Health Promotion and Prevention of Diabetes Melliitus free essay sample

The three primary levels of health prevention (primary, secondary and tertiary) should be utilized. This paper will be a literature review of three journal articles focusing on diabetes mellitus and will discuss the purpose of health promotion in nursing practice; nursing roles and responsibilities in health promotion; nursing actions that promote health prevention and promotion; and finally a comparison of the three primary levels of health prevention. Health Promotion in Nursing Health promotion is defined as a multifaceted approach to encouraging health related lifestyle changes of individuals and communities with the ultimate goal of enhancing the overall health of the individual and the community (Bennett, Perry, Lawrence, 2009). Fry, Gleeson and Rissel (2010), recommend that health promotion be made a separate occupation from nursing. They argue that individuals would be specialists in the field of health promotion which would greatly aid in the health issues experienced by individuals and the community (Fry et al. We will write a custom essay sample on Health Promotion and Prevention of Diabetes Melliitus or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page 2010). This new occupation has yet to be established, leaving nurses to continue to use health promotion techniques in their practice. Nursing Roles and Responsibilities in Health Promotion Nurses comprise a large and powerful workforce that should be incorporated in health promotion efforts (Fry, Gleeson Rissel, 2010). Community nurses, especially school nurses have a responsibility to be observant of the people around them and use their knowledge to educate on health promotion and prevention (Bennett et al. , 2009). By educating school children on reducing modifiable risk factors for diabetes such as obesity, inactivity and poor diet, nurses could potentially decrease the amount of adolescent and adult onset diabetes (Bennett et al. , 2009). Nursing Actions that Promote Health Nurses play an integral part of health promotion, especially when it comes to diabetes. Nurses should use the nursing process to assess individuals, diagnose, implement a plan to assist with eliminating risk factors, and evaluate the progress achieved. Nurses in the community have the power to educate individuals on their modifiable risk factors and how to change their lifestyles to prevent the onset on diabetes (Bennett et al. , 2009). Nurses must continue to educate individuals on health promotion and utilize other members of the health care team, such as social workers, for uninsured or poverty stricken individuals. Comparison of the Primary Levels of Health Prevention Prevention can be broken down into three categories which divide the different types of health promotion and prevention. Primary Prevention Primary prevention occurs prior to the onset or contraction of an illness such as giving immunizations (Bennett et al. , 2009). For diabetes mellitus, primary prevention would be changing eating and exercising habits prior to a diagnosis. Diabetes mellitus has modifiable risk factors that if changed early in life may reduce a person’s risk for developing the disease (Caple Schub, 2012). These risk factors include obesity, inactivity, and unhealthy eating habits (Caple Schub, 2012). Using a primary prevention approach, an individual or community could greatly reduce their risk of diabetes by reducing their modifiable risk factors (Caple Schub, 2012). Secondary Prevention Secondary prevention is used to maintain a person’s health, lessen the length of illness and prevention progression of an illness (Bennett et al. , 2009). Secondary prevention involves screening examinations. It is recommended that screening for diabetes mellitus be done on overweight and obese individuals (Caple Schub, 2012). Since this disease can go on for years without being caught, secondary prevention can be used to identify the disease and attempt to control and maintain the person’s health status (Caple Schub, 2012). Since diabetes can be controlled with modifications to an individual’s daily life, goals for participants of diabetes secondary prevention programs would be similar to primary prevention activities such as weight loss, lowering blood lipids and blood pressure, increasing physical activity, reducing consumption of saturated fats, and increasing consumption of fruit and vegetables(Fry et al. 2010). Tertiary Prevention Tertiary prevention occurs after an individual has acquired a disease and strives to limit complications to the individual’s health (Bennett et al. , 2009). For example, a person with diabetes mellitus loses a limb. The tertiary prevention model would strive to protect the other limb, and the limb remaining after the amputation. Conclusion Nurses posse ss a power to assist with changing the way individuals and communities view and utilize health promotion and prevention practices. Utilizing three journal articles the following topics were discussed: the purpose of health promotion in nursing practice; nursing roles and responsibilities in health promotion; nursing actions that promote health promotion; and a comparison of the three primary levels of health prevention and how they relate to diabetes mellitus. References Bennett, C. , Perry, J. , Lawrence, Z. (2009). Promoting health in primary care. Nursing Standard, 23,(47),48-56. Caple, C. Schub, T. (2012). Diabetes Mellitus, Type 2: Prevention in Children and Adolescents. CINAHL Plus with Full Text, EBSCOhost accessed August 11, 2012. Fry, D. , Gleeson, S. , Rissel, C. (2010). Health promotion and secondary prevention: response to Milat, O’Hara and Develin. Heath Promotion Journal of Australia, 21(2), 86-91. U. S. Dept of Health and Human Services. (2012). Healthy People. gov. Closer Look: Health Disparities: Compare the Top 10 Causes of Death across Populations. Retrieved on August 10,2012 from

5 interview questions you shouldn’t ask potential employees

5 interview questions you shouldn’t ask potential employees We talk a lot about what questions interviewees should be prepared to answer, but what if you’re on the other side of that equation? Are there any danger zone questions (or just plain ineffective) questions you shouldn’t ask? There definitely are, and they range from inappropriate to downright illegal. Let’s look at some of them. 1. How old are you?Age is always a no-no in an interview. Even if the interviewee mentions it themselves or you can deduce the age based on their resume, you can’t ask about it or use it as a factor in the hiring decision. Per the Age Discrimination in Employment Act (ADEA), it’s illegal to use age as a discriminating factor in hiring. So by mentioning age, you’re opening the door to potential legal consequences for your company- whether you’re just making small talk or not.2. Are you married/do you have kids?Again, illegal, even if it’s just small talk. The U.S. Equal Employment Opportunity Commission (EEOC) forbids using gender or family status as an element in hiring someone for a role. A question about family status could make the interviewee think you’re fishing to see if she is planning to take maternity leave, or a question about marriage could make the interviewee think you’re trying to determine sexual orientation. It’s best to leave it alone and find other ways to make small talk. And you don’t want to risk making the interviewee feel uncomfortable about having to discuss personal issues. It’s better all around to keep discussion limited to professional areas.3. If You Were a [blank], what kind of [blank] would you be?This one isn’t illegal, by any stretch. It’s just not a very useful or effective interview question. Knowing which kind of tree the interviewer identifies with or which former member of One Direction they’d like to be doesn’t tell you much of anything about how they’d approach the job at hand. Whenever possible, you should avoid filler questions like these.4. What’s your salary history?What a candidate made before is largely immaterial to what they’d make at your company, unless you’re trying to take the easy way out and determine how low you can go, salary-wise. Either way, it’s not a terribly appropriate or relevant thing to ask someone who’s applying for a specific job. It could put the interviewee on the defensive and steer the conversation away from the job itself.5. What’s your biggest weakness?If you ask this, you’re not going to get a 100% truthful answer. Candidates are on to this game, so you’re going to get an answer with spin on it. No one is going to say â€Å"Yeah, I’m just not good at motivating myself to get work done in the morning† or â€Å"I make a lot of careless mistakes.† And does the spin answer like â€Å"I am too much of a perfectionist† really help you make this hiring decision?When you’re the interviewer and have all the power, it’s important to make sure you’re making a good faith effort to ask the right questions to get someone hired. The last thing you want to do is open legal cans of worms for your company or ask questions that just don’t tell you much about the person you’re hiring to fill this job. Learning to become a great interviewer is just as much a skill as learning to become a great interviewee, and the more you work on what to avoid, the more effective you’ll be.

Public Law Essay Example | Topics and Well Written Essays - 2000 words - 4

Public Law - Essay Example She places a notification about the forthcoming meeting (to be held on  April 7th) in the Jesmond Times newspaper on  April 4th. At the meeting, Joanna is told about the Wilton rabbit that lives in the forest, and so she decides to designate it as a protected area.   (a) The Access to the Countryside Association (ACA), who claim that they should have been consulted and were not; that the consultation process was, more generally, inadequate; and that the Wilton rabbit is found throughout the North East and is not rare. Pursuant to the Protection of Rare Animals Act, the Secretary of State is under no obligation to consult any particular group of people when it comes to decision making. The Act gives her discretionary powers regarding who to consult with prior. However, it is important that ACA looks at the provisions of the Act and consider what it says with regard to the required period of notice and if the proceedings are governed by strict rules of presentation of evidence. If the legislation is silent on those matters, the rules of natural justice require that adequate notice be given and person(s) with special interest in the decision be given an opportunity to be heard. According to American Iron & Steel Institute v. Environmental Protection Agency1, adequacy of notice can be determined by the fact that it fairly notifies any interested parties so that they can have an opportunity to air their views. However, inadequacy of the notice given does not automatically invalidate the final rule on grounds that the final rule adopted is different from the original proposal. This was as held in the above mentioned American Iron and Steel case. If it happens that the decision maker adopts a final rule that substantially differs from the original proposal, the courts will take it upon itself to analyze the adequacy of the original notice in a two part test. The first is whether the final rule can be considered a logical outgrowth

Personal Statement Example | Topics and Well Written Essays - 500 words - 50

Personal Statement Example During his tenure, he gained a vast experience in management and decided to launch his corporation that specialized in home appliances where he was the director. As a teenager, I worked with him in the corporation and incessantly acquired expertise and proficiency in management of security systems. For a duration of circa 2 years, starting 1st January 2008 to 6th November 2010, I was a system security officer for all branches of the establishment where I learned a lot from regular exchanges with customers. The aim of my job is to protect information from hackers and theft. I believe that the security of information is of vital prominence in the contemporary tech-savvy society. My desire to partake CIS is further bolstered by my ability to effectively undertake simple tasks such as word processing as well as fairly multifaceted tasks including administration of Linux web servers. Given a chance, I would use my interest and the skill that I will acquire from the course to contribute towards the betterment of our society and plummet or completely eliminate the huge number of hacking cases that have frustrated the effective functioning of businesses. Although I am currently enrolled in my University, I would like to transfer to this University and use my government’s scholarship to complete CIS. My decision is informed by the indisputable fact that the University’s reputation, academic staff, research facilities, prospects of its graduates landing a job are above par. What’s more, the University’s study plan is compatible with specialization in CIS, a factor that will empower me to develop personal skills, serve society, and reconnoiter other aspects of the specialty. As an international student, I can communicate fluently within and without the study environment. Thus, I will be able to cooperate with groups in accomplishing my personal goals and the University’s goals. Moreover, my aptitude to communicate will be

Fat is a Feminist Issue Essay Example for Free

Fat is a Feminist Issue Essay Susie Orbach writes about the reality that many women face with problems of obesity, overweight, social roles, and sex-stereotypes in the US. In â€Å"Fat is a Feminist Issue† the author writes in extend to the main problem that women face with overweight in America, how it has become a serious issue in the topic of obesity, and the typical â€Å"sex-role stereotypes† differences that exist today (449). Manipulated by media ads and the pressure on women to pursue the ideal physical and beauty appearance, Orbach claims that women have been the target of a â€Å"ten billion dollar industry waits to remold bodies to the latest fashion† year after year (451-52). In addition to this, Orbach gives us some background history on fashion and how media ads affected the thinking of those young ladies who lived in the 60’s and 70’s, where television started to be a mainstream along with magazines and radio. Orbach writes that in the 60’s, there were only three ways to â€Å"feel acceptable† within one’s society: to be skinny, flat chested and straight hair (451). By the 70’s the fashion was the opposite. Clearly, this statement clarifies the historical example of the classic American culture, slammed by media ads in which women are bombarded with new fashion styles and new trends every year. The fact of the matter is that Orbach claims that being fat is a â€Å"culturally defined experience of womanhood† (449), however, she calls society to make a change in this issue in which women are constantly fighting a never ending war of overweight and obesity. Response After reading this essay I’ve found there are reasons as to why women in our society today overeat. In terms of overeating, and the pressures society places on women, I agree that sometimes society place too much pressure on them to look or be a certain way. There are indeed some overweight woman who are perfectly healthy, and others who are not. Although, the issue comes when we try to impose what our idea of healthy is, or what it is supposed to look like from our on perspective onto them. This can drive people to depression, and all types of other bad habits like overeating. I also believe that Orbach, was correct when she stated that self –image, and self- consciousness, play a big role in this subject as well. She states that by not living up to the standards placed by society, would essentially be deeming oneself as an outcast, which in today’s society is very true. Those who cannot/ do not keep up with the latest trend, look, and style are no longer considered to be â€Å"in† which is ridiculous. Women especially, should be able to be them despite what new trend comes about, how many more people become skinnier, or whatever the case may be. We should teach that being comfortable in one’s own skin is what is key, staying healthy, and then working one becoming a better you is what comes next. This essay showed me that if one really took the time to think about it, being â€Å"fat† really could be looked at as a social disease that we ideally created and placed on them. I agree, that society, gender roles and the expectations that we place on women can be directly correlated with overeating and obesity. For me, obesity and overeating is something I never quite understood, nor took the time to really critically think about until now. I was skinny as a young girl; my weight was under one hundred pounds and therefore never having to think about being â€Å"fat†. As I got older, I started to gain weight, reaching one hundred and thirty pounds, and then I started thinking â€Å"Wow! I’m fat†. Then I became pregnant and gained more weight, I was â€Å"HUGE† in my eyes. After giving birth I became obsessed with my weight and body image. I started to exercise and eat healthy to lose the weight; I felt pressure from society, family, and friends to lose the weight because I had always been so thin. I even went to the extreme of having lipo after I couldn’t lose the weight by eating right and exercise. That period of my life was a dark and sad time for me; my family didn’t know about my depression, I was under so much pressure to look perfect! Orbach, also touches a subject that I kind of disagree with as she explains: â€Å"the relegation of women to the social roles of wife and mother has several significant consequences that contribute to the problem of fat† (450). The social roles have played an important role in the American culture, especially in women where it’s always the classic stay home mom, taking care of kids and the husband being the only provider. Under these circumstances, perhaps, women don’t feel the necessity to present an ideal physical image once they are married, or to what she claims it’s a â€Å"response to the inequality of sexes† where women feel less valuable and they express some type of rebellion towards the stereotypes that society has created of â€Å"being fat† or impulsive eating disorder (448-49). Reason I don’t agree completely with this subject is because, I know many stay at home mom’s that do want to stay looking good, and feeling good, not only for them, but for their husband and children. Overall, Susie Orbach’s article â€Å"Fat is a Feminist Issue† was a very good one. It teaches us that we should not imply our own beliefs of what the ideal woman should, or should not look like. While at the same time understanding that obesity and overeating are driven by something, some struggle, expectation, or pressure. This implies that would should not be so quick to say being â€Å"fat† is simply a choice that some individuals make and that, that is all there is to it, because there can be other factors. Works Cited

Comparing Boys and Girls by Alice Munro and A Clean Well-Lighted Place by Hemingway :: comparison compare contrast essays

Importance of Foils in Boys and Girls and A Clean Well-Lighted Place A Handbook to Literature says that the word "foil" literally means a "leaf" or a sheet "of bright metal placed under a piece of jewelry to increase its brilliance" ("Foil"). Thus when applied to literature, the term refers to "a character who makes a contrast with another, especially a minor character who helps set off a major character" (Barnett et al. 1331). For example, a foolish character may place a wise character's wisdom in a stronger light, or a cowardly character may make the hero's actions appear even more courageous. A foil is frequently an antagonist or confidant, but whoever the foil might be, the purpose is to illuminate one or more significant traits, attitudes or actions of a main character ("Foil" NTCE). In the story, '"A Clean Well-Lighted Place," by Ernest Hemingway, the younger waiter is a foil for both the older waiter and the old man who comes to drink in the café. The older waiter is concerned for the old man who has tried to kill himself. He understands that there are many lonely people who need a safe, well-lighted place to escape loneliness at night. The older waiter makes the comment near the end of the story that "each night I am reluctant to close up because there may be someone who needs the café" (1172). The older waiter is sympathetic to the old man because he himself is lonely. He confesses that " I am of those who like to stay late at the café, with all those who need a light for the night" (1172). On the other hand, the younger waiter has a wife to go home to and is irritated at the old man because he will not leave. He even says to the old man, who is deaf, "You should have killed yourself last week" (1170). This cruel remark contrasts sharply with the older waiter's characteristics of compassion, friendliness, and tolerance. In the story, " Boys and Girls," by Alice Munro, Laird is the foil for his sister, the narrator of the story. When the children are young, Laird's behavior contrasts with the maturity and responsibility shown by the girl. While she is busy watering the foxes, he goes off and swings "himself sick . . . going around in circles" or tries to catch caterpillars (987).

Ethical Issues- Schizophrenia

Many ethical issues can be presented when working in the medical field; a few major issues are presented in the case of Schizophrenia. Schizophrenia is a mental disorder in which people may hear voices in their heads that tell them to do immoral things, which are not there. A Schizophrenic person may also sit for hours without moving or talking, and are not completely sane. This disorder is a result of genetic and environmental factors. One of the issues that are involved with schizophrenia is telling schizophrenics, partial truths or lies.Studies have shown that when a schizophrenic is directly confronted, they usually do not return for treatment. As a result, some psychiatrists tell their patients â€Å"half-truths† or lies such as treating patients but telling them the medication is for anxiety or dysphasia, this way patients receive adequate treatment. Ultimately the psychiatrist is doing what is best for the patient, but is it really okay to lie to a patient? Another issu e is presented during the treatment of a schizophrenic patient, occasionally a patient will ask a psychiatrist for heir opinion on whether or not to pursue a lifelong dream they may have.When this occurs, the psychiatrist is presented with the decision of whether or not to support the patient on their dream. If the psychiatrist believes the patient is not capable of accomplishing their goal because of their mental disorder, they might discourage the patient form pursuing it because if they were to pursue it and fail, it could possibly worsen the disorder. On the other hand, the psychiatrist might support the patient in their dream, because in the situation where the patient accomplishes their goal, the notation may improve and could result in a better quality of life.So what should the psychiatrist do in this situation, when is it okay for the psychiatrist to decide what goes on in a patient's life? A third issue would be the whether or not to ask a patient dealing with this disorde r if they would like to write their advance directives. Advance directives are written consent of what would happen to the patient in the occasion that they lose decisional capabilities, what type of treatment they would receive, etc.Although advance directives maybe taken as a precaution and not because anything is occurring with the patient, upon being asked for these documents a patient may be caused fear which could result in worsening of the illness. So should the psychiatrist ask a patient for the advance directives knowing it may have a negative result on their health? The involvement of family in the life of a schizophrenic could be extremely beneficial, but convincing a schizophrenic to involve their family is yet another issue.The process of persuading a mental disorder patient at some point becomes coercion, which is never morally correct because it could be considered as taking advantage of a mentally challenged person. Although coercion is never technically correct, in the long run the involvement of the family will have enormous benefits on the patient, so the psychiatrist must make a decision on if they should or shouldn't coerce the patient to involve their family. I believe that all the ethical issues presented are difficult, but the psychiatrist should always keep the patients well.