Ap English- the Jungle by Upton Sinclair - 2876 Words

Josel Wong Mr. Wear AP Language and Composition 5 November 2009 The Jungle Questions Part I 1. The wedding between Jurgis and Ona is an epitome of the various problems in Packingtown. The way the saloon keeper took advantage of the couple is representative of the dishonesty and thievery from the surrounding society. The crowd stranded outside the wedding symbolizes the helpless and hungry inhabitants of Packingtown. When the newlyweds allowed these people into the wedding they quickly transformed into an â€Å"every man for themselves† perspective. In retrospect, the disregard for others that thrived in the society by not providing a money donation to the bride and groom was prevalent. The wedding demonstrates the struggle of†¦show more content†¦The reader feels the emotion that Jurgis is feeling when dealing with the death of his wife because of Sinclair’s way of making his words into reality. †¢ â€Å"He clutched her hands, he shook her, he caught her in his arms and pressed her to him; but she lay cold and still—she was gone—she was gone!† In this passage Sinclair emphasizes the emotion of Jurgis by repeating his last few words. His use of alliteration adds an echo to an intense scene. †¢ â€Å"He gripped his hands and set his teeth together—he had not wept, and he would not—not a tear! It was past and over, and he was done with it—he would fling it off his shoulders, be free of it.† In this passage Jurgis just found out about the death of Antanas. Jurgis does not want to deal with reality, so he ignores the fact that his son is dead. This makes the reader feel sympathy towards Jurgis in his attempt to evade the truth. †¢ â€Å"It should go like a black, hateful nightmare, and in the morning he would be new man. And every time that a thought assailed him—a tender memory, a trace of a tear—he rose up, cursing with rage, and pounded it down.† This passage is another example of Jurgis’ persistency. His urge to avoid the situation gives the reader an upfront perspective. †¢ â€Å"There should be no more tears and no more tenderness; he had had enough of them—they had sold him into slavery.† This passage helps the reader

Community Health Nursing Plan Free Essays

Elevating Prostate Cancer Awareness in Orange County among African American Men University of Central Florida Community Diagnosis Health seeking behavior: prostate cancer screening among African-American men ages 40 and older related to the fact that African American men are 50% more likely to develop prostate cancer than any other racial or ethnic group (Maurer Smith, 2005, p. 43) and risk factors: family history of prostate cancer, a diet high in fat, and non-participation in screenings as evidenced by a total prostate cancer mortality rate of 84 deaths per 100,000 population in 2009-2011and an incidence of 606 per 100,000 population in 2009-2011 in Orange County, Florida; and Healthy People 2020 C-7 reduce the prostate cancer death rate: Baseline: 23. 5 prostate cancer deaths per 100,000 males and Target: 21. We will write a custom essay sample on Community Health Nursing Plan or any similar topic only for you Order Now deaths per 100,000 population; and Healthy People 2020 C-19 (Developmental) Increase the proportion of men who have discussed with their health care provider whether or not to have a prostate-specific antigen (PSA) test to screen for prostate cancer. (Florida Charts, 2010; U. S. Department of Health and Human Services, 2011). Review of Literature PICO: In African-American men, are focus groups using audio-visual methods of prostate cancer risks and early detection better than videography in increasing knowledge about the importance of early prostate screening, diagnosis, and treatment? According to the American Cancer Society (2012), African American men who are diagnosed with prostate cancer are more likely to die than any other race or ethnicity. Prostate cancer ranks fifth in overall cause of death among African American men aged 45 and over. From 2009-2011, 42. 5 per 100,000 African American men died from prostate cancer in Florida. Studies show that this disproportion is due to African American men not being screened in the early stages of the disease and delaying treatment in the later stages of disease progression (Carter, Tippett, Anderson, Tameru, 2010). It is estimated that over 230,000 men will be diagnosed with and over twenty nine thousand men will die of prostate cancer in the year 2013 (American Cancer Society, 2012). Prostate cancer is the second leading cause of cancer death among men, with the exception of lung cancer. Among African American men, disparity in incidence has been attributed to lack of access to healthcare screening, decreased awareness of cancer symptoms, and various environmental and biological factors (Rivers, Underwood, Jones, 2009). Among 4,782 groups of men, only 37. percent report use of available cancer screenings and only 14 percent reported a high level knowledge among prostate cancer. African American men experience a higher mortality rate than white men, and this may be attributed to the fact that they present with more advanced stages of the disease and thus worsens the outcome of survival rates. This paper attempts to identify the cause and incidence of prostate cancer among African American men i n Orange County, FL and facilitate an increase in prostate cancer awareness early in the disease. Why is this diagnosis a health problem for this target group? Prostate cancer is responsive to early detection, and more than 75% of prostate cancer cases are diagnosed when the disease is locally confined and curable. â€Å"The U. S. Preventive Services Task Force (USPSTF) found that although early detection and treatment might prevent some prostate cancers from spreading, screening is also likely to detect other cancers that would have grown slowly and not caused health problems† (McBride, 2009). Although routine screening for prostate cancer is a contentious issue, prostate cancer screening offers the only possibility of early detection for individuals at high risk. African American men have the highest prostate cancer incidence and mortality rates worldwide, but have lower screening rates compared with Caucasian men. Risk factors such as age and genetic factors play host to disease progression and warrants an even closer look to the availability of healthcare screening for prostate cancer. Studies show that having a brother or father increases the risk of prostate cancer by two fold, with the risk even higher for a biological brother with history of the disease (America Cancer Society, 2012). Prostate cancer risks rises rapidly after age 50, with almost 2 out of 3 prostate cancers found in men over the age of 65. African Americans have also shown the detection of prostate cancer at an earlier age, younger than 45, a factor that is associated with more aggressive disease and poorer treatment outcomes (Baker, 2008). Healthcare screening access, lack of knowledge, and cultural attitudes regarding cancer seems to be factors associated with the discrepancy in prostate cancer incidence among racial groups. In one study, fear of prostate cancer was the main culprit of African American individuals delaying their prostate screening (Baker, 2008). What are the current nursing interventions for this problem? What interventions have been successful and what interventions have NOT been successful? A study conducted by Arras, Boyd, Gaehle, (2009) using a one hour video on prostate cancer risks and screening, showed only 12 % of participants gained knowledge from the video using a 19-item post test questionnaire. One of the biggest challenges facing African American men is the lack of underrepresentation in research and clinical trials. A study done in Virginia showed that word of mouth and social networking were found to be an important recruitment strategy in enrolling a population that has been to be challenging to recruit for research (Jones, Steeves, Williams, 2009). A study conducted by Friedman (2012) found that focus groups along with an open-ended questionnaire, resulted in 69% of the participants to participate in phase two of the project. In another study, subjects were given a one hour church based educational seminar delivered through an African American health educator and awareness scores increased from 26% to 73% after the session (Holt, 2009). A fourth study in which test subject were given a letter to come to the clinic for prostate screening, and the control group was given print material and telephone contact show that on review, the group that received the â€Å"two-step† intervention was more compliant with adherence to screening (Reynolds, 2008). Plan Title: Elevating Prostate Cancer Awareness among African American Men in Orange County The target audience for this plan is Orange County African American men age 45 and older. Short Term: The prospective participants will voluntarily sign up for focus group program at local community events such as churches, physician offices, events, etc. Three Measureable, Time Specific Learner Objectives: 1. At the end of the three-day program, participants will verbalize importance of prostate screening and its associated benefits. 2. At the end of the three-day program, participants will name 3 risk factors of prostate ancer 3. At the end of the three-day program, participants will be able to verbalize benefits of early treatment and prognosis if diagnosed. This plan seeks to educate this target population to promote prostate cancer screening among a high-risk group through knowledge base, discussions, focus groups, and audio-visual methods there by increase the proportion of African American m en to undergo prostate screening. The three-day program taught by student nurses will include teaching on benefits of early detection, importance of prostate screening, risk facts, associated symptoms, PSA test, and prognosis. Each session will be of one-hour duration with 20 participants in each focus group. The three-day program will be repeated weekly over the course of a month, for a total of 80 men educated in a month’s time. To gain the trust of our population, African American student nurses will teach the program. The education program will be a church based session, in hopes to promote familiarity and confidence. Participants will receive a $15 incentive gift card upon completion of the educational program and transportation will be offered through local church services as a complimentary. To measure retention and knowledge gained from the program, participants will be given a 10-item, multiple-choice exam, with a 85% score needed to demonstrate comprehension. Participants who score below, will be given reinforcement and allow for discussion on material. Budget |Item |Price |Quantity |Frequency |Total | |Student Nurses |$14. 00/hr |3 student nurses |3 hours/week for 1 month |$504. 0 | |Gift Cards |$15 |80 |Upon completion of program |$1,200. 00 | |Church |$0 |One |3 days/week for 1 month |$0 | |Transportation |Free |1 bus with 20 occupants |3 days/week for 1 month |$0 | |Print Material |8 cents/page |80 |80 participants for 4 weeks |$64. 0 | | | | | |$1,768 | Nursing Process- Intervention and Evaluation |Objectives |Learning Domain |Topical Outline |Evaluation | |1. At the end of the three-day|Cognitive |Primary: The student nurse will teach the signs and |The client will be given a 10-item, multiple-choice | |program, participants will |Affective |symptoms of prostate cancer, available diagnostic |exam regarding prostate cancer risk factors, signs and| |verbalize importance of | |exams and laboratory data to discuss with their |symptoms, early treatment modalities, prognosis if | |prostate screening and its | |health care provider. detected promptly, and importance of annual prostate | |associated benefits. | |Secondary: The student nurse will assess client’s |screening for AAM older than 45 years old with an 85% | | | |ability to recall importance of PSA tests and DRE, |score needed to demonstrate comprehension. | | |and allow for questions on how exams are performed. |Participants who do no succeed on first attempt, will | | | | |review exam and discuss with the student nurse. | | | |Re-examination will take place the same day and an 8 5%| | | | |is needed to show competency and comprehension of | | | | |educational program. |2. At the end of the three-day|Cognitive Psychomotor |Primary: The student nurse will teach risk factors |The client will be given a 10-item, multiple-choice | |program, participants will | |of prostate cancer, give print material, and show |exam regarding prostate cancer risk factors, signs and| |name 3 risk factors of | |DVD on risk factors and African American men. symptoms, early treatment modalities, prognosis if | |prostate cancer. | |Secondary: The student nurse will perform a focused |detected promptly, and importance of annual prostate | | | |health history, family history, social habits, |screening for AAM older than 45 years old with an 85% | | | |diet/nutrition, and provide feedback. Referral to |score needed to demonstrate comprehension. | | | |providers as applicable. |Participants who do no succeed on first attempt, will | | | | |review exam and discuss with the student nurse. | | | |Re-examination will take place the same day and an 85%| | | | |is needed to show competency and comprehension of | | | | |information. |3. At the end of the three-day|Cognitive |Primary: The student nurse will teach evidence based|The client will be given a 10-item, multiple-choice | |program, participants will be |Affective |statistics and prognosis if diagnosed early. exam regarding prostate cancer risk factors, signs and| |able to verbalize benefits of | |Secondary: The student nurse will teach client |symptoms, early treatment modalities, prognosis if | |early treatment and prognosis | |available options for early treatment and importance|detected promptly, and importance of annual prostate | |if diagnosed. | |of annual prostate screening. screening for AAM older than 45 years old with an 85% | | | | |score needed to demonstrate comprehension. | | | | |Participants who do no succeed on first attempt, will | | | | |review exam and discuss with the student nurse. | | | |Re-examination will take place the same day and an 85%| | | | |is needed to show competency and comprehension of | | | | |information. | References American Cancer Society. (2012, February 27). Prostate key statistics. Retrieved  March  26, 2013, from http://www. ancer. org/cancer/prostatecancer/detailedguide/prostate-cancer-key-statistics Arras-Boyd, R. , Boyd, R. , Gaehle, K. (2009). Reaching men at highest risk for undetected prostate cancer. International Journal Of Men’s Health, 8(2), 116-128. Baker, S. A. (2008). Prostate cancer screening intention among african american men: An instrument development study. University of South Florida). ProQuest Dissertations and Theses, 149. Retrieved from http://ezproxy. net. ucf. edu/login? url=http://search. proquest. com/docview/3044 67092? accountid=10003. (304467092) Carter, V. L. Tippett, F. Anderson, D. L. Tameru, B. (2010). Increasing prostate cancer screening among african american men. Journal of Health Care for the Poor and Underserved 21(3), 91-106. The Johns Hopkins University Press. Retrieved March 21, 2013, from Project MUSE database. CHARTS Generated Report. (2011). FloridaCHARTS. com – Florida Health Statistics and Community Health Data. Retrieved from http://www. floridacharts. com/charts/DisplayHTML. aspx? ReportType=7244=48=2011=32 Friedman, D. , Johnson, K. , Owens, O. , Thomas, T. , Dawkins, D. , Gansauer, L. , †¦ Hebert, J. (2012). Developing How to cite Community Health Nursing Plan, Essay examples

Social Care Worker- Free-Samples for Students-Myassignmenthelp

Questions: 1.List the tasks you would Prioritise immediately in relation to your duty of care and explain your rationale for each priority. 2.Describe at least one situation, from this case study, or in another youth work service where you would use infection control procedures. 3.Name three common sources of infection, using examples from this case study and/or from another Community services work place, and outline three strategies that you could Implement to minimize the risk of spreading the infection in each case. 4.Describe three ways in which Joshuas behavioural escalation incident could have been prevented. 5.Who would you report this Incident to and what action would you take to make this report? Answers: Introduction: The task of the social care worker is pretty challenging. It becomes even more critical to deal with situations when service users exhibit escalating aggressive behavior. In the following assignment we will try to understand the various challenges posed to care workers and focus on the steps they need to take in such situations. (Koolhaas et al 2013) 1.It can be understood from the case study that Joshua is an extremely vulnerable condition. Thus as a young care worker, it is my duty to take up immediate action in regard to the current situation. Firstly it is important to give a personal place to the service user. Since Joshua is quite aggressive, it is important to let him be by himself for some time. Secondly as a care worker I must ensure the safety of the other service users by keeping them away from Joshua. It is important to remain calm and composed since agitation on my part may aggravate the situation.( Price et al,2015) Lastly it may be of benefit if a more personalized approach is used. By acknowledging his feelings I may be able to calm Joshua down. 2.Every employer is mandated under the Occupational Health and Safety Act 2004, to ensure a safe working environment for all employees.( Miller et al,2014) This is inclusive of the provision of adequate infection control, correct equipment usage and training facilities. In order to implement a good infection control it is important to follow appropriate procedures at all times. In this case, it was seen that Joshua on being aggressive starts breaking the glass cups. This can have been potentially dangerous not only for the service user but also the service providers like us. Under such circumstance, appropriate infection control can be used. It is important to have a first aid kit available. Along with that there must be a person trained to use the kit. Safety equipments such as gloves, gowns, face shield, eye goggles must be provided to youth service users like us 3.In a residential home in UK, many service users had fallen sick due to unhealthy condition prevailing in the center. The three common sources of infection identifies were unhygienic food preparation techniques, unclean condition of the working place and faulty techniques of waste disposal. Various strategies were devised to deal with the situation. (Shah and Baba,2016 Infection Sources Strategies Food preparation Hand wash before and after food handling The food handlers should avoid touching hair, nose and mouth while preparing food. It is important to wash utensils before and after use. Unhygienic working conditions Regular washing of walls and ceilings. Use of disinfectants All cleaning items such as mops and brushes must be dried after every use. Waste disposal techniques The area must be isolated The area must be regularly washed with hot water and detergent. The disposed items must be sorted into plastic bags. 4.De-escalation sometime referred to as talk down techniques are very often used by social care workers in order to prevent escalation of hostile behavior on the part of the service-user. De-escalation is a complex technique which involves both verbal and nonverbal components. Joshuas behavioral escalation incident could have been avoided if timely steps were taken. Such steps could compose of verbal and non-verbal communication techniques. Verbal technique such as maintaining a cool tone of voice, avoiding harsh tone or threatening could have been used to de-escalate Joshuas behavior. Non-verbal communication techniques in the form of eye contact and self protection could have been used in this situation. Steps to divert Joshua attention could also be of use to avoid the escalation of his behavior. Though de-escalation is widely used for the management of aggressive behavior, clear techniques and rules are not covered by the definition. 5.As a social youth worker it is my duty to report this incident to my manager concerned. While preparing the report for the manager the following points must be incorporated in the report. (Miczek et al,2015) Firstly I have to describe the problem to the manager. In addition to that I have to explain what led to the escalating behavior that is my denial of giving Joshua petty money to go to Macdonalds. It is also important to specify in the report that Joshua claimed that the other care worker had given him money out of his pocket, which is not accepted by the set laws. The report must also contain details of Joshuas reaction before during and after the incident. Finally the report would end with recommendations. Conclusion: Thus through this assignment the problem of escalating aggressive behavior can be understood. The assignment also tries to put forward the steps which can be taken in this regard. In addition to that the assignment focuses on the importance of infection control and highlights an example to show its implication in real life. Reference: Koolhaas, J.M., Coppens, C.M., de Boer, S.F., Buwalda, B., Meerlo, P. and Timmermans, P.J., 2013. The resident-intruder paradigm: a standardized test for aggression, violence and social stress.Journal of visualized experiments: JoVE, (77). Miczek, K.A., Takahashi, A., Gobrogge, K.L., Hwa, L.S. and de Almeida, R.M., 2015. Escalated aggression in animal models: shedding new light on mesocorticolimbic circuits.Current opinion in behavioral sciences,3, pp.90-95. Miller, C.H. and Palenik, C.J., 2014.Infection Control and Management of Hazardous Materials for the Dental Team5: Infection Control and Management of Hazardous Materials for the Dental Team. Elsevier Health Sciences. Price, O., Baker, J., Bee, P. and Lovell, K., 2015. Learning and performance outcomes of mental health staff training in de-escalation techniques for the management of violence and aggression.The British Journal of Psychiatry,206(6), pp.447-455. Shah, A.F. and Baba, I.A., 2016. Knowledge and practices of infection control procedures in a Government Dental College setting.