A Study to Determine the Prevalence of Pressure Ulcers in Spinal Cord Injury Patients and Underlying Factors (in a Governme :: Nursing Research Project

I have done a research project in fulfillment of the Bachelors of Science in nursing at Rufaida College of nursing, Hamdard University, New Delhi, India. The project was, ‘A study to determine the prevalence of pressure ulcer in spinal cord injury patients and its possible underlying factors in a selected Government hospital of New Delhi in India'. The objectives of the study were, to determine the prevalence of pressure ulcer in spinal cord injury patients and find out the possible underlying factors for the development of pressure sore in spinal cord injury patients. The conceptual framework offered for the study based on the epidemiological concept of interaction between the agent, host and environment. The research approach adopted for the study was descriptive survey method. The tools for the data collection were an observation checklist, an interview schedule and a questionnaire. The observation checklist, used to determine the prevalence of pressure ulcer in spinal injury patients. The investigators used the interview schedule for the spinal cord injury patients, and the questionnaire for nursing staff to find out the possible underlying factors. Five experts from health care profession validated the tool. Purposive sampling technique adopted to select the sample. The sample consists of 54 spinal cord injury patients and 20 nursing staff from the spinal cord injury unit of Safdarjung Hospital, New Delhi, India. The information collected over a period of two weeks. The data analyzed to find out the prevalence of pressure ulcer, their distribution by affected bony prominence and the stages of pressure sore by computing frequency and percentage. The data collected from spinal cord injury patients analyzed under host, agent and environmental factors by computing mean percentages. The significant findings of the study were as follows:- 1. There was a high prevalence (66.67%), of pressure ulcer in spinal cord injury patients. 2. The most affected bony prominence was sacrum (44.44%) and least affected area were ischial tuberosity, lateral malleolus, and toes (2.78%). 3. In most of the patients (47.22%), the pressure ulcers were in the 1st stage. 4. The key factors for the development for pressure ulcer in spinal cord injury patients were the lack of comfort devices (96%), and inadequate nurse- patient ratio (94%). 5. As reported by the nursing staff, the adequate nurse patient ratio (80%), was the dominant factor for the development for pressure ulcer in spinal cord injury patients.

Struggles that the education system is facing

As I begin learning in a secondary urban school, I start to recognize the many struggles our instruction system is confronting. Student behaviour has ever been a serious issue in many typical urban high schools. There are schools where pupils can easy accommodate to their following class degree and schoolroom outlooks, assisting to settle portion of the battle. There are besides schools that remain fighting with the pandemonium. In add-on to the behavior issue, peculiarly in Philadelphia high schools, the course of study besides contributes to the job. Recent educational statute law has redirected the focal point of schooling. Standardization has become a tool to switch the attending to certain topics such as math and English. Whenever there is a deficiency of balance in a school course of study, the academic jobs seem to originate. It is no uncertainty that our kids need reading, authorship, and arithmetic ; nevertheless, when pupils can non do connexions between those three R †˜s and societal factors, the academic jobs persist, particularly in schools with high poorness degrees. But what truly is the job? Our urban instruction system has put aside vocational topics, limited physical instruction by holding bantam gym floor, and shifted all attending and resources to math, reading and composing. School reforms frequently stir contention among instructors and decision makers. When I look back to Dewey ‘s course of study, I realize that he got a superb thought to construction course of study that might supply the solution to current school system. Dewey ‘s thoughts influence the work of many ulterior pedagogues, psychologists, and educational theoreticians but remained in the universe of thought instead than the universe of pattern. This paper examines how Dewy struggled to construct the course of study that he believe would harmonise the universe and how he rose to the universe leader in instruction. The features of an ethical democratic leader are besides analyzed.BiographyJohn Dewey was born in Burlington, Vermont, October 20, 1859. Dewey went to public schools and graduated in 1879 from the University of Vermont. Dewey began learning in Oil City, Pennsylvania for a twelvemonth. He moved to Charlotte to learn grade school for another twelvemonth before sing doctrine as a calling. Dewey borrowed five hundred dollars from an aunt to inscribe in Johns Hopkins University where he studied doctrine. Dewey received his doctorate grade under professor Morris who tardily appointed him as an teacher at Michigan. He taught a class in psychological science as an debut to the class in doctrine and shortly became an helper professor. In 1894, Dewey was invited to Chicago as president of the Department of Philosophy, Psychology, and Education. He taught classs in moralss and logics. Dewey is best known for the laboratory school in which he developed and tested his course of study. Due to a struggle with the president of University of C hicago, Dewey left Chicago and moved to Columbia. He became active in many societal and political motions and began to go around the universe. Dewy lectured in Japan, China, and Russia. Since so, Dewey has been extremely regarded as one of the greatest mind, and subscriber to psychological science, doctrine, and educational teaching method.Democratic LeadershipNo leader could lift entirely. The ability to carry and work with people makes great leaders. Dewey was non an exclusion. Dewey was influenced by his survey of Huxley ‘s book in physiology which emphasized the integrity of the being and the interaction between being and the environment. Dewey had applied the thought good into his life. He was cognizant of the environments that surrounded him and use them as resources to back up his place throughout his life. Dewey was persuasive and he besides frequently set himself near people who can assist him do things go on. His carrying accomplishments were critical for his leading throughout his life since the beginning, following his college graduation. During the twelvemonth instruction in Charlotte, near Burlington, Dewey had the chance to discourse with Professor Torrey about doctrine. The treatment led to his consideration of doctrine as a calling. Dewey was interested in the Journal of Speculative Philosophy, edited by W. T. Harris. He submitted an article for publication. Harris accepted the article and gave it a compliment that encouraged Dewy to compose two more. Dewey finally enrolled in Johns Hopkins University to analyze doctrine under George Morris. At Johns Hopkins, Dewey began his societal networking. He met a group of alumnus pupils, including James Cattel. Meeting and working with Professor Morris was a key in Dewey ‘s success. When Morris was appointed to the president of doctrine at University of Michigan, Dewey besides became an teacher. After Morris died, Dewy so succeeded as president of the section. The sequence created a vacancy for James Tufts to fall in the module at Michigan. In 1891, Tuft came to the freshly unfastened University of Chicago. Three old ages subsequently, with the suggestion of Tufts, Dewey was invited to Chicago as president of the Department of Philosophy, Psychology, and Education. This event opened the door for Dewey to pursuit his thought in instruction reform. Dewey opened and operated his laboratory school with the support from the university president Harpert, his married woman, and aid from Dr. Young. After surrender from University of Chicago, Dewey wrote to several friends in other school. Cattell, who became professor and president of the Department of Philosophy at Columbia, secured Dewey a place in the section. Here at the Teachers College, Dewey became active in many societal and political motions. He traveled, lectured, and became a universe leader in instruction. Dewey was like a seed planted in good dirt. The conditions to win were the integrity between Dewey and his interaction with the environment. Dewey was clearly cognizant of his place in the different phase throughout his life, and he made good connexions with people who contributed to his success as a universe leader in instruction. Another common feature of an ethical democratic leader is self-confidence. Dewey has the assurance to follow his dream. At any clip in life, altering calling way is a large determination to do that requires a batch of assurance. Dewey did it at least twice. As he decided to pursuit a calling in doctrine, Dewey quitted working as a grade school instructor in Charlotte. He borrowed five hundred dollars from his aunt to inscribe in Johns Hopkins University. When Dewey was invited to University of Chicago as president of the Department of Philosophy, he showed his great assurance. Chicago in the 1890 was about the same as Chicago of today. The city with political corruptnesss was besides the land for municipal and societal reforms. Dewey has the assurance to take the lead in the section, and open his research lab within two old ages. When the struggle between Dewey and president Harper arose in Chicago, Dewy resigned from his place and left without cognizing what to make next. He left th e school, but he did non go forth his dream. He used his assurance to follow his dream and thoughts with small respects to where he worked. He changed waies to follow his ain way. Dewey ‘s assurance was more graphic when he traveled around the universe. He traveled to different states that have different political systems like Japan, China, Soviet Union, Dewey involved in activities that advocate democracy in Japan and China. Dewey besides became involved in the difference between Stalin and Trotsky. The serious work put Dewey as a leader in educational and political reform. Dewey was ever a difficult worker who worked with passion. Dewey devoted his life to work in the field of doctrine, psychological science, and instruction. He worn multiple chapeaus along his calling line. Dewey was originally a grade school instructor, and so served as professor. He joined the University of Chicago as president of a section. In 1899, Dewey was elected as president of American Psychological Association. Subsequently, he served as president of American Philosophical Association. He had legion publications that covered a broad scope of subjects. Psychology was his first book that appeared in front of James ‘s Principles of Psychology. When he was a member of the Psychological Review, he published several articles. One of his outstanding part to psychological science was How We Think, in which Dewey formulate five stairss human takes to believe. The best known portion of his part is the work in instruction. His instruction method is dominant in the American instru ction system. During his calling, publications of methods in about all Fieldss of doctrine were apparent that Dewey was an highly difficult worker who made himself seeable and a loud voice in his field. Passion is one of the cardinal features for a successful leader. Dewey ‘s success in the field of instruction was a consequence of work outing a struggle. Before developing his invention around the struggle, Dewey carefully define the job as a disjunction between an single and society, â€Å" the ultimate job of all instruction is to organize the psychological and the societal factors. † Dewey focused on doing the connexion between the involvements and development of the person and those of the society. Dewey interested in organizing the two factors so that the person ‘s involvement and psychological science are non dictated by the societal environment. Dewey believed in doing the school a illumination community where the kid lived, participated, and contribute to the societal community while emerging individualism at the same clip. He rejected the impression that the map of instruction was to fix the following coevalss to run expeditiously in the bing societal order. Dewey besides rejected the thought that the present involveme nts of the kid must be subordinated to future wagess whether they were represented by vocational competence or by a bid of the cultural heritage. The two rejections are still valid in today ‘s society. Our instruction system aims to fix kids for the modern universe, frequently disregard the person ‘s involvement. As the procedure of globalisation is on the manner and competition is on the rise, the person ‘s involvements are less important in the finding of a pupil about what to make in the hereafter. Often, a pupil picks their calling based on the handiness of occupations. Although it is less relevant, the impression of a kid ‘s involvement is dictated by a bid of cultural heritage exists in today society, particularly in Asiatic states where grownups pave the route of the hereafter for their kids. Dewey rejected both and looked for a new procedure of taking the kid from present involvements to an rational bid the modern universe. With that in head, Dewey wa nted to utilize a school as a research lab to plan and prove his invention. Although Dewey has set the intent of his school and an experiment to transport out, he did non get down without confer withing bing thoughts. Dewey started with an analysis on Harris ‘s humanist theoretical account. Harris ‘s focal point was to stand for in the class of survey the whole human experience. While Dewey saw that as an importance in the course of study, he found that Harris ‘s five topics did non represents the whole human experience. He pointed out the job of isolation. Each topic was taught as isolated from the following and there was no existent principal of integrity. In add-on, each of the group of surveies was ready made. Dewey believes that capable taught isolatedly loses its significance, he noted, â€Å" geographics loses much of its significance when separated from history, and history loses a good trade of its content, if you isolate it wholly from geographics. † In this course of study, the kid ‘s life is an built-in. Children ba se on balls from one subject to another, on topic to the following. They go to school, and assorted surveies divide the universe for them. Each topic is classified while facts are torn off from their beginning and rearranged with mention to some general rules. Each subjects are divided into surveies ; each survey into lesson, each lesson into specific facts and expression. Children are immature, traveling to school to go full-blown and to widen their experience. The job is so, the proviso of logical parts and sequences, and the presentation of each part in a schoolroom. Dewey besides noted that the job is terrible when it comes to topics that are presented in a more or less finished signifier. The chief expostulation of Harris ‘s place was that the procedure of conveying the kid to the intellectual of western civilisation was done without esteeming the kid ‘s involvements and how kids see their universe. They are taught from the position of grownups who arranged and pres ented cognition in organized topics. In add-on, the promise of integrity among the topics in the course of study was non fulfilled every bit long as the topics are treated independently from one another. Having been through a century of reform, the subject-isolated course of study still exists in today ‘s society as a criterion. Subjects of survey are organized cognition in detached books, taught individually by fixed course of study with fixed criterions. In add-on, instructors are besides divided harmonizing to different topics. Teachers are certified to teacher in certain capable countries. Dewey saw the job and turned his dorsum from this attack. Another option was the culture-epoch. Dewey had assorted experiencing about it but still see it as a promise for alteration in the right way. This attack is appealing to Dewey because it attempted to take the kid ‘s involvements straight into history in building the class of survey. In add-on, a culture-epoch course of study proposed to travel increasingly from the early phases of human development to civilisation by mean of ability to cover efficaciously with the modern universe. Although the culture-epoch is really promising to Dewey, it still reveals some jobs with Dewey ‘s ideal course of study. One job is the correspondence between the kid and the race that is questionable. Culture-epoch suggested that there is a possibility of a developmental phase in the kid that is non easy to do confirmation whether it exists. Reject 2 things: the human phases, and the agribusiness illustration of the manner it is carried. Bing a voice speak out his thoughts Tact/strategic 6 stairss to work out struggles Handss on the research lab school Indominable spirit struggle with Harper Resilient Move to Columbia and go on to tour universe Position of human self-respect the course of study for kids ( tonss from the kid and course of study ) Idealist/Realist ( ideal school in society )

`` Pax Romana `` A Time Of The Great Civilizations Of Our...

Rome was one of the great civilizations of our past. It experienced much time in â€Å"Pax Romana† a time which it was at complete peace internally and among the surrounding empires. Through the ages the people of Rome remained connected with their roots. Patriotism remained a huge virtue among the people of Rome, they remained very connected to their government. Family life continued to remain important to the people of Rome and it was encouraged that parents have many kids. When the Roman government was at peace the people were in love with their government. To quote Aelius Aristides in his writings on â€Å"The Blessing of Pax Romana† he says: â€Å"Let us pray that all the gods and their children grant that this empire and this city flourish forever and never cease until stones float on water and trees cease to put forth shoots in spring, and that the Great Governor [the emperor] and his sons be preserved and obtain blessings for all. Yet at the same time as all this the Roman Empire was at a time of spiritual bankruptcy. The Martyrdom of the Christians were treated as a game for the people. The people were thrown into arenas to be killed for wild beasts while people watch and cheered. The people did not care who was thrown into to be murdered as long as they got t watch their sport. Young men, seniors, young women, nursing mothers, kids, anyone was fair game to be murdered for their beliefs. Yet the Christians who went into these deadly events held no fear. We learn that fromShow MoreRelatedThe Roman Empire1469 Words   |  6 PagesWhen it comes to civilizations in our past what comes to mind? Some may say the Greeks, others may say the Persians, but one of the most underrated of the past civilizations was the Roman Empire. The Roman way of life and â€Å"Pax Romana† set up a standard of what defined civilization great. However, what was it that made the Roman life great? Was it the rules, the system of government, the virtues of the people? I believe what made the Romans so mighty was a blessing from God due to the outpouring revivalRead MoreWashington Vs. Roman Empire1648 Words   |  7 PagesThroughout history civilizations have developed and advanced through the exchange of knowledge, as well as numerous other aspects. Even in contemporary day America, a myriad of aspects of the Roman Empire are reflected within Washington, which initially enabled the Roman Empire to be quite prosperous. The Roman Empire’s developments influenced Washington politically, as they impacted the perspectives of many political leaders and it allowed them to expand their power of the presidency to div erseRead MoreModern Er El Paso High School1694 Words   |  7 Pagesrebirth, a renaissance of art that belongs in the past but seems to endure because of its outstanding and unrivaled beauty. To revive a great nations architecture in the modern era goes to show just how much of an impact an ancient empire had on humanity that extends almost two thousand years in the past. El Paso High school is a great example of Corinthian Style architecture that was predominant by the Roman Empire in the years of the Pax Romana. The building is a masterpiece that displays two ancient