Special Education Policy. Morgan Gill. Grand Canyon...

Special Education Policy Morgan Gill Grand Canyon University EDU 535 Instructor: Kimber Underdown March 1, 2017 Special Education Policy There have been several reforms in the past 100 years that have had an influential effect on policy in special education. Some of these changes have left a positive legacy for future education legislators to build from while others have been detrimental to a student’s educational success. All having positive and negative outcomes, some of these changes impacting education include the National Institute of Child and Human Development, Education for All Handicapped Children Act, No Child Left Behind Act, and Individuals with Disabilities Act. The reforms listed above will be discussed†¦show more content†¦Education for All Handicapped Children Act The Education for All Handicapped Children Act (EAHCA) is the government’s response to public schools exclusion of disabled children. In 1975 the EAHCA mandated a free appropriate education at public expense regardless of specific disability (Swafford, 2016). This allowed students with disabilities to access a quality education and related services. According to Smith (2005), EAHCA required local school districts to abide by a strict set of guidelines when educating a disabled child. For example, assessments must be administered before a student could become eligible for special education services. This allowed for dual language learners and students of a diverse culture to be tested in their own language and not classified as having a disability (Smith, 2005). There is no dispute that the Education for All Handicapped Children Act made several positive advancements in the educational system, but, there were also many inconsistencies and defects of the policy. Colker (2013), reported that congress was concerned that the definition of a learning disability was broad and ill-defined. With restricted subsidy, congress created a funding cap limited to one-sixth of all disabled children within a state (Colker, 2013). Regrettably, funding was not the only issue that the EAHCA faced. A study

Nuclear Energy Essay - 679 Words

nbsp;nbsp;nbsp;nbsp;nbsp;There are sources of energy that are renewable and do not cause so many pollutants, however they only contribute a smaller amount to the energy pyramid. These sources include hydro-electric power, wind power, solar energy and biomass energy. Most of these fuel sources do not produce as much energy as efficiently as the majority of fuel sources used today. Solar power is a clean source of practically inexhaustible energy. Solar plants are easy to construct and solar power is safe. It has many uses from heating to direct electric energy generation. Wind power is also a clean source of energy, however it can be intermittent and low yielding. Moving along to hydro-electric energy generation which is used slightly†¦show more content†¦(H.E.R.I.). nbsp;nbsp;nbsp;nbsp;nbsp;Many car companies today are preparing for the use of fuel cell power generation. Companies like Ford, Chrysler, and Honda are already developing or have already developed vehicles built to run from the fuel cells or transitional motors. These engines are designed to run more efficiently and more cost effectively than those of today. Commercial cars of today are getting increasingly more efficient due to the hundreds of thousands of engineers in the world making improvements to the internal combustion engine. When this number is compared to the 5000 people world-wide working to develop fuel cells it is easy to see the already efficient fuel cell in favor of the much developed combustion engine and the direction of fuel production for the future. Squeaky clean hydrogen operated buses are also being developed for mass transportation purposes. Transportation is a preliminary test to develop the use of the fuel cell and can easily be converted into other uses. nbsp;nbsp;nbsp;nbsp;nbsp;It is important for the consumers to realize the magnitude of the energy situation and strive to provide their children with the tools and the education to properly conserve the resources available. These simple tasks can start in the home and can be easily applied to everyday life. For example, it’s more efficient to leave a light on instead of turning it offShow MoreRelatedNuclear Energy Is The Energy866 Words   |  4 PagesWhat is Nuclear Energy â€Å"Nuclear energy is the energy in the nucleus, or core, of an atom.† Each nucleus has two kind of particles Neutrons Protons There are two process to release nuclear energy Fission and fusion Process Fission A atom of one element is divided to create two small atom of different elements Fusion During this process, nuclear reactors use uranium to release energy Two atoms are combined to made a large atom This energy produces heat and warms the reactors cooling agentRead More Nuclear Energy1400 Words   |  6 Pagesquestion is what caused this. Nuclear power plants are good for producing energy, but they do affect the environment. Mother Nature has no doctor to cure her of her ailments, unlike humans who do. Who asked Mother Nature could we contaminate her crystal clear waters, strip her of her beauty, or darken her skies? Did anyone consider her with the idea of how nuclear power plants would affect the environment and how the need of nuclear energy would increase, how nuclear power plants could be saferRead MoreNuclear Energy984 Words   |  4 Pagesgoing to research all energy sources and their drawbacks, we are also going to explore on some the negative ramifications that even the clean hydropower have, additionally we are going to weigh those against the possible consequences of developing nuclear power, a controversial alternative to fossil fuels. We will discuss the Fukus hima Daiichi nuclear disaster as well as the 20th century Chernobyl nuclear meltdown in drawing conclusions about risk versus reward of nuclear energy use. As we allRead MoreNuclear Power And Nuclear Energy1341 Words   |  6 Pageswhen nuclear energy is produced without incident, the science itself creates vast quantities of toxic waste, which is impossible to discard† (Dupea, n. pag.). Because of the fact that there is no way to safely dispose of nuclear energy and waste, many issues have arose. There are many more safe and more reliable sources and ways to produce energy that involves less risks. Countries need to eliminate the use of nuclear energy due to the problems it causes. Some of the largest issues with nuclear energyRead MoreNuclear Power And Nuclear Energy Essay1456 Words   |  6 PagesIntroduction Nuclear power is used to some degree to provide electricity to many countries, and it is also playing a significant role as a main fuel resource for marine propulsion for ships. For many countries, nuclear energy is their primary energy source, such as France. However, nuclear energy has its benefits and drawbacks. The nuclear energy power plants need less raw materials than the other energy power plants, such as coal power plants. But if there is an accident, large amount of radioactiveRead MoreNuclear Energy And Nuclear Power1705 Words   |  7 PagesNew energy sources are invested in every year to produce heat and electricity for the citizens of the United States. However, nuclear power is becoming a much more urgent discussion topic. Nuclear power, or the use of nuclear fission to generate heat and electricity, contributes to nearly 20% of the electricity generated and used in America. According to the Department of Energy, the United States has invested 60 years of their time into nuclear power! But why have we done so? Well, the productionRead MoreNuclear Power And Nuclear Energy1170 Words   |  5 PagesNuclear power is one of the most controversial forms of energy in the modern world; the destructive power of nuclear armaments has led to worldwide fear of nuclear energy. But as scientific communities continue to learn more about nuclear power, as well as ways to make it more practical in the competitive energy market, it may soon see an increase in its use in the United States. Consequently, several major problems with nuclear energy need to be evaluated by the U.S., and potential improvementsRead MoreNuclear Energy : Nuclear Power Essay1265 Words   |  6 PagesWhen one hears the words ‘nuclear power’ they are immediately offset with images of Fukushima, Chernobyl, and Hiroshima and Nagasaki. These were agreeably a few devastatingly deadly and lasting disasters involving nuclear energy. With newer technologies and processes such as the use of nuclear fission, however, harnessing nuclear energy has become a safe practice. The global climate and overall health of the world is shifting toward the worse, and humanity only has itself to blame. It is time thatRead MoreNuclear Energy : Nuclear Power1251 Words   |  6 Pages What is Nuclear Power? Nuclear power uses nuclear fission to release nuclear energy which creates heat that can then be used in nuclear power stations to provide electricity. In nuclear fission, the nucleus splits apart generating large amounts of energy. Nuclear fusion is also an excellent energy source because it produces no greenhouse gases or combustion products which are not radioactive. The drawback is that it takes too much energy so we are sticking to nuclear fission. Nuclear power a controversialRead MoreNuclear Energy And Nuclear Power Essay1582 Words   |  7 PagesNuclear Energy For many Americans, the electric bill is the most dreaded bill to arrive each month; it is always expensive, yet it doesn’t have to be. To lower electricity costs for citizens and businesses, the Unites States could increase its use of nuclear power. Nuclear energy is created when an unstable radioactive element decays and emits nanoparticles called radiation. With today’s current technology, the emission of these atoms as well as the energy released can be controlled and used in

Aggregate Expenditure And Output Of The Short Run Essay

Aggregate expenditure and output in the short run. In principle, an economy is in equilibrium when the main macroeconomic variables tend to remain stable over time without external shocks. However, the conditions that this balance must fulfill differ according to the period in which we are analyzing the economy. In any economy, output, income, and aggregate expenditure coincide. However, this cannot be the equilibrium condition, since it is an identity. In order to be able to say that the economy has reached the equilibrium, the condition that is required is that the production and the rent are equal to the planned expenditure. The difference between planned expenditure and actual expenditure is unplanned inventory investment, which is also part of aggregate demand. Therefore, another way of defining equilibrium is that the unplanned investment in stocks equals zero. If for example, the planned aggregate expenditure was lower than the output of the companies, they would see their stocks rise above what they had anticipated. As this accumulation of inventories is computed within the total expenditure, it would be fulfilled that the GDP is equal to the demand, but the level of production would not be of equilibrium. In fact, in the following periods, the companies would adjust their production downwards to give rise to the unwanted increase in inventories. The balance would be reached when production ended up at a level equal to the planned expenditure. 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I have been able to retain that aggregate demand is the total quantity of goods and services that a household, foreign buyers, and governments will buy at a given price level. A shift to the left of the aggregate demand indicates a fall in price, output returningRead MoreInflation and Aggregate Expenditure1540 Words   |  7 PagesA decrease in planned aggregate expenditure D. All of the above 6. The planned aggregate expenditure (PAE) curve/line is: A. Upward sloping 7. The import function is _______________ , while the net export function is __________. D. Upward sloping; downward sloping 8. An income tax decrease for individual consumers will cause the planned aggregate expenditure function to: A. Shift upward 9. An increase in the real rate of interest will cause the planned aggregate expenditure function to: B. ShiftRead MoreUnit 8 Answers1388 Words   |  6 Pagesï » ¿Unit 8 Answers 1) Long-run Macroeconomic Equilibrium and Stock Market Boom Let us assume the economy reaches its long-run macroeconomic equilibrium in 2020. When the economy is in the long run macroeconomic equilibrium, the stock market will also reach its boom. This will in turn lead to increases in stock prices more than expected, and the stock prices will stay high for some period. Answer the following questions based on the scenarios of long macroeconomic equilibrium and consequent stockRead MoreImpact Of The Construction Sector On The Uk Economy Essay1084 Words   |  5 Pagestendencies of entering a recession. It has to be recognised that it is an extremely volatile industry which has adverse effects on macroeconomic objectives some of which includes economic growth and unemployment. This sector also affects aggregate demand and aggregate supply; all of which will be analysed and evaluated in conjunction with diagrams and the impact that they have on the economy in general. In addition to this, the effects that this sector has on the housing sector will be analysed. TheseRead MoreEssay On South Korea721 Words   |  3 Pagesgovernment expenditure and high tax rates among the wealthy and welfare handouts as an automatic stabilizer, the unemployed or workers with low income will be able to receive benefits that alleviate their lack of income. This increases their disposable income allowing greater consumer expenditure, shifting aggregate demand (AD1 to AD2). Aggregate demand is the total demand for all goods and services produced in an economy. It also reduces the income gap. By increasing government expenditure on publicRead MoreEcon984 Words   |  4 Pagesconsume domestically. A5-4. If aggregate household saving is negative, the marginal propensity to save from disposable income must be negative. A5-5. If desired aggregate expenditure is greater than actual national output, national output will increase. A5-6. If the domestic price level decreases, the price of domestic goods decreases relative to foreign goods. This will result in an upward shift of aggregate expenditures and a rightward shift of the aggregate demand curve. A5-7. When nationalRead MoreWhat Is Fiscal Multiplier?920 Words   |  4 Pagesrunning these deficit levels. This is the most important fiscal policy issue that needs to be addressed. When developing a plan for fiscal policy, it is important to understand the current fiscal multiplier. Fiscal multipliers measure the change in output that would result from a change in government spending or tax revenue. There are several factors that cause changes in the fiscal multiplier. One major factor is the current state of the business cycle. 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This paper will discuss some policies that stimulate the economy, their relation to aggregate supply and demand, and the effectiveness of stimulation these policies will have on the economy. The article â€Å"What is the difference between fiscal and monetary policy?† written by Dr. Econ and posted on the Federal Reserve Bank of San Francisco

Traditional Religious Wardrobe And High Fashion Mix

It is a rare occurrence that traditional religious wardrobe and high fashion mix. However, HM is combining the two in a recent campaign. This advertisement is creating culture fusion, acceptance of Muslim culture and a space for the hijab within fashion. However, there has been negative reviews concerning losing their culture and fear from the public. The retailer HM has recently been using advertisements with people of all shapes and sizes. Their new advertisement style is making fashion flexible. The most recent video campaign features a model, wearing a traditional hijab (nyt). The models name is Mariah Idrissi and she hopes that this advertisement recreates an old Muslim tradition and how people view it. The hijab is a traditional Islamic piece of clothing that is an expression of modesty and privacy. This mixture of traditional Muslim culture and modern American pop culture is an example of a cultural fusion. It is very uncommon for such a traditional religious cultural item to appear in something involved so highly in modern culture. However I think that the hijab expresses more than just religion but it also is an expression of Muslim culture. This campaign takes a tradition Muslim practice and give it an American outlook. Creating a culture for Muslims and Muslim Americans with in not only American culture but also high fashion. One major thing that this advertisement did was to help forge a space for Muslim culture. 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Created by an in-house design team, the range of instant classics sits alongside the more specialist collections. 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Direct Care – strategy development in the multistakeholder context of public sector services. BBC – structural changes to deliver a better service. Sony (B) – more structural changes at the high-techRead MoreStephen P. Robbins Timothy A. Judge (2011) Organizational Behaviour 15th Edition New Jersey: Prentice Hall393164 Wo rds   |  1573 PagesDiversity in Groups 58 †¢ Effective Diversity Programs 58 Summary and Implications for Managers 60 S A L Self-Assessment Library What’s My Attitude Toward Older People? 40 Myth or Science? â€Å"Dual-Career Couples Divorce Less† 47 An Ethical Choice Religious Tattoos 51 glOBalization! 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Hudson Bay Company Free Essays

The Bay – You are the Buyer†¦ Assignment Erica Hobb Sarah Walkington As a Buyer for the Bay, I would ensure that these new brands that I was bringing in to my department would be productive by researching every brand and making sure there on the same trend line that we are trying to follow. Knowing your target market is also a key element when introducing new brands. The selection factors that I would look at when choosing what brands to bring into my store would be dependent on the season, fit, colour or pattern, durability of garment or product, price, versatility/multi-use, designer label/prestige factor and quality of construction. We will write a custom essay sample on Hudson Bay Company or any similar topic only for you Order Now When deciding what brands to get rid of and which ones to keep, this would be solved by knowing which products are successful and which ones are not. Also which brands are going to match the new reconstruction of our company the Bay and which brands fits in with the new theme and which ones are outdated. In my opinion, the different factors of the two retailers are: The Bay is very Canadian based, not just because it started in Canada but because even their window displays are reflective to a Canadian theme, where as Holt Renfrew is known for being a high end retailer selling brands and products that are available and sold in other retail stores. The Bay has added over 250 new brands and 90% of which are exclusive to the Bay in Canada. Another factor that is different between the two retailers is their pricing. Holt Renfrew is designed for people with lavish lifestyles and an eye for expensive designer clothing where as The Bay ranges from all price points. The Bay has style and affordable merchandise. Also the customer service you find at both retailers are very different. When going into Holt Renfrew, your getting the whole shopping experience. Employees almost tend to smother you making sure everything you need is at there service where the Bay is more low key. How to cite Hudson Bay Company, Essay examples

Since the lovers die at the end of the play, does this mean that hatred has the final victory Essay Example For Students

Since the lovers die at the end of the play, does this mean that hatred has the final victory? Essay Most people in todays world dream of finding someone that they truly love, and who loves them in return, and spending the rest of their lives together. However, back in Elizabethan times, things were slightly different. It would have been more important for a girl to marry someone she didnt love then to never marry at all because she didnt care for anyone, it was thought of as foolish for someone to marry for love. Girls would have been married from around the age of twelve, and would have been expected to have their husbands children. Most people preferred to have sons rather than daughters, mainly because when a father found a suitable husband for his daughter, he had to pay money, or goods in order for his daughter to be allowed to marry, this is known as a dowry. Whilst in the marriage, the wife would have been her husbands property, just as children would belong to their parents. Romeo and Juliet is based upon this system. From the very beginning of the play, we are told that Romeo and Juliet will die because of their love for each other, for example, The fearful passage of their death-markd love (Prologue), and throughout the play we are reminded that the beautiful love story we are hearing, will end in tragedy. Like the quote says, their love for each other was marked with death from the start, it was written in the stars that their deaths, in so many ways, would touch so many lives. Romeo and Juliet also say things that point towards their inevitable deaths: My grave is like to be my wedding bed (Act 1 scene V line 149) There are many clever references throughout the play to tell us that although there is a battle between love and hate, and it seems so often as though hate overcomes love, it is all to bring happiness and peace in the end. But thankful even for hate, that is meant love (Act 3 Scene V line 165). This is a good example; Juliet is talking to her father about marrying Paris. She is saying that even though there may be something that she dislikes, that she hates, (i.e. marrying Paris), she is thankful to her father because it was out of love for her that he wanted her to marry Paris in the first place. This can also be applied to the overall moral of the play; it was because of the hatred between both their families that in the end Romeo and Juliets love killed them, from situations of hate, love can be found. This seems to be the theme throughout the play. When looking at the battle between love and hate, we are not just looking at the relationship between Romeo and Juliet, but at the many relationships between the other characters involved. The story of Romeo and Juliet is filled with interconnecting characters that all have the same sort of relationships, just put differently. For example: Juliet and Lady Capulet. We are not told much about the relationship between the mother and her daughter, but we can clearly see that Lady Capulet takes very seriously the rule that you own your child. Juliet does not seem to have a very close relationship with her mother, but acts towards her more like Lady Capulet is her employer. I think that because of Lady Capulets high social position, she doesnt really have time to take care of Juliet, and wasnt really around when Juliet was growing up, and therefore hasnt made a special motherly bond with her daughter. When Juliet tells her that she does not wish to marry Paris, Lady Capulet is ready to aba ndon her only daughter, something that you wouldnt really think a mother would do. However, there are some situations during the story that make it seem as though Lady Capulet really does love and care for Juliet. .u7247c71d08cfbbeb721b93dc010dd32c , .u7247c71d08cfbbeb721b93dc010dd32c .postImageUrl , .u7247c71d08cfbbeb721b93dc010dd32c .centered-text-area { min-height: 80px; position: relative; } .u7247c71d08cfbbeb721b93dc010dd32c , .u7247c71d08cfbbeb721b93dc010dd32c:hover , .u7247c71d08cfbbeb721b93dc010dd32c:visited , .u7247c71d08cfbbeb721b93dc010dd32c:active { border:0!important; } .u7247c71d08cfbbeb721b93dc010dd32c .clearfix:after { content: ""; display: table; clear: both; } .u7247c71d08cfbbeb721b93dc010dd32c { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u7247c71d08cfbbeb721b93dc010dd32c:active , .u7247c71d08cfbbeb721b93dc010dd32c:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u7247c71d08cfbbeb721b93dc010dd32c .centered-text-area { width: 100%; position: relative ; } .u7247c71d08cfbbeb721b93dc010dd32c .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u7247c71d08cfbbeb721b93dc010dd32c .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u7247c71d08cfbbeb721b93dc010dd32c .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u7247c71d08cfbbeb721b93dc010dd32c:hover .ctaButton { background-color: #34495E!important; } .u7247c71d08cfbbeb721b93dc010dd32c .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u7247c71d08cfbbeb721b93dc010dd32c .u7247c71d08cfbbeb721b93dc010dd32c-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u7247c71d08cfbbeb721b93dc010dd32c:after { content: ""; display: block; clear: both; } READ: Wife of Bath's Prologue EssayO me, O me! My child, my only life, Revive, look up, or I will die with thee'(Act 4 Scene V lines 24-25). In this quote Lady Capulet is speaking to Juliet, however, Juliet is in a deep sleep although Lady Capulet thinks that she is dead. Here, she is willing to die to be with her daughter. Again it seems that even though there doesnt seem to be a lot of love, and at one point there is hate between Lady Capulet and Juliet, in the end you can really see the love shining through. The thought of her only daughter dying, brought out the love that Lady Capulet had for Juliet. Another relationship that demonstrates hate turning to love, is that of Romeo and Tybalt. Tybalt actually, physically hates Romeo- he is ready and willing to kill him whenever he has the chance. Romeo, the hate I bear thee can afford No better term than this, thou art a villain (Act 3 Scene 1 lines 53-54). He says on many occasions how much he hates Romeo, and ironically, in the end it is Romeo that kills Tybalt. So where does the love come into it? After marrying Tybalts cousin, Juliet, Romeo feels a strong bond of love towards Tybalt. However, since Tybalt does not know Romeo and Juliet are married, he still continues to hate Romeo. In this case, hate does have the final word. One of the most important relationships, the main focus of the story, is that of Capulet and Montague. This relationship causes the hatred in the play, and in the end it is the death of their loved ones, that brings about the caring, and the love. The houses of these two men are constantly fighting because of them; their children kill themselves, because of them. In so many ways hate should have the final victory, but it doesnt. Throughout the play, it is not just each other that the two men hate, it is the family of the other, and in the case of Capulet, his own daughter. we scarce thought us blest That God had lent us but this only child; But now I see this one is one too much.(Act 3 Scene 5 lines 184-186) There is not really any direct speaking from one man to the other, but the hatred that they share can be seen through the people that are close to them. In fact, it is quite surprising that Romeo and Juliet find it in their hearts to love each other, when the hatred they should show to the other has been instilled in them through their family, and especially their parents. This proves that love is stronger than hate. Before I go on to discuss the relationship between Romeo and Juliet, there is one that doesnt seem very important, but actually this. That is the relationship between Paris and Juliet. There is no real hate in this relationship; there is no real love in this relationship. It seems that Paris loves, or thinks he loves Juliet, and under different circumstances, maybe Juliet would feel more towards Paris than she did. Paris is a character that often refers to love, and to hate. For Venus smiles not in a house of tears (Act 4 Scene 1 line 8)- Venus the goddess of love, cannot spread this love with people who are sad, and hurt inside. Paris seemed to understand that Juliet could not be forced into loving, when she was so hurt. This gives the impression that maybe if there is enough hate, there can be no love? My only love sprung from my only hate! (Act 1 Scene 5 line 152) Juliet, on first discovering that the man she had just fallen in love with, was in fact the son of her fathers worst enemy shows in this sentence, that love can come from hate. .u255659d92ff90f1dccafba60d03a0927 , .u255659d92ff90f1dccafba60d03a0927 .postImageUrl , .u255659d92ff90f1dccafba60d03a0927 .centered-text-area { min-height: 80px; position: relative; } .u255659d92ff90f1dccafba60d03a0927 , .u255659d92ff90f1dccafba60d03a0927:hover , .u255659d92ff90f1dccafba60d03a0927:visited , .u255659d92ff90f1dccafba60d03a0927:active { border:0!important; } .u255659d92ff90f1dccafba60d03a0927 .clearfix:after { content: ""; display: table; clear: both; } .u255659d92ff90f1dccafba60d03a0927 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u255659d92ff90f1dccafba60d03a0927:active , .u255659d92ff90f1dccafba60d03a0927:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u255659d92ff90f1dccafba60d03a0927 .centered-text-area { width: 100%; position: relative ; } .u255659d92ff90f1dccafba60d03a0927 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u255659d92ff90f1dccafba60d03a0927 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u255659d92ff90f1dccafba60d03a0927 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u255659d92ff90f1dccafba60d03a0927:hover .ctaButton { background-color: #34495E!important; } .u255659d92ff90f1dccafba60d03a0927 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u255659d92ff90f1dccafba60d03a0927 .u255659d92ff90f1dccafba60d03a0927-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u255659d92ff90f1dccafba60d03a0927:after { content: ""; display: block; clear: both; } READ: Play based on Adult Child/Dead child by Claire Dowie EssayThat which we call a rose By any other name would smell as sweet; However she soon realises that it doesnt matter what your name is, or whose son you are, if you love someone, if someone is special to you, thats all that matters. I think that this is something a lot of people can learn from. The example that she uses, if a rose wasnt called a rose, it would still smell as lovely as it does. Just like as Romeo is a Montague, he would still be as attractive and unique to her as if he wasnt. A Dove-feathered Raven, the dove, the bird of peace, a messenger for the goddess of love, a bird said to contain the very souls of lovers, a sacred and holy bird that is a sign of hope and peace for so many. The Raven, a mysterious dark bird that is meant to bring ill omen, a bird that can look into the future, Ravens are said to be associated with the Devil, to be messengers of death. What does this have to do with the battle between love and hate? The way I see it is that when Juliet speaks these words, in a way she is referring to the fact that sometimes there is hate, that is surrounded by love. That there is death that is meant to bring something good. A Raven is symbolic of bad things like death, being unholy and bad luck, whereas the Dove is symbolic of peace, hope, love and G-d. Since the Raven being referred to, has the feathers of a Dove, goodness and hope surround it, even though at the core, at the heart of it all is evil and unhappiness. I think that this corresponds to the play, and how although it is sad, and painful to loose people you love, especially your children, in this case it was all for a greater good, to bring peace and love to all. Thus with a kiss I die I think that this sums everything up. Romeos final thought was of love- a kiss. Just as I believe that the final victory belonged to love. Throughout the play, it was shown that love conquers all, and that although there were a few situations that love didnt seem to be present, in the end everyone could see past the hurt, to the love.

Diabetes for Case Study Analysis- myassignmenthelp.com

Question: Discuss about theDiabetes for Case Study Analysis. Answer: Pathophysiology of Type 1 Diabetes High blood glucose level High blood glucose level in diabetes type 1 is directly related to the low levels and/or lack of insulin in the body due to autoimmune response that destroys the pancreatic beta cells (Cleland, 2017). The destruction of these insulin-producing cells leads to low and/or no insulin in the blood. Without sufficient insulin which is supposed to enable the movement of glucose from the bloodstream to body cells to be used as energy in metabolism, there develops a glucose surge within the bloodstream. Glucose in the urine The high glucose level among type 1 diabetic patients which can sometimes exceed 160 180mg/dl which is the Renal Threshold for Glucose makes the proximal tubules of the kidneys overwhelmed making it to excrete glucose in urine. Children just like pregnant women usually have low Renal Threshold for Glucose (below 7mmol/L) beyond which they developglycosuria (Reznik Cohen, 2013). Since the proximal tubule only reabsorbs limited amounts of glucose, the excess glucose passes into the urine of the patient. Increase urination Also referred to as polyuria, the condition occurs when an individual has excess sugar levels in blood. In normal circumstances, kidneys they reabsorb all glucose to be directed back into the bloodstream (Cleland, 2017). However, type 1 diabetes leads to high glucose levels in urine which pulls more water through osmosis from the bloodstream forming excess urine within a short time. Increased thirst Increased thirst is referred to as polydipsia which is directly related to the increased loss of water through excessive urination among type 1 diabetics. A high concentration of glucose in the bloodstream beyond 200mg/dL the kidneys, can no longer reuptake glucose from water (Weise et al, 2017). This leads to a high osmotic pressure in the in the urine within the proximal tubules of the nephron. As a result, water cannot be any more absorbed into the bloodstream but lost as urine leaving the body dehydrated. The increase in thirst therefore is the bodys response to the low water levels in the bloodstream as result of its high loss through urination. Increased appetite Increased appetite also referred to as polyphagia is caused by insufficient amounts of glucose in the body cells. This, results from low or lack of insulin in the body; hindering the movement of sugar from bloodstream into the tissues. In this case, hypoglycaemia develops due to the bodys inability to convert the food in the body into energy and thus perpetually starving cells (Reznik Cohen, 2013). The body responds appropriately to prevent starving of crucial tissues by making patients feel rapidly hungry and a need to feed. Ketones The lack of and/or low levels of insulin among type 1 diabetes patients makes the body cells to starve due to lack of sugar and thus resort to breaking down fat for energy. Ketones among type 1 diabetes patients result from the burning of fat in the cells instead of glucose (Ogbera, 2014). This process leads also to the spilling of ketonesthat form in blood into the urine.A loss of weight among diabetic patients also produces ketones since there is no sufficient insulin to enable the body break down sugar to create energy. Weight-loss Patients with type 1 diabetes experience sudden weight-loss. The loss of weight is mainly attributed to the bodys breakdown of fat to create energy. The fat which contributes to the body weight in normal circumstances is broken down by cells to create energy since there is no sugar in the cells due to lack of insulin (Ogbera, 2014). The body also burns the muscle energy to compensate for the insufficient glucose levels leading to reduced overall body weight. The Nursing Responsibilities and Supporting Rationales Related to the Administration of Aspart (Novorapid) Insulin Via FlexPenPrior to administration It is the responsibility of the Registered Nurse to ensure that they are able to understand and interpret the insulin prescription sheet. The nurse should ensure that the insulin prescription is not only complete, legible, unambiguous but also correct before administering it to the patient (Pharmacy Today,2017). This helps prevent wrong administration of the dosage and possible side effects to the patient. The nurse also should check insulin name and the dose against the patients insulin prescription chart from the records to ascertain the correct type and prevent accidental administration. The identity of a patient must also be confirmed before administering the insulin to ensure that the right person is given the right medication (Kma, 2017). There is also need to ensure that the insulin has not been administered already to a different person so as to prevent cross-contamination and/or infections. The nurse should then wash their hands, wear gloves, confirm and record blood glucose levels before administering the insulin for comparison purposes (Reznik Cohen, 2013). It is very important to confirm that insulin storage was appropriate and that it has not expired yet. The nurse can then prepare the insulin FlexPen device with an 8mm needle since Briana is not underweight. During administration During administration of NovoRapid by the FlexPen device the nurse should select an appropriate injection site that has clean skin. There is need to avoid to use of alcohol wipes since alcohol makes the injection to be more painful and hardens the skin which is not desired in insulin administration (Davis et al, 2010). The nurse should inject insulin into sub-cutaneous tissue and/or the soft fat but not the muscle. Therefore the nurse needs to raise the skin before administering. There is need to continue raising the injected skin and holding the FlexPen in place for about 10 seconds so as to enable the dispersion of insulin from the site (Kma, 2017). The nurse should ensure that they do not withdraw insulin from a prefilled pen by use of a needle as this contaminates the vial and thus interfering with FlexPen dose determination accuracy (Davis et al, 2010). NovoRapid should be administered subcutaneously using an injection in the wall of the abdomen, the thigh, upper arm, deltoid re gion and also in the gluteal region. This sites should however be rotated to ensure that there is minimal lipodystrophy risk. Since the NovoRapid is characterised with a faster onset of actions, the nurse should administer the medication immediately before the patient takes a meal. After administration After administration, the nurse should remove FlexPen device with the needle and dispose them among other sharps used in the procedure to prevent probable reuse and nosocomial infections through accidental pricks (Davis et al, 2010). The nurse should record the dose administered, timing and the site of injection. These records are for follow up process in managing the patients current and future sugar levels. In case the patient bleeds at the injection site, there is visible insulin at his site and/or the patient feels too much pain, the nurse should report to the supervisor (Pharmacy Today,2017). This could mean the need to re-administer the vial as I is likely that it was injected into the muscles when it should not. The nurse should use a needle remover to remove the needle before disposing it into the sharps safety box. This procedure prevents needle-stick injuries. Potential Impact of Type 1 Diabetes on Briana And Her Family Emotional Briana is likely to suffer from emotional ill-health due to the diabetes subsequent management. Research indicates that one in every three people suffers depression as a result of diabetes diagnosis and this impairs their normal functioning, individual adherence to medication and the required glycaemic control (Reznik Cohen, 2013). Brianas parents will also be affected emotionally as they will develop anxiety, depression among other phobias that are related to their childs health condition. Considering that Mr Tom, Brianas father already has a mental health problem, his situation is likely to deteriorate he receives special counselling on homecare procedures for Briana. The mother will most likely have to undergo the emotional effects of caring for both the father and Briana to prevent any deterioration in their health. Both parents will be concerned that their child might face discrimination from friends due to the condition and thus become anxious and unnecessarily over-protective . Physical Diabetes leads to nerve damages and this leads to slowed rate of stomach emptying, constipation, bloating, urine retention, dizziness while standing, tingling, numbness in the feet and hands among patients. Due to damages caused to the blood vessels, diabetes results to vision impairment, chronic kidney disease, arteriosclerosis among other cardiovascular diseases (Ogbera, 2014). Briana is thus at the risk of developing the above health conditions. Understanding this risk will make the parents physically worn out in managing their childs health condition. The management of sugar levels, providing special diet for Briana and ensuring that she is take out for safe physical exercises are all physically demanding practices to the parents. How to Adapt Your Nursing Care of Briana and Her Family to Accommodate Toms Intellectual Disability Tom as a parent needs to be involved in caring for Briana. However as a nurse I will ensure that I communicate the procedures and care option to him in the most effective way knowing well that he has communication difficulties due to his intellectual disability. In this regard I will use nonverbal communication and encourage his wife to use this approach to meet Toms cognitive and communication needs as indicated in Turan (2017). I will speak directly to him with his permission after confirming from the wife how he speaks and communicates. I would also encourage Tom to use his communication device if any before I brief him of Brianas condition and the necessary homecare activities needed, using simple but direct sentences. It is likely that Mr Tom will not understand all the procedures in one sitting and I will therefore encourage him and the family to be coming back to the facility for a continued instruction of their daughters care. Further, I will provide written instructions to t he family for everyone including Tom to understand the treatment regimen for Briana as suggested in Turan (2017). The written instructions are important as they serve as reference for the family to rely on in managing Brianas sugar levels and administering insulin. References Cleland, S. (2017). Double diabetes: the cardiovascular implications of combining type 1 with type 2 diabetes.Practical Diabetes,34(6), 210-213. Davis, E., Sexson, E., Spangler, M., Foral, P. (2010). An evaluation of prefilled insulin pens: a focus on the Next Generation FlexPenreg;.Medical Devices: Evidence and Research, 41. E, L. (2013). Type 1 Diabetes and Physical Activity in Children and Adolescents.Journal of Diabetes Metabolism,01(S10). Kma, A. (2017). Application of Premixed Insulin NovoMix30 and NovoRapid as Multiple Daily Injections or as Basal Bolus Format in Selected Diabetic Patients: Practical Evidence from Prospective Case Series.International Journal of Diabetology Vascular Disease Research, 1-2. Lukcs, A., Mayer, K., Juhsz, E., Varga, B., Fodor, B., Barkai, L. (2012). Reduced physical fitness in children and adolescents with type 1 diabetes.Pediatric Diabetes,13(5), 432-437. Mogylnytska, L., Mogylnytska, O. (2017). Endothelial Monocyte Activating Peptide II: Serum Levels in Type 1 Diabetes Mellitus.International Journal of Physiology and Pathophysiology,8(1), 57-63. Ogbera, A. (2014). I.13 Pathophysiology of Type 1 diabetes mellitus.Diabetes Research and Clinical Practice,103, S4. Reznik, Y., Cohen, O. (2013). Insulin Pump for Type 2 Diabetes: Use and misuse of continuous subcutaneous insulin infusion in type 2 diabetes.Diabetes Care,36(Supplement_2), S219-S225. Turan Gurhopur, F. (2017). Family Burden among Parents of Children with Intellectual Disability.Journal of Psychiatric Nursing. Updated guideline on use of oral medications to manage type 2 diabetes. (2017).Pharmacy Today,23(4), 14. Weise, J., Pollack, A., Britt, H., Trollor, J. (2017). Primary health care for people with an intellectual disability: an exploration of consultations, problems identified, and their management in Australia.Journal of Intellectual Disability Research,61(5), 399-410.