Tuesday, May 26, 2020
The GRE Separate the Misinformation From the Facts
How well do you know the GRE? Have you really looked into this exam and sorted out the misinformation from the facts? Here are 5 GRE myths and misconceptions you should be aware of as you prep for the GRE. Myth # 1: To pass GRE Verbal, you need to memorize every word in the English language. To be fair, there was some truth to this myth before August 2011. On the older version of the GRE, before the newly-revised GRE was released, vocabulary was tested out of context. Back then, you had to simply know a lot of really tricky vocabulary words in order to pass the Verbal section. Not so anymore! The new GRE focuses on the skill of understanding vocabulary in-context. All of the important vocabulary appears in the context of long sentences, paragraphs, or full-length passages. The skill of inferring word meanings from context is now more important than memorizing a wordââ¬â¢s dictionary definition. Memorizing a list of common GRE vocabulary words will still help you to some degree. But the list doesnââ¬â¢t have to be too long, and the advanced, highly uncommon words of the pre-2011 GRE are now less likely to appear on the test. Myth #2: GRE Quant is dominated by complex, multi-step problems requiring a calculator. A lot of people assume that you should use a calculator on GRE Quant, just because you can. On most GRE Quant problems, this simply isnââ¬â¢t true. A surprising number of GRE math problems can be solved in just a step or two, using estimation and mental math. Even more complex problems can usually be solved with mental math and light use of scratch paper. Only a handful of unusually advanced math problems on the test will actually require a calculator. And in fact, using a calculator on simpler Quant questions can hurt you. The more often you reach for the calculator, the more chances you have to accidentally key in the wrong number, arriving at an answer thatââ¬â¢s way off. Myth # 3: You need to be a great writer to get a top score on GRE AWA. One of the biggest complaints I hear from students is that itââ¬â¢s just not possible for them to write a top scoring essay. Some GRE test-takers who feel this way are worried that they simply arenââ¬â¢t ââ¬Å"goodâ⬠writers. Other test-takers do feel that they are good writers, but worry that only a truly genius writer could create a perfect-scoring essay within the GREââ¬â¢s 30 minute time limit. The good news is that the GRE AWA isnââ¬â¢t asking for brilliant writing. Itââ¬â¢s simply asking for competent writing that satisfies all of the basic AWA Essay requirements. As long as your writing is reasonably competent, and as long as you address the essay question fully, youââ¬â¢ll be fine. Myth # 4: It takes a really long time to prepare for the GRE. As the best-known graduate school entrance exam, the GRE has almost mythical status among grad school hopefuls. Professors and advisers start talking to students about their GRE as early as their junior or even sophomore year in college, and grad programs prominently display their GRE stats on their websites. Because of this, itââ¬â¢s easy to imagine that passing the GRE is a long-term, Herculean endeavor. In fact, passing the GRE takes relatively little time in the grand scheme of things. Many successful grad school applicants finish their GRE prep in 3 months or less. To get a good grip on what your study schedule should look like, check out a tried and true GRE Study Guide. Myth # 5: You need a top score in each section of the GRE to get into a good grad school. This is one of the most common myths I hear. A lot of test-takers worry that a low score in one-section of the GRE will be a deal-breaker for any grad school. Not soââ¬âgrad programs will have separate score requirements for Verbal, Quant and AWA. This is why the GRE doesnââ¬â¢t offer a whole-test score. Your score report only shows the individual Verbal, Quant, and AWA scores, knowing schools like to pick and choose their requirements section-by-section. Grad programs can have very different requirements for each section, depending on the nature of the degree. A masterââ¬â¢s or doctorate in mathematics or engineering, for example, will have very high Quant score requirements. But Verbal requirements for such programs will be comparatively low, and your AWA score may not even matter to the program. Similarly, a grad degree in something like philosophy or English literature will have low math standards but stringent requirements for Verbal and AWA. And of course, some grad programs simply place little or no importance on GRE scores in any section. Never assume a less-than-perfect GRE score will keep you out of grad school. hbspt.cta.load(58291, '02d66581-2fb6-4177-ba0c-8380c7d85463', {}); David Recine is a test prep expert at Magoosh. He has a Bachelor of Social Work from the University of Wisconsin-Eau Claire and a Masters in Teaching English to Speakers of other Languages from the University of Wisconsin-River Falls. He has been teaching K-12, University, and adult education classes since 2007 and has worked with students from every continent. Related Resources: â⬠¢ Get Your Game On: Prepping For Your Grad School Application, a free guide â⬠¢ Making Friends with the GRE: How To Overcome Test Anxiety and Perform at Your Best â⬠¢Ã Where to Find Good GRE Practice Questions
Saturday, May 16, 2020
Poverty The Dilemma Of Poverty Essay - 1968 Words
The Dilemma of Poverty in America Poverty is a persistent problem that plagues even the wealthiest nations. Plenty of experts have given their theories for what exactly causes this world-wide problem. There are short term causes of poverty that unquestionably affect poverty rates, such as heavy drought and other environmental factors, but this still does not account for the many millions of people that can barely afford to live. A countless number of citizens of the United States cannot even recognize the problem in their own back yard. As Diana George states in her essay, Changing the Face of Poverty, ââ¬Å"More than 35 Million-one out of every seven of our fellow citizens-are officially poor.â⬠(George 676) Itââ¬â¢s tough to believe that a country that is known as a land of freedom and opportunity even has that many that are living in poverty. I believe that long term causes of poverty include a lack of education, overpopulation, and the lack of steady jobs and living outs ide of oneââ¬â¢s means to survive. To overcome poverty in America, those that are impoverished need to be given the opportunity to obtain a better education with additional funding from the government, they need to be given better resources to prevent unplanned pregnancies, they need greater agencies within each state that can help individuals find a job that fits his or her trade, there needs to be less stipulations for child care assistance and individuals that live in poverty needs to live within their own means.Show MoreRelatedPoverty Dilemmas that Canadians are Facing Today1483 Words à |à 6 Pagesbegun to fix the poverty situation that many Canadians deal with in a daily bases. Structural Functionalism Theory, Conflict Theory and the Feminist Perspective are going to be used in for this argument in this paper. This will give reader a better understanding and depth of the countryââ¬â¢s Poverty issues that are currently taken place. It describes a brief history of povert y to todayââ¬â¢s current issues in our communities, and what are some of the solutions we could do to fix poverty in Canada. This issueRead MorePoverty and Destitution1299 Words à |à 6 PagesDefining Poverty Poverty has been defined in many different ways. Some attempt to reduce it to numbers, while others believe that a more vague definition must be used. In the end, a combination of both methods is best. DiNitto and Cummins (2007), in their book ââ¬Å"Social Welfare, Politics and Public Policy,â⬠present six definitions and explanations of poverty. Social reformers Webb and Webb (1911) present another angle on poverty. Essentially, all definitions are correct, the debate is of whichRead MorePoverty and Obesity1229 Words à |à 5 PagesPv Poverty and Obesity: Why the Government is to Blame Poverty and Obesity Many people believe the American government to be corrupt and run by people who do not deserve the positions they are in and while this may be true, there are bad facts that point in their direction when it comes to certain things. One of those things includes the epidemic of obesity ultimately linked to poverty caused by the government and the food industry that is run by the government as well. Over a short amountRead MoreWorking Class Families In The Industrial Revolution Essay1205 Words à |à 5 Pageseconomic changes. During this time-period, gender roles and family order were shifted which created new dilemmas in the household. Working-class families were negatively impacted by the transition from the cottage industry to an industrialized society. Industrialization forced working-class families to depend on wages which eventually drove them into a state of poverty. ââ¬Å"Families Disruptedâ⬠, ââ¬Å"Pains of Povertyâ⬠and ââ¬Å"Womenââ¬â¢s Right to Workâ⬠all explore the hardships and changes that working-class families inRead MoreChild Poverty877 Words à |à 4 PagesCHILD POVERTY For the purpose of this assignment I shall be discussing what child poverty is, the factors of child poverty in the United Kingdom and how child poverty will be tackled. In the UK families have a prime responsibility to nurture and care for their children through various development stages (UNICEF 2012 ). Child poverty can happen from the break up of families, being in debt, poor education or unfortunately an orphan or born in to the situation (BBC, 2012). All children have theRead MoreThe Causes Of Poverty1012 Words à |à 5 Pagesin poverty, why is it that this worldwide growing dilemma is still rising in rapid numbers? Poverty is like a curse, one that is wrongfully placed, difficult to get out of, and resistant to any form of help. The pinpoint cause to poverty is challenging to find. People who live well off and are above the poverty line are quick to assume that laziness, addiction, and the typical stereotypes are the causes of poverty. Barbara Ehrenreich, a well known writer on social issues stated, ââ¬Å"poverty wasRead MoreEthical Considerations When You Are Caring For Children And Teens?828 Words à |à 4 PagesDiscuss ethical considerations when you are caring for children and teens? Nurses often encounter ethical and social dilemmas that affect individuals and families for whom they provide care. These situations may present more commonly when caring for the pediatric population. Nurses must know how to approach these issues in a knowledgeable and systematic way. Ethics involves defining the best course of action in a presented situation. Ethical reasoning is the analysis of what is morally rightRead MoreSolutions for the Social Problem of Poverty in the United States907 Words à |à 4 Pages Poverty is a common social issue that has troubled the United States for a countless number of years. Poverty is considered deprivation. It is when we are deprived of the things we need to function properly in society. Education, food and shelter are things that individuals struggling through poverty lack. Poverty is subjective because anyone can differ on the level of deprivation we suffer that describes the state of poverty. Some people even want to include the ability to go on foreign holidaysRead MoreThe Impact Of Technology In The 21st Century849 Words à |à 4 Pageswith the vast amount of changes in our society since it also has had an impact on our students. In my opinion, although we have witnessed multiple changes, the two major social problems of the 20th and 21st centuries in America are technology and poverty. Technology has unquestionably had a positive and negative impact on students. One positive aspect of technology is that it supports the different learning styles. According to Visual Teaching Alliance studies, 70 percent of the population are visualRead MorePoverty in America and Inequality798 Words à |à 3 Pagesââ¬Å"Poverty is the worst form of violence.â⬠Mahatma Gandhiââ¬â¢s words still ring true in todayââ¬â¢s society. Poverty is nothing to sweep under the rug or put on the back burner. While many statistics state that poverty is decreasing, other sources state the opposite. Poverty is a hot topic in the U.S., foreign countries, and speaks true about many genders, ethnic groups, and children. Poverty is present in todayââ¬â¢s U.S. social system. For example, as Lesser states in the Clearinghouse Review, ââ¬Å"Forty-six
Wednesday, May 6, 2020
The Pros And Cons Of Phones - 1237 Words
The Other Side I grab my phone from my nightstand and notice I have five missed calls from an unknown caller. I look at the voicemails and click on the unknown caller ââ¬Å"Hello this is Ava Thomas Iââ¬â¢m the LAââ¬â¢s deputy cop Iââ¬â¢ve notice that you have a loan of $20,000 if you donââ¬â¢t pay it soon we will have to take you to court. Could you please contact me back as soon as possible.â⬠When did I get a loan of $20,000? I look on my credit report to see what Iââ¬â¢ve bought lately. Thereââ¬â¢s nothing, but where and what time someone got a loan on my credit card. ââ¬Å"Mom I have to tell you something.â⬠Mom walk in the kitchen and ask me ââ¬Å"whatââ¬â¢s the matter?â⬠My mom asked ââ¬Å"I got a voicemail from a deputy cop saying I have a loan ofâ⬠¦show more contentâ⬠¦Officer Ava looks at Jordan with shame. ââ¬Å"You know youre in a lot of trouble for doing this and since youre eighteen and out of the system you could go to jail, Well discuss this tomorrow and see what the consequences will be.â⬠Officer Ava steps out of the room and so does Jordan. I look at my mom and say ââ¬Å"what just happenedââ¬â¢Ã¢â¬â¢ Mom tells me that everything will be settled soon. I arrive at home and couldnââ¬â¢t sleep at all thinking about Jordan. Did she know that we were related? This day has been an unusual day. She looked like a mess it looked like she had dirt on her face and her hair was all frizzy and tangled. The next day I got butterflies in my stomach I was really nervous to go see her again. We go to the police station and my mom had to fill out some papers. We go into this back room and wait until Jordan gets here. We sit in there for about thirty minutes waiting. An officer comes in and told us Jordan didnââ¬â¢t show up. ââ¬Å"We will look out for her we gave her a call but she didnââ¬â¢t answer,â⬠says the officer. Where is she I wonder I have to find her though as soon as possible because I know that the day after we met her she wouldnââ¬â¢t have overslept or be sick. Iââ¬â¢m sitting in the car paranoid then sitting at the dinner table with my family and I canââ¬â¢t even think straight about what Jordan is doing. It was bugging me that they didnââ¬â¢t know where she was orShow MoreRelatedThe Pros and Cons of Owning a Cell Phone790 Words à |à 4 PagesThe pros and cons of owning a cell phone Broc Barchard COMM/112 April-08-2013 Kerry Moquett The pros and cons of owning a cell phone Annotated Bibliography: Are cell phones controlling us? I generally like this source because it goes into great detail about the evolution of cell phones. Starting back in 1984 the first cell phone was basically a brick, and now the cell phones used today are way smaller. Also this source talks about devices becomingRead MorePros and Cons of Cell Phones in Schools626 Words à |à 3 PagesAmericans place and receive most, if not all, of their calls on a wireless phone. The increase in cell phone usage has expanded into our childrenââ¬â¢s schools. Many children in todayââ¬â¢s society carry a cell phone on their person to school. This increase of usage and change of demographic has created a debate in many schools. Read more: Pros Cons of Cell Phones in Schools | eHow.com http://www.ehow.com/about_5393195_pros-cons-cell-phones-schools.html#ixzz29NbPSPub School Emergencies The increase of schoolRead MoreThe Pros and Cons of Cell Phones Essay1043 Words à |à 5 PagesIn this day in age refusing to assimilate to at least some form of modern living is simply not an option. One invention causing controversy today that has yet to cease being alter, modified, and ââ¬Å"improvedâ⬠since its debut is the ever present cell phone. Even as I sit here typing this paper, my own shiny, rectangular piece of molded plastic and metal lies inches away from my fingertips, beckoning me to use it. Looking out the window, one of the first sights I see are people walking with one handRead MoreCell Phones : Pro Vs. Con1025 Words à |à 5 PagesCell Phones: Pro vs. Con Cell phones have come a long way since April 3, 1973 when the first phone was invented. The first call in history was made that day by Motorola employee Martin Cooper, as he stood next to a 900 MHz base station in New York City and phoned to the headquarters of Bell Labs in New Jersey (The Cellphone Turns 40: Remembering Martin Cooperââ¬â¢s Historic Call). Since that day, cell phones have evolved to become what is now a all-in-one master piece. A current cell phone removes theRead MoreThe Pros and Cons of Cell Phones Essay2268 Words à |à 10 PagesMartin Cooper changed the world by making the worldââ¬â¢s first cell phone call. With a 10-inch-long, 2.5-pound phone nicknamed ââ¬Å"the brickâ⬠he called his engineering nemesis at the much bigger company Bell Labs (Here Now, 2014). The phone gave 30 minutes of talk time after 10 hours of recharging and it cost a grand total of $3995. In those days, the average middle-class person could not afford to buy a mobile phone. By the late 1990s, cell phones became progressively accessible to the overall population.Read MorePros And Cons Of Teenage Cell Phone Use1023 Words à |à 5 PagesDecember 2014 Pros and Cons of Teenage Cell Phone Use Cell phones have become a major part of peopleââ¬â¢s lives. They are probably one of the biggest inventions when it comes to communication because of the many functions that they are capable of performing. The use of cell phones has become especially popular among teens as it is a major part of teenage social life. One source states that ââ¬Å"22 percent of children ages 6 to 9 own a cell phone; 60 percent of tweens ages 10 to 14 own a phone, and 84 percentRead MorePros And Cons Of Cell Phones In School1036 Words à |à 5 Pagesbe able to understand that phones CAN help you learn! Phones give us opportunities to hold many useful things such as calculators, passwords, and our schedules. I can see that they would want to take it away because it is ââ¬Å"distractingâ⬠, but I honestly think that it is more distracting not having it then actually having it, now all we can think about is checking our phones. Although much of the public debate is against it, there are pros assoc iated with allowing cell phones in school. These advantagesRead MoreThe Pros And Cons Of The Use Of Cell Phones While Driving1809 Words à |à 8 PagesIt is known that the use of cell phones, specifically handheld use such as texting, while driving decreases driver awareness and the overall safety of roads. In response to this knowledge, some states have passed laws that have outlawed the use of handheld devices, and while there should be laws that definitively outlaw handheld usage, is there enough empirical evidence to outlaw hands free usage of cell phones? In other words, does hands free usage of cell phones, via bluetooth, speakerphone, etcRead MoreCell Phones for Young People Useful or Distracting?1031 Words à |à 5 Pages There has always been controversy as to whether texting and cell phone use can cause young people to be less likely to be able to concentrate and focus. As young citizens we have the right to be able to own a cell phone and not be criticized using it for educational reasons. Phones give you access to the internet, teach responsibility, and is an emergency access to contact parents; however it can cause cheating in class room areas by sharing answers, it can distract people from doing work in classRead MorePersonal and Mobile Computing Essay1454 Words à |à 6 Pagesonline news cite by using his/her mobile device to read or find out different information. Furthermore, mobile computing will be discussed along with the different types of computing devices ; such as laptops , smart phones ,tablets , I pads , and E Book Readers. Likewise, the pros and cons will be deliberated as well, along with the history, and lastly why is technology currently playing a huge role in diverse people daily lifestyles? To sum it a mobile computer is efficiently any computing device that
Tuesday, May 5, 2020
Concept Analysis free essay sample
Concept analysis is a form of research that allows a person to explore a theory/ concept to the fullest degree in an organized way. This concept analysis will take Walker amp; Avantââ¬â¢s steps to form a better understanding into pain. The steps include: selection on concept (pain), Aims or purposes, literature on the pain, concept uses, determine defining attributes, model cases, alternative cases, identify antecedents and consequences, and empirical referents. Aims or Purposes of Pain Analysis Patient occurs in every person in some form. An understanding of what pain is and how to treat and assess it will allow the patients and nurses to achieve a better outcome. With an understanding of the concept of pain and how it affects the care nurses give then the better the patientsââ¬â¢ outcomes. Working on a surgical unit I am faced with pain daily and learning how to assess it allows me to understand each patientââ¬â¢s views of pain. I can be faced with two patients with the same surgery, but the pain scale totally different. ââ¬Å"All pain is Real and Pain is what the patient says it isâ⬠(McCaffery, 2002). The Purpose of this analysis of pain is to take the Walker amp; Avant steps to unfold what pain is. Literature On Pain First one needs to define pain. Pain is as (a) the sensation which one feels when hurt (in body or mind); (b) suffering, distress, the opposite of pleasure; (c) in specifically physical and psychical senses: bodily suffering; mental suffering, trouble, grief, sorrow: (d) trouble as taken for the accomplishment of something difficult according to the Oxford English Dictionary (2013). Pain can breakdown into four theories: specificity theory, pattern theory, gate control theory, and psychological/ behavioral theory. Specificity theoryâ⬠proposed that injury activates specific pain receptors and fibres that, in turn, project pain impulses through a spinal pain pathway to a pain centre in the brainâ⬠(Melzach, 1996, p130). With the specificity theory many chronic back pain patient were diagnosis as psychologically disturbed not with pain. Out of the testing the specificity theory come the pattern theory which had multiple theories which mostly lead to the Gate control theory. One of the pattern theories looked at all ââ¬Ëcutaneous qualities are produced by spatiotemporal patterns of the nerve impulses rather than by separate modality-specific transmissionâ⬠(Melzach amp; Wall, 1965, p973). Next came the Gateway control theory. The Gateway Control theory is a stimulation of the skin evokes nerve impulses that are transmitted to three spinal cord: cells in the substantia gelatinosa, dorsal-column fibers, and central transmission cells (Melzach amp; Wall, 1965, p974). This theory explains how pain can increase to a person. If one of the three areas is triggered than the response aka pain increases. Finally we have the psychological/ behavioral theory. This theory looks at pain being a result of emotions, feelings, and mental behavioral no physical injury needed ( Turk amp; Okifuji, 2002). In this theory explains how pain can be expressed by feelings. There need not be injury, but looks at how someone thinking. Reviewing all the different literature, there is a clear point that I can make. It is that pain can be one or two: physical or psychological. The other subtopics of pain like environment, social get fix into one of the top two. I feel that pain is felt different in each patient, and their bodies have chemical to let them know. Possible use of Pain Concept There are different uses of the pain concept in the medical field. First pain is an everyday experiences that is expressed through the use of language and is then legitimized (Waddie, 1996). If a patient as a history of depression or chronic pain they have pain every day and the concept is used to help explain their pain. As nurse we use the concept of pain to find base line of the pain and to assess new pain. In surgical patients they may have multiple types of pain from the incision, emotional, and history. The concept educates the nurse of the different form that pain can present itself. Pain can also guide how we treat the patient. Emotional pain would not be treated with the ââ¬Å"so know pain pillsâ⬠, but with talking or listening to patient. Concept of pain a lso address the different form of patient and how the nurse and patient response to it. If a patient is having somatic pain from an incision the nurse could react by applying heat or ice. Pain is what the patient says it is. Defining Attributes Defining attributes is to list the characteristics that are associated with a concept. According to Walker amp; Avant, concept analysis needs to consist of more than one defining attribute: however determine the attributes that are appropriate for the purpose of exploration of the concept (1995). With this principle in place, the attributes of pain are: physical and psychological responses to the stimulus, and unpleasant and distressful experiences originating from physical sensation and having both positive and negative meaning to the individual. When looking at the first attribute of physical and psychological responses to the stimulus, studies show that patients with pain score three or less to function well in their recovery and have a better mood (McCaffery, 2002). In the second attribute, an unpleasant and distressful experience from a physical sensation and having both positive and negative meaning to the individual, can relate to postoperative patients. Turn, cough and deep breathe causes both positive and negative pain to the patient. Post-surgical patients have positive pain when they are decrease postoperative complications like PE and pneumonia by turn, cough, and deep breathing. The negative side is that the patients increase their surgical pain may adding pressure to it (Al-Jurf, 1979). Model Cases Model cases need to include all for the attribute listed in the analysis of pain. An example could be a 35 years old women admitted with a bowel obstruction followed by a laparoscopic colon resection with ostomy placement. Patients reported no history of surgeries, no bowel history, no chronic pain, and no home medications. Patient follows no special diet. When admitted to the surgical unit she was sad, scared, and in increase pain. Physically the patient presented with tears in eyes, high blood pressure of 167/99, holding abdomen, and would not look at the nurse. As the nurse, I gave pain medication and explained that I would do as much as I could to help make her comfortable. See refused to look at me. Later that day, when taking care of the ostomy she turned away and told me ââ¬Å"Now I am ugly and everyone with look at me like I am crazyâ⬠. As the nurse I ensure her no one will know unless she wanted them to. I showed her to dress cover up the ostomy. I also told her that the ostomy was just here for three months to give her bowels a time to heal and then she will be back to take it down. This story was able to show both attributes of pain. A first, physical and psychological response to the stimulus was the pain forms the incision and ostomy (physical) and psychological to the body change she faced with. Both are a form of pain. Next, in the second attribute, an unpleasant and distressful experience from a physical sensation and having both positive and negative meaning to the individual, the ostomy care was painful physically in the fact that I had to give pain medication this was negative, but on the other hand the pain allow her to learn a new way to cover her ostomy so others would not know she had it (positive). In a study by Lawrentschuk, Pritchard, Hewitt, and Campbell, they researched the pain in two groups of patients: group one surgery patients with same size dressing and group two with double dressings (2003). The patients were asked pain level 12 and 24 hour post-surgery, pain dimension, pain intensity, and post-surgical analgesia (simple oral and Morphine). The results showed that patients described pain as physical pain and emotional stress. Most patient in the end marked that the pain was hard to handle, but got better each day. This study relates the two attributes of pain by the physical pain form the surgery and the psychology pain as the emotional stress. Plus the patient agreed that the pain they had was positive and negative because it hurt in the beginning but got better. Alternate cases When looking at pain I can think of children in regard to contrary cases of pain. In Cheng, Foster, and Huany concept analysis of pain, story of a child going to the clinic of hepatitis B shot. Next the mother later brought her back for a well visit and the child would not let the mother go ââ¬Å"held her mother tightly with her eyes closedâ⬠(Cheng, Foster, amp; Huany, 2003, p25). The moment the nurse walked into room the child cried and wanted to go home. This was not pain but fear therefore it is contrary cases of pain. In borderline cases same critical attributes of the concept are present not all of them. In different cultures and ethnicity it is hard to assess pain and the concept of pain may be borderline. In Sheiner, Sheiner, Shoham-Vardi, Mazor, and Katz, Articles talk about how different ethnic groups react to pain and how the nursing team needs to assess for pain. The study looked at Jewish and Bedouin women in labor. The Bedouin women would report to staff that pain was ok, but the staff evaluate physical signs of pain like tears, holding abdomens, and balling up in bed (Sheiner, Sheiner, Shoham-Vardi, Mazor, and Katz, 1999). The Bedouin women showed some parts of the concept of pain by physical expression, but also not showing pain by saying that the pain was ok. Antecedent and Consequences When looking at the concept of pain one needs to evaluate the patientââ¬â¢s culture. Antecedents are the events or incidents that happen before the existing concept (Walker amp; Avant, 1995). One can take the study from Sheiner, Sheiner, Shoham-Vardi, Mazor amp; Katz on the Bedouin women. In this culture the women are not to ask or request pain invention. It is part of their culture to handle what the body gives them. During labor the patient is in pain, but before they get there, there is already an understanding that pain is to be handle without medications or asking for help (Sheiner, Sheiner, Shoham-Vardi, Mazor amp; Katz, 1999). According to Walker and Avant, consequences are events or incident that happen as result of the concept (1995). This can be seen in surgical patients. Before we patient goes to surgery we ask them what they think their pain should be on the scale 0-10. Pain is a reaction to an individualââ¬â¢s own interpretation of the meaning. If a patient states pain is a 5, a 5 may be interpreted different for another patient. A patient may state pain will be higher or just always give the same number for pain. The request for pain medications is consequence of the concept of pain. Empirical Referents Due to pain being different in each patient the best way to evaluate it is by patientââ¬â¢s own verbalization. There are different pain charts and scale made to make assessing patient pain easier. The nurse needs to know which tool is best for the patient. In ââ¬Å"Teaching your patient to use a pain rating scaleâ⬠, it is important to educate on how to use the scale and what you mean by pain (McCaffery , 2002). Pain is different in each patient, therefor the scale needs to be explained that pain is what the patient says it is. The McGill Pain Questionnaire is the most preferred tool. In some patients that are unable to give a number of pain, like children, confused, and behavioral reasons, an assessment of the nonverbal cues are used. Assess for crying, restlessness, and avoiding moving (McCaffery, 2002). Conclusion During the concept analysis steps I found that pain is not clear cut way to assess by patientââ¬â¢s pain. There is more involved in what pain is and how patients may represent pain. As a nurse working on the floor we forget that pain is indeed what the patient says it is not what we think it is. Pain can be explained as four different theories: specificity theory, pattern theory, gate control theory, and psychological/ behavioral theory. Each theory as itââ¬â¢s only view and could fix to express a patientââ¬â¢s pain. Pain contains many different attributes in this paper I forced on the physical and psychological responses to the stimulus, and unpleasant and distressful experiences originating from physical sensation and having both positive and negative meaning to the individual. I learned that pain can represent itself in different ways; from an incision causing pain to emotional pain from a new ostomy. Model cases will represent the concept in all itââ¬â¢s glory. The model case will show all of the attribute present in the case. Next, there can be cases that may not have all or none of the attributes present. In borderline cases, there is a gray line between pain concept and not. There are some attributes but not all of them. In the contrary cases, none of the attributes are present. The end product is that pain is important to assess and to take notice of in all patients. Remember that pain is what the patient says it is. References Al-Jurf, A. (1979). Turn, Cough and Deep breathe. Surgery, Gynecology amp; Obstetrics. 149(6), p 887-888. Cheng, S. , Foster, R. amp; Huang, C. (2003). Concept Analysis of Pain. Tzu Chi Nursing Journal, 2(3), p20-30. Retrieved from http://www. docstoc. com/docs/94932886/Concept-Analysis-of-Pain. Sheiner, E. , Sheiner, E. , Shoham-Vardi, I, Mazor, M. , amp; Katz, M. (1999). Ethnic differences influence care giverââ¬â¢s estimates of pain during labour. Pain. 81(3), p299-305. Retrieved from http://www. sciencedirect. com/science/article/pii/S0304395999000196. Lawrentschuk, N. , Pritchard, M. , Hewitt, P. , amp; Campbell, C. (2003). Dressing Size and Pain : A Prospective Trail. ANZ Journal of Surgery. 73(4), p 217-219. McCaffery, M. (2002). Teaching your patient to use a pain rating scale. Nursing, 32(8). Melzach, R. (1996). Gate control theory: on the evolution of pain concepts. Journal of the American Pain Society. 5, p 128-138. Melzach, R. amp; Wall, P. (1965). Pain mechanism: A New Theory. Science, New Series. 50(3699), p 971-979. Oxford University Press. (2013). Pain. Oxford Dictionaries. Retrieved from http://oxforddictionaries. com/us/definition/american_english/pain? q=pain. Turk, D. amp; Okifuji, A. (2002). Psychological Factors in Chronic Pain: Evolution and Revolution. Journal of Consulting and clinical Psychology. 70(3), p 678-690. Waddie, N. (1996). Pain, anxiety, and powerlessness. Journal of Advanced Nursing. 16, p 388-397. Walker, L, amp; A vant, K. (1995). Strategies for theory construction in nursing (3rd ed. ). Norwalk, Ct: Appleton amp; Lange.
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