Advantages of Internet Essay Example for Free

Advantages of Internet Essay Science and technology play a very important role in our life. Most of our daily activities are greatly associated with science and technology. One of the contributions of science and technology to mankind is the invention of Internet. With this invention being so widely used, it has both advantages and disadvantages. In this essay, I shall discuss the advantages and disadvantages of the Internet. The first advantage of the internet is that it provides us with leisure. This is because the Internet can provide us with various endless entertainment. For example, we can watch videos in YouTube which has millions of videos from comedy to romance and horror to suit our mood. Not only that, some television networks have their own websites. These enables us to catch up on movies or television programmes on television which we have missed. Radio channels such as Class95 and Perfect10 also have their own sites to listen to radio programmes for those who do not own a radio set. There are also many sites that enable the users especially youths to watch anime or read manga online. This is good as this enables us to save money as the cost of a manga or anime DVD can be quite expensive. These different from of online entertainment will not only gives us leisure but also provide a medium in which we can relieve the daily stress from school and work. The second advantage of the internet is E-commerce which is growing rapidly and becoming more popular. Examples of e-commerce include online shopping and e-banking. Through online shopping, we can buy many things over the net which provides a range of products from all over the world with just a click of the mouse. Examples of famous online shopping sites are Yahoo!, Amazon and e-bay which sells various products from books and furniture to electronic devices and office supplies. Doing shopping online is indeed convenient as we do not need to travel to do our shopping. As a result, time is saved.

Why did the Reformation Matter to Ecclesiology?

Why did the Reformation Matter to Ecclesiology? By Carmel Gittens This presentation is to be delivered to our weekly Youth Group in our village hall. This is a group of young people aged 16-18. They have poor attention and love film especially Star Wars! So; the opening slide is to grab their attention, but there is no attempt to equate Star Wars with the Christian faith. The purpose of the presentation is to help them understand the significance of the Reformation and the impact it had on the Anglican church to which they belong. Also, to help them understand why the reformation is not a relic of the past but that the faith we share is dynamic, constantly reforming, and is as important today as it was then. There is often a misconception, especially amongst young people who have just studied Tudor history in school, that the reformation was all about Henry VIII wanting to divorce and remarry. They erroneously believe that he was responsible for the split of the Protestant movement from the Catholic church in Rome. As far back as the 5th century Augustine in his book The City Of God had declared that Mans commitment wasnt to Rome but to Jesus Christ. However the British monk Pelagius, while reading Augustines autobiography, was struck by this prayer: Grant what Thou commandest, and then command what Thou wilt. In other words, fallen man is utterly dependent upon Gods grace for salvation. No one, for example, can practice the self-control God commands unless God gives him grace to do so. These words made Pelagius uncomfortable. He believed human beings could be saved by their own efforts. This great theological controversy engulfed the church. To refute Pelagianism, Augustine turned to the great Pauline doctrines of grace, such as original sin, fallen mans total depravity and inability to save himself, the efficacy of the atoning death of Christ, and the necessity of faith in Him for salvation. The enormous biblical learning and perseverance of Augustine won the day against Pelagiuss teaching in the church. In the hundreds of years that followed, the Christian faith took many twists and turns, with Rome rising and falling in its domination, and Papal power being established. However the influence of the seventh century figure Pope Gregory who endeavoured to bring the whole world into the Christian faith and succeeded in bringing Kings and Rulers to the church, was weakened by the fact that the type of Christian faith that was produced was very superficial. A kind of faith that the church still struggles with today. The Synod of Whitby 648 was a gathering of bishops preoccupied with the significant issues of the day such as the shape and style of vestments worn by clergy and the date of Easter. This historical example showed how sometimes the church can completely forget its mission. Disagreements over the use of icons during the next century began to split east and west, coming to a great climax in 787 when the Iconoclastic controversy hit the second council of Nicaea. Although the church eventually allowed the use of icons, it was only under the insistence that they were not worshipped but used for instruction only. However, over the years this line again became blurred and images were given an even more important place in public worship. Whilst empires began to crumble, power was shifting towards the church, and this power was often achieved by corrupt means. Educational standards were falling; often the clergy were more ignorant of Gods word than those they were preaching to and standards of spiritual direction fell. The influence of Eastern traditions and beliefs isolated the Western church, and the popes of Rome were now able to take more power, unchallenged as they were by any degree of accountability to a higher power on earth. They began to acquire land and used the revenues from them to dominate the wider church with their corruptions. Many began to recognize the corruption between state and church and this led to disagreement over who should be able to elect clergy, the state or the church? More and more of the higher offices of clergy seeing the need to gain power began to raise funds with which to grow their dynasty and spiritual wellbeing gave way to fundraising and the selling of indulgences. It was in this climate that many began to voice their concerns, and the reformation movement really began to gather momentum. Whilst this is very important to the deeper understanding of the roots of the reformation, for the needs of the target group of my presentation, I have begun in the 14th century with the introduction of Wycliffe and his translation of the bible into English. Whilst a brief introduction that sets the scene is necessary, the amount of preceding information would be too much for the group to take in at one go, and may require a separate session. However, such in-depth detail may only be needed by those wishing to continue studying reformation history, rather than just a basic understanding of where this fits in to the development of the faith of the Anglican church. I decided by way of brief introduction to discuss the discontent with Rome and the political power wielded by the papacy, the use of Latin in both the Catholic Mass and the Bible as a way of controlling the information the populations were given, and the selling of indulgences by the clergy as a supposed way of gaining forgiveness and a sure way to enter heaven. To help the students understand just how early this discontent began, two slides about Wycliffe and Hus have been included, with the link to Luther coming from the slide about Hus prophecy regarding another man 100 years on, who would be proclaiming the same discontent and proposed reforms. Whilst I have maintained a little of the Star Wars theme, I did not wish this to become confused with the focus of the presentation and so after using a little picture to retain their interest I then left this until the last slide to finish the theme. Luther is introduced, with a brief history of his life and how he came to disagree with the traditional Catholic biblical teachings and the corruption of Rome. Then follows an explanation of his 95 theses and the controversy its publication caused. I believe that the importance of the printing press on the spread of the ideals of the reformers should not be underestimated. It is often debated that without it perhaps Luthers influence would not have been so far reaching. The students need to understand this and so the slide regarding this was introduced. The following information regarding the main concerns of Luther has been simplified as much as possible to aid students understanding of a very complex topic which contains a lot of historical information. It is important though that the main facts and chronology are established. Luthers theses that expressed his concerns about certain Church practices largely the sale of indulgences, and his deeper concerns with Church doctrine are explained. And how Luther could not reconcile this practice with his beliefs. When Pope Leo X began allowing indulgences to be sold it was to raise money for the rebuilding of St. Peters Basilica in Rome. Johann Tetzel, a monk began selling them not far from Wittenberg, where Luther was Professor of Theology. Luther could not find any scriptural evidence that this practice was of God. The students are now shown how Martin Luthers personal faith journey evolved from being a devout Catholic to hating the vengeful God he found in the bible. He concluded that no matter how good he tried to be, he could never earn his way to heaven. Luther re-read St. Paul, who wrote The just shall live by faith (Romans 1:17). Luther had a eureka moment and began to understand that those who go to heaven will get there by faith alone not by doing good works. In other words, Gods grace is something freely given to human beings, not something we can earn. This belief was not shared by the Catholic Church. Luther and other reformers also disagreed regarding the transubstantiation of the Eucharist. Luther thereby challenged one of the central sacraments of the Catholic Church, one of its central miracles, and thereby one of the ways that human beings can achieve grace with God, or salvation. Luther was excommunicated by Pope Leo X when he refused to recant his theses and other works at the diet of Worms. There needs to be balance in any teaching session and it is important to look at the churchs response; which was called the Counter-Reformation. The slides include information about the 1545 Council of Trent and its discussions to deal with the issues raised by Luther. This is important as it shows that the Catholic church attempted reconciliation and although many of its former practices and traditions were upheld, there was some attempt to stamp out the corruption that had in many ways led to the reformation. This and the later values of the Oxford movement are discussed. It is only then that the involvement of Henry VIII and his daughter Elizabeth are brought into the session. The influence of religion upon the political world and the wars and persecution that happened then; and is still happening today, are addressed. The Reformation was a very violent period in Europe. Each side, both Catholics and Protestants, were certain that they were in the right. Bibliography Ferguson, Sinclair B.; Beeke, Joel R.; Haykin, Michael A. G.. Church History 101: The Highlights of Twenty Centuries. Reformation Heritage Books. Spencer, Stephen Anglicanism:SCM Studyguide. 1 Jun 2010 Reeves, M and Chester, T: Why the Reformation Still Matters, Inter-Varsity press 2016.

How to Overcome Ethnocentrism

How to Overcome Ethnocentrism Ethnocentrism is when one tends to judge other ethnic or cultural groups according to the dominant, or superior, culture in which they belong. This judgment places special concern on behavior, customs, language, and religion. To overcome ethnocentrism through communication, one must first have an open mind in order to develop cultural awareness and sensitivity to others. To even the most highly motivated individuals wanting to reduce or eliminate their ethnocentrism, this is not an easy task. Efforts must be made to increase knowledge about cultural differences and similarities in order to have a better understanding of the need for a diverse population and to help overcome any prejudices. You may need to change lifelong beliefs about yourself and your culture. Moreover, recent research suggests that people often have beliefs and biases that theyre not even consciously aware of and that may even conflict with the beliefs they think they have. (Thill and Bovà ©e, 2008, pg 75) Some ways in which to learn about other cultures would be to read foreign books, learn a foreign language, browse foreign internet sites, watch foreign movies or television, attend services from another religion, travel or study abroad, learn to appreciate cultural music, or join cultural clubs to cultivate friendships. A degree of ethnocentrism is natural when being introduced to a different culture. Fortunately these cross-cultural barriers can be overcome through exposure. In my life experiences, prejudices have simply been nothing other than fear of the unknown. Explain the eight main types of cultural differences. Provide an example of each (5 points). When communicating in a diverse world, one must recognize and accommodate cultural differences to avoid the chance of any misunderstandings. There are eight main types of cultural differences: contextual, legal and ethical, social, nonverbal signals, age, gender, religion, and ability. Any attempt at communicating, cultural context plays a role in. Cultural context is the pattern of physical cues, environmental stimuli, and implicit understanding that conveys meaning between two members of the same culture. (Thill and Bovà ©e, 2008, pg 76) There are two types of cultural context, high-context and low-context. As an example, in a high-context culture, ones position and status is valued more highly than their competence, whereas in a low-context culture, ones competence, position and status are valued equally. Cultural context also affects legal and ethical differences. In a high-context culture, verbal agreements are viewed as more important than written agreements, and in a low-context culture, a written agreement is binding, with little to no value placed on a verbal agreement. The nature of social behavior differs between cultures, and at times, quite markedly. A good example of this difference is in a high-context culture, time is often seen as more flexible, meaning late schedules or appointments are overlooked in order to maintain relationships, whereas in a low-context culture, schedules, appointments, and deadlines have rigid requirements. Being late might be seen as disrespectful, lazy, or incompetent, and normally unacceptable. Nonverbal differences could be grouped along with social differences as they are both a type of behavior, but can also differ quite markedly between cultures. Examples of these differences can include greetings such as a handshake, possible intrusion of personal space, facial expressions, eye contact or posture. The remaining four differences, I believe could be grouped together, as each one, age, gender, and ability are things that one cannot change in themselves. Even though I feel religion should be a choice, in some cultures that it not allowed. All four of these differences have the potential to bring about controversy while communicating. Some cultures give the most respect, power, and freedom to their elders, while other cultures believe that the younger generation can bring fresh ideas and creativity to the table. Some cultures allow more women to hold executive positions, while others still believe men should hold the positions of authority. While some cultures find people with impaired abilities a significant disadvantage and may not give them equal opportunities, other cultures recognize these individuals as an opportunity to help them with tasks that they find difficult or almost impossible to perform, and can possibly lead to finding new inventions in which to aid these individu als. Some cultures believe they should be allowed to express their religious beliefs in any environment, while others do not believe in openly expressing themselves so as to avoid friction between individuals. In todays economy, anyone who can make a contribution that has a positive impact on society should be allowed, but we all must learn to see past our cultural differences. List and discuss the important components of successful intercultural communications (5 points). Intercultural communication is difficult and in order to communicate successfully, there are barriers we must work through. Important components of communicating successfully are to research and study other cultures and languages, learn to respect preferences for communication styles, learn to write and speak clearly and listen carefully, and help others adapt to your culture. Learning just the basics of any culture, even common phrases, can help get you through everyday situations. There are many ways of researching and studying other cultures and their languages from reading books, to watching movies, traveling to another country, or even taking classes to learn a second language. Knowing the communication style of a culture is particularly important in effectively communicating, whether it be verbally, or nonverbal. Learning other communication style also shows that you respect their culture. Writing and speaking clearly and listening carefully are also a part of effective communication. If youre in a meeting, making a presentation, or listening to a presentation, in order to give or get appropriate and realistic feedback, you must be an effective writer, speaker, and listener. One word can have different meanings to different cultures. When helping others adapt to your culture, both can learn which forms of communicating are easier for each culture w ritten or oral. Since successful communication plays such a vital role in todays society, it is imperative that any stumbling blocks be overcome so there can be a win-win situation for everyone involved. List the seven components of writing and speaking clearly. Provide an example of each (5 points). In learning to write and speak clearly, it is recommended one follow these seven components: 1) Use simple and precise language; 2) Be brief; 3) Use transitional elements; 4) Address international correspondence properly; 5) Cite numbers and dates carefully; 6) Avoid slang, idiomatic phrases, and business jargon; and 7) Avoid humor and other references to popular culture. Listed here are samples for each component: 1) the word run, used as a verb or noun, would have over 40 distinct meanings, where the word taxi, which may differ slightly in spelling would tend to be recognized as the same meaning; 2) organize your thoughts and materials to eliminate any redundancy so your information can be conveyed in the shortest and simplest way possible, and if need be, break information into smaller sections to help readers capture your message; 3) using transitional words and phrases such as even though, furthermore, because of all this helps readers understand what they are reading; 4) be sure you correctly use all address elements for a country, e.g. (city + hyphen + postcode), and another country may use (city + state (abbrev.) + postcode); 5) a date written as 1/2/03, in one country may mean the first of February, 2003, but in another country mean the second of January, 2003; 6) such idiomatic phrases as its on the tip of my tongue should be avoided as your audience may not have any idea what you mean; and 7) what is funny to one person can be entirely different from what the next person thinks. Lets say making a joke about a popular entertainer like why was Lady Gaga carried on stage in an eggshell and dressed like a newborn. This would most likely be completely alien to your audience. So unless you are familiar with your audience, it is best to avoid humor altogether. When communicating in intercultural conversations, whether speaking or writing, remember to become familiar with their communication style and adapt accordingly, and to follow the seven components of writing and speaking clearly. On page 94 of your text, do exercise 3.1 (Intercultural Sensitivity: Recognizing Variations). Be sure to provide a rationale for your answer and use citations or references to the text or other materials to support your answer. You may find it helpful to visit your textbook Web site and go to the Featured Web Sites section for Chapter 3, then visit the Executive Planet Web site for some additional information about communicating in a business setting with specific countries. (10 points) A Canadian toy company representative, Ms. McGraw, is in a first negotiations business meeting with Mr. Morioka, a manufacturer of miniature truck wheels in Osaka, Japan. Ms. McGraw has just finished explaining her companys expectations for the design process, the materials procurement, and aggressively emphasizing their willingness to close the deal by laying their contract out on the table. Mr. Morioka is increasingly vague in his response to accept the contract by saying softly, perhaps that will be difficult, shows little interest in the negotiations, and Ms McGraw doesnt understand why. One possibility of a cultural difference that could be affecting their communication is the fact that women still dont play a prominent role in business, and woman executives who visit those countries may find that theyre not taken seriously as businesspeople. (Thill and Bovà ©e, 2008, pg 78) Age difference could also have an effect because in the Japanese business culture, elders are valued for their wisdom and experience they bring to the company. Another possibility could be in nonverbal communication such as how they are greeted or if there is a lot of direct and frequent eye contact. The Japanese traditionally prefer a slight bow of the head and eye contact can be considered aggressive. (Thill and Bovà ©e, 2008, pg 80) All aspects of Japanese life, especially business relations, are governed by strict rules of etiquette. A foreign business person who is either ignorant of, or insensitive to, Japanese customs and etiquette needlessly jeopardizes his companys prospects in this country. (Japanese Customs, Etiquette, and Culture, http://www.buyusa.gov/japan/en/customs.html)

Modernism In Works of T.S. Elliot And James Joyce Essay -- Literature

Introduction: Modernism is a word that is generally used to understand "new and distinctive features in the subjects, forms, concepts and styles of literature and the other arts in the early decades of the present century, but especially after World War I." (Abrams 167) More often than not "Modernism" engages in "deliberate and radical break" (Abrams 167) with some of the more traditional foundation of art and culture. Peter Childs in his book Modernism remarks "Modernism has almost universally been considered a literature of not just change but crisis" (p. 14, Unit Reader p. 12). This essay will discuss and assess the value of this statement through the parts of the poem "The Waste Land" as well as "The Love Song of J. Alfred Prufrock" both of which were written by eminent poet T.S. Eliot and a short story from "Dubliners" named "Eveline" by James Joyece. Both the Poems and the short story in some way celebrate the practical and existent picture of life and culture and the changes with in them. This essay will firstly discuss the poem "The Waste Land" secondly it will discuss "The Love Song of J. Alfred Prufrock" thirdly the short story "Eveline" from the "Dubliners" and lastly it will discuss the how the discussions have helped to extend the understanding of the concept of Modernism. The Waste Land Section I: "The Burial of the Dead": This section of the "Waste Land" can be distinguished as a modified dramatic monolog. The four speakers in this part, who are very much frustrated by out side circumstances (a change and crisis) like war, are in dire need of speaking their hearts out but find themselves surrounded by dead people. The poem uses a partial rhyme scheme. The inclusion of language other than English make... ...through made her transform in a different way. Everything for her changes even after her discission to stay in Dublin. Modernism is a very different form of literature than those which were written before the First World War. Through the poems by T.S. Eliot and the short story by James Joyce one thing was evident; the impact of war was the biggest motivation behind all three pieces of writing. Another thing that was apparent was the fact that people were more concern about their individuality at that time which became prominent in the writings as well. Modernism began in a time where the war had shattered both the exterior and the interior of European culture and people embarked on thinking differently and new forms of realisations were embarking. These new realisations and ideas were channelled through different forms of literature and art and formed Modernism.

The Farm Real Estate Economy :: essays papers

The Farm Real Estate Economy Farm real estate values have increased continuously from 1987 to 1998, significantly improving the financial position of many farm businesses. But for the first time in over a decade farm real estate prices have begun to fall, due in part to record breaking yields for crops and extremely low commodity prices. I believe the value of farmland has increased at too fast a pace in relationship to value of farm production and is facing a major market adjustment. The farm real estate market saw it’s last major market adjustment in the mid 1980’s (see figure 1), many operations went out of business and the banking industry lost millions. In many cases the value of the note the bank was carrying was in excess of the value of the land securing that note. Although the market adjustment I anticipate will not be as drastic as the crisis of the 80’s, I do believe many lending institutions are in place to take some serious losses if the federal government suspends it’s p ayments to farmers. Farmland currently accounts for slightly over 79 percent of all farm sector assets, which now exceed $900 billion. Some 52 percent of total farm sector debt, composed of either mortgages or short or intermediate term debt are secured by farmland. Consequently, the financial security of farm sector borrowers and their lenders is affected by changes in farm real estate values. Agricultural land values are primarily determined by the income earning potential of the land, as measured by expected returns from crops and livestock. However in many areas, nonagricultural factors are playing a greater role. Where non-farm influences are involved, farmland is often drawn out of agriculture for residential, commercial, or recreational uses. Farmland values in rapidly urbanizing areas, like the outskirts of Lincoln for example or in areas popular as recreation destinations tend to be higher than would be predicted based on agricultural returns alone. Research has found that 10 to 20 percent of the farmland in the United States is effected by population expansion. This may seem like a small percentage of the total farmland in this country but in many instances in urban areas land is valued at five times it’s production capability, or higher. This however is not taken into consideration when valuing the real estate in the farm sector as a whole. This problem is most prevalent in the Northeast United States.

The Goal

Jakeshia Moore Mktg 372 Alidee Nov 28, 11 The Goal: A Process of Ongoing Improvement The Goal by Eliyahu Goldatt is a novel, regarding the management and accounting processes at a manufacturing plant. The book focuses around a perhaps older 30- early 40s something industrial engineer, Alex Rogo. With the description Goldatt gives of Rogo, he personifies the profile of a large number of people involved in business administration (Lui 1997). Alex is married, with two children and his lively-hood is in jeopardy, unless he can figure out exactly how to save his production plant, by understanding â€Å"the goal† of his company. In order for Rogo and the readers to even begin understanding that â€Å"goal†, Eli begins to unravel the novel by introducing the readers to Alex Rogo and apparent problems with his production plant. In the opening of the first chapter these problems meet Mr. Rogo at work, as a confrontation takes place between him and his immediate boss, Division Vice President of their company UniWare, Bill Peach. The dispute takes places over an overdue order number 41427, which happens to be fifty-six days behind schedule. Given this has become the norm for Rogo’s plant, Mr. Peach requires nothing less than for order #41427 to be shipped that day, since the plant is neither profitable nor productive. In fact so many orders, as of late, have been so far behind that it is becoming a major problem for the company and the lively hood of the workers. Therefore, Mr. Peach decides to give Alex three months to turn things at their plant, or he’s prepared to recommend the Bearington plant be shut down. With the amount of time order number 41427 is already late; the pressure is on to get the order out the door and shipped according to Mr. Peach’s specifications. Surprisingly the plant gets the order shipped that night, but not very effectively. All the hands in the plant are working on one order, with forbidden overtime to compensate. Only after dinner with Lou, his controller, does Alex develop a sense of determination to define his mode of constraints. His efficiencies are good, but he can not to put to a finger on what’s causing the problem; and without the Five Steps of Focusing this at first seems impossible. Alex has spent late nights pondering the future of the company. He attempts to identify â€Å"the problem† at his plant, the process he will have to go through to change it, how resistant his plant would be to that change, and how he intends to overcome their resistance. Alex does all of this just in time for Mr. Peach to call a plant managers meeting at the headquarters. On his way to the meeting, Alex learns the problems with efficiency and effectiveness are not only plaguing his plant, but it’s the entire industry. It’s been losing money since Japan entered the manufacturing market and stolen market share from companies in the United States, like their UniWare Division of UniCo. During the meeting with Mr. Peach and the other plant managers, Alex mistakenly comes across a cigar he received from and old friend; a physicist named Jonah, and has an epiphany. Two week prior to the meeting, by pure chance, Alex ran into Jonah and they began to catch up. Alex gave Jonah a run down of his job as plant manager at UniCo, and eagerly described how his firm’s investment in automation (ie. obots) had increased productivity by thirty-six percent. Jonah, in turn questioned Alex about some key identifiers of productivity such as: their ability to decrease inventory, reduce operational expenses, and selling more product. Jonah really asked some in-depth questions to help Alex understand his core problems. Until Jonah predicted their problems with high inventories and not meeting shipping dates, A lex was sure he was simply dealing with some routine problems, not the demise of his entire organizational structure. Jonah explained to Alex that there is only one real â€Å"goal† for any organizations, and anything bringing you closer to achieving that is productive and anything otherwise is unproductive. Productivity, according to Jonah, is defined as accomplishing something in terms of goals. Late for his flight, Jonah uses the Socratic Method to help Alex conclude what â€Å"the goal† of his plant really is. Alex struggles with the questions Jonah ask initially, but eventually discovers and internalizes the concept of the Theory of Constraints. Meanwhile at the meeting, .

Nursing Care Plan & Basic Conditioning

COMMUNITY COLLEGE DEPARTMENT OF NURSING CLINICAL ASSESSMENT TOOL Subjective Data (Basic Conditioning Factors) Student: Date of Care: 10/03/09 Patient’s Initials: P. V. Age: 37 Room #: 3114 Bed 1Allergies: Food: NKA Gender: FMedications: NKA Environmental: NKA Admitting Diagnosis: Pancreatitis Developmental Stage (Erickson and Havinghurst): (List Developmental stage and tasks, assess each task) 1. Selecting a mate: Although patient is single, she has many friends. Patient was happy to introduce her friends that came to visit. Introductions were all made as friends, no boyfriend or husband mentioned. 2. Starting a family and raising children: Patient is not interested in these aspects of life. Patient is more concerned over her friends and their activities that they do together. 3. Managing home: While the patient lives alone, she would prefer to have a roommate to share housekeeping tasks and rent. 4. Taking civic responsibility: Patient is not interest in helping out community. 5. Starting occupation: Patient has been a Title Researcher for two years, she claims that it is just a job to pay the bills. 6. Finding congenial social group: Patient claims that she has a tight group of friends that she enjoys going out with. While the patient was agreeable, she wanted to be left alone. The Erickson stage that the patient is in is adulthood; Intimacy vs. Isolation. I find that Miss F. V. to be in isolation, developmentally. She wanted no socialization from myself, lives alone, and works alone. She is not actively looking for a mate and was demanding to have her door shut my entire shift, which was the norm since she was admitted 20 days ago. History of present illness: On 9/13/09 patient presented with severe ABD pain in ED. A computed tomography Scan (CT-Scan) of the abdomen and pelvis with contrast was performed; showing severe pancreatitis with prominent pancreas demonstrating significant edema. Moderate to large amounts of ABD ascites demonstrating simple fluid attenuation was noted. Peritoneal enhancement was predominantly noted within the left ABD, reflecting significant peritonitis. No bowel obstruction was noted and pancreatic necrosis was not excluded. Moderate bilateral pleural effusions were also noted. Past medical history : Irritable Bowel Syndrome Anxiety Depression Cocaine use (1998) Smoker Past surgical history: none Medications: Drug NameDoseRoute FrequencyClassification Metoprolol Tartrate50mgPO q12hAntihypertensive Enoxaparin Sodium40mgSQ dailyAnticoagulant Esomeprazole Mag Trihy40gmPO dailyAnti-ulcer Hydromorphone hydr2mgPO PRN Opioid Analgesic Ergocalciferol800int unitsPO daily Vitamin Complementary/Alternative Medical Practices Herbal Remedies: None Vitamins/Minerals: Daily multivitamins Meditation/Yoga: None Massage: None Acupuncture/Acupressure: None Aromatherapy: None Other: None Health Care Systems (Current orders and role of health care members): Low fat diet IV [email  protected]/hr q24h Double Lumen PICC line Left AC CBC OOB Sociocultural / spiritual orientation: none Family system: Patient has family support, however lives alone in a walk up apartment. Patterns of Living: A. Employment: Title Researcher B. Education: Some college C. Hobbies / interest: None D. ETOH / drug use: Social only Environment (Conditions of living and working): Client lives alone, although the answer changed from 9/13/09 to 9/14/09 to lives with a friend. Family is supportive. Friends are supportive. Available Resources (Economic, personal, agencies): Primary Insurance: Primary Insurance is a HMO with BlueCross BlueShield. Objective Assessment of the USCR's Pt: F. V. Room 13314 Bed 1 Jennifer Hughes Please use Y, N, NA to indicate Yes, No or Not Applicable Day 1Day 2Additional Data Psychosocial Solitude v. Social Interaction or Normalcy Well groomed/Good hygieneY Appropriate/Full range affect Y Maintains eye contactN Calm moodN Cooperative attitudeY Able to concentrateY Clear speech (volume/tone) Y Psychomotor retardation N Tics/Tremors N Hyperactivity/Restlessness/Agitation N Hallucinations/Illusions N Suicidal/Homicidal Ideations N Activity/Rest Well-rested N FatiguedN Slept through night N Neuromuscular (prevention of hazards) Alert and oriented Y Times 3 Gait steady Y Hygiene independentN Refused AM care Primary notified Pain free NDilaudid 2mg given @ 6am by primary Hand grasp, strong and equal bilat Y Foot push, strong and equal bilat Y Smile symmetrical Y Tongue to midline Y PERL Y Meets developmental task Y Cardiovascular (air or water) Palpable pedal pulses bilaterally Y Oral mucosa pink Y Conjunctiva pink Y Capillary refill within 2 seconds Y Absence of edema Y Apical/radial regular rhythm YRate= 94 Blood pressure YBP= 86/60 primary notified Telemetry Y Integument (prevention of hazards) Temperature YTemp= 98. 0 Skin turgor WNL Y No tenting noted Skin warm to palpation Y Cool to touch Skin intact Y Incisions N Wounds N Day 1Day 2Additional Data Respiratory (air) Resps easy and even Y Lungs clear Y Secretions N Oxygen in use N Oxygen saturationY 98 Cough and deep breathe N Chest tubesN Gastrointestinal (Food or Elimination) Abdomen softY Tender to the touch Abdomen non-distended Y Bowel sounds presentYAll 4 quads Abdominal drainsN Stomach tubesN Bowel movementN Nausea/vomiting N Feeds selfY Breakfast (% consumed) 50% Lunch (% consumed) 75% Dinner (% consumed) Tube feedingN IV solution (type and rate) YTPN @83cc/hr bag @ 1200cc @ 07:40 IV site (location)YLeft AC PICC Double Lumen IV site without redness or swelling Y IV dressing dry and intact Y Chemstick n/a Gastrointestinal (food or Elimination) Voids in bedpan or bathroom Y Pt. using bathroom Foley catheterN Suprapubic tube N Urine clearY Color yellow-amber Y Yellow Amount (cc's)n/a Continuous bladder irrigation N Lab Data (explain abnormal values) RANGE WBC: 4. 5 – 11. 0 HGB: Men 14. 7 – 16. 1 Women 9. 3 L12. 0 16. 0May indicate anemia. HCT: Men 42. 0 – 52. 0 Women 27. 1 L37. 0 47. 0May indicate anemia, bone marrow dysfunction, malnutrition, over hydration Platelet 490 H150. 0 – 450. 0 Could indicate hemorrhage or inflammatory disorder. Glucose 8370. 0 – 110. 0WNR Sodium 140135. 0 – 145. 0 WNR Chloride 10395. 0 – 110. 0 WNR Potassium 4. 3 3. 5 – 5. 1 WNR Calcium 8. 1 L8. 4 – 10. 2May indicate protein & vitamin D deficiency, malnutrition, cushing syndrome, acute pancreatitis Albumin 2. 6 L 3. 4 – 5. 0Could indicate malnutrition, ulcerative colitis, use of penicillin, sulfonamides, aspirin or ascorbic acid. BUN: 127. 0 – 20. 0 WNR CR: . 40. 3 – 1. 5 WNR PT: Not in labs 10 – 12 sec PTT: Not in labs 3045 sec INR: Not in labs 2 – 3