Sunday, February 16, 2020

Exit Zero Essay Example | Topics and Well Written Essays - 750 words

Exit Zero - Essay Example only means for most people to achieve social mobility and overcome the traditional class divides that characterized America after the downfall of the steel mills in South East Chicago where it did not only transformed the affected families of the steel mills, but also the socio-economic society of America in general. America is no longer a socially mobile society it once pride itself to be but rather a socially stratified society where the economically deprived people can only aspire to better their lot but could no longer break the social and economic barrier. Moreso in 21st century economy where it is knowledge based and more and more jobs now requires a college education. The new glass ceiling in work are the educational certifications which now solwoly becoming exclusive to those who can afford it making it more difficult for people to transcend class barriers. The situation is now aggravated by the fact that college education is becoming economically prohibitive due to its high cost. It is no longer accessible nor affordable to those families whose source of income are based on factories and mills such as depicted in Christine J. Walley’s â€Å"Exit Zero: Family and Class in Postindustrial Chicago†. Along with the closure of those mills is also the figurative closure of opportunity to those people whose source of income comes from blue collar jobs such as those in the factories of South Eastern Chicago. They are unable to go to college and as a result, the only jobs available to them are those menial jobs that do not pay well. So they are stuck in the lower economic strata without any hope for social mobility and thus, the vicious cycle begun. The poor remains poor because they no longer have access to means that would improve their economic and social status. Nice paying jobs are shut to them because they do not have colleg e education. College education is inaccessible to them because of its high cost. So the 21st century economy became

Sunday, February 2, 2020

For patients in a home setting with wounds, does use of tap water to Research Proposal

For patients in a home setting with wounds, does use of tap water to cleanse wound affect rate of infection and healing compared to use of normal saline to cleanse wounds in a month period - Research Proposal Example Presently, this process has an initial integrated into the patients’ healthcare plan as opposed to previously when its application was because of an infection. Since the process was officially under inauguration, it has undergone several alterations that aid the science transferred to the bedside to aid in the healing intervention. The process use an acronym (TIME) which stands for tissue management, infection and inflammation, moisture control and balance and the final step is epithelial advancement. This process advances the art of wound healing without deviating from the base principles of moisture control, debridement and bacterial control. This framework is not a continuum and therefore is applicable in a large number of wounds (Fleisher & Ludwig, 2010). This framework is only applicable if the level of intervention is as thorough as the level of the assessment following it. The assessment helps identify how the wound is affecting the individual, cause of the wound and the effects of the individual on the wound. This aids in the determination of the healing process happening and the appropriate way to manage the wound. This process is also essential as the nurse in charge needs to collect data on how the wound’s management. The first step is debridement, which is a practice on empirical observation. Although this method has no proof of expediting healing, it is a clinical advice since it helps in striking a balance in the wound’s bio burden. After a wound, the body produces hormones and body enzymes form a corrosive compound on the surface of the wound. The control to this is simply making sure that a moisture balance is in place. Dressing and elevating it helps in minimizing this exudate therefore giving the wound an atmosphere for healing (Kifer, 2012). The most important step in wound healing, is balancing the bacteria on the wound. A wound contains microorganisms and tissue debris and this can delay healing. Pathogens