Extremely Fat and Barely Digesting Junk Essay Example | Topics and Well Written Essays - 1750 words

Extremely Fat and Barely Digesting Junk - Essay Example   Healthy food is cheaper for consumers, therefore more money remains in savings, living standard increases, healthy way of life can be (and should be) example for the further generation, it means much healthier and tough people. All people know that with a bad fuel car will drive for two or three meters then it will be broken. So the people are, people’s fuel is food and bad food can cause problems with proper digesting since the organism is the system of systems, malfunction of one will ruin others. Proved fact that abusive eating of fast food results in problems with health decreases savings, cultivates the improper way of life and disregards of healthy food. Failure of digesting system (diabetes or obesity) results in the problems with locomotor and endocrine systems and it can lead to fatal outcome. Healthy food provides enough energy for the proper functioning of the organism and human body remains healthy. Spreading of fast food concept can critically affect the society. Increasing of fast food institution taxation will not have the result, such institution will raise costs for favorite American food and they buy it even for enormous prices, it will make people from the low-income class feel the last hold slipping away. One should use other methods of impact; however, such methods will not be discussed in the present paper. The rate of people suffering from obesity and diabetes is constantly sky-rocketing. Understanding of what is healthy, and what is not will help people to fight killing diseases. It needs fundamental changes, and not only in the government, more importantly, to change the mentality. Society should eradicate the concept of eating-on-the-run. The most precious thing in human’s life is health; nothing in the world will help to return health. And junk food is strong means to deprive the health.  

Research Paper :: essays papers

Research Paper â€Å"As a child, I loved athletics and physical activities. I was talented, but my talent was not appreciated or approved of by most. I watched my brothers compete on school teams. It didn't matter that in the neighborhood pick-up games, I was selected before my brothers. Society dictated that I should watch, and that they should compete. So at home in the backyard, I would catch as my brother worked on his curve ball, I would shag flies as he developed his batting prowess and, as I recall, I frequently served as his tackling dummy. The brother I caught and shagged for, and for whom I served as a tackling dummy, went on to Georgetown University on a full athletic grant. He later became vice president of a large banking firm. So, while I rode in the back seat on the bus of opportunity during my lifetime, I want my daughter's daughter and her peers to be able to select a seat based on their abilities and their willingness to work. Don't deny them the things that I dreamed of."-- Exce rpts of a letter sent to OCR in spring 1995 by Joan Martin, Senior Associate Director of Athletics, Monmouth University, New Jersey In April of 1993 the film The Sandlot premiered. The movie took place in 1963 when a group of 12-year-old boys spent their summer playing baseball at the local sandlot. In one particular scene in the movie, the boys got in a verbal dispute with a team of 12 year olds from the privileged side of town. The argument was over who was the more skilled baseball players. The camera switched back and forth from one kid to another as they exchanged insults. Then the camera stopped dramatically. One of the boys said the most heinous thing any young male can say to another, â€Å"You play ball like a girl!† It was like the other boy had just been hit with a bullet. The eyes of all the other boys involved in the argument widened and their jaws dropped. All that was heard were gasps from the rest of the kids in the movie. In 1963 that was the feeling of many people. The insult, â€Å"You play ball like a girl†, was one of the biggest insults a male could ever give anyone. Ho wever, since 1972 the Title IX law has changed many people’s opinions on females in the athletic world.

Management of pressure ulcers in a high risk patient: a case study

1. Introduction Clinically, pressure ulcers are defined as the lesions that are the result of localized tissue damage or cell death (generally necrosis), developed because of pressure over a bony prominence.More commonly, they are also known as pressure sores or bedsores as they are mainly developed by patients that are bed-bound (Wake, 2010). Approximately, 3 million adults are affected by pressure ulcers and are most common in hospitalized patients (Lyder and Ayello, 2008). However, effective management and care plans against pressure ulcers are still lacking. The role of nursing care is a fundamental aspect to pressure ulcer management, including its prevention and treatment (Wake, 2010). In this case study report, I visited a diabetic patient as a district nurse for insulin administration and provide support by assessing the patient’s risk of developing pressure ulcers due to associated pathological and other risk factors.1.1. Purpose of the studyIn all health care settings, pressure ulce rs remain one of the major issues. More so, pressure sores or pressure ulcers are associated with significant cause for morbidity in the medical community. The main purpose of this patient visit was to provide healthcare support for patients who were at risk of developing pressure ulcer. The healthcare support included the risk minimisation by doing risk assessment, therapeutic interventions, suggestions for lifestyle changes including exercise and dietary habit. All these were targeted with the views of providing timely assessment of pressure ulcers in high risk patients, and suggest therapeutic interventions for timely treatment of the condition.1.2.Patient historyThe patient was 75 years old male, diabetic and paralysed due to recent stroke attack. He was completely bed bound and was on wheelchair. Furthermore, the patient was suffering from cancer of the oesophagus. Since the patient could not mobilize, his family members and carers used to transfer him from the bed to his whe elchair and wheelchair to his bed.1.3. Risk assessments of needs, vulnerabilities and strengths of the patientThe patient was chronically ill and had several complications associated with his conditions. Stroke attack had caused him paralysis and was unable to move. This had put him in significant risk of developing pressure ulcers. The patient was also diabetic. Diabetes causes slow healing of wounds that may lead to ulcer (Guo, et.al. 2010). In this patient, the combination of factors including diabetes and immobility had increased his risk of developing pressure ulcers. Other factors such as old age of the patient, cancer and dietary factors would trigger the development of these pressure sores. Cancer is a chronic disease that may cause severe debilitation and prolonged confinement to bed. Therefore, it is expected that patients with cancer are at significant risk of developing pressure ulcers (Walker, 2001). Diet may have a supporting role in the development of pressure ulcers . Although the role of nutrition in preventing the development of pressure ulcers is still debatable, it is obvious that patients who are malnourished are at risk of developing those (Doley, 2010). Thus, nutrition therapy could be central in minimising the risk of developing pressure ulcers. It was seen that the patient was clearly underweight due to his chronic health conditions. Overall, the following risk factors of the patient were considered while making his assessment. Based on these risk factors, care plans and suggestions were made to minimise the risk in the patient. Sensory factor: This factor was assessed in order to identify how well the patient can process sensory input from the skin, as well as how effectively he can communicate level of sensation. Since the assessment of skin is an important way to identify patient’s risk of developing pressure ulcers, it would ensure the degree of risk of pressure ulcer in this patient and hence, take measures to prevent them before complications arise. Moisture: Moisture is another hallmark of pressure ulcers. Excess skin moisture puts patients at greater risk of developing pressure ulcers. It is common that patients who are confined to bed produce more sweat. Thus, it is required to evaluate what degree the skin is exposed to moisture. Activity Lack of activity is one of major risk factors of developing pressure ulcers in bedbound patients. Continuous friction between the skin and bed mattress may result the development of pressure sores. Measuring the activity is another important parameter to predict the patients’ risk of pressure, irrespective of their degree of mobility. Patients who are unable to move need to be physically turned by healthcare staffs or family members at regular intervals Nutrition As mentioned earlier, although nutrition may not have direct effects on the patient’s risk of developing pressure ulcers, it may be possible that lack of required nutrients may increase its complications. It is thus important to evaluate what constitutes the usual pattern and amount of caloric intake in the patients. After evaluating the above risk factors in the patient, it was concluded that the patient was likely to develop pressure ulcers if timely interventions were not introduced. These would have direct effect in patient’s health. These ulcers influence the risk of bacterial and viral infections, which can become life threatening in chronically ill patients. In addition, there is a high rate of mortality associated with pressure ulcers. Mortality rate is high as 60% is reported in older patients with pressure ulcers within 1 year of hospital discharges (Lyder and Ayello, 2008). The patient in this case study could have weakened immune system due to his old age and illnesses such as cancer and diabetes. In immune-compromised patients, the risk of infections spreading into their blood and other organs of the body are considerably high. This may result blood poisoning and septicaemia. Both these conditions are very fatal and categorised as medical emergencies (Redelings, et.al. 2005). However, despite of several associated risk factors, the patient was provided with proper care and support by his carers and family members. He was regularly taken off from his bed with the support of wheelchair. More so, the patient was on medications to control his blood sugar. He was also supplemented with vitamin to strengthen his immunity. To conclude, patient although was receiving appropriate healthcare service, these were mainly therapeutics which included medications against the chronic illnesses which he had. Patient and family members were lacking suggestions and expert advice in regards to minimising the risk of pressure ulcers. It was also observed that the patient was provided with a normal bed and mattress that would further trigger the risk of developing sores. 2. Interventions and referrals After evaluating the patient’s condition, as a district nurse, I provided the evidence based interventions and referrals to the patient and his family members and carers as preventive approaches of pressure ulcers. Firstly, the patient was provided with a hospital bed with pressure relieving mattresses. This would help minimise the friction between patient’s body and the bed and hence, reduce the risk of pressure ulcers. Moreover, this would provide support surfaces and help in pressure redistribution (Stannard, 2012). Several recommendations for skin care including the use of cold water instead of hot water, use of mild cleansing agents to minimise irritation and dryness of the skin and excessive moisture was suggested. The patient was also advised to avoid low humidity as it may promote scaling and dryness (Lyder and Ayello, 2008). Further suggestion such as avoiding mechanical loading was given. This is considered as one of the most effective preventive measures of p ressure ulcers in hospitalized patients (Lyder and Ayello, 2008). Thus, family members were advised to frequently turn and reposit the patient while in bed. It is essential that patient intake adequate levels of both macro and micronutrients to prevent complications of pressure ulcers. This patient was already supplemented with vitamins and minerals, so no action was taken. However, the patient was suggested to eat diet high in proteins, which are essential for wound-healing and overcome malnutrition. Management of pain is another key aspect in patients with pressure ulcers (Cooper, 2013). Pressure ulcers can be very painful and may require interventions with analgesics (Wake, 2010). However, this patient did not require analgesic treatment as the pain due to pressure ulcers was not very severe. Instead, focus was given on the preventative approaches in minimising the complications associated with pressure ulcers. Finally, the focus was given on the patient/carer education in the management of pressure ulcers. Both patient and carers/family members were made aware about the risk factors of pressure ulcers. Also, they were educated and made aware on the most vulnerable sites of the body that are at risk of developing pressure ulcers. General training was also given on how to take care of skins and methods for pressure reduction. They were told about the severity of the condition and requested to seek medical advice if symptoms of pressure ulcers persist. 3.Critical evaluation and evidence-based examination of outcomes of interventions and referrals The interventions and referrals made for the patient in this case study were evidence based. Risk assessment was made considering the standard pressure ulcer prediction tool, Braden Scale, by observing the six vital signs of pressure ulcers as explained earlier. This tool has allowed for the early prediction of pressure ulcers and thus introduction of early interventions before the complications are developed (Sving, 2014). Classification of pressure ulcers is one of the best ways to predict its outcome. Pressure ulcers are classified into various stages (Lyder and Ayello, 2008). Stage I is determined by the presence of redness in the skin. In case if the redness in the skin is observed, nurses are required to make thorough skin inspection and advice patients about the preventive measures. Stage II is characterized by the loss of skin with the presence of blisters. In stage III loss of skin is quite thick; however, not exposed to muscle or bone tissue. In this stage, there is a high risk of infections, so care should be given in personal hygiene (Sving, 2014). Also, patient should be suggested to include vitamins and minerals in the diet to prevent the possible risk of infection. In stage IV there may be an exposure to bone, tendon and muscle. This condition is considered as potentially dangerous, due to associated risk of life threatening bacterial infections. In many cases, this may also require hospi tal admission to reduce further complications (Lyder and Ayello, 2008; Sving, 2014). To conclude, nurses are required to assess various stages of pressure ulcers and provide treatments and suggestions based on these stages. This is because; different stages of pressure ulcers may require different treatment plans. Some could be minor and may be improved through general suggestions such as encouraging patients to move and involve in physical activities and maintaining healthy diet; whereas some may require therapeutic interventions including the use of antibiotics to treat bacterial infections, dressing and cleaning of the wound and hospital admissions if complications are severe. (Wake, 2010). Ample evidence is now available on the understanding of effective pressure ulcer treatments. Treatment strategies such as use of hospital bed, avoiding mechanical loading, and physical activity are now considered as the standard form of treatments in pressure ulcers. These approaches not only reduce the risk of pressure ulcers, but are also beneficial in lowering its complications. Furthermore, the association of pressure ulcers with other chronic diseases such as cancer, diabetes and stroke are well understood. Thus, much attention is to be given while giving care to the patients who have these conditions. Educating patient and family members on the risk factors and management is another approach to pressure ulcer management as suggested by NICE guidelines (Wake, 2010) However, the available knowledge on the evaluation of risk assessment of pressure seems insufficient. The evidence lacks support and requires further epidemiological research to understand risk factors of pressure ulcers in greater depth. Some of the interventions and their effectiveness including re-positioning and nutrition are still questionable. Further studies on the influence of different turning intervals on the development of pressure ulcers need to be carried out. Similarly, what specific diet is suitable for pressure ulcer patients needs further clarification. Appendix1: Care plan of the patient Risk assessmentCare goalsInterventions and evaluations Patient’s needs and vulnerabilities : old age, bed-bound, chronic diseases including cancer and diabetes, paralysed due to strokeTo identify the patient’s risk of developing pressure ulcersThe patient was provided with hospital bed, cushion for his wheelchair and family members were suggested to move the patient time to time Patient’s strength: on proper medications, carers and family members providing the support, supplemented with vitamins and minerals to boost the immune functionTo build on the patient’s strengths and to meet his needsPatient was provided with full support from the family members. High protein diet was suggested as this may improve would-healing. Signs of complications, such as pain, bacterial and viral infections.To avoid complications associated with infections including blood poisoning and septicaemiaImmune booster such as vitamins and disinfectant creams to avoid infections. References Cooper, K.L. 2013, â€Å"Evidence-based prevention of pressure ulcers in the intensive care unit†, Critical Care Nurse, vol. 33, no. 6, pp. 57-66. Doley, J. 2010, â€Å"Nutrition management of pressure ulcers†, Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition, vol. 25, no. 1, pp. 50-60. Guo, S and DiPietro, L.A, 2010. Journal of dental research. Factors Affecting Wound Healing, vol. 89, no. 3, 219-229. Lyder, C.H and Ayello, E.A, 2008. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Pressure Ulcers: A Patient Safety Issue. Lyder, C.H, 2003. Clinician’s corner. Pressure Ulcer Prevention and Management, vol. 289, no. 2, pp. 223-226. Lyder, C.H. 2006, â€Å"Assessing risk and preventing pressure ulcers in patients with cancer†, Seminars in oncology nursing, vol. 22, no. 3, pp. 178-184. McInnes, E., Jammali-Blasi, A., Bell-Syer, S., Dumville, J. & Cullum, N. 2012, â€Å"Preventing pressure ulcers–Are pressure-redistributing support surfaces effectiveA Cochrane systematic review and meta-analysis†,International journal of nursing studies, vol. 49, no. 3, pp. 345-359. Redelings, M.D., Lee, N.E. & Sorvillo, F. 2005, â€Å"Pressure ulcers: more lethal than we thought?†, Advances in Skin & Wound Care, vol. 18, no. 7, pp. 367-372. Stannard, D. 2012, â€Å"Support surfaces for pressure ulcer prevention†, Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses / American Society of PeriAnesthesia Nurses, vol. 27, no. 5, pp. 341-342. Stechmiller, J.K. 2010, â€Å"Understanding the role of nutrition and wound healing†, Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition, vol. 25, no. 1, pp. 61-68. Sving, E., Idvall, E., Hogberg, H. & Gunningberg, L. 2014, â€Å"Factors contributing to evidence-based pressure ulcer prevention. A cross-sectional study†, International journal of nursing studies, vol. 51, no. 5, pp. 717-725. Wake, W.T. 2010, â€Å"Pressure ulcers: what clinicians need to know†, The Permanente journal, vol. 14, no. 2, pp. 56-60.

1984 War Is Peace - 995 Words

1984 essay. War is peace. Freedom is slavery. Ignorance is strength. This is the slogan of the Ministry of Truth, a branch of the totalitarian government in post-war London. The figurehead of this government is Big Brother, who employs a vast army of informers called the Thought Police who watch and listen to every citizen at all times through a device called a telescreen for the least signs of criminal deviation or unorthodox thoughts. This novel, like Orwell’s earlier work Animal Farm and Aldous Huxley’s Brave New World, is an example of anti-utopian fiction, that kind of fiction which shows man at the mercy of some force over which he has no control. Anti-utopian novels are usually intended as a criticism of the time in which†¦show more content†¦The bewildering and anti-human experience of a person living in a totalitarian state is likely to bring about the kind of alienation apparent in 1984. Winston, the most obvious example, is severely cut off from the outside worl d. Alone and lonely, he feels alienated from his family, his neighbors, and the rest of society. Even with Julia, Winston does not find someone who shares the same thoughts and opinions that he does. He hates women and children. The Party’s war against love and sex for purposes other than reproduction has succeeded in cutting off Winston from half of the human race. As a result of the Party’s oppression, Winston’s psychological and sexual life has been crippled. Winston is able to perform his duties for the Party without thought or question, but inwardly he represses every contrary or unorthodox thought in the vain hope that he will not be discovered by the Thought Police. Secretly he despises the mindless Party members who are so intellectually and spiritually brainwashed that they can be easily led and made to do anything. Winston’s diary is his attempt to leave behind some record of the evils of him, yet he is unable to write anything more than ramblin g incoherence’s, as he has alienated himself from his own feelings. Winston does not actively or consciously estrange himself from the rest of society. Rather, his alienation is a passive response to a world he cannot endure, and he effectivelyShow MoreRelated1984: War Is Peace1004 Words   |  5 PagesThe past was erased, the erasure was forgotten, the lie became truth. In the novel 1984 by George Orwell, Winston undergoes a metamorphosis of character, which changes his life forever. At first Winston is just like everyone else, a dull drone of the party. Then he changes his ideals and becomes true to himself with obvious rebellion towards party principles and standards. Finally, Winston is brainwashed and is turned against himself and his feelings and is made to love the party. ThisRead More 1984: War is Peace Essay978 Words   |  4 Pages â€Å"The past was erased, the erasure was forgotten, the lie became truth.† In the novel â€Å"1984† by George Orwell, Winston undergoes a metamorphosis of character, which changes his life forever. At first Winston is just like everyone else, a dull drone of the party. Then he changes his ideals and becomes true to himself with obvious rebellion towards party principles and standards. Finally, Winston is brainwashed and is turned against himself and his feelings and is made to love the party. This is aRead MoreHunger Games And 1984 By George Orwell852 Words   |  4 PagesHunger Games vs 1984 The novel 1984 by George Orwell is based in a totalitarian society where the inner party controls the rest of Oceania. This storyline is very similar to the modern day story of The Hunger Games. Themes in 1984 such as Big Brother, the Inner Party, Telescreens, Thought Police, and Rebels are all also portrayed in The Hunger Games. Both stories follow the journey of the main character that is also the rebel in the story. There are many modern day stories that model the dystopianRead MoreAnalysis Of George Orwell s 1984 Essay1127 Words   |  5 Pagesmankind, yet it is difficult find one that is perfect even till today. George Orwell shows an example of this within 1984. 1984 was written based on what Orwell thought the government would be like in 1984. He used his personal knowledge and experience with the government to create his story. The setting of 1984 is set in a superstate where there is a totalitarian government. Within 1984 and the 21st century one major key stands out: corr uption rules both governments. Trust is part of a foundationRead MoreCritical Analysis Of 1984 By George Orwell1257 Words   |  6 Pages1984 by George Orwell sets the overall eerie tone of the book early on. â€Å"BIG BROTHER IS WATCHING YOU† (Orwell 3). In the book this was the statement was put on a poster of big brothers face. 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The collapse of oppressive totalitarian regimes leads to the conclusion that these governments by their nature generate resistance and are doomed to failure. The fictional world of George Orwells novel, 1984, is best described as hopeless; a nightmarish dystopia where the omnipresent State enforces perfect conformity among members of a totalitarian Party through indoctrination, propaganda, fear, and ruthless punishment. In the aftermath of the fallRead MoreA Literary Analysis Of 1984 By George Orwell721 Words   |  3 Pagesbook â€Å"1984 by George Orwell† it was written in 1948 as a thriller. Winston Smith is the main character of this story followed by two characters â€Å"Julia and O’Brien.† The book starts off with main character Winston being very frustrated with what is called the â€Å"Party† lead by a man named â€Å"Big Brother† hints the saying â€Å"big brother is watching you† from â€Å"George Orwells worst fear† stated by express.co.uk. the book takes you for a ride through what the author believes will happen by the year 1984 he statsRead MoreGeorge Orwell s 1984 Power1426 Words   |  6 PagesIn George Orwell’s 1984 Power is gained most effectively through control, fear and violence. Compared to a government like that of America’s, 1984 creates a more threatening structure of government where the public is limited from freedom and happiness. 1984 shows a world of a society where only the upper class has power and freedom from the harsh treatment that the general population receives. The idea of Big Bother makes the population of Oceania believe they are being watched over by a powerfulRead MoreAnalysis Of 1984 , Untruths, Myths And False Data Controls The Reasoning Of The Natives886 Words   |  4 PagesPeriod 4 1984 In 1984, untruths, myths and false data controls the reasoning of the natives. The Party utilizes purposeful publicity as the deadliest weapon of control. Promulgation builds the residents resolve and makes them surmise that what the gathering instructs them to do is constantly right. There are principally two sorts of purposeful publicity, one changes truth, purported doublethink, and another makes dread. Doublespeak can be seen much of the time in the realm of 1984. The gathering