline solution. On the other hand, using tap water could be as effective and less costly for wound irrigation. The Scottish Intercollegiate Guidelines Network (SIGN, 2010) recommends that leg ulcers should be washed with tap water and dried carefully. Obtain wound swab as needed. Wound cultures is a tool to determine possible infection in the wound bed (NICE, 2012). However, reliability is concerned with consistency and the extent to which results are accurate. There would be a consensus over whether or not to clean the wound before swabbing. Donovan (1998) and Kiernan (1998) all advise irrigation with warmed normal saline to which remove excessive debris and exudate, thus removing surface contamination. Bowler et al (2001) suggest that the laboratory should be informed if the wound is not clean so as to exclude wound contaminants. It must also be noted that antiseptic cleansing solutions must be avoided as the results may be distorted (Cuzzell, 1993; Kiernan, 1998). Assess the wound and document findings on wound assessment chart. Proper wound assessment can significantly influence the intervention and prognosis (NHS, 2014a). In addition to assessment, the patient’s past medical history should also be taken. It allows healthcare practitioners determine the cause of the leg ulcer. The NHS (2014b) states that it is also important to treat the underlying cause of patient’s ulcer to prevent recurring of venous leg ulcer after treatment. Measure Doris wound and take photograph to sit as a baseline for wound care. Measuring wound diameter and taking a photograph would provide information to healthcare practitioners if wound contraction has begun and whether the wound is responding positively to interventions (NICE, 2015). Refer Doris to Tissue Viability Nurse. A specialist nurse such as the tissue viability nurse would help promote wound healing. Tissue viability nurses have extensive knowledge on how to manage acute, chronic or complex wounds (NHS, 2014a). They also provide advice and support for healthcare practitioners, patients and their families or cares (NHS, 2014a; SIGN, 2010). Since they are responsible in supporting wound care management in different healthcare settings, working closely with them would ensure that Doris receive quality care. A tissue viability nurse would also dispense advice on compression bandaging and other interventions to promote wound healing. Dress wound using hydrocolloid dressing. Dressings the wound will create a clean and optimum environment for wound healing (NICE, 2012). Based on the Cochrane Review moist environment promotes wounds to heal more quickly than a dry one (Palfreyman et al, 2006). Meanwhile, wounds left to dry form a scab or eschar which forces migrating epidermal cells to move deeper, prolonging the healing process (Kerstein, 1994). However, it could be argued another drawback of wound dressings that can be sometimes develop sensitivities to ingredients and can be toxic to the wound (Robinson, 2000). Therefore, choice of wound dressings will be dictated by the nature of the wound (Grey, et al, 2006). Wound dressing could be as simple as non-adherent dressing (NHS, 2014a). The NICE (2015) guideline states that there is insufficient evidence to support advanced dressings as more effective than conventional dressings in wound management. Another drawback is caution on removing of an adherent dressing which causes pain and may accidentally remove areas of newly granulating tissue, thus will delay healing process (Kerstein, 1994). Meanwhile, wound like Doris’ that is highly exuding and can be dress and cope with hydrogel dressings to avoid maceration (Jones et al 2006; Kerstein, 1994). Moreover, secondary dressings can be used as well to relieve pain such as hydrocolloid and to absorb more exudate like alginate (NICE, 2012). Educate Doris about the dressings, showering, bathing and how long dressings can be left in place and to contact District Nurse if dressing becomes loose or removed. Patient’s awareness of potential causes of poor/delayed wound healing (Kerstein, 1994). This would enable Doris to receive patient education about wound care and intervention and management. The NICE (2015) guideline states that part of patient-centred care is providing patients with sufficient information about their condition and encouraging them to participate in healthcare decision-making regarding their care. Discourage Doris of rubbing and scratching the wound. Scratching, rubbing and picking the wound can delay healing process and cause further injury to the tissue (Stander et al, 2003). Educate and encourage Doris to eat a balance diet and explain that protein is vital to wound healing and recovery. Optimal nutrition is essential to wounds healing. Informing the patient’s on the importance of good nutrition and improving the patient’s diet if needed is important for good prognosis of wound healing. Educate patient on essential diet for good wound healing e.g. protein (fish, meat, cheeses and eggs) and vitamin c (found in orange juice and vegetables) ( Bale, S and Jones, 2006). According to Dealey (2005) poor wound healing may indicate the patient’s nutritional status needs to be enhanced. If wound healing is poor accompanied by weight loss referral to dietician and prescribing practitioner for further advice and to consider supplemental nutrition for patient. Educate Doris to perform range of exercises whilst sitting. It activates venous pump by mobilising calf’s and feet whilst sitting and improve circulation and aid in wound healing (Callum, 1994). The NHS (2014b) states that it is also important to treat the underlying cause of patient’s ulcer to prevent recurring of venous leg ulcer after treatment. Performing a range of exercise during sitting could help improve wound healing (NHS, 2014b). Give contact number to Doris and instruct to call if there any other concern and arrange follow up visit. Arranging regular follow up to recognise risk factors and prevent further skin breakdown and reduce the risk of recurrence (NICE,2012). Refer Doris for Doppler assessment and for further compression therapy The aim is to identify potential arterial insufficiency that needs treatment and management (NICE, 2012). This will enable to provide information for long term intervention on maintaining integrity of the skin around the wound. Doppler assessment is necessary since this would assist healthcare practitioners in assessing leg ulcers. Although it is not diagnostic of venous ulceration, Doppler assessment could define a safe level for compression bandaging (NICE, 2015; SIGN, 2010). Doppler assessment is also helpful in determining when compression bandaging should not be used or is contraindicated (NICE, 2015). Hence, this assessment remains to be an important tool in reducing tissue damage due to bandage pressure. This type of assessment would provide information on the ankle brachial pressure index (ABPI). If ABPI REFERENCES Bale, S and Jones, V. (2006) Wound Care Nursing: a patient-centred approach (2nd edn). London: Mosby Elsevier. Baranoski, S. Ayello, E. (2008) Wound care essential: Practice Principles. Bowler, PG.,Duerden, BI., Armstrong, DG. (2001) Wound microbiology and associated approaches to wound management. Clin microbial Rev 14:244-69. Callum, N.(1994) The Nursing Management of Leg Ulcers in the Community: A critical Review of Research. University of Liverpool, Department of Nursing, Liverpool. Cuzzell,JZ. (1993) The right way to culture a wound. Am J Nurs 93 (5):48-50. Dealey, C. (2005) The Care of Wounds: a guide for nurses (3rd edn). Oxford: Blackwell Publishing. Donovan, S. (1998) Wound infection and wound swabbing. Prof Nurse 13:757-9 Gou, S. DiPietro, L. (2010) ‘Factors affecting wound healing’, Journal of Dental Research, 89(3), pp. 219-229. Grey, J.E., Enoch, S. and Harding, K.G. (2006) ABC of wound healing: wound assessment. British Medical Journal 332(7536), 285-288. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1360405/ [Accessed 26 April 2015]. Hollinworth, H. (2005). The management of patients’ pain in wound care. Nursing Standard 20(7), 65-8. Iglesias, C., Nelson, E., Cullum, N. Torgerson, D. (2004) ‘VenUS I: A randomised controlled trial of two types of bandage for treating venous leg ulcers’, Health Technology Assessment, 8(29), pp. 1-105. Jones, V., Grey, J.E. and Harding, K.G. (2006b) ABC of wound healing: wound dressings. British Medical Journal 332(7544), 777-780. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1420733/ [Accessed 26 April 2015]. Kerstein, M. (1994) Overview of wound healing in a moist environment. American Journal of Surgery, 167 (Supp 1a): 25-65 Kiernan,M. (1998) Role of swabbing in wound infection management. Community Nurse 4(6):45-6. Palfreyman, S.J., Nelson, E.A., Lochiel, R. and Michaels, J.A. (2006) Dressings for healing venous leg ulcers (Cochrane Review). The Cochrane Library. Issue 3. John Wiley Sons, Ltd. www.thecochranelibrary.com Available at: http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD001103.pub2/full [Accessed 26 April 2015]. National Health Service (NHS) (2014a) Venous leg ulcer- Introduction Available at: http://www.nhs.uk/Conditions/Leg-ulcer-venous/Pages/Introduction.aspx [Accessed: 30 April 2015]. National Health Service (NHS) (2014b) Venous leg ulcer- treatment Available at: http://www.nhs.uk/Conditions/Leg-ulcer-venous/Pages/Treatment.aspx [Accessed 30 April 2015]. National Institute for Health and Care Excellence (NICE) (2015) Wound Care Products. London: NICE. NICE (2012) Leg ulcer – venous. Available at: http://cks.nice.org.uk/leg-ulcer-venous [Access 23 April 2015]. NMC (2013) Consent. Nursing and Midwifery Council. Available at: http://www.nmc-uk.org/Nurses-and-midwives/Regulation-in-practice/Regulation-in-Practice-Topics/consent/ [Accessed 24 March 2015]. NMC (2015) The Code: Professional standards of practice and behaviour for nurses and midwives. [pdf] London: Nursing and Midwifery Council. Available at: http://www.nmc-uk.org/Documents/NMC-Publications/revised-new-NMC-Code.pdf [Accessed 24 March 2015] O’Meara, S., Cullum, N. Nelson, E. (2009) ‘Compression for venous leg ulcers’, Cochrane Database of Systematic Reviews, 1:CD000265. Doi: 10.1002/14651858.CD0000265.pub2. Robinson, B.J. (2000) The use of a hydrofibre dressing in wound management. Journal of Wound Care 9 (1) 32-34 Rowley, S. and Clare, S. (2011) ‘ANTT: A standard approach to aseptic technique’, Nursing Times, 107(36), pp. 12-14. Scottish Intercollegiate Guidelines Network (SIGN) (2010) Management of chronic venous leg ulcers: A national clinical guidelines. Edinburgh: SIGN. Stander S., Steinhoff M., Schmelz M., Weisshaar E., Metze D and Luger T. (2003) Neurophysiology of pruritus: cutaneous elicitation of itch. Arch Dermatol. 139(11):1463–1470. Available at: http://www.ncbi.nlm.nih.gov/pubmed/14623706[Accessed 23 April 2015] Weiss, E., Oldham, G., Lin, M., Foster, T. and Quinn, J. (2013) ‘Water is a safe and effective alternative to sterile normal saline for wound irrigation prior to suturing: A prospective, double-blind, randomised, controlled clinical trial’, BMJ Open, 3(1). Pii: e001504. Doi: 10.1136/bmjopen-2012-001504 Available at: http://bmjopen.bmj.com/content/3/1/e001504.long [Accessed 30 April 2015]. World Health Organisation (2009) WHO Guidelines on Hand Hygiene in Health Care Available at: http://whqlibdoc.who.int/publications/2009/9789241597906_eng.pdf [Accessed 30 April 2015]. World Union of Wound Healing Societies (2004) Principles of best practice: Minimising pain at wound dressing-related procedures. A consensus document. London: MEP Ltd. Available at: http://www.wuwhs.org. [Accessed 26 April 2015].

Dams :: essays research papers

Many people have already dammed a small stream using sticks and mud by the time they become adults. Humans have used dams since early civilization, because four-thousand years ago they became aware that floods and droughts affected their well-being and so they began to build dams to protect themselves from these effects.1 The basic principles of dams still apply today as they did before; a dam must prevent water from being passed. Since then, people have been continuing to build and perfect these structures, not knowing the full intensity of their side effects. The hindering effects of dams on humans and their environment heavily outweigh the beneficial ones. The paragraphs below will prove that the construction and presence of dams always has and will continue to leave devastating effects on the environment around them. Firstly, to understand the thesis people must know what dams are. A dam is a barrier built across a water course to hold back or control water flow. Dams are classified as either storage, diversion or detention. As you could probably notice from it's name, storage dams are created to collect or hold water for periods of time when there is a surplus supply. The water is then used when there is a lack of supply. For example many small dams impound water in the spring, for use in the summer dry months. Storage dams also supply a water supply, or an improved habitat for fish and wildlife; they may store water for hydroelectricity as well.2 A diversion dam is a generation of a commonly constructed dam which is built to provide sufficient water pressure for pushing water into ditches, canals or other systems. These dams, which are normally shorter than storage dams are used for irrigation developments and for diversion the of water from a stream to a reservoir. Diversion dams are mainly built to lessen the effects of floods and to trap sediment.3 Overflow dams are designed to carry water which flow over thier crests, because of this they must be made of materials which do not erode. Non- overflow dams are built not to be overtopped, and they may include earth or rock in their body. Often, two types of these dams are combined to form a composite structure consisting of for example an overflow concrete gravity dam, the water that overflows into dikes of earthfill construction.4 A dam's primary function is to trap water for irrigation. Dams help to decrease the severity of droughts, increase agricultural production, and create new lands for agricultural use. Farmland, however, has it's price; river bottomlands flooded, defacing the fertility of the soil. This agricultural land may also result in a loss of natural artifacts. Recently in Tasmania where has been pressure