Thursday, December 26, 2019

Your Rights and Responsibilities As a New U.S. Citizen

Becoming an American citizen with all the freedoms and opportunities the nation has to offer is the dream of many immigrants. Those who are fortunate enough to be in a position to pursue naturalization gain the same rights and privileges of citizenship as natural-born American citizens except one: Naturalized U.S. citizens are not eligible for the offices of the president of the United States and vice president. With these new rights, citizenship also brings with it some important responsibilities. As a new U.S. citizen, it is your duty to you give back to your adopted nation by fulfilling these responsibilities. Rights of Citizens Vote in elections: While voting isnt mandatory, it is a vital part of any democracy. And as a new citizen, your voice is as important as every other.Serve on a jury: Unlike voting, jury duty is mandatory if you receive a summons to serve. You might also be called be called to be a witness at a trial.Fair speedy trial if accused of a crime: This right is technically is also extended to non-citizens.Bring family members to the United States: Once you become a citizen, you can sponsor other family members to join you as green card holders. While green card holders can sponsor only a spouse or child to live with them in the United States, citizens can also sponsor parents, siblings, or other relatives.Obtain citizenship for children born abroadTravel with a U.S. passport: More than 100 countries allow American citizens to travel inside their borders for a specific amount of time without a visa if they have a U.S. passport.Run for federal office: Once you are a U.S. citizen you are qualif ied to run for any local, state or federal office, except president and vice president of the United States. Those two offices require a person to be a natural-born citizen.Become eligible for federal grants and scholarshipsApply for federal employment that requires U.S. citizenshipFreedom to express yourself: Again, this freedom is granted to non-citizens and visitors in America as well, but as a new citizen, it is now enshrined as a special right.Freedom to worship however you wish (or to refrain from worship): As said before, this right is granted to anyone on American soil, but as a citizen, you can now claim the right as something all your own.Registering with Selective Service: All males ages 18 to 25, even if non-citizens, must register with Selective Service, the program used if a military draft is ever re-initiated. Responsibilities of Citizens Support and defend the Constitution: This is part of your oath taken when you became a citizen. You now bear your allegiance to your new country.Serve the country when required: This could represent taking up arms, noncombat military service or work of national importance under civilian direction when required by the law, according to the U.S. Citizenship and Immigration Services.Participate in the democratic process: More than just voting, this involves getting involved in causes or political campaigns you believe in.Respect and obey federal, state, and local lawsRespect the rights, beliefs, and opinions of others: This is a bedrock of American society.Participate in your local community: Your fellow citizens need you as much as you need them.Be informed on issues that affect your communityPay local, state, and federal income taxes honestly and on time

Wednesday, December 18, 2019

Personal Narrative A Missing Piece - 927 Words

A Missing Piece As we watched Parenthood there was one scene that really stuck out to me; Cool’s father left him. I understand completely that it was a movie, but it struck me kind of hard since I understand what it feels like to be left behind. Even though my situation is a little different, I faced the same challenges and emotions. My father didn’t just walk out and leave my sisters and I behind like we were nothing, he passed away leaving a wife and three girls behind. My dad was my best friend, he would always pick me up from pre-school and take me back to his apartment where we would play games and watch movies. At this time my dad, Steve, struggled for many years with dialysis, diabetes, and kidney problems. He went through years and years of treatments and had one kidney and one pancreas transplant; each one failed. Cool’s situation is different compared to mine, for example: he will see his father at some point, and he knows he is still out there. However , it is the same; you feel abandoned, and will be missing that parent to look up to. As I watched that scene, the only thing that traveled through my mind was, he is only 6, and just lost his dad. You can look at his face and see how he doesn’t understand why his dad left him; he also, doesn’t know what that even means or what is happening. This may only be a movie, but the struggles he will go through by not having a father to look up to are imbarable. He will always have that sense of something missing. For theShow MoreRelatedThe Enigma Of Russian Identity Essay1561 Words   |  7 Pageshistory of Russia has been defined by various narratives. These narratives come from multiple ethnic groups, religious groups, writers, and leaders, which can be illustrated as the puzzle pieces that construct the enigma of Russian identity. Throughout the history of Russia there too has been a push to centralize Russian identity through the principle of Russification. 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Tuesday, December 10, 2019

Assessment of Pain Community of Aboriginal

Question: Discuss about the Assessment of Pain for Community of Aboriginal. Answer: 1. Mr. Smith is from the community of Aboriginal and Torres Strait Islander people. As pain assessment is difficult in these people. Pain assessment in Mr. Smith is influenced by his culture. Because people of community from which Mr. Smith belongs, feel embraced to express their pain and are hesitant to give trouble to healthcare professional about their painful condition. Nurse should develop trust relationship with Mr. Smith as he is not willing to open up with painful condition. With this trust relationship nurse can assess pain of Mr. Smith very effectively. Nurse should understand family, culture and community of Mr. Smith to assess his pain. Nurse should make Mr. Smith understand importance of pain management medicine (Queensland Health, 2015). 2. Assessment, caring and management of Mr. Smith was completely holistic. Social and cultural aspects of the Mr. Smith were kept in mind while assessing pain of Mr. Smith, however nursing practice was completely non-judgmental. Social and cultural aspects were considered in case of Mr. Smith because community of Aboriginal and Torres Strait Islander people from where he belongs, have different view on nursing and medical care. Following are the code of ethics related to the non-judgmental nursing care in Mr. Smith situation. Nurses value informed decision-making. Nurses value ethical management of information. Nurses value a socially, economically and ecologically sustainable environment promoting health and wellbeing Following are the code of professional conduct related to the non-judgmental nursing care in Mr. Smith situation. Nurses respect the dignity, culture, ethnicity, values and beliefs of Mr. Smith and treatment, and of their colleagues. Nurses maintain and build on the Aboriginal and Torres Strait Islander people communitys trust and confidence in the nursing profession. Following are the EN Competency Standards related to the non-judgmental nursing care in Mr. Smith situation. Practices nursing in a way that ensures the rights of the people are upheld. Provides skilled and timely care to people receiving care and others while promoting their independence and involvement in care decisionmaking (Nursing and Midwifery Board of Australia, 2016). 3. Pain assessment questions (Breivik et al., 2008): What makes pain worse? What makes pain improved? What is earlier medicine for pain? Whether these medicines were effective? What is way of expression of pain? Since how long pain is there? What is the frequency of pain? Is there change in intensity of pain at different time points? How much duration pain lasts? Mental and emotional status (Mabbett, 1996): What is todays date? What is month and year? Where is your birth place? What is your name? What is your school name? What meal you took yesterday? What you did last Sunday? What is state capital? Social and cultural issues (Cammock et al., 2014): With whom can disuses care and management? Would like to take someones help in decision making? Whose help required? Do you follow any spiritual practices or prayers? Is there requirement of any spiritual articles? 4. Advance health directive is a document Mr. Smith can fill. This document mentions Mr. Smiths requests and instructions for future health management practices for any health condition. This document comes into picture, when Mr. Smith unable to make any type of decisions about his health (Docker, 1996). Mr. Smith should give Enduring power of attorney to someone to facilitate the disposal of his property, dealing with his financial matters, signing documents on his behalf and purchasing on behalf of him. Mr. Smith should be informed that Enduring power of attorney would not interfere in his personal care (Mitchell et al., 2014). Mr. Smith can donate his organs either when he is alive or after his unfortunate death. These organs can be transplanted in the person and this can save the life of recipients life. Mr. Smith should know that organ donation is not a forceful act and it is completely depends on his will (Berntzen Bjork, 2014). 5. Complementary therapies for pain in palliative care includes music therapy, relaxation, massages, aromatherapy massage and foot reflexology. Music therapy aid distraction of Mr. Smith form the pain and uses vibro-acoustic stimulation. Music therapy includes relaxation of muscles and calming down Mr. Smith. Massage therapy lessen wear and tear of muscle and muscle strain. Massage therapy also reduces anxiety in Mr. Smith. Aromatherapy massage has added advantage of incorporating mind-body element and utilizing aroma odor to produce soothing effect on mind and relaxation. Foot reflexology is a component of massage therapy which is mainly focused on the foot of Mr. Smith. Acupuncture also proved to be beneficial in the pain management Mr. Smith (Crawford et al., 2014). Mr. Smith should be refereed to specialized doctors in gastroenterology, nephrology and psychiatry. As Mr. Smith is going through many problems related to gastrointestinal system. He is unable to empty his bowl so that doctor can give suitable medication or suggest any other suitable method to empty his bowl. Also he is having stomatitis so that doctor can prescribe some medicine or suggest some external application to lessen severity of ulcer. Mr. Smith also should be referred to nutrition expert as he is not willing to eat food. In such scenario, nutrition expert can suggest suitable food for condition and to maintain optimum level of nutrient level and to prevent dehydration. As Mr. Smith is suffering through incontinent of urine at night, he should be referred to doctor specialized in nephrology. As he is facing problem in sleep, he should be referred to psychiatrists (Mehrotra et al., 2011). 7. Family members of Mr. Smith should clearly make aware of the exact condition of the him. With the help of nursing staff, family members of him should be advised to take care of him, so that they can realize and understand exact condition of him. So that they can be mentally prepared to accept whatever may be going to happen with Mr. Smith. As Mr. Smith is willing to meet his children, family members should do all the actions to make him happy and he should feel comfortable. Most importantly, family members should not feel guilty for the condition of Mr. Smith because his lifestyle and behavior are mainly responsible for his current condition (Hebert et al., 2011). 8. In anorexia there is the increase in the angiopoetin-like protein 6 (ANGPTL6). In anorexia there is the deficiency of protein due to continuous starvation and this leads to the multiple organ failure like heart, gastrointestinal tract, reproductive organs, kidney and brain. Due to this Mr.Smith is feeling dehydration. Management for anorexia involves feeding with suitable meal, psychological therapy to change his mind for eating and medication like fluoxetine. In ascites, due to portal hypertension, there is the abnormal sequestration of the fluid in the splanchnic bed. This leads to the reduced circulating blood. As a result sodium and water retention occurs due to sympathetic system activation and rennin release. Consequently, there is the accumulation of fluid around abdominal cavity. This reflects in Mr. Smith as he has abdominal distension. Sodium restriction and diuretic therapy are advised for the patient with ascites. Dyspnoea occurs due to the interaction between different systems like respiratory system, cardiovascular system, neural system, and oxygen carrying system. In case of respiratory system abnormality in the alveoli gas exchange and central control of ventilation leads to dyspnoea. In Mr. Smith, dyspnoea reflects in his breathlessness and continuous requirement of oxygen. Management of dyspnoea includes oxygen therapy, beta agonist, opioids and sometimes anxiolytics. Hiccups occurred due to the abnormality (involuntary contraction) in the hemidiaphragm. Due to contraction of diaphragm and subsequent closure of vocal cord, it produces sound like hic. Frequency of hiccups alters in inverse proportion with arterial carbon dioxide tension. Hiccups are clearly evident in Mr. Smith. Management of hiccups includes chlorpromazine, metoclopramide, muscle relaxants and sedatives (Hammer McPhee 2014). 9. Mr. Smith is having breathlessness and he is having Ventolin nebulisation to prevent bronchospasm. By seeing at the data it is evident that most of the organs of the Mr. Smith are affected or deteriorated. It reflects for the ascitis, pruritus, severe mouth ulcer, bowl not opened since several days, uncontrolled urination, severe pain, agitated and confused state. In case of deterioration of multiple organs, it would be difficult to treat the patient. Because treatment for organ may affect the functioning of other organ. As in the case of ascites, diuretic is a recommended therapy. However, in case of Mr. Smith he is already facing problem of incontinent urination. Also he didnt opened bowl for several days and there is the accumulation waste in the body. Due to ulcer in the mouth and Mr. Smiths disinterest in eating, he is not taking proper food and he is lacking nutrients. All these conditions reflects, Mr. is at the end stage of life (Springhouse, 2006). Palliative care: Palliative care is specific healthcare system specialized for the patients with chronic illness. This system doesnt focuses on the complete cure of the patient, however it aims at relieving patient from symptoms of the illness and medical and physical stress due to the disease condition. Main goal of the palliative care is to improve quality and wellbeing both patient and family members. Team of palliative care includes doctor, nurses, physiotherapists, occupational therapists and social workers (London et al., 2005). 11. Drowsiness - In this stage patient always feel sleepy and lethargic. Becoming unresponsive - Patient become unresponsive to the external world. Disorientation - Patient becomes confused about routine aspects like time and date, recognisation of family members. Loss appetite - Patient lost interest in eating and subsequently loss of appetite. This is due both impaired physiology due to diseases state and depression due to disease. Bowl and bladder dysfunction - Bowl and bladder of patient cannot work according normal physiology. Changes in sensitivity of skin - Skin becoming more sensitive or senseless due to multiple ailments. Dyspnoea - Patient become breathless. (Springhouse, 2006) 12. General support to the well being of the patient. It includes physical, mental, social and cultural care of the patient. Rehabilitation to the acute episodes of the pain to feel comfortable to Mr. Smith. Try to keep complications in control. Try to minimize anxiety, depression and fear due to the illness. Make understand family members real condition of Mr. Smith and advise them to give warmth and comfort to Mr. Smith at the end of life. To make Mr. Smith and family members emotionally and psychologically stable. Try to fulfill every wish of Mr. Smith. Provide nutrients and oxygen to Mr. Smith as much as possible. Continuously monitor vital signs of the Mr. Smith (Springhouse, 2006). References: Breivik, H., Borchgrevink, P. C., Allen, S. M., Rosseland, L. A. (2008). Assessment of pain. British Journal of Anaesthesia, 101(1), 17-24. Berntzen, H., Bjork, I.T. (2014). Experiences of donor families after consenting to organ donation: a qualitative study. Intensive and Critical Care Nursing, 30(5), 266-74. Cammock, R.D., Derrett, S., Sopoaga, F. (2014). An assessment of an outcome of injury questionnaire using a Pacific model of health and wellbeing. New Zealand Medical Journal, 127(1388), 32-40. Crawford, C., Lee, C., Freilich, D., Active Self-Care Therapies for Pain (PACT) Working Group. (2014). Effectiveness of active self-care complementary and integrative medicine therapies: options for the management of chronic pain symptoms. Pain Medicine, 15(1), S86-95. Docker, C. (1996). Advance Directives/Living Wills in: McLean S.A.M., Contemporary Issues in Law, Medicine and Ethics. Dartmouth. Hammer, G., McPhee, S.J. (2014). Pathophysiology of Disease: An Introduction to Clinical Medicine Flash Cards. McGraw-Hill Education. Mabbett, P. D. (1996). Delmars Instant Nursing Assessment: Mental Health. Albany, NY: Delmar Publishers. Hebert, K., Moore, H., Rooney, J. (2011). The Nurse Advocate in End-of-Life Care. Ochsner Journal, 11(4), 325329. London, M.R., McSkimming, S., Drew, N., Quinn, C., Carney, B. (2005). Evaluation of a Comprehensive, Adaptable, Life- Affirming, Longitudinal (CALL) Palliative Care Project. Journal of Palliative Medicine, 8(6), 12141225. Mehrotra, A., Forrest, C.B., Lin, C.Y. (2011). Dropping the baton: Specialty referrals in the United States. Milbank Quarterly, 89(1), 3968. Mitchell, L.K., Pachana, N.A., Wilson, J., Vearncombe, K., et al. (2014). Promoting the use of enduring powers of attorney in older adults: a literature review. Australasian Journal on Ageing, 33(1), 2-7. Nursing and Midwifery Board of Australia (2016). Retrieved form https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Codes-Guidelines.aspx on 3rd September 2016. Queensland Health. (2015). Sad News, Sorry Business: Guidelines for caring for Aboriginal and Torres Strait Islander people through death and dying. Retrieved from https://www.health.qld.gov.au/atsihealth/documents/sorry_business.pdf on 3rd September 2016. Springhouse. (2006). End-of-life Care: A Nurse's Guide to Compassionate Care. Lippincott Williams Wilkins.

Monday, December 2, 2019

The Cuban Revolution Essays - Cuban Revolution, Fidel Castro

The Cuban Revolution The Cuban Revolution Final Draft The Cuban Revolution was in various ways different from the American Revolution and in other ways similar to it at because it had the same purpose and it also succeeded. Therefore, it can be rightfully said that the Cuban Revolution is an example, among others, of revolutions following the steps and ways (set of guidelines) of the American Revolution, which led it to be a victorious one. It could also be said that this revolution also offered a number of contrasts to the American Revolution, thus making it clear that the American Revolution was a very unique and special kind of revolution that can never be exactly repeated by any other nation. One main similarity between the Cuban and the American Revolution is that they both held the same purpose, which was to overthrow the current abusive government and establish a new one that would serve the people rightfully and advance social and economic justice in the nation. Abuses of Batista's regime began on the same day that he came into power, when he suspended the constitution, dissolved the congress and instituted a provisional government, promising elections the following year. After crushing an uprising by a young lawyer, Fidel Castro, on July 26, 1953, the regime seemed secure and when the political situation had been calmed, the Batista government announced that elections were to be held on the fall of 1954.* That year Grau San Martin, Batista's opponent, withdrew from the campaign just before the election because he claimed that his supporters had been terrorized. Thus, Batista was reelected without any opposition since he brutally suppressed political opposition and le t his people live in appalling poverty. He crushed worker, peasant, and student opposition. Between 1952 and 1959, 20,000 Cubans were assassinated by Batista's henchmen. * The bodies of those assassinated were often dumped in public places with their eyes gouged out to intimidate the rest of the population; sending a message that any kind of opposition would not be tolerated at all. The Cuban economy under Batista's government brought little wealth to the Cuban people, 50% of who did not have electricity; 40% were illiterate and 95% of the children living in rural areas suffered from poverty-related diseases. * Before the 1953 uprising, Fidel Castro had written a pamphlet denouncing Batista as a tyrant and calling on young Cubans to be prepared to sacrifice their lives in a fight for freedom. Castro's friends distributed the pamphlet throughout Havana, and many of them within the Ortodoxo party began to conspire with him to overthrow Batista. Castro continued violently denouncing th e Batista government and encouraging armed rebellion through articles in the underground newspaper, El Acusador (The Accuser), of which he was political editor. During the summer of 1952, Castro had begun to turn his network of friends into a revolutionary movement. In several cities and villages, Castro's friends organized military training units; each composed of ten revolutionaries and their leader. The leaders answered directly to Castro. Almost all of those who joined this young military force were between the ages of eighteen and twenty-two. This organization of Castro's was kept secret as he established contacts with other revolutionary leaders throughout Cuba. However, in July 26 (1953), the storming of the Moncada Barracks by 150 young rebels led by Castro ended up in failure with most of them being killed and those eventually captured were put on trial. Castro was given a separate trial on October 16, at which he gave an emotional and eloquent two-hour speech denouncing ty rants such as Batista and claiming that the rebels' cause would one be victorious. Marta Rojas, a young editor at the time and later the editor of the Cuban government's official newspaper Granma, transcribed Castor's closing statement of his speech in court, which would become famous to all Cubans: ? I know that jail will be as hard as it has ever been?; but I do not fear this, as I do not fear the fury of the miserable tyrant who snuffed out the life of seventy brothers of mine. Condemn me, it does not matter. History will absolve me! The entire statement, reproduced in several forms and distributed widely throughout Cuba,