Tuesday, December 31, 2019

Positive Effects Of Corporal Punishment - 1174 Words

Gershoff’s article talks only about a few positive effects of corporal punishment which include immediate compliance, prevention of future misbehavior, and moral internalization. Corporal punishment is often seen as ineffective and as having negative results in children’s development including developing of aggressive behaviors, harming parent-child relationships, and damaging mental health. Mediational processes are inevitable consequences of corporal punishment when administered to children; a few of them include emotional and sensory arousal, perception and acceptance of disciplinary message, and observational learning and social control. The effects of corporal punishment on moral development, according to Gershoffs article, are†¦show more content†¦In Development Through the Lifespan, Laura E. Berk talks about inductive discipline. This type of induction helps make the child aware of feelings by pointing out the effects of the child’s misbehavior on others† (p. 276). When children understand the consequences of their actions on others, they are then more likely to refrain from misbehaving and display prosocial behaviors. Finally, although it is very argued against in the article through the many studies discussed, corporal punishment also has a positive effect on moral internalization in children when it is applied in an instrumental way and not accompanied by strong parental emotion. In African-American families this form of punishment is quite common and highly encouraged. Because the children in those families are familiar with the punishment, the tend to â€Å"†¦ view it as an effort to encourage maturity†¦Ã¢â‚¬  (Berk, p. 270). Corporal punishment can help enhance children internalization when the children understand that it is aimed at guiding them to become responsible adults. Although, there are some positive constructs from corporal punishment there are even more negative constructs that outweigh the positive ones. Corporal punishment is often seen as ineffective and as having negative results in children’s development including developing of aggressive behaviors, harming parent-child relationships, and damagingShow MoreRelatedCorporal Punishment and the Effects of Its Usage757 Words   |  3 PagesCorporal Punishment and the effects of its usage Corporal punishment is the ability to make physical contact as a form of punishment for reprimanding ones behavior. Corporal punishment versus positive reinforcement while they both serve their purpose corporal punishment is known to be more effective. The most common form of disciplining has always been either a spanking, corporal punishment has been dated all the way back to biblical times. Now the corporal punishment that occurred during biblicalRead MoreEffects of Corporal Punishment on Children When Used in the Home1354 Words   |  6 PagesEffects of Corporal Punishment on Children When Used in the Home Discussion about corporal punishment is everywhere. It is in the news and in the home, and in education on what is punishment and what is abuse is beginning to rise. Corporal punishment has been used as a disciplinary tool for parents throughout all of Americas history (Gershoff, 2002, p. 1). However, the definition of what corporal punishment actually is, is still unclear to some people and parents. In Wendy Walshs essay, SpankerRead MoreEffects Of Positive Punishment On Children1562 Words   |  7 Pages This paper will explore effects of positive punishment on children from research conducted through an online database. The articles however vary in certain aspects and perspective of punishment. Lansford, Wagner, Bates, Pettit, Dodge (2012) discuss the controversy as to whether or not infrequent spanking is related to the higher levels of externalizing behavior. Fletcher (2012) discusses whether or not the use of punishment is effective on children. Straus (1999) suggested about 15 years ago thatRead MoreEffectiveness of Corporal Punishment1320 Words   |  5 Pagesof punishment is most efficient in eliciting avoidance behaviors. For a number of years the debate about the use and effectiveness of corporal punishment by teachers has divided educators, parents and ministry officials. As a result, researchers has tried their best to determine whether punishment or harm to a child does indeed thwart misbehavior and encourage students to follow the rules and regulations set forth by the schools. Although, Trinidad and Tobago has banned corporal punishment itRead MoreThe Effects Of Corporal Punishment On The Parent Child Relationship1634 Words   |  7 PagesTHE INFLUENCE OF CORPORAL PUNISHMENT ON THE PARENT-CHILD RELATIONSHIP. There are many different ways of disciplining a child. Corporal punishment is one of the main ones. The term corporal punishment means the intentional infliction of pain on the body for purposes of punishment and includes slapping, hitting with objects, pinching, shaking and forcing to stand for long periods of time. Family researchers define corporal punishment as the use of physical force aimed at causing childrenRead MoreCapital Punishment : A Controversial Topical1621 Words   |  7 PagesCapital punishment is a highly controversial topical. According to Benjet and Kazdin (2002), capital punishment can be defined as a child receiving a spank, an open-handed hit, on the buttocks that does not leave a lasting mark. The main theme of arguments in favor of capital punishment is in reference to its quick allowance of acceptance. On the other hand, the theme for arguments against capital punishment focuses on the long term effects of it. The stigma around spanking your child has changedRead MoreClassroom Discipline And Management Literature Review1363 Words   |  6 Pagesstrategies that are incorrect or rather unacceptable; whether this is done intentionally or under certain desperation to gain control and respect of the learners. It is prevalent across the globe. Although the South African system has used corporal punishment for many years to maintain discipline and management in the classroom; there have always been other alternative ways which are effective and better as opposed to the harsh way of discipline. The Constitution of South Africa specifically bannedRead MoreCorporal Punishment And Its Effect On Children1708 Words   |  7 Pagesviewpoint on corporal punishment; some of the reviews take a look at who is most affected by corporal punishment in terms of focusing their lens on race, socio-economic status, gender, culture etc. Some also take a critical look at the advantages and disadvantages of cor poral punishment. Some take a look at the widespread of corporal punishment in the US. Cases against corporal punishment and the effect of corporal punishment on children were also looked into. With all the different ways corporal punishmentRead MoreThe Case Against Spanking By Brendan L. Smith910 Words   |  4 Pagesresearchers has described that physical abuse and spanking can lead to some serious effects in children. Physical punishment can lead to aggression, antisocial behavior, and other negative effects physically and emotionally. The research and studies have found evidence of abuse to children in short-terms and long-terms. The physical discipline has been viewed as a violation of Children’s Human Rights. Physical punishment of children became a taboo in 30 countries this legal ban is used only as publicRead MoreIs Corporal Punishment A Common Parenting Approach?887 Words   |  4 Pagesas if corporal punishment is a common parenting approach, with over 70% of fam ilies participating. The speaker wants to introduce and convince families to a better parenting style. Holden presents a paradoxical argument that the way to empower children and parents is to disempower parents. He touches on the subject of corporal punishment and its unintended side effects. He transitions from speaking about a â€Å"traditional† parenting orientation, to what he considers a better option, â€Å"positive† parenting

Monday, December 23, 2019

Persuasive Essay Genetically Engineered Foods - 835 Words

Persuasive Research Essay: Genetically Engineered Foods Genetically engineered foods are products that are made out of genetically modified organism, or commonly known as GMO. The modification is inherited from generation to generation. These types of foods have deeply infiltrated the world’s food supply. Almost 90% of crops like corn, soybean, cotton, canola and sugar beets grown in the United States are now genetically modified. Genetic engineering promises increased crop yields, lower costs for farmers, and the reduced use of herbicides and pesticides. It is a completely different method from natural breeding. Because of the modification the nutritional content of the food will be altered. (Genetically Modified Organism (GMO)†). Genetically engineered foods should be banned everywhere in the world, because it is a huge danger to our health as well as to our environment and they increase herbicide and pesticide use. Since the modified product’s DNA is changed during the modification process, it can not only harm the environment, but humans as well. Many studies have shown that people get toxic and allergenic reactions from GMO food. The modified product is filled with chemicals. When people consume modified food, their immune system goes down and they tend to get sick. GMO food lacks in nutrients and has unknown side effects (Agricultural Biotechnology: The Promise and Prospects of Genetically Modified Crops). In 2010 the EuropeanShow MoreRelatedGenetically Modified Crops : Hope For Developing Countries?1543 Words   |  7 PagesLuis Herrera-Estrella and Ariel Alvarez-Morales, authors of â€Å"Genetically modified crops: hope for developing countries?†(2001) argues for genetically modified food to be grown in developing countries in an attempt to alleviate starvation and assist those countries in joining the developed world. The author supports this by immediately identifying and addressing prominent counter-arguments, displaying a localized need of the technology (soon to be globalized), and examining how harshly GMOs are criticizedRead MoreOne Significant Change That Has Occurred in the World Between 1900 and 2005. Explain the Impact This Change Has Made on Our Lives and Why It Is an Important Change.163893 Words   |  656 PagesPHILADELPHIA Temple University Press 1601 North Broad Street Philadelphia, Pennsylvania 19122 www.temple.edu/tempress Copyright  © 2010 by Temple University All rights reserved Published 2010 Library of Congress Cataloging-in-Publication Data Essays on twentieth century history / edited by Michael Peter Adas for the American Historical Association. p. cm.—(Critical perspectives on the past) Includes bibliographical references. ISBN 978-1-4399-0269-1 (cloth : alk. paper)—ISBN 978-1-4399-0270-7

Sunday, December 15, 2019

Art a Bar at the Folies Bergere by Edourd Manet Free Essays

elly Turner A Bar at the Folies Bergere by Edourd Manet In the detailed work of art by the artist, Edourd Manet, the subject matter is depicting a barmaid who is alone working in a crowded bar shown in the mirror behind her but at a far distance away. The look on her face seems like she is distracted and overwhelmed with so many customers that she can’t handle taking everyone’s order. The subject matter comes from the artist who maybe is unhappy with his own work and maybe overwhelmed with all the pieces he needs to create for a certain event. We will write a custom essay sample on Art a Bar at the Folies Bergere by Edourd Manet or any similar topic only for you Order Now The media of this work is an oil painting. Oil paintings are used on a canvas. It is a slow drying process which gives the surface of the painting richness and depth of colors. To use oil paint you need good quality sable brushes, turpentine for cleaning and thinning brushes, a canvas, and paint. Points, lines, and shapes help create oil paintings. There are symmetrical forms of the barmaid depicting visual weights and counterweights in the piece, A Bar at the Folies Bergere, by Eduaor Manet. The shapes in this piece are geometric by the reflection of the mirror and also soft edged by the crowd in the background in the mirror almost faded out. The overall balance is destabilized. The masses in this painting are mostly focused on the bar tender then geometrically have the crowd smaller and faded away in the mirror depiction. The textures of this image are implied because there are x-ray photographs that reveal that Manet twice shifted the barmaid’s reflection further right. The color scheme is broken down with light and dark colors making it appear naturalistic. The space is created in two dimensional work with the barmaid’s image reflecting off of the mirror with the crowd portrayed in the background as pretty far away from her and also by balancing to lead our eyes around the work. Elements are arranged with the barmaid as the main element which is big and catches our eyes before we notice the smaller people in the mirror reflection. Unity is created by the mirror reflecting her back image talking to a man knowing that they are all one big room. There is variety n this piece because the barmaid is very finely painted yet the crowded area of people in the mirror is almost fuzzy and unrecognizable. The scale of this work is half life size half not with the women being painted as a normal size yet the other people are very tiny with just their upper bodies being painted. The woman is extremely emphasized in this picture and the man along with the bar top is emphasized as well but not as much as the woman. In the detailed work of art by the artist, Edourd Manet art can be described in many various ways to depict so many different aspects of the painting. How to cite Art a Bar at the Folies Bergere by Edourd Manet, Essay examples

Saturday, December 7, 2019

Adaptation of nursing care - Free Samples - Myassignmenthelp.Com

Questions: 1. Pathophysiology of clinical manifestations of Type 1 diabetes. 2. Nursing considerations related to the administration of NovoRapid. 3. The potential impact of type 1 diabetes on Briana and her family. 4. Adaptation of nursing care to accommodate Toms intellectual disability. Answers: Answer 1: High blood glucose level: The high blood glucose level in type 1 diabetes is a consequence of the autoimmune destruction of -cells of the islets of Langerhans in the pancreas. Actively functioning -cells are able to sense the levels of glucose in the blood and release the required amounts of in cells is concomitant with a loss of control on blood glucose levels. The patient suffers from high blood glucose levels and is likely to suffer from secondary complications(Bluestone, Herold, Eisenbarth, 2010) Due to the absence of insulin the transport of glucose to the cells of the body is affected and glucose remains unutilized leading to a high blood glucose level (Pubmed). Glucose in the urine: Presence of glucose in the urine is an indication of diabetes and is termed as glucosuria. In the normal course glucose is reabsorbed into the blood by the kidneys. Glucose is detected in urine at high blood glucose concentrations of 10 mmols/L or more. Glomerular filtration of glucose is higher than the amount the renal tubules can reabsorb. More than 25 mg/dl in samples of fresh urine indicates either high plasma glucose level or insufficient renal resorption of glucose and often both (Restrepo, Pino, Zarate, Mora-Guzmanb, 2013 ). The urine testing for presence of glucose was used for monitoring glycemic control among diabetics in older times. It continues to be regarded as a non-invasive and inexpensive method even now. Increased urination: Increased urination or polyuria is one of the major symptoms of diabetes. Excessive and copious amounts of urine are passed. Among adults, the volume of urine may be more than three litres a day as compared to the normal output of one or two litres a day. Many times the diagnosis of diabetes occurs when a patient complains of polyuria. It can lead to dehydration and if the treatment for diabetes for control of blood sugar levels is not started soon, it can lead to affected kidney function. Once the kidneys fail to reabsorb sugar, the presence of sugar draws out more water and polyuria results (diabetes.co.uk). Increased thirst: The increase in thirst and higher intake of water occurs due to dehydration caused by polyuria. It is termed polydipsia and is usually accompanied by short term or long term dryness of the mouth. Several times high blood sugar is detected when a patient complains of thirst. In untreated diabetes the intake of water may be as high as five litres a day. Plolyuria, polyphagia and polydipsia account for the three major symptoms that are seen in diabetic patients at the time of diagnosis. Copious drinking of water may not alleviate the feeling of thirst in patients (diabetes.co.uk, polydipsia.html). Increased appetite: Increased appetite or polyphagia is a symptom observed among patients who suffer from hyperglycemia. Due to insulin resistance, the glucose in the blood fails to enter the cells leading to low energy. The body reacts by signalling hunger or increase in appetite. More intake of food raises the blood sugar further and the patient feels hungry all the time. Lowering blood glucose through exercise is often effective and reduces blood sugar levels and also stimulates production of insulin. This helps to alleviate the symptom of polyphagia. Ketones in the urine and blood: Ketones are detected in the blood at high levels when a person suffers from hyperglycemia. Less insulin secretion by pancreas impairs the transport of blood glucose into cells and this causes the liver to burn fatty acids to produce energy leading to the production of ketones. This happens when insulin levels are low but glucagon and epinephrine levels are normal. Small levels of ketones in the blood are normal but higher levels are often caused due to diabetes. (diabetes.co.uk, /diabetes-and-ketones.html). Weight loss: Weight loss among diabetes patients results when the body burns fat because enough energy cannot be generated as the glucose utilization is impaired due to lack of transport to cells. Ketoacidosis is usually accompanied by weight loss as the body begins to lose fat and muscle. A drop in weight from 5 to 10 kg that has not been preceded by exercise or diet regimen often points at diabetes. Answer2: Prior to administration Validate the medication order: Prior to the administration of insulin the nurse should ensure whether the insulin dose is written legibly on the prescription and choose a prefilled flexipen that contains the correct dose. It should be ensured that the patient has not received the injection scheduled for that time of the day. Have comprehensive knowledge of the medication It is important to know whether the insulin is slow acting or fast acting. Slow acting insulin is given at the same time everyday (Glargine-in Briana's case) while fast acting insulin (NovoRapid -TDS) should only be administered when the patient's blood glucose is 180mg/dl and it should be immediately followed with a meal. Prepare the medication safely The insulin bottle should be at room temperature. It should be rolled between the hands gently so that a uniform fluid can be seen. Air should be drawn into the syringe equal to the number of units of insulin to be administered. The insulin should be drawn into the syringe to draw the correct number of units. Assess the patient Briana's blood sugar level should be checked just before injecting insulin and patient should be watched for signs of hypoglycemia. Since she is a new patient, her blood pressure should be checked. Check whether the patient is feeling nausea, whether she will be able to hold the meal that will be consumed right after the insulin is administered. During administration Administer the medication safely Correct size of the needle should be chosen. Since Briana is a child and has lost weight recently, a 4mm or 6mm needle can be used. A subcutaneous injection should be given. The nurse should inject insulin into the subcutaneous fat and not into the muscle tissue by raising the skin and using a smaller needle. An 8mm needle is usually used unless specified by the doctor in some cases. The insulin pen should then be held in place to a count of ten to allow the insulin to disperse from the site where it is being injected (NHS, 2014). After administration Document nursing care It is important to make an entry in the chart about the details of the insulin injection. Date, time, site of injection, dosage given should be recorded in a clear and legible fashion. Ensure patient safety Patient should not show signs of allergy and a meal should be consumed immediately after the injection. Monitor the patient Patient's blood glucose should be monitored every hour until two consecutive readings are observed in the normal range. If any sign of hypoglycemia (blood glucose level is at or below 70 mg/dl) is observed patient should be given glucose orally. Answer 3 Emotional The emotional impact of Briana's diagnosis on the family is likely to be considerable due to her young age. The parents will be responsible for monitoring blood glucose levels, administration of medication and watching her food intake and physical exercise(Whittemore, Jaser, Chao, Jang, Grey, 2012). These tasks can prove to be daunting for her mother because of her father's intellectual disability and another infant to care for. The father has already shown signs of being overwhelmed at the time of diagnosis, more so because of his inability to comprehend the illness. Parents can suffer from distress and anxiety because there is disruption of routines. Post traumatic distress is common among parents soon after diagnosis. Physical A change in routine disrupts the family schedule and adds to the stress of the parents. It can be physically demanding to take care of the child's needs and the parents have to care of themselves and other children in the family. A constant watch over Briana's diet, exercise, medication and monitoring blood glucose levels can increase the demands on her parents' physically. Positive lifestyle changes in some cases can improve the adherence to healthy lifestyle of the family (Helgeson, Becker, Escobar, Siminerio, 2012). Answer 4. It is important to recognize the father's intellectual disability and the impediments that he may face when taking care of a young child with type 1 diabetes. Training and educating the father may need extra inputs, particularly with regard to administering insulin, monitoring blood sugar levels, recognising hypoglycemia and the strict regimen of diet and exercise that has to be followed. Awareness about complications that could occur if the medical team's advice is not adhered to has to be added as an extra layer of caution. Educating the parent who has difficulty in understanding, with the help of educational tools, remaining in touch with a social worker, periodic visits to the family during the initial days are important steps to be taken as a nurse. Monitoring the child's behaviour, pacifying the child in times of crises, maintaining a positive atmosphere that fosters the correct diet and exercise for the whole family need to be taught to the parent (Coren, Hutchfield, Thomae, Gustafsson, 2010). References Bluestone, J., Herold, K., Eisenbarth, G. (2010). Genetics, pathogenesis and clinical interventions in type 1 diabetes. Nature. 2010 Apr 29; 464(7293): 12931300., 464(7293): 12931300. Coren, E., Hutchfield, J., Thomae, M., Gustafsson, C. (2010). Parent training support for intellectually disabled parents. Cochrane Databae of Systematic Revi, (6):CD007987. diabetes.co.uk. (n.d.). /diabetes-and-ketones.html. Retrieved from https://www.diabetes.co.uk: https://www.diabetes.co.uk/diabetes-and-ketones.html diabetes.co.uk. (n.d.). polydipsia.html. Retrieved from https://www.diabetes.co.uk: https://www.diabetes.co.uk/symptoms/polydipsia.html diabetes.co.uk. (n.d.). polyuria.html. Retrieved from https://www.diabetes.co.uk: https://www.diabetes.co.uk/symptoms/polyuria.html Grissinger, M. (2011). Avoiding Problems With Insulin Pens In the Hospital. Pharmacy and Therapeutics, 36(10), 615616. Helgeson, V., Becker, D., Escobar, O., Siminerio, L. (2012). Families With Children With Diabetes: Implications of Parent Stress for Parent and Child Health. Journal of Pediatric Psychology, 37(4): 467478. NHS. (2014, May 20). 20May14.pdf. Retrieved from https://www.nhslanarkshire.org.uk: https://www.nhslanarkshire.org.uk/Services/Diabetes/Diabetes%20Clinical%20Guidelines/Documents/Guideline%20for%20the%20Administration%20of%20Insulin%20by%20Nursing%20Staff%20final%20May14.pdf Pubmed. (n.d.). /PMHT0024702/. Retrieved from https://www.ncbi.nlm.nih.gov: https://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0024702/ Restrepo, B., Pino, P., Zarate, I., Mora-Guzmanb, F. (2013 ). Dipstick urinalysis for diabetes screening in TB patients. International Health, 5(2): 157159. Whittemore, R., Jaser, S., Chao, A., Jang, M., Grey, M. (2012). Psychological Experience of Parents of Children With Type 1 Diabetes. Diabetes Education, 38(4): 562579.

Monday, November 25, 2019

Spanish Expressions Using the Verb Estar

Spanish Expressions Using the Verb Estar As one of the verbs meaning to be, estar is used constantly in Spanish to refer to peoples emotions as well as the status of things and persons. Although there are many times estar isnt translated as to be, usually its use is straightforward for English speakers. Estar also finds its way into numerous idiomatic expressions whose meaning may not be obvious at first. Following are some of the most common and/or useful of them, along with sample sentences taken from contemporary writing. Appropriate translations can vary, depending on the context. Spanish Expressions Using Estar dà ³nde estamos (an expression of amazement or disgust at what is being witnessed).  ¿Dà ³nde estamos?  ¡No lo puedo creer! Whats going on here? I cant believe it! estar a gusto (to be comfortable). Estoy a gusto en mi trabajo. I am comfortable with my job. estar al caer (to be on the verge of arriving). El Nexus 5 est al caer, y podrà ­a costar 399 dà ³lares. The Nexus 5 is almost here, and it could cost $399. estar al loro (to be on top of things). Puedes hablar de todo, porque ests al loro de lo que sucede diariamente. You can talk about everything, because youre on top of everything that happens daily. estar a oscuras (to be ignorant or in the dark). Estoy a oscuras en estos temas. I am in the dark about these subjects. estar a punto de (to be on the verge of). Estaba a punto de llamarte. I was just about to call you. estar al corriente (to be up to date or current). No estoy al corriente en mis pagos. Im not up to date with my payments. estar al dà ­a (to be informed). Quiero estar al dà ­a con todo lo que pueda con mi bebà ©. I want to know about everything that can happen with my baby. estar al là ­mite (to be at ones limit in patience). En estos momentos estoy al là ­mite, y me hace daà ±o ver como mi novio se autodestruye. These days I am at my limit, and it pains me to see how my boyfriend is self-destructing. estar de buen nimo (to be in a good mood). Mariano explicà ³ que ayer su padre estuvo de buen nimo. Mariano explained that yesterday his father was in a good mood. estar de ms (to be excessive). La seguridad nunca est de ms durante la presencia del presidente. There is never too much security during the presence of the president. estar mal de (un à ³rgano del cuerpo) (to have a bad body part). Roger estaba mal de la espalda y no podà ­a jugar con toda su capacidad. Roger had a bad back and couldnt play to full capacity. estar por ver (to remain to be seen). Y est por ver la respuesta del Gobierno de Espaà ±a. The response of the Spanish government remains to be seen. estar sin un cobre, estar sin un duro (to be broke). Recuerdo una à ©poca que yo estaba sin un duro. I remember a time when I was flat broke. estar visto (to be obvious). Estaba visto que no era particularmente una buena opcià ³n. It was obvious that it wasnt particularly a good option. llegar a estar (to become).  ¿Cà ³mo llegaste a estar delgada tan rpido? How did you become thin so quickly? Sources: Sample sentences have been adapted from online sources that include es.Gizmodo.com, Carlos Soriano Gà ³mez, Fobiasocial.net, Foro de Ayuda Psicolà ³gica, Correo del Orinoco, es.Yahoo.com, ComoHacerPara.com, ElBebe.com, ElDà ­a.es, BioBioChile, D. Vzquez Molini and Informe21.com.

Friday, November 22, 2019

Critically discuss the nursing paradigms that you consider have the Essay

Critically discuss the nursing paradigms that you consider have the most relevance to nursing and to your own clinical practice - Essay Example to develop a strong interpersonal relationship with the patient and give quality and compassionate care for optimum positivism for the patient in particular. According to Polit and Hungler (2006) paradigm is a "way of looking at natural phenomena that encompasses a set of philosophical assumptions and that guides ones approach to inquiry" (pg. 183). Nurses naturally use this type of thinking in their practice to assist them in determining what the best care methods are going to be for a patient. Of course this thought moves into the usage of metaparadigms in the field as well, with both interlacing together to form a unified pattern in professional nursing. A Metaparadigm differs from a nursing paradigm as, â€Å"it is known as a group of statements identifying a relevant phenomena† (Fawcett 1984, pg. 84). The Metaparadigm model has four known concepts that directly affect the clinical practice of any nurse, regardless of this is in theater or outside on the surgical ward, or even on a basic ward. These four known central concepts that directly affect the discipline of nursing are as follows: Carper’s Pattern of Knowing (1995) intertwines with this mental train of thought in nursing because it moves beyond the technical aspects of the field and goes more into personal knowledge and experiences. This is explicably true in the area of understanding the patient’s direct needs and the environment from which they came from before ending up in the medical environment (Sorrell & Sorrell 1995, pg. 2). It is also true that this type of philosophy, while bringing many nursing ideas into a more unified spectrum has also brought in a paramount shift in the profession itself. According to how Sorrell & Sorrell (1995) analyzed this concept in their research, they show how Carper believes that every knowledgeable pattern in nursing must be fully understood so that a perfect type of congruence between all of the theorizations and concepts will develop and not be