Qualitative Researd Free Essays

Peaceful End of Life Theory This paper is written to examine Corneila Ruland and Shirley Moore’s Peaceful End of Life Theory and its examination on promoting positive outcomes for patients and their families during the dying process. Also, examine how the theory is understood in the Christian view as well as viewing ethical principles. As a Critical Care nurse I care for the dying patient mostly on a daily basis. We will write a custom essay sample on Qualitative Researd or any similar topic only for you Order Now During this process, I not only want to care for the dying but, I want to learn how I can ease the pain and heart break of the family. During my study of Theory and Ethics, I discovered Cornelia M. Ruland and Shirley M. Moore’s Peaceful End of Life Theory. This theory shows how theory addresses the holistic care required to support a peaceful end of life. I found this theory to be useful by being free of the suffering of distress, providing comfort, respect as a human being, having peace and by being with those who care. (Martha Raile Alligood, PhD, RN, ANEF, Ann Marriner Tomey, PhD, RN, FAAN, 2010). Ruland and Moore theorize that with easing fears of death, it can be a peaceful end of life event. Not just by providing daily needs and task but, also by caring for the dying (2010, p. 754). Many factors contribute to end of life situations for all patients, families, and health care providers. During the Peaceful End of Life Theory the standard of care is based on research in areas of pain management, comfort for the patient, nutritional needs for the patient, and relaxation needs (2010, p. 755). These factors are influenced by age, history of illness, religious values, and heath care concerns. Most of our efforts as humans are to improve our quality of life. Understanding the importance of having a peaceful transition into another stage of life is beneficial. Death is always inevitable and always a factor in the lives of family members facing such a stressful time. We should strive to help minimize pain and suffering at the end of our life’s journey with peace and comfort. Providing comfort is the most important part of quality care with an advanced illness. Within the peaceful EOL theory there are major concepts that are examined and reviewed by patients that are in the dying process. EOL care focuses primarily on comfort when a cure is no longer possible. Also, being free of pain is mostly the central part of many patients going through the EOL experience. A treatment plan should take place when a patient is experiencing pain. Becoming pain free is one of the major concerns of people dying (Dunn, 2001). To have peace with yourself and your loved one, you must distinguish your pain from their pain. Showing respect and having dignity helps the patient feel that they are still loved and cherished as individuals. Having peace with the decisions they have made and the outcome helps the patient transition over into the EOL concept. I feel that if a patient is not at peace with death and dying then it makes it extremely hard for the family. If a patient is having no worries or fears to leave this earth, then they are physically ready, psychologically ready and spiritually ready to face the end of their life. The last concept to talk about is being close to their families in a trying time (2010, p. 756). Feeling at peace and having closeness to others helps the patient transition peacefully which could be the scariest part of dying. During any point of illness patients and families need to be prepared emotionally and spiritually for death (Dunn, 2001). Ruland and Moore identified six theoretical assertions for the peaceful end of life theory that include: monitoring and administering pain meds, getting family involved in decision making regarding decisions that need to be made for the patient, relieving physical discomfort by encouraging rest periods, relaxation, provide support to the patient and family members, encourage family participation with patient care and last, monitoring the patients comfort, dignity and respect (2010, p. 757). Critique Clarity In the peaceful end of life theory all of its theory has been covered and has clearly been understood. The assumption of the theory, that providing comfort for the patient allows a better transition into the stages of the end of life to supporting the family through difficult times shows how the concept varies in different degrees, but are all important to the theory (2010, p. 758). Simplicity The EOL theory has been described as one of the higher levels of middle range theories. It focuses on what is important to the patient at the end of life and how the patient views life. It also has several different aims and aspects on how one values the comfort and dignity throughout the rest of their life (2010, p. 59). Generality The peaceful end of life theory concept came from a Norwegian context that based a study on the dying. The theory is based on not being in pain, the experience of comfort, having dignity and respect, being at peace, and allowing the patient to be close to significant others. This theory allows the standards to guide a person through the peaceful end of life and allow s the family to respond and adapt (2010, p. 759). Empirical Precision Each part of the peaceful end of life concept is based on the inductive and reasonable part of guiding the practice. With the EOL theory its five concepts measured were mixed. Its observations were based on the patient and family perceptions of their care with the decisions made during the dying process (2010, p. 760). In the empirical precision the EOL theory illustrates that the five concepts were beneficial to the patient and the family. As nurses dealing with end of life issues, we strive to take care of the personal values of the patient but, also the medical, legal, and ethical aspects of the decision process get in the way. Sorting through these issues helps to gain respect with the family. Conflicts may arise with EOL decisions, but establishing report with the patient and families helps focus on the primary values of care (G. Leigh Wilkerson, 1995). Often time’s ethical issues play a big role in EOL care. For example, withdrawing care from a mechanical intubated patient is a big ethical issue. Are we prolonging life or are we delaying death. A lot of times holding people on through mechanical ventilation is not ethical. Sometimes patients get dependent on mechanical ventilation which delays death then the family has to make decisions to withdraw care. We should respect our patient’s autonomy and allow them the freedom to make decisions for themselves. We should practice beneficence, fidelity, and non-malfeasance as health care providers. Holding on makes it harder on the patient and prolonging the inevitable (Simon, 2008). As a Christian, letting my patient die with respect and dignity would be a victory in our Saviors eyes. Life is a gift. There is a time in everybody’s life that our body is not growing and healing, but failing. This is when we enter into another phase of our life. Having a peaceful end of life is choosing quality for the rest of your life. Reference Dunn, H. (2001). Hard Choices For Loving People 4th ed. Lansdowne, VA : A A Publishers, Inc. G. Leigh Wilkerson, R. (1995). A Different Season The Hospice Journey. Fayetteville, AR : Limbertwig Press. Martha Raile Alligood, PhD, RN, ANEF, Ann Marriner Tomey, PhD, RN, FAAN. (2010). Nursing Theorists and Their Works 7th ed. Marylan Heights, Missouri: Mosby Elsevier. Simon, C. (2008). Ethical issues in palliative care. Retrieved from Oxford Journals: http://rcgp-innovait. oxfordjournals. org/content/1/4/274. full http://rcgp-innovait. oxfordjournals. org/content/1/4/274. full How to cite Qualitative Researd, Essay examples

The JFK Assassination Essays - Single-bullet Theory,

The JFK Assassination: Conspiracy or Single-gunman? Adolf Hitler, the Nazi dictator of Germany during World War II, once said, "The bigger the lie, the more people will believe it.". Although this may sound ludicrous, we can see many example of this in the world's history. One example would have to be the John Fitzgerald Kennedy assassination. For over thirty years the people of the United States were led to believe that a single gunman shot and killed Kennedy in Dallas on November 22, 1963, at 12:30 p.m... However, in this paper, I will dispute the ancient analization of the facts that show a single gunman was involved, and try to show that a conspiracy must have been present. According to the old facts regarding the case of the JFK assassination, Kennedy was killed by a single gunman. On November 22, 1963, at 12:30 p.m. CST (Central Standard Time), Kennedy was riding in an open limousine through Dallas, Texas. At this time, Kennedy was shot in the head and neck by a sniper. He was then taken to Parkland Memorial Hospital, where he was pronounced dead. Later, police arrested Lee Harvey Oswald, a former U.S. Marine, at a nearby theater. By the next morning, Oswald was booked for the murder of President John F. Kennedy. Two days later, Oswald was killed by Jack Ruby, a Dallas nightclub owner, while he was being moved from the city to the county jail. At a glance, the above story sounds as if this should be an open-and-shut case. After all, according to the facts above, Oswald must have killed Kennedy. However, you must take a deeper look into this case. Many people who witnessed the murder of John F. Kennedy dispute the facts above, saying that they heard shots from places besides the book depository, and other things that may contradict what is stated above. One of these witnesses, Abraham Zapruder, captured the entire assassination on his Bell and Howell eight millimeter movie camera. This movie, cleverly called the Zapruder Film, is the single best piece of visual evidence in this case. In order to more clearly understand the Zapruder Film, it is necessary to break it down into frames. The particular Bell and Howell movie camera that Zapruder was using ran at eighteen and three-hundredths (18.3) frames per second. When using this frame system, you must remember that all shots were actually fired several frames before the number that is assigned to them. For example, the fatal heard wound, called Z313, was probably fired at Z310, since it took 2-3 frames at 18.3 frames per second for the bullet to reach the victim. Also, you must remember that sound travels at about one thousand-one hundred (1,100) feet per second, or a little over half as fast as the Mannlicher Carcano's bullets. When keeping this in mind, it is expected that witnesses heard the shot at some point after the bullet passed. The following shows a break down of the frames of the Zapruder film: - The Presidential limousine first comes into view at frame 133 (the starting point of this timeline.) - The first shot at (or just before) Z187 would have passed through both Governor Connally and the President. - The second shot, which passed above the limousine at Z284, missed the President and hit the curb near witness James Tague. This caused his minor would. - At Z313, the fatal shot occurs, which blew out major portions of the Presidents brain and skull. - A fourth shot occurred at Z323 (slightly 1/2 second after the fatal wound at Z313). Due to the proximity of this report to the one at Z313, as well as it's more distant origin, most witnesses were unable to hear this shot. Thus, the above is when the bullets hit either Kennedy or Connally, or passed through the frames of the Zapruder film (in the case of the second shot). Of the one-hundred seventy-eight (178) witnesses at Dealey Plaza, one-hundred thirty-two (132) said that they hear exactly three shots. If Oswald was a single gunman, it would have taken him at least 2.3 seconds to reload his Mannlicher Carcano rifle. However, the general consensus of the witnesses is that they heard a single shot, followed by silence, with the second and third shots bunched together. For example, Lee Bowers, one of the witnesses, testified, "I heard three shots, one, then a slight pause, then two very close together.". Also, Warren W. Taylor, a Secret Service agent, said, "As a matter

The Insider Secret on French Revolution Essay Topics Revealed

The Insider Secret on French Revolution Essay Topics Revealed The War Against French Revolution Essay Topics It proves it is not necessarily the ideas of society that are negative but one must be extremely careful in deciding on a leader to perform these ideas since they will corrupt these ideas for their own benefit. Thus the strength of Marxist theory is the fact that it acts as a general conceptual foundation that could be constructed upon, and Lefebvre's own evolution of class theory and comprehension of economy is a superb example. There are a lot of topics that you are able to pick from in the French revolution domain so be sure you pick the best one. Use it for brainstorming suggestions for your proposal or new research undertaking. The French Revolution Essay Topics Stories As stated in the preceding paragraph, the expense of the American Revolution was staggering. Charlotte Corday was a real patriot. The Second Estate involved each of the nobles. The wars involv ed enormous quantities of soldiers, mainly because of the application of contemporary mass conscription. Some historians think he might have become the mob's leader too. The main reason for intervening into the fortress was supposed to locate weapons for the accelerating revolution but has become a battle on account of the stressed crowd. Examine the arguments advanced by Robespierre and his followers to warrant the use of revolutionary terror. The Chronicles of French Revolution Essay Topics If you're bored with the customary movies, television or societal circuits, here is the chance to get out and if inclined, to genuinely begin stirring things up! In reality, it doesn't drop any to start out with. Begin with the central idea that you're attempting to wrap your head around. A video splashed onto the rear screen signaled the beginning of the show. The Basque literature is a very clear case of that new era. Reading example essays works exactly the same way! They may be lightly modified for readability or to protect the anonymity of contributors, but we do not edit essay examples prior to publication. Your heroism essay is nearly ready. The expression Luddite is currently used to refer to individuals against automation, industrialization, and several different new technologies. There's additionally a cursory discussion of various nations and their policies. The period Revolution' means a recognisable momentous shift in any scenario. Explain the expression active citizens'. The Pain of French Revolution Essay Topics The government proved always searching for methods by which they could reach all members of society. Lots of people lost lives in the practice. The situation was further complicated by the existence of a marsh between both forces. Therefore, the social troubles that informed the political struggle gets not merely a class conflict, but in addition a gender battle. New Step by Step Roadmap for French Revolution Essay Topics T he third estate did not get together with the initial two. The third estate resented certain benefits of the initial two estates. The First Estate involved religious people within the nation. The initial two estates worked with each other to outvote the large third estate to stop them from turning into a threat to the power. Religion doesn't cause folks to get rid of direction. Events were moving at a quick pace. Technology had an extremely large effect on the French Revolution. In reality, the World would not ever be the exact same again. Collecting data in-and-of-itself isn't a terrible thing. Prepare for a coming meeting with a Mind Map and use it in order to explain your ideas. In the end, the French Revolution would not simply have an effect on the future of France, but Europe and the remainder of the world. France managed to get the ideals of freedom and democracy. It saw an economic decline. It is now a republic. The political discontent of France was among the sources for the Revolution. By the conclusion of 1793 the allies were driven from France. The treaty bought just a brief peace however. Across France and the remainder of Europe the results of the Revolution were huge.

Topics For A Long Literature Paper

Topics For A Long Literature PaperAs a student, you must be familiar with good topics for a long literature paper. Writing a paper is a very exciting part of the academic life. But what is the secret of writing a good paper? I will guide you through this article to help you write a good topic for a long literature paper.Your first step should be to read and study as much as you can about literature. Reading and studying will let you have a better grasp on your topic. You can also read fiction works, literary works and biography. It is necessary that you read at least one work every week so that you can have a grasp on your topic.Another important factor to consider is the topic of your paper. While all good topics are related to a particular literary work, not all literary works are relevant to a certain topic. One example of a good topic for a long literature paper is the classic works of Shakespeare. However, if you are writing a paper on Shakespeare's plays, you cannot just refer to a single play. Instead, you have to read several plays.The next step you need to consider is to read all the works in a genre so that you will have a better understanding of the subject matter. This will help you grasp the theme of your paper easily. This is a very important rule, as not all genres of works are created equal.Remember that when you write, you should be yourself. All the literary works have their own points. While some of the points will be similar, others will be different. Thus, it is essential that you read a variety of works to be able to understand the differences between them.Finally, you should take care that the topic of your long literature paper is interesting. It should not bore you. Be aware that if your topic is not engaging, then it might make it difficult for you to deliver your paper on time.The next step is to decide on the theme of your paper. It is suggested that you select a theme that is closest to the content of your paper. In this way, it is easier for you to deliver your paper on time.Once you have done these things, it is now time for you to write the perfect topics for a long literature paper. Hopefully, you have found this article helpful.

Astonishing Details Regarding Easy Electronics Topics to Write an Essay on Uncovered

Astonishing Details Regarding Easy Electronics Topics to Write an Essay on Uncovered All About Easy Electronics Topics to Write an Essay on Samsung electronics is part of the samsung group. On-line shopping entices you to purchase. Communications skills are essential for individual development and growth. All About Easy Electronics Topics to Write an Essay on In other words, a proposal essay identifies an issue and suggests a remedy to that issue. Sooner or later, it's important to pick topics that one feels comfortable to write on so you can do justice to them. You're able to pick topics from assorted lists of ready themes. When designed for a speech, topics you make will grow to be truly capturing when you stick to the tips above. Moreover, a suitable Conclusion is needed. In choosing your topic, it's frequently a good concept to start out with a subject which you already have some familiarity with. Simply give your reader a last statement on what you've been discussing so they can put off your article and be pleased with what they have read. To reach a compelling subject, you want to center on a single issue instead of using several thoughts which are inclined to confuse the reader. Before beginning to write, don't rush and think of process essay suggestions and topics you like. Before the job of writing first draft essay for your assignments of cause and effect essay it is essential to have an excellent topic for it. College application essay topics are a crucial portion of an entertaining and compelling bit of writing. Most the topics utilized for writing process essays are associated with academics. Don't forget, proposal essays serve a purpose outside academia. They are common in business and science classes and professions, but are also useful for a number of different disciplines. An argumentative essay is a certain kind of academic writing. Writing an excellent persuasive essay is not a simple job, however, it's achievable. You might be given the topic straight away by your professor, or you might be free to select the topic yourself. If so, Harvard format is the thing to do. At any time you catch yourself feeling captivated by a person's essay or article, take a better look at it. Folks can pretend to be who they aren't. The perfect way to revise your essay is to ask a buddy that will help you. Now you have a notion about what a proposal essay is and the way to pick the ideal topic to compose your own essay, below are some examples of proposal essay topics. From that point, the outline comprises all the information that you will need to make your essay and, the essay essentially writes itself. It's also advisable to go through the essay templates to learn more on the subject of essay structure when your outline is completed. Becoming in a position to compose a strong argument can help you succeed in society. There are a lot of AP environmental science essay questions you are able to dwell upon. Young individuals learn how to interact superficially. If you want to put up such essays for everybody to read, make sure your words do not lead anyone to follow along with the incorrect path of treatment, medication or exercise. Sometimes, it's considered a distinct discipline. The goal you wish to achieve in your life. The absolute most difficult task you've accomplished in your life. It isn't difficult to produce the purchase and you don't have to be concerned about anything else after that. While it's a very simple concept, it's not always so simple to understand how to start. When you own a list before your eyes, it is going to be simpler to compose your mind and get started considering a specific matter. It is hard to judge somebody's character online.

Essay Samples For Comparing Two Libraries

Essay Samples For Comparing Two LibrariesPreparing for your college essay should not be an exercise in frustration. There are many essay samples for comparing two libraries, and they provide a starting point that will help you prepare your essay before writing the whole thing.In this article I will give you a brief introduction to these essay samples for comparing two libraries. The most obvious place where you could find these samples is the library itself. They are usually available at the back of the reference book or at the back of the library's website.These sample essays will help you to practice how to write the essay and should give you an idea of how the work could go. You should take the time to read them over carefully and make sure that they are not too difficult or if you have any ideas to improve them. Once you have finished reading them through it is time to revise them.If you do not want to read these samples yourself, you can hire a teaching assistant's book or study guide to help you with the rewriting. The benefit of using this type of material is that it is easy to follow. However, unless you are really passionate about the subject it is unlikely that you will want to do all the reading yourself.If you choose to use these samples for comparing two libraries it is important to remember that there are good and bad points. If you do not know anything about the topic then you should not use the sample. This should only be used as a stepping stone for understanding the subject. They are generally short, punchy and to the point.If you feel confident enough to write your own essay, you should consider using a sample to help you improve it. This can help you understand exactly what to avoid, what not to include and how to balance things out to ensure that you are able to come up with a completely original piece of writing.These samples for comparing two libraries should help you get started on your journey. The more experience you gain from them the better prepared you will be for the essay. This is how the best writers learn.

Essay on Marketing Principles

Essay on Marketing Principles Essay on Marketing Principles Programme: Business Management MODULE: MARKETING PRINCIPLES Assignment task A â€Å"The concept of the marketing mix was reportedly introduced by Neil Borden in his presidential address to the AMA in 1953. He got his idea from James Culliton, who described the business executives as somebody who combines different ingredients. The term â€Å"marketing mix† therefore referred to the mixture of elements useful in pursuing a certain market response†. (van Waterschoot, W., Van den Bulte, C. 1992) The Marketing Mix table Jaguar XF Product Streamlined wings, sculptured bonnet, sleeker headlights with LED daytime running lights. Alloy wheels. Fitted with black buttons in the centre making the car feel more up market. A stylish leather top dash which gives decent practicality. A core pop-up gear selector. Nice and sharp steering with lots of reassuring grip. A range of new range seats to choose from; whilst the drivers seat has supportive leather. 8 speed auto. 2.2 litre cylinder diesel which returns 52 miles/gallon and emits 149g/km of carbon dioxide although it’s still pretty quick! Speed 0-60 takes 8 seconds. The mid range punch makes the car great for over-taking. A quiet engine, a rarity for a diesel. Rear wheel drive. Stop start system. Downsides to the car: Only comes in automatic Has reduced rear visibility No boot space Passengers over 6 foot will struggle to sit in the back seats due to the lowered head space The fold down seats are not standard like on an Audi A6 Slightly more expensive to run and buy than it’s German rivals. Standard features: Exterior mirrors heated with electric adjustment Phosphor blue halo illumination and interior mood lighting Suede cloth and Bond grain seats with four way electric adjustment Bluetooth audio streaming Jaguar 250W sound system Jaguar smart key system with keyless start Rear parking aid (www.jaguar.com) Price  £45,600 (plus  £2,750 in kit). Additions: Black grill and highly sculptures sills -  £1,500 LED daytime running lights -  £500 Adaptive Dynamics system -  £1,250 Place Sold worldwide via: Dealerships that promote other brands of cars Internet Private one-to-one sales Exclusive Jaguar dealerships. Physical Evidence People Older gentleman looking for comfort as opposed to style and fashion. Males rather than females. Customers seeking diesel economy. Promotion Jaguar makers are firm believers that there is no car that is bad and as such has to be unique to compete effectively. tutor2u.net For further reference please watch the following promotional video: carsite.co.uk/gallery/videos/id/9170-jaguar-xf-promotional-video-2012 Mercedes-Benz E Class – Saloon Product Large boot which can be opened using a key fob. Ample leg room in back seats. Reclined back seats. Electric adjustable steering wheel. Windscreen wipers, indicators and lights all on one store. Major on-board functions are controlled by swivel wheel. Sound insulation. Rear wheel drive. Faux leather seats. Electric heated seats. Cruise control. Comes in 2 models: SE and AMG Sport. LED daytime running headlights. Start stop system allows fuel economy of 58.9 combined with carbon emissions of 128.