Friday, November 29, 2019
10 Ways to Get the Job You Love
10 Ways to Get the Job You Love People generally get exactly what they are looking for, and people who are looking for a job- any job- are not an exception to the rule. They, in fact, illustrate the rule. They often make the mistake of settling for the first job opening available, which is understandable- responsible people have to do whatever it takes to meet their obligations. But if you donââ¬â¢t want to be searching again in a few months, you should do your best to getà a job you love from the beginning. Here are 10 simple things you can do to helpà get once step closer to getting a job you love.Assess YourselfYou need to know what fits you the best. One simple way to do this is by taking self-assessment tests, which are typically short and widely available online- sometimes at no cost. Classic examples are available from Myers-Briggs or Keirsey. These tests will help you understand where your greatest potential for productivity, satisfaction, and success may be.Focus on the Best-Fitting JobsWhile the ur gent need may seem like the real issue, it is really the long-term need that deserves your attention. You will discover that as you assess yourself your focus will be much more finely tuned and you will find yourself looking for a job that is a good match. You will now be operating more efficiently, not wasting time filling out endless online applications for jobs you didnââ¬â¢t really want in the first place.Nail Your ResumeLisa Cefali and Alesia Benedict offer several insights into nailing your resume:Write the resume for the reader. The hiring authority does not care that you played varsity basketball in high school or that your hobbies include collecting stained glass. They want to see your experience and accomplishments. Give them what they want.Connect the dots. Make it easy to for the reader to see why you are a good fit for the job by connecting the dots between your talents and skills and the job.Donââ¬â¢t write an introduction. Write an executive summary (and name it such) of the information that follows.Use keywords. Write with the language that appeared in the job posting. Some resumes are scanned for matching keywords before being read by a human.Nail Your Cover LetterEvery cover letter should be written exclusively for each job and company to which you apply. Within a matter of seconds, the recipient should be able to see that you are an excellent candidate for the job. The cover letter should do that, causing them to take particular note of the details in your resume. Restate the defined requirements of the job and show how you meet or exceed those specifications.Nail Your InterviewDonââ¬â¢t go to a job interview to decide if you want the job, because you have nothing to decide until an offer is put on the table. Martin Yates, the author of the bestseller, Knock ââ¬â¢em Dead, says this about the interview:You go to a job interview to get a job offer. Nothing else matters, not the pay, the benefits, or the work environment; they are a ll irrelevant until an offer is on the table. The person on the other side of the desk is not your adversary. They want to find someone who can do the work, wants to do the work, and can get along with others so that they can and get back to their real work ASAP. Your job is to help them make that decision.Look for the Perfect MatchJob hunting is kind of like dating, only more complex and, typically, with more competition. Sign up with TheJobNetwork and let us help you find the perfect job match for you. Anybody can find a job. We can help you find the job you want.
Monday, November 25, 2019
The Old Man & The Sea essays
The Old Man & The Sea essays The Bible, To Kill a Mockingbird, and The Catcher in the Rye. All books. Old books that are still enjoyed by old and young readers alike. But what makes these books different from other books? Why are these classics and yet other books arent? Arent ALL old books classics? As we all know, and this paper will prove, is that not all old books are classics. There is a formula, or a blueprint that often can make the book great. The Old Man s known nothing in life other than fishing. And baseball. But theres more than that. Underlying topics, unanswered questions and a great struggle plague the reader as hes reading, and even after completing the book, leaving a sense of wonder much like other classics. First, we start with some undefined hints in the book. The novel uses its characters and events in a way that draws many comparisons to Jesus Christ. For example, if the fish was Jesus, it was consumed by the shark (death), but still his bones (the spirit or message of God) had a profound impact on the people who passed it and saw. Also, if the man is representing the worlds believers, and the fish is their faith and salvation, he should be wary of the evil of the world trying to take it away from him. Besides the obvious, more straightforward symbolism (the man carrying the beam, 3 days at sea, etc.), these demonstrate an aspect for the reader to ponder. Like this book, many classics have themes that are not as easily seen, like racism, religion, and capital punishment to name a few. These themes are often controversial, which is why these books are frequently challenged. Next are the unanswered questions. What happened to the boys family? Or Santiagos wife? What happens between the boy and Santiago at the end? Does Santiago adopt him? All of these are le...
Friday, November 22, 2019
Westen Civilization Essay Example | Topics and Well Written Essays - 1000 words - 1
Westen Civilization - Essay Example The Merovingians were a group of people who ruled the Franks (which included present France) for three hundred years beginning in the fifth century. Like their Roman predecessors, the Merovingians wielded power based upon oneââ¬â¢s birthright, the aristocratic were destined to remain that way and likewise, the peasants would continue to live in poverty. As such, it behooved the king to ally the powerful. It was an unusual society in that the wealthy were the ones who practiced and fought the wars. However, the wars and aristocratic lifestyles required a great deal of money for upkeep so the powerful enacted an extensive series of laws known as the Salic Laws. With this, enormous fines were levied that might seem excessive and even ludicrous today. For example, not answering a courtââ¬â¢s summons today might result in a contempt charge and a few hundred dollars fine. The penalty for that under the Merovingians was in excess of $180,000! By the year 700, Merovingians had embraced Christianity and the childrenââ¬â¢s teachings were based upon that philosophy entirely. The one thing that led to the Merovingiansââ¬â¢ downfall was their decision to appoint mayoral families to control the royal palace. In the early eighth century, one such set of mayors, the Carolingians, began to peacefully seize power from the Merovingians and the Franks in what is now France. Withstanding an invasion from Muslims and with the blessings of the Pope, Pippin III deposed the final Merovingians in 751. Thus, the Catholic Church began its systematic control of Western governments, which continued unabated for almost one thousand years. Yet is was the son of Pippin III who was to gain the most fame Charles I of the Carolingians, who possessed the more famous name Charlemagne (pp 268-75) lived from 742 until 814. Known as the Father of Europe, the
Wednesday, November 20, 2019
Prime Minister's Question Time Essay Example | Topics and Well Written Essays - 750 words
Prime Minister's Question Time - Essay Example he tasked the prime minister to respond to whether his government will remain on record from 1920 as the only government that left the economic conditions of the citizens worse than he found them. In his response, he refuted the claims that the economic levels of the overall citizens were deteriorating rather citing the record from International Monetary Fund (IMF) that signifies that Britains economic growth was on the rise. the records from IMF also signified that employment levels were on the increase again according to the response by the prime minister. from the 2010 manifestation of providing better life conditions. growth, jobs, and wages are increasing despite inflation. he refuted the issue of failing to attain economic growth through arguing that women employment and the youths employment levels are on the increase. From the Prime Ministers point of view, the energy policy and minimum wage policy are dangerous and will preset negative shifts of the within the economy. tax c uts that the government is providing is not only ensuring life is fair for the low income earners but also reducing the government reduction. Reduction of public spending and ensuring appropriate tax reports remain among the significant achievements leading to economic growth. He dismissed the idea of increasing minimum wage arguing that it will influence inflation and that focusing on overall economic growth is the essential factor. He disagreed with the idea of reducing the amount spent on defense to 2% of GDP arguing defense was a crucial factor within the growth of an economy. after the establishment of the inquiry committee six years the opposition accused the government of failing to table a report or focus on means of delivering the inquiry report of UKs involvement in the war in Iran. Cameron accused the opposition for voting
Monday, November 18, 2019
Health Economics Essay Example | Topics and Well Written Essays - 500 words - 2
Health Economics - Essay Example However, as an industrial segment, this submarket appears to be shrinking the countries like the United States. Hence, increased competition appears to be the major problem of this submarket. Even some professional websites such as CompleteLongTermCare.com (2012) do not consider the present situation has arisen due to increased competition. Rather, shrinking submarket is giving way to malpractices. According to Yahoo! Inc. (2012), the long term care facilities have a composite value of 1148.9 as of 7th November, 2012. On this specific day, the amount of change was -0.26%, which means that the submarket is shrinking. If the data of past few years are analyzed, then we find that this submarket is shrinking since the global economic recession. Reduction of service costs coupled with deterioration of service quality is a prominent problem given that in absence of competent healthcare services, public are suffering from chronic shortcomings to the system as a whole. ââ¬Å"There are nursing homes that are surprisingly cheaper than the others. They even offer great deals and promos which can sound too good to be true. No matter how good their deals may be, always remember that they are cheap for a reason. Some nursing homes cost less because they offer less.â⬠(CompleteLongTermCare.com, 2012) Furthermore, a recent study by the US Department of Health and Human Services (n.d.) indicates that at least 10% of the patients (who get admitted to a nursing home annually) are possibly going to stay there for at least the next five years and more. Like Europe, America may also be soon suffering from the problem of a vast population of senior citizens and old age groups. Strangely enough, although demands for TLC are thus poised to increase, quality of services are being preponderantly compromised (Saltman et al, 2006) The proposals enumerated above will
Saturday, November 16, 2019
Stroke Case Study | Pathophysiology and Care Delivery Plan
Stroke Case Study | Pathophysiology and Care Delivery Plan This paper will discuss the case study relating to the patient, Mrs Amelia Middleton, and answer a series of questions relating to the pathophysiology of stroke, nursing care of the patient, and response to pharmacological issues with her treatment Question 1 Farrell Dempsey (2014b) define the pathophysiological characteristics of an ischaemic stroke as being the disruption to cerebral blood supply due to an obstruction in a blood vessel (p. 1649). This disruption can be described as an ischaemic cascade, which commences with a fall in cerebral blood flow to less than 25mL/100g/min (p. 1649). When this occurs, neurons are unable to maintain aerobic respiration, causing a decrease in adenosine triphosphate (ATP) production. To combat this, mitochondria switch to anaerobic respiration, which produces large amounts of lactic acid, causes changes in cellular pH levels, anaerobic respiration is less efficient, and neurons are not capable of producing sufficient ATP to fuel the depolarisation processes (Farrell Dempsey, 2014b, p. 1649; Craft, Gordon, Tiziani, 2011). With the loss of ATP production, the active transport across the cell membrane ceases, leading to the destruction of the cell membrane, releasing more calcium and glutamate, vaso constriction and generation of free radicals. As the cascade continues, intracellular pressures increase, causing oedema (Craft, et al., 2011, p. 192). This oedema reaches it maximum after about 72 hour, and slowly subsides over the following two weeks. There are four types of haemorrhagic stroke, namely intracerebral, intracranial cerebral aneurysm, arteriovenous malformations, and subarachnoid haemorrhage, all with varying pathophysiology (Farrell Dempsey, 2014b, p. 1661). The most common type is the intracerebral haemorrhage, which is mostly found in patients with hypertension and cerebral atheroschlerosis. Certain types of arterial pathology, brain tumour, and the use of medications may also cause intracerebral haemorrhage (Farrell Dempsey, 2014b). Bleeding related to the condition is most commonly arterial and normally occurs in the putamen and adjacent internal capsule, cerebral lobes, basal ganglia, thalamus, cerebellum and brain stem (Farrell Dempsey, 2014b). Intracranial aneurism is dilation of the walls of a cerebral artery developing because of weakness in the arterial wall (Farrell Dempsey, 2014b). Presumed causes of aneurysms are weakness in arterial walls, congenital abnormalities, hypertensive vascular disease, head trauma, infection, or advancing age. Aneurysms can occur in any area of the brain but commonly occur at the circle of Willis arteries. Arteries affected by aneurysms are the internal carotid artery, anterior cerebral artery, anterior communicating artery, posterior communicating artery, posterior cerebral artery and middle cerebral artery (Farrell Dempsey, 2014b). Arteriovenous malformations are caused by abnormalities in embryonic development or are the result of trauma. It is the formation of a mass of arteries and veins without a capillary bed, whose absence, leads to dilation of arteries and veins with eventual rupture. This type of haemorrhage is common in younger people (Farrell Dempsey, 2014b). Subarachnoid haemorrhage may occur because of arteriovenous malformation, intracranial aneurysm, trauma or hypertension. Most common causes are leaking aneurysms in the area of the circle of Willis or a congenital arteriovenous malformation of the brain (Farrell Dempsey, 2014b). Both ischaemic and haemorrhagic stroke have modifiable and non-modifiable precipitating factors. Modifiable factors are those that can be changed and include: (Al-Asadi Habib, 2014; Jarvis, 2012) Non-modifiable factors are those that cannot be changed or altered, and in concert with modifiable risk factors, can indicate populations at higher risk. The factors are: (Al-Asadi Habib, 2014; Jarvis, 2012) Question 2 The nursing care required for the patient within the first 24 hours would initially include a neurological assessment, especially if thrombolytic therapy has been administered (Hinkle McKenna Guanci, 2007). Nurses need to use the Glasgow coma scale (GCS), check vital signs pupil reaction and limb assessment. If the GCS falls during or after treatment, patients need to have an urgent CT scan to exclude haemorrhagic stroke. These observations need to be recorded every 15 minutes for the first 2 hours after thrombolytic therapy, then every hour for the next 24 to 48 hours (Hinkle McKenna Guanci, 2007). Oxygen therapy will only need to be administered if the patient becomes hypoxic, which occurs if the oxygen saturation (SaO2) levels fall below 95% saturation. Blood sugar levels need to be monitored, as it is common for post stroke patients to become hyperglycaemic. Patients also need to be in an electric bed with the cot sides up and the head at a 30-degree angle, which reduces the ri sks of choking and falls (Catangui Slark, 2012). Suction should be available at the bedside in case of angioedma. Electrocardiograms need to be performed regularly to detect any abnormal changes in heart rhythm. The patient is already in atrial fibrillation but this may alter if thrombolytic therapy is administered, as such, this requires assessment on an hourly basis. The nurse should also take the time to provide information to family members regarding the patientââ¬â¢s treatment (Felicilda-Reynaldo, 2013). The patient and family need to be informed why thrombolytic therapy is needed, what the desired outcomes are and if there are any adverse effects. When this treatment is needed, it is often in an emergency and can be frightening for family members to see their loved one in pain or distress (Felicilda-Reynaldo, 2013). Question 3 Thrombolysis is the division of a blood clot or thrombus by the infusion of a fibrinolytic agent (drugs that are capable of breaking down fibrin, the main constituent of blood clots) into the blood (Tiziani, 2013). Thrombolytic agents act by activating plasminogen to form a proteolytic enzyme, plasmin, which attaches to fibrin, and consequently, breaks down the clot (Tiziani, 2013; Catangui Slark, 2012); this process is called clot resolution. Thrombolytic agents vary in there action, for example, Alteplase and Reteplase, are recombinant tissue plasminogen activator (r-tPA) drugs that have fibrin specific actions, adhering to fibrin bound plasminogen, Tenecteplase, a genetically engineered tissue plasminogen activator (tPA) shares similar traits (Tiziani, 2013; Catangui Slark, 2012). In contrast, Streptokinase is a non-specific plasminogen activator, which attaches itself to both fibrin bound plasminogen and unbound plasminogen (Tiziani, 2013). The use of thrombolytic agents on stroke patients is time-critical. Catangui Slark (2012), supported by Hinkle McKenna Guanci (2007) and Farrell Dempsey (2014b), describe a set of contraindications for the use of thrombolysis in stroke patients, these include age, blood pressure greater that 185mmHg/110mmHg, GCS score less than 8, time from onset of symptoms less than 4à ½ hours, or previous stroke or myocardial infarction. This is not an exhaustive list, but is relevant to the case study patient. From these indicators it can be shown that the patient falls into a category that contraindicates the use of thrombolysis in the treatment of her condition, i.e. her blood pressure is 200mm/Hg/110mm/Hg, and that it has been at least 6 hours since onset of conditions. Question 4 Aspirin is both a non-steroidal anti-inflammatory (NSAID) and anti-platelet drug (Tiziani, 2013, p. 4 511). In its NSAID function, the drug acts to inhibit prostaglandin production, which is a mediator of inflammatory response and thermoregulation (McKenna Lim, 2012). The anti-platelet properties of the drug inhibit the production of thromboxane A2, which is a vasoconstrictor that normally increases platelet aggregation (McKenna Lim, 2012). Contraindications for this drug are for people with allergies to Salicylates, haemorrhage, and gastrointestinal bleeding (Tiziani, 2013; McKenna Lim, 2012). Administration is by oral pathway. In the context of this case study, because the patient is not eligible for thrombolysis, aspirin would be beneficial in lowering the risk of further stroke by reducing the chance of further thrombosis forming through its anti-platelet properties. The risks in this context are exacerbation of her hypertension and possible bleeding; however, in this circums tance the prescription of aspirin is appropriate. Carvedilol is a lipophilic vasodilating non-cardioselective à ²-blocker (Leonetti Egan, 2012). This drug is used to treat hypertension by blocking norepinephrine binding to à ±1-adrenergic receptors in addition to both à ²1-adrenergic and à ²2-adrenergic receptors (Leonetti Egan, 2012). Contraindications for this drug include bradycardia, heart block, diabetes, and bronchospasms (McKenna Lim, 2012). Administration is by oral pathway. In the context of the case study, the administration of carvedilol is desirable because of her hypertension. It is further suggested that carvedilol contributes to a reduction in cardiac arrhythmias such as atrial fibrillation (Watson Lip, 2006). The risk associated with this drug include hepatic failure, oedema, and deterioration if the patient is in heart failure (McKenna Lim, 2012; Tiziani, 2013) Atorvostatin is a hydroxymethylglutaryl co-enzyme A (HMG-CoA) reductase inhibitor used to treat hypercholesterolaemia or hyperlipidaemia (McKenna Lim, 2012). The drug acts to inhibit production of cholesterol by blocking HMG-CoA reductase from completing the synthesis of cholesterol (Tiziani, 2013). Administration is by oral pathway. In the context of this case study, Atorvostatin is not indicated for administration without further investigation into potential underlying causes, such as, heart disease or hypercholesterolaemia. Question 5 In the context of this case study, atrial fibrillation could indicate heart disease, but further investigation would be necessary to determine this. Factors such as age, hypertension, ischaemic stroke, family history of myocardial infarction, and erratic pulse are evident and are all indicators towards heart disease (Bordignon, Corti Bilato, 2012). McKenna Lim (2012, p. 676) also associate coronary artery disease, myocardial inflammation, valvular disease, cardiomegaly, and rheumatic heart disease with atrial fibrillation. Pharmacologically, the drugs considered for intervention include heparin, warfarin, and carvedilol (Watson Lip, 2006). Both Heparin and Warfarin are anticoagulant drugs. Heparin is a fast acting, intra-venous or subcutaneously administered anticoagulant used in the acute setting, with changeover to orally administered warfarin, whose anticoagulant effect is evident after 36-72 hour, for longer-term use (Tiziani, 2013; McKenna Lim, 2012). In context of the case study, aspirin use would be discontinued if heparin and warfarin were administered, as these drugs are recorded as having an adverse reaction (Tiziani, 2013; McKenna Lim, 2012). These drug types have contraindications for active and potential bleeding, so issues such as haemorrhoid bleeding may exclude these drugs from administration (Tiziani, 2013). As previously stated, Carvedilol is a nonselective à ²-blocker (Leonetti Egan, 2012). This drug is administered orally and are safe in combination with heparin or warfarin (Tiziani, 2013). Contraindications for this drug include bradycardia, heart block, diabetes, and bronchospasms (McKenna Lim, 2012). This drug had both antihypertensive properties and has been shown to reduce cardiac arrhythmias such as atrial fibrillation (Watson Lip, 2006). The risk associated with this drug include hepatic failure, oedema, and deterioration if the patient is in heart failure (McKenna Lim, 2012; Tiziani, 2013). Conclusion This paper has discuss and identified the pathophysiology of stroke, discussed the nursing care of the stroke patient, and identified and discussed pharmacological interventions available to treat the patient. Page 1 of 6 20/09/2016 2:53:40 PM
Wednesday, November 13, 2019
The Difference Between Life and Breath :: essays research papers
The Difference Between Life and Breath à à à à à Respiratory therapists are highly skilled practitioners who provide treatment, management and care of patients with breathing deficiencies and abnormalities. I chose to go into this profession not just for the money, as some might think, but because of my own life experiences in having to deal with taking care of my Dad, who died from third stage emphysema and because my son has asthma. Part of my acceptance into the respiratory program at Ivy Tech was to job shadow a therapist for a day. I chose to do this at St. Clare Medical Center in Crawfordsville. I called to set up my appointment for the job shadow and found out I would be shadowing Pam Ehrie, which was good because I already knew her as she helped to care for my Dad and also cared for my son. à à à à à I arrived at the Respiratory Department at 10 a.m. on Monday of the following week and Pam came out to greet me with a scrub jacked and a name tag and briefly explained that I would go with her to make her rounds for the day. ââ¬Å"Oh yesterday wouldââ¬â¢ve been a much better day to have come,â⬠she exclaimed. ââ¬Å"We had three codes so there was a lot more going on and it wouldââ¬Ëve given you a better idea of what we really do.â⬠à à à à à ââ¬Å"What are codes?â⬠I ask, although I already had a pretty good idea. à à à à à ââ¬Å"Oh that is when the patient arrives and they are basically gone, not breathing, and we have to recessitate them back to life.â⬠Pam says. ââ¬Å"I forget that you are just starting into this, so if there is anything that I say and you do not understand it, just ask me.â⬠à à à à à Pam is a rather petite, bubbly individual who stands about five foot tall with shoulder length reddish brown hair and green eyes. She is pretty, with a warm smile that hugs you when you first meet her and a friendly face with kind, gentle eyes. Pam has been a therapist for fourteen years and she also went through her schooling at Ivy Tech. She loves her job, co-workers, and helping others. ââ¬Å"It is my passion in life,â⬠she says. She embraces the idea that she is giving a better quality of life to others. She is also the senior Registered Respiratory Therapist on staff at St. Clare Medical Center and she does all of the clinical sequences with the new students at Ivy Tech.
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