Telenursing in Health Care Essay Example | Topics and Well Written Essays - 1000 words

Telenursing in Health Care - Essay Example From this research it is clear that  a healthcare center can never be successful without the implementation of information system and communication technologies because of their role in improving the system of healthcare delivery. Telenursing facilitates and improves communication between patients and healthcare professionals. Many patients are in such condition that needs them to stay at their homes where they can get medical and psychological treatment together. Moreover, elderly patients also prefer to stay at their homes during treatment because they feel more comfortable being at home. â€Å"As most elderly people prefer home care to residential care, the nursing profession must change its current practice†. Under such circumstances, the role of telenursing becomes more influential as nurses have to examine the health status of patients while being at distance from them. In addition to this, telenursing has also found its place in healthcare settings because of its role in improving the quality of life of patients.This paper stresses that nurses have the most dominant role to play in telenursing as they are the ones who have to interact with distant patients through video calling to examine their current health status, as well as to prescribe treatment to them. Nurses and patients come in direct contact through telenursing system. Patients speak about their feelings and health status based on which nurses recommend a change or continuation of the treatment.

The Decline Of America As A Superpower Politics Essay

The Decline Of America As A Superpower Politics Essay So what makes the United States so powerful? An even more intriguing question is how long will it hegemonic status last? These questions have been highly contested in the Political Science and International Relations field. History has given us insight as to why other hegemonies such as Rome and Britain collapsed, but it is important to make a distinction between history and Political Science, yes history lends a helping hand but it does not dictate what will happen in the future. The theories and arguments presented in this paper will represent the varying views of United States as a superpower. With the rise of China and India and the world which is seems to be shifting toward a more multipolar distribution of power it seems as if the United States is coming to an end within the next 20 years. However India and China face major internal problems such as ethnic division and political corruption that is prohibiting it from fully blossoming into a superpower. Therefore I argue that th e United States will remain the superpower, but not only will the U.S. have to adopt new policies but also be willingly to accept the fact that it power will be essentially less powerful. Fareed Zakarias article The Future of the American power: How can America Survive the rise of the rest: draws stark comparisons between Britain when it was the dominant force in the world and the U.S. One of the comparisons is the Boer war and the Iraq war.  [1]  There were 45,000 casualties, a loss of a half a billion pounds, and stretched its military beyond its capacity. The image of Britain was now looked at in a negative light. However, Britain contributed to its rapid decline by inefficient governance and corruption in war its war tactics  [2]  . Zakaria contest that however that Britains fall from grace was not because of poor politics but because of bad economics. He provides an example of how Britain failed to make efforts that will facilitate growth in the future; while Britain was concentrating on producing bicycles the United States was producing 12 times as many cars  [3]  . Zakaria also points to the fact Britain chose to submit to rising power which was the United States at the time also contributed to its place as were it now as second tier the U.S. The act of submission is significant to the future to relationships in a world is becoming more and more globalized. It has been illustrated in American foreign policy that the U.S. is reluctant to submit to any type of concession in regards to foreign policy. At the 2010 Nuclear Summit the president Barack Obama emphasized that the United States is the leader in foreign policy when it comes to combating terrorism around the world and that the actions taken by the U.S. is for the betterment of the world. What is interesting about this statement is prior to the summit president Barack Obama and Dmitry Medvedev signed the START treaty. The Strategic Arms Reduction Treaty was symbol of a new start in U.S. Russians relations which had hit an all time low during the Bush administration. More importantly this act signals how the United States are conceding a one aspect that is paramount to its status as the Hegemonic power in the world, its nuclear weapons. Granted that once these weapons are destroyed both the United States and Russia have enough nuclear weapons to destroy the rest of the world this several times over; it was perhaps a symbol of rare cooperation between two countries who are very powerful in their own aspects, to benefit both of them especially image wise. President Dmitry Medvedevs foreign policy is encompasses what some scholars predict will become more prominent in the international area, which is nationalism. International Law and the world are becoming multipolar.  [4]  The United States relationship with its most important international institution, NATO is becoming more and more contentious; differing opinions on the war on Afghanistan, the existence of U.S. nuclear weapons in Europe and its lukewarm relationship with Moscow are causing concern for the United States  [5]  . If NATO cannot come to an agreement with the its mission in Afghanistan, frankly, the U.S. war filled with many problems; a lack of trust between the U.S. and president Karzi, Afghanistans seemingly slow response to the U.S. push towards democratization, and hundreds and thousands of Afghani casualties. Secretary of State Hilary Clinton has made a recent trip to Estonia to me with NATO to help mend difference  [6]  . If differences with NATO mater ialize into deeper disagreement the United States could suffer a severe blow to its influence. It has been in illustrated in the past how the United States uses its influence in foreign policy to dictate and shape foreign policy that will lessen the threat against them and affords them the opportunity to control aspects of new military development with its allies and enemies  [7]  . This has been the stance of American foreign policy, an example is when Europe attempted to form its military independent of U.S. influence this of course was met with extreme criticism and backlash from the United States, this prevention of a military influence has been a policy carried by both republican and democratic administration starting with Bush I, Clinton, and Bush II  [8]  . It is unclear as to whether or not president Obama will continue this policy as staunchly as the previous presidents. Foreign policy is not the only potential problem that the United States Fareed Zakaria argues that before the American Dream there was the British way of life  [9]  . His point being that the American dream is just as susceptible to becoming a part of history just as the British way of life has become a piece in history. However this is not necessarily true the same article American culture is constantly being perpetuated in the media around the world and English is the most common universal language, American music, movies, and movies stars are the most recognized in the world. The United States remains the most attractive place for foreign exchange students with 30% approximately each year  [10]  . Soft power can be the key to keeping America as a hegemonic power and the U.S. recognizes that. President Barack Obama has emphasized the importance of education he has pushed to make college affordable for every American child. It is no secret the United States struggles with an inequality gap in regards to education. It is often echoed that American students are falling behind in math and science but if examined a little closer this is only somewhat true: those numbers represent the schools that do not have the resources which is a small problem now but if not fixed the third of the population that this statistic reflects will not be able to contribute to the economy and therefore will worsen the already strained economy  [11]  . He has also stressed the importance of community colleges giving those students who for whatever reason could not attend a four year university right away a chance to utilize their education in a positive way. In comparison to its two adversaries China and India, the United States schools surpasses their educational system. The quality of educati on in those countries is weak when compared to the United States. An example was given that resonates and attest to this point specifically with China. China teaches its students to test while the United States teaches its students to think critically. Leaders from emerging countries recognize that being able to think critically which have inspired visits from government officials to schools. Financially the United States invests more in education than Europe: the United States invest 2.6%, Europe invest 1.2%, and Japan investing 1.1%  [12]  . America leads in nanotechnology and biotechnology two subject fields which inspire innovation and investment. What fosters nanotechnology and biotechnology to grow is engineering. Statics show that China and India are producing more engineers than the United States. According to the numbers the China produces 600,000 and India produces 300,000. However when analyzed more closely the engineers that are come out of these countries are taught to resolve or create simple task  [13]  . The United States universities has the luxury of giving incentives to people who choose to major in engineering especially minorities because of this there has been more encouragement to youth to take on those fields, the agenda being to keep Americas competitive edge. President Barack Obama has already increased the NASA budget by $6 billion pledging to conduct advance research in space, new missions to Mars, and increase earth based observation to get a better study of the earths environment  [14]  . What the United States is doing is building on Human capital. It is obvious that through because of the current economic crisis the United States realizes that investing in health, education, and innovation is a way to keep the country ahead of any type of competition that could be seen as a plausible threat in the near future. What gives America the advantage is that it has the capacity to invest in Human capital. As opposed to China as mentioned where there is large disparity between the rural community and the urban community and India where illiteracy rates are staggering especially among women and men. In addition Europe will be facing its own Human capital problem: because of its aging population less and less people are going to be able to work and it will become more costly to take of them. In contrast the United States is expected to see an increase in population the U.S. population is expected to increase by 65 million people in 2030  [15]  , and given the current effor ts by the U.S. they will more technology sound, even more educated, and healthier than previous generations, which can only enhance the United States as leading force in the world. It is important to recognize however the United States is facing tremendous problems. While the U.S. has tried to build a hierarchy with foreign its foreign allies with it obviously being at the top of the latter  [16]  , keeping the United States as the leader in foreign relations: it seems as if other states are becoming stronger in various ways and are pursuing their interest more so than collectivity. Proponents of the U.S. primacy believe that other states will comply with the United States because their involvement in world affairs is looked at to be in good cause for the country  [17]  . The war in Iraq, its relationship with Israel, its politics in Latin America, and the image of Washington D.C. all contribute to uneasiness in with foreign countries. A recent study shows that U.S. popularity is increased since Obama came to office. Cynicism about Americas image a been a road block to American power, but a study done by the BBC published on April 18th shows that global views of the U.S. has improved over the last year, while other countries have declined  [18]  . Part if this report shows that the U.S. has overtaken China with respect to favorably. So what does this mean for the U.S.? When countries feel threaten or insecure about a relationship with a fellow state, economic and policy agreements become more contentious and the government becomes less trust worthy, which in effect will cause restraint among projects or trade relations that will hurt both parties. If the U.S. continues to appear to less aggressive in its image there is a possibility that other countries will follow. However America will have to deal with countries that are forming democracies that are not molded after Westernize democracy. This can further complicate how America pushes for Human rights, international law, and foreign policy because its influence has been diminished as other states are becoming more influential. The world is showing that there a struggle between American ideology and shift to multipolarity. However if there is a possibility that America can still keep its status but the United States has to accept the fact that the financial crisis will have a lasting impact on its future: power is money and provides leverage, seeing that this is in jeopardy the United States will have become more cooperative with emerging states. What the U.S. has in its favor is it improving image, its leading education, and its military power that surpasses any country in the world. The U.S. has a long way to go from failing from grace, it needs to utilize its soft power, continue to build its allies, and finally continue strengthen its military. Although it will be less powerful it will still the hegemonic power of the world.

A Comparison of John Donnes A Valediction: Forbidding Mourning, and An

A Contrast of John Donne's "A Valediction: Forbidding Mourning", and Andrew Marvell's "To His Coy Mistress" The stereotype of poetry is that poems are written to exemplify a relationship between two people who are so infatuated with each other it is said that they are "in love" and this can give meaning to what is commonly referred to as a love poem. Poets John Donne and Andrew Marvell write such poetry however, their poems "A Valediction: Forbidding Mourning", and "To His Coy Mistress", consider two different concepts. Although they are addressing love, they are dealing with different aspects of it.   Ã‚  Ã‚  Ã‚  Ã‚  The two poems can be contrasted in form, poetic devices such as symbols, tone, rhyme, and the rhythmical pattern. Symbols and tone can often encourage the reader to look for underlying mental representations that will connect them to the text to put different elements like the mood of the writer or hidden motives into perspective. The form and rhyme scheme can be applied to the person the poem is addressing, and when analyzed further, it can determine unconscious feelings and meanings that may be expressed by the writer. When using a certain rhythmical pattern, the writer can point out exactly how he feels about his subject.   Ã‚  Ã‚  Ã‚  Ã‚  Donne's poem is in stanzaic form and the rhyming scheme is ABAB, CDCD, etc. In lines one through four, "As virtuous men pass mildly away, / The breath goes now, and some say, no", the rhyming words: "away", "go", "say", and "no" because of the repetition of sounds can already make the reader feel bored. The words themselves can also reflect a negative feeling of being unwanted. These bland, organized sentences and the rhyme patterns show the speaker's unattached attitude, and take away from the excitement of the subject of love.   Ã‚  Ã‚  Ã‚  Ã‚  Marvell's poem uses continuous rhyming couplets to illustrate love's unconventional and irrational aspects, as love usually is. They take two separate lines and make a matching pair out of them. Often he uses words that can symbolize togetherness like "all" and "ball" as he writes:   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Let us roll all our strength and all   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Our sweetness up into one ball   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  And tear our pleasures with rough strife,   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Thorough the iron gates of life. (41-44) This rhyme scheme can make a relation to two people, a couple, joining together.   Ã‚  Ã‚  Ã‚  Ã‚  Donne uses symbols ... ...her depressing, such as one would use when separating. The poem also is not addressing its subject, the woman, directly. The concept of indirectness points to the author's lack of emotion. He is remaining emotionless and indifferent to avoid any confrontation from her. He wants their separation to be as quick and as painless as possible.   Ã‚  Ã‚  Ã‚  Ã‚   Since these two poems deal with completely different aspects of love, they must have been written differently. Their different forms can be analyzed to get the individual interpretation of meaning to be gathered from each. They both come across differently to the reader. One poem is about sexual love and the other poem is about the end of love. This just shows that not all love poems are about falling in love. When a person hears the phrase: "love poem," he naturally thinks that it will be about a love smitten male or female. These two poems just prove that there are many aspects of love that are not necessarily about falling in love. Love poems can also be about separating from our loved one or even about giving in to lust and temptation. From this the reader learns that there are more definitions to a love poem than originally thought.

Sustainability issue of companies

The new Pfizer has three business segments : health care, animal health and consumer health reduces. The company's innovative products are sold in over 1 50 countries and regions. Pfizer has the world's most advanced production facilities and testing technology, its first-class detection and analytical tools perfect quality assurance system, the company ‘s products meet or exceed the Chinese Pharmacopoeia and U. S. Pharmacopoeia standards, and the company's products is permitted exported to Japan, Australia, the Philippines and Europe .At present, China -listed products include: Pioneer will , Salesperson , Cutthroat , Difficult , Anoraks , Zloty , URI Y Inning , Vicarage , Celebrate , Lipton and so on. Sustainability issues Pfizer sustainability issues in two areas, the problem is that Pfizer as a leader in the pharmaceutical industry, they need to continue the development of new drugs or improve their existing product to make it better with better efficacy and smaller Side ef fects, this problem is a pharmaceutical industry as a whole needs to confront the issue.Although Pfizer in the year 2013 on this issue to make the appropriate action, but in the future this issue which will always be a core issue for the sustainable. Second problem is that Pfizer commitment to sustainable environmental problems. Pfizer hopes between the value and the social and environmental damage caused by the production of products continues to seek a balance, while minimizing the risk to our shareholders. Our strategic approach focuses on reducing energy and water consumption, in addition to innovative ways to manage waste.Report issue in the annual report Among Pfizer Annual Report on environmental matters for the company listed as a special detail explanation. Pfizer in Environmental Matters were particularly marked in the year 2009 to 2012 which are similar provisions for changes in Pfizer Pfizer hermetically plant in violation of the federal Clean Air Act as well as some mad e by the U. S. Environmental Protection Agency (EPA) approved remedy measures. The compensation and other matters relating to litigation or Pfizer for the development of new products also caused itemized breakdown of explanation and description to make the annual report them.Incentives Pfizer and enthusiasm to motivate employees to develop improved products interaction of which is how to have a positive impact among colleagues engaged in a frank and open dialogue, and to take responsible action and results. OWN information! Help colleagues to take appropriate risks and innovative thinking thoughtful, challenging the prevailing views and assumptions and make better, faster decisions. For example: research colleagues took an innovative approach defined as type 2 diabetes, helped lead to the formation of a Joint venture to promote therapeutic compounds for the treatment of this potential contours.In what is now our global innovative pharmaceutical business, a team of researchers detect ed formability challenge – a complex of symptoms characterized by chronic widespread pain condition pain, fatigue, etc. And created a use of electronic medical records to identify and a new method of diagnosis of formability related variables. Business development team in Portugal, will help lead to some account Enabler was significantly higher than the performance of innovative contracting market. C.V. Is the second-largest drugstore chain Walgreen, in the United States, with more than 7,600 stores, is based on the total income of the second largest U.S. Prescription drugstore. As the retail pharmacy division of C.V. Caretaker company, which is listed as the 13th largest according to the company, in the Fortune Global 500, 2013. The main competitors C.V. drugstore chain Walgreen ranked 37th. C.V. Sales of prescription drugs and a wide range of general merchandise, including over-the- counter drugs, beauty products and cosmetics, film, photo finishing services, seasonal merch andise, greeting cards, and through their C.V. pharmacy and convenience food stores and on-line drugs bulls through C.V.. Com.It also provides healthcare services through its Maintenance than 600 clinics, as well as their diabetes care center. Most of these clinics are located within C.V. stores. New environmental sustainability issues facing the C.V. is facing a health care form that appears after and how to make us have a better impact on the community. Since 2013, the annual C.V. U. S. Health care reform changes and ongoing major demographic change will be faced with the overall environment and there will be a significant change in the next few years, and the initial deployment of the AC has been with challenges.The C.V. believe their corporate responsibility is to help patients and clients achieve their health, moral and responsible business. Listed separately in the annual list of C.V. for health care reform and other issues acing the changing business strategy and organization al self-made structures as well as how to give their patients and clients better treatment and services made corresponding policies. C.V. For health care reform and other issues increased their business health insurance market, which is the main C.V. growth strategy in the coming years, and our strong position in the medical market, retail and IBM auxiliary. N our patients and customers to help us in particular on the establishment of a number of assets to manage some of the characteristics of the patient's health are spending, including: the presiding Judge, a rare disease management and professional integration, through a consistent, integrated retail / mail options special connection specialist patients and according to our unique automated platform Involving medical claims management technology, market-leading home infusion services.These can enable our customers and patients to be healed while spending the least cost, while C.V. in order to allow patients access to their custom ers and provide maximum convenience thief allow consumers through the mail or at our convenient retail pharmacies to get them prescription options. C.V. Plans through their medical advisers and Silversmith prescription drug plan to help their clients and patients with certain chronic diseases, such as diabetes and cardiovascular disease, identify gaps care, stick to their prescription drugs, and better manage their health.We also expanded the program to Medicare beneficiaries, which helps health plan clients achieve better clinical star ratings, so in terms of the community to get more recognition and thus indirectly on large their potential customers. Home depot The Home Depot was founded in 1978, is the world's largest home improvement detailer, the second largest U. S. Retailer. Home Depot sales of all types of building materials, home furnishings and lawn garden products, and provide a wide range of related services.Home Depot stores average standards covering nearly 9,758 squar e meters indoors and another 2,138 square meters of outdoor garden products area. In addition to the standard Home Depot store outside, we have mainly provides products and services for the home improvement and remodeling projects EXPO Design Center, the face of professional customer service Home Depot Supply and The Home Depot Landscape Supply. The Home Depot Sustainable problems faced there first is a change in accounting standards and subjective assumptions; second is dedicated to improving the environment.The first issue is due to changes in accounting standards will significantly affect our financial results or financial position. Generally accepted accounting principles and related accounting pronouncements, implementation guidelines and on a wide range of issues is related to our business, such as revenue recognition, impairment of assets, impairment of goodwill and other intangible stets, inventories, lease obligations, self-insurance, tax matters and interpretations litigat ion is very complex, involving many subjective assumptions, estimates and judgments.Changes or changes in the interpretation of these rules or the basic assumptions, estimates or Judgments could significantly change our reported or expected financial results or financial position. The Home Depot in the annual report which , especially for companies from the year 2012 to the year 2013 in the field of environment in which to make a detailed description of the measures and for the year 201 5 is expected , especially in the many is to change the energy savings made , because in the last time the greatest problem the Home Depot is excessive energy consumption .And in 2013, the year in which the company's energy management team to continue to pursue the establishment of strict energy- efficiency standard operating practice , all of our U. S. Facilities . These measures include HAVE temperature control unit , and adhere to strict lighting plan, which is the largest source of energy consump tion in our stores , and the use of energy management systems in each store monitoring energy efficiency. We estimate that , through the implementation and use of these energy- saving external programs, we saved almost 7. One billion kilowatts hours ( kHz ) since 2004 . That year, we set a goal to reduce per kHz Square feet in our U. S. Stores by 20% by the year 2015 , and we met that goal in fiscal year 2013 , ahead of our target date . The Home Depot act to protect the environment in order to motivate the creation of a recycling project in particular, through this project can reduce the items to be thrown away to reduce the increase in recycling garbage.There is a plan to deal with gizzards materials and waste, which determines the company's sales or use of hazardous substances, including specific precautions to avoid leakage and contamination, general procedures for handling damaged containers, and provide powerful clean-up countermeasures to limit leakage of. Workplace Hazardous Materials training in understanding and more in-depth training, environmental compliance associates who are specifically designated to store and erase all contacts responsible for dangerous goods. References 1. The Home Depot 2013 Annual Report 2. The C.V. 2013 Annual Report 3. The Pfizer 2013 Annual Report

Hot zone

There are a number of characters in this book, choose one and tell us why you would want to be that person. Throughout this book we are introduced to many interesting and riveting characters but in my opinion one of the best characters in this book would have to be Major Nancy Jaax. She was a veterinarian in the Army, and her work at Fort Detrick in Maryland often took her away from her children. Consequently, she often made up batches of meals in advance so they could easily be thawed and reheated in the microwave (Preston, 1994). She and her husband, Jerry, met in college and both became veterinarians.They eventually entered the military together as members of the Army's Veterinary Corps(Preston, 1994). They lived in Maryland with their two children, Jason and Jaime, and various pets. Nancy's work took her away from her family in other respects, as well, and she missed saying goodbye to her dying father because she felt that leaving during the decontamination mission would be a der eliction of duty (Preston, 1994). Nancy Jaax had to fight to get into the pathology group at the United States Army Medical Research Institute of Infectious Diseases (Preston, 1994).At that time, her status as a married female† made other people feel that she was unqualified for the Job and that she would panic in a dire situation. The military at that time was still a very male-oriented organization. In addition, Nancy had bad reactions to the vaccinations necessary to enter the program (Preston, 1994). She actually wanted to get into the Level 4, or the highest-risk part of the program, because there is no vaccine for those agents. Finally, Nancy's hands tended to move very quickly, and that made others nervous (Preston, 1994).When individuals handle sharp instruments that could be contaminated witn virus-intested b everyone wants to believe that his or ner partner is going to handle these instruments safely. Over the course of time, Nancy battled through each of these objec tions. She studied martial arts to control her movements, and at 5 feet, 4 inches, she could knock a 6-foot-tall man to the ground easily (Preston, 1994). Getting accepted into the program also included her standing up for herself to the colonel in charge of the program (Preston, 1994).She proved her desire and her competency, and by the time of the outbreak at the monkey house in Reston, Nancy Jaax had been promoted to the Chief of Pathology at USAMRIID Preston, 1994). 2. In your opinion did the government react appropriately when they decided to destroy the monkeys in Reston? Why or why not? In my opinion, yes the government did react appropriately when they decided to destroy the monkeys in Reston. The monkeys at a research facility were infected with a strain of Ebola.The military, along with the Centers for Disease Control (CDC), takes on the task of entering the monkey house and destroying the animals in an attempt to keep the virus from Jumping into the human population and c ausing a potentially worldwide crisis (Preston, 1994). The entire facility must be treated as a Hot Zone, and hundreds of monkeys are killed. Scares abound throughout the procedure: one woman's ventilated suit runs out of battery power, a monkey thought to be unconscious wakes up on the operating table while it is being euthanized and tries to bite a soldier, and tears occur in various members' space suits