Tuesday, December 24, 2019

Review Of Yann Martel s Life Of Pi Essay - 1337 Words

GradeSaver: Getting you the grade Search GradeSaver Study Guides Q A Lesson Plans Essay Editing Services Literature Essays College Application Essays Textbook Answers Writing Help LOG IN HomeStudy GuidesLife of PiLife of Pi Summary Life of Pi Study Guide Life of Pi by Yann Martel Buy Study Guide Life of Pi Summary Life of Pi tells the fantastical story of Pi Patel, a sixteen-year-old South Indian boy who survives at sea with a tiger for 227 days. Pi, born Piscine Molitor Patel, grows up in the South Indian city of Pondicherry, where his father runs the zoo. A precocious and intelligent boy, by the age of fifteen Pi—Hindu from an early age—has also adopted Christianity and Islam, and considers himself a pious devotee to all three religions. Thanks to government upheaval that has long been distressing Pi’s father, the Patels decide to close the Pondicherry Zoo and move to Canada when Pi is sixteen. Pi, his mother, father, and brother Ravi all board the Tsimtsum along with the zoo’s animal inhabitants (who are on their way to be sold around the world). An unexplained event causes the Tsimtsum to sink, and Pi is the only human to make it onto the lifeboat and survive. Along with Pi, the lifeboat contains a hyena, a zebra, Orange Juice the orangutan, and Richard Parker the tiger. The hyena kills and devours both the zebra and Orange Juice, before Richard Parker kills the hyena. Pi is left alone on a lifeboat with an adult male tiger. There is no land in sight and theShow MoreRelatedReview Of Yann Martel s Life Of Pi1277 Words   |  6 Pagesand conquer, others succumb to the opposing force, and some learn to live alongside it. Life of Pi, written by Yann Martel, illustrates the significance of internal struggle and awakening as paralleled to its external counterparts through the voice of boy enduring intense trials of both mind and body. A multi-cultural, educated zookeeper’s son, Piscine Molitar Patel, narrates Life of Pi. The reader observes Pi, transform from a worldly, sensible human being to a bestial animal ravaged by the mercilessRead MoreSummary Of The By Yann Martel s 1628 Words   |  7 Pagesadvantages as well as disadvantages. In Yann Martel’s novel, the story’s protagonist, Piscine Patel, is a religious follower of three religions, who strongly believes that religion is essential to having a sense of imagination and that lack of faith leads to mere rationalism. Pi is a young man who survives 227 days adrift in the Pacific Ocean with a Bengal tiger, through the help of his trust and adherence to religion. Without faith in religion and G-d, Pi would not have been able to survive the

Monday, December 16, 2019

Arts Free Essays

One of these checks recently preformed was of a 67 year old patient who presented for a hysterectomy. She ended up with complications and subsequent treatment for these complications, all care was provided by Nightingale Community Hospital. Mistakes were made with this patients care and corrective actions will be taken. We will write a custom essay sample on Arts or any similar topic only for you Order Now It is cases like these we strive to correct, in order to become â€Å"the hospital of choice for patients, employees, physicians, volunteers, and the community. † (Nightingale Community Hospital, p. ) In order to learn and grow from the mistakes made with our tracer patient, we must identify specific mistakes made and develop a corrective action plan to address the improvements we are going to make. According to the information provided by our tracer patient’s worksheet, it was determined the patient presented for â€Å"librarianship hysterectomy that was converted to an open procedure due to excessive bleeding approximately five weeks prior to hospitalizing. † After examining our patient’s worksheet, or fact sheet, a few items throughout their care with us was not up to standards. First mistake found was our tracer patient did not have an admissions assessment thin the 24-hour window, starting with the time of admissions. The tracer patient’s physical was done over 72 hours after admission. Second, the staff reported completing a functional assessment but there was no documentation supporting this claim in her chart. Third, the nurse evaluated the need for an advance directive, found none to be present, and requested the family bring one with them. The family never followed through and did not provide it. Fourth, the nurses did not update the tracer patient’s plan of care since the surgery, and this assessment was done 5 weeks after surgery upon re-admittance. Fifth, a pain assessment is supposed to be done within an hour after pain medications are given. The night before this assessment, the follow up was done over an hour after the pain medication was distributed 4 times. Sixth, the tracer patient’s oxygen tanks were not secured properly and her room’s air vents were dirty. Seventh, the nurse was not able to explain range order or give a proper range in milliards. Eighth, hand off communication is poor when patient transfers units and or providers. The SD, OR nurse and PACIFIC nurses employed all evaluation tasks properly. As you can see, many steps required for safety were either incomplete or overlooked. In order to bring this tracer patient up to the standards of the Joint commission a corrective action plan needs to be made. For this assessment I am going to concentrate on the issues of medication range orders and communication during the hand off process. Medication range orders are very important because they can prevent over fusing and under dosing. Over dosing has obvious consequences or poisoning and even death, under dosing can lead to the patient Ewing in unnecessary pain. The hand – off process is very important and was addressed in prior assessments. This is where most mistakes within a hospital take place. A hand-off can include when a patient goes from one department from another or even when there is Just a shift change. In our previous case, the disorientation or the hand off lead to one of Nightingale Community Hospital’s patient’s Tina, to be discharged to a parent who did not have custody of her, resulting in a sentinel event. 2. 1 . Nightingale Community Hospital needs to repeat the steps taken to evaluate the racer patient on a wider range of patients. They need to re-evaluate the care of at least 100 patients receiving general anesthesia and inpatient surgery within the last 60 days. This is an important step to take to make sure these mistakes were not made as an isolated incident and more as an over all hospital wide issue. Assuming these mistakes are typical to Nightingale Community Hospital, it should proceed with the following steps. 2. Nightingale Community Hospital will concentrate on two specific failures: medication range orders and communication during hand off process. These areas need to be a priority because they have the greatest consequences. Poor communication leads to almost all patient issues and medication dosage can quickly lead to fatalities. . In regards to hand offs and transferring, the Joint commission requires â€Å"The hospital’s process for hand-off communication provides for the opportunity for discussion between the giver and receiver of patient information. Note: Such information may include the patient’s condition, care, treatment, medications, services, and any recent or anticipated changes to any of these. Anoint C ommission, 2014, p. 1) As described in the tracer patients information, the hand-off preformed was â€Å"Disjointed hand-off process, inconsistent use of handcuff form. To correct this staff, specifically all nurses and transport staff, will be re-trained how to transfer patients. Executives and unit super visors will collaborate on making a check off list, including such items as patient condition review, care treatment, medications and services (as recommended by the Joint Commission), which the two providers who are handing off the patient will both initial and review. . After the executives and unit supervisors develop the check off lists for all departments, an online training session will be mandatory for all employees. It will followed with a brief in person review of all employees by their unit super visors within 30 days of the implementation and the results will be kept in all employee files. The people responsible for this issues are the nurses and the transport staff. A measure of success is going to be a check off list, which has specific questions both the send off person and the receiving staff will have to fill out. Both of the questionnaires will be filed in the patients chart and their will be a set for each hand off the patient encores throughout the day. The question air protocol will start in two weeks from today. This will go on for one week throughout the entire hospital. Each of the lead super visors for each division or floor will then compile these questionnaires, compile a report for each staff member and review the findings with the staff member within 20 days following the one week assessment. They will discuss what can be improved generally and what the employee needs to specifically irking, if anything. C. Similar actions will be taken for range order re-training. Range orders are â€Å"medications in which the medication does may vary over a prescribed range, depending on the patient status. † (, 2009, p. 2) The important of training for range orders is clear. If over dosed, a patient can be killed, and if under dosed, the patient is in pain. Again, the executives and department super visors will collaborate to create range order guidelines and a re-training program. Rather then having this training be an all staff and employee requirement, range order training ill only be implemented with employees who distribute medications. Training should spread further then physicians and nurses, but also to Urn’s aids and certified nursing staff. It is important for them to have this basic training, even through they are not changing the distribution amounts, but they will be better able to spot a mistake if they have further training. The people responsible for this action are all staff members who distribute the medications. The measurement of success is going to be an audit, done by the nursing lead for the day. The lead will audit all charts for he last two hours of each persons shift. The staff will not be informed of this audit. The lead will look over any medications passed to the patient. Calculate what the text book dosage range is, make sure what was given to the patient was within this range. The lead will have on week from tomorrow to start these audits. They will go on for one 24 hours period throughout the hospital. The leads will have one week to compile the data, and one week following to have the reviews with the staff. During the review and nurse will distribute a pamphlet overgrowing orange order dosing. How to cite Arts, Papers

Sunday, December 8, 2019

PSLE System of Education in Singapore

Question: Discuss about thePSLE System of Education in Singapore. Answer: Introduction This essay talks about the T- Score PSLE system which has been prevailing in Singapore and also at the same time it also have been mentioned in the essay that what all issues were faced by the students who were following this system and what were the lacunas and benefits of this system. This essay has not contravened the word limit of 1000 words. The total word count for this essay was 1000 words. T- scores have been defined as Transformed Score which have been used in order to standardize the raw scores across the level or cohort. They give the relative rank or position of the performance of the student as compared to all other students in the same exam for which they were appearing for. It could be calculated for the individual subjects and the can be summed up as a single aggregate T- score same as it was done in the case of PSLE. By this method the students were also benefited as they would be ranked in a fair manner. Body of the Essay The Primary School Leaving Examination (PSLE) has been regarded as a national assessment system for all graduating primary school students in Singapore and it settle on their admission into a secondary school. It was also proclaimed by the Minister for Education Yong Nyuk Lin in1960 that the government-administered PSLE was the first national examination system to be established in Singapore. At that time, the examinations were conducted in four language medium English, Chinese, Malay and Tamil. Today, all leaving primary school students are required to take the examination.Education has been an unquestionably essential feature of Singapores communal fabric. The Primary School Leaving Examination (PSLE), was a students first standardized state test, which was the foundation of Singapores present learning system. From 2021, students who take their Primary School Leaving Examination (PSLE) would be judged with Achievement Levels (ALs) of 1 to 8 in each of their four subject matters (Soezean, 2016). The total of these ALs would make up students final scores, which would now be called the PSLE Score. The Ministry of Education (MOE) first declared that these changes in Parliament in April would be made with the aim of decreasing an over-pressure on educational consequences (Ngerng, 2016).Changes to the Primary School Leaving Examinations (PSLE) scoring would be made as part of a larger shift to nurture well-rounded people and would move away from an over-emphasis which has been imposed on academic results of the students (Today Online, 2016). The changes were to be executed from the 2021 PSLE system, the changes would aim to (Yeh, 2015): Decrease fine demarcation of students; reflect a students level of attainment in spite of how his friends have done; encourage relatives to decide schools based on their comfort for the childs education wants, aptitudes and benefit. It was also indispensable to have the Primary School Leaving Examination (PSLE) as a meter of judging that how much a 12-year-old student has grasped through his years of teaching. One may dispute that the PSLE has been constricted in its range and does not evaluate other students in their excellence. Though, it was unfeasible for such an appraisal to face all regions. So, the PSLE was said to be previously reasonable as in that people set the same documents in their four main questions. By brooking people into the variety of enlightening organizations by way of their T-scores, it guarantees that the knowledgeable desires of people have been met. For instance, some people may necessitate an extra rationally inspiring atmosphere while other students may need a less spirited atmosphere to set free their probable limits. Secondary educational institutions have been a point in time to study new talents and subjects, and falsify new friendships, between other understandings. It was believed that all the educational institutions contribute to the same purpose of granting an all-round teaching. But one may affirm that some educational institutions offer more prospects than others. In the conclusion, it can be concluded that however, an outstanding teaching was not about the forename of t he educational institutions, but about how people were keen to taking advantage of every chance, in order to set original objectives and endeavor to be enhanced in future (Strait times, 2015). Some people may say that certain schools have a history of negative peer pressure. However, it was up to the individual to decide on whether to be influenced by such forces or not.The PSLE system does not define one's future success, but ensures that the learning needs of pupils would be met. But Primary School Leaving Examination have been taken into account in order to remove it as the students faced several issues which includes the stress which was imposed upon the students because of this exam. Another issue was that it has become the tendency of the students that they compare their scores due to this system among themselves.So, the present PSLE scoring system would be scrapped in five years time to make way for a new grading system weighing ALs (YNG, 2016). Over the past weeks, there have been constant calls for the elimination of the Primary School Leaving Examinations (PSLE): For example, An Associate Professor of a school i.e. Pauline Straughan affirmed single-mindedly that the Ministry of Education (MOE) should get rid of the PSLE system, so that schools would be at liberty from the fascination of testing, and teachers can then put their focus on teaching particularly. Regrettably, the teacher felt that reviewers fail to understand the point was that the attainment of ability or information (as well as the expansion of creativity) and the amalgamation of assessment were not equally restricted. A misguided presumption has also been made about the system that the occurrence of the PSLE means that students were engineered to organize for examinations per se; which was, of course, not the case (Tham, 2016). Conclusion Therefore it has been concluded that a new system would now replace the present PSLE system as it would allow students to put attention on their own education rather than trying to work on out doing others (Khamid,2016).The choice of schools would now weigh more for the admission of students in Secondary 1, followed by computerized balloting. In fact, the choice of schools would be the new tie-breaker after citizenship for the students with the same PSLE score (Shu, 2016). References: Khamid,H.M.A. (2016). New PSLE scoring system may help address over-emphasis on grades: Parents, teachers. Retrieved on 29th September 2016 from : https://www.channelnewsasia.com/news/singapore/new-psle-scoring-system/2679772.html Ngerng, R. (2016). New PSLE Education System: Taking a Deeper Look at the Numbers. Retrieved on 29th September 2016 from : https://thehearttruths.com/2016/07/16/new-psle-education-system-taking-a-deeper-look-at-the-numbers/ Shu, N. Y. (2016). Everything you need to know about the new PSLE scoring system in 60 seconds. Retrieved on 29th September 2016 from : https://mothership.sg/2016/07/everything-you-need-to-know-about-the-new-psle-scoring-system-in-60-seconds/ Soezean, M. (2016). Primary School Leaving Examinations (PSLE) scoring to change from 2021. Retrieved on 29th September 2016 from : https://www.theonlinecitizen.com/2016/07/15/primary-school-leaving-examinations-psle-scoring-to-change-from-2021/#prettyPhoto Tham, I.(2016). PSLE changes won't change Singapore's obsession with grades. Retrieved on 29th September 2016 from : https://www.straitstimes.com/opinion/psle-changes-wont-change-singapores-obsession-with-grades Today Online. (2016). 10 things to know about changes to the PSLE scoring system. Retrieved on 29th September 2016 from : https://www.todayonline.com/singapore/10-things-know-about-changes-psle-scoring-system Strait Times. (2015). PSLE system fair, has its benefits. Retrieved on 29th September 2016 from : https://www.straitstimes.com/forum/letters-in-print/psle-system-fair-has-its-benefits YNG, N. G. (2016). No more T-scores at PSLE: PM Lee. Retrieved on 29th September 2016 from : https://www.todayonline.com/singapore/no-more-t-scores-psle-pm-lee Strait Times. (2015). PSLE system fair, has its benefits. Retrieved on 29th September 2016 from : https://www.straitstimes.com/forum/letters-in-print/psle-system-fair-has-its-benefits