Friday, January 31, 2020
Individual Project 1 EDU 620 Essay Example | Topics and Well Written Essays - 500 words
Individual Project 1 EDU 620 - Essay Example Thus, it demands a more dynamic personality having skills in analysis, planning, management, and implementation. Most importantly, it requires a learning attitude that leads toward continuous personal and professional development. Discipline of Instructional Design Wills(2009) states that instructional design is a discipline based on scientific principals and a specific set of assumptions verified by empirical data. Upon the base of this data, the professionals design their instructions to meet the specific learning needs of the particular audience. Hence, instruction is a science and instructional design is a technology based upon the science. (Merrill, Drake, Lacy, Pratt, & the ID2 Research Group, 1996).Further, it is a process that includes planning, management, implementation and assessment. Thus instructional design is a process to improve how instructions gets designed and delivered better. However, some scholars consider it not just a science but an art as well. Instructional Design as a Science The scholars who claim instructional design as aligned with science say that instruction is based upon some scientific principalsââ¬âa huge body of research. Supporting this view point Rowland (1993) establishes that the principles that can explain cause and effect relationship are to be said scientific.
Thursday, January 23, 2020
Free Hamlet Essays: Essay on Hamlet the Hero :: GCSE English Literature Coursework
Hamlet the Hero There are various ways to define a hero. There is an endless amount of people who are heroes. A hero can be, "one who exhibits courage and/or daring," a hero can be, "one who is supremely noble or self-sacrificing," a hero can be a champion or a winner. A hero can save the day, or even save your life. A hero can be that normal person you see just walking down the street. According to either of these definitions, Prince Hamlet can definitely be identified as a hero. For his words and actions, clearly exhibit such label, and give one the right and reason to say so. "But two months dead-- â⬠¦my poor fatherââ¬â¢s bodyâ⬠¦why she married with my uncle, My fatherââ¬â¢s brother, but no more like my fatherâ⬠¦Ere yet the salt of most unrighteous tearsâ⬠¦But break, my heart, for I must hold my tongue" Hamlet painfully moans to himself. It is clear at the beginning of the play that Hamlet was sufferingââ¬âemotionally. It hurt him to see his mother marry so soon after his fatherââ¬â¢s death and Hamlet felt alone since no one else seemed to feel his pain and be mourning with him. Itââ¬â¢s safe to conclude that Hamlet had a commendable and upright relationship with his father whom he admired. Unless one was not as courageous or as confident as Hamlet, we wouldââ¬â¢ve complained and tried to ruin the marriage. Prince Hamlet on the other hand, showed heroic skills by putting others first. He kept his pain to himself and didnââ¬â¢t want to cause any difficulties with the townspeople or family. He shows this self-sacrifice ability once again when King Claudius tried to convince him to stay at home, rather than going away to school. He says "You are most immediate to our throneâ⬠¦For your intent In going back to school in Wittenberg, It is most retrograde to our desire, And we beseech you, bend you to remain Here in the cheer and comfort of our eye." Queen Gertrude reinforces that request when she said, "Let not thy mother lose her prayers, Hamlet. I pray thee, stay with us. Go not to Wittenberg." Even though the young Prince Hamlet felt more at home and comfortable with his friends at school in Wittenberg, he respectfully replied, "I shall in all my best obey you, madam." "Lady, shall I lie in your lapâ⬠¦I mean, my head upon your lapâ⬠¦Thatââ¬â¢s a fair thought to lie between a maidsââ¬â¢ legs" Hamlet outrageously says to Ophelia, as he was anxiously awaiting for the play to finally begin.
Wednesday, January 15, 2020
Research Paper on Statistics on Health Care Prescription Errors Essay
Research Paper on Statistics on Health Care Prescription Errors Introduction Relation between Error in Healthcare prescription and the inconsistency in Technological information Background Information à à à à A lot of errors are occurring within the healthcare field lately. They result from many factors. Among the principle causes of error are related to wrong prescriptions. As indicated by Benjamin (770), one of the elements that play a critical role in this is the use of advanced technological methods. Computers have been used to aid in the computerized entry of prescription orders. For instance, Walgreens pharmacy, where I work is an online drug store that allows customers to purchase drugs over the internet. This poses a great danger of wrong order interpretations, inconsistencies and misfills. In the past, these have resulted in the possession of dangerous drugs, dosing errors and other mix-ups.Depending on the intensity of the prescription, they can result in severe injuries on the patient or even lead to fatality incidences. In turn, they lead to unnecessary court cases and legal suits that eventually cost many healthcare institutions and practitioners a lot of f unds that are paid to cater for the damages (Carroll 52-8). For this, there is a necessity to examine the main causes of faulty prescriptions to ensure that such avoidable consequences are kept at their possible minimal rates. This paper explored the occurrence of prescription errors as a result of order entries at Walgreens. The principleconcerns that were dealt with in this study include: What are the common causes of drug inconsistencies at the pharmacy? What kind of information technology is used in the provision of proper prescription? Are there specific actions that are related to inconsistently provided information in the same prescription order entry? What dispensing errors are most likely to occur in an online drug store? Methodology à à à à The study was prospective as it was comprised of 20 pharmacists from medical centers and Walgreens chemist, which is an online store based in Wasilla in Alaska. For approximately 2 months, they issued a report about the inconsistent order entry of prescriptions. It was principally based on communication. As such, both primary and secondary data collection methodswere employed. Therefore, it included the use of surveys for the collection of first-hand information. In this sense questionnaires and interviews from the participantswereused to gather information for the data. For accuracy and proper validation, these were combined with secondarysources such as the national health statistics (Wu, Pronovost, Morlock 88). It involved the selection of 30 electronically retrieved prescriptions from the free text field for any comments on prescription errors with regard to Walgreens pharmacy. Thus, the study entailed the overall evaluation of 60 prescription records. Data collection à à à à The data was used to capture the medication, focus dispensing errors and the types of inconsistencies in error. Among the elements to considered included dosage, incorrect drug, wrong quantity, inappropriate, inadequate and incorrect labelling. The other elements that caused inconsistencies were inadequate directions for use, inappropriate packaging, preparation and storage of medication before dispensing. It was necessary to use predictive values to determine when the prescriptive errors are likely to be higher. Data analysis à à à à The data was entered in a Microsoft database. 30 records were selected randomly to validate the data. From research, 99.7% of these are expected to be correct. Descriptive statistics characterized inconsistency. Some of the determinants of error such as inpatients and outpatients, analgesics and antibiotics, those that are less frequently prescribed and those on high alert wereanalyzed. They will be provided for harm categories where t tests and Ãâ¡2 tests will be used. Categorical variables made use of the Fisher test for categorical variables of 2 levels and the Ãâ¡2 for those with more than 2. Statistical significance or à ± =.05 were applied to test predators with the Wald Ãâ¡2 test. In this study, the regression model of multivariantlogistics method of data analysis will be used. The method will mainly identify different factors in communication prescriptive errors in relation to their severity. It will make use of a generalized approach with estimated equations. Results à à à à The results were filled in the table below: à à à à Similar names and packages Medications not commonly used or prescribed Commonly used medication where patients are allergic Medication that need proper testing for proper therapeutic administration Entry and confirmation of prescription Zeros and abbreviations Organized workforce and reduction of distraction and stress Patient counselling Storage à à à à Dispensing incorrect drug 40% 20% 2% 2% 10% 5% 10% 11% Dose 20% 30% 10% 5% 20% 10% 5% 5% Dosage form 8% 2% 1% 5% 50% 10% 20% 4% Quantity 1% 20% 1% 3% 10% 30% 20% 15% Administration time 1% 5% 3% 2% 10% 30% 40% 9% Wrong labeling 30% 30% 5% 2% 10% 5% `10% 8% Inadequate directions 5% 20% 10% 10% 5% 2% 10% 38% Inappropriate preparation, packaging and storage 20% 40% 5% 1% 1% 5% 29% 1% Graphical Representation of the results Findings à à à à It was discovered that at a pharmacy such as Walgreens where about 250 prescriptions entries are made in a day, about 4 errors occur. Reports relate these to a higher rate of inconsistent communication. The principle cause was drug dosage. There were also some drugs that were associated with a higher rate of overdosing and incorrect prescriptions when compared to others. Thus, in relation to this study, it was evident that medical centers that have a higher flow of patients and the chances of admission have higher rates of errors when compared to other private clinics and chemists. Conclusion à à à à It is important that the laid down professional ethics are adhered to in different fields. This is especially within the medical field where a slight mistake can lead to devastating consequences. Therefore, healthcare providers are always obligated to use the knowledge that they acquired in their studies as well as new knowledge and practices appropriately. They should ensure that drugs are prescribed in the most appropriate ways to avoid errors. In particular, computerized drug entries should be counterchecked to eliminate disparities. However, owing to the continuous change in the nature of disease processes and hence the production of advanced drug formulas, there is need to conduct more research. These will provide more guidance to guarantee safe drug prescription by providers of healthcare services using new technological methods. Recommendations à à à à The employees at Walgreens need to reduce the rates of prescription errors to help retain customers and avoid unnecessary lawsuits. Some of the steps they can take are to ensure the correct entry of prescriptions. These should be confirmed. They should be careful with drugs that look alike and sound alike as well as take care with zeros and abbreviations. They should make the workplace organized and reduce distractions, stress and heavy workloads as much as possible. They should also ensure that drugs are stored properly and check all prescriptions. The most important thing is to ensure that patients are cancelled before taking the drugs. References Benjamin, D. M. Reducing medication errors and increasing patient safety: case studies inclinical pharmacology. Journal of Clinical Pharmacology.2003;43:768ââ¬â83. Carroll, P. Medication issues: the bigger picture.RN. 2003;66(1):52ââ¬â8. Wu, A. W., Pronovost, P., and Morlock, L. ICU incident reporting systems.Journal of CriticalCare. 2006;17(2):86ââ¬â94 Source document
Tuesday, January 7, 2020
Essay on The Holy Bible - Suffering and The Book of Job
Suffering and The Book of Job Life is difficult. Suffering...is not an exception to the human condition, it is the human condition (Gomes 405). The question of why life can be unjustly cruel is asked today and has been asked since the beginning of time. And where is God in the midst of hardship? Is He non-existent, as the pagan statement, Its Chance alone that moves and rules our lives implies (Neiman 442). Or is God only partially in control of situations, as Harold Kushner concludes, writing, there are some things God does not control (462). Is all suffering a direct result of our own actions, as David Neiman offers (He who is suffering and believes in a God of justice, must also blame himself forâ⬠¦show more contentâ⬠¦Job, a righteous man devastated beyond imagination, cries out to God in a way many can identify with. He expresses his anger toward God (10:8), feels separated from God (13:24), and demands an answer form God (10:2). However, the reader can observe Jobs struggle with his righteousness. He claims his innocence and even presents to God specific deeds he has done throughout his life (29:1-25). But then he constantly comes back to the same question: But how can a man be just before God? (9:2). This pr ofound question is crucial to our understanding of our relationship to God and our acceptance of His will. As good as Job is, when he sees himself in the light of Gods perfection, he realizes that he is just as wretched as the next guy. God owes him nothing. Gods very first words to Job, Who is this that darkens counsel by words without knowledge? (38:2) speak clearly to all people. The problem of mans existence is that he does not know what is going on in the universe beyond the veil of mystery, and is unaware of the workings of God (Neiman 443). God has a perfect understanding of justice, an omniscience that we cannot fathom, and, as Biblical history has shown, God has perhaps used people unfairly to accomplish his will. For believing Christians, God performed the most unfair act of all by allowing Christ, His son, to be mocked, tortured, andShow MoreRelatedSatan in Paradaise Lost and Dantes Inferno1138 Words à |à 5 Pages After God created the Earth and mankind, all was right in the Holy kingdom. That is until, a friend, the bearer of light, the morning star fell in battle and ultimately in darkness. This fateful battle made true everything we know and live now. Milton and Dante play on this every concept in two very d ifferent ways, for Milton a cunning reflection of man and for Dante an animalisitic dunce. 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