Triage Protocols In Pros And Cons - 1566 Words

There were 163 partipants who attended RTTDC from November 2011 –February 2013. Attendees included nurses, physicians, pre-hospital personnel, respiratory therapists and radiology. After completion participants completed a 16 question survey which was analyzed for participants perceptions of the course. Furthermore 541 cases were reviewed from the hospital’s trauma registry reviewing length of stay (LOS), 6 months and 12 months before and after the implementation of RTTDC (Hlaing Zhu et al., 2011). Analysis of the data showed participants strongly agreed they gained knowledge from the course (18.8%), and agreed intensely that the activity was important (73.3%) Also 6 months after RTTDC, ED LOS was reduced by 18.5 minutes, moreover at 12†¦show more content†¦Trauma patients transferred from hospitals in Tennessee from 2012 to 2014 were the focus of a retrospective review and analysis of how the RTTDC course affect time to transfer of trauma patients. The revi ew conducted on 253 patients that were transferred from non trauma hospitals to Vanderbilt University Medical Center (VUMC), were segregated into two groups. The first group contained six non trauma hospitals, which were similar in size, patient volume and geographical distance from VUMC (Dennis et al., 2015). The second group consisted of the same model makeup however these hospitals had underwent the RTTDC training. Results showed that in the RTTDC group a 61 minute (p = 002) overall reduction in referring hospital length of say was noted in comparison with the control group which showed a slight increase in ED LOS during the same time period (pre: 153 minutes vs. post: 184.5 minutes, p = 0.31) (Dennis et al., 2015). This study validates that the RTTDC course has a direct association with decreasing the ED LOS of trauma patients who require transfer to tertiary centers for definitive care. Although RTTDC shows direct effects on the ED LOS, further research and analysis should be considered on decreasing unnecessary radiological imaging prior to transfer, which can further delay the transfer of trauma patients. Theoretical Framework The Roy Adaption Model ofShow MoreRelatedGetting To The Root Of The Problem Essay example2877 Words   |  12 Pages Organizational Systems and Quality Leadership RTT1: Task 2 Sections A through D A. Root Cause Analysis (RCA): A Systems Approach To Error The RCA seeks to answer four questions: 1. What happened? a. Patient admitted to triage with probable dislocated / fractured hip status post fall at home. b. Vital signs: B/P 120/80, HR-88 NSR, T-98.6, RR-32, weight: 175 pounds. c. Pain rated 10/10. d. 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How Low Self-esteem Effects Anorexia Essay - 1292 Words

How Low Self-Esteem affects Anorexia Outline I.nbsp;nbsp;nbsp;nbsp;nbsp;Anorexia has no certain causes, but it has been determined that psychological, enviromental, and physiological factors play a role. A.nbsp;nbsp;nbsp;nbsp;nbsp;Self-esteem is both a psychological and physiological factor of low self-esteem. B.nbsp;nbsp;nbsp;nbsp;nbsp;Girls and young women are most commonly associated with low self-esteem and anorexia. II.nbsp;nbsp;nbsp;nbsp;nbsp;amp;#8220;Self-Esteem is how you think and feel about yourself.;(McWilliams and Roger, 361) People can reach low self-esteem levels in a variety of ways. A.nbsp;nbsp;nbsp;nbsp;nbsp;People with low self-esteem donamp;#8217;t think theyamp;#8217;re worth taking†¦show more content†¦Psychological, environmental, and/or physiological factors are most commonly the determinates of the onset of anorexia. nbsp;nbsp;nbsp;nbsp;nbsp; amp;#8220;The major psychological features seem to be the fear of maturing and the fear of loss of control.; (Mathews, 31) Many anorexics confirm that they do become fearful of losing control in their life, which is why they turn to starvation and deprivation. By becoming anorexic or developing anorexic patterns, they are able to control their food intake and weight. Scientists also believe that most anorexics develop the disease due to low self-esteem. Girls, who are the most commonly associated with anorexia, are often commonly associated with low self-esteem. Anorexics with low self-esteem often develop the disease in attempts to gain higher levels of self-esteem and confidence. 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Student of the Month free essay sample

February 24, 2005 It was the last week of the month and it was finally time for my teacher to announce the name of the student who would be given the title the â€Å"student of the month. Along with my friends, I sat around my teacher Mrs. Connolly on the rough green reading carpet. I found myself surrounded by nervous and antsy running mates. Of course I wasn’t the only one who had been looking forward to this announcement. I resisted my nervous habit of biting my nails. Receiving such title came with that accomplished feeling. The feeling of happiness and gratification felt when you get an A on that paper you pulled an all-nighter on, that feeling you felt when you finally mastered the art of whistling. It was a sign that stood out. But at that time, it was all about the trip to the principal’s office to recite the Pledge of Allegiance during morning announcements. We will write a custom essay sample on Student of the Month or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page It seemed to be such a privilege. So naturally, when my name was called, I squealed with excitement. It was weeks of practicing â€Å"4-219, Ji Won Kang, I pledge of allegiance.†under my breath during announcements, raising my hand every chance I got as a way to show participation, and receiving multiple 100’s on tests paying off. My mind was taken over by the jumbled images: holding up the mic close to my lips, reciting our country’s expressions of loyalty, and enunciating every word with the biggest smile on my face. As I look at the pencil that I had received after my visit to the principal’s office, I smirk at the tiny imprint that says, â€Å"My principal is proud of me† with a small heart attached at the end. To me, this pencil meant my goal was fulfilled. To be able to let everyone in my school know of my well prepared recitation and confident voice. My perspective of this award has changed since the time when I was obsessed with sparkly pe ns and Bratz dolls, but I still look back at this experience with the same pride that I had when I proudly took the blue and red striped pencil and the certificate. The title â€Å"Student of the month† holds greater significance now. February, 2005 marked the five month anniversary of my arrival in this country. My success was built by my strenuous effort to learn English every night after school and to never let the language barrier stop me from being a social butterfly. I realized that this momentous title revealed my always assiduous and persistent attitude for any kind of goal I set for myself, whether it be receiving 15 seconds on the school PA or even being the 2nd place winner at New Balance Indoor Track Nationals.

The Picture Of Dorain Gray Essay Example For Students

The Picture Of Dorain Gray Essay The Picture of Dorian Gray by Oscar Wilde is the story of moral corruption by the means of aestheticism. In the novel, the well meaning artist Basil Hallward presets young Dorian Gray with a portrait of himself. After conversing with cynical Lord Henry Wotton, Dorian makes a wish which dreadfully affects his life forever. If it were I who was to be always young, and the picture that was to grow old! For that I would give everything! Yes, there is nothing in the whole world I would not give! I would give my soul for that (Wilde 109). As it turns out, the devil that Dorian sells his soul to is Lord Henry Wotton, who exists not only as something external to Dorian, but also as a voice within him (Bloom 107). Dorian continues to lead a life of sensuality which he learns about in a book given to him by Lord Henry. Dorians unethical devotion to pleasure becomes his way of life. The novel underscores its disapproval of aestheticism which negatively impacts the main characters. Each of the three primary characters is an aesthete and meets some form of terrible personal doom. Basil Hallwards aestheticism is manifested in his dedication to his artistic creations. He searches in the outside world for the perfect manifestation of his own soul, when he finds this object, he can create masterpieces by painting it (Bloom 109). He refuses to display the portrait of Dorian Gray with the explanation that, I have put too much of myself into it (Wilde 106). He further demonstrates the extent to which he holds this philosophy by later stating that, only the artist is truly reveled (109). Lord Henry Wotton criticizes Basil Hallward that, An artist should create beautiful things but should put nothing of his own life into them (Wilde 25). Ironically, the purpose of Basil Hallwards existence is that he is an aesthete striving to become one with his art (Eriksen 105). It is this very work of art which Basil refuses to display that provides Dorian Gray with the idea that there are no consequences to his actions. Dorian has this belief in mind when he murders Basil. Here we see that the artist is killed for his excessive love of physical beauty; the same art that he wished to merge with is the cause of his mortal downfall (Juan 64). Lord Henry Wotton, the most influential man in Dorians life, is an aesthete of the mind. Basil is an artist who uses a brush while Wotton is an artist who uses words: There is no good, no evil, no morality and immorality;there are modes of being. To live is to experiment aesthetically in living to experiment all sensations, to know all emotions, and to think all thoughts, in order that the selfs every capacity may be imaginatively realized (West 5811). Lord Henry believes that, it is better to be beautiful than to be good (Wilde 215). Although he attests that aestheticism is a mode of thought, he does not act on his beliefs. Basil Hallward accuses him saying, You never say a moral thing and you never do a wrong thing (5). However, Lord Henry does take the immoral action of influencing Dorian. Although Lord Henry states that, all influence is immoral (Wilde 18), he nonetheless drastically changes Dorian Gray. As Dorian acts on the beliefs of Lord Henry, the portraits beauty becomes corrupted. Lord Henry presents Dorian with the tenants of his New Hedonism, whose basis is self-development leading to the perfect realization of ones nature (Eriksen 97). If Lord Henrys aesthetic ideas have validity ,Dorian Grays portrait should not become ugly, but rather more beautiful. Since the picture becomes loathsome, it is evident that Lord Henrys beliefs are untrue (West 5811). Dorian becomes so disgusted with the horrible portrait that he slashes the canvas, and the knife pierces his own heart. Because Lord Henry is responsible for influencing Dorian Gray, he is partly the cause of the death of Dorian (5810). While Lord Henry is indirectly the cause of Dorians death, he too causes his own downfall. Lord Henry changes Dorian with the belief that morals have no legitimate place in life. He gives Dorian a book about a man who seeks beauty in evil sensations. Both Lord Henrys actions and thoughts prove ruinous, as his wife leaves him and the remaining focus of his life, youthful Dorian Gray, kills himself in an attempt to further the lifestyle suggested to him by Lord Henry. Eventually, he is left destitute, without Dorian, the art he so cherishes, because he tried to mold it, as dictated by aestheticism. Of all the protagonists, Dorians downfall is the most clearly recognized. A young man who was pure at the beginning of the novel becomes depraved by the influence of Lord Henry. He grew more and more enamored of his own beauty, more and more interested in the corruption of his own soul (Bloom 121). He begins to lead a life of immorality, including the murder of his dear friend Basil Hallward. There were moments when he looked on evil simply as a mode through which he could realize his conception of beautiful (Wilde 196). However, there is still a spark of good left in Dorian. He lashes out at his twisted mentor, Lord Henry, declaring, I cant bear this Henry! You mock at everything, and then suggest the most serious tragedies (173). This trace of goodness is not enough to save Dorian, for he has crossed too far towards the perverted side of aestheticism and cannot escape it. Dorian experiments with himself and with men and women, and watches the experiment recorded year by year in the fouling and aging corruption of his portraits beauty (West 5811). Dorian becomes so disgusted with this portrait of his soul and his conscience, that he slashes the canvas, killing himself. The Winter Oak - Yuri Nagibin Essay However, Lord Henry does take the immoral action of influencing Dorian. Although Lord Henry states that, all influence is immoral (Wilde 18), he nonetheless drastically changes Dorian Gray. As Dorian acts on the beliefs of Lord Henry, the portraits beauty becomes corrupted. Lord Henry presents Dorian with the tenants of his New Hedonism, whose basis is self-development leading to the perfect realization of ones nature (Eriksen 97). If Lord Henrys aesthetic ideas have validity ,Dorian Grays portrait should not become ugly, but rather more beautiful. Since the picture becomes loathsome, it is evident that Lord Henrys beliefs are untrue (West 5811). Dorian becomes so disgusted with the horrible portrait that he slashes the canvas, and the knife pierces his own heart. Because Lord Henry is responsible for influencing Dorian Gray, he is partly the cause of the death of Dorian (5810). While Lord Henry is indirectly the cause of Dorians death, he too causes his own downfall. Lord Henry changes Dorian with the belief that morals have no legitimate place in life. He gives Dorian a book about a man who seeks beauty in evil sensations. Both Lord Henrys actions and thoughts prove ruinous, as his wife leaves him and the remaining focus of his life, youthful Dorian Gray, kills himself in an attempt to further the lifestyle suggested to him by Lord Henry. Eventually, he is left destitute, without Dorian, the art he so cherishes, because he tried to mold it, as dictated by aestheticism. Of all the protagonists, Dorians downfall is the most clearly recognized. A young man who was pure at the beginning of the novel becomes depraved by the influence of Lord Henry. He grew more and more enamored of his own beauty, more and more interested in the corruption of his own soul (Bloom 121). He begins to lead a life of immorality, including the murder of his dear friend Basil Hallward. There were moments when he looked on evil simply as a mode through which he could realize his conception of beautiful (Wilde 196). However, there is still a spark of good left in Dorian. He lashes out at his twisted mentor, Lord Henry, declaring, I cant bear this Henry! You mock at everything, and then suggest the most serious tragedies (173). This trace of goodness is not enough to save Dorian, for he has crossed too far towards the perverted side of aestheticism and cannot escape it. Dorian experiments with himself and with men and women, and watches the experiment recorded year by year in the fouling and aging corruption of his portraits beauty (West 5811). Dorian becomes so disgusted with this portrait of his soul and his conscience, that he slashes the canvas, killing himself. For Dorian, this is the ultimate evil act, the desire to rid himself of all moral sense. Having failed the attempt to escape through good actions, he decides to escape by committing the most terrible of crimes. Aestheticism has claimed its final victim. Basil Hallward is what I think I am: Lord Henry what the world thinks of me: Dorian Gray what I would like to be in other ages, perhaps (Hart-Davis 352). Because of the endings he creates for these characters, Oscar Wilde proves that he does not envisions himself in the immoral characters of this story nor is he attempting to promote their lifestyles. Of all the characters whom he creates, he sees himself as Basil, the good artist who sacrifices himself to fight immorality. It was his beauty that had ruined him, his beauty and the youth that he had prayed for (Wilde 242). Contrary to Wildes claim in the preface that, there is no such thing as a moral or immoral book (vii), this novel has a deep and meaningful purpose. The moral is that an absence of spirituality, of faith, of regard for human life, separates individuals like Wildes Dorian Gray from humanity and makes monsters of them (West 5831). W.H. Auden feels that the story is specifically structured to provide a moral. He compares the story to that of a fairy tale, complete with a princess, a wicked witch, and a fairy godmother. This leaves room for a moral with which good every fairy tale ends. Not only is the novel seen as existing on the pure level of fairy tales, but it is claimed to contain ethical beauty (Auden 146). The Picture of Dorian Gray is a novel including a moral dialogue between conscience and temptation that is powerfully conveyed. Though it is made to seem an advocate for aestheticism on the surface, the story ultimately undermines that entire philosophy. Wilde brings the question of to what extent are we shaped by our actions (26). He also demonstrates that art cannot be a substitute for life (Eriksen 104). It is a fantastic tale of hedonism with a moral to be learned and remembered. Works Cited Auden, W. H. In Defense of the Tall Story. The New Yorker. 29 November 1969. pp.205-206, 208-210. Bloom, Harold. Oscar Wilde. New York: Chelsea House Publishers, 1985. Ellman, Richard. Oscar Wilde. New york: Alfred A. Knopf Inc., 1987. Eriksen, Donald. Oscar Wilde. Boston: Twayne Publishers, 1977. Hart-Davis, Rupert. The Letters of Oscar Wilde. New York: Harcourt, Brace and World, 1962. Juan, Efifanio. The Art of Oscar Wilde. New Jersey: Princetown University Press, 1967. Wilde, Oscar. The Picture of Dorian Gray. New York: Random House, Inc., 1992.