CRITICAL APPRAISAL PART B PREVENTION OF PRESSURE ULCERS A pressure ulcer, bedsores, or decubitus ulcers are defined u injury to the skin or underlying tissue, often over a bony prominence, that results from unrelieved pressure. According to Ebi, Hirko, & Mijena (2019), pressure ulcers are preventable but it should never occur. Nurses play an important role in preventing pressure ulcers as they are the primary caregivers. The overall interventions identified from the study effective in preventing pressure ulcers are adequate nutrition, exercise, repositioning, treating incontinence, dressing, and using support devices. Repositioning, use of support devices, addressing aims at relieving or reducing pressure.  Reposition involves changing patients sleeping positions regularly to relieve pressure and increase blood circulation (Reddy, Gill, & Rochon, 2016). Combination with changing wet linen, and maintaining patient hygiene will effectively prevent pressure ulcers. Poor nutrition predisposes patients to pressure ulcers due to poor immunity and unhealthy skin. Inadequate nutrition and dehydration cause the skin to dry and increases death cells will impair oxygen supply. The patients such as the post-operative or orthopedic patients should be provided with nutritional…

The Challenge of Cutting down Industrial GHG Emissions without Affecting Industry Operations 1.0 WEB SERIES Frangoul (2017), through the CNBC News article, writes that efforts to minimize Green House Gases (GHG) are critical in reducing climate change and protecting the environment. The article outlines how large companies such as Walmart have taken on a proactive approach in their steps towards minimizing their carbon footprint. Walmart Inc. has taken on Project Gigaton where it wants to partner with suppliers to ensure that it minimizes the volumes of emissions into the environment. In this project, the firm looks forward to partner with suppliers to ensure that they replace fossil fuel energy with clean energy sources. Through this article, it becomes clear that Walmart is convinced that through helping its suppliers to use clean energy, it would reduce its GHG emissions. According to Walmart, this action is equivalent to removing 211 million passenger vehicles off the roads for a whole year. The biggest question that remains is, “Will the adoption of clean energy to reduce GHG gases affect the sustainability of operations of…

Reply 1 Hello Parker, Thank you for posting an insightful and engaging post regarding how you utilize the assessment results to help students perform better. I agree with your approach of setting goals for gifted students to aim and strive harder regardless of their excellent capabilities of the state’s standardized tests. By setting goals for the gifted students, they work harder to attain them, enabling them to develop competency skills and improve their comprehension of the course material, motivating them to learn more (Keeley, 2015). I also support your idea of using formative assessment, whether simple or structured, as it is extremely beneficial to learners because you will understand the needs and tailor the next lesson to meet them (Wiliam & Leahy, 2016). Consequently, students’ learning experience is enhanced, encouraging them to further participate in the learning process. Further, utilizing formative assessment may help you improve students leaning by developing tasks that are more complex since your students are gifted. Please allow me to ask, do you experience any challenges using formative assessment? References Keeley, P. (2015). Science formative assessment, volume…

Before Taking Protein, Know That You Are Not Taking The Wrong Protein In India, four kinds of proteins are used more, but not all types of proteins are for everyone, but which protein you need in your diet. So which one is the best protein powder in India. Are you not getting the necessary protein from your daily diet? Protein is essential for better health. It strengthens the lean muscles, strengthens the immune system, and is a significant source of energy. Eggs, dairy production, meat, protein supplements, and protein powders are the primary sources of protein. In most Of India, four kinds of proteins are used, but not all types of proteins are not for everyone. In particular, women do not know much about proteins, so they take any protein powder in the market or by looking at advertisements on TV. After some time, they feel that it has not benefited them, or their physics is getting worse than taking it. So before incorporating protein powder into your diet, so in this article, we will tell you what the benefits of…

Daniel Elazar’s Exploring Federalism Book Review The world consists of many countries which have unique systems of government or governance that vary from others. The system of governance or a government of a country or a region is an important aspect of the society as the government is an organ that runs the activities of the country and determines the success and development in a country or a region. Daniel Elazar is one of the most popular contemporary scholars who employ systems of governments especially the American federalism[1]. Daniel Elazar wrote his book titled Exploring Federalism which gives a broad and expansive look at federalism as a major political principle or system. In the book, Daniel Elazar defines federalism as the need of people and polities to come together for a common purpose but they remain separate and preserve their respective integrities. Elazar says that federalism is the best political system to use when people want to achieve the most benefits out of the government as it is human nature. Through federalism, human beings or different branches of the government…

Micro-Aggressions Micro-aggression is subtle aggression against an individual who is different from the perpetrator regarding race, gender or other factors (Moore, Calvin & Beale 2015). It occurs due to stereotypes, bias and negative assumptions which limit one’s value and humanity. I recently witnessed micro-aggression at the workplace whereby my female teammate was ridiculed and demoralised by our male supervisor. Women often suffer micro-aggression at the workplace such as being sexualised by their male counterparts or being demeaned through suggesting they are unable to handle both motherhood and office duties (Moore et al. 2015). Since I was not the receiver of micro-aggression, I did not take the situation personally and offered the benefit of the doubt by not considering the receiving party as a victim. I also encouraged the individual who experienced micro-aggression to toughen out to establish the illusion of strength thus discouraging the aggressor from disempowering her. Since my cultural values encourage behaviours such as integrity, honesty and openness, I was able to apply ethical decision-making characteristics which prevented me from acting irrationally by quickly accusing the perpetrator. Therefore,…

COLLAPSE Top of Form Depression in adolescents is a disabling condition associated with long term mental and physical health issues. Screening is seen as one of the best ways to identify and improve depression management (Roseman et al., 2017). In the United States, 11.4% of adolescents have been diagnosed with depression annually and suicide was stated to be the 3rd leading cause of their death (Leslie et al., 2018). Depression is a commonly reoccurring, seriously impairing, mental problem and the World Health Organization grades major depressive problem as the fourth leading cause of mental disability (Kessler, 2012). Adolescent depression is a growing public health concern (Dihigo, 2015) and should be given a great consideration. Depression has both individual effects as well as economic and social consequences (De Jonge-Heesen et al., 2016). Adolescent depression causes later role transitions difficulties, including low educational accomplishments, high risk of adolescent childbearing, marital disturbances, poor health and unsteady employment (Kessle, 2012). Wright. (2015) indicated that children who were diagnosed with depression, anxiety, and other emotional disorders had yearly health care expenses of $2237, higher than that of…

Social Cognitive Theory and STDs and HIV among African Americans Communities Introduction The social cognitive theory (SCT) explains different personal experiences, actions of others in the community and related environmental issues, and their impacts on the individual’s health patterns. Various research works show that the theory offers chances for social support of the affected people to achieve personal behavior change significant for their health. Scholars explain that model plays a fundamental role in explaining and preventing HIV and STDs among the African American community. By using the method, individuals and organizations employ different approaches in the intervention of HIV and STDs response among the blacks who face different social challenges. Previous and current studies indicate that HIV and STDs significantly affect the population of African American, including women, adolescent and heterosexual individuals like men who have sex with men. The disparity of HIV and STDs infection among African Americans started at the beginning of the pandemic. In 1982, African American comprised 23% of the reported cases while they only constitute 12% of the American population. Moreover, recent data indicate the…

HYPERTENSION   Health issue Hypertension is a common health issue among the different populations in the united stated. 45% of the adults have hypertension with only 24% having their condition under control (Hajjar & Kotchen, 2015). According to the CDC 2019, hypertension is prevalent and more destructive among African Americans than any other racial group. African Americans are twice likely to have 4-5 cardiovascular risk factors, hence, there is a need to put greater attention to the management of blood pressure (CDC, 2019). A lot of speculations have been placed on different etiology and pathophysiology, but there are no unique causes that can explain the high prevalence in African Americans. The prevalence of obesity (51%), and salt sensitivity have been proposed to explain the rapid rise in hypertension in AA (Hekler et al., 2019). What poses a great concern among this group and a barrier to blood pressure control is adherence and compliance issues. To achieve excellent blood pressure control, an approach that integrates cultural, physiological, socioeconomic, and epidemiological differences should be utilized. I Opposition or advocacy of the Issue…

    Article information Mundy, M. A., & Kupczynski, L. (2013). A qualitative study of technology integration into culture and sustainability in schools. ISRN Education, 2013. The article can be found at https://www.hindawi.com/journals/isrn/2013/967610/ Issue             The task in this article was to examine the integration of technology into sustainability in schools and culture. In this, a sample effective was taken from two schools in the south Mississippi district, and they were selected to be questioned on their perceptions of the TeachUp! Integration into schools’ continuous functions, improvement in the education output, long-term systematic change, and culture. According to the majority of the respondents, the technology has had a major sustaining impact in this areas in the schools’ operations. The climate of the learning environment had changed with the improvement in the use of technology. Comments- The article’s task is clearly explained to enable the readers to read and get an impression of what was targeted in the report. The research methods are presented reasonably, and the conclusion is made that had signs of the study. Aim             The purpose of the research…