Chronic disease managment Essay Example for Free

Chronic disease managment Essay What is self-management? Self-care management is defined as the behaviour employed by an individual in managing and implementing the treatment regimen within the individuals lifestyle routine and it recognizes an individuals central role in managing chronic diseases (Costantini et al. , 2008). In sum, self-management is to help individuals collaborate with health care professionals to help themselves, by using strategies and proper interventions, to bring self-care into daily routine to help managing chronic diseases and to promote quality of life. How will you promote self-efficacy and autonomy for your clients in your practice? Chronic kidney disease (CKD) affects almost every aspect of patients life, both physical and emotional. According to Mok (2011, p12), several strategies identified in helping patients with CKD to improve nutritional adherence. These strategies fall into three categories: patient education, behaviour modification and organizational changes. These strategies also applicable in other treatment in CKD. According to Barbra (2011,p183), when patients disease deteriorate or towards terminal states, strategies of ending self-management and back to medical or comfort care were also mentioned. Nurses can apply these strategies by nursing interventions to help promote patients self-efficacy and autonomy. First, patient education strategies. Nurses should assess patients need and their knowledge and literacy level before providing education. These assessment should make sure patients are ready to accept the changes and the education received can be fully understood. Usually when patients are knowledgeable in their own condition, their self-efficacy and autonomy will be greatly improved. In addition, education should also be provided to caregivers because a lot of patients with CKD depend on caregivers in ADLs. During assessment and education process, nurses should be aware of using good communication skills, interviewing skills and make sure accurate information and related resources are provided to patients and caregivers. Second, behaviour modification strategies. According to Mok (2011, p12), several techniques can be used in behaviour modification such as reminders, self-monitoring, and positive reinforcement. Nurses can combine effective behavioral, psychosocial strategies such as periodical reminder by using telephone, email, regular appointment or face to face interaction. Nurses should advocate patients for regular follow up to make sure patients adherence to treatment. No patient is alone in chronic disease treatment, nurses should collaborate with patients family members and caregivers to help maintain compliance. In addition, nurses can assist patients in using self-monitoring techniques such as blood pressure monitoring, diaries, logs, personal health records to help track their health condition. Third, organizational changes. According to Mok (2011, p13), nurses can collaborate with other health care professionals such as dietitians and physicians to enhance compliance. Nurses can directly help patients in developing dietary plan and improve patients satisfactory, in turn, promote treatment adherence. Lastly, according to Barbra (2011, p183), when patient unable to perform self-care, giving up self-management and return to professional medical care should be acknowledged. Nurses should educate and assess patients and caregivers capability of performing self-management, making sure they are knowledgeable of serious symptoms and capable of seeking help when needed. What are indicators of successful self-management in patients with CKD? According to Mok (2011, p12), several factors may affect successful treatment such as lack of knowledge, hectic lifestyle, lack of decision making in own dietary outcomes and dissatisfactory of dietary prescription. First, knowledge deficit will make patients unable to choose proper food or make necessary adjustments, in turn, leads to failure in self-care management. Therefore, patients education, knowledge and ample resources provision are indicators of successful self-management. Second, hectic lifestyle such as fast-paced lifestyle or elderly depend on others are often unable to adherence to the prescribed regimen. Therefore, lifestyle modification, caregivers capability and support are also indicators of successful self-management. Third, lack of decision making of own dietary outcome due to depend on caregivers instead of patients might influence successful self-management. Fourth, dissatisfaction of prescribed renal diet will affect patients adherence. Therefore, patient readiness to change, communication skills, assessment tools and psychosocial support are also indicators of successful self-management. In sum, indicators of successful self-management involves every aspect of disease process and treatment. In nurses and patients perspective, nurses communication skills, interviewing skills, collaboration capability, staff training, patients readiness, patients emotional support, patients knowledge, problem solving techniques, etc are all indicators of successful self-management.

Personal Narrative - My Real Father Essay -- Personal Narrative Writin

My Real Father "Never forget the past†¦because it may haunt you forever. Regret all the bad things†¦cherish the good things. Look ahead always†¦but don't let the bad things from the past get in your mind." As a young child, there were so many incidents in my life that made me become the person I am today. There were rough times as well as good times. If I were to tell you all of them, I would remember half of them. I think some of my incidents really had some impact, and some were just simple ways of life. To tell you the truth, the incident that had the most impact on me has to be when my real father left me at the age of three. I never knew my father. I mean being a baby, you really have no experience or recognition of somebody else. My mother got pregnant at eighteen years of age. From what I was told, she knew my real father well enough that she wanted a child from him. As a result, she gave birth to me in April of 1981. She was so happy and glad for having her first child. My mother informed me that in the beginning she and my father lived well and tried their best to raise me. As time passed, my father was always drunk and cared less about anything. If I was sick, he never went out to buy me medicine or took care of me. He would just be drinking and complain about everything. My mother realized she was tired of him. He wasn’t good for anything. As my mother told me, he’d come from work and get into arguments and sometimes beat up on her. When it came to that point of physical abuse, she had enough of him. One day, he got into a big fight with my mom. He nearly destroyed the apartment where we lived. That night, he went to a bar and got drunk. My mother told him to never come back. Days passed and he never returned. H... ... my mother never mentioned my real father again. It’s like when we began talking about him, we just talked about the coward he was. In retrospect, now that I matured, I really don’t think about my real dad. He was just a stranger to me. I’m very proud of myself for being the type of person I wanted. I know at some point, I feel that my real dad wonders how I’m doing. I really don’t miss him at all. I mean I was able to grow up, go to school, and mature. I wish he knew where I’m at. I have all my needs, a nice step-father, a mother, shelter, food and clothing. I’m in college and at the same time working. That’s why I think for what happened in the past, I put it behind me and moved on with my life. Now, I look ahead for the future. I want to be success. I want to help my parents with money. Regardless of my past incident, I always look ahead and never turn back.

What makes a good teacher

Teachers play a crucial role in the continues growth of society. The goal of every teacher is to pass his/her teachings to his/her students for their personal benefit. As a student I was assigned the task of analyzing and defining the differences of a teacher and a good one, comparing the virtues of a good teacher with many others things, and making clear what a good teacher is not. In order to understand what a good teacher is, first we need to analyze what is a teacher. A teacher is an individual who can be either male or female. A teacher is an adult who has mental ability. Teachers are individuals who have educated and prepared themselves such as going through a university degree, plus two years teachers college. Now, who is a great teacher? Being a good teacher does not ensure his or her to be a good one. Good teachers need to be wise people with enough experience and knowledge. Also, good teachers are patients and humorous with the main purpose that their teachings are easily understood by their students. Good teachers are sociable individuals who can interact with all their students in order to understand and respect their students` opinion. Good teachers could be compared with many things in this world. Good teachers are physiologists, as they are able to deduce their students’ problems. Good teachers are similar to parents given that they play a role model for students to become very successful in their future life. Good teachers are a great source of knowledge and experience. Good teachers are as coaches given that they encourage their students to achieve what they really want. In addition, good teachers can be considered as an encyclopedia because they have a broad knowledge, which they transmit to their students. By defining, what a good teacher is not, improve the understanding of a good teacher. Good teachers are not individuals who are only interested in making money because their commitment is to play an important role model for students. Good teachers are not magician; they cannot do miracles to incentive the students to study as the result depends on how eager the students have to meet their goals. In addition, good teachers are not robots because they also can get tired and have problems as students do. In conclusion, there are many differences between a teacher and a good one. However, the major task of a good teacher is to guide their students through the right path in order to make the students become successful in their future life. What Makes a Good Teacher What Makes a Good teacher? To teach or not to teach that is the question Teacher is not only a person, who should teach, it is a person who must lead the pupil on the way to the knowledge. Teacher shows the world and explain the laws of this world. He is often a tutor, a preceptor, a person that you respect. This profession is very hard and important. But, what makes a good teacher? There are many things which make a teacher great and they all can`t be defined. However i`ve always considered several of them essential.In my opinion a good teacher is someonewho first of all creates interest in studying,doesn`t underestimate the children,has equal expectations of siccess from everyone and last but not least likes his job. A good teavher always has a sense of purpose. He chooses very carefully the teaching programme and adjusts it to the needs of his students. Children always come first and that`s why the decision he makes are based on how they will affect them. He shares experience with other teachers and thus is always learning new things.It is very important for a teacher to be a good communicator. my mind, teacher is at first a man, a person and if he is a difficult person with inner problems, with bad character – he can’t be really good teacher because teacher works with people, not with machines. He should know how to socialize, how to help others. Good teacher must understand their pupils, their feelings. Teacher’s purpose is giving knowledge, but people don’t take knowledge easily, they want to convince themselves in necessity and importance of this information.Good teacher can make so that pupils let pass the studies throw their hearts. Most of all, it is very important for teacher to love his subject. His mood, opinion irrationally hands on his pupils. If person love something – his feelings, his example will be better than any words. So, what makes a good teacher? I think, a good teacher is a vocation, a gift of God bec ause sometimes a person have excellent qualities, wonderful character, loves his subject, but we can’t say that he is really good teacher. To be a good teacher is a talent and a miracle. What Makes a Good Teacher A person may be blessed with natural abilities, but through human nature, we desire personal connection and motivation. The movie Stand and Deliver told the story of a high school class that fell short of academic requirements. Jamie Escalante was a new, influential teacher who made an impact on inner city students by simply demonstrating interest and faith. Jamie showed attention to the students outside of the classroom and did not give them the opportunity to make excuses. Mr. Escalante cleverly manipulated his students into success with various techniques, a majority of which would help me thrive in math class.Angel was a student, first introduced as a trouble maker. As the audience realizes that there is more to Angel than his tough guy routine, so does Mr. Escalante. He is a compassionate grandson, taking care of his sickly grandmother. Angel showed up to Mr. Escalante’s house on Christmas Eve with his grandma, and although it was an act of resentment, they were welcomed in for dinner. Personally, when I was younger my grandpa was very sick; I would spend nights in the hospital with him and my family unable to complete homework assignments which ultimately set me behind in classes.However, like Mr. Escalante, my teachers understood that my life did not always revolve around the classroom. I had other responsibilities and worries on my mind. However, Mr. Escalante also did not allow his students to let their worried minds become excuses for their lack of success or sloppy work ethic. All Mr. Escalante asked of his students was ‘ganas’ or the desire to learn. He held them to a higher standard than they ever had been before which motivates me well because it gives me something to prove.I want to join the Navy after high school and a friend of my sister’s said that I do not have the desire for it. After I heard that, I became more encouraged than ever. Also no excuses were tolerated in his classroom which I believe is a fantastic tac tic. Students know exactly how to manipulate teachers, whether there is a sincere justification for something or just an excuse. When Angel is late to class, Mr. Escalante kicks him out, since his tardiness shows that Angel does not see the value in learning.Later, Angel again comes into class tardy, this time after being with his grandmother in the hospital. Although Angel’s excuse is genuine, Mr. Escalante does not accept it and asks Angel to leave. It is this attitude that inspires the students to attend class regularly and on time. In life, excuses get you nowhere except back where you started. Teachers who do not accept excuses are the ones who care about you enough to get you ready for the real world. Mr. Escalante was very successful. He started with a class of students who did not care about grades or math at all.However, through his tactics, within a few years, those same students passed the advanced placement calculus final. Mr. Brechlin, I will do better in math an d school in general if I am forced to be all I can be just as Jamie’s students were. I am a slacker†¦ and need to be pushed! Like Angel I do have personal and family issues and need help and guidance at times. However, as Mr. Escalante put it, when I’m getting hired for a job they will not want to hear my problems. In the real world, there are no such things as excuses, only my work ethic and ability to succeed.

William Shakespeare s The Midsummer Night Dream - 948 Words

Our group focused on a chapter from Shakespeare’s Festive Comedy, â€Å"May Games and Metamorphoses on a Midsummer Night† by Barber, C.L. From this section of the book, it gave me a new insight regarding to Shakespeare’s play The Midsummer s Night Dream. Barber did a great job in his explanation on the romance part of the play and also on the metamorphoses part, however he was unorganized and the methods he used to explain his ideas were confusing. In the scene, where Lysander and Hermia plans to escape, Barber refers to Romeo and Juliet. At that point of the play, they are star-cross lovers and their love is being frowned upon Also, Lysander refers to their love as a struck of lighten meaning it was love at first sight, which also happened in Romeo and Juliet. When people fall in love at first sight it shows that love itself is blind. Their relationship is out of the ordinary because during the Renaissance it is the parents or authorities that took control over marriage. Those that reject that rule usually ends in a tragedy. Another scene that Barber amplifies love is blind, was the scene between Demetrius and Helena. Demetrius, who just fell out of love with Helena, was blindly in love with Hermia who despises him. Helena whom would give the world to be with Demetrius is also blind by love because no matter how hard Demetrius pushes her away, she still clingy to him. If love was not in fact blind then even the love potion would have not blinded Lysander from loving HermiaShow MoreRelatedWilliam Shakespeare s A Midsummer Night s Dream1339 Words   |  6 PagesHonors For A Midsummer Night s Dream By William Shakespeare 1. Title of the book - The title of the book is called A Midsummer Night s Dream by William Shakespeare. 2. Author s name - The author of the book A Midsummer Night s Dream is William Shakespeare. 3. The year the piece was written - A Midsummer Night s Dream by William Shakespeare was believed to have been written between 1590-1596. 4. Major Characters - There are three major characters in the book A Midsummer Night s Dream by WilliamRead MoreA Midsummer Night s Dream By William Shakespeare1882 Words   |  8 PagesWritten during the Elizabethan era where gender roles played an important part in society and relationships, A Midsummer Night’s Dream by William Shakespeare portrays the interaction between both sexes, and the women’s response to the expectation of such norms. Although the characters: Hippolyta, Hermia, Helena, and Titania, are portrayed as objects (both sexual and material) contingent upon their male lovers, they are also given empowerment. During the Elizabethan Era, and present throughout MNDRead MoreWilliam Shakespeare s A Midsummer Night s Dream1474 Words   |  6 Pagesinstance, one could look at the movies A Midsummer Night’s Dream and Shakespeare in Love. The latter follows the life of William Shakespeare himself, everything from his love affair with Viola de Lesseps to his creation of Romeo and Juliet. A Midsummer Night’s Dream, is one of the most famous plays of Shakespeare’s, revolving around the tumultuous relationships of four lovers, aided, and sometimes thwarted by the mischief of fairies. Although Shakespeare in Love outlines a few of the characteristicsRead MoreWilliam Shakespeare s A Midsummer Night s Dream1548 Words   |  7 Pagesspoken by Helena in Act 1 Scene 1 line 234, explains that it matters not what the eyes see but what the mind thinks it sees. In the play, A Midsummer Night s Dream, written by William Shakespeare, there are several instances where the act of seeing is being portrayed. The definition of vision is the ability to see, something you imagine or something you dream. This proves that even though one has the ability to see; the mind tends to interfere and sometimes presents a different picture. VariousRead MoreWilliam Shakespeare s A Midsummer Night s Dream867 Words   |  4 Pagesspecifically how they will benefit that other person, you’re in love.† In A Midsummer Night s Dream, William Shakespeare intertwined each individual characters. Through the concept of true love and presented to the audiences a twisted yet romantic love story. The love stories of Renaissance are richly colorful, so Shakespeare used multiple literary techniques to present to the readers a vivid image of true love. Shakespeare applied metaphor in the lines of Lysander. In Act 1, scene 1, Lysander saysRead MoreWilliam Shakespeare s A Midsummer Night s Dream990 Words   |  4 PagesSymbols in William Shakespeare’s A Midsummer Night’s Dream Symbols help to play an important part in giving a deeper meaning to a story. William Shakespeare uses a variety of symbols in his play A Midsummer Night’s Dream and by using these symbols he offers some insight onto why certain events take place in the play. Symbols are sometimes hard to decipher but as the reader continues to read the symbol’s meaning might become more clear. Shakespeare uses a variety of symbols in A Midsummer Night’s DreamRead MoreWilliam Shakespeare s A Midsummer Night s Dream1397 Words   |  6 PagesShakespeare’s comedies, like those of most Renaissance playwrights, involve love and its obstacles. Much of the comedy in A Midsummer Night’s Dream derives from the attempt of Lysander and Hermia to remain together while overcoming the adult authority figure who attempts to hinder the love of a young couple. The overcoming of an obstacle functions as a common motif in Renaissance comedy. The audience must wonder, however, whether Lysander and Hermia, as well as Demetrius and Helena, actually loveRead MoreWilliam Shakespeare s A Midsummer Night s Dream1207 Words   |  5 PagesWilliam Shakespeare’s A Midsummer Night’s Dream has been categorized as a comedy play because of all the characters being passionately in love to the point of being foolish. It’s a play all about love, and the characters that are in love are only young adults, so they are still naive when it comes to love. Their naivety and foolishness regarding love is what allows them to be taken advantage of by mischievous fairies when they all run away into the woods. By critiquing the love affairs and numerousRead MoreWilliam Shakespeare s A Midsummer Night s Dream1277 Words   |  6 Pagestogether. Nor will love ever be a controllable compulsion. Maybe we are fools for going into the perilous, eccentric universe of love; yet what fun would life be without it? William Shakespeare s play A Midsummer Night s Dream investigates the unconventional, unreasonable and unpredictable nature of love during his time. Shakespeare conveys this through the main plot of the play, which is composed of the relationships between three couples. The three couples show examples of three different types ofRead MoreWilliam Shakespeare s A Midsummer Night s Dream1442 Words   |  6 Pages William Shakespeare is estimated to have lived from 1564 to about 1616. He is often recognized as great English poet, actor, and playwright, and paved the way for many on all of those categories. Over that span he wrote many pieces that are still relevant today such as Romeo and Juliet, Hamlet, and Macbeth. I would like to take a deeper look into one on his pieces â€Å"A Midsummers Night’s Dream.† This piece is estimated to have first been preformed in about 1595 and then later published in 1600. Many